00-27833. Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2001
-
Start Preamble
Start Printed Page 65376
AGENCY:
Health Care Financing Administration (HCFA), HHS.
ACTION:
Final rule with comment period.
SUMMARY:
This final rule with comment period makes several changes affecting Medicare Part B payment. The changes include: refinement of resource-based practice expense relative value units (RVUs); the geographic practice cost indices; resource-based malpractice RVUs; critical care RVUs; care plan oversight and physician certification and recertification for home health services; observation care codes; ocular photodynamic therapy and other ophthalmological treatments; electrical bioimpedance; antigen supply; and the implantation of ventricular assist devices. This rule also addresses the comments received on the May 3, 2000 interim final rule on the supplemental survey criteria and makes modifications to the criteria for data submitted in 2001. Based on public comments we are withdrawing our proposals related to the global period for insertion, removal, and replacement of pacemakers and cardioverter defibrillators and low intensity ultrasound. This final rule also discusses or clarifies the payment policy for incomplete medical direction, pulse oximetry services, outpatient therapy supervision, outpatient therapy caps, HCPCS “G” Codes, and the second 5-year refinement of work RVUs for services furnished beginning January 1, 2002. In addition, we are finalizing the calendar year (CY) 2000 interim physician work RVUs and are issuing interim RVUs for new and revised codes for CY 2001. We are making these changes to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. This final rule also announces the CY 2001 Medicare physician fee schedule conversion factor under the Medicare Supplementary Medical Insurance (Part B) program as required by section 1848(d) of the Social Security Act. The 2001 Medicare physician fee schedule conversion factor is $38.2581.
DATES:
Effective date: This rule is effective January 1, 2001.
Comment date: Comments on interim RVUs for selected procedure codes identified in Addendum C and on interim practice expense RVUs and malpractice RVUs for all codes as shown in Addendum B will be considered if we receive them at the appropriate address, as provided below, no later than 5 p.m. on January 2, 2001.
ADDRESSES:
Mail written comments (1 original and 3 copies) to the following address only: Health Care Financing Administration, Department of Health and Human Services, Attention: HCFA-1120-FC, P.O. Box 8013, Baltimore, MD 21244-8013.
Please allow sufficient time for mailed comments to be timely received in the event of delivery delays. If you prefer, you may deliver your written comments by courier (1 original and 3 copies) to one of the following addresses:
Room 443-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201 or Room C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244.
Comments mailed to the two above addresses may be delayed and received too late to be considered. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. In commenting, please refer to file code HCFA-1120-FC. Comments received timely will be available for public inspection as they are received, generally beginning approximately 3 weeks after publication of a document, in Room 443-G of the Department's office at 200 Independence Avenue, SW., Washington, DC, on Monday through Friday of each week from 8:30 to 5 p.m. (phone: (202) 690-7890).
Start Further InfoFOR FURTHER INFORMATION CONTACT:
Carolyn Mullen, (410) 786-4589 or Marc Hartstein, (410) 786-4539, (for issues related to resource-based practice expense relative value units).
Kenneth Marsalek, (410) 786-4502 (for issues related to supplemental practice expense survey data).
Bob Ulikowski, (410) 786-5721 (for issues related to resource-based malpractice relative value units and geographic practice cost index changes).
Rick Ensor, (410) 786-5617 (for issues related to care plan oversight and physician certification/recertification).
Cathleen Scally, (410) 786-5714 (for issues related to observation care codes).
Jim Menas, (410) 786-4507 (for issues related to incomplete medical direction and the 5-year review).
Roberta Epps, (410) 786-4503 (for issues related to outpatient/therapy).
Marc Hartstein, (410) 786-4539 (for issues related to the physician fee schedule update, the sustainable growth rate, the conversion factor, and the regulatory impact analysis).
Diane Milstead, (410) 786-3355 (for all other issues).
End Further Info End Preamble Start Supplemental InformationSUPPLEMENTARY INFORMATION:
Copies: To order copies of the Federal Register containing this document, send your request to: New Orders, Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify the date of the issue requested and enclose a check or money order payable to the Superintendent of Documents, or enclose your Visa, Discover, or Master Card number and expiration date. Credit card orders can also be placed by calling the order desk at (202) 512-1800 or by faxing to (202) 512-2250. The cost for each copy is $8. As an alternative, you can view and photocopy the Federal Register document at most libraries designated as Federal Depository Libraries and at many other public and academic libraries throughout the country that receive the Federal Register.
To order the disks containing this document, send your request to: Superintendent of Documents, Attention: Electronic Products, P.O. Box 37082, Washington, DC 20013-7082. Please specify, “Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2001,” and enclose a check or money order payable to the Superintendent of Documents, or enclose your VISA, Discover, or MasterCard number and expiration date. Credit card orders can be placed by calling the order clerk at (202) 512-1530 (or toll free at 1-888-293-6498) or by faxing to (202) 512-1262. The cost of the four disks is $25.
This Federal Register document is also available from the Federal Register online database through GPO Access, a service of the U.S. Government Printing Office. The Website address is: http://www.access.gpo.gov/nara/index.html.
Information on the physician fee schedule can be found on our homepage. You can access this data by using the following directions:
1. Go to the HCFA homepage (http://www.hcfa.gov).
2. Click on “Medicare.”
3. Click on “Professional/Technical Information.”
4. Select Medicare Payment Systems.
5. Select Physician Fee Schedule.
Or, you can go directly to the Physician Fee Schedule page by typing the following: http://www.hcfa.gov/medicare/pfsmain.htm. Start Printed Page 65377
To assist readers in referencing sections contained in this preamble, we are providing the following table of contents. Some of the issues discussed in this preamble affect the payment policies but do not require changes to the regulations in the Code of Federal Regulations. Information on the regulations impact appears throughout the preamble and is not exclusively in section X.
Table of Contents
I. Background
A. Legislative History
B. Published Changes to the Fee Schedule
C. Components of the Fee Schedule Payment Amounts
D. Development of the Relative Value Units
II. Specific Proposals for Calendar Year 2001
A. Resource-Based Practice Expense Relative Value Units
B. Geographic Practice Cost Index Changes
C. Resource-Based Malpractice Relative Value Units
D. Critical Care Relative Value Units
E. Care Plan Oversight and Physician Certification/Recertification
F. Observation Care Codes
G. Ocular Photodynamic Therapy and Other Ophthalmological Treatments
H. Electrical Bioimpedance
I. Global Period for Insertion, Removal, and Replacement of Pacemakers and Cardioverter Defibrillators
J. Antigen Supply
K. Low Intensity Ultrasound
L. Implantation of Ventricular Assist Devices
III. Other Issues
A. Incomplete Medical Direction
B. Payment for Pulse Oximetry Services
C. Outpatient Therapy Supervision
D. Outpatient Therapy Caps
E. HCPCS G Codes
F. Work RVUs in the Proposed Rule
G. Five-Year Refinement of Relative Value Units
IV. Refinement of Relative Value Units for Calendar Year 2001 and Response to Public Comments on Interim Relative Value Units for 2000 (Including the Interim Relative Value Units Contained in the July 2000 Proposed Rule)
A. Summary of Issues Discussed Related to the Adjustment of Relative Value Units
B. Process for Establishing Work Relative Value Units for the 2001 Physician Fee Schedule and Clarification of CPT Definitions
C. Other Changes to the 2001 Physician Fee Schedule and Clarification of CPT Definitions
V. Physician Fee Schedule Update and Conversion Factor for Calendar Year 2001
VI. Allowed Expenditures for Physicians' Services and the Sustainable Growth Rate
A. Medicare Sustainable Growth Rate
B. Physicians' Services
C. Provisions Related to the SGR
D. Preliminary Estimate of the SGR for 2001
E. Sustainable Growth Rate for CY 2000
F. Sustainable Growth Rate for FY 2000
G. Calculation of the FY 2000, CY 2000, and CY 2001 Sustainable Growth Rates
VII. Provisions of the Final Rule
VIII. Collection of Information Requirements
IX. Response to Comments
X. Regulatory Impact Analysis
A. Resource-Based Practice Expense Relative Value Units
B. Geographic Practice Cost Index Changes
C. Resource-Based Malpractice Relative Value Units
D. Critical Care Relative Value Units
E. Care Plan Oversight and Physician Certification/Recertification
F. Observation Care Codes
G. Ocular Photodynamic Therapy and Other Ophthalmological Treatments
H. Electrical Bioimpedance
I. Global Period for Insertion, Removal, and Replacement of Pacemakers and Cardioverter Defibrillators
J. Antigen Supply
K. Increased Space Allotment in Physical Therapy Salary Equivalency Guidelines
XI. Federalism
Addendum A—Explanation and Use of Addendum B
Addendum B—2001 Relative Value Units and Related Information Used in Determining Medicare Payments for 2001
Addendum C—Codes with Interim RVUs
Addendum D—2002 Geographic Practice Cost Indices by Medicare Carrier and Locality
Addendum E—2001 Geographic Practice Cost Indices by Medicare Carrier and Locality
Addendum F—Proposed 2002 Versus 1999 Geographic Adjustment Factors (GAF)
Addendum G—Malpractice
In addition, because of the many organizations and terms to which we refer by acronym in this final rule, we are listing these acronyms and their corresponding terms in alphabetical order below:
AMA American Medical Association
BBA Balanced Budget Act of 1997
BBRA Balanced Budget Refinement Act of 1999
CF Conversion factor
CFR Code of Federal Regulations
CPT [Physicians'] Current Procedural Terminology
[4th Edition, 1997, copyrighted by the American Medical Association]
CPEP Clinical Practice Expert Panel
CRNA Certified Registered Nurse Anesthetist
E/M Evaluation and management
EB Electrical bioimpedance
FMR Fair market rental
GAF Geographic adjustment factor
GPCI Geographic practice cost index
HCFA Health Care Financing Administration
HCPCS HCFA Common Procedure Coding System
HHA Home health agency
HHS [Department of] Health and Human Services
IDTFs Independent Diagnostic Testing Facilities
MCM Medicare Carrier Manual
MedPAC Medicare Payment Advisory Commission
MEI Medicare Economic Index
MGMA Medical Group Management Association
MSA Metropolitan Statistical Area
NAMCS National Ambulatory Medical Care Survey
OBRA Omnibus Budget Reconciliation Act
PC Professional component
PEAC Practice Expense Advisory Committee
PPAC Practicing Physicians Advisory Council
PPS Prospective payment system
RUC [AMA's Specialty Society] Relative [Value] Update Committee
RVU Relative value unit
SGR Sustainable growth rate
SMS [AMA's] Socioeconomic Monitoring System
TC Technical component
I. Background
A. Legislative History
Since January 1, 1992, Medicare has paid for physicians' services under section 1848 of the Social Security Act (the Act), “Payment for Physicians' Services.” This section contains three major elements—(1) a fee schedule for the payment of physicians' services; (2) a sustainable growth rate for the rates of increase in Medicare expenditures for physicians' services; and (3) limits on the amounts that nonparticipating physicians can charge beneficiaries. The Act requires that payments under the fee schedule be based on national uniform relative value units (RVUs) based on the resources used in furnishing a service. Section 1848(c) of the Act requires that national RVUs be established for physician work, practice expense, and malpractice expense.
Section 1848(c)(2)(B)(ii)(II) of the Act provides that adjustments in RVUs may not cause total physician fee schedule payments to differ by more than $20 million from what they would have been had the adjustments not been made. If adjustments to RVUs cause expenditures to change by more than $20 million, we must make adjustments to the conversion factors (CFs) to preserve budget neutrality.
B. Published Changes to the Fee Schedule
In the July 2000 proposed rule (65 FR 44177), we listed all of the final rules published through November 1999, relating to the updates to the RVUs and revisions to payment policies under the physician fee schedule. In the July 2000 proposed rule (65 FR 44176), we discussed several issues affecting Medicare payment for physicians' services, including: Start Printed Page 65378
Refinement of resource-based practice expense RVUs;
- Changes to the geographic practice cost indices;
- Resource-based malpractice RVUs;
- Critical care RVUs;
- Care plan oversight and physician certification/recertification;
- Observation care codes;
- Ocular photodynamic therapy and other ophthalmological treatments;
- Electrical bioimpedance;
- The global period for insertion, removal, and replacement of pacemakers and cardioverter defibrillators;
- Antigen supply;
- Low intensity ultrasound; and
- The implantation of ventricular assist devices.
This proposed rule also discussed or clarified the payment policy for incomplete medical direction, pulse oximetry services, outpatient therapy supervision, outpatient therapy caps, and the second 5-year refinement of work RVUs for services furnished beginning January 1, 2002.
This final rule affects the regulations set forth at part 410, Supplementary medical insurance (SMI) benefits and part 414, Payment for Part B medical and other services.
The information in this final rule updates information in the July 2000 proposed rule and the May 3, 2000 interim final rule with comment period (65 FR 25664) discussed later.
C. Components of the Fee Schedule Payment Amounts
Under the formula set forth in section 1848(b)(1) of the Act, the payment amount for each service paid under the physician fee schedule is the product of three factors—(1) a nationally uniform relative value for the service; (2) a geographic adjustment factor (GAF) for each physician fee schedule area; and (3) a nationally uniform CF for the service. The CF converts the relative values into payment amounts.
For each physician fee schedule service, there are three relative values—(1) an RVU for physician work; (2) an RVU for practice expense; and (3) an RVU for malpractice expense. For each of these components of the fee schedule there is a geographic practice cost index (GPCI) for each fee schedule area. The GPCIs reflect the relative costs of practice expenses, malpractice insurance, and physician work in an area compared to the national average for each component.
The general formula for calculating the Medicare fee schedule amount for a given service in a given fee schedule area can be expressed as:
Payment = [(RVU work × GPCI work) + (RVU practice expense × GPCI practice expense) + (RVU malpractice × GPCI malpractice)] × CF
The CF for CY 2001 appears in section V. The RVUs for CY 2001 are in Addendum B. The GPCIs for CY 2001 can be found in Addendum E.
Section 1848(e) of the Act requires us to develop GAFs for all physician fee schedule areas. The total GAF for a fee schedule area is equal to a weighted average of the individual GPCIs for each of the three components of the service. Thus, the GPCIs reflect the relative practice expenses, malpractice insurance, and physician work in an area compared to the national average. In accordance with the statute, however, the GAF for the physician's work reflects one-quarter of the relative cost of physician's work compared to the national average.
D. Development of the Relative Value Units
1. Work Relative Value Units
Approximately 7,500 codes represent services included in the physician fee schedule. The work RVUs established for the implementation of the fee schedule in January 1992 were developed with extensive input from the physician community. A research team at the Harvard School of Public Health developed the original work RVUs for most codes in a cooperative agreement with us. In constructing the vignettes for the original RVUs, Harvard worked with panels of expert physicians and obtained input from physicians from numerous specialties.
The RVUs for radiology services were based on the American College of Radiology (ACR) relative value scale, which we integrated into the overall physician fee schedule. The RVUs for anesthesia services were based on RVUs from a uniform relative value guide. We established a separate CF for anesthesia services while we continue to recognize time as a factor in determining payment for these services. As a result, there is a separate payment system for anesthesia services.
2. Practice Expense and Malpractice Expense Relative Value Units
Section 121 of the Social Security Act Amendments of 1994 (Pub. L. No. 103-432), enacted on October 31, 1994, required us to develop a methodology for a resource-based system for determining practice expense RVUs for each physician service. As amended by the Balanced Budget Act of 1997 (BBA) (Pub. L. No. 105-33), section 1848(c) required the new payment methodology to be phased in over 4 years, effective for services furnished in 1999, with resource-based practice expense RVUs becoming fully effective in 2002. The BBA also requires us to implement resource-based malpractice RVUs for services furnished beginning in 2000.
II. Specific Proposals for Calendar Year 2001
In response to the publication of the July 2000 proposed rule, we received approximately 600 comments. We received comments from individual physicians, health care workers, and professional associations and societies. The majority of comments addressed the proposals related to practice expense, observation care, antigen supplies, care plan oversight, and certification and recertification of home health services.
The proposed rule discussed policies that affected the number of RVUs on which payment for certain services would be based. Certain changes implemented through this final rule are subject to the $20 million limitation on annual adjustments contained in section 1848(c)(2)(B)(ii)(II) of the Act.
After reviewing the comments and determining the policies we would implement, we have estimated the costs and savings of these policies, and added those costs and savings to the estimated costs associated with any other changes in RVUs for 2001. We discuss in detail the effects of these changes in the Regulatory Impact Analysis (section X).
For the convenience of the reader, the headings for the policy issues correspond to the headings used in the July 2000 proposed rule. More detailed background information for each issue can be found in the May 2000 interim final rule with comment period and the July 2000 proposed rule.
A. Resource-Based Practice Expense Relative Value Units
1. Resource-Based Practice Expense Legislation
Section 121 of the Social Security Act Amendments of 1994 (Pub. L. No. 103-432), enacted on October 31, 1994, required us to develop a methodology for a resource-based system for determining practice expense RVUs for each physician's services beginning in 1998. In developing the methodology, we were to consider the staff, equipment, and supplies used in furnishing medical and surgical services in various settings. The legislation specifically required that, in implementing the new system of practice expense RVUs, we must apply the same budget-neutrality provisions Start Printed Page 65379that we apply to other adjustments under the physician fee schedule.
Section 4505(a) of the BBA delayed the effective date of the resource-based practice expense RVU system until January 1, 1999. In addition, section 4505(b) of the BBA provided for a 4-year transition period from charge-based practice expense RVUs to resource-based RVUs. The practice expense RVUs for CY 1999 were the product of 75 percent of charge-based RVUs and 25 percent of the resource-based RVUs. For CY 2000, the RVUs were 50 percent charge-based and 50 percent resource-based. For CY 2001, the RVUs are 25 percent charge-based and 75 percent resource-based. After CY 2001, the RVUs will be totally resource-based.
Section 4505(e) of the BBA provided that, in 1998, the practice expense RVUs would be adjusted for certain services in anticipation of the implementation of resource-based practice expenses beginning in 1999. As a result, we increased practice expense RVUs for office visits. For other services in which practice expense RVUs exceeded 110 percent of the work RVUs and were furnished less than 75 percent of the time in an office setting, we reduced the 1998 practice expense RVUs to a number equal to 110 percent of the work RVUs. This limitation did not apply to services that had proposed resource-based practice expense RVUs that increased from their 1997 practice expense RVUs as reflected in the June 18, 1997 proposed rule (62 FR 33196). The services affected, and the final RVUs for 1998, were published in the October 1997 final rule (62 FR 59103).
The most recent legislation affecting resource-based practice expense was included in the Balanced Budget Refinement Act of 1999 (BBRA) (Pub. L. No. 106-113). Section 212 of the BBRA stated that we must establish a process under which we accept and use, to the maximum extent practicable and consistent with sound data practices, data collected or developed by entities and organizations. These data would supplement the data we normally collect in determining the practice expense component of the physician fee schedule for payments in CY 2001 and CY 2002.
2. Current Methodology for Computing Practice Expense Relative Value Unit System
Effective with services on or after January 1, 1999, we established a new methodology for computing resource-based practice expense RVUs that used the two significant sources of actual practice expense data we have available: the Clinical Practice Expert Panel (CPEP) data and the AMA's Socioeconomic Monitoring System (SMS) data. The methodology is based on an assumption that current aggregate specialty practice costs are a reasonable way to establish initial estimates of relative resource costs of physicians' services across specialties. It then allocates these aggregate specialty practice costs to specific procedures and, thus, can be considered as a “top-down” approach. The methodology can be summarized as follows:
a. Practice Expense Cost Pools. We used actual practice expense data by specialty, derived from the 1995 through 1997 SMS survey data, to create six cost pools—administrative labor, clinical labor, medical supplies, medical equipment, office supplies, and all other expenses. There were three steps in the creation of the cost pools.
- Step (1) We used the AMA's SMS survey of actual cost data to determine practice expenses per hour by cost category. The practice expenses per hour for each physician respondent's practice was calculated as the practice expenses for the practice divided by the total number of hours spent in patient care activities. The practice expenses per hour for the specialty were an average of the practice expenses per hour for the respondent physicians in that specialty. In addition, for the CY 2000 physician fee schedule, we used data from a survey submitted by the Society of Thoracic Surgeons (STS) in calculating thoracic and cardiac surgery's practice expense per hour. (See the November 1999 final rule (64 FR 59391) for additional information concerning acceptance of this data.)
- Step (2) We determined the total number of physician hours (by specialty) spent treating Medicare patients. This was calculated from physician time data for each procedure code and from Medicare claims data.
- Step (3) We calculated the practice expense pools by specialty and by cost category by multiplying the specialty practice expenses per hour for each category by the total physician hours.
For services with work RVUs equal to zero (including the technical component (TC) of services with a TC and professional component (PC)), we created a separate practice expense pool, using the average clinical staff time from the CPEP data (since these codes by definition do not have physician time), and the “all physicians” practice expense per hour.
b. Cost Allocation Methodology. For each specialty, we separated the six practice expense pools into two groups and used a different allocation basis for each group.
(i) Direct Costs
For direct costs (including clinical labor, medical supplies, and medical equipment), we used the CPEP data as the allocation basis. The CPEP data for clinical labor, medical supplies, and medical equipment were used to allocate the clinical labor, medical supplies, and medical equipment cost pools, respectively.
For the separate practice expense pool for services with work RVUs equal to zero, we used 1998 practice expense RVUs to allocate the direct cost pools (clinical labor, medical supplies, and medical equipment cost pools) as an interim measure. Also, for all radiology services that are assigned work RVUs, we used the 1998 practice expense relative values for radiology services as an interim measure to allocate the direct practice expense cost pool for radiology. For all other specialties that perform radiology services, we used the CPEP data for radiology services in the allocation of that specialty's direct practice expense cost pools.
(ii) Indirect Costs
To allocate the cost pools for indirect costs, including administrative labor, office expenses, and all other expenses, we used the total direct costs, as described above, in combination with the physician fee schedule work RVUs. We converted the work RVUs to dollars using the Medicare CF (expressed in 1995 dollars for consistency with the SMS survey years).
The SMS pool was divided by the CPEP pool for each specialty to produce a scaling factor that was applied to the CPEP direct cost inputs. This was intended to match costs counted as practice expenses in the SMS survey with items counted as practice expenses in the CPEP process. When the specialty-specific scaling factor exceeds the average scaling factor by more than three standard deviations, we used the average scaling factor. (See the November 1999 final rule (64 FR 59390) for further discussion of this issue).
For procedures performed by more than one specialty, the final procedure code allocation was a weighted average of allocations for the specialties that perform the procedure, with the weights being the frequency with which each specialty performs the procedure on Medicare patients.
c. Other Methodological Issues.
(i) Global Practice Expense Relative Value Units
For services with the PC and TC paid under the physician fee schedule, the global practice expense RVUs were set equal to the sum of the PC and TC. Start Printed Page 65380
(ii) Practice Expenses per Hour Adjustments and Specialty Crosswalks
Since many specialties identified in our claims data did not correspond exactly to the specialties included in the practice expense tables from the SMS survey data, it was necessary to crosswalk these specialties to the most appropriate SMS specialty category. We also made the following adjustments to the practice expense per hour data. (For the rationale for these adjustments to the practice expense per hour see the November 1998 final rule (63 FR 58841).)
- We set the medical materials and supplies practice expenses per hour for the specialty of “oncology” equal to the “all physician” medical materials and supplies practice expenses per hour.
- We based the administrative payroll, office, and other practice expenses per hour for the specialties of “physical therapy” and “occupational therapy” on data used to develop the salary equivalency guidelines for these specialties. We set the remaining practice expense per hour categories equal to the “all physician” practice expenses per hour from the SMS survey data.
- Due to uncertainty concerning the appropriate crosswalk and time data for the nonphysician specialty “audiologist,” we derived the resource-based practice expense RVUs for codes performed by audiologists from the practice expenses per hour of the other specialties that perform these codes.
- For the specialty of “emergency medicine,” we used the “all physician” practice expense per hour to create practice expense cost pools for the categories “clerical payroll” and “other expenses.”
- For the specialty of “podiatry,” we used the “all physician” practice expense per hour to create the practice expense pool.
- For the specialty of “pathology,” we removed the supervision and autopsy hours reimbursed through Part A of the Medicare program from the practice expense per hour calculation.
- For the specialty “maxillofacial prosthetics,” we used the “all physician” practice expense per hour to create practice expense cost pools and, as an interim measure, allocated these pools using the 1998 practice expense RVUs.
- We split the practice expenses per hour for the specialty “radiology” into “radiation oncology” and “radiology other than radiation oncology” and used this split practice expense per hour to create practice expense cost pools for these specialties.
(iii) Time Associated with the Work RVUs
The time data resulting from the refinement of the work RVUs have been, on average, 25 percent greater than the time data obtained by the Harvard study for the same services. We increased the Harvard research team's time data to ensure consistency between these data sources.
For services with no assigned physician time (such as, dialysis, physical therapy, psychology, and many radiology and other diagnostic services), we calculated estimated total physician time based on work RVUs, maximum clinical staff time for each service as shown in the CPEP data, or the judgment of our clinical staff.
We calculated the time for CPT codes 00100 through 01996, using the base and time units from the anesthesia fee schedule and the Medicare allowed claims data.
3. Refinement
a. Background
Section 4505(d)(1)(C) of the BBA required us to develop a refinement process to be used during each of the 4 years of the transition period. We did not propose a specific long-term refinement process in the June 1998 proposed rule (63 FR 30835). Rather, we set out the parameters for an acceptable refinement process for practice expense RVUs and solicited comments on our proposal. We received a large variety of comments about broad methodology issues, practice expense per hour data, and detailed code level data. We made some adjustments to our proposal when we were convinced an adjustment was appropriate. We also indicated that we would consider other comments for possible refinement and that the values of all codes would be considered interim for 1999 and for future years during the transition period.
We outlined in the November 1998 final rule (63 FR 58832) the steps we were undertaking as part of the initial refinement process. These steps included—
- Establishment of a mechanism to receive independent advice for dealing with broad practice expense RVU technical and methodological issues;
- Evaluation of any additional recommendations from the General Accounting Office, the Medicare Payment Advisory Commission (MedPAC), and the Practicing Physicians Advisory Council (PPAC); and
- Consultation with physician groups and other groups concerning these issues.
We also discussed a proposal submitted by the AMA's Specialty Society Relative Value Update Committee (RUC) for development of a new advisory committee, the Practice Expense Advisory Committee (PEAC), to review comments and recommendations on the code-specific CPEP data during the refinement period. In addition, we solicited comments and suggestions about our practice expense methodology from organizations that have a broad range of interests and expertise in practice expense and survey issues.
In the July 22, 1999 proposed rule, the November 1999 final rule, and the July 2000 proposed rule, we provided further information on refinement activities underway, including the recommendations from the PEAC and the support contract that we awarded to focus on methodologic issues. The following is an update on activities with respect to these initiatives, as well as the status of refinement with respect to other areas of concern such as the SMS data and CPEP inputs.
b. SMS Data
We have received many comments on both our 1998 and 1999 proposed and final rules from a number of medical specialty societies expressing concerns regarding the accuracy of the SMS data. Some commenters stated their belief that the sample size for their specialty was not large enough to yield reliable data. Other specialties not represented in the SMS survey objected that the crosswalk used for their practice expense per hour was not appropriate and requested that their own data be used instead. Commenters also raised questions about whether the direct patient care hours for their specialty were overstated by the SMS to the specialty's disadvantage.
We consider dealing with these issues to be one of the major priorities of the refinement effort. Therefore, we have undertaken the following activities:
(i) Interim Final Rule on Supplemental Practice Expense Survey Data
On May 3, 2000, we published an interim final rule (65 FR 25664) that set forth the criteria for physician and non-physician specialty groups to submit supplemental practice expense survey data for use in determining payments under the physician fee schedule. Section 212 of the BBRA amended section 1848(c) of the Act to require us to establish a process under which we will accept and use, to the maximum extent practicable and consistent with sound data practices, data collected or developed by entities and organizations. These data will supplement the data we Start Printed Page 65381normally collect in determining the practice expense component of the physician fee schedule for payments in CY 2001 and CY 2002.
To obtain data that could be used in computing practice expense RVUs beginning January 1, 2001, we published the criteria in the May 2000 interim final rule (65 FR 25666) that we will apply to supplemental survey data submitted to us by August 1, 2000. We also provided a 60-day period for submission of comments on the criteria that we will consider for survey data submitted between August 2, 2000 and August 1, 2001 for use in computing the practice expense RVUs for the CY 2002 physician fee schedule. (See the May 2000 interim final rule for further information on the criteria and process). We are responding to comments received on the interim final rule in this rule, and are publishing the criteria to be used for 2001 submission.
The following are specific criteria and discussion in the May 2000 interim final rule.
- Physician groups must draw their sample from the AMA Physician Masterfile to ensure a nationally representative sample that includes both members and non-members of a physician specialty group.
- Physician groups must arrange for the AMA to send the sample directly to their survey contractor to ensure confidentiality of the sample; that is, to ensure comparability in the methods and data collected, specialties must not know the names of the specific individuals in the sample.
- Non-physician specialties not included in the AMA's SMS must develop a method to draw a nationally representative sample of members and non-members. At a minimum, these groups must include former members in their survey sample. The sample must be drawn by the non-physician group's survey contractor, or another independent party, in a way that ensures the confidentiality of the sample; that is, to ensure comparability in the methods and data collected, specialties must not know the names of the specific individuals in the sample.
- A group (or its contractors) must conduct the survey based on the SMS survey instruments and protocols, including administration and follow-up efforts, and definitions of practice expense and hours in patient care. In addition, any cover letters or other information furnished to survey sample participants must be comparable to such information previously supplied by the SMS contractor to its sample participants.
- A group must use a contractor that has experience with the SMS or a survey firm with experience successfully conducting national multi-specialty surveys of physicians using nationally representative random samples.
- A group must submit raw survey data to us, including all complete and incomplete survey responses as well as any cover letters and instructions that accompanied the survey, by August 1, 2000 for data analysis and editing to ensure consistency. All personal identifiers in the raw data must be eliminated. (Send data to Health Care Financing Administration, Department of Health and Human Services, Attn: Kenneth Marsalek, C4-03-06, 7500 Security Boulevard, Baltimore, MD 21244-8013.)
- Raw survey data submitted to us between August 2, 2000 and August 1, 2001 will be considered for use in computing practice expense RVUs for CY 2002.
- The physician practice expense data from surveys that we use in our code-level practice expense calculations are the practice expenses per physician hour in the six practice expense categories—clinical labor, medical supplies, medical equipment, administrative labor, office overhead, and other. Supplemental survey data must include data for these categories. Ideally, we would like to calculate practice expense values with precision; however, we recognize that we must achieve a balance. Conducting surveys is expensive, and there is a tension between achieving large sample sizes, which increases precision, and smaller ones, which conserves costs.
In addition, in the May 2000 interim final rule (65 FR 25666) we indicated that we believed an achievable level of precision is a coefficient of variation, that is, the ratio of the standard error of the mean to the mean expressed as a percent, not greater than 10 percent, for overall practice expenses or practice expenses per hour. For existing surveys the standard deviation is frequently the same magnitude as the mean. If the standard deviation equals the mean, then a usable sample size of 100 will yield a coefficient of variation of 10 percent. For small, homogeneous subspecialties, the variations in practice expenses may be lower because a smaller sample size achieves this level of precision. Other ways of expressing precision (for example, 95 percent confidence intervals) are also acceptable if they are approximately equivalent to a coefficient of variation of 10 percent or better. We indicated that will consider surveys for which the precision of the practice expenses are equal to or better than this level of precision and that meet the other survey criteria. Also, we indicated that we will require documentation regarding how the practice expenses were calculated and we will verify the calculations. We have the statutory authority, however, to determine the final practice expense RVUs.
We also indicated that, since the physician fee schedule is a national fee schedule, we would require that the survey be representative of the target population of physicians nationwide. We can presume national representativeness if a random sample is drawn from a complete nationwide listing of the physician specialty or subspecialty and the response rate, the percent of usable responses received from the sample, is high, for example, 80 to 90 percent. If any of these conditions (random sample, complete nationwide listing, and high response rate) are not achieved, then the potential impacts of the deviations upon national representativeness must be explored and documented. For example, if the response rate is low, then justification must be furnished to demonstrate that the responders are not significantly different from non-responders with regard to factors affecting practice expense. Differential weighting of subsamples may improve the representativeness. Minor deviations from national representativeness may be acceptable.
Comments on Criteria for Submitting Supplemental Practice Expense Data
We received comments from 17 specialty groups concerning the criteria for the acceptance of supplemental data. While many of these comments contained positive feedback on aspects of our interim final rule, they all contained statements of opposition to specific requirements and/or suggestions for improving the process. Outlined below are the comments from specialty groups and our responses concerning the requirements for supplemental survey data.
Required Sampling From the AMA's Physician Masterfile
Comment: Four groups stated that the requirement for survey respondents to be drawn solely from the AMA Physician Masterfile is inappropriate for the specialties of radiology and radiation oncology. They believe that hospital-based radiologists and radiation oncologists do not encounter the same practice expenses for staff and supplies as those radiologists and radiation oncologists working in Start Printed Page 65382freestanding centers. According to the groups, radiologists and radiation oncologists working in a freestanding center encounter capital intensive TC services not incurred by hospital-based physicians and, often, these TC component costs are borne by non-physician entities not included in the Physician Masterfile. The groups also believe that the small number of radiologists and radiation oncologists who own and operate a freestanding center will not be represented in a sample from the Physician Masterfile. The groups suggest that we work with the professional community to develop a list of freestanding radiation centers from which we could extract a geographically diverse sample. Alternatively, the groups suggest that, because of potential low response rates, we include all radiation practices in the survey sample and use the data for those physicians not working at freestanding centers only in the calculation of PC services.
One group expressed concern that by sampling from the AMA Physician Masterfile, a substantial number of emergency medicine practices are overlooked. The small number of physician practice owners leads to a strong possibility that these owners will not be selected in the random sample. They suggest that we permit an additional sample of large emergency medicine practice groups to supplement the current survey.
Response: The Physician Masterfile is the most extensive list of physicians in the United States, and, therefore, we believe it is the most appropriate list from which to develop a random sample of physicians within a specialty. Currently, we are not aware of a complete list of radiation and radiation oncology practices or emergency medicine practice groups that exists that is more comprehensive than the Physician Masterfile with the information necessary to extract a representative random sample. If such a list were to exist or be developed in the future, we would consider the appropriateness and potential uses for sampling. We would welcome information from physician and other organizations on specific data sources from which representative samples of physicians could be selected, if there is concern that the AMA Masterfile is not a comprehensive list for the specialty.
Comment: One group commented that the AMA Physician Masterfile may contain “self-designated” dermatologists who do not meet the criteria for “qualified” dermatologists. They defined “qualified” dermatologists as board certified dermatologists, associates and affiliate members such as osteopathic dermatologists, physicians conducting research in dermatology, and practicing dermatologists certified by a foreign board but now practicing in the United States. According to the group, other, “self-designated” dermatologists should not be included in the sample for dermatology because their practice expense data could be unrepresentative and potentially damaging to the practice expense RVUs for dermatology.
Response: Self-designation of specialty is not unique to dermatologists. In the Physician Masterfile, all specialties are based on self-designation. The SMS survey deals with the issue of self-designation by asking respondents if their specialty designation is representative of the specialty practice from which they gain the majority of their medical income. It is important to note that if any physician who is self-designated as a dermatologist furnishes dermatological services to Medicare patients, it is appropriate for this physician to be included in the sample because this physician receives income for dermatological services.
Comment: Three groups suggested that the requirement to sample from the Physician Masterfile may not be reasonable, as it serves only to limit specialties' ability to present alternative data to us. They noted that the requirement to sample from the Physician Masterfile is based on the assumption that physicians outside of the specialty group have different costs than members of the group. One commenter maintained that the substantial variance in practice expenses within members' practices makes it unlikely that non-members' practices would extend this variance. In addition, one group suggested that societies representing a smaller proportion of specialty practitioners should be allowed to explore options for addressing potential bias beyond sampling from the Physician Masterfile. According to the group, nonmembers of a specialty society are unlikely to respond to what they consider a time-consuming and intrusive survey about sensitive financial issues.
Response: We believe that the commenter is arguing that is should be sufficient to draw a sample from the members of a specialty society because there is unlikely to be a difference in practice expense per hour between members and nonmembers of a specialty society. Our goal in collecting practice expense data is to create practice expense values that reflect the costs of both members and non-members of a specialty society. We cannot assume that the average practice expenses of members and non-members of a specialty group are comparable without data to support this finding. The AMA Physician Masterfile is the most comprehensive list of physicians practicing in the United States. A specialty society's members are likely to include only a portion of the physicians practicing in that specialty. Thus, we believe that it is likely that a random sample selected from the AMA Physician Masterfile is going to be more representative of a specialty than a sample drawn from a specialty society's membership list. For this reason, we are maintaining the requirement that the sample of physicians must be drawn from the AMA Physician Masterfile.
Required Use of SMS Survey Instruments and Protocol
Comment: One group expressed concern that the SMS survey does not account for care hours induced by the Emergency Treatment and Labor Act (EMTALA) in the patient care hours question, thereby overstating the hours and understating the practice expense costs. They recommend that a question be added to the SMS that asks respondents about the patient care hours they spend in an average week providing EMTALA-induced care. Each specialty's average amount of EMTALA-induced care should then be deducted from the total hours spent in patient care. The commenter recognized that this is a long-term recommendation and wished to work on an interim solution with us.
Response: We understand the group's concerns and have contracted with The Lewin Group to provide recommendations on both the modification of future surveys to account for EMTALA-induced patient care hours and the use of these data to adjust practice expense values. We have also made specific comments to the AMA requesting that this issue be addressed in any future work they may do with regard to collecting survey data. In the interim, we have made an adjustment to the practice expense per hour for emergency medicine to address this issue. We have no reason to believe emergency medicine is being disadvantaged in the interim as a result of this adjustment. We will consider The Lewin Group's recommendations.
Comment: Six groups questioned the adequacy of the SMS survey for the purpose of accurately assessing a particular specialty's practice expenses. For example, one group believes that additional questions are needed to account for cardiology TC questions. Start Printed Page 65383They recommend that we revise the criteria for supplemental surveys to allow for the collection of additional data through specialty-specific questions.
Response: We consider the SMS survey to be adequate for the purpose of accurately assessing practice expenses. However, we agree that additional clarification and examples tailored to specific specialties may improve the accuracy of the data collected. Although we do not want specialties to change the basic structure of the SMS practice expense module, we have not precluded any groups from collecting additional data specific to the specialty in their supplemental surveys.
Comment: One group suggested that we adopt the AMA's practice level Practice Expense survey in place of the SMS and revise the criteria for supplemental survey data accordingly. They also suggested that our references to the SMS survey may be misunderstood by specialty groups referencing the AMA's practice level survey instrument, and that we must clarify this distinction. Two groups recommended that the specialty groups should collect practice level data, rather than individual physician estimates. One group also suggested that a practice level survey should be developed to more appropriately capture the practice expenses.
Response: The AMA has fielded the practice expense level survey with minimal success. At this time, we understand that the AMA does not plan to continue with the practice expense level survey. We are currently using the physician level SMS as the basis for supplemental surveys, and will continue to use this survey to maintain consistency with our existing data. We cannot use the AMA's practice level survey, or any other survey, until it has been evaluated to determine if the survey data can be incorporated into our practice expense methodology. In addition, we would have to determine if it is possible to reconcile the outcomes of the physician level and practice level surveys. We have asked The Lewin Group to review the AMA's practice level survey to determine how the data collected could be used to calculate practice expenses per hour values.
Comment: Four groups requested that specialty groups be allowed to conduct the supplemental surveys by mail with follow-up phone interviews. The groups believe this will reduce the cost of administering a survey.
Response: As explained previously, to help obtain comparable data, we believe supplemental surveys should follow the SMS methodology.
Comment: Two groups expressed concern that requiring cover letters and other information furnished to survey participants to be comparable to those supplied by the SMS contractor will hamper response rates. They believe specialty groups should be able to provide correspondence that explains the importance of the data for the benefit of the specialty without our “censorship.”
Response: Although specialty-specific correspondence may increase response rates, it could potentially introduce bias into the practice expense data. We believe that it is essential to obtain unbiased data.
Comment: One group suggested we use the tax form 1120 as a foundation for validating practice expense data. They suggested that independent accountants could be used to compare the practice expense data submitted to the actual expenses on the tax form.
Response: The Lewin Group has considered this recommendation and, after discussions with the AMA and numerous physician specialty groups, has determined that practitioners may not respond to the survey if they believe their data may be audited. However, The Lewin Group does believe that a closer link between the survey worksheet and a practice's tax forms may improve the accuracy of the data. We may consider this as a longer-term refinement issue.
Comment: One group recommended that we develop a workable alternative to the SMS survey. They noted the indefinite suspension of the SMS survey, and the lack of evidence that the SMS is the best source of obtaining practice expense data at the specialty level as reasons for their suggestion. They suggested we develop a set of core questions and standard definitions to be incorporated in each specialty's survey. If we create an alternative to the SMS, They requested that we take into account the extensive amount of time involved in designing and conducting an effective practice expense survey.
Response: The Lewin Group has already worked with specialty groups to modify the SMS survey for administration as a supplemental survey. The Lewin Group will continue to help specialty groups field supplemental surveys.
Comment: One group requested that we keep the specialty groups updated on the status of the SMS survey and any potential solutions or alternate plans we develop to account for the absence of new SMS data. They stated that keeping the specialties current would allow them to anticipate extra spending on survey projects.
Response: The best source of current information on the status of the SMS survey would, of course, be from the AMA. Any plans on our part would be included in information provided as part of future revisions to practice expenses.
Comments on the Response Rate
Comment: Seven groups objected to the response rate of 80 to 90 percent mentioned as a criterion for the presumed national representativeness of a sample. The groups stated that the SMS has never achieved a response rate this high, and that specialty groups should not be expected to achieve a response rate higher than that achieved by the SMS. Two groups suggested an acceptable response rate of 30 to 40 percent, and the American Academy of Ophthalmology (AAO) suggested an acceptable response rate of 30 percent. The ACR requested an acceptable response rate of no higher than 65 percent. Three groups objected to our response rate but did not suggest an alternative rate.
Response: The 80 to 90 percent response rate was presented as a rate at which we can presume that the sample is nationally representative, but not as an absolute requirement for the acceptance of data. As we stated in the May 3, 2000 interim final rule (65 FR 25666), we are attempting to be as reasonable as possible. However, surveys with a response rate lower than 80 percent cannot be assumed to be nationally representative, and, for us to accept these data, a specialty group must demonstrate that the survey respondents are not significantly different from non-respondents. In addition, based on our review of the supplemental surveys submitted, we are modifying our criteria concerning an acceptable level of precision for surveys. We now believe a reasonable level of precision for surveys to be used for supplementing current data is a 90-percent confidence interval with a range of plus or minus 10 percent of the mean (that is, 1.645 times the standard error of the mean, divided by the mean, should be equal to or less than 10 percent of the mean).
Comment: One group commented that it is highly unlikely that small specialties will be able to achieve the coefficient of variation of less than 10 percent for overall practice expenses or practice expenses per hour that we require for the acceptance of supplemental data. They note that the original SMS survey did not achieve this threshold for many small specialties and, therefore, question the application Start Printed Page 65384of the requirement to supplemental surveys.
Response: In developing the resource-based practice expense RVUs, we consulted widely with physician groups, researchers, and others to identify possible data sources. Nearly all commenters agreed that the SMS data, while not specifically designed for the purpose of establishing practice expense RVUs, was the best available data for this purpose. We believe our criteria, as discussed above, help assure that any data used to supplement the SMS data are statistically valid and representative. Further, we believe these criteria are reasonable and achievable. For example, a specialty society for thoracic surgeons submitted supplemental data that we incorporated last year. These data from the STS achieve our statistical criteria for supplemental surveys. We also note that the 90-percent confidence interval requirement seems very reasonable in that, in general, a 95-percent confidence interval is a more typical statistical standard value.
Comment: One group requested that we provide the specialty groups “with a comprehensive definition of ‘complete' and ‘incomplete' data in addition to an explanation of the extent to which incomplete data will be excluded or utilized in practice expense calculations.” At a minimum, the group requested indicators for required and non-required data fields on the survey instrument.
Response: The required data fields for the survey instrument are available from our contractor, The Lewin Group, and from the protocols and guidelines we have created for the supplemental surveys. The original SMS survey data obtained from the AMA was accepted only for surveys with complete practice expense and patient care per-hour information. We will continue to use these criteria for the acceptance of data. (A copy of the guidelines and procedures may be obtained by contracting Lane Koeing at The Lewin Group at (703) 269-5659.)
Data Adjustment
Comment: Three groups commented on our use of the 1995 through 1997 specialty practice expense per-hour data from the SMS and our deflation of supplemental survey data to 1995 practice costs. The groups stated that we should use the most current data available for all specialties rather than earlier data of questionable relevance.
Response: We indicated in the July 2000 proposed rule (65 FR 44181) that, based on a recommendation by The Lewin Group, we have incorporated the 1998 SMS data into our practice expense per-hour calculations and that we are now basing our practice expense per-hour calculations on a 4-year average. Regarding the deflation of the practice costs to 1995, as long as the same deflator is used across specialties, the particular year to which the specialties are deflated is insignificant. The base year of 1995 was chosen to be consistent with the data we have already.
Comment: One group commented on our decision to weight average the supplemental data with the existing SMS data already being used. According to the group, this decision is flawed because it erroneously assumes that the SMS data currently in use is correct. In addition, they believe that the SMS sample size for emergency physicians has been too small to provide valid data for the calculation of practice expenses. The group suggested that it is inappropriate for us to weight average data from this unrepresentative sample with supplemental survey data for emergency physicians.
Response: The SMS data is the best data currently available for the calculation of practice expenses. As refinements of the practice expense methodology are identified and included, we will extrapolate and apply them to past SMS data to the extent possible. Weight averaging the supplemental survey data with the existing SMS data would be used to increase the sample size. We also established the criteria for supplemental surveys in the May 3, 2000 interim final rule (65 FR 25666) as a guideline for those specialties seeking to increase their sample size.
Short Time Frame for Data Submission
Comment: Three groups expressed concern with the short time frame we have provided for specialty groups to develop the survey methodologies, find a contractor, and provide the data for computation of RVUs.
Response: Section 212 of the BBRA required that we establish, through regulation, a process for any organization to collect and submit supplemental survey data for use in establishing payments for the calendar years 2001 and 2002 physician fee schedules. Thus, the amount of work required to be accomplished in a short time was largely due to the requirements of the statute itself.
Cost Burden of the Supplemental Surveys
Comment: Two groups commented that we should share the cost burden for the supplemental surveys. According to the groups, the supplemental surveys will be filling in the data gap left by the SMS and, therefore, we should subsidize the cost of completing the surveys. In addition, one group commented that the efforts needed to meet the supplemental survey requirements may be prohibitively costly for many specialties without subsidization from us. One group also commented that we should take into account the AMA's problems with the expense of administering the SMS before fully adopting the survey protocol. Specifically, they suggested that we look for less costly, and more cost-effective, ways of validating the data than telephone interviews.
Response: We have no funding for supplemental surveys, and we are not currently considering such approaches. As we have previously explained, we believe the SMS data are currently the best available source of practice cost information. We believe there are significant, methodological advantages to obtaining practice cost information through multi-specialty surveys such as SMS, rather than through surveys of more limited groups of specialties. The supplemental survey process allows specialties the option to provide additional information.
Comment: Two groups suggested that we should eliminate some of the criteria for the acceptance of outside survey data if a specialty can demonstrate that the collected data are valid practice expense data for the specialty. According to one commenter, some specialty groups may have valid data that does not exactly meet the criteria we outlined, but nevertheless could be a valuable data source.
Response: In the May 3, 2000 interim final rule (65 FR 25666), we presented the criteria for specialty societies seeking to collect new practice expense data through supplemental surveys. The process established by these criteria, as amended by this final rule, should be followed by specialty societies to collect future supplemental practice expense data.
Survey Contractor Requirements
Comment: One group expressed concern about contracting for survey research. According to the group, many specialties have staff capable of analyzing the survey data. Requiring specialties to contract for the surveys could eliminate certain subspecialties from administering a supplemental survey due to cost burden.
Response: We recognize the cost burden of contracting for the supplemental survey administration; however, to ensure the integrity of the practice expense data, we are requiring Start Printed Page 65385that a disinterested third party administer supplemental surveys.
Comment: One group questioned our requirement for specialties to use a survey contractor with experience in conducting national multi-specialty surveys of physicians using random samples. They believe that a contractor with experience surveying health care professionals and using random sample techniques should be sufficient.
Response: We believe our initial requirements represent a preferred way to collect valid and reliable data. We will, however, consider survey contractors with experience surveying health care professionals, collecting financial information, and using random samples.
Comment: Two groups are concerned with our requirement for raw survey data to be submitted to us. One group believes that we should outsource the analysis of the survey responses. The other group opposes the submission of raw data to us because they believe physicians will be unlikely to respond to sensitive financial questions if they are informed that their individual responses will be sent directly to the government.
Response: The raw survey data have been submitted to The Lewin Group, and they have provided us with only aggregate practice expense values.
HCFA's Use of the Supplemental Survey Data
Comment: One group expressed concern about our use of the supplemental survey data. Before administering an expensive survey, they want assurance from us that the supplemental data will be used. Alternatively, the group believes we should conduct a survey across all specialties. They commented that we must adopt one of these options to remove flawed data that does not account for the unique practice expenses related to emergency medicine.
Response: The criteria for the consideration of supplemental survey data are described in this final rule. We anticipate incorporating data that meet these criteria in the practice expense methodology.
Comment: One group requested that we provide specialty groups with the criteria for determining if data supplied between August 2, 2000 and August 1, 2001 is usable. We state in the interim final rule that submitted data will be considered, but we do not state whether the criteria for acceptance will be the same as the criteria for data supplied by August 1, 2000.
Response: The criteria for accepting supplemental survey data were presented in the May 3, 2000 interim final rule. These criteria were subject to public comment, and any modification we have made to these criteria, as a result of the comments, are part of this final rule.
Result of Evaluation of Comments
The criteria published May 3, 2000 will be used for surveys submitted in 2001 with the following modifications.
- We had proposed that specialty groups use a contractor that has experience with the SMS or a survey firm with experience successfully conducting national multi-specialty surveys of physicians using nationally representative random samples. We have modified the criteria to provide for using a contractor that has experience surveying health care professionals, collecting financial information and using random samples.
- In addition, based on our review of the supplemental surveys submitted, we are modifying our criteria concerning an acceptable level of precision for surveys. We now believe a reasonable level of precision for surveys to be used for supplementing current data is a 90 percent confidence interval with a range of plus or minus 10 percent of the mean; (that is, 1.645 times the standard error of the mean, divided by the mean, should be equal to or less than 10 percent of the mean).
With respect to response rates, we are concerned about the low response rates received from supplemental surveys submitted to us in 2000. While we acknowledge that the timing of the surveys (that is, short-field time and time of year) contributed to the low response rates, we believe that groups will have more time to conduct surveys and, thus, are likely to obtain better response rates in future surveys. While we continue to believe that it is impossible and impractical to set rigid cutoffs, we are expecting higher response rates than were achieved in the supplemental surveys submitted to us in 2000. We would like to see detailed analyses that indicate the sample is representative of the population. While The Lewin Group was able to perform some limited analyses of response bias for the supplemental surveys received in 2000, we expect that these supplemental surveys received in 2001 will provide detailed analyses with respect to possible response bias on factors that could affect practice expenses. Such analyses should consider variables such as specialty society membership, years in practice, board certification, gender, geographic distribution of respondents, and practice arrangements (for example, solo practitioners or large group practices). We will not consider supplemental data in the practice expense methodology unless we receive detailed analyses that give us confidence that survey respondents are representative of the profession on items that affect practice expense. In addition, the data must appear reasonable and consistent with other data used to determine practice expense RVUs.
Submission of Supplemental Surveys
In response to the May 3, 2000 interim final rule, three organizations submitted supplemental survey data for consideration. One survey was submitted by the American Physical Therapy Association (APTA), and a joint survey was submitted by the American Association of Vascular Surgery (AAVS) and the Society for Vascular Surgery (SVS). Our contractor, The Lewin Group, has evaluated the data submitted by each organization and recommended that we use these data. The full recommendation and discussion will be made available on the HCFA website. We have decided to use the data submitted by the AAVS and SVS to supplement the information we are currently using. However, we have decided not to use the data submitted by the APTA. The revised practice expense per hour figures that we are using for vascular surgery are:
Clinical staff Admin staff Office expense Supplies Equipment Other Total 20.2 18.1 17.7 3.2 4.5 11.4 75.1 These figures are from the supplemental survey information provided to us from the Lewin Group adjusted by the MEI so the figures reflect 1995 data. That is, we divided the 1999 practice expense per hour data by the cumulative MEI for 1996-1999 (1.0877). Start Printed Page 65386
Both supplemental surveys have extremely low response rates (about 14 percent for vascular surgeons and 11 percent for physical therapists). We specified the criteria we would apply for supplemental surveys in the May 2000 interim final rule (65 FR 25666). While we did not establish a precise minimum response rate, we did indicate that surveys with response rates less than 80 percent to 90 percent require an analysis to determine to what extent the sample is representative of the population. The extremely low response rates achieved by these two supplemental surveys and the relatively small number of responses make it extremely difficult, and very subjective, to determine whether the data are representative of each specialty. Our contractor was able to make very limited assessments of this issue based on the data provided.
However, in our May 2000 interim final rule, we indicated that, based on our review of existing physician practice expense surveys, we believe that an achievable level of precision is a coefficient of variation, that is, the ratio of the standard error of the mean to the mean expressed as a percent, not greater than 10 percent, for overall practice expenses or practice expenses per hour. For existing surveys, the standard deviation is frequently the same magnitude as the mean. We indicated in the May 2000 interim final rule that we would consider practice expenses for which the precision of the practice expenses is equal to or better than this level of precision and that meet the other survey criteria.
The data submitted by the AAVS and the SVS met the level of precision. The data submitted by the APTA did not rise to this level of precision; they did not meet this objective criterion set out in the May 2000 interim final rule. Thus, we do not have, in the survey data submitted by the APTA, data that convince us of both the representativeness or the precision of the surveys. For that reason, we are unable to incorporate the supplemental survey data submitted by the APTA in the practice expense system.
We note, however, that we have made an adjustment to the practice expense data for physical and occupational therapy services based on other comments received. These comments and adjustments are described elsewhere in this regulation.
In addition, one specialty society also submitted data concerning clinical staff in the hospital setting. The data submitted were not in the context of supplemental survey data. We discuss the issues addressed by these data elsewhere in this preamble.
(ii) Proposals for SMS Refinement
In the July 2000 proposed rule (65 FR 44180), we discussed the tasks that our contractor, The Lewin Group, was undertaking to assist us with broad practice expense technical and methodological issues. We also highlighted the recommendations that were contained in the first draft report that the contractor submitted, “Practice Expense Methodology,” dated September 24, 1999. This report is on our homepage under the title “Practice Expense Methodology Report.” (Access to our homepage is discussed under the “Supplementary Information” section above.)
The report contained various recommendations aimed at increasing the validity and reliability of the AMA's SMS survey. Although the Lewin Group's recommendations were made specifically to address improving the SMS survey for calculating practice expense RVUs, we believe the recommendations will be useful in making refinements to any other survey instrument that may be used in calculating practice expense RVUs. The recommendations fell into the three following areas:
- The use of data supplementary to the SMS survey.
- Suggested changes to the survey instrument.
- Recommendations for using the data in calculating the specialty-specific practice expense per hour.
In response to the report's recommendations on the use of the SMS data, we proposed to incorporate data from the 1998 SMS survey, which is the latest data available, into our practice expense per-hour calculations. In addition, we proposed basing the practice expense per hour calculations on a 4-year average, rather than the 3-year average recommended in the contractor's report. We published a table that contained the practice expense per-hour calculations for CY 2001 that resulted from the above proposals. We also proposed standardizing the practice expense data to reflect a 1995 cost year consistent with the pricing information we are using for the estimates of practice expense inputs for individual procedures. To standardize costs, we proposed inflating 1995 cost data by the MEI and deflating 1996 and 1997 costs data. This proposal has virtually no impact on the practice expense per-hour calculations.
After discussions with the AMA's SMS staff, we did not propose, as recommended by our contractor, to revise edits and trims to the SMS survey data to exclude data that fall outside set acceptable ranges.
In the July 2000 proposed rule (65 FR 44184), we also discussed the suggestions we made to the AMA for including additional questions in the SMS survey that would make it more useful for calculating specialty-specific practice expenses more precisely. It now appears that the AMA may no longer undertake a multi-specialty survey to collect practice expense information. While we will continue our discussion with the AMA regarding any future plans for practice expense data collection, as stated above, we believe these recommendations will be useful in the design of any other survey used in developing practice expense RVUs.
As we indicated earlier, we proposed to use data from the 1998 SMS to develop the 2001 practice expense RVUs. Furthermore, data from the 1999 SMS will become available later this year for use in developing the 2002 practice expense RVUs. In addition, section 1848(c)(2)(B) of the Act requires that not less often than every 5 years, we review and make adjustments to RVUs. Thus, we are required by the statute to review and make adjustments to the practice expense RVUs 5 years after the end of the transition period, that is, no later than 2007. Regardless of whether the AMA continues to collect data on practice expenses, we will be developing plans for making refinements to practice expense RVUs beyond 2002.
Comment: One specialty society indicated that SMS data from 1998 and 1999 is available and we have not used this data in the past because of fears that the data may be tainted now that some physicians know that the responses could affect Medicare fees. The commenter recommended that we use data from 1996 through 1999, rather than the 1995 through 1998 data we have proposed using.
Response: In the November 2, 1998 final rule (63 FR 58821), we expressed concern about the potential biases that may exist in surveys collected by individual specialties and in any survey data collected in the SMS survey process subsequent to our June 5, 1998 proposed rule. There is no relationship between this concern and any decisions that we have made with respect to incorporating available data from the SMS survey process into the practice expense methodology. Since SMS survey data from 1998 was collected more than 1 year before the June 1998 proposed rule announcing the “top down” methodology, any implication that we did not previously propose use Start Printed Page 65387of the data because of a concern about bias in the data is inaccurate. Rather, we have not previously proposed using the data because it was unavailable to us before this year's proposed rule. In addition, we did not propose using SMS data from 1999 because it was unavailable to us at the time of the proposed rule. We will consider using 1999 data from the SMS for setting 2002 physician fee schedule rates. As we stated in our July 2000 proposed rule (65 FR 44184), we welcome comments on long term strategies for collecting practice expense data in the future.
Comment: We received two comments that indicated that the SMS sample for gastroenterology is small and inadequate, that the response rate in the SMS is the lowest among any specialty, and that the practice expense calculations are probably inaccurate. One of these commenters also urged us to work with the AMA and the medical community to improve the aggregate specialty-specific data. A specialty society representing pediatrics reiterated the concern that the pediatric specialties are not adequately represented in the SMS, and a society representing geriatrics also believed that the sample size of geriatricians is not large enough to yield reliable data. Another commenter was concerned about the inadequate sample size of radiation oncologists in the SMS and believed that the use of the Physician Masterfile under-samples non-hospital based radiation oncologists and over-samples hospital-based radiation oncologists, who do not incur the same practice expenses for equipment and staff. Several imaging specialties stated that the SMS does not capture the practice expenses for TC services, probably because the SMS sample is skewed toward professional-component only providers. These commenters argued that, even if the sample of TC providers were adequate, the higher TC costs would be diluted by the lower PC costs, and thus it is necessary to perform a survey of only TC providers to use in the practice expense calculations.
Response: Since concerns regarding the representation of various specialty societies in the SMS data were raised previously, we are reiterating our general response that can be found in more detail in the November 2, 1998 final rule (63 FR 58821). As we indicated in that rule, many of the criticisms of the SMS data could well be made about any other practice expense survey. At the time, we proposed use of the SMS data for developing the practice expense RVUs, we indicated that it was the best available data source on aggregate practice expenses. Since we are continuing to rely on the SMS data in the process for determining practice expense RVUs, we believe that the specialty-specific representation in the data is now improved by incorporating an additional year of data. The practice expense per hour will be based on a larger number of survey responses that will likely result in improved representativeness of the data.
Comment: One commenter contended that the data in the practice expense per-hour table in the July 2000 proposed rule do not appear logical, objective, or consistent. There is an unexplained range of clerical payroll per hour among similar specialties, and the ranking of the practice expenses among specialties appears to be untenable; for example, the total practice expense per hour for dermatology is almost two times greater than for gastroenterology.
Response: We believe that different specialties are likely to have differences in practice expense per-hour for indirect types of costs depending upon the nature of the practice. With respect to the examples identified, dermatologists are generally in office-based practices, while gastroenterologists provide most services in hospitals. The nature of these types of practices may result in very different expenses for administrative personnel. Without disaggregating the costs and describing the different administrative activities that are performed by employees of the different types of specialties, it is difficult to explain deviations in the practice expense per hour among specialties. Nevertheless, we reviewed data on administrative practice expenses per hour across specialties for each individual SMS data year and found, with some exceptions, that there is stability among the relative practice expense per hour for this item across years. For instance, for 3 of the 4 years that there is survey data, the administrative practice expense per hour for gastroenterology is between 61 and 63 percent of dermatology (in the remaining year, it is 53 percent). We believe that the apparent stability of the relative practice expense per hour across specialties provide assurance of the data's reliability.
Comment: We received a number of comments expressing concern about our decision to incorporate 1998 SMS data into the practice expense methodology. Several commenters noted that there were a small number of usable responses for some specialties to calculate the practice expense per hour using the 1998 SMS data, citing that cardiac and thoracic surgeons and radiation oncologists had only three responses. Another commenter stated that, in the past, we have been unwilling to use SMS data if the number of survey respondents is low. Other commenters expressed concern that for some specialties, the small sample of physicians would mean that the practice expense per hour could not be calculated accurately and such unstable data would produce some substantial changes. These commenters suggested that we not incorporate additional data, including the 1998 SMS data, until a representative practice expense sample can be performed with an adequate number of respondents for all specialties.
One specialty commented that inclusion of the 1998 SMS data is premature because of questions regarding its validity, since AMA is redeveloping the SMS with the possibility of seeking specialty-society input, and there are questions regarding the validity of the 1998 SMS data. While some commenters agreed with the general principle of using the most current data, they argued that the quality of the 1998 SMS data does not merit inclusion into our practice expense per-hour calculations. One commenter stated that the SMS survey does not recognize the unique nature of emergency medicine.
Alternatively, there were many comments that supported our use of the 1998 SMS data. These commenters generally indicated that we should use the most current data because practice expenses may change over time. In addition, these commenters indicated that there is no evidence that the 1998 SMS data is tainted or otherwise objectionable. Other commenters indicated that including more survey responses from later SMS years will result in practice expense values that are more representative of physicians' costs. Some commenters indicated that practice expense data based on a 4-year sample provides greater assurance of its quality. Many of the commenters that suggested incorporating the 1998 SMS data also indicated that we should use the 1999 data from the SMS when it becomes available. Other commenters supported our proposal to base the practice expense per-hour calculation on a 4-year average of SMS data as opposed to a 3-year average, because it will help to compensate for the low number of survey responses from some specialties in the prior years' SMS surveys.
One commenter believed that we should follow our contractor's recommendation and use a rolling 3-year average, because using 4 years results in older data completed by persons less familiar with the SMS. Start Printed Page 65388Other commenters supported using only the latest 3 years of data to eliminate the oldest practice expense data from the methodology.
Response: While the lower response rates in the 1998 SMS data are a concern, we continue to believe it is appropriate to incorporate these additional data into the practice expense methodology. In general, even though there are fewer responses in the 1998 SMS data, it is unclear to us why this alone indicates that we should reject incorporating the data. Generally, the inclusion of more survey data will improve the data's representativeness and lead to more stability in the practice expense methodology. Furthermore, to the extent that there are fewer responses to the 1998 SMS survey, there will be less impact on a given specialty because the practice expense per-hour calculation is weighted by the number of respondents from each respective year. With respect to the stability of the data, the AMA indicated that a statistical test of the data “revealed only marginal evidence of a statistically significant change in PE-HR across specialties when all specialty-level changes were considered jointly. In other words, the combined set of changes in relative PE-HR were with the range of what could be expected by sampling error.” Thus, although there may have been some large changes in practice expense per hour across years for some specialties, there appears to be overall stability across years among all physicians.
In general, use of the 1998 SMS improves the stability of the practice expense per hour and results in little specialty level impact. For the 35 specialties listed in our impact table in the July 2000 proposed rule (65 FR 44203), 21 specialties will experience an impact that is near zero. There are nine specialties that will experience an impact of approximately 1 percent as a result of inclusion of the data. For two (cardiac and thoracic surgery) of the four specialties that show a payment impact of approximately 2 percent, the data were affected by more than just the inclusion of the 1998 SMS data. In the November 1999 final rule (64 FR 59391), we indicated that supplemental data would be incorporated in the practice expense per hour and we would not include data from the 1995 SMS. We are now adding the 1995 SMS data as well as the 1998 SMS data to the calculation of practice expense per hour and increased the likelihood that there would be a larger impact on the practice expense per hour. For one specialty (physical and occupational therapy, included in the nonphysician practitioner category), we made an error in the practice expense per hour calculation in the July 2000 proposed rule. After correcting this error, there is only approximately a 1-percent increase in the nonphysician practitioner category from incorporating the additional SMS data. We believe that these results support the argument that the practice expense per hour is generally stable and that it is appropriate to include 1998 SMS data in the practice expense methodology.
With respect to the comment that it is premature to incorporate 1998 SMS data into the practice expense methodology because of AMA efforts to redesign the survey and include specialty society input, we are unsure of the AMA's efforts in this regard. Nevertheless, while we would welcome multispecialty involvement in an effort to collect practice expense data specifically for the purpose of determining relative value units, we believe that such efforts should not have any bearing on our decision to incorporate later SMS data into the practice expense methodology at this time. If new data were to be collected under a redesigned survey process, it could be at least 2 years before such data is available to us. In the interim, we believe it is appropriate to include the latest SMS data into our methodology.
We disagree with the commenter who suggested that the older SMS data should be eliminated from the practice expense per hour calculations because the surveys were completed by respondents less familiar with the SMS. The SMS is a longstanding survey that was originally developed by the AMA in 1981. There is no evidence that data from earlier SMS surveys is less reliable than later survey information.
Comment: A commenter representing urologists stated that, if we are not going to accept our contractor's recommendation to revise the edits and trims to the SMS survey data, the use of median values, rather than means, would produce the most fair relative ranking of the practice expense per hour among medical specialties.
Response: We believe it is appropriate and consistent with the statute to use the mean practice expense per hour rather than the median. Under the practice expense methodology, the practice expense per hour for each specialty is multiplied by the physician time per procedure and number of Medicare allowed services and summed at the specialty level to produce aggregate specialty cost pools. In theory, the aggregate practice expense pools would reflect actual physicians' costs if the utilization data for all payers, not just Medicare payers, were used. (In reality, however, the data is potentially biased by the inclusion of mid-level practitioners. See the June 5, 1998 proposed rule (63 FR 30832) for a more detailed discussion of this issue). If the median practice expense per hour were used, however, the aggregate cost pools would not be reflective of physicians' actual expenses, because very high-cost or low-cost practice data would be excluded. Since the statute indicates that we should “recognize all staff, equipment, supplies and expenses,” we believe use of the mean rather than the median practice expense per hour will result in the practice expense RVUs being more reflective of all physician practice costs.
Comment: We received several comments that were concerned about the AMA's decision to no longer collect practice expense data from the SMS. One commenter noted that the Lewin Group recommendations described in the proposed rule were aimed at improving the SMS surveys and/or practice level surveys that the AMA no longer intends to perform. Other commenters expressed concern about plans for gathering practice expense data for years after 1999, particularly if the AMA will not continue the SMS survey. Two commenters recommended that we initiate a dialogue with specialty societies to develop a workable alternative and another that we consider creating and funding a survey to collect practice expense data in the future. One organization commented that the AMA's decision to no longer collect practice expense data means that issues related to uncompensated care in the practice expense methodology will not be addressed. This commenter stated that we should continue to work with emergency physicians to ensure that what the society feels are flawed practice expense data are no longer used to determine payment amounts for emergency physicians.
Response: We share these commenters' concerns about the AMA's decision to no longer collect practice expense data. However, we continue to believe that the recommendations of the Lewin Group and our suggestions to the AMA regarding improvements that could be made to the SMS and practice level survey will be helpful in future practice expense data collection efforts. As the AMA indicated in a letter to us (see 63 FR 30829 for the AMA's more detailed comments), the SMS data were never collected for the purpose of developing relative values. The Lewin Group recommendations and our suggestions to the AMA were intended Start Printed Page 65389to tailor the SMS or a practice level survey to be more suitable for this purpose. While our comments were addressed specifically to improving the ability of the SMS or a practice level survey to be used for developing practice expense RVUs, there is no reason that these suggestions would not be equally valid for any alternative practice expense survey instrument that may be developed. Thus, we continue to believe that there is merit in the work of the Lewin Group and in our suggestions on improvements to the AMA survey.
With respect to the concerns expressed about gathering practice expense data beyond 1999, we have published criteria that specialties must follow to submit supplementary practice expense survey data that can be included in the practice expense calculations. Thus, there is a process for specialties to collect representative data on practice expenses for a specialty that can be used to influence the calculation of practice expense RVUs. Furthermore, we are currently planning to use 1999 SMS data to determine the practice expense per hour for calculating practice expense RVUs for 2002. Thus, the fully implemented resource-based practice expense RVUs will be based on a weighted 5-year average of the latest SMS survey data.
Regardless of whether the AMA were to continue the SMS survey, it is unclear whether it would be necessary or even desirable to incorporate more recent practice expense per hour data into the methodology on an annual basis. While the practice expense may increase or decrease over time, the important variable for the practice expense methodology is whether there is a relative change among specialties in practice expense per hour. Again, with exceptions for some specialties, there generally appears to be stability in the relative practice expense per hour among specialties in the SMS data we are using. Indeed, there generally was little redistribution in payment resulting from use of the latest SMS data. For 21 of the 35 specialties listed in Table 1 of the July 2000 proposed rule (65 FR 44203), the percent change in practice expense from using the latest SMS data was near zero. For nine of the remaining 14 specialties, the impact on payments was only 1 percent. For only five of 35 specialties listed was the impact on payments 2 percent or greater. Thus, if there is year to year stability in the relative practice expense per hour among specialties, it will likely make little difference whether we incorporate additional practice expense data into the methodology.
However, it is possible that there will be more significant changes in relative practice expense per hour over time among specialties. The statute requires that we make refinements in the practice expense RVUs at least every 5 years. While we expect to continue making refinements to the inputs for individual codes on an annual basis, it could be several years before we might require practice expense data from a multi-specialty survey after the initial refinement period ends in 2002. While we consider how to approach this issue, we welcome the comments that suggested that we seek input from the medical community in developing a mutually satisfactory and equitable approach to obtaining the needed information on practice expenses for future refinement efforts.
Comment: A society representing vascular surgeons commented that separately billable income should be deducted from practice expenses as part of the practice expense per hour calculations, because the inclusion of this income may account for the inexplicably wide range in the practice expense calculations among specialties.
Response: We agree that it is desirable to identify separately billable services. As explained elsewhere, this is an issue for future SMS revisions.
Comment: One commenter suggested that we move the SMS clinical labor expenses to the indirect expense category, as was done with the administrative labor cost. The commenter stated that with the inclusion of high administrative costs, the indirect costs will vary considerably among specialties and expressed their concern that the determination of the scaling factor is not an equitable means to distribute these indirect costs. The commenter encouraged us, along with our contractor, to examine this issue in detail.
Response: We are reviewing issues related to indirect expenses with our contractor.
Comment: A commenter stated that separately billable income of mid-level practitioners should be deducted from practice expenses as part of the practice expense per hour calculations. The commenter suggested that the total practice expense pools should be adjusted by the Medicare income received by physicians for the work of physician assistants and other mid-level practitioners. The commenter indicated that the pools can be adjusted easily for cardiac and thoracic surgery because the data on billing for these mid-level practitioners are easily available from our data files.
Response: We believe that the numerator of the practice expense per hour calculation should exclude any costs associated with mid-level practitioners and the denominator should include their patient care hours. Unfortunately, the data from the SMS do not permit the calculations to be performed in this way. We believe that this issue should be addressed in any multispecialty survey instrument that will be used in the future to collect practice expense data and determine practice expense RVUs. We disagree with the commenter that there is a feasible way of making an adjustment to the aggregate practice expense pools themselves to address this issue. While it is unclear from the comment about how such an adjustment would be made, it is possible that the commenter believed that we can use Medicare utilization data to determine the proportion of total allowed services for cardiac thoracic surgery procedures, where the specialty data indicates that the service is performed by a mid-level practitioner assisting at surgery; perhaps the commenter assumes that we would use this proportion to reduce the size of the aggregate cost pool. We believe that it is not possible to make an equitable adjustment in this way. First, the aggregate cost pools are constructed using a total practice per hour figure, and the proportional adjustment would reflect only Medicare data. Second, it is not clear to us how such a calculation would be made. An assumption would have to be made that where a mid-level practitioner is performing a given type of service, the work is being furnished for a given type of physician specialist. For instance, if a physician assistant is assisting at surgery for a heart procedure, we would have to assume that practitioner is working for a cardiac or thoracic surgeon. Even this simplified example presents a dilemma, because it would be unclear whether to adjust the pool of the cardiac or thoracic surgeon in this instance. We believe that, even if these assumptions could be made for some services, it would be difficult to make similar assumptions, for example, for evaluation and management services when the mid-level practitioner could be working for one of many different specialists. For these reasons, we are not making an adjustment to the practice expense pools at this time.
(iii) Direct Patient Care Hours
In our July 2000 proposed rule (65 FR 44184), we discussed the many concerns that have been raised from various specialty societies concerning our calculation of direct patient care hours. Several previous commenters Start Printed Page 65390representing surgical specialty societies have raised concern that the hours computed for their specialties have been overstated, because non-billable hours, such as stand-by time, have been included. In addition, commenters representing emergency room physicians raised the issue that the hours spent on uncompensated care were probably also included in the survey responses to the detriment of this specialty.
We then discussed the steps we were taking to improve the future accuracy of these data. We recommended more precise wording for future survey questions so that only the appropriate practitioner hours are included.
We also discussed the second draft report issued by our contractor, entitled “Validating Patient Care Hours Used in HCFA's Practice Expense Methodology.” This report, which is on our homepage under the title “Validating Patient Care Hours,” explores alternative methods that we might use to validate the time data collected by the SMS survey. We have extended The Lewin Group's contract so that, among other refinement tasks, the above validations can be performed. We also solicited comments and suggestions as to other steps we could take to verify and improve the accuracy of the specialty-specific patient care hours.
Comment: We received several comments, primarily from surgical specialty societies, reiterating the concerns about patient care hours discussed in the July 2000 proposed rule. In particular, commenters urged that we find a way to identify non-billable hours, such as down-time between surgeries, stand-by time, phone calls, “curbstone” consultations, and uncompensated care, so that these non-billable hours can be subtracted from the specialties' direct patient care hours. In addition, several commenters raised the concern that the SMS survey data on patient care hours varies considerably by specialty.
The comments also contained a number of recommendations. One commenter suggested that we could use a blend of the all-physician and the specialty-specific hours. A specialty society, citing concerns about the variability between the SMS and the Harvard/RUC time data, recommended that we collect information on the Medicare share of practice hours in the SMS to produce a check of the meaningfulness of the pool allocations. Another specialty society, claiming that the SMS data on patient care hours are sure to be imprecise, urged us to use a standardized number of hours in the practice expense calculation or to statistically limit the impact of this variable. While one commenter recommended that we use the average number of hours per week that physicians' offices are open to calculate the practice expense per hour, another commenter argued that the assumption of a 40-hour work week for all specialties would result in a significant distortion of practice expenses per hour.
Response: We do agree that the patient care hours data would be more precise if we could ensure that there is a standard definition understood across specialties, so that non-billable hours would not be included in the data. As discussed in the July 2000 proposed rule (65 FR 44185), we suggested adding a clarifying definition of hours to be included to any future multi-specialty practice expense surveys. In addition, we referred to the work our contractor is doing to validate the patient care hours; one of the tasks will be a comparison between the SMS hours data and the Harvard/RUC physician time data. Once this analysis is completed, it could form a basis for deciding whether any adjustment to the SMS data is either advisable or workable. As for the recommendations that we use either a standard time for all specialties or the actual time the physicians' offices are open, we believe these recommendations stem from the mistaken impression that a specialty that actually works longer billable hours is somehow disadvantaged by our methodology. First, we believe that some specialties do put in more billable hours per week than other specialties, and using a standard number of hours for all specialties would thus be inaccurate and inequitable. Second, while it can be argued, as some commenters claimed, that most practice expense costs are generally incurred during the hours the physician's office is open, we do not have a two-tiered system of payment in which we pay less for surgeries performed at 6:00 a.m. than we do for those performed during office hours on the grounds that the earlier procedure somehow incurs less practice expense. Rather, we average the payments across each service, regardless of the time it is performed. Likewise, the practice expense per hour calculation is an average of the costs per hour, in which some hours would have higher costs and some lower. In addition, the direct patient care that takes place outside of office hours should be reflected in increases in the utilization data for that specialty that, in turn, increases the practice expense cost pools for the same specialty.
Comment: One commenter urged that any uncompensated care adjustment be allowed only for emergency department services that are furnished by practices in areas that have a disproportionate share of uncompensated care.
Response: If we were to propose any further adjustments for uncompensated care, we would publish them in a proposed rule, subject to comment by all interested parties.
Comment: A specialty society expressed concern that, because podiatrists are not surveyed by SMS, any validation of patient care hours performed by our contractor would not apply to podiatry. This commenter also stated that the specialty society has shared with us two of the society's own surveys containing patient care hour data, and requested that we either validate and use this data or take responsibility for collecting this data.
Response: We understand the points that are made by this commenter and will consider this further if we make adjustments to the patient care hours. In addition, now that a process and criteria have been spelled out for the submission of supplementary practice expense data, the specialty society can also submit additional survey data that should include information on podiatrists' patient care hours.
(c) CPEP Data
(i) Relative Value Update Committee's Practice Expense Advisory Committee (PEAC)
1999 RUC Recommendations on CPEP Inputs
The PEAC, a subcommittee of the RUC, held its initial meetings last year to begin to refine the clinical staff, supply and equipment inputs for physician fee schedule services. In the November 1999 final rule (64 FR 59394), we responded to the RUC recommendations for the refinement of the direct inputs for 65 codes originally reviewed by the PEAC and subsequently approved by the RUC and noted that our actions on all of the recommended inputs were subject to comment. We received the following comments on our revisions to the RUC recommendations:
Comment: One specialty society questioned the removal of lysol, tissues, and biohazard bags from the supply list for all codes, since these items represent costs that physicians must pay. Additionally, one organization objected to our removal of self-administered drugs from all codes, and another society, as well as the RUC, objected to the removal of betadine from the supplies recommended for the post-procedure period.
Response: We believe that the removal of such items as tissues, lysol, Start Printed Page 65391and biohazard bags will help simplify the refinement of the CPEP supply data without having a noticeable impact on the payment for any service. We removed the costs of these minor supplies from the overall CPEP supply list either because of the difficulty in measuring their use or because the supplies were not fully used up during a single procedure. Throughout the supply data, the quantities for biohazard bags and tissues were reported incorrectly; for example, codes were assigned 5 boxes of tissues or 250 tissues when the intention was to assign 5 single tissues at a cost of 5 cents. The PEAC/RUC has since extended this simplification by eliminating paper towels and room disinfectant from their recent recommendations. We proposed to eliminate the very few self-administered drugs on our supply list from the CPEP data because we believe that it is reasonable to exclude non-covered items in the allocation of the specialty-specific cost pools. With respect to betadine, we note that it is included in the recommendations for the post-surgical supply package that we have accepted in this rule, which can be used by any surgical specialty for its codes. Therefore, we will not be adding back any of these individual supplies at this time.
CPT Code 17003, Destruction by Any Method, Second Through 14 Lesions
CPT Code 17004, Destruction by Any Method, 15 or More Lesions
Comment: One organization commented that we should have corrected the obvious and egregious anomaly in these codes whereby the payment for destruction of 14 lesions is considerably higher than the payment for 15 lesions.
Response: We agree that the values for these two codes appear anomalous. However, we do not assign practice expense RVUs to services. Rather, these RVUs are allocated based on the inputs that are associated with each service. Both of the above codes, along with CPT Code 17001, Destruction by any method, first lesion, were presented by the dermatology specialty societies to the PEAC, but we received recommendations only on the supplies for these services. We accepted these recommendations in general, but deleted many specific supplies from CPT Code 17003 because it is an add-on code. We have re-examined the current CPEP inputs for CPT Code 17001, 17003, and 17004, and believe that the inputs for labor and equipment appear to be appropriate. The source of the anomaly seems to be in the supply inputs for these services. To ensure that the appropriate revisions are made to the supply lists, we need specific recommendations from the RUC or the relevant specialty societies.
CPT Code 17304 Through 17310, Chemo Surgery (Mohs' Micrographic Technique) [First and Subsequent Stages]
Comment: A commenter representing Mohs surgeons, while acknowledging the revisions made in the final rule to the lists of supplies, indicated that we erroneously omitted some supplies from the updated list. The commenter provided information on the supplies omitted, as well as the rationale for why these supplies need to be included.
Response: We appreciate the detailed explanation regarding the use of these supplies. After review, we note that, with few exceptions, all the supplies the commenter claimed were omitted are in fact already included in our CPEP database as originally recommended. We explained in the November 1999 final rule that we were deleting Valium, which is separately billable, and Tylenol, which is self-administrable from all codes; therefore, these drugs will not be included for any of these services. In addition, we are not convinced that it is typical to suture the wound after each stage of surgery, and the commenter stated that the wound is not closed until it is determined that no further procedures are necessary. Therefore, we believe that only one set of sutures and suture kit are typically needed, which we are including in the supplies only for CPT code 17304. We also note that the tincture benzoin swab requested by the commenter was not included in the original RUC recommendation, though we are adding it at this time.
CPT Code 56340, Laparoscopy, Surgical; Cholecystectomy (Any Method)
Comment: A specialty society representing surgeons and the RUC objected to the decreases we made to the PEAC/RUC recommendations for the pre- and post-service times for this CPT code. They indicated that there were extensive discussions about this code at the PEAC/RUC meeting, and that adequate information was provided to support this change for pre-service time. The commenters also objected to our elimination of the time for the second registered nurse in the post-service period and requested that we provide the basis for determining that this is not typical practice.
Response: There was insufficient rationale for the PEAC recommendations transmitted to us. Moreover, the PEAC is currently working on establishing a standardized methodology for refining the pre- and post-procedure clinical staff times. This code, like all other surgical codes involving pre- and post-procedure staff time will undergo further refinement. We are not changing the clinical staff times now, but will review them upon receipt of the PEAC recommendations for pre- and post-procedure time for surgical procedures in general.
CPT Ophthalmology Codes 65855, 66170, 66172, 66821, 66984, 67036, 67038, 67039, and 67040
Comment: Three specialty societies representing ophthalmologists and the RUC expressed concern that we did not accept the RUC recommendation to increase the pre-service period to 42 minutes for the above CPT codes, but rather deleted all pre-service clinical staff time. The commenters also noted that the statement in the November 1998 final rule that we were retaining the original CPEP value of zero minutes was in error for CPT codes 66170, 66172, 66984, 67036, 67038, 67039, and 67040 because the CPEP panel had assigned 24 minutes of clinical staff pre-service times to these codes. Commenters requested that we accept RUC recommendations for 42 minutes of clinical staff time in the pre-service period for all these codes because facility-based surgical procedures require significant pre-service clinical staff work.
Response: We thank the commenters for pointing out our inadvertent error regarding the pre-service time in the original CPEP data for seven of the above ophthalmology codes. Although we are not convinced that each of the codes would have as much as 42 minutes of pre-service clinical staff time, we will use this as an interim value for pre-service time. We understand that the PEAC and RUC are planning to develop standardized approaches to assign the pre- and post-surgical clinical staff times, as well as coordination of care times, across wide ranges of codes for the different global periods. These pre-service times can then be revisited in light of future recommendations.
Comment: Several ophthalmic societies opposed our decision to decrease the post-service clinical staff time approved by the PEAC/RUC for ophthalmic surgical procedures. The commenter representing three ophthalmic sub-specialties also stated that we did not consider the consensus agreement to replace the Ophthalmic Medical Personnel (OMP) staff type with the Certified Ophthalmic Start Printed Page 65392Technician (COMT) staff type for ophthalmic procedures. Another specialty society believed we should have collapsed the two staff types into the OMP staff type, because this was agreed upon at the 1997 validation panels.
Response: At the time that the November 1999 final rule was developed, we had received a comment from the specialty society that had presented these codes to the PEAC. This comment described the building-block approach that was used to arrive at the post-service clinical times. Unfortunately, there was a miscommunication regarding the specific building blocks that were used to arrive at the total times, and our total times were different from those of the RUC. We have since received a clarification from the specialty society, and we are restoring the clinical post-service times to their recommended values.
There appears not be a consensus among the ophthalmic specialty societies regarding which staff type to use for ophthalmology codes. In addition, we have not used any of the decisions from the 1997 validation panels in refining the practice expense inputs, but have accepted the RUC recommendations for the use of the OMP staff types for the codes that have been refined to date. We have not received from the RUC any recommendation regarding a global change in the staff type for ophthalmology services, but would certainly consider any future recommendation from the RUC on this issue.
CPT Code 85060 Blood Smear, Peripheral, Interpretation by Physician With Written Report and CPT Code 85097 Bone Marrow; Smear Interpretation Only, With or Without Differential Cell Count
In the November 1999 rule (64 FR 59397), we stated that these were professional services and, if any practice expenses were incurred, they could be reported using other applicable codes. Therefore, we removed all practice expense inputs for these two codes.
Comment: Two specialty societies and the RUC requested that we use the recommendations of the RUC to establish a TC for CPT Code 85060, even though we would not use the RVUs for payment purposes, because other payers are increasingly using our RVUs to establish fees. The commenters also stated that the interpretation of blood smears can require additional slides and services. Commenters did not agree that the activity associated with the technical portion of CPT Code 85097 is included in payment for other services when this service is performed outside a hospital, as is increasingly occurring. They indicated that creation of a TC component for CPT Code 85097, using the RUC recommendations, would allow the laboratory that receives the specimen to bill for the technical costs in preparing the slide for examination by the physician, and recommended this TC component be paid under the physician fee schedule.
Response: We do not want, at this time, to create a TC for a code that we do not cover, such as CPT Code 85060. However, as mentioned elsewhere in this final rule, we are further considering the issue of valuing non-covered services. We will publish practice expense RVUs for CPT Code 85097, so that it can be paid when furnished in a nonfacility setting. We will use the RUC recommended inputs to calculate the practice expense RVUs.
CPT 88104 Cytopathology, Fluids, Washings or Brushings, Except Cervical or Vaginal; Smears With Interpretation
Comment: Several commenters pointed out that, while we accepted the RUC recommendation that included filter paper in the list of supplies for this code, this was not reflected in the CPEP database.
Response: This item was omitted inadvertently from the CPEP database and will now be included.
In the November 1999 final rule, we deferred action on the RUC recommendations for a few groups of CPT codes on which we had significant questions. In the July 2000 proposed rule (65 FR 44185), we proposed to accept two groups of CPT codes of the RUC recommendations with the revisions noted below, while the RUC recommendation discussed below for the antigen service has not been previously addressed.
Prostate Procedures
CPT 52647 Non-Contact Laser Coagulation of Prostate, Including Control of Postoperative Bleeding, Complete (Vasectomy, Meatotomy, Cystourethroscopy, Urethral Calibration and/or Dilation, and Internal Urethrotomy Are Included)
CPT 53850 Transurethral Destruction of Prostate Tissue; by Microwave Thermotherapy
CPT 53852 Transurethral Destruction of Prostate Tissue; by Radiofrequency Thermotherapy
We discussed the inputs for these codes at length with the relevant specialty society, and arrived at a consensus on the staff, supplies, and equipment that were needed for these services.
Comment: The American Urological Association (AUA) applauded us for our proposal to accept the RUC recommendations for the three heat therapy prostate procedures and agreed that all inputs are now included in the CPEP data for these services. One manufacturer recommended that we adopt our proposal for CPT code 53850 in this final rule. Three individual urologists and a manufacturer commented that we should add equipment, such as an autoclave, rigid cystoscope, video system or ultrasound equipment to the equipment inputs for CPT Code 53852. The manufacturer also stated the prices in the CPEP database for the generator system and the hand piece are now outdated, and included the suggested current prices. Two of these commenters also included a list of supplies, most of which are already in the CPEP inputs for this code.
Response: Because our proposal is based on a recommendation from the RUC, and the AUA has stated that it believes the current inputs for this code are correct, we will not add the suggested equipment or supplies at this time, nor change the prices for any of the equipment. However, we have awarded a contract to have all of our direct cost inputs re-priced and any information that is sent to us on current pricing will be forwarded to our contractor.
Chemotherapy Procedures
CPT 96408 Chemotherapy Administration, Intravenous; Push Technique
CPT 96410 Chemotherapy Administration, Intravenous; Infusion Technique, Up to One Hour
The RUC had recommended 102 minutes of clinical staff time for CPT code 96408 and 121 minutes for CPT code 96410. After the publication of the November 1999 final rule we met with representatives of the American Society of Clinical Oncology (ASCO) and discussed the society's breakdown by specific tasks of the above staff times. Included in this breakdown were 20 minutes for pre- and post-procedure education and 15 minutes for three phone calls after each visit.
Because we believed that the times for patient education and phone calls should be averaged over the whole course of chemotherapy treatment, and because there appeared to be some duplication in the pre- and post-procedure education tasks, we reduced both the patient education and phone Start Printed Page 65393call times by 5 minutes. Therefore, we proposed 92 minutes of clinical staff time for CPT code 96408 and 111 minutes for CPT code 96410.
Comment: ASCO objected to the 10-minute reduction of the clinical staff time for CPT 96408 and 96410. The commenter argued that the original RUC recommendation was reasonable and appropriate for both services and should be adopted. The comment also objected to our revision of a RUC recommendation unless we have a concrete reason to do so.
Response: Upon reviewing the times the RUC has since recommended for patient education and post-visit phone calls for comparable services, we are adding the 5 minutes we had removed from both patient education and phone calls in the proposed rule. We will now use the RUC-recommended total times of 102 minutes of clinical staff time for CPT code 96408 and 121 minutes for CPT code 96410. We believe that the total time is consistent with subsequent recommendations that we are accepting, though as the PEAC and RUC continue to develop standardized times for clinical staff functions, all previously valued codes are subject to possible review.
CPT 95165 Allergen Immunotherapy
The RUC did not forward any recommendations on the specific inputs required to perform the above service. However, we did receive a recommendation about the interpretation of the meaning of a dose for purposes of calculating the practice expense RVUs for this service. Because we did not believe the recommendation resolved the ambiguity and confusion in the medical community surrounding this issue, we did not accept this recommendation in the July proposed rule. Since that time, we have received clarifying comments from relevant specialties on both the definition of dose and the practice expense inputs to use for this code.
The practice expense inputs have been analyzed and adjusted so that they now correspond to the practice expense of preparing a one cc dose from a ten cc (ten dose) vial. The practice expense inputs for CPT code 95165 are based on an assumption that ten doses are typically included in each vial. Payment will be based on a maximum of ten doses per multidose vial. The practice expense RVUs for preparing a ten dose vial will remain the same, even if twenty doses are obtained from the vial (for example, if the physician administers 0.5cc doses, instead of one cc doses). Therefore, Medicare should be billed for a maximum of ten doses per vial, even if more than ten doses are obtained from the vial. Furthermore, when a physician dilutes a multidose vial (for example, by taking a one cc aliquot from a multidose vial and mixing it with nine cc's of diluent in a new multidose vial), Medicare should not be billed an additional amount for these diluted doses for CPT 95165. The additional clinical staff and supply costs for preparing such a diluted vial are minimal, because allergens represent over 80% of the direct costs of preparing a multidose vial. In a diluted vial there are no associated allergen costs, since they have already been billed in preparation of the initial vial. Therefore, we expect a maximum of ten doses to be billed for each multidose vial. If fewer doses are prepared from this vial, a dose number less than ten per vial should be billed.
The practice expense inputs per one cc dose are as follows:
Clinical Staff: 2.2 minutes
Supplies: Allergen $6.05
0.5 needles and syringes
0.1 vial and cap
one alcohol pad
1 pair of nonsterile gloves
If multiplied by ten, the inputs correspond to the total practice expense of a ten cc vial from which ten doses of one cc each are administered. Commenters recommended that a typical ten cc multidose vial contains five antigens and no diluent and that the total number of needles and syringes for the ten cc vial is five. The cost data for allergens was obtained from catalogue information and is based on the typical practice of using standardized extracts when available.
In view of the clarification we have made regarding practice expense inputs, we will revise Section 15050(B)(7) of the Medicare Carriers Manual. In May 1998, we changed the language of that section, in part, to clarify our payment policy for antigen preparation. At that time we stated, “A dose of code 95165 is the total amount of antigen to be administered to a patient during one treatment session, whether mixed or in separate visits.” Two examples of antigen preparation and administration follow immediately after this language.
We will revise this section of the carrier manual to define a dose as a one cc aliqout from a single multidose vial. With this clarification physicians will be able to bill Medicare for each dose prepared in each multidose vial. We plan to issue new instructions to the carriers and update the carrier manual to ensure that appropriate payment is made as of January 1, 2001.
2000 RUC Recommendations on CPEP Inputs
We believe that the recommendations received this year from the PEAC/RUC for the refinement of the CPEP inputs for existing codes mark a positive step in the CPEP refinement process. We received recommendations for clinical staff, supply and equipment inputs for 49 CPT codes, and for the supply and equipment inputs for four additional services. But the significance of the recommendations goes beyond the number of codes that were refined. First, included in these recommendations were the refinements for the 15 major evaluation and management (E/M) codes. These 15 codes represent over 25% of the payments made under the physician fee schedule. This was a breakthrough not only because the clinical staff times for these codes had previously been a point of major contention, but also because agreement on the inputs for E/M services may make it easier in the future to refine the post-surgical visits for thousands of services. Second, the PEAC/RUC approved supply packages for three specialties: obstetrics-gynecology, ophthalmology and neurosurgery; as a result, the supply inputs for hundreds of codes are now refined. We also understand that the PEAC will be developing further supply packages and is also setting up workgroups to determine approaches to standardizing pre- and post-procedure clinical staff times.
We have reviewed the submitted RUC recommendations and have accepted all of them with only two minor revisions. In order to be consistent with a revision made previously in the November 1999 final rule, we have deleted the skin marking pen when it appears in a recommended supply list because it is not practical to allocate its use to individual procedures. In addition, for the ophthalmology codes that were refined before the supply packages were adopted, we have substituted the ophthalmology visit supply package as appropriate. If future decisions are made on standard clinical staff times, all of these refined codes can be revisited to determine whether any further refinements would be appropriate.
Following is a list of the CPT codes that were included in the PEAC/RUC recommendations: (The complete PEAC/RUC recommendations and the revised CPEP database can be found on our website. See the Supplementary Information section of this rule for directions on accessing our web site.)
CPT 57452 Examination of vagina Start Printed Page 65394
CPT 57454 Vagina examination and biopsy
CPT 57500 Biopsy of cervix.
CPT 59000 Amniocentesis
CPT 62270 Spinal fluid tap, diagnostic
CPT 65730 Corneal transplant
CPT 67311 Revise eye muscle
CPT 67800 Remove eyelid lesion
CPT 67961 Revision of eyelid
CPT 90471 Immunization admin*
CPT 90472 Immunization admin, each add*
CPT 90782 Injection, sc/im
CPT 92270 Electro-oculography
CPT 92275 Electroretinography
CPT 92582 Conditioning play audiometry
CPT 94621 Pulm stress test/complex
CPT 95812 Electroencephalogram (EEG)
CPT 95822 Sleep electroencephalogram
CPT 95829 Surgery electrocorticogram
CPT 95830 Insert electrodes for EEG
CPT 95861 Muscle test, two limbs
CPT 95863 Muscle test, 3 limbs
CPT 95864 Muscle test, 4 limbs
CPT 95867 Muscle test, head or neck
CPT 95868 Muscle test, head or neck
CPT 95870 Muscle test nonparaspinal
CPT 95903 Motor nerve conduction test
CPT 95925 Somatosensory testing
CPT 95926 Somatosensory testing
CPT 95930 Visual evoked potential test
CPT 99141 Sedation, iv/im or inhalant
CPT 99142 Sedation, oral/rectal/nasal
CPT 99201 Office/outpatient visit, new
CPT 99202 Office/outpatient visit, new
CPT 99203 Office/outpatient visit, new
CPT 99204 Office/outpatient visit, new
CPT 99205 Office/outpatient visit, new
CPT 99211 Office/outpatient visit, est
CPT 99212 Office/outpatient visit, est
CPT 99213 Office/outpatient visit, est
CPT 99214 Office/outpatient visit, est
CPT 99215 Office/outpatient visit, est
CPT 99241 Office consultation
CPT 99242 Office consultation
CPT 99243 Office consultation
CPT 99244 Office consultation
CPT 99245 Office consultation
CPT 95813 Electroencephalogram (EEG)
CPT 95816 Electroencephalogram (EEG)
CPT 94060 Evaluation of wheezing
CPT 95921 Autonomic nerv function test
CPT 95922 Autonomic nerv function test
CPT 95923 Autonomic nerv function test
*Note:
These are noncovered under the Medicare physician fee schedule.
Other Comments on Refinement of CPEP Inputs
Comment: One commenter asked that we clarify whether we plan to implement the RUC CPEP recommendations on a rolling basis, or whether all changes will be made at once.
Response: Unless we announce a change in approach, we plan to deal with the RUC's recommendations on a rolling basis as we receive them.
Comment: A commenter representing three ophthalmology sub-specialty societies expressed disappointment in our belief that it is preferable to have a multi-specialty agreement on changing the CPEP data, rather than accepting the recommendations of a single group. The commenter argued that there is little or no added value from such multi-specialty review when the impact of the changes is limited to a single specialty and when members of other specialties have no additional clinical knowledge.
Response: We strongly disagree with this comment. We have found that the input and recommendations of the RUC play a crucial role in the practice expense refinement. Also, because there are many codes that are shared across a number of specialties, changes in payment for even a specialty-specific service can affect the payment of the shared services that the specialty performs. Therefore, we believe that it is fair and equitable to have a multi-specialty consensus on these changes. In addition, we have found, in our role as observers at RUC meetings, that RUC members, of whatever specialty, ask pertinent questions and make clinically relevant observations.
Comment: A specialty society representing many medical specialties recommended that we should use panels, corresponding to the refinement panels we use for work, to make recommendations on code-level refinements that are submitted to us.
Response: We certainly do not rule out the use of such refinement panels for code-level practice expense recommendations when and if such panels would be necessary and useful. We have used these panels for work RVU refinement in those cases when we have not accepted the RUC recommendations on a number of codes and subsequently have received comments disagreeing with our actions. Because we have made so few revisions in this current final rule to the PEAC/RUC recommendations for practice expense inputs, there may be no need for practice expense panels next year, although we will consider this issue.
(ii) Clinical Staff Time
In the November 1999 final rule (64 FR 59399), we removed estimates of all clinical staff time allotted to the use of clinical staff in the facility setting from the CPEP data. Commenters have since noted that the clinical staff times reported by some CPEP panels for pre-and post-service times for 0-day global services performed in the office were recorded in the intra-service field in the CPEP database. These times were, therefore, deleted along with the times for the use of clinical staff in the facility setting.
In the July 2000 proposed rule (65 FR 44186), we stated that these data are not comparable to the data we excluded for clinical staff used in the facility setting. We reviewed the “CPEP Recorders' Notes Files” compiled for each CPEP panel by Abt Associates, Inc., the contractor managing the CPEP panels. When the notes indicated that clinical staff estimates were for activities performed in physicians' offices, we proposed to reinstate the time data for 0-day global services.
Comment: Many medical societies representing specialists such as gastroenterologists, internists, rheumatologists, cardiologists, osteopaths and podiatrists, as well as the AMA, expressed strong support for this proposal to reinstate the pre- and post-procedure clinical staff time in the office for 0-day global services. One reason given in the comments for this support is that this time for staff in the office is not comparable to the data excluded for clinical staff used in the facility setting.
Response: We are pleased that all commenters supported this proposal, and we are implementing this refinement in this rule.
Comment: An organization representing cardiologists stated, in a comment on the November 1999 final rule, that we should enlist the assistance of medical specialties to identify codes for which clinical staff are used in the physician's office during the intra-service period for facility services. In a comment on the current proposed rule, this society agreed with our proposal to add some pre- and post-service clinical staff time to 0-day global services and listed several 0-day cardiology services for which it recommended the addition of clinical staff time.
Response: In this proposal, we added only clinical staff time in the facility setting for those 0-day services when the CPEP recorder notes specified that the time was for pre- and post-service time for staff in the office. We believe that this is appropriate because these CPEP data are as valid as all other non-refined CPEP data. We also believe that changes to the CPEP data for this pre- and post-service clinical staff time should go through the same refinement process as other desired changes and that any Start Printed Page 65395group recommending the addition of such time should present this issue to the PEAC/RUC for refinement. We also understand that the issue of “coordination of care” clinical staff time is one that the PEAC may address across the board at some future meeting. In addition, from the description of the staff duties for the codes listed by the commenter, it is not clear that this staff is in the office, rather than in the facility performing facility nursing functions. Therefore, we will not be making these changes at this time.
Comment: An emergency physician organization recommended that we not limit this proposal to 0-day global period services and submitted the CPEP recorders' notes for emergency room visits, CPT codes 99281 through 99285. The notes indicate that the CPEP panel added 3 minutes of pre-service time and 4 minutes of post-service time for office staff involved in admissions to the emergency room. The commenter recommended that this time be reinstated for these emergency room visit codes.
Response: These emergency room visits have an XXX global period. By the current definition, XXX services do not include pre- and post-service times. Before implementing this specific recommendation, we hope to receive input from the RUC/PEAC on the general issue of appropriate pre- and post-staff times for the different global periods, in order to ensure consistency in our approach to this issue.
In the November 1999 final rule (64 FR 59399) we finalized our decision to remove from the CPEP data all clinical staff times associated with physician's staff used in the facility setting. We implemented this policy for the following reasons—(1) We should not pay twice for the same service; (2) It is not typical practice for most specialty societies to use their own staff in the facility setting; and (3) Inclusion of these costs is arguably inconsistent with both the statute and Medicare regulations. In response to the November 1999 final rule, we received many comments on this final decision, which, for the most part, reiterated comments that had been made on the original proposal.
Comment: Although several primary care groups expressed support for this decision, most of the commenters objected to the exclusion of this clinical staff CPEP data. Many of these organizations urged us to postpone the implementation of this policy and to collect additional information before making a decision on how to treat these costs. However, taking the opposite approach, a primary care organization stated that the clinical staff time should be removed for services furnished in the facility until the PEAC/RUC can determine that the time for these services is typical and not duplicative of physician work. Several commenters again raised the argument that the BBA prohibits us from excluding these clinical staff costs because the BBA requires us to recognize all costs, not just those that can be tied to specific procedures. Many organizations reiterated the claim that the practice of taking staff to the hospital is either typical or prevalent in their specialties. However, only the specialty society representing thoracic surgeons submitted any additional information to support this claim. The STS surveyed their members in July 2000,and reported that 74 percent of the respondents said they employ clinical staff who assist in the hospital, though more than half report that they receive Medicare payment for some of these personnel. Commenters made the following recommendations:
Several organizations contended that hospitals no longer supply the staff to furnish adequate care. In relation to this point, two commenters recommended that the issue of cost shifts between hospitals and other providers is one that we should not ignore, and, if there is any double payment, Part A payment to the affected hospitals should be adjusted.
Another specialty society recommended that we establish a modifier to allow for documentation of and payment for non-physician clinical staff who furnish services in a facility setting. This modifier would indicate whether there is a physician practice expense or a hospital practice expense that has been transferred to the physician practice, to ascertain whether payment should come from Medicare Part A or Part B.
One organization recommended that the SMS data be adjusted by the income received for the work of physician assistants.
Response: We have considered all the comments that we have received on this issue, both on the July 22, 1999 proposed rule and the November 1999 final rule. Though many of the commenters raised interesting points, there were neither new arguments nor evidence presented that would cause us to delay or abandon this policy. While we particularly appreciate the effort undertaken by the thoracic surgeons to develop data on the prevalence of their use of clinical staff in the hospital, the survey addresses only the question of typicality. As stated above, there are two other reasons why we eliminated this clinical staff time. First, we believe that we already pay the facility for the clinical staff needed for patient care. Much of what is claimed as physician's clinical staff time in the facility is either separately billable (as illustrated by the survey submitted by the commenter) or is accounted for in the work RVUs. Furthermore, by law, the hospital itself must furnish all services and items to a hospital patient, either directly or under arrangement. (For a more detailed description of our rationale for this policy, see the November 1999 final rule (64 FR 59402).)
As to the recommendations made by the commenters, we agree that it would be desirable to remove costs associated with these mid-level practitioners from the SMS data as well. This would answer the concern raised by another commenter that removing the clinical staff from the CPEP data introduces further inconsistency with the SMS data. It is for that reason that we had recommended to the AMA that several specific questions be added to the SMS survey to capture the needed information on this clinical staff issue, and we anticipate that we will, in the future, be able to obtain such data.
Although we would be interested in receiving data on the cost shifts between hospitals and other providers, we believe that the suggested use of a modifier for this purpose would be extremely difficult to implement and also burdensome for the practitioner. First, however, we must clarify that, even if the practice of bringing physician staff to the hospital pre-dates the advent of the hospital prospective payment system, any costs associated with such a practice were explicitly included in the hospital Diagnosis Related Group (DRG) payments in the September 1, 1983 interim final rule with comment and in the January 4, 1984 final rule. These rules reference section 1862(a)(14) of the Act, and the discussion makes clear that, with certain limited exceptions, all nonphysician services furnished to hospital inpatients are to be paid under Part A. The exception provided that, for any cost reporting period beginning before October 1, 1986, a hospital that has followed a practice, since before October 1, 1982, of allowing direct billing under Part B to an extent that immediate compliance with the bundling requirements would threaten the stability of patient care, could continue to bill under Part B. There is no indication that the waiver was extended. In response to a comment, we stated the following: “In order for a payment system that is based on a national average rate for a particular Start Printed Page 65396diagnosis to succeed, it is vital that the services and supplies included in the payment be essentially the same in every hospital. If the statute had not included the rebundling provision, it would have been possible for hospitals to collect the full prospective payment rate for inpatient services and, at the same time, reduce their costs by having outside providers and suppliers furnish many of the necessary services and bill Part B.” Furthermore, these rules state that, to calculate the PPS standardized amounts, base year costs were adjusted “to include the costs of services that were billed under Part B of the program by another provider or supplier during the base period but will be billed under Part A as inpatient hospital services effective October 1, 1983.”
We do agree that it would be helpful to determine whether hospitals are still providing the staffing that is assumed in their DRG payments. To this end, we have requested that the Office of Inspector General conduct an independent assessment of staffing arrangements between hospitals and thoracic surgeons.
(iii) Supplies
In the November 1999 final rule, we deleted certain casting supplies from the CPEP data for the casting and strapping CPT codes 29000 through 29750. In the July 2000 proposed rule, we identified additional CPT codes for the treatment of fractures/dislocations and additional casting and splinting supplies that are separately billable under section 1861(s)(5) of the Act. Therefore, we proposed the removal of inputs for fiberglass roll, cast padding, cast shoe, stockingnet/stockinette, plaster bandage, Denver splint, dome paste bandage, cast sole, elastoplast roll, fiberglass splint, Ace wrap, Kerlix, Webril, malleable archbars, and elastics from the following CPT codes: 23500 through 23680; 24500 through 24685; 25500 through 25695; 26600 through 26785; 27500 through 27566; 27750 through 27848; 28400 through 28675, and 29000 through 29750.
Comment: Several specialty societies, representing orthopedic surgeons, podiatrists, and occupational therapists supported our proposal to delete casting supplies from the CPEP inputs for all applicable fracture management and cast/strapping application procedure codes for which these supplies are separately billable. The orthopedic surgery specialty society comment also included a list of non-fracture/dislocation codes for which it recommended deleting casting supplies and another list of non-fracture codes from which the supplies should be deleted if they are separately billable for these services and left in the CPEP data if they are not. This commenter also stated that the soft goods, such as stockinette, that we propose to delete do not currently have a HCPCS code, and requested that these supplies remain on the CPEP list until a separate code is established.
Response: We appreciate the support expressed for our proposal. Consistent with the statute that limits separate payment for casting supplies only to the treatment of fractures and dislocations, we are not deleting these supplies from either of the two lists of additional codes supplied in the above comment. Also, we will delete soft goods, such as stockinette, from the CPEP data for the appropriate codes, because these are casting supplies that may be separately billed. We will, however, also request that HCPCS codes be developed for these items. Therefore, we will implement the policy as proposed.
Comment: A commenter representing dermatologists sought clarification on whether the unna boot would be separately billable. The commenter stated that the unna boot is not in the list of supplies to be deleted from the CPEP data, but CPT code 29580, Application of paste boot, falls within the range of codes listed under this proposal.
Response: We are not deleting the unna boot from CPT code 29580, because this code can be appropriately used for cases other than fractures, and in those cases the supply is not separately billable.
Comment: One supplier of casting supplies agreed with our proposal to delete these casting supplies from the CPEP data, but suggested that we include their product, Procel cast liner, on this list as well, to clarify that it is separately billable.
Response: The purpose of the proposal was not to list all the casting supplies that could be separately billable, but rather to delete from our CPEP input database any casting supplies that are currently listed. Because the Procel cast liner is not currently in our database, it does not need to be deleted.
(iv) Equipment
We currently use the original CPEP definitions for equipment that distinguish between “procedure specific” equipment and “overhead” equipment. Under the “top-down” methodology, the CPEP inputs are used only as allocators of the specialty-specific practice expense pools, and we believe the distinction between types of equipment has served to hinder the process of refining the CPEP inputs while not leading to a substantive distinction in how we value services. Therefore, we proposed to combine both categories of equipment into a single “equipment” category, assuming an average 50 percent utilization for all equipment.
We also proposed to delete from the CPEP data equipment that is not used typically with any service, but is on “standby” for many services, or that is used for multiple services at the same time. The following is the list of equipment that we proposed to delete from the CPEP inputs of all services: autoclave, wheelchair, refrigerator, film file cabinet, hazard material spill kit, embryo freezer, water system, flammable reagent cabinet, utility freezer, ultra low temperature freezer, acid cabinet, bulk storage refrigerator, abortion clinic security system, abortion clinic security guard, gomco suction machine, doppler, laser printer, lead shielding, defibrillator with cardiac monitor, blood pressure/pulse oximetry monitor, blood pressure monitor, printer, crash cart—no defibrillator, and smoke evacuator.
The following is a list of equipment that we proposed to delete as “standby” equipment for most codes, but that we believed typically may be used with a designated subset of procedures:
X-ray view box—four panels (retain when currently in the CPEP data for codes in the range CPT codes 70010 through 79999).
ECG machine—3 channel (retain when currently in the CPEP data for CPT codes 93000 through 93221).
Pulse oximeter (retain when currently in the CPEP data for CPT codes 94620, 94621, 94680, 94681 and 94690; 94760 through 94770, 95807 through 95811 and 95819).
ECG/blood pressure monitor—3 channel (retain when currently in the CPEP data for CPT codes 43200 through 43202 and 43234 through 43239).
Cardiac monitor (retain when currently in the CPEP data for CPT codes 31615 through 31628).
ECG-Burdick (except for HCPCS code G0166).
Comment: All the specialty societies that commented on these proposals were supportive of what one commenter characterized as “HCFA's efforts to streamline the treatment of medical equipment” and agreed that the changes will facilitate the refinement process. One of these commenters stated that a standardized utilization rate overstates the use of some equipment and understates it for others and recommended that we continue to seek reliable data on this issue. Another Start Printed Page 65397commenter recommended that we need to provide clear and specific criteria for including medical equipment in the direct practice expense inputs, and gave three possible options—(1) equipment used primarily for a specific procedure or group of procedures; (2) all equipment used for a specific procedure; or (3) all equipment that typically must be available when a specific procedure is performed.
Response: We agree that clear criteria are needed for including equipment in the inputs for a given procedure. The major criterion used for clinical staff time and supplies is that the suggested input must be typically used in the performance of a service to be included as a direct practice expense. We believe that the same criterion should be applied to equipment. This criterion can be applied more clearly than the other options mentioned by the commenters, and, thus, should result in more consistent assignment of equipment across all services. Regarding utilization rates, we did solicit information on specific equipment utilization rates in the 1997 Notice of Intent to Regulate, but very little hard data were submitted. For most specialties, equipment costs are a very small portion of total practice expense, averaging less than 5 percent of the total practice expense per hour for the “all physicians” category. In addition, for most equipment, a change in the utilization rate would produce a negligible difference in the practice expense RVUs for any service. Therefore, with perhaps a few specific exceptions, and because of the apparent difficulty in obtaining reliable objective data, we expect that this issue will not be a high priority issue during the refinement process.
Comment: One specialty society agreed that it is appropriate to capture as indirect expense the costs of the equipment that we have proposed to delete. The specialty society expressed concern that the SMS survey would not include most of this equipment as indirect expense, disadvantaging certain specialties who have relatively higher costs for indirect or stand-by equipment. Other commenters questioned how the costs of stand-by and multiple-use equipment can be reflected if the equipment is not included in the calculation of practice expense. One society stressed that, because of the high costs of radiology equipment, it is critical that overhead costs are accounted for.
Response: The commenter raised a valid point about the relationship between the deleted “indirect” equipment and the SMS cost pools. The costs for this deleted equipment are included in the SMS cost pools for each specialty. However, we believe this proposal simplifies the refinement of equipment without introducing new problems. First, it is not clear whether much of this equipment, such as laser printers, lead shielding, refrigerators and freezers, cabinets, water systems, security systems, smoke evacuators and hazard material spill kits, would have been included as medical equipment or as indirect costs in the SMS survey. Second, stand-by equipment, such as crash carts, wheelchairs and ECG machines, would often be available for more than one procedure at a time. Allocating costs of these items for every service for which they are available, rather than for services for which they are typically used, can mean that we are allocating more than their actual costs and thus overstating their value. Third, the inclusion of the costs of equipment that is not typically used in a service means that we have different criteria for equipment than we do for other direct inputs. Fourth, most of this equipment is relatively low cost, which is one reason the impacts of this proposal are not significant. We also want to clarify that combining all equipment into one category does not eliminate from the practice expense calculations any of the overhead equipment, such as the most expensive radiology equipment, that is typically used for a given service.
Comment: Societies representing various imaging specialties requested clarification on the doppler that was included in the list of potentially deleted items, because, if this is an image-directed spectral doppler, it should not be deleted. One of these commenters supported the elimination of x-ray boxes because they are no longer typically used in current radiology practice.
Response: The doppler we are deleting from all but the relevant procedures is a hand-held doppler, with a cost of $1350, that can be used on obstetric patients, not the ultrasonic doppler at $155,000.
Comment: A society representing obstetricians and gynecologists recommended that the following equipment that we proposed deleting from all services be retained for specific codes:
The doppler should be retained for the prenatal codes CPT 59400, 59425, 59426, 59510, 59610 and 59618.
The blood pressure and pulse oximetry monitors should be retained for procedures requiring anesthesia or sedation, CPT 58555, 58558, 58120, 58800, 59140, 59160, 59812, 59820, 59840 and 59841.
The suction machine should be maintained for procedures that include evacuation of the uterus, CPT 58120, 59140, 59160, 59812, 59820, 59821, 59840, 59841.
Response: We will retain the doppler, monitor and suction machine for the recommended services. Because these were the only code-specific changes recommended in comments on our equipment proposals, we will be implementing our proposals with only the above changes.
Comment: The American Academy of Dermatology (AAD) wanted clarification on whether we are proposing that dermatology-related standby equipment be assigned to the overhead category, because the specialty gains one percent on the overhead proposal and loses one percent on the standby equipment proposal.
Response: We are proposing to delete from the inputs the identified “standby” equipment from those codes for which the equipment is not typically used. It is a coincidence that the impact came out as it did.
Comment: One primary care specialty society recommended that we propose a methodology in the 2001 proposed rule for the use of an alpha-numeric code for billing unusual equipment costs associated with a procedure that are not properly captured in the practice expense data.
Response: We will certainly consider this idea, although we foresee many policy and operational difficulties in implementing this recommendation.
(v) CPEP Anomalies
In the November 1999 final rule, we made corrections to the CPEP data for a number of codes when we learned that the data contained errors and anomalies that we could easily correct. In the July 2000 proposed rule, we listed other egregious errors and anomalies that we are proposing to correct. As we have previously stated, though certain revisions may be made now, all practice expense inputs for these codes are still subject to further comment, refinement, and potential PEAC and RUC review and recommendations. We received the following comments on our proposed corrections.
Comment: A major primary care organization agreed with our decision to correct major errors in the CPEP practice expense data that had been identified by specialty societies. Another association stated appreciation for our correction of the supply list for CPT code 68761 to reflect the cost of a punctal plug.
Response: We are pleased that there was no disagreement on any of the proposed revisions we made in the November 1999 final rule and the July Start Printed Page 653982000 proposed rule to correct egregious errors and anomalies in CPEP data, with the exception of those discussed below. Therefore, we will be implementing all other changes at this time.
Comment: Two specialty societies, representing obstetrics and family practice, pointed out that we proposed to crosswalk the CPEP inputs for CPT 59618, which includes antepartum care, delivery and postpartum care, from CPT 59410, which only includes delivery and postpartum care. They recommended that we change the crosswalk to CPT 59510, Routine obstetric care including antepartum care, cesarean delivery, and postpartum care.
Response: The above proposed crosswalk was a typographical error. We thank the commenters for pointing this out, and we are now crosswalking the CPEP inputs for CPT 59618 from the inputs for CPT 59510 as requested.
Comment: A specialty society representing interventional radiologists agreed that we had appropriately removed the clinical supplies listed in the facility setting for CPT codes 47510, Insert catheter, bile duct and 47511, Insert bile duct drain. They recommended that these supplies be listed in the office setting, because these are 90-day global services with two post-procedure visits.
Response: We have added post-procedure supplies to these two codes by crosswalking from the supplies assigned to CPT code 45525, Change bile duct catheter, adjusted for two post-visits.
Comment: A radiology specialty society objected to our proposal to crosswalk the inputs of CPT code 78206, Liver image (3D) with flow from the inputs of CPT code 78205, Liver imaging (3D). The specialty society suggested that it will work with the PEAC and RUC to determine the appropriate additional expenses.
Response: We view crosswalks of CPEP inputs as a temporary solution, and we would welcome a recommendation from the RUC.
Comment: One specialty society commented that they had previously identified inaccurate inputs, which lead to anomalous RVUs that we have not yet addressed. The commenter requested the status of these suggested changes for 13 procedures. For 11 of these procedures there is a request to increase the number of post-operative office visits. For CPT code 52276, Cystourethroscopy with direct vision internal urethrotomy, the commenter questioned why the facility practice expense RVUs are much lower than those for CPT 52340, Cystourethroscopy with incision, fulguration, or resection of congenial posterior urethral valves, or congenital obstructive hypertrophic mucosal folds, even though the practice expenses are similar. The commenter also noted that the supply cost for a double stent (CPEP supply code 93119) should be decreased from $359 to $150.
Response: We do not view a request to increase the number of post-operative visits as a correction of an egregious error, because it is not clear without supporting evidence that the current number of post-operative visits in our database is inappropriate. It would be most beneficial to discuss this issue with the RUC, which could then make recommendations to us. In regard to the second issue, CPT 52340, a code that will be deleted in 2001, is a 90-day global service, while CPT 52276 is a 0-day global service and therefore has lower practice expense RVUs. The double stent is currently priced at $179.50. We appreciate the information that this may be overpriced. However, we have awarded a contract to have the prices of all the CPEP clinical staff, supply and equipment inputs updated in time for next year's proposed rule and will revise the costs at that time. If the society has documentation on the correct price for this item, we will send this information to our contractor.
Comment: An association representing psychiatrists reiterated their concern regarding the physician times assigned to the psychotherapy codes that include evaluation and management services (E/M). The society recommended that the times assigned to each psychotherapy E/M code be increased so that the total time would be 7 minutes more than the time assigned to the corresponding psychotherapy code without E/M. The commenter argued that this added time would be equal to the time assigned to CPT 99211, the lowest level office visit with an established patient, and that this corresponds to the adjustment made to the work RVUs for the psychotherapy codes with E/M services. In addition, the comment requested that we make the physician time for CPT 90847, Family psychotherapy (with patient present), equal to CPT 90846, Family psychotherapy (without the patient present) and the time for CPT 90857, Interactive group psychotherapy, equal to CPT 90853, Group psychotherapy.
Response: We agree that an increase of seven minutes in the physician times for the psychotherapy codes with E/M is reasonable, and we will make the appropriate changes in our physician time database. In addition, we also agree that the times for CPT 90847 and 90846 should be equal, as should the times for CPT 90857 and 90853, and we will make those increases in physician time as well.
Comment: The association representing psychiatrists also commented that the clinical staff times for psychotherapy with E/M services are underestimated and questioned why we did not correct this as an egregious error.
Response: We included as egregious errors and anomalies only those instances where there was a clear error or anomaly in the CPEP data and also where the correct input would be obvious, without the benefit of a multi-specialty recommendation. We did not consider the clinical staff times for psychotherapy codes to fall into that category; in fact, we have concerns that the clinical staff time for most of the psychotherapy codes is, in fact, overstated. Therefore, we believe that this issue might better be dealt with initially by the RUC.
Comment: A manufacturer of diathermy equipment commented that the practice expense RVUs for CPT code 97024, Application of a modality to one or more areas; diathermy, are undervalued. The commenter stated that this payment rate will threaten the ability of providers to make this service available to the Medicare population.
Response: In checking our direct cost inputs for this service, neither the clinical staff time nor the supplies seem inappropriate. The issue appears to arise from a discrepancy in the cost of the diathermy machine itself. The machine in our database is priced at $2850. The price range quoted by the manufacturer is for $18,000 to $30,000. There is obviously a wide range of machines available, and we will need to determine the most typical cost to a practice. As mentioned earlier, we have granted a contract to re-price all of our direct cost inputs, including equipment. We would welcome information on this and other equipment used by practitioners and would find recent invoices particularly helpful.
(d) Calculation of Practice Expense Pools—Other Issues
(i) Technical Refinement to Practice Expense Pools
The Act requires payment of some practitioner services (services of certified registered nurse anesthetists, nurse practitioners, clinical nurse specialists, physician assistants, and certified nurse mid-wives) based on a percentage of the physician fee schedule payment amount. Since the payment under the physician fee schedule for a service performed by a mid-level Start Printed Page 65399practitioner is required to be based on a percentage of the amount paid to a physician for a service, we proposed using only physician practice expense data in determining the practice expense RVUs for each practitioner service. Removal of the services performed by mid-level practitioners from the practice expense calculations would assist in simplifying the methodology and would also be consistent with the statutory requirement that we pay for their services based on a percentage of the fee schedule amount.
Comment: A primary care organization expressed concern that removing the services performed by mid-level practitioners from the practice expense calculations might have implications that were not discussed in the proposed rule. The comment encouraged us to withdraw the proposal until there is more information and a thorough discussion of the issue. The AMA stated in its comment that it would be difficult for us to include such mid-level practitioner data since we do not have reliable information concerning the extent to which these practitioners are self-employed or are employed by physicians. The comment further noted that we have recommended that the AMA request in any practice expense survey the amount of revenue and patient care hours generated by mid-level practitioners. Another primary care organization agreed that this proposal will make the methodology more consistent with the statutory requirement.
Response: The statute specifies the payment amounts for practitioners such as nurse practitioners, physician assistants, and certified nurse specialists. Because payment for these practitioners is not based on the calculation of their own practice expense cost pools, we are removing these services from the practice expense computations and will consider further adjustments as additional information becomes available.
(ii) Medicare Utilization Data
We have received, in response to previous rules, comments from several surgical specialties urging us to evaluate the Medicare claims data to eliminate potential errors in the specialties associated with each service. In the June 2000 proposed rule, we described the analyses we ran to determine whether potential errors in the claims data have an adverse impact on any specialty or merely represent “noise” that creates no significant effect. We tested, for neurosurgery, ophthalmology and otolaryngology, the impact of reassigning to the dominant specialty the small proportion of allowed services associated with specialties not expected to perform these services. The impacts did not even approach a 1-percent increase or decrease in any scenario.
We stated our belief that these simulations demonstrated that the small percentage of potential errors in our very large database have no adverse effect on specialty-specific practice expense RVUs. Therefore, we did not propose any further action at this time.
Comment: One surgical specialty society expressed concern that we had dismissed the impact of less than 1 percent as inconsequential and encouraged us to develop a software program to reassign obvious errors in the specialty-specific assignment of procedures to the appropriate specialty.
Response: We believe that developing software would not be an easy solution to what we still see as an issue of little significance for the calculation of practice expense RVUs. On what basis do we decide what an obvious error would be? At this time, we do not have policies that limit payment for given services to only certain physician specialties, and we are not convinced that the medical community would actually support our doing this. In addition, because many services are performed appropriately by more than one specialty, on what basis would we decide to which specialty the services should be reassigned? Therefore, though we would certainly want the possible error rate to be zero, at this time we do not plan to propose any changes in our method of handling the utilization data for the purposes of calculating practice expense.
(iii) Allocation of Practice Expense Pools to Codes
In the July 2000 proposed rule, we discussed the work The Lewin Group had recently begun on the third phase of the project, which concentrates specifically on evaluating the indirect cost allocation methodology and considers alternatives to allocating indirect costs by the current method. We expect their report on this analysis, which will be placed on our website, to be available soon.
Comment: Two specialty societies commented that we should develop and implement ways to reduce or eliminate the pool leakage that can occur in the weight-averaging step of our methodology when procedures are performed by multiple specialties. One commenter argued that the problem is in the allocation formula that sets up the leakage, not the averaging.
Response: These comments refer to methodological issues surrounding the development of the practice expense relative value units under the “top down” methodology. We use a combination of data on practice expense per hour from the SMS survey, the time estimated to perform individual procedures and Medicare utilization data to create aggregate cost pools. These cost pools are allocated to individual codes. Once the costs are allocated, estimates of practice expenses for individual procedures are then weight-averaged by the specialties performing each procedure to produce practice expense RVUs for a procedure. The above commenters are concerned that this process does not result in practice expense payments to each specialty that equal the aggregate cost pools. To the extent that there is “pool leakage,” it implies that an individual specialty's practice expense payments are less than its aggregate practice expense pool. The implication of the comments we have received on this issue is that specialties that receive aggregate cost payments that are less than the aggregate cost pools are underpaid. We disagree. As we indicated in the November 1999 final rule (64 FR 59390), we believe it is more likely that the aggregate practice expense pools are overstated, rather than that aggregate practice expense payments to a specialty are too low.
As we indicated both in that rule and in the June 5, 1998 proposed rule (63 FR 30832), there are two potential sources of bias in the practice expense per hour data that may result in an overstatement of the aggregate practice expense pool. First, mid-level practitioners may have been included in the numerator of the practice expense per hour calculation even though there is generally separate payment for their services. Thus, a mid-level practitioner would be analogous to an employee physician who also generates revenue and whose costs are not included in the practice expense calculation, rather than to a registered nurse or other practitioner who cannot furnish a separately billable service. Second, the mid-level practitioner's hours spent are not included in the denominator of the practice expense per hour calculation even though, like a physician, the mid-level practitioner is generating patient care revenues during the hours spent in patient care. To the extent that a specialty depends on the use of mid-level practitioners, then the aggregate specialty practice expense pools are likely to be overstated. Based on information in our utilization data and comments made to us by one of the Start Printed Page 65400commenters, we believe this is the case with thoracic surgery. Rather than developing a process that ensures that aggregate practice expense payments are equal to overstated aggregate practice expense pools, we believe the better option is to address the issue of mid-level practitioners in the practice expense methodology. In this final rule, we have already addressed one aspect of this issue. Specifically, we have eliminated any utilization data that reflects that the service was performed by a mid-level practitioner. The other aspect of this proposal that we would like to address is the practice expense per hour calculation itself. As we have indicated elsewhere, we are interested in addressing this and other issues related to the practice expense methodology as we develop long-term plans for refining the practice expense RVUs beyond 2002.
(iv) Zero Work Pool
There were no proposals in the July 2000 proposed rule on this issue. However, in the November 1999 final rule, we implemented the proposal to remove requested services from the zero work pool and return them to the specialty-specific cost pools.
Comment: Many specialty societies and the AMA expressed approval of our decision to remove a list of CPT codes from the “zero work pool” in response to specific requests to do so. Other organizations, representing specialties with technical services, supported our decisions—(1) not to modify the practice expense RVUs for diagnostic imaging “zero work” services in any substantial way at this time; and (2) to keep the zero work pool intact, at least until we can develop a methodology that accurately captures TC costs. Several commenters did express a concern that we erroneously removed from the pool an amount equal to the increased payment the removed services would receive in their own pools, rather than the payment rate the services were assigned in the zero-work pool. Another specialty society representing TC providers argued that the RVUs of the codes remaining in the pool should have been maintained at their previous level.
Response: We are pleased that there is general support of our adjustments to the zero work pool. With respect to the concern expressed, we did deal with the removal of services from the zero work pool in a manner that seems consistent with the views of the commenters. We only subtracted from the pool the dollars for the utilization associated with the removed services, which would represent the rate the services were assigned in the zero-work pool, not the increased rate in the specialty-specific pool. With regard to the recommendation that the RVUs of the remaining services in the zero-work pool should be maintained in spite of any adjustment we make, we believe that such an approach would be unfair to the other services in the fee schedule whose practice expense RVUs are not similarly protected from the effects of changes we make in the practice expense calculations.
(e) Site of Service
Clarifying the Definition of Facility/Nonfacility
In the July 2000 proposed rule, we clarified the definition of facility and nonfacility sites of service for the purposes of practice expense calculations. This distinction takes into account the higher expenses of the practitioner in the nonfacility setting. The major purpose of this distinction is to ensure that Medicare does not duplicate payment, to the physician and to the facility, for any of the practice expenses incurred in performing a service for a Medicare patient. For purposes of the site-of-service, we have defined hospitals, skilled nursing facilities (SNFs), and ambulatory surgical centers as facilities, because they will receive a facility payment for their provision of services. In the July 2000 proposed rule, we proposed to revise § 414.22(b)(5)(i) (Practice expense RVUs) to define community mental health centers (CMHCs) as facility settings since CMHCs also receive a separate facility payment for their services.
In addition, we clarified that the nonfacility practice expense RVUs should be applied to all outpatient therapy services (physical therapy, occupational therapy, and speech language pathology), even when they are provided in a facility. Only the facility can bill for therapy services furnished to hospital and SNF patients. Because there will be only one bill for this service and because the payment must reflect the practice expenses incurred in furnishing the service, the higher nonfacility RVUs are used to pay for therapy services even in the facility setting.
Comment: Three specialty societies representing gastroenterologists reiterated their disagreement with our site-of-service policy because they believe—
- The policy offers a financial incentive for physicians to perform certain gastroenterological procedures in their offices, rather than in an ASC or hospital outpatient department;
- The policy allows the procedures to be furnished in a physician's office that does not have to meet accreditation standards;
- The wide divergence between the payments in the two settings may be encouraging the performance of gastrointestinal procedures by non-gastroenterologists; and,
- This reduction of payments for endoscopy services in the facility setting is contrary to the intent of the statute.
The commenters had varying recommendations on this issue: one comment urged us to provide the same practice expense RVUs in the facility and nonfacility settings for 18 endoscopic gastroenterological procedures. Another commenter suggested that because we now pay therapy services at the nonfacility rate regardless of setting, we should do the same for the colorectal screening codes. A major specialty society stated that it is in the process of working with gastroenterology societies to develop a proposal to create a single site-of-service payment rate for those services that are furnished less than 10 percent of the time in the office.
Response: We believe that some of the commenters continue to misunderstand the reasons for the distinction between the facility and nonfacility sites of service and the actual implications of this distinction. We have perhaps added to this confusion by continuing, on occasion, to use the term “site-of-service differential” to describe this policy. Under the charge-based practice expense methodology, there was an actual differential; certain services were automatically reduced by a pre-determined amount when furnished in the facility setting. However, in our current resource-based “top-down” approach, we employ no such reduction. Rather, we carry out the statutory requirement to develop practice expense RVUs that reflect the relative resources involved with furnishing each service. We doubt that any specialty society would argue that the direct costs of performing a service in the office setting are not higher than in the facility setting. In the office setting, the physician must bear the costs for all of the clinical staff, supplies and equipment needed to perform a given service; in the facility setting, these costs are the responsibility of the facility. Our RVUs reflect the relative resources used in furnishing the service in each of the facility and nonfacility settings. Therefore, to the extent that we have correctly identified the relative direct costs, there should be no Start Printed Page 65401incentive to perform a service in either setting. It is true that we pay more to the physician if the service is furnished in the office, but that is because greater resources are involved with furnishing the service in that setting. The fact that there is a significant difference between the facility and nonfacility payment for any given service seems to us both expected and appropriate. We believe that properly reflecting the relative resources involved with furnishing services in the facility and nonfacility settings creates no incentive to perform a service in one setting or another. In contrast, a policy that paid the same amount for a service furnished in a facility and nonfacility setting would create an incentive to furnish the service in the facility setting and, thus, would not be incentive-neutral.
We have serious reservations about adopting a policy to develop a single site-of-service payment for services that are furnished less than 10 percent of the time in the office. First, if there are real concerns regarding patient safety when certain procedures are furnished in the office, sufficient evidence should be presented to the relevant parties so that an appropriate coverage decision can be made. We emphasize that such a decision would be a coverage decision, and would not be a payment policy issue. Second, a 10-percent threshold could eliminate payment in the office setting for some high-volume procedures done thousands of times there. Third, we have some concern that this issue may be a matter of contention between those specialties that generally perform procedures in physician-owned ASCs and other specialties that would utilize the office setting. We would suggest that this issue, either as a general proposal or on a code-specific level, be discussed in the PEAC/RUC, where a multi-specialty recommendation could then be submitted to us.
The site-of-service policy for therapy services mentioned by a commenter as a precedent is not applicable to other services in the physician fee schedule. As described above, the facility itself must bill for both the technical and professional portion of the therapy service; in these circumstances, the therapist does not bill Medicare at all. Therefore, the nonfacility RVUs are used to ensure that the facility is paid for the direct costs incurred in the service.
Comment: A specialty society representing pediatricians believed that the site-of-service differentials will likely have an adverse impact on pediatric specialty care that is primarily hospital-based. Most pediatric sub-specialists, most of whom are not hospital-employed, incur practice expense (in the form of a lease or rent) when they provide ambulatory services in a hospital-owned facility. This expense most typically includes administrative and clinical staff.
Response: We would need more information on the scenario described before we can formulate a definitive response on this issue. For example, it is not clear whether these pediatric services as described would always be considered “facility” services. A visit to a physician's office that is leased from a hospital could, in many circumstances, be considered a “non-facility” service by Medicare, if there is not a Part A bill for the same service. In addition, indirect expenses, such as rent or administrative staff salaries, are treated the same in all sites under our methodology. We would welcome further discussion on this issue.
Comment: A comment from an association representing providers of services in long-term care facilities contended that there should be a site-of-service differential for settings such as SNFs, where patient acuity is higher and where services must be transported to the patients. Use of data from the SMS survey for services performed outside of the physician's office is not appropriate. An occupational therapy association stated that, though they concur with our clarification that therapy services would always be paid at the nonfacility rate, the resources necessary to provide therapy services in facilities are not adequately reflected in our practice expense calculations. A commenter representing geriatricians commented that pre-and post-care involved in nursing home visits are not reflected in the nursing home visits.
Response: The practice expense RVUs for the office and facility settings differ primarily as a result of the differences in the direct costs in these sites. Because the SNF would bear the costs of the clinical staff, supplies and equipment, the cost to the practitioner is less than it would be in the office setting. It is not clear to us how the acuity of the patients in a SNF would affect the direct practice expense costs of the practitioner, or what resources are not reflected in our calculations, since the practitioner is not responsible for the direct costs in that setting. If there is clinical staff time for staff back in the office associated with nursing home visits, this issue should be brought to the attention of the PEAC/RUC, because they are considering an approach to standardizing “coordination of care” clinical staff times for various services to make recommendations to us on this issue.
Comment: A long-term care association recommended that we clarify our policy on mixed facilities, which are SNFs that also have nursing home beds, to state that the presumption should be made that the therapist is treating a nonfacility patient. A society representing podiatrists requested confirmation of this policy.
Response: We do not agree that the above recommendation would be a clarification of our policy on “mixed” facilities. We explicitly stated in our July 1999 proposed rule that a service in a mixed facility should be designated as a facility service (that is, the place of service would be a SNF), unless the practitioners can verify that no Part A claim will be made for the service. In the latter case, the place of service would be a nursing home, and the service would be paid at the nonfacility rate. We did not change this policy in our November 1999 final rule, and we believe that this is an appropriate policy.
Comment: Commenters were supportive of the expansion of the definition of facilities to include community mental health centers (CMHCs). However, one commenter, representing a state health department, requested that we clarify the distinction between CMHCs and other types of community mental health entities to which this would not apply.
Response: A CMHC is a distinct type of facility certified for Medicare participation for the purpose of providing “partial hospitalization services”. As we had explained in the proposed rule, Medicare payment to a facility typically includes the cost of services furnished. If an entity is not participating in the Medicare program, the nonfacility practice expense RVUs would apply to the services. We believe this may not have been clear in the proposed rule. We are revising § 414.22(b)(5)(i)(A) to specifically provide that, for calculation of practice expense RVUs, a CMHC is considered to be a facility and revising § 414.22(b)(5)(i)(B) to parallel the language of § 414.22(b)(5)(i)(A). We also specify that the nonfacility practice expense RVUs are applicable to outpatient therapy services regardless of the actual setting.
Comment: One organization commented that the proposed rule did not address coverage or payment for “inpatient” only services performed in the outpatient setting, and referenced the outpatient PPS rule published April 7, 2000. Start Printed Page 65402
Response: This issue is addressed in the outpatient prospective payment system rules.
(f) Other Practice Expense Issue
Comment: One specialty society recommended that we keep the practice expense RVUs that will be fully resource-based in 2002 as interim RVUs for a minimum of another three years, during which we would consider comments for further code-level refinement.
Response: As long as there is a good faith effort on the part of all parties to continue the quality work that the PEAC/RUC has already undertaken, we do not plan to close the door on further code-level refinements in 2002. We understand the magnitude of this task and have an interest in ensuring that there is sufficient time to deal with the CPEP inputs of all services in a thoughtful and equitable manner.
Comment: A specialty society representing neurological surgeons made a number of comments critical of the methodology used to allocate practice expenses. These criticisms pertained to virtually every aspect of the methodology. For instance, there was criticism of the CPEP data, the SMS data, and the idea that indirect practice expenses are a function of the amount of time spent in patient care activities. The commenter further indicated that the “cursory efforts to ‘validate’ CPEP data by having it reviewed by RUC's Practice Expense Advisory Committee (PEAC) seems more pro forma rather than have it based on some independent appraisal of the real costs that may be involved.” In addition to the criticism cited above with respect to the methodology for allocating indirect costs, the commenter suggested that we should have summed the three indirect cost categories (administrative labor, office expense, and other expense), and allocated the result to individual codes based on the work RVUs. The commenter suggested that this was a better method than the “unnecessarily tortuous” approach we adopted that “used the total SMS pool and divided it by the pool of direct expenses * * * to generate a scaling factor that represented the fraction of the total that the CPEP data calculation claimed as direct.” In addition, the commenter objected to a “single adjustment” of 25 percent made to the Harvard physician time data that are being used to generate the practice cost pools. They indicated that this adjustment distorts time values for many codes. The commenter suggested that RUC time data would be more reliable than Harvard time data and that we should consider establishing a rank order reliability in the time data based on dependability of the process that generated the time values. For instance, the commenter suggested that operative logs would provide a measure of skin-to-skin time for intraoperative portion of surgical procedures that should rank above a group of estimates of the same time made by surgeons.
Response: With respect to the criticism of the CPEP data, we acknowledge that there are limitations and anomalies in the data that may distort values for some services. As required by the BBA, we have established a refinement process that will address the inputs for many codes. In this final rule, we are reflecting refinements to the practice expense inputs for office visits and office consultations. As a result, services that account for approximately 22 percent of Medicare allowed charges for physicians' services will have been reviewed and the inputs been refined. As we describe elsewhere in this rule, we are making other refinements with respect to how equipment costs are being allocated, and we are continuing to consult with the PEAC on developing supply cost packages that will facilitate refinement of this aspect of the practice expense inputs. Although the commenter believed that surveys of physician practices for resource inputs would be an improvement over the scrutiny being applied by the PEAC, we disagree. A survey process to collect direct cost inputs for the over 7,000 procedures on the Medicare physician fee schedule would be enormously expensive and time consuming and may be unlikely to yield better results than are being recommended by the RUC/PEAC. We believe the RUC/PEAC process allows for a multispecialty review of inputs for particular procedures. These RUC/PEAC recommendations have been helpful to us in simplifying the number of data inputs going into individual codes and in improving the overall quality of the data that are being used to determine practice expense RVUs.
With respect to the indirect methodology, the commenter is essentially suggesting that we abandon the direct inputs and use the work RVUs as the basis for allocating all indirect costs. While this approach may be simpler, we disagree that such a methodology will improve overall equity in Medicare payment for physicians' services. It would, of course, likely increase payments to specialties with relatively high work values and low direct costs. Furthermore, we do not believe this approach would be consistent with the statutory requirement to recognize “all staff, equipment and supplies and expenses” in determining the practice expense RVUs.
We do agree with the commenter that it may be helpful to validate physician time data using independent information sources such as operative logs. In fact, as we described in the July 2000 proposed rule (65 FR 44202), we have several efforts underway to obtain information on times spent performing individual procedures, including using inpatient and outpatient records and operative reports on skin-to-skin surgical times for selected procedures.
Comment: One surgical specialty society reiterated its contention that we have not been providing the impact analysis required by the BBA and requested that we do so. The osteopathic surgeons requested that we publish the impacts rounded to a tenth of a percent and that we display the impact for the entire period of the transition rather than for the individual year. A society representing radiation oncology also requested that we expand the percentage of impact by several decimal places; although the impact table for radiation oncology displays zero percentage impact for each category, there is a total increase of one percent. An ophthalmology society requested that we publish more detailed impacts, and enumerated five additional impact analyses or tables we should include in the final rule. Three other specialty societies urged us to conduct the sensitivity analyses recommended by the GAO, because, without knowing the effect of a change in methodology or data, it is difficult to know whether the proposed change is acceptable.
Response: We have addressed these comments in previous rules. We provide a discussion of impacts in each proposed and final rule. We also provide detailed information on the HCFA web page, which allows any group to select services of interest and determine the impacts resulting from payment rates.
Comment: A commenter suggested that we should identify a way to incorporate the cost of compliance with regulations into the practice expense payments or into the annual updates to the physician fee schedule.
Response: To the extent that these costs are due to increased clinical or administrative staff time, the SMS or supplementary surveys should reflect these expenses, so they are already reflected in the practice expense calculations.
Comment: A specialty society representing podiatrists requested Start Printed Page 65403clarification concerning the reduction in practice expense RVUs for CPT code 11750, Removal of nail bed, as compared to the previous charge-based RVUs.
Response: Because the charge-based practice expense RVUs were not based on the resources used to perform a service, the payment for many services either increased or decreased, some significantly, when we implemented resource-based practice expense. In themselves, such changes are not indicative of an error in our calculations. A comparison to the values assigned to codes in the same or similar families would be more important. It appears that the fully implemented practice expense RVUs for CPT 11750 are in the same range as the values for related services. If the specialty society believes this is not the case, we would need more information as to which codes' values appear anomalous.
Comment: An occupational therapy association noted that the fully-implemented practice expense RVUs for CPT 97110, Therapeutic exercises are greater than those for CPT 97530, Therapeutic activities, even though the CPEP inputs that we accepted should be the same for both services. The commenter also questioned why, in the November 1999 final rule, the practice expense RVUs for the occupational therapy evaluation and re-evaluation services, CPT 97003 and 97004, were lower than those for the physical therapy evaluation and re-evaluation services, CPT 97001 and 97002.
Response: We checked the CPEP inputs for CPT codes 97110 and 97530. The time associated with the use of procedure-specific equipment for CPT 97110 was inadvertently overstated, causing a slight increase in the equipment cost for that service. We have corrected this error. In addition, as we explained in the November 1999 final rule, we deleted the tables in the equipment lists from CPT 97530 because we believed the service would typically be performed while the patient was standing. However, even when two services have identical inputs, the final practice expense RVUs can differ, if a different mix of specialties perform the two services. One reason for the difference between the occupational and physical therapy evaluation and re-evaluation services is that the occupational therapy codes were only valued by one CPEP panel. The physical therapy codes were valued by two CPEP panels, one of which estimated higher staff times than the other, giving these codes a higher average time. The refinement of these codes should remove this issue, although, for the reason explained above, the practice expense RVUs may still not be identical.
Comment: Two organizations representing audiologists submitted a joint comment which reiterated their concern regarding our use of data from the other specialties that perform audiology services to calculate the practice expense RVUs for these services. The specialty society intended to perform a survey of audiologists' practice expenses in order to gather more accurate data.
Response: We have published the criteria and process for the submission of specialty-specific supplementary survey data. We would welcome this additional information.
Comment: A specialty society representing geriatricians contended that this specialty requires more office space than other providers and wanted us to increase the space requirements beyond what is allowed for internists. They believe we have set a precedent for this by altering the space allotment for physician and occupational therapists.
Response: Under our current practice expense methodology, we do not have space requirements for any physician specialty. The amount of office space needed would presumably be reflected in the SMS indirect costs for each surveyed specialty, but we have no way of knowing what this is, or of making an adjustment to these costs for a given specialty or sub-specialty. The adjustment for the physical therapists was a different issue. Because we believed that the crosswalk to the “all physician” rate that we used for physical therapy would overstate the indirect costs, we substituted a lower rate based on a study of physical and occupational therapists that computed costs for therapy services partially on the space used for therapy agencies and later made an adjustment to that rate. This adjustment would have no relevance to any other specialty.
Comment: A commenter objected to the use of salary equivalency guidelines to determine the indirect cost pools for physical therapists. The commenter indicated that the original estimate of 250 square feet was insufficient to reflect expenses for therapists in private practice. While we agreed that these space requirements were insufficient and increased the space to 500 square feet, the commenter continues to believe that the salary equivalency data is not an accurate measure of the expenses associated with operating a physical therapy office since these apply to therapy services furnished by an outside contractor to an outpatient hospital, skilled nursing facility, home health agency, clinic, rehabilitation agency or public health agency.
Response: In general, we believe it is better to use data that reflect a specific physician specialty or nonphysician practitioners' costs if they are available. For the direct expense items (clinical staff, equipment and medical supplies), there was no data available for physical therapy so we used a crosswalk to the all physician rate. For the indirect cost items, we used the information that is directly applicable to physical therapy for use in the practice expense methodology. While the use of salary equivalency guidelines data may have been developed for contract physical therapists providing services in facilities, we believe that a potential shortcoming for its use is related to the number of square feet of space that are allotted for each therapist. In response to previous comments we increased the space allocation to 500 square feet in the November 1999 final rule (64 FR 59404). While we are currently using 500 square feet for the space allotment and believe that that amount may recognize some components of indirect costs, the figure still may understate the space requirements for private practice physical therapists because it does not recognize other components of indirect costs that are not incurred by contract physical therapists working in a facility setting. In an earlier comment, the American Physical Therapy Association indicated that 250 square feet is inadequate for physical therapists in private practice. The comment indicates that approximately 700 to 850 square feet per therapist are necessary. We are increasing the space requirements from the salary equivalency guidelines for physical therapy to 750 square feet. This revision will result in use of the following practice expense per hour for physical therapy for calculation of the 2001 practice expense RVUs:
Start Printed Page 65404Clinical staff Admin staff Office expense Supplies Equipment Other Total 12.3 5.8 7.5 7.3 3.1 4.4 40.4 Comment: Many individuals and several specialty groups expressed concern about the relatively low rates contained in the July 2000 proposed rule with respect to pain management services. They suggested that this may be due to the practice expense component for these services being undervalued. They also pointed out that a few of the services seemed to have significant reductions.
Response: A few of the pain management codes were affected by a programming error related to work RVUs. We apologize for the error and ensured that this was corrected in this final rule. To the extent that the rates are low due to the practice expense component being undervalued, we would recommend that specialty groups forward the codes in question to the RUC/PEAC for refinement.
B. Geographic Practice Cost Index Changes
The Act requires that payments vary among fee schedule areas to the extent that resource costs vary as measured by the GPCIs. Section 1848(e)(1)(C) of the Act requires us to review and, if necessary, adjust the GPCIs at least every 3 years. This section of the Act also requires us to phase in the adjustment over 2 years and implement only one-half of any adjustment in the first year if more than 1 year has elapsed since the last GPCI revision.
The GPCIs were first implemented in 1992. (A detailed discussion of the development of the GPCIs and references to obtaining studies on the development of the GPCIs can be found in the July 17, 2000 proposed rule (65 FR 44189).) The first review and revision was implemented in 1995, and the second review was implemented in 1998.
The 2001 through 2003 GPCIs represent the third GPCI update. The 2002 GPCIs (Addendum D) are the fully-revised GPCIs. The 2001 GPCIs (Addendum E) represent the one-half transition GPCIs. Addendum F shows the estimated effects on area payments of the fully-revised 2002 GPCIs. The payment effects in 2001 will be about one-half of these amounts.
The same data sources and methodology used for the 1998 through 2000 GPCIs were used for the 2001 through 2003 GPCIs. The only differences between the 1998 through 2000 GPCIs and the proposed GPCIs are in the cost shares and RVU weighting.
1. Work Geographic Practice Cost Indices
The work GPCIs are based on the decennial census. The 1992 through 1994 work GPCIs were based on 1980 census data because 1990 census data were not yet available. The work GPCIs were revised in 1995 with new data from the 1990 census. New census data will not be available again until after the 2000 census. We searched for other data that would enable us to update the work GPCIs between the decennial censuses, but no acceptable data sources were found.
We therefore made no significant changes to the 2001 through 2003 work GPCIs from the 1998 through 2000 work GPCIs, other than the generally negligible changes resulting from using 1998, rather than 1994, RVUs for this GPCI update, because we were unable to find acceptable data for use between the decennial censuses. We believe that making no changes is preferable to making inaccurate changes based on unacceptable data. We believe that this is a reasonable position given the generally small magnitude of the changes in payments resulting from the changes in the work GPCIs from the 1980 to the 1990 census data.
2. Practice Expense Geographic Practice Cost Indices
a. Employee Wage Indices
As with the work GPCIs, the employee wage indices are based on decennial census data. For the same reasons discussed above pertaining to the work GPCIs, we are not changing the employee wage indices during this GPCI update.
b. Rent Indices
The office rental indices are again based on HUD residential rent data. No changes have been made in the methodology. The rental indices are based on 2000 rather than 1994 HUD data.
c. Medical Equipment, Supplies, and Miscellaneous Expenses
As with all previous GPCIs, this component will be given a national value of 1.000, indicating no measurable differences among areas in costs.
3. Malpractice Geographic Practice Cost Indices
As with the previous GPCIs, malpractice premium data were collected for a mature “claims made” policy with $1 million to $3 million limits of coverage, with adjustments made for mandatory patient compensation funds. The only difference is that we proposed to use more recent data. The proposed malpractice indices are based on 1996 through 1998 data, compared to the 1992 through 1994 data used in the previous GPCI update.
We received the following comments and responses on our proposed GPCI changes.
Comment: One commenter stated that Medicare physician reimbursement should not vary by geographic area.
Response: The law requires that payments vary among payment localities as locality cost differences vary as measured by the GPCIs. However, the work GPCI by law reflects only 1/4 of the difference in the relative value of physicians' work in the area and the national average.
Comment: One commenter stated that we should not use census data on the earnings of other highly educated professionals as a proxy for physician earnings. The commenter suggested that we instead use IRS income tax data on actual physician income, which also has the advantage of being available on an annual basis rather than every 10 years like the decennial census.
Response: As stated in this year's proposed rule and in all previous reports on the GPCIs, the actual reported earnings of physicians were not used to adjust geographical differences in fees because the fees are in large part a determinant of the earnings. We believe that the earnings of physicians will vary among areas to the same extent that the earnings of other professionals vary. The GPCI compares average hourly wages of professionals among geographic areas. IRS data on the earnings of physicians and other professionals were previously examined as a possible work GPCI data source. The IRS data were rejected for numerous reasons, chiefly because—(1) they did not control for hours worked, and thus, average hourly earnings could not be determined; (2) the business tax returns of physicians and other professionals include entrepreneurial return, as well as the opportunity cost of time (what a physician on salary could earn per hour); and, (3) the business returns contain no information on the number and mix of employees (physicians are included with other nonphysician employees). The Medicare physician fee schedule is based on the principle that fees should reflect costs, such as opportunity wages, but not other factors, such as entrepreneurial profit.
Comment: Two commenters stated that the rent GPCI for Puerto Rico is severely understated. They believe the HUD rental data to be inordinately low relative to the national average because of the high level of poverty in Puerto Rico. They believe that physician rents are relatively higher compared to the national average than reflected by the Start Printed Page 65405HUD data. The commenters suggested that we fund a special study to examine the rental costs in Puerto Rico to see if the HUD rent proxy is inadequate to reflect physician rental costs, and, if so, to expand the study to other areas with inordinately high poverty rates.
Response: For the next GPCI update, we will again look for alternative sources to the HUD data.
Comment: One commenter whose malpractice GPCI would have decreased under the proposed rule stated that this would reflect decreasing malpractice premiums, while in reality their malpractice premiums have increased since 1997, and, therefore, their malpractice GPCI must be wrong.
Response: A decreasing malpractice GPCI does not necessarily reflect decreasing malpractice premiums. An area's malpractice GPCI reflects its relative position compared to the national average. An area could have increasing malpractice premiums and still experience a decrease in its malpractice GPCI if its premiums increased less than the national average rate of increase.
Comment: A commenter from Kansas commented that Kansas prohibits territorial rating of malpractice premiums within the State; yet we show two different malpractice GPCIs for Kansas. They state that one of these must be an error.
Response: We agree. Kansas is a single statewide locality under the physician fee schedule. We show two sets of GPCIs because Kansas is served by two carriers. However, the GPCIs should be the same. The malpractice GPCI shown in the proposed rule for carrier 00740 was erroneous. Both carriers should have the same malpractice GPCI of 0.823.
Result of Evaluation of Comments
The 2002 fully-effective revised GPCIs and the transitional 2001 revised GPCIs can be found at Addendum D and Addendum E, respectively. No changes were made in the 2002 and 2001 GPCIs from those proposed in the July 17, 2000 proposed rule, except to correct the erroneous Kansas malpractice GPCI discussed above. Since the revised GPCIs could result in total payments either greater or less than payments that would have been made if the GPCIs were not revised, it was necessary to adjust the GPCIs for budget neutrality as required by law. Therefore, we adjusted the 2001 through 2002 GPCIs as follows: work by 0.99699; practice expense by 0.99235; and malpractice by 1.00215.
C. Resource-Based Malpractice Relative Value Units
Resource-based malpractice RVUs replaced the prior charge-based malpractice RVUs on January 1, 2000. A detailed description of the methodology used in establishing the 2000 malpractice RVUs can be found in the July 1999 proposed rule (64 FR 39610) and the November 1999 final rule (64 FR 59383). The 2000 malpractice RVUs are based on 1993 through 1995 malpractice insurance premium data, the latest data available when we began collecting data to establish the resource-based malpractice RVUs. We stated in last year's proposed and final rules that we were collecting more recent premium data, and would update the malpractice RVUs as soon as we had finished collecting and analyzing the more recent data.
In the July 2000 proposed rule we stated that we had obtained, and were currently examining, malpractice premium data for 1996 through 1998. We provided a table that compared the 1993 through 1995 average premiums (used to calculate the 2000 malpractice RVUs) with the 1996 through 1998 average premiums (used to calculate the 2001 malpractice RVUs). The table showed that there was very little change in the national average premiums from 1993 through 1995 to 1996 through 1998. We, therefore, anticipated minimal changes in malpractice RVUs from use of the more recent data.
In addition, in response to comments received on last year's rule, we proposed to accept a comment regarding crosswalking specialties. We proposed to crosswalk surgical oncology to general surgery rather than to all physicians. We also indicated that the malpractice values to be included in the final rule reflecting the updated data would remain interim.
Comment: Numerous commenters commended the use of more recent 1996 through 1998 malpractice premium data to replace the 1993 through 1995 data in calculating the malpractice RVUs.
Response: We plan to use the most recent available data in updating malpractice RVUs.
Comment: Commenters stated that since the proposed 2001 malpractice RVUs were not available for comment in the July proposed rule, and are being seen for the first time in this final rule, they be considered interim and subject to comment and revision.
Response: We agree. The proposed 2001 malpractice RVUs will be considered interim, subject to revision in 2002 based on comments received on this final rule.
Comment: Some commenters stated that they were unable to duplicate the malpractice RVU calculations using the premium data and risk factors shown in our previous proposed and final rules. They requested that we provide them with all necessary information to reproduce the malpractice RVUs.
Response: To address this concern, we had our contractor, KPMG Consulting, prepare a technical addendum. This addendum presents a detailed explanation of all of the information used—a table of specialty premiums, risk factors for each specialty either from the premium data or insurer rating manuals, code crosswalks for new and revised CPT codes, and the budget-neutrality factor used by KPMG—with examples of the methodology used in calculating the malpractice RVUs. It also discusses special circumstances, such as the use of different risk factors for OB/GYN for surgical, nonsurgical, and delivery services, and the use of the surgical risk factor for cardiology for certain cardiac catheterization services even though the services are not in the surgery section of CPT. When combined with our 1999 specialty utilization data, it should be possible to reproduce KPMG's malpractice RVU calculations. This technical document can be found at Addendum G.
Comment: One commenter stated that we should explore the collection of non-M.D. and non-D.O. premium data (such as for podiatrists, chiropractors, and nurse practitioners) for future malpractice RVU updates.
Response: We will consider searching for such data for specialties such as podiatrists and chiropractors. We would not expect to collect such information for groups such as nurse practitioners since the law establishes their payments at 85 percent of the physician rate.
Comment: One commenter suggested that certain invasive electrophysiology codes, have the same relative risks as cardiac catheterization codes, and should be assigned a surgical risk factor similar to the risk factor assigned to cardiac catheterization codes.
Response: We agree, and have assigned a surgical risk factor to CPT codes 93600 through 93612, 93618 through 93641, and 93650 through 93652.
Comment: One commenter stated that since most OB/GYNs perform both obstetrics and gynecology, the higher obstetrics premium should be used for all services performed by OB/GYNs.
Response: We disagree. This comment was also addressed in the November 1999 final rule. To reiterate our response, it is true that a physician furnishing a wide range of services—Start Printed Page 65406from low-risk visits to high-risk surgeries or deliveries—will probably pay a malpractice premium driven by the higher-risk procedures.
The purpose of the resource-based malpractice RVUs is not to guarantee each physician an absolute return of malpractice costs. It is rather to construct malpractice RVUs based on the relative malpractice costs among services. We believe that it is reasonable to use the lower risk factors for the values of the lower risk services and to allocate the higher relative values to the higher risk services that cause them. In the case of OB/GYN services, the higher obstetrical premiums were used for services that were clearly obstetrical and were causing the higher obstetrical premiums; the gynecological surgical risk factor was used for the surgical services, and the lower nonsurgical GYN risk factor was used for all other services. We would further note that even if we were to adopt the approach suggested by this comment, it would have very little, if any, impact on payment rates since OB/GYN specialties perform such a small proportion of the low risk visits provided to patients in the U.S.
Result of Evaluation of Comments
New malpractice RVUs based on the more recent 1996 through 1998 premium data will become effective on January 1, 2001. These malpractice RVUs will be considered interim for 2001 and subject to comment and possible revision in 2002. These malpractice RVUs can be found in Addendum B.
D. Critical Care Relative Value Units
Based on revisions to the definition of critical care services (CPT codes 99291 and 99292) in the CPT manual for CY 2001, we proposed to value the physician work at 4.0 RVUs for CPT code 99291 and 2.0 RVUs for CPT code 99292.
In addition, consistent with our discussion in the July 2000 proposed rule for electrical bioimpedance (EB), (see section H), we proposed not to allow separate Medicare payment for EB when it is furnished in conjunction with critical care services (CPT codes 99291 and 99292).
Comment: Commenters supported the revision to the physician work for these two codes. However, in the regulatory impact section of the July 2000 proposed rule (65 FR 44208), we stated that “* * * any impact of this proposal would be incorporated in the physician fee budget neutrality calculations.” Commenters believed it would be inappropriate to make a budget neutrality adjustment, since we made no adjustment last year. They argue that such an adjustment would skew payments.
Response: As indicated in the previous response, we are restoring the work RVUs for critical care to 4.0 for CPT code 99291 and 2.0 for CPT code 99292. The earlier reductions to the work RVUs were made assuming there would be a substitution of critical care for other services that would increase net payments if there were no reductions to the work RVUs. We believe this substitution will not occur because of additional revisions to the definition of critical care for 2001. Thus net payments would decrease if we do not restore critical care RVUs to their former levels.
Comment: One commenter urged that we reconsider including payment for EB services within the critical care codes, because they believed it would have a negative impact on its use in hospitals.
Response: The physician work required to perform this service involves reading and interpreting a series of numerical measurements. This is generally performed in conjunction with an evaluation and management service because the measurements produced by this procedure are difficult to interpret without a clinical evaluation of the patient. We continue to believe that it is appropriate to include payment for this service within the critical care service since the critical care service includes the review of EB tests. Other services such as the interpretation of cardiac output measurements (CPT 93561 and 93562) are currently included in the payment for critical care services, and we do not believe this has had an adverse impact on their performance in the hospital.
Result of Evaluation of Comments
We will finalize our proposal and value the physician work at 4.0 RVUs for CPT code 99291 and 2.0 RVUs for CPT code 99292. In addition, we will not allow separate Medicare payment for EB when provided in conjunction with critical care services (CPT codes 99291 and 99292).
E. Care Plan Oversight and Physician Certification and Recertification
In anticipation of CPT revisions to the definition of care plan oversight, we proposed establishing two new HCPCS codes for care plan oversight to be consistent with our payment policies. For the 2001 physician fee schedule, we proposed adding a new HCPCS code G0181 (care plan oversight, home health), using the CPT 2000 definition associated with CPT code 99375 and a new HCPCS code G0182 (care plan oversight, hospice) using the CPT 2000 definition associated with CPT code 99378. The definitions proposed for these new codes are:
G0181 Physician supervision of a patient under care of Medicare-covered home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved with the patient's care, integration of new information into the treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more.
G0182 Physician supervision of a patient under care of Medicare-covered hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved with the patient's care, integration of new information into the treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more.
We also stated that current policy guidance that applied to CPT codes 99375 and 99378 will continue to apply to these G codes, and current payments for CPT codes 99375 and 99378 will be maintained in G0181 and G0182.
In addition, we proposed establishing two new HCPCS codes (G0180 and G0179) to describe the physician's services involved in physician certification (and recertification) of Medicare-covered home health services. These services include creation and review of a plan of care for a patient and verification that the home health agency initially complies with the physician's plan of care. The physician's work in reviewing data collected in the home health agency's patient assessment, including the Outcome and Assessment Information Set (OASIS) data, would be included in these services.
The proposed text for the new codes was as follows:
- G0180 (referred to as Gxxx3 in the proposal but renumbered in this final rule) Physician services for the initial certification of Medicare-covered home health services, for a patient's home health certification period, and
- G0179 (referred to as Gxxx4 in the proposal but renumbered in this final rule) Physician services for the Start Printed Page 65407recertification of Medicare-covered home health services, for a patient's home health certification period.
Under the proposed rule, the use of these codes would have been restricted to physicians who are permitted to certify that home health services are required by a patient according to section 1814(a)(2)(C) and section 1835(a)(2)(A) of the Act.
Under the proposed rule, the physician certification for home health code (G0180), could be reported only once every 60 days, except in the rare situation when the patient starts a new episode before 60 days elapses and requires a new plan of care to start a new episode. For services within the episode (generally beyond the first week or two of care plan implementation) that are consistent with the definition of care plan oversight, the care plan oversight code (G0181) would be used.
Because we believed that the physician work associated with HCPCS code G0180 is equivalent to that of a level 3 established patient office visit (CPT code 99213), we proposed a value of 0.67 for the work RVUs. For G0179, we proposed a value of 0.45 work RVUs because we believe the work equates to a level 2 established patient office visit (CPT code 99212). For practice expense RVUs, we proposed to crosswalk both G0180 and G0179 to the practice expense inputs currently used for care plan oversight (CPT code 99375), since both the certification and recertification and care plan oversight codes do not require a face-to-face encounter between the beneficiary and the physician.
Care Plan Oversight
Comment: Several commenters objected to our proposal for G codes for care plan oversight services because the rationale presented in the July 2000 proposed rule (65 FR 44196) for the change was not clear. They stated that the public was not aware of specific definition changes proposed by the CPT panel, so they could not determine whether the new CPT definitions conflicted with Medicare policy. Thus, the commenters challenged the need for such a complicated change.
Response: We understand the concerns of the commenters but we were at that time unable to provide the full text of the revised CPT codes in the proposed rule. The CPT Committee had not yet released the definitions. The 2001 revised CPT code definitions for CPT codes 99375 and 99378 make a significant change. Specifically, the new definitions include the time the physician spends communicating with non-professional caretakers involved in delivering the home health or hospice services.
While we recognize that non-health professionals contribute to the care of both home health and hospice patients, our long-standing policy has been that payment for these services is included in the payment for evaluation and management services. As we indicated in the December 8, 1994 final rule (59 FR 63421) that originally established Medicare policies for care plan oversight services, we recognize for separate payment only the physician's communications to the health care professionals involved in the patient's care. The goal in care plan management is to be certain that the home health or hospice professional staff communicate with the patient's physician to allow the beneficiary to receive appropriate care. This continues to be the justification for an additional payment.
Comment: One organization requested clarification on whether nurse practitioners are able to bill for care plan oversight and physician certification and recertification services. They stated that the preamble discussion suggested only physicians may bill for these services. The commenter believed that under the provisions of the BBA, nurse practitioners practicing within the scope of State law are also permitted to perform these services.
Response: Under the provisions of the BBA, nurse practitioners, physician assistants and clinical nurse specialists, practicing within the scope of State law, can bill for care plan oversight services. These non-physician practitioners must have been providing ongoing care for the patient through evaluation and management (E/M) services (but not if they are involved only in the delivery of the Medicare-covered home health or hospice service). Sections 1814(a)(2)(C) and 1835(a)(2)(A) of the Act require that physicians certify and recertify the necessity of home health care in order for a particular beneficiary to receive covered services. Thus, without regard to payment issues, in order to be effective, a certification must be made by a physician. We agree with commenters that, according to section 1861(s)(2)(K) of the Act, nurse practitioners and others can perform and, where appropriate, bill for a service that is a physician service and within the scope of their practice. In adopting codes for certification and recertification of home health services and denominating them as billable physician services, we might be perceived as enabling these practitioners to bill those codes. However, nurse practitioners and others not specified under section 1861(r) of the Act cannot meet the requirements for certifying and recertifying home health services under sections 1814 and 1835 of the Act that independently require physician certification and recertification to establish the necessity of treatment.
Comment: Many commenters indicated they knew about the CPT panel's plans to change the code definition for 2001. They indicated that the CPT definition revision adding the reference to non-health professionals was merely to clarify that communication with these individuals is sometimes just as integral in providing good care. Some commenters also suggested that this was allowable when the codes were originally developed.
Response: We disagree with the commenters. When we originally established a separate payment for this service, we established a G code to describe the service. The CPT subsequently adopted the code. It was always our intent, as discussed above, to count the time spent with other health care professionals toward the 30-minute threshold. Although we agree that interactions with non-health care professionals are important to the overall care of patients, as explained in the previous response, such communication is included in the pre-visit and post-visit work of evaluation and management codes.
Comment: Many commenters expressed concern that adopting these G codes would complicate billing for care plan oversight services and exacerbate confusion surrounding these services, particularly since two sets of codes will exist for care plan oversight (CPT and HCPCS).
Response: Although we understand the commenter's concern, we feel the revised definitions for CPT codes 99375 and 99378 necessitate the establishment of temporary HCPCS codes G0181 and G0182. To assure consistency with current Medicare policy, we find it necessary to retain the current definitions of care plan oversight by the use of temporary HCPCS codes G0181 and G0182.
Certification and Recertification
Comment: Commenters generally supported the proposed new codes for certification and recertification, and some commenters emphasized that the codes will have a positive impact on patient care and also enhance the role of the physician in home care. However, some commenters were concerned that the CPT/RUC process was not used for the introduction of these codes, and Start Printed Page 65408recommended that these codes be submitted to the CPT panel for establishment of codes.
Response: We wanted the home health certification and recertification codes to become active as soon as possible after the implementation of Medicare's new home health prospective payment system that was effective October 1, 2000. Requesting the CPT panel to adopt these codes was likely to delay their introduction. However, we will now ask the CPT panel to consider adopting these codes.
Comment: A few commenters expressed concern that the proposed values for the codes were provided with no explanation; thus, it was difficult to evaluate the proposal.
Response: To value these codes, we estimated the value of the work involved. We expect to re-evaluate these services once physicians become more familiar with the new home health payment system and use of this procedure code. In addition, if the CPT panel adopts the codes, we expect that the RUC would also review them.
Comment: A few commenters asked whether surgeons may bill for this service or whether the service is included in the surgeon's global fee. These commenters recommended that surgeons be allowed to bill outside the global surgery rules.
Response: Surgeons who refer patients for Medicare-covered home health care and who are certifying (or recertifying) the plan of care will be able to report codes G0179 and G0180.
Comment: We received comments that objected to our proposal to adjust the conversion factor to assure that physicians expenditures would not increase as a result of separate payment for this service. Some commenters stated that a budget-neutrality adjustment should not be performed because they believed these were new services that should appropriately increase physician expenditures.
Response: We address this comment in the impact section of this rule.
Comment: One commenter suggested we revise the definition of certification and delete reference to a “patient who has not received Medicare-covered home health services for at least 60 days.” There are scenarios when a patient may require a new initial certification but 60 days have not lapsed.
Response: Based on the opinions of our medical experts, we believe that creating a new plan of care is significantly more work than making even major modifications to a home health care plan. We plan to reconsider this issue once we have more experience with these codes.
Comment: Another commenter expressed concern about the ambiguity of codes for care plan oversight, certification, and recertification. The commenter also believed we needed to take a more comprehensive approach to informing physicians about the home health prospective payment system and new codes.
Response: We expect the discussion of these codes in this preamble to clarify their use. If additional questions remain, they can be addressed to our contractors who process Medicare bills. Our contractors will notify physicians about fee schedule changes for 2001.
Result of Evaluation of Comments
For care plan oversight, we are establishing the following two new codes as proposed:
- G0181 Physician supervision of a patient receiving Medicare-covered services from a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more, and
- G0182 Physician supervision of a patient receiving Medicare-covered services from a Medicare-participating hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including phone calls) with other health professionals involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more.
As stated in the proposed rule, current policy guidance that applied to CPT codes 99375 and 99378 will continue to apply to these G codes, and current payments for CPT codes 99375 and 99378 will be maintained in G0181 and G0182, respectively.
For the services involved in physician certification (and recertification) and the development of a plan of care for a patient for whom the physician has prescribed Medicare-covered home health services, we are establishing two new codes as proposed:
- G0180 Physician services for initial certification of Medicare-covered home health services, billable once for a patient's home health certification period. This code will be used when the patient has not received Medicare-covered home health services for at least 60 days.
- G0179 Physician services for recertification of Medicare-covered home health services, billable once for a patient's home health certification period. This code would be used after a patient has received services for at least 60 days (or one certification period) when the physician signs the certification after the initial certification period.
The G0179 code will be reported only once every 60 days, except in the rare situation when the patient starts a new episode before 60 days elapses and requires a new plan of care to start a new episode. For services within the episode that are consistent with the definition of care plan oversight, the care plan oversight code (G0181) would be used.
Consistent with section 1835(a)(2) of the Act, a physician who has a significant ownership interest in, or a significant financial or contractual relationship with a home health agency (HHA), generally cannot bill this code for patients served by that HHA.
We have retained the proposed relative values, for the reasons stated earlier. The physician work associated with HCPCS code G0180 will be valued at 0.67 and for G0179 the physician work will be valued at 0.45. We will use the practice expense inputs used for care plan oversight (G0181) for both codes.
F. Observation Care Codes
In the July 17, 2000 proposed rule (65 FR 44196) we indicated that allowing payment under the fee schedule for CPT codes 99234 through 99236, Observation or inpatient hospital care services (including the admission and discharge services) for a patient on the same date, conflicts with two policies currently in the Medicare Carrier Manual (MCM). Section 15505.1(c) in the MCM states that we only pay for a hospital admission when a patient is admitted as an inpatient and is discharged on the same day. Section 15504.b of the MCM states that CPT codes 99218 through 99220 (Initial Observation Care) should be used if the patient is discharged on the same day as the admission for observation only. Observation care discharge (CPT code Start Printed Page 6540999217) may be used only on the second or subsequent days for observation care.
These policies also result in different payments for patients whose inpatient stay is less than 24 hours based solely on whether they were in the hospital at midnight. For example, a physician who admits a patient to observation or to inpatient care at 8 a.m. and then discharges the patient at 8 p.m. the same day is paid for only the admission service. On the other hand, a physician who admits a patient to observation or to inpatient care at 8 p.m. and then discharges the patient at 8 a.m. the next day, is allowed payment for both the admission and discharge services.
In response to these concerns, and to clarify our payment policy, we proposed the following:
Inpatient Stay of 24 Hours or More
We would pay for both inpatient hospital admission services (CPT codes 99221 through 99223) and hospital discharge services (CPT codes 99238 and 99239) when a patient is a hospital inpatient for a period of 24 hours or more. The medical record would have to document that the patient was an inpatient for at least 24 hours for both of these services to be paid.
Inpatient or Observation Stay of Less Than 8 Hours
If a patient is admitted as a hospital inpatient or an observation care patient for less than 8 hours, we will pay for only the admission service (CPT codes 99221 to 99223 or 99218 to 99220) on that day. The discharge service is not a separately billable service.
Inpatient or Observation Stay of 8 or More Hours, But Less Than 24 Hours
If a patient is admitted as a hospital inpatient or an observation care patient for a period of 8 or more hours, but less than 24 hours, we will pay for both the admission and discharge services under CPT codes 99234 through 99236 with the following proposed physician work RVUs and documentation requirements:
Physician Work RVUs
To properly value both the admission and discharge work of these services, we proposed to continue valuing the admission portion of the physician work as equivalent to CPT codes 99218 through 99220 (or CPT codes 99221 through 99223) and to reduce the discharge work RVUs from 1.28 to 0.67. Thus, the work RVUs would be as follows: CPT code 99234—1.95 RVUs; CPT code 99235—2.81 RVUs; CPT code 99236—3.66 RVUs. Our policy would allow payment for CPT codes 99234 through 99236 only for stays of equal to or greater than 8 hours, but less than 24 hours.
In addition to the documentation guidelines for history, physical examination, and medical decision making described in CPT 2000 for CPT codes 99234 through 99236, we proposed requiring the following to be documented in the medical record:
- A stay involving 8 hours, but less than 24 hours.
- The billing physician was present and personally performed the services.
- The admission and discharge notes were written by the billing physician.
Comment: A number of commenters disagreed with our proposal. They stated that we recently accepted the work values for CPT codes 99234 through 99236 and should not make changes now. They also stated that, instead of finalizing our proposal, we should change our payment policy in the MCM regarding payment for hospital admissions and discharges on the same day. Other commenters said that the proposed documentation requirements were onerous. These commenters said that the work value for discharging a patient on the same day as admission to the hospital or observation was the same as the work value for discharging a patient in the hospital for one or more days.
Response: We agree with the commenters that the work value for discharging a patient on the same day as admission is similar to the work value for discharging a patient on subsequent days.
We disagree with the commenters on the subject of documentation. We do not believe it is onerous to require a physician to document the length of time the patient remains in observation status. Minimal documentation, such as noting the hours in observation status, is required in the medical record to do this. There are other reasons to document the time a patient was seen and orders were written. For example, such documentation allows physicians and facilities to improve the quality of care they deliver. We also continue to believe that a recorded time requirement is necessary to assure that patients are truly being observed and treated for conditions that require ongoing care. Regarding payment for admission and discharge on the same day, we have long established policy that we will pay for only one E/M service per physician per patient per day for the same diagnosis, and we do not wish to revisit that policy.
Admission and discharge of a patient from observation or the hospital on the same calendar date should be billed as CPT code 99234 or 99235 or 99236. The hospital and observation admission/discharge codes should be used when a patient is admitted and discharged on different calendar dates.
In view of the foregoing explanation, our policy is as follows:
- The relative work values of CPT codes 99234 through 99236 will remain unchanged.
- For a physician to appropriately report CPT codes 99234 through 99236 for Medicare payment, the patient must be an inpatient or an observation care patient for a minimum of 8 hours on the same calendar date.
- When the patient is admitted to observation status for less than 8 hours on the same date, then CPT codes 99218 through 99220 should be used by the physician and no discharge code should be reported.
- When patients are admitted for observation care and then discharged on a different calendar date, the physician should use CPT codes 99218 through 99220 and CPT observation discharge code 99217.
- When patients are admitted to inpatient hospital care and then discharged on a different calendar date, the physician should use CPT codes 99221 through 99223 and CPT hospital discharge day management codes 99238 or 99239.
- For an inpatient admission and discharge less than 8 hours later on the same calendar date, CPT codes 99221 through 99223 should be used for the admission service, and the hospital discharge day management service should not be billed.
- The physician must satisfy the documentation requirements for both admission to and discharge from inpatient or observation care to bill CPT codes 99234, 99235, or 99236. The length of time for observation care or treatment status must also be documented.
We believe that this policy meets the concerns of the commenters and allows us to resolve the discrepancies in payment policy regarding same day hospital and observation care admission and discharge.
Result of Evaluation of Comments
The work RVUs for CPT codes 99234 through 99236 used for reporting admission for observation care, or inpatient hospital care and discharge on the same calendar date will not be changed. The policies outlined above must be followed when reporting these codes. Start Printed Page 65410
G. Ocular Photodynamic Therapy and Other Ophthalmological Treatments
Ocular photodynamic therapy (OPT) is a treatment recently approved by the Food and Drug Administration for age-related macular degeneration, the most common cause of blindness in the elderly. For CPT 2000, ocular photodynamic therapy was added to CPT code 67220, which was formerly limited to photocoagulation by laser. Because we believe that OPT is significantly different from laser photocoagulation, we proposed to establish new HCPCS codes that specifically identify these procedures as follows:
Gxxx5—“Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photocoagulation (e.g., by laser), one or more sessions.” We proposed using this code in place of CPT code 67220 and maintaining the work and malpractice RVUs and the CPEP inputs presently used for CPT code 67220 for payment of this new “G” code.
Gxxx6—“Destruction of localized lesion of choroid (e.g., choroidal neovascularization); ocular photodynamic therapy (includes intravenous infusion).” We proposed a value of 0.55 work RVUs and 0.52 RVUs for the malpractice component with a global period of “XXX.”
We also proposed the following practice expense inputs for non-facility settings:
- Clinical Staff Time. Registered nurse/ophthalmology technician—40 minutes;
- Supplies. Ophthaine, mydriacil, myolfrin, gonisol, post myd spectacles, verteporfin and also infusion supplies including sterile and non-sterile gloves, butterfly needle, syringe, band aid, alcohol swab, staff gown, iv infusion set, and infusion pump cassette;
- Equipment. Laser, infusion pump, and exam lane. We noted that, while we proposed establishment of procedure codes for ocular photodynamic therapy, coverage of the procedure is at the discretion of the local carrier.
In instances where both eyes are treated the same day, we proposed the use of the following HCPCS add-on code: Gxxx7—“Destruction of localized lesion of choroid (e.g., choroidal neovascularization); ocular photodynamic therapy (includes intravenous infusion) other eye.” (List separately in addition to Gxxx6.) For this add-on code we proposed a “ZZZ” global period, with .28 work RVUs (half of that proposed for Gxxx6) and .52 malpractice RVUs (identical to that proposed for Gxxx6). The proposed practice expense inputs for services in the non-facility setting were as follows:
- Clinical Staff Time. Registered nurse/ophthalmology technician—5 minutes;
- Supplies. Ophthaine, mydriacil, myolfrin, and gonisol.
In addition, we identified several other specific ophthalmological treatments that are not distinctly identified in CPT 2000. We proposed to establish specific HCPCS codes for these procedures:
“Destruction of localized lesion of choroid (e.g., choroidal neovascularization); transpupillary thermotherapy, one or more sessions”;
“Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photocoagulation, feeder vessel technique, one or more sessions”; and
“Destruction of macular drusen, photocoagulation, one or more sessions”.
We did not propose RVUs for HCPCS codes Gxxx8 through Gxx10 and indicated that the procedures represented experimental procedures and that the codes would be used for tracking purposes.
Since publication of the proposed rule, the AMA CPT editorial panel has approved a CPT code for Ocular Photodynamic Therapy, CPT code 67221, effective for CPT 2001, and removed the procedure as an example of a service included in CPT code 67220. In addition, verteporfin has been approved for inclusion in the United States Pharmacopeia and can now be billed separately as a drug under the Medicare program.
Comment: Several commenters requested that we withdraw our proposal to establish a G code for OPT in view of the establishment of a CPT code for this service. These commenters also recommended that we continue to recognize CPT code 67220 with its current RVUs.
Response: We agree with the commenters and are withdrawing our proposed G code for OPT. We will establish RVUs for CPT 67221 as described below. We will also continue to recognize CPT code 67220 and will maintain its current RVUs. We are removing verteporfin from the supplies included in practice expenses because the drug is now separately billable under Medicare.
Comment: We received comments in agreement with our proposal to establish an add-on G code for OPT performed on a second eye at the same sitting.
Response: We agree with the commenters and are finalizing this proposal. We will establish RVUs for this G code as described in a response found later in this section.
Comment: We received comments from physician groups agreeing with our proposal to establish three G codes for transpupillary thermotherapy (TTT), feeder vessel technique, and destruction of macular drusen. It was also pointed out that these services are not necessarily experimental, as we had stated in the proposed rule. All of these commenters said that coding these procedures as CPT 67220 was inappropriate because the work involved in performing these three procedures was substantially less than the work required for 67220. These commenters also agreed with our goal of tracking the utilization of these services and offered to assist us in developing national payment policy when appropriate. One commenter, representing a laser manufacturer, recommended continuing to allow TTT to be coded as 67220. Although this commenter stated that the work of TTT was similar to the work of 67220, no rationale was submitted for this comparison.
Response: We agree with the commenters who supported our proposal and are finalizing it. However, coverage and payment for these G codes will be at the discretion of each carrier. We want to thank the commenters offering to assist us in developing national payment policy at the appropriate time. We will review the frequency with which these procedures are performed on Medicare beneficiaries, and, when there is sufficient Medicare experience with this procedure, we will consider development of national payment policies for these services.
Comment: Several national ophthalmologic organizations submitted detailed information and recommendations regarding work RVUs, practice expense inputs, and malpractice RVUs for OPT.
Comment: Regarding work RVUs, the physician organizations submitted a joint recommendation of 5.08 work RVUs for this service based on a RUC survey and comparison of OPT to similar retinal procedures such as CPT codes 67141 and 67210 and the similar photodynamic procedure 43228 and 96570.
Response: Based on comments received from specialty societies and a comparison of the work values for this procedure with the work values for CPT code 67210 (Destruction of localized lesion of retina), we have assigned 4.01 work RVUs to this service. The intraservice times and work intensities Start Printed Page 65411for CPT codes 67210 and 67221 are comparable. Therefore, adjusting for the work value of the postoperative visits (because CPT code 67210 has a 90-day global period) and the 20 percent retreatment rate included in CPT code 67210 and then applying the intraservice work intensity of CPT codes 67210 and 67221 yields an appropriate work value for CPT 67221. In addition, we are assigning a 0-day global period to this code, since this most accurately reflects the pre-, intra-, and post-service work and practice expense RVUs for this procedure.
Comment: Commenters agreed that the work value for performing OPT on a second eye at the same session as the first eye was 10 percent of the work value for the first eye. This was felt to be uniform for pre-, intra-, and post-service work.
Response: We agree with the commenters and are establishing a work RVU of 0.47 for G0184, the add-on code for the second eye. The global period for this code will be ZZZ as proposed.
Comment: Commenters agreed with our crosswalk of malpractice RVUs from CPT code 67220.
Response: We are finalizing our malpractice RVUs as proposed.
Comment: Commenters submitted a list of practice expense inputs for ocular photodynamic therapy.
Response: We agree with the practice expense inputs submitted by the commenters; however, we are adjusting the registered nurse time to eliminate a duplication in the counting of tasks reflected in their comments (reduction of two minutes) and have omitted the lens, which is reusable. A list of the direct inputs for practice expense is provided below under “Result of Evaluation of Comments”.
Result of Evaluation of Comments
We will continue to recognize CPT code 67220 “Destruction of localized lesion of choroids (e.g., choroidal neovascularization); photocoagulation, one or more sessions, (e.g., by laser)” with its current RVUs. We are recognizing new CPT 67221 “Destruction of localized lesion of choroids (e.g., choroidal neovascularization); photodynamic therapy (includes intravenous infusion)” for ocular photodynamic therapy and establishing a work RVU of 4.01, a malpractice RVU of 0.52 and using the following direct inputs for determining practice expense:
- Clinical Staff Time. Registered nurse—65 minutes; Certified ophthalmology technician—14 minutes;
- Equipment. Laser, infusion pump, exam chair and slit lamp; and,
- Supplies. Opthaine, mydriacyl, myolfrin, gonisol, infusion kit (includes all infusion supplies), gloves, drape, gown, band aid.
For G0184 “Destruction of localized lesion of choroid (e.g., choroidal neovascularization); ocular photodynamic therapy (includes intravenous infusion) other eye” which is the add-on code for ocular photodynamic therapy of the second eye, we are establishing a work RVU 0.47 and a malpractice RVU of 0.52. The following direct inputs will be used for calculating practice expense:
- Supplies. Opthaine, mydriacyl, myolfrin, and gonisol.
In addition, we are establishing the following HCPCS codes for other ophthalmologic procedures:
G0185 for “Destruction of localized lesion of choroid (e.g., choroidal neovascularization); transpupillary thermotherapy, one or more sessions”; G0186 for “Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photocoagulation, feeder vessel technique, one or more sessions”; and G0187 for “Destruction of macular drusen, photocoagulation, one or more sessions”. Coverage and payment for these G codes will be at the discretion of each carrier.
H. Electrical Bioimpedance
Electrical bioimpedance (EB), a noninvasive method of measuring cardiac input, is a covered procedure under Medicare, if medically necessary. Performance of this procedure is reported by the Level 2 HCPCS code M0302, and the procedure is currently carrier-priced. In the July 17, 2000 rule, we proposed the following RVUs for this procedure:
1. Practice Expense
We proposed the following direct inputs for determining practice expense RVUs.
- Clinical staff time. Registered nurse—15 minutes.
- Supplies. Four disposable sensors, patient gown, exam table paper, and pillowcase.
- Equipment. Cardiac output monitor and exam table.
2. Malpractice
We proposed 0.02 RVUs for this procedure.
3. Physician Work
We stated that with respect to RVUs for physician work, we had insufficient information to propose a work value and invited comments on this subject.
We also proposed that the payment for this procedure be included in reporting critical care. Therefore, separate payment would not be made for this procedure when provided in conjunction with critical care services (CPT codes 99291 and 99292).
Comment: There was general agreement with the proposed direct practice expense inputs. Commenters agreed that, although the amount of time for the procedure can vary, the typical time is 15 minutes. They noted that the price for the sensors per treatment was higher than the type of sensors used in an EKG. Commenters also indicated that the average cost of the bioimpedance monitor was $27,000 (we had priced the equipment at $22,790). A specialty group provided direct practice data obtained from a survey they had conducted. The data reflected similar supplies as proposed, with the addition of alcohol swabs and also stated the price of the equipment was $26,225. These data also reflected a clinical staff (registered nurse) time of 29 minutes.
Response: For the practice expense inputs, we are adjusting the cost used for the bioimpedance monitor (increasing the proposed amount $22,790 to $25,700). In addition, the alcohol swabs will be added to the supplies. The specific price allocated to the disposable sensors was $9.95 which was comparable to the $9 to $10 range reflected in the comments received; therefore, no change is being made to the price of the sensors. We are making no adjustment to the clinical staff time because, based on further discussions and observation of the service being performed, we believe 15 minutes of registered nurse time is reasonable.
Comment: While some commenters agreed with the proposed value of .02 for malpractice, a few commenters indicated that the proposed value of .02 for malpractice was slightly low. They recommended a value of .06 that is the malpractice RVU for CPT code 93720 (plethysmography).
Response: We will finalize our proposal of .02 RVUs for the malpractice component of this service because we continue to believe it is most similar to the malpractice component for an EKG.
Comment: Commenters recommended work values ranging from 0 work RVUs to work RVUs similar to EKG Interpretation (CPT code 93010), Total Body Plethysmography (CPT code 93720), Exercise Tolerance Test (CPT code 93018), Cardiac Output Measurement by thermodilution (CPT code 93561) and Echocardiography (CPT code 93320).
Response: The physician work required for performance of this service involves reading and interpreting a series of numerical measurements. This Start Printed Page 65412is generally done in conjunction with an evaluation and management service because the measurements produced by this procedure are difficult to interpret without a clinical evaluation of the patient. To determine what, if any, work RVUs to establish for this procedure, we identified physician work that would be attributed to this procedure and would not be billed as part of an evaluation and management service.
The fact that the information gained from a test is used in making treatment decisions is irrelevant to the issue of determining physician work (for example, results of urinalyses, complete blood counts (CBCs) are used to make clinical decisions, but these tests do not contain a physician work component). For example, it is possible to make an electrocardigraphic diagnosis (for example, left ventricular hypertrophy, acute Myocardial Infarction, Heart Block) through analysis of the waveforms on an EKG without a clinical evaluation of the patient. This separately identifiable work is what justifies establishment of work RVUs for interpretation of EKGs. It is not as easy to identify separately identifiable work in the case of cardiac bioimpedance. The measurements produced by cardiac bioimpedance include blood pressure, pulse, cardiac output, vascular resistance and thoracic fluid content. Generally, abnormalities in any of these do not allow a diagnosis to be made (for example, hypertension or heart failure). These measurements are used to provide additional information to a physician who is clinically evaluating a patient, in much the same way that results of a CBC and urinalysis are used. However, after reviewing the comments, we currently believe there is a small amount of physician work in interpreting the measurements produced by cardiac bioimpedance that is not billable as part of an E/M service. For example, if a physician reviews, interprets, and issues a report, then separate work can be identified.
We believe that this physician work is most similar to the work of interpreting an EKG and have assigned a work RVU of .17 for the professional component of cardiac bioimpedance. We wish to emphasize that in order for the PC to be billed, all the requirements for billing a diagnostic test must be satisfied. We will also bundle the PC into critical care when critical care services are furnished, since the critical care service includes the review of such tests. Furthermore, we will allow this service to be billed once per physician, per patient, per day.
Result of Evaluation of Comments
For HCPCS code M0302, we are establishing a work RVU of .17, a malpractice value of .02 and are using the following inputs for PE
- Clinical Staff Time. Registered nurse—15 minutes.
- Supplies. Four disposable sensors, patient gown, exam table paper, pillowcase, and four alcohol swabs.
- Equipment. Cardiac output monitor and exam table (using a price of $25,700 for the monitor).
We note that there is a TC and a PC for this service. The direct practice expense inputs listed above will be part of the TC.
I. Global Period for Insertion, Removal, and Replacement of Pacemakers and Cardioverter Defibrillators
We proposed to change the global period for the insertion, removal, and replacement of pacemakers and cardioverter defibrillators (CPT codes 33206, 33207, 33208, 33212, 33213, 33214, 33216, 33217, 33218, 33220, 33233, 33234, 33235, 33240, 33241, 33244, 33249, 33282, and 33284) to 0 days. This would permit separate payment for any care furnished during the post-operative period by the physician who performed the pacemaker or cardioverter defibrillator procedure. We also proposed an adjustment to the physician work RVUs and practice expense inputs to reflect the change in global period for these codes.
Comment: Several physician organizations recommended withdrawal of this proposal. They commented that the proposed reduction in work and payment for these codes was too drastic and was inappropriate since most of the work in these procedures was intraservice work. They also stated that physicians who insert pacemakers and cardioverter defibrillators generally do not see their patients postoperatively and do not render any postoperative care for related conditions.
Response: We are deferring this proposal because of the concerns raised about the adjustment to the work RVU under our proposed policy. Nonetheless, we believe that some commenters have raised points that, if accurate, suggest that a 0-day global period and adjustment to the work RVU is appropriate. We proposed this policy because of our concern that cardiologists are providing post-operative services during the 90-day global period, as well as evaluation and management services to treat underlying heart conditions that are unrelated to the insertion, removal and replacement of a pacemaker or cardioverter defibrillator.
Our proposed policy was intended to facilitate separate payment for the evaluation and management services unrelated to the surgical service. Our concern was that the 90-day global period was precluding separate payment for the evaluation and management services. However, we received comments that indicated that cardiologists do not typically provide the post-operative services related to surgical service. If this is the case, we believe that a 0-day global period is appropriate for these procedures. Moreover, if the comment is accurate, the current (not the proposed) work and practice expense RVUs are likely overstated because these values are based on one physician providing both the surgical and post-operative services. In general, we believe that the refinement process is useful for revaluing services when the nature of the service has changed from its previous valuation. If the commenters are correct, the issue of the global period and appropriate relative value units for these services will need further review. We look forward to working with the physician community to better understand the typical practice with regard to the provision of services related to insertion, removal and replacement of pacemakers and cardioverter defibrillators. We welcome any review of this issue that may be undertaken by the RUC as part of their recommendation related to the 5-year review of work and the PEAC on issues related to practice expense.
Nevertheless, we are not finalizing our proposal with respect to this issue because we believe that physicians have raised valid concerns that the adjustment to the work RVU in the proposal may result in an underpayment for the service. Until there is further review of this issue, we are continuing with current pricing for these services and the use of a 90-day global period.
Result of Evaluation of Comments
No change will be made to the global period for CPT codes 33206, 33207, 33208, 33212, 33213, 33214, 33216, 33217, 33218, 33220, 33233, 33234, 33235, 33240, 33241, 33244, 33249, 33282, and 33284 in this rule.
J. Antigen Supply
In the July 2000 rule we proposed amending § 410.68(b), Antigens: Scope and conditions, to change the limitation of antigen supply from 12-weeks to 12-months to be more reflective of current industry standards and guidelines. Start Printed Page 65413
Comments: The majority of commenters, including national and State specialty associations, supported this change and indicated that it was not only reflective of current industry standards but would improve patient care and benefit patients and practitioners alike. However, a few commenters did not agree with this revision, and felt that stability of the extracts over time is still questionable. They recommended that the 12-weeks limitation be maintained, or that it be changed to no more than 6 months.
Response: We continue to believe that revising the regulation is appropriate, so that it is reflective of current industry standards. To the extent that the 12-month time period is inappropriate for specific antigens, it is a physician's responsibility to assure that the clinical potency of the antigen is preserved by furnishing a supply of antigens for a shorter time frame. The revision to the regulation simply allows a physician to furnish a 12-month supply of antigens when the physician believes it is appropriate, based on the specific antigens involved.
Result of Evaluation of Comments
We are revising the regulation at § 410.68(b) as proposed.
K. Low Intensity Ultrasound
We proposed to remove the RVUs that were assigned to CPT code 20979, low intensity ultrasound stimulation to aid bone healing. We made this proposal because of concerns raised by commenters, and because the service was a noncovered service under Medicare.
Comment: One specialty organization pointed out that on July 31, 2000, subsequent to publication of the proposed rule, a HCFA National Coverage Decision Memorandum was issued stating that ultrasound stimulation for the treatment of established nonunions is now covered under Medicare.
Response: As pointed out by the commenter, since publication of our proposed rule on July 17, 2000, a National Coverage Decision has been made that states that low intensity ultrasound will be covered by Medicare as a treatment modality for nonunion of extremity fractures. This restricted coverage takes effect on April 1, 2001. Therefore, this service will be noncovered until that time. Although low intensity ultrasound was approved under the durable medical equipment benefit, a single training session for the patient in the use of the device is required. This session is generally provided by a physician, or under the direction of a physician, and is appropriately reported as CPT code 20979, “Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative)”. This service is comparable to the service provided under CPT code 20974 “Electrical bone stimulation to aid bone healing; noninvasive (nonoperative)”. Both are training sessions provided to a patient once per course of treatment by a physician or under a physician's direction. Based on this, and in light of concerns raised on the interim RVUs contained in last year's final rule, we will crosswalk the work RVUs and the malpractice RVUs for CPT code 20974 to CPT code 20979. We will use the following direct inputs for determining practice expense:
- Clinical Staff Time. Technician—45 minutes.
- Equipment. Exam table.
- Supplies. Minimum visit package.
In addition, we are assigning a global period of “XXX”. However, we expect that CPT code 20979 will be billed only once per treatment period, and we will require the use of the -25 modifier with any E/M service billed by a physician for the same patient on the same day as CPT code 20979. Therefore, any E/M service billed in addition to CPT code 20979 must be distinct and separately identifiable.
Comment: One commenter agreed with our proposed elimination of RVUs for this code, and requested that we eliminate all RVUs for status N codes (that is, codes that are non-covered by Medicare). The commenter felt that the RVUs associated with status N codes may contain overvalued misrepresentations and that since non-governmental insurers use the Medicare Fee Schedule as a basis for payment, use of RVUs for status N codes grossly misrepresents equitable payment for these types of services.
Response: As noted in the response above, based on the National Coverage Decision Memorandum, we are retaining the RVUs for CPT code 20979 in the Medicare fee schedule. We will further review issues related to publishing RVUs for non-covered services and may address it in future rulemaking.
Result of Evaluation of Comments
We are assigning .62 work RVUs and .04 malpractice RVUs to CPT code 20979 (which are the values also used for CPT code 20974) and the direct inputs of: technician time of 45 min., an exam table, and minimum supply package will be used to determine practice expense. We note that the inputs for practice expense are subject to refinement.
L. Implantation of Ventricular Assist Devices
In the July 2000 rule, we proposed to revise the practice expense RVUs associated with the CPT codes 33975 and 33976 (implantation of ventricular assist devices) to reflect an “XXX” global period. The purpose of this revision was to ensure that the practice expense RVUs reflect the global period change published in the April 11, 2000 correction notice (65 FR 19332) to the November 1999 final rule. No comments were received on this proposal and we are finalizing it as proposed.
III. Other Issues
A. Incomplete Medical Direction
We currently do not have a national policy that instructs carriers on the method of payment for a service when the anesthesiologist does not fulfill all the medical direction requirements. One option carriers may use is instructing the anesthesiologist to report this service as a reduced or unusual service to determine appropriate payment. We did not make a specific proposal, but indicated that we would like to clarify this policy. We outlined possible options in the July 2000 proposed rule that could be alternatives for future rulemaking consideration. We requested comments, particularly from physicians and practitioners most affected by this policy.
We received comments from both of the major anesthesia groups, the American Society of Anesthesiologists and the American Association of Nurse Anesthetists, as well as a few state anesthesiology groups and practicing anesthesiologists. We will review these suggestions as we determine whether to make a future proposal.
B. Payment for Pulse Oximetry Services
In the July 2000 proposed rule, we clarified that we will continue to pay separately for certain diagnostic codes, including pulse oximetry (CPT codes 94760 and 94761), when they are medically necessary and there are no other services payable under the physician fee schedule billed on the same date by the same supplier.
Comment: Commenters were appreciative of the policy clarification; however, they continue to believe that we should allow separate payment for this service when provided in conjunction with other services, particularly after years of paying separately for this service. Under current policy, physicians are unable to Start Printed Page 65414receive payment for the practice expense associated with the service if it is provided on the same day as another service (for example, E/M). Commenters continue to believe that there is additional identifiable work involved that should be paid by Medicare. One commenter stated that this activity is not included in an E/M vignette, and thus, it should not be bundled into an E/M service.
Response: As explained in last year's final rule, we believe pulse oximetry is no more resource intensive, and arguably less so, than recording the patient's temperature, another example of a diagnostic service for which we do not make separate payment. Because this technology has progressed and been simplified and reduced in cost, pulse oximetry is a routine, minor part of a procedure or visit. We will continue to bundle payment for CPT codes 94760 and 94761 when they are provided the same day as other services. The interpretation of pulse oximetry is part of the medical decision making included in the E/M service. The medical decision making process involves the physician's assessment and treatment plan unique to the individual patient. CPT vignettes are examples and do not necessarily include every potential activity which may occur in the medical decision making process.
Comment: One commenter pointed out that we require an arterial blood gas (ABG) or pulse oximetry for patients requiring oxygen, and that an ABG is a more expensive service than pulse oximetry, and also can be more burdensome to the patient. Therefore, we should continue to reimburse for this service.
Response: As previously explained, we will make separate payment for pulse oximetry services (CPT codes 94760 and 94761) when it is medically necessary and there are no other services payable under the physician fee schedule billed on the same day by the same supplier.
Result of Evaluation of Comments
We will continue with the policy of bundling payment for pulse oximetry (CPT codes 94760 and 94761) when it is provided on the same day as another service. Separate payment for these codes may be made only when the services are medically necessary and there are no other services payable under the physician fee schedule billed on the same date by the same supplier.
C. Outpatient Therapy Supervision
In the July 2000 proposed rule, we clarified that therapy assistants must be personally supervised by the therapist in private practice and employed directly by the therapist, by the partnership or group to which the therapist belongs. We did not make a proposal, and the discussion was provided for informational purposes only. We felt that this explanation was necessary, since revisions in the November 1998 final rule (63 FR 58814) had prompted confusion in the therapy industry. They believed that we had misinterpreted the supervision requirement or had established a new requirement for therapy assistants in the private practice setting. We wanted to clarify that the requirements for therapy assistants in a private practice setting had not changed from the longstanding requirements established in Medicare Carriers Manual (MCM) instructions (see section 2215F, HCFA Pub. 6) revised in 1981.
Comment: Two therapy associations asserted that we have established a new supervision requirement for therapy assistants in the private setting. They base their assertion upon an analysis of the legislative and regulatory history pertaining to supervision of therapy assistants in a private practice setting. According to the associations, we should state in this rule that direct supervision, rather than personal supervision, is required for therapy assistants in the private practice setting. In addition, they requested this statement because Medicare carriers are now examining claims prior to 1999, and seeking money from therapists for services furnished without the therapist being “in the room” with the therapy assistant.
Response: In light of the comments received, we are carefully examining this issue. We did not propose any change in the supervision requirement for therapy assistants in the private setting in the final rule published November 2, 1998 (63 FR 58860). Any change in the level of supervision would need to be addressed in a future proposed rule.
Comment: Two medical associations requested clarification as to whether a physical therapist could bill for services without ever providing or supervising the performance of that service. In addition, clarifications were requested about the application of the physical therapy supervision policy and the “incident to” rules applicable to the physician services benefit.
Response: First, we note that the physical therapy supervision policy only relates to the therapist in the private practice setting. A therapist cannot bill for services that he or she has not either personally performed or supervised the performance of the service. Moreover, there is no “incident to” provision in the physical therapy benefit, unlike the physician services benefit. However, a physician may employ a therapist, and the services of the therapist may be billed as “incident to” the physician's services if all the requirements of section 2050 through 2050.1 of the MCM are met.
Comment: A revision in section 2050.2 of the MCM is urged by a psychiatric association to allow physicians who own a practice to be off the premises when other legally authorized practitioners, for example, psychologists and clinical social workers are present. An analogy to physical therapists in private practice was provided.
Response: The regulatory change that allowed physical therapists in private practice to be off the premises when other qualified therapists are present resulted from Congressional statements in both the House and Senate committee reports associated with our fiscal year 1997 appropriations process. To address the concerns expressed in these reports, we revised the regulations at §§ 410.59(c)(2) and 410.60(c)(2). With respect to the commenters reference to section 2050 of the MCM, this section discusses services and supplies furnished “incident to” a physician's professional services. As stated in section 2050.2 of the MCM, in order for the services of a nonphysician practitioner to be covered as incident to the services of the physician, the services must meet all the requirements for coverage specified in sections 2050 through 2050.1. There is no analogy between physicians and therapists in this circumstance, because there is no similar benefit covering services and supplies provided incident to a therapist's professional services. We have, therefore, no plans to revise section 2050.2 of the MCM. We would also note that some practitioners, such as clinical psychologists and clinical social workers, have a statutory benefit under Medicare, and may provide and bill for services without supervision of a psychiatrist.
D. Outpatient Therapy Caps
Section 221 of the BBRA placed a 2-year moratorium on Medicare Part B outpatient therapy caps (the $1500 cap on outpatient physical therapy services including speech language-pathology services and the $1500 cap on outpatient occupational therapy services in all nonhospital settings). The two $1500 caps were implemented in 1999 as required by the BBA.
The BBRA also requires us to submit to the Congress a report by January 1, Start Printed Page 654152001 that includes recommendations on—(1) the establishment of a mechanism for assuring appropriate utilization of outpatient therapy services; (2) the establishment of an alternative payment policy for outpatient therapy services based on classifications of individuals by diagnostic category, functional status, prior use of services (in both inpatient and outpatient settings), and other criteria, in place of uniform dollar limitations, and (3) how to do this in a budget-neutral manner.
In the July 17, 2000 rule, we provided examples of informal recommendations we have received on this issue, and asked for comments from the public on other alternatives that we might consider in developing a payment policy for outpatient therapy services. We indicated that this information would be considered in preparing our report to Congress on outpatient therapy services.
Result of Evaluation of Comments
Several organizations commented on the issue of outpatient therapy caps. Some groups responded to the examples provided in the proposed rule, while others offered other alternatives. We appreciate the information provided and will consider it as we develop the report to Congress.
E. HCPCS G Codes
Several commenters recommended that, instead of creating G codes, we work more closely with the AMA CPT Editorial Panel to establish or revise CPT codes to meet our requirements.
We have a long-established working relationship with the AMA CPT Editorial Panel. We prefer the use of CPT codes to the use of G codes for reporting physicians' services. In fact, this year, we initiated the establishment of a new CPT code that describes ocular photodynamic therapy (67221) for CPT 2001, and the revision of an old CPT code (67220) to remove ocular photodynamic therapy. We did this proactively to avoid the need to establish a G code. We, along with the ophthalmology societies, brought these recommendations to the CPT Editorial Panel. Thus we were able to withdraw our proposal for a G code for ocular photodynamic therapy. We also worked with the panel to establish CPT codes for artificial skin placement and wound care management that will enable to us to retire our G codes for these services.
We believe that sometimes HCPCS level 2 codes are useful to the CPT Editorial Panel process. For example, use of a new service can be tracked with the G codes to determine if a future CPT code is appropriate.
Frequently, we create G codes to reflect our own coverage and payment requirements. These requirements are usually very specific, and may make it inappropriate to create a CPT code for general use.
Moreover, in response to requests from physicians and others, we make coverage decisions on a rolling basis. Because the CPT process requires at least 1 year between approval and implementation of a CPT code, we must create a G code during the interim. We occasionally have specific coverage and payment requirements according to which Medicare payment is not made for a specific CPT code. This was the case with the revision of the care plan oversight codes. We specifically informed the CPT Editorial Panel before the codes were revised that the proposed revisions would be inconsistent with our established payment policy, and, therefore, we would need to create G codes for care plan oversight and not use the revised CPT codes. Similarly, we are finalizing our proposal to create G codes for several ophthalmologic procedures to track the use of these services and permit coverage and payment on a carrier-by-carrier basis. We had comments from the appropriate medical specialty societies, and determined that it was not appropriate to create CPT codes for these services at present. The specialty societies supported our creation of the G codes; this mechanism permits payment for these services while establishing a way to track their use. In the case of physician certification and recertification of a plan of care for home health services, we created two new G codes because of our interest in providing explicit payment for these services as a result of development of the home health prospective payment system (PPS). As we indicated in the home health PPS rule (65 FR 41163), we have decided to “focus our attention on physician certification efforts and education in order to better involve the physician in the delivery of home health services.” While we are imposing no new regulatory requirements on physicians related to these services, we felt that it was important to establish these two new codes quickly to allow separate payment for these services as soon as possible after implementation of the home health PPS on October 1, 2000.
Use of G codes is also consistent with section 1848(c)(5) of the Act, which specifically provides us with the authority to establish a uniform procedure coding system for the coding of all physicians' services.
In summary, we support the use of CPT codes. We establish G codes only when absolutely necessary. We would like to assure the medical community that we will continue work with the AMA CPT Editorial Panel to minimize the need for G codes. However, we have the responsibility for developing and implementing payment policy for the Medicare program. On occasion, we need to establish G codes to appropriately administer the Medicare program.
F. Work RVUs in Proposed Rule
Comment: A few commenters stated that work RVUs for some services were incorrect due to the incorrect placement of the decimal in Addendum B of the July 2000 proposed rule (65 FR 44210). They requested that we correct them in the final rule.
Response: Due to a programming error, some services were assigned incorrect work RVUs in Addendum B of the proposed rule. We have taken steps to ensure that this programming error is corrected.
G. Five-Year Refinement of Relative Value Units
In the July 17, 2000 proposed rule (65 FR 44201), we included a discussion on the activities underway with respect to the second five-year refinement of work RVUs. We indicated that we had received comments on potentially misvalued services from approximately 30 specialty groups, organizations and individuals, involving over 900 codes. We shared these comments with the RUC, which makes recommendations to us on the assignment of RVUs to new and revised CPT codes. We also discussed current initiatives involving the validation of physician time data.
Comment: Commenters expressed concern about the discussion on five-year review activities. They were unsure as to how the contractor activities outlined in the proposed rule would be coordinated with the RUC recommendations on work RVUs that will be forwarded to us for consideration. Commenters also expressed concern that contractor activities are primarily focused on physician time. They cautioned that other factors need to be considered in conjunction with time (for example, stress, physician effort, and technical effort) when valuing physician work.
Response: We discussed the data obtained by our contractors with the RUC. We also discussed with the RUC and the physician community the best Start Printed Page 65416use of the data obtained by our contractors.
Comment: One organization stated that, during the initial five-year review, budget neutrality was achieved by applying an 8.3 percent reduction to all physician work RVUs. They strongly encouraged us to distribute any impact across all specialties and all CPT codes for the current 5-year review.
Response: Based on our prior experience, we acknowledge that there has been significant interest in how we make adjustments to achieve budget neutrality as a result of work refinement. We will discuss potential options and propose an adjustment to ensure budget neutrality resulting from the work RVU refinement in next year's proposed rule.
Comment: One commenter asked when the Health Economics Research (HER) study data discussed in the proposed rule would be available.
Response: We anticipate that the study data will be available by December 1, 2000. We will be posting this information on our homepage. (Access to the homepage is discussed in the introductory section of this rule under Supplementary Information.)
IV. Refinement of Relative Value Units for Calendar Year 2001 and Responses to Public Comments on Interim Relative Value Units for 2000 (Including the Interim Relative Value Units Contained in the July 17, 2000 Proposed Rule)
A. Summary of Issues Discussed Related to the Adjustment of Relative Value Units
Section IV.B. of this final rule describes the methodology used to review the comments received on the RVUs for physician work and the process used to establish RVUs for new and revised CPT codes. Changes to codes on the physician fee schedule reflected in Addendum B are effective for services furnished beginning January 1, 2001.
B. Process for Establishing Work Relative Value Units for the 2001 Fee Schedule and Clarification of CPT Definitions
Our November 2, 1999 final rule on the 2000 physician fee schedule (64 FR 59380) announced the final work RVUs for Medicare payment for existing procedure codes under the physician fee schedule and interim RVUs for new and revised codes. The RVUs contained in the rule apply to physician services furnished beginning January 1, 2000. We announced that we considered the RVUs for the interim codes to be subject to public comment under the annual refinement process. In this section, we summarize the refinements to the interim work RVUs that have occurred since publication of the November 1999 final rule and our establishment of the work RVUs for new and revised codes for the 2001 fee schedule.
Work Relative Value Unit Refinements of Interim and Related Relative Value Units
1. Methodology (Includes Table titled Work Relative Value Unit Refinements of the 2000 Interim and Related Relative Value Units)
Although the RVUs in the November 1999 final rule were used to calculate 2000 payment amounts, we considered the RVUs for the new or revised codes to be interim. We accepted comments for a period of 60 days. We received substantive comments from approximately 11 specialty societies on approximately 29 CPT codes with interim work RVUs. Only comments on codes listed in Addendum C of the November 1999 final rule were considered.
We used a process similar to the process used in 1997. (See the October 31, 1997 final rule on the physician fee schedule (62 FR 59084) for the discussion of refinement of CPT codes with interim work RVUs.) We convened a multispecialty panel of physicians to assist us in the review of the comments. The comments that we did not submit to panel review are discussed at the end of this section, as well as those that were reviewed by the panel. We invited one representative from each of those specialty societies from which substantive comments were received to attend a panel for discussion of the codes on which they had commented. The panel was moderated by our medical staff, and consisted of the following representatives.
Voting Members
- One or two clinicians representing the commenting specialty(s), based upon our determination of those specialties which are most identified with the service(s) in question. Although commenting specialties were welcomed to observe the entire refinement process, they were only involved in the discussion of those services for which they were invited to participate.
- Two Primary care clinicians nominated by the American Academy of Family Physicians and the American Society of Internal Medicine.
- Five Carrier medical directors.
- Four clinicians with practices in related specialties, who were expected to have knowledge of the services under review.
The panel discussed the work involved in each procedure under review in comparison to the work associated with other services on the fee schedule. We had assembled a set of reference services, and asked the panel members to compare the clinical aspects of the work of services they believed were incorrectly valued to one or more of the reference services. In compiling the set, we attempted to include—(1) services that are commonly performed whose work RVUs are not controversial; (2) services that span the entire spectrum from the easiest to the most difficult; and (3) at least three services performed by each of the major specialties so that each specialty would be represented. The set listed approximately 300 services. Group members were encouraged to make comparisons to reference services. The intent of the panel process was to capture each participant's independent judgement based on the discussion and his or her clinical experience. Following each discussion, each participant rated the work for the procedure. Ratings were individual and confidential, and there was no attempt to achieve consensus among the panel members.
We then analyzed the ratings based on a presumption that the interim RVUs were correct. To overcome this presumption, the inaccuracy of the interim RVUs had to be apparent to the broad range of physicians participating in each panel.
Ratings of work were analyzed for consistency among the groups represented on each panel. In general terms, we used statistical tests to determine whether there was enough agreement among the groups of the panel, and whether the agreed-upon RVUs were significantly different from the interim RVUs published in Addendum C of the November 1999 final rule. We did not modify the RVUs unless there was a clear indication for a change. If there was agreement across groups for change, but the groups did not agree on what the new RVUs should be, we eliminated the outlier group, and looked for agreement among the remaining groups as the basis for new RVUs. We used the same methodology in analyzing the ratings that we first used in the refinement process for the 1993 fee schedule. The statistical tests were described in detail in the November 25, 1992 final rule (57 FR 55938).
Our decision to convene multispecialty panels of physicians and to apply the statistical tests described above was based on our need to balance Start Printed Page 65417the interests of those who commented on the work RVUs against the redistributive effects that would occur in other specialties. Of the 11 codes reviewed by the multispecialty panel, all were the subject of requests for increased values. Of the 11 interim work RVUs that were reviewed, 9 were increased and 2 were unchanged.
We also received comments on RVUs that were interim for 2000, but which we did not submit to the panel for review for a variety of reasons. These comments and our decisions on those comments are discussed in further detail below.
The table below lists the interim and related codes reviewed during the refinement process described in this section. This table includes the following information:
- CPT Code. This is the CPT code for a service.
- Description. This is an abbreviated version of the narrative description of the code.
- 2000 Work RVU. The work RVUs that appeared in the November 1999 rule are shown for each reviewed code.
- Requested Work RVU. This column identifies the work RVUs requested by commenters.
- 2001 Work RVU. This column contains the final RVUs for physician work.
Refinement of 2000 Interim Work Relative Value Units
CPT code Description 2000 work RVU Requested work RVU 2001 work RVU 27096 Inject sacroiliac joint 1.10 1.40 1.40 61862 Implant neurostimul, subcort 19.34 27.34 19.34 61885 Implant neurostim one array 5.85 8.00 5.85 62263 Lysis epidural adhesions 6.02 7.20 6.14 72275 Epidurography 0.54 0.83 0.76 73542 X-ray exam, sacroiliac joint 0.54 0.64 0.59 76873 Echograp trans r, pros study 0.99 1.92 1.55 93741 Analyze ht pace device sngl 0.64 0.90 0.80 93742 Analyze ht pace device sngl 0.73 1.03 0.91 93743 Analyze ht pace device dual 0.83 1.17 1.03 93744 Analyze ht pace device dual 0.95 1.33 1.18 *All CPT codes and descriptions copyright 2000 American Medical Association. 2. Interim 2000 Codes.
CPT code 11980 Subcutaneous hormone pellet implantation.
We did not receive a work RVU recommendation from the RUC for this code, and therefore crosswalked it to CPT 11980 for the 2000 fee schedule. One commenter indicated that a recommendation for work RVUs would be included in the RUC recommendations for 2001, and urged that we accept this RVU recommendation.
Final decision: The 2001 RUC recommendation for CPT Code 11980 has been reviewed and accepted.
CPT Code 27096 Injection Procedure for Sacroiliac Joint Arthrography and/or Aesthetic Steroid
We reduced the work RVU for 27096 from the RUC proposed value of 1.40 to 1.10 based on a weighted average with CPT code 20610 (Large joint injection-work RVU of 0.79) Commenters pointed out that while this was one of the codes used prior to approval of CPT code 27096, it (20610) was cited as being inadequate, because the sacroiliac joint injection requires more precision and skill than does a large joint (for example, hip) injection. They also indicated that the reduction made by HCFA to account for the fact that this procedure may be performed without contrast was not justified. In light of these comments we referred the code to a refinement panel for review.
Final decision: As a result of the statistical analysis of the refinement panel ratings, the final work RVUs are established as 1.40 for CPT code 27096. CPT code 61862 Subcortical neurostimulator array implantation.
The RUC evaluated this code using a building block approach that included the work of sterotactic localization, the device implantation and 140 minutes of intra-operative testing.
A few commenters expressed concern about our rejection of the RUC recommendation of 27.34 work RVUs and our proposed 19.34 work RVUs. We subtracted 8.00 RVUs attributed to 140 minutes of intra-operative testing, since this time was variable and it could be reported under other CPT codes. The commenters explained that the assignment of surgeon work during this 140 minutes of electrode maneuvering was done by comparing the work, including intensity, to CPT code 99291 at an equivalent rate of 4.00 RVUs for each of the approximately 2 hours in this average. Information was provided during the discussion at the RUC that the time of 140 minutes was truly an average, with some testing requiring as long as 3 to 4 hours to achieve satisfactory electrode placement. The commenters recommended that we restore the missing 8.00 RVUs and accept the RUC recommendation of 27.34 for this code. Due to the questions concerning our reduction of 8.00 RVUs, we referred this code to a refinement panel for review.
Final decision: As a result of the statistical analysis of the refinement panel ratings we are retaining the work RVU of 19.34 for CPT code 61862.
CPT Code 61885 Incision and Subcutaneous Placement of Cranial Neurostimulator Pulse Generator or Receiver, Direct or Inductive Coupling; With Connection to a Single Electrode Array
CPT Code 61885 was revised to add a delimiter to the code that specified connection of the neurostimulator to a single electrode array, and a new code (CPT code 61886) was introduced for situations involving two or more electrode arrays. We had received recommendations for work RVUs for the revised CPT code 61885, as well as the new CPT code 61886. Commenters disagreed with our statement that there was no evidence to justify an increase in the work RVU for CPT code 61885. We also noted that the work RVU for this code had been increased in the last 5-year review. Commenters felt that the RUC analyses presented supported an increase in the work RVU. In light of these comments, we referred this code to the refinement panel for review.
Final decision: As a result of the statistical analysis of the refinement panel ratings, the final work RVUs are 5.85 for CPT code 61885. Start Printed Page 65418
CPT Code 62263 Percutaneous Lysis of Epidural Adhesions Using Solution Injection (for Example, Hypertonic Saline, Enzyme) or Mechanical Means (for Example, Spring-wound Catheter) Including Radiologic Localization (Includes Contrast When Administered)
This was a new CPT code for which the RUC had recommended work RVUs of 7.20. We reduced the value to 6.02 based on two determinations—(1) that the RUC had erroneously counted the insertion of a catheter twice in compiling the component services; and (2) the appropriate building block for the fluoroscopic guidance was code 76003, not 76005. Commenters requested that we reconsider these decisions. They indicated that they had intentionally doubled the value for catheter insertion, as insertion of a catheter into a tight scarred epidural space involved more work than the typical epidural injection. They also felt that the fluoroscopic code the RUC had used was appropriate, and more accurately reflected the work involved. In response to these comments, we referred this code to the refinement panel for review.
Final decision: As a result of our statistical analysis of the refinement panel ratings the final work RVU for CPT 62263 will be 6.14.
CPT Codes 62310, 62311, 62318, 62319 Epidural or Subarachnoid Spine Injection Procedures
We had agreed with the relativity of these new codes established by the RUC, but in order to retain budget neutrality within this family of codes, we had to uniformly reduce the RUC recommended values. Commenters indicated that our calculations of the amount of reduction in the work RVUs needed slight adjustments. The specialties involved in developing the work RVUs submitted the following re-scaled work RVUs that they felt were a better reflection of the budget neutrality adjustment while preserving the intra-family relativity of the new codes (62310-1.95; 62311-1.57; 62318-2.26; and 62319-1.88).
Final decision: We reviewed the work RVUs submitted by the specialty, and found the proposed work RVUs not to be budget neutral. We apply a standard technique, using the most recent available data, to arrive at budget neutral values. The work RVUs, as published in the November 1999 final rule will be retained.
CPT Code 72275 Epidurography
We reduced the work RVUs for this new code by approximately one third, from the 0.83 recommended by RUC to 0.54. Commenters disagreed with this reduction, noting that the comparison codes selected by HCFA medical staff to support this reduction did not accurately reflect the work involved. They indicated that the RUC survey reflected that there was a greater amount of time involved. This code was referred to the refinement panel for review.
Final decision: As a result of our statistical analysis of the refinement panel ratings, we are assigning a work RVU of 0.76 to CPT code 72275.
CPT Code 73542 Sacroiliac Joint Arthrography
The RUC recommended value of 0.64 work RVUs was reduced to 0.54 work RVUs based on our belief that there was no difference in work from the primary survey reference code (CPT code 73525 which has a work RVU of 0.54). Commenters disagreed with this reduction. Although the time estimates between CPT code 73542 and the reference code are similar, the mean intensity/complexity measures are consistently higher for CPT code 73542, and therefore warranted the RUC recommended work RVU of .64. The RUC valued this code not only according to the time required, but also according to the intensity of the service. Commenters recommended adoption of the RUC work RVUs of 0.64 for CPT code 73542. This code was referred to the refinement panel for review.
Final decision: As a result of our statistical analysis of the refinement panel ratings, we are assigning a work RVU of 0.59 to CPT code 73542.
CPT Code 76005 Fluoroscopic Guidance and Localization of Needle or Catheter Tip for Spine or Paraspinous Diagnostic or Therapeutic Injection Procedures (Epidural, Transforaminal Epidural, Subarachnoid, Paravertebral Facet Joint, Paravertebral Facet Joint Nerve or Sacroiliac Joint) Including Neurolytic Agent Destruction
The RUC recommended value of 0.60 work RVUs for this new code was reduced to 0.54, because we did not believe there was enough difference in work from the primary survey reference code 76003 (0.54 work RVUs). Commenters disagreed with this determination, and indicated that the survey data results were evidence that comparison between CPT codes 76005 and 76003 was not appropriate, since the survey showed more time for CPT code 76005, as well as a consistently higher estimation of intensity and complexity. Commenters also pointed out that another established code in the same family (CPT code 76001 with a work RVU of .67) was also previously used to report this service.
Final decision: The RUC recommended .60 work RVUs for CPT code 76005. We reduced this recommendation to .54 work RVUs based upon reference procedure CPT code 76003. We inadvertently failed to also examine the other reference procedures identified on the RUC survey. Based upon the other reference procedures which were listed, CPT code 76001 (work RVU = .67), we are changing the work RVU to the RUC recommended value of .60.
CPT Code 76873 Prostate Volume Study
We reduced the RUC recommendation of 1.92 work RVUs to .99, since we did not believe that general anesthesia is used in this procedure. Commenters disagreed with this point and indicated that, because the patient must remain motionless during the procedure, significant sedation, either general or spinal anesthesia, is used. Thus, this is usually performed in a hospital operating room (outpatient) or ambulatory surgical center. Commenters also objected to the comparison we made between this code (76873) and CPT code 76805 Echography, pregnant uterus, B-scan and/or real time with image documentation; complete. An obstetric ultrasound does not require anesthesia and is done in a physician's office. Commenters also questioned our statement that we would not allow payment for a prostate volume study when performed on the same day as seed implantation or other services that are part of seed implantation. During the RUC deliberations, it was specifically discussed that the prostate volume study was not included in the work for seed implantation (CPT code 55859). This code was referred to the refinement panel for review.
Final decision: As a result of our statistical analysis of the refinement panel ratings, we are assigning a work RVU of 1.55 to CPT code 76873.
CPT Codes 90471 and 90472 Immunization Administration
In the final rule published November 2, 1999, we included a discussion of practice expense inputs and omitted a discussion of the RUC recommended work RVUs for these codes. Commenters encouraged us to publish the values for these codes, noting that while these are not reimbursed under the Medicare program, fee schedule values provide guidance to other payers who use the fee schedule.
Final decision: While we realize that other payers may use the RVUs under Start Printed Page 65419the physician fee schedule, since these are noncovered services under Medicare, we are not including values for these services in the fee schedule. The discussion on practice expense was erroneously included. As we indicated in an earlier discussion, we will be examining the issue of including values for noncovered services in the fee schedule.
CPT Codes 93741, 93742, 93743, 93744 Electronic Analysis of Pacing Cardioverter-Defibrillator
We reduced the RUC recommendations for work RVUs for these codes (93741-0.64; 93742-0.73; 93743-0.83, and 93744-0.95) because we felt there were inconsistencies between the recommendations and the survey data. Commenters stated that the differences in time reflected between the earlier surveys and three 1998 and 1999 surveys were a result of the large increase in the complexity of the technologies associated with these procedures over the last few years. With older devices, there was less information to analyze. The new technology provides more information, thus, the work involved is significantly greater than it was when the reference procedure was initially evaluated. These codes were referred to the refinement panel for review.
Final decision: As a result of our statistical analysis of the refinement panel ratings, we are assigning the following work RVUs: 93741-0.80, 93742-0.91, 93743-1.03, 93744-1.18.
Practice Expense Refinements of 2000 Interim and Related Relative Value Units
We received the following comments on the interim practice expense RVUs assigned to the new and revised CPT codes for 2000:
CPT Code 33410 Replacement, Aortic Valve, With Cardiopulmonary Bypass; With Stentless Tissue Valve
A specialty group commented that the practice expense RVUs for this code should be slightly higher than for CPT code 33406, Replacement, aortic valve, with cardiopulmonary bypass; with homograft valve (freehand), due to the difference in the grafts. However, the practice expense RVUs for CPT code 33410 are 0.09 less than the practice expense RVUs for CPT code 33406. The commenter adds that, due to this error, physicians have received unfairly low reimbursement for this procedure in CY 2000, and should receive fair compensation after this error is corrected.
Response: The RUC made no recommendation on the practice expense inputs for this code, but the Society of Thoracic Surgeons recommended that we crosswalk the direct inputs from those assigned to CPT code 33406, which we did. The identified payment anomaly did not exist in the practice expense RVUs published in our November 1999 final rule. There was a calculation error reflected in the published RVU values in the July 2000 proposed rule (65 FR 44210) that has been corrected in this final rule. We hope that the code will be refined soon, so that it will no longer be necessary to use a crosswalk for the practice expense inputs.
CPT Code 33249 Insertion or Repositioning of Electrode Lead(s) for Single or Dual Chamber Pacing Cardioverter Defibrillator and Insertion of Pulse Generator
We received comments from two organizations representing cardiology and pacing electrophysiology on the interim PE RVUs for this procedure. Both commenters indicated that the practice expense RVUs should be increased to account for the fact that under the revised definition, this procedure now includes the implantation of dual chamber ICDs.
Response: We did not receive a practice expense recommendation on this revised code from either the RUC or the specialty societies, and we kept the practice expense inputs at their original level. Because this is a procedure that would only be performed in the facility setting, an increase in the physician work involved to perform the service would not lead to an increase in the practice expense, unless there would be more post-surgical visits associated with the revised service. No claim has been made that this is the case. Therefore, we believe that there is no justification for increasing the practice expense RVUs.
CPT code 92961, Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)
One organization indicated that, for the PE inputs, we crosswalked this code to CPT code 93610, intra-atrial pacing, which does not include costs associated with a cardioversion, which is part of the procedure. They recommended that we use a building block approach, using inputs from CPT code 93610-26 (a similar intra-atrial pacing code) and CPT code 92960 (a similar cardioversion code) for establishing the PE RVUs.
Response: We did not originally receive a practice expense recommendation on this code from either the RUC or the specialty society. Because this is a 0-day procedure that would only be performed in the facility setting, there would be few or no direct inputs associated with the service. Thus, an increase in the physician work involved to perform the service would not lead to an increase in the practice expense. CPT code 92960 also has no inputs in the facility setting, so including that code as an added crosswalk, as recommended in the comment, would have no effect on the practice expense RVUs for CPT code 92961. Therefore, we are making no change in our recommended crosswalk.
CPT Code 93727 Electronic Analysis of Implantable Loop Recorder (ILR) System (Includes Retrieval of Recorded and Stored ECG Data, Physician Review and Interpretation of Retrieved ECG Data and Reprogramming)
Two organizations objected to our crosswalk of the practice expense inputs for this code from CPT code 93272, Patient demand single or multiple event recording with presymptom memory loop, per 30 day period of time; physician review and interpretation only. The commenters stated that this crosswalk does not accurately reflect all the practice expense inputs associated with the service, and recommended we crosswalk the inputs from CPT code 93271, Patient demand single or multiple event recording with presymptom memory loop, per 30 day period of time; monitoring, receipt of transmissions, and analysis.
Response: We did not originally receive a practice expense recommendation on this revised code from either the RUC or the specialty societies. We have reviewed this comment, and have changed the crosswalk as recommended by the commenters.
CPT 90471/72 Immunization Administration and CPT 99173 Visual Screening Test
Two organizations requested that we publish the RUC recommended values for these immunization codes, as well as the visual screening test and other services with RUC recommendations not reimbursed under Medicare, because other payors use the RVUs under the physician fee schedule.
Response: While we realize that other payers may use the RBRVS fee schedule, since these are non-covered services under Medicare, as indicated above, we are not including values for these services in the fee schedule.
We received the following comments on HCPCS codes established in the November 2, 1999 Final Rule:Start Printed Page 65420
G0166 External Counterpulsation
One commenter indicated this service was undervalued and recommended inputs for this code. We continue to believe that the values assigned in last year's rule are appropriate, and we are retaining these values.
G0167 Hyperbaric Oxygen Treatment
We received comments expressing concerns about the new code, G0167, Hyperbaric Oxygen Treatment Not Requiring Physician Attendance, per Treatment. The commenter requested that we clarify the intended use of this code. Our contractors have discretion to cover hyperbaric oxygen with or without physician supervision. Our coverage staff is currently reviewing hyperbaric oxygen therapy services policies generally, including the appropriate levels of physician supervision. The progress of this review can be tracked on our web site, http://www.hcfa.gov,, by selecting Coverage Policies.
G0168 Wound Closure Utilizing Tissue Adhesives Only
One specialty was concerned that the services described by this code were not coded as a simple repair as recommended by the CPT panel. The commenter suggested that the cost of the supply, Dermabond, could be reimbursed separately. Another commenter was concerned about the 10-day global period assigned to this code.
The work and practice expense values for this code were based upon an evaluation and management visit, CPT code 99212, except that the price of Dermabond was added as a practice expense. We assigned these values because many of these wounds could have been closed with Steri-strips, a service that is also coded with evaluation and management, rather than a simple repair. We will be analyzing the use of HCPCS code G0168 to learn more about the use of this product, and will consider revaluing it after that analysis is completed.
Although we believe that the typical service involving the use of Dermabond as the only closure will typically not involve a visit for suture removal, we concede that, if another visit were needed for a complication, we should allow another evaluation and management visit. For this reason, we will change the global period to 0 days.
G0169 Removal of Devitalized Tissue, Without Use of Anesthesia
For 2000, we created G0169 to describe a service that involved removal of devitalized tissue. For 2001, CPT adopted a code 97601 that is sufficiently similar to the services described by G0169 that we will ask providers to utilize that code for selective removal of devitalized tissue, and we will eliminate G0169. We crosswalked the values for G0169 to CPT Code 97601. This code will continue to have no global period. Establishment of Interim Work Relative Value Units for New and Revised Physician's Current Procedural Terminology Codes and New HCFA Common Procedure Coding System Codes for 2001 (Includes Table titled American Medical Association Specialty Relative Value Update Committee and Health Care Professionals Advisory Committee Recommendations and HCFA's Decisions for New and Revised 2001 CPT Codes)
One aspect of establishing RVUs for 2001 was related to the assignment of interim work RVUs for all new and revised CPT codes. As described in our November 25, 1992 notice in the 1993 fee schedule (57 FR 55983) and in section III.B. of our November 22, 1996 final rule (61 FR 59505 through 59506) we established a process, based on recommendations received from the AMA's RUC, for establishing interim work RVUs for new and revised codes.
This year we received work RVU recommendations for approximately 131 new and revised CPT codes from the RUC. Our staff and medical officers reviewed the RUC recommendations by comparing them to our reference set or to other comparable services for which work RVUs had been previously established, or to both of these criteria. We also considered the relationships among the new and revised codes for which we received RUC recommendations. We agreed with the majority of these relationships reflected in the RUC values. In some instances, when we agreed with the relationships, we revised the work RVUs to achieve work neutrality within families of codes, that is, the work RVUs have been adjusted so that the sum of the new or revised work RVUs (weighted by projected frequency of use) for a family will be the same as the sum of the current work RVUs (weighted by projected frequency of use). For approximately 91 percent of the RUC recommendations, proposed work RVUs were accepted, and for approximately 9 percent, we disagreed with the RUC recommendation. In a majority of instances, we agreed with the relativity proposed by the RUC, but needed to decrease work RVUs to retain budget neutrality.
There were also 38 CPT codes for which we did not receive a RUC recommendation. After a review of these CPT codes by our staff and medical officers, we established interim work RVUs for the majority of these services. For those services for which we could not arrive at interim work RVUs, we have assigned a carrier priced status until such time as the RUC provides work RVU recommendations.
We received 5 recommendations from the Health Care Professionals Advisory Committee (HCPAC). Two of the HCPAC recommendations were reduced while 3 of the recommendations were for services that we do not cover. Additionally, there were 2 services for which we did not receive recommendations from the HCPAC.
The table titled AMA RUC and HCPAC Recommendations and HCFA Decisions for New and Revised 2001 CPT Codes lists the new or revised CPT codes, and their associated work RVUs, that will be interim in 2001. This table includes the following information:
- A “#” identifies a new code for 2001.
- CPT code. This is the CPT code for a service.
- Modifier. A “26” in this column indicates that the work RVUs are for the professional component of the code.
- Description. This is an abbreviated version of the narrative description of the code.
- RUC recommendations. This column identifies the work RVUs recommended by the RUC.
- HCPAC recommendations. This column identifies the work RVUs recommended by the HCPAC.
- HCFA decision. This column indicates whether we agreed with the RUC recommendation (“agree”) or we disagreed with the RUC recommendation (“disagree”). Codes for which we did not accept the RUC recommendation are discussed in greater detail following this table. An “(a)” indicates that no RUC recommendation was provided. A discussion follows the table.
- HCFA Work RVUs. This column contains the RVUs for physician work based on our reviews of the RUC recommendations.
- 2001 Work RVUs. This column establishes the 2001 work RVUs for physician work. Start Printed Page 65421
AMA RUC and HCPAC Recommendations and HCFA Decisions for New and Revised 2001 CPT Codes
CPT* code MOD Description RUC recommendation HCPAC recommendation HCFA decision HCFA work RVU 2000 work RVU 11980# IMPLANT HORMONE PELLET(S) 1.48 Agree 1.48 1.48 15342# CULTURED SKIN GRAFT, 25 CM 1.50 Disagree 1.00 1.00 15343# CULTURE SKN GRAFT ADDL 25 CM 0.38 Disagree 0.25 0.25 16035 INCISION OF BURN SCAB, INITI 3.75 Agree 3.75 3.75 16036# INCISE BURN SCAB, ADDL INCIS 1.50 Agree 1.50 1.50 19100 BX BREAST PERCUT W/O IMAGE 1.27 Agree 1.27 1.27 19101 BIOPSY OF BREAST, OPEN 3.18 Agree 3.18 3.18 19102# BX BREAST PERCUT W/IMAGE 2.00 Agree 2.00 2.00 19103# BX BREAST PERCUT W/DEVICE 2.37 Agree 2.37 2.37 19120 REMOVAL OF BREAST LESION 5.56 Agree 5.56 5.56 19125 EXCISION, BREAST LESION 6.06 Agree 6.06 6.06 19126 EXCISION, ADDL BREAST LESION 2.93 Agree 2.93 2.93 19295# PLACE BREAST CLIP, PERCUT 0.00 Agree 0.00 0.00 21199# RECONSTR LWR JAW W/ADVANCE 16.00 Agree 16.00 16.00 22520# PERCUT VERTEBROPLASTY THOR 8.91 Agree 8.91 8.91 22521# PERCUT VERTEBROPLASTY LUMB 8.34 Agree 8.34 8.34 22522# PERCUT VERTEBROPLASTY ADDL 4.31 Disagree 3.00 3.00 30465# REPAIR NASAL STENOSIS 11.64 Agree 11.64 11.64 33140 HEART REVASCULARIZE (TMR) 20.00 Agree 20.00 20.00 33141# HEART TMR W/OTHER PROCEDURE 4.84 Agree 4.84 4.84 33533 CABG, ARTERIAL, SINGLE 25.83 Agree 25.83 25.83 33534 CABG, ARTERIAL, TWO 28.82 Agree 28.82 28.82 33535 CABG, ARTERIAL, THREE 31.81 Agree 31.81 31.81 33536 CABG, ARTERIAL, FOUR OR MORE 34.79 Agree 34.79 34.79 34800# ENDOVASC ABDO REPAIR W/TUBE 20.75 Agree 20.75 20.75 34802# ENDOVASC ABDO REPR W/DEVICE 23.00 Agree 23.00 23.00 34804# ENDOVASC ABDO REPR W/DEVICE 23.00 Agree 23.00 23.00 34808# ENDOVASC ABDO OCCLUD DEVICE 4.13 Agree 4.13 4.13 34812# XPOSE FOR ENDOPROSTH, AORTIC 6.75 Agree 6.75 6.75 34813# XPOSE FOR ENDOPROSTH, FEMORL 4.80 Agree 4.80 4.80 34820# XPOSE FOR ENDOPROSTH, ILIAC 9.75 Agree 9.75 9.75 34825# ENDOVASC EXTEND PROSTH, INIT 12.00 Agree 12.00 12.00 34826# ENDOVASC EXTEN PROSTH, ADDL 4.13 Agree 4.13 4.13 34830# OPEN AORTIC TUBE PROSTH REPR 32.59 Agree 32.59 32.59 34831# OPEN AORTOILIAC PROSTH REPR 35.34 Agree 35.34 35.34 34832# OPEN AORTOFEMOR PROSTH REPR 35.34 Agree 35.34 35.34 35600# HARVEST ARTERY FOR CABG 4.95 Agree 4.95 4.95 36540# COLLECT BLOOD VENOUS DEVICE 0.00 Agree 0.00 0.00 36831 AV FISTULA EXCISION, OPEN 8.00 Agree 8.00 8.00 36832 AV FISTULA REVISION, OPEN 10.50 Agree 10.50 10.50 36870# AV FISTULA REVISION, OPEN 5.16 Agree 5.16 5.16 38500 BIOPSY/REMOVAL, LYMPH NODES 2.88 Agree 2.88 2.88 38530 BIOPSY/REMOVAL, LYMPH NODES 6.13 Agree 6.13 6.13 43231# ESOPH ENDOSCOPY W/US EXAM 4.09 Agree 4.09 4.09 43232# ESOPH ENDOSCOPY W/US FN BX 4.71 Agree 4.71 4.71 43240# ESOPH ENDOSCOPE W/DRAIN CYST 7.39 Agree 7.39 7.39 43241 UPPER GI ENDOSCOPY WITH TUBE 2.59 Agree 2.59 2.59 43242# UPPR GI ENDOSCOPY W/US FN BX 5.51 Agree 5.51 5.51 43256# UPPR GI ENDOSCOPY W STENT (a) (a) 4.35 4.35 43752# NASAL/OROGASTRIC W/STENT (a) (a) 0.00 0.00 44132# ENTERECTOMY, CADAVER DONOR carrier Disagree 0.00 0.00 44133# ENTERECTOMY, LIVE DONOR carrier Disagree 0.00 0.00 44135# INTESTINE TRANSPLNT, CADAVER carrier Disagree 0.00 0.00 44136# INTESTINE TRANSPLANT, LIVE carrier Disagree 0.00 0.00 44370# SMALL BOWEL ENDOSCOPY/STENT (a) (a) 4.33 4.33 44379# S BOWEL ENDOSCOPE W/STENT (a) (a) 7.07 7.07 44383# ILEOSCOPY W/STENT (a) (a) 2.41 2.41 44397# COLONOSCOPY W STENT 4.78 Disagree 4.23 4.23 44500 INTRO, GASTROINTESTINAL TUBE 0.49 Agree 0.49 0.49 45327# PROCTOSIGMOIDOSCOPY W/STENT 2.66 Disagree 1.46 1.46 45341# SIGMOIDOSCOPY W/ULTRASOUND 3.46 Agree 3.46 3.46 45342# SIGMOIDOSCOPY W/US GUIDE BX 4.08 Agree 4.08 4.08 45345# SIGMODOSCOPY W/STENT 2.92 Disagree 2.66 2.66 45387# COLONOSCOPY W/STENT 5.66 Disagree 5.62 5.62 47379# LAPAROSCOPE PROCEDURE, LIVER carrier Agree carrier carrier 50545# LAPARO RADICAL NEPHRECTOMY 24.00 Agree 24.00 24.00 50546 LAPAROSCOPIC NEPHRECTOMY 20.48 Agree 20.48 20.48 50548 LAPARO REMOVE K/URETER 24.40 Agree 24.40 24.40 50947# LAPARO NEW URETER/BLADDER 24.50 Agree 24.50 24.50 50948# LAPARO NEW URETER/BLADDER 22.50 Agree 22.50 22.50 Start Printed Page 65422 50949# LAPAROSCOPE PROC, URETER carrier Agree carrier carrier 52341# CYSTO W/URETER STRICTURE TX 6.00 Agree 6.00 6.00 52342# CYSTO W/UP STRICTURE TX 6.50 Agree 6.50 6.50 52343# CYSTO W/RENAL STRICTURE TX 7.20 Agree 7.20 7.20 52344# CYSTO/URETERO, STONE REMOVE 7.70 Agree 7.70 7.70 52345# CYSTO/URETERO W/UP STRICTURE 8.20 Agree 8.20 8.20 52346# CYSTOURETERO W/RENAL STRICT 9.23 Agree 9.23 9.23 52351# CYSTOURETRO & OR PYELOSCOPE 5.86 Agree 5.86 5.86 52352# CYSTOURETRO W/STONE REMOVE 6.88 Agree 6.88 6.88 52353# CYSTOURETERO W/LITHOTRIPSY 7.97 Agree 7.97 7.97 52354# CYSTOURETERO W/BIOPSY 7.34 Agree 7.34 7.34 52355# CYSTOURETERO W/EXCISE TUMOR 8.82 Agree 8.82 8.82 52400# CYSTOURETERO W/CONGEN REPR 9.68 Agree 9.68 9.68 54512# EXCISE LESION TESTIS 8.58 Agree 8.58 8.58 54522# ORCHIECTOMY, PARTIAL 9.50 Agree 9.50 9.50 55873# CRYOABLATE PROSTATE 17.80 Agree 17.80 17.80 57022# I &D VAGINAL HEMATOMA, OB 2.56 Agree 2.56 2.56 57023# I &D VAG HEMATOMA, TRAUMA (a) (a) 2.56 2.56 57287# REVISE/REMOVE SLING REPAIR 10.71 Agree 10.71 10.71 58353# ENDOMETR ABLATE, THERMAL 3.56 Agree 3.56 3.56 61697# BRAIN ANEURYSM REPR, COMPLX 50.52 Agree 50.52 50.52 61698# BRAIN ANEURYSM REPR, COMPLX 48.41 Agree 48.41 48.41 61700 BRAIN ANEURYSM REPR , SIMPLE 50.52 Agree 50.52 50.52 61702 INNER SKULL VESSEL SURGERY 48.41 Agree 48.41 48.41 62252# 26 CSF SHUNT REPROGRAM 0.74 Agree 0.74 0.74 63040 LAMINOTOMY, SINGLE CERVICAL (a) (a) 18.81 18.81 63042 LAMINOTOMY, SINGLE LUMBAR (a) (a) 17.47 17.47 63043# LAMINOTOMY, ADDL CERVICAL (a) (a) 0.00 0.00 63044# LAMINOTOMY, ADDL LUMBAR (a) (a) 0.00 0.00 64612 DESTROY NERVE, FACE MUSCLE 1.96 Agree 1.96 1.96 64613 DESTROY NERVE, SPINE MUSCLE 1.96 Agree 1.96 1.96 64614# DESTROY NERVE, EXTREM MUSC 2.20 Agree 2.20 2.20 66982# CATARACT SURGERY, COMPLEX 13.50 Agree 13.50 13.50 66984 CATARACT SURG W/IOL, I STAGE 10.23 Agree 10.23 10.23 67221# OCULAR PHOTODYNAMIC THER (a) (a) 4.01 4.01 69714# IMPLANT TEMPLE BONE W/STIMUL 14.00 Agree 14.00 14.00 69715# TEMPLE BNE IMPLNT W/STIMULAT 18.25 Agree 18.25 18.25 69717# TEMPLE BONE IMPLANT REVISION 14.98 Agree 14.98 14.98 69718# REVISE TEMPLE BONE IMPLANT 18.50 Agree 18.50 18.50 70496# CT ANGIOGRAPHY, HEAD 1.75 Agree 1.75 1.75 70498# CT ANGIOGRAPHY, NECK 1.75 Agree 1.75 1.75 70540 26 MRI ORBIT/FACE/NECK W/O DYE 1.48 Disagree 0.98 0.98 70542# 26 MRI ORBIT/FACE/NECK W/DYE 1.78 Disagree 1.17 1.17 70543# 26 MRI ORBT/FAC/NCK W/O&W DYE 2.36 Disagree 1.56 1.56 70544# 26 MR ANGIOGRAPHY HEAD W/O DYE 1.20 Agree 1.20 1.20 70545# 26 MR ANGIOGRAPHY HEAD W/DYE 1.20 Agree 1.20 1.20 70546# 26 MR ANGIOGRAPH HEAD W/O&W DYE 1.80 Agree 1.80 1.80 70547# 26 MR ANGIOGRAPHY NECK W/O DYE 1.20 Agree 1.20 1.20 70548# 26 MR ANGIOGRAPHY NECK W/DYE 1.20 Agree 1.20 1.20 70549# 26 MR ANGIOGRAPH NECK W/O&W DYE 1.80 Agree 1.80 1.80 71275# 26 CT ANGIOGRAPHY, CHEST (a) (a) 1.20 1.20 71550 26 MRI CHEST W/O DYE (a) (a) 1.10 1.10 71551# 26 MRI CHEST W/DYE (a) (a) 1.30 1.30 71552# 26 MRI CHEST W/O&W DYE (a) (a) 1.70 1.70 72191# 26 CT ANGIOGRAPH PELV W/O&W DYE (a) (a) 1.20 1.20 72195# 26 MRI PELVIS W/O DYE (a) (a) 1.10 1.10 72196 26 MRI PELVIS W/DYE (a) (a) 1.30 1.30 72197# 26 MRI PELVIS W/O & W DYE (a) (a) 1.70 1.70 73206# 26 CT ANGIO UPR EXTRM W/O&W DYE (a) (a) 1.20 1.20 73218# 26 MRI UPPER EXTREMITY W/O DYE (a) (a) 0.98 0.98 73219# 26 MRI UPPER EXTREMITY W/DYE (a) (a) 1.17 1.17 73220 26 MRI UPPR EXTREMITY W/O&W DYE (a) (a) 1.56 1.56 73221 26 MRI JOINT UPR EXTREM W/O DYE (a) (a) 0.98 0.98 73222# 26 MRI JOINT UPR EXTREM W/ DYE (a) (a) 1.17 1.17 73223# 26 MRI JOINT UPR EXTR W/O&W DYE (a) (a) 1.56 1.56 73706# 26 CT ANGIO LWR EXTR W/O&W DYE (a) (a) 1.20 1.20 73718# 26 MRI LOWER EXTREMITY W/O DYE (a) (a) 0.98 0.98 73719# 26 MRI LOWER EXTREMITY W/DYE (a) (a) 1.17 1.17 73720 26 MRI LWR EXTREMITY W/O&W DYE (a) (a) 1.56 1.56 Start Printed Page 65423 73721 26 MRI JOINT OF LWR EXTRE W/O D (a) (a) 0.98 0.98 73722# 26 MRI JOINT OF LWR EXTR W/DYE (a) (a) 1.17 1.17 73723# 26 MRI JOINT LWR EXTR W/O&W DYE (a) (a) 1.56 1.56 74175# 26 CT ANGIO ABDOM W/O&W DYE (a) (a) 1.20 1.20 74181 26 MRI ABDOMEN W/O DYE (a) (a) 1.10 1.10 74182# 26 MRI ABDOMEN W/DYE (a) (a) 1.30 1.30 74183# 26 MRI ABDOMEN W/O&W DYE (a) (a) 1.70 1.70 75635# 26 CT ANGIO ABDOMINAL ARTERIES (a) (a) 1.89 1.89 75952# ABDOM ANEURYSM ENDOVAS RPR 4.00 Agree 4.00 4.00 75953# ABDOM ANEURYSM ENDOVAS RPR 1.36 Agree 1.36 1.36 76012# PERCUT VERTEBROPLASTY FLUOR 1.31 Agree 1.31 1.31 76013# PERCUT VERTEBROPLASTY, CT 1.38 Agree 1.38 1.38 76393# 26 MR GUIDANCE FOR NEEDLE PLACE 1.50 Agree 1.50 1.50 76818 26 FETL BIOPHYS PROFIL W/STRESS 1.05 Disagree 0.86 0.86 76819# 26 FETL BIOPHYS PROFIL W/O STRS 0.77 Disagree 0.63 0.63 76975 26 GI ENDOSCOPIC ULTRASOUND 0.81 Agree 0.81 0.81 77520 26 PROTON TRMT, SIMPLE W/O COMP carrier Agree carrier carrier 77522# 26 PROTON TRMT, SIMPLE W/COMP carrier Agree carrier carrier 77523 26 PROTON TRMT, INTERMEDIATE carrier Agree carrier carrier 77525# 26 PROTON TREATMENT, COMPLEX carrier Agree carrier carrier 90940# HEMODIALYSIS ACCESS STUDY 0.00 Agree 0.00 0.00 91132# ELECTROGASTROGRAPHY carrier Agree carrier carrier 91133# ELECTROGASTROGRAPHY W/TEST carrier Agree carrier carrier 92585 AUDITOR EVOKE POTENT, COMPRE 0.50 Agree 0.50 0.50 92586# AUDITOR EVOKE POTENT, LIMIT 0.00 Agree 0.00 0.00 93662# INTRACARDIAC ECG (ICE) 2.80 Agree 2.80 2.80 93668# PERIPHERAL VASCULAR REHAB 0.00 Agree 0.00 0.00 96570# PHOTODYNAMIC TX, 30 MIN 1.10 Agree 1.10 1.10 96571# PHOTODYNAMIC TX, ADDL 15 MIN 0.55 Agree 0.55 0.55 97532# COGNITIVE SKILLS DEVELOPMENT 0.51 Disagree 0.44 0.44 97533# SENSORY INTEGRATION 0.48 Disagree 0.44 0.44 97601# WOUND CARE SELECTIVE (a) (a) 0.50 0.50 97602# WOUND CARE NON-SELECTIVE (a) (a) 0.00 0.00 97802# MEDICAL NUTRITION, INDIV, IN 0.45 Disagree 0.00 0.00 97803# MED NUTRITION, INDIV, SUBSEQ 0.37 Disagree 0.00 0.00 97804# MEDICAL NUTRITION, GROUP 0.25 Diagree 0.00 0.00 99172# OCULAR FUNCTION SCREEN 0.00 Agree 0.00 0.00 a No RUC recommendation provided. # New Codes. * All numeric HCPCS CPT Copyright 2000 American Medical Association. Discussion of Codes for Which There Were No RUC Recommendations or for Which the RUC Recommendations Were Not Accepted
The following is a summary of our rationale for not accepting particular RUC work RVU recommendations. It is arranged by type of service in CPT order. Additionally, we also discuss those CPT codes for which we received no RUC recommendations for physician work RVUs. This summary refers only to work RVUs.
Bioengineered Tissue Grafts (CPT Codes 15342 and 15343)
Temporary HCPCS Codes G0170 and G0171, established in the November 1999 final rule, will be deleted. The two aforementioned deleted codes have been replaced by CPT codes 15342 and 15343. The RUC recommended that the work RVUs for CPT codes 15342 and 15343 be crosswalked from deleted HCPCS codes G0170 and G0171, which are currently being used to report bioengineered tissue grafts. The work RVUs for CPT codes 15342 and 15343 are crosswalked from G0170 and G0171, with the following modification. Currently, HCPCS code G0170 includes the work of CPT codes 15000 and 15350. The CPT instructions for CPT code 15342 state that it can be billed with CPT code 15000. For this reason the crosswalk for CPT code 15342 would be to 25 percent of the work RVU of CPT code 15350, or 1.00 work RVUs. This percentage was chosen because CPT code 15342 is for graft sizes of up to 25 square centimeters, and CPT code 15350 is for graft sizes up to 100 square centimeters. Similarly, the RUC recommended work RVUs for CPT code 15343 are adjusted to 25 percent of 15351, or 0.25 work RVUs. Additionally, we note that some commenters requested the global period for HCPCS code G0170 be lowered from ten to seven days. This was not done, because we use only three global period lengths zero, ten, and ninety days. Clearly the ten-day global period is the most appropriate and consistent with the recommendation of the commenters. This decision will be applied to CPT code 15342. CPT code 15343 is an add-on service that does not have a global period.
Percutaneous Vertebroplasty (CPT Code 22522)
The RUC recommended a work RVU of 4.31 for CPT code 22522. The RUC arrived at this value based upon the fact that the work involved with CPT code 22522 was 50 percent of the total work of CPT codes 22520 and 22521. The RUC failed to remove the pre-service Start Printed Page 6542499213 and the post-service 99238 associated with CPT codes 22520 and 22521 before performing their calculations. CPT code 22522 is an add-on procedure, and there should be no pre-and post-service work associated with this service. We have removed the work RVUs of 99213 (pre-service) and 99238 (post-service) from the weighted average of CPT codes 22520 and 22521. For this reason, we have assigned a work RVU of 3.00 to CPT code 22522.
Naso- or Oro-gastric Tube Placement (CPT Code 43752)
The RUC did not supply us with a recommendation for CPT code 43752. We believe that this service is bundled into evaluation and management services. For this reason, there is no work RVU associated with this service.
Small Bowel Implantation (CPT Codes 44132, 44133, 44135, and 44136)
The RUC recommended carrier pricing for these services. These services are not covered transplant services under Medicare. For this reason, there are no work RVUs associated with these services.
Endoscopic Enteral Stenting (CPT Codes 43256, 44370, 44379, 44383, 44397, 45327, 45345, 45387)
The RUC determined a work increment, from the applicable endoscopic base code, for transendoscopic stent placement including predilation of 1.96 RVUs. We agree with this increment. For the endoscopic stent placement CPT codes for which we did not receive a work recommendation from the RUC, we applied this increment to the applicable endoscopic basecode. Because endoscopic stent placement is being currently billed under existing endoscopic CPT codes, we needed to make a work neutrality adjustment to each family of codes in which a stent placement code had been created.
Incision and Drainage of Vaginal Hematoma (CPT Code 57023)
The RUC did not supply a work RVU recommendation for CPT code 57023. We did receive a work RVU recommendation for similar CPT code 57022. Until such time as we receive more information allowing us to appropriately value CPT code 57023, we will adopt the RUC recommended work RVU for CPT code 57022. For these reasons, we have assigned a work RVU of 2.56 to CPT code 57023.
Laminotomy Re-Exploration (CPT Codes 63040, 63042, 63043, and 63044)
The RUC did not supply work RVU recommendations for CPT codes 63040 through 63044. CPT codes 63040 and 63042 were revised to account for single interspace cervical and lumbar laminotomy, respectively. CPT codes 63043 and 63044 were added to account for each additional cervical and lumbar interspace laminotomy(s). We will bundle CPT code 63043 into CPT code 63040 and CPT code 63044 into CPT code 63042, and retain the existing work RVUs for CPT codes 63040 and 63042. We will re-evaluate these services when the RUC supplies work RVU recommendations.
Ocular Photodynamic Therapy (CPT Code 67221)
The RUC did not supply work RVU recommendations for CPT code 67221. Subsequent to the publication of the July 2000 proposed rule in which we proposed establishing a new HCPCS code for this service, the CPT editorial panel approved CPT code 67221 for ocular photodynamic therapy. We have deleted our proposed temporary code and established values for CPT code 67221. Based on comments received from specialty societies and a comparison of the work values for this procedure with CPT code 67210, Destruction of localized lesion of retina, we have assigned 4.01 work RVUs to this service. The intraservice times and work intensities for CPT codes 67210 and 67221 are comparable. Therefore, adjusting for the work value of the postoperative visits (because 67210 has a 90-day global period) and the 20 percent retreatment rate included in CPT code 67210, and then applying the intraservice work intensity of 67210 to 67221, yields an appropriate work value for 67221. For a further discussion of this issue, see section II.G.
Computed Tomographic Angiography (CPT Codes 71275, 72191, 73206, 73706, 74175, and 75635)
CPT created a series of new codes for 2001 describing computed tomographic (CT) angiography for different parts of the body. The RUC submitted work recommendations of 1.75 RVUs for CPT codes 70496 and 70498, with which we agree. The RUC did not submit work recommendations for the other CT angiography codes. The RUC compared the head and neck CPT angiography codes to MRI angiography and CT scans without contrast followed by contrast of the same region in determining the values for these services. However, upon our review, we determined that the work RVUs recommended by the RUC were more comparable to the work RVUs associated with CPT code 75671, Angiography, carotid, cerebral, bilateral, radiological interpretation and supervision, and CPT code 75680, Angiography, carotid, cervical, bilateral, radiological interpretation and supervision. Both CPT code 75671 and CPT code 75680 have work RVUs of 1.66. The proportional work RVU increase from the angiography supervision and interpretation code to the CT angiography code was 1.05. Therefore, in determining the work RVUs of the other CT angiography codes, we—(1) compared each code to its most comparable angiographic radiological supervision and interpretation code, and (2) applied a proportionate work increase of 1.05 to the CT angiography code. The CPT codes to which we compared the CT angiography codes were 75605, 75736, 75710, 75625, and 75630. Note that CT angiography of the extremities has been valued as a unilateral service. However, CPT code 75635 is valued for bilateral lower extremity run.
Magnetic Resonance Imaging Procedures (CPT Codes 70540, 70542, 70543, 71550, 71551, 71552, 72195, 72196, 72197, 73218, 73219, 73220, 73221, 73222, 73223, 73718, 73719, 73720, 73721, 73722, 73723, 74181, 74182, and 74183)
CPT 2000 has a single code to describe MRI of each region of the body except for MRI of the brain, where three separate codes exist that describe MRI of the brain without contrast, with contrast, and without contrast followed by contrast. For CPT 2001 the single MRI code for each area of the body will be broken out into three separate CPT codes describing MRI for that body area without contrast, with contrast, and without contrast followed by contrast.
The only codes for which we received work RVU recommendations from the RUC were CPT 70540 (MRI orbit/face/neck, w/o contrast), 70542 (MRI orbit/face/neck, w/contrast), and 70543 (MRI orbit/face/neck, w/out then w/contrast). The recommended work RVUs were 1.48, 1.78, and 2.36 respectively. The services that will be described under these three CPT codes are currently being coded under a single CPT code, 70540 (current descriptor is Magnetic Resonance (e.g. proton) imaging, orbit, face, and neck with a current work RVU of 1.48). For this reason we must make the new CPT codes work neutral to the current CPT code; that is, the total work RVUs associated with the three new codes must result in the same total work RVUs of the current CPT code. The RUC Start Printed Page 65425recommendations were not work neutral. Since neither the RUC nor the specialty society supplied us with relative utilization rates for these CPT codes, we applied the current relative utilization pattern for MRI of the brain. MRI of the brain currently has three separate CPT codes for MRI without contrast, with contrast, and without contrast followed by contrast. This resulted in work RVUs of 0.98, 1.17, and 1.56 for MRI of the orbit, face, and neck without contrast, with contrast, and without contrast followed by contrast, respectively.
We did not receive work recommendations or utilization data for any of the other new MRI codes. In each case, a single MRI code describing MRI of a body area was broken out into three codes describing MRI of that body area without contrast, with contrast, and without contrast followed by contrast. In order to assign appropriate work values for these codes, we followed the following procedure for MRI of each body area—(1) we assigned a work RVU to MRI without contrast, MRI with contrast, and MRI without contrast followed by contrast that maintained the same relationship as the work RVUs the RUC assigned to the three codes for MRI of the orbit, face, and neck, (2) we determined the total work RVUs for the body area by utilization of the current MRI code for that body area, (3) we applied the relative utilization of the brain MRI codes to the new MRI codes for each body area, and (4) we adjusted the work RVUs assigned in step 1 for MRI of each body area to make them work neutral to the work RVUs determined from step 2.
Fetal Biophysical Profile (CPT Code 76818 and CPT Code 76819)
The RUC recommended a work RVU of 1.05 for CPT code 76818 and 0.77 for CPT code 76819. Although we agree with the relativity established by the RUC, the codes needed to be adjusted for budget neutrality. For this reason, we have assigned 0.86 work RVUs to CPT code 76818 and 0.63 work RVUs to CPT code 76819.
Sensory Integrative Techniques (CPT Code 97532 and CPT Code 97533)
The RUC recommended a work RVU of 0.51 for CPT code 97532 and 0.48 for CPT code 97533. These two new services were created to replace the deleted CPT code 97770. We believe the work associated with these two new services is analogous to deleted CPT code 97770. For this reason, we have assigned the same work RVU (0.44) that was assigned to deleted CPT code 97770 to both CPT code 97532 and CPT code 97533.
Active Wound Care Management (CPT Code 97601 and CPT Code 97602)
The HCPAC did not supply a work RVU recommendation for either CPT code 97601 or CPT code 97602. We had established temporary HCPCS code G0169 for the work described in new CPT code 97601. For this reason, we have assigned the same work RVU (0.50) to CPT code 97601 that was assigned to now-deleted HCPCS code G0169. We consider CPT code 97602 to be bundled into CPT code 97601 and therefore will not establish work RVUs for this service.
Medical Nutrition Therapy (CPT Codes 97802 Through 97804)
The HCPAC supplied work RVU recommendations of: 0.45 for CPT code 97802, 0.37 for CPT code 97803, and 0.25 for CPT code 97804. These services do not fall under any enumerated category of Medicare services, and thus these services are not covered by Medicare. Additionally, these services are not physician services and, therefore, would not be assigned physician work RVUs. Finally, the American Diabetic Association is unhappy with the descriptors CPT has assigned to CPT codes 97802 through 97804, and is in the process of submitting a request to CPT for a revision to the descriptors for these services. For these reasons, we have decided not to assign work RVUs to these services.
Establishment of Interim Practice Expense Relative Value Units for New and Revised Physician's Current Procedural Terminology (CPT) Codes and New HCFA Common Procedure Coding System Codes for 2001.
We have developed a process for establishing interim practice expense RVUs (PERVUs) for new and revised codes that is similar to that used for work RVUs. Under this process, the RUC recommends the practice expense direct inputs, that is, the staff time, supplies and equipment associated with each new code. We then review the recommendations in a manner similar to our evaluation of the recommended work RVUs.
The RUC recommendations on the practice expense inputs for the new and revised 2001 codes were submitted to us as interim recommendations. We, therefore, consider that these recommendations are still subject to further refinement by the PEAC, or by us, if it is determined that such future review is needed. We do have concerns regarding some of the recommended inputs, particularly clinical staff times, for certain services, and we may revisit these inputs in light of future decisions of the PEAC regarding supply and equipment packages and standardized approaches to pre- and post-service clinical staff times.
We have accepted, at least in the interim, almost all of the practice expense recommendations submitted by the RUC for the codes listed in the following table titled “AMA RUC and HCPAC Recommendations and HCFA Decisions for New and Revised 2001 CPT Codes.” We made the following minor changes to the inputs where relevant:
- We rounded all clinical staff time to the nearest minute.
- For consistency with the CPEP revisions contained in the November 1999 final rule, we deleted separately billable fluid and contrast material, and the skin marking pen, disinfectant and biohazard bag, because these items cannot easily be allocated to individual services.
- The RUC assigned the E/M visit supply package, which includes a tongue depressor, drape sheet, and disposable otoscope speculum, as well as the E/M equipment package, which includes an otoscope-ophthalmoscope, to several vascular, spine and other post-surgical visits. We deleted the otoscope-ophthalmoscope, because it is not typically used for such post-surgical visits and, instead of the E/M visit supply package, substituted the multi-specialty minimum visit supply package that includes: exam table paper, patient gown, pillow case, nonsterile gloves, and thermometer probe cover. We also added a patient education book.
- For those codes refined before the multi-specialty minimum visit supply package was adopted, we substituted this package for the list of individual items when they matched exactly. In the same manner, we substituted the ophthalmology visit supply package as appropriate.
- For CPT 11980, Subcutaneous hormone pellet implantation, we deleted the disinfectant solution because it is already included in the OB-GYN visit supply package assigned to this code.
- The RUC only priced CPT 36870, Thrombectomy, percutaneous, arteriovenous fistula, in the office setting. We added inputs for the facility setting, using the clinical staff time for coordinating pre-surgery services and providing pre-service education, as well as the clinical staff time for the one post-surgical visit. We also added the supply and equipment inputs for the post-surgical visit. For the non-facility setting, we added a multi-specialty Start Printed Page 65426minimum visit supply package for the post-surgical visit. However, we deleted the oxygen tank from the equipment inputs, because it appeared that it is only used on a stand-by basis, and would thus be considered an indirect cost.
- The RUC Health Care Professional Advisory Committee submitted a recommendation on the inputs for CPT 97533, Sensory integrative techniques. The inputs included a long list of specific equipment that we have combined into one package called “sensory integration equipment.”
- The RUC deferred making a recommendation on the practice expense inputs for CPT 43752, Naso- or oro-gastric tube placement. We have assumed that this service is performed only in the facility setting, and, as a 0-day global, has no direct inputs.
For the following CPT codes we did not receive practice expense recommendations. Therefore, we are providing practice expense inputs through crosswalking to an existing code as indicated below:
s
New CPT code Existing CPT code 43256 Upper GI Endoscopy 43241 Upper GI endoscopy with tube. 44370 Small bowel endoscopy/stent 44363 Endocholaniopancreatograph. 44379 S bowel endoscope w/stent 44377 Small bowel endoscopy/biopsy. 44383 Ileoscopy w/stent 44382 Small bowel endoscopy. 57023 I&D vag hematoma, trauma 57022 I&D vag hematoma,ob. 71275 CT angiography, chest 71270-TC Contrast CAT scans of chest. 71551 CT angiography, chest 70552-TC Magnetic image, brain (MRI). 71552 MRI chest w/o&w dye 70553-TC Magnetic image, brain (MRI). 72191 CT angiograph pelv w/o&w dye 72194-TC Contrast CAT scans of pelvis. 72195 MRI pelvis w/o dye 70551-TC Magnetic image , brain (MRI). 72197 MRI pelvis w/o&w dye 70553-TC Magnetic image, brain (MRI). 73206 CT angio upr extrm w&w/o dye 73202-TC Contrast CAT scans of arm. 73218 MRI uppr extremity w/o dye 70551-TC Magnetic image , brain (MRI). 73219 MRI uppr extremity w/ dye 70552-TC Magnetic image, brain (MRI). 73222 MRI joint upr extrem w/dye 70552-TC Magnetic image, brain (MRI). 73223 MRI joint upr extr w/o&w dye 70553-TC Magnetic image, brain (MRI). 73706 CT angio lwr extr w/o&w dye 73702-TC Contrast CAT scans of leg. 73718 MRI lower extremity w/o dye 70551-TC Magnetic image , brain (MRI). 73719 MRI lower extremity w/ dye 70552-TC Magnetic image, brain (MRI). 73722 MRI joint of lwr extr w/dye 70552-TC Magnetic image, brain (MRI). 73723 MRI joint lwr extr w/o&w dye 70553-TC Magnetic image, brain (MRI). 74175 CT angio abdom w/o&w dye 74170-TC Contrast CAT scans, abdomen. 74182 MRI abdomen w/dye 70552-TC Magnetic image, brain (MRI). 74183 MRI abdomen w/o& w dye 70553-TC Magnetic image, brain (MRI). 75635 CT angio abdominal arteries 74170-TC Contrast CAT scans, abdomen. C. Other Changes to the 2001 Physician Fee Schedule and Clarification of CPT Definitions
For the 2001 physician fee schedule, we are establishing or revising several alpha-numeric HCPCS codes for reporting certain services that are not clearly described by existing CPT codes. This is in addition to the HCPCS codes for ocular photodynamic therapy, certification/recertification for home health services and care plan oversight previously discussed. We view these codes as temporary since we will be referring them to the CPT Editorial Panel for possible inclusion in future editions of CPT. Additionally, included in this section are some clarifications of proper use of some new or revised codes.
Evaluation of Swallowing Function
We are proposing the following new codes to describe the evaluation of swallowing function. These codes will replace the more general CPT 92525, Evaluation of swallowing and oral function for feeding, which represents a combination of these separate examinations. Our contractors requested the more precise coding to improve claims review for evaluation of dysphagia. The new codes are described as follows:
G0193 Endoscopy study of swallowing function, often referred to as fiberoptic endoscopic evaluation of swallowing (FEES).
G0194 Sensory testing during endoscoping study of swallowing. This service, often referred to as fiberoptic endoscopic evaluation of swallowing with testing, will be coded as an add-on code to G0193.
The creation of these two codes does not imply coverage. Coverage of G0193 and G0194 remains at the discretion of the contractor processing the Medicare claim. These codes will be priced by contractors.
Two additional codes are also used to describe swallowing evaluations:
G0195 Clinical evaluation of swallowing function. This service describes the clinical examination and evaluation of the patient, typically by a speech and language pathologist.
G0196 Evaluation of swallowing involving swallowing of radio-opaque materials. This code involves the participation and interpretation of results from the dynamic observation of the patient swallowing materials of various consistencies. It is observed fluoroscopically and typically recorded on video. This evaluation involves using the information to assess the patient's swallowing function and developing a treatment plan for the patient.
Both codes G0195 and G0196 will be assigned the same work and malpractice RVUs as CPT 92525. For practice expense, we have crosswalked the inputs from 92525 for these codes. CPT 92525 will no longer be an active code for Medicare.
Note that CPT 31575 (laryngoscopy, flexible fiberoptic, diagnostic) and CPT 31579 (laryngoscopy, flexible or rigid fiberoptic, with stroboscopy) should not be used for evaluations of swallowing.
Speech-Generating Devices
Because of the change in coverage policy on speech-generating devices, effective January 1, 2001, we needed codes that more specifically describe the services needed to evaluate and train patients to use these devices. As a result, we will be replacing CPT 92597, Evaluation for use and/or fitting of voice prosthetic or augmentative/alternative Start Printed Page 65427communication device to supplement oral speech) and 92598, Modification of voice prosthetic or augmentative/alternative communication device or supplemental oral speech, with the following new codes:
G0197 Evaluation of patient for prescription of speech-generating devices. This code describes the services to evaluate a patient to specify the speech-generating device recommended to meet the patient's needs and capacity for use. This code involves face-to-face involvement of the practitioner (typically a speech and language pathologist experienced in the use of these devices) with the patient. The work and malpractice RVUs for this new code will be cross-walked to the ones used for CPT code 92597, the code it replaces. For practice expense, we have crosswalked the inputs to CPT code 92527 for these codes.
G0198 Patient adaptation and training for use of speech-generating devices. This code describes the services delivered to the patient to adapt the device to the patient, and train him or her in its use. This code involves face-to-face involvement of the practitioner (typically a speech and language pathologist experienced in the use of these devices) with the patient. The work and malpractice RVUs, as well as the practice expense inputs for this new code, will be crosswalked to the ones used for CPT code 92598, the code it replaces.
G0199 Re-evaluation of patient using speech-generating devices. This code describes the services to re-evaluate a patient who has previously been evaluated for a speech-generating device, and either is currently using a device or did not have a device recommended. This code involves face-to-face involvement of the practitioner (typically a speech and language pathologist experienced in the use of these devices) with the patient. The work RVUs for this new code will be 75 percent of the value for CPT code 92597, reflecting that it is likely to be less intensive than the initial evaluation. The malpractice and practice expense inputs are also crosswalked to CPT code 92957.
G0200 Evaluation of patient for prescription of voice prosthetic. This code describes the services to evaluate a patient for the use of a voice prosthetic device. This code involves face-to-face involvement of the practitioner (typically a speech and language pathologist experienced in the use of these devices) with the patient. The work and malpractice RVUs for this new code will be crosswalked to the ones used for CPT code 92597, the code it replaces. We will also crosswalk practice expense inputs to CPT code 92957.
G0201 Modification or training in use of voice prosthetic. This code involves the modification or training of a patient in the use of a voice prosthetic. This code involves face-to-face involvement of the practitioner (typically a speech and language pathologist experienced in the use of these devices) with the patient. The work and malpractice RVUs, as well as the practice expense inputs for this new code, will be crosswalked to the ones used for CPT code 92598, the code it replaces. The RUC recommendations, as well as the revised CPEP data for all codes, can be found on our homepage. See the Supplementary Information section of this rule for instructions on accessing our website.
V. Physician Fee Schedule Update and Conversion Factor for Calendar Year 2001
The 2001 physician fee schedule conversion factor is $38.2581. The separate 2001 national average anesthesia conversion factor is $17.26.
The 2001 physician fee schedule update is 5.1 percent. However, miscellaneous adjustments will result in an increase in the conversion factor from 2000 to 2001 of 4.5 percent. The specific calculations to determine the physician fee schedule update and conversion factor for physicians' services for calendar year 2001 are explained below.
Detail on Calculation of the Calendar Year 2001 Physician Fee Schedule Update and the 2001 Conversion Factor
Physician Fee Schedule Update and Conversion Factor
The conversion factor is affected by section 1848(c)(2)(B)(ii)(II) of the Act, which requires that changes to the relative value units of the Medicare physician fee schedule not cause expenditures to increase or decrease by more than $20 million from the amount of expenditures that would have been made if such adjustments had not been made. We implement this requirement through a uniform budget-neutrality adjustment to the conversion factor. There are two changes that will require us to make an adjustment to the conversion factor to meet the budget neutrality requirements in section 1848(c)(2)(B)(ii)(II). We are making a 0.3 percent reduction (0.997) in the conversion factor to account for separate payment for certification and recertification of a plan of care for home health services. We are also making a 0.14 percent (0.9986) reduction in the conversion factor to account for an anticipated increase in the volume and intensity of services.
After considering this factor, as well as the percent change in the MEI, the update adjustment factor, and statutory adjustment described below, the 2001 conversion factor is calculated as follows:
2000 Conversion Factor—$36.6137
2001 Update—1.05163
2001 Legislative Adjustment—0.998
Volume and Intensity Adjustment—0.9986
Other Factors—0.997
2001 Conversion Factor—$38.2581
Under section 1848(d)(3) of the Act, the update is equal to the product of the MEI and the update adjustment factor. For 2001, the MEI is equal to 2.1 percent (1.021). A more detailed description of the MEI and its calculation follows. The update adjustment factor is equal to 3.0 percent (1.030). Thus, the product of the MEI (1.021) and the update adjustment factor (1.030) equal the 2001 update (1.05163). Section 1848(d)(4)(F) of the Act provides for an additional adjustment to the update for 2001 of −0.2 percent (0.998). Thus, taking into account the 2001 update, the 2001 legislative adjustment, the 2001 volume and intensity adjustment, and the adjustment for certification and recertification of a plan of care for home health services, the conversion factor for 2001 is determined as follows: $36.6137 × 1.05163 × 0.998 × 0.9986 × 0.997 = $38.2581.
The MEI and the update adjustment factor are described below.
The Percentage Change in the Medicare Economic Index
The MEI measures the weighted-average annual price change for various inputs needed to produce physicians' services. The MEI is a fixed-weight input price index, with an adjustment for the change in economy-wide labor productivity. This index, which has 1996 base weights, is comprised of two broad categories: Physician's own time and physician's practice expense.
The physician's own time component represents the net income portion of business receipts and primarily reflects the input of the physician's own time into the production of physicians' services in physicians' offices. This category consists of two subcomponents—wages and salaries, and fringe benefits. These components are adjusted by the 10-year moving average annual percent change in output per man-hour for the nonfarm business sector to account for productivity growth in the general economy. Start Printed Page 65428
The physician's practice expense category represents the rate of price growth in nonphysician inputs to the production of services in physicians' offices. This category consists of wages and salaries and fringe benefits for nonphysician staff and other nonlabor inputs. Like physician's own time, the nonphysician staff categories are adjusted for productivity using the 10-year moving average annual percent change in output per man-hour for the nonfarm business sector. The physician's practice expense component also includes the following categories of nonlabor inputs—office expense, medical materials and supplies, professional liability insurance, medical equipment, professional car, and other expense. The table below presents a listing of the MEI cost categories with associated weights and percent changes for price proxies for the 2001 update. The calendar year 2001 MEI is 2.1 percent.
Increase in the Medicare Economic Index Update for Calendar Year 2001 1
Cost categories and price measures 1996 weights 2 CY 2001 percent changes Medicare Economic Index Total 100.0 2.1 1. Physician's Own Time 3 4 54.5 1.7 a. Wages and Salaries: Average hourly earnings private nonfarm, net of productivity 44.2 1.6 b. Fringe Benefits: Employment Cost Index, Benefits, private nonfarm, net of productivity 10.3 2.4 2. Physician's Practice Expense 3 45.5 2.5 a. Nonphysician Employee Compensation 16.8 1.8 1. Wages and Salaries: Employment Cost Index, wages and salaries, weighted by occupation, net of productivity 12.4 1.7 2. Fringe Benefits: Employment Cost Index, fringe benefits, white collar, net of productivity 4.4 2.6 b. Office Expense: Consumer Price Index for Urban Consumers (CPI-U), housing 11.6 2.5 c. Medical Materials and Supplies: Producer Price Index (PPI), ethical drugs/PPI, surgical appliances and supplies/CPI-U, medical equipment and supplies (equally weighted) 4.5 2.0 d. Professional Liability Insurance: HCFA professional liability insurance survey 5 3.2 7.2 e. Medical Equipment: PPI, medical instruments and equipment. 1.9 −1.1 f. Other Professional Expense 7.6 2.8 1. Professional Car: CPI-U, private transportation 1.3 5.5 2. Other: CPI-U, all items less food and energy 6.3 2.1 Addendum: Productivity: 10-year moving average of output per man-hour, nonfarm business sector n/a 1.9 Physician's Own Time, not productivity adjusted 54.5 3.7 Wages and salaries, not productivity adjusted 44.2 3.6 Fringe benefits, not productivity adjusted 10.3 4.4 Nonphysician Employee Compensation, not productivity adjusted 16.8 4.0 Wages and salaries, not productivity adjusted 12.4 3.9 Fringe benefits, not productivity adjusted 4.4 4.6 1 The rates of historical change are for the 12-month period ending June 30, 2000, which is the period used for computing the calendar year 2001 update. The price proxy values are based upon the latest available Bureau of Labor Statistics data as of September 15, 2000. 2 The weights shown for the MEI components are the 1996 base-year weights, which may not sum to subtotals or totals because of rounding. The MEI is a fixed-weight, Laspeyres-type input price index whose category weights indicate the distribution of expenditures among the inputs to physicians' services for calendar year 1996. To determine the MEI level for a given year, the price proxy level for each component is multiplied by its 1996 weight. The sum of these products (weights multiplied by the price index levels) over all cost categories yields the composite MEI level for a given year. The annual percent change in the MEI levels is an estimate of price change over time for a fixed market basket of inputs to physicians' services. 3 The Physician's Own Time and Nonphysician Employee Compensation category price measures include an adjustment for productivity. The price measure for each category is divided by the 10-year moving average of output per man-hour in the nonfarm business sector. For example, the fringe benefits component of the Nonphysician Compensation category is calculated by dividing the rate of growth in the employment cost index-benefits for private, white collar workers by the 10-year moving average rate of growth of output per man-hour for the nonfarm business sector. Dividing one plus the decimal form of the percent change in the employment cost index-benefits (1+.046=1.046) by one plus the decimal form of the percent change in the 10-year moving average of labor productivity (1+.019=1.019) equals one plus the change in the employment cost index-benefits for white collar workers net of the change in output per manhour (1.046/1.019=1.026). All Physician's Own Time and Nonphysician Employee Compensation categories are adjusted in this way. Due to a higher level of precision the computer calculated quotient may differ from the quotient calculated from rounded individual percent changes. 4 The average hourly earnings proxy, the Employment Cost Index proxies, as well as the CPI-U, housing and CPI-U, private transportation are published in the Current Labor Statistics Section of the Bureau of Labor Statistics' Monthly Labor Review. The remaining CPIs and PPIs in the revised index can be obtained from the Bureau of Labor Statistics' CPI Detailed Report or Producer Price Indexes. 5 Derived from a HCFA survey of several major insurers (the latest available historical percent change data are for the period ending second quarter of 2000). N/A Productivity is factored into the MEI compensation categories as an adjustment to the price variables; therefore, no explicit weight exists for productivity in the MEI. The Update Adjustment Factor
Under sections 1848(d)(3) and (d)(4) of the Act, the physician fee schedule update is equal to the product of the Medicare Economic Index and an “update adjustment factor.” The update adjustment factor represents an amount that is applied to the inflation update to reflect success or failure in meeting the expenditure target that the law refers to as “allowed expenditures.” Allowed expenditures are equal to actual expenditures in a base period updated each year by the sustainable growth rate. The sustainable growth rate is a percentage increase that is determined by a formula specified in section 1848(f) of the Act. The next section describes the SGR and its calculation in detail. The update adjustment factor is determined based on a comparison of actual and allowed expenditures. For years beginning with 1999, the BBA required that the update adjustment factor be determined under section 1848(d)(3) of the Act to equal— Start Printed Page 65429
(i) the difference between—(I) the sum of the allowed expenditures for physicians' services (as determined under subparagraph (C)) for the period beginning April 1, 1997, and ending on March 31 of the year involved, and (II) the amount of actual expenditures for physicians' services furnished during the period beginning April 1, 1997, and ending on March 31 of the preceding year; divided by—
(ii) the actual expenditures for physicians' services for the 12-month period ending on March 31 of the preceding year, increased by the sustainable growth rate under subsection (f) for the fiscal year which begins during such 12-month period.
Pub. L. No. 106-113, the Medicare, Medicaid and State Children's Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA) made changes to the methodology for determining the physician fee schedule update beginning in 2001. In particular, it established that the methodology in section 1848(d)(3) of the Act would only be used for determining the physician fee schedule update for 1999 and 2000. The BBRA established that the physician fee schedule update for 2001 and subsequent years would be determined under section 1848(d)(4) of the Act. While the general principle of adjusting the inflation update (the MEI) by the update adjustment factor continues, the BBRA made fundamental changes to the calculation of the update adjustment factor. In general, these changes do two things. First, the measurement of actual expenditures will occur on the basis of a calendar year rather than an April 1 to March 31 year. This essentially conforms the measurement of actual expenditures with other aspects of the SGR system that are also occurring on the basis of a calendar year as a result of BBRA amendments. As we explained in our April 10, 2000 SGR final notice (65 FR 19000), the BBRA essentially changed the SGR system from one that spanned 3 different time periods, ((1) measurement of actual expenditures on the basis of an April 1 to March 31 period; (2) calculation of the SGR rate of increase on a federal fiscal year basis; and (3) application of the update on a calendar year basis) to one that spans only one time period. (All three are on the basis of a calendar year). Second, it ensures that any deviation between cumulative actual expenditures and cumulative allowed expenditures will be corrected over several years rather than in a single year. This will result in less year-to-year volatility in the physician fee schedule update than would occur if adjustments to the update are made to bring expenditures in line with the target in one year.
Under section 1848(d)(4)(A) of the Act, the physician fee schedule update for a year is equal to the product of— (1) 1 plus the Secretary's estimate of the percentage increase in the MEI for the year, and (2) 1 plus the Secretary's estimate of the update adjustment factor for the year. Under section 1848(d)(4)(B) of the Act, the update adjustment factor for a year beginning with 2001 is equal to the sum of the following:
(i) Prior Year Adjustment Component. An amount determined by:
(I) Computing the difference (which may be positive or negative) between the amount of the allowed expenditures for physicians' services for the prior year (the year prior to the year for which the update is being determined) and the amount of the actual expenditures for such services for that year;
(II) Dividing that difference by the amount of the actual expenditures for such services for that year; and
(III) Multiplying that quotient by 0.75.
(ii) Cumulative Adjustment Component. An amount determined by:
(I) Computing the difference (which may be positive or negative) between the amount of the allowed expenditures for physicians' services from April 1, 1996 through the end of the prior year and the amount of the actual expenditures for such services during that period;
(II) Dividing that difference by actual expenditures for such services for the prior year as increased by the sustainable growth rate for the year for which the update adjustment factor is to be determined; and
(III) Multiplying that quotient by 0.33.
Thus, the CY 2001 update adjustment factor will be determined as the sum of the following:
(i) Prior Year Adjustment Component. This equals the difference between allowed expenditures in 2000 and our current estimate of actual expenditures for 2000. This difference is divided by our current estimate of actual expenditures for 2000 and the quotient is multiplied by 0.75. Our current estimate of allowed expenditures for CY 2000 is $56.6 billion. Our current estimate of actual expenditures for all of 2000 based on claims received through June 30 is $55.1 billion. Thus, the prior year adjustment component is equal to:
(($56.6−$55.1)/$55.1)) × 0.75 = .020
(ii) Cumulative Adjustment Component. This amount equals the difference between allowed expenditures for the period April 1, 1996 through December 31, 2000 ($244.4 billion) and actual expenditures for the same period ($240.6 billion) divided by the product of actual expenditures for the year 2000 ($55.1) increased by the SGR for 2001 (5.6 percent). This quotient is multiplied by 0.33. Thus, the cumulative adjustment component is equal to:
(($244.4−$240.6)/($55.1×1.056)) × 0.33 = 0.022.
The prior year adjustment component and the cumulative adjustment component are added. Adding these figures together would make the update adjustment factor equal 0.042. However, section 1848(d)(4)(D) of the Act indicates that the update adjustment factor determined under section 1848(d)(4)(B) of the Act for a year may not be less than −0.07 or greater than 0.03. Since 0.042 exceeds 0.03, we are limiting the update adjustment factor consistent with section 1848(d)(4)(D) of the Act to 0.03. Section 1848(d)(4)(A)(ii) of the Act indicates that 1 should be added to the update adjustment factor determined under section 1848(d)(4)(B) of the Act. Thus, adding 1 to 0.03 makes the update adjustment factor equal 1.030.
(As indicated in the SGR discussion below, allowed expenditures through the end of CY 2000 will be revised one more time, no later than November 1, 2001. We will also be revising the measurement of actual expenditures for CY 2000 based on claims received through June 30, 2001. These revised figures will be determined no later than November 1, 2001. The SGR for 2001 will also be revised two more times. Any differences that result in the update adjustment factor for 2001 from revision of estimates will be reflected in update adjustment factor determined for 2002.)
VI. Allowed Expenditures for Physicians' Services and the Sustainable Growth Rate
A. Medicare Sustainable Growth Rate
Section 1848(f) of the Social Security Act (the Act), as amended by section 4503 of the Balanced Budget Act of 1997 (BBA) (Pub. L. 105-33), enacted on August 5, 1997, replaced the Medicare Volume Performance Standard (MVPS) with a Sustainable Growth Rate (SGR). Section 1848(f)(2) of the Act specifies the formula for establishing yearly SGR targets for physicians' services under Medicare. The use of SGR targets is intended to control the actual growth in aggregate Medicare expenditures for physicians' services.
The SGR targets are not limits on expenditures. Payments for services are not withheld if the SGR target is exceeded by actual expenditures. Rather, the appropriate fee schedule Start Printed Page 65430update, as specified in section 1848(d)(3) of the Act, is adjusted to reflect the success or failure in meeting the SGR target. If expenditures exceed the target, the update is reduced. If expenditures are less than the target, the update is increased.
As with the MVPS, the statute specifies a formula to calculate the SGR based on our estimate of the change in each of four factors. The four factors for calculating the SGR are as follows:
(1) The estimated change in fees for physicians' services.
(2) The estimated change in the average number of Medicare fee-for-service beneficiaries.
(3) The estimated projected growth in real gross domestic product (GDP) per capita.
(4) The estimated change in expenditures due to changes in law or regulations.
Section 211 of the BBRA amended sections 1848(d) and 1848(f) of the Act with respect to the physician fee schedule update and the SGR. Section 211(b) of the BBRA maintains the formula for calculating the SGR, but amends section 1848(f)(2) of the Act to apply the SGR on a calendar year (CY) basis beginning with 2000 while maintaining the SGR on a fiscal year (FY) basis for FY 1998 through FY 2000. Specifically, section 1848(f)(2) of the Act, as amended by section 211(b) of the BBRA, states that_“* * * [t]he sustainable growth rate for all physicians' services for a fiscal year (beginning with fiscal 1998 and ending with fiscal year 2000) and a year beginning with 2000 shall be equal to the product of:
(1) 1 plus the Secretary's estimate of the weighted average percentage increase (divided by 100) in the fees for all physicians' services in the applicable period involved,
(2) 1 plus the Secretary's estimate of the percentage change (divided by 100) in the average number of individuals enrolled under this part (other than Medicare+Choice plan enrollees) from the previous applicable period to the applicable period involved,
(3) 1 plus the Secretary's estimate of the projected percentage growth in real gross domestic product per capita (divided by 100) from the previous applicable period to the applicable period involved; and
(4) 1 plus the Secretary's estimate of the percentage change (divided by 100) in expenditures for all physicians' services in the applicable period (compared with the previous applicable period) which will result from changes in law and regulations, determined without taking into account estimated changes in expenditures resulting from the update adjustment factor determined under section 1834 (d)(3)(B) or (d)(4)(B) of the Act, as the case may be, minus 1 and multiplied by 100.”
Under section 1848(f)(4)(C) of the Act, as added by section 211(b)(3) of the BBRA, the term “applicable period” means—(1) a FY, in the case of FY 1998, FY 1999 and FY 2000, and (2) a CY with respect to a year beginning with 2000.
To make the transition from a FY SGR to a CY SGR in 1999 using the FY 2000 SGR, sections 211(b)(2) and (b)(3) of the BBRA require us to calculate SGRs for both FY and CY 2000. Section 1848(d)(4)(C) of the Act, as modified by section 211(a)(1)(B) of the BBRA, required us to determine the allowed expenditures for both the 9-month period beginning April 1, 1999 and for CY 1999. The SGR for CY 2000 is then applied to allowed expenditures for CY 1999.
As stated in the April 10 final notice (65 FR 19002), the BBRA requires the estimate of the FY 2000 and CY 2000 SGR to be revised based on more recent data, but, as explained below, the BBRA does not provide for revision of either the FY 1998 or the FY 1999 SGR. This means that, for the transition to a calendar year SGR system, allowed expenditures for the period April 1, 1999 through December 31, 1999 (determined by applying the FY 2000 SGR to allowed expenditures for the 12-month period ending March 31, 1999) are subject to change based on revision of the FY 2000 SGR; allowed expenditures for the period January 1, 1999 through March 31, 1999 (determined using the FY 1999 SGR) are not subject to revision.
In general, the BBRA requires us to publish SGRs for three different time periods, no later than November 1 of each year, using the best data available as of September 1 of each year. Under section 1848(f)(3)(C)(i) of the Act, as added by section 211(b)(5) of the BBRA, the SGR is estimated and subsequently revised twice (beginning with the FY and CY 2000 SGRs) based on later data. Under section 1848(f)(3)(C)(ii) of the Act, there are no further revisions to the SGR once it has been estimated and subsequently revised in each of the 2 years following the initial estimate.
The requirement of revisions to the SGR based on later data means that we will estimate and publish an SGR for the upcoming year, the contemporaneous year, and the preceding year by not later than November 1 of each year. For example, by not later than November 1, 2002, we will publish an estimate of the SGR for CY 2003, a revision of the CY 2002 SGR estimated in the previous year, and a revision of the CY 2001 SGR first estimated two years earlier and first revised in the previous year. Under section 1848(f)(3)(C)(ii) of the Act, this would be the final revision to the CY 2001 SGR.
Sections 1848(f)(3)(A) and (f)(3)(B) of the Act, as added by section 211(b)(5) of the BBRA, specify special rules with respect to the SGR and the CY 2001 and CY 2002 updates. Section 1848(f)(3)(A) of the Act requires us, not later than November 1, 2000, to revise the SGRs for FY 2000 and CY 2000 and to establish the SGR for CY 2001, based on the best data available, as of September 1, 2000. Section 1848(f)(3)(B) of the Act requires us, by not later than November 1, 2001, to revise the SGRs for FY 2000 and CYs 2000 and 2001 and to establish the SGR for CY 2002, based on the best data available as of September 1, 2001. In accordance with section 1848(f)(3)(C)(ii) of the Act, there will be no further revisions to the FY 2000 and CY 2000 SGRs after their revision in the 2001 notice.
Physicians' Services
Section 1848(f)(4)(A) of the Act defines the scope of physicians' services covered by the SGR. The BBRA made no changes to this definition that was also used for the MVPS. For this reason, we are continuing to use the same definition of physicians' services for the SGR in this notice as we did in prior SGR notices and for the MVPS published in the Federal Register (61 FR 59717) on November 22, 1996.
C. Provisions Related to the SGR
We are implementing section 211(b)(1)(A) of the BBRA that requires us to publish in the Federal Register, not later than November 1, 2000, a notice containing—(1) a preliminary estimate of the SGR for 2001; and (2) a revised estimate of the CY 2000 SGR. In addition, consistent with section 1848(f)(3)(A) of the Act, we are revising the SGR for FY 2000 for purposes of determining the physician fee schedule update for 2001 under section 1848(d)(4)(B) of the Act.
In general, the update for a year is based on the Medicare Economic Index (MEI) as adjusted, within bounds, by the amount of actual expenditures for physicians' services compared to allowed (that is, growth target) expenditures. A key difference between the MVPS and the SGR is that the comparison of actual and allowed expenditures is made on a cumulative basis under the SGR, while it was made on an annual basis under the MVPS. The “update adjustment factor” in section 1848(d)(4)(B) of the Act is an Start Printed Page 65431adjustment to the MEI that reflects the difference between actual expenditures and target expenditures.
Section 1848(d)(3)(C) of the Act, as modified by the BBA, defines allowed expenditures for the 12-month period ending March 31, 1997 as equal to actual expenditures for physicians' services during that period (that is, April 1, 1996 through March 31, 1997), as we have estimated. Section 1848(d)(3)(C) of the Act defines allowed expenditures for subsequent 12-month periods to be equal to allowed expenditures for physicians' services for the previous year increased by the SGR for the FY which begins during the 12-month period. For example, allowed expenditures for the 12-month period April 1, 1997 through March 31, 1998 are equal to allowed expenditures for the 12-months ending March 31, 1997, increased by the SGR for FY 1998. As explained above, BBRA subsequently provided for a transition to a calendar year SGR system in 1999 with allowed expenditures in 2000 equal to 1999 allowed expenditures increased by the 2000 SGR. Allowed expenditures for each subsequent year will equal expenditures from the prior year updated by the SGR.
The following table shows annual and cumulative allowed expenditures for physicians' services from April 1, 1996 through December 31, 2001.
Period Annual allowed expenditures Cumulative allowed expenditures FY or CY SGR 4/1/96-3/31/97 $48.9 billion $48.9 billion N/A. 4/1/97-3/31/98 $49.6 billion $98.5 billion FY 1998=1.5%. 4/1/98-3/31/99 $49.4 billion $147.9 billion FY 1999=-0.3%. 1/1/99-3/31/99 $12.5 billion. 4/1/99-12/31/00 $39.5 billion $187.9 billion FY 2000=7.9%. 1/1/99-12/31/99 $52.4 billion Included in $187.9 billion above See Note. 1/1/00-12/31/00 $56.6 billion $244.4 billion CY 2000=8.1%. 1/1/01-12/31/01 $59.8 billion $304.2 billion CY 2001=5.6%. Note:
Allowed expenditures for the first quarter of 1999 are based on the FY 1999 SGR and allowed expenditures for the last three quarters of 1999 are based on the FY 2000 SGR.
In the above table, for the period April 1996 through March 1997, annual allowed expenditures are equal to actual expenditures for the period. Annual allowed expenditures for each subsequent year are equal to the figure from the prior April 1 through March 31 12-month period (shown in the annual allowed expenditure column) multiplied by the SGR figure one row down in the right hand column. For example, allowed expenditures from April 1997 through March 1998 are equal to $48.9 multiplied by 1.015. Cumulative allowed expenditures in a year are equal to the sum of the annual allowed expenditures figure in the same row and annual allowed expenditures for all prior years. The transition to the calendar SGR occurs in 1999. Our current estimates of the FY 2000 SGR of 7.9 percent (2.1 percent for factor 1, 0.8 percent for factor 2, 4.5 percent for factor 3 and 0.3 percent for factor 4), the CY 2000 SGR of 8.1 percent (2.1 percent for factor 1, 1.0 percent for factor 2, 4.3 percent for factor 3, and 0.5 percent for factor 4) and the CY 2001 SGR (1.9 percent for factor 1, 0.9 percent for factor 2, 2.7 percent for factor 3 and 0.0 percent for factor 4) are described in more detail below. All estimates are based on the best data available to the Secretary as of September 1.
Allowed expenditures for the April 1, 1999 through the December 31, 1999 period are based on the FY 2000 SGR. As previously discussed, section 1848(f)(3) of the Act requires two revisions to the FY 2000 SGR. The first revision must be made not later than November 1, 2000 based on the best data available as of September 1, 2000; the second revision must be made not later than November 1, 2001, based on the best data available as of September 1, 2001. The allowed expenditures figure in the above table for the April 1, 1999 through the December 31, 1999 period reflects the revisions of the FY 2000 SGR contained in this notice. Similarly, the allowed expenditure figure for 2000 reflects our current estimate of the SGR for 2000. Both figures will be revised for the final time not later than November 1, 2001.
As we explained in our April 10, 2000 SGR notice (65 FR 19002), section 1848(d)(4)(C)(ii)(II) of the Act, as added by section 211(a)(1)(B) of the BBRA, specifies that allowed expenditures for the year of 1999 must be our estimate of the amount of the allowed expenditures that would be permitted under section 1848(d)(3)(C) of the Act for that year. We are, therefore, calculating allowed expenditures for CY 1999 as the sum of allowed expenditures for—(1) The January 1, 1999 through March 31, 1999 period; and (2) allowed expenditures for the April 1, 1999 through December 31, 1999 period.
Annual allowed expenditures for the period April 1, 1998 through March 31, 1999 are $49.4 billion. Our actuarial estimate of allowed expenditures for the 3-month period January 1, 1999 through March 31, 1999 is $12.5 billion that was determined by updating quarterly allowed expenditures included in the January 1, 1997 through March 31, 1997 period by the SGRs for FY 1998, FY 1999 and FY 2000. Adding this figure to the $39.9 billion figure for April 1, 1999 through December 31, 1999 equals allowed expenditures for 1999 of $52.4 billion. (Due to rounding, the figures may not add precisely to the total for 2000.)
Allowed expenditures for the period April 1, 1998 through March 30, 1999 are equal to allowed expenditures for the previous 12-month period increased by the FY 1999 SGR. As discussed in the April 10, 2000 SGR final notice (65 FR 19001), because there is no provision in the Act for revising the FY 1999 SGR or, consequently, the allowed expenditures for the April 1, 1998 through March 31, 1999 period, we are not revising the January 1, 1999 through March 31, 1999 portion of allowed expenditures included in the 1999 allowed expenditures. Thus, allowed expenditures for the January 1, 1999 to March 31, 1999 period are the same as those included in our April 10, 2000 final notice (65 FR 19002). However, as indicated above, revisions to the FY 2000 SGR contained in this notice result in an increase in our earlier estimates of allowed expenditures for April 1, 1999 through December 31, 1999 and, hence, allowed expenditures for 1999.
D. Preliminary Estimate of the SGR for CY 2001
According to sections 1848(f)(2)(A) through (f)(2)(D) of the Act, as amended by section 211(b) of the BBRA, we have determined the preliminary estimate of the CY 2001 SGR to be 5.6 percent. Our determination is based on estimates of the following four statutory factors as indicated in the table below: Start Printed Page 65432
Statutory factors April 10 estimate Current estimate Fees 1.5 1.9 Enrollment −0.6 0.9 Real Per Capita GDP 1.9 2.7 Law and Regulation 0.0 −0.0 Total 2.8 5.6 (Note: Consistent with section 1848(f)(2) of the Act, the statutory factors are multiplied, not added, to produce the total (that is, 1.019 × 0.991 × 1.027 × 1.000 = 1.056.) A more detailed explanation of each figure is provided below.
E. Sustainable Growth Rate for CY 2000
According to sections 1848(f)(2)(A) through (f)(2)(D) of the Act, as amended by section 211(b) of the BBRA, our current estimate of the CY 2000 SGR is 8.1 percent. This compares to an estimate of 5.8 percent included in our April 10, 2000 notice (65 FR 19003). The table below shows our April 10 and current estimates of the four statutory factors that determine the CY 2000 SGR:
Statutory factors April 10 estimate Current estimate Fees 2.1 2.1 Enrollment −0.6 1.0 Real Per Capita GDP 2.5 4.3 Law and Regulation 1.7 0.5 Total 5.8 8.1 A more detailed explanation of each figure is provided below.
F. Sustainable Growth Rate for FY 2000
According to sections 1848(f)(2)(A) through (f)(2)(D) of the Act, as amended by section 211(b) of the BBRA, our current estimate of the FY 2000 SGR is 7.9 percent. This is in comparison to an estimate of 2.1 percent included in our October 1, 1999 notice (64 FR 53394). At the time of the April 10, 2000 final (SGR) notice, we estimated the SGR for FY 2000 would be 5.7 percent. The table below shows our October 1, 1999 and current estimates of the four statutory factors that determine the FY 2000 SGR:
Statutory factors April 10 estimate Current estimate Fees 2.1 2.1 Enrollment −0.4 0.8 Real Per Capita GDP 2.7 4.5 Law and Regulation 1.2 0.3 Total 5.7 7.9 A more detailed explanation of each figure is provided below.
G. Calculation of the FY 2000 CY 2000 and CY 2001 Sustainable Growth Rate
1. Detail on the CY 2001 SGR
A more detailed discussion of our preliminary estimates of the four elements of the 2001 SGR follows.
Factor 1—Changes in Fees for Physicians' Services (Before Applying Legislative Adjustments) for CY 2001
This factor was calculated as a weighted average of the CY 2001 fee increases that apply for the different types of services included in the definition of physicians' services for the SGR.
Physicians' services represent approximately 89 percent of allowed charges for physicians' services under the SGR and are updated by the Medicare Economic Index (MEI). Our current estimate of the MEI for 2001 is 2.1 percent. Diagnostic laboratory tests represent approximately 11 percent of the Medicare allowed charges for physicians' services under the SGR. The BBA provided for a 0.0 percent update for CY 2001 for laboratory services. The table below shows both the physicians' and laboratory service updates that were used to determine the percentage increase in physicians' fees for CY 2001.
Weight Update Physician .89 2.1 Laboratory .11 0.0 Weighted Average 1.0 1.9 After taking into account the elements described in the table, we estimate that the weighted-average increase in fees for CY 2001 for physicians' services under the SGR (before applying any legislative adjustments) will be 1.9 percent.
Factor 2—The Percentage Change in the Average Number of Part B Enrollees from CY 2000 to CY 2001
This factor is our estimate of the percent change in the average number of fee-for-service enrollees for CY 2001 as compared to CY 2000. Medicare+Choice (M+C) plan enrollees, whose Medicare-covered medical care is outside the scope of the SGR, are excluded from this estimate. Our actuaries estimate that the average number of Medicare Part B fee-for-service enrollees (excluding beneficiaries enrolled in M+C plans) will increase by 0.9 percent in calendar year 2001. This estimate was derived by subtracting estimated M+C enrollment from estimated overall Medicare enrollment as illustrated in the table below.
2000 2001 Overall 37.476 million 37.824 million. Medicare+Choice 6.303 million 6.382 million. Net 31.174 million 31.442 million. Percent Increase 0.9 percent. In our April 10 final notice (65 FR 19005), we indicated that the enrollment factor is one of two elements of the SGR upon which there has been the largest difference between our actuaries' estimates and the actual percentage change in the factor. At this time, our actuary has no information on actual enrollment in M+C organizations for 2001. While we do receive information on whether a M+C Plan will continue to participate or withdraw from the program in 2001, it remains difficult to estimate the number of beneficiaries that will select a M+C plan or fee-for-service before the start of the calendar year. While some managed care organizations will no longer offer a M+C plan, other plans are available as an option to most beneficiaries in areas where there have been plan withdrawals. We have considered this issue in developing our 2001 M+C enrollment estimate. While there have been plan withdrawals the past three years, we have continued to observe increased enrollments. For 2001, we considered the issue of plan withdrawals and are forecasting a smaller increase than in prior years. Since beneficiaries have the option of moving between the fee-for-service and M+C sectors on a monthly basis, there may be movement during the year between the fee-for-service and M+C programs. This is another factor that contributes to the difficulty of estimating the size of the M+C enrollee population prior to the start of a calendar year. Since the fee-for-service enrollment figure is determined net of the change in M+C enrollment, it makes early estimates of this factor difficult. We would further point out that our estimate of this factor will have little bearing on the estimate of the update adjustment factor for 2001; it has no impact since the update adjustment is already at its limit. Since the law requires revisions of the estimates used in setting the SGR, we will have information on actual enrollment in M+C plans for the first eight months of Start Printed Page 654332001, and will be better able to predict the change in fee-for-service enrollment for the year by the time we determine the 2002 physician fee schedule. Thus, our estimate of the increase in fee-for-service enrollment contained in this final rule has no affect on the 2001 physician fee schedule update and will reflect later estimates based largely on actual information for the period by the time we set the 2002 physician fee schedule update.
Factor 3—Estimated Real Gross Domestic Product Per Capita Growth in CY 2001
Section 1848(f)(2)(C) of the Act, as amended by section 211 of the BBRA, requires us to estimate growth in real GDP per capita. This factor is applied on a CY basis beginning with the CY 2000 SGR. We estimate that the growth in real GDP will be 2.7 percent in CY 2001. Our past experience indicates that there have also been large changes in estimates of real per capita GDP growth and the actual change in this factor. Again, we note that we will use revised estimates of real per capita GDP growth in setting future year updates.
Factor 4—Percentage Change in Expenditures for Physicians' Services Resulting From Changes in Law or Regulations in CY 2001 Compared With CY 2000
There are no statutory or regulatory provisions that will affect expenditures in CY 2001 relative to CY 2000. The percentage change in expenditures for physicians' services resulting from changes in law or regulations is estimated to be 0.0 percent for 2001.
2. Detail on Calculation of the FY 2000 and CY 2000 SGRs
A more detailed discussion of our revised estimates of the four elements of the FY 2000 and CY 2000 SGR follows.
Factor 1—Changes in Fees for Physicians' Services (Before Applying Legislative Adjustments) for FY 2000 SGR and CY 2000 SGR.
We are continuing to use 2.1 percent for this element of the SGR for the FY 2000 SGR and the CY 2000 SGR. This factor is unchanged from earlier estimates previously described respectively for FY 2000 and CY 2000 in the October 1, 1999 Federal Register (65 FR 53395) and the April 10, 2000 Federal Register (65 FR 19003).
Factor 2—The Percentage Change in the Average Number of Part B Enrollees for the FY 2000 SGR and CY 2000 SGR.
This factor is our estimate of the percent change in the average number of fee-for-service enrollees for FY 2000 as compared to FY 1999 and CY 2000 as compared to CY 1999. As we indicated above, this factor is difficult to estimate prior to the beginning of the period for which the estimates are being made because of the interaction of the fee-for-service and M+C program and the lack of availability of actual data on beneficiary selection of M+C enrollment. We currently have such information on actual enrollment in the M+C program for FY 2000 and CY 2000 that permits estimates of the change in fee-for-service enrollment for these years that will be more reflective of the final actual change. The estimates for FY 2000 and CY 2000 were derived by subtracting estimated M+C enrollment from estimated overall Medicare enrollment as illustrated in the tables below.
1999 2000 Overall 37.055 million 37.746 million. Medicare+Choice 6.191 million 6.303 million. Net 30.864 million 31.174 million. Percent Increase 1.0 percent. Our actuaries' estimate of the percent change in the average number of fee-for-service enrollees, net of M+C enrollment for 2000 compared to 1999 (0.8 percent for fiscal year 2000, and 1.0 percent for calendar year 2000) is greater than earlier estimates of this factor (−4.3 percent for FY 2000 and −0.6 percent for CY 2000). This is because the historical base from which our actuarial estimate is made has changed (that is, we have more information on actual enrollment in M+C plans from CY 1999 and CY 2000 that affects our estimates for these and future years).
Factor 3—Estimated Real Gross Domestic Product Per Capita Growth in FY 2000 and CY 2000
In the FY 2000 SGR notice published on October 1, 1999 (64 FR 53396), we estimated that real GDP growth per capita for FY 2000 would be 1.8 percent. In our April 10, 2000 SGR notice, we estimated that real per capita GDP growth for CY 2000 would be 2.5 percent. We are now estimating real GDP growth per capita to be 4.5 percent for FY 2000 and 4.3 percent for CY 2000. As we explained in our April 10, 2000 SGR notice (65 FR 19004), the higher estimate of the FY 2000 SGR is due in part to Bureau of Economic Analysis (BEA) revisions to the historical National Income and Product Accounts (NIPA) and in part due to a change in the outlook for growth in 2000. The historical revisions, released by BEA on October 29, 1999, raised historical real GDP per capita growth by 0.2 percentage points on average between 1959 and 1998, with larger differences in recent years. (For detailed description of changes to NIPA, see Brent R. Moulton, Robert P. Parker, and Eugene P. Seskin, “A Preview of the 1999 Comprehensive Revision of the National Income and Product Accounts,” Survey of Current Business (August, 1999): 7-20.) Subsequently, the projections of growth in real GDP per capita for FY 2000 have been revised upwards to reflect these revisions. Also, projections of real GDP per capita in 2000 (both FY and CY) have been revised upward to reflect stronger than expected stock market performance and less than expected buildup of inventories in preparation for Y2K in 1999.
Factor 4—Percentage Change in Expenditures for Physicians' Services Resulting From Changes in Law or Regulations in FY 2000 Compared With FY 1999 and CY 2000 Compared With CY 1999
As we explained in our October 1, 1999 and April 10, 2000 SGR notices, legislative changes contained in the BBA and the BBRA will have an impact on expenditures for physicians' services under the SGR in FY 2000 and CY 2000. Section 4103 of the BBA mandates a new prostate screening benefit effective January 1, 2000. We originally did not include any costs associated with the prostate screening benefit in our FY 2000 SGR notice published on August 1, 1999 (64 FR 53394). In the CY 2000 SGR notice published on April 10, 2000 (65 FR 19004), we indicated that inclusion of the prostate screening benefit would increase the FY 2000 SGR by 1.4 percentage points. We inadvertently included both the estimated physician and hospital expenditures associated with the prostate screening benefit in this figure while only Part B physician expenditures should be included in the SGR. In the April 10, 2000 SGR notice, we estimated that factor 4 would be 1.2 percentage points for the FY 2000 SGR and 1.7 percentage points for the CY 2000 SGR. The corresponding figures are now 0.3 percent for FY 2000 and 0.5 percent for CY 2000. The correction of the prostate screening benefit largely explains the reduction in this factor from our April 10, 2000 notice. We also incorporated a higher price for the prostate screening test itself that has the effect of slightly increasing this component of the FY and CY 2000 SGR. Other factors that affect the FY 2000 and Start Printed Page 65434CY 2000 SGR are the elimination of the requirement that subluxation of the spine be demonstrated by an x-ray before a beneficiary can receive Medicare coverage for chiropractic services. This provision is resulting in a small increase in expenditures in FY 2000 and CY 2000. The impact of BBA Medicare Secondary Payer provisions will have marginal impact on reducing expenditures in FY 2000 and CY 2000.
Certain BBRA provisions also have a small impact on expenditures in FY 2000 and CY 2000. Section 224 of the BBRA increases payments for pap smears and is slightly increasing expenditures. Section 221 of the BBRA postponed the implementation of payment caps on physical and occupational therapy and speech-language pathology services. The effect of this provision on physicians and independent practitioners is resulting in a small increase in expenditures for these years. There is no effect on the SGR of provisions related to the technical component of a physician pathology service or the use of modifier 25. We are not implementing the proposed policy related to modifier 25, and the savings associated with the technical component of a physician pathology service are not large enough to affect calculation of the FY 2001 SGR.
After taking into account these provisions, the percentage change in expenditures for physicians' services resulting from changes in law or regulations is estimated to be 0.3 percent for FY 2000 and 0.5 percent for CY 2000.
VII. Provisions of the Final Rule
The provisions of this final rule restate the provisions of the July 2000 proposed rule, except as noted elsewhere in the preamble. Following is a highlight of the changes made from the proposed rule:
For changes related to the Geographic Practice Cost Index (GPCI), we made no changes in the 2002 and 2001 GPCIs from those proposed in the July 2000 proposed rule except to correct the Kansas malpractice GPCI. Since the revised GPCIs could not result in total payments either greater or lesser than payments that would have been made if GPCIs were not revised, it was necessary to adjust the GPCIs for budget neutrality as required by law. Therefore, we adjusted the 2001 through 2002 GPCIs as follows—work by 0.99699; practice expense by 0.99235; and malpractice by 1.00215.
For malpractice RVUs, new malpractice RVUs, based on the more recent 1996 through 1998 premium data, will become effective January 1, 2001. These malpractice RVUs will be considered interim for 2001 and subject to comment and possible revision in 2002.
We are not finalizing our proposal relating to global period for insertion, removal, and replacement of pacemakers and cardioverter defibrillators, because we believe that physicians have raised valid concerns that the adjustment to the work RVUs in the proposed rule may result in an underpayment for the service. Until we review this issue further, we are continuing with current pricing for these services and the use of the 90-day global period.
For our proposal relating to low intensity ultrasound, we are assigning .62 work RVUs and .04 malpractice RVUs to CPT code 20979 (which are the values also used for CPT code 20974). To determine the practice expense RVUs, we are applying direct inputs of technician time of 45 minutes and an exam table and minimum supply package. Since the publication of the July 2000 proposed rule, a national coverage decision has been made stating that low intensity ultrasound will be covered by Medicare as a treatment modality for nonunion of extremity fractures beginning April 1, 2001.
For our proposal concerning observation care codes CPT 99234 through 99236, we are not adjusting the work RVUs as proposed. We are maintaining the current work RVUs and clarifying the policies to be followed for the use of these codes.
VIII. Collection of Information Requirements
This document does not impose information collection and recordkeeping requirements. Consequently, it need not be reviewed by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995.
IX. Response to Comments
Because of the large number of items of correspondence we normally receive on Federal Register documents published for comment, we are not able to acknowledge or respond to them individually. We will consider all comments we receive by the date and time specified in the “DATES” section of this preamble, and, if we proceed with a subsequent document, we will respond to the comments in the preamble to that document.
X. Regulatory Impact Analysis
We have examined the impacts of this final rule as required by Executive Order 12866, the Unfunded Mandates Reform Act of 1995 (UMRA) (Pub. L. 104-4), the Regulatory Flexibility Act of 1980 (RFA) (Pub. L. 96-354), and Executive Order 13132 of August 4, 1999 (Federalism).
EO 12866 directs agencies to assess costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis (RIA) must be prepared for major rules with economically significant effects ($100 million or more annually). In the proposed rule impact analysis, we indicated that the rule would not be a major rule because it would not increase or decrease expenditures to a physician specialty or geographic area by more than $100 million. While the changes in the Medicare physician fee schedule are for the most part, budget neutral, they do involve redistribution of Medicare spending among procedures and physician specialties and geographic areas. The redistributive effect of this rule on any particular specialty or geographic area is, in our estimate, likely to exceed $100 million for at least one physician specialty. For this reason, we are considering this to be a major rule. The GPCI changes are expected to increase payments by less than $10 million in one locality and decrease payments by about $20 million in another locality. The effect on all other payment localities is likely to be less than these amounts.
The UMRA also requires (in section 202) that agencies prepare an assessment of anticipated costs and benefits before developing any rule that may result in expenditure in any one year by State, local, or tribal governments, in the aggregate, or by the private sector, of $100 million or more. We have determined that this rule has no consequential effect on State, local, or tribal governments. We believe the private sector cost of this rule falls below the above-stated threshold as well.
The RFA requires that we analyze regulatory options for small businesses and other small entities. We prepare a Regulatory Flexibility Analysis unless we certify that a rule would not have a significant economic impact on a substantial number of small entities. The analysis must include a justification concerning the reason action is being taken, the kinds and number of small entities the rule affects, and an explanation of any meaningful options that achieve the objectives and lessen Start Printed Page 65435significant adverse economic impact on the small entities.
In addition, section 1102(b) of the Act requires us to prepare a regulatory impact analysis if a rule may have a significant impact on the operations of a substantial number of small rural hospitals. This analysis must conform to the provisions of section 604 of the RFA. For purposes of section 1102(b) of the Act, we define a small rural hospital as a hospital that is located outside of a Metropolitan Statistical Area and has fewer than 50 beds.
For purposes of the RFA, all physicians are considered to be small entities. There are about 700,000 physicians and other practitioners who receive Medicare payment under the physician fee schedule.
For the purpose of EO 12866 and the RFA we have prepared the following analysis, which, together with the rest of this preamble, meets all four assessment requirements. It explains the rationale for and purpose of the rule, details the costs and benefits of the rule, analyzes alternatives, and presents the measures we considered to minimize the burden on small entities.
A. Resource-Based Practice Expense Relative Value Units
Revisions in resource-based practice expense RVUs for physicians' services are calculated to be budget neutral, that is, the total practice expense RVUs for calendar year 2001 are calculated to be the same as the total practice expense RVUs that we estimate would have occurred without the changes in this regulation. This also means that increases in practice expense RVUs for some services will necessarily be offset by corresponding decreases in values for other services.
The following table shows the impact on total allowed charges by specialty of this rule's practice expense changes. In addition to the provisions of the rule, this table incorporates any impacts that result from using 1999 utilization data and other changes that we have made to practice expense inputs. The column labeled “Year 2001-2002 Impact” shows the impact on the fully implemented practice expense RVUs of changes resulting from this final rule. The column labeled “Year 2001” impact reflects only the 2001 portion of the changes from “Year 2001-2002 Impact” column. The difference between the two columns reflects the effect of the transition to fully implemented practice expense RVUs. That is, the impact in the 2001 column will reflect 75 percent of the impact on the fully implemented RVUs. These impacts are in addition to the impacts announced in previous rules related to the adoption of resource-based practice relative value units.
Impact of Practice Expense Changes, Transition, and 2001-2002 Impact
Specialty Allowed charges (billions $) Year 2001 impact % 2001-2002 impact % Anesthesiology 1.5 −1 −1 Cardiac Surgery 0.3 −1 −2 Cardiology 4.1 −1 −1 Chiropractor 0.4 1 1 Clinics 1.5 0 0 Dermatology 1.4 −1 −2 Emergency Medicine 1.0 0 0 Family Practice 3.3 −2 −2 Gastroenterology 1.2 1 2 General Practice 1.0 −1 −2 General Surgery 1.9 0 0 Hematology Oncology 0.6 −2 −2 Internal Medicine 6.8 −1 −1 Nephrology 0.9 2 3 Neurology 0.8 0 0 Neurosurgery 0.3 −1 −1 Nonphysician Practitioner 1.1 1 2 Obstetrics/Gynecology 0.4 0 −1 Ophthalmology 3.7 0 0 Optometrist 0.5 −1 −2 Orthopedic Surgery 2.2 −1 −1 Other Physician 1.5 0 0 Otolaryngology 0.6 −2 −2 Pathology 0.6 −2 −3 Plastic Surgery 0.2 0 1 Podiatry 1.1 0 0 Psychiatry 1.0 1 1 Pulmonary 1.0 0 1 Radiation Oncology 0.7 0 0 Radiology 3.0 4 5 Rheumatology 0.3 −1 −1 Suppliers 0.5 −5 −6 Thoracic Surgery 0.5 −1 −1 Urology 1.3 0 0 Vascular Surgery 0.3 −1 −1 The following table shows the impact of this final rule compared to the proposed rule that was published on July 17. There are 3 major changes that occurred between the proposed and final rule that may have an impact on specialty level payments. First, we corrected an error in the practice expense methodology that affected physical and occupational therapy. We inadvertently used the incorrect practice expense per hour for physical and Start Printed Page 65436occupational therapy in the proposed rule. This caused the nonphysician practitioner category to reflect a 4 percent increase in payments. The correct figure should have been 1 percent. Second, we are using 1999 utilization data. Use of the 1999 utilization data generally appears to have little impact on any particular specialty. It does result in a small reduction in payments for pathology and a somewhat larger reduction in payments for the supplier category. Third, we adopted the recommendations of the RUC and PEAC to make refinements to the practice expense inputs for office visits and office consultation services. This change will have the effect of reducing payments for specialties whose incomes are derived in large part from these services. We note that the table shows the impact of this rule only and does not incorporate practice expense changes from two final rules, November 2, 1998 (63 FR 58895) and November 2, 1999 (64 FR 59433), that resulted in large increases in payments for visit and consultation services provided in physicians' offices. Since the statute requires a transition to payments based on resource-based practice expense RVUs, the increase in payments for these services is occurring over a 4-year period. Payment for these services is continuing to increase under the transition to resource-based practice expense RVUs. However, it is increasing by a lesser amount than earlier anticipated.
Impact of Practice Expense Changes of the Final Rule Compared to the Proposed Rule
Specialty Allowed charges (billions $) Proposed rule impact % Final 2001-2002 impact % Anesthesiology 1.5 −1 −1 Cardiac Surgery 0.3 −3 −2 Cardiology 3.9 0 −1 Chiropractor 0.4 1 1 Clinics 1.5 0 0 Dermatology 1.3 0 −2 Emergency Medicine 0.9 0 0 Family Practice 3.2 0 −2 Gastroenterology 1.1 2 2 General Practice 1.0 0 −2 General Surgery 1.9 −1 0 Hematology Oncology 0.6 −1 −2 Internal Medicine 6.7 0 −1 Nephrology 0.9 2 3 Neurology 0.8 0 0 Neurosurgery 0.3 −1 −1 Nonphysician Practitioner 0.9 4 2 Obstetrics/Gynecology 0.4 −1 −1 Ophthalmology 3.7 −1 0 Optometrist 0.5 −2 −2 Orthopedic Surgery 2.2 −1 −1 Other Physician 1.3 1 0 Otolaryngology 0.6 −1 −2 Pathology 0.6 −1 −3 Plastic Surgery 0.2 0 1 Podiatry 1.1 0 0 Psychiatry 1.1 −1 1 Pulmonary 1.0 0 1 Radiation Oncology 0.6 1 0 Radiology 2.9 3 5 Rheumatology 0.3 0 −1 Suppliers 0.5 −1 −6 Thoracic Surgery 0.5 −2 −1 Urology 1.3 0 0 Vascular Surgery 0.3 −1 −1 The following table titled Impact of this Final Rule on Payments for Selected Codes shows the percentage change in total payment (in 2001 physician fee schedule dollars) for selected high-volume procedures that result from practice expense and malpractice changes announced in this final rule. These tables reflect the impact of this final rule only on the fully implemented fee schedule amount. The payments in these columns are determined using a conversion factor $38.2581. The RVUs used for calculating payment in the “old” columns are from the November 2, 1999 final rule. The RVUs used in calculating payments in the “new” columns are from this final rule. By using the conversion factor of $38.2581 and the 2001 malpractice RVUs to calculate payments in both the “old” and “new” columns, the impact of changes in practice expense are illustrated. These tables do not show the actual impact on payment from 2000 to 2001 because they do not incorporate the effect of the transition or physician fee schedule update (that is, “old” and “new” payments both reflect use of the 2001 conversion factor). Start Printed Page 65437
Start Printed Page 65438Impact of This Final Rule Only on Payment for Selected Codes
Procedure code Description Old facility New facility Percent change Old nonfacility New nonfacility Percent change 11721 Debride nail, 6 or more $30.22 $30.61 1 $41.32 $42.47 3 17000 Destroy benign/premal lesion 34.43 34.43 0 63.13 63.89 1 27130 Total hip replacement 1,487.09 1,502.78 1 NA NA NA 27236 Treat thigh fracture 1,135.88 1,153.10 2 NA NA NA 27244 Treat thigh fracture 1,157.31 1,177.58 2 NA NA NA 27447 Total knee replacement 1,556.72 1,570.88 1 NA NA NA 33533 CABG, arterial, single 1,904.49 1,859.73 −2 NA NA NA 35301 Rechanneling of artery 1,180.64 1,172.99 −1 NA NA NA 43239 Upper GI endoscopy, biopsy 143.85 157.24 9 283.11 298.03 5 45385 Lesion removal colonoscopy 283.49 299.94 6 478.99 502.33 5 66821 After cataract laser surgery 184.79 215.01 16 212.72 229.93 8 66984 Cataract surg w/iol, i stage 680.99 698.21 3 NA NA NA 67210 Treatment of retinal lesion 575.40 575.78 0 629.73 628.20 0 71010 26 Chest x-ray 9.18 9.56 4 9.18 9.56 4 71020 26 Chest x-ray 11.09 11.86 7 11.09 11.86 7 88305 26 Tissue exam by pathologist 42.47 42.08 −1 42.47 42.08 −1 90801 Psy dx interview 144.62 145.00 0 152.27 153.80 1 90806 Psytx, off, 45-50 min 97.56 96.41 −1 101.77 102.15 0 90807 Psytx, off, 45-50 min w/e&m 103.68 104.44 1 108.27 109.80 1 90862 Medication management 48.59 48.97 1 53.18 53.94 1 90921 ESRD related services, month 272.02 278.90 3 272.02 278.90 3 90935 Hemodialysis, one evaluation 63.13 77.66 23 NA NA NA 92004 Eye exam, new patient 91.44 92.58 1 130.46 131.23 1 92012 Eye exam established pat 37.88 37.88 0 66.19 66.19 0 92014 Eye exam & treatment 61.60 62.36 1 94.50 94.88 0 92980 Insert intracoronary stent 840.15 845.89 1 NA NA NA 92982 Coronary artery dilation 621.69 626.67 1 NA NA NA 93000 Electrocardiogram, complete NA NA NA 27.55 27.55 0 93010 Electrocardiogram report 9.18 9.56 4 9.18 9.56 4 93015 Cardiovascular stress test NA NA NA 109.04 108.65 0 93307 26 Echo exam of heart 50.88 51.27 1 50.88 51.27 1 93510 26 Left heart catheterization 244.47 246.38 1 244.47 246.38 1 98941 Chiropractic manipulation 32.14 32.52 1 36.73 37.49 2 99202 Office/outpatient visit, new 47.82 48.21 1 76.13 63.89 −16 99203 Office/outpatient visit, new 73.07 73.46 1 107.51 95.65 −11 99204 Office/outpatient visit, new 107.89 108.65 1 152.27 137.73 −10 99205 Office/outpatient visit, new 142.32 143.85 1 187.85 174.46 −7 99211 Office/outpatient visit, est 9.18 9.18 0 26.40 21.04 −20 99212 Office/outpatient visit, est 24.10 24.49 2 40.55 37.49 −8 99213 Office/outpatient visit, est 35.58 35.96 1 54.33 52.41 −4 99214 Office/outpatient visit, est 58.53 58.92 1 84.55 82.64 −2 99215 Office/outpatient visit, est 94.50 95.26 1 120.90 120.90 0 99221 Initial hospital care 68.10 68.86 1 NA NA NA 99222 Initial hospital care 113.24 114.01 1 NA NA NA 99223 Initial hospital care 157.62 159.15 1 NA NA NA 99231 Subsequent hospital care 34.05 34.43 1 NA NA NA 99232 Subsequent hospital care 55.86 56.24 1 NA NA NA 99233 Subsequent hospital care 79.58 80.34 1 NA NA NA 99236 Observ/hosp same date 202.39 194.34 4 NA NA NA 99238 Hospital discharge day 67.33 67.72 1 NA NA NA 99239 Hospital discharge day 91.82 92.58 1 NA NA NA 99241 Office consultation 34.43 34.81 1 63.89 48.97 −23 99242 Office consultation 70.78 71.54 1 106.74 91.05 −15 99243 Office consultation 94.11 95.26 1 134.67 120.90 −10 99244 Office consultation 138.88 140.79 1 185.17 171.78 −7 99245 Office consultation 184.40 186.70 1 232.99 223.04 −4 99251 Initial inpatient consult 37.88 38.26 1 NA NA NA 99252 Initial inpatient consult 74.99 75.37 1 NA NA NA 99253 Initial inpatient consult 101.77 102.15 0 NA NA NA 99254 Initial inpatient consult 145.00 146.15 1 NA NA NA 99255 Initial inpatient consult 198.94 200.47 1 NA NA NA 99261 Follow-up inpatient consult 24.49 24.87 2 NA NA NA 99262 Follow-up inpatient consult 47.44 47.82 1 NA NA NA 99263 Follow-up inpatient consult 69.63 70.01 1 NA NA NA 99282 Emergency dept visit 27.93 27.93 0 NA NA NA 99283 Emergency dept visit 62.74 62.74 0 NA NA NA 99284 Emergency dept visit 97.56 97.94 0 NA NA NA 99285 Emergency dept visit 152.65 153.03 0 NA NA NA 99291 Critical care, first hour 202.39 208.89 3 211.18 218.45 3 99292 Critical care, addl 30 min 101.00 104.06 3 108.27 111.71 3 99301 Nursing facility care 63.13 63.51 1 NA NA NA 99302 Nursing facility care 84.17 84.93 1 NA NA NA 99303 Nursing facility care 104.44 105.59 1 NA NA NA 99311 Nursing fac care, subseq 31.37 31.75 1 NA NA NA 99312 Nursing fac care, subseq 52.03 52.41 1 NA NA NA 99313 Nursing fac care, subseq 73.84 74.60 1 NA NA NA 99348 Home visit, est patient 69.63 70.01 1 75.75 77.28 2 99350 Home visit, est patient 161.83 164.13 1 171.78 176.37 3 B. Geographic Practice Cost Index Changes
Section 1848(e)(1)(A) of the Act requires that payments under the Medicare physician fee schedule vary among payment areas only to the extent that area costs vary as reflected by the area GPCIs. The GPCIs measure area cost differences in the three components of the physician fee schedule: Physician work, practice expenses (employee wages, rent, medical supplies, and equipment), and malpractice insurance. Section 1848(e)(1)(C) of the Act requires that the GPCIs be reviewed and, if necessary, revised at least every 3 years. The first GPCI revision was implemented in 1995. The second revision was implemented in 1998, and the next revision will be implemented in 2001. Section 1848(e)(1)(C) of the Act also requires that the GPCI revisions be phased in equally over a 2-year period if more than one year has elapsed since the last adjustment.
An estimate of the overall effects of proposed GPCI changes on fee schedule area payments can be demonstrated by a comparison of area geographic adjustment factors (GAFs). The GAFs are a weighted composite of each area's work, practice expense, and malpractice expense GPCIs using the national GPCI cost share weights. While we do not actually use the GAFs in computing the fee schedule payment for a specific service, they are useful in comparing overall area costs and payments. The actual effect on payment for any actual service will deviate from the GAF to the extent that the service's proportions of work, practice expense, and malpractice expense RVUs differ from those of the GAF. Addendum H shows the estimated effects of the revised GPCIs on area GAFs in descending order.
Only 14 of the 89 fee schedule areas will change by at least 2 percent. Only 16 areas will change by from 1 to 1.9 percent. The remaining 59 areas are estimated to experience payment changes of less than 1 percent under the revised GPCIs. These are very minor changes that would be expected in that we are revising only the rent indices, comprising 11.6 percent of the total GPCI, and the malpractice expense indices, comprising 3.2 percent of the GPCI. Thus, only about 15 percent of the GPCIs will be subject to change. The effects in the transition year 2001 will only be one-half of these amounts as the revised GPCIs will be phased in over a 2-year period as required by law.
C. Resource-Based Malpractice Relative Value Units
The malpractice RVUs in this final rule reflect the newer data and refinements made as a result of comments made on last year's rule. As we anticipated in the proposed rule, use of the updated data results in little impact on the specialty level payments. Tables showing the impacts can be found in the technical addendum at Addendum G. Of the 62 specialties shown, the overall median effect on specialty payments is 0.0 percent. The median impact on specialties whose payments are estimated to increase is +0.2 percent. The median impact on specialties whose payments are expected to decrease is -0.1 percent.
D. Critical Care Relative Value Units
As we explained in the preamble in the November 1999 final rule, we established interim work RVUs for 2000 for CPT codes 99291 and 99292 (critical care services). These RVUs were decreased in 2000 due to concerns about changes in the CPT definition for these services. In the proposed rule we indicated our intent to increase the work RVUs for critical care services and value the physician work at 4.0 RVUs for CPT code 99291 and 2.0 RVUs for CPT code 99292 because of changes that were made to the definition of critical care for 2001. The earlier reductions to the work RVUs were made assuming there would be a substitution of use of the critical care codes for other codes that would increase net payments if there were no reductions to the work RVUs. We do not believe this substitution will occur because of additional revisions to the definition of critical care for 2001. Thus net payments would decrease if we do not restore critical care RVUs to their former levels. For this reason we are finalizing our proposal and increasing the work RVUs to 4.0 RVUs for CPT code 99292.
E. Care Plan Oversight and Physician Certification/Recertification
We are establishing two new HCPCS codes for care plan oversight that are consistent with our coverage criteria. We are establishing two new HCPCS codes to describe the services involved in physician certification or recertification and development of a plan of care for a patient for whom the physician has prescribed Medicare-covered home health services. We are assuming there would be no additional cost or savings as a result of the two new HCPCS codes for care plan oversight. We are merely instituting these codes for consistency with our coverage criteria, and they would be used in place of the CPT codes when these services are provided.
In our proposed rule we indicated that new HCPCS codes are being established for physician certification or recertification and development of a plan of care. We stated that payment for these services is currently included in the payment for a variety of services such as E/M services that are provided independently to patients as part of a global surgical service. Under this proposal, we would instead pay separately for the certification and recertification of the plan of care for home health services. Since we are proposing to pay separately for a service that is currently included in our payment for other services, this proposal would increase Medicare expenditures for physicians' services without an adjustment to the physician fee schedule CF. For this reason, we proposed to adjust the physician fee schedule CF to ensure that Medicare payments for physicians' services do not increase as a result of this proposal.
Comment: We received several comments that objected to any budget neutrality adjustment related to the establishment of new codes related to certification and recertification of a plan of care for home health services. According to the AMA, the home health PPS rule published on July 3, 2000 indicates that we want more physician effort devoted to home health services, and not just a continuation of current efforts. The AMA stated that our home health PPS rule indicates an intent to focus on physician certification efforts and education “in order to better involve the physician in the delivery of home health services.” (65 FR 41127).
Response: Although we are establishing new codes to describe certification and recertification of a plan of care for home health services, we disagree that the establishment of these codes constitutes a new requirement to furnish a physicians' service as a condition of payment for home health services. We note that the proposed regulations applicable to home health services, published on October 10, 1999, would have modified 42 CFR section 424.22 to add a new paragraph (a)(1)(v) to specify that as a condition for payment of home health services under Medicare Part A or Medicare Part B, a physician must certify that the individual is correctly assigned to one of the home health resource groups. However, in response to comments we eliminated this requirement and did not make a modification to the regulation. We also proposed to make a conforming change at paragraph (b)(1) of § 424.22 Start Printed Page 65439regarding the timing of the recertification. Specifically, we proposed to amend § 424.22(b) by replacing the phrase “at least every 2 months” with “at least every 60 days.” We believe this is a minor conforming change to the regulation that will have little or no impact on expenditures. While we believe it is beneficial to establish separate codes for the certification and recertification services, the home health regulations do not impose any new requirements on physicians that will increase expenditures. As indicated in our April 2000, Program Memorandum (Provider Education Article: Role of Physicians in the Home Health Prospective Payment System, transmittal B-00-16), the prospective payment system does not introduce change to the plan of care. It remains the beneficiary's physician's responsibility to develop a plan of care based on his or her intimate knowledge of the medical condition of the home health patient.
The sustainable growth rate determined under section 1848(f) of the Act allows for an adjustment for changes in expenditures that “will result from changes in law and regulations.” Since there are no new requirements being imposed upon physicians and there are no regulatory changes that would mandate an adjustment to the SGR, we are making a budget neutrality adjustment to the conversion factor to ensure that expenditures do not increase as a result of this provision. We estimate that paying separately for certification and recertification of a plan of care for home health services will increase Medicare payments without the 0.3 percent offsetting adjustment to the conversion factor that we have applied.
F. Observation Care Codes
We believe that there are not any significant costs for this policy clarification. We believe physicians have not typically been billing for the discharge component of a hospital or observation stay of less than 8 hours. However, physicians who have been billing 99234 through 99236 for stays less than 8 hours in length would see a small reduction in payment. This policy clarification will give clear guidance to physicians and Medicare contractors in reviewing medical records and would assure consistent payment across contractors.
G. Ocular Photodynamic Therapy and Other Ophthalmological Treatments
As previously stated, we are establishing national HCPCS codes and payment amounts for ocular photodynamic therapy. If we did not establish national codes and pricing for this procedure, carriers that determined that this procedure is covered would use unlisted codes and determine pricing locally. There will be no budget effects associated with establishing national codes and payment amounts for this service since national pricing would substitute for use of unlisted codes and carrier pricing.
H. Electrical Bioimpedance
As stated earlier, we are establishing a national payment amount for electrical bioimpedance. This rule establishes national pricing amounts for a service currently priced by carriers. This change will have little impact on the Medicare program costs.
I. Global Period for Insertion, Removal, and Replacement of Pacemakers and Cardioverter Defibrillators
We proposed to change the global period for certain CPT codes involving the insertion, removal, and replacement of pacemakers and cardioverter defibrillators from 90 days to 0 days. The proposed changes were not anticipated to result in cost or savings because we proposed to reduce the work and practice expense RVUs to account for any claims that we would receive for post-operative visits that were previously bundled into payment for the 90-day global surgical service. As a result of comments received on the proposed rule, we are not adopting the proposed policy. The global period will remain at 90 days, and we will not implement the proposed reductions to the work and practice expense RVUs. Thus, since there is no change in policy, there are no budget implications of our decision on this issue in the final rule.
J. Antigen Supply
Our change from permitting a physician to bill for a 12-month, as opposed to a 12-week supply of antigen could benefit beneficiaries, since they will be able to obtain a year's supply of medication in a single visit. We believe that this change has no impact on program costs. Also, there is no impact on the beneficiary, since this change only aggregates four prescriptions into one, and the cost to the beneficiary remains the same.
K. Increased Space Allotment in Physical Therapy Salary Equivalency Guidelines
We are making an adjustment to our application of the salary equivalency guidelines that are used to determine the indirect components of the practice expense per hour for physical and occupational therapy. Payments for all outpatient physical and occupational therapy services will increase by 3 and 4 percent, respectively. This change will be budget neutral among all physician fee schedule services.
Other issues mentioned in the preamble are merely discussions or clarifications and, therefore, have no budgetary impact.
Budget-Neutrality
Each year since the fee schedule has been implemented, our actuaries have determined any adjustments needed to meet the budget-neutrality requirement of the statute. A component of the actuarial determination of budget-neutrality involves estimating the impact of changes in the volume-and-intensity of physicians' services provided to Medicare beneficiaries as a result of the proposed changes. Consistent with the provision in the November 1998 final rule, the actuaries would use a model that assumes a 30 percent volume-and-intensity response to price reductions. This year there will be a 5.0 percent increase in the conversion factor resulting from the physician fee schedule update. Since this update will offset any negative payment impacts resulting from this final rule, no volume and intensity adjustment is being incorporated into the physician fee schedule conversion factor in 2001.
Impact on Beneficiaries
Although changes in physicians' payments when the physician fee schedule was implemented in 1992 were large, we detected no problems with beneficiary access to care. Furthermore, since beginning our transition to a resource-based practice expense system in 1999, we have not found that there are problems with beneficiary access to care.
XI. Federalism
We have reviewed this final rule under the threshold criteria of EO 13132, Federalism, and we have determined that the final rule does not significantly affect the rights, roles, and responsibilities of States.
Start List of SubjectsList of Subjects
42 CFR Part 410
- Health facilities
- Health professions
- Kidney diseases
- Laboratories
- Medicare
- Rural areas
- X-rays
42 CFR Part 414
- Administrative practice and procedure
- Health facilities
- Health professions
- Kidney diseases
- Medicare,
For the reasons set forth in the preamble, HCFA amends 42 CFR chapter IV as follows:
End Amendment Part Start PartPART 410—SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
End Part Start Amendment Part1. The authority citation for part 410 continues to read as follows:
End Amendment Part Start Amendment Part2. In § 410.68, republish the introductory text and revise the introductory text for paragraph (b) to read as follows:
End Amendment PartAntigens: Scope and conditions.Medicare Part B pays for—
* * * * *(b) A supply of antigen sufficient for not more than 12 months that is—
* * * * *PART 414—PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
End Part Start Amendment Part3. The authority citation for part 414 continues to read as follows:
End Amendment Part Start Amendment Part4. Revise § 414.22(b)(5)(i) to read as follows:
End Amendment PartRelative value units (RVUs).* * * * *(b) * * *
(5) * * *
(i) Usually there are two levels of practice expense RVUs that correspond to each code.
(A) Facility practice expense RVUs. The lower facility practice expense RVUs apply to services furnished to patients in the hospital, skilled nursing facility, community mental health center, or in an ambulatory surgical center when the physician performs procedures on the ASC approved procedures list. (The facility practice expense RVUs for a particular code may not be greater than the non-facility RVUs for the code.)
(B) Non-facility practice expense RVUs. The higher non-facility practice expense RVUs apply to services performed in a physician's office, a patient's home, an ASC if the physician is performing a procedure not on the ASC approved procedures list, a nursing facility, or a facility or institution other than a hospital or skilled nursing facility, community mental health center, or ASC performing an ASC approved procedure.
(C) Outpatient therapy services. Outpatient therapy services billed under the physician fee schedule are paid using the non-facility practice expense RVU component.
* * * * *(Catalog of Federal Domestic Assistance Program No. 93.778, Medical Assistance Program)
(Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Medical Insurance Program)
Dated: October 20, 2000.
Michael M. Hash,
Acting Administrator, Health Care Financing Administration.
Dated: October 23, 2000.
Donna E. Shalala,
Secretary.
Note:
These addenda will not appear in the Code of Federal Regulations.
Addendum A—Explanation and Use of Addenda B
The addenda on the following pages provide various data pertaining to the Medicare fee schedule for physicians' services furnished in 2001. Addendum B contains the RVUs for work, non-facility practice expense, facility practice expense, and malpractice expense, and other information for all services included in the physician fee schedule.
Addendum B—2001 Relative Value Units and Related Information Used in Determining Medicare Payments for 2001
This addendum contains the following information for each CPT code and alphanumeric HCPCS code, except for alphanumeric codes beginning with B (enteral and parenteral therapy), E (durable medical equipment), K (temporary codes for nonphysicians' services or items), or L (orthotics), and codes for anesthesiology.
1. CPT/HCPCS code. This is the CPT or alphanumeric HCPCS number for the service. Alphanumeric HCPCS codes are included at the end of this addendum.
2. Modifier. A modifier is shown if there is a technical component (modifier TC) and a professional component (PC) (modifier −26) for the service. If there is a PC and a TC for the service, Addendum B contains three entries for the code: One for the global values (both professional and technical); one for modifier −26 (PC); and one for modifier TC. The global service is not designated by a modifier, and physicians must bill using the code without a modifier if the physician furnishes both the PC and the TC of the service.
Modifier −53 is shown for a discontinued procedure. There will be RVUs for the code (CPT code 45378) with this modifier.
3. Status indicator. This indicator shows whether the CPT/HCPCS code is in the physician fee schedule and whether it is separately payable if the service is covered.
A = Active code. These codes are separately payable under the fee schedule if covered. There will be RVUs for codes with this status. The presence of an “A” indicator does not mean that Medicare has made a national decision regarding the coverage of the service. Carriers remain responsible for coverage decisions in the absence of a national Medicare policy.
B = Bundled code. Payment for covered services is always bundled into payment for other services not specified. If RVUs are shown, they are not used for Medicare payment. If these services are covered, payment for them is subsumed by the payment for the services to which they are incident. (An example is a telephone call from a hospital nurse regarding care of a patient.)
C = Carrier-priced code. Carriers will establish RVUs and payment amounts for these services, generally on a case-by-case basis following review of documentation, such as an operative report.
D = Deleted code. These codes are deleted effective with the beginning of the calendar year.
E = Excluded from physician fee schedule by regulation. These codes are for items or services that we chose to exclude from the physician fee schedule payment by regulation. No RVUs are shown, and no payment may be made under the physician fee schedule for these codes. Payment for them, if they are covered, continues under reasonable charge or other payment procedures.
G = Code not valid for Medicare purposes. Medicare does not recognize codes assigned this status. Medicare uses another code for reporting of, and payment for, these services.
N = Noncovered service. These codes are noncovered services. Medicare payment may not be made for these codes. If RVUs are shown, they are not used for Medicare payment.
P = Bundled or excluded code. There are no RVUs for these services. No separate payment should be made for them under the physician fee schedule.
— If the item or service is covered as incident to a physician's service and is furnished on the same day as a Start Printed Page 65441physician's service, payment for it is bundled into the payment for the physician's service to which it is incident (an example is an elastic bandage furnished by a physician incident to a physician's service).
— If the item or service is covered as other than incident to a physician's service, it is excluded from the physician fee schedule (for example, colostomy supplies) and is paid under the other payment provisions of the Act.
R = Restricted coverage. Special coverage instructions apply. If the service is covered and no RVUs are shown, it is carrier-priced.
T = Injections. There are RVUs for these services, but they are only paid if there are no other services payable under the physician fee schedule billed on the same date by the same provider. If any other services payable under the physician fee schedule are billed on the same date by the same provider, these services are bundled into the service(s) for which payment is made.
X = Exclusion by law. These codes represent an item or service that is not within the definition of “physicians services” for physician fee schedule payment purposes. No RVUs are shown for these codes, and no payment may be made under the physician fee schedule. (Examples are ambulance services and clinical diagnostic laboratory services.)
4. Description of code. This is an abbreviated version of the narrative description of the code.
5. Physician work RVUs. These are the RVUs for the physician work for this service in 2000. Codes that are not used for Medicare payment are identified with a “+.”
6. Fully implemented non-facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for non-facility settings.
7. Year 2000 Transition non-facility practice expense RVUs. Blended non-facility practice expense RVUs for use in 2000.
8. Fully implemented facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for facility settings.
9. Year 2000 transition facility practice expense RVUs. Blended facility practice expense RVUs for use in 2000.
10. Malpractice expense RVUs. These are the RVUs for the malpractice expense for the service for 2000.
11. Fully implemented non-facility total. This is the sum of the work, fully implemented non-facility practice expense, and malpractice expense RVUs.
12. Year 2000 transition non-facility total. This is the sum of the work, transition non-facility practice expense, and malpractice expense RVUs for use in 2000.
13. Fully implemented facility total. This is the sum of the work, fully implemented facility practice expense, and malpractice expense RVUs.
14. Year 2000 transition facility total. This is the sum of the work, transition facility practice expense, and malpractice expense RVUs for use in 2000.
15. Global period. This indicator shows the number of days in the global period for the code (0, 10, or 90 days). An explanation of the alpha codes follows:
MMM = The code describes a service furnished in uncomplicated maternity cases including antepartum care, delivery, and postpartum care. The usual global surgical concept does not apply. See the 1999 Physicians' Current Procedural Terminology for specific definitions.
XXX = The global concept does not apply.
YYY = The global period is to be set by the carrier (for example, unlisted surgery codes).
ZZZ = The code is part of another service and falls within the global period for the other service.
—————————— 1 CPT codes and descriptions only are copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 Copyright 1994 American Dental Association. All rights reserved. 3 + Indicates RVUs are not used for Medicare payment. 4 PE RVUs = Practice Expense Relative Value Units.Start Printed Page 65441—————————— 1 CPT codes and descriptions only are copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 Copyright 1994 American Dental Association. All rights reserved. 3 + Indicates RVUs are not used for Medicare payment. 4 PE RVUs = Practice Expense Relative Value Units.Addendum B.—Relative Value Units (RVU's) and Related Information
CPT1/HCPCS2 MOD Status Description Physician Work RVUs3 Fully Implemented Non-Facility PE RVUs Year 2001 Transitional Non-Facility PE RVUs Fully Implemented Facility PE RVUs Year 2001 Transitional Facility PE RVUs Mal- Practice RVUs Fully Implemented Non-Facility Total Year 2001 Transitional Non-Facility Total Fully Implemented Facility Total Year 2001 Transitional Facility Total Global 10040 A Acne surgery of skin abscess 1.18 1.58 1.27 0.52 0.44 0.05 2.81 2.50 1.75 1.67 010 10060 A Drainage of skin abscess 1.17 1.29 1.09 0.65 0.55 0.08 2.54 2.34 1.90 1.80 010 10061 A Drainage of skin abscess 2.40 1.99 1.67 1.15 0.95 0.17 4.56 4.24 3.72 3.52 010 10080 A Drainage of pilonidal cyst 1.17 2.01 1.64 0.69 0.59 0.09 3.27 2.90 1.95 1.85 010 10081 A Drainage of pilonidal cyst 2.45 2.77 2.38 1.60 1.35 0.19 5.41 5.02 4.24 3.99 010 10120 A Remove foreign body 1.22 1.75 1.44 0.71 0.60 0.10 3.07 2.76 2.03 1.92 010 10121 A Remove foreign body 2.69 2.71 2.31 1.80 1.49 0.25 5.65 5.25 4.74 4.43 010 10140 A Drainage of hematoma/fluid 1.53 1.37 1.16 0.86 0.71 0.15 3.05 2.84 2.54 2.39 010 10160 A Puncture drainage of lesion 1.20 1.48 1.21 0.76 0.62 0.11 2.79 2.52 2.07 1.93 010 10180 A Complex drainage, wound 2.25 1.46 1.38 1.26 1.23 0.25 3.96 3.88 3.76 3.73 010 11000 A Debride infected skin 0.60 0.55 0.52 0.24 0.24 0.05 1.20 1.17 0.89 0.89 000 11001 A Debride infected skin add-on 0.30 0.31 0.30 0.11 0.12 0.02 0.63 0.62 0.43 0.44 ZZZ 11010 A Debride skin, fx 4.20 2.45 2.91 2.01 2.58 0.45 7.10 7.56 6.66 7.23 010 11011 A Debride skin/muscle, fx 4.95 3.89 4.20 2.66 3.28 0.53 9.37 9.68 8.14 8.76 000 11012 A Debride skin/muscle/bone, fx 6.88 5.69 6.05 4.22 4.95 0.89 13.46 13.82 11.99 12.72 000 11040 A Debride skin, partial 0.50 0.47 0.46 0.21 0.21 0.05 1.02 1.01 0.76 0.76 000 11041 A Debride skin, full 0.82 0.64 0.63 0.34 0.33 0.08 1.54 1.53 1.24 1.23 000 11042 A Debride skin/tissue 1.12 0.90 0.85 0.47 0.44 0.11 2.13 2.08 1.70 1.67 000 11043 A Debride tissue/muscle 2.38 2.60 2.44 1.41 1.55 0.24 5.22 5.06 4.03 4.17 010 11044 A Debride tissue/muscle/bone 3.06 3.11 3.10 1.83 2.14 0.34 6.51 6.50 5.23 5.54 010 11055 R Trim skin lesion 0.27 0.35 0.33 0.12 0.13 0.02 0.64 0.62 0.41 0.42 000 11056 R Trim skin lesions, 2 to 4 0.39 0.39 0.39 0.17 0.18 0.03 0.81 0.81 0.59 0.60 000 11057 R Trim skin lesions, over 4 0.50 0.44 0.41 0.21 0.20 0.04 0.98 0.95 0.75 0.74 000 11100 A Biopsy of skin lesion 0.81 1.53 1.29 0.38 0.36 0.04 2.38 2.14 1.23 1.21 000 11101 A Biopsy, skin add-on 0.41 0.74 0.63 0.20 0.19 0.02 1.17 1.06 0.63 0.62 ZZZ 11200 A Removal of skin tags 0.77 1.10 0.94 0.31 0.29 0.04 1.91 1.75 1.12 1.10 010 11201 A Remove skin tags add-on 0.29 0.47 0.40 0.12 0.11 0.02 0.78 0.71 0.43 0.42 ZZZ 11300 A Shave skin lesion 0.51 1.04 0.93 0.23 0.25 0.03 1.58 1.47 0.77 0.79 000 11301 A Shave skin lesion 0.85 1.13 1.03 0.39 0.39 0.04 2.02 1.92 1.28 1.28 000 11302 A Shave skin lesion 1.05 1.23 1.17 0.49 0.49 0.05 2.33 2.27 1.59 1.59 000 11303 A Shave skin lesion 1.24 1.36 1.39 0.55 0.60 0.06 2.66 2.69 1.85 1.90 000 Start Printed Page 65442 11305 A Shave skin lesion 0.67 0.81 0.75 0.30 0.30 0.04 1.52 1.46 1.01 1.01 000 11306 A Shave skin lesion 0.99 1.08 1.00 0.44 0.43 0.05 2.12 2.04 1.48 1.47 000 11307 A Shave skin lesion 1.14 1.20 1.16 0.51 0.51 0.05 2.39 2.35 1.70 1.70 000 11308 A Shave skin lesion 1.41 1.28 1.34 0.64 0.67 0.07 2.76 2.82 2.12 2.15 000 11310 A Shave skin lesion 0.73 1.14 1.04 0.34 0.35 0.04 1.91 1.81 1.11 1.12 000 11311 A Shave skin lesion 1.05 1.25 1.17 0.51 0.50 0.05 2.35 2.27 1.61 1.60 000 11312 A Shave skin lesion 1.20 1.33 1.30 0.58 0.59 0.06 2.59 2.56 1.84 1.85 000 11313 A Shave skin lesion 1.62 1.60 1.61 0.76 0.77 0.09 3.31 3.32 2.47 2.48 000 11400 A Removal of skin lesion 0.91 2.41 1.95 0.73 0.62 0.06 3.38 2.92 1.70 1.59 010 11401 A Removal of skin lesion 1.32 2.43 2.01 0.89 0.76 0.09 3.84 3.42 2.30 2.17 010 11402 A Removal of skin lesion 1.61 2.51 2.13 0.97 0.85 0.12 4.24 3.86 2.70 2.58 010 11403 A Removal of skin lesion 1.92 2.76 2.39 1.10 0.99 0.16 4.84 4.47 3.18 3.07 010 11404 A Removal of skin lesion 2.20 2.91 2.56 1.20 1.09 0.18 5.29 4.94 3.58 3.47 010 11406 A Removal of skin lesion 2.76 3.19 2.90 1.42 1.58 0.25 6.20 5.91 4.43 4.59 010 11420 A Removal of skin lesion 1.06 2.02 1.66 0.77 0.65 0.08 3.16 2.80 1.91 1.79 010 11421 A Removal of skin lesion 1.53 2.35 1.96 1.00 0.85 0.11 3.99 3.60 2.64 2.49 010 11422 A Removal of skin lesion 1.76 2.50 2.13 1.07 0.93 0.14 4.40 4.03 2.97 2.83 010 11423 A Removal of skin lesion 2.17 2.93 2.55 1.24 1.11 0.17 5.27 4.89 3.58 3.45 010 11424 A Removal of skin lesion 2.62 3.09 2.70 1.44 1.27 0.21 5.92 5.53 4.27 4.10 010 11426 A Removal of skin lesion 3.78 3.73 3.30 1.90 1.92 0.34 7.85 7.42 6.02 6.04 010 11440 A Removal of skin lesion 1.15 2.57 2.12 0.93 0.79 0.08 3.80 3.35 2.16 2.02 010 11441 A Removal of skin lesion 1.61 2.72 2.27 1.17 0.99 0.11 4.44 3.99 2.89 2.71 010 11442 A Removal of skin lesion 1.87 2.79 2.40 1.27 1.11 0.14 4.80 4.41 3.28 3.12 010 11443 A Removal of skin lesion 2.49 3.34 2.90 1.61 1.41 0.18 6.01 5.57 4.28 4.08 010 11444 A Removal of skin lesion 3.42 3.77 3.23 2.03 1.72 0.25 7.44 6.90 5.70 5.39 010 11446 A Removal of skin lesion 4.49 4.23 3.66 2.53 2.14 0.30 9.02 8.45 7.32 6.93 010 11450 A Removal, sweat gland lesion 2.73 3.99 3.72 1.10 1.55 0.26 6.98 6.71 4.09 4.54 090 11451 A Removal, sweat gland lesion 3.95 4.90 4.46 1.66 2.03 0.39 9.24 8.80 6.00 6.37 090 11462 A Removal, sweat gland lesion 2.51 4.08 3.72 1.02 1.42 0.23 6.82 6.46 3.76 4.16 090 11463 A Removal, sweat gland lesion 3.95 5.57 4.72 1.69 1.81 0.40 9.92 9.07 6.04 6.16 090 11470 A Removal, sweat gland lesion 3.25 4.40 4.06 1.33 1.75 0.30 7.95 7.61 4.88 5.30 090 11471 A Removal, sweat gland lesion 4.41 5.41 4.73 1.84 2.05 0.40 10.22 9.54 6.65 6.86 090 11600 A Removal of skin lesion 1.41 2.58 2.24 0.95 0.87 0.09 4.08 3.74 2.45 2.37 010 11601 A Removal of skin lesion 1.93 2.66 2.37 1.10 1.02 0.12 4.71 4.42 3.15 3.07 010 11602 A Removal of skin lesion 2.09 2.72 2.54 1.34 1.25 0.13 4.94 4.76 3.56 3.47 010 11603 A Removal of skin lesion 2.35 2.90 2.79 1.41 1.36 0.16 5.41 5.30 3.92 3.87 010 11604 A Removal of skin lesion 2.58 3.09 3.02 1.49 1.47 0.18 5.85 5.78 4.25 4.23 010 11606 A Removal of skin lesion 3.43 3.65 3.58 1.80 2.20 0.28 7.36 7.29 5.51 5.91 010 11620 A Removal of skin lesion 1.34 2.53 2.26 0.89 0.85 0.09 3.96 3.69 2.32 2.28 010 11621 A Removal of skin lesion 1.97 2.70 2.50 1.36 1.26 0.12 4.79 4.59 3.45 3.35 010 11622 A Removal of skin lesion 2.34 2.87 2.75 1.52 1.44 0.15 5.36 5.24 4.01 3.93 010 11623 A Removal of skin lesion 2.93 2.82 2.82 1.74 1.66 0.20 5.95 5.95 4.87 4.79 010 11624 A Removal of skin lesion 3.43 3.19 3.26 1.95 1.90 0.25 6.87 6.94 5.63 5.58 010 11626 A Removal of skin lesion 4.30 4.20 4.08 2.38 2.71 0.35 8.85 8.73 7.03 7.36 010 11640 A Removal of skin lesion 1.53 2.64 2.43 1.11 1.06 0.10 4.27 4.06 2.74 2.69 010 11641 A Removal of skin lesion 2.44 3.00 2.82 1.67 1.54 0.15 5.59 5.41 4.26 4.13 010 11642 A Removal of skin lesion 2.93 2.92 2.89 1.90 1.78 0.18 6.03 6.00 5.01 4.89 010 11643 A Removal of skin lesion 3.50 3.29 3.29 2.19 2.05 0.24 7.03 7.03 5.93 5.79 010 11644 A Removal of skin lesion 4.55 3.94 3.91 2.72 2.52 0.33 8.82 8.79 7.60 7.40 010 11646 A Removal of skin lesion 5.95 5.22 5.09 3.43 3.75 0.46 11.63 11.50 9.84 10.16 010 11719 R Trim nail(s) 0.11 0.49 0.43 0.04 0.06 0.01 0.61 0.55 0.16 0.18 000 11720 A Debride nail, 1-5 0.32 0.42 0.40 0.13 0.14 0.02 0.76 0.74 0.47 0.48 000 11721 A Debride nail, 6 or more 0.54 0.53 0.55 0.22 0.24 0.04 1.11 1.13 0.80 0.82 000 11730 A Removal of nail plate 1.13 0.74 0.68 0.46 0.41 0.09 1.96 1.90 1.68 1.63 000 11732 A Remove nail plate, add-on 0.57 0.29 0.29 0.23 0.21 0.05 0.91 0.91 0.85 0.83 ZZZ 11740 A Drain blood from under nail 0.37 0.64 0.59 0.14 0.16 0.03 1.04 0.99 0.54 0.56 000 11750 A Removal of nail bed 1.86 1.53 1.72 0.79 0.88 0.16 3.55 3.74 2.81 2.90 010 11752 A Remove nail bed/finger tip 2.67 1.97 2.24 1.73 1.68 0.33 4.97 5.24 4.73 4.68 010 11755 A Biopsy, nail unit 1.31 1.04 1.05 0.59 0.71 0.06 2.41 2.42 1.96 2.08 000 11760 A Repair of nail bed 1.58 1.68 1.51 1.17 1.01 0.17 3.43 3.26 2.92 2.76 010 11762 A Reconstruction of nail bed 2.89 2.13 2.30 1.84 1.73 0.32 5.34 5.51 5.05 4.94 010 11765 A Excision of nail fold, toe 0.69 0.95 0.85 0.44 0.40 0.05 1.69 1.59 1.18 1.14 010 11770 A Removal of pilonidal lesion 2.61 2.95 2.94 1.30 1.70 0.24 5.80 5.79 4.15 4.55 010 11771 A Removal of pilonidal lesion 5.74 5.30 5.20 3.99 4.22 0.56 11.60 11.50 10.29 10.52 090 11772 A Removal of pilonidal lesion 6.98 6.06 5.85 4.43 4.63 0.68 13.72 13.51 12.09 12.29 090 11900 A Injection into skin lesions 0.52 0.73 0.62 0.23 0.21 0.02 1.27 1.16 0.77 0.75 000 11901 A Added skin lesions injection 0.80 0.85 0.75 0.37 0.33 0.03 1.68 1.58 1.20 1.16 000 11920 R Correct skin color defects 1.61 2.16 1.94 0.85 0.96 0.17 3.94 3.72 2.63 2.74 000 11921 R Correct skin color defects 1.93 2.53 2.28 1.05 1.17 0.21 4.67 4.42 3.19 3.31 000 11922 R Correct skin color defects 0.49 0.38 0.38 0.26 0.29 0.05 0.92 0.92 0.80 0.83 ZZZ 11950 R Therapy for contour defects 0.84 1.27 1.28 0.47 0.68 0.06 2.17 2.18 1.37 1.58 000 11951 R Therapy for contour defects 1.19 1.69 1.59 0.51 0.71 0.10 2.98 2.88 1.80 2.00 000 11952 R Therapy for contour defects 1.69 2.09 1.89 0.90 1.00 0.17 3.95 3.75 2.76 2.86 000 11954 R Therapy for contour defects 1.85 2.76 2.39 0.96 1.04 0.19 4.80 4.43 3.00 3.08 000 11960 A Insert tissue expander(s) 9.08 NA NA 10.49 9.97 0.88 NA NA 20.45 19.93 090 11970 A Replace tissue expander 7.06 NA NA 5.06 5.90 0.77 NA NA 12.89 13.73 090 11971 A Remove tissue expander(s) 2.13 6.02 5.14 3.81 3.48 0.21 8.36 7.48 6.15 5.82 090 11975 N Insert contraceptive cap +1.48 1.56 1.46 0.59 0.73 0.14 3.18 3.08 2.21 2.35 XXX 11976 R Removal of contraceptive cap 1.78 1.55 1.51 0.72 0.89 0.17 3.50 3.46 2.67 2.84 XXX 11977 N Removal/reinsert contra cap +3.30 2.28 2.35 1.32 1.63 0.31 5.89 5.96 4.93 5.24 XXX 11980 A Implant hormone pellet(s) 1.48 1.14 1.14 0.63 0.63 0.10 2.72 2.72 2.21 2.21 000 12001 A Repair superficial wound(s) 1.70 2.31 1.89 0.84 0.79 0.13 4.14 3.72 2.67 2.62 010 12002 A Repair superficial wound(s) 1.86 2.41 2.02 0.87 0.87 0.15 4.42 4.03 2.88 2.88 010 Start Printed Page 65443 12004 A Repair superficial wound(s) 2.24 2.60 2.26 0.99 1.05 0.17 5.01 4.67 3.40 3.46 010 12005 A Repair superficial wound(s) 2.86 3.07 2.70 1.25 1.34 0.23 6.16 5.79 4.34 4.43 010 12006 A Repair superficial wound(s) 3.67 4.17 3.61 1.95 1.95 0.31 8.15 7.59 5.93 5.93 010 12007 A Repair superficial wound(s) 4.12 4.62 3.95 2.28 2.20 0.37 9.11 8.44 6.77 6.69 010 12011 A Repair superficial wound(s) 1.76 2.39 1.99 0.85 0.84 0.14 4.29 3.89 2.75 2.74 010 12013 A Repair superficial wound(s) 1.99 2.55 2.19 0.90 0.96 0.16 4.70 4.34 3.05 3.11 010 12014 A Repair superficial wound(s) 2.46 2.86 2.47 1.08 1.13 0.18 5.50 5.11 3.72 3.77 010 12015 A Repair superficial wound(s) 3.19 3.31 2.92 1.28 1.40 0.24 6.74 6.35 4.71 4.83 010 12016 A Repair superficial wound(s) 3.93 3.83 3.49 1.51 1.75 0.32 8.08 7.74 5.76 6.00 010 12017 A Repair superficial wound(s) 4.71 5.35 4.93 2.46 2.76 0.39 10.45 10.03 7.56 7.86 010 12018 A Repair superficial wound(s) 5.53 6.32 6.14 2.75 3.46 0.46 12.31 12.13 8.74 9.45 010 12020 A Closure of split wound 2.62 2.62 2.29 1.49 1.44 0.24 5.48 5.15 4.35 4.30 010 12021 A Closure of split wound 1.84 2.10 1.74 1.15 0.95 0.19 4.13 3.77 3.18 2.98 010 12031 A Layer closure of wound(s) 2.15 2.76 2.27 1.20 1.00 0.15 5.06 4.57 3.50 3.30 010 12032 A Layer closure of wound(s) 2.47 2.84 2.42 1.29 1.11 0.15 5.46 5.04 3.91 3.73 010 12034 A Layer closure of wound(s) 2.92 3.12 2.74 1.46 1.50 0.21 6.25 5.87 4.59 4.63 010 12035 A Layer closure of wound(s) 3.43 3.05 2.81 1.68 1.78 0.30 6.78 6.54 5.41 5.51 010 12036 A Layer closure of wound(s) 4.05 5.22 4.55 2.52 2.52 0.41 9.68 9.01 6.98 6.98 010 12037 A Layer closure of wound(s) 4.67 5.56 5.01 2.88 3.00 0.49 10.72 10.17 8.04 8.16 010 12041 A Layer closure of wound(s) 2.37 3.06 2.52 1.27 1.07 0.17 5.60 5.06 3.81 3.61 010 12042 A Layer closure of wound(s) 2.74 3.05 2.61 1.42 1.23 0.17 5.96 5.52 4.33 4.14 010 12044 A Layer closure of wound(s) 3.14 3.20 2.84 1.62 1.66 0.24 6.58 6.22 5.00 5.04 010 12045 A Layer closure of wound(s) 3.64 3.58 3.26 1.86 1.97 0.34 7.56 7.24 5.84 5.95 010 12046 A Layer closure of wound(s) 4.25 5.24 4.70 2.59 2.71 0.40 9.89 9.35 7.24 7.36 010 12047 A Layer closure of wound(s) 4.65 5.96 5.56 2.92 3.28 0.41 11.02 10.62 7.98 8.34 010 12051 A Layer closure of wound(s) 2.47 3.03 2.55 1.42 1.20 0.16 5.66 5.18 4.05 3.83 010 12052 A Layer closure of wound(s) 2.77 3.01 2.66 1.38 1.24 0.17 5.95 5.60 4.32 4.18 010 12053 A Layer closure of wound(s) 3.12 3.16 2.85 1.52 1.62 0.20 6.48 6.17 4.84 4.94 010 12054 A Layer closure of wound(s) 3.46 3.48 3.32 1.65 1.94 0.25 7.19 7.03 5.36 5.65 010 12055 A Layer closure of wound(s) 4.43 4.67 4.38 2.16 2.50 0.35 9.45 9.16 6.94 7.28 010 12056 A Layer closure of wound(s) 5.24 6.70 6.31 2.89 3.45 0.43 12.37 11.98 8.56 9.12 010 12057 A Layer closure of wound(s) 5.96 6.55 6.42 3.87 4.41 0.50 13.01 12.88 10.33 10.87 010 13100 A Repair of wound or lesion 3.12 3.41 2.87 1.88 1.57 0.21 6.74 6.20 5.21 4.90 010 13101 A Repair of wound or lesion 3.92 3.66 3.31 2.35 2.05 0.22 7.80 7.45 6.49 6.19 010 13102 A Repair wound/lesion add-on 1.24 0.74 0.74 0.59 0.59 0.10 2.08 2.08 1.93 1.93 ZZZ 13120 A Repair of wound or lesion 3.30 3.52 3.01 1.94 1.64 0.23 7.05 6.54 5.47 5.17 010 13121 A Repair of wound or lesion 4.33 3.88 3.63 2.42 2.18 0.25 8.46 8.21 7.00 6.76 010 13122 A Repair wound/lesion add-on 1.44 0.87 0.87 0.69 0.69 0.12 2.43 2.43 2.25 2.25 ZZZ 13131 A Repair of wound or lesion 3.79 3.76 3.36 2.24 1.95 0.25 7.80 7.40 6.28 5.99 010 13132 A Repair of wound or lesion 5.95 4.61 4.70 3.31 3.10 0.32 10.88 10.97 9.58 9.37 010 13133 A Repair wound/lesion add-on 2.19 1.22 1.22 1.04 1.04 0.17 3.58 3.58 3.40 3.40 ZZZ 13150 A Repair of wound or lesion 3.81 5.24 4.41 2.68 2.49 0.29 9.34 8.51 6.78 6.59 010 13151 A Repair of wound or lesion 4.45 5.19 4.56 3.13 2.68 0.28 9.92 9.29 7.86 7.41 010 13152 A Repair of wound or lesion 6.33 5.91 5.83 4.04 3.73 0.38 12.62 12.54 10.75 10.44 010 13153 A Repair wound/lesion add-on 2.38 1.35 1.35 1.13 1.13 0.18 3.91 3.91 3.69 3.69 ZZZ 13160 A Late closure of wound 10.48 NA NA 6.41 5.71 1.19 NA NA 18.08 17.38 090 14000 A Skin tissue rearrangement 5.89 7.49 6.54 4.63 3.94 0.46 13.84 12.89 10.98 10.29 090 14001 A Skin tissue rearrangement 8.47 8.96 8.01 6.01 5.80 0.65 18.08 17.13 15.13 14.92 090 14020 A Skin tissue rearrangement 6.59 8.11 7.41 5.32 5.32 0.50 15.20 14.50 12.41 12.41 090 14021 A Skin tissue rearrangement 10.06 9.44 8.77 7.16 7.06 0.69 20.19 19.52 17.91 17.81 090 14040 A Skin tissue rearrangement 7.87 8.37 8.12 6.08 5.48 0.53 16.77 16.52 14.48 13.88 090 14041 A Skin tissue rearrangement 11.49 10.20 9.79 7.97 7.05 0.68 22.37 21.96 20.14 19.22 090 14060 A Skin tissue rearrangement 8.50 8.86 8.75 6.95 7.32 0.59 17.95 17.84 16.04 16.41 090 14061 A Skin tissue rearrangement 12.29 11.08 11.16 8.92 8.11 0.75 24.12 24.20 21.96 21.15 090 14300 A Skin tissue rearrangement 11.76 10.43 10.89 8.48 9.43 0.88 23.07 23.53 21.12 22.07 090 14350 A Skin tissue rearrangement 9.61 NA NA 6.38 6.43 1.09 NA NA 17.08 17.13 090 15000 A Skin graft 4.00 2.51 2.47 1.97 2.06 0.37 6.88 6.84 6.34 6.43 000 15001 A Skin graft add-on 1.00 0.57 0.57 0.44 0.44 0.11 1.68 1.68 1.55 1.55 ZZZ 15050 A Skin pinch graft 4.30 4.88 4.15 3.95 3.45 0.46 9.64 8.91 8.71 8.21 090 15100 A Skin split graft 9.05 6.28 5.94 6.19 5.88 0.94 16.27 15.93 16.18 15.87 090 15101 A Skin split graft add-on 1.72 1.20 1.33 0.78 1.02 0.18 3.10 3.23 2.68 2.92 ZZZ 15120 A Skin split graft 9.83 8.99 8.39 6.68 6.65 0.87 19.69 19.09 17.38 17.35 090 15121 A Skin split graft add-on 2.67 1.58 1.98 1.28 1.75 0.27 4.52 4.92 4.22 4.69 ZZZ 15200 A Skin full graft 8.03 9.61 8.33 5.66 5.37 0.73 18.37 17.09 14.42 14.13 090 15201 A Skin full graft add-on 1.32 1.00 1.21 0.67 0.90 0.14 2.46 2.67 2.13 2.36 ZZZ 15220 A Skin full graft 7.87 9.69 8.58 6.21 5.97 0.68 18.24 17.13 14.76 14.52 090 15221 A Skin full graft add-on 1.19 0.98 1.17 0.59 0.80 0.12 2.29 2.48 1.90 2.11 ZZZ 15240 A Skin full graft 9.04 9.30 8.63 7.08 6.97 0.77 19.11 18.44 16.89 16.78 090 15241 A Skin full graft add-on 1.86 1.52 1.79 0.97 1.28 0.17 3.55 3.82 3.00 3.31 ZZZ 15260 A Skin full graft 10.06 9.24 8.96 7.59 7.72 0.63 19.93 19.65 18.28 18.41 090 15261 A Skin full graft add-on 2.23 1.63 2.00 1.18 1.55 0.17 4.03 4.40 3.58 3.95 ZZZ 15342 A Cultured skin graft, 25 cm 1.00 2.20 2.20 0.78 0.78 0.39 3.59 3.59 2.17 2.17 010 15343 A Culture skn graft addl 25 cm 0.25 0.28 0.28 0.10 0.10 0.09 0.62 0.62 0.44 0.44 ZZZ 15350 A Skin homograft 4.00 7.22 6.00 4.35 3.85 0.42 11.64 10.42 8.77 8.27 090 15351 A Skin homograft add-on 1.00 0.94 0.94 0.43 0.43 0.11 2.05 2.05 1.54 1.54 ZZZ 15400 A Skin heterograft 4.00 5.14 4.14 5.14 4.14 0.40 9.54 8.54 9.54 8.54 090 15401 A Skin heterograft add-on 1.00 1.15 1.15 0.48 0.48 0.11 2.26 2.26 1.59 1.59 ZZZ 15570 A Form skin pedicle flap 9.21 8.44 7.82 6.41 6.30 0.96 18.61 17.99 16.58 16.47 090 15572 A Form skin pedicle flap 9.27 7.54 7.12 6.21 6.12 0.93 17.74 17.32 16.41 16.32 090 15574 A Form skin pedicle flap 9.88 8.53 7.86 6.93 6.66 0.92 19.33 18.66 17.73 17.46 090 15576 A Form skin pedicle flap 8.69 8.97 7.58 6.38 5.63 0.72 18.38 16.99 15.79 15.04 090 15600 A Skin graft 1.91 6.42 5.50 2.31 2.30 0.19 8.52 7.60 4.41 4.40 090 15610 A Skin graft 2.42 4.49 4.13 2.63 2.70 0.25 7.16 6.80 5.30 5.37 090 Start Printed Page 65444 15620 A Skin graft 2.94 6.76 6.00 3.24 3.31 0.28 9.98 9.22 6.46 6.53 090 15630 A Skin graft 3.27 6.12 5.57 3.67 3.73 0.28 9.67 9.12 7.22 7.28 090 15650 A Transfer skin pedicle flap 3.97 6.18 5.82 3.81 4.04 0.36 10.51 10.15 8.14 8.37 090 15732 A Muscle-skin graft, head/neck 17.84 NA NA 11.53 12.85 1.50 NA NA 30.87 32.19 090 15734 A Muscle-skin graft, trunk 17.79 NA NA 11.45 13.75 1.91 NA NA 31.15 33.45 090 15736 A Muscle-skin graft, arm 16.27 NA NA 10.80 12.50 1.78 NA NA 28.85 30.55 090 15738 A Muscle-skin graft, leg 17.92 NA NA 11.35 12.01 1.95 NA NA 31.22 31.88 090 15740 A Island pedicle flap graft 10.25 8.98 9.56 7.14 8.18 0.62 19.85 20.43 18.01 19.05 090 15750 A Neurovascular pedicle graft 11.41 NA NA 8.14 9.35 1.12 NA NA 20.67 21.88 090 15756 A Free muscle flap, microvasc 35.23 NA NA 18.83 22.29 3.11 NA NA 57.17 60.63 090 15757 A Free skin flap, microvasc 35.23 NA NA 22.18 24.80 3.37 NA NA 60.78 63.40 090 15758 A Free fascial flap, microvasc 35.10 NA NA 22.50 25.04 3.52 NA NA 61.12 63.66 090 15760 A Composite skin graft 8.74 9.29 8.95 6.80 7.08 0.72 18.75 18.41 16.26 16.54 090 15770 A Derma-fat-fascia graft 7.52 NA NA 6.08 6.59 0.78 NA NA 14.38 14.89 090 15775 R Hair transplant punch grafts 3.96 3.08 3.09 1.60 1.98 0.43 7.47 7.48 5.99 6.37 000 15776 R Hair transplant punch grafts 5.54 3.93 4.04 2.99 3.34 0.60 10.07 10.18 9.13 9.48 000 15780 A Abrasion treatment of skin 7.29 6.36 5.19 6.36 4.98 0.41 14.06 12.89 14.06 12.68 090 15781 A Abrasion treatment of skin 4.85 4.83 4.65 4.83 4.14 0.27 9.95 9.77 9.95 9.26 090 15782 A Abrasion treatment of skin 4.32 4.14 3.43 4.14 3.27 0.21 8.67 7.96 8.67 7.80 090 15783 A Abrasion treatment of skin 4.29 4.49 3.87 3.48 2.86 0.26 9.04 8.42 8.03 7.41 090 15786 A Abrasion, lesion, single 2.03 1.71 1.45 1.29 1.05 0.11 3.85 3.59 3.43 3.19 010 15787 A Abrasion, lesions, add-on 0.33 0.38 0.35 0.17 0.16 0.02 0.73 0.70 0.52 0.51 ZZZ 15788 R Chemical peel, face, epiderm 2.09 3.08 2.71 1.05 1.19 0.11 5.28 4.91 3.25 3.39 090 15789 R Chemical peel, face, dermal 4.92 5.68 4.66 3.69 3.17 0.27 10.87 9.85 8.88 8.36 090 15792 R Chemical peel, nonfacial 1.86 2.84 2.27 1.83 1.51 0.10 4.80 4.23 3.79 3.47 090 15793 A Chemical peel, nonfacial 3.74 NA NA 3.38 2.67 0.17 NA NA 7.29 6.58 090 15810 A Salabrasion 4.74 3.80 3.88 3.80 3.88 0.42 8.96 9.04 8.96 9.04 090 15811 A Salabrasion 5.39 4.07 4.07 4.07 4.07 0.52 9.98 9.98 9.98 9.98 090 15819 A Plastic surgery, neck 9.38 NA NA 6.87 7.33 0.77 NA NA 17.02 17.48 090 15820 A Revision of lower eyelid 5.15 10.70 9.56 6.60 6.49 0.30 16.15 15.01 12.05 11.94 090 15821 A Revision of lower eyelid 5.72 11.31 10.19 6.77 6.79 0.31 17.34 16.22 12.80 12.82 090 15822 A Revision of upper eyelid 4.45 8.92 8.02 5.99 5.82 0.22 13.59 12.69 10.66 10.49 090 15823 A Revision of upper eyelid 7.05 10.19 9.74 7.17 7.47 0.32 17.56 17.11 14.54 14.84 090 15824 R Removal of forehead wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 15825 R Removal of neck wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 15826 R Removal of brow wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 15828 R Removal of face wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 15829 R Removal of skin wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 15831 A Excise excessive skin tissue 12.40 NA NA 8.18 8.81 1.30 NA NA 21.88 22.51 090 15832 A Excise excessive skin tissue 11.59 NA NA 7.82 8.12 1.21 NA NA 20.62 20.92 090 15833 A Excise excessive skin tissue 10.64 NA NA 7.50 7.31 1.17 NA NA 19.31 19.12 090 15834 A Excise excessive skin tissue 10.85 NA NA 6.14 6.55 1.18 NA NA 18.17 18.58 090 15835 A Excise excessive skin tissue 11.67 NA NA 5.73 6.20 1.13 NA NA 18.53 19.00 090 15836 A Excise excessive skin tissue 9.34 NA NA 6.18 6.21 0.95 NA NA 16.47 16.50 090 15837 A Excise excessive skin tissue 8.43 7.85 7.51 6.11 6.20 0.78 17.06 16.72 15.32 15.41 090 15838 A Excise excessive skin tissue 7.13 NA NA 5.70 5.87 0.58 NA NA 13.41 13.58 090 15839 A Excise excessive skin tissue 9.38 7.60 6.36 6.06 5.21 0.88 17.86 16.62 16.32 15.47 090 15840 A Graft for face nerve palsy 13.26 NA NA 9.85 11.35 1.15 NA NA 24.26 25.76 090 15841 A Graft for face nerve palsy 23.26 NA NA 15.30 16.05 2.65 NA NA 41.21 41.96 090 15842 A Flap for face nerve palsy 37.96 NA NA 21.94 24.32 3.99 NA NA 63.89 66.27 090 15845 A Skin and muscle repair, face 12.57 NA NA 8.97 10.48 0.80 NA NA 22.34 23.85 090 15850 B Removal of sutures +0.78 1.38 1.13 0.31 0.33 0.04 2.20 1.95 1.13 1.15 XXX 15851 A Removal of sutures 0.86 1.56 1.25 0.35 0.31 0.05 2.47 2.16 1.26 1.22 000 15852 A Dressing change,not for burn 0.86 1.75 1.43 0.37 0.34 0.07 2.68 2.36 1.30 1.27 000 15860 A Test for blood flow in graft 1.95 1.36 1.39 0.83 0.99 0.13 3.44 3.47 2.91 3.07 000 15876 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 15877 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 15878 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 15879 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 15920 A Removal of tail bone ulcer 7.95 NA NA 5.53 4.95 0.83 NA NA 14.31 13.73 090 15922 A Removal of tail bone ulcer 9.90 NA NA 7.27 7.08 1.06 NA NA 18.23 18.04 090 15931 A Remove sacrum pressure sore 9.24 NA NA 5.71 5.08 0.95 NA NA 15.90 15.27 090 15933 A Remove sacrum pressure sore 10.85 NA NA 7.78 7.71 1.14 NA NA 19.77 19.70 090 15934 A Remove sacrum pressure sore 12.69 NA NA 8.45 8.36 1.35 NA NA 22.49 22.40 090 15935 A Remove sacrum pressure sore 14.57 NA NA 10.35 10.81 1.56 NA NA 26.48 26.94 090 15936 A Remove sacrum pressure sore 12.38 NA NA 9.01 9.55 1.32 NA NA 22.71 23.25 090 15937 A Remove sacrum pressure sore 14.21 NA NA 10.43 11.48 1.51 NA NA 26.15 27.20 090 15940 A Remove hip pressure sore 9.34 NA NA 6.02 5.48 0.98 NA NA 16.34 15.80 090 15941 A Remove hip pressure sore 11.43 NA NA 9.75 9.23 1.23 NA NA 22.41 21.89 090 15944 A Remove hip pressure sore 11.46 NA NA 8.66 9.01 1.21 NA NA 21.33 21.68 090 15945 A Remove hip pressure sore 12.69 NA NA 9.77 10.35 1.38 NA NA 23.84 24.42 090 15946 A Remove hip pressure sore 21.57 NA NA 14.60 15.46 2.32 NA NA 38.49 39.35 090 15950 A Remove thigh pressure sore 7.54 NA NA 5.24 4.75 0.80 NA NA 13.58 13.09 090 15951 A Remove thigh pressure sore 10.72 NA NA 7.72 7.87 1.14 NA NA 19.58 19.73 090 15952 A Remove thigh pressure sore 11.39 NA NA 7.44 7.52 1.19 NA NA 20.02 20.10 090 15953 A Remove thigh pressure sore 12.63 NA NA 8.94 9.17 1.38 NA NA 22.95 23.18 090 15956 A Remove thigh pressure sore 15.52 NA NA 10.66 12.63 1.64 NA NA 27.82 29.79 090 15958 A Remove thigh pressure sore 15.48 NA NA 10.97 12.85 1.66 NA NA 28.11 29.99 090 15999 C Removal of pressure sore 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 16000 A Initial treatment of burn(s) 0.89 0.99 0.84 0.27 0.25 0.06 1.94 1.79 1.22 1.20 000 16010 A Treatment of burn(s) 0.87 1.08 0.90 0.38 0.33 0.07 2.02 1.84 1.32 1.27 000 16015 A Treatment of burn(s) 2.35 1.79 1.90 1.00 1.30 0.22 4.36 4.47 3.57 3.87 000 16020 A Treatment of burn(s) 0.80 1.09 0.91 0.26 0.24 0.06 1.95 1.77 1.12 1.10 000 Start Printed Page 65445 16025 A Treatment of burn(s) 1.85 1.74 1.43 0.69 0.58 0.16 3.75 3.44 2.70 2.59 000 16030 A Treatment of burn(s) 2.08 2.98 2.38 0.95 0.85 0.18 5.24 4.64 3.21 3.11 000 16035 A Incision of burn scab, initi 3.75 NA NA 1.59 1.70 0.36 NA NA 5.70 5.81 090 16036 A Incise burn scab, addl incis 1.50 NA NA 0.64 0.64 0.18 NA NA 2.32 2.32 ZZZ 17000 A Destroy benign/premal lesion 0.60 1.04 0.90 0.27 0.26 0.03 1.67 1.53 0.90 0.89 010 17003 A Destroy lesions, 2-14 0.15 0.23 0.21 0.07 0.07 0.01 0.39 0.37 0.23 0.23 ZZZ 17004 A Destroy lesions, 15 or more 2.79 2.46 2.46 1.29 1.27 0.12 5.37 5.37 4.20 4.18 010 17106 A Destruction of skin lesions 4.59 4.45 3.86 2.64 2.24 0.28 9.32 8.73 7.51 7.11 090 17107 A Destruction of skin lesions 9.16 6.54 5.91 4.73 4.05 0.53 16.23 15.60 14.42 13.74 090 17108 A Destruction of skin lesions 13.20 8.64 9.01 7.26 7.97 0.89 22.73 23.10 21.35 22.06 090 17110 A Destruct lesion, 1-14 0.65 1.00 0.86 0.26 0.25 0.04 1.69 1.55 0.95 0.94 010 17111 A Destruct lesion, 15 or more 0.92 1.15 1.03 0.40 0.38 0.04 2.11 1.99 1.36 1.34 010 17250 A Chemical cautery, tissue 0.50 0.66 0.59 0.21 0.21 0.04 1.20 1.13 0.75 0.75 000 17260 A Destruction of skin lesions 0.91 1.29 1.28 0.42 0.47 0.04 2.24 2.23 1.37 1.42 010 17261 A Destruction of skin lesions 1.17 1.41 1.44 0.55 0.60 0.05 2.63 2.66 1.77 1.82 010 17262 A Destruction of skin lesions 1.58 1.61 1.70 0.75 0.81 0.07 3.26 3.35 2.40 2.46 010 17263 A Destruction of skin lesions 1.79 1.72 1.90 0.83 0.93 0.08 3.59 3.77 2.70 2.80 010 17264 A Destruction of skin lesions 1.94 1.80 2.05 0.85 0.99 0.08 3.82 4.07 2.87 3.01 010 17266 A Destruction of skin lesions 2.34 2.00 2.35 0.97 1.15 0.11 4.45 4.80 3.42 3.60 010 17270 A Destruction of skin lesions 1.32 1.49 1.48 0.62 0.65 0.06 2.87 2.86 2.00 2.03 010 17271 A Destruction of skin lesions 1.49 1.57 1.65 0.72 0.78 0.06 3.12 3.20 2.27 2.33 010 17272 A Destruction of skin lesions 1.77 1.71 1.88 0.85 0.94 0.07 3.55 3.72 2.69 2.78 010 17273 A Destruction of skin lesions 2.05 1.86 2.10 0.98 1.09 0.09 4.00 4.24 3.12 3.23 010 17274 A Destruction of skin lesions 2.59 2.12 2.46 1.19 1.33 0.11 4.82 5.16 3.89 4.03 010 17276 A Destruction of skin lesions 3.20 2.42 2.74 1.70 1.74 0.15 5.77 6.09 5.05 5.09 010 17280 A Destruction of skin lesions 1.17 1.33 1.45 0.54 0.63 0.05 2.55 2.67 1.76 1.85 010 17281 A Destruction of skin lesions 1.72 1.69 1.84 0.83 0.91 0.07 3.48 3.63 2.62 2.70 010 17282 A Destruction of skin lesions 2.04 1.85 2.09 0.99 1.09 0.09 3.98 4.22 3.12 3.22 010 17283 A Destruction of skin lesions 2.64 2.15 2.43 1.25 1.35 0.11 4.90 5.18 4.00 4.10 010 17284 A Destruction of skin lesions 3.21 2.44 2.78 1.51 1.61 0.14 5.79 6.13 4.86 4.96 010 17286 A Destruction of skin lesions 4.44 3.06 3.47 2.46 2.43 0.22 7.72 8.13 7.12 7.09 010 17304 A Chemosurgery of skin lesion 7.60 7.71 6.87 3.67 3.30 0.31 15.62 14.78 11.58 11.21 000 17305 A 2nd stage chemosurgery 2.85 3.58 3.30 1.38 1.34 0.12 6.55 6.27 4.35 4.31 000 17306 A 3rd stage chemosurgery 2.85 3.62 3.10 1.39 1.23 0.12 6.59 6.07 4.36 4.20 000 17307 A Followup skin lesion therapy 2.85 3.17 2.78 1.40 1.25 0.12 6.14 5.75 4.37 4.22 000 17310 A Extensive skin chemosurgery 0.95 1.49 1.15 0.48 0.38 0.05 2.49 2.15 1.48 1.38 000 17340 A Cryotherapy of skin 0.76 1.35 1.09 0.27 0.24 0.04 2.15 1.89 1.07 1.04 010 17360 A Skin peel therapy 1.43 1.51 1.21 0.69 0.56 0.06 3.00 2.70 2.18 2.05 010 17380 R Hair removal by electrolysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 17999 C Skin tissue procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 19000 A Drainage of breast lesion 0.84 1.18 0.99 0.30 0.28 0.07 2.09 1.90 1.21 1.19 000 19001 A Drain breast lesion add-on 0.42 0.79 0.66 0.15 0.15 0.03 1.24 1.11 0.60 0.60 ZZZ 19020 A Incision of breast lesion 3.57 6.66 5.38 3.38 2.92 0.35 10.58 9.30 7.30 6.84 090 19030 A Injection for breast x-ray 1.53 10.60 8.08 0.54 0.54 0.07 12.20 9.68 2.14 2.14 000 19100 A Bx breast percut w/o image 1.27 3.33 2.67 0.46 0.43 0.10 4.70 4.04 1.83 1.80 000 19101 A Biopsy of breast, open 3.18 9.82 8.00 2.97 2.86 0.20 13.20 11.38 6.35 6.24 010 19102 A Bx breast percut w/image 2.00 4.58 4.58 0.73 0.73 0.08 6.66 6.66 2.81 2.81 000 19103 A Bx breast percut w/device 2.37 10.83 10.83 0.86 0.86 0.08 13.28 13.28 3.31 3.31 000 19110 A Nipple exploration 4.30 8.03 6.69 4.42 3.98 0.44 12.77 11.43 9.16 8.72 090 19112 A Excise breast duct fistula 3.67 6.84 5.77 3.08 2.95 0.38 10.89 9.82 7.13 7.00 090 19120 A Removal of breast lesion 5.56 4.41 4.10 3.62 3.50 0.56 10.53 10.22 9.74 9.62 090 19125 A Excision, breast lesion 6.06 5.04 4.57 3.78 3.62 0.61 11.71 11.24 10.45 10.29 090 19126 A Excision, addl breast lesion 2.93 NA NA 1.11 1.23 0.30 NA NA 4.34 4.46 ZZZ 19140 A Removal of breast tissue 5.14 8.71 7.70 3.76 3.99 0.52 14.37 13.36 9.42 9.65 090 19160 A Removal of breast tissue 5.99 NA NA 4.56 4.54 0.61 NA NA 11.16 11.14 090 19162 A Remove breast tissue, nodes 13.53 NA NA 8.08 8.61 1.38 NA NA 22.99 23.52 090 19180 A Removal of breast 8.80 NA NA 6.01 6.03 0.88 NA NA 15.69 15.71 090 19182 A Removal of breast 7.73 NA NA 5.06 5.44 0.79 NA NA 13.58 13.96 090 19200 A Removal of breast 15.49 NA NA 9.47 9.88 1.51 NA NA 26.47 26.88 090 19220 A Removal of breast 15.72 NA NA 9.40 9.96 1.56 NA NA 26.68 27.24 090 19240 A Removal of breast 16.00 NA NA 9.00 9.31 1.62 NA NA 26.62 26.93 090 19260 A Removal of chest wall lesion 15.44 NA NA 10.55 9.28 1.64 NA NA 27.63 26.36 090 19271 A Revision of chest wall 18.90 NA NA 13.98 14.27 2.27 NA NA 35.15 35.44 090 19272 A Extensive chest wall surgery 21.55 NA NA 15.55 15.08 2.54 NA NA 39.64 39.17 090 19290 A Place needle wire, breast 1.27 4.85 3.76 0.45 0.46 0.06 6.18 5.09 1.78 1.79 000 19291 A Place needle wire, breast 0.63 1.65 1.31 0.22 0.23 0.03 2.31 1.97 0.88 0.89 ZZZ 19295 A Place breast clip, percut 0.00 2.61 2.61 0.94 0.94 0.01 2.62 2.62 0.95 0.95 ZZZ 19316 A Suspension of breast 10.69 NA NA 7.63 8.91 1.15 NA NA 19.47 20.75 090 19318 A Reduction of large breast 15.62 NA NA 10.48 11.71 1.69 NA NA 27.79 29.02 090 19324 A Enlarge breast 5.85 NA NA 4.62 4.36 0.63 NA NA 11.10 10.84 090 19325 A Enlarge breast with implant 8.45 NA NA 6.75 6.66 0.90 NA NA 16.10 16.01 090 19328 A Removal of breast implant 5.68 NA NA 4.60 4.47 0.61 NA NA 10.89 10.76 090 19330 A Removal of implant material 7.59 NA NA 5.33 5.05 0.81 NA NA 13.73 13.45 090 19340 A Immediate breast prosthesis 6.33 NA NA 3.32 4.38 0.68 NA NA 10.33 11.39 ZZZ 19342 A Delayed breast prosthesis 11.20 NA NA 7.96 8.90 1.21 NA NA 20.37 21.31 090 19350 A Breast reconstruction 8.92 13.94 12.38 6.87 7.07 0.95 23.81 22.25 16.74 16.94 090 19355 A Correct inverted nipple(s) 7.57 11.53 9.99 5.94 5.79 0.80 19.90 18.36 14.31 14.16 090 19357 A Breast reconstruction 18.16 NA NA 13.92 13.74 1.96 NA NA 34.04 33.86 090 19361 A Breast reconstruction 19.26 NA NA 12.29 14.68 2.08 NA NA 33.63 36.02 090 19364 A Breast reconstruction 41.00 NA NA 22.88 21.69 3.91 NA NA 67.79 66.60 090 19366 A Breast reconstruction 21.28 NA NA 12.38 13.74 2.27 NA NA 35.93 37.29 090 19367 A Breast reconstruction 25.73 NA NA 15.65 17.20 2.78 NA NA 44.16 45.71 090 19368 A Breast reconstruction 32.42 NA NA 19.45 20.05 3.51 NA NA 55.38 55.98 090 Start Printed Page 65446 19369 A Breast reconstruction 29.82 NA NA 18.59 19.41 3.24 NA NA 51.65 52.47 090 19370 A Surgery of breast capsule 8.05 NA NA 6.16 6.30 0.86 NA NA 15.07 15.21 090 19371 A Removal of breast capsule 9.35 NA NA 7.26 7.59 1.01 NA NA 17.62 17.95 090 19380 A Revise breast reconstruction 9.14 NA NA 7.15 7.56 0.98 NA NA 17.27 17.68 090 19396 A Design custom breast implant 2.17 4.99 4.17 0.80 1.03 0.23 7.39 6.57 3.20 3.43 000 19499 C Breast surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 20000 A Incision of abscess 2.12 1.94 1.69 1.18 1.00 0.17 4.23 3.98 3.47 3.29 010 20005 A Incision of deep abscess 3.42 2.81 2.61 2.22 2.16 0.34 6.57 6.37 5.98 5.92 010 20100 A Explore wound, neck 10.08 6.00 5.85 4.65 4.84 0.99 17.07 16.92 15.72 15.91 010 20101 A Explore wound, chest 3.22 3.04 2.71 1.36 1.45 0.24 6.50 6.17 4.82 4.91 010 20102 A Explore wound, abdomen 3.94 3.36 3.04 1.71 1.80 0.35 7.65 7.33 6.00 6.09 010 20103 A Explore wound, extremity 5.30 4.12 3.79 3.02 2.97 0.57 9.99 9.66 8.89 8.84 010 20150 A Excise epiphyseal bar 13.69 NA NA 7.66 9.11 0.96 NA NA 22.31 23.76 090 20200 A Muscle biopsy 1.46 1.70 1.58 0.64 0.79 0.17 3.33 3.21 2.27 2.42 000 20205 A Deep muscle biopsy 2.35 3.53 3.16 1.00 1.26 0.23 6.11 5.74 3.58 3.84 000 20206 A Needle biopsy, muscle 0.99 3.02 2.53 0.36 0.53 0.06 4.07 3.58 1.41 1.58 000 20220 A Bone biopsy, trocar/needle 1.27 4.78 3.94 2.87 2.51 0.06 6.11 5.27 4.20 3.84 000 20225 A Bone biopsy, trocar/needle 1.87 4.28 3.86 2.85 2.70 0.11 6.26 5.84 4.83 4.68 000 20240 A Bone biopsy, excisional 3.23 NA NA 4.11 3.59 0.33 NA NA 7.67 7.15 010 20245 A Bone biopsy, excisional 3.95 NA NA 4.69 4.49 0.44 NA NA 9.08 8.88 010 20250 A Open bone biopsy 5.03 NA NA 4.29 4.59 0.50 NA NA 9.82 10.12 010 20251 A Open bone biopsy 5.56 NA NA 4.72 5.13 0.79 NA NA 11.07 11.48 010 20500 A Injection of sinus tract 1.23 5.19 3.99 3.76 2.87 0.10 6.52 5.32 5.09 4.20 010 20501 A Inject sinus tract for x-ray 0.76 12.72 9.62 0.27 0.29 0.03 13.51 10.41 1.06 1.08 000 20520 A Removal of foreign body 1.85 5.22 4.11 3.33 2.60 0.17 7.24 6.13 5.35 4.62 010 20525 A Removal of foreign body 3.50 6.39 5.40 4.14 3.71 0.40 10.29 9.30 8.04 7.61 010 20550 A Inject tendon/ligament/cyst 0.86 1.96 1.57 0.22 0.22 0.06 2.88 2.49 1.14 1.14 000 20600 A Drain/inject, joint/bursa 0.66 1.35 1.14 0.27 0.27 0.06 2.07 1.86 0.99 0.99 000 20605 A Drain/inject, joint/bursa 0.68 1.68 1.38 0.27 0.27 0.06 2.42 2.12 1.01 1.01 000 20610 A Drain/inject, joint/bursa 0.79 2.08 1.68 0.55 0.48 0.08 2.95 2.55 1.42 1.35 000 20615 A Treatment of bone cyst 2.28 4.45 3.47 2.46 1.91 0.19 6.92 5.94 4.93 4.38 010 20650 A Insert and remove bone pin 2.23 4.30 3.52 2.88 2.45 0.28 6.81 6.03 5.39 4.96 010 20660 A Apply,remove fixation device 2.51 NA NA 1.47 1.53 0.48 NA NA 4.46 4.52 000 20661 A Application of head brace 4.89 NA NA 6.52 5.93 0.92 NA NA 12.33 11.74 090 20662 A Application of pelvis brace 6.07 NA NA 5.11 5.61 0.81 NA NA 11.99 12.49 090 20663 A Application of thigh brace 5.43 NA NA 4.75 4.82 0.77 NA NA 10.95 11.02 090 20664 A Halo brace application 8.06 NA NA 8.25 7.23 1.49 NA NA 17.80 16.78 090 20665 A Removal of fixation device 1.31 2.20 1.79 1.23 1.06 0.17 3.68 3.27 2.71 2.54 010 20670 A Removal of support implant 1.74 5.50 4.33 3.43 2.67 0.23 7.47 6.30 5.40 4.64 010 20680 A Removal of support implant 3.35 5.02 4.67 5.02 4.67 0.46 8.83 8.48 8.83 8.48 090 20690 A Apply bone fixation device 3.52 NA NA 1.88 2.40 0.47 NA NA 5.87 6.39 090 20692 A Apply bone fixation device 6.41 NA NA 2.49 3.36 0.60 NA NA 9.50 10.37 090 20693 A Adjust bone fixation device 5.86 NA NA 11.60 9.38 0.85 NA NA 18.31 16.09 090 20694 A Remove bone fixation device 4.16 8.17 6.83 5.77 5.03 0.57 12.90 11.56 10.50 9.76 090 20802 A Replantation, arm, complete 41.15 NA NA 27.94 31.19 5.81 NA NA 74.90 78.15 090 20805 A Replant, forearm, complete 50.00 NA NA 50.26 50.22 3.95 NA NA 104.21 104.17 090 20808 A Replantation hand, complete 61.65 NA NA 43.46 48.17 6.49 NA NA 111.60 116.31 090 20816 A Replantation digit, complete 30.94 NA NA 42.68 39.69 3.01 NA NA 76.63 73.64 090 20822 A Replantation digit, complete 25.59 NA NA 39.15 35.71 3.07 NA NA 67.81 64.37 090 20824 A Replantation thumb, complete 30.94 NA NA 36.49 35.05 3.48 NA NA 70.91 69.47 090 20827 A Replantation thumb, complete 26.41 NA NA 45.63 40.75 3.21 NA NA 75.25 70.37 090 20838 A Replantation foot, complete 41.41 NA NA 28.37 31.51 5.85 NA NA 75.63 78.77 090 20900 A Removal of bone for graft 5.58 6.70 5.79 5.81 5.12 0.77 13.05 12.14 12.16 11.47 090 20902 A Removal of bone for graft 7.55 NA NA 8.28 7.55 1.06 NA NA 16.89 16.16 090 20910 A Remove cartilage for graft 5.34 8.05 6.25 6.51 5.10 0.50 13.89 12.09 12.35 10.94 090 20912 A Remove cartilage for graft 6.35 NA NA 7.26 6.70 0.55 NA NA 14.16 13.60 090 20920 A Removal of fascia for graft 5.31 NA NA 5.42 5.13 0.54 NA NA 11.27 10.98 090 20922 A Removal of fascia for graft 6.61 8.54 7.60 6.14 5.80 0.88 16.03 15.09 13.63 13.29 090 20924 A Removal of tendon for graft 6.48 NA NA 6.62 6.44 0.82 NA NA 13.92 13.74 090 20926 A Removal of tissue for graft 5.53 NA NA 6.15 5.32 0.73 NA NA 12.41 11.58 090 20930 B Spinal bone allograft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 20931 A Spinal bone allograft 1.81 NA NA 0.96 1.19 0.34 NA NA 3.11 3.34 ZZZ 20936 B Spinal bone autograft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 20937 A Spinal bone autograft 2.79 NA NA 1.52 1.86 0.43 NA NA 4.74 5.08 ZZZ 20938 A Spinal bone autograft 3.02 NA NA 1.62 2.00 0.52 NA NA 5.16 5.54 ZZZ 20950 A Fluid pressure, muscle 1.26 NA NA 2.08 1.86 0.16 NA NA 3.50 3.28 000 20955 A Fibula bone graft, microvasc 39.21 NA NA 29.43 31.80 4.35 NA NA 72.99 75.36 090 20956 A Iliac bone graft, microvasc 39.27 NA NA 28.36 28.57 5.77 NA NA 73.40 73.61 090 20957 A Mt bone graft, microvasc 40.65 NA NA 24.17 25.69 5.74 NA NA 70.56 72.08 090 20962 A Other bone graft, microvasc 39.27 NA NA 28.68 28.81 5.19 NA NA 73.14 73.27 090 20969 A Bone/skin graft, microvasc 43.92 NA NA 32.20 35.04 4.34 NA NA 80.46 83.30 090 20970 A Bone/skin graft, iliac crest 43.06 NA NA 29.96 33.14 4.64 NA NA 77.66 80.84 090 20972 A Bone/skin graft, metatarsal 42.99 NA NA 18.72 24.79 6.07 NA NA 67.78 73.85 090 20973 A Bone/skin graft, great toe 45.76 NA NA 22.14 28.07 4.65 NA NA 72.55 78.48 090 20974 A Electrical bone stimulation 0.62 0.38 1.21 0.34 0.72 0.09 1.09 1.92 1.05 1.43 000 20975 A Electrical bone stimulation 2.60 NA NA 1.41 1.83 0.42 NA NA 4.43 4.85 000 20979 A Us bone stimulation 0.62 0.57 0.57 0.25 0.25 0.04 1.23 1.23 0.91 0.91 000 20999 C Musculoskeletal surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 21010 A Incision of jaw joint 10.14 NA NA 6.96 8.00 0.54 NA NA 17.64 18.68 090 21015 A Resection of facial tumor 5.29 NA NA 6.95 6.79 0.52 NA NA 12.76 12.60 090 21025 A Excision of bone, lower jaw 10.06 7.37 6.65 6.86 5.71 0.79 18.22 17.50 17.71 16.56 090 21026 A Excision of facial bone(s) 4.85 5.45 4.94 4.79 4.02 0.40 10.70 10.19 10.04 9.27 090 21029 A Contour of face bone lesion 7.71 6.81 7.41 6.04 5.68 0.74 15.26 15.86 14.49 14.13 090 Start Printed Page 65447 21030 A Removal of face bone lesion 6.46 5.37 4.94 4.87 4.11 0.60 12.43 12.00 11.93 11.17 090 21031 A Remove exostosis, mandible 3.24 3.33 3.50 2.11 2.08 0.28 6.85 7.02 5.63 5.60 090 21032 A Remove exostosis, maxilla 3.24 3.29 3.52 2.16 2.15 0.27 6.80 7.03 5.67 5.66 090 21034 A Removal of face bone lesion 16.17 11.88 10.81 10.61 9.85 1.37 29.42 28.35 28.15 27.39 090 21040 A Removal of jaw bone lesion 2.11 2.97 2.98 1.86 1.77 0.19 5.27 5.28 4.16 4.07 090 21041 A Removal of jaw bone lesion 6.71 5.59 5.76 4.35 4.05 0.56 12.86 13.03 11.62 11.32 090 21044 A Removal of jaw bone lesion 11.86 NA NA 7.90 8.52 0.87 NA NA 20.63 21.25 090 21045 A Extensive jaw surgery 16.17 NA NA 10.26 11.45 1.20 NA NA 27.63 28.82 090 21050 A Removal of jaw joint 10.77 NA NA 11.22 11.63 0.84 NA NA 22.83 23.24 090 21060 A Remove jaw joint cartilage 10.23 NA NA 10.06 10.60 1.16 NA NA 21.45 21.99 090 21070 A Remove coronoid process 8.20 NA NA 6.07 6.40 0.67 NA NA 14.94 15.27 090 21076 A Prepare face/oral prosthesis 13.42 9.75 11.32 7.34 7.51 1.36 24.53 26.10 22.12 22.29 010 21077 A Prepare face/oral prosthesis 33.75 24.53 28.47 18.46 18.88 3.43 61.71 65.65 55.64 56.06 090 21079 A Prepare face/oral prosthesis 22.34 17.32 20.57 12.77 13.37 1.59 41.25 44.50 36.70 37.30 090 21080 A Prepare face/oral prosthesis 25.10 19.47 23.12 14.35 15.02 2.55 47.12 50.77 42.00 42.67 090 21081 A Prepare face/oral prosthesis 22.88 17.74 21.06 13.08 13.69 1.87 42.49 45.81 37.83 38.44 090 21082 A Prepare face/oral prosthesis 20.87 15.17 17.61 11.42 11.68 1.46 37.50 39.94 33.75 34.01 090 21083 A Prepare face/oral prosthesis 19.30 14.97 17.78 11.03 11.55 1.96 36.23 39.04 32.29 32.81 090 21084 A Prepare face/oral prosthesis 22.51 17.45 20.72 12.87 13.47 1.57 41.53 44.80 36.95 37.55 090 21085 A Prepare face/oral prosthesis 9.00 6.53 7.58 4.93 5.04 0.65 16.18 17.23 14.58 14.69 010 21086 A Prepare face/oral prosthesis 24.92 19.33 22.95 14.25 14.92 1.86 46.11 49.73 41.03 41.70 090 21087 A Prepare face/oral prosthesis 24.92 18.10 21.01 13.64 13.95 2.22 45.24 48.15 40.78 41.09 090 21088 C Prepare face/oral prosthesis 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 090 21100 A Maxillofacial fixation 4.22 5.87 4.69 4.00 3.29 0.18 10.27 9.09 8.40 7.69 090 21110 A Interdental fixation 5.21 5.21 5.41 4.54 4.16 0.28 10.70 10.90 10.03 9.65 090 21116 A Injection, jaw joint x-ray 0.81 7.87 6.10 0.31 0.43 0.05 8.73 6.96 1.17 1.29 000 21120 A Reconstruction of chin 4.93 10.28 8.69 6.23 5.65 0.29 15.50 13.91 11.45 10.87 090 21121 A Reconstruction of chin 7.64 8.07 7.59 5.81 5.89 0.56 16.27 15.79 14.01 14.09 090 21122 A Reconstruction of chin 8.52 NA NA 7.37 7.22 0.59 NA NA 16.48 16.33 090 21123 A Reconstruction of chin 11.16 NA NA 8.46 8.55 1.16 NA NA 20.78 20.87 090 21125 A Augmentation, lower jaw bone 10.62 9.06 8.08 8.64 7.76 0.72 20.40 19.42 19.98 19.10 090 21127 A Augmentation, lower jaw bone 11.12 9.54 9.30 6.73 7.19 0.76 21.42 21.18 18.61 19.07 090 21137 A Reduction of forehead 9.82 NA NA 7.11 7.26 0.53 NA NA 17.46 17.61 090 21138 A Reduction of forehead 12.19 NA NA 9.81 9.76 1.47 NA NA 23.47 23.42 090 21139 A Reduction of forehead 14.61 NA NA 9.37 9.92 1.02 NA NA 25.00 25.55 090 21141 A Reconstruct midface, lefort 18.10 NA NA 11.10 12.22 1.63 NA NA 30.83 31.95 090 21142 A Reconstruct midface, lefort 18.81 NA NA 11.26 12.47 1.16 NA NA 31.23 32.44 090 21143 A Reconstruct midface, lefort 19.58 NA NA 11.26 12.62 0.90 NA NA 31.74 33.10 090 21145 A Reconstruct midface, lefort 19.94 NA NA 11.47 12.49 2.09 NA NA 33.50 34.52 090 21146 A Reconstruct midface, lefort 20.71 NA NA 12.11 13.11 2.13 NA NA 34.95 35.95 090 21147 A Reconstruct midface, lefort 21.77 NA NA 13.29 14.15 1.52 NA NA 36.58 37.44 090 21150 A Reconstruct midface, lefort 25.24 NA NA 14.79 16.10 1.09 NA NA 41.12 42.43 090 21151 A Reconstruct midface, lefort 28.30 NA NA 18.36 19.38 1.98 NA NA 48.64 49.66 090 21154 A Reconstruct midface, lefort 30.52 NA NA 18.36 19.78 4.86 NA NA 53.74 55.16 090 21155 A Reconstruct midface, lefort 34.45 NA NA 18.36 20.58 5.48 NA NA 58.29 60.51 090 21159 A Reconstruct midface, lefort 42.38 NA NA 21.53 24.56 6.74 NA NA 70.65 73.68 090 21160 A Reconstruct midface, lefort 46.44 NA NA 24.59 27.66 4.39 NA NA 75.42 78.49 090 21172 A Reconstruct orbit/forehead 27.80 NA NA 18.52 19.40 1.91 NA NA 48.23 49.11 090 21175 A Reconstruct orbit/forehead 33.17 NA NA 18.89 20.78 5.16 NA NA 57.22 59.11 090 21179 A Reconstruct entire forehead 22.25 NA NA 18.57 18.33 2.48 NA NA 43.30 43.06 090 21180 A Reconstruct entire forehead 25.19 NA NA 18.88 19.17 2.15 NA NA 46.22 46.51 090 21181 A Contour cranial bone lesion 9.90 NA NA 8.73 8.48 0.97 NA NA 19.60 19.35 090 21182 A Reconstruct cranial bone 32.19 NA NA 22.46 23.26 2.53 NA NA 57.18 57.98 090 21183 A Reconstruct cranial bone 35.31 NA NA 23.72 24.80 2.75 NA NA 61.78 62.86 090 21184 A Reconstruct cranial bone 38.24 NA NA 21.55 23.78 4.12 NA NA 63.91 66.14 090 21188 A Reconstruction of midface 22.46 NA NA 15.60 16.11 1.85 NA NA 39.91 40.42 090 21193 A Reconst lwr jaw w/o graft 17.15 NA NA 10.99 11.58 1.53 NA NA 29.67 30.26 090 21194 A Reconst lwr jaw w/graft 19.84 NA NA 12.06 12.92 1.39 NA NA 33.29 34.15 090 21195 A Reconst lwr jaw w/o fixation 17.24 NA NA 12.93 13.05 1.20 NA NA 31.37 31.49 090 21196 A Reconst lwr jaw w/fixation 18.91 NA NA 12.84 13.32 1.62 NA NA 33.37 33.85 090 21198 A Reconstr lwr jaw segment 14.16 NA NA 11.81 12.88 1.05 NA NA 27.02 28.09 090 21199 A Reconstr lwr jaw w/advance 16.00 NA NA 10.53 10.53 1.00 NA NA 27.53 27.53 090 21206 A Reconstruct upper jaw bone 14.10 NA NA 10.08 10.31 1.01 NA NA 25.19 25.42 090 21208 A Augmentation of facial bones 10.23 9.92 10.49 8.37 9.33 0.92 21.07 21.64 19.52 20.48 090 21209 A Reduction of facial bones 6.72 8.72 7.79 5.68 5.51 0.60 16.04 15.11 13.00 12.83 090 21210 A Face bone graft 10.23 8.85 9.69 7.95 7.49 0.88 19.96 20.80 19.06 18.60 090 21215 A Lower jaw bone graft 10.77 8.66 9.71 6.88 6.77 1.04 20.47 21.52 18.69 18.58 090 21230 A Rib cartilage graft 10.77 NA NA 10.09 10.38 0.96 NA NA 21.82 22.11 090 21235 A Ear cartilage graft 6.72 11.59 10.70 7.92 7.95 0.52 18.83 17.94 15.16 15.19 090 21240 A Reconstruction of jaw joint 14.05 NA NA 11.45 12.78 1.15 NA NA 26.65 27.98 090 21242 A Reconstruction of jaw joint 12.95 NA NA 11.47 12.47 1.40 NA NA 25.82 26.82 090 21243 A Reconstruction of jaw joint 20.79 NA NA 14.68 14.92 1.85 NA NA 37.32 37.56 090 21244 A Reconstruction of lower jaw 11.86 NA NA 9.00 10.29 0.95 NA NA 21.81 23.10 090 21245 A Reconstruction of jaw 11.86 16.50 15.49 10.10 10.69 0.88 29.24 28.23 22.84 23.43 090 21246 A Reconstruction of jaw 12.47 12.41 11.70 10.75 10.46 1.21 26.09 25.38 24.43 24.14 090 21247 A Reconstruct lower jaw bone 22.63 NA NA 18.73 20.80 2.21 NA NA 43.57 45.64 090 21248 A Reconstruction of jaw 11.48 8.79 10.02 7.96 7.69 1.01 21.28 22.51 20.45 20.18 090 21249 A Reconstruction of jaw 17.52 11.31 13.71 10.15 10.23 1.39 30.22 32.62 29.06 29.14 090 21255 A Reconstruct lower jaw bone 16.72 NA NA 10.92 13.18 1.13 NA NA 28.77 31.03 090 21256 A Reconstruction of orbit 16.19 NA NA 13.34 14.84 1.04 NA NA 30.57 32.07 090 21260 A Revise eye sockets 16.52 NA NA 11.45 13.52 1.25 NA NA 29.22 31.29 090 21261 A Revise eye sockets 31.49 NA NA 19.08 19.14 2.20 NA NA 52.77 52.83 090 Start Printed Page 65448 21263 A Revise eye sockets 28.42 NA NA 14.95 19.70 2.16 NA NA 45.53 50.28 090 21267 A Revise eye sockets 18.90 NA NA 14.53 14.86 1.35 NA NA 34.78 35.11 090 21268 A Revise eye sockets 24.48 NA NA 12.60 13.62 0.79 NA NA 37.87 38.89 090 21270 A Augmentation, cheek bone 10.23 10.37 10.38 9.16 9.48 0.73 21.33 21.34 20.12 20.44 090 21275 A Revision, orbitofacial bones 11.24 NA NA 11.10 10.75 1.03 NA NA 23.37 23.02 090 21280 A Revision of eyelid 6.03 NA NA 6.22 6.47 0.27 NA NA 12.52 12.77 090 21282 A Revision of eyelid 3.49 NA NA 5.20 4.94 0.21 NA NA 8.90 8.64 090 21295 A Revision of jaw muscle/bone 1.53 NA NA 3.62 2.98 0.13 NA NA 5.28 4.64 090 21296 A Revision of jaw muscle/bone 4.25 NA NA 5.20 4.88 0.30 NA NA 9.75 9.43 090 21299 C Cranio/maxillofacial surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 21300 A Treatment of skull fracture 0.72 2.34 2.01 0.27 0.42 0.09 3.15 2.82 1.08 1.23 000 21310 A Treatment of nose fracture 0.58 2.54 2.11 0.15 0.29 0.05 3.17 2.74 0.78 0.92 000 21315 A Treatment of nose fracture 1.51 3.29 2.96 1.24 1.38 0.12 4.92 4.59 2.87 3.01 010 21320 A Treatment of nose fracture 1.85 4.82 4.25 1.98 2.04 0.15 6.82 6.25 3.98 4.04 010 21325 A Treatment of nose fracture 3.77 NA NA 3.66 3.86 0.31 NA NA 7.74 7.94 090 21330 A Treatment of nose fracture 5.38 NA NA 5.41 5.66 0.48 NA NA 11.27 11.52 090 21335 A Treatment of nose fracture 8.61 NA NA 7.04 7.85 0.64 NA NA 16.29 17.10 090 21336 A Treat nasal septal fracture 5.72 NA NA 5.44 5.19 0.45 NA NA 11.61 11.36 090 21337 A Treat nasal septal fracture 2.70 4.98 4.50 3.12 3.11 0.22 7.90 7.42 6.04 6.03 090 21338 A Treat nasoethmoid fracture 6.46 NA NA 5.88 5.77 0.53 NA NA 12.87 12.76 090 21339 A Treat nasoethmoid fracture 8.09 NA NA 6.85 7.06 0.76 NA NA 15.70 15.91 090 21340 A Treatment of nose fracture 10.77 NA NA 9.26 9.36 0.85 NA NA 20.88 20.98 090 21343 A Treatment of sinus fracture 12.95 NA NA 9.93 9.94 1.06 NA NA 23.94 23.95 090 21344 A Treatment of sinus fracture 19.72 NA NA 13.34 12.49 1.72 NA NA 34.78 33.93 090 21345 A Treat nose/jaw fracture 8.16 8.74 8.70 7.41 7.70 0.60 17.50 17.46 16.17 16.46 090 21346 A Treat nose/jaw fracture 10.61 NA NA 10.26 10.25 0.85 NA NA 21.72 21.71 090 21347 A Treat nose/jaw fracture 12.69 NA NA 9.31 9.79 1.14 NA NA 23.14 23.62 090 21348 A Treat nose/jaw fracture 16.69 NA NA 10.25 10.77 1.50 NA NA 28.44 28.96 090 21355 A Treat cheek bone fracture 3.77 4.79 4.02 2.40 2.22 0.29 8.85 8.08 6.46 6.28 010 21356 A Treat cheek bone fracture 4.15 NA NA 3.22 3.66 0.36 NA NA 7.73 8.17 010 21360 A Treat cheek bone fracture 6.46 NA NA 5.72 6.22 0.52 NA NA 12.70 13.20 090 21365 A Treat cheek bone fracture 14.95 NA NA 11.28 11.81 1.30 NA NA 27.53 28.06 090 21366 A Treat cheek bone fracture 17.77 NA NA 12.09 12.35 1.41 NA NA 31.27 31.53 090 21385 A Treat eye socket fracture 9.16 NA NA 7.68 8.36 0.64 NA NA 17.48 18.16 090 21386 A Treat eye socket fracture 9.16 NA NA 7.98 8.45 0.76 NA NA 17.90 18.37 090 21387 A Treat eye socket fracture 9.70 NA NA 8.14 8.13 0.78 NA NA 18.62 18.61 090 21390 A Treat eye socket fracture 10.13 NA NA 8.49 9.39 0.70 NA NA 19.32 20.22 090 21395 A Treat eye socket fracture 12.68 NA NA 9.99 10.11 1.09 NA NA 23.76 23.88 090 21400 A Treat eye socket fracture 1.40 2.92 2.64 1.08 1.23 0.12 4.44 4.16 2.60 2.75 090 21401 A Treat eye socket fracture 3.26 5.56 4.87 3.19 3.09 0.34 9.16 8.47 6.79 6.69 090 21406 A Treat eye socket fracture 7.01 NA NA 6.51 6.30 0.59 NA NA 14.11 13.90 090 21407 A Treat eye socket fracture 8.61 NA NA 7.74 7.73 0.67 NA NA 17.02 17.01 090 21408 A Treat eye socket fracture 12.38 NA NA 9.63 9.53 1.24 NA NA 23.25 23.15 090 21421 A Treat mouth roof fracture 5.14 7.37 7.19 6.29 6.25 0.42 12.93 12.75 11.85 11.81 090 21422 A Treat mouth roof fracture 8.32 NA NA 7.13 7.83 0.69 NA NA 16.14 16.84 090 21423 A Treat mouth roof fracture 10.40 NA NA 8.10 8.74 0.95 NA NA 19.45 20.09 090 21431 A Treat craniofacial fracture 7.05 NA NA 5.28 5.59 0.58 NA NA 12.91 13.22 090 21432 A Treat craniofacial fracture 8.61 NA NA 7.28 7.30 0.55 NA NA 16.44 16.46 090 21433 A Treat craniofacial fracture 25.35 NA NA 17.70 18.15 2.46 NA NA 45.51 45.96 090 21435 A Treat craniofacial fracture 17.25 NA NA 11.67 12.35 1.66 NA NA 30.58 31.26 090 21436 A Treat craniofacial fracture 28.04 NA NA 18.85 18.11 2.32 NA NA 49.21 48.47 090 21440 A Treat dental ridge fracture 2.70 5.34 4.84 3.37 3.33 0.22 8.26 7.76 6.29 6.25 090 21445 A Treat dental ridge fracture 5.38 6.92 6.85 5.27 5.56 0.55 12.85 12.78 11.20 11.49 090 21450 A Treat lower jaw fracture 2.97 6.53 5.67 2.67 2.77 0.23 9.73 8.87 5.87 5.97 090 21451 A Treat lower jaw fracture 4.87 6.51 6.47 5.49 5.57 0.39 11.77 11.73 10.75 10.83 090 21452 A Treat lower jaw fracture 1.98 8.85 7.02 3.80 3.23 0.14 10.97 9.14 5.92 5.35 090 21453 A Treat lower jaw fracture 5.54 7.43 7.38 6.20 6.30 0.49 13.46 13.41 12.23 12.33 090 21454 A Treat lower jaw fracture 6.46 NA NA 5.93 6.38 0.55 NA NA 12.94 13.39 090 21461 A Treat lower jaw fracture 8.09 9.57 9.59 7.73 8.21 0.73 18.39 18.41 16.55 17.03 090 21462 A Treat lower jaw fracture 9.79 10.92 11.11 7.87 8.83 0.80 21.51 21.70 18.46 19.42 090 21465 A Treat lower jaw fracture 11.91 NA NA 7.39 7.83 0.84 NA NA 20.14 20.58 090 21470 A Treat lower jaw fracture 15.34 NA NA 9.78 11.91 1.36 NA NA 26.48 28.61 090 21480 A Reset dislocated jaw 0.61 1.58 1.40 0.18 0.32 0.05 2.24 2.06 0.84 0.98 000 21485 A Reset dislocated jaw 3.99 3.80 3.45 3.49 2.92 0.31 8.10 7.75 7.79 7.22 090 21490 A Repair dislocated jaw 11.86 NA NA 7.45 7.30 1.31 NA NA 20.62 20.47 090 21493 A Treat hyoid bone fracture 1.27 NA NA 3.05 2.67 0.10 NA NA 4.42 4.04 090 21494 A Treat hyoid bone fracture 6.28 NA NA 5.24 5.97 0.44 NA NA 11.96 12.69 090 21495 A Treat hyoid bone fracture 5.69 NA NA 4.80 4.91 0.41 NA NA 10.90 11.01 090 21497 A Interdental wiring 3.86 4.72 4.62 3.78 3.91 0.31 8.89 8.79 7.95 8.08 090 21499 C Head surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 21501 A Drain neck/chest lesion 3.81 4.15 3.61 3.64 3.23 0.36 8.32 7.78 7.81 7.40 090 21502 A Drain chest lesion 7.12 NA NA 8.58 7.58 0.79 NA NA 16.49 15.49 090 21510 A Drainage of bone lesion 5.74 NA NA 8.10 7.11 0.67 NA NA 14.51 13.52 090 21550 A Biopsy of neck/chest 2.06 2.27 1.93 1.24 1.05 0.13 4.46 4.12 3.43 3.24 010 21555 A Remove lesion, neck/chest 4.35 4.17 3.56 2.54 2.34 0.41 8.93 8.32 7.30 7.10 090 21556 A Remove lesion, neck/chest 5.57 NA NA 3.31 3.51 0.51 NA NA 9.39 9.59 090 21557 A Remove tumor, neck/chest 8.88 NA NA 8.03 8.33 0.85 NA NA 17.76 18.06 090 21600 A Partial removal of rib 6.89 NA NA 8.77 7.80 0.81 NA NA 16.47 15.50 090 21610 A Partial removal of rib 14.61 NA NA 10.79 9.50 1.85 NA NA 27.25 25.96 090 21615 A Removal of rib 9.87 NA NA 9.65 9.99 1.20 NA NA 20.72 21.06 090 21616 A Removal of rib and nerves 12.04 NA NA 9.02 8.74 1.31 NA NA 22.37 22.09 090 21620 A Partial removal of sternum 6.79 NA NA 8.89 8.53 0.77 NA NA 16.45 16.09 090 21627 A Sternal debridement 6.81 NA NA 15.57 13.04 0.82 NA NA 23.20 20.67 090 Start Printed Page 65449 21630 A Extensive sternum surgery 17.38 NA NA 14.42 14.31 1.95 NA NA 33.75 33.64 090 21632 A Extensive sternum surgery 18.14 NA NA 15.62 14.85 2.16 NA NA 35.92 35.15 090 21700 A Revision of neck muscle 6.19 8.78 7.71 7.38 6.66 0.31 15.28 14.21 13.88 13.16 090 21705 A Revision of neck muscle/rib 9.60 NA NA 7.70 7.09 0.92 NA NA 18.22 17.61 090 21720 A Revision of neck muscle 5.68 7.31 6.53 7.27 6.50 0.80 13.79 13.01 13.75 12.98 090 21725 A Revision of neck muscle 6.99 NA NA 6.85 6.45 0.90 NA NA 14.74 14.34 090 21740 A Reconstruction of sternum 16.80 NA NA 15.71 14.22 2.03 NA NA 34.54 33.05 090 21750 A Repair of sternum separation 10.77 NA NA 13.10 11.81 1.35 NA NA 25.22 23.93 090 21800 A Treatment of rib fracture 0.96 2.17 1.84 1.00 0.96 0.09 3.22 2.89 2.05 2.01 090 21805 A Treatment of rib fracture 2.75 NA NA 4.14 3.47 0.29 NA NA 7.18 6.51 090 21810 A Treatment of rib fracture(s) 6.86 NA NA 7.05 7.28 0.60 NA NA 14.51 14.74 090 21820 A Treat sternum fracture 1.28 2.59 2.31 1.47 1.47 0.15 4.02 3.74 2.90 2.90 090 21825 A Treat sternum fracture 7.41 NA NA 11.82 10.74 0.84 NA NA 20.07 18.99 090 21899 C Neck/chest surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 21920 A Biopsy soft tissue of back 2.06 2.35 1.98 0.79 0.70 0.12 4.53 4.16 2.97 2.88 010 21925 A Biopsy soft tissue of back 4.49 10.52 8.42 4.40 3.83 0.44 15.45 13.35 9.33 8.76 090 21930 A Remove lesion, back or flank 5.00 4.59 4.18 2.72 2.78 0.49 10.08 9.67 8.21 8.27 090 21935 A Remove tumor, back 17.96 NA NA 13.07 11.59 1.87 NA NA 32.90 31.42 090 22100 A Remove part of neck vertebra 9.73 NA NA 8.60 8.52 1.55 NA NA 19.88 19.80 090 22101 A Remove part, thorax vertebra 9.81 NA NA 8.47 8.53 1.51 NA NA 19.79 19.85 090 22102 A Remove part, lumbar vertebra 9.81 NA NA 8.68 7.73 1.46 NA NA 19.95 19.00 090 22103 A Remove extra spine segment 2.34 NA NA 1.29 1.57 0.37 NA NA 4.00 4.28 ZZZ 22110 A Remove part of neck vertebra 12.74 NA NA 10.49 10.51 2.20 NA NA 25.43 25.45 090 22112 A Remove part, thorax vertebra 12.81 NA NA 10.91 10.87 1.96 NA NA 25.68 25.64 090 22114 A Remove part, lumbar vertebra 12.81 NA NA 10.36 9.74 1.98 NA NA 25.15 24.53 090 22116 A Remove extra spine segment 2.32 NA NA 1.18 1.49 0.40 NA NA 3.90 4.21 ZZZ 22210 A Revision of neck spine 23.82 NA NA 16.86 16.40 4.23 NA NA 44.91 44.45 090 22212 A Revision of thorax spine 19.42 NA NA 14.33 15.44 2.78 NA NA 36.53 37.64 090 22214 A Revision of lumbar spine 19.45 NA NA 14.87 15.25 2.78 NA NA 37.10 37.48 090 22216 A Revise, extra spine segment 6.04 NA NA 3.27 3.83 0.98 NA NA 10.29 10.85 ZZZ 22220 A Revision of neck spine 21.37 NA NA 15.47 16.12 3.65 NA NA 40.49 41.14 090 22222 A Revision of thorax spine 21.52 NA NA 13.59 13.89 3.08 NA NA 38.19 38.49 090 22224 A Revision of lumbar spine 21.52 NA NA 15.81 15.84 3.20 NA NA 40.53 40.56 090 22226 A Revise, extra spine segment 6.04 NA NA 3.27 3.83 1.01 NA NA 10.32 10.88 ZZZ 22305 A Treat spine process fracture 2.05 3.02 2.88 1.86 2.01 0.29 5.36 5.22 4.20 4.35 090 22310 A Treat spine fracture 2.61 4.38 3.97 3.27 3.14 0.37 7.36 6.95 6.25 6.12 090 22315 A Treat spine fracture 8.84 NA NA 8.89 8.16 1.37 NA NA 19.10 18.37 090 22318 A Treat odontoid fx w/o graft 21.50 NA NA 14.53 14.53 4.26 NA NA 40.29 40.29 090 22319 A Treat odontoid fx w/graft 24.00 NA NA 16.80 16.80 4.76 NA NA 45.56 45.56 090 22325 A Treat spine fracture 18.30 NA NA 14.19 12.90 2.61 NA NA 35.10 33.81 090 22326 A Treat neck spine fracture 19.59 NA NA 15.24 15.75 3.54 NA NA 38.37 38.88 090 22327 A Treat thorax spine fracture 19.20 NA NA 14.50 15.20 2.75 NA NA 36.45 37.15 090 22328 A Treat each add spine fx 4.61 NA NA 2.29 2.91 0.66 NA NA 7.56 8.18 ZZZ 22505 A Manipulation of spine 1.87 4.60 3.81 2.97 2.58 0.27 6.74 5.95 5.11 4.72 010 22520 A Percut vertebroplasty thor 8.91 NA NA 3.95 3.95 0.89 NA NA 13.75 13.75 010 22521 A Percut vertebroplasty lumb 8.34 NA NA 3.72 3.72 0.84 NA NA 12.90 12.90 010 22522 A Percut vertebroplasty addl 3.00 NA NA 1.20 1.20 0.30 NA NA 4.50 4.50 ZZZ 22548 A Neck spine fusion 25.82 NA NA 17.66 19.42 4.98 NA NA 48.46 50.22 090 22554 A Neck spine fusion 18.62 NA NA 13.60 15.58 3.51 NA NA 35.73 37.71 090 22556 A Thorax spine fusion 23.46 NA NA 16.73 18.43 3.78 NA NA 43.97 45.67 090 22558 A Lumbar spine fusion 22.28 NA NA 14.49 16.34 3.18 NA NA 39.95 41.80 090 22585 A Additional spinal fusion 5.53 NA NA 2.90 3.64 0.98 NA NA 9.41 10.15 ZZZ 22590 A Spine & skull spinal fusion 20.51 NA NA 15.27 17.31 3.81 NA NA 39.59 41.63 090 22595 A Neck spinal fusion 19.39 NA NA 14.26 16.48 3.62 NA NA 37.27 39.49 090 22600 A Neck spine fusion 16.14 NA NA 12.55 14.23 2.89 NA NA 31.58 33.26 090 22610 A Thorax spine fusion 16.02 NA NA 12.52 14.17 2.66 NA NA 31.20 32.85 090 22612 A Lumbar spine fusion 21.00 NA NA 15.30 17.07 3.28 NA NA 39.58 41.35 090 22614 A Spine fusion, extra segment 6.44 NA NA 3.49 4.15 1.04 NA NA 10.97 11.63 ZZZ 22630 A Lumbar spine fusion 20.84 NA NA 15.53 16.65 3.79 NA NA 40.16 41.28 090 22632 A Spine fusion, extra segment 5.23 NA NA 2.80 3.46 0.90 NA NA 8.93 9.59 ZZZ 22800 A Fusion of spine 18.25 NA NA 13.59 15.64 2.71 NA NA 34.55 36.60 090 22802 A Fusion of spine 30.88 NA NA 21.22 23.60 4.42 NA NA 56.52 58.90 090 22804 A Fusion of spine 36.27 NA NA 23.90 25.61 5.23 NA NA 65.40 67.11 090 22808 A Fusion of spine 26.27 NA NA 18.27 18.70 4.36 NA NA 48.90 49.33 090 22810 A Fusion of spine 30.27 NA NA 19.89 19.91 4.49 NA NA 54.65 54.67 090 22812 A Fusion of spine 32.70 NA NA 21.94 23.49 4.67 NA NA 59.31 60.86 090 22818 A Kyphectomy, 1-2 segments 31.83 NA NA 20.99 23.41 5.01 NA NA 57.83 60.25 090 22819 A Kyphectomy, 3 or more 36.44 NA NA 20.73 23.21 5.20 NA NA 62.37 64.85 090 22830 A Exploration of spinal fusion 10.85 NA NA 9.58 10.43 1.73 NA NA 22.16 23.01 090 22840 A Insert spine fixation device 12.54 NA NA 8.31 7.86 2.03 NA NA 22.88 22.43 ZZZ 22841 B Insert spine fixation device 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 22842 A Insert spine fixation device 12.58 NA NA 6.79 6.95 2.04 NA NA 21.41 21.57 ZZZ 22843 A Insert spine fixation device 13.46 NA NA 8.80 8.92 2.10 NA NA 24.36 24.48 ZZZ 22844 A Insert spine fixation device 16.44 NA NA 10.46 10.68 2.42 NA NA 29.32 29.54 ZZZ 22845 A Insert spine fixation device 11.96 NA NA 7.90 7.47 2.22 NA NA 22.08 21.65 ZZZ 22846 A Insert spine fixation device 12.42 NA NA 8.17 8.27 2.26 NA NA 22.85 22.95 ZZZ 22847 A Insert spine fixation device 13.80 NA NA 8.90 9.06 2.36 NA NA 25.06 25.22 ZZZ 22848 A Insert pelv fixation device 6.00 NA NA 4.74 5.11 0.88 NA NA 11.62 11.99 ZZZ 22849 A Reinsert spinal fixation 18.51 NA NA 13.69 13.46 2.87 NA NA 35.07 34.84 090 22850 A Remove spine fixation device 9.52 NA NA 8.41 8.80 1.51 NA NA 19.44 19.83 090 22851 A Apply spine prosth device 6.71 NA NA 5.07 5.54 1.11 NA NA 12.89 13.36 ZZZ 22852 A Remove spine fixation device 9.01 NA NA 8.18 8.80 1.40 NA NA 18.59 19.21 090 22855 A Remove spine fixation device 15.13 NA NA 11.26 10.47 2.74 NA NA 29.13 28.34 090 Start Printed Page 65450 22899 C Spine surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 22900 A Remove abdominal wall lesion 5.80 NA NA 4.37 4.10 0.58 NA NA 10.75 10.48 090 22999 C Abdomen surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 23000 A Removal of calcium deposits 4.36 8.91 7.56 6.62 5.85 0.50 13.77 12.42 11.48 10.71 090 23020 A Release shoulder joint 8.93 NA NA 9.98 9.46 1.23 NA NA 20.14 19.62 090 23030 A Drain shoulder lesion 3.43 5.78 4.92 4.20 3.74 0.42 9.63 8.77 8.05 7.59 010 23031 A Drain shoulder bursa 2.74 5.66 4.38 3.82 2.93 0.33 8.73 7.45 6.89 6.00 010 23035 A Drain shoulder bone lesion 8.61 NA NA 14.63 12.66 1.19 NA NA 24.43 22.46 090 23040 A Exploratory shoulder surgery 9.20 NA NA 10.88 10.68 1.28 NA NA 21.36 21.16 090 23044 A Exploratory shoulder surgery 7.12 NA NA 9.95 9.34 0.97 NA NA 18.04 17.43 090 23065 A Biopsy shoulder tissues 2.27 2.57 2.11 1.30 1.16 0.14 4.98 4.52 3.71 3.57 010 23066 A Biopsy shoulder tissues 4.16 7.35 5.83 6.09 4.89 0.50 12.01 10.49 10.75 9.55 090 23075 A Removal of shoulder lesion 2.39 5.10 4.28 3.04 2.74 0.25 7.74 6.92 5.68 5.38 010 23076 A Removal of shoulder lesion 7.63 NA NA 7.98 6.95 0.87 NA NA 16.48 15.45 090 23077 A Remove tumor of shoulder 16.09 NA NA 14.00 12.50 1.81 NA NA 31.90 30.40 090 23100 A Biopsy of shoulder joint 6.03 NA NA 8.00 7.80 0.81 NA NA 14.84 14.64 090 23101 A Shoulder joint surgery 5.58 NA NA 8.13 7.76 0.77 NA NA 14.48 14.11 090 23105 A Remove shoulder joint lining 8.23 NA NA 9.59 9.65 1.13 NA NA 18.95 19.01 090 23106 A Incision of collarbone joint 5.96 NA NA 8.53 7.69 0.82 NA NA 15.31 14.47 090 23107 A Explore treat shoulder joint 8.62 NA NA 9.60 9.77 1.19 NA NA 19.41 19.58 090 23120 A Partial removal, collar bone 7.11 NA NA 8.87 7.90 0.99 NA NA 16.97 16.00 090 23125 A Removal of collar bone 9.39 NA NA 10.29 10.02 1.27 NA NA 20.95 20.68 090 23130 A Remove shoulder bone, part 7.55 NA NA 9.12 8.75 1.06 NA NA 17.73 17.36 090 23140 A Removal of bone lesion 6.89 NA NA 8.32 7.37 0.82 NA NA 16.03 15.08 090 23145 A Removal of bone lesion 9.09 NA NA 11.32 10.70 1.24 NA NA 21.65 21.03 090 23146 A Removal of bone lesion 7.83 NA NA 9.97 8.90 1.11 NA NA 18.91 17.84 090 23150 A Removal of humerus lesion 8.48 NA NA 9.44 8.88 1.14 NA NA 19.06 18.50 090 23155 A Removal of humerus lesion 10.35 NA NA 10.79 10.48 1.20 NA NA 22.34 22.03 090 23156 A Removal of humerus lesion 8.68 NA NA 9.69 9.34 1.18 NA NA 19.55 19.20 090 23170 A Remove collar bone lesion 6.86 NA NA 10.75 9.37 0.84 NA NA 18.45 17.07 090 23172 A Remove shoulder blade lesion 6.90 NA NA 10.98 9.64 0.95 NA NA 18.83 17.49 090 23174 A Remove humerus lesion 9.51 NA NA 10.91 10.50 1.30 NA NA 21.72 21.31 090 23180 A Remove collar bone lesion 8.53 NA NA 14.81 12.28 1.18 NA NA 24.52 21.99 090 23182 A Remove shoulder blade lesion 8.15 NA NA 15.51 13.42 1.08 NA NA 24.74 22.65 090 23184 A Remove humerus lesion 9.38 NA NA 14.87 13.55 1.24 NA NA 25.49 24.17 090 23190 A Partial removal of scapula 7.24 NA NA 8.00 7.65 0.97 NA NA 16.21 15.86 090 23195 A Removal of head of humerus 9.81 NA NA 10.43 10.24 1.38 NA NA 21.62 21.43 090 23200 A Removal of collar bone 12.08 NA NA 13.60 12.69 1.48 NA NA 27.16 26.25 090 23210 A Removal of shoulder blade 12.49 NA NA 13.62 12.66 1.61 NA NA 27.72 26.76 090 23220 A Partial removal of humerus 14.56 NA NA 14.40 14.07 2.03 NA NA 30.99 30.66 090 23221 A Partial removal of humerus 17.74 NA NA 16.08 16.98 2.51 NA NA 36.33 37.23 090 23222 A Partial removal of humerus 23.92 NA NA 19.73 18.87 3.37 NA NA 47.02 46.16 090 23330 A Remove shoulder foreign body 1.85 5.35 4.16 4.63 3.55 0.18 7.38 6.19 6.66 5.58 010 23331 A Remove shoulder foreign body 7.38 NA NA 8.97 7.34 1.02 NA NA 17.37 15.74 090 23332 A Remove shoulder foreign body 11.62 NA NA 11.33 11.14 1.62 NA NA 24.57 24.38 090 23350 A Injection for shoulder x-ray 1.00 9.36 7.16 0.36 0.41 0.05 10.41 8.21 1.41 1.46 000 23395 A Muscle transfer,shoulder/arm 16.85 NA NA 13.44 13.10 2.29 NA NA 32.58 32.24 090 23397 A Muscle transfers 16.13 NA NA 13.98 14.28 2.24 NA NA 32.35 32.65 090 23400 A Fixation of shoulder blade 13.54 NA NA 12.95 12.38 1.91 NA NA 28.40 27.83 090 23405 A Incision of tendon & muscle 8.37 NA NA 8.93 8.73 1.12 NA NA 18.42 18.22 090 23406 A Incise tendon(s) & muscle(s) 10.79 NA NA 10.82 10.67 1.48 NA NA 23.09 22.94 090 23410 A Repair of tendon(s) 12.45 NA NA 11.69 11.74 1.72 NA NA 25.86 25.91 090 23412 A Repair of tendon(s) 13.31 NA NA 12.27 12.83 1.86 NA NA 27.44 28.00 090 23415 A Release of shoulder ligament 9.97 NA NA 9.61 8.61 1.39 NA NA 20.97 19.97 090 23420 A Repair of shoulder 13.30 NA NA 13.09 13.79 1.86 NA NA 28.25 28.95 090 23430 A Repair biceps tendon 9.98 NA NA 10.44 9.82 1.40 NA NA 21.82 21.20 090 23440 A Remove/transplant tendon 10.48 NA NA 10.67 9.95 1.47 NA NA 22.62 21.90 090 23450 A Repair shoulder capsule 13.40 NA NA 12.42 12.78 1.86 NA NA 27.68 28.04 090 23455 A Repair shoulder capsule 14.37 NA NA 12.88 13.88 2.01 NA NA 29.26 30.26 090 23460 A Repair shoulder capsule 15.37 NA NA 13.54 13.97 2.17 NA NA 31.08 31.51 090 23462 A Repair shoulder capsule 15.30 NA NA 13.37 14.13 2.16 NA NA 30.83 31.59 090 23465 A Repair shoulder capsule 15.85 NA NA 12.30 13.07 1.61 NA NA 29.76 30.53 090 23466 A Repair shoulder capsule 14.22 NA NA 12.80 13.84 2.00 NA NA 29.02 30.06 090 23470 A Reconstruct shoulder joint 17.15 NA NA 14.38 15.33 2.40 NA NA 33.93 34.88 090 23472 A Reconstruct shoulder joint 16.92 NA NA 14.29 15.77 2.37 NA NA 33.58 35.06 090 23480 A Revision of collar bone 11.18 NA NA 11.14 10.14 1.56 NA NA 23.88 22.88 090 23485 A Revision of collar bone 13.43 NA NA 12.41 12.39 1.84 NA NA 27.68 27.66 090 23490 A Reinforce clavicle 11.86 NA NA 10.53 10.61 1.11 NA NA 23.50 23.58 090 23491 A Reinforce shoulder bones 14.21 NA NA 12.58 12.88 2.00 NA NA 28.79 29.09 090 23500 A Treat clavicle fracture 2.08 3.55 3.11 2.37 2.23 0.26 5.89 5.45 4.71 4.57 090 23505 A Treat clavicle fracture 3.69 5.46 4.79 3.77 3.53 0.50 9.65 8.98 7.96 7.72 090 23515 A Treat clavicle fracture 7.41 NA NA 7.68 7.64 1.03 NA NA 16.12 16.08 090 23520 A Treat clavicle dislocation 2.16 3.47 2.98 2.40 2.18 0.26 5.89 5.40 4.82 4.60 090 23525 A Treat clavicle dislocation 3.60 5.33 4.54 3.63 3.26 0.44 9.37 8.58 7.67 7.30 090 23530 A Treat clavicle dislocation 7.31 NA NA 8.76 8.36 0.85 NA NA 16.92 16.52 090 23532 A Treat clavicle dislocation 8.01 NA NA 8.08 8.02 1.13 NA NA 17.22 17.16 090 23540 A Treat clavicle dislocation 2.23 4.11 3.50 2.38 2.21 0.24 6.58 5.97 4.85 4.68 090 23545 A Treat clavicle dislocation 3.25 4.72 4.08 3.44 3.12 0.39 8.36 7.72 7.08 6.76 090 23550 A Treat clavicle dislocation 7.24 NA NA 7.68 7.92 0.94 NA NA 15.86 16.10 090 23552 A Treat clavicle dislocation 8.45 NA NA 8.29 8.20 1.18 NA NA 17.92 17.83 090 23570 A Treat shoulder blade fx 2.23 3.54 3.12 2.49 2.33 0.29 6.06 5.64 5.01 4.85 090 23575 A Treat shoulder blade fx 4.06 5.59 4.94 3.98 3.73 0.53 10.18 9.53 8.57 8.32 090 23585 A Treat scapula fracture 8.96 NA NA 8.82 8.71 1.25 NA NA 19.03 18.92 090 Start Printed Page 65451 23600 A Treat humerus fracture 2.93 5.41 4.85 3.52 3.43 0.39 8.73 8.17 6.84 6.75 090 23605 A Treat humerus fracture 4.87 8.14 7.40 6.40 6.09 0.67 13.68 12.94 11.94 11.63 090 23615 A Treat humerus fracture 9.35 NA NA 9.52 9.93 1.31 NA NA 20.18 20.59 090 23616 A Treat humerus fracture 21.27 NA NA 15.55 17.72 2.98 NA NA 39.80 41.97 090 23620 A Treat humerus fracture 2.40 5.12 4.62 3.26 2.81 0.32 7.84 7.34 5.98 5.53 090 23625 A Treat humerus fracture 3.93 7.07 6.34 5.32 5.03 0.53 11.53 10.80 9.78 9.49 090 23630 A Treat humerus fracture 7.35 NA NA 7.67 7.95 1.03 NA NA 16.05 16.33 090 23650 A Treat shoulder dislocation 3.39 5.17 4.45 3.33 3.07 0.31 8.87 8.15 7.03 6.77 090 23655 A Treat shoulder dislocation 4.57 NA NA 4.03 3.82 0.52 NA NA 9.12 8.91 090 23660 A Treat shoulder dislocation 7.49 NA NA 7.64 7.97 1.01 NA NA 16.14 16.47 090 23665 A Treat dislocation/fracture 4.47 7.39 6.45 5.59 5.10 0.60 12.46 11.52 10.66 10.17 090 23670 A Treat dislocation/fracture 7.90 NA NA 8.11 8.44 1.10 NA NA 17.11 17.44 090 23675 A Treat dislocation/fracture 6.05 8.17 7.20 6.49 5.94 0.83 15.05 14.08 13.37 12.82 090 23680 A Treat dislocation/fracture 10.06 NA NA 9.31 9.99 1.39 NA NA 20.76 21.44 090 23700 A Fixation of shoulder 2.52 NA NA 3.22 2.98 0.35 NA NA 6.09 5.85 010 23800 A Fusion of shoulder joint 14.16 NA NA 13.53 14.38 1.97 NA NA 29.66 30.51 090 23802 A Fusion of shoulder joint 16.60 NA NA 15.01 15.08 2.34 NA NA 33.95 34.02 090 23900 A Amputation of arm & girdle 19.72 NA NA 14.73 14.46 2.47 NA NA 36.92 36.65 090 23920 A Amputation at shoulder joint 14.61 NA NA 13.74 14.06 1.92 NA NA 30.27 30.59 090 23921 A Amputation follow-up surgery 5.49 NA NA 6.55 6.07 0.78 NA NA 12.82 12.34 090 23929 C Shoulder surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 23930 A Drainage of arm lesion 2.94 5.81 4.80 3.91 3.37 0.32 9.07 8.06 7.17 6.63 010 23931 A Drainage of arm bursa 1.79 5.38 4.24 3.37 2.63 0.21 7.38 6.24 5.37 4.63 010 23935 A Drain arm/elbow bone lesion 6.09 NA NA 12.01 10.28 0.84 NA NA 18.94 17.21 090 24000 A Exploratory elbow surgery 5.82 NA NA 5.68 6.00 0.77 NA NA 12.27 12.59 090 24006 A Release elbow joint 9.31 NA NA 8.12 8.03 1.27 NA NA 18.70 18.61 090 24065 A Biopsy arm/elbow soft tissue 2.08 5.40 4.27 3.20 2.51 0.14 7.62 6.49 5.42 4.73 010 24066 A Biopsy arm/elbow soft tissue 5.21 8.49 7.10 6.36 5.51 0.61 14.31 12.92 12.18 11.33 090 24075 A Remove arm/elbow lesion 3.92 7.81 6.40 5.71 4.82 0.43 12.16 10.75 10.06 9.17 090 24076 A Remove arm/elbow lesion 6.30 NA NA 6.80 6.10 0.70 NA NA 13.80 13.10 090 24077 A Remove tumor of arm/elbow 11.76 NA NA 13.16 12.53 1.32 NA NA 26.24 25.61 090 24100 A Biopsy elbow joint lining 4.93 NA NA 5.48 5.26 0.62 NA NA 11.03 10.81 090 24101 A Explore/treat elbow joint 6.13 NA NA 6.32 6.57 0.84 NA NA 13.29 13.54 090 24102 A Remove elbow joint lining 8.03 NA NA 7.40 7.95 1.09 NA NA 16.52 17.07 090 24105 A Removal of elbow bursa 3.61 NA NA 4.83 4.65 0.49 NA NA 8.93 8.75 090 24110 A Remove humerus lesion 7.39 NA NA 9.06 8.88 0.99 NA NA 17.44 17.26 090 24115 A Remove/graft bone lesion 9.63 NA NA 9.34 9.09 1.15 NA NA 20.12 19.87 090 24116 A Remove/graft bone lesion 11.81 NA NA 11.19 11.03 1.66 NA NA 24.66 24.50 090 24120 A Remove elbow lesion 6.65 NA NA 6.29 6.35 0.87 NA NA 13.81 13.87 090 24125 A Remove/graft bone lesion 7.89 NA NA 6.54 6.48 0.88 NA NA 15.31 15.25 090 24126 A Remove/graft bone lesion 8.31 NA NA 7.07 7.31 0.90 NA NA 16.28 16.52 090 24130 A Removal of head of radius 6.25 NA NA 6.41 6.63 0.87 NA NA 13.53 13.75 090 24134 A Removal of arm bone lesion 9.73 NA NA 15.37 13.89 1.31 NA NA 26.41 24.93 090 24136 A Remove radius bone lesion 7.99 NA NA 6.52 7.27 0.85 NA NA 15.36 16.11 090 24138 A Remove elbow bone lesion 8.05 NA NA 7.33 7.23 1.12 NA NA 16.50 16.40 090 24140 A Partial removal of arm bone 9.18 NA NA 15.69 14.15 1.23 NA NA 26.10 24.56 090 24145 A Partial removal of radius 7.58 NA NA 10.25 9.42 1.01 NA NA 18.84 18.01 090 24147 A Partial removal of elbow 7.54 NA NA 10.30 9.52 1.04 NA NA 18.88 18.10 090 24149 A Radical resection of elbow 14.20 NA NA 10.77 11.51 1.90 NA NA 26.87 27.61 090 24150 A Extensive humerus surgery 13.27 NA NA 13.78 14.16 1.81 NA NA 28.86 29.24 090 24151 A Extensive humerus surgery 15.58 NA NA 15.34 15.26 2.19 NA NA 33.11 33.03 090 24152 A Extensive radius surgery 10.06 NA NA 8.92 8.54 1.19 NA NA 20.17 19.79 090 24153 A Extensive radius surgery 11.54 NA NA 7.24 8.26 0.64 NA NA 19.42 20.44 090 24155 A Removal of elbow joint 11.73 NA NA 8.75 9.48 1.42 NA NA 21.90 22.63 090 24160 A Remove elbow joint implant 7.83 NA NA 7.29 6.78 1.07 NA NA 16.19 15.68 090 24164 A Remove radius head implant 6.23 NA NA 6.33 6.25 0.84 NA NA 13.40 13.32 090 24200 A Removal of arm foreign body 1.76 5.66 4.40 3.13 2.43 0.15 7.57 6.31 5.04 4.34 010 24201 A Removal of arm foreign body 4.56 8.52 7.22 7.15 6.19 0.56 13.64 12.34 12.27 11.31 090 24220 A Injection for elbow x-ray 1.31 10.24 7.82 0.48 0.50 0.07 11.62 9.20 1.86 1.88 000 24301 A Muscle/tendon transfer 10.20 NA NA 8.82 8.76 1.30 NA NA 20.32 20.26 090 24305 A Arm tendon lengthening 7.45 NA NA 7.11 6.17 0.98 NA NA 15.54 14.60 090 24310 A Revision of arm tendon 5.98 NA NA 7.62 6.52 0.74 NA NA 14.34 13.24 090 24320 A Repair of arm tendon 10.56 NA NA 9.86 9.89 1.00 NA NA 21.42 21.45 090 24330 A Revision of arm muscles 9.60 NA NA 8.31 8.61 1.21 NA NA 19.12 19.42 090 24331 A Revision of arm muscles 10.65 NA NA 8.75 9.17 1.41 NA NA 20.81 21.23 090 24340 A Repair of biceps tendon 7.89 NA NA 7.19 7.29 1.08 NA NA 16.16 16.26 090 24341 A Repair arm tendon/muscle 7.90 NA NA 7.25 7.34 1.08 NA NA 16.23 16.32 090 24342 A Repair of ruptured tendon 10.62 NA NA 8.86 9.46 1.48 NA NA 20.96 21.56 090 24350 A Repair of tennis elbow 5.25 NA NA 5.88 5.56 0.72 NA NA 11.85 11.53 090 24351 A Repair of tennis elbow 5.91 NA NA 6.31 5.97 0.82 NA NA 13.04 12.70 090 24352 A Repair of tennis elbow 6.43 NA NA 6.58 6.48 0.90 NA NA 13.91 13.81 090 24354 A Repair of tennis elbow 6.48 NA NA 6.53 6.42 0.88 NA NA 13.89 13.78 090 24356 A Revision of tennis elbow 6.68 NA NA 6.70 7.00 0.90 NA NA 14.28 14.58 090 24360 A Reconstruct elbow joint 12.34 NA NA 9.59 10.88 1.69 NA NA 23.62 24.91 090 24361 A Reconstruct elbow joint 14.08 NA NA 10.32 11.30 1.95 NA NA 26.35 27.33 090 24362 A Reconstruct elbow joint 14.99 NA NA 10.85 9.92 1.92 NA NA 27.76 26.83 090 24363 A Replace elbow joint 18.49 NA NA 13.18 15.40 2.52 NA NA 34.19 36.41 090 24365 A Reconstruct head of radius 8.39 NA NA 7.59 7.73 1.11 NA NA 17.09 17.23 090 24366 A Reconstruct head of radius 9.13 NA NA 8.00 8.73 1.28 NA NA 18.41 19.14 090 24400 A Revision of humerus 11.06 NA NA 11.87 11.19 1.53 NA NA 24.46 23.78 090 24410 A Revision of humerus 14.82 NA NA 13.81 14.17 1.89 NA NA 30.52 30.88 090 24420 A Revision of humerus 13.44 NA NA 15.37 14.87 1.82 NA NA 30.63 30.13 090 24430 A Repair of humerus 12.81 NA NA 12.12 12.91 1.80 NA NA 26.73 27.52 090 Start Printed Page 65452 24435 A Repair humerus with graft 13.17 NA NA 13.09 13.75 1.84 NA NA 28.10 28.76 090 24470 A Revision of elbow joint 8.74 NA NA 7.13 7.50 1.23 NA NA 17.10 17.47 090 24495 A Decompression of forearm 8.12 NA NA 9.57 8.74 0.92 NA NA 18.61 17.78 090 24498 A Reinforce humerus 11.92 NA NA 11.57 11.49 1.67 NA NA 25.16 25.08 090 24500 A Treat humerus fracture 3.21 4.99 4.43 3.25 3.13 0.41 8.61 8.05 6.87 6.75 090 24505 A Treat humerus fracture 5.17 8.65 7.71 6.67 6.22 0.72 14.54 13.60 12.56 12.11 090 24515 A Treat humerus fracture 11.65 NA NA 10.75 10.68 1.63 NA NA 24.03 23.96 090 24516 A Treat humerus fracture 11.65 NA NA 11.14 10.97 1.63 NA NA 24.42 24.25 090 24530 A Treat humerus fracture 3.50 6.03 5.26 4.71 4.27 0.47 10.00 9.23 8.68 8.24 090 24535 A Treat humerus fracture 6.87 8.56 7.74 6.60 6.27 0.96 16.39 15.57 14.43 14.10 090 24538 A Treat humerus fracture 9.43 NA NA 9.73 9.46 1.25 NA NA 20.41 20.14 090 24545 A Treat humerus fracture 10.46 NA NA 9.57 9.88 1.47 NA NA 21.50 21.81 090 24546 A Treat humerus fracture 15.69 NA NA 12.98 12.44 2.18 NA NA 30.85 30.31 090 24560 A Treat humerus fracture 2.80 4.81 4.19 3.04 2.87 0.35 7.96 7.34 6.19 6.02 090 24565 A Treat humerus fracture 5.56 7.82 6.80 5.85 5.32 0.74 14.12 13.10 12.15 11.62 090 24566 A Treat humerus fracture 7.79 NA NA 9.23 8.57 1.10 NA NA 18.12 17.46 090 24575 A Treat humerus fracture 10.66 NA NA 7.98 8.10 1.44 NA NA 20.08 20.20 090 24576 A Treat humerus fracture 2.86 4.53 3.98 3.15 2.95 0.38 7.77 7.22 6.39 6.19 090 24577 A Treat humerus fracture 5.79 7.93 7.03 5.99 5.58 0.81 14.53 13.63 12.59 12.18 090 24579 A Treat humerus fracture 11.60 NA NA 10.67 10.27 1.62 NA NA 23.89 23.49 090 24582 A Treat humerus fracture 8.55 NA NA 9.71 9.08 1.20 NA NA 19.46 18.83 090 24586 A Treat elbow fracture 15.21 NA NA 10.70 12.02 2.12 NA NA 28.03 29.35 090 24587 A Treat elbow fracture 15.16 NA NA 10.48 11.58 2.14 NA NA 27.78 28.88 090 24600 A Treat elbow dislocation 4.23 6.77 5.61 4.98 4.27 0.49 11.49 10.33 9.70 8.99 090 24605 A Treat elbow dislocation 5.42 NA NA 4.73 4.17 0.72 NA NA 10.87 10.31 090 24615 A Treat elbow dislocation 9.42 NA NA 7.53 8.17 1.31 NA NA 18.26 18.90 090 24620 A Treat elbow fracture 6.98 NA NA 6.42 5.84 0.90 NA NA 14.30 13.72 090 24635 A Treat elbow fracture 13.19 NA NA 15.05 14.29 1.84 NA NA 30.08 29.32 090 24640 A Treat elbow dislocation 1.20 3.46 2.87 1.77 1.60 0.11 4.77 4.18 3.08 2.91 010 24650 A Treat radius fracture 2.16 4.45 3.95 2.80 2.41 0.28 6.89 6.39 5.24 4.85 090 24655 A Treat radius fracture 4.40 7.12 6.16 5.15 4.68 0.58 12.10 11.14 10.13 9.66 090 24665 A Treat radius fracture 8.14 NA NA 8.78 8.52 1.13 NA NA 18.05 17.79 090 24666 A Treat radius fracture 9.49 NA NA 9.51 9.92 1.32 NA NA 20.32 20.73 090 24670 A Treat ulnar fracture 2.54 4.38 3.82 3.00 2.78 0.33 7.25 6.69 5.87 5.65 090 24675 A Treat ulnar fracture 4.72 7.27 6.41 5.36 4.97 0.65 12.64 11.78 10.73 10.34 090 24685 A Treat ulnar fracture 8.80 NA NA 9.13 9.13 1.23 NA NA 19.16 19.16 090 24800 A Fusion of elbow joint 11.20 NA NA 9.41 9.93 1.41 NA NA 22.02 22.54 090 24802 A Fusion/graft of elbow joint 13.69 NA NA 11.10 11.63 1.89 NA NA 26.68 27.21 090 24900 A Amputation of upper arm 9.60 NA NA 10.61 10.04 1.18 NA NA 21.39 20.82 090 24920 A Amputation of upper arm 9.54 NA NA 11.85 10.73 1.22 NA NA 22.61 21.49 090 24925 A Amputation follow-up surgery 7.07 NA NA 8.88 8.36 0.95 NA NA 16.90 16.38 090 24930 A Amputation follow-up surgery 10.25 NA NA 11.00 10.47 1.23 NA NA 22.48 21.95 090 24931 A Amputate upper arm & implant 12.72 NA NA 11.26 11.48 1.56 NA NA 25.54 25.76 090 24935 A Revision of amputation 15.56 NA NA 11.88 12.63 1.58 NA NA 29.02 29.77 090 24940 C Revision of upper arm 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 YYY 25000 A Incision of tendon sheath 3.38 NA NA 6.59 5.95 0.45 NA NA 10.42 9.78 090 25020 A Decompression of forearm 5.92 NA NA 10.29 8.90 0.75 NA NA 16.96 15.57 090 25023 A Decompression of forearm 12.96 NA NA 15.90 13.40 1.50 NA NA 30.36 27.86 090 25028 A Drainage of forearm lesion 5.25 NA NA 9.39 7.60 0.61 NA NA 15.25 13.46 090 25031 A Drainage of forearm bursa 4.14 NA NA 9.02 6.95 0.50 NA NA 13.66 11.59 090 25035 A Treat forearm bone lesion 7.36 NA NA 15.16 13.08 0.98 NA NA 23.50 21.42 090 25040 A Explore/treat wrist joint 7.18 NA NA 8.56 7.97 0.96 NA NA 16.70 16.11 090 25065 A Biopsy forearm soft tissues 1.99 2.45 2.04 2.45 1.94 0.12 4.56 4.15 4.56 4.05 010 25066 A Biopsy forearm soft tissues 4.13 NA NA 7.36 5.94 0.49 NA NA 11.98 10.56 090 25075 A Removal of forearm lesion 3.74 NA NA 6.81 5.70 0.40 NA NA 10.95 9.84 090 25076 A Removal of forearm lesion 4.92 NA NA 11.51 9.66 0.59 NA NA 17.02 15.17 090 25077 A Remove tumor, forearm/wrist 9.76 NA NA 15.13 13.65 1.10 NA NA 25.99 24.51 090 25085 A Incision of wrist capsule 5.50 NA NA 9.88 8.66 0.71 NA NA 16.09 14.87 090 25100 A Biopsy of wrist joint 3.90 NA NA 6.64 6.15 0.50 NA NA 11.04 10.55 090 25101 A Explore/treat wrist joint 4.69 NA NA 7.23 6.82 0.60 NA NA 12.52 12.11 090 25105 A Remove wrist joint lining 5.85 NA NA 10.05 9.29 0.77 NA NA 16.67 15.91 090 25107 A Remove wrist joint cartilage 6.43 NA NA 10.23 9.11 0.82 NA NA 17.48 16.36 090 25110 A Remove wrist tendon lesion 3.92 NA NA 7.72 6.55 0.48 NA NA 12.12 10.95 090 25111 A Remove wrist tendon lesion 3.39 NA NA 6.01 5.38 0.42 NA NA 9.82 9.19 090 25112 A Reremove wrist tendon lesion 4.53 NA NA 6.88 6.17 0.54 NA NA 11.95 11.24 090 25115 A Remove wrist/forearm lesion 8.82 NA NA 15.45 13.53 1.11 NA NA 25.38 23.46 090 25116 A Remove wrist/forearm lesion 7.11 NA NA 14.43 12.95 0.90 NA NA 22.44 20.96 090 25118 A Excise wrist tendon sheath 4.37 NA NA 7.17 6.68 0.55 NA NA 12.09 11.60 090 25119 A Partial removal of ulna 6.04 NA NA 10.00 9.30 0.80 NA NA 16.84 16.14 090 25120 A Removal of forearm lesion 6.10 NA NA 13.26 11.72 0.81 NA NA 20.17 18.63 090 25125 A Remove/graft forearm lesion 7.48 NA NA 14.52 12.75 1.02 NA NA 23.02 21.25 090 25126 A Remove/graft forearm lesion 7.55 NA NA 13.95 12.31 1.00 NA NA 22.50 20.86 090 25130 A Removal of wrist lesion 5.26 NA NA 7.50 6.77 0.66 NA NA 13.42 12.69 090 25135 A Remove & graft wrist lesion 6.89 NA NA 8.29 7.70 0.89 NA NA 16.07 15.48 090 25136 A Remove & graft wrist lesion 5.97 NA NA 6.38 6.07 0.58 NA NA 12.93 12.62 090 25145 A Remove forearm bone lesion 6.37 NA NA 14.00 12.12 0.82 NA NA 21.19 19.31 090 25150 A Partial removal of ulna 7.09 NA NA 10.98 10.05 0.96 NA NA 19.03 18.10 090 25151 A Partial removal of radius 7.39 NA NA 13.77 11.89 0.93 NA NA 22.09 20.21 090 25170 A Extensive forearm surgery 11.09 NA NA 16.06 14.70 1.52 NA NA 28.67 27.31 090 25210 A Removal of wrist bone 5.95 NA NA 8.02 7.34 0.73 NA NA 14.70 14.02 090 25215 A Removal of wrist bones 7.89 NA NA 11.15 10.72 1.02 NA NA 20.06 19.63 090 25230 A Partial removal of radius 5.23 NA NA 7.44 7.09 0.66 NA NA 13.33 12.98 090 Start Printed Page 65453 25240 A Partial removal of ulna 5.17 NA NA 9.61 8.65 0.69 NA NA 15.47 14.51 090 25246 A Injection for wrist x-ray 1.45 9.80 7.49 0.52 0.53 0.07 11.32 9.01 2.04 2.05 000 25248 A Remove forearm foreign body 5.14 NA NA 9.04 7.37 0.54 NA NA 14.72 13.05 090 25250 A Removal of wrist prosthesis 6.60 NA NA 8.15 7.64 0.84 NA NA 15.59 15.08 090 25251 A Removal of wrist prosthesis 9.57 NA NA 11.55 10.90 1.15 NA NA 22.27 21.62 090 25260 A Repair forearm tendon/muscle 7.80 NA NA 15.60 12.95 0.97 NA NA 24.37 21.72 090 25263 A Repair forearm tendon/muscle 7.82 NA NA 14.95 12.78 0.94 NA NA 23.71 21.54 090 25265 A Repair forearm tendon/muscle 9.88 NA NA 15.75 13.97 1.19 NA NA 26.82 25.04 090 25270 A Repair forearm tendon/muscle 6.00 NA NA 14.52 11.80 0.76 NA NA 21.28 18.56 090 25272 A Repair forearm tendon/muscle 7.04 NA NA 15.17 12.31 0.89 NA NA 23.10 20.24 090 25274 A Repair forearm tendon/muscle 8.75 NA NA 14.96 13.02 1.11 NA NA 24.82 22.88 090 25280 A Revise wrist/forearm tendon 7.22 NA NA 14.31 11.88 0.91 NA NA 22.44 20.01 090 25290 A Incise wrist/forearm tendon 5.29 NA NA 16.18 12.81 0.66 NA NA 22.13 18.76 090 25295 A Release wrist/forearm tendon 6.55 NA NA 14.02 11.34 0.84 NA NA 21.41 18.73 090 25300 A Fusion of tendons at wrist 8.80 NA NA 9.51 9.13 1.07 NA NA 19.38 19.00 090 25301 A Fusion of tendons at wrist 8.40 NA NA 9.29 8.81 1.08 NA NA 18.77 18.29 090 25310 A Transplant forearm tendon 8.14 NA NA 14.58 12.87 1.01 NA NA 23.73 22.02 090 25312 A Transplant forearm tendon 9.57 NA NA 15.53 13.72 1.22 NA NA 26.32 24.51 090 25315 A Revise palsy hand tendon(s) 10.20 NA NA 16.30 14.41 1.26 NA NA 27.76 25.87 090 25316 A Revise palsy hand tendon(s) 12.33 NA NA 17.13 15.72 1.74 NA NA 31.20 29.79 090 25320 A Repair/revise wrist joint 10.77 NA NA 10.68 10.34 1.32 NA NA 22.77 22.43 090 25332 A Revise wrist joint 11.41 NA NA 11.17 11.09 1.46 NA NA 24.04 23.96 090 25335 A Realignment of hand 12.88 NA NA 13.34 13.10 1.66 NA NA 27.88 27.64 090 25337 A Reconstruct ulna/radioulnar 10.17 NA NA 12.37 11.61 1.31 NA NA 23.85 23.09 090 25350 A Revision of radius 8.78 NA NA 14.82 13.18 1.17 NA NA 24.77 23.13 090 25355 A Revision of radius 10.17 NA NA 15.90 14.40 1.44 NA NA 27.51 26.01 090 25360 A Revision of ulna 8.43 NA NA 14.97 12.97 1.17 NA NA 24.57 22.57 090 25365 A Revise radius & ulna 12.40 NA NA 16.30 15.02 1.67 NA NA 30.37 29.09 090 25370 A Revise radius or ulna 13.36 NA NA 17.80 16.54 1.88 NA NA 33.04 31.78 090 25375 A Revise radius & ulna 13.04 NA NA 17.62 16.85 1.84 NA NA 32.50 31.73 090 25390 A Shorten radius or ulna 10.40 NA NA 15.88 14.30 1.38 NA NA 27.66 26.08 090 25391 A Lengthen radius or ulna 13.65 NA NA 17.19 15.95 1.73 NA NA 32.57 31.33 090 25392 A Shorten radius & ulna 13.95 NA NA 16.60 15.83 1.73 NA NA 32.28 31.51 090 25393 A Lengthen radius & ulna 15.87 NA NA 16.76 16.43 1.87 NA NA 34.50 34.17 090 25400 A Repair radius or ulna 10.92 NA NA 16.07 14.98 1.50 NA NA 28.49 27.40 090 25405 A Repair/graft radius or ulna 14.38 NA NA 18.35 17.13 1.95 NA NA 34.68 33.46 090 25415 A Repair radius & ulna 13.35 NA NA 17.45 16.19 1.87 NA NA 32.67 31.41 090 25420 A Repair/graft radius & ulna 16.33 NA NA 19.23 18.41 2.20 NA NA 37.76 36.94 090 25425 A Repair/graft radius or ulna 13.21 NA NA 24.28 21.47 1.61 NA NA 39.10 36.29 090 25426 A Repair/graft radius & ulna 15.82 NA NA 19.50 17.81 2.23 NA NA 37.55 35.86 090 25440 A Repair/graft wrist bone 10.44 NA NA 10.42 10.27 1.41 NA NA 22.27 22.12 090 25441 A Reconstruct wrist joint 12.90 NA NA 11.51 11.72 1.83 NA NA 26.24 26.45 090 25442 A Reconstruct wrist joint 10.85 NA NA 10.57 9.84 1.24 NA NA 22.66 21.93 090 25443 A Reconstruct wrist joint 10.39 NA NA 14.29 13.26 1.30 NA NA 25.98 24.95 090 25444 A Reconstruct wrist joint 11.15 NA NA 12.32 11.99 1.43 NA NA 24.90 24.57 090 25445 A Reconstruct wrist joint 9.69 NA NA 12.33 12.06 1.26 NA NA 23.28 23.01 090 25446 A Wrist replacement 16.55 NA NA 13.85 15.33 2.20 NA NA 32.60 34.08 090 25447 A Repair wrist joint(s) 10.37 NA NA 10.42 10.43 1.34 NA NA 22.13 22.14 090 25449 A Remove wrist joint implant 14.49 NA NA 14.60 13.08 1.77 NA NA 30.86 29.34 090 25450 A Revision of wrist joint 7.87 NA NA 11.62 10.70 0.88 NA NA 20.37 19.45 090 25455 A Revision of wrist joint 9.49 NA NA 11.16 10.73 1.07 NA NA 21.72 21.29 090 25490 A Reinforce radius 9.54 NA NA 14.92 13.55 1.19 NA NA 25.65 24.28 090 25491 A Reinforce ulna 9.96 NA NA 15.39 14.01 1.41 NA NA 26.76 25.38 090 25492 A Reinforce radius and ulna 12.33 NA NA 14.11 13.62 1.62 NA NA 28.06 27.57 090 25500 A Treat fracture of radius 2.45 4.18 3.77 2.86 2.46 0.28 6.91 6.50 5.59 5.19 090 25505 A Treat fracture of radius 5.21 7.49 6.59 5.56 5.14 0.69 13.39 12.49 11.46 11.04 090 25515 A Treat fracture of radius 9.18 NA NA 9.22 8.99 1.22 NA NA 19.62 19.39 090 25520 A Treat fracture of radius 6.26 7.81 7.42 6.24 6.24 0.85 14.92 14.53 13.35 13.35 090 25525 A Treat fracture of radius 12.24 NA NA 10.96 11.25 1.68 NA NA 24.88 25.17 090 25526 A Treat fracture of radius 12.98 NA NA 14.15 13.83 1.80 NA NA 28.93 28.61 090 25530 A Treat fracture of ulna 2.09 4.09 3.73 2.78 2.40 0.27 6.45 6.09 5.14 4.76 090 25535 A Treat fracture of ulna 5.14 7.49 6.59 5.51 5.10 0.68 13.31 12.41 11.33 10.92 090 25545 A Treat fracture of ulna 8.90 NA NA 9.20 8.96 1.23 NA NA 19.33 19.09 090 25560 A Treat fracture radius & ulna 2.44 4.19 3.76 2.85 2.75 0.27 6.90 6.47 5.56 5.46 090 25565 A Treat fracture radius & ulna 5.63 7.76 7.09 5.77 5.59 0.76 14.15 13.48 12.16 11.98 090 25574 A Treat fracture radius & ulna 7.01 NA NA 8.10 8.17 0.96 NA NA 16.07 16.14 090 25575 A Treat fracture radius/ulna 10.45 NA NA 10.07 10.46 1.46 NA NA 21.98 22.37 090 25600 A Treat fracture radius/ulna 2.63 4.41 4.08 2.99 2.63 0.34 7.38 7.05 5.96 5.60 090 25605 A Treat fracture radius/ulna 5.81 7.93 7.02 5.96 5.54 0.81 14.55 13.64 12.58 12.16 090 25611 A Treat fracture radius/ulna 7.77 NA NA 9.26 8.58 1.08 NA NA 18.11 17.43 090 25620 A Treat fracture radius/ulna 8.55 NA NA 9.01 8.69 1.17 NA NA 18.73 18.41 090 25622 A Treat wrist bone fracture 2.61 4.38 3.90 2.98 2.55 0.33 7.32 6.84 5.92 5.49 090 25624 A Treat wrist bone fracture 4.53 7.14 6.35 5.22 4.41 0.61 12.28 11.49 10.36 9.55 090 25628 A Treat wrist bone fracture 8.43 NA NA 9.06 8.73 1.14 NA NA 18.63 18.30 090 25630 A Treat wrist bone fracture 2.88 4.53 3.99 3.07 2.60 0.37 7.78 7.24 6.32 5.85 090 25635 A Treat wrist bone fracture 4.39 7.18 6.30 4.16 3.58 0.39 11.96 11.08 8.94 8.36 090 25645 A Treat wrist bone fracture 7.25 NA NA 8.97 8.54 0.93 NA NA 17.15 16.72 090 25650 A Treat wrist bone fracture 3.05 4.62 4.19 3.12 2.70 0.37 8.04 7.61 6.54 6.12 090 25660 A Treat wrist dislocation 4.76 NA NA 5.36 4.52 0.59 NA NA 10.71 9.87 090 25670 A Treat wrist dislocation 7.92 NA NA 8.85 8.56 1.07 NA NA 17.84 17.55 090 25675 A Treat wrist dislocation 4.67 7.16 5.99 5.15 4.48 0.57 12.40 11.23 10.39 9.72 090 25676 A Treat wrist dislocation 8.04 NA NA 8.91 8.67 1.10 NA NA 18.05 17.81 090 25680 A Treat wrist fracture 5.99 NA NA 6.39 5.46 0.61 NA NA 12.99 12.06 090 Start Printed Page 65454 25685 A Treat wrist fracture 9.78 NA NA 9.54 9.54 1.25 NA NA 20.57 20.57 090 25690 A Treat wrist dislocation 5.50 NA NA 6.86 6.47 0.78 NA NA 13.14 12.75 090 25695 A Treat wrist dislocation 8.34 NA NA 8.84 8.54 1.07 NA NA 18.25 17.95 090 25800 A Fusion of wrist joint 9.76 NA NA 10.00 10.42 1.30 NA NA 21.06 21.48 090 25805 A Fusion/graft of wrist joint 11.28 NA NA 10.95 11.58 1.51 NA NA 23.74 24.37 090 25810 A Fusion/graft of wrist joint 10.57 NA NA 10.47 11.01 1.37 NA NA 22.41 22.95 090 25820 A Fusion of hand bones 7.45 NA NA 8.81 8.83 0.96 NA NA 17.22 17.24 090 25825 A Fuse hand bones with graft 9.27 NA NA 9.82 10.13 1.20 NA NA 20.29 20.60 090 25830 A Fusion, radioulnar jnt/ulna 10.06 NA NA 14.92 13.52 1.27 NA NA 26.25 24.85 090 25900 A Amputation of forearm 9.01 NA NA 13.27 11.87 1.08 NA NA 23.36 21.96 090 25905 A Amputation of forearm 9.12 NA NA 15.11 13.26 1.06 NA NA 25.29 23.44 090 25907 A Amputation follow-up surgery 7.80 NA NA 13.20 11.46 1.01 NA NA 22.01 20.27 090 25909 A Amputation follow-up surgery 8.96 NA NA 15.15 12.87 1.07 NA NA 25.18 22.90 090 25915 A Amputation of forearm 17.08 NA NA 20.21 19.45 2.41 NA NA 39.70 38.94 090 25920 A Amputate hand at wrist 8.68 NA NA 9.28 8.86 1.06 NA NA 19.02 18.60 090 25922 A Amputate hand at wrist 7.42 NA NA 9.14 8.36 0.93 NA NA 17.49 16.71 090 25924 A Amputation follow-up surgery 8.46 NA NA 9.22 8.95 1.07 NA NA 18.75 18.48 090 25927 A Amputation of hand 8.80 NA NA 13.46 11.80 1.02 NA NA 23.28 21.62 090 25929 A Amputation follow-up surgery 7.59 NA NA 7.05 6.57 0.89 NA NA 15.53 15.05 090 25931 A Amputation follow-up surgery 7.81 NA NA 13.94 11.69 0.88 NA NA 22.63 20.38 090 25999 C Forearm or wrist surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 26010 A Drainage of finger abscess 1.54 4.86 3.78 3.48 2.68 0.14 6.54 5.46 5.16 4.36 010 26011 A Drainage of finger abscess 2.19 6.80 5.52 5.69 4.69 0.25 9.24 7.96 8.13 7.13 010 26020 A Drain hand tendon sheath 4.67 NA NA 11.55 9.67 0.59 NA NA 16.81 14.93 090 26025 A Drainage of palm bursa 4.82 NA NA 11.71 10.01 0.60 NA NA 17.13 15.43 090 26030 A Drainage of palm bursa(s) 5.93 NA NA 12.14 10.66 0.72 NA NA 18.79 17.31 090 26034 A Treat hand bone lesion 6.23 NA NA 13.35 11.16 0.79 NA NA 20.37 18.18 090 26035 A Decompress fingers/hand 9.51 NA NA 15.30 12.88 1.12 NA NA 25.93 23.51 090 26037 A Decompress fingers/hand 7.25 NA NA 11.76 10.55 0.87 NA NA 19.88 18.67 090 26040 A Release palm contracture 3.33 NA NA 11.19 9.17 0.45 NA NA 14.97 12.95 090 26045 A Release palm contracture 5.56 NA NA 12.37 10.59 0.74 NA NA 18.67 16.89 090 26055 A Incise finger tendon sheath 2.69 7.04 6.17 6.76 5.96 0.36 10.09 9.22 9.81 9.01 090 26060 A Incision of finger tendon 2.81 NA NA 6.66 5.30 0.35 NA NA 9.82 8.46 090 26070 A Explore/treat hand joint 3.69 NA NA 10.22 8.04 0.35 NA NA 14.26 12.08 090 26075 A Explore/treat finger joint 3.79 NA NA 10.82 9.14 0.40 NA NA 15.01 13.33 090 26080 A Explore/treat finger joint 4.24 NA NA 11.59 9.55 0.52 NA NA 16.35 14.31 090 26100 A Biopsy hand joint lining 3.67 NA NA 7.39 6.35 0.45 NA NA 11.51 10.47 090 26105 A Biopsy finger joint lining 3.71 NA NA 10.68 9.14 0.45 NA NA 14.84 13.30 090 26110 A Biopsy finger joint lining 3.53 NA NA 10.69 8.81 0.44 NA NA 14.66 12.78 090 26115 A Removal of hand lesion 3.86 7.21 5.95 7.21 5.95 0.48 11.55 10.29 11.55 10.29 090 26116 A Removal of hand lesion 5.53 NA NA 12.26 10.20 0.69 NA NA 18.48 16.42 090 26117 A Remove tumor, hand/finger 8.55 NA NA 14.41 12.18 1.01 NA NA 23.97 21.74 090 26121 A Release palm contracture 7.54 NA NA 14.23 12.92 0.94 NA NA 22.71 21.40 090 26123 A Release palm contracture 9.29 NA NA 15.22 13.89 1.17 NA NA 25.68 24.35 090 26125 A Release palm contracture 4.61 NA NA 2.57 2.64 0.57 NA NA 7.75 7.82 ZZZ 26130 A Remove wrist joint lining 5.42 NA NA 14.77 12.44 0.65 NA NA 20.84 18.51 090 26135 A Revise finger joint, each 6.96 NA NA 15.48 12.93 0.87 NA NA 23.31 20.76 090 26140 A Revise finger joint, each 6.17 NA NA 14.41 12.00 0.76 NA NA 21.34 18.93 090 26145 A Tendon excision, palm/finger 6.32 NA NA 14.33 12.03 0.77 NA NA 21.42 19.12 090 26160 A Remove tendon sheath lesion 3.15 7.20 6.03 6.96 5.85 0.39 10.74 9.57 10.50 9.39 090 26170 A Removal of palm tendon, each 4.77 NA NA 7.97 6.75 0.60 NA NA 13.34 12.12 090 26180 A Removal of finger tendon 5.18 NA NA 7.83 6.96 0.64 NA NA 13.65 12.78 090 26185 A Remove finger bone 5.25 NA NA 8.35 7.41 0.67 NA NA 14.27 13.33 090 26200 A Remove hand bone lesion 5.51 NA NA 12.39 10.51 0.71 NA NA 18.61 16.73 090 26205 A Remove/graft bone lesion 7.70 NA NA 14.03 12.26 0.95 NA NA 22.68 20.91 090 26210 A Removal of finger lesion 5.15 NA NA 12.94 10.76 0.64 NA NA 18.73 16.55 090 26215 A Remove/graft finger lesion 7.10 NA NA 13.35 11.52 0.77 NA NA 21.22 19.39 090 26230 A Partial removal of hand bone 6.33 NA NA 11.81 10.01 0.84 NA NA 18.98 17.18 090 26235 A Partial removal, finger bone 6.19 NA NA 11.45 9.72 0.78 NA NA 18.42 16.69 090 26236 A Partial removal, finger bone 5.32 NA NA 11.29 9.52 0.66 NA NA 17.27 15.50 090 26250 A Extensive hand surgery 7.55 NA NA 15.93 13.58 0.92 NA NA 24.40 22.05 090 26255 A Extensive hand surgery 12.43 NA NA 16.86 15.07 1.05 NA NA 30.34 28.55 090 26260 A Extensive finger surgery 7.03 NA NA 15.76 13.38 0.83 NA NA 23.62 21.24 090 26261 A Extensive finger surgery 9.09 NA NA 16.90 14.77 0.84 NA NA 26.83 24.70 090 26262 A Partial removal of finger 5.67 NA NA 12.80 10.89 0.70 NA NA 19.17 17.26 090 26320 A Removal of implant from hand 3.98 NA NA 11.74 9.77 0.49 NA NA 16.21 14.24 090 26350 A Repair finger/hand tendon 5.99 NA NA 18.01 15.07 0.73 NA NA 24.73 21.79 090 26352 A Repair/graft hand tendon 7.68 NA NA 17.48 14.90 0.93 NA NA 26.09 23.51 090 26356 A Repair finger/hand tendon 8.07 NA NA 19.37 16.48 0.99 NA NA 28.43 25.54 090 26357 A Repair finger/hand tendon 8.58 NA NA 18.82 15.90 1.02 NA NA 28.42 25.50 090 26358 A Repair/graft hand tendon 9.14 NA NA 18.56 15.93 1.07 NA NA 28.77 26.14 090 26370 A Repair finger/hand tendon 7.11 NA NA 18.65 15.81 0.90 NA NA 26.66 23.82 090 26372 A Repair/graft hand tendon 8.76 NA NA 18.77 15.81 1.06 NA NA 28.59 25.63 090 26373 A Repair finger/hand tendon 8.16 NA NA 21.22 17.77 0.98 NA NA 30.36 26.91 090 26390 A Revise hand/finger tendon 9.19 NA NA 14.49 13.03 1.09 NA NA 24.77 23.31 090 26392 A Repair/graft hand tendon 10.26 NA NA 19.80 17.19 1.26 NA NA 31.32 28.71 090 26410 A Repair hand tendon 4.63 NA NA 14.50 11.77 0.57 NA NA 19.70 16.97 090 26412 A Repair/graft hand tendon 6.31 NA NA 14.96 12.85 0.80 NA NA 22.07 19.96 090 26415 A Excision, hand/finger tendon 8.34 NA NA 14.51 12.72 0.77 NA NA 23.62 21.83 090 26416 A Graft hand or finger tendon 9.37 NA NA 15.87 14.25 1.20 NA NA 26.44 24.82 090 26418 A Repair finger tendon 4.25 NA NA 14.16 11.59 0.50 NA NA 18.91 16.34 090 26420 A Repair/graft finger tendon 6.77 NA NA 15.68 13.30 0.83 NA NA 23.28 20.90 090 26426 A Repair finger/hand tendon 6.15 NA NA 15.05 13.00 0.77 NA NA 21.97 19.92 090 Start Printed Page 65455 26428 A Repair/graft finger tendon 7.21 NA NA 15.60 13.19 0.84 NA NA 23.65 21.24 090 26432 A Repair finger tendon 4.02 NA NA 11.01 8.69 0.48 NA NA 15.51 13.19 090 26433 A Repair finger tendon 4.56 NA NA 12.66 10.57 0.56 NA NA 17.78 15.69 090 26434 A Repair/graft finger tendon 6.09 NA NA 12.09 10.41 0.71 NA NA 18.89 17.21 090 26437 A Realignment of tendons 5.82 NA NA 12.52 10.49 0.74 NA NA 19.08 17.05 090 26440 A Release palm/finger tendon 5.02 NA NA 16.09 13.04 0.62 NA NA 21.73 18.68 090 26442 A Release palm & finger tendon 8.16 NA NA 18.28 14.63 0.94 NA NA 27.38 23.73 090 26445 A Release hand/finger tendon 4.31 NA NA 15.96 12.85 0.54 NA NA 20.81 17.70 090 26449 A Release forearm/hand tendon 7.00 NA NA 16.72 14.05 0.84 NA NA 24.56 21.89 090 26450 A Incision of palm tendon 3.67 NA NA 7.26 6.06 0.46 NA NA 11.39 10.19 090 26455 A Incision of finger tendon 3.64 NA NA 7.52 6.15 0.47 NA NA 11.63 10.26 090 26460 A Incise hand/finger tendon 3.46 NA NA 7.09 5.79 0.44 NA NA 10.99 9.69 090 26471 A Fusion of finger tendons 5.73 NA NA 12.48 10.49 0.73 NA NA 18.94 16.95 090 26474 A Fusion of finger tendons 5.32 NA NA 12.82 10.87 0.69 NA NA 18.83 16.88 090 26476 A Tendon lengthening 5.18 NA NA 12.78 10.37 0.62 NA NA 18.58 16.17 090 26477 A Tendon shortening 5.15 NA NA 12.24 10.26 0.60 NA NA 17.99 16.01 090 26478 A Lengthening of hand tendon 5.80 NA NA 12.59 10.61 0.77 NA NA 19.16 17.18 090 26479 A Shortening of hand tendon 5.74 NA NA 12.82 11.05 0.76 NA NA 19.32 17.55 090 26480 A Transplant hand tendon 6.69 NA NA 17.21 14.68 0.84 NA NA 24.74 22.21 090 26483 A Transplant/graft hand tendon 8.29 NA NA 18.04 15.84 1.03 NA NA 27.36 25.16 090 26485 A Transplant palm tendon 7.70 NA NA 17.12 14.60 0.94 NA NA 25.76 23.24 090 26489 A Transplant/graft palm tendon 9.55 NA NA 16.57 13.35 0.98 NA NA 27.10 23.88 090 26490 A Revise thumb tendon 8.41 NA NA 13.78 12.45 1.05 NA NA 23.24 21.91 090 26492 A Tendon transfer with graft 9.62 NA NA 14.89 13.54 1.19 NA NA 25.70 24.35 090 26494 A Hand tendon/muscle transfer 8.47 NA NA 14.21 12.63 1.13 NA NA 23.81 22.23 090 26496 A Revise thumb tendon 9.59 NA NA 14.17 13.00 1.17 NA NA 24.93 23.76 090 26497 A Finger tendon transfer 9.57 NA NA 14.43 13.00 1.17 NA NA 25.17 23.74 090 26498 A Finger tendon transfer 14.00 NA NA 16.72 15.74 1.74 NA NA 32.46 31.48 090 26499 A Revision of finger 8.98 NA NA 15.73 13.90 0.94 NA NA 25.65 23.82 090 26500 A Hand tendon reconstruction 5.96 NA NA 13.22 10.86 0.66 NA NA 19.84 17.48 090 26502 A Hand tendon reconstruction 7.14 NA NA 14.34 12.19 0.87 NA NA 22.35 20.20 090 26504 A Hand tendon reconstruction 7.47 NA NA 9.92 9.26 0.84 NA NA 18.23 17.57 090 26508 A Release thumb contracture 6.01 NA NA 13.12 10.97 0.76 NA NA 19.89 17.74 090 26510 A Thumb tendon transfer 5.43 NA NA 12.52 10.52 0.71 NA NA 18.66 16.66 090 26516 A Fusion of knuckle joint 7.15 NA NA 13.26 11.07 0.90 NA NA 21.31 19.12 090 26517 A Fusion of knuckle joints 8.83 NA NA 13.63 12.14 0.96 NA NA 23.42 21.93 090 26518 A Fusion of knuckle joints 9.02 NA NA 13.33 11.77 1.13 NA NA 23.48 21.92 090 26520 A Release knuckle contracture 5.30 NA NA 16.37 13.49 0.65 NA NA 22.32 19.44 090 26525 A Release finger contracture 5.33 NA NA 16.76 13.56 0.66 NA NA 22.75 19.55 090 26530 A Revise knuckle joint 6.69 NA NA 16.92 14.09 0.86 NA NA 24.47 21.64 090 26531 A Revise knuckle with implant 7.91 NA NA 17.34 14.81 1.01 NA NA 26.26 23.73 090 26535 A Revise finger joint 5.24 NA NA 9.17 8.19 0.66 NA NA 15.07 14.09 090 26536 A Revise/implant finger joint 6.37 NA NA 16.01 13.91 0.80 NA NA 23.18 21.08 090 26540 A Repair hand joint 6.43 NA NA 13.41 11.86 0.81 NA NA 20.65 19.10 090 26541 A Repair hand joint with graft 8.62 NA NA 14.78 13.51 1.12 NA NA 24.52 23.25 090 26542 A Repair hand joint with graft 6.78 NA NA 12.82 11.15 0.87 NA NA 20.47 18.80 090 26545 A Reconstruct finger joint 6.92 NA NA 14.05 11.97 0.79 NA NA 21.76 19.68 090 26546 A Repair nonunion hand 8.92 NA NA 14.06 12.75 1.14 NA NA 24.12 22.81 090 26548 A Reconstruct finger joint 8.03 NA NA 14.23 12.24 0.98 NA NA 23.24 21.25 090 26550 A Construct thumb replacement 21.24 NA NA 19.62 20.09 1.80 NA NA 42.66 43.13 090 26551 A Great toe-hand transfer 46.58 NA NA 28.61 32.92 6.57 NA NA 81.76 86.07 090 26553 A Single transfer, toe-hand 46.27 NA NA 28.33 32.63 1.99 NA NA 76.59 80.89 090 26554 A Double transfer, toe-hand 54.95 NA NA 33.90 39.01 7.76 NA NA 96.61 101.72 090 26555 A Positional change of finger 16.63 NA NA 22.41 20.99 2.13 NA NA 41.17 39.75 090 26556 A Toe joint transfer 47.26 NA NA 28.88 33.24 6.67 NA NA 82.81 87.17 090 26560 A Repair of web finger 5.38 NA NA 13.01 11.02 0.60 NA NA 18.99 17.00 090 26561 A Repair of web finger 10.92 NA NA 13.50 12.54 0.69 NA NA 25.11 24.15 090 26562 A Repair of web finger 9.68 NA NA 9.60 10.09 0.98 NA NA 20.26 20.75 090 26565 A Correct metacarpal flaw 6.74 NA NA 13.16 11.45 0.84 NA NA 20.74 19.03 090 26567 A Correct finger deformity 6.82 NA NA 13.05 10.95 0.84 NA NA 20.71 18.61 090 26568 A Lengthen metacarpal/finger 9.08 NA NA 17.58 15.48 1.10 NA NA 27.76 25.66 090 26580 A Repair hand deformity 18.18 NA NA 16.65 17.07 1.46 NA NA 36.29 36.71 090 26585 A Repair finger deformity 14.05 NA NA 14.49 14.38 1.08 NA NA 29.62 29.51 090 26587 C Reconstruct extra finger 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090 26590 A Repair finger deformity 17.96 NA NA 13.95 14.98 1.32 NA NA 33.23 34.26 090 26591 A Repair muscles of hand 3.25 NA NA 12.58 10.06 0.37 NA NA 16.20 13.68 090 26593 A Release muscles of hand 5.31 NA NA 11.76 9.94 0.64 NA NA 17.71 15.89 090 26596 A Excision constricting tissue 8.95 NA NA 9.03 9.01 0.87 NA NA 18.85 18.83 090 26597 A Release of scar contracture 9.82 NA NA 15.29 13.64 1.20 NA NA 26.31 24.66 090 26600 A Treat metacarpal fracture 1.96 4.04 3.45 2.72 2.25 0.25 6.25 5.66 4.93 4.46 090 26605 A Treat metacarpal fracture 2.85 5.80 4.97 4.19 3.46 0.38 9.03 8.20 7.42 6.69 090 26607 A Treat metacarpal fracture 5.36 NA NA 7.89 6.88 0.70 NA NA 13.95 12.94 090 26608 A Treat metacarpal fracture 5.36 NA NA 8.03 6.99 0.73 NA NA 14.12 13.08 090 26615 A Treat metacarpal fracture 5.33 NA NA 7.66 7.07 0.70 NA NA 13.69 13.10 090 26641 A Treat thumb dislocation 3.94 6.59 5.24 4.79 3.89 0.42 10.95 9.60 9.15 8.25 090 26645 A Treat thumb fracture 4.41 6.99 5.84 5.11 4.43 0.54 11.94 10.79 10.06 9.38 090 26650 A Treat thumb fracture 5.72 NA NA 8.20 7.24 0.77 NA NA 14.69 13.73 090 26665 A Treat thumb fracture 7.60 NA NA 8.62 8.20 0.97 NA NA 17.19 16.77 090 26670 A Treat hand dislocation 3.69 6.17 4.89 4.66 3.76 0.36 10.22 8.94 8.71 7.81 090 26675 A Treat hand dislocation 4.64 5.73 5.48 4.42 4.49 0.56 10.93 10.68 9.62 9.69 090 26676 A Pin hand dislocation 5.52 NA NA 8.10 7.39 0.76 NA NA 14.38 13.67 090 26685 A Treat hand dislocation 6.98 NA NA 8.23 7.74 0.95 NA NA 16.16 15.67 090 26686 A Treat hand dislocation 7.94 NA NA 9.08 8.52 1.05 NA NA 18.07 17.51 090 Start Printed Page 65456 26700 A Treat knuckle dislocation 3.69 4.73 3.79 2.81 2.35 0.35 8.77 7.83 6.85 6.39 090 26705 A Treat knuckle dislocation 4.19 5.90 4.91 4.06 3.53 0.50 10.59 9.60 8.75 8.22 090 26706 A Pin knuckle dislocation 5.12 NA NA 5.47 5.37 0.64 NA NA 11.23 11.13 090 26715 A Treat knuckle dislocation 5.74 NA NA 7.79 6.96 0.75 NA NA 14.28 13.45 090 26720 A Treat finger fracture, each 1.66 2.82 2.41 1.57 1.33 0.20 4.68 4.27 3.43 3.19 090 26725 A Treat finger fracture, each 3.33 4.81 4.03 3.02 2.48 0.43 8.57 7.79 6.78 6.24 090 26727 A Treat finger fracture, each 5.23 NA NA 8.21 6.82 0.69 NA NA 14.13 12.74 090 26735 A Treat finger fracture, each 5.98 NA NA 8.11 7.10 0.77 NA NA 14.86 13.85 090 26740 A Treat finger fracture, each 1.94 3.51 2.95 2.40 1.96 0.24 5.69 5.13 4.58 4.14 090 26742 A Treat finger fracture, each 3.85 7.01 5.80 5.08 4.35 0.49 11.35 10.14 9.42 8.69 090 26746 A Treat finger fracture, each 5.81 NA NA 8.20 7.44 0.74 NA NA 14.75 13.99 090 26750 A Treat finger fracture, each 1.70 3.35 2.74 2.21 1.88 0.19 5.24 4.63 4.10 3.77 090 26755 A Treat finger fracture, each 3.10 4.69 3.81 2.88 2.45 0.37 8.16 7.28 6.35 5.92 090 26756 A Pin finger fracture, each 4.39 NA NA 8.02 6.53 0.56 NA NA 12.97 11.48 090 26765 A Treat finger fracture, each 4.17 NA NA 7.17 6.10 0.51 NA NA 11.85 10.78 090 26770 A Treat finger dislocation 3.02 4.47 3.56 2.54 2.11 0.27 7.76 6.85 5.83 5.40 090 26775 A Treat finger dislocation 3.71 5.76 4.63 3.73 3.11 0.43 9.90 8.77 7.87 7.25 090 26776 A Pin finger dislocation 4.80 NA NA 8.16 6.69 0.63 NA NA 13.59 12.12 090 26785 A Treat finger dislocation 4.21 NA NA 7.14 6.16 0.54 NA NA 11.89 10.91 090 26820 A Thumb fusion with graft 8.26 NA NA 14.62 12.77 1.11 NA NA 23.99 22.14 090 26841 A Fusion of thumb 7.13 NA NA 13.55 11.84 0.97 NA NA 21.65 19.94 090 26842 A Thumb fusion with graft 8.24 NA NA 14.30 13.05 1.10 NA NA 23.64 22.39 090 26843 A Fusion of hand joint 7.61 NA NA 13.47 11.83 0.99 NA NA 22.07 20.43 090 26844 A Fusion/graft of hand joint 8.73 NA NA 13.92 12.44 1.12 NA NA 23.77 22.29 090 26850 A Fusion of knuckle 6.97 NA NA 12.95 10.97 0.89 NA NA 20.81 18.83 090 26852 A Fusion of knuckle with graft 8.46 NA NA 13.85 11.94 1.05 NA NA 23.36 21.45 090 26860 A Fusion of finger joint 4.69 NA NA 11.91 10.10 0.60 NA NA 17.20 15.39 090 26861 A Fusion of finger jnt, add-on 1.74 NA NA 0.97 1.25 0.22 NA NA 2.93 3.21 ZZZ 26862 A Fusion/graft of finger joint 7.37 NA NA 13.47 11.50 0.92 NA NA 21.76 19.79 090 26863 A Fuse/graft added joint 3.90 NA NA 2.20 2.57 0.51 NA NA 6.61 6.98 ZZZ 26910 A Amputate metacarpal bone 7.60 NA NA 13.09 11.22 0.90 NA NA 21.59 19.72 090 26951 A Amputation of finger/thumb 4.59 NA NA 11.69 9.55 0.56 NA NA 16.84 14.70 090 26952 A Amputation of finger/thumb 6.31 NA NA 13.00 10.84 0.74 NA NA 20.05 17.89 090 26989 C Hand/finger surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 26990 A Drainage of pelvis lesion 7.48 NA NA 14.64 11.82 0.92 NA NA 23.04 20.22 090 26991 A Drainage of pelvis bursa 6.68 10.23 8.16 9.12 7.33 0.85 17.76 15.69 16.65 14.86 090 26992 A Drainage of bone lesion 13.02 NA NA 18.42 15.55 1.75 NA NA 33.19 30.32 090 27000 A Incision of hip tendon 5.62 NA NA 6.94 5.71 0.76 NA NA 13.32 12.09 090 27001 A Incision of hip tendon 6.94 NA NA 7.78 6.47 0.95 NA NA 15.67 14.36 090 27003 A Incision of hip tendon 7.34 NA NA 8.47 8.19 0.93 NA NA 16.74 16.46 090 27005 A Incision of hip tendon 9.66 NA NA 9.89 8.33 1.36 NA NA 20.91 19.35 090 27006 A Incision of hip tendons 9.68 NA NA 9.82 8.63 1.33 NA NA 20.83 19.64 090 27025 A Incision of hip/thigh fascia 11.16 NA NA 9.71 8.94 1.38 NA NA 22.25 21.48 090 27030 A Drainage of hip joint 13.01 NA NA 11.74 11.90 1.81 NA NA 26.56 26.72 090 27033 A Exploration of hip joint 13.39 NA NA 11.91 12.06 1.87 NA NA 27.17 27.32 090 27035 A Denervation of hip joint 16.69 NA NA 15.58 14.90 1.70 NA NA 33.97 33.29 090 27036 A Excision of hip joint/muscle 12.88 NA NA 13.11 12.94 1.80 NA NA 27.79 27.62 090 27040 A Biopsy of soft tissues 2.87 5.79 4.54 3.67 2.95 0.21 8.87 7.62 6.75 6.03 010 27041 A Biopsy of soft tissues 9.89 NA NA 8.23 6.90 1.01 NA NA 19.13 17.80 090 27047 A Remove hip/pelvis lesion 7.45 9.26 7.46 6.90 5.69 0.79 17.50 15.70 15.14 13.93 090 27048 A Remove hip/pelvis lesion 6.25 NA NA 7.61 6.88 0.73 NA NA 14.59 13.86 090 27049 A Remove tumor, hip/pelvis 13.66 NA NA 12.83 12.37 1.60 NA NA 28.09 27.63 090 27050 A Biopsy of sacroiliac joint 4.36 NA NA 6.47 6.15 0.53 NA NA 11.36 11.04 090 27052 A Biopsy of hip joint 6.23 NA NA 7.70 7.63 0.85 NA NA 14.78 14.71 090 27054 A Removal of hip joint lining 8.54 NA NA 10.00 10.05 1.17 NA NA 19.71 19.76 090 27060 A Removal of ischial bursa 5.43 NA NA 7.51 6.70 0.60 NA NA 13.54 12.73 090 27062 A Remove femur lesion/bursa 5.37 NA NA 6.76 6.22 0.74 NA NA 12.87 12.33 090 27065 A Removal of hip bone lesion 5.90 NA NA 8.00 7.52 0.76 NA NA 14.66 14.18 090 27066 A Removal of hip bone lesion 10.33 NA NA 11.59 10.84 1.42 NA NA 23.34 22.59 090 27067 A Remove/graft hip bone lesion 13.83 NA NA 13.57 13.33 1.95 NA NA 29.35 29.11 090 27070 A Partial removal of hip bone 10.72 NA NA 15.98 14.00 1.36 NA NA 28.06 26.08 090 27071 A Partial removal of hip bone 11.46 NA NA 17.00 15.06 1.51 NA NA 29.97 28.03 090 27075 A Extensive hip surgery 17.23 NA NA 16.36 15.94 2.22 NA NA 35.81 35.39 090 27076 A Extensive hip surgery 22.12 NA NA 19.45 19.03 2.86 NA NA 44.43 44.01 090 27077 A Extensive hip surgery 23.13 NA NA 18.67 19.15 3.18 NA NA 44.98 45.46 090 27078 A Extensive hip surgery 13.44 NA NA 14.31 13.23 1.67 NA NA 29.42 28.34 090 27079 A Extensive hip surgery 13.75 NA NA 14.21 13.00 1.86 NA NA 29.82 28.61 090 27080 A Removal of tail bone 6.39 NA NA 7.57 6.98 0.80 NA NA 14.76 14.17 090 27086 A Remove hip foreign body 1.87 5.06 3.95 3.76 2.90 0.17 7.10 5.99 5.80 4.94 010 27087 A Remove hip foreign body 8.54 NA NA 8.40 7.28 1.09 NA NA 18.03 16.91 090 27090 A Removal of hip prosthesis 11.15 NA NA 10.64 10.45 1.55 NA NA 23.34 23.15 090 27091 A Removal of hip prosthesis 22.14 NA NA 16.74 17.93 3.11 NA NA 41.99 43.18 090 27093 A Injection for hip x-ray 1.30 11.51 8.86 0.51 0.61 0.09 12.90 10.25 1.90 2.00 000 27095 A Injection for hip x-ray 1.50 9.74 7.56 0.53 0.65 0.10 11.34 9.16 2.13 2.25 000 27096 A Inject sacroiliac joint 1.40 11.08 11.08 0.54 0.54 0.08 12.56 12.56 2.02 2.02 000 27097 A Revision of hip tendon 8.80 NA NA 9.29 9.06 1.22 NA NA 19.31 19.08 090 27098 A Transfer tendon to pelvis 8.83 NA NA 9.46 9.19 1.24 NA NA 19.53 19.26 090 27100 A Transfer of abdominal muscle 11.08 NA NA 11.72 10.87 1.57 NA NA 24.37 23.52 090 27105 A Transfer of spinal muscle 11.77 NA NA 11.73 10.40 1.66 NA NA 25.16 23.83 090 27110 A Transfer of iliopsoas muscle 13.26 NA NA 11.14 11.23 1.38 NA NA 25.78 25.87 090 27111 A Transfer of iliopsoas muscle 12.15 NA NA 10.68 11.17 1.48 NA NA 24.31 24.80 090 27120 A Reconstruction of hip socket 18.01 NA NA 13.95 15.37 2.45 NA NA 34.41 35.83 090 27122 A Reconstruction of hip socket 14.98 NA NA 13.50 14.60 2.08 NA NA 30.56 31.66 090 Start Printed Page 65457 27125 A Partial hip replacement 14.69 NA NA 13.14 14.24 2.05 NA NA 29.88 30.98 090 27130 A Total hip replacement 20.12 NA NA 16.26 18.20 2.82 NA NA 39.20 41.14 090 27132 A Total hip replacement 23.30 NA NA 18.07 20.51 3.26 NA NA 44.63 47.07 090 27134 A Revise hip joint replacement 28.52 NA NA 20.79 24.10 3.97 NA NA 53.28 56.59 090 27137 A Revise hip joint replacement 21.17 NA NA 16.92 19.01 2.97 NA NA 41.06 43.15 090 27138 A Revise hip joint replacement 22.17 NA NA 17.49 19.69 3.11 NA NA 42.77 44.97 090 27140 A Transplant femur ridge 12.24 NA NA 11.32 11.49 1.67 NA NA 25.23 25.40 090 27146 A Incision of hip bone 17.43 NA NA 15.05 14.24 2.27 NA NA 34.75 33.94 090 27147 A Revision of hip bone 20.58 NA NA 16.98 17.34 2.61 NA NA 40.17 40.53 090 27151 A Incision of hip bones 22.51 NA NA 18.71 18.84 3.12 NA NA 44.34 44.47 090 27156 A Revision of hip bones 24.63 NA NA 19.63 19.69 3.48 NA NA 47.74 47.80 090 27158 A Revision of pelvis 19.74 NA NA 17.11 16.75 2.60 NA NA 39.45 39.09 090 27161 A Incision of neck of femur 16.71 NA NA 13.71 14.17 2.32 NA NA 32.74 33.20 090 27165 A Incision/fixation of femur 17.91 NA NA 14.27 15.25 2.51 NA NA 34.69 35.67 090 27170 A Repair/graft femur head/neck 16.07 NA NA 13.36 14.47 2.20 NA NA 31.63 32.74 090 27175 A Treat slipped epiphysis 8.46 NA NA 6.93 5.52 1.19 NA NA 16.58 15.17 090 27176 A Treat slipped epiphysis 12.05 NA NA 9.74 10.13 1.68 NA NA 23.47 23.86 090 27177 A Treat slipped epiphysis 15.08 NA NA 11.27 11.82 2.11 NA NA 28.46 29.01 090 27178 A Treat slipped epiphysis 11.99 NA NA 9.28 9.80 1.68 NA NA 22.95 23.47 090 27179 A Revise head/neck of femur 12.98 NA NA 9.62 10.24 1.84 NA NA 24.44 25.06 090 27181 A Treat slipped epiphysis 14.68 NA NA 10.44 11.40 1.74 NA NA 26.86 27.82 090 27185 A Revision of femur epiphysis 9.18 NA NA 9.66 8.00 1.29 NA NA 20.13 18.47 090 27187 A Reinforce hip bones 13.54 NA NA 12.74 13.60 1.89 NA NA 28.17 29.03 090 27193 A Treat pelvic ring fracture 5.56 6.96 5.88 5.22 4.57 0.77 13.29 12.21 11.55 10.90 090 27194 A Treat pelvic ring fracture 9.65 9.13 7.91 7.47 6.66 1.32 20.10 18.88 18.44 17.63 090 27200 A Treat tail bone fracture 1.84 2.86 2.55 1.70 1.68 0.22 4.92 4.61 3.76 3.74 090 27202 A Treat tail bone fracture 7.04 NA NA 18.67 15.67 0.69 NA NA 26.40 23.40 090 27215 A Treat pelvic fracture(s) 10.05 NA NA 9.86 10.40 1.37 NA NA 21.28 21.82 090 27216 A Treat pelvic ring fracture 15.19 NA NA 14.71 12.20 2.15 NA NA 32.05 29.54 090 27217 A Treat pelvic ring fracture 14.11 NA NA 12.20 13.10 1.95 NA NA 28.26 29.16 090 27218 A Treat pelvic ring fracture 20.15 NA NA 15.73 15.75 2.85 NA NA 38.73 38.75 090 27220 A Treat hip socket fracture 6.18 7.30 6.63 5.56 5.33 0.85 14.33 13.66 12.59 12.36 090 27222 A Treat hip socket fracture 12.70 NA NA 9.85 9.12 1.77 NA NA 24.32 23.59 090 27226 A Treat hip wall fracture 14.91 NA NA 12.71 13.82 2.07 NA NA 29.69 30.80 090 27227 A Treat hip fracture(s) 23.45 NA NA 16.85 17.98 3.24 NA NA 43.54 44.67 090 27228 A Treat hip fracture(s) 27.16 NA NA 19.05 19.70 3.77 NA NA 49.98 50.63 090 27230 A Treat thigh fracture 5.50 7.28 6.36 5.83 5.27 0.73 13.51 12.59 12.06 11.50 090 27232 A Treat thigh fracture 10.68 NA NA 8.81 9.05 1.45 NA NA 20.94 21.18 090 27235 A Treat thigh fracture 12.16 NA NA 10.58 11.57 1.71 NA NA 24.45 25.44 090 27236 A Treat thigh fracture 15.60 NA NA 12.30 13.81 2.18 NA NA 30.08 31.59 090 27238 A Treat thigh fracture 5.52 NA NA 5.91 5.77 0.76 NA NA 12.19 12.05 090 27240 A Treat thigh fracture 12.50 NA NA 9.84 10.01 1.69 NA NA 24.03 24.20 090 27244 A Treat thigh fracture 15.94 NA NA 12.54 13.83 2.23 NA NA 30.71 32.00 090 27245 A Treat thigh fracture 20.31 NA NA 15.00 15.67 2.85 NA NA 38.16 38.83 090 27246 A Treat thigh fracture 4.71 6.93 6.25 5.51 5.18 0.66 12.30 11.62 10.88 10.55 090 27248 A Treat thigh fracture 10.45 NA NA 9.50 10.25 1.45 NA NA 21.40 22.15 090 27250 A Treat hip dislocation 6.95 NA NA 6.02 5.38 0.68 NA NA 13.65 13.01 090 27252 A Treat hip dislocation 10.39 NA NA 7.88 7.09 1.37 NA NA 19.64 18.85 090 27253 A Treat hip dislocation 12.92 NA NA 10.50 11.44 1.81 NA NA 25.23 26.17 090 27254 A Treat hip dislocation 18.26 NA NA 13.68 13.92 2.52 NA NA 34.46 34.70 090 27256 A Treat hip dislocation 4.12 NA NA 4.14 3.62 0.49 NA NA 8.75 8.23 010 27257 A Treat hip dislocation 5.22 NA NA 4.51 4.64 0.56 NA NA 10.29 10.42 010 27258 A Treat hip dislocation 15.43 NA NA 12.99 13.47 2.06 NA NA 30.48 30.96 090 27259 A Treat hip dislocation 21.55 NA NA 16.92 17.36 2.99 NA NA 41.46 41.90 090 27265 A Treat hip dislocation 5.05 NA NA 5.62 5.15 0.65 NA NA 11.32 10.85 090 27266 A Treat hip dislocation 7.49 NA NA 7.04 6.49 1.04 NA NA 15.57 15.02 090 27275 A Manipulation of hip joint 2.27 NA NA 3.30 2.99 0.31 NA NA 5.88 5.57 010 27280 A Fusion of sacroiliac joint 13.39 NA NA 13.47 12.83 1.98 NA NA 28.84 28.20 090 27282 A Fusion of pubic bones 11.34 NA NA 12.18 11.58 1.14 NA NA 24.66 24.06 090 27284 A Fusion of hip joint 16.76 NA NA 14.51 14.82 2.36 NA NA 33.63 33.94 090 27286 A Fusion of hip joint 16.79 NA NA 14.53 15.02 2.37 NA NA 33.69 34.18 090 27290 A Amputation of leg at hip 23.28 NA NA 16.73 19.44 2.94 NA NA 42.95 45.66 090 27295 A Amputation of leg at hip 18.65 NA NA 13.87 14.89 2.35 NA NA 34.87 35.89 090 27299 C Pelvis/hip joint surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 27301 A Drain thigh/knee lesion 6.49 15.18 12.05 13.65 10.91 0.80 22.47 19.34 20.94 18.20 090 27303 A Drainage of bone lesion 8.28 NA NA 13.62 11.81 1.14 NA NA 23.04 21.23 090 27305 A Incise thigh tendon & fascia 5.92 NA NA 8.75 7.59 0.77 NA NA 15.44 14.28 090 27306 A Incision of thigh tendon 4.62 NA NA 7.02 5.81 0.62 NA NA 12.26 11.05 090 27307 A Incision of thigh tendons 5.80 NA NA 7.66 6.56 0.78 NA NA 14.24 13.14 090 27310 A Exploration of knee joint 9.27 NA NA 9.47 9.71 1.29 NA NA 20.03 20.27 090 27315 A Partial removal, thigh nerve 6.97 NA NA 4.59 4.90 0.79 NA NA 12.35 12.66 090 27320 A Partial removal, thigh nerve 6.30 NA NA 4.32 4.65 0.78 NA NA 11.40 11.73 090 27323 A Biopsy, thigh soft tissues 2.28 5.63 4.47 3.29 2.59 0.17 8.08 6.92 5.74 5.04 010 27324 A Biopsy, thigh soft tissues 4.90 NA NA 6.48 5.57 0.59 NA NA 11.97 11.06 090 27327 A Removal of thigh lesion 4.47 8.14 6.73 6.16 5.24 0.50 13.11 11.70 11.13 10.21 090 27328 A Removal of thigh lesion 5.57 NA NA 6.74 6.16 0.66 NA NA 12.97 12.39 090 27329 A Remove tumor, thigh/knee 14.14 NA NA 13.75 13.49 1.68 NA NA 29.57 29.31 090 27330 A Biopsy, knee joint lining 4.97 NA NA 5.94 5.94 0.66 NA NA 11.57 11.57 090 27331 A Explore/treat knee joint 5.88 NA NA 7.00 7.01 0.81 NA NA 13.69 13.70 090 27332 A Removal of knee cartilage 8.27 NA NA 8.35 8.73 1.15 NA NA 17.77 18.15 090 27333 A Removal of knee cartilage 7.30 NA NA 7.89 8.10 1.03 NA NA 16.22 16.43 090 27334 A Remove knee joint lining 8.70 NA NA 9.15 9.46 1.21 NA NA 19.06 19.37 090 27335 A Remove knee joint lining 10.00 NA NA 9.91 10.42 1.41 NA NA 21.32 21.83 090 Start Printed Page 65458 27340 A Removal of kneecap bursa 4.18 NA NA 5.58 5.23 0.58 NA NA 10.34 9.99 090 27345 A Removal of knee cyst 5.92 NA NA 6.91 6.71 0.81 NA NA 13.64 13.44 090 27347 A Remove knee cyst 5.78 2.83 2.83 2.83 2.83 0.76 9.37 9.37 9.37 9.37 090 27350 A Removal of kneecap 8.17 NA NA 8.35 8.70 1.15 NA NA 17.67 18.02 090 27355 A Remove femur lesion 7.65 NA NA 9.58 9.24 1.07 NA NA 18.30 17.96 090 27356 A Remove femur lesion/graft 9.48 NA NA 10.57 10.15 1.29 NA NA 21.34 20.92 090 27357 A Remove femur lesion/graft 10.53 NA NA 11.14 10.74 1.48 NA NA 23.15 22.75 090 27358 A Remove femur lesion/fixation 4.74 NA NA 2.64 3.22 0.67 NA NA 8.05 8.63 ZZZ 27360 A Partial removal, leg bone(s) 10.50 NA NA 17.03 15.10 1.42 NA NA 28.95 27.02 090 27365 A Extensive leg surgery 16.27 NA NA 13.70 14.06 2.26 NA NA 32.23 32.59 090 27370 A Injection for knee x-ray 0.96 11.76 8.98 0.35 0.43 0.06 12.78 10.00 1.37 1.45 000 27372 A Removal of foreign body 5.07 8.26 7.12 6.11 5.51 0.62 13.95 12.81 11.80 11.20 090 27380 A Repair of kneecap tendon 7.16 NA NA 7.84 8.02 1.00 NA NA 16.00 16.18 090 27381 A Repair/graft kneecap tendon 10.34 NA NA 9.61 10.27 1.44 NA NA 21.39 22.05 090 27385 A Repair of thigh muscle 7.76 NA NA 8.19 8.46 1.09 NA NA 17.04 17.31 090 27386 A Repair/graft of thigh muscle 10.56 NA NA 10.30 10.88 1.49 NA NA 22.35 22.93 090 27390 A Incision of thigh tendon 5.33 NA NA 7.14 6.54 0.69 NA NA 13.16 12.56 090 27391 A Incision of thigh tendons 7.20 NA NA 8.32 7.71 0.99 NA NA 16.51 15.90 090 27392 A Incision of thigh tendons 9.20 NA NA 10.27 9.78 1.23 NA NA 20.70 20.21 090 27393 A Lengthening of thigh tendon 6.39 NA NA 7.78 7.37 0.90 NA NA 15.07 14.66 090 27394 A Lengthening of thigh tendons 8.50 NA NA 10.01 9.06 1.17 NA NA 19.68 18.73 090 27395 A Lengthening of thigh tendons 11.73 NA NA 12.74 12.40 1.63 NA NA 26.10 25.76 090 27396 A Transplant of thigh tendon 7.86 NA NA 9.71 9.20 1.11 NA NA 18.68 18.17 090 27397 A Transplants of thigh tendons 11.28 NA NA 11.12 10.75 1.58 NA NA 23.98 23.61 090 27400 A Revise thigh muscles/tendons 9.02 NA NA 10.60 10.09 1.18 NA NA 20.80 20.29 090 27403 A Repair of knee cartilage 8.33 NA NA 8.40 8.69 1.16 NA NA 17.89 18.18 090 27405 A Repair of knee ligament 8.65 NA NA 9.09 9.40 1.21 NA NA 18.95 19.26 090 27407 A Repair of knee ligament 10.28 NA NA 9.84 9.79 1.38 NA NA 21.50 21.45 090 27409 A Repair of knee ligaments 12.90 NA NA 11.26 12.30 1.75 NA NA 25.91 26.95 090 27418 A Repair degenerated kneecap 10.85 NA NA 10.38 11.03 1.51 NA NA 22.74 23.39 090 27420 A Revision of unstable kneecap 9.83 NA NA 9.27 9.89 1.38 NA NA 20.48 21.10 090 27422 A Revision of unstable kneecap 9.78 NA NA 9.28 9.88 1.37 NA NA 20.43 21.03 090 27424 A Revision/removal of kneecap 9.81 NA NA 9.26 9.87 1.38 NA NA 20.45 21.06 090 27425 A Lateral retinacular release 5.22 NA NA 6.73 6.61 0.73 NA NA 12.68 12.56 090 27427 A Reconstruction, knee 9.36 NA NA 8.93 9.49 1.29 NA NA 19.58 20.14 090 27428 A Reconstruction, knee 14.00 NA NA 11.90 12.64 1.95 NA NA 27.85 28.59 090 27429 A Reconstruction, knee 15.52 NA NA 12.90 12.73 2.18 NA NA 30.60 30.43 090 27430 A Revision of thigh muscles 9.67 NA NA 9.28 9.50 1.35 NA NA 20.30 20.52 090 27435 A Incision of knee joint 9.49 NA NA 9.18 8.79 1.33 NA NA 20.00 19.61 090 27437 A Revise kneecap 8.46 NA NA 9.35 9.54 1.18 NA NA 18.99 19.18 090 27438 A Revise kneecap with implant 11.23 NA NA 10.53 11.25 1.56 NA NA 23.32 24.04 090 27440 A Revision of knee joint 10.43 NA NA 10.16 10.73 1.42 NA NA 22.01 22.58 090 27441 A Revision of knee joint 10.82 NA NA 10.62 10.45 1.49 NA NA 22.93 22.76 090 27442 A Revision of knee joint 11.89 NA NA 11.14 11.91 1.68 NA NA 24.71 25.48 090 27443 A Revision of knee joint 10.93 NA NA 10.79 11.35 1.52 NA NA 23.24 23.80 090 27445 A Revision of knee joint 17.68 NA NA 14.40 16.08 2.49 NA NA 34.57 36.25 090 27446 A Revision of knee joint 15.84 NA NA 13.47 14.83 2.22 NA NA 31.53 32.89 090 27447 A Total knee replacement 21.48 NA NA 16.49 18.78 3.00 NA NA 40.97 43.26 090 27448 A Incision of thigh 11.06 NA NA 11.43 11.88 1.51 NA NA 24.00 24.45 090 27450 A Incision of thigh 13.98 NA NA 13.08 13.84 1.96 NA NA 29.02 29.78 090 27454 A Realignment of thigh bone 17.56 NA NA 15.09 15.58 2.46 NA NA 35.11 35.60 090 27455 A Realignment of knee 12.82 NA NA 11.85 12.15 1.78 NA NA 26.45 26.75 090 27457 A Realignment of knee 13.45 NA NA 11.12 11.95 1.88 NA NA 26.45 27.28 090 27465 A Shortening of thigh bone 13.87 NA NA 13.46 13.42 1.86 NA NA 29.19 29.15 090 27466 A Lengthening of thigh bone 16.33 NA NA 14.73 14.69 1.92 NA NA 32.98 32.94 090 27468 A Shorten/lengthen thighs 18.97 NA NA 16.62 17.04 2.68 NA NA 38.27 38.69 090 27470 A Repair of thigh 16.07 NA NA 15.06 15.82 2.24 NA NA 33.37 34.13 090 27472 A Repair/graft of thigh 17.72 NA NA 15.99 17.28 2.49 NA NA 36.20 37.49 090 27475 A Surgery to stop leg growth 8.64 NA NA 9.08 8.91 1.13 NA NA 18.85 18.68 090 27477 A Surgery to stop leg growth 9.85 NA NA 9.19 9.83 1.31 NA NA 20.35 20.99 090 27479 A Surgery to stop leg growth 12.80 NA NA 10.25 10.84 1.81 NA NA 24.86 25.45 090 27485 A Surgery to stop leg growth 8.84 NA NA 8.73 8.69 1.24 NA NA 18.81 18.77 090 27486 A Revise/replace knee joint 19.27 NA NA 15.36 17.27 2.70 NA NA 37.33 39.24 090 27487 A Revise/replace knee joint 25.27 NA NA 18.66 21.53 3.54 NA NA 47.47 50.34 090 27488 A Removal of knee prosthesis 15.74 NA NA 13.48 14.50 2.21 NA NA 31.43 32.45 090 27495 A Reinforce thigh 15.55 NA NA 14.84 15.77 2.18 NA NA 32.57 33.50 090 27496 A Decompression of thigh/knee 6.11 NA NA 7.19 6.62 0.77 NA NA 14.07 13.50 090 27497 A Decompression of thigh/knee 7.17 NA NA 7.29 6.97 0.84 NA NA 15.30 14.98 090 27498 A Decompression of thigh/knee 7.99 NA NA 9.17 8.59 0.97 NA NA 18.13 17.55 090 27499 A Decompression of thigh/knee 9.00 NA NA 9.05 8.76 1.18 NA NA 19.23 18.94 090 27500 A Treatment of thigh fracture 5.92 9.04 8.25 7.02 6.73 0.80 15.76 14.97 13.74 13.45 090 27501 A Treatment of thigh fracture 5.92 10.04 9.00 7.97 7.45 0.83 16.79 15.75 14.72 14.20 090 27502 A Treatment of thigh fracture 10.58 NA NA 10.58 10.02 1.49 NA NA 22.65 22.09 090 27503 A Treatment of thigh fracture 10.58 NA NA 10.57 10.01 1.49 NA NA 22.64 22.08 090 27506 A Treatment of thigh fracture 17.45 NA NA 13.47 14.45 2.33 NA NA 33.25 34.23 090 27507 A Treatment of thigh fracture 13.99 NA NA 11.88 13.09 1.95 NA NA 27.82 29.03 090 27508 A Treatment of thigh fracture 5.83 7.00 6.40 5.30 5.12 0.80 13.63 13.03 11.93 11.75 090 27509 A Treatment of thigh fracture 7.71 NA NA 8.59 7.59 1.08 NA NA 17.38 16.38 090 27510 A Treatment of thigh fracture 9.13 NA NA 7.16 7.22 1.26 NA NA 17.55 17.61 090 27511 A Treatment of thigh fracture 13.64 NA NA 12.39 13.36 1.91 NA NA 27.94 28.91 090 27513 A Treatment of thigh fracture 17.92 NA NA 14.77 15.43 2.51 NA NA 35.20 35.86 090 27514 A Treatment of thigh fracture 17.30 NA NA 14.24 14.96 2.41 NA NA 33.95 34.67 090 27516 A Treat thigh fx growth plate 5.37 7.49 6.93 5.77 5.64 0.74 13.60 13.04 11.88 11.75 090 Start Printed Page 65459 27517 A Treat thigh fx growth plate 8.78 9.64 9.35 7.70 7.90 1.22 19.64 19.35 17.70 17.90 090 27519 A Treat thigh fx growth plate 15.02 NA NA 12.63 12.91 2.09 NA NA 29.74 30.02 090 27520 A Treat kneecap fracture 2.86 5.35 4.84 3.71 3.20 0.38 8.59 8.08 6.95 6.44 090 27524 A Treat kneecap fracture 10.00 NA NA 8.44 9.14 1.40 NA NA 19.84 20.54 090 27530 A Treat knee fracture 3.78 5.86 5.32 4.22 4.09 0.51 10.15 9.61 8.51 8.38 090 27532 A Treat knee fracture 7.30 7.46 7.14 5.67 5.79 1.02 15.78 15.46 13.99 14.11 090 27535 A Treat knee fracture 11.50 NA NA 11.25 11.61 1.61 NA NA 24.36 24.72 090 27536 A Treat knee fracture 15.65 NA NA 11.55 11.84 2.19 NA NA 29.39 29.68 090 27538 A Treat knee fracture(s) 4.87 7.41 6.47 5.38 4.95 0.67 12.95 12.01 10.92 10.49 090 27540 A Treat knee fracture 13.10 NA NA 9.97 10.45 1.80 NA NA 24.87 25.35 090 27550 A Treat knee dislocation 5.76 7.36 6.22 5.63 4.92 0.68 13.80 12.66 12.07 11.36 090 27552 A Treat knee dislocation 7.90 NA NA 7.54 6.59 1.10 NA NA 16.54 15.59 090 27556 A Treat knee dislocation 14.41 NA NA 13.65 13.62 2.01 NA NA 30.07 30.04 090 27557 A Treat knee dislocation 16.77 NA NA 14.85 15.10 2.37 NA NA 33.99 34.24 090 27558 A Treat knee dislocation 17.72 NA NA 15.08 15.27 2.51 NA NA 35.31 35.50 090 27560 A Treat kneecap dislocation 3.82 5.86 4.78 3.93 3.34 0.40 10.08 9.00 8.15 7.56 090 27562 A Treat kneecap dislocation 5.79 NA NA 5.36 5.43 0.69 NA NA 11.84 11.91 090 27566 A Treat kneecap dislocation 12.23 NA NA 9.80 10.22 1.73 NA NA 23.76 24.18 090 27570 A Fixation of knee joint 1.74 NA NA 2.98 2.70 0.24 NA NA 4.96 4.68 010 27580 A Fusion of knee 19.37 NA NA 15.72 16.05 2.70 NA NA 37.79 38.12 090 27590 A Amputate leg at thigh 12.03 NA NA 12.53 11.87 1.35 NA NA 25.91 25.25 090 27591 A Amputate leg at thigh 12.68 NA NA 13.48 13.30 1.63 NA NA 27.79 27.61 090 27592 A Amputate leg at thigh 10.02 NA NA 11.99 11.19 1.17 NA NA 23.18 22.38 090 27594 A Amputation follow-up surgery 6.92 NA NA 8.93 7.69 0.82 NA NA 16.67 15.43 090 27596 A Amputation follow-up surgery 10.60 NA NA 12.23 11.17 1.24 NA NA 24.07 23.01 090 27598 A Amputate lower leg at knee 10.53 NA NA 11.03 11.00 1.24 NA NA 22.80 22.77 090 27599 C Leg surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 27600 A Decompression of lower leg 5.65 NA NA 8.30 7.15 0.68 NA NA 14.63 13.48 090 27601 A Decompression of lower leg 5.64 NA NA 7.26 6.36 0.69 NA NA 13.59 12.69 090 27602 A Decompression of lower leg 7.35 NA NA 8.37 7.38 0.85 NA NA 16.57 15.58 090 27603 A Drain lower leg lesion 4.94 15.25 12.08 10.14 8.25 0.56 20.75 17.58 15.64 13.75 090 27604 A Drain lower leg bursa 4.47 10.40 8.08 7.72 5.93 0.54 15.41 13.09 12.73 10.94 090 27605 A Incision of achilles tendon 2.87 9.66 7.57 3.62 3.04 0.38 12.91 10.82 6.87 6.29 010 27606 A Incision of achilles tendon 4.14 11.59 9.27 4.73 4.12 0.57 16.30 13.98 9.44 8.83 010 27607 A Treat lower leg bone lesion 7.97 NA NA 12.76 11.20 1.08 NA NA 21.81 20.25 090 27610 A Explore/treat ankle joint 8.34 NA NA 9.82 9.38 1.15 NA NA 19.31 18.87 090 27612 A Exploration of ankle joint 7.33 NA NA 7.55 7.83 1.01 NA NA 15.89 16.17 090 27613 A Biopsy lower leg soft tissue 2.17 5.55 4.35 3.04 2.37 0.16 7.88 6.68 5.37 4.70 010 27614 A Biopsy lower leg soft tissue 5.66 11.19 9.01 6.79 5.71 0.62 17.47 15.29 13.07 11.99 090 27615 A Remove tumor, lower leg 12.56 NA NA 16.21 14.39 1.39 NA NA 30.16 28.34 090 27618 A Remove lower leg lesion 5.09 10.82 8.69 6.35 5.33 0.54 16.45 14.32 11.98 10.96 090 27619 A Remove lower leg lesion 8.40 13.17 11.00 8.85 7.76 1.01 22.58 20.41 18.26 17.17 090 27620 A Explore/treat ankle joint 5.98 NA NA 7.30 7.11 0.83 NA NA 14.11 13.92 090 27625 A Remove ankle joint lining 8.30 NA NA 9.11 9.20 1.16 NA NA 18.57 18.66 090 27626 A Remove ankle joint lining 8.91 NA NA 9.78 10.00 1.23 NA NA 19.92 20.14 090 27630 A Removal of tendon lesion 4.80 11.16 9.21 6.56 5.76 0.60 16.56 14.61 11.96 11.16 090 27635 A Remove lower leg bone lesion 7.78 NA NA 10.30 9.91 1.06 NA NA 19.14 18.75 090 27637 A Remove/graft leg bone lesion 9.85 NA NA 11.57 10.98 1.38 NA NA 22.80 22.21 090 27638 A Remove/graft leg bone lesion 10.57 NA NA 12.06 11.53 1.47 NA NA 24.10 23.57 090 27640 A Partial removal of tibia 11.37 NA NA 16.89 15.33 1.54 NA NA 29.80 28.24 090 27641 A Partial removal of fibula 9.24 NA NA 14.87 13.09 1.22 NA NA 25.33 23.55 090 27645 A Extensive lower leg surgery 14.17 NA NA 16.86 15.80 1.98 NA NA 33.01 31.95 090 27646 A Extensive lower leg surgery 12.66 NA NA 15.44 14.50 1.55 NA NA 29.65 28.71 090 27647 A Extensive ankle/heel surgery 12.24 NA NA 10.73 10.75 1.64 NA NA 24.61 24.63 090 27648 A Injection for ankle x-ray 0.96 8.98 6.88 0.35 0.40 0.05 9.99 7.89 1.36 1.41 000 27650 A Repair achilles tendon 9.69 NA NA 8.93 9.14 1.35 NA NA 19.97 20.18 090 27652 A Repair/graft achilles tendon 10.33 NA NA 9.27 9.78 1.45 NA NA 21.05 21.56 090 27654 A Repair of achilles tendon 10.02 NA NA 9.55 10.13 1.41 NA NA 20.98 21.56 090 27656 A Repair leg fascia defect 4.57 12.31 10.10 6.00 5.36 0.48 17.36 15.15 11.05 10.41 090 27658 A Repair of leg tendon, each 4.98 14.14 11.70 8.23 7.26 0.68 19.80 17.36 13.89 12.92 090 27659 A Repair of leg tendon, each 6.81 16.73 14.14 9.20 8.49 0.96 24.50 21.91 16.97 16.26 090 27664 A Repair of leg tendon, each 4.59 11.88 9.84 8.14 7.03 0.63 17.10 15.06 13.36 12.25 090 27665 A Repair of leg tendon, each 5.40 13.35 11.36 8.23 7.52 0.75 19.50 17.51 14.38 13.67 090 27675 A Repair lower leg tendons 7.18 NA NA 7.43 7.31 1.01 NA NA 15.62 15.50 090 27676 A Repair lower leg tendons 8.42 NA NA 8.72 8.59 1.15 NA NA 18.29 18.16 090 27680 A Release of lower leg tendon 5.74 NA NA 7.46 6.71 0.80 NA NA 14.00 13.25 090 27681 A Release of lower leg tendons 6.82 NA NA 7.49 7.24 0.92 NA NA 15.23 14.98 090 27685 A Revision of lower leg tendon 6.50 10.15 8.65 7.65 6.78 0.91 17.56 16.06 15.06 14.19 090 27686 A Revise lower leg tendons 7.46 16.51 14.16 9.24 8.71 1.05 25.02 22.67 17.75 17.22 090 27687 A Revision of calf tendon 6.24 NA NA 7.74 7.28 0.88 NA NA 14.86 14.40 090 27690 A Revise lower leg tendon 8.71 NA NA 8.69 8.35 1.22 NA NA 18.62 18.28 090 27691 A Revise lower leg tendon 9.96 NA NA 10.27 9.84 1.40 NA NA 21.63 21.20 090 27692 A Revise additional leg tendon 1.87 NA NA 0.98 1.29 0.26 NA NA 3.11 3.42 ZZZ 27695 A Repair of ankle ligament 6.51 NA NA 8.47 8.30 0.90 NA NA 15.88 15.71 090 27696 A Repair of ankle ligaments 8.27 NA NA 8.94 8.62 1.16 NA NA 18.37 18.05 090 27698 A Repair of ankle ligament 9.36 NA NA 8.65 9.28 1.31 NA NA 19.32 19.95 090 27700 A Revision of ankle joint 9.29 NA NA 7.33 8.27 1.24 NA NA 17.86 18.80 090 27702 A Reconstruct ankle joint 13.67 NA NA 12.29 13.30 1.92 NA NA 27.88 28.89 090 27703 A Reconstruction, ankle joint 15.87 NA NA 13.62 13.97 2.24 NA NA 31.73 32.08 090 27704 A Removal of ankle implant 7.62 NA NA 7.29 7.05 0.61 NA NA 15.52 15.28 090 27705 A Incision of tibia 10.38 NA NA 10.87 11.07 1.44 NA NA 22.69 22.89 090 27707 A Incision of fibula 4.37 NA NA 7.71 7.07 0.60 NA NA 12.68 12.04 090 27709 A Incision of tibia & fibula 9.95 NA NA 10.78 11.06 1.39 NA NA 22.12 22.40 090 Start Printed Page 65460 27712 A Realignment of lower leg 14.25 NA NA 12.92 12.67 2.00 NA NA 29.17 28.92 090 27715 A Revision of lower leg 14.39 NA NA 14.13 14.02 2.00 NA NA 30.52 30.41 090 27720 A Repair of tibia 11.79 NA NA 12.73 13.07 1.66 NA NA 26.18 26.52 090 27722 A Repair/graft of tibia 11.82 NA NA 12.32 12.09 1.65 NA NA 25.79 25.56 090 27724 A Repair/graft of tibia 14.99 NA NA 14.51 15.09 2.10 NA NA 31.60 32.18 090 27725 A Repair of lower leg 15.59 NA NA 14.91 14.01 2.20 NA NA 32.70 31.80 090 27727 A Repair of lower leg 14.01 NA NA 12.43 11.87 1.84 NA NA 28.28 27.72 090 27730 A Repair of tibia epiphysis 7.41 14.49 11.84 9.62 8.19 0.75 22.65 20.00 17.78 16.35 090 27732 A Repair of fibula epiphysis 5.32 11.89 10.23 8.26 7.51 0.63 17.84 16.18 14.21 13.46 090 27734 A Repair lower leg epiphyses 8.48 NA NA 9.04 8.83 0.85 NA NA 18.37 18.16 090 27740 A Repair of leg epiphyses 9.30 15.25 13.71 10.51 10.15 1.31 25.86 24.32 21.12 20.76 090 27742 A Repair of leg epiphyses 10.30 15.64 14.25 11.09 10.84 1.55 27.49 26.10 22.94 22.69 090 27745 A Reinforce tibia 10.07 NA NA 10.84 10.56 1.38 NA NA 22.29 22.01 090 27750 A Treatment of tibia fracture 3.19 5.51 5.07 3.89 3.85 0.43 9.13 8.69 7.51 7.47 090 27752 A Treatment of tibia fracture 5.84 7.97 7.36 5.99 5.87 0.82 14.63 14.02 12.65 12.53 090 27756 A Treatment of tibia fracture 6.78 NA NA 9.99 9.52 0.94 NA NA 17.71 17.24 090 27758 A Treatment of tibia fracture 11.67 NA NA 11.09 11.80 1.52 NA NA 24.28 24.99 090 27759 A Treatment of tibia fracture 13.76 NA NA 12.66 13.22 1.93 NA NA 28.35 28.91 090 27760 A Treatment of ankle fracture 3.01 5.29 4.67 3.76 3.17 0.39 8.69 8.07 7.16 6.57 090 27762 A Treatment of ankle fracture 5.25 7.52 6.55 5.57 5.09 0.71 13.48 12.51 11.53 11.05 090 27766 A Treatment of ankle fracture 8.36 NA NA 8.05 8.17 1.17 NA NA 17.58 17.70 090 27780 A Treatment of fibula fracture 2.65 5.23 4.46 3.56 2.94 0.33 8.21 7.44 6.54 5.92 090 27781 A Treatment of fibula fracture 4.40 6.42 5.71 4.48 4.25 0.57 11.39 10.68 9.45 9.22 090 27784 A Treatment of fibula fracture 7.11 NA NA 7.99 7.51 0.98 NA NA 16.08 15.60 090 27786 A Treatment of ankle fracture 2.84 5.26 4.63 3.68 3.10 0.37 8.47 7.84 6.89 6.31 090 27788 A Treatment of ankle fracture 4.45 6.42 5.70 4.52 3.84 0.61 11.48 10.76 9.58 8.90 090 27792 A Treatment of ankle fracture 7.66 NA NA 7.63 7.73 1.07 NA NA 16.36 16.46 090 27808 A Treatment of ankle fracture 2.83 6.23 5.43 4.35 4.02 0.38 9.44 8.64 7.56 7.23 090 27810 A Treatment of ankle fracture 5.13 7.49 6.99 5.55 5.53 0.71 13.33 12.83 11.39 11.37 090 27814 A Treatment of ankle fracture 10.68 NA NA 10.24 10.39 1.50 NA NA 22.42 22.57 090 27816 A Treatment of ankle fracture 2.89 5.84 5.32 4.38 4.15 0.37 9.10 8.58 7.64 7.41 090 27818 A Treatment of ankle fracture 5.50 7.69 7.41 5.72 5.93 0.74 13.93 13.65 11.96 12.17 090 27822 A Treatment of ankle fracture 9.20 NA NA 11.23 11.17 1.29 NA NA 21.72 21.66 090 27823 A Treatment of ankle fracture 11.80 NA NA 12.62 12.94 1.65 NA NA 26.07 26.39 090 27824 A Treat lower leg fracture 2.89 6.25 5.63 4.35 4.13 0.39 9.53 8.91 7.63 7.41 090 27825 A Treat lower leg fracture 6.19 8.07 7.82 6.16 6.39 0.85 15.11 14.86 13.20 13.43 090 27826 A Treat lower leg fracture 8.54 NA NA 10.87 10.70 1.19 NA NA 20.60 20.43 090 27827 A Treat lower leg fracture 14.06 NA NA 13.95 13.64 1.96 NA NA 29.97 29.66 090 27828 A Treat lower leg fracture 16.23 NA NA 15.10 14.80 2.27 NA NA 33.60 33.30 090 27829 A Treat lower leg joint 5.49 NA NA 7.87 7.54 0.77 NA NA 14.13 13.80 090 27830 A Treat lower leg dislocation 3.79 4.80 4.48 4.25 4.07 0.44 9.03 8.71 8.48 8.30 090 27831 A Treat lower leg dislocation 4.56 NA NA 4.96 4.80 0.61 NA NA 10.13 9.97 090 27832 A Treat lower leg dislocation 6.49 NA NA 7.75 7.36 0.91 NA NA 15.15 14.76 090 27840 A Treat ankle dislocation 4.58 NA NA 5.55 4.67 0.47 NA NA 10.60 9.72 090 27842 A Treat ankle dislocation 6.21 NA NA 4.89 4.27 0.76 NA NA 11.86 11.24 090 27846 A Treat ankle dislocation 9.79 NA NA 9.76 9.65 1.36 NA NA 20.91 20.80 090 27848 A Treat ankle dislocation 11.20 NA NA 10.89 10.44 1.55 NA NA 23.64 23.19 090 27860 A Fixation of ankle joint 2.34 NA NA 3.48 2.99 0.31 NA NA 6.13 5.64 010 27870 A Fusion of ankle joint 13.91 NA NA 12.91 13.30 1.95 NA NA 28.77 29.16 090 27871 A Fusion of tibiofibular joint 9.17 NA NA 10.24 9.79 1.29 NA NA 20.70 20.25 090 27880 A Amputation of lower leg 11.85 NA NA 11.75 11.08 1.38 NA NA 24.98 24.31 090 27881 A Amputation of lower leg 12.34 NA NA 12.81 12.54 1.59 NA NA 26.74 26.47 090 27882 A Amputation of lower leg 8.94 NA NA 12.92 11.69 1.03 NA NA 22.89 21.66 090 27884 A Amputation follow-up surgery 8.21 NA NA 10.37 8.69 0.95 NA NA 19.53 17.85 090 27886 A Amputation follow-up surgery 9.32 NA NA 10.99 10.19 1.13 NA NA 21.44 20.64 090 27888 A Amputation of foot at ankle 9.67 NA NA 10.32 10.32 1.26 NA NA 21.25 21.25 090 27889 A Amputation of foot at ankle 9.98 NA NA 10.65 10.28 1.19 NA NA 21.82 21.45 090 27892 A Decompression of leg 7.39 NA NA 8.08 6.98 0.86 NA NA 16.33 15.23 090 27893 A Decompression of leg 7.35 NA NA 8.38 7.20 0.90 NA NA 16.63 15.45 090 27894 A Decompression of leg 10.49 NA NA 9.43 8.17 1.25 NA NA 21.17 19.91 090 27899 C Leg/ankle surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 28001 A Drainage of bursa of foot 2.73 4.58 3.58 2.84 2.20 0.31 7.62 6.62 5.88 5.24 010 28002 A Treatment of foot infection 4.62 6.18 5.25 4.09 3.68 0.56 11.36 10.43 9.27 8.86 010 28003 A Treatment of foot infection 8.41 9.97 8.43 9.86 7.87 1.03 19.41 17.87 19.30 17.31 090 28005 A Treat foot bone lesion 8.68 NA NA 9.49 8.23 1.14 NA NA 19.31 18.05 090 28008 A Incision of foot fascia 4.45 6.80 5.83 5.72 5.02 0.56 11.81 10.84 10.73 10.03 090 28010 A Incision of toe tendon 2.84 6.20 5.63 4.50 3.87 0.39 9.43 8.86 7.73 7.10 090 28011 A Incision of toe tendons 4.14 8.18 6.62 6.03 4.76 0.58 12.90 11.34 10.75 9.48 090 28020 A Exploration of foot joint 5.01 8.29 7.41 5.73 5.49 0.64 13.94 13.06 11.38 11.14 090 28022 A Exploration of foot joint 4.67 7.49 6.36 5.57 4.55 0.62 12.78 11.65 10.86 9.84 090 28024 A Exploration of toe joint 4.38 7.22 6.06 5.87 4.73 0.50 12.10 10.94 10.75 9.61 090 28030 A Removal of foot nerve 6.15 NA NA 3.42 3.63 0.85 NA NA 10.42 10.63 090 28035 A Decompression of tibia nerve 5.09 8.79 8.27 4.93 5.22 0.71 14.59 14.07 10.73 11.02 090 28043 A Excision of foot lesion 3.54 6.50 5.35 4.60 3.92 0.45 10.49 9.34 8.59 7.91 090 28045 A Excision of foot lesion 4.72 6.87 6.24 5.17 4.96 0.62 12.21 11.58 10.51 10.30 090 28046 A Resection of tumor, foot 10.18 11.78 10.29 10.23 9.13 1.13 23.09 21.60 21.54 20.44 090 28050 A Biopsy of foot joint lining 4.25 5.95 5.51 5.18 4.93 0.55 10.75 10.31 9.98 9.73 090 28052 A Biopsy of foot joint lining 3.94 7.42 6.60 5.25 4.46 0.51 11.87 11.05 9.70 8.91 090 28054 A Biopsy of toe joint lining 3.45 7.01 5.87 4.99 4.35 0.45 10.91 9.77 8.89 8.25 090 28060 A Partial removal, foot fascia 5.23 7.61 6.85 5.82 5.51 0.69 13.53 12.77 11.74 11.43 090 28062 A Removal of foot fascia 6.52 8.52 8.31 5.86 6.31 0.85 15.89 15.68 13.23 13.68 090 28070 A Removal of foot joint lining 5.10 7.75 7.03 5.38 5.25 0.68 13.53 12.81 11.16 11.03 090 28072 A Removal of foot joint lining 4.58 7.27 6.32 6.08 5.43 0.64 12.49 11.54 11.30 10.65 090 Start Printed Page 65461 28080 A Removal of foot lesion 3.58 6.67 6.11 4.81 4.71 0.50 10.75 10.19 8.89 8.79 090 28086 A Excise foot tendon sheath 4.78 10.76 8.92 6.67 5.85 0.66 16.20 14.36 12.11 11.29 090 28088 A Excise foot tendon sheath 3.86 7.94 6.94 5.80 5.33 0.52 12.32 11.32 10.18 9.71 090 28090 A Removal of foot lesion 4.41 6.96 6.04 5.03 4.59 0.57 11.94 11.02 10.01 9.57 090 28092 A Removal of toe lesions 3.64 7.43 6.12 5.32 4.54 0.46 11.53 10.22 9.42 8.64 090 28100 A Removal of ankle/heel lesion 5.66 10.71 9.28 6.99 6.49 0.76 17.13 15.70 13.41 12.91 090 28102 A Remove/graft foot lesion 7.73 NA NA 7.90 7.78 0.97 NA NA 16.60 16.48 090 28103 A Remove/graft foot lesion 6.50 10.68 9.53 6.98 6.76 0.89 18.07 16.92 14.37 14.15 090 28104 A Removal of foot lesion 5.12 8.02 7.19 6.16 5.80 0.69 13.83 13.00 11.97 11.61 090 28106 A Remove/graft foot lesion 7.16 NA NA 5.83 6.12 1.01 NA NA 14.00 14.29 090 28107 A Remove/graft foot lesion 5.56 8.54 7.72 6.23 5.99 0.74 14.84 14.02 12.53 12.29 090 28108 A Removal of toe lesions 4.16 6.25 5.83 4.74 4.13 0.52 10.93 10.51 9.42 8.81 090 28110 A Part removal of metatarsal 4.08 7.68 6.71 5.99 5.44 0.49 12.25 11.28 10.56 10.01 090 28111 A Part removal of metatarsal 5.01 10.30 9.09 6.96 6.59 0.63 15.94 14.73 12.60 12.23 090 28112 A Part removal of metatarsal 4.49 9.00 7.83 6.61 6.03 0.60 14.09 12.92 11.70 11.12 090 28113 A Part removal of metatarsal 4.79 8.22 7.37 6.35 5.97 0.63 13.64 12.79 11.77 11.39 090 28114 A Removal of metatarsal heads 9.79 14.40 13.29 9.94 9.94 1.36 25.55 24.44 21.09 21.09 090 28116 A Revision of foot 7.75 8.00 7.49 6.35 6.25 1.03 16.78 16.27 15.13 15.03 090 28118 A Removal of heel bone 5.96 9.13 8.40 6.30 6.28 0.79 15.88 15.15 13.05 13.03 090 28119 A Removal of heel spur 5.39 7.33 6.97 5.38 5.51 0.74 13.46 13.10 11.51 11.64 090 28120 A Part removal of ankle/heel 5.40 11.67 10.12 8.70 7.89 0.69 17.76 16.21 14.79 13.98 090 28122 A Partial removal of foot bone 7.29 10.13 8.81 8.40 7.52 0.96 18.38 17.06 16.65 15.77 090 28124 A Partial removal of toe 4.81 7.79 6.96 6.63 5.53 0.65 13.25 12.42 12.09 10.99 090 28126 A Partial removal of toe 3.52 6.68 6.09 6.12 5.13 0.49 10.69 10.10 10.13 9.14 090 28130 A Removal of ankle bone 8.11 NA NA 7.84 7.79 1.11 NA NA 17.06 17.01 090 28140 A Removal of metatarsal 6.91 10.71 9.37 7.47 6.94 0.84 18.46 17.12 15.22 14.69 090 28150 A Removal of toe 4.09 7.74 6.70 6.32 5.63 0.52 12.35 11.31 10.93 10.24 090 28153 A Partial removal of toe 3.66 6.76 6.15 5.22 4.46 0.49 10.91 10.30 9.37 8.61 090 28160 A Partial removal of toe 3.74 7.24 6.55 6.29 5.28 0.51 11.49 10.80 10.54 9.53 090 28171 A Extensive foot surgery 9.60 NA NA 8.55 8.58 1.13 NA NA 19.28 19.31 090 28173 A Extensive foot surgery 8.80 10.93 9.76 7.93 7.51 1.04 20.77 19.60 17.77 17.35 090 28175 A Extensive foot surgery 6.05 7.97 7.44 6.18 6.10 0.75 14.77 14.24 12.98 12.90 090 28190 A Removal of foot foreign body 1.96 5.37 4.17 3.13 2.42 0.16 7.49 6.29 5.25 4.54 010 28192 A Removal of foot foreign body 4.64 6.87 5.68 5.06 4.33 0.52 12.03 10.84 10.22 9.49 090 28193 A Removal of foot foreign body 5.73 7.25 6.08 5.87 5.05 0.63 13.61 12.44 12.23 11.41 090 28200 A Repair of foot tendon 4.60 7.40 6.92 5.45 5.46 0.59 12.59 12.11 10.64 10.65 090 28202 A Repair/graft of foot tendon 6.84 10.71 9.61 6.34 6.34 0.86 18.41 17.31 14.04 14.04 090 28208 A Repair of foot tendon 4.37 7.15 6.13 5.54 4.92 0.59 12.11 11.09 10.50 9.88 090 28210 A Repair/graft of foot tendon 6.35 8.45 7.86 5.70 5.80 0.77 15.57 14.98 12.82 12.92 090 28220 A Release of foot tendon 4.53 6.49 5.92 5.53 4.67 0.63 11.65 11.08 10.69 9.83 090 28222 A Release of foot tendons 5.62 6.97 6.97 6.48 5.73 0.77 13.36 13.36 12.87 12.12 090 28225 A Release of foot tendon 3.66 6.37 5.42 5.05 4.43 0.50 10.53 9.58 9.21 8.59 090 28226 A Release of foot tendons 4.53 6.41 5.73 6.41 5.73 0.62 11.56 10.88 11.56 10.88 090 28230 A Incision of foot tendon(s) 4.24 6.69 5.68 6.17 4.96 0.59 11.52 10.51 11.00 9.79 090 28232 A Incision of toe tendon 3.39 6.66 5.43 5.78 4.55 0.48 10.53 9.30 9.65 8.42 090 28234 A Incision of foot tendon 3.37 6.72 5.46 5.28 4.17 0.46 10.55 9.29 9.11 8.00 090 28238 A Revision of foot tendon 7.73 10.27 9.67 6.87 7.12 1.08 19.08 18.48 15.68 15.93 090 28240 A Release of big toe 4.36 6.66 5.57 5.67 4.83 0.61 11.63 10.54 10.64 9.80 090 28250 A Revision of foot fascia 5.92 8.22 7.38 6.56 6.13 0.81 14.95 14.11 13.29 12.86 090 28260 A Release of midfoot joint 7.96 7.81 7.06 6.77 6.28 1.08 16.85 16.10 15.81 15.32 090 28261 A Revision of foot tendon 11.73 9.61 8.81 8.76 8.17 1.66 23.00 22.20 22.15 21.56 090 28262 A Revision of foot and ankle 15.83 16.96 15.95 14.47 14.09 2.22 35.01 34.00 32.52 32.14 090 28264 A Release of midfoot joint 10.35 10.97 10.82 10.97 10.82 1.46 22.78 22.63 22.78 22.63 090 28270 A Release of foot contracture 4.76 7.16 6.08 6.31 5.09 0.67 12.59 11.51 11.74 10.52 090 28272 A Release of toe joint, each 3.80 6.16 5.17 4.71 3.81 0.52 10.48 9.49 9.03 8.13 090 28280 A Fusion of toes 5.19 8.67 7.11 6.23 5.28 0.72 14.58 13.02 12.14 11.19 090 28285 A Repair of hammertoe 4.59 7.36 6.71 5.78 5.52 0.64 12.59 11.94 11.01 10.75 090 28286 A Repair of hammertoe 4.56 7.03 6.25 5.83 5.35 0.64 12.23 11.45 11.03 10.55 090 28288 A Partial removal of foot bone 4.74 8.06 7.06 7.21 6.43 0.65 13.45 12.45 12.60 11.82 090 28289 A Repair hallux rigidus 7.04 9.49 9.49 7.90 7.90 0.96 17.49 17.49 15.90 15.90 090 28290 A Correction of bunion 5.66 8.97 8.18 7.98 7.44 0.79 15.42 14.63 14.43 13.89 090 28292 A Correction of bunion 7.04 8.66 8.41 6.78 7.00 0.98 16.68 16.43 14.80 15.02 090 28293 A Correction of bunion 9.15 9.77 9.92 7.07 7.89 1.28 20.20 20.35 17.50 18.32 090 28294 A Correction of bunion 8.56 9.11 9.32 7.06 7.78 1.16 18.83 19.04 16.78 17.50 090 28296 A Correction of bunion 9.18 9.80 9.74 7.71 8.17 1.28 20.26 20.20 18.17 18.63 090 28297 A Correction of bunion 9.18 12.14 11.55 9.38 9.48 1.31 22.63 22.04 19.87 19.97 090 28298 A Correction of bunion 7.94 8.69 8.89 7.42 7.93 1.12 17.75 17.95 16.48 16.99 090 28299 A Correction of bunion 8.88 9.63 9.87 7.56 8.32 1.24 19.75 19.99 17.68 18.44 090 28300 A Incision of heel bone 9.54 14.49 12.64 8.89 8.44 1.31 25.34 23.49 19.74 19.29 090 28302 A Incision of ankle bone 9.55 18.57 16.34 8.64 8.89 1.15 29.27 27.04 19.34 19.59 090 28304 A Incision of midfoot bones 9.16 9.14 8.60 7.05 7.04 1.00 19.30 18.76 17.21 17.20 090 28305 A Incise/graft midfoot bones 10.50 14.48 13.53 8.86 9.32 0.55 25.53 24.58 19.91 20.37 090 28306 A Incision of metatarsal 5.86 9.15 8.10 5.74 5.55 0.81 15.82 14.77 12.41 12.22 090 28307 A Incision of metatarsal 6.33 15.34 13.10 7.61 7.30 0.71 22.38 20.14 14.65 14.34 090 28308 A Incision of metatarsal 5.29 6.77 6.63 4.85 5.19 0.74 12.80 12.66 10.88 11.22 090 28309 A Incision of metatarsals 12.78 NA NA 10.35 9.63 1.64 NA NA 24.77 24.05 090 28310 A Revision of big toe 5.43 7.96 7.10 6.04 5.66 0.76 14.15 13.29 12.23 11.85 090 28312 A Revision of toe 4.55 7.58 6.92 6.65 6.23 0.62 12.75 12.09 11.82 11.40 090 28313 A Repair deformity of toe 5.01 7.96 6.67 7.96 6.32 0.68 13.65 12.36 13.65 12.01 090 28315 A Removal of sesamoid bone 4.86 6.62 6.12 4.98 4.89 0.66 12.14 11.64 10.50 10.41 090 28320 A Repair of foot bones 9.18 NA NA 8.06 8.40 1.27 NA NA 18.51 18.85 090 28322 A Repair of metatarsals 8.34 11.48 9.88 8.14 7.37 1.17 20.99 19.39 17.65 16.88 090 28340 A Resect enlarged toe tissue 6.98 8.72 8.26 5.63 5.94 0.98 16.68 16.22 13.59 13.90 090 Start Printed Page 65462 28341 A Resect enlarged toe 8.41 8.00 8.08 6.47 6.93 1.18 17.59 17.67 16.06 16.52 090 28344 A Repair extra toe(s) 4.26 12.28 10.22 4.98 4.74 0.60 17.14 15.08 9.84 9.60 090 28345 A Repair webbed toe(s) 5.92 8.69 7.97 6.36 6.22 0.84 15.45 14.73 13.12 12.98 090 28360 A Reconstruct cleft foot 13.34 NA NA 12.16 12.35 1.88 NA NA 27.38 27.57 090 28400 A Treatment of heel fracture 2.16 5.60 4.90 4.61 3.81 0.29 8.05 7.35 7.06 6.26 090 28405 A Treatment of heel fracture 4.57 6.56 5.98 5.71 5.34 0.63 11.76 11.18 10.91 10.54 090 28406 A Treatment of heel fracture 6.31 NA NA 8.06 7.70 0.87 NA NA 15.24 14.88 090 28415 A Treat heel fracture 15.97 NA NA 14.47 13.30 2.24 NA NA 32.68 31.51 090 28420 A Treat/graft heel fracture 16.64 NA NA 14.54 13.86 2.29 NA NA 33.47 32.79 090 28430 A Treatment of ankle fracture 2.09 5.19 4.56 4.13 3.43 0.27 7.55 6.92 6.49 5.79 090 28435 A Treatment of ankle fracture 3.40 5.78 5.25 4.59 4.36 0.47 9.65 9.12 8.46 8.23 090 28436 A Treatment of ankle fracture 4.71 NA NA 7.29 6.61 0.66 NA NA 12.66 11.98 090 28445 A Treat ankle fracture 9.33 NA NA 9.62 9.60 1.29 NA NA 20.24 20.22 090 28450 A Treat midfoot fracture, each 1.90 5.06 4.30 3.98 3.24 0.25 7.21 6.45 6.13 5.39 090 28455 A Treat midfoot fracture, each 3.09 5.52 4.83 4.86 3.99 0.43 9.04 8.35 8.38 7.51 090 28456 A Treat midfoot fracture 2.68 NA NA 5.60 4.82 0.36 NA NA 8.64 7.86 090 28465 A Treat midfoot fracture, each 7.01 NA NA 7.27 6.96 0.87 NA NA 15.15 14.84 090 28470 A Treat metatarsal fracture 1.99 4.40 3.79 3.29 2.71 0.26 6.65 6.04 5.54 4.96 090 28475 A Treat metatarsal fracture 2.97 5.06 4.43 4.26 3.51 0.41 8.44 7.81 7.64 6.89 090 28476 A Treat metatarsal fracture 3.38 NA NA 5.90 5.34 0.46 NA NA 9.74 9.18 090 28485 A Treat metatarsal fracture 5.71 NA NA 7.07 6.57 0.80 NA NA 13.58 13.08 090 28490 A Treat big toe fracture 1.09 2.44 2.08 2.00 1.62 0.13 3.66 3.30 3.22 2.84 090 28495 A Treat big toe fracture 1.58 2.56 2.23 2.04 1.68 0.19 4.33 4.00 3.81 3.45 090 28496 A Treat big toe fracture 2.33 9.87 7.97 4.20 3.71 0.32 12.52 10.62 6.85 6.36 090 28505 A Treat big toe fracture 3.81 10.36 8.58 5.93 5.26 0.50 14.67 12.89 10.24 9.57 090 28510 A Treatment of toe fracture 1.09 2.16 1.86 1.97 1.60 0.13 3.38 3.08 3.19 2.82 090 28515 A Treatment of toe fracture 1.46 2.39 2.10 1.99 1.65 0.17 4.02 3.73 3.62 3.28 090 28525 A Treat toe fracture 3.32 9.94 8.02 5.74 4.87 0.44 13.70 11.78 9.50 8.63 090 28530 A Treat sesamoid bone fracture 1.06 2.69 2.29 2.32 1.88 0.13 3.88 3.48 3.51 3.07 090 28531 A Treat sesamoid bone fracture 2.35 11.17 8.90 3.34 3.02 0.33 13.85 11.58 6.02 5.70 090 28540 A Treat foot dislocation 2.04 3.31 2.65 3.31 2.57 0.24 5.59 4.93 5.59 4.85 090 28545 A Treat foot dislocation 2.45 3.58 3.04 3.58 3.04 0.33 6.36 5.82 6.36 5.82 090 28546 A Treat foot dislocation 3.20 5.15 4.61 5.15 4.61 0.46 8.81 8.27 8.81 8.27 090 28555 A Repair foot dislocation 6.30 13.54 11.67 7.83 7.39 0.88 20.72 18.85 15.01 14.57 090 28570 A Treat foot dislocation 1.66 3.60 3.13 3.60 2.92 0.22 5.48 5.01 5.48 4.80 090 28575 A Treat foot dislocation 3.31 6.00 5.25 4.92 4.44 0.45 9.76 9.01 8.68 8.20 090 28576 A Treat foot dislocation 4.17 13.53 10.90 6.03 5.28 0.56 18.26 15.63 10.76 10.01 090 28585 A Repair foot dislocation 7.99 8.46 7.69 7.57 7.02 1.13 17.58 16.81 16.69 16.14 090 28600 A Treat foot dislocation 1.89 4.11 3.27 3.95 3.06 0.24 6.24 5.40 6.08 5.19 090 28605 A Treat foot dislocation 2.71 4.47 3.97 4.47 3.97 0.35 7.53 7.03 7.53 7.03 090 28606 A Treat foot dislocation 4.90 15.49 12.57 6.59 5.89 0.68 21.07 18.15 12.17 11.47 090 28615 A Repair foot dislocation 7.77 NA NA 8.79 7.94 1.09 NA NA 17.65 16.80 090 28630 A Treat toe dislocation 1.70 2.04 1.81 2.04 1.67 0.17 3.91 3.68 3.91 3.54 010 28635 A Treat toe dislocation 1.91 2.40 2.19 2.40 2.00 0.24 4.55 4.34 4.55 4.15 010 28636 A Treat toe dislocation 2.77 6.52 5.59 3.11 3.03 0.39 9.68 8.75 6.27 6.19 010 28645 A Repair toe dislocation 4.22 5.87 5.28 3.96 3.85 0.58 10.67 10.08 8.76 8.65 090 28660 A Treat toe dislocation 1.23 2.87 2.32 2.25 1.86 0.11 4.21 3.66 3.59 3.20 010 28665 A Treat toe dislocation 1.92 2.53 2.16 2.53 2.03 0.24 4.69 4.32 4.69 4.19 010 28666 A Treat toe dislocation 2.66 6.47 5.52 2.29 2.38 0.38 9.51 8.56 5.33 5.42 010 28675 A Repair of toe dislocation 2.92 8.72 7.36 4.46 4.16 0.41 12.05 10.69 7.79 7.49 090 28705 A Fusion of foot bones 15.21 NA NA 12.61 13.56 2.13 NA NA 29.95 30.90 090 28715 A Fusion of foot bones 13.10 NA NA 11.78 12.18 1.84 NA NA 26.72 27.12 090 28725 A Fusion of foot bones 11.61 NA NA 10.64 10.54 1.63 NA NA 23.88 23.78 090 28730 A Fusion of foot bones 10.76 NA NA 9.92 9.88 1.51 NA NA 22.19 22.15 090 28735 A Fusion of foot bones 10.85 NA NA 10.21 10.31 1.51 NA NA 22.57 22.67 090 28737 A Revision of foot bones 9.64 NA NA 8.10 8.48 1.36 NA NA 19.10 19.48 090 28740 A Fusion of foot bones 8.02 13.29 11.36 8.26 7.59 1.13 22.44 20.51 17.41 16.74 090 28750 A Fusion of big toe joint 7.30 14.54 12.35 8.49 7.81 1.03 22.87 20.68 16.82 16.14 090 28755 A Fusion of big toe joint 4.74 8.49 7.37 5.92 5.44 0.66 13.89 12.77 11.32 10.84 090 28760 A Fusion of big toe joint 7.75 9.59 8.66 7.00 6.72 1.07 18.41 17.48 15.82 15.54 090 28800 A Amputation of midfoot 8.21 NA NA 8.64 8.29 0.98 NA NA 17.83 17.48 090 28805 A Amputation thru metatarsal 8.39 NA NA 8.88 8.38 0.97 NA NA 18.24 17.74 090 28810 A Amputation toe & metatarsal 6.21 NA NA 7.69 6.83 0.70 NA NA 14.60 13.74 090 28820 A Amputation of toe 4.41 10.94 8.91 6.78 5.79 0.51 15.86 13.83 11.70 10.71 090 28825 A Partial amputation of toe 3.59 10.01 8.16 6.57 5.58 0.43 14.03 12.18 10.59 9.60 090 28899 C Foot/toes surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 29000 A Application of body cast 2.25 2.69 2.52 1.33 1.50 0.30 5.24 5.07 3.88 4.05 000 29010 A Application of body cast 2.06 2.54 2.54 1.26 1.56 0.27 4.87 4.87 3.59 3.89 000 29015 A Application of body cast 2.41 2.54 2.54 1.15 1.18 0.21 5.16 5.16 3.77 3.80 000 29020 A Application of body cast 2.11 2.47 2.35 0.97 0.98 0.16 4.74 4.62 3.24 3.25 000 29025 A Application of body cast 2.40 2.84 2.33 1.44 1.18 0.26 5.50 4.99 4.10 3.84 000 29035 A Application of body cast 1.77 2.50 2.41 1.08 1.08 0.24 4.51 4.42 3.09 3.09 000 29040 A Application of body cast 2.22 1.57 1.73 1.38 1.58 0.35 4.14 4.30 3.95 4.15 000 29044 A Application of body cast 2.12 2.71 2.60 1.31 1.55 0.29 5.12 5.01 3.72 3.96 000 29046 A Application of body cast 2.41 2.86 2.75 1.38 1.64 0.34 5.61 5.50 4.13 4.39 000 29049 A Application of figure eight 0.89 1.54 1.27 0.50 0.43 0.12 2.55 2.28 1.51 1.44 000 29055 A Application of shoulder cast 1.78 2.16 1.95 1.07 1.13 0.24 4.18 3.97 3.09 3.15 000 29058 A Application of shoulder cast 1.31 1.81 1.54 0.63 0.65 0.14 3.26 2.99 2.08 2.10 000 29065 A Application of long arm cast 0.87 1.30 1.19 0.54 0.52 0.12 2.29 2.18 1.53 1.51 000 29075 A Application of forearm cast 0.77 1.24 1.10 0.47 0.44 0.11 2.12 1.98 1.35 1.32 000 29085 A Apply hand/wrist cast 0.87 1.29 1.10 0.47 0.42 0.11 2.27 2.08 1.45 1.40 000 29105 A Apply long arm splint 0.87 1.29 1.10 0.40 0.37 0.11 2.27 2.08 1.38 1.35 000 29125 A Apply forearm splint 0.59 1.14 0.96 0.29 0.27 0.06 1.79 1.61 0.94 0.92 000 Start Printed Page 65463 29126 A Apply forearm splint 0.77 1.91 1.54 0.44 0.39 0.06 2.74 2.37 1.27 1.22 000 29130 A Application of finger splint 0.50 0.91 0.73 0.27 0.23 0.05 1.46 1.28 0.82 0.78 000 29131 A Application of finger splint 0.55 1.80 1.46 0.38 0.34 0.03 2.38 2.04 0.96 0.92 000 29200 A Strapping of chest 0.65 1.36 1.09 0.29 0.26 0.04 2.05 1.78 0.98 0.95 000 29220 A Strapping of low back 0.64 1.05 0.89 0.33 0.30 0.07 1.76 1.60 1.04 1.01 000 29240 A Strapping of shoulder 0.71 1.43 1.15 0.31 0.31 0.05 2.19 1.91 1.07 1.07 000 29260 A Strapping of elbow or wrist 0.55 1.15 0.93 0.27 0.24 0.04 1.74 1.52 0.86 0.83 000 29280 A Strapping of hand or finger 0.51 1.30 1.03 0.27 0.23 0.04 1.85 1.58 0.82 0.78 000 29305 A Application of hip cast 2.03 2.44 2.34 1.28 1.47 0.29 4.76 4.66 3.60 3.79 000 29325 A Application of hip casts 2.32 2.59 2.47 1.43 1.60 0.31 5.22 5.10 4.06 4.23 000 29345 A Application of long leg cast 1.40 1.68 1.54 0.84 0.77 0.19 3.27 3.13 2.43 2.36 000 29355 A Application of long leg cast 1.53 1.69 1.57 0.87 0.80 0.20 3.42 3.30 2.60 2.53 000 29358 A Apply long leg cast brace 1.43 1.86 1.82 0.93 0.91 0.19 3.48 3.44 2.55 2.53 000 29365 A Application of long leg cast 1.18 1.52 1.37 0.71 0.65 0.17 2.87 2.72 2.06 2.00 000 29405 A Apply short leg cast 0.86 1.20 1.12 0.52 0.50 0.12 2.18 2.10 1.50 1.48 000 29425 A Apply short leg cast 1.01 1.14 1.12 0.56 0.55 0.14 2.29 2.27 1.71 1.70 000 29435 A Apply short leg cast 1.18 1.79 1.66 0.79 0.75 0.17 3.14 3.01 2.14 2.10 000 29440 A Addition of walker to cast 0.57 0.91 0.75 0.32 0.27 0.07 1.55 1.39 0.96 0.91 000 29445 A Apply rigid leg cast 1.78 2.00 1.96 0.86 1.11 0.24 4.02 3.98 2.88 3.13 000 29450 A Application of leg cast 1.02 1.20 1.01 0.57 0.48 0.13 2.35 2.16 1.72 1.63 000 29505 A Application, long leg splint 0.69 1.60 1.36 0.42 0.47 0.06 2.35 2.11 1.17 1.22 000 29515 A Application lower leg splint 0.73 1.15 0.99 0.42 0.38 0.07 1.95 1.79 1.22 1.18 000 29520 A Strapping of hip 0.54 1.54 1.25 0.38 0.34 0.02 2.10 1.81 0.94 0.90 000 29530 A Strapping of knee 0.57 1.22 1.01 0.27 0.30 0.04 1.83 1.62 0.88 0.91 000 29540 A Strapping of ankle 0.51 0.51 0.47 0.26 0.24 0.04 1.06 1.02 0.81 0.79 000 29550 A Strapping of toes 0.47 0.49 0.44 0.23 0.21 0.05 1.01 0.96 0.75 0.73 000 29580 A Application of paste boot 0.57 0.84 0.85 0.31 0.28 0.05 1.46 1.47 0.93 0.90 000 29590 A Application of foot splint 0.76 0.77 0.65 0.41 0.35 0.06 1.59 1.47 1.23 1.17 000 29700 A Removal/revision of cast 0.57 0.81 0.70 0.31 0.28 0.07 1.45 1.34 0.95 0.92 000 29705 A Removal/revision of cast 0.76 0.98 0.83 0.41 0.36 0.10 1.84 1.69 1.27 1.22 000 29710 A Removal/revision of cast 1.34 1.72 1.41 0.85 0.70 0.17 3.23 2.92 2.36 2.21 000 29715 A Removal/revision of cast 0.94 3.64 2.96 0.69 0.64 0.08 4.66 3.98 1.71 1.66 000 29720 A Repair of body cast 0.68 1.46 1.16 0.49 0.40 0.10 2.24 1.94 1.27 1.18 000 29730 A Windowing of cast 0.75 0.93 0.77 0.39 0.33 0.10 1.78 1.62 1.24 1.18 000 29740 A Wedging of cast 1.12 1.36 1.12 0.53 0.45 0.15 2.63 2.39 1.80 1.72 000 29750 A Wedging of clubfoot cast 1.26 1.56 1.31 0.58 0.50 0.16 2.98 2.73 2.00 1.92 000 29799 C Casting/strapping procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 29800 A Jaw arthroscopy/surgery 6.43 NA NA 8.44 7.42 0.84 NA NA 15.71 14.69 090 29804 A Jaw arthroscopy/surgery 8.14 NA NA 8.78 9.01 0.66 NA NA 17.58 17.81 090 29815 A Shoulder arthroscopy 5.89 NA NA 7.32 6.80 0.83 NA NA 14.04 13.52 090 29819 A Shoulder arthroscopy/surgery 7.62 NA NA 9.18 9.16 1.07 NA NA 17.87 17.85 090 29820 A Shoulder arthroscopy/surgery 7.07 NA NA 8.81 8.72 0.99 NA NA 16.87 16.78 090 29821 A Shoulder arthroscopy/surgery 7.72 NA NA 9.18 9.19 1.08 NA NA 17.98 17.99 090 29822 A Shoulder arthroscopy/surgery 7.43 NA NA 9.08 9.03 1.04 NA NA 17.55 17.50 090 29823 A Shoulder arthroscopy/surgery 8.17 NA NA 9.43 9.51 1.15 NA NA 18.75 18.83 090 29825 A Shoulder arthroscopy/surgery 7.62 NA NA 9.19 9.17 1.06 NA NA 17.87 17.85 090 29826 A Shoulder arthroscopy/surgery 8.99 NA NA 9.92 10.12 1.26 NA NA 20.17 20.37 090 29830 A Elbow arthroscopy 5.76 NA NA 5.70 5.72 0.79 NA NA 12.25 12.27 090 29834 A Elbow arthroscopy/surgery 6.28 NA NA 6.48 6.45 0.86 NA NA 13.62 13.59 090 29835 A Elbow arthroscopy/surgery 6.48 NA NA 6.47 6.49 0.88 NA NA 13.83 13.85 090 29836 A Elbow arthroscopy/surgery 7.55 NA NA 7.20 7.31 1.06 NA NA 15.81 15.92 090 29837 A Elbow arthroscopy/surgery 6.87 NA NA 6.78 6.82 0.96 NA NA 14.61 14.65 090 29838 A Elbow arthroscopy/surgery 7.71 NA NA 7.28 7.37 1.07 NA NA 16.06 16.15 090 29840 A Wrist arthroscopy 5.54 NA NA 8.18 7.03 0.69 NA NA 14.41 13.26 090 29843 A Wrist arthroscopy/surgery 6.01 NA NA 7.93 7.47 0.82 NA NA 14.76 14.30 090 29844 A Wrist arthroscopy/surgery 6.37 NA NA 8.08 7.58 0.86 NA NA 15.31 14.81 090 29845 A Wrist arthroscopy/surgery 7.52 NA NA 8.52 8.29 0.84 NA NA 16.88 16.65 090 29846 A Wrist arthroscopy/surgery 6.75 NA NA 10.57 9.94 0.89 NA NA 18.21 17.58 090 29847 A Wrist arthroscopy/surgery 7.08 NA NA 10.51 9.72 0.91 NA NA 18.50 17.71 090 29848 A Wrist endoscopy/surgery 5.44 NA NA 7.73 6.84 0.72 NA NA 13.89 13.00 090 29850 A Knee arthroscopy/surgery 8.19 NA NA 6.91 6.41 0.74 NA NA 15.84 15.34 090 29851 A Knee arthroscopy/surgery 13.10 NA NA 11.33 11.47 1.81 NA NA 26.24 26.38 090 29855 A Tibial arthroscopy/surgery 10.62 NA NA 9.99 10.66 1.50 NA NA 22.11 22.78 090 29856 A Tibial arthroscopy/surgery 14.14 NA NA 11.94 12.13 2.00 NA NA 28.08 28.27 090 29860 A Hip arthroscopy, dx 8.05 NA NA 7.60 7.01 1.14 NA NA 16.79 16.20 090 29861 A Hip arthroscopy/surgery 9.15 NA NA 8.74 9.10 1.29 NA NA 19.18 19.54 090 29862 A Hip arthroscopy/surgery 9.90 NA NA 9.07 9.54 1.39 NA NA 20.36 20.83 090 29863 A Hip arthroscopy/surgery 9.90 NA NA 9.71 9.65 1.40 NA NA 21.01 20.95 090 29870 A Knee arthroscopy, dx 5.07 NA NA 5.79 5.43 0.67 NA NA 11.53 11.17 090 29871 A Knee arthroscopy/drainage 6.55 NA NA 7.75 7.65 0.88 NA NA 15.18 15.08 090 29874 A Knee arthroscopy/surgery 7.05 NA NA 7.42 7.67 0.87 NA NA 15.34 15.59 090 29875 A Knee arthroscopy/surgery 6.31 NA NA 7.15 7.25 0.88 NA NA 14.34 14.44 090 29876 A Knee arthroscopy/surgery 7.92 NA NA 8.57 8.79 1.11 NA NA 17.60 17.82 090 29877 A Knee arthroscopy/surgery 7.35 NA NA 7.74 8.00 1.03 NA NA 16.12 16.38 090 29879 A Knee arthroscopy/surgery 8.04 NA NA 8.12 8.49 1.13 NA NA 17.29 17.66 090 29880 A Knee arthroscopy/surgery 8.50 NA NA 8.38 8.82 1.19 NA NA 18.07 18.51 090 29881 A Knee arthroscopy/surgery 7.76 NA NA 7.96 8.29 1.09 NA NA 16.81 17.14 090 29882 A Knee arthroscopy/surgery 8.65 NA NA 7.96 8.55 1.09 NA NA 17.70 18.29 090 29883 A Knee arthroscopy/surgery 9.46 NA NA 8.91 9.51 1.33 NA NA 19.70 20.30 090 29884 A Knee arthroscopy/surgery 7.33 NA NA 8.25 8.38 1.03 NA NA 16.61 16.74 090 29885 A Knee arthroscopy/surgery 9.09 NA NA 9.19 9.13 1.27 NA NA 19.55 19.49 090 29886 A Knee arthroscopy/surgery 7.54 NA NA 8.36 8.12 1.06 NA NA 16.96 16.72 090 29887 A Knee arthroscopy/surgery 9.04 NA NA 9.19 9.59 1.27 NA NA 19.50 19.90 090 Start Printed Page 65464 29888 A Knee arthroscopy/surgery 13.90 NA NA 11.86 13.04 1.95 NA NA 27.71 28.89 090 29889 A Knee arthroscopy/surgery 15.13 NA NA 12.45 12.12 2.11 NA NA 29.69 29.36 090 29891 A Ankle arthroscopy/surgery 8.40 NA NA 8.72 8.95 1.17 NA NA 18.29 18.52 090 29892 A Ankle arthroscopy/surgery 9.00 NA NA 8.56 8.83 1.26 NA NA 18.82 19.09 090 29893 A Scope, plantar fasciotomy 5.22 NA NA 4.71 4.94 0.74 NA NA 10.67 10.90 090 29894 A Ankle arthroscopy/surgery 7.21 NA NA 7.36 7.67 1.01 NA NA 15.58 15.89 090 29895 A Ankle arthroscopy/surgery 6.99 NA NA 7.66 7.83 0.97 NA NA 15.62 15.79 090 29897 A Ankle arthroscopy/surgery 7.18 NA NA 8.29 8.36 1.01 NA NA 16.48 16.55 090 29898 A Ankle arthroscopy/surgery 8.32 NA NA 8.12 8.57 1.14 NA NA 17.58 18.03 090 29909 C Arthroscopy of joint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 30000 A Drainage of nose lesion 1.43 2.41 1.97 1.46 1.18 0.10 3.94 3.50 2.99 2.71 010 30020 A Drainage of nose lesion 1.43 2.66 2.16 1.53 1.23 0.08 4.17 3.67 3.04 2.74 010 30100 A Intranasal biopsy 0.94 1.29 1.16 0.52 0.49 0.06 2.29 2.16 1.52 1.49 000 30110 A Removal of nose polyp(s) 1.63 2.68 2.36 0.89 0.84 0.12 4.43 4.11 2.64 2.59 010 30115 A Removal of nose polyp(s) 4.35 NA NA 4.38 4.05 0.31 NA NA 9.04 8.71 090 30117 A Removal of intranasal lesion 3.16 4.65 4.26 3.09 3.09 0.22 8.03 7.64 6.47 6.47 090 30118 A Removal of intranasal lesion 9.69 NA NA 7.44 7.75 0.66 NA NA 17.79 18.10 090 30120 A Revision of nose 5.27 5.87 5.98 5.87 5.98 0.41 11.55 11.66 11.55 11.66 090 30124 A Removal of nose lesion 3.10 NA NA 3.30 2.66 0.20 NA NA 6.60 5.96 090 30125 A Removal of nose lesion 7.16 NA NA 6.31 6.24 0.54 NA NA 14.01 13.94 090 30130 A Removal of turbinate bones 3.38 NA NA 3.87 3.36 0.22 NA NA 7.47 6.96 090 30140 A Removal of turbinate bones 3.43 NA NA 4.42 4.14 0.24 NA NA 8.09 7.81 090 30150 A Partial removal of nose 9.14 NA NA 8.45 8.49 0.76 NA NA 18.35 18.39 090 30160 A Removal of nose 9.58 NA NA 8.31 9.09 0.78 NA NA 18.67 19.45 090 30200 A Injection treatment of nose 0.78 1.17 0.98 0.44 0.38 0.06 2.01 1.82 1.28 1.22 000 30210 A Nasal sinus therapy 1.08 2.06 1.62 0.60 0.49 0.08 3.22 2.78 1.76 1.65 010 30220 A Insert nasal septal button 1.54 2.38 2.20 0.86 0.85 0.11 4.03 3.85 2.51 2.50 010 30300 A Remove nasal foreign body 1.04 2.51 2.01 0.38 0.35 0.07 3.62 3.12 1.49 1.46 010 30310 A Remove nasal foreign body 1.96 NA NA 1.85 1.83 0.14 NA NA 3.95 3.93 010 30320 A Remove nasal foreign body 4.52 NA NA 5.32 5.16 0.36 NA NA 10.20 10.04 090 30400 R Reconstruction of nose 9.83 NA NA 8.59 9.15 0.80 NA NA 19.22 19.78 090 30410 R Reconstruction of nose 12.98 NA NA 10.43 11.70 1.08 NA NA 24.49 25.76 090 30420 R Reconstruction of nose 15.88 NA NA 12.14 13.85 1.24 NA NA 29.26 30.97 090 30430 R Revision of nose 7.21 NA NA 7.03 6.93 0.62 NA NA 14.86 14.76 090 30435 R Revision of nose 11.71 NA NA 10.27 10.46 1.10 NA NA 23.08 23.27 090 30450 R Revision of nose 18.65 NA NA 13.91 13.48 1.53 NA NA 34.09 33.66 090 30460 A Revision of nose 9.96 NA NA 9.30 9.30 0.85 NA NA 20.11 20.11 090 30462 A Revision of nose 19.57 NA NA 14.77 15.73 1.92 NA NA 36.26 37.22 090 30465 A Repair nasal stenosis 11.64 NA NA 9.12 9.12 0.82 NA NA 21.58 21.58 090 30520 A Repair of nasal septum 5.70 NA NA 5.71 5.98 0.41 NA NA 11.82 12.09 090 30540 A Repair nasal defect 7.75 NA NA 6.38 6.59 0.53 NA NA 14.66 14.87 090 30545 A Repair nasal defect 11.38 NA NA 8.21 9.10 0.80 NA NA 20.39 21.28 090 30560 A Release of nasal adhesions 1.26 2.26 1.85 1.46 1.17 0.09 3.61 3.20 2.81 2.52 010 30580 A Repair upper jaw fistula 6.69 4.95 5.41 4.95 4.56 0.50 12.14 12.60 12.14 11.75 090 30600 A Repair mouth/nose fistula 6.02 5.14 4.88 5.14 4.88 0.70 11.86 11.60 11.86 11.60 090 30620 A Intranasal reconstruction 5.97 NA NA 6.40 6.58 0.45 NA NA 12.82 13.00 090 30630 A Repair nasal septum defect 7.12 NA NA 6.86 6.84 0.51 NA NA 14.49 14.47 090 30801 A Cauterization, inner nose 1.09 2.46 1.97 2.20 1.72 0.08 3.63 3.14 3.37 2.89 010 30802 A Cauterization, inner nose 2.03 3.00 2.51 2.74 2.31 0.15 5.18 4.69 4.92 4.49 010 30901 A Control of nosebleed 1.21 2.05 1.69 0.44 0.41 0.09 3.35 2.99 1.74 1.71 000 30903 A Control of nosebleed 1.54 2.46 2.08 0.62 0.70 0.12 4.12 3.74 2.28 2.36 000 30905 A Control of nosebleed 1.97 4.29 3.70 0.88 1.15 0.15 6.41 5.82 3.00 3.27 000 30906 A Repeat control of nosebleed 2.45 4.52 3.68 1.34 1.30 0.17 7.14 6.30 3.96 3.92 000 30915 A Ligation, nasal sinus artery 7.20 NA NA 6.86 6.49 0.50 NA NA 14.56 14.19 090 30920 A Ligation, upper jaw artery 9.83 NA NA 8.32 8.83 0.69 NA NA 18.84 19.35 090 30930 A Therapy, fracture of nose 1.26 NA NA 2.09 1.76 0.09 NA NA 3.44 3.11 010 30999 C Nasal surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 31000 A Irrigation, maxillary sinus 1.15 2.35 1.88 0.63 0.53 0.08 3.58 3.11 1.86 1.76 010 31002 A Irrigation, sphenoid sinus 1.91 NA NA 1.96 1.53 0.14 NA NA 4.01 3.58 010 31020 A Exploration, maxillary sinus 2.94 4.24 3.90 3.54 3.38 0.20 7.38 7.04 6.68 6.52 090 31030 A Exploration, maxillary sinus 5.92 4.79 5.36 4.53 5.17 0.42 11.13 11.70 10.87 11.51 090 31032 A Explore sinus,remove polyps 6.57 NA NA 5.90 6.39 0.47 NA NA 12.94 13.43 090 31040 A Exploration behind upper jaw 9.42 NA NA 6.74 7.22 0.71 NA NA 16.87 17.35 090 31050 A Exploration, sphenoid sinus 5.28 NA NA 4.93 5.28 0.39 NA NA 10.60 10.95 090 31051 A Sphenoid sinus surgery 7.11 NA NA 6.34 6.88 0.55 NA NA 14.00 14.54 090 31070 A Exploration of frontal sinus 4.28 NA NA 4.86 4.92 0.30 NA NA 9.44 9.50 090 31075 A Exploration of frontal sinus 9.16 NA NA 8.02 8.75 0.64 NA NA 17.82 18.55 090 31080 A Removal of frontal sinus 11.42 NA NA 8.73 9.05 0.78 NA NA 20.93 21.25 090 31081 A Removal of frontal sinus 12.75 NA NA 9.32 9.79 1.84 NA NA 23.91 24.38 090 31084 A Removal of frontal sinus 13.51 NA NA 10.38 11.80 0.96 NA NA 24.85 26.27 090 31085 A Removal of frontal sinus 14.20 NA NA 10.62 12.20 1.18 NA NA 26.00 27.58 090 31086 A Removal of frontal sinus 12.86 NA NA 9.94 10.41 0.90 NA NA 23.70 24.17 090 31087 A Removal of frontal sinus 13.10 NA NA 10.43 10.64 1.15 NA NA 24.68 24.89 090 31090 A Exploration of sinuses 9.53 NA NA 8.66 9.34 0.66 NA NA 18.85 19.53 090 31200 A Removal of ethmoid sinus 4.97 NA NA 5.85 5.64 0.25 NA NA 11.07 10.86 090 31201 A Removal of ethmoid sinus 8.37 NA NA 7.60 7.60 0.58 NA NA 16.55 16.55 090 31205 A Removal of ethmoid sinus 10.24 NA NA 8.48 8.54 0.58 NA NA 19.30 19.36 090 31225 A Removal of upper jaw 19.23 NA NA 14.86 16.42 1.38 NA NA 35.47 37.03 090 31230 A Removal of upper jaw 21.94 NA NA 16.17 18.03 1.57 NA NA 39.68 41.54 090 31231 A Nasal endoscopy, dx 1.10 1.90 1.80 0.59 0.82 0.08 3.08 2.98 1.77 2.00 000 31233 A Nasal/sinus endoscopy, dx 2.18 2.53 2.66 1.18 1.27 0.16 4.87 5.00 3.52 3.61 000 31235 A Nasal/sinus endoscopy, dx 2.64 2.80 2.75 1.47 1.43 0.18 5.62 5.57 4.29 4.25 000 31237 A Nasal/sinus endoscopy, surg 2.98 3.07 3.19 1.62 1.66 0.21 6.26 6.38 4.81 4.85 000 Start Printed Page 65465 31238 A Nasal/sinus endoscopy, surg 3.26 3.58 3.66 1.83 1.86 0.23 7.07 7.15 5.32 5.35 000 31239 A Nasal/sinus endoscopy, surg 8.70 NA NA 6.54 7.50 0.46 NA NA 15.70 16.66 010 31240 A Nasal/sinus endoscopy, surg 2.61 NA NA 1.57 1.96 0.18 NA NA 4.36 4.75 000 31254 A Revision of ethmoid sinus 4.65 NA NA 2.72 3.43 0.32 NA NA 7.69 8.40 000 31255 A Removal of ethmoid sinus 6.96 NA NA 4.02 5.09 0.49 NA NA 11.47 12.54 000 31256 A Exploration maxillary sinus 3.29 NA NA 1.95 2.45 0.23 NA NA 5.47 5.97 000 31267 A Endoscopy, maxillary sinus 5.46 NA NA 3.18 3.81 0.38 NA NA 9.02 9.65 000 31276 A Sinus endoscopy, surgical 8.85 NA NA 5.09 5.64 0.62 NA NA 14.56 15.11 000 31287 A Nasal/sinus endoscopy, surg 3.92 NA NA 2.31 2.90 0.27 NA NA 6.50 7.09 000 31288 A Nasal/sinus endoscopy, surg 4.58 NA NA 2.68 3.38 0.32 NA NA 7.58 8.28 000 31290 A Nasal/sinus endoscopy, surg 17.24 NA NA 11.57 13.15 1.20 NA NA 30.01 31.59 010 31291 A Nasal/sinus endoscopy, surg 18.19 NA NA 11.77 13.53 1.73 NA NA 31.69 33.45 010 31292 A Nasal/sinus endoscopy, surg 14.76 NA NA 9.98 11.12 0.99 NA NA 25.73 26.87 010 31293 A Nasal/sinus endoscopy, surg 16.21 NA NA 10.77 12.05 0.97 NA NA 27.95 29.23 010 31294 A Nasal/sinus endoscopy, surg 19.06 NA NA 11.64 13.27 1.04 NA NA 31.74 33.37 010 31299 C Sinus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 31300 A Removal of larynx lesion 14.29 NA NA 16.61 15.60 0.99 NA NA 31.89 30.88 090 31320 A Diagnostic incision, larynx 5.26 NA NA 12.92 10.74 0.40 NA NA 18.58 16.40 090 31360 A Removal of larynx 17.08 NA NA 18.44 18.93 1.20 NA NA 36.72 37.21 090 31365 A Removal of larynx 24.16 NA NA 22.05 23.75 1.72 NA NA 47.93 49.63 090 31367 A Partial removal of larynx 21.86 NA NA 22.72 21.71 1.57 NA NA 46.15 45.14 090 31368 A Partial removal of larynx 27.09 NA NA 27.49 27.88 1.90 NA NA 56.48 56.87 090 31370 A Partial removal of larynx 21.38 NA NA 22.64 21.64 1.51 NA NA 45.53 44.53 090 31375 A Partial removal of larynx 20.21 NA NA 20.48 19.39 1.43 NA NA 42.12 41.03 090 31380 A Partial removal of larynx 20.21 NA NA 20.06 19.73 1.40 NA NA 41.67 41.34 090 31382 A Partial removal of larynx 20.52 NA NA 22.21 21.02 1.44 NA NA 44.17 42.98 090 31390 A Removal of larynx & pharynx 27.53 NA NA 27.91 28.28 1.95 NA NA 57.39 57.76 090 31395 A Reconstruct larynx & pharynx 31.09 NA NA 32.98 33.83 2.27 NA NA 66.34 67.19 090 31400 A Revision of larynx 10.31 NA NA 15.04 13.40 0.72 NA NA 26.07 24.43 090 31420 A Removal of epiglottis 10.22 NA NA 14.96 13.41 0.71 NA NA 25.89 24.34 090 31500 A Insert emergency airway 2.33 NA NA 0.67 0.81 0.15 NA NA 3.15 3.29 000 31502 A Change of windpipe airway 0.65 1.82 1.52 0.26 0.35 0.04 2.51 2.21 0.95 1.04 000 31505 A Diagnostic laryngoscopy 0.61 1.72 1.41 0.34 0.32 0.04 2.37 2.06 0.99 0.97 000 31510 A Laryngoscopy with biopsy 1.92 2.67 2.15 1.01 0.91 0.15 4.74 4.22 3.08 2.98 000 31511 A Remove foreign body, larynx 2.16 2.93 2.46 0.76 0.83 0.16 5.25 4.78 3.08 3.15 000 31512 A Removal of larynx lesion 2.07 2.87 2.64 1.13 1.33 0.16 5.10 4.87 3.36 3.56 000 31513 A Injection into vocal cord 2.10 NA NA 1.28 1.59 0.15 NA NA 3.53 3.84 000 31515 A Laryngoscopy for aspiration 1.80 2.35 2.07 0.84 0.94 0.12 4.27 3.99 2.76 2.86 000 31520 A Diagnostic laryngoscopy 2.56 NA NA 1.40 1.50 0.17 NA NA 4.13 4.23 000 31525 A Diagnostic laryngoscopy 2.63 2.80 2.70 1.49 1.42 0.18 5.61 5.51 4.30 4.23 000 31526 A Diagnostic laryngoscopy 2.57 NA NA 1.54 1.92 0.18 NA NA 4.29 4.67 000 31527 A Laryngoscopy for treatment 3.27 NA NA 1.69 2.08 0.21 NA NA 5.17 5.56 000 31528 A Laryngoscopy and dilatation 2.37 NA NA 1.30 1.68 0.16 NA NA 3.83 4.21 000 31529 A Laryngoscopy and dilatation 2.68 NA NA 1.58 1.85 0.18 NA NA 4.44 4.71 000 31530 A Operative laryngoscopy 3.39 NA NA 1.81 2.34 0.24 NA NA 5.44 5.97 000 31531 A Operative laryngoscopy 3.59 NA NA 2.13 2.67 0.25 NA NA 5.97 6.51 000 31535 A Operative laryngoscopy 3.16 NA NA 1.84 2.33 0.22 NA NA 5.22 5.71 000 31536 A Operative laryngoscopy 3.56 NA NA 2.10 2.64 0.25 NA NA 5.91 6.45 000 31540 A Operative laryngoscopy 4.13 NA NA 2.41 3.04 0.29 NA NA 6.83 7.46 000 31541 A Operative laryngoscopy 4.53 NA NA 2.65 3.23 0.32 NA NA 7.50 8.08 000 31560 A Operative laryngoscopy 5.46 NA NA 3.02 3.62 0.38 NA NA 8.86 9.46 000 31561 A Operative laryngoscopy 6.00 NA NA 3.48 4.31 0.42 NA NA 9.90 10.73 000 31570 A Laryngoscopy with injection 3.87 4.07 4.21 2.25 2.27 0.24 8.18 8.32 6.36 6.38 000 31571 A Laryngoscopy with injection 4.27 NA NA 2.50 3.10 0.30 NA NA 7.07 7.67 000 31575 A Diagnostic laryngoscopy 1.10 2.09 1.99 0.62 0.68 0.08 3.27 3.17 1.80 1.86 000 31576 A Laryngoscopy with biopsy 1.97 2.36 2.36 0.97 1.32 0.13 4.46 4.46 3.07 3.42 000 31577 A Remove foreign body, larynx 2.47 2.79 2.83 1.32 1.73 0.17 5.43 5.47 3.96 4.37 000 31578 A Removal of larynx lesion 2.84 3.01 3.11 1.58 2.03 0.20 6.05 6.15 4.62 5.07 000 31579 A Diagnostic laryngoscopy 2.26 2.83 2.76 1.21 1.23 0.16 5.25 5.18 3.63 3.65 000 31580 A Revision of larynx 12.38 NA NA 15.79 15.54 0.87 NA NA 29.04 28.79 090 31582 A Revision of larynx 21.62 NA NA 21.03 20.62 1.52 NA NA 44.17 43.76 090 31584 A Treat larynx fracture 19.64 NA NA 18.35 17.21 1.42 NA NA 39.41 38.27 090 31585 A Treat larynx fracture 4.64 NA NA 8.35 7.29 0.30 NA NA 13.29 12.23 090 31586 A Treat larynx fracture 8.03 NA NA 11.96 10.75 0.56 NA NA 20.55 19.34 090 31587 A Revision of larynx 11.99 NA NA 13.32 11.95 0.88 NA NA 26.19 24.82 090 31588 A Revision of larynx 13.11 NA NA 16.47 15.26 0.92 NA NA 30.50 29.29 090 31590 A Reinnervate larynx 6.97 NA NA 11.70 10.34 0.50 NA NA 19.17 17.81 090 31595 A Larynx nerve surgery 8.34 NA NA 10.48 9.72 0.62 NA NA 19.44 18.68 090 31599 C Larynx surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 31600 A Incision of windpipe 3.62 NA NA 1.63 2.30 0.34 NA NA 5.59 6.26 000 31601 A Incision of windpipe 4.45 NA NA 2.15 2.94 0.39 NA NA 6.99 7.78 000 31603 A Incision of windpipe 4.15 NA NA 1.72 2.44 0.35 NA NA 6.22 6.94 000 31605 A Incision of windpipe 3.58 NA NA 1.30 2.05 0.33 NA NA 5.21 5.96 000 31610 A Incision of windpipe 8.76 NA NA 10.55 9.72 0.69 NA NA 20.00 19.17 090 31611 A Surgery/speech prosthesis 5.64 NA NA 9.78 9.09 0.40 NA NA 15.82 15.13 090 31612 A Puncture/clear windpipe 0.91 1.47 1.42 0.43 0.60 0.06 2.44 2.39 1.40 1.57 000 31613 A Repair windpipe opening 4.59 NA NA 8.74 7.16 0.37 NA NA 13.70 12.12 090 31614 A Repair windpipe opening 7.12 NA NA 11.76 10.65 0.51 NA NA 19.39 18.28 090 31615 A Visualization of windpipe 2.09 3.49 3.15 1.19 1.42 0.14 5.72 5.38 3.42 3.65 000 31622 A Dx bronchoscope/wash 2.78 3.21 3.24 1.17 1.71 0.14 6.13 6.16 4.09 4.63 000 31623 A Dx bronchoscope/brush 2.88 3.10 3.16 1.17 1.71 0.14 6.12 6.18 4.19 4.73 000 31624 A Dx bronchoscope/lavage 2.88 2.79 2.93 1.16 1.71 0.13 5.80 5.94 4.17 4.72 000 31625 A Bronchoscopy with biopsy 3.37 2.83 3.13 1.31 1.99 0.16 6.36 6.66 4.84 5.52 000 Start Printed Page 65466 31628 A Bronchoscopy with biopsy 3.81 3.13 3.49 1.37 2.17 0.14 7.08 7.44 5.32 6.12 000 31629 A Bronchoscopy with biopsy 3.37 NA NA 1.24 1.94 0.13 NA NA 4.74 5.44 000 31630 A Bronchoscopy with repair 3.82 NA NA 2.13 2.61 0.30 NA NA 6.25 6.73 000 31631 A Bronchoscopy with dilation 4.37 NA NA 2.15 2.68 0.31 NA NA 6.83 7.36 000 31635 A Remove foreign body, airway 3.68 NA NA 1.74 2.41 0.21 NA NA 5.63 6.30 000 31640 A Bronchoscopy & remove lesion 4.94 NA NA 2.49 3.23 0.37 NA NA 7.80 8.54 000 31641 A Bronchoscopy, treat blockage 5.03 NA NA 2.23 3.17 0.30 NA NA 7.56 8.50 000 31643 A Diag bronchoscope/catheter 3.50 1.16 1.71 1.16 1.71 0.15 4.81 5.36 4.81 5.36 000 31645 A Bronchoscopy, clear airways 3.16 NA NA 1.21 1.85 0.13 NA NA 4.50 5.14 000 31646 A Bronchoscopy, reclear airway 2.72 NA NA 1.08 1.62 0.12 NA NA 3.92 4.46 000 31656 A Bronchoscopy, inj for xray 2.17 NA NA 0.92 1.34 0.10 NA NA 3.19 3.61 000 31700 A Insertion of airway catheter 1.34 2.42 2.19 0.73 0.92 0.07 3.83 3.60 2.14 2.33 000 31708 A Instill airway contrast dye 1.41 NA NA 0.63 0.68 0.06 NA NA 2.10 2.15 000 31710 A Insertion of airway catheter 1.30 NA NA 0.71 0.78 0.06 NA NA 2.07 2.14 000 31715 A Injection for bronchus x-ray 1.11 NA NA 0.63 0.60 0.06 NA NA 1.80 1.77 000 31717 A Bronchial brush biopsy 2.12 2.59 2.14 0.87 0.85 0.09 4.80 4.35 3.08 3.06 000 31720 A Clearance of airways 1.06 1.83 1.57 0.33 0.45 0.06 2.95 2.69 1.45 1.57 000 31725 A Clearance of airways 1.96 NA NA 0.61 0.84 0.10 NA NA 2.67 2.90 000 31730 A Intro, windpipe wire/tube 2.85 2.34 2.43 1.10 1.50 0.15 5.34 5.43 4.10 4.50 000 31750 A Repair of windpipe 13.02 NA NA 15.81 14.27 1.02 NA NA 29.85 28.31 090 31755 A Repair of windpipe 15.93 NA NA 18.41 17.42 1.15 NA NA 35.49 34.50 090 31760 A Repair of windpipe 22.35 NA NA 12.68 12.47 1.48 NA NA 36.51 36.30 090 31766 A Reconstruction of windpipe 30.43 NA NA 20.27 20.20 3.16 NA NA 53.86 53.79 090 31770 A Repair/graft of bronchus 22.51 NA NA 17.92 17.53 2.27 NA NA 42.70 42.31 090 31775 A Reconstruct bronchus 23.54 NA NA 16.73 16.99 2.91 NA NA 43.18 43.44 090 31780 A Reconstruct windpipe 17.72 NA NA 14.13 15.30 1.55 NA NA 33.40 34.57 090 31781 A Reconstruct windpipe 23.53 NA NA 15.44 16.16 2.04 NA NA 41.01 41.73 090 31785 A Remove windpipe lesion 17.23 NA NA 13.28 12.38 1.36 NA NA 31.87 30.97 090 31786 A Remove windpipe lesion 23.98 NA NA 16.25 15.80 2.20 NA NA 42.43 41.98 090 31800 A Repair of windpipe injury 7.43 NA NA 7.82 7.20 0.67 NA NA 15.92 15.30 090 31805 A Repair of windpipe injury 13.13 NA NA 11.99 11.66 1.45 NA NA 26.57 26.24 090 31820 A Closure of windpipe lesion 4.49 7.65 6.71 7.65 6.71 0.35 12.49 11.55 12.49 11.55 090 31825 A Repair of windpipe defect 6.81 11.20 9.76 10.88 9.52 0.50 18.51 17.07 18.19 16.83 090 31830 A Revise windpipe scar 4.50 7.82 6.86 7.82 6.86 0.36 12.68 11.72 12.68 11.72 090 31899 C Airways surgical procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 32000 A Drainage of chest 1.54 2.95 2.46 0.50 0.62 0.07 4.56 4.07 2.11 2.23 000 32002 A Treatment of collapsed lung 2.19 NA NA 0.86 1.01 0.11 NA NA 3.16 3.31 000 32005 A Treat lung lining chemically 2.19 NA NA 0.94 1.00 0.17 NA NA 3.30 3.36 000 32020 A Insertion of chest tube 3.98 NA NA 1.60 1.91 0.36 NA NA 5.94 6.25 000 32035 A Exploration of chest 8.67 NA NA 9.68 9.10 1.02 NA NA 19.37 18.79 090 32036 A Exploration of chest 9.68 NA NA 11.37 10.46 1.20 NA NA 22.25 21.34 090 32095 A Biopsy through chest wall 8.36 NA NA 10.48 10.10 0.99 NA NA 19.83 19.45 090 32100 A Exploration/biopsy of chest 11.84 NA NA 11.72 11.84 1.45 NA NA 25.01 25.13 090 32110 A Explore/repair chest 13.62 NA NA 12.70 12.65 1.63 NA NA 27.95 27.90 090 32120 A Re-exploration of chest 11.54 NA NA 12.32 11.81 1.42 NA NA 25.28 24.77 090 32124 A Explore chest free adhesions 12.72 NA NA 11.69 11.74 1.51 NA NA 25.92 25.97 090 32140 A Removal of lung lesion(s) 13.93 NA NA 12.55 12.77 1.68 NA NA 28.16 28.38 090 32141 A Remove/treat lung lesions 14.00 NA NA 12.92 13.33 1.72 NA NA 28.64 29.05 090 32150 A Removal of lung lesion(s) 14.15 NA NA 11.89 11.72 1.60 NA NA 27.64 27.47 090 32151 A Remove lung foreign body 14.21 NA NA 12.91 12.17 1.49 NA NA 28.61 27.87 090 32160 A Open chest heart massage 9.30 NA NA 7.41 8.04 1.01 NA NA 17.72 18.35 090 32200 A Drain, open, lung lesion 15.29 NA NA 12.13 10.97 1.46 NA NA 28.88 27.72 090 32201 A Drain, percut, lung lesion 4.00 NA NA 6.55 5.74 0.18 NA NA 10.73 9.92 000 32215 A Treat chest lining 11.33 NA NA 12.51 11.45 1.34 NA NA 25.18 24.12 090 32220 A Release of lung 19.27 NA NA 15.39 15.83 2.39 NA NA 37.05 37.49 090 32225 A Partial release of lung 13.96 NA NA 12.83 12.84 1.70 NA NA 28.49 28.50 090 32310 A Removal of chest lining 13.44 NA NA 12.35 12.42 1.65 NA NA 27.44 27.51 090 32320 A Free/remove chest lining 20.54 NA NA 14.95 16.12 2.50 NA NA 37.99 39.16 090 32400 A Needle biopsy chest lining 1.76 1.82 1.77 0.58 0.84 0.07 3.65 3.60 2.41 2.67 000 32402 A Open biopsy chest lining 7.56 NA NA 10.59 10.00 0.91 NA NA 19.06 18.47 090 32405 A Biopsy, lung or mediastinum 1.93 2.23 2.25 0.68 1.09 0.09 4.25 4.27 2.70 3.11 000 32420 A Puncture/clear lung 2.18 NA NA 0.85 1.05 0.11 NA NA 3.14 3.34 000 32440 A Removal of lung 21.02 NA NA 15.56 16.71 2.56 NA NA 39.14 40.29 090 32442 A Sleeve pneumonectomy 26.24 NA NA 19.00 19.12 3.12 NA NA 48.36 48.48 090 32445 A Removal of lung 25.09 NA NA 16.73 18.10 3.11 NA NA 44.93 46.30 090 32480 A Partial removal of lung 18.32 NA NA 13.52 14.79 2.24 NA NA 34.08 35.35 090 32482 A Bilobectomy 19.71 NA NA 14.63 15.63 2.35 NA NA 36.69 37.69 090 32484 A Segmentectomy 20.69 NA NA 14.88 15.81 2.54 NA NA 38.11 39.04 090 32486 A Sleeve lobectomy 23.92 NA NA 16.63 16.96 3.00 NA NA 43.55 43.88 090 32488 A Completion pneumonectomy 25.71 NA NA 17.76 18.13 3.18 NA NA 46.65 47.02 090 32491 R Lung volume reduction 21.25 NA NA 17.23 17.12 2.66 NA NA 41.14 41.03 090 32500 A Partial removal of lung 14.30 NA NA 13.15 13.52 1.77 NA NA 29.22 29.59 090 32501 A Repair bronchus add-on 4.69 NA NA 1.89 2.59 0.56 NA NA 7.14 7.84 ZZZ 32520 A Remove lung & revise chest 21.68 NA NA 16.19 17.75 2.71 NA NA 40.58 42.14 090 32522 A Remove lung & revise chest 24.20 NA NA 16.48 18.30 2.84 NA NA 43.52 45.34 090 32525 A Remove lung & revise chest 26.50 NA NA 17.47 19.48 3.25 NA NA 47.22 49.23 090 32540 A Removal of lung lesion 14.64 NA NA 13.36 13.19 1.84 NA NA 29.84 29.67 090 32601 A Thoracoscopy, diagnostic 5.46 NA NA 4.57 4.37 0.63 NA NA 10.66 10.46 000 32602 A Thoracoscopy, diagnostic 5.96 NA NA 4.81 4.66 0.70 NA NA 11.47 11.32 000 32603 A Thoracoscopy, diagnostic 7.81 NA NA 5.08 4.75 0.76 NA NA 13.65 13.32 000 32604 A Thoracoscopy, diagnostic 8.78 NA NA 5.98 5.54 0.97 NA NA 15.73 15.29 000 32605 A Thoracoscopy, diagnostic 6.93 NA NA 5.55 5.11 0.86 NA NA 13.34 12.90 000 32606 A Thoracoscopy, diagnostic 8.40 NA NA 5.65 5.29 0.99 NA NA 15.04 14.68 000 Start Printed Page 65467 32650 A Thoracoscopy, surgical 10.75 NA NA 10.88 10.23 1.25 NA NA 22.88 22.23 090 32651 A Thoracoscopy, surgical 12.91 NA NA 10.80 11.31 1.50 NA NA 25.21 25.72 090 32652 A Thoracoscopy, surgical 18.66 NA NA 14.50 15.17 2.30 NA NA 35.46 36.13 090 32653 A Thoracoscopy, surgical 12.87 NA NA 11.59 11.50 1.55 NA NA 26.01 25.92 090 32654 A Thoracoscopy, surgical 12.44 NA NA 9.14 9.98 1.51 NA NA 23.09 23.93 090 32655 A Thoracoscopy, surgical 13.10 NA NA 10.99 11.88 1.53 NA NA 25.62 26.51 090 32656 A Thoracoscopy, surgical 12.91 NA NA 12.44 12.96 1.61 NA NA 26.96 27.48 090 32657 A Thoracoscopy, surgical 13.65 NA NA 11.81 12.51 1.64 NA NA 27.10 27.80 090 32658 A Thoracoscopy, surgical 11.63 NA NA 13.17 13.35 1.47 NA NA 26.27 26.45 090 32659 A Thoracoscopy, surgical 11.59 NA NA 11.24 11.89 1.39 NA NA 24.22 24.87 090 32660 A Thoracoscopy, surgical 17.43 NA NA 13.34 15.21 2.09 NA NA 32.86 34.73 090 32661 A Thoracoscopy, surgical 13.25 NA NA 12.60 11.96 1.66 NA NA 27.51 26.87 090 32662 A Thoracoscopy, surgical 16.44 NA NA 13.52 14.09 2.01 NA NA 31.97 32.54 090 32663 A Thoracoscopy, surgical 18.47 NA NA 14.39 15.45 2.28 NA NA 35.14 36.20 090 32664 A Thoracoscopy, surgical 14.20 NA NA 10.97 11.09 1.70 NA NA 26.87 26.99 090 32665 A Thoracoscopy, surgical 15.54 NA NA 11.15 12.25 1.79 NA NA 28.48 29.58 090 32800 A Repair lung hernia 13.69 NA NA 11.78 11.08 1.51 NA NA 26.98 26.28 090 32810 A Close chest after drainage 13.05 NA NA 11.97 10.74 1.55 NA NA 26.57 25.34 090 32815 A Close bronchial fistula 23.15 NA NA 17.03 16.90 2.84 NA NA 43.02 42.89 090 32820 A Reconstruct injured chest 21.48 NA NA 15.38 16.69 2.31 NA NA 39.17 40.48 090 32850 X Donor pneumonectomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 32851 A Lung transplant, single 38.63 NA NA 24.78 25.52 4.90 NA NA 68.31 69.05 090 32852 A Lung transplant with bypass 41.80 NA NA 27.82 28.38 5.17 NA NA 74.79 75.35 090 32853 A Lung transplant, double 47.81 NA NA 29.36 30.69 6.13 NA NA 83.30 84.63 090 32854 A Lung transplant with bypass 50.98 NA NA 29.22 31.17 6.41 NA NA 86.61 88.56 090 32900 A Removal of rib(s) 20.27 NA NA 14.52 13.19 2.42 NA NA 37.21 35.88 090 32905 A Revise & repair chest wall 20.75 NA NA 15.18 14.84 2.54 NA NA 38.47 38.13 090 32906 A Revise & repair chest wall 26.77 NA NA 18.98 18.42 3.30 NA NA 49.05 48.49 090 32940 A Revision of lung 19.43 NA NA 15.29 14.55 2.47 NA NA 37.19 36.45 090 32960 A Therapeutic pneumothorax 1.84 1.47 1.36 0.61 0.71 0.12 3.43 3.32 2.57 2.67 000 32997 A Total lung lavage 6.00 NA NA 2.32 2.32 0.55 NA NA 8.87 8.87 000 32999 C Chest surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 33010 A Drainage of heart sac 2.24 NA NA 1.03 1.19 0.13 NA NA 3.40 3.56 000 33011 A Repeat drainage of heart sac 2.24 NA NA 1.09 0.97 0.13 NA NA 3.46 3.34 000 33015 A Incision of heart sac 6.80 NA NA 5.24 5.09 0.64 NA NA 12.68 12.53 090 33020 A Incision of heart sac 12.61 NA NA 9.90 11.02 1.50 NA NA 24.01 25.13 090 33025 A Incision of heart sac 12.09 NA NA 10.17 11.24 1.50 NA NA 23.76 24.83 090 33030 A Partial removal of heart sac 18.71 NA NA 16.32 17.82 2.40 NA NA 37.43 38.93 090 33031 A Partial removal of heart sac 21.79 NA NA 17.72 16.89 2.78 NA NA 42.29 41.46 090 33050 A Removal of heart sac lesion 14.36 NA NA 12.87 12.16 1.73 NA NA 28.96 28.25 090 33120 A Removal of heart lesion 24.56 NA NA 20.91 23.01 3.06 NA NA 48.53 50.63 090 33130 A Removal of heart lesion 21.39 NA NA 16.53 16.06 2.51 NA NA 40.43 39.96 090 33140 A Heart revascularize (tmr) 20.00 NA NA 12.79 12.79 2.27 NA NA 35.06 35.06 090 33141 A Heart tmr w/other procedure 4.84 NA NA 1.97 1.97 0.60 NA NA 7.41 7.41 ZZZ 33200 A Insertion of heart pacemaker 12.48 NA NA 11.73 12.13 1.17 NA NA 25.38 25.78 090 33201 A Insertion of heart pacemaker 10.18 NA NA 12.53 12.43 1.21 NA NA 23.92 23.82 090 33206 A Insertion of heart pacemaker 6.67 NA NA 6.17 6.62 0.50 NA NA 13.34 13.79 090 33207 A Insertion of heart pacemaker 8.04 NA NA 6.62 7.36 0.57 NA NA 15.23 15.97 090 33208 A Insertion of heart pacemaker 8.13 NA NA 6.74 7.48 0.54 NA NA 15.41 16.15 090 33210 A Insertion of heart electrode 3.30 NA NA 1.38 1.93 0.17 NA NA 4.85 5.40 000 33211 A Insertion of heart electrode 3.40 NA NA 1.48 2.01 0.17 NA NA 5.05 5.58 000 33212 A Insertion of pulse generator 5.52 NA NA 5.00 5.21 0.44 NA NA 10.96 11.17 090 33213 A Insertion of pulse generator 6.37 NA NA 5.35 5.47 0.46 NA NA 12.18 12.30 090 33214 A Upgrade of pacemaker system 7.75 NA NA 6.50 6.34 0.52 NA NA 14.77 14.61 090 33216 A Revise eltrd pacing-defib 5.39 NA NA 5.39 5.41 0.36 NA NA 11.14 11.16 090 33217 A Revise eltrd pacing-defib 5.75 NA NA 5.73 5.66 0.36 NA NA 11.84 11.77 090 33218 A Revise eltrd pacing-defib 5.44 NA NA 5.03 5.02 0.40 NA NA 10.87 10.86 090 33220 A Revise eltrd pacing-defib 5.52 NA NA 5.09 5.06 0.39 NA NA 11.00 10.97 090 33222 A Revise pocket, pacemaker 4.96 NA NA 4.46 4.83 0.39 NA NA 9.81 10.18 090 33223 A Revise pocket, pacing-defib 6.46 NA NA 5.76 5.87 0.44 NA NA 12.66 12.77 090 33233 A Removal of pacemaker system 3.29 NA NA 4.33 3.97 0.22 NA NA 7.84 7.48 090 33234 A Removal of pacemaker system 7.82 NA NA 6.36 5.54 0.56 NA NA 14.74 13.92 090 33235 A Removal pacemaker electrode 9.40 NA NA 7.15 6.22 0.68 NA NA 17.23 16.30 090 33236 A Remove electrode/thoracotomy 12.60 NA NA 11.65 9.82 1.49 NA NA 25.74 23.91 090 33237 A Remove electrode/thoracotomy 13.71 NA NA 12.58 12.04 1.57 NA NA 27.86 27.32 090 33238 A Remove electrode/thoracotomy 15.22 NA NA 12.31 12.03 1.56 NA NA 29.09 28.81 090 33240 A Insert pulse generator 7.60 NA NA 6.27 6.16 0.53 NA NA 14.40 14.29 090 33241 A Remove pulse generator 3.24 NA NA 3.92 3.53 0.21 NA NA 7.37 6.98 090 33243 A Remove eltrd/thoracotomy 22.64 NA NA 13.30 12.42 2.53 NA NA 38.47 37.59 090 33244 A Remove eltrd, transven 13.76 NA NA 9.41 9.51 1.05 NA NA 24.22 24.32 090 33245 A Insert epic eltrd pace-defib 14.30 NA NA 13.04 14.05 1.28 NA NA 28.62 29.63 090 33246 A Insert epic eltrd/generator 20.71 NA NA 17.92 19.08 2.22 NA NA 40.85 42.01 090 33249 A Eltrd/insert pace-defib 14.23 NA NA 9.80 11.32 0.80 NA NA 24.83 26.35 090 33250 A Ablate heart dysrhythm focus 21.85 NA NA 14.70 14.16 1.01 NA NA 37.56 37.02 090 33251 A Ablate heart dysrhythm focus 24.88 NA NA 18.08 18.01 2.41 NA NA 45.37 45.30 090 33253 A Reconstruct atria 31.06 NA NA 21.93 22.37 3.68 NA NA 56.67 57.11 090 33261 A Ablate heart dysrhythm focus 24.88 NA NA 18.85 17.93 2.82 NA NA 46.55 45.63 090 33282 A Implant pat-active ht record 4.17 NA NA 5.53 5.53 0.39 NA NA 10.09 10.09 090 33284 A Remove pat-active ht record 2.50 NA NA 5.06 5.06 0.23 NA NA 7.79 7.79 090 33300 A Repair of heart wound 17.92 NA NA 15.10 15.22 1.91 NA NA 34.93 35.05 090 33305 A Repair of heart wound 21.44 NA NA 17.60 17.92 2.68 NA NA 41.72 42.04 090 33310 A Exploratory heart surgery 18.51 NA NA 16.13 15.16 2.26 NA NA 36.90 35.93 090 33315 A Exploratory heart surgery 22.37 NA NA 18.07 17.48 2.90 NA NA 43.34 42.75 090 Start Printed Page 65468 33320 A Repair major blood vessel(s) 16.79 NA NA 13.82 14.20 1.66 NA NA 32.27 32.65 090 33321 A Repair major vessel 20.20 NA NA 17.69 19.17 2.70 NA NA 40.59 42.07 090 33322 A Repair major blood vessel(s) 20.62 NA NA 17.11 18.73 2.51 NA NA 40.24 41.86 090 33330 A Insert major vessel graft 21.43 NA NA 16.59 15.88 2.49 NA NA 40.51 39.80 090 33332 A Insert major vessel graft 23.96 NA NA 16.63 16.56 2.45 NA NA 43.04 42.97 090 33335 A Insert major vessel graft 30.01 NA NA 20.90 19.76 3.79 NA NA 54.70 53.56 090 33400 A Repair of aortic valve 25.34 NA NA 22.51 23.99 3.09 NA NA 50.94 52.42 090 33401 A Valvuloplasty, open 23.91 NA NA 20.65 22.60 2.71 NA NA 47.27 49.22 090 33403 A Valvuloplasty, w/cp bypass 24.89 NA NA 21.18 23.00 2.48 NA NA 48.55 50.37 090 33404 A Prepare heart-aorta conduit 28.54 NA NA 23.41 26.04 3.31 NA NA 55.26 57.89 090 33405 A Replacement of aortic valve 30.61 NA NA 21.49 24.39 3.86 NA NA 55.96 58.86 090 33406 A Replacement of aortic valve 32.30 NA NA 21.91 26.07 4.07 NA NA 58.28 62.44 090 33410 A Replacement of aortic valve 32.46 NA NA 22.25 22.25 4.11 NA NA 58.82 58.82 090 33411 A Replacement of aortic valve 32.47 NA NA 22.58 26.63 4.16 NA NA 59.21 63.26 090 33412 A Replacement of aortic valve 34.79 NA NA 28.65 31.87 4.66 NA NA 68.10 71.32 090 33413 A Replacement of aortic valve 35.24 NA NA 26.31 30.25 4.26 NA NA 65.81 69.75 090 33414 A Repair of aortic valve 30.35 NA NA 25.53 28.21 3.79 NA NA 59.67 62.35 090 33415 A Revision, subvalvular tissue 27.15 NA NA 23.86 26.00 3.25 NA NA 54.26 56.40 090 33416 A Revise ventricle muscle 30.35 NA NA 21.75 23.95 3.85 NA NA 55.95 58.15 090 33417 A Repair of aortic valve 28.53 NA NA 25.27 27.47 3.58 NA NA 57.38 59.58 090 33420 A Revision of mitral valve 22.70 NA NA 12.17 14.51 1.48 NA NA 36.35 38.69 090 33422 A Revision of mitral valve 25.94 NA NA 19.49 22.36 3.30 NA NA 48.73 51.60 090 33425 A Repair of mitral valve 27.00 NA NA 18.50 21.93 3.00 NA NA 48.50 51.93 090 33426 A Repair of mitral valve 31.03 NA NA 21.66 24.92 3.87 NA NA 56.56 59.82 090 33427 A Repair of mitral valve 33.72 NA NA 22.30 26.14 4.30 NA NA 60.32 64.16 090 33430 A Replacement of mitral valve 31.43 NA NA 21.86 25.78 3.95 NA NA 57.24 61.16 090 33460 A Revision of tricuspid valve 23.60 NA NA 18.75 21.11 3.02 NA NA 45.37 47.73 090 33463 A Valvuloplasty, tricuspid 25.62 NA NA 19.45 22.23 3.17 NA NA 48.24 51.02 090 33464 A Valvuloplasty, tricuspid 27.33 NA NA 20.33 23.40 3.47 NA NA 51.13 54.20 090 33465 A Replace tricuspid valve 28.79 NA NA 20.51 23.98 3.61 NA NA 52.91 56.38 090 33468 A Revision of tricuspid valve 30.12 NA NA 29.92 31.43 4.00 NA NA 64.04 65.55 090 33470 A Revision of pulmonary valve 20.81 NA NA 17.43 18.45 2.81 NA NA 41.05 42.07 090 33471 A Valvotomy, pulmonary valve 22.25 NA NA 19.39 21.19 3.00 NA NA 44.64 46.44 090 33472 A Revision of pulmonary valve 22.25 NA NA 19.97 21.62 2.92 NA NA 45.14 46.79 090 33474 A Revision of pulmonary valve 23.04 NA NA 17.05 19.66 2.84 NA NA 42.93 45.54 090 33475 A Replacement, pulmonary valve 28.41 NA NA 23.92 26.42 2.64 NA NA 54.97 57.47 090 33476 A Revision of heart chamber 25.77 NA NA 19.07 21.94 2.40 NA NA 47.24 50.11 090 33478 A Revision of heart chamber 26.74 NA NA 20.54 23.39 3.56 NA NA 50.84 53.69 090 33496 A Repair, prosth valve clot 27.25 NA NA 24.25 26.32 3.44 NA NA 54.94 57.01 090 33500 A Repair heart vessel fistula 25.55 NA NA 18.73 21.68 2.80 NA NA 47.08 50.03 090 33501 A Repair heart vessel fistula 17.78 NA NA 14.21 14.50 2.05 NA NA 34.04 34.33 090 33502 A Coronary artery correction 21.04 NA NA 23.73 21.64 2.51 NA NA 47.28 45.19 090 33503 A Coronary artery graft 21.78 NA NA 14.77 17.58 1.42 NA NA 37.97 40.78 090 33504 A Coronary artery graft 24.66 NA NA 23.74 25.17 3.04 NA NA 51.44 52.87 090 33505 A Repair artery w/tunnel 26.84 NA NA 21.54 24.17 1.52 NA NA 49.90 52.53 090 33506 A Repair artery, translocation 26.71 NA NA 16.87 20.62 3.19 NA NA 46.77 50.52 090 33510 A CABG, vein, single 25.12 NA NA 19.14 21.85 3.13 NA NA 47.39 50.10 090 33511 A CABG, vein, two 27.40 NA NA 19.78 23.01 3.34 NA NA 50.52 53.75 090 33512 A CABG, vein, three 29.67 NA NA 20.95 24.57 3.70 NA NA 54.32 57.94 090 33513 A CABG, vein, four 31.95 NA NA 21.98 26.02 3.99 NA NA 57.92 61.96 090 33514 A CABG, vein, five 35.00 NA NA 23.34 27.95 4.37 NA NA 62.71 67.32 090 33516 A Cabg, vein, six or more 37.40 NA NA 24.31 29.40 4.62 NA NA 66.33 71.42 090 33517 A CABG, artery-vein, single 2.57 NA NA 1.06 1.56 0.32 NA NA 3.95 4.45 ZZZ 33518 A CABG, artery-vein, two 4.85 NA NA 1.99 2.94 0.61 NA NA 7.45 8.40 ZZZ 33519 A CABG, artery-vein, three 7.12 NA NA 2.93 4.32 0.89 NA NA 10.94 12.33 ZZZ 33521 A CABG, artery-vein, four 9.40 NA NA 3.88 5.72 1.18 NA NA 14.46 16.30 ZZZ 33522 A CABG, artery-vein, five 11.67 NA NA 4.83 7.11 1.48 NA NA 17.98 20.26 ZZZ 33523 A Cabg, art-vein, six or more 13.95 NA NA 5.76 8.49 1.78 NA NA 21.49 24.22 ZZZ 33530 A Coronary artery, bypass/reop 5.86 NA NA 2.39 3.54 0.73 NA NA 8.98 10.13 ZZZ 33533 A CABG, arterial, single 25.83 NA NA 19.44 22.29 3.24 NA NA 48.51 51.36 090 33534 A CABG, arterial, two 28.82 NA NA 20.12 23.69 3.63 NA NA 52.57 56.14 090 33535 A CABG, arterial, three 31.81 NA NA 21.05 25.28 3.97 NA NA 56.83 61.06 090 33536 A Cabg, arterial, four or more 34.79 NA NA 18.16 24.00 3.29 NA NA 56.24 62.08 090 33542 A Removal of heart lesion 28.85 NA NA 22.87 25.49 3.61 NA NA 55.33 57.95 090 33545 A Repair of heart damage 36.78 NA NA 25.64 28.71 4.40 NA NA 66.82 69.89 090 33572 A Open coronary endarterectomy 4.45 NA NA 1.83 2.25 0.55 NA NA 6.83 7.25 ZZZ 33600 A Closure of valve 29.51 NA NA 20.22 23.97 2.30 NA NA 52.03 55.78 090 33602 A Closure of valve 28.54 NA NA 16.17 20.40 2.90 NA NA 47.61 51.84 090 33606 A Anastomosis/artery-aorta 30.74 NA NA 18.74 23.23 3.59 NA NA 53.07 57.56 090 33608 A Repair anomaly w/conduit 31.09 NA NA 26.78 29.37 4.17 NA NA 62.04 64.63 090 33610 A Repair by enlargement 30.61 NA NA 26.03 28.66 4.02 NA NA 60.66 63.29 090 33611 A Repair double ventricle 32.30 NA NA 24.45 27.98 3.28 NA NA 60.03 63.56 090 33612 A Repair double ventricle 33.26 NA NA 27.40 30.48 4.44 NA NA 65.10 68.18 090 33615 A Repair, modified fontan 32.06 NA NA 28.18 30.71 3.15 NA NA 63.39 65.92 090 33617 A Repair single ventricle 34.03 NA NA 26.43 29.98 4.09 NA NA 64.55 68.10 090 33619 A Repair single ventricle 37.57 NA NA 32.65 35.70 4.71 NA NA 74.93 77.98 090 33641 A Repair heart septum defect 21.39 NA NA 15.59 18.08 2.67 NA NA 39.65 42.14 090 33645 A Revision of heart veins 24.82 NA NA 19.83 22.28 3.27 NA NA 47.92 50.37 090 33647 A Repair heart septum defects 28.73 NA NA 24.10 26.65 3.37 NA NA 56.20 58.75 090 33660 A Repair of heart defects 25.54 NA NA 22.13 24.22 2.82 NA NA 50.49 52.58 090 33665 A Repair of heart defects 28.60 NA NA 24.67 26.99 3.81 NA NA 57.08 59.40 090 33670 A Repair of heart chambers 32.73 NA NA 17.23 22.69 2.18 NA NA 52.14 57.60 090 33681 A Repair heart septum defect 27.67 NA NA 24.25 26.45 3.53 NA NA 55.45 57.65 090 Start Printed Page 65469 33684 A Repair heart septum defect 29.65 NA NA 22.78 25.94 3.77 NA NA 56.20 59.36 090 33688 A Repair heart septum defect 30.62 NA NA 17.23 22.06 3.89 NA NA 51.74 56.57 090 33690 A Reinforce pulmonary artery 19.55 NA NA 19.36 20.36 2.56 NA NA 41.47 42.47 090 33692 A Repair of heart defects 30.75 NA NA 17.94 22.63 3.77 NA NA 52.46 57.15 090 33694 A Repair of heart defects 31.73 NA NA 21.86 25.87 4.27 NA NA 57.86 61.87 090 33697 A Repair of heart defects 33.71 NA NA 25.47 29.16 4.54 NA NA 63.72 67.41 090 33702 A Repair of heart defects 26.54 NA NA 22.29 24.64 3.45 NA NA 52.28 54.63 090 33710 A Repair of heart defects 29.71 NA NA 16.87 21.52 3.85 NA NA 50.43 55.08 090 33720 A Repair of heart defect 26.56 NA NA 20.97 23.66 3.21 NA NA 50.74 53.43 090 33722 A Repair of heart defect 28.41 NA NA 23.23 25.69 3.80 NA NA 55.44 57.90 090 33730 A Repair heart-vein defect(s) 31.67 NA NA 19.96 24.42 2.85 NA NA 54.48 58.94 090 33732 A Repair heart-vein defect 28.16 NA NA 20.83 24.03 2.78 NA NA 51.77 54.97 090 33735 A Revision of heart chamber 21.39 NA NA 14.20 17.62 1.12 NA NA 36.71 40.13 090 33736 A Revision of heart chamber 23.52 NA NA 22.09 23.54 2.70 NA NA 48.31 49.76 090 33737 A Revision of heart chamber 21.76 NA NA 17.82 19.86 2.93 NA NA 42.51 44.55 090 33750 A Major vessel shunt 21.41 NA NA 17.71 19.28 1.74 NA NA 40.86 42.43 090 33755 A Major vessel shunt 21.79 NA NA 17.83 19.37 2.93 NA NA 42.55 44.09 090 33762 A Major vessel shunt 21.79 NA NA 12.73 15.54 1.59 NA NA 36.11 38.92 090 33764 A Major vessel shunt & graft 21.79 NA NA 14.94 17.20 1.93 NA NA 38.66 40.92 090 33766 A Major vessel shunt 22.76 NA NA 21.93 22.44 3.04 NA NA 47.73 48.24 090 33767 A Major vessel shunt 24.50 NA NA 20.58 22.41 3.14 NA NA 48.22 50.05 090 33770 A Repair great vessels defect 33.29 NA NA 22.50 26.81 4.49 NA NA 60.28 64.59 090 33771 A Repair great vessels defect 34.65 NA NA 18.84 24.47 4.67 NA NA 58.16 63.79 090 33774 A Repair great vessels defect 30.98 NA NA 17.37 21.51 4.18 NA NA 52.53 56.67 090 33775 A Repair great vessels defect 32.20 NA NA 17.86 21.88 4.34 NA NA 54.40 58.42 090 33776 A Repair great vessels defect 34.04 NA NA 18.60 23.43 4.58 NA NA 57.22 62.05 090 33777 A Repair great vessels defect 33.46 NA NA 18.37 22.26 4.51 NA NA 56.34 60.23 090 33778 A Repair great vessels defect 35.82 NA NA 19.31 25.17 4.83 NA NA 59.96 65.82 090 33779 A Repair great vessels defect 36.21 NA NA 19.97 25.79 2.40 NA NA 58.58 64.40 090 33780 A Repair great vessels defect 36.94 NA NA 22.67 28.03 5.21 NA NA 64.82 70.18 090 33781 A Repair great vessels defect 36.45 NA NA 19.56 25.55 4.91 NA NA 60.92 66.91 090 33786 A Repair arterial trunk 34.84 NA NA 23.12 27.74 4.69 NA NA 62.65 67.27 090 33788 A Revision of pulmonary artery 26.62 NA NA 19.10 22.27 3.32 NA NA 49.04 52.21 090 33800 A Aortic suspension 16.24 NA NA 12.96 13.56 1.11 NA NA 30.31 30.91 090 33802 A Repair vessel defect 17.66 NA NA 10.81 13.38 1.56 NA NA 30.03 32.60 090 33803 A Repair vessel defect 19.60 NA NA 18.72 19.89 2.63 NA NA 40.95 42.12 090 33813 A Repair septal defect 20.65 NA NA 17.37 19.02 2.78 NA NA 40.80 42.45 090 33814 A Repair septal defect 25.77 NA NA 24.70 26.22 2.52 NA NA 52.99 54.51 090 33820 A Revise major vessel 16.29 NA NA 16.79 17.46 2.10 NA NA 35.18 35.85 090 33822 A Revise major vessel 17.32 NA NA 16.01 17.18 2.33 NA NA 35.66 36.83 090 33824 A Revise major vessel 19.52 NA NA 16.13 17.92 2.61 NA NA 38.26 40.05 090 33840 A Remove aorta constriction 20.63 NA NA 17.46 19.25 2.36 NA NA 40.45 42.24 090 33845 A Remove aorta constriction 22.12 NA NA 20.75 22.16 2.90 NA NA 45.77 47.18 090 33851 A Remove aorta constriction 21.27 NA NA 17.62 19.57 2.86 NA NA 41.75 43.70 090 33852 A Repair septal defect 23.71 NA NA 19.99 22.07 3.19 NA NA 46.89 48.97 090 33853 A Repair septal defect 31.72 NA NA 24.96 28.19 4.23 NA NA 60.91 64.14 090 33860 A Ascending aortic graft 33.96 NA NA 22.74 26.47 4.30 NA NA 61.00 64.73 090 33861 A Ascending aortic graft 34.52 NA NA 22.77 26.50 4.24 NA NA 61.53 65.26 090 33863 A Ascending aortic graft 36.47 NA NA 23.69 27.19 4.60 NA NA 64.76 68.26 090 33870 A Transverse aortic arch graft 40.31 NA NA 24.99 30.76 5.09 NA NA 70.39 76.16 090 33875 A Thoracic aortic graft 33.06 NA NA 21.74 24.78 4.08 NA NA 58.88 61.92 090 33877 A Thoracoabdominal graft 42.60 NA NA 26.54 31.87 5.07 NA NA 74.21 79.54 090 33910 A Remove lung artery emboli 24.59 NA NA 18.51 17.86 3.06 NA NA 46.16 45.51 090 33915 A Remove lung artery emboli 21.02 NA NA 13.32 13.25 1.20 NA NA 35.54 35.47 090 33916 A Surgery of great vessel 25.83 NA NA 16.64 17.25 3.04 NA NA 45.51 46.12 090 33917 A Repair pulmonary artery 24.50 NA NA 22.44 24.14 3.17 NA NA 50.11 51.81 090 33918 A Repair pulmonary atresia 26.45 NA NA 15.57 19.57 3.42 NA NA 45.44 49.44 090 33919 A Repair pulmonary atresia 32.67 NA NA 23.85 27.64 3.48 NA NA 60.00 63.79 090 33920 A Repair pulmonary atresia 31.95 NA NA 18.94 23.74 3.61 NA NA 54.50 59.30 090 33922 A Transect pulmonary artery 23.52 NA NA 17.86 20.42 2.30 NA NA 43.68 46.24 090 33924 A Remove pulmonary shunt 5.50 NA NA 2.22 2.75 0.74 NA NA 8.46 8.99 ZZZ 33930 X Removal of donor heart/lung 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 33935 R Transplantation, heart/lung 60.96 NA NA 34.74 44.25 8.15 NA NA 103.85 113.36 090 33940 X Removal of donor heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 33945 R Transplantation of heart 42.10 NA NA 27.22 32.98 5.42 NA NA 74.74 80.50 090 33960 A External circulation assist 19.36 NA NA 7.48 7.51 2.14 NA NA 28.98 29.01 XXX 33961 A External circulation assist 10.93 NA NA 4.50 5.28 1.47 NA NA 16.90 17.68 ZZZ 33968 A Remove aortic assist device 0.64 NA NA 0.26 0.26 0.07 NA NA 0.97 0.97 000 33970 A Aortic circulation assist 6.75 NA NA 2.80 4.12 0.70 NA NA 10.25 11.57 000 33971 A Aortic circulation assist 9.69 NA NA 9.88 8.81 0.97 NA NA 20.54 19.47 090 33973 A Insert balloon device 9.76 NA NA 4.01 5.05 1.01 NA NA 14.78 15.82 000 33974 A Remove intra-aortic balloon 14.41 NA NA 13.34 11.51 1.48 NA NA 29.23 27.40 090 33975 A Implant ventricular device 21.00 NA NA 6.41 8.66 1.72 NA NA 29.13 31.38 XXX 33976 A Implant ventricular device 23.00 NA NA 9.37 12.27 2.82 NA NA 35.19 38.09 XXX 33977 A Remove ventricular device 19.29 NA NA 13.41 13.43 2.44 NA NA 35.14 35.16 090 33978 A Remove ventricular device 21.73 NA NA 14.89 15.02 2.66 NA NA 39.28 39.41 090 33999 C Cardiac surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 34001 A Removal of artery clot 12.91 NA NA 6.28 7.31 1.46 NA NA 20.65 21.68 090 34051 A Removal of artery clot 15.21 NA NA 8.20 8.54 1.90 NA NA 25.31 25.65 090 34101 A Removal of artery clot 9.97 NA NA 5.17 6.14 1.11 NA NA 16.25 17.22 090 34111 A Removal of arm artery clot 8.07 NA NA 4.35 5.32 0.85 NA NA 13.27 14.24 090 34151 A Removal of artery clot 16.86 NA NA 7.88 9.16 1.84 NA NA 26.58 27.86 090 34201 A Removal of artery clot 9.13 NA NA 5.16 6.29 1.02 NA NA 15.31 16.44 090 Start Printed Page 65470 34203 A Removal of leg artery clot 12.21 NA NA 6.45 7.18 1.37 NA NA 20.03 20.76 090 34401 A Removal of vein clot 12.86 NA NA 6.47 7.04 1.20 NA NA 20.53 21.10 090 34421 A Removal of vein clot 9.93 NA NA 5.53 6.17 0.95 NA NA 16.41 17.05 090 34451 A Removal of vein clot 14.44 NA NA 7.39 8.44 1.59 NA NA 23.42 24.47 090 34471 A Removal of vein clot 10.18 NA NA 5.24 4.88 0.90 NA NA 16.32 15.96 090 34490 A Removal of vein clot 7.60 NA NA 5.67 6.23 0.73 NA NA 14.00 14.56 090 34501 A Repair valve, femoral vein 10.93 NA NA 8.84 8.63 1.37 NA NA 21.14 20.93 090 34502 A Reconstruct vena cava 26.95 NA NA 12.39 14.35 2.99 NA NA 42.33 44.29 090 34510 A Transposition of vein valve 13.25 NA NA 9.45 9.50 1.60 NA NA 24.30 24.35 090 34520 A Cross-over vein graft 13.74 NA NA 8.07 8.59 1.41 NA NA 23.22 23.74 090 34530 A Leg vein fusion 17.61 NA NA 9.98 10.84 2.06 NA NA 29.65 30.51 090 34800 A Endovasc abdo repair w/tube 20.75 NA NA 9.72 9.72 1.49 NA NA 31.96 31.96 090 34802 A Endovasc abdo repr w/device 23.00 NA NA 10.62 10.62 1.65 NA NA 35.27 35.27 090 34804 A Endovasc abdo repr w/device 23.00 NA NA 10.62 10.62 1.65 NA NA 35.27 35.27 090 34808 A Endovasc abdo occlud device 4.13 NA NA 1.65 1.65 0.29 NA NA 6.07 6.07 ZZZ 34812 A Xpose for endoprosth, aortic 6.75 NA NA 2.70 2.70 0.49 NA NA 9.94 9.94 000 34813 A Xpose for endoprosth, femorl 4.80 NA NA 1.92 1.92 0.34 NA NA 7.06 7.06 ZZZ 34820 A Xpose for endoprosth, iliac 9.75 NA NA 3.90 3.90 0.70 NA NA 14.35 14.35 000 34825 A Endovasc extend prosth, init 12.00 NA NA 6.23 6.23 0.86 NA NA 19.09 19.09 090 34826 A Endovasc exten prosth, addl 4.13 NA NA 1.65 1.65 0.29 NA NA 6.07 6.07 ZZZ 34830 A Open aortic tube prosth repr 32.59 NA NA 14.81 14.81 2.34 NA NA 49.74 49.74 090 34831 A Open aortoiliac prosth repr 35.34 NA NA 15.90 15.90 2.53 NA NA 53.77 53.77 090 34832 A Open aortofemor prosth repr 35.34 NA NA 15.90 15.90 2.53 NA NA 53.77 53.77 090 35001 A Repair defect of artery 19.64 NA NA 9.28 11.28 2.44 NA NA 31.36 33.36 090 35002 A Repair artery rupture, neck 21.00 NA NA 9.94 10.89 1.82 NA NA 32.76 33.71 090 35005 A Repair defect of artery 18.12 NA NA 8.71 9.32 1.35 NA NA 28.18 28.79 090 35011 A Repair defect of artery 11.65 NA NA 5.68 7.74 1.30 NA NA 18.63 20.69 090 35013 A Repair artery rupture, arm 17.40 NA NA 7.89 9.91 1.91 NA NA 27.20 29.22 090 35021 A Repair defect of artery 19.65 NA NA 10.22 12.59 1.93 NA NA 31.80 34.17 090 35022 A Repair artery rupture, chest 23.18 NA NA 9.89 11.43 1.99 NA NA 35.06 36.60 090 35045 A Repair defect of arm artery 11.26 NA NA 7.02 8.62 1.25 NA NA 19.53 21.13 090 35081 A Repair defect of artery 28.01 NA NA 12.75 15.38 3.20 NA NA 43.96 46.59 090 35082 A Repair artery rupture, aorta 36.35 NA NA 15.42 17.78 4.07 NA NA 55.84 58.20 090 35091 A Repair defect of artery 35.40 NA NA 15.48 17.76 4.09 NA NA 54.97 57.25 090 35092 A Repair artery rupture, aorta 38.39 NA NA 16.20 19.28 4.31 NA NA 58.90 61.98 090 35102 A Repair defect of artery 30.76 NA NA 13.54 16.17 3.44 NA NA 47.74 50.37 090 35103 A Repair artery rupture, groin 33.57 NA NA 14.25 17.79 3.79 NA NA 51.61 55.15 090 35111 A Repair defect of artery 16.43 NA NA 7.81 10.63 1.81 NA NA 26.05 28.87 090 35112 A Repair artery rupture,spleen 18.69 NA NA 8.42 9.15 1.95 NA NA 29.06 29.79 090 35121 A Repair defect of artery 25.99 NA NA 11.62 13.90 2.93 NA NA 40.54 42.82 090 35122 A Repair artery rupture, belly 33.45 NA NA 14.05 15.40 3.54 NA NA 51.04 52.39 090 35131 A Repair defect of artery 18.55 NA NA 9.06 11.10 2.11 NA NA 29.72 31.76 090 35132 A Repair artery rupture, groin 21.95 NA NA 9.79 12.41 2.48 NA NA 34.22 36.84 090 35141 A Repair defect of artery 14.46 NA NA 7.35 9.50 1.65 NA NA 23.46 25.61 090 35142 A Repair artery rupture, thigh 15.86 NA NA 7.62 10.08 1.75 NA NA 25.23 27.69 090 35151 A Repair defect of artery 17.00 NA NA 8.27 10.37 1.93 NA NA 27.20 29.30 090 35152 A Repair artery rupture, knee 16.70 NA NA 8.25 8.70 1.93 NA NA 26.88 27.33 090 35161 A Repair defect of artery 18.76 NA NA 9.88 11.72 2.21 NA NA 30.85 32.69 090 35162 A Repair artery rupture 19.78 NA NA 10.07 12.62 2.21 NA NA 32.06 34.61 090 35180 A Repair blood vessel lesion 13.62 NA NA 6.23 6.67 1.44 NA NA 21.29 21.73 090 35182 A Repair blood vessel lesion 17.74 NA NA 9.01 9.65 1.88 NA NA 28.63 29.27 090 35184 A Repair blood vessel lesion 12.25 NA NA 6.25 7.33 1.34 NA NA 19.84 20.92 090 35188 A Repair blood vessel lesion 14.28 NA NA 7.04 7.48 1.53 NA NA 22.85 23.29 090 35189 A Repair blood vessel lesion 18.43 NA NA 9.21 9.98 2.12 NA NA 29.76 30.53 090 35190 A Repair blood vessel lesion 12.75 NA NA 6.16 7.43 1.33 NA NA 20.24 21.51 090 35201 A Repair blood vessel lesion 9.99 NA NA 5.31 6.72 1.17 NA NA 16.47 17.88 090 35206 A Repair blood vessel lesion 9.25 NA NA 6.55 7.67 1.04 NA NA 16.84 17.96 090 35207 A Repair blood vessel lesion 10.15 NA NA 9.28 9.89 1.15 NA NA 20.58 21.19 090 35211 A Repair blood vessel lesion 22.12 NA NA 18.24 17.31 2.83 NA NA 43.19 42.26 090 35216 A Repair blood vessel lesion 18.75 NA NA 14.34 13.65 2.17 NA NA 35.26 34.57 090 35221 A Repair blood vessel lesion 16.42 NA NA 7.82 8.88 1.79 NA NA 26.03 27.09 090 35226 A Repair blood vessel lesion 9.06 NA NA 7.19 8.10 0.84 NA NA 17.09 18.00 090 35231 A Repair blood vessel lesion 12.00 NA NA 6.52 8.47 1.32 NA NA 19.84 21.79 090 35236 A Repair blood vessel lesion 10.54 NA NA 7.03 8.42 1.19 NA NA 18.76 20.15 090 35241 A Repair blood vessel lesion 23.12 NA NA 19.27 18.11 2.90 NA NA 45.29 44.13 090 35246 A Repair blood vessel lesion 19.84 NA NA 14.83 15.72 2.22 NA NA 36.89 37.78 090 35251 A Repair blood vessel lesion 17.49 NA NA 8.06 8.65 1.87 NA NA 27.42 28.01 090 35256 A Repair blood vessel lesion 11.38 NA NA 7.60 9.07 1.32 NA NA 20.30 21.77 090 35261 A Repair blood vessel lesion 11.63 NA NA 5.81 7.83 1.34 NA NA 18.78 20.80 090 35266 A Repair blood vessel lesion 10.30 NA NA 7.08 8.39 1.16 NA NA 18.54 19.85 090 35271 A Repair blood vessel lesion 22.12 NA NA 17.24 16.33 2.77 NA NA 42.13 41.22 090 35276 A Repair blood vessel lesion 18.75 NA NA 15.47 14.55 2.37 NA NA 36.59 35.67 090 35281 A Repair blood vessel lesion 16.48 NA NA 7.90 10.61 1.82 NA NA 26.20 28.91 090 35286 A Repair blood vessel lesion 11.87 NA NA 7.81 9.04 1.36 NA NA 21.04 22.27 090 35301 A Rechanneling of artery 18.70 NA NA 9.66 11.17 2.23 NA NA 30.59 32.10 090 35311 A Rechanneling of artery 23.85 NA NA 12.08 15.05 2.75 NA NA 38.68 41.65 090 35321 A Rechanneling of artery 11.97 NA NA 5.94 7.97 1.36 NA NA 19.27 21.30 090 35331 A Rechanneling of artery 23.52 NA NA 10.93 11.82 2.71 NA NA 37.16 38.05 090 35341 A Rechanneling of artery 25.11 NA NA 11.25 13.15 2.87 NA NA 39.23 41.13 090 35351 A Rechanneling of artery 20.11 NA NA 9.42 11.12 2.29 NA NA 31.82 33.52 090 35355 A Rechanneling of artery 16.09 NA NA 7.88 10.09 1.80 NA NA 25.77 27.98 090 35361 A Rechanneling of artery 23.59 NA NA 10.67 13.26 2.66 NA NA 36.92 39.51 090 35363 A Rechanneling of artery 24.66 NA NA 11.18 14.56 2.77 NA NA 38.61 41.99 090 Start Printed Page 65471 35371 A Rechanneling of artery 11.64 NA NA 6.01 7.90 1.32 NA NA 18.97 20.86 090 35372 A Rechanneling of artery 13.56 NA NA 6.73 8.09 1.53 NA NA 21.82 23.18 090 35381 A Rechanneling of artery 15.81 NA NA 7.88 9.62 1.80 NA NA 25.49 27.23 090 35390 A Reoperation, carotid add-on 3.19 NA NA 1.22 1.37 0.38 NA NA 4.79 4.94 ZZZ 35400 A Angioscopy 3.00 NA NA 1.10 1.44 0.34 NA NA 4.44 4.78 ZZZ 35450 A Repair arterial blockage 10.07 NA NA 3.91 5.94 0.84 NA NA 14.82 16.85 000 35452 A Repair arterial blockage 6.91 NA NA 3.51 3.81 0.76 NA NA 11.18 11.48 000 35454 A Repair arterial blockage 6.04 NA NA 3.05 4.09 0.67 NA NA 9.76 10.80 000 35456 A Repair arterial blockage 7.35 NA NA 3.56 4.87 0.82 NA NA 11.73 13.04 000 35458 A Repair arterial blockage 9.49 NA NA 4.39 6.04 1.09 NA NA 14.97 16.62 000 35459 A Repair arterial blockage 8.63 NA NA 3.93 5.52 0.96 NA NA 13.52 15.11 000 35460 A Repair venous blockage 6.04 NA NA 2.90 3.03 0.66 NA NA 9.60 9.73 000 35470 A Repair arterial blockage 8.63 NA NA 4.09 5.64 0.50 NA NA 13.22 14.77 000 35471 A Repair arterial blockage 10.07 NA NA 4.78 6.59 0.50 NA NA 15.35 17.16 000 35472 A Repair arterial blockage 6.91 NA NA 3.46 3.58 0.39 NA NA 10.76 10.88 000 35473 A Repair arterial blockage 6.04 NA NA 3.07 4.11 0.34 NA NA 9.45 10.49 000 35474 A Repair arterial blockage 7.36 NA NA 3.60 4.90 0.40 NA NA 11.36 12.66 000 35475 R Repair arterial blockage 9.49 NA NA 4.26 5.94 0.47 NA NA 14.22 15.90 000 35476 A Repair venous blockage 6.04 NA NA 2.94 3.06 0.27 NA NA 9.25 9.37 000 35480 A Atherectomy, open 11.08 NA NA 4.96 7.03 1.13 NA NA 17.17 19.24 000 35481 A Atherectomy, open 7.61 NA NA 3.80 4.03 0.84 NA NA 12.25 12.48 000 35482 A Atherectomy, open 6.65 NA NA 3.28 4.45 0.75 NA NA 10.68 11.85 000 35483 A Atherectomy, open 8.10 NA NA 3.89 5.34 0.81 NA NA 12.80 14.25 000 35484 A Atherectomy, open 10.44 NA NA 4.67 6.25 1.13 NA NA 16.24 17.82 000 35485 A Atherectomy, open 9.49 NA NA 4.40 4.53 1.06 NA NA 14.95 15.08 000 35490 A Atherectomy, percutaneous 11.08 NA NA 5.04 7.09 0.55 NA NA 16.67 18.72 000 35491 A Atherectomy, percutaneous 7.61 NA NA 3.71 3.96 0.49 NA NA 11.81 12.06 000 35492 A Atherectomy, percutaneous 6.65 NA NA 3.36 4.51 0.43 NA NA 10.44 11.59 000 35493 A Atherectomy, percutaneous 8.10 NA NA 4.06 5.46 0.47 NA NA 12.63 14.03 000 35494 A Atherectomy, percutaneous 10.44 NA NA 4.68 6.26 0.48 NA NA 15.60 17.18 000 35495 A Atherectomy, percutaneous 9.49 NA NA 4.79 4.82 0.51 NA NA 14.79 14.82 000 35500 A Harvest vein for bypass 6.45 NA NA 2.12 2.12 0.63 NA NA 9.20 9.20 ZZZ 35501 A Artery bypass graft 19.19 NA NA 9.14 12.11 2.33 NA NA 30.66 33.63 090 35506 A Artery bypass graft 19.67 NA NA 9.17 12.08 2.33 NA NA 31.17 34.08 090 35507 A Artery bypass graft 19.67 NA NA 9.08 11.67 2.27 NA NA 31.02 33.61 090 35508 A Artery bypass graft 18.65 NA NA 8.92 11.60 2.34 NA NA 29.91 32.59 090 35509 A Artery bypass graft 18.07 NA NA 8.36 11.40 2.12 NA NA 28.55 31.59 090 35511 A Artery bypass graft 16.83 NA NA 7.69 8.59 1.74 NA NA 26.26 27.16 090 35515 A Artery bypass graft 18.65 NA NA 8.95 9.77 2.26 NA NA 29.86 30.68 090 35516 A Artery bypass graft 16.32 NA NA 7.53 10.36 1.88 NA NA 25.73 28.56 090 35518 A Artery bypass graft 15.42 NA NA 7.09 9.92 1.78 NA NA 24.29 27.12 090 35521 A Artery bypass graft 16.17 NA NA 7.99 10.75 1.82 NA NA 25.98 28.74 090 35526 A Artery bypass graft 20.00 NA NA 9.96 10.98 2.18 NA NA 32.14 33.16 090 35531 A Artery bypass graft 25.61 NA NA 11.45 14.08 2.91 NA NA 39.97 42.60 090 35533 A Artery bypass graft 20.52 NA NA 9.75 13.02 2.35 NA NA 32.62 35.89 090 35536 A Artery bypass graft 23.11 NA NA 10.33 13.55 2.62 NA NA 36.06 39.28 090 35541 A Artery bypass graft 25.80 NA NA 11.92 14.25 2.74 NA NA 40.46 42.79 090 35546 A Artery bypass graft 25.54 NA NA 11.51 14.44 2.84 NA NA 39.89 42.82 090 35548 A Artery bypass graft 21.57 NA NA 9.78 12.64 2.45 NA NA 33.80 36.66 090 35549 A Artery bypass graft 23.35 NA NA 11.27 14.26 2.77 NA NA 37.39 40.38 090 35551 A Artery bypass graft 26.67 NA NA 12.76 14.79 3.19 NA NA 42.62 44.65 090 35556 A Artery bypass graft 21.76 NA NA 10.15 12.69 2.48 NA NA 34.39 36.93 090 35558 A Artery bypass graft 14.04 NA NA 7.19 9.58 1.58 NA NA 22.81 25.20 090 35560 A Artery bypass graft 23.56 NA NA 10.94 13.69 2.73 NA NA 37.23 39.98 090 35563 A Artery bypass graft 15.14 NA NA 7.31 7.74 1.68 NA NA 24.13 24.56 090 35565 A Artery bypass graft 15.14 NA NA 7.49 10.14 1.71 NA NA 24.34 26.99 090 35566 A Artery bypass graft 26.92 NA NA 14.62 16.56 3.02 NA NA 44.56 46.50 090 35571 A Artery bypass graft 18.58 NA NA 10.74 13.31 2.14 NA NA 31.46 34.03 090 35582 A Vein bypass graft 27.13 NA NA 12.41 15.75 3.11 NA NA 42.65 45.99 090 35583 A Vein bypass graft 22.37 NA NA 11.13 13.89 2.53 NA NA 36.03 38.79 090 35585 A Vein bypass graft 28.39 NA NA 15.24 17.66 3.21 NA NA 46.84 49.26 090 35587 A Vein bypass graft 19.05 NA NA 11.36 14.21 2.17 NA NA 32.58 35.43 090 35600 A Harvest artery for cabg 4.95 NA NA 1.98 1.98 0.54 NA NA 7.47 7.47 ZZZ 35601 A Artery bypass graft 17.50 NA NA 8.11 11.19 2.08 NA NA 27.69 30.77 090 35606 A Artery bypass graft 18.71 NA NA 8.65 11.25 2.17 NA NA 29.53 32.13 090 35612 A Artery bypass graft 15.76 NA NA 7.45 10.13 1.72 NA NA 24.93 27.61 090 35616 A Artery bypass graft 15.70 NA NA 7.74 10.36 1.84 NA NA 25.28 27.90 090 35621 A Artery bypass graft 14.54 NA NA 7.50 9.96 1.68 NA NA 23.72 26.18 090 35623 A Bypass graft, not vein 16.62 NA NA 8.24 8.37 1.91 NA NA 26.77 26.90 090 35626 A Artery bypass graft 23.63 NA NA 11.47 14.17 2.89 NA NA 37.99 40.69 090 35631 A Artery bypass graft 24.60 NA NA 11.15 13.21 2.83 NA NA 38.58 40.64 090 35636 A Artery bypass graft 22.46 NA NA 10.26 11.36 2.37 NA NA 35.09 36.19 090 35641 A Artery bypass graft 24.57 NA NA 11.52 14.22 2.83 NA NA 38.92 41.62 090 35642 A Artery bypass graft 17.98 NA NA 9.16 9.67 1.84 NA NA 28.98 29.49 090 35645 A Artery bypass graft 17.47 NA NA 8.46 9.37 1.91 NA NA 27.84 28.75 090 35646 A Artery bypass graft 25.81 NA NA 11.87 15.36 2.98 NA NA 40.66 44.15 090 35650 A Artery bypass graft 14.36 NA NA 6.70 9.31 1.64 NA NA 22.70 25.31 090 35651 A Artery bypass graft 25.04 NA NA 11.42 15.10 2.53 NA NA 38.99 42.67 090 35654 A Artery bypass graft 18.61 NA NA 8.85 12.19 2.10 NA NA 29.56 32.90 090 35656 A Artery bypass graft 19.53 NA NA 9.15 11.67 2.21 NA NA 30.89 33.41 090 35661 A Artery bypass graft 13.18 NA NA 6.68 8.95 1.50 NA NA 21.36 23.63 090 35663 A Artery bypass graft 14.17 NA NA 7.33 9.73 1.55 NA NA 23.05 25.45 090 35665 A Artery bypass graft 15.40 NA NA 7.63 10.32 1.76 NA NA 24.79 27.48 090 Start Printed Page 65472 35666 A Artery bypass graft 19.19 NA NA 11.57 14.12 2.19 NA NA 32.95 35.50 090 35671 A Artery bypass graft 14.80 NA NA 9.48 11.34 1.68 NA NA 25.96 27.82 090 35681 A Composite bypass graft 1.60 NA NA 2.44 4.24 0.18 NA NA 4.22 6.02 ZZZ 35682 A Composite bypass graft 7.20 NA NA 2.67 4.41 0.83 NA NA 10.70 12.44 ZZZ 35683 A Composite bypass graft 8.50 NA NA 3.18 4.79 0.98 NA NA 12.66 14.27 ZZZ 35691 A Arterial transposition 18.05 NA NA 8.02 11.34 2.06 NA NA 28.13 31.45 090 35693 A Arterial transposition 15.36 NA NA 7.67 8.30 1.80 NA NA 24.83 25.46 090 35694 A Arterial transposition 19.16 NA NA 8.47 8.89 2.13 NA NA 29.76 30.18 090 35695 A Arterial transposition 19.16 NA NA 8.45 8.87 2.19 NA NA 29.80 30.22 090 35700 A Reoperation, bypass graft 3.08 NA NA 3.14 2.79 0.36 NA NA 6.58 6.23 ZZZ 35701 A Exploration, carotid artery 5.55 NA NA 3.65 4.32 0.64 NA NA 9.84 10.51 090 35721 A Exploration, femoral artery 5.28 NA NA 4.88 5.17 0.59 NA NA 10.75 11.04 090 35741 A Exploration popliteal artery 5.37 NA NA 4.72 5.10 0.60 NA NA 10.69 11.07 090 35761 A Exploration of artery/vein 5.37 NA NA 4.66 5.07 0.60 NA NA 10.63 11.04 090 35800 A Explore neck vessels 7.02 NA NA 4.25 4.62 0.79 NA NA 12.06 12.43 090 35820 A Explore chest vessels 12.88 NA NA 5.31 6.13 1.61 NA NA 19.80 20.62 090 35840 A Explore abdominal vessels 9.77 NA NA 5.47 6.07 1.06 NA NA 16.30 16.90 090 35860 A Explore limb vessels 5.55 NA NA 3.80 4.43 0.63 NA NA 9.98 10.61 090 35870 A Repair vessel graft defect 22.17 NA NA 10.80 10.99 2.47 NA NA 35.44 35.63 090 35875 A Removal of clot in graft 10.13 NA NA 6.85 7.37 0.97 NA NA 17.95 18.47 090 35876 A Removal of clot in graft 17.00 NA NA 9.51 9.36 1.88 NA NA 28.39 28.24 090 35879 A Revise graft w/vein 16.00 NA NA 8.58 8.58 1.35 NA NA 25.93 25.93 090 35881 A Revise graft w/vein 18.00 NA NA 9.47 9.47 1.44 NA NA 28.91 28.91 090 35901 A Excision, graft, neck 8.19 NA NA 5.81 6.31 0.90 NA NA 14.90 15.40 090 35903 A Excision, graft, extremity 9.39 NA NA 8.43 8.27 1.03 NA NA 18.85 18.69 090 35905 A Excision, graft, thorax 18.19 NA NA 12.88 11.61 2.15 NA NA 33.22 31.95 090 35907 A Excision, graft, abdomen 19.24 NA NA 9.89 9.37 2.17 NA NA 31.30 30.78 090 36000 A Place needle in vein 0.18 0.62 0.53 0.05 0.07 0.01 0.81 0.72 0.24 0.26 XXX 36005 A Injection, venography 0.95 15.38 11.66 0.34 0.38 0.04 16.37 12.65 1.33 1.37 000 36010 A Place catheter in vein 2.43 NA NA 0.88 1.23 0.16 NA NA 3.47 3.82 XXX 36011 A Place catheter in vein 3.14 NA NA 1.16 1.39 0.17 NA NA 4.47 4.70 XXX 36012 A Place catheter in vein 3.52 NA NA 1.29 1.69 0.17 NA NA 4.98 5.38 XXX 36013 A Place catheter in artery 2.52 NA NA 0.81 1.18 0.17 NA NA 3.50 3.87 XXX 36014 A Place catheter in artery 3.02 NA NA 1.11 1.45 0.14 NA NA 4.27 4.61 XXX 36015 A Place catheter in artery 3.52 NA NA 1.29 1.69 0.16 NA NA 4.97 5.37 XXX 36100 A Establish access to artery 3.02 NA NA 1.26 1.65 0.18 NA NA 4.46 4.85 XXX 36120 A Establish access to artery 2.01 NA NA 0.73 1.15 0.11 NA NA 2.85 3.27 XXX 36140 A Establish access to artery 2.01 NA NA 0.72 0.92 0.12 NA NA 2.85 3.05 XXX 36145 A Artery to vein shunt 2.01 NA NA 0.75 1.16 0.10 NA NA 2.86 3.27 XXX 36160 A Establish access to aorta 2.52 NA NA 0.98 1.37 0.20 NA NA 3.70 4.09 XXX 36200 A Place catheter in aorta 3.02 NA NA 1.11 1.57 0.15 NA NA 4.28 4.74 XXX 36215 A Place catheter in artery 4.68 NA NA 1.72 2.05 0.22 NA NA 6.62 6.95 XXX 36216 A Place catheter in artery 5.28 NA NA 1.95 2.36 0.24 NA NA 7.47 7.88 XXX 36217 A Place catheter in artery 6.30 NA NA 2.36 2.83 0.32 NA NA 8.98 9.45 XXX 36218 A Place catheter in artery 1.01 NA NA 0.41 0.48 0.05 NA NA 1.47 1.54 ZZZ 36245 A Place catheter in artery 4.68 NA NA 1.86 2.25 0.23 NA NA 6.77 7.16 XXX 36246 A Place catheter in artery 5.28 NA NA 1.98 2.38 0.26 NA NA 7.52 7.92 XXX 36247 A Place catheter in artery 6.30 NA NA 2.33 2.81 0.32 NA NA 8.95 9.43 XXX 36248 A Place catheter in artery 1.01 NA NA 0.42 0.48 0.06 NA NA 1.49 1.55 ZZZ 36260 A Insertion of infusion pump 9.71 NA NA 5.71 6.11 1.00 NA NA 16.42 16.82 090 36261 A Revision of infusion pump 5.45 NA NA 3.61 3.31 0.50 NA NA 9.56 9.26 090 36262 A Removal of infusion pump 4.02 NA NA 2.58 2.46 0.43 NA NA 7.03 6.91 090 36299 C Vessel injection procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 36400 A Drawing blood 0.18 0.62 0.49 0.05 0.05 0.01 0.81 0.68 0.24 0.24 XXX 36405 A Drawing blood 0.18 0.55 0.54 0.06 0.11 0.01 0.74 0.73 0.25 0.30 XXX 36406 A Drawing blood 0.18 0.76 0.61 0.05 0.06 0.01 0.95 0.80 0.24 0.25 XXX 36410 A Drawing blood 0.18 0.48 0.42 0.05 0.07 0.01 0.67 0.61 0.24 0.26 XXX 36415 I Drawing blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 36420 A Establish access to vein 1.01 NA NA 0.32 0.38 0.09 NA NA 1.42 1.48 XXX 36425 A Establish access to vein 0.76 3.22 2.44 0.17 0.15 0.05 4.03 3.25 0.98 0.96 XXX 36430 A Blood transfusion service 0.00 1.00 1.01 1.00 0.88 0.05 1.05 1.06 1.05 0.93 XXX 36440 A Blood transfusion service 1.03 NA NA 0.29 0.47 0.08 NA NA 1.40 1.58 XXX 36450 A Exchange transfusion service 2.23 NA NA 0.73 0.80 0.16 NA NA 3.12 3.19 XXX 36455 A Exchange transfusion service 2.43 NA NA 0.97 1.34 0.10 NA NA 3.50 3.87 XXX 36460 A Transfusion service, fetal 6.59 NA NA 2.43 3.10 0.56 NA NA 9.58 10.25 XXX 36468 R Injection(s), spider veins 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 36469 R Injection(s), spider veins 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 36470 A Injection therapy of vein 1.09 2.59 2.02 0.41 0.35 0.10 3.78 3.21 1.60 1.54 010 36471 A Injection therapy of veins 1.57 3.23 2.53 0.60 0.50 0.15 4.95 4.25 2.32 2.22 010 36481 A Insertion of catheter, vein 6.99 NA NA 2.88 3.60 0.40 NA NA 10.27 10.99 000 36488 A Insertion of catheter, vein 1.35 NA NA 0.75 0.83 0.09 NA NA 2.19 2.27 000 36489 A Insertion of catheter, vein 1.22 3.30 2.78 0.68 0.82 0.08 4.60 4.08 1.98 2.12 000 36490 A Insertion of catheter, vein 1.67 NA NA 0.89 1.04 0.17 NA NA 2.73 2.88 000 36491 A Insertion of catheter, vein 1.43 NA NA 0.78 1.01 0.13 NA NA 2.34 2.57 000 36493 A Repositioning of cvc 1.21 NA NA 0.85 0.81 0.06 NA NA 2.12 2.08 000 36500 A Insertion of catheter, vein 3.52 NA NA 1.32 1.01 0.14 NA NA 4.98 4.67 000 36510 A Insertion of catheter, vein 1.09 NA NA 0.61 0.51 0.06 NA NA 1.76 1.66 000 36520 A Plasma and/or cell exchange 1.74 NA NA 0.98 1.25 0.06 NA NA 2.78 3.05 000 36521 A Apheresis w/ adsorp/reinfuse 1.74 NA NA 0.98 0.98 0.06 NA NA 2.78 2.78 000 36522 A Photopheresis 1.67 5.96 5.14 1.12 1.34 0.07 7.70 6.88 2.86 3.08 000 36530 R Insertion of infusion pump 6.20 NA NA 3.75 4.12 0.56 NA NA 10.51 10.88 010 36531 R Revision of infusion pump 4.87 NA NA 3.28 3.65 0.44 NA NA 8.59 8.96 010 36532 R Removal of infusion pump 3.30 NA NA 1.65 1.72 0.34 NA NA 5.29 5.36 010 Start Printed Page 65473 36533 A Insertion of access device 5.32 4.33 4.41 3.51 3.80 0.49 10.14 10.22 9.32 9.61 010 36534 A Revision of access device 2.80 NA NA 1.51 1.97 0.19 NA NA 4.50 4.96 010 36535 A Removal of access device 2.27 2.91 2.67 1.98 1.98 0.21 5.39 5.15 4.46 4.46 010 36540 B Collect blood venous device 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 36550 A Declot vascular device 0.00 0.37 0.37 0.06 0.06 0.31 0.68 0.68 0.37 0.37 XXX 36600 A Withdrawal of arterial blood 0.32 0.40 0.38 0.09 0.14 0.02 0.74 0.72 0.43 0.48 XXX 36620 A Insertion catheter, artery 1.15 NA NA 0.25 0.37 0.06 NA NA 1.46 1.58 000 36625 A Insertion catheter, artery 2.11 NA NA 0.61 0.69 0.16 NA NA 2.88 2.96 000 36640 A Insertion catheter, artery 2.10 NA NA 0.78 1.21 0.18 NA NA 3.06 3.49 000 36660 A Insertion catheter, artery 1.40 NA NA 0.46 0.48 0.08 NA NA 1.94 1.96 000 36680 A Insert needle, bone cavity 1.20 NA NA 0.60 0.79 0.08 NA NA 1.88 2.07 000 36800 A Insertion of cannula 2.43 NA NA 1.67 1.86 0.17 NA NA 4.27 4.46 000 36810 A Insertion of cannula 3.97 NA NA 2.49 3.05 0.40 NA NA 6.86 7.42 000 36815 A Insertion of cannula 2.62 NA NA 1.81 2.14 0.26 NA NA 4.69 5.02 000 36819 A Av fusion by basilic vein 14.00 NA NA 6.90 6.90 1.53 NA NA 22.43 22.43 090 36821 A Av fusion direct any site 8.93 NA NA 5.23 5.89 0.97 NA NA 15.13 15.79 090 36822 A Insertion of cannula(s) 5.42 NA NA 10.02 9.04 0.63 NA NA 16.07 15.09 090 36823 A Insertion of cannula(s) 21.00 NA NA 11.80 11.80 2.18 NA NA 34.98 34.98 090 36825 A Artery-vein graft 9.84 NA NA 5.91 7.37 1.09 NA NA 16.84 18.30 090 36830 A Artery-vein graft 12.00 NA NA 6.51 7.59 1.32 NA NA 19.83 20.91 090 36831 A Av fistula excision, open 8.00 2.95 2.95 2.95 2.95 0.79 11.74 11.74 11.74 11.74 090 36832 A Av fistula revision, open 10.50 NA NA 5.90 6.35 1.13 NA NA 17.53 17.98 090 36833 A Av fistula revision 11.95 4.49 4.49 4.49 4.49 1.29 17.73 17.73 17.73 17.73 090 36834 A Repair A-V aneurysm 9.93 NA NA 4.09 5.19 1.06 NA NA 15.08 16.18 090 36835 A Artery to vein shunt 7.15 NA NA 4.90 4.60 0.80 NA NA 12.85 12.55 090 36860 A External cannula declotting 2.01 2.31 2.43 1.64 1.83 0.10 4.42 4.54 3.75 3.94 000 36861 A Cannula declotting 2.52 NA NA 1.80 2.10 0.14 NA NA 4.46 4.76 000 36870 A Av fistula revision, open 5.16 30.67 30.67 2.51 2.51 0.40 36.23 36.23 8.07 8.07 090 37140 A Revision of circulation 23.60 NA NA 10.58 12.36 1.21 NA NA 35.39 37.17 090 37145 A Revision of circulation 24.61 NA NA 11.00 12.90 2.48 NA NA 38.09 39.99 090 37160 A Revision of circulation 21.60 NA NA 9.52 11.95 2.16 NA NA 33.28 35.71 090 37180 A Revision of circulation 24.61 NA NA 10.97 12.08 2.63 NA NA 38.21 39.32 090 37181 A Splice spleen/kidney veins 26.68 NA NA 11.74 13.26 2.67 NA NA 41.09 42.61 090 37195 A Thrombolytic therapy, stroke 0.00 7.99 8.08 7.99 8.08 0.38 8.37 8.46 8.37 8.46 XXX 37200 A Transcatheter biopsy 4.56 NA NA 1.65 1.67 0.19 NA NA 6.40 6.42 000 37201 A Transcatheter therapy infuse 5.00 NA NA 2.59 3.44 0.24 NA NA 7.83 8.68 000 37202 A Transcatheter therapy infuse 5.68 NA NA 3.27 3.62 0.38 NA NA 9.33 9.68 000 37203 A Transcatheter retrieval 5.03 NA NA 2.62 3.00 0.23 NA NA 7.88 8.26 000 37204 A Transcatheter occlusion 18.14 NA NA 6.33 8.48 0.85 NA NA 25.32 27.47 000 37205 A Transcatheter stent 8.28 NA NA 3.98 4.39 0.43 NA NA 12.69 13.10 000 37206 A Transcatheter stent add-on 4.13 NA NA 1.62 1.92 0.22 NA NA 5.97 6.27 ZZZ 37207 A Transcatheter stent 8.28 NA NA 3.86 4.30 0.89 NA NA 13.03 13.47 000 37208 A Transcatheter stent add-on 4.13 NA NA 1.56 1.87 0.44 NA NA 6.13 6.44 ZZZ 37209 A Exchange arterial catheter 2.27 NA NA 0.85 1.02 0.11 NA NA 3.23 3.40 000 37250 A Iv us first vessel add-on 2.10 NA NA 0.86 0.96 0.17 NA NA 3.13 3.23 ZZZ 37251 A Iv us each add vessel add-on 1.60 NA NA 0.63 0.71 0.14 NA NA 2.37 2.45 ZZZ 37565 A Ligation of neck vein 4.44 NA NA 2.62 2.99 0.45 NA NA 7.51 7.88 090 37600 A Ligation of neck artery 4.57 NA NA 3.34 3.86 0.40 NA NA 8.31 8.83 090 37605 A Ligation of neck artery 6.19 NA NA 3.89 4.43 0.77 NA NA 10.85 11.39 090 37606 A Ligation of neck artery 6.28 NA NA 3.93 4.55 0.79 NA NA 11.00 11.62 090 37607 A Ligation of a-v fistula 6.16 NA NA 3.84 3.71 0.67 NA NA 10.67 10.54 090 37609 A Temporal artery procedure 2.30 6.20 5.25 2.30 2.33 0.21 8.71 7.76 4.81 4.84 010 37615 A Ligation of neck artery 5.73 NA NA 3.71 4.31 0.57 NA NA 10.01 10.61 090 37616 A Ligation of chest artery 16.49 NA NA 13.33 11.14 1.93 NA NA 31.75 29.56 090 37617 A Ligation of abdomen artery 15.95 NA NA 7.59 7.86 1.69 NA NA 25.23 25.50 090 37618 A Ligation of extremity artery 4.84 NA NA 3.64 4.08 0.54 NA NA 9.02 9.46 090 37620 A Revision of major vein 10.56 NA NA 5.60 6.59 0.75 NA NA 16.91 17.90 090 37650 A Revision of major vein 5.13 NA NA 3.96 4.06 0.56 NA NA 9.65 9.75 090 37660 A Revision of major vein 10.61 NA NA 6.14 6.17 1.17 NA NA 17.92 17.95 090 37700 A Revise leg vein 3.73 NA NA 3.23 3.41 0.40 NA NA 7.36 7.54 090 37720 A Removal of leg vein 5.66 NA NA 3.82 4.25 0.61 NA NA 10.09 10.52 090 37730 A Removal of leg veins 7.33 NA NA 4.74 5.44 0.77 NA NA 12.84 13.54 090 37735 A Removal of leg veins/lesion 10.53 NA NA 5.99 6.76 1.17 NA NA 17.69 18.46 090 37760 A Revision of leg veins 10.47 NA NA 6.06 6.58 1.11 NA NA 17.64 18.16 090 37780 A Revision of leg vein 3.84 NA NA 2.97 2.74 0.41 NA NA 7.22 6.99 090 37785 A Revise secondary varicosity 3.88 6.89 5.43 2.95 2.48 0.41 11.18 9.72 7.24 6.77 090 37788 A Revascularization, penis 22.01 NA NA 12.61 13.57 1.35 NA NA 35.97 36.93 090 37790 A Penile venous occlusion 8.34 NA NA 7.23 6.97 0.63 NA NA 16.20 15.94 090 37799 C Vascular surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 38100 A Removal of spleen, total 13.01 NA NA 6.36 7.09 1.30 NA NA 20.67 21.40 090 38101 A Removal of spleen, partial 13.74 NA NA 6.69 6.92 1.38 NA NA 21.81 22.04 090 38102 A Removal of spleen, total 4.80 NA NA 1.82 2.05 0.49 NA NA 7.11 7.34 ZZZ 38115 A Repair of ruptured spleen 14.19 NA NA 6.81 7.18 1.40 NA NA 22.40 22.77 090 38120 A Laparoscopy, splenectomy 17.00 NA NA 7.79 7.79 1.73 NA NA 26.52 26.52 090 38129 C Laparoscope proc, spleen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 38200 A Injection for spleen x-ray 2.64 NA NA 0.98 1.20 0.12 NA NA 3.74 3.96 000 38230 R Bone marrow collection 4.54 NA NA 2.34 2.51 0.25 NA NA 7.13 7.30 010 38231 R Stem cell collection 1.50 NA NA 0.59 0.82 0.05 NA NA 2.14 2.37 000 38240 R Bone marrow/stem transplant 2.24 NA NA 0.85 1.20 0.08 NA NA 3.17 3.52 XXX 38241 R Bone marrow/stem transplant 2.24 NA NA 0.84 1.18 0.08 NA NA 3.16 3.50 XXX 38300 A Drainage, lymph node lesion 1.53 4.31 3.39 2.52 1.97 0.15 5.99 5.07 4.20 3.65 010 38305 A Drainage, lymph node lesion 4.61 7.71 6.32 5.74 4.84 0.36 12.68 11.29 10.71 9.81 090 38308 A Incision of lymph channels 4.95 NA NA 5.10 4.74 0.51 NA NA 10.56 10.20 090 Start Printed Page 65474 38380 A Thoracic duct procedure 7.46 NA NA 7.45 6.79 0.68 NA NA 15.59 14.93 090 38381 A Thoracic duct procedure 12.88 NA NA 12.22 11.22 1.58 NA NA 26.68 25.68 090 38382 A Thoracic duct procedure 10.08 NA NA 10.97 9.54 1.08 NA NA 22.13 20.70 090 38500 A Biopsy/removal, lymph nodes 2.88 2.64 2.41 2.30 2.16 0.28 5.80 5.57 5.46 5.32 010 38505 A Needle biopsy, lymph nodes 1.14 2.98 2.54 1.12 0.99 0.09 4.21 3.77 2.35 2.22 000 38510 A Biopsy/removal, lymph nodes 4.14 NA NA 4.40 3.99 0.38 NA NA 8.92 8.51 090 38520 A Biopsy/removal, lymph nodes 5.12 NA NA 5.25 4.75 0.52 NA NA 10.89 10.39 090 38525 A Biopsy/removal, lymph nodes 4.66 NA NA 3.93 3.65 0.48 NA NA 9.07 8.79 090 38530 A Biopsy/removal, lymph nodes 6.13 NA NA 5.36 4.88 0.63 NA NA 12.12 11.64 090 38542 A Explore deep node(s), neck 5.91 NA NA 5.99 5.65 0.50 NA NA 12.40 12.06 090 38550 A Removal, neck/armpit lesion 6.92 NA NA 4.94 4.58 0.69 NA NA 12.55 12.19 090 38555 A Removal, neck/armpit lesion 14.14 NA NA 11.79 10.82 1.46 NA NA 27.39 26.42 090 38562 A Removal, pelvic lymph nodes 10.49 NA NA 6.51 6.75 0.97 NA NA 17.97 18.21 090 38564 A Removal, abdomen lymph nodes 10.83 NA NA 6.51 6.89 1.06 NA NA 18.40 18.78 090 38570 A Laparoscopy, lymph node biop 9.25 NA NA 4.61 5.19 0.89 NA NA 14.75 15.33 010 38571 A Laparoscopy, lymphadenectomy 12.38 NA NA 5.48 6.43 0.80 NA NA 18.66 19.61 010 38572 A Laparoscopy, lymphadenectomy 14.32 NA NA 6.43 7.54 1.32 NA NA 22.07 23.18 010 38589 C Laparoscope proc, lymphatic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 38700 A Removal of lymph nodes, neck 8.24 NA NA 13.23 12.38 0.60 NA NA 22.07 21.22 090 38720 A Removal of lymph nodes, neck 13.61 NA NA 15.67 15.82 1.03 NA NA 30.31 30.46 090 38724 A Removal of lymph nodes, neck 14.54 NA NA 16.15 16.01 1.10 NA NA 31.79 31.65 090 38740 A Remove armpit lymph nodes 6.77 NA NA 4.73 4.83 0.69 NA NA 12.19 12.29 090 38745 A Remove armpit lymph nodes 8.84 NA NA 6.75 7.31 0.90 NA NA 16.49 17.05 090 38746 A Remove thoracic lymph nodes 4.39 NA NA 1.78 1.96 0.55 NA NA 6.72 6.90 ZZZ 38747 A Remove abdominal lymph nodes 4.89 NA NA 1.86 2.09 0.50 NA NA 7.25 7.48 ZZZ 38760 A Remove groin lymph nodes 8.74 NA NA 5.71 6.08 0.88 NA NA 15.33 15.70 090 38765 A Remove groin lymph nodes 16.06 NA NA 10.08 11.00 1.50 NA NA 27.64 28.56 090 38770 A Remove pelvis lymph nodes 13.23 NA NA 6.87 9.10 0.94 NA NA 21.04 23.27 090 38780 A Remove abdomen lymph nodes 16.59 NA NA 9.23 11.28 1.60 NA NA 27.42 29.47 090 38790 A Inject for lymphatic x-ray 1.29 34.73 26.49 0.48 0.75 0.09 36.11 27.87 1.86 2.13 000 38792 A Identify sentinel node 0.52 NA NA 0.20 0.20 0.04 NA NA 0.76 0.76 000 38794 A Access thoracic lymph duct 4.45 NA NA 1.69 2.04 0.17 NA NA 6.31 6.66 090 38999 C Blood/lymph system procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 39000 A Exploration of chest 6.10 NA NA 9.67 8.90 0.73 NA NA 16.50 15.73 090 39010 A Exploration of chest 11.79 NA NA 12.67 12.61 1.46 NA NA 25.92 25.86 090 39200 A Removal chest lesion 13.62 NA NA 12.97 12.87 1.65 NA NA 28.24 28.14 090 39220 A Removal chest lesion 17.42 NA NA 14.48 14.91 2.10 NA NA 34.00 34.43 090 39400 A Visualization of chest 5.61 NA NA 9.43 8.46 0.69 NA NA 15.73 14.76 010 39499 C Chest procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 39501 A Repair diaphragm laceration 13.19 NA NA 8.44 9.22 1.38 NA NA 23.01 23.79 090 39502 A Repair paraesophageal hernia 16.33 NA NA 8.87 9.89 1.68 NA NA 26.88 27.90 090 39503 A Repair of diaphragm hernia 37.54 NA NA 16.79 19.43 3.52 NA NA 57.85 60.49 090 39520 A Repair of diaphragm hernia 16.10 NA NA 11.37 11.93 1.83 NA NA 29.30 29.86 090 39530 A Repair of diaphragm hernia 15.41 NA NA 9.56 10.99 1.66 NA NA 26.63 28.06 090 39531 A Repair of diaphragm hernia 16.42 NA NA 10.67 10.72 1.83 NA NA 28.92 28.97 090 39540 A Repair of diaphragm hernia 13.32 NA NA 8.54 9.66 1.38 NA NA 23.24 24.36 090 39541 A Repair of diaphragm hernia 14.41 NA NA 8.78 9.89 1.52 NA NA 24.71 25.82 090 39545 A Revision of diaphragm 13.37 NA NA 11.72 10.93 1.55 NA NA 26.64 25.85 090 39560 A Resect diaphragm, simple 12.00 NA NA 8.97 8.97 1.35 NA NA 22.32 22.32 090 39561 A Resect diaphragm, complex 17.50 NA NA 11.08 11.08 1.97 NA NA 30.55 30.55 090 39599 C Diaphragm surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 40490 A Biopsy of lip 1.22 1.63 1.42 0.62 0.57 0.06 2.91 2.70 1.90 1.85 000 40500 A Partial excision of lip 4.28 5.61 5.49 5.49 5.40 0.31 10.20 10.08 10.08 9.99 090 40510 A Partial excision of lip 4.70 6.59 6.35 6.33 6.15 0.38 11.67 11.43 11.41 11.23 090 40520 A Partial excision of lip 4.67 7.58 6.91 6.71 6.25 0.42 12.67 12.00 11.80 11.34 090 40525 A Reconstruct lip with flap 7.55 NA NA 8.21 8.41 0.68 NA NA 16.44 16.64 090 40527 A Reconstruct lip with flap 9.13 NA NA 9.06 9.52 0.82 NA NA 19.01 19.47 090 40530 A Partial removal of lip 5.40 6.38 6.17 6.18 6.02 0.47 12.25 12.04 12.05 11.89 090 40650 A Repair lip 3.64 5.38 5.12 4.52 4.48 0.31 9.33 9.07 8.47 8.43 090 40652 A Repair lip 4.26 6.34 6.03 6.34 6.03 0.39 10.99 10.68 10.99 10.68 090 40654 A Repair lip 5.31 7.61 7.29 7.37 7.11 0.48 13.40 13.08 13.16 12.90 090 40700 A Repair cleft lip/nasal 12.79 NA NA 10.36 10.07 0.93 NA NA 24.08 23.79 090 40701 A Repair cleft lip/nasal 15.85 NA NA 10.09 12.81 1.36 NA NA 27.30 30.02 090 40702 A Repair cleft lip/nasal 13.04 NA NA 9.30 9.52 1.01 NA NA 23.35 23.57 090 40720 A Repair cleft lip/nasal 13.55 NA NA 12.39 11.90 1.31 NA NA 27.25 26.76 090 40761 A Repair cleft lip/nasal 14.72 NA NA 11.59 11.63 1.41 NA NA 27.72 27.76 090 40799 C Lip surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 40800 A Drainage of mouth lesion 1.17 1.91 1.63 0.46 0.45 0.09 3.17 2.89 1.72 1.71 010 40801 A Drainage of mouth lesion 2.53 2.43 2.28 1.90 1.66 0.18 5.14 4.99 4.61 4.37 010 40804 A Removal, foreign body, mouth 1.24 2.56 2.08 2.16 1.70 0.09 3.89 3.41 3.49 3.03 010 40805 A Removal, foreign body, mouth 2.69 3.05 2.97 2.69 2.70 0.17 5.91 5.83 5.55 5.56 010 40806 A Incision of lip fold 0.31 0.85 0.74 0.85 0.74 0.02 1.18 1.07 1.18 1.07 000 40808 A Biopsy of mouth lesion 0.96 2.05 1.74 2.05 1.64 0.07 3.08 2.77 3.08 2.67 010 40810 A Excision of mouth lesion 1.31 2.66 2.32 2.36 1.93 0.09 4.06 3.72 3.76 3.33 010 40812 A Excise/repair mouth lesion 2.31 2.87 2.56 2.87 2.36 0.17 5.35 5.04 5.35 4.84 010 40814 A Excise/repair mouth lesion 3.42 4.04 3.91 4.04 3.47 0.26 7.72 7.59 7.72 7.15 090 40816 A Excision of mouth lesion 3.67 4.35 4.14 4.35 3.70 0.27 8.29 8.08 8.29 7.64 090 40818 A Excise oral mucosa for graft 2.41 4.02 3.63 4.02 3.63 0.14 6.57 6.18 6.57 6.18 090 40819 A Excise lip or cheek fold 2.41 3.50 2.96 3.50 2.79 0.17 6.08 5.54 6.08 5.37 090 40820 A Treatment of mouth lesion 1.28 2.33 1.89 2.17 1.70 0.08 3.69 3.25 3.53 3.06 010 40830 A Repair mouth laceration 1.76 2.46 2.03 2.41 1.99 0.14 4.36 3.93 4.31 3.89 010 40831 A Repair mouth laceration 2.46 2.78 2.61 2.78 2.61 0.21 5.45 5.28 5.45 5.28 010 40840 R Reconstruction of mouth 8.73 6.16 6.33 6.16 6.33 0.79 15.68 15.85 15.68 15.85 090 Start Printed Page 65475 40842 R Reconstruction of mouth 8.73 5.98 6.19 5.98 6.19 0.65 15.36 15.57 15.36 15.57 090 40843 R Reconstruction of mouth 12.10 8.47 8.74 8.47 8.74 0.84 21.41 21.68 21.41 21.68 090 40844 R Reconstruction of mouth 16.01 8.95 9.87 8.41 9.46 1.63 26.59 27.51 26.05 27.10 090 40845 R Reconstruction of mouth 18.58 10.53 13.44 10.53 13.44 1.47 30.58 33.49 30.58 33.49 090 40899 C Mouth surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 41000 A Drainage of mouth lesion 1.30 2.35 1.97 1.54 1.26 0.09 3.74 3.36 2.93 2.65 010 41005 A Drainage of mouth lesion 1.26 2.09 1.74 1.24 1.10 0.09 3.44 3.09 2.59 2.45 010 41006 A Drainage of mouth lesion 3.24 3.51 2.91 3.41 2.83 0.25 7.00 6.40 6.90 6.32 090 41007 A Drainage of mouth lesion 3.10 3.32 3.28 3.04 3.07 0.22 6.64 6.60 6.36 6.39 090 41008 A Drainage of mouth lesion 3.37 3.57 2.97 3.18 2.53 0.24 7.18 6.58 6.79 6.14 090 41009 A Drainage of mouth lesion 3.59 3.59 3.59 3.19 3.29 0.25 7.43 7.43 7.03 7.13 090 41010 A Incision of tongue fold 1.06 2.90 2.28 2.90 2.28 0.06 4.02 3.40 4.02 3.40 010 41015 A Drainage of mouth lesion 3.96 4.35 3.50 3.21 2.64 0.29 8.60 7.75 7.46 6.89 090 41016 A Drainage of mouth lesion 4.07 4.14 4.11 3.39 3.54 0.28 8.49 8.46 7.74 7.89 090 41017 A Drainage of mouth lesion 4.07 4.02 3.40 3.30 2.86 0.32 8.41 7.79 7.69 7.25 090 41018 A Drainage of mouth lesion 5.10 4.53 4.47 3.89 3.99 0.35 9.98 9.92 9.34 9.44 090 41100 A Biopsy of tongue 1.63 2.59 2.16 2.57 2.04 0.12 4.34 3.91 4.32 3.79 010 41105 A Biopsy of tongue 1.42 2.42 2.10 2.42 1.96 0.10 3.94 3.62 3.94 3.48 010 41108 A Biopsy of floor of mouth 1.05 2.29 1.95 2.23 1.79 0.08 3.42 3.08 3.36 2.92 010 41110 A Excision of tongue lesion 1.51 3.03 2.63 2.49 2.05 0.11 4.65 4.25 4.11 3.67 010 41112 A Excision of tongue lesion 2.73 3.48 3.26 3.48 2.94 0.20 6.41 6.19 6.41 5.87 090 41113 A Excision of tongue lesion 3.19 3.46 3.52 3.46 3.06 0.23 6.88 6.94 6.88 6.48 090 41114 A Excision of tongue lesion 8.47 NA NA 6.36 6.50 0.64 NA NA 15.47 15.61 090 41115 A Excision of tongue fold 1.74 2.31 2.22 2.31 2.22 0.13 4.18 4.09 4.18 4.09 010 41116 A Excision of mouth lesion 2.44 3.36 3.20 3.36 3.20 0.17 5.97 5.81 5.97 5.81 090 41120 A Partial removal of tongue 9.77 NA NA 8.68 8.49 0.70 NA NA 19.15 18.96 090 41130 A Partial removal of tongue 11.15 NA NA 9.52 9.60 0.81 NA NA 21.48 21.56 090 41135 A Tongue and neck surgery 23.09 NA NA 15.84 16.85 1.66 NA NA 40.59 41.60 090 41140 A Removal of tongue 25.50 NA NA 18.03 18.65 1.85 NA NA 45.38 46.00 090 41145 A Tongue removal, neck surgery 30.06 NA NA 21.43 22.26 2.11 NA NA 53.60 54.43 090 41150 A Tongue, mouth, jaw surgery 23.04 NA NA 17.05 17.93 1.67 NA NA 41.76 42.64 090 41153 A Tongue, mouth, neck surgery 23.77 NA NA 17.78 20.12 1.71 NA NA 43.26 45.60 090 41155 A Tongue, jaw, & neck surgery 27.72 NA NA 19.81 22.98 2.02 NA NA 49.55 52.72 090 41250 A Repair tongue laceration 1.91 2.81 2.40 1.65 1.53 0.15 4.87 4.46 3.71 3.59 010 41251 A Repair tongue laceration 2.27 2.73 2.61 2.24 2.24 0.18 5.18 5.06 4.69 4.69 010 41252 A Repair tongue laceration 2.97 3.57 3.32 2.32 2.38 0.23 6.77 6.52 5.52 5.58 010 41500 A Fixation of tongue 3.71 NA NA 4.28 4.10 0.26 NA NA 8.25 8.07 090 41510 A Tongue to lip surgery 3.42 NA NA 4.47 4.04 0.24 NA NA 8.13 7.70 090 41520 A Reconstruction, tongue fold 2.73 3.16 3.15 3.16 3.15 0.19 6.08 6.07 6.08 6.07 090 41599 C Tongue and mouth surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 41800 A Drainage of gum lesion 1.17 1.88 1.60 1.33 1.09 0.09 3.14 2.86 2.59 2.35 010 41805 A Removal foreign body, gum 1.24 1.90 1.65 1.90 1.65 0.09 3.23 2.98 3.23 2.98 010 41806 A Removal foreign body,jawbone 2.69 2.56 2.37 2.38 2.01 0.22 5.47 5.28 5.29 4.92 010 41820 R Excision, gum, each quadrant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 41821 R Excision of gum flap 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 41822 R Excision of gum lesion 2.31 2.84 2.95 0.91 1.51 0.24 5.39 5.50 3.46 4.06 010 41823 R Excision of gum lesion 3.30 3.71 3.77 2.75 3.05 0.29 7.30 7.36 6.34 6.64 090 41825 A Excision of gum lesion 1.31 2.34 2.16 2.27 1.91 0.10 3.75 3.57 3.68 3.32 010 41826 A Excision of gum lesion 2.31 2.60 2.51 2.59 2.23 0.17 5.08 4.99 5.07 4.71 010 41827 A Excision of gum lesion 3.42 3.55 3.68 3.55 3.17 0.25 7.22 7.35 7.22 6.84 090 41828 R Excision of gum lesion 3.09 3.00 3.36 2.30 2.83 0.22 6.31 6.67 5.61 6.14 010 41830 R Removal of gum tissue 3.35 3.15 3.36 3.15 3.36 0.23 6.73 6.94 6.73 6.94 010 41850 R Treatment of gum lesion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 41870 R Gum graft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 41872 R Repair gum 2.59 2.67 2.78 2.67 2.78 0.18 5.44 5.55 5.44 5.55 090 41874 R Repair tooth socket 3.09 2.81 3.03 2.34 2.68 0.23 6.13 6.35 5.66 6.00 090 41899 C Dental surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 42000 A Drainage mouth roof lesion 1.23 2.39 1.96 1.68 1.35 0.10 3.72 3.29 3.01 2.68 010 42100 A Biopsy roof of mouth 1.31 2.36 1.99 2.36 1.88 0.10 3.77 3.40 3.77 3.29 010 42104 A Excision lesion, mouth roof 1.64 2.43 2.26 2.43 2.04 0.12 4.19 4.02 4.19 3.80 010 42106 A Excision lesion, mouth roof 2.10 2.60 2.55 2.60 2.25 0.16 4.86 4.81 4.86 4.51 010 42107 A Excision lesion, mouth roof 4.44 4.02 4.34 4.02 3.68 0.32 8.78 9.10 8.78 8.44 090 42120 A Remove palate/lesion 6.17 NA NA 6.01 6.35 0.44 NA NA 12.62 12.96 090 42140 A Excision of uvula 1.62 3.68 3.13 3.22 2.78 0.12 5.42 4.87 4.96 4.52 090 42145 A Repair palate, pharynx/uvula 8.05 NA NA 7.30 7.88 0.56 NA NA 15.91 16.49 090 42160 A Treatment mouth roof lesion 1.80 3.16 2.79 2.62 2.17 0.13 5.09 4.72 4.55 4.10 010 42180 A Repair palate 2.50 2.74 2.66 2.09 2.18 0.19 5.43 5.35 4.78 4.87 010 42182 A Repair palate 3.83 3.94 3.90 2.98 3.18 0.27 8.04 8.00 7.08 7.28 010 42200 A Reconstruct cleft palate 12.00 NA NA 9.92 9.39 0.97 NA NA 22.89 22.36 090 42205 A Reconstruct cleft palate 9.59 NA NA 7.65 8.60 0.82 NA NA 18.06 19.01 090 42210 A Reconstruct cleft palate 14.50 NA NA 7.94 9.35 1.24 NA NA 23.68 25.09 090 42215 A Reconstruct cleft palate 8.82 NA NA 7.36 7.60 0.96 NA NA 17.14 17.38 090 42220 A Reconstruct cleft palate 7.02 NA NA 5.69 5.73 0.41 NA NA 13.12 13.16 090 42225 A Reconstruct cleft palate 9.54 NA NA 8.87 8.53 0.75 NA NA 19.16 18.82 090 42226 A Lengthening of palate 10.01 NA NA 9.15 9.00 0.73 NA NA 19.89 19.74 090 42227 A Lengthening of palate 9.52 NA NA 6.69 7.03 0.70 NA NA 16.91 17.25 090 42235 A Repair palate 7.87 NA NA 5.75 5.82 0.49 NA NA 14.11 14.18 090 42260 A Repair nose to lip fistula 9.80 7.33 6.58 7.33 6.58 0.85 17.98 17.23 17.98 17.23 090 42280 A Preparation, palate mold 1.54 1.41 1.60 0.81 1.15 0.12 3.07 3.26 2.47 2.81 010 42281 A Insertion, palate prosthesis 1.93 2.01 1.91 1.03 1.17 0.14 4.08 3.98 3.10 3.24 010 42299 C Palate/uvula surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 42300 A Drainage of salivary gland 1.93 2.56 2.18 1.76 1.45 0.15 4.64 4.26 3.84 3.53 010 42305 A Drainage of salivary gland 6.07 NA NA 5.16 4.46 0.46 NA NA 11.69 10.99 090 Start Printed Page 65476 42310 A Drainage of salivary gland 1.56 2.24 1.96 1.67 1.39 0.11 3.91 3.63 3.34 3.06 010 42320 A Drainage of salivary gland 2.35 2.79 2.59 2.12 2.09 0.17 5.31 5.11 4.64 4.61 010 42325 A Create salivary cyst drain 2.75 3.30 3.05 1.20 1.48 0.17 6.22 5.97 4.12 4.40 090 42326 A Create salivary cyst drain 3.78 3.28 3.59 2.10 2.70 0.34 7.40 7.71 6.22 6.82 090 42330 A Removal of salivary stone 2.21 2.70 2.32 1.20 1.05 0.16 5.07 4.69 3.57 3.42 010 42335 A Removal of salivary stone 3.31 3.57 3.35 3.57 3.01 0.23 7.11 6.89 7.11 6.55 090 42340 A Removal of salivary stone 4.60 4.57 4.58 4.57 4.01 0.34 9.51 9.52 9.51 8.95 090 42400 A Biopsy of salivary gland 0.78 2.34 1.97 0.39 0.40 0.06 3.18 2.81 1.23 1.24 000 42405 A Biopsy of salivary gland 3.29 3.35 2.93 3.28 2.67 0.24 6.88 6.46 6.81 6.20 010 42408 A Excision of salivary cyst 4.54 4.61 4.34 4.61 4.34 0.34 9.49 9.22 9.49 9.22 090 42409 A Drainage of salivary cyst 2.81 3.44 3.34 3.44 3.34 0.20 6.45 6.35 6.45 6.35 090 42410 A Excise parotid gland/lesion 9.34 NA NA 7.78 7.45 0.77 NA NA 17.89 17.56 090 42415 A Excise parotid gland/lesion 16.89 NA NA 12.40 12.74 1.26 NA NA 30.55 30.89 090 42420 A Excise parotid gland/lesion 19.59 NA NA 13.97 14.50 1.45 NA NA 35.01 35.54 090 42425 A Excise parotid gland/lesion 13.02 NA NA 10.26 10.71 0.98 NA NA 24.26 24.71 090 42426 A Excise parotid gland/lesion 21.26 NA NA 14.79 17.44 1.57 NA NA 37.62 40.27 090 42440 A Excise submaxillary gland 6.97 NA NA 5.88 6.49 0.51 NA NA 13.36 13.97 090 42450 A Excise sublingual gland 4.62 4.92 4.62 4.91 4.61 0.34 9.88 9.58 9.87 9.57 090 42500 A Repair salivary duct 4.30 4.67 4.75 4.67 4.75 0.30 9.27 9.35 9.27 9.35 090 42505 A Repair salivary duct 6.18 5.33 5.84 5.33 5.84 0.44 11.95 12.46 11.95 12.46 090 42507 A Parotid duct diversion 6.11 NA NA 5.85 5.65 0.66 NA NA 12.62 12.42 090 42508 A Parotid duct diversion 9.10 NA NA 7.96 8.04 0.64 NA NA 17.70 17.78 090 42509 A Parotid duct diversion 11.54 NA NA 7.66 7.73 1.24 NA NA 20.44 20.51 090 42510 A Parotid duct diversion 8.15 NA NA 7.44 7.66 0.57 NA NA 16.16 16.38 090 42550 A Injection for salivary x-ray 1.25 12.21 9.28 0.44 0.45 0.06 13.52 10.59 1.75 1.76 000 42600 A Closure of salivary fistula 4.82 6.02 5.57 5.54 5.21 0.34 11.18 10.73 10.70 10.37 090 42650 A Dilation of salivary duct 0.77 1.06 0.90 0.42 0.37 0.06 1.89 1.73 1.25 1.20 000 42660 A Dilation of salivary duct 1.13 1.15 1.00 1.15 0.93 0.07 2.35 2.20 2.35 2.13 000 42665 A Ligation of salivary duct 2.53 3.73 3.35 3.69 3.32 0.17 6.43 6.05 6.39 6.02 090 42699 C Salivary surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 42700 A Drainage of tonsil abscess 1.62 3.09 2.55 1.80 1.47 0.12 4.83 4.29 3.54 3.21 010 42720 A Drainage of throat abscess 5.42 4.73 4.06 4.67 4.02 0.39 10.54 9.87 10.48 9.83 010 42725 A Drainage of throat abscess 10.72 NA NA 8.37 7.49 0.80 NA NA 19.89 19.01 090 42800 A Biopsy of throat 1.39 2.91 2.38 2.50 1.98 0.10 4.40 3.87 3.99 3.47 010 42802 A Biopsy of throat 1.54 3.01 2.54 2.60 2.23 0.11 4.66 4.19 4.25 3.88 010 42804 A Biopsy of upper nose/throat 1.24 2.87 2.45 2.45 2.13 0.09 4.20 3.78 3.78 3.46 010 42806 A Biopsy of upper nose/throat 1.58 3.29 2.85 2.63 2.35 0.12 4.99 4.55 4.33 4.05 010 42808 A Excise pharynx lesion 2.30 4.66 4.18 3.04 2.96 0.17 7.13 6.65 5.51 5.43 010 42809 A Remove pharynx foreign body 1.81 3.34 2.73 1.67 1.48 0.13 5.28 4.67 3.61 3.42 010 42810 A Excision of neck cyst 3.25 5.28 4.81 4.45 4.19 0.25 8.78 8.31 7.95 7.69 090 42815 A Excision of neck cyst 7.07 NA NA 6.49 7.03 0.53 NA NA 14.09 14.63 090 42820 A Remove tonsils and adenoids 3.91 NA NA 3.89 3.77 0.28 NA NA 8.08 7.96 090 42821 A Remove tonsils and adenoids 4.29 NA NA 4.13 4.17 0.30 NA NA 8.72 8.76 090 42825 A Removal of tonsils 3.42 NA NA 3.57 3.40 0.24 NA NA 7.23 7.06 090 42826 A Removal of tonsils 3.38 NA NA 3.61 3.72 0.23 NA NA 7.22 7.33 090 42830 A Removal of adenoids 2.57 NA NA 2.26 2.20 0.18 NA NA 5.01 4.95 090 42831 A Removal of adenoids 2.71 NA NA 2.49 2.51 0.19 NA NA 5.39 5.41 090 42835 A Removal of adenoids 2.30 NA NA 2.46 2.35 0.17 NA NA 4.93 4.82 090 42836 A Removal of adenoids 3.18 NA NA 3.58 3.44 0.22 NA NA 6.98 6.84 090 42842 A Extensive surgery of throat 8.76 NA NA 7.71 7.60 0.61 NA NA 17.08 16.97 090 42844 A Extensive surgery of throat 14.31 NA NA 11.31 11.43 1.04 NA NA 26.66 26.78 090 42845 A Extensive surgery of throat 24.29 NA NA 17.47 18.16 1.76 NA NA 43.52 44.21 090 42860 A Excision of tonsil tags 2.22 NA NA 3.01 2.77 0.16 NA NA 5.39 5.15 090 42870 A Excision of lingual tonsil 5.40 NA NA 5.83 5.00 0.38 NA NA 11.61 10.78 090 42890 A Partial removal of pharynx 12.94 NA NA 10.62 10.41 0.91 NA NA 24.47 24.26 090 42892 A Revision of pharyngeal walls 15.83 NA NA 12.15 12.08 1.14 NA NA 29.12 29.05 090 42894 A Revision of pharyngeal walls 22.88 NA NA 16.83 16.98 1.64 NA NA 41.35 41.50 090 42900 A Repair throat wound 5.25 NA NA 3.73 3.95 0.39 NA NA 9.37 9.59 010 42950 A Reconstruction of throat 8.10 NA NA 7.40 7.97 0.58 NA NA 16.08 16.65 090 42953 A Repair throat, esophagus 8.96 NA NA 8.96 8.44 0.73 NA NA 18.65 18.13 090 42955 A Surgical opening of throat 7.39 NA NA 6.48 5.76 0.63 NA NA 14.50 13.78 090 42960 A Control throat bleeding 2.33 NA NA 2.08 1.85 0.17 NA NA 4.58 4.35 010 42961 A Control throat bleeding 5.59 NA NA 5.22 4.39 0.40 NA NA 11.21 10.38 090 42962 A Control throat bleeding 7.14 NA NA 6.25 6.31 0.51 NA NA 13.90 13.96 090 42970 A Control nose/throat bleeding 5.43 NA NA 3.77 3.11 0.37 NA NA 9.57 8.91 090 42971 A Control nose/throat bleeding 6.21 NA NA 5.69 5.06 0.45 NA NA 12.35 11.72 090 42972 A Control nose/throat bleeding 7.20 NA NA 5.29 5.20 0.54 NA NA 13.03 12.94 090 42999 C Throat surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43020 A Incision of esophagus 8.09 NA NA 6.75 6.85 0.70 NA NA 15.54 15.64 090 43030 A Throat muscle surgery 7.69 NA NA 6.94 7.50 0.60 NA NA 15.23 15.79 090 43045 A Incision of esophagus 20.12 NA NA 12.66 12.87 2.15 NA NA 34.93 35.14 090 43100 A Excision of esophagus lesion 9.19 NA NA 7.55 7.34 0.79 NA NA 17.53 17.32 090 43101 A Excision of esophagus lesion 16.24 NA NA 9.82 9.94 1.81 NA NA 27.87 27.99 090 43107 A Removal of esophagus 28.79 NA NA 16.92 18.80 3.29 NA NA 49.00 50.88 090 43108 A Removal of esophagus 34.19 NA NA 17.66 20.10 3.78 NA NA 55.63 58.07 090 43112 A Removal of esophagus 31.22 NA NA 18.18 19.51 3.67 NA NA 53.07 54.40 090 43113 A Removal of esophagus 35.27 NA NA 19.43 21.43 4.33 NA NA 59.03 61.03 090 43116 A Partial removal of esophagus 31.22 NA NA 20.74 22.41 2.62 NA NA 54.58 56.25 090 43117 A Partial removal of esophagus 30.02 NA NA 17.49 19.97 3.51 NA NA 51.02 53.50 090 43118 A Partial removal of esophagus 33.20 NA NA 18.27 20.56 3.56 NA NA 55.03 57.32 090 43121 A Partial removal of esophagus 29.19 NA NA 17.45 18.88 3.44 NA NA 50.08 51.51 090 43122 A Parital removal of esophagus 29.11 NA NA 16.18 17.93 3.27 NA NA 48.56 50.31 090 43123 A Partial removal of esophagus 33.20 NA NA 19.65 21.59 3.96 NA NA 56.81 58.75 090 Start Printed Page 65477 43124 A Removal of esophagus 27.32 NA NA 17.52 19.25 2.95 NA NA 47.79 49.52 090 43130 A Removal of esophagus pouch 11.75 NA NA 9.45 9.94 1.06 NA NA 22.26 22.75 090 43135 A Removal of esophagus pouch 16.10 NA NA 11.71 11.96 1.85 NA NA 29.66 29.91 090 43200 A Esophagus endoscopy 1.59 6.74 5.61 1.18 1.36 0.11 8.44 7.31 2.88 3.06 000 43202 A Esophagus endoscopy, biopsy 1.89 5.35 4.67 1.13 1.41 0.12 7.36 6.68 3.14 3.42 000 43204 A Esophagus endoscopy & inject 3.77 NA NA 1.64 2.36 0.18 NA NA 5.59 6.31 000 43205 A Esophagus endoscopy/ligation 3.79 NA NA 1.65 1.97 0.17 NA NA 5.61 5.93 000 43215 A Esophagus endoscopy 2.60 NA NA 1.25 1.71 0.17 NA NA 4.02 4.48 000 43216 A Esophagus endoscopy/lesion 2.40 NA NA 1.17 1.60 0.15 NA NA 3.72 4.15 000 43217 A Esophagus endoscopy 2.90 NA NA 1.33 1.86 0.17 NA NA 4.40 4.93 000 43219 A Esophagus endoscopy 2.80 NA NA 1.41 1.89 0.16 NA NA 4.37 4.85 000 43220 A Esoph endoscopy, dilation 2.10 NA NA 1.09 1.45 0.12 NA NA 3.31 3.67 000 43226 A Esoph endoscopy, dilation 2.34 NA NA 1.16 1.57 0.12 NA NA 3.62 4.03 000 43227 A Esoph endoscopy, repair 3.60 NA NA 1.59 2.27 0.18 NA NA 5.37 6.05 000 43228 A Esoph endoscopy, ablation 3.77 NA NA 1.77 2.45 0.25 NA NA 5.79 6.47 000 43231 A Esoph endoscopy w/us exam 4.09 NA NA 1.84 1.84 0.24 NA NA 6.17 6.17 000 43232 A Esoph endoscopy w/us fn bx 4.71 NA NA 2.18 2.18 0.28 NA NA 7.17 7.17 000 43234 A Upper GI endoscopy, exam 2.01 3.65 3.44 1.04 1.38 0.13 5.79 5.58 3.18 3.52 000 43235 A Uppr gi endoscopy, diagnosis 2.39 4.79 4.43 1.17 1.59 0.13 7.31 6.95 3.69 4.11 000 43239 A Upper GI endoscopy, biopsy 2.69 4.96 4.65 1.28 1.76 0.14 7.79 7.48 4.11 4.59 000 43240 A Esoph endoscope w/drain cyst 7.39 NA NA 3.05 3.05 0.45 NA NA 10.89 10.89 000 43241 A Upper GI endoscopy with tube 2.59 NA NA 1.22 1.69 0.14 NA NA 3.95 4.42 000 43242 A Uppr gi endoscopy w/us fn bx 5.51 1.98 1.98 1.98 1.98 0.34 7.83 7.83 7.83 7.83 000 43243 A Upper gi endoscopy & inject 4.57 NA NA 1.93 2.81 0.21 NA NA 6.71 7.59 000 43244 A Upper GI endoscopy/ligation 4.59 NA NA 1.93 2.39 0.21 NA NA 6.73 7.19 000 43245 A Operative upper GI endoscopy 3.39 NA NA 1.50 2.14 0.18 NA NA 5.07 5.71 000 43246 A Place gastrostomy tube 4.33 NA NA 1.80 2.64 0.24 NA NA 6.37 7.21 000 43247 A Operative upper GI endoscopy 3.39 NA NA 1.50 2.14 0.17 NA NA 5.06 5.70 000 43248 A Uppr gi endoscopy/guide wire 3.15 NA NA 1.42 2.01 0.15 NA NA 4.72 5.31 000 43249 A Esoph endoscopy, dilation 2.90 NA NA 1.33 1.86 0.15 NA NA 4.38 4.91 000 43250 A Upper GI endoscopy/tumor 3.20 NA NA 1.43 2.03 0.17 NA NA 4.80 5.40 000 43251 A Operative upper GI endoscopy 3.70 NA NA 1.61 2.31 0.19 NA NA 5.50 6.20 000 43255 A Operative upper GI endoscopy 4.40 NA NA 1.76 2.63 0.20 NA NA 6.36 7.23 000 43256 A Uppr gi endoscopy w stent 4.35 1.56 1.56 1.56 1.56 0.26 6.17 6.17 6.17 6.17 000 43258 A Operative upper GI endoscopy 4.55 NA NA 1.92 2.80 0.22 NA NA 6.69 7.57 000 43259 A Endoscopic ultrasound exam 4.89 NA NA 2.12 2.68 0.22 NA NA 7.23 7.79 000 43260 A Endo cholangiopancreatograph 5.96 NA NA 2.42 3.44 0.27 NA NA 8.65 9.67 000 43261 A Endo cholangiopancreatograph 6.27 NA NA 2.53 3.52 0.29 NA NA 9.09 10.08 000 43262 A Endo cholangiopancreatograph 7.39 NA NA 2.94 4.41 0.34 NA NA 10.67 12.14 000 43263 A Endo cholangiopancreatograph 6.19 NA NA 2.51 3.47 0.28 NA NA 8.98 9.94 000 43264 A Endo cholangiopancreatograph 8.90 NA NA 3.48 5.03 0.41 NA NA 12.79 14.34 000 43265 A Endo cholangiopancreatograph 8.90 NA NA 3.48 4.46 0.42 NA NA 12.80 13.78 000 43267 A Endo cholangiopancreatograph 7.39 NA NA 2.95 4.22 0.34 NA NA 10.68 11.95 000 43268 A Endo cholangiopancreatograph 7.39 NA NA 2.94 4.41 0.34 NA NA 10.67 12.14 000 43269 A Endo cholangiopancreatograph 6.04 NA NA 2.45 3.64 0.28 NA NA 8.77 9.96 000 43271 A Endo cholangiopancreatograph 7.39 NA NA 2.93 4.27 0.34 NA NA 10.66 12.00 000 43272 A Endo cholangiopancreatograph 7.39 NA NA 2.94 3.73 0.34 NA NA 10.67 11.46 000 43280 A Laparoscopy, fundoplasty 17.25 NA NA 8.77 9.80 1.76 NA NA 27.78 28.81 090 43289 C Laparoscope proc, esoph 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43300 A Repair of esophagus 9.14 NA NA 7.63 8.45 0.85 NA NA 17.62 18.44 090 43305 A Repair esophagus and fistula 17.39 NA NA 13.14 13.58 1.36 NA NA 31.89 32.33 090 43310 A Repair of esophagus 27.47 NA NA 18.38 18.40 3.18 NA NA 49.03 49.05 090 43312 A Repair esophagus and fistula 30.50 NA NA 23.31 21.21 3.38 NA NA 57.19 55.09 090 43320 A Fuse esophagus & stomach 16.07 NA NA 10.25 10.86 1.59 NA NA 27.91 28.52 090 43324 A Revise esophagus & stomach 16.58 NA NA 8.80 9.82 1.72 NA NA 27.10 28.12 090 43325 A Revise esophagus & stomach 16.17 NA NA 9.21 10.06 1.65 NA NA 27.03 27.88 090 43326 A Revise esophagus & stomach 15.91 NA NA 10.94 10.25 1.84 NA NA 28.69 28.00 090 43330 A Repair of esophagus 15.94 NA NA 8.76 9.65 1.52 NA NA 26.22 27.11 090 43331 A Repair of esophagus 16.23 NA NA 12.23 13.06 1.93 NA NA 30.39 31.22 090 43340 A Fuse esophagus & intestine 15.81 NA NA 10.07 10.93 1.53 NA NA 27.41 28.27 090 43341 A Fuse esophagus & intestine 16.81 NA NA 15.42 14.25 2.14 NA NA 34.37 33.20 090 43350 A Surgical opening, esophagus 12.72 NA NA 10.66 10.13 1.15 NA NA 24.53 24.00 090 43351 A Surgical opening, esophagus 14.79 NA NA 9.66 9.63 1.51 NA NA 25.96 25.93 090 43352 A Surgical opening, esophagus 12.30 NA NA 9.53 9.55 1.28 NA NA 23.11 23.13 090 43360 A Gastrointestinal repair 28.78 NA NA 16.55 18.21 3.00 NA NA 48.33 49.99 090 43361 A Gastrointestinal repair 32.65 NA NA 18.51 20.74 3.52 NA NA 54.68 56.91 090 43400 A Ligate esophagus veins 17.09 NA NA 8.66 9.43 0.99 NA NA 26.74 27.51 090 43401 A Esophagus surgery for veins 17.81 NA NA 8.93 9.30 1.73 NA NA 28.47 28.84 090 43405 A Ligate/staple esophagus 16.13 NA NA 9.39 10.93 1.63 NA NA 27.15 28.69 090 43410 A Repair esophagus wound 10.86 NA NA 9.11 9.25 1.15 NA NA 21.12 21.26 090 43415 A Repair esophagus wound 17.06 NA NA 11.23 11.88 1.92 NA NA 30.21 30.86 090 43420 A Repair esophagus opening 11.57 NA NA 8.87 8.25 0.86 NA NA 21.30 20.68 090 43425 A Repair esophagus opening 16.95 NA NA 11.97 11.68 2.03 NA NA 30.95 30.66 090 43450 A Dilate esophagus 1.38 1.26 1.13 0.61 0.64 0.07 2.71 2.58 2.06 2.09 000 43453 A Dilate esophagus 1.51 NA NA 0.65 0.90 0.08 NA NA 2.24 2.49 000 43456 A Dilate esophagus 2.57 NA NA 1.05 1.46 0.14 NA NA 3.76 4.17 000 43458 A Dilate esophagus 3.06 NA NA 1.24 1.34 0.17 NA NA 4.47 4.57 000 43460 A Pressure treatment esophagus 3.80 NA NA 1.51 1.59 0.21 NA NA 5.52 5.60 000 43496 C Free jejunum flap, microvasc 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 YYY 43500 A Surgical opening of stomach 8.44 NA NA 4.38 4.95 0.84 NA NA 13.66 14.23 090 43501 A Surgical repair of stomach 15.31 NA NA 7.32 7.82 1.55 NA NA 24.18 24.68 090 43502 A Surgical repair of stomach 17.67 NA NA 8.36 8.60 1.83 NA NA 27.86 28.10 090 Start Printed Page 65478 43510 A Surgical opening of stomach 9.99 NA NA 6.56 7.17 0.90 NA NA 17.45 18.06 090 43520 A Incision of pyloric muscle 7.63 NA NA 5.72 5.51 0.84 NA NA 14.19 13.98 090 43600 A Biopsy of stomach 1.91 NA NA 1.00 0.89 0.11 NA NA 3.02 2.91 000 43605 A Biopsy of stomach 9.15 NA NA 4.59 5.05 0.93 NA NA 14.67 15.13 090 43610 A Excision of stomach lesion 11.15 NA NA 5.74 6.52 1.14 NA NA 18.03 18.81 090 43611 A Excision of stomach lesion 13.63 NA NA 6.78 7.30 1.38 NA NA 21.79 22.31 090 43620 A Removal of stomach 22.54 NA NA 10.83 12.30 2.29 NA NA 35.66 37.13 090 43621 A Removal of stomach 23.06 NA NA 10.89 12.34 2.36 NA NA 36.31 37.76 090 43622 A Removal of stomach 24.41 NA NA 11.37 12.70 2.48 NA NA 38.26 39.59 090 43631 A Removal of stomach, partial 19.66 NA NA 8.97 10.10 1.99 NA NA 30.62 31.75 090 43632 A Removal of stomach, partial 19.66 NA NA 8.97 10.10 2.00 NA NA 30.63 31.76 090 43633 A Removal of stomach, partial 20.10 NA NA 9.15 10.23 2.05 NA NA 31.30 32.38 090 43634 A Removal of stomach, partial 21.86 NA NA 9.84 13.03 2.18 NA NA 33.88 37.07 090 43635 A Removal of stomach, partial 2.06 NA NA 0.78 0.88 0.21 NA NA 3.05 3.15 ZZZ 43638 A Removal of stomach, partial 21.76 NA NA 9.96 10.93 2.24 NA NA 33.96 34.93 090 43639 A Removal of stomach, partial 22.25 NA NA 10.30 11.19 2.31 NA NA 34.86 35.75 090 43640 A Vagotomy & pylorus repair 14.81 NA NA 7.14 8.16 1.51 NA NA 23.46 24.48 090 43641 A Vagotomy & pylorus repair 15.03 NA NA 7.24 8.24 1.53 NA NA 23.80 24.80 090 43651 A Laparoscopy, vagus nerve 10.15 NA NA 4.89 5.04 1.03 NA NA 16.07 16.22 090 43652 A Laparoscopy, vagus nerve 12.15 NA NA 5.65 5.89 1.25 NA NA 19.05 19.29 090 43653 A Laparoscopy, gastrostomy 7.73 NA NA 4.37 4.96 0.78 NA NA 12.88 13.47 090 43659 C Laparoscope proc, stom 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43750 A Place gastrostomy tube 4.49 NA NA 2.61 3.14 0.33 NA NA 7.43 7.96 010 43752 B Nasal/orogastric w/stent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 43760 A Change gastrostomy tube 1.10 1.34 1.19 0.46 0.53 0.07 2.51 2.36 1.63 1.70 000 43761 A Reposition gastrostomy tube 2.01 NA NA 0.83 0.91 0.10 NA NA 2.94 3.02 000 43800 A Reconstruction of pylorus 10.46 NA NA 5.64 6.09 1.07 NA NA 17.17 17.62 090 43810 A Fusion of stomach and bowel 11.19 NA NA 5.80 6.42 1.10 NA NA 18.09 18.71 090 43820 A Fusion of stomach and bowel 11.74 NA NA 5.98 6.74 1.18 NA NA 18.90 19.66 090 43825 A Fusion of stomach and bowel 14.68 NA NA 7.02 8.27 1.50 NA NA 23.20 24.45 090 43830 A Place gastrostomy tube 7.28 NA NA 4.25 4.87 0.69 NA NA 12.22 12.84 090 43831 A Place gastrostomy tube 7.84 NA NA 4.41 4.72 0.81 NA NA 13.06 13.37 090 43832 A Place gastrostomy tube 11.92 NA NA 6.37 6.94 1.13 NA NA 19.42 19.99 090 43840 A Repair of stomach lesion 11.89 NA NA 6.02 6.64 1.20 NA NA 19.11 19.73 090 43842 A Gastroplasty for obesity 14.71 NA NA 10.07 11.28 1.51 NA NA 26.29 27.50 090 43843 A Gastroplasty for obesity 14.85 NA NA 9.76 11.04 1.53 NA NA 26.14 27.42 090 43846 A Gastric bypass for obesity 19.15 NA NA 11.70 12.79 1.96 NA NA 32.81 33.90 090 43847 A Gastric bypass for obesity 21.44 NA NA 13.22 13.93 2.14 NA NA 36.80 37.51 090 43848 A Revision gastroplasty 23.41 NA NA 14.07 14.57 2.39 NA NA 39.87 40.37 090 43850 A Revise stomach-bowel fusion 19.69 NA NA 8.94 9.86 1.97 NA NA 30.60 31.52 090 43855 A Revise stomach-bowel fusion 20.83 NA NA 9.60 10.03 2.01 NA NA 32.44 32.87 090 43860 A Revise stomach-bowel fusion 19.91 NA NA 9.09 9.93 2.03 NA NA 31.03 31.87 090 43865 A Revise stomach-bowel fusion 21.12 NA NA 9.57 10.81 2.15 NA NA 32.84 34.08 090 43870 A Repair stomach opening 7.40 NA NA 4.37 4.84 0.71 NA NA 12.48 12.95 090 43880 A Repair stomach-bowel fistula 19.63 NA NA 9.42 9.30 1.94 NA NA 30.99 30.87 090 43999 C Stomach surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44005 A Freeing of bowel adhesion 13.84 NA NA 6.71 7.28 1.39 NA NA 21.94 22.51 090 44010 A Incision of small bowel 10.68 NA NA 5.93 6.32 1.05 NA NA 17.66 18.05 090 44015 A Insert needle cath bowel 2.62 NA NA 0.99 1.53 0.25 NA NA 3.86 4.40 ZZZ 44020 A Exploration of small bowel 11.93 NA NA 5.97 6.60 1.20 NA NA 19.10 19.73 090 44021 A Decompress small bowel 12.01 NA NA 6.37 6.68 1.18 NA NA 19.56 19.87 090 44025 A Incision of large bowel 12.18 NA NA 6.08 6.66 1.21 NA NA 19.47 20.05 090 44050 A Reduce bowel obstruction 11.40 NA NA 5.77 6.44 1.15 NA NA 18.32 18.99 090 44055 A Correct malrotation of bowel 13.14 NA NA 6.43 6.90 1.32 NA NA 20.89 21.36 090 44100 A Biopsy of bowel 2.01 NA NA 1.04 1.16 0.12 NA NA 3.17 3.29 000 44110 A Excision of bowel lesion(s) 10.07 NA NA 5.29 6.05 1.00 NA NA 16.36 17.12 090 44111 A Excision of bowel lesion(s) 12.19 NA NA 6.62 7.59 1.22 NA NA 20.03 21.00 090 44120 A Removal of small intestine 14.50 NA NA 6.94 7.77 1.46 NA NA 22.90 23.73 090 44121 A Removal of small intestine 4.45 NA NA 1.69 1.90 0.45 NA NA 6.59 6.80 ZZZ 44125 A Removal of small intestine 14.96 NA NA 7.10 8.24 1.49 NA NA 23.55 24.69 090 44130 A Bowel to bowel fusion 12.36 NA NA 6.13 6.95 1.23 NA NA 19.72 20.54 090 44132 N Enterectomy, cadaver donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44133 N Enterectomy, live donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44135 N Intestine transplnt, cadaver 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44136 N Intestine transplant, live 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44139 A Mobilization of colon 2.23 NA NA 0.85 0.96 0.21 NA NA 3.29 3.40 ZZZ 44140 A Partial removal of colon 18.35 NA NA 8.82 9.70 1.83 NA NA 29.00 29.88 090 44141 A Partial removal of colon 19.51 NA NA 11.83 12.09 1.95 NA NA 33.29 33.55 090 44143 A Partial removal of colon 20.17 NA NA 12.04 12.36 2.02 NA NA 34.23 34.55 090 44144 A Partial removal of colon 18.89 NA NA 10.80 11.37 1.89 NA NA 31.58 32.15 090 44145 A Partial removal of colon 23.18 NA NA 11.03 11.87 2.22 NA NA 36.43 37.27 090 44146 A Partial removal of colon 24.16 NA NA 13.79 14.41 2.20 NA NA 40.15 40.77 090 44147 A Partial removal of colon 18.17 NA NA 9.52 11.30 1.74 NA NA 29.43 31.21 090 44150 A Removal of colon 21.01 NA NA 12.92 13.72 2.05 NA NA 35.98 36.78 090 44151 A Removal of colon/ileostomy 20.04 NA NA 12.35 12.03 1.97 NA NA 34.36 34.04 090 44152 A Removal of colon/ileostomy 24.41 NA NA 15.55 15.85 2.36 NA NA 42.32 42.62 090 44153 A Removal of colon/ileostomy 26.83 NA NA 15.31 16.73 2.33 NA NA 44.47 45.89 090 44155 A Removal of colon/ileostomy 24.44 NA NA 14.08 15.08 2.26 NA NA 40.78 41.78 090 44156 A Removal of colon/ileostomy 23.01 NA NA 13.86 13.49 2.19 NA NA 39.06 38.69 090 44160 A Removal of colon 15.88 NA NA 7.85 9.26 1.55 NA NA 25.28 26.69 090 44200 A Laparoscopy, enterolysis 14.44 NA NA 6.98 7.48 1.46 NA NA 22.88 23.38 090 44201 A Laparoscopy, jejunostomy 9.78 NA NA 5.28 5.28 0.97 NA NA 16.03 16.03 090 44202 A Laparo, resect intestine 22.04 NA NA 10.17 11.22 2.16 NA NA 34.37 35.42 090 Start Printed Page 65479 44209 C Laparoscope proc, intestine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44300 A Open bowel to skin 8.88 NA NA 5.58 5.82 0.88 NA NA 15.34 15.58 090 44310 A Ileostomy/jejunostomy 11.70 NA NA 8.79 8.73 1.13 NA NA 21.62 21.56 090 44312 A Revision of ileostomy 5.88 NA NA 4.26 4.03 0.54 NA NA 10.68 10.45 090 44314 A Revision of ileostomy 11.04 NA NA 8.74 8.37 0.99 NA NA 20.77 20.40 090 44316 A Devise bowel pouch 15.47 NA NA 12.23 11.79 1.41 NA NA 29.11 28.67 090 44320 A Colostomy 12.94 NA NA 10.11 9.61 1.28 NA NA 24.33 23.83 090 44322 A Colostomy with biopsies 11.98 NA NA 9.84 9.84 1.18 NA NA 23.00 23.00 090 44340 A Revision of colostomy 5.66 NA NA 3.99 3.45 0.56 NA NA 10.21 9.67 090 44345 A Revision of colostomy 11.32 NA NA 6.81 6.42 1.11 NA NA 19.24 18.85 090 44346 A Revision of colostomy 12.46 NA NA 7.25 7.24 1.20 NA NA 20.91 20.90 090 44360 A Small bowel endoscopy 2.59 NA NA 1.31 1.85 0.14 NA NA 4.04 4.58 000 44361 A Small bowel endoscopy/biopsy 2.87 NA NA 1.41 2.02 0.15 NA NA 4.43 5.04 000 44363 A Small bowel endoscopy 3.50 NA NA 1.60 2.01 0.19 NA NA 5.29 5.70 000 44364 A Small bowel endoscopy 3.74 NA NA 1.73 2.56 0.21 NA NA 5.68 6.51 000 44365 A Small bowel endoscopy 3.31 NA NA 1.58 2.30 0.18 NA NA 5.07 5.79 000 44366 A Small bowel endoscopy 4.41 NA NA 1.96 2.96 0.22 NA NA 6.59 7.59 000 44369 A Small bowel endoscopy 4.52 NA NA 1.95 2.98 0.23 NA NA 6.70 7.73 000 44370 A Small bowel endoscopy/stent 4.33 1.56 1.56 1.56 1.56 0.26 6.15 6.15 6.15 6.15 000 44372 A Small bowel endoscopy 4.41 NA NA 1.99 2.98 0.27 NA NA 6.67 7.66 000 44373 A Small bowel endoscopy 3.50 NA NA 1.70 2.45 0.19 NA NA 5.39 6.14 000 44376 A Small bowel endoscopy 5.26 NA NA 2.28 2.81 0.29 NA NA 7.83 8.36 000 44377 A Small bowel endoscopy/biopsy 5.53 NA NA 2.38 2.94 0.28 NA NA 8.19 8.75 000 44378 A Small bowel endoscopy 7.13 NA NA 2.95 3.64 0.37 NA NA 10.45 11.14 000 44379 A S bowel endoscope w/stent 7.07 2.52 2.52 2.52 2.52 0.45 10.04 10.04 10.04 10.04 000 44380 A Small bowel endoscopy 1.05 NA NA 0.74 1.01 0.08 NA NA 1.87 2.14 000 44382 A Small bowel endoscopy 1.27 NA NA 0.82 1.16 0.09 NA NA 2.18 2.52 000 44383 A Ileoscopy w/stent 2.41 0.87 0.87 0.87 0.87 0.15 3.43 3.43 3.43 3.43 000 44385 A Endoscopy of bowel pouch 1.82 4.19 3.78 0.94 1.25 0.12 6.13 5.72 2.88 3.19 000 44386 A Endoscopy, bowel pouch/biop 2.12 5.12 4.26 1.09 1.24 0.15 7.39 6.53 3.36 3.51 000 44388 A Colon endoscopy 2.50 5.48 5.09 1.26 1.79 0.18 8.16 7.77 3.94 4.47 000 44389 A Colonoscopy with biopsy 2.77 5.92 5.53 1.37 1.96 0.18 8.87 8.48 4.32 4.91 000 44390 A Colonoscopy for foreign body 3.39 6.56 5.63 1.59 1.91 0.22 10.17 9.24 5.20 5.52 000 44391 A Colonoscopy for bleeding 3.82 5.60 5.63 1.55 2.45 0.23 9.65 9.68 5.60 6.50 000 44392 A Colonoscopy & polypectomy 3.38 6.12 5.99 1.59 2.33 0.23 9.73 9.60 5.20 5.94 000 44393 A Colonoscopy, lesion removal 4.28 6.79 6.56 1.92 2.88 0.27 11.34 11.11 6.47 7.43 000 44394 A Colonoscopy w/snare 3.92 6.54 6.31 1.79 2.67 0.26 10.72 10.49 5.97 6.85 000 44397 A Colonoscopy w stent 4.23 NA NA 1.90 1.90 0.30 NA NA 6.43 6.43 000 44500 A Intro, gastrointestinal tube 0.49 NA NA 0.35 0.36 0.02 NA NA 0.86 0.87 000 44602 A Suture, small intestine 10.61 NA NA 5.48 6.19 1.07 NA NA 17.16 17.87 090 44603 A Suture, small intestine 14.00 NA NA 6.74 7.52 1.39 NA NA 22.13 22.91 090 44604 A Suture, large intestine 14.28 NA NA 6.87 7.29 1.42 NA NA 22.57 22.99 090 44605 A Repair of bowel lesion 15.37 NA NA 7.68 8.30 1.54 NA NA 24.59 25.21 090 44615 A Intestinal stricturoplasty 14.19 NA NA 6.80 6.93 1.39 NA NA 22.38 22.51 090 44620 A Repair bowel opening 10.87 NA NA 5.50 5.75 1.05 NA NA 17.42 17.67 090 44625 A Repair bowel opening 13.41 NA NA 6.49 7.47 1.30 NA NA 21.20 22.18 090 44626 A Repair bowel opening 22.59 NA NA 9.92 10.53 2.19 NA NA 34.70 35.31 090 44640 A Repair bowel-skin fistula 14.83 NA NA 7.39 7.32 1.46 NA NA 23.68 23.61 090 44650 A Repair bowel fistula 15.25 NA NA 7.55 7.65 1.49 NA NA 24.29 24.39 090 44660 A Repair bowel-bladder fistula 14.63 NA NA 7.18 7.65 1.14 NA NA 22.95 23.42 090 44661 A Repair bowel-bladder fistula 16.99 NA NA 8.03 9.81 1.53 NA NA 26.55 28.33 090 44680 A Surgical revision, intestine 13.72 NA NA 6.99 7.88 1.37 NA NA 22.08 22.97 090 44700 A Suspend bowel w/prosthesis 14.35 NA NA 7.01 8.34 1.21 NA NA 22.57 23.90 090 44799 C Intestine surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44800 A Excision of bowel pouch 11.23 NA NA 5.70 5.70 1.11 NA NA 18.04 18.04 090 44820 A Excision of mesentery lesion 10.31 NA NA 5.41 5.63 1.03 NA NA 16.75 16.97 090 44850 A Repair of mesentery 9.57 NA NA 5.49 5.64 0.99 NA NA 16.05 16.20 090 44899 C Bowel surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44900 A Drain app abscess, open 8.82 NA NA 5.44 5.24 0.84 NA NA 15.10 14.90 090 44901 A Drain app abscess, percut 3.38 NA NA 4.99 4.44 0.17 NA NA 8.54 7.99 000 44950 A Appendectomy 8.70 NA NA 4.93 5.03 0.88 NA NA 14.51 14.61 090 44955 A Appendectomy add-on 1.53 NA NA 0.58 0.89 0.16 NA NA 2.27 2.58 ZZZ 44960 A Appendectomy 10.74 NA NA 6.01 6.11 1.09 NA NA 17.84 17.94 090 44970 A Laparoscopy, appendectomy 8.70 NA NA 4.31 4.56 0.88 NA NA 13.89 14.14 090 44979 C Laparoscope proc, app 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 45000 A Drainage of pelvic abscess 4.52 NA NA 3.78 3.27 0.37 NA NA 8.67 8.16 090 45005 A Drainage of rectal abscess 1.99 4.22 3.52 1.59 1.54 0.18 6.39 5.69 3.76 3.71 010 45020 A Drainage of rectal abscess 4.72 NA NA 3.83 3.58 0.41 NA NA 8.96 8.71 090 45100 A Biopsy of rectum 3.68 4.60 3.96 2.11 2.09 0.33 8.61 7.97 6.12 6.10 090 45108 A Removal of anorectal lesion 4.76 5.65 4.96 3.08 3.03 0.46 10.87 10.18 8.30 8.25 090 45110 A Removal of rectum 23.80 NA NA 12.01 13.44 2.26 NA NA 38.07 39.50 090 45111 A Partial removal of rectum 16.48 NA NA 8.87 9.85 1.60 NA NA 26.95 27.93 090 45112 A Removal of rectum 25.96 NA NA 12.40 13.66 2.35 NA NA 40.71 41.97 090 45113 A Partial proctectomy 25.99 NA NA 11.69 13.13 2.13 NA NA 39.81 41.25 090 45114 A Partial removal of rectum 23.22 NA NA 11.38 12.71 2.28 NA NA 36.88 38.21 090 45116 A Partial removal of rectum 20.89 NA NA 10.20 10.57 2.00 NA NA 33.09 33.46 090 45119 A Remove rectum w/reservoir 26.21 NA NA 12.21 13.52 2.13 NA NA 40.55 41.86 090 45120 A Removal of rectum 25.00 NA NA 11.96 13.42 2.28 NA NA 39.24 40.70 090 45121 A Removal of rectum and colon 27.51 NA NA 12.97 12.66 2.66 NA NA 43.14 42.83 090 45123 A Partial proctectomy 14.20 NA NA 6.89 8.36 1.04 NA NA 22.13 23.60 090 45126 A Pelvic exenteration 38.39 NA NA 17.29 17.29 3.23 NA NA 58.91 58.91 090 45130 A Excision of rectal prolapse 13.97 NA NA 7.07 7.72 1.12 NA NA 22.16 22.81 090 45135 A Excision of rectal prolapse 16.39 NA NA 8.49 10.70 1.52 NA NA 26.40 28.61 090 Start Printed Page 65480 45150 A Excision of rectal stricture 5.67 5.01 4.68 3.16 3.29 0.46 11.14 10.81 9.29 9.42 090 45160 A Excision of rectal lesion 13.02 NA NA 6.41 6.83 1.07 NA NA 20.50 20.92 090 45170 A Excision of rectal lesion 9.77 NA NA 5.31 5.24 0.89 NA NA 15.97 15.90 090 45190 A Destruction, rectal tumor 8.28 NA NA 4.74 4.94 0.76 NA NA 13.78 13.98 090 45300 A Proctosigmoidoscopy dx 0.38 1.24 1.08 0.23 0.25 0.05 1.67 1.51 0.66 0.68 000 45303 A Proctosigmoidoscopy dilate 0.44 1.41 1.23 0.26 0.28 0.06 1.91 1.73 0.76 0.78 000 45305 A Protosigmoidoscopy w/bx 0.56 1.34 1.23 0.30 0.34 0.09 1.99 1.88 0.95 0.99 000 45307 A Protosigmoidoscopy fb 0.94 2.26 2.04 0.44 0.68 0.15 3.35 3.13 1.53 1.77 000 45308 A Protosigmoidoscopy removal 0.83 1.49 1.43 0.40 0.46 0.13 2.45 2.39 1.36 1.42 000 45309 A Protosigmoidoscopy removal 1.11 2.07 1.86 0.50 0.53 0.17 3.35 3.14 1.78 1.81 000 45315 A Protosigmoidoscopy removal 1.40 2.32 2.06 0.62 0.79 0.20 3.92 3.66 2.22 2.39 000 45317 A Protosigmoidoscopy bleed 1.50 1.76 1.66 0.65 0.83 0.20 3.46 3.36 2.35 2.53 000 45320 A Protosigmoidoscopy ablate 1.58 1.71 1.79 0.68 1.02 0.20 3.49 3.57 2.46 2.80 000 45321 A Protosigmoidoscopy volvul 1.17 NA NA 0.53 0.80 0.17 NA NA 1.87 2.14 000 45327 A Proctosigmoidoscopy w/stent 1.46 NA NA 0.83 0.83 0.12 NA NA 2.41 2.41 000 45330 A Diagnostic sigmoidoscopy 0.88 1.75 1.65 0.42 0.46 0.05 2.68 2.58 1.35 1.39 000 45331 A Sigmoidoscopy and biopsy 1.15 1.98 1.92 0.52 0.77 0.07 3.20 3.14 1.74 1.99 000 45332 A Sigmoidoscopy w/fb removal 1.79 3.54 3.13 0.75 1.04 0.11 5.44 5.03 2.65 2.94 000 45333 A Sigmoidoscopy & polypectomy 1.79 3.14 2.96 0.75 1.15 0.12 5.05 4.87 2.66 3.06 000 45334 A Sigmoidoscopy for bleeding 2.73 NA NA 1.09 1.55 0.16 NA NA 3.98 4.44 000 45337 A Sigmoidoscopy & decompress 2.15 NA NA 0.89 1.37 0.15 NA NA 3.19 3.67 000 45338 A Sigmoidoscpy w/tumr remove 2.34 3.67 3.36 0.95 1.32 0.15 6.16 5.85 3.44 3.81 000 45339 A Sigmoidoscopy w/ablate tumr 2.86 2.85 3.02 1.14 1.74 0.17 5.88 6.05 4.17 4.77 000 45341 A Sigmoidoscopy w/ultrasound 3.46 NA NA 1.66 1.66 0.24 NA NA 5.36 5.36 000 45342 A Sigmoidoscopy w/us guide bx 4.08 NA NA 1.81 1.81 0.29 NA NA 6.18 6.18 000 45345 A Sigmodoscopy w/stent 2.66 NA NA 1.30 1.30 0.18 NA NA 4.14 4.14 000 45355 A Surgical colonoscopy 3.52 NA NA 1.29 1.29 0.26 NA NA 5.07 5.07 000 45378 A Diagnostic colonoscopy 3.68 6.60 6.07 1.70 2.38 0.20 10.48 9.95 5.58 6.26 000 45378 53 A Diagnostic colonoscopy 0.88 1.75 1.65 0.42 0.46 0.05 2.68 2.58 1.35 1.39 000 45379 A Colonoscopy w/fb removal 4.69 7.33 6.94 2.05 2.95 0.25 12.27 11.88 6.99 7.89 000 45380 A Colonoscopy and biopsy 3.98 6.78 6.39 1.81 2.56 0.21 10.97 10.58 6.00 6.75 000 45382 A Colonoscopy/control bleeding 5.69 7.95 7.56 2.23 3.27 0.27 13.91 13.52 8.19 9.23 000 45383 A Lesion removal colonoscopy 5.83 7.82 7.47 2.48 3.47 0.32 13.97 13.62 8.63 9.62 000 45384 A Lesion remove colonoscopy 4.67 7.41 6.96 2.06 2.95 0.24 12.32 11.87 6.97 7.86 000 45385 A Lesion removal colonoscopy 5.27 7.57 7.48 2.28 3.30 0.28 13.12 13.03 7.83 8.85 000 45387 A Colonoscopy w/stent 5.62 NA NA 2.41 2.41 0.36 NA NA 8.39 8.39 000 45500 A Repair of rectum 7.29 NA NA 4.25 4.80 0.56 NA NA 12.10 12.65 090 45505 A Repair of rectum 6.02 NA NA 3.27 4.16 0.50 NA NA 9.79 10.68 090 45520 A Treatment of rectal prolapse 0.55 0.73 0.71 0.19 0.23 0.04 1.32 1.30 0.78 0.82 000 45540 A Correct rectal prolapse 12.92 NA NA 7.02 7.95 1.17 NA NA 21.11 22.04 090 45541 A Correct rectal prolapse 10.64 NA NA 6.04 7.29 0.88 NA NA 17.56 18.81 090 45550 A Repair rectum/remove sigmoid 18.26 NA NA 8.91 9.80 1.58 NA NA 28.75 29.64 090 45560 A Repair of rectocele 8.40 NA NA 5.04 5.08 0.73 NA NA 14.17 14.21 090 45562 A Exploration/repair of rectum 12.21 NA NA 6.33 6.94 1.15 NA NA 19.69 20.30 090 45563 A Exploration/repair of rectum 18.63 NA NA 9.56 10.64 1.84 NA NA 30.03 31.11 090 45800 A Repair rect/bladder fistula 14.11 NA NA 6.91 7.85 1.14 NA NA 22.16 23.10 090 45805 A Repair fistula w/colostomy 16.50 NA NA 8.59 9.79 1.47 NA NA 26.56 27.76 090 45820 A Repair rectourethral fistula 14.67 NA NA 7.24 7.87 1.17 NA NA 23.08 23.71 090 45825 A Repair fistula w/colostomy 16.87 NA NA 8.67 9.18 0.97 NA NA 26.51 27.02 090 45900 A Reduction of rectal prolapse 1.83 NA NA 0.78 0.74 0.17 NA NA 2.78 2.74 010 45905 A Dilation of anal sphincter 1.61 3.06 2.49 0.72 0.73 0.14 4.81 4.24 2.47 2.48 010 45910 A Dilation of rectal narrowing 1.96 4.16 3.36 0.85 0.87 0.14 6.26 5.46 2.95 2.97 010 45915 A Remove rectal obstruction 2.20 4.10 3.29 0.84 0.84 0.17 6.47 5.66 3.21 3.21 010 45999 C Rectum surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 46030 A Removal of rectal marker 1.23 3.22 2.52 1.21 1.02 0.11 4.56 3.86 2.55 2.36 010 46040 A Incision of rectal abscess 4.96 5.27 4.41 3.09 2.78 0.48 10.71 9.85 8.53 8.22 090 46045 A Incision of rectal abscess 4.32 NA NA 2.80 2.60 0.40 NA NA 7.52 7.32 090 46050 A Incision of anal abscess 1.19 3.38 2.70 1.28 1.04 0.11 4.68 4.00 2.58 2.34 010 46060 A Incision of rectal abscess 5.69 NA NA 3.80 4.30 0.52 NA NA 10.01 10.51 090 46070 A Incision of anal septum 2.71 NA NA 2.45 2.21 0.27 NA NA 5.43 5.19 090 46080 A Incision of anal sphincter 2.49 3.65 3.32 1.62 1.79 0.23 6.37 6.04 4.34 4.51 010 46083 A Incise external hemorrhoid 1.40 4.43 3.49 1.45 1.17 0.12 5.95 5.01 2.97 2.69 010 46200 A Removal of anal fissure 3.42 3.81 3.75 2.38 2.68 0.30 7.53 7.47 6.10 6.40 090 46210 A Removal of anal crypt 2.67 4.82 3.83 2.14 1.82 0.26 7.75 6.76 5.07 4.75 090 46211 A Removal of anal crypts 4.25 5.33 4.51 2.92 2.71 0.37 9.95 9.13 7.54 7.33 090 46220 A Removal of anal tab 1.56 1.25 1.11 0.59 0.61 0.14 2.95 2.81 2.29 2.31 010 46221 A Ligation of hemorrhoid(s) 1.43 3.03 2.45 0.54 0.50 0.12 4.58 4.00 2.09 2.05 010 46230 A Removal of anal tabs 2.57 4.03 3.25 1.69 1.38 0.22 6.82 6.04 4.48 4.17 010 46250 A Hemorrhoidectomy 4.53 5.32 4.76 2.92 2.96 0.43 10.28 9.72 7.88 7.92 090 46255 A Hemorrhoidectomy 5.36 5.97 5.76 3.21 3.69 0.51 11.84 11.63 9.08 9.56 090 46257 A Remove hemorrhoids & fissure 6.28 NA NA 3.46 4.02 0.59 NA NA 10.33 10.89 090 46258 A Remove hemorrhoids & fistula 6.67 NA NA 3.67 4.35 0.64 NA NA 10.98 11.66 090 46260 A Hemorrhoidectomy 7.42 NA NA 4.41 4.96 0.68 NA NA 12.51 13.06 090 46261 A Remove hemorrhoids & fissure 8.24 NA NA 4.58 5.23 0.70 NA NA 13.52 14.17 090 46262 A Remove hemorrhoids & fistula 8.73 NA NA 4.85 5.46 0.76 NA NA 14.34 14.95 090 46270 A Removal of anal fistula 3.72 4.74 4.06 2.56 2.43 0.36 8.82 8.14 6.64 6.51 090 46275 A Removal of anal fistula 4.56 4.61 4.82 2.83 3.49 0.40 9.57 9.78 7.79 8.45 090 46280 A Removal of anal fistula 5.98 NA NA 3.76 4.47 0.50 NA NA 10.24 10.95 090 46285 A Removal of anal fistula 4.09 3.84 3.50 2.64 2.60 0.34 8.27 7.93 7.07 7.03 090 46288 A Repair anal fistula 7.13 NA NA 4.23 4.14 0.60 NA NA 11.96 11.87 090 46320 A Removal of hemorrhoid clot 1.61 3.63 2.91 1.49 1.21 0.14 5.38 4.66 3.24 2.96 010 46500 A Injection into hemorrhoids 1.61 2.55 2.00 0.60 0.50 0.12 4.28 3.73 2.33 2.23 010 46600 A Diagnostic anoscopy 0.50 0.77 0.65 0.15 0.15 0.04 1.31 1.19 0.69 0.69 000 Start Printed Page 65481 46604 A Anoscopy and dilation 1.31 0.96 0.82 0.49 0.42 0.09 2.36 2.22 1.89 1.82 000 46606 A Anoscopy and biopsy 0.81 0.88 0.76 0.31 0.28 0.07 1.76 1.64 1.19 1.16 000 46608 A Anoscopy/ remove for body 1.51 1.78 1.63 0.47 0.64 0.13 3.42 3.27 2.11 2.28 000 46610 A Anoscopy/remove lesion 1.32 1.41 1.29 0.50 0.61 0.12 2.85 2.73 1.94 2.05 000 46611 A Anoscopy 1.81 1.96 1.70 0.68 0.63 0.15 3.92 3.66 2.64 2.59 000 46612 A Anoscopy/ remove lesions 2.34 2.29 2.10 0.88 1.04 0.18 4.81 4.62 3.40 3.56 000 46614 A Anoscopy/control bleeding 2.01 1.62 1.64 0.74 0.77 0.14 3.77 3.79 2.89 2.92 000 46615 A Anoscopy 2.68 1.75 1.73 1.01 0.97 0.23 4.66 4.64 3.92 3.88 000 46700 A Repair of anal stricture 7.25 NA NA 4.12 4.76 0.56 NA NA 11.93 12.57 090 46705 A Repair of anal stricture 7.17 NA NA 4.83 4.60 0.73 NA NA 12.73 12.50 090 46715 A Repair of anovaginal fistula 7.46 NA NA 4.63 4.43 0.76 NA NA 12.85 12.65 090 46716 A Repair of anovaginal fistula 12.85 NA NA 7.04 6.92 1.30 NA NA 21.19 21.07 090 46730 A Construction of absent anus 22.39 NA NA 10.92 11.11 2.03 NA NA 35.34 35.53 090 46735 A Construction of absent anus 27.02 NA NA 13.19 13.43 2.64 NA NA 42.85 43.09 090 46740 A Construction of absent anus 24.19 NA NA 11.01 11.39 1.99 NA NA 37.19 37.57 090 46742 A Repair of imperforated anus 29.67 NA NA 15.65 17.10 2.63 NA NA 47.95 49.40 090 46744 A Repair of cloacal anomaly 33.21 NA NA 14.55 16.93 2.27 NA NA 50.03 52.41 090 46746 A Repair of cloacal anomaly 36.74 NA NA 18.48 20.44 2.51 NA NA 57.73 59.69 090 46748 A Repair of cloacal anomaly 40.52 NA NA 19.99 22.33 2.77 NA NA 63.28 65.62 090 46750 A Repair of anal sphincter 8.14 NA NA 4.84 5.26 0.69 NA NA 13.67 14.09 090 46751 A Repair of anal sphincter 8.77 NA NA 6.22 5.77 0.78 NA NA 15.77 15.32 090 46753 A Reconstruction of anus 6.58 NA NA 3.53 3.98 0.58 NA NA 10.69 11.14 090 46754 A Removal of suture from anus 1.54 4.98 4.14 1.09 1.22 0.12 6.64 5.80 2.75 2.88 010 46760 A Repair of anal sphincter 11.46 NA NA 5.77 6.17 0.86 NA NA 18.09 18.49 090 46761 A Repair of anal sphincter 10.99 NA NA 5.68 6.11 0.84 NA NA 17.51 17.94 090 46762 A Implant artificial sphincter 10.09 NA NA 4.94 5.26 0.71 NA NA 15.74 16.06 090 46900 A Destruction, anal lesion(s) 1.91 3.19 2.50 0.78 0.64 0.13 5.23 4.54 2.82 2.68 010 46910 A Destruction, anal lesion(s) 1.86 3.44 2.75 1.48 1.20 0.14 5.44 4.75 3.48 3.20 010 46916 A Cryosurgery, anal lesion(s) 1.86 3.42 2.75 1.60 1.29 0.09 5.37 4.70 3.55 3.24 010 46917 A Laser surgery, anal lesions 1.86 4.24 3.71 1.54 1.42 0.16 6.26 5.73 3.56 3.44 010 46922 A Excision of anal lesion(s) 1.86 3.68 3.11 1.43 1.42 0.17 5.71 5.14 3.46 3.45 010 46924 A Destruction, anal lesion(s) 2.76 4.91 4.38 1.73 1.99 0.20 7.87 7.34 4.69 4.95 010 46934 A Destruction of hemorrhoids 4.08 5.74 4.63 3.46 2.76 0.26 10.08 8.97 7.80 7.10 090 46935 A Destruction of hemorrhoids 2.43 3.91 3.37 0.90 0.90 0.17 6.51 5.97 3.50 3.50 010 46936 A Destruction of hemorrhoids 4.30 5.58 4.81 3.39 2.86 0.30 10.18 9.41 7.99 7.46 090 46937 A Cryotherapy of rectal lesion 2.69 4.05 3.68 2.40 2.44 0.12 6.86 6.49 5.21 5.25 010 46938 A Cryotherapy of rectal lesion 4.66 3.99 3.67 3.48 3.29 0.40 9.05 8.73 8.54 8.35 090 46940 A Treatment of anal fissure 2.32 2.99 2.38 0.88 0.73 0.17 5.48 4.87 3.37 3.22 010 46942 A Treatment of anal fissure 2.04 3.07 2.43 0.73 0.61 0.14 5.25 4.61 2.91 2.79 010 46945 A Ligation of hemorrhoids 2.14 3.76 2.99 2.12 1.68 0.17 6.07 5.30 4.43 3.99 090 46946 A Ligation of hemorrhoids 3.00 4.99 4.00 2.45 1.97 0.22 8.21 7.22 5.67 5.19 090 46999 C Anus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47000 A Needle biopsy of liver 1.90 8.46 6.73 0.68 0.89 0.09 10.45 8.72 2.67 2.88 000 47001 A Needle biopsy, liver add-on 1.90 NA NA 0.72 0.92 0.18 NA NA 2.80 3.00 ZZZ 47010 A Open drainage, liver lesion 10.28 NA NA 7.49 7.45 0.65 NA NA 18.42 18.38 090 47011 A Percut drain, liver lesion 3.70 NA NA 6.00 5.26 0.17 NA NA 9.87 9.13 000 47015 A Inject/aspirate liver cyst 9.70 NA NA 6.11 6.42 0.86 NA NA 16.67 16.98 090 47100 A Wedge biopsy of liver 7.49 NA NA 4.96 4.61 0.75 NA NA 13.20 12.85 090 47120 A Partial removal of liver 22.79 NA NA 12.56 12.68 2.29 NA NA 37.64 37.76 090 47122 A Extensive removal of liver 35.39 NA NA 17.25 17.71 3.60 NA NA 56.24 56.70 090 47125 A Partial removal of liver 31.58 NA NA 15.87 16.63 3.18 NA NA 50.63 51.39 090 47130 A Partial removal of liver 34.25 NA NA 17.03 17.98 3.47 NA NA 54.75 55.70 090 47133 X Removal of donor liver 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 47134 R Partial removal, donor liver 39.15 NA NA 15.00 16.81 3.98 NA NA 58.13 59.94 XXX 47135 R Transplantation of liver 81.52 NA NA 43.43 47.35 8.13 NA NA 133.08 137.00 090 47136 R Transplantation of liver 68.60 NA NA 45.80 43.44 6.93 NA NA 121.33 118.97 090 47300 A Surgery for liver lesion 9.68 NA NA 5.79 6.42 0.97 NA NA 16.44 17.07 090 47350 A Repair liver wound 12.56 NA NA 7.01 7.28 1.25 NA NA 20.82 21.09 090 47360 A Repair liver wound 17.28 NA NA 9.45 10.05 1.71 NA NA 28.44 29.04 090 47361 A Repair liver wound 30.25 NA NA 14.47 14.83 3.11 NA NA 47.83 48.19 090 47362 A Repair liver wound 11.88 NA NA 7.81 7.28 1.22 NA NA 20.91 20.38 090 47379 C Laparoscope procedure, liver 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47399 C Liver surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47400 A Incision of liver duct 20.86 NA NA 10.90 10.49 1.82 NA NA 33.58 33.17 090 47420 A Incision of bile duct 16.72 NA NA 8.42 8.89 1.70 NA NA 26.84 27.31 090 47425 A Incision of bile duct 16.68 NA NA 8.62 9.64 1.60 NA NA 26.90 27.92 090 47460 A Incise bile duct sphincter 15.17 NA NA 7.92 10.16 1.24 NA NA 24.33 26.57 090 47480 A Incision of gallbladder 9.10 NA NA 5.98 6.55 0.85 NA NA 15.93 16.50 090 47490 A Incision of gallbladder 7.23 NA NA 7.42 6.53 0.33 NA NA 14.98 14.09 090 47500 A Injection for liver x-rays 1.96 NA NA 0.69 0.93 0.09 NA NA 2.74 2.98 000 47505 A Injection for liver x-rays 0.76 14.97 11.49 0.27 0.43 0.03 15.76 12.28 1.06 1.22 000 47510 A Insert catheter, bile duct 7.83 NA NA 8.81 7.39 0.36 NA NA 17.00 15.58 090 47511 A Insert bile duct drain 10.50 NA NA 10.08 8.34 0.47 NA NA 21.05 19.31 090 47525 A Change bile duct catheter 5.55 NA NA 3.30 2.91 0.24 NA NA 9.09 8.70 010 47530 A Revise/reinsert bile tube 5.85 NA NA 4.92 4.10 0.29 NA NA 11.06 10.24 090 47550 A Bile duct endoscopy add-on 3.02 NA NA 1.15 1.29 0.30 NA NA 4.47 4.61 ZZZ 47552 A Biliary endoscopy thru skin 6.04 NA NA 2.56 2.29 0.42 NA NA 9.02 8.75 000 47553 A Biliary endoscopy thru skin 6.35 NA NA 2.73 3.08 0.30 NA NA 9.38 9.73 000 47554 A Biliary endoscopy thru skin 9.06 NA NA 3.66 3.81 0.74 NA NA 13.46 13.61 000 47555 A Biliary endoscopy thru skin 7.56 NA NA 3.17 3.09 0.35 NA NA 11.08 11.00 000 47556 A Biliary endoscopy thru skin 8.56 NA NA 3.51 3.35 0.38 NA NA 12.45 12.29 000 47560 A Laparoscopy w/cholangio 4.89 NA NA 1.98 2.24 0.49 NA NA 7.36 7.62 000 47561 A Laparo w/cholangio/biopsy 5.18 NA NA 2.26 2.76 0.49 NA NA 7.93 8.43 000 Start Printed Page 65482 47562 A Laparoscopic cholecystectomy 11.09 NA NA 5.04 5.95 1.13 NA NA 17.26 18.17 090 47563 A Laparo cholecystectomy/graph 11.94 NA NA 5.53 6.44 1.21 NA NA 18.68 19.59 090 47564 A Laparo cholecystectomy/explr 14.23 NA NA 7.17 7.92 1.44 NA NA 22.84 23.59 090 47570 A Laparo cholecystoenterostomy 12.58 NA NA 6.12 7.08 1.28 NA NA 19.98 20.94 090 47579 C Laparoscope proc, biliary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47600 A Removal of gallbladder 11.42 NA NA 6.16 6.66 1.16 NA NA 18.74 19.24 090 47605 A Removal of gallbladder 12.36 NA NA 6.50 7.08 1.25 NA NA 20.11 20.69 090 47610 A Removal of gallbladder 15.83 NA NA 7.94 8.50 1.61 NA NA 25.38 25.94 090 47612 A Removal of gallbladder 15.80 NA NA 7.76 9.68 1.60 NA NA 25.16 27.08 090 47620 A Removal of gallbladder 17.36 NA NA 8.39 9.34 1.77 NA NA 27.52 28.47 090 47630 A Remove bile duct stone 9.11 NA NA 3.25 3.46 0.46 NA NA 12.82 13.03 090 47700 A Exploration of bile ducts 15.62 NA NA 8.92 8.76 1.40 NA NA 25.94 25.78 090 47701 A Bile duct revision 29.55 NA NA 14.49 13.10 3.00 NA NA 47.04 45.65 090 47711 A Excision of bile duct tumor 19.37 NA NA 10.19 10.92 1.98 NA NA 31.54 32.27 090 47712 A Excision of bile duct tumor 25.44 NA NA 12.89 12.94 2.67 NA NA 41.00 41.05 090 47715 A Excision of bile duct cyst 15.81 NA NA 7.97 8.21 1.59 NA NA 25.37 25.61 090 47716 A Fusion of bile duct cyst 13.83 NA NA 8.56 8.20 1.41 NA NA 23.80 23.44 090 47720 A Fuse gallbladder & bowel 13.38 NA NA 7.95 8.45 1.37 NA NA 22.70 23.20 090 47721 A Fuse upper gi structures 16.08 NA NA 8.89 9.77 1.63 NA NA 26.60 27.48 090 47740 A Fuse gallbladder & bowel 15.54 NA NA 8.78 9.36 1.59 NA NA 25.91 26.49 090 47741 A Fuse gallbladder & bowel 17.95 NA NA 9.55 11.06 1.82 NA NA 29.32 30.83 090 47760 A Fuse bile ducts and bowel 21.74 NA NA 10.99 11.39 2.21 NA NA 34.94 35.34 090 47765 A Fuse liver ducts & bowel 20.93 NA NA 11.63 12.69 2.18 NA NA 34.74 35.80 090 47780 A Fuse bile ducts and bowel 22.29 NA NA 11.25 11.98 2.27 NA NA 35.81 36.54 090 47785 A Fuse bile ducts and bowel 26.23 NA NA 13.37 13.57 2.69 NA NA 42.29 42.49 090 47800 A Reconstruction of bile ducts 19.60 NA NA 10.17 11.22 1.95 NA NA 31.72 32.77 090 47801 A Placement, bile duct support 12.76 NA NA 9.34 8.49 0.69 NA NA 22.79 21.94 090 47802 A Fuse liver duct & intestine 18.13 NA NA 10.48 10.65 1.84 NA NA 30.45 30.62 090 47900 A Suture bile duct injury 16.74 NA NA 9.16 10.46 1.65 NA NA 27.55 28.85 090 47999 C Bile tract surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 48000 A Drainage of abdomen 14.91 NA NA 8.27 8.12 1.32 NA NA 24.50 24.35 090 48001 A Placement of drain, pancreas 18.83 NA NA 9.37 9.23 1.90 NA NA 30.10 29.96 090 48005 A Resect/debride pancreas 22.40 NA NA 10.65 10.48 2.26 NA NA 35.31 35.14 090 48020 A Removal of pancreatic stone 14.22 NA NA 7.25 7.28 1.36 NA NA 22.83 22.86 090 48100 A Biopsy of pancreas 11.08 NA NA 6.62 6.11 1.08 NA NA 18.78 18.27 090 48102 A Needle biopsy, pancreas 4.68 8.31 6.89 2.41 2.46 0.20 13.19 11.77 7.29 7.34 010 48120 A Removal of pancreas lesion 14.36 NA NA 7.14 7.99 1.35 NA NA 22.85 23.70 090 48140 A Partial removal of pancreas 20.78 NA NA 10.29 11.32 2.12 NA NA 33.19 34.22 090 48145 A Partial removal of pancreas 21.76 NA NA 11.28 12.72 2.25 NA NA 35.29 36.73 090 48146 A Pancreatectomy 23.91 NA NA 13.04 14.26 2.43 NA NA 39.38 40.60 090 48148 A Removal of pancreatic duct 15.71 NA NA 8.95 8.95 1.61 NA NA 26.27 26.27 090 48150 A Partial removal of pancreas 43.48 NA NA 21.07 21.92 4.43 NA NA 68.98 69.83 090 48152 A Pancreatectomy 39.63 NA NA 19.66 20.86 4.07 NA NA 63.36 64.56 090 48153 A Pancreatectomy 43.38 NA NA 20.98 21.85 4.40 NA NA 68.76 69.63 090 48154 A Pancreatectomy 39.95 NA NA 19.94 21.07 4.10 NA NA 63.99 65.12 090 48155 A Removal of pancreas 22.32 NA NA 13.25 15.47 2.30 NA NA 37.87 40.09 090 48160 N Pancreas removal/transplant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 48180 A Fuse pancreas and bowel 22.39 NA NA 10.69 11.44 2.24 NA NA 35.32 36.07 090 48400 A Injection, intraop add-on 1.95 NA NA 0.70 0.81 0.10 NA NA 2.75 2.86 ZZZ 48500 A Surgery of pancreas cyst 13.84 NA NA 7.28 7.78 1.35 NA NA 22.47 22.97 090 48510 A Drain pancreatic pseudocyst 12.96 NA NA 7.12 7.39 1.07 NA NA 21.15 21.42 090 48511 A Drain pancreatic pseudocyst 4.00 NA NA 4.57 4.25 0.17 NA NA 8.74 8.42 000 48520 A Fuse pancreas cyst and bowel 14.12 NA NA 6.98 8.30 1.41 NA NA 22.51 23.83 090 48540 A Fuse pancreas cyst and bowel 17.86 NA NA 8.45 9.77 1.82 NA NA 28.13 29.45 090 48545 A Pancreatorrhaphy 16.47 NA NA 8.34 8.33 1.61 NA NA 26.42 26.41 090 48547 A Duodenal exclusion 23.40 NA NA 10.50 10.88 2.30 NA NA 36.20 36.58 090 48550 X Donor pancreatectomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 48554 R Transpl allograft pancreas 34.17 NA NA 12.84 14.48 3.30 NA NA 50.31 51.95 090 48556 A Removal, allograft pancreas 15.71 NA NA 8.75 8.53 1.52 NA NA 25.98 25.76 090 48999 C Pancreas surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 49000 A Exploration of abdomen 11.68 NA NA 6.32 6.58 1.17 NA NA 19.17 19.43 090 49002 A Reopening of abdomen 10.49 NA NA 6.21 6.30 1.06 NA NA 17.76 17.85 090 49010 A Exploration behind abdomen 12.28 NA NA 7.18 7.27 1.22 NA NA 20.68 20.77 090 49020 A Drain abdominal abscess 16.79 NA NA 9.52 8.45 1.31 NA NA 27.62 26.55 090 49021 A Drain abdominal abscess 3.38 NA NA 6.02 5.53 0.16 NA NA 9.56 9.07 000 49040 A Drain, open, abdom abscess 9.94 NA NA 6.81 6.88 0.84 NA NA 17.59 17.66 090 49041 A Drain, percut, abdom abscess 4.00 NA NA 6.23 5.50 0.18 NA NA 10.41 9.68 000 49060 A Drain, open, retrop abscess 11.66 NA NA 8.05 7.54 0.77 NA NA 20.48 19.97 090 49061 A Drain, percut, retroper absc 3.70 NA NA 6.15 5.37 0.17 NA NA 10.02 9.24 000 49062 A Drain to peritoneal cavity 11.36 NA NA 7.40 7.74 1.08 NA NA 19.84 20.18 090 49080 A Puncture, peritoneal cavity 1.35 2.93 2.43 0.61 0.69 0.07 4.35 3.85 2.03 2.11 000 49081 A Removal of abdominal fluid 1.26 2.76 2.27 0.58 0.64 0.06 4.08 3.59 1.90 1.96 000 49085 A Remove abdomen foreign body 8.93 NA NA 5.60 5.14 0.88 NA NA 15.41 14.95 090 49180 A Biopsy, abdominal mass 1.73 7.02 5.76 0.61 0.95 0.08 8.83 7.57 2.42 2.76 000 49200 A Removal of abdominal lesion 10.25 NA NA 6.45 7.11 0.89 NA NA 17.59 18.25 090 49201 A Removal of abdominal lesion 14.84 NA NA 8.70 9.81 1.44 NA NA 24.98 26.09 090 49215 A Excise sacral spine tumor 23.20 NA NA 11.20 10.71 2.48 NA NA 36.88 36.39 090 49220 A Multiple surgery, abdomen 14.88 NA NA 7.90 9.26 1.51 NA NA 24.29 25.65 090 49250 A Excision of umbilicus 8.35 NA NA 5.15 5.09 0.84 NA NA 14.34 14.28 090 49255 A Removal of omentum 11.14 NA NA 6.67 6.40 1.12 NA NA 18.93 18.66 090 49320 A Diag laparo separate proc 5.10 NA NA 3.04 3.49 0.50 NA NA 8.64 9.09 010 49321 A Laparoscopy, biopsy 5.40 NA NA 3.12 3.67 0.53 NA NA 9.05 9.60 010 49322 A Laparoscopy, aspiration 5.70 NA NA 3.40 3.87 0.57 NA NA 9.67 10.14 010 Start Printed Page 65483 49323 A Laparo drain lymphocele 9.48 NA NA 4.14 4.93 0.88 NA NA 14.50 15.29 090 49329 C Laparo proc, abdm/per/oment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 49400 A Air injection into abdomen 1.88 NA NA 0.83 0.93 0.11 NA NA 2.82 2.92 000 49420 A Insert abdominal drain 2.22 NA NA 0.97 1.16 0.13 NA NA 3.32 3.51 000 49421 A Insert abdominal drain 5.54 NA NA 4.14 4.23 0.55 NA NA 10.23 10.32 090 49422 A Remove perm cannula/catheter 6.25 NA NA 3.06 3.42 0.63 NA NA 9.94 10.30 010 49423 A Exchange drainage catheter 1.46 NA NA 0.69 0.82 0.07 NA NA 2.22 2.35 000 49424 A Assess cyst, contrast inject 0.76 NA NA 0.44 0.49 0.03 NA NA 1.23 1.28 000 49425 A Insert abdomen-venous drain 11.37 NA NA 7.14 7.66 1.21 NA NA 19.72 20.24 090 49426 A Revise abdomen-venous shunt 9.63 NA NA 6.18 6.10 0.93 NA NA 16.74 16.66 090 49427 A Injection, abdominal shunt 0.89 NA NA 0.48 0.49 0.05 NA NA 1.42 1.43 000 49428 A Ligation of shunt 2.38 NA NA 1.78 1.62 0.31 NA NA 4.47 4.31 010 49429 A Removal of shunt 7.40 NA NA 3.70 3.68 0.81 NA NA 11.91 11.89 010 49495 A Repair inguinal hernia, init 5.84 NA NA 3.56 4.02 0.55 NA NA 9.95 10.41 090 49496 A Repair inguinal hernia, init 8.79 NA NA 6.55 6.28 0.89 NA NA 16.23 15.96 090 49500 A Repair inguinal hernia 4.68 NA NA 3.13 3.70 0.46 NA NA 8.27 8.84 090 49501 A Repair inguinal hernia, init 7.58 NA NA 4.18 4.50 0.76 NA NA 12.52 12.84 090 49505 A Repair inguinal hernia 6.49 4.17 4.35 3.73 4.02 0.65 11.31 11.49 10.87 11.16 090 49507 A Repair inguinal hernia 8.17 NA NA 5.59 5.56 0.83 NA NA 14.59 14.56 090 49520 A Rerepair inguinal hernia 8.22 NA NA 4.98 5.15 0.84 NA NA 14.04 14.21 090 49521 A Repair inguinal hernia, rec 10.22 NA NA 5.28 5.33 1.04 NA NA 16.54 16.59 090 49525 A Repair inguinal hernia 7.32 NA NA 4.53 4.90 0.74 NA NA 12.59 12.96 090 49540 A Repair lumbar hernia 8.87 NA NA 5.17 5.29 0.90 NA NA 14.94 15.06 090 49550 A Repair femoral hernia 7.37 NA NA 4.12 4.34 0.75 NA NA 12.24 12.46 090 49553 A Repair femoral hernia, init 8.06 NA NA 4.51 4.63 0.83 NA NA 13.40 13.52 090 49555 A Repair femoral hernia 7.71 NA NA 4.84 5.28 0.79 NA NA 13.34 13.78 090 49557 A Repair femoral hernia, recur 9.52 NA NA 5.04 5.43 0.97 NA NA 15.53 15.92 090 49560 A Repair abdominal hernia 9.88 NA NA 5.54 5.69 1.00 NA NA 16.42 16.57 090 49561 A Repair incisional hernia 12.17 NA NA 6.07 6.09 1.23 NA NA 19.47 19.49 090 49565 A Rerepair abdominal hernia 9.88 NA NA 5.70 6.02 1.00 NA NA 16.58 16.90 090 49566 A Repair incisional hernia 12.30 NA NA 6.11 6.32 1.24 NA NA 19.65 19.86 090 49568 A Hernia repair w/mesh 4.89 NA NA 1.86 2.09 0.50 NA NA 7.25 7.48 ZZZ 49570 A Repair epigastric hernia 4.86 NA NA 3.21 3.60 0.50 NA NA 8.57 8.96 090 49572 A Repair epigastric hernia 5.75 NA NA 3.65 4.26 0.58 NA NA 9.98 10.59 090 49580 A Repair umbilical hernia 3.34 NA NA 2.66 3.04 0.34 NA NA 6.34 6.72 090 49582 A Repair umbilical hernia 5.68 NA NA 4.45 4.59 0.57 NA NA 10.70 10.84 090 49585 A Repair umbilical hernia 5.32 NA NA 3.76 4.02 0.53 NA NA 9.61 9.87 090 49587 A Repair umbilical hernia 6.46 NA NA 3.88 4.11 0.65 NA NA 10.99 11.22 090 49590 A Repair abdominal hernia 7.29 NA NA 4.49 4.90 0.74 NA NA 12.52 12.93 090 49600 A Repair umbilical lesion 10.96 NA NA 6.48 6.29 1.13 NA NA 18.57 18.38 090 49605 A Repair umbilical lesion 24.94 NA NA 12.36 11.60 2.57 NA NA 39.87 39.11 090 49606 A Repair umbilical lesion 21.31 NA NA 10.56 10.18 2.22 NA NA 34.09 33.71 090 49610 A Repair umbilical lesion 10.50 NA NA 6.60 6.44 0.77 NA NA 17.87 17.71 090 49611 A Repair umbilical lesion 8.92 NA NA 6.46 7.29 0.65 NA NA 16.03 16.86 090 49650 A Laparo hernia repair initial 6.27 NA NA 3.39 3.77 0.64 NA NA 10.30 10.68 090 49651 A Laparo hernia repair recur 8.24 NA NA 4.48 4.78 0.84 NA NA 13.56 13.86 090 49659 C Laparo proc, hernia repair 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 49900 A Repair of abdominal wall 12.28 NA NA 6.91 6.18 1.23 NA NA 20.42 19.69 090 49905 A Omental flap 6.55 NA NA 2.43 2.75 0.61 NA NA 9.59 9.91 ZZZ 49906 C Free omental flap, microvasc 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 YYY 50010 A Exploration of kidney 10.98 NA NA 6.77 7.67 0.79 NA NA 18.54 19.44 090 50020 A Renal abscess, open drain 14.66 NA NA 13.15 11.71 0.80 NA NA 28.61 27.17 090 50021 A Renal abscess, percut drain 3.38 NA NA 11.64 9.43 0.15 NA NA 15.17 12.96 000 50040 A Drainage of kidney 14.94 NA NA 11.09 10.27 0.82 NA NA 26.85 26.03 090 50045 A Exploration of kidney 15.46 NA NA 8.14 8.77 1.06 NA NA 24.66 25.29 090 50060 A Removal of kidney stone 19.30 NA NA 9.48 10.43 1.14 NA NA 29.92 30.87 090 50065 A Incision of kidney 20.79 NA NA 7.49 9.40 1.13 NA NA 29.41 31.32 090 50070 A Incision of kidney 20.32 NA NA 10.39 11.29 1.20 NA NA 31.91 32.81 090 50075 A Removal of kidney stone 25.34 NA NA 12.20 13.73 1.51 NA NA 39.05 40.58 090 50080 A Removal of kidney stone 14.71 NA NA 10.36 11.08 0.86 NA NA 25.93 26.65 090 50081 A Removal of kidney stone 21.80 NA NA 12.45 13.40 1.30 NA NA 35.55 36.50 090 50100 A Revise kidney blood vessels 16.09 NA NA 9.74 10.11 1.64 NA NA 27.47 27.84 090 50120 A Exploration of kidney 15.91 NA NA 8.51 9.34 1.04 NA NA 25.46 26.29 090 50125 A Explore and drain kidney 16.52 NA NA 8.64 9.45 1.07 NA NA 26.23 27.04 090 50130 A Removal of kidney stone 17.29 NA NA 8.81 10.08 1.04 NA NA 27.14 28.41 090 50135 A Exploration of kidney 19.18 NA NA 9.41 11.68 1.18 NA NA 29.77 32.04 090 50200 A Biopsy of kidney 2.63 NA NA 0.94 1.41 0.12 NA NA 3.69 4.16 000 50205 A Biopsy of kidney 11.31 NA NA 6.41 6.34 0.94 NA NA 18.66 18.59 090 50220 A Removal of kidney 17.15 NA NA 8.97 10.34 1.16 NA NA 27.28 28.65 090 50225 A Removal of kidney 20.23 NA NA 9.89 11.90 1.26 NA NA 31.38 33.39 090 50230 A Removal of kidney 22.07 NA NA 10.47 12.85 1.35 NA NA 33.89 36.27 090 50234 A Removal of kidney & ureter 22.40 NA NA 10.54 12.42 1.37 NA NA 34.31 36.19 090 50236 A Removal of kidney & ureter 24.86 NA NA 13.52 14.95 1.50 NA NA 39.88 41.31 090 50240 A Partial removal of kidney 22.00 NA NA 12.56 13.76 1.36 NA NA 35.92 37.12 090 50280 A Removal of kidney lesion 15.67 NA NA 8.32 9.19 0.99 NA NA 24.98 25.85 090 50290 A Removal of kidney lesion 14.73 NA NA 8.19 8.55 1.11 NA NA 24.03 24.39 090 50300 X Removal of donor kidney 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 50320 A Removal of donor kidney 22.21 NA NA 10.49 12.34 1.78 NA NA 34.48 36.33 090 50340 A Removal of kidney 12.15 NA NA 8.77 9.97 1.15 NA NA 22.07 23.27 090 50360 A Transplantation of kidney 31.53 NA NA 17.74 19.94 2.97 NA NA 52.24 54.44 090 50365 A Transplantation of kidney 36.81 NA NA 21.34 24.34 3.51 NA NA 61.66 64.66 090 50370 A Remove transplanted kidney 13.72 NA NA 9.66 10.25 1.26 NA NA 24.64 25.23 090 Start Printed Page 65484 50380 A Reimplantation of kidney 20.76 NA NA 13.88 13.16 1.80 NA NA 36.44 35.72 090 50390 A Drainage of kidney lesion 1.96 NA NA 0.69 0.98 0.09 NA NA 2.74 3.03 000 50392 A Insert kidney drain 3.38 NA NA 1.19 1.53 0.15 NA NA 4.72 5.06 000 50393 A Insert ureteral tube 4.16 NA NA 1.46 1.91 0.18 NA NA 5.80 6.25 000 50394 A Injection for kidney x-ray 0.76 13.29 10.12 0.27 0.35 0.04 14.09 10.92 1.07 1.15 000 50395 A Create passage to kidney 3.38 NA NA 1.18 1.79 0.16 NA NA 4.72 5.33 000 50396 A Measure kidney pressure 2.09 NA NA 0.88 0.80 0.10 NA NA 3.07 2.99 000 50398 A Change kidney tube 1.46 1.30 1.12 0.51 0.53 0.07 2.83 2.65 2.04 2.06 000 50400 A Revision of kidney/ureter 19.50 NA NA 9.59 10.90 1.21 NA NA 30.30 31.61 090 50405 A Revision of kidney/ureter 23.93 NA NA 12.67 14.19 1.45 NA NA 38.05 39.57 090 50500 A Repair of kidney wound 19.57 NA NA 11.12 11.72 1.45 NA NA 32.14 32.74 090 50520 A Close kidney-skin fistula 17.23 NA NA 10.45 10.64 1.26 NA NA 28.94 29.13 090 50525 A Repair renal-abdomen fistula 22.27 NA NA 12.53 12.82 1.51 NA NA 36.31 36.60 090 50526 A Repair renal-abdomen fistula 24.02 NA NA 15.41 13.56 1.62 NA NA 41.05 39.20 090 50540 A Revision of horseshoe kidney 19.93 NA NA 11.82 12.50 1.28 NA NA 33.03 33.71 090 50541 A Laparo ablate renal cyst 16.00 NA NA 6.61 6.61 0.99 NA NA 23.60 23.60 090 50544 A Laparoscopy, pyeloplasty 22.40 NA NA 8.78 8.78 1.41 NA NA 32.59 32.59 090 50545 A Laparo radical nephrectomy 24.00 NA NA 9.41 9.41 1.81 NA NA 35.22 35.22 090 50546 A Laparoscopic nephrectomy 20.48 NA NA 8.31 8.31 1.37 NA NA 30.16 30.16 090 50547 A Laparo removal donor kidney 25.50 NA NA 10.99 10.99 2.04 NA NA 38.53 38.53 090 50548 A Laparo remove k/ureter 24.40 NA NA 9.44 9.44 1.49 NA NA 35.33 35.33 090 50549 C Laparoscope proc, renal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 50551 A Kidney endoscopy 5.60 4.54 4.00 1.86 1.99 0.33 10.47 9.93 7.79 7.92 000 50553 A Kidney endoscopy 5.99 15.58 12.14 2.06 2.00 0.35 21.92 18.48 8.40 8.34 000 50555 A Kidney endoscopy & biopsy 6.53 18.16 14.90 2.20 2.93 0.38 25.07 21.81 9.11 9.84 000 50557 A Kidney endoscopy & treatment 6.62 18.28 14.99 2.21 2.94 0.39 25.29 22.00 9.22 9.95 000 50559 A Renal endoscopy/radiotracer 6.78 NA NA 2.37 2.14 0.27 NA NA 9.42 9.19 000 50561 A Kidney endoscopy & treatment 7.59 16.42 13.71 2.55 3.30 0.44 24.45 21.74 10.58 11.33 000 50570 A Kidney endoscopy 9.54 NA NA 3.19 2.79 0.56 NA NA 13.29 12.89 000 50572 A Kidney endoscopy 10.35 NA NA 3.44 4.55 0.64 NA NA 14.43 15.54 000 50574 A Kidney endoscopy & biopsy 11.02 NA NA 3.67 4.67 0.65 NA NA 15.34 16.34 000 50575 A Kidney endoscopy 13.98 NA NA 4.67 6.20 0.84 NA NA 19.49 21.02 000 50576 A Kidney endoscopy & treatment 10.99 NA NA 3.64 5.09 0.66 NA NA 15.29 16.74 000 50578 A Renal endoscopy/radiotracer 11.35 NA NA 3.78 3.86 0.67 NA NA 15.80 15.88 000 50580 A Kidney endoscopy & treatment 11.86 NA NA 3.97 3.95 0.70 NA NA 16.53 16.51 000 50590 A Fragmenting of kidney stone 9.09 10.21 10.37 5.01 6.47 0.54 19.84 20.00 14.64 16.10 090 50600 A Exploration of ureter 15.84 NA NA 8.38 8.92 0.99 NA NA 25.21 25.75 090 50605 A Insert ureteral support 15.46 NA NA 8.64 8.14 1.13 NA NA 25.23 24.73 090 50610 A Removal of ureter stone 15.92 NA NA 8.87 9.85 1.08 NA NA 25.87 26.85 090 50620 A Removal of ureter stone 15.16 NA NA 8.00 9.12 0.91 NA NA 24.07 25.19 090 50630 A Removal of ureter stone 14.94 NA NA 8.09 9.52 0.90 NA NA 23.93 25.36 090 50650 A Removal of ureter 17.41 NA NA 9.15 10.14 1.07 NA NA 27.63 28.62 090 50660 A Removal of ureter 19.55 NA NA 9.93 10.84 1.19 NA NA 30.67 31.58 090 50684 A Injection for ureter x-ray 0.76 13.74 10.44 0.26 0.33 0.04 14.54 11.24 1.06 1.13 000 50686 A Measure ureter pressure 1.51 4.64 3.58 0.70 0.63 0.09 6.24 5.18 2.30 2.23 000 50688 A Change of ureter tube 1.17 NA NA 1.71 1.39 0.06 NA NA 2.94 2.62 010 50690 A Injection for ureter x-ray 1.16 14.07 10.64 0.40 0.39 0.06 15.29 11.86 1.62 1.61 000 50700 A Revision of ureter 15.21 NA NA 8.84 10.04 0.86 NA NA 24.91 26.11 090 50715 A Release of ureter 18.90 NA NA 11.64 11.78 1.68 NA NA 32.22 32.36 090 50722 A Release of ureter 16.35 NA NA 9.16 9.67 1.41 NA NA 26.92 27.43 090 50725 A Release/revise ureter 18.49 NA NA 10.02 10.79 1.44 NA NA 29.95 30.72 090 50727 A Revise ureter 8.18 NA NA 6.12 6.05 0.51 NA NA 14.81 14.74 090 50728 A Revise ureter 12.02 NA NA 7.71 7.93 0.88 NA NA 20.61 20.83 090 50740 A Fusion of ureter & kidney 18.42 NA NA 9.42 10.60 1.49 NA NA 29.33 30.51 090 50750 A Fusion of ureter & kidney 19.51 NA NA 10.11 11.39 1.24 NA NA 30.86 32.14 090 50760 A Fusion of ureters 18.42 NA NA 9.65 10.89 1.25 NA NA 29.32 30.56 090 50770 A Splicing of ureters 19.51 NA NA 9.86 11.53 1.25 NA NA 30.62 32.29 090 50780 A Reimplant ureter in bladder 18.36 NA NA 9.56 10.91 1.20 NA NA 29.12 30.47 090 50782 A Reimplant ureter in bladder 19.54 NA NA 11.02 12.00 1.13 NA NA 31.69 32.67 090 50783 A Reimplant ureter in bladder 20.55 NA NA 10.55 11.65 1.35 NA NA 32.45 33.55 090 50785 A Reimplant ureter in bladder 20.52 NA NA 10.27 11.89 1.30 NA NA 32.09 33.71 090 50800 A Implant ureter in bowel 14.52 NA NA 9.27 10.93 0.92 NA NA 24.71 26.37 090 50810 A Fusion of ureter & bowel 20.05 NA NA 12.75 12.97 1.78 NA NA 34.58 34.80 090 50815 A Urine shunt to bowel 19.93 NA NA 11.31 13.84 1.31 NA NA 32.55 35.08 090 50820 A Construct bowel bladder 21.89 NA NA 11.14 13.50 1.38 NA NA 34.41 36.77 090 50825 A Construct bowel bladder 28.18 NA NA 14.53 19.18 1.81 NA NA 44.52 49.17 090 50830 A Revise urine flow 31.28 NA NA 15.27 17.13 2.20 NA NA 48.75 50.61 090 50840 A Replace ureter by bowel 20.00 NA NA 11.48 12.23 1.26 NA NA 32.74 33.49 090 50845 A Appendico-vesicostomy 20.89 NA NA 9.63 10.99 1.26 NA NA 31.78 33.14 090 50860 A Transplant ureter to skin 15.36 NA NA 8.56 9.38 1.01 NA NA 24.93 25.75 090 50900 A Repair of ureter 13.62 NA NA 7.81 8.57 0.98 NA NA 22.41 23.17 090 50920 A Closure ureter/skin fistula 14.33 NA NA 8.70 9.11 0.84 NA NA 23.87 24.28 090 50930 A Closure ureter/bowel fistula 18.72 NA NA 9.73 10.69 1.57 NA NA 30.02 30.98 090 50940 A Release of ureter 14.51 NA NA 8.08 8.75 1.04 NA NA 23.63 24.30 090 50945 A Laparoscopy ureterolithotomy 17.00 NA NA 7.36 7.36 1.15 NA NA 25.51 25.51 090 50947 A Laparo new ureter/bladder 24.50 NA NA 11.62 11.62 1.84 NA NA 37.96 37.96 090 50948 A Laparo new ureter/bladder 22.50 NA NA 10.51 10.51 1.70 NA NA 34.71 34.71 090 50949 C Laparoscope proc, ureter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 50951 A Endoscopy of ureter 5.84 4.94 4.16 1.96 1.92 0.35 11.13 10.35 8.15 8.11 000 50953 A Endoscopy of ureter 6.24 17.47 13.55 2.08 2.01 0.37 24.08 20.16 8.69 8.62 000 50955 A Ureter endoscopy & biopsy 6.75 18.19 14.34 2.29 2.41 0.38 25.32 21.47 9.42 9.54 000 50957 A Ureter endoscopy & treatment 6.79 17.76 14.00 2.28 2.39 0.40 24.95 21.19 9.47 9.58 000 50959 A Ureter endoscopy & tracer 4.40 NA NA 1.55 2.08 0.18 NA NA 6.13 6.66 000 Start Printed Page 65485 50961 A Ureter endoscopy & treatment 6.05 21.84 17.09 2.05 2.25 0.35 28.24 23.49 8.45 8.65 000 50970 A Ureter endoscopy 7.14 NA NA 2.39 3.20 0.43 NA NA 9.96 10.77 000 50972 A Ureter endoscopy & catheter 6.89 NA NA 2.35 2.18 0.39 NA NA 9.63 9.46 000 50974 A Ureter endoscopy & biopsy 9.17 NA NA 3.01 4.16 0.53 NA NA 12.71 13.86 000 50976 A Ureter endoscopy & treatment 9.04 NA NA 3.01 4.00 0.53 NA NA 12.58 13.57 000 50978 A Ureter endoscopy & tracer 5.10 NA NA 1.75 2.41 0.30 NA NA 7.15 7.81 000 50980 A Ureter endoscopy & treatment 6.85 NA NA 2.30 2.58 0.41 NA NA 9.56 9.84 000 51000 A Drainage of bladder 0.78 1.88 1.54 0.25 0.32 0.05 2.71 2.37 1.08 1.15 000 51005 A Drainage of bladder 1.02 3.15 2.49 0.35 0.39 0.08 4.25 3.59 1.45 1.49 000 51010 A Drainage of bladder 3.53 6.75 5.33 1.82 1.63 0.23 10.51 9.09 5.58 5.39 010 51020 A Incise & treat bladder 6.71 NA NA 5.29 5.83 0.42 NA NA 12.42 12.96 090 51030 A Incise & treat bladder 6.77 NA NA 5.34 5.24 0.42 NA NA 12.53 12.43 090 51040 A Incise & drain bladder 4.40 NA NA 4.11 4.40 0.27 NA NA 8.78 9.07 090 51045 A Incise bladder/drain ureter 6.77 NA NA 5.59 5.54 0.47 NA NA 12.83 12.78 090 51050 A Removal of bladder stone 6.92 NA NA 4.90 5.61 0.42 NA NA 12.24 12.95 090 51060 A Removal of ureter stone 8.85 NA NA 6.04 7.17 0.54 NA NA 15.43 16.56 090 51065 A Removal of ureter stone 8.85 NA NA 5.89 6.34 0.53 NA NA 15.27 15.72 090 51080 A Drainage of bladder abscess 5.96 NA NA 5.32 5.40 0.35 NA NA 11.63 11.71 090 51500 A Removal of bladder cyst 10.14 NA NA 5.95 6.32 0.88 NA NA 16.97 17.34 090 51520 A Removal of bladder lesion 9.29 NA NA 6.08 6.88 0.58 NA NA 15.95 16.75 090 51525 A Removal of bladder lesion 13.97 NA NA 7.68 8.66 0.85 NA NA 22.50 23.48 090 51530 A Removal of bladder lesion 12.38 NA NA 7.26 7.96 0.82 NA NA 20.46 21.16 090 51535 A Repair of ureter lesion 12.57 NA NA 7.57 7.76 0.90 NA NA 21.04 21.23 090 51550 A Partial removal of bladder 15.66 NA NA 8.32 9.15 1.05 NA NA 25.03 25.86 090 51555 A Partial removal of bladder 21.23 NA NA 10.57 11.26 1.37 NA NA 33.17 33.86 090 51565 A Revise bladder & ureter(s) 21.62 NA NA 11.06 12.59 1.40 NA NA 34.08 35.61 090 51570 A Removal of bladder 24.24 NA NA 12.23 13.42 1.59 NA NA 38.06 39.25 090 51575 A Removal of bladder & nodes 30.45 NA NA 14.70 17.23 1.88 NA NA 47.03 49.56 090 51580 A Remove bladder/revise tract 31.08 NA NA 15.23 16.84 1.94 NA NA 48.25 49.86 090 51585 A Removal of bladder & nodes 35.23 NA NA 16.48 19.18 2.18 NA NA 53.89 56.59 090 51590 A Remove bladder/revise tract 32.66 NA NA 15.38 18.19 2.01 NA NA 50.05 52.86 090 51595 A Remove bladder/revise tract 37.14 NA NA 16.80 21.77 2.23 NA NA 56.17 61.14 090 51596 A Remove bladder/create pouch 39.52 NA NA 18.04 23.00 2.39 NA NA 59.95 64.91 090 51597 A Removal of pelvic structures 38.35 NA NA 17.84 21.69 2.49 NA NA 58.68 62.53 090 51600 A Injection for bladder x-ray 0.88 14.30 10.80 0.31 0.31 0.04 15.22 11.72 1.23 1.23 000 51605 A Preparation for bladder xray 0.64 15.09 11.40 0.22 0.25 0.04 15.77 12.08 0.90 0.93 000 51610 A Injection for bladder x-ray 1.05 14.73 11.12 0.36 0.34 0.05 15.83 12.22 1.46 1.44 000 51700 A Irrigation of bladder 0.88 3.63 2.78 0.33 0.28 0.05 4.56 3.71 1.26 1.21 000 51705 A Change of bladder tube 1.02 2.45 1.94 1.23 0.98 0.06 3.53 3.02 2.31 2.06 010 51710 A Change of bladder tube 1.49 4.60 3.61 1.37 1.11 0.09 6.18 5.19 2.95 2.69 010 51715 A Endoscopic injection/implant 3.74 4.09 3.79 1.27 1.67 0.24 8.07 7.77 5.25 5.65 000 51720 A Treatment of bladder lesion 1.96 3.93 3.07 0.66 0.56 0.12 6.01 5.15 2.74 2.64 000 51725 A Simple cystometrogram 1.51 5.33 4.27 5.33 4.27 0.13 6.97 5.91 6.97 5.91 000 51725 26 A Simple cystometrogram 1.51 0.51 0.55 0.51 0.55 0.10 2.12 2.16 2.12 2.16 000 51725 TC A Simple cystometrogram 0.00 4.82 3.72 NA NA 0.03 4.85 3.75 NA NA 000 51726 A Complex cystometrogram 1.71 4.20 3.51 4.20 3.51 0.15 6.06 5.37 6.06 5.37 000 51726 26 A Complex cystometrogram 1.71 0.58 0.66 0.58 0.66 0.11 2.40 2.48 2.40 2.48 000 51726 TC A Complex cystometrogram 0.00 3.62 2.85 NA NA 0.04 3.66 2.89 NA NA 000 51736 A Urine flow measurement 0.61 0.99 0.86 0.99 0.86 0.05 1.65 1.52 1.65 1.52 000 51736 26 A Urine flow measurement 0.61 0.21 0.23 0.21 0.23 0.04 0.86 0.88 0.86 0.88 000 51736 TC A Urine flow measurement 0.00 0.78 0.63 NA NA 0.01 0.79 0.64 NA NA 000 51741 A Electro-uroflowmetry, first 1.14 1.74 1.46 1.74 1.46 0.09 2.97 2.69 2.97 2.69 000 51741 26 A Electro-uroflowmetry, first 1.14 0.39 0.39 0.39 0.39 0.07 1.60 1.60 1.60 1.60 000 51741 TC A Electro-uroflowmetry, first 0.00 1.35 1.07 NA NA 0.02 1.37 1.09 NA NA 000 51772 A Urethra pressure profile 1.61 4.29 3.48 4.29 3.48 0.16 6.06 5.25 6.06 5.25 000 51772 26 A Urethra pressure profile 1.61 0.57 0.57 0.57 0.57 0.12 2.30 2.30 2.30 2.30 000 51772 TC A Urethra pressure profile 0.00 3.72 2.91 NA NA 0.04 3.76 2.95 NA NA 000 51784 A Anal/urinary muscle study 1.53 3.02 2.55 3.02 2.55 0.13 4.68 4.21 4.68 4.21 000 51784 26 A Anal/urinary muscle study 1.53 0.52 0.57 0.52 0.57 0.10 2.15 2.20 2.15 2.20 000 51784 TC A Anal/urinary muscle study 0.00 2.50 1.98 NA NA 0.03 2.53 2.01 NA NA 000 51785 A Anal/urinary muscle study 1.53 3.06 2.58 3.06 2.58 0.12 4.71 4.23 4.71 4.23 000 51785 26 A Anal/urinary muscle study 1.53 0.52 0.57 0.52 0.57 0.09 2.14 2.19 2.14 2.19 000 51785 TC A Anal/urinary muscle study 0.00 2.54 2.01 NA NA 0.03 2.57 2.04 NA NA 000 51792 A Urinary reflex study 1.10 1.83 1.90 1.83 1.90 0.20 3.13 3.20 3.13 3.20 000 51792 26 A Urinary reflex study 1.10 0.44 0.49 0.44 0.49 0.09 1.63 1.68 1.63 1.68 000 51792 TC A Urinary reflex study 0.00 1.39 1.41 NA NA 0.11 1.50 1.52 NA NA 000 51795 A Urine voiding pressure study 1.53 4.39 3.69 4.39 3.69 0.18 6.10 5.40 6.10 5.40 000 51795 26 A Urine voiding pressure study 1.53 0.52 0.55 0.52 0.55 0.10 2.15 2.18 2.15 2.18 000 51795 TC A Urine voiding pressure study 0.00 3.87 3.14 NA NA 0.08 3.95 3.22 NA NA 000 51797 A Intraabdominal pressure test 1.60 4.38 3.55 4.38 3.55 0.14 6.12 5.29 6.12 5.29 000 51797 26 A Intraabdominal pressure test 1.60 0.55 0.55 0.55 0.55 0.10 2.25 2.25 2.25 2.25 000 51797 TC A Intraabdominal pressure test 0.00 3.83 3.00 NA NA 0.04 3.87 3.04 NA NA 000 51800 A Revision of bladder/urethra 17.42 NA NA 9.12 10.10 1.17 NA NA 27.71 28.69 090 51820 A Revision of urinary tract 17.89 NA NA 10.45 9.84 1.45 NA NA 29.79 29.18 090 51840 A Attach bladder/urethra 10.71 NA NA 6.41 7.31 0.87 NA NA 17.99 18.89 090 51841 A Attach bladder/urethra 13.03 NA NA 8.03 9.01 1.04 NA NA 22.10 23.08 090 51845 A Repair bladder neck 9.73 NA NA 6.40 7.70 0.62 NA NA 16.75 18.05 090 51860 A Repair of bladder wound 12.02 NA NA 7.57 7.75 0.89 NA NA 20.48 20.66 090 51865 A Repair of bladder wound 15.04 NA NA 8.46 9.32 1.01 NA NA 24.51 25.37 090 51880 A Repair of bladder opening 7.66 NA NA 5.43 5.42 0.54 NA NA 13.63 13.62 090 51900 A Repair bladder/vagina lesion 12.97 NA NA 7.81 9.02 0.87 NA NA 21.65 22.86 090 51920 A Close bladder-uterus fistula 11.81 NA NA 7.48 7.65 0.86 NA NA 20.15 20.32 090 51925 A Hysterectomy/bladder repair 15.58 NA NA 8.90 9.41 1.48 NA NA 25.96 26.47 090 Start Printed Page 65486 51940 A Correction of bladder defect 28.43 NA NA 14.24 15.82 1.97 NA NA 44.64 46.22 090 51960 A Revision of bladder & bowel 23.01 NA NA 12.44 15.14 1.41 NA NA 36.86 39.56 090 51980 A Construct bladder opening 11.36 NA NA 6.95 7.24 0.74 NA NA 19.05 19.34 090 51990 A Laparo urethral suspension 12.50 NA NA 6.28 6.28 1.02 NA NA 19.80 19.80 090 51992 A Laparo sling operation 14.01 NA NA 6.39 6.39 0.93 NA NA 21.33 21.33 090 52000 A Cystoscopy 2.01 3.14 2.72 0.67 0.68 0.12 5.27 4.85 2.80 2.81 000 52005 A Cystoscopy & ureter catheter 2.37 4.86 4.24 0.79 1.19 0.15 7.38 6.76 3.31 3.71 000 52007 A Cystoscopy and biopsy 3.02 NA NA 1.01 1.52 0.18 NA NA 4.21 4.72 000 52010 A Cystoscopy & duct catheter 3.02 5.21 4.42 1.01 1.02 0.18 8.41 7.62 4.21 4.22 000 52204 A Cystoscopy 2.37 5.57 4.82 0.79 1.24 0.15 8.09 7.34 3.31 3.76 000 52214 A Cystoscopy and treatment 3.71 5.94 5.22 1.24 1.69 0.22 9.87 9.15 5.17 5.62 000 52224 A Cystoscopy and treatment 3.14 5.79 5.13 1.05 1.58 0.18 9.11 8.45 4.37 4.90 000 52234 A Cystoscopy and treatment 4.63 6.70 6.30 1.55 2.44 0.27 11.60 11.20 6.45 7.34 000 52235 A Cystoscopy and treatment 5.45 6.99 6.87 1.82 2.99 0.32 12.76 12.64 7.59 8.76 000 52240 A Cystoscopy and treatment 9.72 8.41 9.20 3.24 5.32 0.58 18.71 19.50 13.54 15.62 000 52250 A Cystoscopy and radiotracer 4.50 NA NA 1.50 1.90 0.27 NA NA 6.27 6.67 000 52260 A Cystoscopy and treatment 3.92 NA NA 1.31 1.56 0.23 NA NA 5.46 5.71 000 52265 A Cystoscopy and treatment 2.94 3.55 3.03 0.99 0.93 0.18 6.67 6.15 4.11 4.05 000 52270 A Cystoscopy & revise urethra 3.37 6.32 5.68 1.13 1.79 0.20 9.89 9.25 4.70 5.36 000 52275 A Cystoscopy & revise urethra 4.70 6.81 6.04 1.56 2.10 0.28 11.79 11.02 6.54 7.08 000 52276 A Cystoscopy and treatment 5.00 6.92 6.43 1.66 2.49 0.30 12.22 11.73 6.96 7.79 000 52277 A Cystoscopy and treatment 6.17 NA NA 2.10 2.88 0.38 NA NA 8.65 9.43 000 52281 A Cystoscopy and treatment 2.80 3.56 3.30 0.93 1.01 0.17 6.53 6.27 3.90 3.98 000 52282 A Cystoscopy, implant stent 6.40 7.07 6.55 2.14 2.85 0.38 13.85 13.33 8.92 9.63 000 52283 A Cystoscopy and treatment 3.74 6.21 5.07 1.25 1.35 0.22 10.17 9.03 5.21 5.31 000 52285 A Cystoscopy and treatment 3.61 6.41 5.61 1.21 1.31 0.22 10.24 9.44 5.04 5.14 000 52290 A Cystoscopy and treatment 4.59 NA NA 1.54 1.79 0.27 NA NA 6.40 6.65 000 52300 A Cystoscopy and treatment 5.31 NA NA 1.77 2.27 0.32 NA NA 7.40 7.90 000 52301 A Cystoscopy and treatment 5.51 NA NA 1.78 2.28 0.39 NA NA 7.68 8.18 000 52305 A Cystoscopy and treatment 5.31 NA NA 1.77 2.28 0.31 NA NA 7.39 7.90 000 52310 A Cystoscopy and treatment 2.81 13.89 11.23 0.94 1.52 0.17 16.87 14.21 3.92 4.50 000 52315 A Cystoscopy and treatment 5.21 14.86 12.25 1.74 2.41 0.31 20.38 17.77 7.26 7.93 000 52317 A Remove bladder stone 6.72 25.37 20.71 2.24 3.36 0.40 32.49 27.83 9.36 10.48 000 52318 A Remove bladder stone 9.19 NA NA 3.07 4.44 0.54 NA NA 12.80 14.17 000 52320 A Cystoscopy and treatment 4.70 NA NA 1.57 2.50 0.28 NA NA 6.55 7.48 000 52325 A Cystoscopy, stone removal 6.16 NA NA 2.05 3.38 0.37 NA NA 8.58 9.91 000 52327 A Cystoscopy, inject material 5.19 NA NA 1.75 2.31 0.32 NA NA 7.26 7.82 000 52330 A Cystoscopy and treatment 5.04 18.77 15.02 1.68 2.20 0.30 24.11 20.36 7.02 7.54 000 52332 A Cystoscopy and treatment 2.83 28.13 21.97 0.95 1.56 0.17 31.13 24.97 3.95 4.56 000 52334 A Create passage to kidney 4.83 NA NA 1.62 2.12 0.28 NA NA 6.73 7.23 000 52335 D Endoscopy of urinary tract 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 52336 D Cystoscopy, stone removal 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 52337 D Cystoscopy, stone removal 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 52338 D Cystoscopy and treatment 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 52339 D Cystoscopy and treatment 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 52340 D Cystoscopy and treatment 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 090 52341 A Cysto w/ureter stricture tx 6.00 NA NA 2.40 2.40 0.34 NA NA 8.74 8.74 000 52342 A Cysto w/up stricture tx 6.50 NA NA 2.60 2.60 0.36 NA NA 9.46 9.46 000 52343 A Cysto w/renal stricture tx 7.20 NA NA 2.88 2.88 0.40 NA NA 10.48 10.48 000 52344 A Cysto/uretero, stone remove 7.70 NA NA 3.08 3.08 0.42 NA NA 11.20 11.20 000 52345 A Cysto/uretero w/up stricture 8.20 NA NA 3.28 3.28 0.46 NA NA 11.94 11.94 000 52346 A Cystouretero w/renal strict 9.23 NA NA 3.69 3.69 0.51 NA NA 13.43 13.43 000 52351 A Cystouretro & or pyeloscope 5.86 NA NA 1.96 2.74 0.32 NA NA 8.14 8.92 000 52352 A Cystouretro w/stone remove 6.88 NA NA 2.30 3.78 0.38 NA NA 9.56 11.04 000 52353 A Cystouretero w/lithotripsy 7.97 NA NA 2.66 4.38 0.44 NA NA 11.07 12.79 000 52354 A Cystouretero w/biopsy 7.34 NA NA 2.45 3.44 0.41 NA NA 10.20 11.19 000 52355 A Cystouretero w/excise tumor 8.82 NA NA 2.95 3.82 0.50 NA NA 12.27 13.14 000 52400 A Cystouretero w/congen repr 9.68 NA NA 5.36 5.42 0.53 NA NA 15.57 15.63 090 52450 A Incision of prostate 7.64 NA NA 6.05 5.89 0.46 NA NA 14.15 13.99 090 52500 A Revision of bladder neck 8.47 NA NA 6.31 6.75 0.50 NA NA 15.28 15.72 090 52510 A Dilation prostatic urethra 6.72 NA NA 5.39 6.05 0.40 NA NA 12.51 13.17 090 52601 A Prostatectomy (TURP) 12.37 NA NA 7.63 8.94 0.74 NA NA 20.74 22.05 090 52606 A Control postop bleeding 8.13 NA NA 5.82 5.27 0.49 NA NA 14.44 13.89 090 52612 A Prostatectomy, first stage 7.98 NA NA 6.17 7.01 0.48 NA NA 14.63 15.47 090 52614 A Prostatectomy, second stage 6.84 NA NA 5.77 6.25 0.41 NA NA 13.02 13.50 090 52620 A Remove residual prostate 6.61 NA NA 5.71 5.73 0.39 NA NA 12.71 12.73 090 52630 A Remove prostate regrowth 7.26 NA NA 5.93 6.62 0.43 NA NA 13.62 14.31 090 52640 A Relieve bladder contracture 6.62 NA NA 5.29 5.71 0.39 NA NA 12.30 12.72 090 52647 A Laser surgery of prostate 10.36 56.13 45.19 5.26 7.04 0.61 67.10 56.16 16.23 18.01 090 52648 A Laser surgery of prostate 11.21 NA NA 7.26 8.67 0.66 NA NA 19.13 20.54 090 52700 A Drainage of prostate abscess 6.80 NA NA 5.85 5.28 0.41 NA NA 13.06 12.49 090 53000 A Incision of urethra 2.28 7.09 5.80 2.42 2.29 0.13 9.50 8.21 4.83 4.70 010 53010 A Incision of urethra 3.64 NA NA 3.89 3.87 0.20 NA NA 7.73 7.71 090 53020 A Incision of urethra 1.77 3.78 3.06 0.65 0.71 0.11 5.66 4.94 2.53 2.59 000 53025 A Incision of urethra 1.13 4.32 3.46 0.43 0.54 0.07 5.52 4.66 1.63 1.74 000 53040 A Drainage of urethra abscess 6.40 12.36 9.77 7.76 6.32 0.41 19.17 16.58 14.57 13.13 090 53060 A Drainage of urethra abscess 2.63 5.98 4.62 2.92 2.33 0.23 8.84 7.48 5.78 5.19 010 53080 A Drainage of urinary leakage 6.29 NA NA 7.62 6.80 0.42 NA NA 14.33 13.51 090 53085 A Drainage of urinary leakage 10.27 NA NA 9.13 8.68 0.67 NA NA 20.07 19.62 090 53200 A Biopsy of urethra 2.59 5.09 4.12 0.95 1.01 0.17 7.85 6.88 3.71 3.77 000 53210 A Removal of urethra 12.57 NA NA 7.58 7.49 0.81 NA NA 20.96 20.87 090 53215 A Removal of urethra 15.58 NA NA 8.32 8.95 0.93 NA NA 24.83 25.46 090 53220 A Treatment of urethra lesion 7.00 NA NA 5.21 5.20 0.44 NA NA 12.65 12.64 090 Start Printed Page 65487 53230 A Removal of urethra lesion 9.58 NA NA 5.98 6.64 0.60 NA NA 16.16 16.82 090 53235 A Removal of urethra lesion 10.14 NA NA 6.17 5.99 0.60 NA NA 16.91 16.73 090 53240 A Surgery for urethra pouch 6.45 NA NA 4.83 4.80 0.42 NA NA 11.70 11.67 090 53250 A Removal of urethra gland 5.89 NA NA 4.15 4.21 0.35 NA NA 10.39 10.45 090 53260 A Treatment of urethra lesion 2.98 5.60 4.51 2.27 2.01 0.23 8.81 7.72 5.48 5.22 010 53265 A Treatment of urethra lesion 3.12 5.98 5.00 2.24 2.19 0.20 9.30 8.32 5.56 5.51 010 53270 A Removal of urethra gland 3.09 5.40 4.28 2.34 1.87 0.21 8.70 7.58 5.64 5.17 010 53275 A Repair of urethra defect 4.53 NA NA 3.17 3.02 0.28 NA NA 7.98 7.83 010 53400 A Revise urethra, stage 1 12.77 NA NA 7.62 7.74 0.85 NA NA 21.24 21.36 090 53405 A Revise urethra, stage 2 14.48 NA NA 8.03 8.84 0.91 NA NA 23.42 24.23 090 53410 A Reconstruction of urethra 16.44 NA NA 8.61 8.78 0.99 NA NA 26.04 26.21 090 53415 A Reconstruction of urethra 19.41 NA NA 9.51 10.35 1.16 NA NA 30.08 30.92 090 53420 A Reconstruct urethra, stage 1 14.08 NA NA 8.24 9.13 0.90 NA NA 23.22 24.11 090 53425 A Reconstruct urethra, stage 2 15.98 NA NA 8.71 9.04 0.97 NA NA 25.66 25.99 090 53430 A Reconstruction of urethra 16.34 NA NA 8.72 8.48 1.01 NA NA 26.07 25.83 090 53440 A Correct bladder function 12.34 NA NA 7.55 9.23 0.73 NA NA 20.62 22.30 090 53442 A Remove perineal prosthesis 8.27 NA NA 5.68 5.85 0.55 NA NA 14.50 14.67 090 53443 A Reconstruction of urethra 19.89 NA NA 9.33 9.72 1.25 NA NA 30.47 30.86 090 53445 A Correct urine flow control 14.06 NA NA 8.14 10.30 0.84 NA NA 23.04 25.20 090 53447 A Remove artificial sphincter 13.17 NA NA 7.45 8.07 0.79 NA NA 21.41 22.03 090 53449 A Correct artificial sphincter 9.70 NA NA 6.27 6.99 0.57 NA NA 16.54 17.26 090 53450 A Revision of urethra 6.14 NA NA 4.76 4.31 0.37 NA NA 11.27 10.82 090 53460 A Revision of urethra 7.12 NA NA 5.13 4.51 0.43 NA NA 12.68 12.06 090 53502 A Repair of urethra injury 7.63 NA NA 5.31 5.33 0.50 NA NA 13.44 13.46 090 53505 A Repair of urethra injury 7.63 NA NA 5.26 5.35 0.46 NA NA 13.35 13.44 090 53510 A Repair of urethra injury 10.11 NA NA 6.33 6.64 0.60 NA NA 17.04 17.35 090 53515 A Repair of urethra injury 13.31 NA NA 7.24 7.88 0.83 NA NA 21.38 22.02 090 53520 A Repair of urethra defect 8.68 NA NA 5.72 5.89 0.53 NA NA 14.93 15.10 090 53600 A Dilate urethra stricture 1.21 3.83 2.96 0.50 0.42 0.07 5.11 4.24 1.78 1.70 000 53601 A Dilate urethra stricture 0.98 3.76 2.90 0.42 0.36 0.06 4.80 3.94 1.46 1.40 000 53605 A Dilate urethra stricture 1.28 NA NA 0.43 0.45 0.08 NA NA 1.79 1.81 000 53620 A Dilate urethra stricture 1.62 5.67 4.38 0.54 0.47 0.10 7.39 6.10 2.26 2.19 000 53621 A Dilate urethra stricture 1.35 5.69 4.37 0.45 0.39 0.08 7.12 5.80 1.88 1.82 000 53660 A Dilation of urethra 0.71 3.61 2.78 0.34 0.29 0.04 4.36 3.53 1.09 1.04 000 53661 A Dilation of urethra 0.72 3.66 2.81 0.24 0.22 0.04 4.42 3.57 1.00 0.98 000 53665 A Dilation of urethra 0.76 NA NA 0.26 0.29 0.05 NA NA 1.07 1.10 000 53670 A Insert urinary catheter 0.50 3.37 2.59 0.21 0.19 0.03 3.90 3.12 0.74 0.72 000 53675 A Insert urinary catheter 1.47 4.57 3.56 0.48 0.49 0.09 6.13 5.12 2.04 2.05 000 53850 A Prostatic microwave thermotx 9.45 80.63 62.29 4.92 5.51 0.56 90.64 72.30 14.93 15.52 090 53852 A Prostatic rf thermotx 9.88 69.08 53.71 5.17 5.78 0.58 79.54 64.17 15.63 16.24 090 53899 C Urology surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 54000 A Slitting of prepuce 1.54 5.25 4.11 1.37 1.20 0.10 6.89 5.75 3.01 2.84 010 54001 A Slitting of prepuce 2.19 5.86 4.62 1.98 1.71 0.14 8.19 6.95 4.31 4.04 010 54015 A Drain penis lesion 5.32 6.68 5.24 3.04 2.51 0.33 12.33 10.89 8.69 8.16 010 54050 A Destruction, penis lesion(s) 1.24 2.62 2.07 0.50 0.43 0.07 3.93 3.38 1.81 1.74 010 54055 A Destruction, penis lesion(s) 1.22 6.32 4.91 1.38 1.12 0.07 7.61 6.20 2.67 2.41 010 54056 A Cryosurgery, penis lesion(s) 1.24 2.95 2.36 0.53 0.47 0.06 4.25 3.66 1.83 1.77 010 54057 A Laser surg, penis lesion(s) 1.24 2.88 2.57 1.28 1.33 0.08 4.20 3.89 2.60 2.65 010 54060 A Excision of penis lesion(s) 1.93 5.24 4.25 1.54 1.47 0.12 7.29 6.30 3.59 3.52 010 54065 A Destruction, penis lesion(s) 2.42 5.25 4.61 2.05 1.87 0.13 7.80 7.16 4.60 4.42 010 54100 A Biopsy of penis 1.90 3.54 2.83 0.74 0.73 0.10 5.54 4.83 2.74 2.73 000 54105 A Biopsy of penis 3.50 6.09 4.84 2.06 1.82 0.21 9.80 8.55 5.77 5.53 010 54110 A Treatment of penis lesion 10.13 NA NA 7.61 7.34 0.60 NA NA 18.34 18.07 090 54111 A Treat penis lesion, graft 13.57 NA NA 8.67 8.99 0.79 NA NA 23.03 23.35 090 54112 A Treat penis lesion, graft 15.86 NA NA 9.50 10.07 0.94 NA NA 26.30 26.87 090 54115 A Treatment of penis lesion 6.15 10.02 8.65 6.35 5.90 0.39 16.56 15.19 12.89 12.44 090 54120 A Partial removal of penis 9.97 NA NA 7.55 7.42 0.60 NA NA 18.12 17.99 090 54125 A Removal of penis 13.53 NA NA 8.71 9.67 0.81 NA NA 23.05 24.01 090 54130 A Remove penis & nodes 20.14 NA NA 11.19 12.37 1.19 NA NA 32.52 33.70 090 54135 A Remove penis & nodes 26.36 NA NA 13.34 14.82 1.58 NA NA 41.28 42.76 090 54150 A Circumcision 1.81 7.59 5.84 1.81 1.51 0.17 9.57 7.82 3.79 3.49 010 54152 A Circumcision 2.31 NA NA 1.69 1.76 0.16 NA NA 4.16 4.23 010 54160 A Circumcision 2.48 5.72 4.74 1.68 1.71 0.16 8.36 7.38 4.32 4.35 010 54161 A Circumcision 3.27 NA NA 1.97 2.07 0.20 NA NA 5.44 5.54 010 54200 A Treatment of penis lesion 1.06 2.56 2.01 0.37 0.32 0.06 3.68 3.13 1.49 1.44 010 54205 A Treatment of penis lesion 7.93 NA NA 7.03 6.66 0.47 NA NA 15.43 15.06 090 54220 A Treatment of penis lesion 2.42 1.91 1.86 0.99 1.17 0.15 4.48 4.43 3.56 3.74 000 54230 A Prepare penis study 1.34 NA NA 0.45 0.52 0.08 NA NA 1.87 1.94 000 54231 A Dynamic cavernosometry 2.04 2.13 1.99 0.79 0.98 0.14 4.31 4.17 2.97 3.16 000 54235 A Penile injection 1.19 1.09 0.94 0.40 0.36 0.07 2.35 2.20 1.66 1.62 000 54240 A Penis study 1.31 1.18 1.16 1.18 1.16 0.13 2.62 2.60 2.62 2.60 000 54240 26 A Penis study 1.31 0.45 0.48 0.45 0.48 0.08 1.84 1.87 1.84 1.87 000 54240 TC A Penis study 0.00 0.73 0.68 NA NA 0.05 0.78 0.73 NA NA 000 54250 A Penis study 2.22 3.51 2.85 3.51 2.85 0.16 5.89 5.23 5.89 5.23 000 54250 26 A Penis study 2.22 0.75 0.70 0.75 0.70 0.14 3.11 3.06 3.11 3.06 000 54250 TC A Penis study 0.00 2.76 2.15 NA NA 0.02 2.78 2.17 NA NA 000 54300 A Revision of penis 10.41 NA NA 8.26 8.06 0.64 NA NA 19.31 19.11 090 54304 A Revision of penis 12.49 NA NA 9.26 9.30 0.74 NA NA 22.49 22.53 090 54308 A Reconstruction of urethra 11.83 NA NA 8.99 8.33 0.70 NA NA 21.52 20.86 090 54312 A Reconstruction of urethra 13.57 NA NA 10.08 10.10 0.81 NA NA 24.46 24.48 090 54316 A Reconstruction of urethra 16.82 NA NA 11.53 11.73 1.00 NA NA 29.35 29.55 090 54318 A Reconstruction of urethra 11.25 NA NA 9.09 8.86 1.15 NA NA 21.49 21.26 090 54322 A Reconstruction of urethra 13.01 NA NA 8.60 8.52 0.77 NA NA 22.38 22.30 090 Start Printed Page 65488 54324 A Reconstruction of urethra 16.31 NA NA 11.30 11.46 1.03 NA NA 28.64 28.80 090 54326 A Reconstruction of urethra 15.72 NA NA 9.93 10.30 0.93 NA NA 26.58 26.95 090 54328 A Revise penis/urethra 15.65 NA NA 10.26 10.60 0.92 NA NA 26.83 27.17 090 54332 A Revise penis/urethra 17.08 NA NA 11.62 12.11 1.01 NA NA 29.71 30.20 090 54336 A Revise penis/urethra 20.04 NA NA 16.04 17.13 1.90 NA NA 37.98 39.07 090 54340 A Secondary urethral surgery 8.91 NA NA 7.65 7.39 0.72 NA NA 17.28 17.02 090 54344 A Secondary urethral surgery 15.94 NA NA 11.43 13.08 1.10 NA NA 28.47 30.12 090 54348 A Secondary urethral surgery 17.15 NA NA 12.49 12.52 1.02 NA NA 30.66 30.69 090 54352 A Reconstruct urethra/penis 24.74 NA NA 15.08 15.70 1.62 NA NA 41.44 42.06 090 54360 A Penis plastic surgery 11.93 NA NA 8.13 8.00 0.72 NA NA 20.78 20.65 090 54380 A Repair penis 13.18 NA NA 9.10 9.38 1.16 NA NA 23.44 23.72 090 54385 A Repair penis 15.39 NA NA 11.08 11.15 0.71 NA NA 27.18 27.25 090 54390 A Repair penis and bladder 21.61 NA NA 13.28 13.64 1.28 NA NA 36.17 36.53 090 54400 A Insert semi-rigid prosthesis 8.99 NA NA 6.01 7.19 0.53 NA NA 15.53 16.71 090 54401 A Insert self-contd prosthesis 10.28 NA NA 6.82 8.18 0.61 NA NA 17.71 19.07 090 54402 A Remove penis prosthesis 9.21 NA NA 6.13 6.23 0.55 NA NA 15.89 15.99 090 54405 A Insert multi-comp prosthesis 13.43 NA NA 7.92 9.95 0.80 NA NA 22.15 24.18 090 54407 A Remove multi-comp prosthesis 13.34 NA NA 7.51 8.68 0.80 NA NA 21.65 22.82 090 54409 A Revise penis prosthesis 12.20 NA NA 7.26 7.88 0.73 NA NA 20.19 20.81 090 54420 A Revision of penis 11.42 NA NA 8.04 8.13 0.72 NA NA 20.18 20.27 090 54430 A Revision of penis 10.15 NA NA 7.58 7.58 0.60 NA NA 18.33 18.33 090 54435 A Revision of penis 6.12 NA NA 5.67 5.38 0.36 NA NA 12.15 11.86 090 54440 C Repair of penis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090 54450 A Preputial stretching 1.12 0.99 0.93 0.46 0.53 0.07 2.18 2.12 1.65 1.72 000 54500 A Biopsy of testis 1.31 5.92 4.56 0.45 0.46 0.08 7.31 5.95 1.84 1.85 000 54505 A Biopsy of testis 3.46 NA NA 2.53 2.40 0.21 NA NA 6.20 6.07 010 54510 A Removal of testis lesion 5.45 NA NA 3.38 3.36 0.35 NA NA 9.18 9.16 090 54512 A Excise lesion testis 8.58 NA NA 4.86 4.86 0.51 NA NA 13.95 13.95 090 54520 A Removal of testis 5.23 NA NA 3.51 4.07 0.33 NA NA 9.07 9.63 090 54522 A Orchiectomy, partial 9.50 NA NA 5.79 5.79 0.57 NA NA 15.86 15.86 090 54530 A Removal of testis 8.58 NA NA 5.13 5.83 0.53 NA NA 14.24 14.94 090 54535 A Extensive testis surgery 12.16 NA NA 7.00 7.57 0.83 NA NA 19.99 20.56 090 54550 A Exploration for testis 7.78 NA NA 4.64 4.91 0.49 NA NA 12.91 13.18 090 54560 A Exploration for testis 11.13 NA NA 6.75 7.03 0.79 NA NA 18.67 18.95 090 54600 A Reduce testis torsion 7.01 NA NA 4.16 4.37 0.45 NA NA 11.62 11.83 090 54620 A Suspension of testis 4.90 NA NA 3.01 3.16 0.31 NA NA 8.22 8.37 010 54640 A Suspension of testis 6.90 NA NA 4.19 5.20 0.49 NA NA 11.58 12.59 090 54650 A Orchiopexy (Fowler-Stephens) 11.45 NA NA 7.03 7.40 0.81 NA NA 19.29 19.66 090 54660 A Revision of testis 5.11 NA NA 3.22 3.34 0.35 NA NA 8.68 8.80 090 54670 A Repair testis injury 6.41 NA NA 4.09 4.24 0.41 NA NA 10.91 11.06 090 54680 A Relocation of testis(es) 12.65 NA NA 7.37 7.75 0.94 NA NA 20.96 21.34 090 54690 A Laparoscopy, orchiectomy 10.96 NA NA 6.44 6.79 0.99 NA NA 18.39 18.74 090 54692 A Laparoscopy, orchiopexy 12.88 NA NA 5.68 5.68 0.87 NA NA 19.43 19.43 090 54699 C Laparoscope proc, testis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 54700 A Drainage of scrotum 3.43 7.92 6.19 3.26 2.69 0.23 11.58 9.85 6.92 6.35 010 54800 A Biopsy of epididymis 2.33 6.01 5.04 0.83 1.16 0.14 8.48 7.51 3.30 3.63 000 54820 A Exploration of epididymis 5.14 NA NA 3.50 3.34 0.33 NA NA 8.97 8.81 090 54830 A Remove epididymis lesion 5.38 NA NA 3.59 3.65 0.34 NA NA 9.31 9.37 090 54840 A Remove epididymis lesion 5.20 NA NA 3.51 3.95 0.31 NA NA 9.02 9.46 090 54860 A Removal of epididymis 6.32 NA NA 4.08 4.46 0.38 NA NA 10.78 11.16 090 54861 A Removal of epididymis 8.90 NA NA 4.95 5.69 0.52 NA NA 14.37 15.11 090 54900 A Fusion of spermatic ducts 13.20 NA NA 7.13 7.78 1.34 NA NA 21.67 22.32 090 54901 A Fusion of spermatic ducts 17.94 NA NA 9.79 10.68 1.83 NA NA 29.56 30.45 090 55000 A Drainage of hydrocele 1.43 2.06 1.65 0.50 0.43 0.10 3.59 3.18 2.03 1.96 000 55040 A Removal of hydrocele 5.36 NA NA 3.36 3.85 0.35 NA NA 9.07 9.56 090 55041 A Removal of hydroceles 7.74 NA NA 4.39 5.32 0.50 NA NA 12.63 13.56 090 55060 A Repair of hydrocele 5.52 NA NA 3.41 3.68 0.37 NA NA 9.30 9.57 090 55100 A Drainage of scrotum abscess 2.13 9.03 6.94 3.48 2.78 0.15 11.31 9.22 5.76 5.06 010 55110 A Explore scrotum 5.70 NA NA 3.51 3.58 0.36 NA NA 9.57 9.64 090 55120 A Removal of scrotum lesion 5.09 NA NA 3.28 2.95 0.33 NA NA 8.70 8.37 090 55150 A Removal of scrotum 7.22 NA NA 4.46 4.82 0.47 NA NA 12.15 12.51 090 55175 A Revision of scrotum 5.24 NA NA 3.60 3.92 0.33 NA NA 9.17 9.49 090 55180 A Revision of scrotum 10.72 NA NA 6.28 6.56 0.72 NA NA 17.72 18.00 090 55200 A Incision of sperm duct 4.24 NA NA 3.01 2.79 0.25 NA NA 7.50 7.28 090 55250 A Removal of sperm duct(s) 3.29 8.76 7.28 2.95 2.57 0.21 12.26 10.78 6.45 6.07 090 55300 A Prepare, sperm duct x-ray 3.51 NA NA 1.43 1.81 0.20 NA NA 5.14 5.52 000 55400 A Repair of sperm duct 8.49 NA NA 5.10 5.61 0.50 NA NA 14.09 14.60 090 55450 A Ligation of sperm duct 4.12 7.31 6.19 2.39 2.50 0.24 11.67 10.55 6.75 6.86 010 55500 A Removal of hydrocele 5.59 NA NA 3.59 3.87 0.43 NA NA 9.61 9.89 090 55520 A Removal of sperm cord lesion 6.03 NA NA 3.75 3.66 0.56 NA NA 10.34 10.25 090 55530 A Revise spermatic cord veins 5.66 NA NA 3.69 4.18 0.36 NA NA 9.71 10.20 090 55535 A Revise spermatic cord veins 6.56 NA NA 4.01 4.20 0.42 NA NA 10.99 11.18 090 55540 A Revise hernia & sperm veins 7.67 NA NA 4.36 4.50 0.74 NA NA 12.77 12.91 090 55550 A Laparo ligate spermatic vein 6.57 NA NA 3.36 3.72 0.47 NA NA 10.40 10.76 090 55559 C Laparo proc, spermatic cord 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 55600 A Incise sperm duct pouch 6.38 NA NA 4.12 4.26 0.38 NA NA 10.88 11.02 090 55605 A Incise sperm duct pouch 7.96 NA NA 5.00 5.27 0.54 NA NA 13.50 13.77 090 55650 A Remove sperm duct pouch 11.80 NA NA 6.10 6.54 0.72 NA NA 18.62 19.06 090 55680 A Remove sperm pouch lesion 5.19 NA NA 3.79 4.05 0.31 NA NA 9.29 9.55 090 55700 A Biopsy of prostate 1.57 3.66 3.15 0.53 0.60 0.10 5.33 4.82 2.20 2.27 000 55705 A Biopsy of prostate 4.57 NA NA 3.62 3.63 0.26 NA NA 8.45 8.46 010 55720 A Drainage of prostate abscess 7.64 NA NA 5.76 5.27 0.44 NA NA 13.84 13.35 090 55725 A Drainage of prostate abscess 8.68 NA NA 6.38 6.31 0.51 NA NA 15.57 15.50 090 Start Printed Page 65489 55801 A Removal of prostate 17.80 NA NA 9.24 10.39 1.08 NA NA 28.12 29.27 090 55810 A Extensive prostate surgery 22.58 NA NA 11.24 13.28 1.35 NA NA 35.17 37.21 090 55812 A Extensive prostate surgery 27.51 NA NA 13.75 15.11 1.69 NA NA 42.95 44.31 090 55815 A Extensive prostate surgery 30.46 NA NA 14.27 17.54 1.84 NA NA 46.57 49.84 090 55821 A Removal of prostate 14.25 NA NA 7.74 9.49 0.85 NA NA 22.84 24.59 090 55831 A Removal of prostate 15.62 NA NA 8.22 10.12 0.94 NA NA 24.78 26.68 090 55840 A Extensive prostate surgery 22.69 NA NA 11.63 13.23 1.37 NA NA 35.69 37.29 090 55842 A Extensive prostate surgery 24.38 NA NA 12.25 14.39 1.48 NA NA 38.11 40.25 090 55845 A Extensive prostate surgery 28.55 NA NA 13.57 16.99 1.71 NA NA 43.83 47.25 090 55859 A Percut/needle insert, pros 12.52 NA NA 7.27 7.05 0.74 NA NA 20.53 20.31 090 55860 A Surgical exposure, prostate 14.45 NA NA 8.17 8.06 0.82 NA NA 23.44 23.33 090 55862 A Extensive prostate surgery 18.39 NA NA 9.40 10.22 1.14 NA NA 28.93 29.75 090 55865 A Extensive prostate surgery 22.87 NA NA 10.96 14.87 1.37 NA NA 35.20 39.11 090 55870 A Electroejaculation 2.58 1.82 1.86 1.15 1.36 0.14 4.54 4.58 3.87 4.08 000 55873 A Cryoablate prostate 17.80 NA NA 10.16 10.16 1.01 NA NA 28.97 28.97 090 55899 C Genital surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 55970 N Sex transformation, M to F 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 56405 A I & D of vulva/perineum 1.44 2.28 1.92 1.24 1.03 0.14 3.86 3.50 2.82 2.61 010 56420 A Drainage of gland abscess 1.39 2.26 1.91 1.20 1.01 0.13 3.78 3.43 2.72 2.53 010 56440 A Surgery for vulva lesion 2.84 3.45 3.30 2.22 2.38 0.28 6.57 6.42 5.34 5.50 010 56441 A Lysis of labial lesion(s) 1.97 2.48 2.31 1.95 1.91 0.17 4.62 4.45 4.09 4.05 010 56501 A Destruction, vulva lesion(s) 1.53 2.23 1.82 1.29 1.04 0.15 3.91 3.50 2.97 2.72 010 56515 A Destruction, vulva lesion(s) 1.88 2.64 2.62 1.90 1.99 0.18 4.70 4.68 3.96 4.05 010 56605 A Biopsy of vulva/perineum 1.10 1.73 1.48 0.48 0.45 0.11 2.94 2.69 1.69 1.66 000 56606 A Biopsy of vulva/perineum 0.55 1.50 1.22 0.22 0.21 0.06 2.11 1.83 0.83 0.82 ZZZ 56620 A Partial removal of vulva 7.47 NA NA 4.80 5.36 0.76 NA NA 13.03 13.59 090 56625 A Complete removal of vulva 8.40 NA NA 5.69 6.78 0.84 NA NA 14.93 16.02 090 56630 A Extensive vulva surgery 12.36 NA NA 7.56 9.32 1.23 NA NA 21.15 22.91 090 56631 A Extensive vulva surgery 16.20 NA NA 10.15 12.45 1.63 NA NA 27.98 30.28 090 56632 A Extensive vulva surgery 20.29 NA NA 11.82 14.65 2.03 NA NA 34.14 36.97 090 56633 A Extensive vulva surgery 16.47 NA NA 9.20 11.23 1.66 NA NA 27.33 29.36 090 56634 A Extensive vulva surgery 17.88 NA NA 10.82 13.45 1.78 NA NA 30.48 33.11 090 56637 A Extensive vulva surgery 21.97 NA NA 12.51 15.20 2.18 NA NA 36.66 39.35 090 56640 A Extensive vulva surgery 22.17 NA NA 12.32 14.65 2.26 NA NA 36.75 39.08 090 56700 A Partial removal of hymen 2.52 2.80 2.60 1.98 1.98 0.24 5.56 5.36 4.74 4.74 010 56720 A Incision of hymen 0.68 1.62 1.35 0.68 0.64 0.07 2.37 2.10 1.43 1.39 000 56740 A Remove vagina gland lesion 3.76 3.52 3.42 2.57 2.71 0.37 7.65 7.55 6.70 6.84 010 56800 A Repair of vagina 3.89 NA NA 2.63 2.77 0.37 NA NA 6.89 7.03 010 56805 A Repair clitoris 18.86 NA NA 9.29 10.16 1.82 NA NA 29.97 30.84 090 56810 A Repair of perineum 4.13 NA NA 2.73 2.76 0.41 NA NA 7.27 7.30 010 57000 A Exploration of vagina 2.97 NA NA 2.27 2.25 0.28 NA NA 5.52 5.50 010 57010 A Drainage of pelvic abscess 6.03 NA NA 3.79 3.56 0.57 NA NA 10.39 10.16 090 57020 A Drainage of pelvic fluid 1.50 1.56 1.35 0.63 0.65 0.15 3.21 3.00 2.28 2.30 000 57022 A I &d vaginal hematoma, ob 2.56 NA NA 1.60 1.60 0.14 NA NA 4.30 4.30 010 57023 A I &d vag hematoma, trauma 2.56 NA NA 1.60 1.60 0.14 NA NA 4.30 4.30 010 57061 A Destruction vagina lesion(s) 1.25 2.18 1.86 1.19 1.01 0.13 3.56 3.24 2.57 2.39 010 57065 A Destruction vagina lesion(s) 2.61 2.87 2.93 2.23 2.45 0.26 5.74 5.80 5.10 5.32 010 57100 A Biopsy of vagina 0.97 1.42 1.23 0.42 0.40 0.10 2.49 2.30 1.49 1.47 000 57105 A Biopsy of vagina 1.69 2.19 2.07 2.16 2.05 0.17 4.05 3.93 4.02 3.91 010 57106 A Remove vagina wall, partial 6.36 2.48 2.48 2.48 2.48 0.58 9.42 9.42 9.42 9.42 090 57107 A Remove vagina tissue, part 23.00 NA NA 10.32 10.32 2.17 NA NA 35.49 35.49 090 57109 A Vaginectomy partial w/nodes 27.00 NA NA 11.90 11.90 1.97 NA NA 40.87 40.87 090 57110 A Remove vagina wall, complete 14.29 NA NA 7.20 7.54 1.43 NA NA 22.92 23.26 090 57111 A Remove vagina tissue, compl 27.00 NA NA 12.17 12.17 2.71 NA NA 41.88 41.88 090 57112 A Vaginectomy w/nodes, compl 29.00 NA NA 12.77 12.77 2.19 NA NA 43.96 43.96 090 57120 A Closure of vagina 7.41 NA NA 4.54 5.30 0.75 NA NA 12.70 13.46 090 57130 A Remove vagina lesion 2.43 NA NA 2.07 2.26 0.23 NA NA 4.73 4.92 010 57135 A Remove vagina lesion 2.67 2.85 2.66 2.17 2.15 0.26 5.78 5.59 5.10 5.08 010 57150 A Treat vagina infection 0.55 0.98 0.79 0.21 0.19 0.06 1.59 1.40 0.82 0.80 000 57160 A Insert pessary/other device 0.89 1.34 1.07 0.35 0.30 0.09 2.32 2.05 1.33 1.28 000 57170 A Fitting of diaphragm/cap 0.91 1.38 1.12 0.33 0.29 0.09 2.38 2.12 1.33 1.29 000 57180 A Treat vaginal bleeding 1.58 2.21 1.81 1.43 1.15 0.16 3.95 3.55 3.17 2.89 010 57200 A Repair of vagina 3.94 NA NA 2.93 2.93 0.38 NA NA 7.25 7.25 090 57210 A Repair vagina/perineum 5.17 NA NA 3.41 3.45 0.50 NA NA 9.08 9.12 090 57220 A Revision of urethra 4.31 NA NA 3.31 3.69 0.42 NA NA 8.04 8.42 090 57230 A Repair of urethral lesion 5.64 NA NA 4.16 4.16 0.50 NA NA 10.30 10.30 090 57240 A Repair bladder & vagina 6.07 NA NA 4.30 5.04 0.53 NA NA 10.90 11.64 090 57250 A Repair rectum & vagina 5.53 NA NA 3.75 4.46 0.54 NA NA 9.82 10.53 090 57260 A Repair of vagina 8.27 NA NA 4.85 5.99 0.83 NA NA 13.95 15.09 090 57265 A Extensive repair of vagina 11.34 NA NA 6.75 7.62 1.14 NA NA 19.23 20.10 090 57268 A Repair of bowel bulge 6.76 NA NA 4.24 5.09 0.66 NA NA 11.66 12.51 090 57270 A Repair of bowel pouch 12.11 NA NA 6.18 6.49 1.17 NA NA 19.46 19.77 090 57280 A Suspension of vagina 15.04 NA NA 7.31 7.80 1.44 NA NA 23.79 24.28 090 57282 A Repair of vaginal prolapse 8.86 NA NA 5.09 6.18 0.86 NA NA 14.81 15.90 090 57284 A Repair paravaginal defect 12.70 NA NA 6.94 7.54 1.17 NA NA 20.81 21.41 090 57287 A Revise/remove sling repair 10.71 NA NA 7.02 7.02 0.64 NA NA 18.37 18.37 090 57288 A Repair bladder defect 13.02 NA NA 6.80 8.01 0.86 NA NA 20.68 21.89 090 57289 A Repair bladder & vagina 11.58 NA NA 6.62 7.19 0.95 NA NA 19.15 19.72 090 57291 A Construction of vagina 7.95 NA NA 6.07 6.01 0.78 NA NA 14.80 14.74 090 57292 A Construct vagina with graft 13.09 NA NA 7.25 7.22 1.29 NA NA 21.63 21.60 090 57300 A Repair rectum-vagina fistula 7.61 NA NA 4.70 5.67 0.70 NA NA 13.01 13.98 090 57305 A Repair rectum-vagina fistula 13.77 NA NA 7.10 7.37 1.33 NA NA 22.20 22.47 090 Start Printed Page 65490 57307 A Fistula repair & colostomy 15.93 NA NA 7.77 7.49 1.59 NA NA 25.29 25.01 090 57308 A Fistula repair, transperine 9.94 NA NA 5.73 6.26 0.91 NA NA 16.58 17.11 090 57310 A Repair urethrovaginal lesion 6.78 NA NA 4.63 4.65 0.45 NA NA 11.86 11.88 090 57311 A Repair urethrovaginal lesion 7.98 NA NA 5.19 5.41 0.51 NA NA 13.68 13.90 090 57320 A Repair bladder-vagina lesion 8.01 NA NA 5.27 6.34 0.60 NA NA 13.88 14.95 090 57330 A Repair bladder-vagina lesion 12.35 NA NA 6.60 7.20 0.86 NA NA 19.81 20.41 090 57335 A Repair vagina 18.73 NA NA 9.15 8.74 1.66 NA NA 29.54 29.13 090 57400 A Dilation of vagina 2.27 NA NA 1.29 1.06 0.22 NA NA 3.78 3.55 000 57410 A Pelvic examination 1.75 2.60 2.05 1.07 0.90 0.14 4.49 3.94 2.96 2.79 000 57415 A Remove vaginal foreign body 2.17 3.37 2.63 2.00 1.60 0.19 5.73 4.99 4.36 3.96 010 57452 A Examination of vagina 0.99 1.53 1.33 0.45 0.43 0.10 2.62 2.42 1.54 1.52 000 57454 A Vagina examination & biopsy 1.27 1.71 1.61 0.59 0.61 0.13 3.11 3.01 1.99 2.01 000 57460 A Cervix excision 2.83 2.05 2.09 1.13 1.12 0.28 5.16 5.20 4.24 4.23 000 57500 A Biopsy of cervix 0.97 2.02 1.67 0.47 0.43 0.10 3.09 2.74 1.54 1.50 000 57505 A Endocervical curettage 1.14 1.89 1.59 1.21 0.99 0.12 3.15 2.85 2.47 2.25 010 57510 A Cauterization of cervix 1.90 3.07 2.44 1.52 1.21 0.18 5.15 4.52 3.60 3.29 010 57511 A Cryocautery of cervix 1.90 2.35 1.99 0.74 0.67 0.18 4.43 4.07 2.82 2.75 010 57513 A Laser surgery of cervix 1.90 2.50 2.44 1.49 1.69 0.19 4.59 4.53 3.58 3.78 010 57520 A Conization of cervix 4.04 4.10 4.01 2.74 2.99 0.41 8.55 8.46 7.19 7.44 090 57522 A Conization of cervix 3.36 3.65 3.67 2.47 2.79 0.34 7.35 7.37 6.17 6.49 090 57530 A Removal of cervix 4.79 NA NA 3.52 3.62 0.48 NA NA 8.79 8.89 090 57531 A Removal of cervix, radical 28.00 NA NA 13.16 14.69 2.46 NA NA 43.62 45.15 090 57540 A Removal of residual cervix 12.22 NA NA 6.14 6.43 1.21 NA NA 19.57 19.86 090 57545 A Remove cervix/repair pelvis 13.03 NA NA 6.58 6.18 1.30 NA NA 20.91 20.51 090 57550 A Removal of residual cervix 5.53 NA NA 3.75 4.46 0.55 NA NA 9.83 10.54 090 57555 A Remove cervix/repair vagina 8.95 NA NA 5.48 6.78 0.89 NA NA 15.32 16.62 090 57556 A Remove cervix, repair bowel 8.37 NA NA 4.85 6.14 0.80 NA NA 14.02 15.31 090 57700 A Revision of cervix 3.55 NA NA 2.44 2.48 0.33 NA NA 6.32 6.36 090 57720 A Revision of cervix 4.13 NA NA 3.22 3.17 0.41 NA NA 7.76 7.71 090 57800 A Dilation of cervical canal 0.77 1.15 0.99 0.35 0.33 0.08 2.00 1.84 1.20 1.18 000 57820 A D & c of residual cervix 1.67 2.47 2.42 2.16 2.19 0.17 4.31 4.26 4.00 4.03 010 58100 A Biopsy of uterus lining 0.71 1.99 1.67 0.28 0.30 0.07 2.77 2.45 1.06 1.08 000 58120 A Dilation and curettage 3.27 3.72 3.52 2.36 2.50 0.33 7.32 7.12 5.96 6.10 010 58140 A Removal of uterus lesion 14.60 NA NA 7.06 7.56 1.46 NA NA 23.12 23.62 090 58145 A Removal of uterus lesion 8.04 NA NA 4.78 5.82 0.80 NA NA 13.62 14.66 090 58150 A Total hysterectomy 15.24 NA NA 7.45 8.19 1.53 NA NA 24.22 24.96 090 58152 A Total hysterectomy 15.09 NA NA 7.40 8.80 1.52 NA NA 24.01 25.41 090 58180 A Partial hysterectomy 15.29 NA NA 7.44 8.23 1.54 NA NA 24.27 25.06 090 58200 A Extensive hysterectomy 21.59 NA NA 11.04 11.80 2.15 NA NA 34.78 35.54 090 58210 A Extensive hysterectomy 28.85 NA NA 13.89 15.24 2.91 NA NA 45.65 47.00 090 58240 A Removal of pelvis contents 38.39 NA NA 18.94 22.00 3.76 NA NA 61.09 64.15 090 58260 A Vaginal hysterectomy 12.20 NA NA 5.92 6.99 1.23 NA NA 19.35 20.42 090 58262 A Vaginal hysterectomy 13.99 NA NA 6.65 7.54 1.42 NA NA 22.06 22.95 090 58263 A Vaginal hysterectomy 15.28 NA NA 7.16 8.17 1.55 NA NA 23.99 25.00 090 58267 A Hysterectomy & vagina repair 15.00 NA NA 7.04 8.41 1.51 NA NA 23.55 24.92 090 58270 A Hysterectomy & vagina repair 13.48 NA NA 6.45 7.64 1.37 NA NA 21.30 22.49 090 58275 A Hysterectomy/revise vagina 14.98 NA NA 7.01 8.25 1.51 NA NA 23.50 24.74 090 58280 A Hysterectomy/revise vagina 15.41 NA NA 7.13 8.20 1.54 NA NA 24.08 25.15 090 58285 A Extensive hysterectomy 18.57 NA NA 9.80 10.50 1.88 NA NA 30.25 30.95 090 58300 N Insert intrauterine device +1.01 1.39 1.25 0.40 0.51 0.10 2.50 2.36 1.51 1.62 XXX 58301 A Remove intrauterine device 1.27 1.53 1.27 0.50 0.44 0.13 2.93 2.67 1.90 1.84 000 58321 A Artificial insemination 0.92 0.88 0.85 0.37 0.47 0.10 1.90 1.87 1.39 1.49 000 58322 A Artificial insemination 1.10 1.01 0.95 0.42 0.51 0.11 2.22 2.16 1.63 1.72 000 58323 A Sperm washing 0.23 0.51 0.43 0.09 0.11 0.02 0.76 0.68 0.34 0.36 000 58340 A Catheter for hysterography 0.88 11.40 8.71 0.33 0.40 0.08 12.36 9.67 1.29 1.36 000 58345 A Reopen fallopian tube 4.66 NA NA 1.80 2.30 0.36 NA NA 6.82 7.32 010 58350 A Reopen fallopian tube 1.01 1.98 1.67 1.06 0.98 0.10 3.09 2.78 2.17 2.09 010 58353 A Endometr ablate, thermal 3.56 NA NA 2.16 2.16 0.19 NA NA 5.91 5.91 010 58400 A Suspension of uterus 6.36 NA NA 3.94 4.49 0.62 NA NA 10.92 11.47 090 58410 A Suspension of uterus 12.73 NA NA 6.48 6.36 1.09 NA NA 20.30 20.18 090 58520 A Repair of ruptured uterus 11.92 NA NA 5.87 5.55 1.17 NA NA 18.96 18.64 090 58540 A Revision of uterus 14.64 NA NA 7.03 6.94 1.28 NA NA 22.95 22.86 090 58550 A Laparo-asst vag hysterectomy 14.19 NA NA 6.71 7.58 1.44 NA NA 22.34 23.21 010 58551 A Laparoscopy, remove myoma 14.21 NA NA 6.65 6.28 1.45 NA NA 22.31 21.94 010 58555 A Hysteroscopy, dx, sep proc 3.33 2.78 2.63 1.44 1.62 0.34 6.45 6.30 5.11 5.29 000 58558 A Hysteroscopy, biopsy 4.75 3.36 3.06 2.02 2.06 0.49 8.60 8.30 7.26 7.30 000 58559 A Hysteroscopy, lysis 6.17 2.45 2.86 2.45 2.86 0.62 9.24 9.65 9.24 9.65 000 58560 A Hysteroscopy, resect septum 7.00 2.84 3.15 2.84 3.15 0.71 10.55 10.86 10.55 10.86 000 58561 A Hysteroscopy, remove myoma 10.00 4.03 4.36 4.03 4.36 1.02 15.05 15.38 15.05 15.38 000 58562 A Hysteroscopy, remove fb 5.21 NA NA 2.20 2.19 0.52 NA NA 7.93 7.92 000 58563 A Hysteroscopy, ablation 6.17 2.47 3.04 2.47 3.04 0.62 9.26 9.83 9.26 9.83 000 58578 C Laparo proc, uterus 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 YYY 58600 A Division of fallopian tube 3.84 NA NA 2.58 3.08 0.39 NA NA 6.81 7.31 090 58605 A Division of fallopian tube 3.34 NA NA 2.40 2.80 0.33 NA NA 6.07 6.47 090 58611 A Ligate oviduct(s) add-on 0.63 NA NA 0.25 0.32 0.07 NA NA 0.95 1.02 ZZZ 58615 A Occlude fallopian tube(s) 3.90 NA NA 2.64 2.77 0.40 NA NA 6.94 7.07 010 58660 A Laparoscopy, lysis 11.29 NA NA 5.46 5.62 1.14 NA NA 17.89 18.05 090 58661 A Laparoscopy, remove adnexa 11.05 NA NA 5.19 5.84 1.12 NA NA 17.36 18.01 010 58662 A Laparoscopy, excise lesions 11.79 NA NA 5.45 5.59 1.18 NA NA 18.42 18.56 090 58670 A Laparoscopy, tubal cautery 5.60 NA NA 3.49 3.90 0.55 NA NA 9.64 10.05 090 58671 A Laparoscopy, tubal block 5.60 NA NA 3.55 4.09 0.56 NA NA 9.71 10.25 090 58672 A Laparoscopy, fimbrioplasty 12.88 NA NA 6.13 5.99 1.22 NA NA 20.23 20.09 090 Start Printed Page 65491 58673 A Laparoscopy, salpingostomy 13.74 NA NA 6.82 6.55 1.40 NA NA 21.96 21.69 090 58679 C Laparo proc, oviduct-ovary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 58700 A Removal of fallopian tube 6.49 NA NA 3.82 4.58 0.64 NA NA 10.95 11.71 090 58720 A Removal of ovary/tube(s) 11.36 NA NA 5.77 6.36 1.14 NA NA 18.27 18.86 090 58740 A Revise fallopian tube(s) 5.83 NA NA 3.71 4.52 0.59 NA NA 10.13 10.94 090 58750 A Repair oviduct 14.84 NA NA 7.24 7.14 1.52 NA NA 23.60 23.50 090 58752 A Revise ovarian tube(s) 14.84 NA NA 7.62 7.54 1.51 NA NA 23.97 23.89 090 58760 A Remove tubal obstruction 13.13 NA NA 6.43 6.21 1.34 NA NA 20.90 20.68 090 58770 A Create new tubal opening 13.97 NA NA 6.95 6.65 1.42 NA NA 22.34 22.04 090 58800 A Drainage of ovarian cyst(s) 4.14 4.32 3.97 4.16 3.85 0.36 8.82 8.47 8.66 8.35 090 58805 A Drainage of ovarian cyst(s) 5.88 NA NA 3.52 4.37 0.56 NA NA 9.96 10.81 090 58820 A Drain ovary abscess, open 4.22 NA NA 3.26 3.20 0.29 NA NA 7.77 7.71 090 58822 A Drain ovary abscess, percut 10.13 NA NA 5.15 4.83 0.92 NA NA 16.20 15.88 090 58823 A Drain pelvic abscess, percut 3.38 NA NA 3.14 3.05 0.18 NA NA 6.70 6.61 000 58825 A Transposition, ovary(s) 6.13 NA NA 3.88 4.00 0.62 NA NA 10.63 10.75 090 58900 A Biopsy of ovary(s) 5.99 NA NA 3.59 4.10 0.56 NA NA 10.14 10.65 090 58920 A Partial removal of ovary(s) 6.78 NA NA 3.85 4.73 0.68 NA NA 11.31 12.19 090 58925 A Removal of ovarian cyst(s) 11.36 NA NA 5.66 6.03 1.14 NA NA 18.16 18.53 090 58940 A Removal of ovary(s) 7.29 NA NA 4.05 4.80 0.73 NA NA 12.07 12.82 090 58943 A Removal of ovary(s) 18.43 NA NA 9.53 10.43 1.86 NA NA 29.82 30.72 090 58950 A Resect ovarian malignancy 15.27 NA NA 8.36 9.32 1.55 NA NA 25.18 26.14 090 58951 A Resect ovarian malignancy 21.81 NA NA 11.01 13.23 2.20 NA NA 35.02 37.24 090 58952 A Resect ovarian malignancy 25.01 NA NA 12.32 14.15 2.50 NA NA 39.83 41.66 090 58960 A Exploration of abdomen 14.65 NA NA 8.15 9.64 1.47 NA NA 24.27 25.76 090 58970 A Retrieval of oocyte 3.53 8.65 7.17 1.80 2.03 0.36 12.54 11.06 5.69 5.92 000 58974 C Transfer of embryo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 58976 A Transfer of embryo 3.83 2.28 2.45 1.53 1.89 0.39 6.50 6.67 5.75 6.11 000 58999 C Genital surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 59000 A Amniocentesis 1.30 1.86 1.66 0.61 0.72 0.23 3.39 3.19 2.14 2.25 000 59012 A Fetal cord puncture,prenatal 3.45 NA NA 1.65 1.95 0.62 NA NA 5.72 6.02 000 59015 A Chorion biopsy 2.20 1.32 1.32 0.89 0.99 0.40 3.92 3.92 3.49 3.59 000 59020 A Fetal contract stress test 0.66 0.78 0.92 0.78 0.92 0.20 1.64 1.78 1.64 1.78 000 59020 26 A Fetal contract stress test 0.66 0.26 0.39 0.26 0.39 0.12 1.04 1.17 1.04 1.17 000 59020 TC A Fetal contract stress test 0.00 0.52 0.53 NA NA 0.08 0.60 0.61 NA NA 000 59025 A Fetal non-stress test 0.53 0.44 0.49 0.44 0.49 0.12 1.09 1.14 1.09 1.14 000 59025 26 A Fetal non-stress test 0.53 0.21 0.26 0.21 0.26 0.10 0.84 0.89 0.84 0.89 000 59025 TC A Fetal non-stress test 0.00 0.23 0.23 NA NA 0.02 0.25 0.25 NA NA 000 59030 A Fetal scalp blood sample 1.99 NA NA 0.93 1.13 0.36 NA NA 3.28 3.48 000 59050 A Fetal monitor w/report 0.89 NA NA 0.35 0.48 0.16 NA NA 1.40 1.53 XXX 59051 A Fetal monitor/interpret only 0.74 NA NA 0.28 0.43 0.14 NA NA 1.16 1.31 XXX 59100 A Remove uterus lesion 12.35 NA NA 6.03 5.65 2.21 NA NA 20.59 20.21 090 59120 A Treat ectopic pregnancy 11.49 NA NA 6.01 6.64 2.06 NA NA 19.56 20.19 090 59121 A Treat ectopic pregnancy 11.67 NA NA 6.04 5.99 2.09 NA NA 19.80 19.75 090 59130 A Treat ectopic pregnancy 14.22 NA NA 7.10 6.94 2.54 NA NA 23.86 23.70 090 59135 A Treat ectopic pregnancy 13.88 NA NA 6.97 7.90 2.49 NA NA 23.34 24.27 090 59136 A Treat ectopic pregnancy 13.18 NA NA 6.71 6.72 2.36 NA NA 22.25 22.26 090 59140 A Treat ectopic pregnancy 5.46 NA NA 3.17 3.64 0.98 NA NA 9.61 10.08 090 59150 A Treat ectopic pregnancy 6.89 NA NA 4.37 4.51 1.23 NA NA 12.49 12.63 090 59151 A Treat ectopic pregnancy 7.86 NA NA 4.29 5.55 1.41 NA NA 13.56 14.82 090 59160 A D & c after delivery 2.71 3.47 3.40 2.16 2.42 0.49 6.67 6.60 5.36 5.62 010 59200 A Insert cervical dilator 0.79 1.31 1.13 0.31 0.31 0.15 2.25 2.07 1.25 1.25 000 59300 A Episiotomy or vaginal repair 2.41 2.14 1.87 0.96 0.86 0.43 4.98 4.71 3.80 3.70 000 59320 A Revision of cervix 2.48 NA NA 1.40 1.53 0.45 NA NA 4.33 4.46 000 59325 A Revision of cervix 4.07 NA NA 2.05 2.32 0.73 NA NA 6.85 7.12 000 59350 A Repair of uterus 4.95 NA NA 1.95 2.42 0.88 NA NA 7.78 8.25 000 59400 A Obstetrical care 23.06 NA NA 14.62 15.03 4.14 NA NA 41.82 42.23 MMM 59409 A Obstetrical care 13.50 NA NA 5.29 6.54 2.42 NA NA 21.21 22.46 MMM 59410 A Obstetrical care 14.78 NA NA 6.34 7.55 2.65 NA NA 23.77 24.98 MMM 59412 A Antepartum manipulation 1.71 1.28 1.29 0.69 0.85 0.31 3.30 3.31 2.71 2.87 MMM 59414 A Deliver placenta 1.61 NA NA 1.27 1.27 0.29 NA NA 3.17 3.17 MMM 59425 A Antepartum care only 4.81 5.10 4.61 5.02 4.16 0.86 10.77 10.28 10.69 9.83 MMM 59426 A Antepartum care only 8.28 8.72 7.88 8.72 7.21 1.49 18.49 17.65 18.49 16.98 MMM 59430 A Care after delivery 2.13 1.22 1.02 1.21 0.96 0.38 3.73 3.53 3.72 3.47 MMM 59510 A Cesarean delivery 26.22 NA NA 16.61 17.04 4.70 NA NA 47.53 47.96 MMM 59514 A Cesarean delivery only 15.97 NA NA 6.22 7.65 2.86 NA NA 25.05 26.48 MMM 59515 A Cesarean delivery 17.37 NA NA 7.99 9.20 3.12 NA NA 28.48 29.69 MMM 59525 A Remove uterus after cesarean 8.54 NA NA 3.33 3.53 1.53 NA NA 13.40 13.60 ZZZ 59610 A Vbac delivery 24.62 NA NA 15.08 15.38 4.41 NA NA 44.11 44.41 MMM 59612 A Vbac delivery only 15.06 NA NA 6.03 7.10 2.70 NA NA 23.79 24.86 MMM 59614 A Vbac care after delivery 16.34 NA NA 7.28 8.26 2.93 NA NA 26.55 27.53 MMM 59618 A Attempted vbac delivery 27.78 NA NA 17.86 17.98 4.98 NA NA 50.62 50.74 MMM 59620 A Attempted vbac delivery only 17.53 NA NA 6.68 7.99 3.15 NA NA 27.36 28.67 MMM 59622 A Attempted vbac after care 18.93 NA NA 8.59 9.65 3.39 NA NA 30.91 31.97 MMM 59812 A Treatment of miscarriage 3.25 3.27 3.43 2.12 2.56 0.58 7.10 7.26 5.95 6.39 090 59820 A Care of miscarriage 4.01 3.58 3.70 2.63 2.99 0.72 8.31 8.43 7.36 7.72 090 59821 A Treatment of miscarriage 4.47 3.72 3.53 2.82 2.85 0.80 8.99 8.80 8.09 8.12 090 59830 A Treat uterus infection 6.11 NA NA 3.80 4.08 1.10 NA NA 11.01 11.29 090 59840 R Abortion 3.01 3.88 3.78 2.16 2.49 0.54 7.43 7.33 5.71 6.04 010 59841 R Abortion 5.24 5.56 5.19 3.49 3.64 0.94 11.74 11.37 9.67 9.82 010 59850 R Abortion 5.91 NA NA 2.76 3.16 1.06 NA NA 9.73 10.13 090 59851 R Abortion 5.93 NA NA 3.07 3.46 1.06 NA NA 10.06 10.45 090 59852 R Abortion 8.24 NA NA 4.35 4.76 1.48 NA NA 14.07 14.48 090 59855 R Abortion 6.12 NA NA 3.22 3.54 1.10 NA NA 10.44 10.76 090 Start Printed Page 65492 59856 R Abortion 7.48 NA NA 3.73 4.19 1.34 NA NA 12.55 13.01 090 59857 R Abortion 9.29 NA NA 4.45 5.03 1.66 NA NA 15.40 15.98 090 59866 R Abortion (mpr) 4.00 NA NA 1.60 1.98 0.72 NA NA 6.32 6.70 000 59870 A Evacuate mole of uterus 4.28 NA NA 3.06 3.09 0.77 NA NA 8.11 8.14 090 59871 A Remove cerclage suture 2.13 1.90 1.91 0.87 1.14 0.38 4.41 4.42 3.38 3.65 000 59898 C Laparo proc, ob care/deliver 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 YYY 60000 A Drain thyroid/tongue cyst 1.76 2.36 1.93 2.31 1.82 0.14 4.26 3.83 4.21 3.72 010 60001 A Aspirate/inject thyriod cyst 0.97 1.54 1.44 0.37 0.56 0.06 2.57 2.47 1.40 1.59 000 60100 A Biopsy of thyroid 0.97 2.32 2.03 0.35 0.41 0.05 3.34 3.05 1.37 1.43 000 60200 A Remove thyroid lesion 9.55 NA NA 6.79 6.73 0.84 NA NA 17.18 17.12 090 60210 A Partial thyroid excision 10.88 NA NA 6.69 7.37 1.01 NA NA 18.58 19.26 090 60212 A Parital thyroid excision 16.03 NA NA 8.83 9.08 1.51 NA NA 26.37 26.62 090 60220 A Partial removal of thyroid 10.53 NA NA 6.60 7.27 0.97 NA NA 18.10 18.77 090 60225 A Partial removal of thyroid 14.19 NA NA 8.15 8.96 1.31 NA NA 23.65 24.46 090 60240 A Removal of thyroid 16.06 NA NA 9.33 9.87 1.50 NA NA 26.89 27.43 090 60252 A Removal of thyroid 18.20 NA NA 10.78 11.79 1.63 NA NA 30.61 31.62 090 60254 A Extensive thyroid surgery 23.88 NA NA 14.52 16.10 1.96 NA NA 40.36 41.94 090 60260 A Repeat thyroid surgery 15.46 NA NA 9.68 8.11 1.39 NA NA 26.53 24.96 090 60270 A Removal of thyroid 17.94 NA NA 12.04 12.82 1.78 NA NA 31.76 32.54 090 60271 A Removal of thyroid 14.89 NA NA 9.27 10.25 1.35 NA NA 25.51 26.49 090 60280 A Remove thyroid duct lesion 5.87 NA NA 5.11 5.65 0.45 NA NA 11.43 11.97 090 60281 A Remove thyroid duct lesion 8.53 NA NA 6.44 6.20 0.67 NA NA 15.64 15.40 090 60500 A Explore parathyroid glands 16.23 NA NA 8.11 9.17 1.61 NA NA 25.95 27.01 090 60502 A Re-explore parathyroids 20.35 NA NA 9.94 10.55 2.00 NA NA 32.29 32.90 090 60505 A Explore parathyroid glands 21.49 NA NA 11.77 12.39 2.14 NA NA 35.40 36.02 090 60512 A Autotransplant parathyroid 4.45 NA NA 1.78 1.97 0.44 NA NA 6.67 6.86 ZZZ 60520 A Removal of thymus gland 16.81 NA NA 11.14 12.03 1.84 NA NA 29.79 30.68 090 60521 A Removal of thymus gland 18.87 NA NA 14.46 14.52 2.34 NA NA 35.67 35.73 090 60522 A Removal of thymus gland 23.09 NA NA 15.89 15.59 2.83 NA NA 41.81 41.51 090 60540 A Explore adrenal gland 17.03 NA NA 8.03 9.29 1.42 NA NA 26.48 27.74 090 60545 A Explore adrenal gland 19.88 NA NA 9.84 11.25 1.75 NA NA 31.47 32.88 090 60600 A Remove carotid body lesion 17.93 NA NA 14.03 13.63 1.87 NA NA 33.83 33.43 090 60605 A Remove carotid body lesion 20.24 NA NA 19.89 17.82 2.28 NA NA 42.41 40.34 090 60650 A Laparoscopy adrenalectomy 20.00 NA NA 8.60 8.60 1.98 NA NA 30.58 30.58 090 60659 C Laparo proc, endocrine 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 YYY 61000 A Remove cranial cavity fluid 1.58 1.72 1.58 1.59 1.48 0.13 3.43 3.29 3.30 3.19 000 61001 A Remove cranial cavity fluid 1.49 1.88 1.65 1.38 1.16 0.15 3.52 3.29 3.02 2.80 000 61020 A Remove brain cavity fluid 1.51 2.25 2.03 1.49 1.46 0.26 4.02 3.80 3.26 3.23 000 61026 A Injection into brain canal 1.69 2.11 2.09 1.68 1.77 0.21 4.01 3.99 3.58 3.67 000 61050 A Remove brain canal fluid 1.51 NA NA 1.54 1.49 0.13 NA NA 3.18 3.13 000 61055 A Injection into brain canal 2.10 NA NA 1.71 1.79 0.13 NA NA 3.94 4.02 000 61070 A Brain canal shunt procedure 0.89 6.61 5.09 1.16 0.94 0.09 7.59 6.07 2.14 1.92 000 61105 A Twist drill hole 5.14 NA NA 3.62 4.25 1.05 NA NA 9.81 10.44 090 61107 A Drill skull for implantation 5.00 NA NA 3.13 3.84 1.02 NA NA 9.15 9.86 000 61108 A Drill skull for drainage 10.19 NA NA 6.93 8.24 2.04 NA NA 19.16 20.47 090 61120 A Burr hole for puncture 8.76 NA NA 5.79 5.96 1.81 NA NA 16.36 16.53 090 61140 A Pierce skull for biopsy 15.90 NA NA 9.85 11.22 3.15 NA NA 28.90 30.27 090 61150 A Pierce skull for drainage 17.57 NA NA 10.56 11.90 3.52 NA NA 31.65 32.99 090 61151 A Pierce skull for drainage 12.42 NA NA 8.20 6.73 2.45 NA NA 23.07 21.60 090 61154 A Pierce skull & remove clot 14.99 NA NA 9.42 11.54 3.05 NA NA 27.46 29.58 090 61156 A Pierce skull for drainage 16.32 NA NA 10.26 12.09 3.42 NA NA 30.00 31.83 090 61210 A Pierce skull, implant device 5.84 NA NA 3.50 4.26 1.16 NA NA 10.50 11.26 000 61215 A Insert brain-fluid device 4.89 NA NA 4.19 4.60 0.99 NA NA 10.07 10.48 090 61250 A Pierce skull & explore 10.42 NA NA 6.68 7.19 2.02 NA NA 19.12 19.63 090 61253 A Pierce skull & explore 12.36 NA NA 7.31 8.09 2.26 NA NA 21.93 22.71 090 61304 A Open skull for exploration 21.96 NA NA 12.56 15.98 4.33 NA NA 38.85 42.27 090 61305 A Open skull for exploration 26.61 NA NA 14.90 19.07 5.25 NA NA 46.76 50.93 090 61312 A Open skull for drainage 24.57 NA NA 14.32 17.29 4.99 NA NA 43.88 46.85 090 61313 A Open skull for drainage 24.93 NA NA 14.54 17.43 5.07 NA NA 44.54 47.43 090 61314 A Open skull for drainage 24.23 NA NA 12.38 16.24 4.00 NA NA 40.61 44.47 090 61315 A Open skull for drainage 27.68 NA NA 15.98 18.61 5.62 NA NA 49.28 51.91 090 61320 A Open skull for drainage 25.62 NA NA 14.92 16.26 5.20 NA NA 45.74 47.08 090 61321 A Open skull for drainage 28.50 NA NA 15.99 17.37 5.35 NA NA 49.84 51.22 090 61330 A Decompress eye socket 23.32 NA NA 17.09 16.34 2.58 NA NA 42.99 42.24 090 61332 A Explore/biopsy eye socket 27.28 NA NA 19.47 20.23 4.15 NA NA 50.90 51.66 090 61333 A Explore orbit/remove lesion 27.95 NA NA 16.46 17.90 2.24 NA NA 46.65 48.09 090 61334 A Explore orbit/remove object 18.27 NA NA 11.80 12.83 3.02 NA NA 33.09 34.12 090 61340 A Relieve cranial pressure 18.66 NA NA 11.49 12.63 3.66 NA NA 33.81 34.95 090 61343 A Incise skull (press relief) 29.77 NA NA 17.69 21.42 6.04 NA NA 53.50 57.23 090 61345 A Relieve cranial pressure 27.20 NA NA 16.30 17.43 5.23 NA NA 48.73 49.86 090 61440 A Incise skull for surgery 26.63 NA NA 16.08 17.69 5.57 NA NA 48.28 49.89 090 61450 A Incise skull for surgery 25.95 NA NA 14.62 16.51 5.11 NA NA 45.68 47.57 090 61458 A Incise skull for brain wound 27.29 NA NA 15.66 19.15 5.28 NA NA 48.23 51.72 090 61460 A Incise skull for surgery 28.39 NA NA 16.67 19.30 5.13 NA NA 50.19 52.82 090 61470 A Incise skull for surgery 26.06 NA NA 14.09 14.33 4.65 NA NA 44.80 45.04 090 61480 A Incise skull for surgery 26.49 NA NA 13.98 14.57 5.54 NA NA 46.01 46.60 090 61490 A Incise skull for surgery 25.66 NA NA 14.93 14.38 5.37 NA NA 45.96 45.41 090 61500 A Removal of skull lesion 17.92 NA NA 10.93 13.55 3.26 NA NA 32.11 34.73 090 61501 A Remove infected skull bone 14.84 NA NA 9.13 11.28 2.63 NA NA 26.60 28.75 090 61510 A Removal of brain lesion 28.45 NA NA 16.32 19.58 5.77 NA NA 50.54 53.80 090 61512 A Remove brain lining lesion 35.09 NA NA 19.84 22.75 7.14 NA NA 62.07 64.98 090 Start Printed Page 65493 61514 A Removal of brain abscess 25.26 NA NA 14.53 17.82 5.12 NA NA 44.91 48.20 090 61516 A Removal of brain lesion 24.61 NA NA 14.70 18.21 4.94 NA NA 44.25 47.76 090 61518 A Removal of brain lesion 37.32 NA NA 21.97 24.62 7.53 NA NA 66.82 69.47 090 61519 A Remove brain lining lesion 41.39 NA NA 23.83 26.34 8.15 NA NA 73.37 75.88 090 61520 A Removal of brain lesion 54.84 NA NA 31.48 32.80 10.10 NA NA 96.42 97.74 090 61521 A Removal of brain lesion 44.48 NA NA 25.81 28.30 8.85 NA NA 79.14 81.63 090 61522 A Removal of brain abscess 29.45 NA NA 16.95 18.13 5.30 NA NA 51.70 52.88 090 61524 A Removal of brain lesion 27.86 NA NA 16.43 19.77 5.01 NA NA 49.30 52.64 090 61526 A Removal of brain lesion 52.17 NA NA 30.05 31.77 6.72 NA NA 88.94 90.66 090 61530 A Removal of brain lesion 43.86 NA NA 26.95 29.44 6.17 NA NA 76.98 79.47 090 61531 A Implant brain electrodes 14.63 NA NA 9.16 10.94 2.84 NA NA 26.63 28.41 090 61533 A Implant brain electrodes 19.71 NA NA 11.98 13.60 3.80 NA NA 35.49 37.11 090 61534 A Removal of brain lesion 20.97 NA NA 12.97 11.46 4.15 NA NA 38.09 36.58 090 61535 A Remove brain electrodes 11.63 NA NA 7.75 7.89 2.29 NA NA 21.67 21.81 090 61536 A Removal of brain lesion 35.52 NA NA 20.35 21.22 6.68 NA NA 62.55 63.42 090 61538 A Removal of brain tissue 26.81 NA NA 16.00 19.89 5.38 NA NA 48.19 52.08 090 61539 A Removal of brain tissue 32.08 NA NA 18.89 20.40 6.62 NA NA 57.59 59.10 090 61541 A Incision of brain tissue 28.85 NA NA 16.34 17.63 5.50 NA NA 50.69 51.98 090 61542 A Removal of brain tissue 31.02 NA NA 18.75 19.47 6.49 NA NA 56.26 56.98 090 61543 A Removal of brain tissue 29.22 NA NA 17.80 18.03 6.11 NA NA 53.13 53.36 090 61544 A Remove & treat brain lesion 25.50 NA NA 12.17 16.74 4.91 NA NA 42.58 47.15 090 61545 A Excision of brain tumor 43.80 NA NA 24.52 25.35 8.88 NA NA 77.20 78.03 090 61546 A Removal of pituitary gland 31.30 NA NA 18.13 20.93 6.06 NA NA 55.49 58.29 090 61548 A Removal of pituitary gland 21.53 NA NA 13.47 16.53 3.63 NA NA 38.63 41.69 090 61550 A Release of skull seams 14.65 NA NA 7.52 8.85 1.14 NA NA 23.31 24.64 090 61552 A Release of skull seams 19.56 NA NA 10.70 11.78 0.88 NA NA 31.14 32.22 090 61556 A Incise skull/sutures 22.26 NA NA 12.44 13.54 3.57 NA NA 38.27 39.37 090 61557 A Incise skull/sutures 22.38 NA NA 12.84 13.87 4.68 NA NA 39.90 40.93 090 61558 A Excision of skull/sutures 25.58 NA NA 12.59 14.26 2.61 NA NA 40.78 42.45 090 61559 A Excision of skull/sutures 32.79 NA NA 18.98 20.48 6.86 NA NA 58.63 60.13 090 61563 A Excision of skull tumor 26.83 NA NA 15.92 17.04 4.46 NA NA 47.21 48.33 090 61564 A Excision of skull tumor 33.83 NA NA 19.23 20.86 7.08 NA NA 60.14 61.77 090 61570 A Remove foreign body, brain 24.60 NA NA 13.38 14.51 4.60 NA NA 42.58 43.71 090 61571 A Incise skull for brain wound 26.39 NA NA 14.97 16.20 5.23 NA NA 46.59 47.82 090 61575 A Skull base/brainstem surgery 34.36 NA NA 20.91 24.63 5.02 NA NA 60.29 64.01 090 61576 A Skull base/brainstem surgery 52.43 NA NA 29.71 29.94 4.68 NA NA 86.82 87.05 090 61580 A Craniofacial approach, skull 30.35 NA NA 19.34 20.21 2.75 NA NA 52.44 53.31 090 61581 A Craniofacial approach, skull 34.60 NA NA 21.58 22.65 3.37 NA NA 59.55 60.62 090 61582 A Craniofacial approach, skull 31.66 NA NA 19.27 20.33 6.30 NA NA 57.23 58.29 090 61583 A Craniofacial approach, skull 36.21 NA NA 22.22 23.37 6.94 NA NA 65.37 66.52 090 61584 A Orbitocranial approach/skull 34.65 NA NA 20.79 22.08 6.53 NA NA 61.97 63.26 090 61585 A Orbitocranial approach/skull 38.61 NA NA 22.70 24.28 6.19 NA NA 67.50 69.08 090 61586 A Resect nasopharynx, skull 25.10 NA NA 15.96 17.77 3.52 NA NA 44.58 46.39 090 61590 A Infratemporal approach/skull 41.78 NA NA 25.53 27.04 4.28 NA NA 71.59 73.10 090 61591 A Infratemporal approach/skull 43.68 NA NA 26.58 28.22 5.26 NA NA 75.52 77.16 090 61592 A Orbitocranial approach/skull 39.64 NA NA 23.29 24.98 7.55 NA NA 70.48 72.17 090 61595 A Transtemporal approach/skull 29.57 NA NA 19.23 19.97 3.05 NA NA 51.85 52.59 090 61596 A Transcochlear approach/skull 35.63 NA NA 22.03 23.26 4.25 NA NA 61.91 63.14 090 61597 A Transcondylar approach/skull 37.96 NA NA 21.88 23.54 6.65 NA NA 66.49 68.15 090 61598 A Transpetrosal approach/skull 33.41 NA NA 20.63 21.75 4.60 NA NA 58.64 59.76 090 61600 A Resect/excise cranial lesion 25.85 NA NA 16.56 17.23 3.12 NA NA 45.53 46.20 090 61601 A Resect/excise cranial lesion 27.89 NA NA 17.07 17.97 5.29 NA NA 50.25 51.15 090 61605 A Resect/excise cranial lesion 29.33 NA NA 18.45 19.29 2.51 NA NA 50.29 51.13 090 61606 A Resect/excise cranial lesion 38.83 NA NA 23.10 24.62 6.81 NA NA 68.74 70.26 090 61607 A Resect/excise cranial lesion 36.27 NA NA 21.76 23.14 5.69 NA NA 63.72 65.10 090 61608 A Resect/excise cranial lesion 42.10 NA NA 24.41 26.24 8.31 NA NA 74.82 76.65 090 61609 A Transect artery, sinus 9.89 NA NA 4.60 5.40 2.07 NA NA 16.56 17.36 ZZZ 61610 A Transect artery, sinus 29.67 NA NA 12.44 15.18 3.52 NA NA 45.63 48.37 ZZZ 61611 A Transect artery, sinus 7.42 NA NA 2.97 3.69 1.55 NA NA 11.94 12.66 ZZZ 61612 A Transect artery, sinus 27.88 NA NA 14.40 16.30 3.55 NA NA 45.83 47.73 ZZZ 61613 A Remove aneurysm, sinus 40.86 NA NA 23.85 25.67 8.32 NA NA 73.03 74.85 090 61615 A Resect/excise lesion, skull 32.07 NA NA 20.34 21.24 4.64 NA NA 57.05 57.95 090 61616 A Resect/excise lesion, skull 43.33 NA NA 26.84 28.28 7.02 NA NA 77.19 78.63 090 61618 A Repair dura 16.99 NA NA 11.19 11.47 2.92 NA NA 31.10 31.38 090 61619 A Repair dura 20.71 NA NA 13.21 13.76 3.42 NA NA 37.34 37.89 090 61624 A Occlusion/embolization cath 20.15 NA NA 7.37 9.67 1.15 NA NA 28.67 30.97 000 61626 A Occlusion/embolization cath 16.62 NA NA 5.97 7.90 0.84 NA NA 23.43 25.36 000 61680 A Intracranial vessel surgery 30.71 NA NA 18.38 22.21 6.04 NA NA 55.13 58.96 090 61682 A Intracranial vessel surgery 61.57 NA NA 33.79 34.92 12.69 NA NA 108.05 109.18 090 61684 A Intracranial vessel surgery 39.81 NA NA 21.84 24.46 7.87 NA NA 69.52 72.14 090 61686 A Intracranial vessel surgery 64.49 NA NA 35.92 36.70 13.20 NA NA 113.61 114.39 090 61690 A Intracranial vessel surgery 29.31 NA NA 17.53 20.60 5.51 NA NA 52.35 55.42 090 61692 A Intracranial vessel surgery 51.87 NA NA 29.08 29.62 10.17 NA NA 91.12 91.66 090 61697 A Brain aneurysm repr, complx 50.52 NA NA 27.76 27.76 9.57 NA NA 87.85 87.85 090 61698 A Brain aneurysm repr, complx 48.41 NA NA 26.87 26.87 9.28 NA NA 84.56 84.56 090 61700 A Brain aneurysm repr , simple 50.52 NA NA 27.76 29.42 10.18 NA NA 88.46 90.12 090 61702 A Inner skull vessel surgery 48.41 NA NA 26.87 30.01 9.75 NA NA 85.03 88.17 090 61703 A Clamp neck artery 17.47 NA NA 10.99 11.56 3.62 NA NA 32.08 32.65 090 61705 A Revise circulation to head 36.20 NA NA 20.20 23.40 6.67 NA NA 63.07 66.27 090 61708 A Revise circulation to head 35.30 NA NA 16.08 18.90 2.18 NA NA 53.56 56.38 090 61710 A Revise circulation to head 29.67 NA NA 14.40 15.31 2.42 NA NA 46.49 47.40 090 61711 A Fusion of skull arteries 36.33 NA NA 20.00 23.97 7.39 NA NA 63.72 67.69 090 61720 A Incise skull/brain surgery 16.77 NA NA 10.72 13.05 3.51 NA NA 31.00 33.33 090 Start Printed Page 65494 61735 A Incise skull/brain surgery 20.43 NA NA 12.60 12.97 4.16 NA NA 37.19 37.56 090 61750 A Incise skull/brain biopsy 18.20 NA NA 11.02 11.94 3.71 NA NA 32.93 33.85 090 61751 A Brain biopsy w/ ct/mr guide 17.62 NA NA 10.75 13.32 3.57 NA NA 31.94 34.51 090 61760 A Implant brain electrodes 22.27 NA NA 13.16 13.94 4.59 NA NA 40.02 40.80 090 61770 A Incise skull for treatment 21.44 NA NA 12.79 14.85 4.09 NA NA 38.32 40.38 090 61790 A Treat trigeminal nerve 10.86 NA NA 6.12 7.83 1.82 NA NA 18.80 20.51 090 61791 A Treat trigeminal tract 14.61 NA NA 9.28 9.61 3.03 NA NA 26.92 27.25 090 61793 A Focus radiation beam 17.24 NA NA 10.87 13.30 3.51 NA NA 31.62 34.05 090 61795 A Brain surgery using computer 4.04 NA NA 2.09 2.77 0.81 NA NA 6.94 7.62 ZZZ 61850 A Implant neuroelectrodes 12.39 NA NA 7.94 9.11 2.23 NA NA 22.56 23.73 090 61860 A Implant neuroelectrodes 20.87 NA NA 12.74 11.76 4.04 NA NA 37.65 36.67 090 61862 A Implant neurostimul, subcort 19.34 NA NA 11.99 11.99 3.97 NA NA 35.30 35.30 090 61870 A Implant neuroelectrodes 14.94 NA NA 11.36 9.66 1.70 NA NA 28.00 26.30 090 61875 A Implant neuroelectrodes 15.06 NA NA 10.00 9.32 2.42 NA NA 27.48 26.80 090 61880 A Revise/remove neuroelectrode 6.29 NA NA 5.24 5.23 1.31 NA NA 12.84 12.83 090 61885 A Implant neurostim one array 5.85 NA NA 4.29 3.75 1.22 NA NA 11.36 10.82 090 61886 A Implant neurostim arrays 8.00 NA NA 6.09 6.09 1.64 NA NA 15.73 15.73 090 61888 A Revise/remove neuroreceiver 5.07 NA NA 3.88 3.52 1.04 NA NA 9.99 9.63 010 62000 A Treat skull fracture 12.53 NA NA 5.41 5.61 0.87 NA NA 18.81 19.01 090 62005 A Treat skull fracture 16.17 NA NA 8.93 9.70 2.33 NA NA 27.43 28.20 090 62010 A Treatment of head injury 19.81 NA NA 11.61 13.92 4.05 NA NA 35.47 37.78 090 62100 A Repair brain fluid leakage 22.03 NA NA 13.94 16.32 4.07 NA NA 40.04 42.42 090 62115 A Reduction of skull defect 21.66 NA NA 10.63 12.18 4.53 NA NA 36.82 38.37 090 62116 A Reduction of skull defect 23.59 NA NA 13.78 14.94 4.85 NA NA 42.22 43.38 090 62117 A Reduction of skull defect 26.60 NA NA 15.18 16.60 5.56 NA NA 47.34 48.76 090 62120 A Repair skull cavity lesion 23.35 NA NA 14.18 15.22 3.07 NA NA 40.60 41.64 090 62121 A Incise skull repair 21.58 NA NA 13.78 15.09 2.47 NA NA 37.83 39.14 090 62140 A Repair of skull defect 13.51 NA NA 8.54 10.05 2.60 NA NA 24.65 26.16 090 62141 A Repair of skull defect 14.91 NA NA 9.70 11.73 2.85 NA NA 27.46 29.49 090 62142 A Remove skull plate/flap 10.79 NA NA 7.20 8.62 2.10 NA NA 20.09 21.51 090 62143 A Replace skull plate/flap 13.05 NA NA 8.67 8.99 2.55 NA NA 24.27 24.59 090 62145 A Repair of skull & brain 18.82 NA NA 11.29 12.04 3.81 NA NA 33.92 34.67 090 62146 A Repair of skull with graft 16.12 NA NA 10.39 10.78 2.94 NA NA 29.45 29.84 090 62147 A Repair of skull with graft 19.34 NA NA 12.21 12.73 3.64 NA NA 35.19 35.71 090 62180 A Establish brain cavity shunt 21.06 NA NA 12.86 13.50 4.32 NA NA 38.24 38.88 090 62190 A Establish brain cavity shunt 11.07 NA NA 7.65 9.04 2.18 NA NA 20.90 22.29 090 62192 A Establish brain cavity shunt 12.25 NA NA 8.21 9.82 2.46 NA NA 22.92 24.53 090 62194 A Replace/irrigate catheter 5.03 NA NA 2.08 2.07 0.50 NA NA 7.61 7.60 010 62200 A Establish brain cavity shunt 18.32 NA NA 11.41 13.16 3.70 NA NA 33.43 35.18 090 62201 A Establish brain cavity shunt 14.86 NA NA 9.18 9.27 2.52 NA NA 26.56 26.65 090 62220 A Establish brain cavity shunt 13.00 NA NA 8.63 10.35 2.53 NA NA 24.16 25.88 090 62223 A Establish brain cavity shunt 12.87 NA NA 8.45 10.18 2.58 NA NA 23.90 25.63 090 62225 A Replace/irrigate catheter 5.41 NA NA 4.06 4.35 1.09 NA NA 10.56 10.85 090 62230 A Replace/revise brain shunt 10.54 NA NA 6.59 7.61 2.10 NA NA 19.23 20.25 090 62252 A Csf shunt reprogram 0.74 1.40 1.40 1.40 1.40 0.04 2.18 2.18 2.18 2.18 XXX 62252 26 A Csf shunt reprogram 0.74 0.30 0.30 0.30 0.30 0.02 1.06 1.06 1.06 1.06 XXX 62252 TC A Csf shunt reprogram 0.00 1.10 1.10 NA NA 0.02 1.12 1.12 NA NA XXX 62256 A Remove brain cavity shunt 6.60 NA NA 5.34 5.74 1.34 NA NA 13.28 13.68 090 62258 A Replace brain cavity shunt 14.54 NA NA 8.65 10.50 2.91 NA NA 26.10 27.95 090 62263 A Lysis epidural adhesions 6.14 5.70 5.70 2.29 2.29 0.42 12.26 12.26 8.85 8.85 010 62268 A Drain spinal cord cyst 4.74 NA NA 2.71 2.84 0.29 NA NA 7.74 7.87 000 62269 A Needle biopsy, spinal cord 5.02 NA NA 2.33 2.22 0.29 NA NA 7.64 7.53 000 62270 A Spinal fluid tap, diagnostic 1.13 3.49 2.81 0.46 0.54 0.06 4.68 4.00 1.65 1.73 000 62272 A Drain spinal fluid 1.35 3.00 2.53 0.61 0.73 0.13 4.48 4.01 2.09 2.21 000 62273 A Treat epidural spine lesion 2.15 1.31 1.29 1.25 1.24 0.14 3.60 3.58 3.54 3.53 000 62280 A Treat spinal cord lesion 2.63 3.44 2.77 0.70 0.72 0.17 6.24 5.57 3.50 3.52 010 62281 A Treat spinal cord lesion 2.66 3.76 3.06 0.61 0.69 0.16 6.58 5.88 3.43 3.51 010 62282 A Treat spinal canal lesion 2.33 5.24 4.39 0.61 0.92 0.14 7.71 6.86 3.08 3.39 010 62284 A Injection for myelogram 1.54 4.04 3.57 0.70 0.98 0.10 5.68 5.21 2.34 2.62 000 62287 A Percutaneous diskectomy 8.08 NA NA 4.70 5.41 0.66 NA NA 13.44 14.15 090 62290 A Inject for spine disk x-ray 3.00 5.20 4.41 1.27 1.46 0.20 8.40 7.61 4.47 4.66 000 62291 A Inject for spine disk x-ray 2.91 5.29 4.45 1.16 1.35 0.17 8.37 7.53 4.24 4.43 000 62292 A Injection into disk lesion 7.86 NA NA 4.74 5.90 0.65 NA NA 13.25 14.41 090 62294 A Injection into spinal artery 11.83 NA NA 6.08 6.15 0.85 NA NA 18.76 18.83 090 62310 A Inject spine c/t 1.91 3.60 3.60 0.43 0.43 0.11 5.62 5.62 2.45 2.45 000 62311 A Inject spine l/s (cd) 1.54 3.88 3.88 0.37 0.37 0.09 5.51 5.51 2.00 2.00 000 62318 A Inject spine w/cath, c/t 2.04 3.66 3.66 0.46 0.46 0.12 5.82 5.82 2.62 2.62 000 62319 A Inject spine w/cath l/s (cd) 1.87 3.14 3.14 0.39 0.39 0.11 5.12 5.12 2.37 2.37 000 62350 A Implant spinal canal cath 6.87 NA NA 3.66 3.69 0.64 NA NA 11.17 11.20 090 62351 A Implant spinal canal cath 10.00 NA NA 6.78 6.49 1.79 NA NA 18.57 18.28 090 62355 A Remove spinal canal catheter 5.45 NA NA 2.77 3.03 0.47 NA NA 8.69 8.95 090 62360 A Insert spine infusion device 2.62 NA NA 2.19 1.95 0.21 NA NA 5.02 4.78 090 62361 A Implant spine infusion pump 5.42 NA NA 3.53 3.38 0.50 NA NA 9.45 9.30 090 62362 A Implant spine infusion pump 7.04 NA NA 4.07 4.01 0.86 NA NA 11.97 11.91 090 62365 A Remove spine infusion device 5.42 NA NA 3.04 3.22 0.58 NA NA 9.04 9.22 090 62367 C Analyze spine infusion pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 62367 26 A Analyze spine infusion pump 0.48 0.14 0.20 0.14 0.20 0.03 0.65 0.71 0.65 0.71 XXX 62367 TC C Analyze spine infusion pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 62368 C Analyze spine infusion pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 62368 26 A Analyze spine infusion pump 0.75 0.20 0.30 0.20 0.30 0.05 1.00 1.10 1.00 1.10 XXX 62368 TC C Analyze spine infusion pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 63001 A Removal of spinal lamina 15.82 NA NA 11.50 13.35 3.03 NA NA 30.35 32.20 090 63003 A Removal of spinal lamina 15.95 NA NA 11.65 13.50 2.98 NA NA 30.58 32.43 090 Start Printed Page 65495 63005 A Removal of spinal lamina 14.92 NA NA 11.12 12.79 2.62 NA NA 28.66 30.33 090 63011 A Removal of spinal lamina 14.52 NA NA 9.27 9.66 1.43 NA NA 25.22 25.61 090 63012 A Removal of spinal lamina 15.40 NA NA 10.09 12.16 2.71 NA NA 28.20 30.27 090 63015 A Removal of spinal lamina 19.35 NA NA 13.36 15.78 3.84 NA NA 36.55 38.97 090 63016 A Removal of spinal lamina 19.20 NA NA 13.34 15.74 3.62 NA NA 36.16 38.56 090 63017 A Removal of spinal lamina 15.94 NA NA 11.64 13.49 2.91 NA NA 30.49 32.34 090 63020 A Neck spine disk surgery 14.81 NA NA 11.05 12.64 2.89 NA NA 28.75 30.34 090 63030 A Low back disk surgery 12.00 NA NA 9.62 10.80 2.21 NA NA 23.83 25.01 090 63035 A Spinal disk surgery add-on 3.15 NA NA 1.64 2.17 0.57 NA NA 5.36 5.89 ZZZ 63040 A Laminotomy, single cervical 18.81 NA NA 12.98 15.35 3.36 NA NA 35.15 37.52 090 63042 A Laminotomy, single lumbar 17.47 NA NA 12.60 14.67 3.11 NA NA 33.18 35.25 090 63043 B Laminotomy, addl cervical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 63044 B Laminotomy, addl lumbar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 63045 A Removal of spinal lamina 16.50 NA NA 11.95 13.89 3.19 NA NA 31.64 33.58 090 63046 A Removal of spinal lamina 15.80 NA NA 11.60 13.42 2.89 NA NA 30.29 32.11 090 63047 A Removal of spinal lamina 14.61 NA NA 11.05 12.65 2.61 NA NA 28.27 29.87 090 63048 A Remove spinal lamina add-on 3.26 NA NA 1.73 2.27 0.58 NA NA 5.57 6.11 ZZZ 63055 A Decompress spinal cord 21.99 NA NA 14.74 17.49 4.09 NA NA 40.82 43.57 090 63056 A Decompress spinal cord 20.36 NA NA 14.01 16.43 3.34 NA NA 37.71 40.13 090 63057 A Decompress spine cord add-on 5.26 NA NA 2.66 3.04 0.81 NA NA 8.73 9.11 ZZZ 63064 A Decompress spinal cord 24.61 NA NA 16.68 18.98 4.72 NA NA 46.01 48.31 090 63066 A Decompress spine cord add-on 3.26 NA NA 1.74 1.98 0.63 NA NA 5.63 5.87 ZZZ 63075 A Neck spine disk surgery 19.41 NA NA 13.50 14.89 3.73 NA NA 36.64 38.03 090 63076 A Neck spine disk surgery 4.05 NA NA 2.13 2.81 0.78 NA NA 6.96 7.64 ZZZ 63077 A Spine disk surgery, thorax 21.44 NA NA 15.13 16.35 3.44 NA NA 40.01 41.23 090 63078 A Spine disk surgery, thorax 3.28 NA NA 1.70 1.98 0.50 NA NA 5.48 5.76 ZZZ 63081 A Removal of vertebral body 23.73 NA NA 16.33 19.33 4.46 NA NA 44.52 47.52 090 63082 A Remove vertebral body add-on 4.37 NA NA 2.31 3.04 0.82 NA NA 7.50 8.23 ZZZ 63085 A Removal of vertebral body 26.92 NA NA 18.32 21.17 4.70 NA NA 49.94 52.79 090 63086 A Remove vertebral body add-on 3.19 NA NA 1.66 2.20 0.55 NA NA 5.40 5.94 ZZZ 63087 A Removal of vertebral body 35.57 NA NA 22.20 24.32 5.87 NA NA 63.64 65.76 090 63088 A Remove vertebral body add-on 4.33 NA NA 2.28 3.00 0.77 NA NA 7.38 8.10 ZZZ 63090 A Removal of vertebral body 28.16 NA NA 18.11 21.51 4.27 NA NA 50.54 53.94 090 63091 A Remove vertebral body add-on 3.03 NA NA 1.53 1.89 0.45 NA NA 5.01 5.37 ZZZ 63170 A Incise spinal cord tract(s) 19.83 NA NA 13.58 15.31 3.89 NA NA 37.30 39.03 090 63172 A Drainage of spinal cyst 17.66 NA NA 13.03 15.05 3.46 NA NA 34.15 36.17 090 63173 A Drainage of spinal cyst 21.99 NA NA 14.78 15.28 4.14 NA NA 40.91 41.41 090 63180 A Revise spinal cord ligaments 18.27 NA NA 12.42 12.47 3.83 NA NA 34.52 34.57 090 63182 A Revise spinal cord ligaments 20.50 NA NA 12.87 14.11 3.48 NA NA 36.85 38.09 090 63185 A Incise spinal column/nerves 15.04 NA NA 9.73 11.52 2.08 NA NA 26.85 28.64 090 63190 A Incise spinal column/nerves 17.45 NA NA 12.03 14.23 2.88 NA NA 32.36 34.56 090 63191 A Incise spinal column/nerves 17.54 NA NA 12.37 12.82 3.50 NA NA 33.41 33.86 090 63194 A Incise spinal column & cord 19.19 NA NA 13.11 13.37 4.01 NA NA 36.31 36.57 090 63195 A Incise spinal column & cord 18.84 NA NA 12.13 12.86 3.44 NA NA 34.41 35.14 090 63196 A Incise spinal column & cord 22.30 NA NA 12.37 13.51 4.66 NA NA 39.33 40.47 090 63197 A Incise spinal column & cord 21.11 NA NA 13.71 14.18 4.42 NA NA 39.24 39.71 090 63198 A Incise spinal column & cord 25.38 NA NA 13.60 14.63 5.31 NA NA 44.29 45.32 090 63199 A Incise spinal column & cord 26.89 NA NA 14.20 16.46 5.62 NA NA 46.71 48.97 090 63200 A Release of spinal cord 19.18 NA NA 13.09 13.21 3.61 NA NA 35.88 36.00 090 63250 A Revise spinal cord vessels 40.76 NA NA 20.95 23.31 7.65 NA NA 69.36 71.72 090 63251 A Revise spinal cord vessels 41.20 NA NA 23.04 23.45 7.98 NA NA 72.22 72.63 090 63252 A Revise spinal cord vessels 41.19 NA NA 22.40 24.47 7.75 NA NA 71.34 73.41 090 63265 A Excise intraspinal lesion 21.56 NA NA 13.17 15.85 4.29 NA NA 39.02 41.70 090 63266 A Excise intraspinal lesion 22.30 NA NA 13.51 16.79 4.47 NA NA 40.28 43.56 090 63267 A Excise intraspinal lesion 17.95 NA NA 11.32 13.85 3.50 NA NA 32.77 35.30 090 63268 A Excise intraspinal lesion 18.52 NA NA 10.83 11.53 3.18 NA NA 32.53 33.23 090 63270 A Excise intraspinal lesion 26.80 NA NA 15.90 16.85 5.41 NA NA 48.11 49.06 090 63271 A Excise intraspinal lesion 26.92 NA NA 16.01 19.23 5.56 NA NA 48.49 51.71 090 63272 A Excise intraspinal lesion 25.32 NA NA 15.17 17.66 5.07 NA NA 45.56 48.05 090 63273 A Excise intraspinal lesion 24.29 NA NA 14.60 15.72 5.08 NA NA 43.97 45.09 090 63275 A Biopsy/excise spinal tumor 23.68 NA NA 14.12 17.66 4.68 NA NA 42.48 46.02 090 63276 A Biopsy/excise spinal tumor 23.45 NA NA 14.04 17.40 4.63 NA NA 42.12 45.48 090 63277 A Biopsy/excise spinal tumor 20.83 NA NA 12.82 15.83 4.03 NA NA 37.68 40.69 090 63278 A Biopsy/excise spinal tumor 20.56 NA NA 12.48 15.50 4.02 NA NA 37.06 40.08 090 63280 A Biopsy/excise spinal tumor 28.35 NA NA 16.64 20.10 5.80 NA NA 50.79 54.25 090 63281 A Biopsy/excise spinal tumor 28.05 NA NA 16.39 19.80 5.67 NA NA 50.11 53.52 090 63282 A Biopsy/excise spinal tumor 26.39 NA NA 15.60 18.24 5.33 NA NA 47.32 49.96 090 63283 A Biopsy/excise spinal tumor 25.00 NA NA 14.83 16.22 5.12 NA NA 44.95 46.34 090 63285 A Biopsy/excise spinal tumor 36.00 NA NA 20.26 21.84 7.31 NA NA 63.57 65.15 090 63286 A Biopsy/excise spinal tumor 35.63 NA NA 20.36 23.07 7.07 NA NA 63.06 65.77 090 63287 A Biopsy/excise spinal tumor 36.70 NA NA 20.74 22.53 7.48 NA NA 64.92 66.71 090 63290 A Biopsy/excise spinal tumor 37.38 NA NA 21.36 23.39 7.65 NA NA 66.39 68.42 090 63300 A Removal of vertebral body 24.43 NA NA 14.84 15.82 4.78 NA NA 44.05 45.03 090 63301 A Removal of vertebral body 27.60 NA NA 16.07 17.06 5.03 NA NA 48.70 49.69 090 63302 A Removal of vertebral body 27.81 NA NA 16.16 17.92 5.25 NA NA 49.22 50.98 090 63303 A Removal of vertebral body 30.50 NA NA 17.50 18.15 5.21 NA NA 53.21 53.86 090 63304 A Removal of vertebral body 30.33 NA NA 16.19 17.93 4.72 NA NA 51.24 52.98 090 63305 A Removal of vertebral body 32.03 NA NA 19.10 20.43 5.39 NA NA 56.52 57.85 090 63306 A Removal of vertebral body 32.22 NA NA 16.63 18.65 2.39 NA NA 51.24 53.26 090 63307 A Removal of vertebral body 31.63 NA NA 18.42 20.44 4.23 NA NA 54.28 56.30 090 63308 A Remove vertebral body add-on 5.25 NA NA 2.74 3.16 1.01 NA NA 9.00 9.42 ZZZ 63600 A Remove spinal cord lesion 14.02 NA NA 5.90 7.33 1.22 NA NA 21.14 22.57 090 63610 A Stimulation of spinal cord 8.73 NA NA 5.09 5.64 0.43 NA NA 14.25 14.80 000 Start Printed Page 65496 63615 A Remove lesion of spinal cord 16.28 NA NA 10.42 10.95 2.85 NA NA 29.55 30.08 090 63650 A Implant neuroelectrodes 6.74 NA NA 2.99 4.25 0.48 NA NA 10.21 11.47 090 63655 A Implant neuroelectrodes 10.29 NA NA 7.12 8.41 1.85 NA NA 19.26 20.55 090 63660 A Revise/remove neuroelectrode 6.16 NA NA 3.63 4.56 0.65 NA NA 10.44 11.37 090 63685 A Implant neuroreceiver 7.04 NA NA 4.41 5.32 0.96 NA NA 12.41 13.32 090 63688 A Revise/remove neuroreceiver 5.39 NA NA 3.67 4.36 0.70 NA NA 9.76 10.45 090 63700 A Repair of spinal herniation 16.53 NA NA 10.39 10.87 2.69 NA NA 29.61 30.09 090 63702 A Repair of spinal herniation 18.48 NA NA 10.46 11.31 1.36 NA NA 30.30 31.15 090 63704 A Repair of spinal herniation 21.18 NA NA 12.22 13.02 3.84 NA NA 37.24 38.04 090 63706 A Repair of spinal herniation 24.11 NA NA 13.91 14.86 4.73 NA NA 42.75 43.70 090 63707 A Repair spinal fluid leakage 11.26 NA NA 7.85 9.25 1.96 NA NA 21.07 22.47 090 63709 A Repair spinal fluid leakage 14.32 NA NA 9.61 11.48 2.49 NA NA 26.42 28.29 090 63710 A Graft repair of spine defect 14.07 NA NA 9.34 9.65 2.61 NA NA 26.02 26.33 090 63740 A Install spinal shunt 11.36 NA NA 7.54 9.05 2.15 NA NA 21.05 22.56 090 63741 A Install spinal shunt 8.25 NA NA 4.70 5.99 1.05 NA NA 14.00 15.29 090 63744 A Revision of spinal shunt 8.10 NA NA 5.48 6.32 1.51 NA NA 15.09 15.93 090 63746 A Removal of spinal shunt 6.43 NA NA 4.55 4.91 1.15 NA NA 12.13 12.49 090 64400 A Injection for nerve block 1.11 2.71 2.16 0.27 0.27 0.06 3.88 3.33 1.44 1.44 000 64402 A Injection for nerve block 1.25 3.91 3.10 0.45 0.51 0.07 5.23 4.42 1.77 1.83 000 64405 A Injection for nerve block 1.32 2.52 2.06 0.31 0.32 0.08 3.92 3.46 1.71 1.72 000 64408 A Injection for nerve block 1.41 2.94 2.49 0.69 0.66 0.09 4.44 3.99 2.19 2.16 000 64410 A Injection for nerve block 1.43 2.53 2.09 0.30 0.42 0.08 4.04 3.60 1.81 1.93 000 64412 A Injection for nerve block 1.18 2.67 2.17 0.27 0.29 0.08 3.93 3.43 1.53 1.55 000 64413 A Injection for nerve block 1.40 2.85 2.34 0.36 0.37 0.09 4.34 3.83 1.85 1.86 000 64415 A Injection for nerve block 1.48 2.64 2.05 0.31 0.30 0.08 4.20 3.61 1.87 1.86 000 64417 A Injection for nerve block 1.44 2.68 2.18 0.33 0.42 0.09 4.21 3.71 1.86 1.95 000 64418 A Injection for nerve block 1.32 2.46 2.08 0.29 0.33 0.07 3.85 3.47 1.68 1.72 000 64420 A Injection for nerve block 1.18 2.46 2.02 0.27 0.38 0.07 3.71 3.27 1.52 1.63 000 64421 A Injection for nerve block 1.68 2.86 2.37 0.39 0.52 0.10 4.64 4.15 2.17 2.30 000 64425 A Injection for nerve block 1.75 2.40 1.96 0.40 0.46 0.11 4.26 3.82 2.26 2.32 000 64430 A Injection for nerve block 1.46 2.66 2.19 0.43 0.51 0.11 4.23 3.76 2.00 2.08 000 64435 A Injection for nerve block 1.45 2.94 2.33 0.54 0.47 0.15 4.54 3.93 2.14 2.07 000 64445 A Injection for nerve block 1.48 3.41 2.69 0.34 0.32 0.08 4.97 4.25 1.90 1.88 000 64450 A Injection for nerve block 1.27 1.69 1.41 0.33 0.32 0.08 3.04 2.76 1.68 1.67 000 64470 A Inj paravertebral c/t 1.85 3.94 3.94 0.50 0.50 0.12 5.91 5.91 2.47 2.47 000 64472 A Inj paravertebral c/t add-on 1.29 3.63 3.63 0.35 0.35 0.09 5.01 5.01 1.73 1.73 ZZZ 64475 A Inj paravertebral l/s 1.41 3.77 3.77 0.38 0.38 0.09 5.27 5.27 1.88 1.88 000 64476 A Inj paravertebral l/s add-on 0.98 4.16 4.16 0.26 0.26 0.06 5.20 5.20 1.30 1.30 ZZZ 64479 A Inj foramen epidural c/t 2.20 4.04 4.04 0.62 0.62 0.14 6.38 6.38 2.96 2.96 000 64480 A Inj foramen epidural add-on 1.54 4.23 4.23 0.43 0.43 0.09 5.86 5.86 2.06 2.06 ZZZ 64483 A Inj foramen epidural l/s 1.90 3.92 3.92 0.54 0.54 0.12 5.94 5.94 2.56 2.56 000 64484 A Inj foramen epidural add-on 1.33 4.15 4.15 0.37 0.37 0.08 5.56 5.56 1.78 1.78 ZZZ 64505 A Injection for nerve block 1.36 2.40 1.97 0.35 0.35 0.08 3.84 3.41 1.79 1.79 000 64508 A Injection for nerve block 1.12 2.94 2.49 0.39 0.44 0.06 4.12 3.67 1.57 1.62 000 64510 A Injection for nerve block 1.22 2.63 2.17 0.26 0.39 0.07 3.92 3.46 1.55 1.68 000 64520 A Injection for nerve block 1.35 3.51 2.83 0.29 0.41 0.08 4.94 4.26 1.72 1.84 000 64530 A Injection for nerve block 1.58 3.23 2.74 0.36 0.59 0.09 4.90 4.41 2.03 2.26 000 64550 A Apply neurostimulator 0.18 0.52 0.51 0.05 0.10 0.01 0.71 0.70 0.24 0.29 000 64553 A Implant neuroelectrodes 2.31 4.85 3.92 1.27 1.09 0.17 7.33 6.40 3.75 3.57 010 64555 A Implant neuroelectrodes 2.27 2.40 1.92 0.71 0.59 0.11 4.78 4.30 3.09 2.97 010 64560 A Implant neuroelectrodes 2.36 2.42 2.21 0.87 0.85 0.17 4.95 4.74 3.40 3.38 010 64565 A Implant neuroelectrodes 1.76 3.06 2.50 0.63 0.58 0.08 4.90 4.34 2.47 2.42 010 64573 A Implant neuroelectrodes 7.50 NA NA 5.46 4.95 1.48 NA NA 14.44 13.93 090 64575 A Implant neuroelectrodes 4.35 NA NA 3.15 3.20 0.37 NA NA 7.87 7.92 090 64577 A Implant neuroelectrodes 4.62 NA NA 3.56 3.42 0.50 NA NA 8.68 8.54 090 64580 A Implant neuroelectrodes 4.12 NA NA 4.21 3.95 0.21 NA NA 8.54 8.28 090 64585 A Revise/remove neuroelectrode 2.06 2.82 2.38 2.18 1.90 0.29 5.17 4.73 4.53 4.25 010 64590 A Implant neuroreceiver 2.40 NA NA 2.37 2.28 0.40 NA NA 5.17 5.08 010 64595 A Revise/remove neuroreceiver 1.73 NA NA 2.06 1.85 0.22 NA NA 4.01 3.80 010 64600 A Injection treatment of nerve 3.45 3.11 2.79 2.05 2.00 0.28 6.84 6.52 5.78 5.73 010 64605 A Injection treatment of nerve 5.61 4.18 3.56 2.78 2.51 0.53 10.32 9.70 8.92 8.65 010 64610 A Injection treatment of nerve 7.16 NA NA 3.77 4.80 1.12 NA NA 12.05 13.08 010 64612 A Destroy nerve, face muscle 1.96 2.95 2.61 1.65 1.44 0.09 5.00 4.66 3.70 3.49 010 64613 A Destroy nerve, spine muscle 1.96 1.61 1.60 1.37 1.23 0.10 3.67 3.66 3.43 3.29 010 64614 A Destroy nerve, extrem musc 2.20 3.37 3.37 0.81 0.81 0.16 5.73 5.73 3.17 3.17 010 64620 A Injection treatment of nerve 2.84 3.10 2.60 0.70 0.80 0.17 6.11 5.61 3.71 3.81 010 64622 A Destr paravertebrl nerve l/s 3.00 4.47 3.85 0.73 1.04 0.17 7.64 7.02 3.90 4.21 010 64623 A Destr paravertebral n add-on 0.99 3.54 2.89 0.24 0.41 0.06 4.59 3.94 1.29 1.46 ZZZ 64626 A Destr paravertebrl nerve c/t 3.28 3.95 3.95 0.88 0.88 0.22 7.45 7.45 4.38 4.38 010 64627 A Destr paravertebral n add-on 1.16 3.30 3.30 0.31 0.31 0.08 4.54 4.54 1.55 1.55 ZZZ 64630 A Injection treatment of nerve 3.00 3.54 3.13 0.81 1.08 0.16 6.70 6.29 3.97 4.24 010 64640 A Injection treatment of nerve 2.76 5.75 4.56 1.02 1.02 0.11 8.62 7.43 3.89 3.89 010 64680 A Injection treatment of nerve 2.62 2.99 2.66 0.66 0.92 0.15 5.76 5.43 3.43 3.69 010 64702 A Revise finger/toe nerve 4.23 NA NA 3.76 3.97 0.51 NA NA 8.50 8.71 090 64704 A Revise hand/foot nerve 4.57 NA NA 3.13 3.71 0.59 NA NA 8.29 8.87 090 64708 A Revise arm/leg nerve 6.12 NA NA 4.92 5.52 0.82 NA NA 11.86 12.46 090 64712 A Revision of sciatic nerve 7.75 NA NA 4.96 6.04 0.54 NA NA 13.25 14.33 090 64713 A Revision of arm nerve(s) 11.00 NA NA 5.90 6.98 1.01 NA NA 17.91 18.99 090 64714 A Revise low back nerve(s) 10.33 NA NA 3.92 4.60 0.64 NA NA 14.89 15.57 090 64716 A Revision of cranial nerve 6.31 NA NA 5.02 5.08 0.59 NA NA 11.92 11.98 090 64718 A Revise ulnar nerve at elbow 5.99 NA NA 5.01 5.55 0.87 NA NA 11.87 12.41 090 64719 A Revise ulnar nerve at wrist 4.85 NA NA 4.50 4.72 0.63 NA NA 9.98 10.20 090 64721 A Carpal tunnel surgery 4.29 5.93 5.73 5.62 5.50 0.59 10.81 10.61 10.50 10.38 090 Start Printed Page 65497 64722 A Relieve pressure on nerve(s) 4.70 NA NA 2.97 3.63 0.32 NA NA 7.99 8.65 090 64726 A Release foot/toe nerve 4.18 NA NA 3.03 2.47 0.57 NA NA 7.78 7.22 090 64727 A Internal nerve revision 3.10 NA NA 1.62 2.10 0.40 NA NA 5.12 5.60 ZZZ 64732 A Incision of brow nerve 4.41 NA NA 3.49 3.79 0.77 NA NA 8.67 8.97 090 64734 A Incision of cheek nerve 4.92 NA NA 3.54 3.91 0.83 NA NA 9.29 9.66 090 64736 A Incision of chin nerve 4.60 NA NA 2.99 3.45 0.71 NA NA 8.30 8.76 090 64738 A Incision of jaw nerve 5.73 NA NA 3.64 4.11 0.84 NA NA 10.21 10.68 090 64740 A Incision of tongue nerve 5.59 NA NA 4.09 4.47 0.43 NA NA 10.11 10.49 090 64742 A Incision of facial nerve 6.22 NA NA 4.91 5.04 0.69 NA NA 11.82 11.95 090 64744 A Incise nerve, back of head 5.24 NA NA 3.93 4.51 0.98 NA NA 10.15 10.73 090 64746 A Incise diaphragm nerve 5.93 NA NA 5.78 5.36 0.75 NA NA 12.46 12.04 090 64752 A Incision of vagus nerve 7.06 NA NA 5.34 5.07 0.83 NA NA 13.23 12.96 090 64755 A Incision of stomach nerves 13.52 NA NA 6.35 7.60 1.16 NA NA 21.03 22.28 090 64760 A Incision of vagus nerve 6.96 NA NA 4.04 4.84 0.51 NA NA 11.51 12.31 090 64761 A Incision of pelvis nerve 6.41 NA NA 3.14 3.62 0.26 NA NA 9.81 10.29 090 64763 A Incise hip/thigh nerve 6.93 NA NA 6.23 5.98 0.77 NA NA 13.93 13.68 090 64766 A Incise hip/thigh nerve 8.67 NA NA 6.14 6.42 0.99 NA NA 15.80 16.08 090 64771 A Sever cranial nerve 7.35 NA NA 5.56 5.91 1.32 NA NA 14.23 14.58 090 64772 A Incision of spinal nerve 7.21 NA NA 5.01 5.60 1.20 NA NA 13.42 14.01 090 64774 A Remove skin nerve lesion 5.17 NA NA 3.67 3.50 0.60 NA NA 9.44 9.27 090 64776 A Remove digit nerve lesion 5.12 NA NA 3.78 3.59 0.63 NA NA 9.53 9.34 090 64778 A Digit nerve surgery add-on 3.11 NA NA 1.51 1.87 0.38 NA NA 5.00 5.36 ZZZ 64782 A Remove limb nerve lesion 6.23 NA NA 3.63 4.00 0.79 NA NA 10.65 11.02 090 64783 A Limb nerve surgery add-on 3.72 NA NA 2.02 2.40 0.48 NA NA 6.22 6.60 ZZZ 64784 A Remove nerve lesion 9.82 NA NA 6.40 6.33 1.17 NA NA 17.39 17.32 090 64786 A Remove sciatic nerve lesion 15.46 NA NA 10.34 11.19 2.22 NA NA 28.02 28.87 090 64787 A Implant nerve end 4.30 NA NA 2.21 2.60 0.56 NA NA 7.07 7.46 ZZZ 64788 A Remove skin nerve lesion 4.61 NA NA 3.32 3.48 0.54 NA NA 8.47 8.63 090 64790 A Removal of nerve lesion 11.31 NA NA 7.17 7.31 1.68 NA NA 20.16 20.30 090 64792 A Removal of nerve lesion 14.92 NA NA 9.13 9.29 1.88 NA NA 25.93 26.09 090 64795 A Biopsy of nerve 3.01 NA NA 1.86 2.04 0.40 NA NA 5.27 5.45 000 64802 A Remove sympathetic nerves 9.15 NA NA 5.72 5.76 0.87 NA NA 15.74 15.78 090 64804 A Remove sympathetic nerves 14.64 NA NA 8.75 10.03 1.79 NA NA 25.18 26.46 090 64809 A Remove sympathetic nerves 13.67 NA NA 5.41 6.92 0.96 NA NA 20.04 21.55 090 64818 A Remove sympathetic nerves 10.30 NA NA 6.28 7.04 1.08 NA NA 17.66 18.42 090 64820 A Remove sympathetic nerves 10.37 NA NA 7.81 7.83 1.17 NA NA 19.35 19.37 090 64831 A Repair of digit nerve 9.44 NA NA 7.11 6.25 1.14 NA NA 17.69 16.83 090 64832 A Repair nerve add-on 5.66 NA NA 3.13 2.73 0.68 NA NA 9.47 9.07 ZZZ 64834 A Repair of hand or foot nerve 10.19 NA NA 7.16 6.32 1.23 NA NA 18.58 17.74 090 64835 A Repair of hand or foot nerve 10.94 NA NA 7.77 7.45 1.36 NA NA 20.07 19.75 090 64836 A Repair of hand or foot nerve 10.94 NA NA 7.67 7.57 1.32 NA NA 19.93 19.83 090 64837 A Repair nerve add-on 6.26 NA NA 3.40 3.76 0.80 NA NA 10.46 10.82 ZZZ 64840 A Repair of leg nerve 13.02 NA NA 9.27 9.76 0.86 NA NA 23.15 23.64 090 64856 A Repair/transpose nerve 13.80 NA NA 9.34 9.23 1.71 NA NA 24.85 24.74 090 64857 A Repair arm/leg nerve 14.49 NA NA 9.71 9.87 1.76 NA NA 25.96 26.12 090 64858 A Repair sciatic nerve 16.49 NA NA 10.28 10.69 2.78 NA NA 29.55 29.96 090 64859 A Nerve surgery 4.26 NA NA 2.32 2.69 0.50 NA NA 7.08 7.45 ZZZ 64861 A Repair of arm nerves 19.24 NA NA 13.02 13.41 2.45 NA NA 34.71 35.10 090 64862 A Repair of low back nerves 19.44 NA NA 9.71 13.13 2.47 NA NA 31.62 35.04 090 64864 A Repair of facial nerve 12.55 NA NA 8.69 8.65 1.13 NA NA 22.37 22.33 090 64865 A Repair of facial nerve 15.24 NA NA 9.97 10.83 1.37 NA NA 26.58 27.44 090 64866 A Fusion of facial/other nerve 15.74 NA NA 9.80 10.39 1.06 NA NA 26.60 27.19 090 64868 A Fusion of facial/other nerve 14.04 NA NA 9.38 10.07 1.40 NA NA 24.82 25.51 090 64870 A Fusion of facial/other nerve 15.99 NA NA 8.04 9.81 1.08 NA NA 25.11 26.88 090 64872 A Subsequent repair of nerve 1.99 NA NA 1.10 1.22 0.24 NA NA 3.33 3.45 ZZZ 64874 A Repair & revise nerve add-on 2.98 NA NA 1.58 1.78 0.34 NA NA 4.90 5.10 ZZZ 64876 A Repair nerve/shorten bone 3.38 NA NA 1.35 1.68 0.39 NA NA 5.12 5.45 ZZZ 64885 A Nerve graft, head or neck 17.53 NA NA 11.18 11.83 1.51 NA NA 30.22 30.87 090 64886 A Nerve graft, head or neck 20.75 NA NA 13.03 13.88 1.73 NA NA 35.51 36.36 090 64890 A Nerve graft, hand or foot 15.15 NA NA 10.09 10.90 1.74 NA NA 26.98 27.79 090 64891 A Nerve graft, hand or foot 16.14 NA NA 7.51 8.46 1.38 NA NA 25.03 25.98 090 64892 A Nerve graft, arm or leg 14.65 NA NA 8.75 9.56 1.65 NA NA 25.05 25.86 090 64893 A Nerve graft, arm or leg 15.60 NA NA 10.29 11.50 1.77 NA NA 27.66 28.87 090 64895 A Nerve graft, hand or foot 19.25 NA NA 11.20 11.97 2.04 NA NA 32.49 33.26 090 64896 A Nerve graft, hand or foot 20.49 NA NA 9.31 11.74 1.85 NA NA 31.65 34.08 090 64897 A Nerve graft, arm or leg 18.24 NA NA 11.13 11.78 2.64 NA NA 32.01 32.66 090 64898 A Nerve graft, arm or leg 19.50 NA NA 12.26 13.10 2.71 NA NA 34.47 35.31 090 64901 A Nerve graft add-on 10.22 NA NA 5.36 6.78 0.99 NA NA 16.57 17.99 ZZZ 64902 A Nerve graft add-on 11.83 NA NA 5.98 7.72 1.10 NA NA 18.91 20.65 ZZZ 64905 A Nerve pedicle transfer 14.02 NA NA 8.60 9.00 1.52 NA NA 24.14 24.54 090 64907 A Nerve pedicle transfer 18.83 NA NA 11.65 12.27 1.79 NA NA 32.27 32.89 090 64999 C Nervous system surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 65091 A Revise eye 6.46 NA NA 9.55 9.09 0.26 NA NA 16.27 15.81 090 65093 A Revise eye with implant 6.87 NA NA 9.76 9.37 0.28 NA NA 16.91 16.52 090 65101 A Removal of eye 7.03 NA NA 9.61 9.31 0.28 NA NA 16.92 16.62 090 65103 A Remove eye/insert implant 7.57 NA NA 9.97 9.74 0.30 NA NA 17.84 17.61 090 65105 A Remove eye/attach implant 8.49 NA NA 10.51 10.42 0.34 NA NA 19.34 19.25 090 65110 A Removal of eye 13.95 NA NA 14.10 14.74 0.68 NA NA 28.73 29.37 090 65112 A Remove eye/revise socket 16.38 NA NA 17.24 16.23 0.96 NA NA 34.58 33.57 090 65114 A Remove eye/revise socket 17.53 NA NA 16.37 15.82 0.94 NA NA 34.84 34.29 090 65125 A Revise ocular implant 3.12 4.92 4.36 1.53 1.82 0.15 8.19 7.63 4.80 5.09 090 65130 A Insert ocular implant 7.15 NA NA 9.68 9.40 0.28 NA NA 17.11 16.83 090 65135 A Insert ocular implant 7.33 NA NA 9.45 8.56 0.29 NA NA 17.07 16.18 090 Start Printed Page 65498 65140 A Attach ocular implant 8.02 NA NA 9.88 9.10 0.31 NA NA 18.21 17.43 090 65150 A Revise ocular implant 6.26 NA NA 9.12 8.71 0.25 NA NA 15.63 15.22 090 65155 A Reinsert ocular implant 8.66 NA NA 11.19 10.98 0.40 NA NA 20.25 20.04 090 65175 A Removal of ocular implant 6.28 NA NA 9.12 8.72 0.26 NA NA 15.66 15.26 090 65205 A Remove foreign body from eye 0.71 5.07 3.90 0.20 0.20 0.03 5.81 4.64 0.94 0.94 000 65210 A Remove foreign body from eye 0.84 5.26 4.07 0.31 0.30 0.03 6.13 4.94 1.18 1.17 000 65220 A Remove foreign body from eye 0.71 6.55 5.05 0.19 0.21 0.05 7.31 5.81 0.95 0.97 000 65222 A Remove foreign body from eye 0.93 5.20 4.06 0.28 0.29 0.04 6.17 5.03 1.25 1.26 000 65235 A Remove foreign body from eye 7.57 NA NA 6.82 6.64 0.30 NA NA 14.69 14.51 090 65260 A Remove foreign body from eye 10.96 NA NA 11.80 11.19 0.43 NA NA 23.19 22.58 090 65265 A Remove foreign body from eye 12.59 NA NA 13.36 12.75 0.50 NA NA 26.45 25.84 090 65270 A Repair of eye wound 1.90 3.60 3.02 2.01 1.83 0.08 5.58 5.00 3.99 3.81 010 65272 A Repair of eye wound 3.82 5.00 4.20 3.86 3.34 0.16 8.98 8.18 7.84 7.32 090 65273 A Repair of eye wound 4.36 NA NA 4.34 4.13 0.17 NA NA 8.87 8.66 090 65275 A Repair of eye wound 5.34 5.04 3.96 4.66 3.68 0.27 10.65 9.57 10.27 9.29 090 65280 A Repair of eye wound 7.66 NA NA 7.28 7.75 0.30 NA NA 15.24 15.71 090 65285 A Repair of eye wound 12.90 NA NA 13.37 13.36 0.51 NA NA 26.78 26.77 090 65286 A Repair of eye wound 5.51 7.90 7.23 6.73 5.70 0.21 13.62 12.95 12.45 11.42 090 65290 A Repair of eye socket wound 5.41 NA NA 6.78 6.70 0.26 NA NA 12.45 12.37 090 65400 A Removal of eye lesion 6.06 7.91 7.69 6.51 6.64 0.24 14.21 13.99 12.81 12.94 090 65410 A Biopsy of cornea 1.47 1.69 1.70 0.67 0.94 0.06 3.22 3.23 2.20 2.47 000 65420 A Removal of eye lesion 4.17 7.06 6.46 6.04 5.69 0.17 11.40 10.80 10.38 10.03 090 65426 A Removal of eye lesion 5.25 7.28 7.03 6.11 6.15 0.20 12.73 12.48 11.56 11.60 090 65430 A Corneal smear 1.47 5.79 4.49 0.72 0.62 0.06 7.32 6.02 2.25 2.15 000 65435 A Curette/treat cornea 0.92 1.33 1.21 0.42 0.42 0.04 2.29 2.17 1.38 1.38 000 65436 A Curette/treat cornea 4.19 5.23 4.34 4.32 3.45 0.17 9.59 8.70 8.68 7.81 090 65450 A Treatment of corneal lesion 3.27 6.80 5.99 5.62 5.11 0.13 10.20 9.39 9.02 8.51 090 65600 A Revision of cornea 3.40 4.77 4.29 1.49 1.47 0.14 8.31 7.83 5.03 5.01 090 65710 A Corneal transplant 12.35 NA NA 12.84 13.01 0.49 NA NA 25.68 25.85 090 65730 A Corneal transplant 14.25 NA NA 12.30 13.33 0.56 NA NA 27.11 28.14 090 65750 A Corneal transplant 15.00 NA NA 14.14 14.97 0.59 NA NA 29.73 30.56 090 65755 A Corneal transplant 14.89 NA NA 14.05 14.91 0.58 NA NA 29.52 30.38 090 65760 N Revision of cornea 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 65770 A Revise cornea with implant 17.56 NA NA 15.10 15.07 0.69 NA NA 33.35 33.32 090 65771 N Radial keratotomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 65772 A Correction of astigmatism 4.29 6.30 6.01 5.34 4.65 0.17 10.76 10.47 9.80 9.11 090 65775 A Correction of astigmatism 5.79 NA NA 8.26 7.92 0.22 NA NA 14.27 13.93 090 65800 A Drainage of eye 1.91 2.21 2.13 1.40 1.52 0.08 4.20 4.12 3.39 3.51 000 65805 A Drainage of eye 1.91 2.21 2.15 1.41 1.30 0.08 4.20 4.14 3.40 3.29 000 65810 A Drainage of eye 4.87 NA NA 7.41 7.01 0.19 NA NA 12.47 12.07 090 65815 A Drainage of eye 5.05 8.10 7.29 6.94 6.42 0.20 13.35 12.54 12.19 11.67 090 65820 A Relieve inner eye pressure 8.13 NA NA 9.29 9.56 0.32 NA NA 17.74 18.01 090 65850 A Incision of eye 10.52 NA NA 9.63 10.36 0.41 NA NA 20.56 21.29 090 65855 A Laser surgery of eye 4.30 5.15 5.49 3.86 3.71 0.17 9.62 9.96 8.33 8.18 090 65860 A Incise inner eye adhesions 3.55 3.80 3.91 3.01 2.79 0.14 7.49 7.60 6.70 6.48 090 65865 A Incise inner eye adhesions 5.60 NA NA 6.26 6.37 0.22 NA NA 12.08 12.19 090 65870 A Incise inner eye adhesions 6.27 NA NA 6.61 6.55 0.24 NA NA 13.12 13.06 090 65875 A Incise inner eye adhesions 6.54 NA NA 6.73 6.75 0.25 NA NA 13.52 13.54 090 65880 A Incise inner eye adhesions 7.09 NA NA 6.97 7.09 0.28 NA NA 14.34 14.46 090 65900 A Remove eye lesion 10.93 NA NA 12.07 11.20 0.46 NA NA 23.46 22.59 090 65920 A Remove implant from eye 8.40 NA NA 7.65 8.01 0.33 NA NA 16.38 16.74 090 65930 A Remove blood clot from eye 7.44 NA NA 8.08 8.14 0.29 NA NA 15.81 15.87 090 66020 A Injection treatment of eye 1.59 2.28 2.19 1.49 1.59 0.07 3.94 3.85 3.15 3.25 010 66030 A Injection treatment of eye 1.25 2.12 1.74 1.32 1.07 0.05 3.42 3.04 2.62 2.37 010 66130 A Remove eye lesion 7.69 6.91 6.62 6.05 5.97 0.31 14.91 14.62 14.05 13.97 090 66150 A Glaucoma surgery 8.30 NA NA 10.25 10.17 0.33 NA NA 18.88 18.80 090 66155 A Glaucoma surgery 8.29 NA NA 10.21 10.13 0.32 NA NA 18.82 18.74 090 66160 A Glaucoma surgery 10.17 NA NA 11.16 11.29 0.41 NA NA 21.74 21.87 090 66165 A Glaucoma surgery 8.01 NA NA 10.18 10.03 0.31 NA NA 18.50 18.35 090 66170 A Glaucoma surgery 12.16 NA NA 12.17 12.43 0.48 NA NA 24.81 25.07 090 66172 A Incision of eye 15.04 NA NA 15.09 14.62 0.59 NA NA 30.72 30.25 090 66180 A Implant eye shunt 14.55 NA NA 12.32 13.58 0.57 NA NA 27.44 28.70 090 66185 A Revise eye shunt 8.14 NA NA 8.40 8.73 0.32 NA NA 16.86 17.19 090 66220 A Repair eye lesion 7.77 NA NA 10.01 9.12 0.32 NA NA 18.10 17.21 090 66225 A Repair/graft eye lesion 11.05 NA NA 9.73 10.60 0.44 NA NA 21.22 22.09 090 66250 A Follow-up surgery of eye 5.98 7.92 7.73 6.47 6.64 0.23 14.13 13.94 12.68 12.85 090 66500 A Incision of iris 3.71 NA NA 4.08 4.17 0.15 NA NA 7.94 8.03 090 66505 A Incision of iris 4.08 NA NA 4.29 4.11 0.17 NA NA 8.54 8.36 090 66600 A Remove iris and lesion 8.68 NA NA 9.28 9.50 0.34 NA NA 18.30 18.52 090 66605 A Removal of iris 12.79 NA NA 12.61 12.68 0.61 NA NA 26.01 26.08 090 66625 A Removal of iris 5.13 7.97 7.51 6.99 6.77 0.20 13.30 12.84 12.32 12.10 090 66630 A Removal of iris 6.16 NA NA 8.04 7.87 0.24 NA NA 14.44 14.27 090 66635 A Removal of iris 6.25 NA NA 6.59 6.81 0.24 NA NA 13.08 13.30 090 66680 A Repair iris & ciliary body 5.44 NA NA 6.18 6.26 0.21 NA NA 11.83 11.91 090 66682 A Repair iris & ciliary body 6.21 NA NA 8.08 7.91 0.24 NA NA 14.53 14.36 090 66700 A Destruction, ciliary body 4.78 7.67 7.18 6.35 6.19 0.19 12.64 12.15 11.32 11.16 090 66710 A Destruction, ciliary body 4.78 7.64 7.16 6.37 6.21 0.18 12.60 12.12 11.33 11.17 090 66720 A Destruction, ciliary body 4.78 7.46 7.02 6.32 6.17 0.19 12.43 11.99 11.29 11.14 090 66740 A Destruction, ciliary body 4.78 NA NA 5.87 5.83 0.18 NA NA 10.83 10.79 090 66761 A Revision of iris 4.07 5.23 5.14 4.12 3.70 0.16 9.46 9.37 8.35 7.93 090 66762 A Revision of iris 4.58 5.37 5.40 4.30 3.91 0.18 10.13 10.16 9.06 8.67 090 Start Printed Page 65499 66770 A Removal of inner eye lesion 5.18 5.68 5.81 4.55 4.19 0.20 11.06 11.19 9.93 9.57 090 66820 A Incision, secondary cataract 3.89 NA NA 6.97 6.39 0.16 NA NA 11.02 10.44 090 66821 A After cataract laser surgery 2.35 3.56 3.37 3.17 3.08 0.10 6.01 5.82 5.62 5.53 090 66825 A Reposition intraocular lens 8.23 NA NA 9.04 8.77 0.32 NA NA 17.59 17.32 090 66830 A Removal of lens lesion 8.20 NA NA 6.80 7.18 0.32 NA NA 15.32 15.70 090 66840 A Removal of lens material 7.91 NA NA 6.76 7.43 0.31 NA NA 14.98 15.65 090 66850 A Removal of lens material 9.11 NA NA 7.30 8.19 0.36 NA NA 16.77 17.66 090 66852 A Removal of lens material 9.97 NA NA 7.79 8.82 0.39 NA NA 18.15 19.18 090 66920 A Extraction of lens 8.86 NA NA 7.26 8.09 0.35 NA NA 16.47 17.30 090 66930 A Extraction of lens 10.18 NA NA 8.76 9.42 0.41 NA NA 19.35 20.01 090 66940 A Extraction of lens 8.93 NA NA 8.16 8.79 0.35 NA NA 17.44 18.07 090 66982 A Cataract surgery, complex 13.50 NA NA 9.09 9.09 0.55 NA NA 23.14 23.14 090 66983 A Cataract surg w/iol, 1 stage 8.99 NA NA 5.69 6.95 0.37 NA NA 15.05 16.31 090 66984 A Cataract surg w/iol, i stage 10.23 NA NA 7.60 8.77 0.41 NA NA 18.24 19.41 090 66985 A Insert lens prosthesis 8.39 NA NA 6.75 7.57 0.33 NA NA 15.47 16.29 090 66986 A Exchange lens prosthesis 12.28 NA NA 8.89 9.98 0.49 NA NA 21.66 22.75 090 66999 C Eye surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67005 A Partial removal of eye fluid 5.70 NA NA 2.80 3.80 0.22 NA NA 8.72 9.72 090 67010 A Partial removal of eye fluid 6.87 NA NA 3.41 4.61 0.27 NA NA 10.55 11.75 090 67015 A Release of eye fluid 6.92 NA NA 7.78 7.59 0.27 NA NA 14.97 14.78 090 67025 A Replace eye fluid 6.84 14.70 12.86 7.25 7.27 0.27 21.81 19.97 14.36 14.38 090 67027 A Implant eye drug system 10.85 16.42 14.77 8.56 8.87 0.46 27.73 26.08 19.87 20.18 090 67028 A Injection eye drug 2.52 8.04 6.90 1.24 1.68 0.11 10.67 9.53 3.87 4.31 000 67030 A Incise inner eye strands 4.84 NA NA 6.32 6.18 0.19 NA NA 11.35 11.21 090 67031 A Laser surgery, eye strands 3.67 3.89 4.01 3.08 2.86 0.15 7.71 7.83 6.90 6.68 090 67036 A Removal of inner eye fluid 11.89 NA NA 9.05 10.34 0.47 NA NA 21.41 22.70 090 67038 A Strip retinal membrane 21.24 NA NA 15.54 17.99 0.84 NA NA 37.62 40.07 090 67039 A Laser treatment of retina 14.52 NA NA 12.20 13.48 0.57 NA NA 27.29 28.57 090 67040 A Laser treatment of retina 17.23 NA NA 13.57 15.32 0.68 NA NA 31.48 33.23 090 67101 A Repair detached retina 7.53 10.69 10.27 8.67 7.63 0.29 18.51 18.09 16.49 15.45 090 67105 A Repair detached retina 7.41 7.41 8.04 5.62 5.46 0.29 15.11 15.74 13.32 13.16 090 67107 A Repair detached retina 14.84 NA NA 13.10 14.25 0.58 NA NA 28.52 29.67 090 67108 A Repair detached retina 20.82 NA NA 17.42 19.28 0.82 NA NA 39.06 40.92 090 67110 A Repair detached retina 8.81 18.19 16.27 10.08 10.19 0.35 27.35 25.43 19.24 19.35 090 67112 A Rerepair detached retina 16.86 NA NA 15.43 16.05 0.66 NA NA 32.95 33.57 090 67115 A Release encircling material 4.99 NA NA 6.42 6.31 0.19 NA NA 11.60 11.49 090 67120 A Remove eye implant material 5.98 14.09 12.35 6.82 6.90 0.23 20.30 18.56 13.03 13.11 090 67121 A Remove eye implant material 10.67 NA NA 11.60 11.26 0.42 NA NA 22.69 22.35 090 67141 A Treatment of retina 5.20 7.62 7.27 6.58 5.71 0.20 13.02 12.67 11.98 11.11 090 67145 A Treatment of retina 5.37 5.21 5.67 4.21 4.04 0.21 10.79 11.25 9.79 9.62 090 67208 A Treatment of retinal lesion 6.70 8.02 8.02 6.75 6.06 0.26 14.98 14.98 13.71 13.02 090 67210 A Treatment of retinal lesion 8.82 7.24 7.88 5.87 5.63 0.35 16.41 17.05 15.04 14.80 090 67218 A Treatment of retinal lesion 13.52 NA NA 13.04 13.39 0.53 NA NA 27.09 27.44 090 67220 A Treatment of choroid lesion 13.13 11.21 11.21 10.05 10.05 0.51 24.85 24.85 23.69 23.69 090 67221 A Ocular photodynamic ther 4.01 4.40 4.40 2.00 2.00 0.50 8.91 8.91 6.51 6.51 000 67227 A Treatment of retinal lesion 6.58 8.60 8.42 6.87 7.12 0.26 15.44 15.26 13.71 13.96 090 67228 A Treatment of retinal lesion 12.74 9.89 9.97 7.47 6.88 0.50 23.13 23.21 20.71 20.12 090 67250 A Reinforce eye wall 8.66 NA NA 10.22 9.56 0.36 NA NA 19.24 18.58 090 67255 A Reinforce/graft eye wall 8.90 NA NA 10.31 10.39 0.35 NA NA 19.56 19.64 090 67299 C Eye surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67311 A Revise eye muscle 6.65 NA NA 6.37 6.76 0.27 NA NA 13.29 13.68 090 67312 A Revise two eye muscles 8.54 NA NA 7.38 8.08 0.35 NA NA 16.27 16.97 090 67314 A Revise eye muscle 7.52 NA NA 6.86 7.39 0.30 NA NA 14.68 15.21 090 67316 A Revise two eye muscles 9.66 NA NA 7.88 8.70 0.40 NA NA 17.94 18.76 090 67318 A Revise eye muscle(s) 7.85 NA NA 7.31 7.17 0.31 NA NA 15.47 15.33 090 67320 A Revise eye muscle(s) add-on 4.33 NA NA 6.87 7.74 0.17 NA NA 11.37 12.24 ZZZ 67331 A Eye surgery follow-up add-on 4.06 NA NA 5.26 6.37 0.17 NA NA 9.49 10.60 ZZZ 67332 A Rerevise eye muscles add-on 4.49 NA NA 5.93 7.13 0.18 NA NA 10.60 11.80 ZZZ 67334 A Revise eye muscle w/suture 3.98 NA NA 5.43 5.78 0.16 NA NA 9.57 9.92 ZZZ 67335 A Eye suture during surgery 2.49 NA NA 1.22 1.66 0.10 NA NA 3.81 4.25 ZZZ 67340 A Revise eye muscle add-on 4.93 NA NA 7.20 7.54 0.19 NA NA 12.32 12.66 ZZZ 67343 A Release eye tissue 7.35 NA NA 7.25 7.02 0.30 NA NA 14.90 14.67 090 67345 A Destroy nerve of eye muscle 2.96 4.22 3.77 1.43 1.38 0.13 7.31 6.86 4.52 4.47 010 67350 A Biopsy eye muscle 2.87 NA NA 2.46 2.49 0.13 NA NA 5.46 5.49 000 67399 C Eye muscle surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67400 A Explore/biopsy eye socket 9.76 NA NA 11.86 11.81 0.43 NA NA 22.05 22.00 090 67405 A Explore/drain eye socket 7.93 NA NA 10.65 10.35 0.36 NA NA 18.94 18.64 090 67412 A Explore/treat eye socket 9.50 NA NA 13.04 12.62 0.41 NA NA 22.95 22.53 090 67413 A Explore/treat eye socket 10.00 NA NA 11.47 10.80 0.43 NA NA 21.90 21.23 090 67414 A Explr/decompress eye socket 11.13 NA NA 13.69 12.55 0.48 NA NA 25.30 24.16 090 67415 A Aspiration, orbital contents 1.76 NA NA 0.85 1.17 0.09 NA NA 2.70 3.02 000 67420 A Explore/treat eye socket 20.06 NA NA 17.54 17.71 0.84 NA NA 38.44 38.61 090 67430 A Explore/treat eye socket 13.39 NA NA 18.61 16.85 0.97 NA NA 32.97 31.21 090 67440 A Explore/drain eye socket 13.09 NA NA 14.36 14.68 0.58 NA NA 28.03 28.35 090 67445 A Explr/decompress eye socket 14.42 NA NA 15.68 14.78 0.63 NA NA 30.73 29.83 090 67450 A Explore/biopsy eye socket 13.51 NA NA 14.19 14.68 0.56 NA NA 28.26 28.75 090 67500 A Inject/treat eye socket 0.79 2.29 1.92 0.20 0.35 0.04 3.12 2.75 1.03 1.18 000 67505 A Inject/treat eye socket 0.82 0.92 0.97 0.21 0.28 0.04 1.78 1.83 1.07 1.14 000 67515 A Inject/treat eye socket 0.61 0.81 0.76 0.30 0.30 0.02 1.44 1.39 0.93 0.93 000 67550 A Insert eye socket implant 10.19 NA NA 11.90 11.54 0.50 NA NA 22.59 22.23 090 67560 A Revise eye socket implant 10.60 NA NA 11.57 10.93 0.47 NA NA 22.64 22.00 090 67570 A Decompress optic nerve 13.58 NA NA 14.86 13.20 0.69 NA NA 29.13 27.47 090 67599 C Orbit surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY Start Printed Page 65500 67700 A Drainage of eyelid abscess 1.35 5.31 4.12 0.62 0.53 0.06 6.72 5.53 2.03 1.94 010 67710 A Incision of eyelid 1.02 5.48 4.39 0.51 0.52 0.04 6.54 5.45 1.57 1.58 010 67715 A Incision of eyelid fold 1.22 NA NA 0.61 0.82 0.05 NA NA 1.88 2.09 010 67800 A Remove eyelid lesion 1.38 2.26 1.95 0.68 0.64 0.06 3.70 3.39 2.12 2.08 010 67801 A Remove eyelid lesions 1.88 5.70 4.65 0.93 0.89 0.08 7.66 6.61 2.89 2.85 010 67805 A Remove eyelid lesions 2.22 5.90 4.80 1.10 1.01 0.09 8.21 7.11 3.41 3.32 010 67808 A Remove eyelid lesion(s) 3.80 NA NA 3.86 3.47 0.17 NA NA 7.83 7.44 090 67810 A Biopsy of eyelid 1.48 4.41 3.53 0.73 0.66 0.06 5.95 5.07 2.27 2.20 000 67820 A Revise eyelashes 0.89 1.56 1.27 0.38 0.34 0.04 2.49 2.20 1.31 1.27 000 67825 A Revise eyelashes 1.38 6.95 5.46 1.68 1.38 0.06 8.39 6.90 3.12 2.82 010 67830 A Revise eyelashes 1.70 8.17 6.70 1.90 1.93 0.07 9.94 8.47 3.67 3.70 010 67835 A Revise eyelashes 5.56 NA NA 4.64 5.14 0.22 NA NA 10.42 10.92 090 67840 A Remove eyelid lesion 2.04 5.77 4.66 1.01 0.92 0.08 7.89 6.78 3.13 3.04 010 67850 A Treat eyelid lesion 1.69 7.01 5.48 1.78 1.45 0.07 8.77 7.24 3.54 3.21 010 67875 A Closure of eyelid by suture 1.35 8.33 6.72 1.84 1.79 0.06 9.74 8.13 3.25 3.20 000 67880 A Revision of eyelid 3.80 9.26 8.02 2.96 3.29 0.16 13.22 11.98 6.92 7.25 090 67882 A Revision of eyelid 5.07 12.04 10.55 4.44 4.85 0.21 17.32 15.83 9.72 10.13 090 67900 A Repair brow defect 6.14 10.06 8.57 6.31 5.76 0.30 16.50 15.01 12.75 12.20 090 67901 A Repair eyelid defect 6.97 NA NA 6.55 6.99 0.32 NA NA 13.84 14.28 090 67902 A Repair eyelid defect 7.03 NA NA 6.64 7.08 0.34 NA NA 14.01 14.45 090 67903 A Repair eyelid defect 6.37 11.55 10.57 7.12 7.24 0.39 18.31 17.33 13.88 14.00 090 67904 A Repair eyelid defect 6.26 12.65 11.36 7.45 7.46 0.26 19.17 17.88 13.97 13.98 090 67906 A Repair eyelid defect 6.79 7.32 6.97 6.35 6.25 0.42 14.53 14.18 13.56 13.46 090 67908 A Repair eyelid defect 5.13 8.40 7.83 5.93 5.98 0.20 13.73 13.16 11.26 11.31 090 67909 A Revise eyelid defect 5.40 9.39 8.66 6.51 6.50 0.25 15.04 14.31 12.16 12.15 090 67911 A Revise eyelid defect 5.27 NA NA 6.37 6.35 0.23 NA NA 11.87 11.85 090 67914 A Repair eyelid defect 3.68 9.75 8.41 3.36 3.62 0.16 13.59 12.25 7.20 7.46 090 67915 A Repair eyelid defect 3.18 8.51 6.72 1.60 1.37 0.13 11.82 10.03 4.91 4.68 090 67916 A Repair eyelid defect 5.31 13.00 11.34 5.07 5.39 0.22 18.53 16.87 10.60 10.92 090 67917 A Repair eyelid defect 6.02 9.39 8.84 6.44 6.63 0.25 15.66 15.11 12.71 12.90 090 67921 A Repair eyelid defect 3.40 9.40 8.07 3.12 3.36 0.14 12.94 11.61 6.66 6.90 090 67922 A Repair eyelid defect 3.06 8.46 6.67 2.94 2.37 0.13 11.65 9.86 6.13 5.56 090 67923 A Repair eyelid defect 5.88 12.99 11.50 5.24 5.69 0.24 19.11 17.62 11.36 11.81 090 67924 A Repair eyelid defect 5.79 8.77 8.31 5.79 6.07 0.23 14.79 14.33 11.81 12.09 090 67930 A Repair eyelid wound 3.61 9.24 7.28 2.92 2.36 0.17 13.02 11.06 6.70 6.14 010 67935 A Repair eyelid wound 6.22 13.75 11.34 5.23 4.95 0.29 20.26 17.85 11.74 11.46 090 67938 A Remove eyelid foreign body 1.33 6.56 5.06 0.54 0.48 0.06 7.95 6.45 1.93 1.87 010 67950 A Revision of eyelid 5.82 8.38 8.02 7.07 7.04 0.30 14.50 14.14 13.19 13.16 090 67961 A Revision of eyelid 5.69 8.77 8.28 5.99 6.19 0.26 14.72 14.23 11.94 12.14 090 67966 A Revision of eyelid 6.57 8.49 8.33 6.19 6.61 0.33 15.39 15.23 13.09 13.51 090 67971 A Reconstruction of eyelid 9.79 NA NA 7.91 8.83 0.42 NA NA 18.12 19.04 090 67973 A Reconstruction of eyelid 12.87 NA NA 10.06 11.22 0.59 NA NA 23.52 24.68 090 67974 A Reconstruction of eyelid 12.84 NA NA 10.00 11.32 0.54 NA NA 23.38 24.70 090 67975 A Reconstruction of eyelid 9.13 NA NA 7.56 6.80 0.38 NA NA 17.07 16.31 090 67999 C Revision of eyelid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 68020 A Incise/drain eyelid lining 1.37 5.27 4.09 0.68 0.58 0.06 6.70 5.52 2.11 2.01 010 68040 A Treatment of eyelid lesions 0.85 5.14 3.98 0.42 0.38 0.03 6.02 4.86 1.30 1.26 000 68100 A Biopsy of eyelid lining 1.35 5.61 4.48 0.66 0.63 0.06 7.02 5.89 2.07 2.04 000 68110 A Remove eyelid lining lesion 1.77 6.37 5.12 1.39 1.21 0.07 8.21 6.96 3.23 3.05 010 68115 A Remove eyelid lining lesion 2.36 5.93 4.97 1.16 1.39 0.10 8.39 7.43 3.62 3.85 010 68130 A Remove eyelid lining lesion 4.93 NA NA 2.44 2.94 0.19 NA NA 7.56 8.06 090 68135 A Remove eyelid lining lesion 1.84 5.67 4.45 0.91 0.78 0.07 7.58 6.36 2.82 2.69 010 68200 A Treat eyelid by injection 0.49 5.23 4.06 0.24 0.25 0.02 5.74 4.57 0.75 0.76 000 68320 A Revise/graft eyelid lining 5.37 5.30 5.58 5.30 5.58 0.21 10.88 11.16 10.88 11.16 090 68325 A Revise/graft eyelid lining 7.36 NA NA 6.42 7.01 0.30 NA NA 14.08 14.67 090 68326 A Revise/graft eyelid lining 7.15 NA NA 6.32 6.88 0.30 NA NA 13.77 14.33 090 68328 A Revise/graft eyelid lining 8.18 NA NA 7.06 7.74 0.40 NA NA 15.64 16.32 090 68330 A Revise eyelid lining 4.83 6.79 6.53 5.10 5.27 0.19 11.81 11.55 10.12 10.29 090 68335 A Revise/graft eyelid lining 7.19 NA NA 5.29 6.11 0.29 NA NA 12.77 13.59 090 68340 A Separate eyelid adhesions 4.17 11.81 9.71 3.96 3.82 0.17 16.15 14.05 8.30 8.16 090 68360 A Revise eyelid lining 4.37 6.09 5.87 4.87 4.96 0.17 10.63 10.41 9.41 9.50 090 68362 A Revise eyelid lining 7.34 NA NA 7.58 7.86 0.29 NA NA 15.21 15.49 090 68399 C Eyelid lining surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 68400 A Incise/drain tear gland 1.69 8.26 6.47 1.89 1.56 0.07 10.02 8.23 3.65 3.32 010 68420 A Incise/drain tear sac 2.30 8.41 6.59 2.20 1.79 0.10 10.81 8.99 4.60 4.19 010 68440 A Incise tear duct opening 0.94 5.27 4.16 0.47 0.46 0.04 6.25 5.14 1.45 1.44 010 68500 A Removal of tear gland 11.02 NA NA 10.08 9.63 0.60 NA NA 21.70 21.25 090 68505 A Partial removal, tear gland 10.94 NA NA 10.35 10.12 0.57 NA NA 21.86 21.63 090 68510 A Biopsy of tear gland 4.61 9.91 8.43 2.24 2.68 0.19 14.71 13.23 7.04 7.48 000 68520 A Removal of tear sac 7.51 NA NA 6.82 7.36 0.33 NA NA 14.66 15.20 090 68525 A Biopsy of tear sac 4.43 NA NA 2.20 2.65 0.18 NA NA 6.81 7.26 000 68530 A Clearance of tear duct 3.66 11.04 9.05 2.83 2.51 0.16 14.86 12.87 6.65 6.33 010 68540 A Remove tear gland lesion 10.60 NA NA 8.50 8.63 0.46 NA NA 19.56 19.69 090 68550 A Remove tear gland lesion 13.26 NA NA 10.41 10.89 0.66 NA NA 24.33 24.81 090 68700 A Repair tear ducts 6.60 NA NA 6.21 5.39 0.27 NA NA 13.08 12.26 090 68705 A Revise tear duct opening 2.06 5.92 4.72 1.02 0.91 0.08 8.06 6.86 3.16 3.05 010 68720 A Create tear sac drain 8.96 NA NA 7.37 8.20 0.38 NA NA 16.71 17.54 090 68745 A Create tear duct drain 8.63 NA NA 7.32 7.27 0.38 NA NA 16.33 16.28 090 68750 A Create tear duct drain 8.66 NA NA 7.79 8.43 0.37 NA NA 16.82 17.46 090 68760 A Close tear duct opening 1.73 5.54 4.41 0.85 0.76 0.07 7.34 6.21 2.65 2.56 010 68761 A Close tear duct opening 1.36 6.29 4.97 0.65 0.61 0.06 7.71 6.39 2.07 2.03 010 68770 A Close tear system fistula 7.02 13.61 11.36 5.67 4.83 0.28 20.91 18.66 12.97 12.13 090 68801 A Dilate tear duct opening 0.94 6.39 4.91 0.45 0.40 0.04 7.37 5.89 1.43 1.38 010 Start Printed Page 65501 68810 A Probe nasolacrimal duct 1.90 8.09 6.22 1.92 1.52 0.08 10.07 8.20 3.90 3.50 010 68811 A Probe nasolacrimal duct 2.35 NA NA 2.18 2.04 0.10 NA NA 4.63 4.49 010 68815 A Probe nasolacrimal duct 3.20 9.94 7.98 2.66 2.26 0.14 13.28 11.32 6.00 5.60 010 68840 A Explore/irrigate tear ducts 1.25 7.01 5.39 0.61 0.53 0.05 8.31 6.69 1.91 1.83 010 68850 A Injection for tear sac x-ray 0.80 12.26 9.33 0.32 0.38 0.03 13.09 10.16 1.15 1.21 000 68899 C Tear duct system surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69000 A Drain external ear lesion 1.45 2.04 1.63 0.58 0.48 0.10 3.59 3.18 2.13 2.03 010 69005 A Drain external ear lesion 2.11 2.46 2.16 2.06 1.70 0.16 4.73 4.43 4.33 3.97 010 69020 A Drain outer ear canal lesion 1.48 2.14 1.73 0.74 0.62 0.11 3.73 3.32 2.33 2.21 010 69090 N Pierce earlobes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 69100 A Biopsy of external ear 0.81 1.48 1.29 0.41 0.40 0.04 2.33 2.14 1.26 1.25 000 69105 A Biopsy of external ear canal 0.85 1.46 1.31 0.97 0.84 0.06 2.37 2.22 1.88 1.75 000 69110 A Remove external ear, partial 3.44 3.44 3.29 2.77 2.79 0.24 7.12 6.97 6.45 6.47 090 69120 A Removal of external ear 4.05 NA NA 4.38 3.50 0.31 NA NA 8.74 7.86 090 69140 A Remove ear canal lesion(s) 7.97 NA NA 7.92 8.11 0.56 NA NA 16.45 16.64 090 69145 A Remove ear canal lesion(s) 2.62 3.27 3.13 2.45 2.52 0.18 6.07 5.93 5.25 5.32 090 69150 A Extensive ear canal surgery 13.43 NA NA 11.09 11.16 1.07 NA NA 25.59 25.66 090 69155 A Extensive ear/neck surgery 20.80 NA NA 15.15 15.68 1.51 NA NA 37.46 37.99 090 69200 A Clear outer ear canal 0.77 1.39 1.16 0.73 0.61 0.05 2.21 1.98 1.55 1.43 000 69205 A Clear outer ear canal 1.20 NA NA 1.52 1.43 0.09 NA NA 2.81 2.72 010 69210 A Remove impacted ear wax 0.61 1.26 1.01 0.24 0.21 0.04 1.91 1.66 0.89 0.86 000 69220 A Clean out mastoid cavity 0.83 1.46 1.23 0.42 0.38 0.06 2.35 2.12 1.31 1.27 000 69222 A Clean out mastoid cavity 1.40 2.14 1.81 1.65 1.34 0.10 3.64 3.31 3.15 2.84 010 69300 R Revise external ear 6.36 NA NA 4.35 4.70 0.43 NA NA 11.14 11.49 YYY 69310 A Rebuild outer ear canal 10.79 NA NA 9.46 9.77 0.77 NA NA 21.02 21.33 090 69320 A Rebuild outer ear canal 16.96 NA NA 13.64 14.21 1.17 NA NA 31.77 32.34 090 69399 C Outer ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69400 A Inflate middle ear canal 0.83 1.45 1.21 0.45 0.40 0.06 2.34 2.10 1.34 1.29 000 69401 A Inflate middle ear canal 0.63 1.35 1.08 0.36 0.31 0.04 2.02 1.75 1.03 0.98 000 69405 A Catheterize middle ear canal 2.63 2.98 2.37 1.47 1.17 0.18 5.79 5.18 4.28 3.98 010 69410 A Inset middle ear (baffle) 0.33 1.39 1.21 0.16 0.20 0.02 1.74 1.56 0.51 0.55 000 69420 A Incision of eardrum 1.33 2.24 1.87 0.71 0.63 0.10 3.67 3.30 2.14 2.06 010 69421 A Incision of eardrum 1.73 2.50 2.19 1.85 1.70 0.13 4.36 4.05 3.71 3.56 010 69424 A Remove ventilating tube 0.85 1.60 1.36 0.89 0.75 0.06 2.51 2.27 1.80 1.66 000 69433 A Create eardrum opening 1.52 2.22 2.03 0.85 0.82 0.11 3.85 3.66 2.48 2.45 010 69436 A Create eardrum opening 1.96 NA NA 1.98 2.06 0.14 NA NA 4.08 4.16 010 69440 A Exploration of middle ear 7.57 NA NA 7.12 7.60 0.53 NA NA 15.22 15.70 090 69450 A Eardrum revision 5.57 NA NA 5.93 6.11 0.39 NA NA 11.89 12.07 090 69501 A Mastoidectomy 9.07 NA NA 7.90 8.63 0.65 NA NA 17.62 18.35 090 69502 A Mastoidectomy 12.38 NA NA 10.47 11.48 0.86 NA NA 23.71 24.72 090 69505 A Remove mastoid structures 12.99 NA NA 10.64 11.86 0.92 NA NA 24.55 25.77 090 69511 A Extensive mastoid surgery 13.52 NA NA 11.02 12.30 0.96 NA NA 25.50 26.78 090 69530 A Extensive mastoid surgery 19.19 NA NA 14.59 15.48 1.32 NA NA 35.10 35.99 090 69535 A Remove part of temporal bone 36.14 NA NA 24.08 24.92 2.59 NA NA 62.81 63.65 090 69540 A Remove ear lesion 1.20 2.15 1.96 1.54 1.33 0.09 3.44 3.25 2.83 2.62 010 69550 A Remove ear lesion 10.99 NA NA 9.68 10.54 0.80 NA NA 21.47 22.33 090 69552 A Remove ear lesion 19.46 NA NA 14.24 15.22 1.36 NA NA 35.06 36.04 090 69554 A Remove ear lesion 33.16 NA NA 21.65 22.44 2.32 NA NA 57.13 57.92 090 69601 A Mastoid surgery revision 13.24 NA NA 11.61 12.51 0.92 NA NA 25.77 26.67 090 69602 A Mastoid surgery revision 13.58 NA NA 11.16 12.42 0.94 NA NA 25.68 26.94 090 69603 A Mastoid surgery revision 14.02 NA NA 11.44 12.76 1.00 NA NA 26.46 27.78 090 69604 A Mastoid surgery revision 14.02 NA NA 11.24 12.61 0.98 NA NA 26.24 27.61 090 69605 A Mastoid surgery revision 18.49 NA NA 13.92 14.50 1.29 NA NA 33.70 34.28 090 69610 A Repair of eardrum 4.43 4.09 3.32 3.37 2.66 0.31 8.83 8.06 8.11 7.40 010 69620 A Repair of eardrum 5.89 6.64 6.74 2.91 3.94 0.40 12.93 13.03 9.20 10.23 090 69631 A Repair eardrum structures 9.86 NA NA 9.05 9.73 0.69 NA NA 19.60 20.28 090 69632 A Rebuild eardrum structures 12.75 NA NA 11.28 12.27 0.89 NA NA 24.92 25.91 090 69633 A Rebuild eardrum structures 12.10 NA NA 10.92 11.80 0.84 NA NA 23.86 24.74 090 69635 A Repair eardrum structures 13.33 NA NA 9.40 11.03 0.87 NA NA 23.60 25.23 090 69636 A Rebuild eardrum structures 15.22 NA NA 12.78 14.13 1.07 NA NA 29.07 30.42 090 69637 A Rebuild eardrum structures 15.11 NA NA 12.72 14.05 1.06 NA NA 28.89 30.22 090 69641 A Revise middle ear & mastoid 12.71 NA NA 10.62 11.76 0.89 NA NA 24.22 25.36 090 69642 A Revise middle ear & mastoid 16.84 NA NA 13.63 15.25 1.18 NA NA 31.65 33.27 090 69643 A Revise middle ear & mastoid 15.32 NA NA 12.77 14.15 1.08 NA NA 29.17 30.55 090 69644 A Revise middle ear & mastoid 16.97 NA NA 13.71 15.35 1.19 NA NA 31.87 33.51 090 69645 A Revise middle ear & mastoid 16.38 NA NA 13.34 14.90 1.16 NA NA 30.88 32.44 090 69646 A Revise middle ear & mastoid 17.99 NA NA 14.29 16.09 1.26 NA NA 33.54 35.34 090 69650 A Release middle ear bone 9.66 NA NA 8.28 9.10 0.68 NA NA 18.62 19.44 090 69660 A Revise middle ear bone 11.90 NA NA 9.51 10.69 0.84 NA NA 22.25 23.43 090 69661 A Revise middle ear bone 15.74 NA NA 12.28 13.91 1.10 NA NA 29.12 30.75 090 69662 A Revise middle ear bone 15.44 NA NA 12.14 13.71 1.08 NA NA 28.66 30.23 090 69666 A Repair middle ear structures 9.75 NA NA 8.33 9.16 0.68 NA NA 18.76 19.59 090 69667 A Repair middle ear structures 9.76 NA NA 8.28 9.13 0.72 NA NA 18.76 19.61 090 69670 A Remove mastoid air cells 11.51 NA NA 9.93 10.21 0.78 NA NA 22.22 22.50 090 69676 A Remove middle ear nerve 9.52 NA NA 8.64 8.80 0.69 NA NA 18.85 19.01 090 69700 A Close mastoid fistula 8.23 NA NA 5.24 6.06 0.55 NA NA 14.02 14.84 090 69710 N Implant/replace hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 69711 A Remove/repair hearing aid 10.44 NA NA 9.42 9.36 0.62 NA NA 20.48 20.42 090 69714 A Implant temple bone w/stimul 14.00 NA NA 8.71 8.71 0.97 NA NA 23.68 23.68 090 69715 A Temple bne implnt w/stimulat 18.25 NA NA 10.49 10.49 1.25 NA NA 29.99 29.99 090 69717 A Temple bone implant revision 14.98 NA NA 8.37 8.37 1.04 NA NA 24.39 24.39 090 69718 A Revise temple bone implant 18.50 NA NA 10.58 10.58 1.27 NA NA 30.35 30.35 090 69720 A Release facial nerve 14.38 NA NA 12.04 13.32 1.03 NA NA 27.45 28.73 090 Start Printed Page 65502 69725 A Release facial nerve 25.38 NA NA 18.07 17.53 1.78 NA NA 45.23 44.69 090 69740 A Repair facial nerve 15.96 NA NA 11.48 11.82 1.13 NA NA 28.57 28.91 090 69745 A Repair facial nerve 16.69 NA NA 12.11 13.41 1.00 NA NA 29.80 31.10 090 69799 C Middle ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69801 A Incise inner ear 8.56 NA NA 7.68 8.32 0.60 NA NA 16.84 17.48 090 69802 A Incise inner ear 13.10 NA NA 10.95 11.26 0.91 NA NA 24.96 25.27 090 69805 A Explore inner ear 13.82 NA NA 10.69 11.58 0.97 NA NA 25.48 26.37 090 69806 A Explore inner ear 12.35 NA NA 10.49 11.56 0.86 NA NA 23.70 24.77 090 69820 A Establish inner ear window 10.34 NA NA 9.08 9.21 0.66 NA NA 20.08 20.21 090 69840 A Revise inner ear window 10.26 NA NA 10.00 9.80 0.64 NA NA 20.90 20.70 090 69905 A Remove inner ear 11.10 NA NA 9.33 10.31 0.77 NA NA 21.20 22.18 090 69910 A Remove inner ear & mastoid 13.63 NA NA 10.96 12.29 0.94 NA NA 25.53 26.86 090 69915 A Incise inner ear nerve 21.23 NA NA 15.22 16.22 1.54 NA NA 37.99 38.99 090 69930 A Implant cochlear device 16.81 NA NA 12.44 14.35 1.19 NA NA 30.44 32.35 090 69949 C Inner ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69950 A Incise inner ear nerve 25.64 NA NA 16.01 16.89 2.90 NA NA 44.55 45.43 090 69955 A Release facial nerve 27.04 NA NA 18.34 19.26 1.89 NA NA 47.27 48.19 090 69960 A Release inner ear canal 27.04 NA NA 17.85 18.23 2.43 NA NA 47.32 47.70 090 69970 A Remove inner ear lesion 30.04 NA NA 19.00 19.59 2.34 NA NA 51.38 51.97 090 69979 C Temporal bone surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69990 R Microsurgery add-on 3.47 NA NA 1.86 1.86 0.56 NA NA 5.89 5.89 ZZZ 70010 A Contrast x-ray of brain 1.19 4.73 4.81 4.73 4.81 0.24 6.16 6.24 6.16 6.24 XXX 70010 26 A Contrast x-ray of brain 1.19 0.43 0.46 0.43 0.46 0.06 1.68 1.71 1.68 1.71 XXX 70010 TC A Contrast x-ray of brain 0.00 4.30 4.35 NA NA 0.18 4.48 4.53 NA NA XXX 70015 A Contrast x-ray of brain 1.19 1.79 1.83 1.79 1.83 0.12 3.10 3.14 3.10 3.14 XXX 70015 26 A Contrast x-ray of brain 1.19 0.44 0.47 0.44 0.47 0.05 1.68 1.71 1.68 1.71 XXX 70015 TC A Contrast x-ray of brain 0.00 1.35 1.36 NA NA 0.07 1.42 1.43 NA NA XXX 70030 A X-ray eye for foreign body 0.17 0.47 0.49 0.47 0.49 0.03 0.67 0.69 0.67 0.69 XXX 70030 26 A X-ray eye for foreign body 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 70030 TC A X-ray eye for foreign body 0.00 0.41 0.42 NA NA 0.02 0.43 0.44 NA NA XXX 70100 A X-ray exam of jaw 0.18 0.58 0.60 0.58 0.60 0.03 0.79 0.81 0.79 0.81 XXX 70100 26 A X-ray exam of jaw 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX 70100 TC A X-ray exam of jaw 0.00 0.52 0.53 NA NA 0.02 0.54 0.55 NA NA XXX 70110 A X-ray exam of jaw 0.25 0.70 0.72 0.70 0.72 0.04 0.99 1.01 0.99 1.01 XXX 70110 26 A X-ray exam of jaw 0.25 0.09 0.10 0.09 0.10 0.01 0.35 0.36 0.35 0.36 XXX 70110 TC A X-ray exam of jaw 0.00 0.61 0.62 NA NA 0.03 0.64 0.65 NA NA XXX 70120 A X-ray exam of mastoids 0.18 0.67 0.69 0.67 0.69 0.04 0.89 0.91 0.89 0.91 XXX 70120 26 A X-ray exam of mastoids 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX 70120 TC A X-ray exam of mastoids 0.00 0.61 0.62 NA NA 0.03 0.64 0.65 NA NA XXX 70130 A X-ray exam of mastoids 0.34 0.90 0.92 0.90 0.92 0.05 1.29 1.31 1.29 1.31 XXX 70130 26 A X-ray exam of mastoids 0.34 0.12 0.13 0.12 0.13 0.01 0.47 0.48 0.47 0.48 XXX 70130 TC A X-ray exam of mastoids 0.00 0.78 0.79 NA NA 0.04 0.82 0.83 NA NA XXX 70134 A X-ray exam of middle ear 0.34 0.85 0.87 0.85 0.87 0.05 1.24 1.26 1.24 1.26 XXX 70134 26 A X-ray exam of middle ear 0.34 0.12 0.13 0.12 0.13 0.01 0.47 0.48 0.47 0.48 XXX 70134 TC A X-ray exam of middle ear 0.00 0.73 0.74 NA NA 0.04 0.77 0.78 NA NA XXX 70140 A X-ray exam of facial bones 0.19 0.68 0.70 0.68 0.70 0.04 0.91 0.93 0.91 0.93 XXX 70140 26 A X-ray exam of facial bones 0.19 0.07 0.08 0.07 0.08 0.01 0.27 0.28 0.27 0.28 XXX 70140 TC A X-ray exam of facial bones 0.00 0.61 0.62 NA NA 0.03 0.64 0.65 NA NA XXX 70150 A X-ray exam of facial bones 0.26 0.87 0.89 0.87 0.89 0.05 1.18 1.20 1.18 1.20 XXX 70150 26 A X-ray exam of facial bones 0.26 0.09 0.10 0.09 0.10 0.01 0.36 0.37 0.36 0.37 XXX 70150 TC A X-ray exam of facial bones 0.00 0.78 0.79 NA NA 0.04 0.82 0.83 NA NA XXX 70160 A X-ray exam of nasal bones 0.17 0.58 0.60 0.58 0.60 0.03 0.78 0.80 0.78 0.80 XXX 70160 26 A X-ray exam of nasal bones 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 70160 TC A X-ray exam of nasal bones 0.00 0.52 0.53 NA NA 0.02 0.54 0.55 NA NA XXX 70170 A X-ray exam of tear duct 0.30 1.05 1.07 1.05 1.07 0.06 1.41 1.43 1.41 1.43 XXX 70170 26 A X-ray exam of tear duct 0.30 0.11 0.12 0.11 0.12 0.01 0.42 0.43 0.42 0.43 XXX 70170 TC A X-ray exam of tear duct 0.00 0.94 0.95 NA NA 0.05 0.99 1.00 NA NA XXX 70190 A X-ray exam of eye sockets 0.21 0.68 0.70 0.68 0.70 0.04 0.93 0.95 0.93 0.95 XXX 70190 26 A X-ray exam of eye sockets 0.21 0.07 0.08 0.07 0.08 0.01 0.29 0.30 0.29 0.30 XXX 70190 TC A X-ray exam of eye sockets 0.00 0.61 0.62 NA NA 0.03 0.64 0.65 NA NA XXX 70200 A X-ray exam of eye sockets 0.28 0.88 0.90 0.88 0.90 0.05 1.21 1.23 1.21 1.23 XXX 70200 26 A X-ray exam of eye sockets 0.28 0.10 0.11 0.10 0.11 0.01 0.39 0.40 0.39 0.40 XXX 70200 TC A X-ray exam of eye sockets 0.00 0.78 0.79 NA NA 0.04 0.82 0.83 NA NA XXX 70210 A X-ray exam of sinuses 0.17 0.67 0.69 0.67 0.69 0.04 0.88 0.90 0.88 0.90 XXX 70210 26 A X-ray exam of sinuses 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 70210 TC A X-ray exam of sinuses 0.00 0.61 0.62 NA NA 0.03 0.64 0.65 NA NA XXX 70220 A X-ray exam of sinuses 0.25 0.87 0.89 0.87 0.89 0.05 1.17 1.19 1.17 1.19 XXX 70220 26 A X-ray exam of sinuses 0.25 0.09 0.10 0.09 0.10 0.01 0.35 0.36 0.35 0.36 XXX 70220 TC A X-ray exam of sinuses 0.00 0.78 0.79 NA NA 0.04 0.82 0.83 NA NA XXX 70240 A X-ray exam, pituitary saddle 0.19 0.48 0.50 0.48 0.50 0.03 0.70 0.72 0.70 0.72 XXX 70240 26 A X-ray exam, pituitary saddle 0.19 0.07 0.08 0.07 0.08 0.01 0.27 0.28 0.27 0.28 XXX 70240 TC A X-ray exam, pituitary saddle 0.00 0.41 0.42 NA NA 0.02 0.43 0.44 NA NA XXX 70250 A X-ray exam of skull 0.24 0.70 0.72 0.70 0.72 0.04 0.98 1.00 0.98 1.00 XXX 70250 26 A X-ray exam of skull 0.24 0.09 0.10 0.09 0.10 0.01 0.34 0.35 0.34 0.35 XXX 70250 TC A X-ray exam of skull 0.00 0.61 0.62 NA NA 0.03 0.64 0.65 NA NA XXX 70260 A X-ray exam of skull 0.34 1.00 1.02 1.00 1.02 0.06 1.40 1.42 1.40 1.42 XXX 70260 26 A X-ray exam of skull 0.34 0.12 0.13 0.12 0.13 0.01 0.47 0.48 0.47 0.48 XXX 70260 TC A X-ray exam of skull 0.00 0.88 0.89 NA NA 0.05 0.93 0.94 NA NA XXX 70300 A X-ray exam of teeth 0.10 0.30 0.30 0.30 0.30 0.03 0.43 0.43 0.43 0.43 XXX 70300 26 A X-ray exam of teeth 0.10 0.04 0.04 0.04 0.04 0.01 0.15 0.15 0.15 0.15 XXX 70300 TC A X-ray exam of teeth 0.00 0.26 0.26 NA NA 0.02 0.28 0.28 NA NA XXX 70310 A X-ray exam of teeth 0.16 0.47 0.49 0.47 0.49 0.03 0.66 0.68 0.66 0.68 XXX 70310 26 A X-ray exam of teeth 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX Start Printed Page 65503 70310 TC A X-ray exam of teeth 0.00 0.41 0.42 NA NA 0.02 0.43 0.44 NA NA XXX 70320 A Full mouth x-ray of teeth 0.22 0.86 0.88 0.86 0.88 0.05 1.13 1.15 1.13 1.15 XXX 70320 26 A Full mouth x-ray of teeth 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX 70320 TC A Full mouth x-ray of teeth 0.00 0.78 0.79 NA NA 0.04 0.82 0.83 NA NA XXX 70328 A X-ray exam of jaw joint 0.18 0.55 0.57 0.55 0.57 0.03 0.76 0.78 0.76 0.78 XXX 70328 26 A X-ray exam of jaw joint 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX 70328 TC A X-ray exam of jaw joint 0.00 0.49 0.50 NA NA 0.02 0.51 0.52 NA NA XXX 70330 A X-ray exam of jaw joints 0.24 0.93 0.95 0.93 0.95 0.05 1.22 1.24 1.22 1.24 XXX 70330 26 A X-ray exam of jaw joints 0.24 0.09 0.10 0.09 0.10 0.01 0.34 0.35 0.34 0.35 XXX 70330 TC A X-ray exam of jaw joints 0.00 0.84 0.85 NA NA 0.04 0.88 0.89 NA NA XXX 70332 A X-ray exam of jaw joint 0.54 2.28 2.32 2.28 2.32 0.12 2.94 2.98 2.94 2.98 XXX 70332 26 A X-ray exam of jaw joint 0.54 0.20 0.22 0.20 0.22 0.02 0.76 0.78 0.76 0.78 XXX 70332 TC A X-ray exam of jaw joint 0.00 2.08 2.10 NA NA 0.10 2.18 2.20 NA NA XXX 70336 A Magnetic image, jaw joint 1.48 11.66 11.77 11.66 11.77 0.56 13.70 13.81 13.70 13.81 XXX 70336 26 A Magnetic image, jaw joint 1.48 0.53 0.52 0.53 0.52 0.07 2.08 2.07 2.08 2.07 XXX 70336 TC A Magnetic image, jaw joint 0.00 11.13 11.25 NA NA 0.49 11.62 11.74 NA NA XXX 70350 A X-ray head for orthodontia 0.17 0.43 0.45 0.43 0.45 0.03 0.63 0.65 0.63 0.65 XXX 70350 26 A X-ray head for orthodontia 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 70350 TC A X-ray head for orthodontia 0.00 0.37 0.38 NA NA 0.02 0.39 0.40 NA NA XXX 70355 A Panoramic x-ray of jaws 0.20 0.64 0.66 0.64 0.66 0.04 0.88 0.90 0.88 0.90 XXX 70355 26 A Panoramic x-ray of jaws 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 XXX 70355 TC A Panoramic x-ray of jaws 0.00 0.57 0.58 NA NA 0.03 0.60 0.61 NA NA XXX 70360 A X-ray exam of neck 0.17 0.47 0.49 0.47 0.49 0.03 0.67 0.69 0.67 0.69 XXX 70360 26 A X-ray exam of neck 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 70360 TC A X-ray exam of neck 0.00 0.41 0.42 NA NA 0.02 0.43 0.44 NA NA XXX 70370 A Throat x-ray & fluoroscopy 0.32 1.41 1.43 1.41 1.43 0.07 1.80 1.82 1.80 1.82 XXX 70370 26 A Throat x-ray & fluoroscopy 0.32 0.11 0.12 0.11 0.12 0.01 0.44 0.45 0.44 0.45 XXX 70370 TC A Throat x-ray & fluoroscopy 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 70371 A Speech evaluation, complex 0.84 2.38 2.43 2.38 2.43 0.14 3.36 3.41 3.36 3.41 XXX 70371 26 A Speech evaluation, complex 0.84 0.30 0.33 0.30 0.33 0.04 1.18 1.21 1.18 1.21 XXX 70371 TC A Speech evaluation, complex 0.00 2.08 2.10 NA NA 0.10 2.18 2.20 NA NA XXX 70373 A Contrast x-ray of larynx 0.44 1.93 1.97 1.93 1.97 0.11 2.48 2.52 2.48 2.52 XXX 70373 26 A Contrast x-ray of larynx 0.44 0.16 0.18 0.16 0.18 0.02 0.62 0.64 0.62 0.64 XXX 70373 TC A Contrast x-ray of larynx 0.00 1.77 1.79 NA NA 0.09 1.86 1.88 NA NA XXX 70380 A X-ray exam of salivary gland 0.17 0.72 0.74 0.72 0.74 0.04 0.93 0.95 0.93 0.95 XXX 70380 26 A X-ray exam of salivary gland 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 70380 TC A X-ray exam of salivary gland 0.00 0.66 0.67 NA NA 0.03 0.69 0.70 NA NA XXX 70390 A X-ray exam of salivary duct 0.38 1.90 1.93 1.90 1.93 0.11 2.39 2.42 2.39 2.42 XXX 70390 26 A X-ray exam of salivary duct 0.38 0.13 0.14 0.13 0.14 0.02 0.53 0.54 0.53 0.54 XXX 70390 TC A X-ray exam of salivary duct 0.00 1.77 1.79 NA NA 0.09 1.86 1.88 NA NA XXX 70450 A Ct head/brain w/o dye 0.85 4.99 5.07 4.99 5.07 0.25 6.09 6.17 6.09 6.17 XXX 70450 26 A Ct head/brain w/o dye 0.85 0.30 0.33 0.30 0.33 0.04 1.19 1.22 1.19 1.22 XXX 70450 TC A Ct head/brain w/o dye 0.00 4.69 4.74 NA NA 0.21 4.90 4.95 NA NA XXX 70460 A Ct head/brain w/dye 1.13 6.01 6.11 6.01 6.11 0.30 7.44 7.54 7.44 7.54 XXX 70460 26 A Ct head/brain w/dye 1.13 0.40 0.44 0.40 0.44 0.05 1.58 1.62 1.58 1.62 XXX 70460 TC A Ct head/brain w/dye 0.00 5.61 5.67 NA NA 0.25 5.86 5.92 NA NA XXX 70470 A Ct head/brain w/o&w dye 1.27 7.46 7.58 7.46 7.58 0.37 9.10 9.22 9.10 9.22 XXX 70470 26 A Ct head/brain w/o&w dye 1.27 0.45 0.49 0.45 0.49 0.06 1.78 1.82 1.78 1.82 XXX 70470 TC A Ct head/brain w/o&w dye 0.00 7.01 7.09 NA NA 0.31 7.32 7.40 NA NA XXX 70480 A Ct orbit/ear/fossa w/o dye 1.28 5.14 5.23 5.14 5.23 0.27 6.69 6.78 6.69 6.78 XXX 70480 26 A Ct orbit/ear/fossa w/o dye 1.28 0.45 0.49 0.45 0.49 0.06 1.79 1.83 1.79 1.83 XXX 70480 TC A Ct orbit/ear/fossa w/o dye 0.00 4.69 4.74 NA NA 0.21 4.90 4.95 NA NA XXX 70481 A Ct orbit/ear/fossa w/dye 1.38 6.10 6.20 6.10 6.20 0.31 7.79 7.89 7.79 7.89 XXX 70481 26 A Ct orbit/ear/fossa w/dye 1.38 0.49 0.53 0.49 0.53 0.06 1.93 1.97 1.93 1.97 XXX 70481 TC A Ct orbit/ear/fossa w/dye 0.00 5.61 5.67 NA NA 0.25 5.86 5.92 NA NA XXX 70482 A Ct orbit/ear/fossa w/o&w dye 1.45 7.53 7.65 7.53 7.65 0.37 9.35 9.47 9.35 9.47 XXX 70482 26 A Ct orbit/ear/fossa w/o&w dye 1.45 0.52 0.56 0.52 0.56 0.06 2.03 2.07 2.03 2.07 XXX 70482 TC A Ct orbit/ear/fossa w/o&w dye 0.00 7.01 7.09 NA NA 0.31 7.32 7.40 NA NA XXX 70486 A Ct maxillofacial w/o dye 1.14 5.10 5.18 5.10 5.18 0.26 6.50 6.58 6.50 6.58 XXX 70486 26 A Ct maxillofacial w/o dye 1.14 0.41 0.44 0.41 0.44 0.05 1.60 1.63 1.60 1.63 XXX 70486 TC A Ct maxillofacial w/o dye 0.00 4.69 4.74 NA NA 0.21 4.90 4.95 NA NA XXX 70487 A Ct maxillofacial w/dye 1.30 6.07 6.17 6.07 6.17 0.31 7.68 7.78 7.68 7.78 XXX 70487 26 A Ct maxillofacial w/dye 1.30 0.46 0.50 0.46 0.50 0.06 1.82 1.86 1.82 1.86 XXX 70487 TC A Ct maxillofacial w/dye 0.00 5.61 5.67 NA NA 0.25 5.86 5.92 NA NA XXX 70488 A Ct maxillofacial w/o&w dye 1.42 7.51 7.64 7.51 7.64 0.37 9.30 9.43 9.30 9.43 XXX 70488 26 A Ct maxillofacial w/o&w dye 1.42 0.50 0.55 0.50 0.55 0.06 1.98 2.03 1.98 2.03 XXX 70488 TC A Ct maxillofacial w/o&w dye 0.00 7.01 7.09 NA NA 0.31 7.32 7.40 NA NA XXX 70490 A Ct soft tissue neck w/o dye 1.28 5.14 5.23 5.14 5.23 0.27 6.69 6.78 6.69 6.78 XXX 70490 26 A Ct soft tissue neck w/o dye 1.28 0.45 0.49 0.45 0.49 0.06 1.79 1.83 1.79 1.83 XXX 70490 TC A Ct soft tissue neck w/o dye 0.00 4.69 4.74 NA NA 0.21 4.90 4.95 NA NA XXX 70491 A Ct soft tissue neck w/dye 1.38 6.10 6.20 6.10 6.20 0.31 7.79 7.89 7.79 7.89 XXX 70491 26 A Ct soft tissue neck w/dye 1.38 0.49 0.53 0.49 0.53 0.06 1.93 1.97 1.93 1.97 XXX 70491 TC A Ct soft tissue neck w/dye 0.00 5.61 5.67 NA NA 0.25 5.86 5.92 NA NA XXX 70492 A Ct sft tsue nck w/o & w/dye 1.45 7.53 7.65 7.53 7.65 0.37 9.35 9.47 9.35 9.47 XXX 70492 26 A Ct sft tsue nck w/o & w/dye 1.45 0.52 0.56 0.52 0.56 0.06 2.03 2.07 2.03 2.07 XXX 70492 TC A Ct sft tsue nck w/o & w/dye 0.00 7.01 7.09 NA NA 0.31 7.32 7.40 NA NA XXX 70496 A Ct angiography, head 1.75 7.71 7.71 7.71 7.71 0.54 10.00 10.00 10.00 10.00 XXX 70496 26 A Ct angiography, head 1.75 0.70 0.70 0.70 0.70 0.06 2.51 2.51 2.51 2.51 XXX 70496 TC A Ct angiography, head 0.00 7.01 7.01 NA NA 0.48 7.49 7.49 NA NA XXX 70498 A Ct angiography, neck 1.75 7.71 7.71 7.71 7.71 0.54 10.00 10.00 10.00 10.00 XXX 70498 26 A Ct angiography, neck 1.75 0.70 0.70 0.70 0.70 0.06 2.51 2.51 2.51 2.51 XXX 70498 TC A Ct angiography, neck 0.00 7.01 7.01 NA NA 0.48 7.49 7.49 NA NA XXX 70540 A Mri orbit/face/neck w/o dye 0.98 11.48 11.69 11.48 11.69 0.36 12.82 13.03 12.82 13.03 XXX Start Printed Page 65504 70540 26 A Mri orbit/face/neck w/o dye 0.98 0.35 0.44 0.35 0.44 0.04 1.37 1.46 1.37 1.46 XXX 70540 TC A Mri orbit/face/neck w/o dye 0.00 11.13 11.25 NA NA 0.32 11.45 11.57 NA NA XXX 70541 D Magnetic image, head (MRA) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 70541 26 D Magnetic image, head (MRA) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 70541 TC D Magnetic image, head (MRA) 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX 70542 A Mri orbit/face/neck w/dye 1.17 13.76 13.76 13.76 13.76 0.43 15.36 15.36 15.36 15.36 XXX 70542 26 A Mri orbit/face/neck w/dye 1.17 0.42 0.42 0.42 0.42 0.04 1.63 1.63 1.63 1.63 XXX 70542 TC A Mri orbit/face/neck w/dye 0.00 13.34 13.34 NA NA 0.39 13.73 13.73 NA NA XXX 70543 A Mri orbt/fac/nck w/o&w dye 1.56 25.27 25.27 25.27 25.27 0.78 27.61 27.61 27.61 27.61 XXX 70543 26 A Mri orbt/fac/nck w/o&w dye 1.56 0.56 0.56 0.56 0.56 0.08 2.20 2.20 2.20 2.20 XXX 70543 TC A Mri orbt/fac/nck w/o&w dye 0.00 24.71 24.71 NA NA 0.70 25.41 25.41 NA NA XXX 70544 A Mr angiography head w/o dye 1.20 11.56 11.56 11.56 11.56 0.56 13.32 13.32 13.32 13.32 XXX 70544 26 A Mr angiography head w/o dye 1.20 0.43 0.43 0.43 0.43 0.07 1.70 1.70 1.70 1.70 XXX 70544 TC A Mr angiography head w/o dye 0.00 11.13 11.13 NA NA 0.49 11.62 11.62 NA NA XXX 70545 A Mr angiography head w/dye 1.20 11.56 11.56 11.56 11.56 0.56 13.32 13.32 13.32 13.32 XXX 70545 26 A Mr angiography head w/dye 1.20 0.43 0.43 0.43 0.43 0.07 1.70 1.70 1.70 1.70 XXX 70545 TC A Mr angiography head w/dye 0.00 11.13 11.13 NA NA 0.49 11.62 11.62 NA NA XXX 70546 A Mr angiograph head w/o&w dye 1.80 22.89 22.89 22.89 22.89 0.56 25.25 25.25 25.25 25.25 XXX 70546 26 A Mr angiograph head w/o&w dye 1.80 0.64 0.64 0.64 0.64 0.07 2.51 2.51 2.51 2.51 XXX 70546 TC A Mr angiograph head w/o&w dye 0.00 22.25 22.25 NA NA 0.49 22.74 22.74 NA NA XXX 70547 A Mr angiography neck w/o dye 1.20 11.56 11.56 11.56 11.56 0.56 13.32 13.32 13.32 13.32 XXX 70547 26 A Mr angiography neck w/o dye 1.20 0.43 0.43 0.43 0.43 0.07 1.70 1.70 1.70 1.70 XXX 70547 TC A Mr angiography neck w/o dye 0.00 11.13 11.13 NA NA 0.49 11.62 11.62 NA NA XXX 70548 A Mr angiography neck w/dye 1.20 11.56 11.56 11.56 11.56 0.56 13.32 13.32 13.32 13.32 XXX 70548 26 A Mr angiography neck w/dye 1.20 0.43 0.43 0.43 0.43 0.07 1.70 1.70 1.70 1.70 XXX 70548 TC A Mr angiography neck w/dye 0.00 11.13 11.13 NA NA 0.49 11.62 11.62 NA NA XXX 70549 A Mr angiograph neck w/o&w dye 1.80 22.89 22.89 22.89 22.89 0.56 25.25 25.25 25.25 25.25 XXX 70549 26 A Mr angiograph neck w/o&w dye 1.80 0.64 0.64 0.64 0.64 0.07 2.51 2.51 2.51 2.51 XXX 70549 TC A Mr angiograph neck w/o&w dye 0.00 22.25 22.25 NA NA 0.49 22.74 22.74 NA NA XXX 70551 A Mri brain w/o dye 1.48 11.66 11.83 11.66 11.83 0.56 13.70 13.87 13.70 13.87 XXX 70551 26 A Mri brain w/o dye 1.48 0.53 0.58 0.53 0.58 0.07 2.08 2.13 2.08 2.13 XXX 70551 TC A Mri brain w/o dye 0.00 11.13 11.25 NA NA 0.49 11.62 11.74 NA NA XXX 70552 A Mri brain w/dye 1.78 13.98 14.18 13.98 14.18 0.66 16.42 16.62 16.42 16.62 XXX 70552 26 A Mri brain w/dye 1.78 0.64 0.70 0.64 0.70 0.08 2.50 2.56 2.50 2.56 XXX 70552 TC A Mri brain w/dye 0.00 13.34 13.48 NA NA 0.58 13.92 14.06 NA NA XXX 70553 A Mri brain w/o&w dye 2.36 25.55 25.89 25.55 25.89 1.19 29.10 29.44 29.10 29.44 XXX 70553 26 A Mri brain w/o&w dye 2.36 0.84 0.92 0.84 0.92 0.10 3.30 3.38 3.30 3.38 XXX 70553 TC A Mri brain w/o&w dye 0.00 24.71 24.97 NA NA 1.09 25.80 26.06 NA NA XXX 71010 A Chest x-ray 0.18 0.53 0.55 0.53 0.55 0.03 0.74 0.76 0.74 0.76 XXX 71010 26 A Chest x-ray 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX 71010 TC A Chest x-ray 0.00 0.47 0.48 NA NA 0.02 0.49 0.50 NA NA XXX 71015 A Chest x-ray 0.21 0.60 0.62 0.60 0.62 0.03 0.84 0.86 0.84 0.86 XXX 71015 26 A Chest x-ray 0.21 0.08 0.09 0.08 0.09 0.01 0.30 0.31 0.30 0.31 XXX 71015 TC A Chest x-ray 0.00 0.52 0.53 NA NA 0.02 0.54 0.55 NA NA XXX 71020 A Chest x-ray 0.22 0.69 0.71 0.69 0.71 0.04 0.95 0.97 0.95 0.97 XXX 71020 26 A Chest x-ray 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX 71020 TC A Chest x-ray 0.00 0.61 0.62 NA NA 0.03 0.64 0.65 NA NA XXX 71021 A Chest x-ray 0.27 0.83 0.85 0.83 0.85 0.05 1.15 1.17 1.15 1.17 XXX 71021 26 A Chest x-ray 0.27 0.10 0.11 0.10 0.11 0.01 0.38 0.39 0.38 0.39 XXX 71021 TC A Chest x-ray 0.00 0.73 0.74 NA NA 0.04 0.77 0.78 NA NA XXX 71022 A Chest x-ray 0.31 0.84 0.86 0.84 0.86 0.06 1.21 1.23 1.21 1.23 XXX 71022 26 A Chest x-ray 0.31 0.11 0.12 0.11 0.12 0.02 0.44 0.45 0.44 0.45 XXX 71022 TC A Chest x-ray 0.00 0.73 0.74 NA NA 0.04 0.77 0.78 NA NA XXX 71023 A Chest x-ray and fluoroscopy 0.38 0.92 0.94 0.92 0.94 0.06 1.36 1.38 1.36 1.38 XXX 71023 26 A Chest x-ray and fluoroscopy 0.38 0.14 0.15 0.14 0.15 0.02 0.54 0.55 0.54 0.55 XXX 71023 TC A Chest x-ray and fluoroscopy 0.00 0.78 0.79 NA NA 0.04 0.82 0.83 NA NA XXX 71030 A Chest x-ray 0.31 0.89 0.91 0.89 0.91 0.05 1.25 1.27 1.25 1.27 XXX 71030 26 A Chest x-ray 0.31 0.11 0.12 0.11 0.12 0.01 0.43 0.44 0.43 0.44 XXX 71030 TC A Chest x-ray 0.00 0.78 0.79 NA NA 0.04 0.82 0.83 NA NA XXX 71034 A Chest x-ray and fluoroscopy 0.46 1.61 1.64 1.61 1.64 0.09 2.16 2.19 2.16 2.19 XXX 71034 26 A Chest x-ray and fluoroscopy 0.46 0.18 0.19 0.18 0.19 0.02 0.66 0.67 0.66 0.67 XXX 71034 TC A Chest x-ray and fluoroscopy 0.00 1.43 1.45 NA NA 0.07 1.50 1.52 NA NA XXX 71035 A Chest x-ray 0.18 0.58 0.60 0.58 0.60 0.03 0.79 0.81 0.79 0.81 XXX 71035 26 A Chest x-ray 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX 71035 TC A Chest x-ray 0.00 0.52 0.53 NA NA 0.02 0.54 0.55 NA NA XXX 71036 D X-ray guidance for biopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 71036 26 D X-ray guidance for biopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 71036 TC D X-ray guidance for biopsy 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX 71040 A Contrast x-ray of bronchi 0.58 1.66 1.70 1.66 1.70 0.10 2.34 2.38 2.34 2.38 XXX 71040 26 A Contrast x-ray of bronchi 0.58 0.21 0.23 0.21 0.23 0.03 0.82 0.84 0.82 0.84 XXX 71040 TC A Contrast x-ray of bronchi 0.00 1.45 1.47 NA NA 0.07 1.52 1.54 NA NA XXX 71060 A Contrast x-ray of bronchi 0.74 2.45 2.50 2.45 2.50 0.14 3.33 3.38 3.33 3.38 XXX 71060 26 A Contrast x-ray of bronchi 0.74 0.26 0.29 0.26 0.29 0.03 1.03 1.06 1.03 1.06 XXX 71060 TC A Contrast x-ray of bronchi 0.00 2.19 2.21 NA NA 0.11 2.30 2.32 NA NA XXX 71090 A X-ray & pacemaker insertion 0.54 1.90 1.93 1.90 1.93 0.11 2.55 2.58 2.55 2.58 XXX 71090 26 A X-ray & pacemaker insertion 0.54 0.23 0.24 0.23 0.24 0.02 0.79 0.80 0.79 0.80 XXX 71090 TC A X-ray & pacemaker insertion 0.00 1.67 1.69 NA NA 0.09 1.76 1.78 NA NA XXX 71100 A X-ray exam of ribs 0.22 0.65 0.67 0.65 0.67 0.04 0.91 0.93 0.91 0.93 XXX 71100 26 A X-ray exam of ribs 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX 71100 TC A X-ray exam of ribs 0.00 0.57 0.58 NA NA 0.03 0.60 0.61 NA NA XXX 71101 A X-ray exam of ribs/chest 0.27 0.76 0.78 0.76 0.78 0.04 1.07 1.09 1.07 1.09 XXX 71101 26 A X-ray exam of ribs/chest 0.27 0.10 0.11 0.10 0.11 0.01 0.38 0.39 0.38 0.39 XXX 71101 TC A X-ray exam of ribs/chest 0.00 0.66 0.67 NA NA 0.03 0.69 0.70 NA NA XXX Start Printed Page 65505 71110 A X-ray exam of ribs 0.27 0.88 0.90 0.88 0.90 0.05 1.20 1.22 1.20 1.22 XXX 71110 26 A X-ray exam of ribs 0.27 0.10 0.11 0.10 0.11 0.01 0.38 0.39 0.38 0.39 XXX 71110 TC A X-ray exam of ribs 0.00 0.78 0.79 NA NA 0.04 0.82 0.83 NA NA XXX 71111 A X-ray exam of ribs/ chest 0.32 0.99 1.01 0.99 1.01 0.06 1.37 1.39 1.37 1.39 XXX 71111 26 A X-ray exam of ribs/ chest 0.32 0.11 0.12 0.11 0.12 0.01 0.44 0.45 0.44 0.45 XXX 71111 TC A X-ray exam of ribs/ chest 0.00 0.88 0.89 NA NA 0.05 0.93 0.94 NA NA XXX 71120 A X-ray exam of breastbone 0.20 0.71 0.73 0.71 0.73 0.04 0.95 0.97 0.95 0.97 XXX 71120 26 A X-ray exam of breastbone 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 XXX 71120 TC A X-ray exam of breastbone 0.00 0.64 0.65 NA NA 0.03 0.67 0.68 NA NA XXX 71130 A X-ray exam of breastbone 0.22 0.78 0.80 0.78 0.80 0.04 1.04 1.06 1.04 1.06 XXX 71130 26 A X-ray exam of breastbone 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX 71130 TC A X-ray exam of breastbone 0.00 0.70 0.71 NA NA 0.03 0.73 0.74 NA NA XXX 71250 A Ct thorax w/o dye 1.16 6.27 6.37 6.27 6.37 0.31 7.74 7.84 7.74 7.84 XXX 71250 26 A Ct thorax w/o dye 1.16 0.41 0.45 0.41 0.45 0.05 1.62 1.66 1.62 1.66 XXX 71250 TC A Ct thorax w/o dye 0.00 5.86 5.92 NA NA 0.26 6.12 6.18 NA NA XXX 71260 A Ct thorax w/dye 1.24 7.45 7.57 7.45 7.57 0.36 9.05 9.17 9.05 9.17 XXX 71260 26 A Ct thorax w/dye 1.24 0.44 0.48 0.44 0.48 0.05 1.73 1.77 1.73 1.77 XXX 71260 TC A Ct thorax w/dye 0.00 7.01 7.09 NA NA 0.31 7.32 7.40 NA NA XXX 71270 A Ct thorax w/o&w dye 1.38 9.27 9.40 9.27 9.40 0.44 11.09 11.22 11.09 11.22 XXX 71270 26 A Ct thorax w/o&w dye 1.38 0.49 0.53 0.49 0.53 0.06 1.93 1.97 1.93 1.97 XXX 71270 TC A Ct thorax w/o&w dye 0.00 8.78 8.87 NA NA 0.38 9.16 9.25 NA NA XXX 71275 A Ct angiography, chest 1.20 9.26 9.26 9.26 9.26 0.37 10.83 10.83 10.83 10.83 XXX 71275 26 A Ct angiography, chest 1.20 0.48 0.48 0.48 0.48 0.05 1.73 1.73 1.73 1.73 XXX 71275 TC A Ct angiography, chest 0.00 8.78 8.78 NA NA 0.32 9.10 9.10 NA NA XXX 71550 A Mri chest w/o dye 1.10 11.52 11.74 11.52 11.74 0.41 13.03 13.25 13.03 13.25 XXX 71550 26 A Mri chest w/o dye 1.10 0.39 0.49 0.39 0.49 0.04 1.53 1.63 1.53 1.63 XXX 71550 TC A Mri chest w/o dye 0.00 11.13 11.25 NA NA 0.37 11.50 11.62 NA NA XXX 71551 A Mri chest w/dye 1.30 13.80 13.80 13.80 13.80 0.48 15.58 15.58 15.58 15.58 XXX 71551 26 A Mri chest w/dye 1.30 0.46 0.46 0.46 0.46 0.05 1.81 1.81 1.81 1.81 XXX 71551 TC A Mri chest w/dye 0.00 13.34 13.34 NA NA 0.43 13.77 13.77 NA NA XXX 71552 A Mri chest w/o&w dye 1.70 25.31 25.31 25.31 25.31 0.63 27.64 27.64 27.64 27.64 XXX 71552 26 A Mri chest w/o&w dye 1.70 0.60 0.60 0.60 0.60 0.07 2.37 2.37 2.37 2.37 XXX 71552 TC A Mri chest w/o&w dye 0.00 24.71 24.71 NA NA 0.56 25.27 25.27 NA NA XXX 71555 R Mri angio chest w or w/o dye 1.81 11.78 11.93 11.78 11.93 0.57 14.16 14.31 14.16 14.31 XXX 71555 26 R Mri angio chest w or w/o dye 1.81 0.65 0.68 0.65 0.68 0.08 2.54 2.57 2.54 2.57 XXX 71555 TC R Mri angio chest w or w/o dye 0.00 11.13 11.25 NA NA 0.49 11.62 11.74 NA NA XXX 72010 A X-ray exam of spine 0.45 1.18 1.21 1.18 1.21 0.08 1.71 1.74 1.71 1.74 XXX 72010 26 A X-ray exam of spine 0.45 0.16 0.18 0.16 0.18 0.03 0.64 0.66 0.64 0.66 XXX 72010 TC A X-ray exam of spine 0.00 1.02 1.03 NA NA 0.05 1.07 1.08 NA NA XXX 72020 A X-ray exam of spine 0.15 0.46 0.48 0.46 0.48 0.03 0.64 0.66 0.64 0.66 XXX 72020 26 A X-ray exam of spine 0.15 0.05 0.06 0.05 0.06 0.01 0.21 0.22 0.21 0.22 XXX 72020 TC A X-ray exam of spine 0.00 0.41 0.42 NA NA 0.02 0.43 0.44 NA NA XXX 72040 A X-ray exam of neck spine 0.22 0.68 0.70 0.68 0.70 0.04 0.94 0.96 0.94 0.96 XXX 72040 26 A X-ray exam of neck spine 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX 72040 TC A X-ray exam of neck spine 0.00 0.60 0.61 NA NA 0.03 0.63 0.64 NA NA XXX 72050 A X-ray exam of neck spine 0.31 0.99 1.01 0.99 1.01 0.07 1.37 1.39 1.37 1.39 XXX 72050 26 A X-ray exam of neck spine 0.31 0.11 0.12 0.11 0.12 0.02 0.44 0.45 0.44 0.45 XXX 72050 TC A X-ray exam of neck spine 0.00 0.88 0.89 NA NA 0.05 0.93 0.94 NA NA XXX 72052 A X-ray exam of neck spine 0.36 1.25 1.27 1.25 1.27 0.07 1.68 1.70 1.68 1.70 XXX 72052 26 A X-ray exam of neck spine 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 XXX 72052 TC A X-ray exam of neck spine 0.00 1.12 1.13 NA NA 0.05 1.17 1.18 NA NA XXX 72069 A X-ray exam of trunk spine 0.22 0.57 0.59 0.57 0.59 0.04 0.83 0.85 0.83 0.85 XXX 72069 26 A X-ray exam of trunk spine 0.22 0.08 0.09 0.08 0.09 0.02 0.32 0.33 0.32 0.33 XXX 72069 TC A X-ray exam of trunk spine 0.00 0.49 0.50 NA NA 0.02 0.51 0.52 NA NA XXX 72070 A X-ray exam of thoracic spine 0.22 0.72 0.74 0.72 0.74 0.04 0.98 1.00 0.98 1.00 XXX 72070 26 A X-ray exam of thoracic spine 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX 72070 TC A X-ray exam of thoracic spine 0.00 0.64 0.65 NA NA 0.03 0.67 0.68 NA NA XXX 72072 A X-ray exam of thoracic spine 0.22 0.81 0.83 0.81 0.83 0.05 1.08 1.10 1.08 1.10 XXX 72072 26 A X-ray exam of thoracic spine 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX 72072 TC A X-ray exam of thoracic spine 0.00 0.73 0.74 NA NA 0.04 0.77 0.78 NA NA XXX 72074 A X-ray exam of thoracic spine 0.22 0.98 1.00 0.98 1.00 0.06 1.26 1.28 1.26 1.28 XXX 72074 26 A X-ray exam of thoracic spine 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX 72074 TC A X-ray exam of thoracic spine 0.00 0.90 0.91 NA NA 0.05 0.95 0.96 NA NA XXX 72080 A X-ray exam of trunk spine 0.22 0.74 0.76 0.74 0.76 0.05 1.01 1.03 1.01 1.03 XXX 72080 26 A X-ray exam of trunk spine 0.22 0.08 0.09 0.08 0.09 0.02 0.32 0.33 0.32 0.33 XXX 72080 TC A X-ray exam of trunk spine 0.00 0.66 0.67 NA NA 0.03 0.69 0.70 NA NA XXX 72090 A X-ray exam of trunk spine 0.28 0.76 0.78 0.76 0.78 0.05 1.09 1.11 1.09 1.11 XXX 72090 26 A X-ray exam of trunk spine 0.28 0.10 0.11 0.10 0.11 0.02 0.40 0.41 0.40 0.41 XXX 72090 TC A X-ray exam of trunk spine 0.00 0.66 0.67 NA NA 0.03 0.69 0.70 NA NA XXX 72100 A X-ray exam of lower spine 0.22 0.74 0.76 0.74 0.76 0.05 1.01 1.03 1.01 1.03 XXX 72100 26 A X-ray exam of lower spine 0.22 0.08 0.09 0.08 0.09 0.02 0.32 0.33 0.32 0.33 XXX 72100 TC A X-ray exam of lower spine 0.00 0.66 0.67 NA NA 0.03 0.69 0.70 NA NA XXX 72110 A X-ray exam of lower spine 0.31 1.01 1.03 1.01 1.03 0.07 1.39 1.41 1.39 1.41 XXX 72110 26 A X-ray exam of lower spine 0.31 0.11 0.12 0.11 0.12 0.02 0.44 0.45 0.44 0.45 XXX 72110 TC A X-ray exam of lower spine 0.00 0.90 0.91 NA NA 0.05 0.95 0.96 NA NA XXX 72114 A X-ray exam of lower spine 0.36 1.31 1.33 1.31 1.33 0.08 1.75 1.77 1.75 1.77 XXX 72114 26 A X-ray exam of lower spine 0.36 0.13 0.14 0.13 0.14 0.03 0.52 0.53 0.52 0.53 XXX 72114 TC A X-ray exam of lower spine 0.00 1.18 1.19 NA NA 0.05 1.23 1.24 NA NA XXX 72120 A X-ray exam of lower spine 0.22 0.96 0.98 0.96 0.98 0.07 1.25 1.27 1.25 1.27 XXX 72120 26 A X-ray exam of lower spine 0.22 0.08 0.09 0.08 0.09 0.02 0.32 0.33 0.32 0.33 XXX 72120 TC A X-ray exam of lower spine 0.00 0.88 0.89 NA NA 0.05 0.93 0.94 NA NA XXX 72125 A Ct neck spine w/o dye 1.16 6.27 6.37 6.27 6.37 0.31 7.74 7.84 7.74 7.84 XXX 72125 26 A Ct neck spine w/o dye 1.16 0.41 0.45 0.41 0.45 0.05 1.62 1.66 1.62 1.66 XXX Start Printed Page 65506 72125 TC A Ct neck spine w/o dye 0.00 5.86 5.92 NA NA 0.26 6.12 6.18 NA NA XXX 72126 A Ct neck spine w/dye 1.22 7.44 7.56 7.44 7.56 0.36 9.02 9.14 9.02 9.14 XXX 72126 26 A Ct neck spine w/dye 1.22 0.43 0.47 0.43 0.47 0.05 1.70 1.74 1.70 1.74 XXX 72126 TC A Ct neck spine w/dye 0.00 7.01 7.09 NA NA 0.31 7.32 7.40 NA NA XXX 72127 A Ct neck spine w/o&w dye 1.27 9.23 9.36 9.23 9.36 0.44 10.94 11.07 10.94 11.07 XXX 72127 26 A Ct neck spine w/o&w dye 1.27 0.45 0.49 0.45 0.49 0.06 1.78 1.82 1.78 1.82 XXX 72127 TC A Ct neck spine w/o&w dye 0.00 8.78 8.87 NA NA 0.38 9.16 9.25 NA NA XXX 72128 A Ct chest spine w/o dye 1.16 6.27 6.37 6.27 6.37 0.31 7.74 7.84 7.74 7.84 XXX 72128 26 A Ct chest spine w/o dye 1.16 0.41 0.45 0.41 0.45 0.05 1.62 1.66 1.62 1.66 XXX 72128 TC A Ct chest spine w/o dye 0.00 5.86 5.92 NA NA 0.26 6.12 6.18 NA NA XXX 72129 A Ct chest spine w/dye 1.22 7.44 7.56 7.44 7.56 0.36 9.02 9.14 9.02 9.14 XXX 72129 26 A Ct chest spine w/dye 1.22 0.43 0.47 0.43 0.47 0.05 1.70 1.74 1.70 1.74 XXX 72129 TC A Ct chest spine w/dye 0.00 7.01 7.09 NA NA 0.31 7.32 7.40 NA NA XXX 72130 A Ct chest spine w/o&w dye 1.27 9.23 9.36 9.23 9.36 0.44 10.94 11.07 10.94 11.07 XXX 72130 26 A Ct chest spine w/o&w dye 1.27 0.45 0.49 0.45 0.49 0.06 1.78 1.82 1.78 1.82 XXX 72130 TC A Ct chest spine w/o&w dye 0.00 8.78 8.87 NA NA 0.38 9.16 9.25 NA NA XXX 72131 A Ct lumbar spine w/o dye 1.16 6.27 6.37 6.27 6.37 0.31 7.74 7.84 7.74 7.84 XXX 72131 26 A Ct lumbar spine w/o dye 1.16 0.41 0.45 0.41 0.45 0.05 1.62 1.66 1.62 1.66 XXX 72131 TC A Ct lumbar spine w/o dye 0.00 5.86 5.92 NA NA 0.26 6.12 6.18 NA NA XXX 72132 A Ct lumbar spine w/dye 1.22 7.44 7.56 7.44 7.56 0.37 9.03 9.15 9.03 9.15 XXX 72132 26 A Ct lumbar spine w/dye 1.22 0.43 0.47 0.43 0.47 0.06 1.71 1.75 1.71 1.75 XXX 72132 TC A Ct lumbar spine w/dye 0.00 7.01 7.09 NA NA 0.31 7.32 7.40 NA NA XXX 72133 A Ct lumbar spine w/o&w dye 1.27 9.24 9.37 9.24 9.37 0.44 10.95 11.08 10.95 11.08 XXX 72133 26 A Ct lumbar spine w/o&w dye 1.27 0.46 0.50 0.46 0.50 0.06 1.79 1.83 1.79 1.83 XXX 72133 TC A Ct lumbar spine w/o&w dye 0.00 8.78 8.87 NA NA 0.38 9.16 9.25 NA NA XXX 72141 A Mri neck spine w/o dye 1.60 11.70 11.87 11.70 11.87 0.56 13.86 14.03 13.86 14.03 XXX 72141 26 A Mri neck spine w/o dye 1.60 0.57 0.62 0.57 0.62 0.07 2.24 2.29 2.24 2.29 XXX 72141 TC A Mri neck spine w/o dye 0.00 11.13 11.25 NA NA 0.49 11.62 11.74 NA NA XXX 72142 A Mri neck spine w/dye 1.92 14.04 14.24 14.04 14.24 0.67 16.63 16.83 16.63 16.83 XXX 72142 26 A Mri neck spine w/dye 1.92 0.70 0.76 0.70 0.76 0.09 2.71 2.77 2.71 2.77 XXX 72142 TC A Mri neck spine w/dye 0.00 13.34 13.48 NA NA 0.58 13.92 14.06 NA NA XXX 72146 A Mri chest spine w/o dye 1.60 12.93 13.11 12.93 13.11 0.60 15.13 15.31 15.13 15.31 XXX 72146 26 A Mri chest spine w/o dye 1.60 0.57 0.62 0.57 0.62 0.07 2.24 2.29 2.24 2.29 XXX 72146 TC A Mri chest spine w/o dye 0.00 12.36 12.49 NA NA 0.53 12.89 13.02 NA NA XXX 72147 A Mri chest spine w/dye 1.92 14.03 14.23 14.03 14.23 0.67 16.62 16.82 16.62 16.82 XXX 72147 26 A Mri chest spine w/dye 1.92 0.69 0.75 0.69 0.75 0.09 2.70 2.76 2.70 2.76 XXX 72147 TC A Mri chest spine w/dye 0.00 13.34 13.48 NA NA 0.58 13.92 14.06 NA NA XXX 72148 A Mri lumbar spine w/o dye 1.48 12.89 13.07 12.89 13.07 0.60 14.97 15.15 14.97 15.15 XXX 72148 26 A Mri lumbar spine w/o dye 1.48 0.53 0.58 0.53 0.58 0.07 2.08 2.13 2.08 2.13 XXX 72148 TC A Mri lumbar spine w/o dye 0.00 12.36 12.49 NA NA 0.53 12.89 13.02 NA NA XXX 72149 A Mri lumbar spine w/dye 1.78 13.99 14.19 13.99 14.19 0.67 16.44 16.64 16.44 16.64 XXX 72149 26 A Mri lumbar spine w/dye 1.78 0.65 0.71 0.65 0.71 0.09 2.52 2.58 2.52 2.58 XXX 72149 TC A Mri lumbar spine w/dye 0.00 13.34 13.48 NA NA 0.58 13.92 14.06 NA NA XXX 72156 A Mri neck spine w/o&w dye 2.57 25.63 25.97 25.63 25.97 1.20 29.40 29.74 29.40 29.74 XXX 72156 26 A Mri neck spine w/o&w dye 2.57 0.92 1.00 0.92 1.00 0.11 3.60 3.68 3.60 3.68 XXX 72156 TC A Mri neck spine w/o&w dye 0.00 24.71 24.97 NA NA 1.09 25.80 26.06 NA NA XXX 72157 A Mri chest spine w/o&w dye 2.57 25.63 25.97 25.63 25.97 1.20 29.40 29.74 29.40 29.74 XXX 72157 26 A Mri chest spine w/o&w dye 2.57 0.92 1.00 0.92 1.00 0.11 3.60 3.68 3.60 3.68 XXX 72157 TC A Mri chest spine w/o&w dye 0.00 24.71 24.97 NA NA 1.09 25.80 26.06 NA NA XXX 72158 A Mri lumbar spine w/o&w dye 2.36 25.55 25.89 25.55 25.89 1.20 29.11 29.45 29.11 29.45 XXX 72158 26 A Mri lumbar spine w/o&w dye 2.36 0.84 0.92 0.84 0.92 0.11 3.31 3.39 3.31 3.39 XXX 72158 TC A Mri lumbar spine w/o&w dye 0.00 24.71 24.97 NA NA 1.09 25.80 26.06 NA NA XXX 72159 N Mr angio spine w/o&w dye +1.80 13.08 13.21 13.08 13.21 0.61 15.49 15.62 15.49 15.62 XXX 72159 26 N Mr angio spine w/o&w dye +1.80 0.72 0.72 0.72 0.72 0.08 2.60 2.60 2.60 2.60 XXX 72159 TC N Mr angio spine w/o&w dye +0.00 12.36 12.49 NA NA 0.53 12.89 13.02 NA NA XXX 72170 A X-ray exam of pelvis 0.17 0.58 0.60 0.58 0.60 0.03 0.78 0.80 0.78 0.80 XXX 72170 26 A X-ray exam of pelvis 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 72170 TC A X-ray exam of pelvis 0.00 0.52 0.53 NA NA 0.02 0.54 0.55 NA NA XXX 72190 A X-ray exam of pelvis 0.21 0.74 0.76 0.74 0.76 0.04 0.99 1.01 0.99 1.01 XXX 72190 26 A X-ray exam of pelvis 0.21 0.08 0.09 0.08 0.09 0.01 0.30 0.31 0.30 0.31 XXX 72190 TC A X-ray exam of pelvis 0.00 0.66 0.67 NA NA 0.03 0.69 0.70 NA NA XXX 72191 A Ct angiograph pelv w/o&w dye 1.20 8.91 8.91 8.91 8.91 0.37 10.48 10.48 10.48 10.48 XXX 72191 26 A Ct angiograph pelv w/o&w dye 1.20 0.48 0.48 0.48 0.48 0.05 1.73 1.73 1.73 1.73 XXX 72191 TC A Ct angiograph pelv w/o&w dye 0.00 8.43 8.43 NA NA 0.32 8.75 8.75 NA NA XXX 72192 A Ct pelvis w/o dye 1.09 6.25 6.34 6.25 6.34 0.31 7.65 7.74 7.65 7.74 XXX 72192 26 A Ct pelvis w/o dye 1.09 0.39 0.42 0.39 0.42 0.05 1.53 1.56 1.53 1.56 XXX 72192 TC A Ct pelvis w/o dye 0.00 5.86 5.92 NA NA 0.26 6.12 6.18 NA NA XXX 72193 A Ct pelvis w/dye 1.16 7.20 7.31 7.20 7.31 0.35 8.71 8.82 8.71 8.82 XXX 72193 26 A Ct pelvis w/dye 1.16 0.41 0.45 0.41 0.45 0.05 1.62 1.66 1.62 1.66 XXX 72193 TC A Ct pelvis w/dye 0.00 6.79 6.86 NA NA 0.30 7.09 7.16 NA NA XXX 72194 A Ct pelvis w/o&w dye 1.22 8.86 8.99 8.86 8.99 0.41 10.49 10.62 10.49 10.62 XXX 72194 26 A Ct pelvis w/o&w dye 1.22 0.43 0.47 0.43 0.47 0.05 1.70 1.74 1.70 1.74 XXX 72194 TC A Ct pelvis w/o&w dye 0.00 8.43 8.52 NA NA 0.36 8.79 8.88 NA NA XXX 72195 A Mri pelvis w/o dye 1.10 11.52 11.52 11.52 11.52 0.41 13.03 13.03 13.03 13.03 XXX 72195 26 A Mri pelvis w/o dye 1.10 0.39 0.39 0.39 0.39 0.04 1.53 1.53 1.53 1.53 XXX 72195 TC A Mri pelvis w/o dye 0.00 11.13 11.13 NA NA 0.37 11.50 11.50 NA NA XXX 72196 A Mri pelvis w/dye 1.30 13.80 13.44 13.80 13.44 0.48 15.58 15.22 15.58 15.22 XXX 72196 26 A Mri pelvis w/dye 1.30 0.46 0.54 0.46 0.54 0.05 1.81 1.89 1.81 1.89 XXX 72196 TC A Mri pelvis w/dye 0.00 13.34 12.90 NA NA 0.43 13.77 13.33 NA NA XXX 72197 A Mri pelvis w/o & w dye 1.70 25.31 25.31 25.31 25.31 0.85 27.86 27.86 27.86 27.86 XXX 72197 26 A Mri pelvis w/o & w dye 1.70 0.60 0.60 0.60 0.60 0.09 2.39 2.39 2.39 2.39 XXX 72197 TC A Mri pelvis w/o & w dye 0.00 24.71 24.71 NA NA 0.76 25.47 25.47 NA NA XXX 72198 N Mr angio pelvis w/o&w dye +1.80 11.85 11.99 11.85 11.99 0.57 14.22 14.36 14.22 14.36 XXX Start Printed Page 65507 72198 26 N Mr angio pelvis w/o&w dye +1.80 0.72 0.74 0.72 0.74 0.08 2.60 2.62 2.60 2.62 XXX 72198 TC N Mr angio pelvis w/o&w dye +0.00 11.13 11.25 NA NA 0.49 11.62 11.74 NA NA XXX 72200 A X-ray exam sacroiliac joints 0.17 0.58 0.60 0.58 0.60 0.03 0.78 0.80 0.78 0.80 XXX 72200 26 A X-ray exam sacroiliac joints 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 72200 TC A X-ray exam sacroiliac joints 0.00 0.52 0.53 NA NA 0.02 0.54 0.55 NA NA XXX 72202 A X-ray exam sacroiliac joints 0.19 0.68 0.70 0.68 0.70 0.04 0.91 0.93 0.91 0.93 XXX 72202 26 A X-ray exam sacroiliac joints 0.19 0.07 0.08 0.07 0.08 0.01 0.27 0.28 0.27 0.28 XXX 72202 TC A X-ray exam sacroiliac joints 0.00 0.61 0.62 NA NA 0.03 0.64 0.65 NA NA XXX 72220 A X-ray exam of tailbone 0.17 0.63 0.65 0.63 0.65 0.04 0.84 0.86 0.84 0.86 XXX 72220 26 A X-ray exam of tailbone 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 72220 TC A X-ray exam of tailbone 0.00 0.57 0.58 NA NA 0.03 0.60 0.61 NA NA XXX 72240 A Contrast x-ray of neck spine 0.91 5.03 5.11 5.03 5.11 0.25 6.19 6.27 6.19 6.27 XXX 72240 26 A Contrast x-ray of neck spine 0.91 0.31 0.34 0.31 0.34 0.04 1.26 1.29 1.26 1.29 XXX 72240 TC A Contrast x-ray of neck spine 0.00 4.72 4.77 NA NA 0.21 4.93 4.98 NA NA XXX 72255 A Contrast x-ray, thorax spine 0.91 4.59 4.68 4.59 4.68 0.22 5.72 5.81 5.72 5.81 XXX 72255 26 A Contrast x-ray, thorax spine 0.91 0.29 0.33 0.29 0.33 0.04 1.24 1.28 1.24 1.28 XXX 72255 TC A Contrast x-ray, thorax spine 0.00 4.30 4.35 NA NA 0.18 4.48 4.53 NA NA XXX 72265 A Contrast x-ray, lower spine 0.83 4.31 4.39 4.31 4.39 0.22 5.36 5.44 5.36 5.44 XXX 72265 26 A Contrast x-ray, lower spine 0.83 0.27 0.31 0.27 0.31 0.04 1.14 1.18 1.14 1.18 XXX 72265 TC A Contrast x-ray, lower spine 0.00 4.04 4.08 NA NA 0.18 4.22 4.26 NA NA XXX 72270 A Contrast x-ray of spine 1.33 6.49 6.61 6.49 6.61 0.34 8.16 8.28 8.16 8.28 XXX 72270 26 A Contrast x-ray of spine 1.33 0.44 0.49 0.44 0.49 0.07 1.84 1.89 1.84 1.89 XXX 72270 TC A Contrast x-ray of spine 0.00 6.05 6.12 NA NA 0.27 6.32 6.39 NA NA XXX 72275 A Epidurography 0.76 2.33 2.33 2.33 2.33 0.21 3.30 3.30 3.30 3.30 XXX 72275 26 A Epidurography 0.76 0.25 0.25 0.25 0.25 0.03 1.04 1.04 1.04 1.04 XXX 72275 TC A Epidurography 0.00 2.08 2.08 NA NA 0.18 2.26 2.26 NA NA XXX 72285 A X-ray c/t spine disk 1.16 8.71 8.81 8.71 8.81 0.42 10.29 10.39 10.29 10.39 XXX 72285 26 A X-ray c/t spine disk 1.16 0.39 0.40 0.39 0.40 0.06 1.61 1.62 1.61 1.62 XXX 72285 TC A X-ray c/t spine disk 0.00 8.32 8.41 NA NA 0.36 8.68 8.77 NA NA XXX 72295 A X-ray of lower spine disk 0.83 8.09 8.20 8.09 8.20 0.37 9.29 9.40 9.29 9.40 XXX 72295 26 A X-ray of lower spine disk 0.83 0.29 0.32 0.29 0.32 0.04 1.16 1.19 1.16 1.19 XXX 72295 TC A X-ray of lower spine disk 0.00 7.80 7.88 NA NA 0.33 8.13 8.21 NA NA XXX 73000 A X-ray exam of collar bone 0.16 0.58 0.60 0.58 0.60 0.03 0.77 0.79 0.77 0.79 XXX 73000 26 A X-ray exam of collar bone 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX 73000 TC A X-ray exam of collar bone 0.00 0.52 0.53 NA NA 0.02 0.54 0.55 NA NA XXX 73010 A X-ray exam of shoulder blade 0.17 0.58 0.60 0.58 0.60 0.03 0.78 0.80 0.78 0.80 XXX 73010 26 A X-ray exam of shoulder blade 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 73010 TC A X-ray exam of shoulder blade 0.00 0.52 0.53 NA NA 0.02 0.54 0.55 NA NA XXX 73020 A X-ray exam of shoulder 0.15 0.52 0.54 0.52 0.54 0.03 0.70 0.72 0.70 0.72 XXX 73020 26 A X-ray exam of shoulder 0.15 0.05 0.06 0.05 0.06 0.01 0.21 0.22 0.21 0.22 XXX 73020 TC A X-ray exam of shoulder 0.00 0.47 0.48 NA NA 0.02 0.49 0.50 NA NA XXX 73030 A X-ray exam of shoulder 0.18 0.63 0.65 0.63 0.65 0.04 0.85 0.87 0.85 0.87 XXX 73030 26 A X-ray exam of shoulder 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX 73030 TC A X-ray exam of shoulder 0.00 0.57 0.58 NA NA 0.03 0.60 0.61 NA NA XXX 73040 A Contrast x-ray of shoulder 0.54 2.27 2.31 2.27 2.31 0.13 2.94 2.98 2.94 2.98 XXX 73040 26 A Contrast x-ray of shoulder 0.54 0.19 0.21 0.19 0.21 0.03 0.76 0.78 0.76 0.78 XXX 73040 TC A Contrast x-ray of shoulder 0.00 2.08 2.10 NA NA 0.10 2.18 2.20 NA NA XXX 73050 A X-ray exam of shoulders 0.20 0.73 0.75 0.73 0.75 0.05 0.98 1.00 0.98 1.00 XXX 73050 26 A X-ray exam of shoulders 0.20 0.07 0.08 0.07 0.08 0.02 0.29 0.30 0.29 0.30 XXX 73050 TC A X-ray exam of shoulders 0.00 0.66 0.67 NA NA 0.03 0.69 0.70 NA NA XXX 73060 A X-ray exam of humerus 0.17 0.63 0.65 0.63 0.65 0.04 0.84 0.86 0.84 0.86 XXX 73060 26 A X-ray exam of humerus 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 73060 TC A X-ray exam of humerus 0.00 0.57 0.58 NA NA 0.03 0.60 0.61 NA NA XXX 73070 A X-ray exam of elbow 0.15 0.57 0.59 0.57 0.59 0.03 0.75 0.77 0.75 0.77 XXX 73070 26 A X-ray exam of elbow 0.15 0.05 0.06 0.05 0.06 0.01 0.21 0.22 0.21 0.22 XXX 73070 TC A X-ray exam of elbow 0.00 0.52 0.53 NA NA 0.02 0.54 0.55 NA NA XXX 73080 A X-ray exam of elbow 0.17 0.63 0.65 0.63 0.65 0.04 0.84 0.86 0.84 0.86 XXX 73080 26 A X-ray exam of elbow 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 73080 TC A X-ray exam of elbow 0.00 0.57 0.58 NA NA 0.03 0.60 0.61 NA NA XXX 73085 A Contrast x-ray of elbow 0.54 2.28 2.32 2.28 2.32 0.13 2.95 2.99 2.95 2.99 XXX 73085 26 A Contrast x-ray of elbow 0.54 0.20 0.22 0.20 0.22 0.03 0.77 0.79 0.77 0.79 XXX 73085 TC A Contrast x-ray of elbow 0.00 2.08 2.10 NA NA 0.10 2.18 2.20 NA NA XXX 73090 A X-ray exam of forearm 0.16 0.58 0.60 0.58 0.60 0.03 0.77 0.79 0.77 0.79 XXX 73090 26 A X-ray exam of forearm 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX 73090 TC A X-ray exam of forearm 0.00 0.52 0.53 NA NA 0.02 0.54 0.55 NA NA XXX 73092 A X-ray exam of arm, infant 0.16 0.55 0.57 0.55 0.57 0.03 0.74 0.76 0.74 0.76 XXX 73092 26 A X-ray exam of arm, infant 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX 73092 TC A X-ray exam of arm, infant 0.00 0.49 0.50 NA NA 0.02 0.51 0.52 NA NA XXX 73100 A X-ray exam of wrist 0.16 0.55 0.57 0.55 0.57 0.04 0.75 0.77 0.75 0.77 XXX 73100 26 A X-ray exam of wrist 0.16 0.06 0.07 0.06 0.07 0.02 0.24 0.25 0.24 0.25 XXX 73100 TC A X-ray exam of wrist 0.00 0.49 0.50 NA NA 0.02 0.51 0.52 NA NA XXX 73110 A X-ray exam of wrist 0.17 0.59 0.61 0.59 0.61 0.03 0.79 0.81 0.79 0.81 XXX 73110 26 A X-ray exam of wrist 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 73110 TC A X-ray exam of wrist 0.00 0.53 0.54 NA NA 0.02 0.55 0.56 NA NA XXX 73115 A Contrast x-ray of wrist 0.54 1.77 1.81 1.77 1.81 0.11 2.42 2.46 2.42 2.46 XXX 73115 26 A Contrast x-ray of wrist 0.54 0.20 0.22 0.20 0.22 0.03 0.77 0.79 0.77 0.79 XXX 73115 TC A Contrast x-ray of wrist 0.00 1.57 1.59 NA NA 0.08 1.65 1.67 NA NA XXX 73120 A X-ray exam of hand 0.16 0.55 0.57 0.55 0.57 0.03 0.74 0.76 0.74 0.76 XXX 73120 26 A X-ray exam of hand 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX 73120 TC A X-ray exam of hand 0.00 0.49 0.50 NA NA 0.02 0.51 0.52 NA NA XXX 73130 A X-ray exam of hand 0.17 0.59 0.61 0.59 0.61 0.03 0.79 0.81 0.79 0.81 XXX 73130 26 A X-ray exam of hand 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 73130 TC A X-ray exam of hand 0.00 0.53 0.54 NA NA 0.02 0.55 0.56 NA NA XXX Start Printed Page 65508 73140 A X-ray exam of finger(s) 0.13 0.46 0.48 0.46 0.48 0.03 0.62 0.64 0.62 0.64 XXX 73140 26 A X-ray exam of finger(s) 0.13 0.05 0.06 0.05 0.06 0.01 0.19 0.20 0.19 0.20 XXX 73140 TC A X-ray exam of finger(s) 0.00 0.41 0.42 NA NA 0.02 0.43 0.44 NA NA XXX 73200 A Ct upper extremity w/o dye 1.09 5.32 5.40 5.32 5.40 0.26 6.67 6.75 6.67 6.75 XXX 73200 26 A Ct upper extremity w/o dye 1.09 0.39 0.42 0.39 0.42 0.05 1.53 1.56 1.53 1.56 XXX 73200 TC A Ct upper extremity w/o dye 0.00 4.93 4.98 NA NA 0.21 5.14 5.19 NA NA XXX 73201 A Ct upper extremity w/dye 1.16 6.27 6.37 6.27 6.37 0.31 7.74 7.84 7.74 7.84 XXX 73201 26 A Ct upper extremity w/dye 1.16 0.41 0.45 0.41 0.45 0.05 1.62 1.66 1.62 1.66 XXX 73201 TC A Ct upper extremity w/dye 0.00 5.86 5.92 NA NA 0.26 6.12 6.18 NA NA XXX 73202 A Ct uppr extremity w/o&w dye 1.22 7.81 7.93 7.81 7.93 0.38 9.41 9.53 9.41 9.53 XXX 73202 26 A Ct uppr extremity w/o&w dye 1.22 0.44 0.48 0.44 0.48 0.06 1.72 1.76 1.72 1.76 XXX 73202 TC A Ct uppr extremity w/o&w dye 0.00 7.37 7.45 NA NA 0.32 7.69 7.77 NA NA XXX 73206 A Ct angio upr extrm w/o&w dye 1.20 7.85 7.85 7.85 7.85 0.37 9.42 9.42 9.42 9.42 XXX 73206 26 A Ct angio upr extrm w/o&w dye 1.20 0.48 0.48 0.48 0.48 0.05 1.73 1.73 1.73 1.73 XXX 73206 TC A Ct angio upr extrm w/o&w dye 0.00 7.37 7.37 NA NA 0.32 7.69 7.69 NA NA XXX 73218 A Mri upper extremity w/o dye 0.98 11.48 11.48 11.48 11.48 0.36 12.82 12.82 12.82 12.82 XXX 73218 26 A Mri upper extremity w/o dye 0.98 0.35 0.35 0.35 0.35 0.04 1.37 1.37 1.37 1.37 XXX 73218 TC A Mri upper extremity w/o dye 0.00 11.13 11.13 NA NA 0.32 11.45 11.45 NA NA XXX 73219 A Mri upper extremity w/dye 1.17 13.76 13.76 13.76 13.76 0.43 15.36 15.36 15.36 15.36 XXX 73219 26 A Mri upper extremity w/dye 1.17 0.42 0.42 0.42 0.42 0.04 1.63 1.63 1.63 1.63 XXX 73219 TC A Mri upper extremity w/dye 0.00 13.34 13.34 NA NA 0.39 13.73 13.73 NA NA XXX 73220 A Mri uppr extremity w/o&w dye 1.56 25.27 22.03 25.27 22.03 0.78 27.61 24.37 27.61 24.37 XXX 73220 26 A Mri uppr extremity w/o&w dye 1.56 0.56 0.60 0.56 0.60 0.08 2.20 2.24 2.20 2.24 XXX 73220 TC A Mri uppr extremity w/o&w dye 0.00 24.71 21.43 NA NA 0.70 25.41 22.13 NA NA XXX 73221 A Mri joint upr extrem w/o dye 0.98 11.48 11.63 11.48 11.63 0.36 12.82 12.97 12.82 12.97 XXX 73221 26 A Mri joint upr extrem w/o dye 0.98 0.35 0.38 0.35 0.38 0.04 1.37 1.40 1.37 1.40 XXX 73221 TC A Mri joint upr extrem w/o dye 0.00 11.13 11.25 NA NA 0.32 11.45 11.57 NA NA XXX 73222 A Mri joint upr extrem w/ dye 1.17 13.76 13.76 13.76 13.76 0.43 15.36 15.36 15.36 15.36 XXX 73222 26 A Mri joint upr extrem w/ dye 1.17 0.42 0.42 0.42 0.42 0.04 1.63 1.63 1.63 1.63 XXX 73222 TC A Mri joint upr extrem w/ dye 0.00 13.34 13.34 NA NA 0.39 13.73 13.73 NA NA XXX 73223 A Mri joint upr extr w/o&w dye 1.56 25.27 25.27 25.27 25.27 0.78 27.61 27.61 27.61 27.61 XXX 73223 26 A Mri joint upr extr w/o&w dye 1.56 0.56 0.56 0.56 0.56 0.08 2.20 2.20 2.20 2.20 XXX 73223 TC A Mri joint upr extr w/o&w dye 0.00 24.71 24.71 NA NA 0.70 25.41 25.41 NA NA XXX 73225 N Mr angio upr extr w/o&w dye +1.73 11.82 11.95 11.82 11.95 0.57 14.12 14.25 14.12 14.25 XXX 73225 26 N Mr angio upr extr w/o&w dye +1.73 0.69 0.70 0.69 0.70 0.08 2.50 2.51 2.50 2.51 XXX 73225 TC N Mr angio upr extr w/o&w dye +0.00 11.13 11.25 NA NA 0.49 11.62 11.74 NA NA XXX 73500 A X-ray exam of hip 0.17 0.53 0.55 0.53 0.55 0.03 0.73 0.75 0.73 0.75 XXX 73500 26 A X-ray exam of hip 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 73500 TC A X-ray exam of hip 0.00 0.47 0.48 NA NA 0.02 0.49 0.50 NA NA XXX 73510 A X-ray exam of hip 0.21 0.65 0.67 0.65 0.67 0.05 0.91 0.93 0.91 0.93 XXX 73510 26 A X-ray exam of hip 0.21 0.08 0.09 0.08 0.09 0.02 0.31 0.32 0.31 0.32 XXX 73510 TC A X-ray exam of hip 0.00 0.57 0.58 NA NA 0.03 0.60 0.61 NA NA XXX 73520 A X-ray exam of hips 0.26 0.75 0.77 0.75 0.77 0.05 1.06 1.08 1.06 1.08 XXX 73520 26 A X-ray exam of hips 0.26 0.09 0.10 0.09 0.10 0.02 0.37 0.38 0.37 0.38 XXX 73520 TC A X-ray exam of hips 0.00 0.66 0.67 NA NA 0.03 0.69 0.70 NA NA XXX 73525 A Contrast x-ray of hip 0.54 2.27 2.31 2.27 2.31 0.13 2.94 2.98 2.94 2.98 XXX 73525 26 A Contrast x-ray of hip 0.54 0.19 0.21 0.19 0.21 0.03 0.76 0.78 0.76 0.78 XXX 73525 TC A Contrast x-ray of hip 0.00 2.08 2.10 NA NA 0.10 2.18 2.20 NA NA XXX 73530 A X-ray exam of hip 0.29 0.62 0.64 0.62 0.64 0.03 0.94 0.96 0.94 0.96 XXX 73530 26 A X-ray exam of hip 0.29 0.10 0.11 0.10 0.11 0.01 0.40 0.41 0.40 0.41 XXX 73530 TC A X-ray exam of hip 0.00 0.52 0.53 NA NA 0.02 0.54 0.55 NA NA XXX 73540 A X-ray exam of pelvis & hips 0.20 0.64 0.66 0.64 0.66 0.05 0.89 0.91 0.89 0.91 XXX 73540 26 A X-ray exam of pelvis & hips 0.20 0.07 0.08 0.07 0.08 0.02 0.29 0.30 0.29 0.30 XXX 73540 TC A X-ray exam of pelvis & hips 0.00 0.57 0.58 NA NA 0.03 0.60 0.61 NA NA XXX 73542 A X-ray exam, sacroiliac joint 0.59 2.29 2.29 2.29 2.29 0.13 3.01 3.01 3.01 3.01 XXX 73542 26 A X-ray exam, sacroiliac joint 0.59 0.21 0.21 0.21 0.21 0.03 0.83 0.83 0.83 0.83 XXX 73542 TC A X-ray exam, sacroiliac joint 0.00 2.08 2.08 NA NA 0.10 2.18 2.18 NA NA XXX 73550 A X-ray exam of thigh 0.17 0.63 0.65 0.63 0.65 0.04 0.84 0.86 0.84 0.86 XXX 73550 26 A X-ray exam of thigh 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 73550 TC A X-ray exam of thigh 0.00 0.57 0.58 NA NA 0.03 0.60 0.61 NA NA XXX 73560 A X-ray exam of knee, 1 or 2 0.17 0.58 0.60 0.58 0.60 0.04 0.79 0.81 0.79 0.81 XXX 73560 26 A X-ray exam of knee, 1 or 2 0.17 0.06 0.07 0.06 0.07 0.02 0.25 0.26 0.25 0.26 XXX 73560 TC A X-ray exam of knee, 1 or 2 0.00 0.52 0.53 NA NA 0.02 0.54 0.55 NA NA XXX 73562 A X-ray exam of knee, 3 0.18 0.64 0.66 0.64 0.66 0.05 0.87 0.89 0.87 0.89 XXX 73562 26 A X-ray exam of knee, 3 0.18 0.07 0.08 0.07 0.08 0.02 0.27 0.28 0.27 0.28 XXX 73562 TC A X-ray exam of knee, 3 0.00 0.57 0.58 NA NA 0.03 0.60 0.61 NA NA XXX 73564 A X-ray exam, knee, 4 or more 0.22 0.69 0.71 0.69 0.71 0.05 0.96 0.98 0.96 0.98 XXX 73564 26 A X-ray exam, knee, 4 or more 0.22 0.08 0.09 0.08 0.09 0.02 0.32 0.33 0.32 0.33 XXX 73564 TC A X-ray exam, knee, 4 or more 0.00 0.61 0.62 NA NA 0.03 0.64 0.65 NA NA XXX 73565 A X-ray exam of knees 0.17 0.56 0.57 0.56 0.57 0.04 0.77 0.78 0.77 0.78 XXX 73565 26 A X-ray exam of knees 0.17 0.07 0.07 0.07 0.07 0.02 0.26 0.26 0.26 0.26 XXX 73565 TC A X-ray exam of knees 0.00 0.49 0.50 NA NA 0.02 0.51 0.52 NA NA XXX 73580 A Contrast x-ray of knee joint 0.54 2.79 2.84 2.79 2.84 0.15 3.48 3.53 3.48 3.53 XXX 73580 26 A Contrast x-ray of knee joint 0.54 0.19 0.21 0.19 0.21 0.03 0.76 0.78 0.76 0.78 XXX 73580 TC A Contrast x-ray of knee joint 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 73590 A X-ray exam of lower leg 0.17 0.58 0.60 0.58 0.60 0.03 0.78 0.80 0.78 0.80 XXX 73590 26 A X-ray exam of lower leg 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 73590 TC A X-ray exam of lower leg 0.00 0.52 0.53 NA NA 0.02 0.54 0.55 NA NA XXX 73592 A X-ray exam of leg, infant 0.16 0.55 0.57 0.55 0.57 0.03 0.74 0.76 0.74 0.76 XXX 73592 26 A X-ray exam of leg, infant 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX 73592 TC A X-ray exam of leg, infant 0.00 0.49 0.50 NA NA 0.02 0.51 0.52 NA NA XXX 73600 A X-ray exam of ankle 0.16 0.55 0.57 0.55 0.57 0.03 0.74 0.76 0.74 0.76 XXX 73600 26 A X-ray exam of ankle 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX Start Printed Page 65509 73600 TC A X-ray exam of ankle 0.00 0.49 0.50 NA NA 0.02 0.51 0.52 NA NA XXX 73610 A X-ray exam of ankle 0.17 0.59 0.61 0.59 0.61 0.03 0.79 0.81 0.79 0.81 XXX 73610 26 A X-ray exam of ankle 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 73610 TC A X-ray exam of ankle 0.00 0.53 0.54 NA NA 0.02 0.55 0.56 NA NA XXX 73615 A Contrast x-ray of ankle 0.54 2.28 2.32 2.28 2.32 0.13 2.95 2.99 2.95 2.99 XXX 73615 26 A Contrast x-ray of ankle 0.54 0.20 0.22 0.20 0.22 0.03 0.77 0.79 0.77 0.79 XXX 73615 TC A Contrast x-ray of ankle 0.00 2.08 2.10 NA NA 0.10 2.18 2.20 NA NA XXX 73620 A X-ray exam of foot 0.16 0.55 0.57 0.55 0.57 0.03 0.74 0.76 0.74 0.76 XXX 73620 26 A X-ray exam of foot 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX 73620 TC A X-ray exam of foot 0.00 0.49 0.50 NA NA 0.02 0.51 0.52 NA NA XXX 73630 A X-ray exam of foot 0.17 0.59 0.61 0.59 0.61 0.03 0.79 0.81 0.79 0.81 XXX 73630 26 A X-ray exam of foot 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 73630 TC A X-ray exam of foot 0.00 0.53 0.54 NA NA 0.02 0.55 0.56 NA NA XXX 73650 A X-ray exam of heel 0.16 0.53 0.55 0.53 0.55 0.03 0.72 0.74 0.72 0.74 XXX 73650 26 A X-ray exam of heel 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX 73650 TC A X-ray exam of heel 0.00 0.47 0.48 NA NA 0.02 0.49 0.50 NA NA XXX 73660 A X-ray exam of toe(s) 0.13 0.46 0.48 0.46 0.48 0.03 0.62 0.64 0.62 0.64 XXX 73660 26 A X-ray exam of toe(s) 0.13 0.05 0.06 0.05 0.06 0.01 0.19 0.20 0.19 0.20 XXX 73660 TC A X-ray exam of toe(s) 0.00 0.41 0.42 NA NA 0.02 0.43 0.44 NA NA XXX 73700 A Ct lower extremity w/o dye 1.09 5.32 5.40 5.32 5.40 0.26 6.67 6.75 6.67 6.75 XXX 73700 26 A Ct lower extremity w/o dye 1.09 0.39 0.42 0.39 0.42 0.05 1.53 1.56 1.53 1.56 XXX 73700 TC A Ct lower extremity w/o dye 0.00 4.93 4.98 NA NA 0.21 5.14 5.19 NA NA XXX 73701 A Ct lower extremity w/dye 1.16 6.27 6.37 6.27 6.37 0.31 7.74 7.84 7.74 7.84 XXX 73701 26 A Ct lower extremity w/dye 1.16 0.41 0.45 0.41 0.45 0.05 1.62 1.66 1.62 1.66 XXX 73701 TC A Ct lower extremity w/dye 0.00 5.86 5.92 NA NA 0.26 6.12 6.18 NA NA XXX 73702 A Ct lwr extremity w/o&w dye 1.22 7.80 7.92 7.80 7.92 0.37 9.39 9.51 9.39 9.51 XXX 73702 26 A Ct lwr extremity w/o&w dye 1.22 0.43 0.47 0.43 0.47 0.05 1.70 1.74 1.70 1.74 XXX 73702 TC A Ct lwr extremity w/o&w dye 0.00 7.37 7.45 NA NA 0.32 7.69 7.77 NA NA XXX 73706 A Ct angio lwr extr w/o&w dye 1.20 7.85 7.85 7.85 7.85 0.37 9.42 9.42 9.42 9.42 XXX 73706 26 A Ct angio lwr extr w/o&w dye 1.20 0.48 0.48 0.48 0.48 0.05 1.73 1.73 1.73 1.73 XXX 73706 TC A Ct angio lwr extr w/o&w dye 0.00 7.37 7.37 NA NA 0.32 7.69 7.69 NA NA XXX 73718 A Mri lower extremity w/o dye 0.98 11.48 11.48 11.48 11.48 0.36 12.82 12.82 12.82 12.82 XXX 73718 26 A Mri lower extremity w/o dye 0.98 0.35 0.35 0.35 0.35 0.04 1.37 1.37 1.37 1.37 XXX 73718 TC A Mri lower extremity w/o dye 0.00 11.13 11.13 NA NA 0.32 11.45 11.45 NA NA XXX 73719 A Mri lower extremity w/dye 1.17 13.76 13.76 13.76 13.76 0.43 15.36 15.36 15.36 15.36 XXX 73719 26 A Mri lower extremity w/dye 1.17 0.42 0.42 0.42 0.42 0.04 1.63 1.63 1.63 1.63 XXX 73719 TC A Mri lower extremity w/dye 0.00 13.34 13.34 NA NA 0.39 13.73 13.73 NA NA XXX 73720 A Mri lwr extremity w/o&w dye 1.56 25.26 22.02 25.26 22.02 0.78 27.60 24.36 27.60 24.36 XXX 73720 26 A Mri lwr extremity w/o&w dye 1.56 0.55 0.59 0.55 0.59 0.08 2.19 2.23 2.19 2.23 XXX 73720 TC A Mri lwr extremity w/o&w dye 0.00 24.71 21.43 NA NA 0.70 25.41 22.13 NA NA XXX 73721 A Mri joint of lwr extre w/o d 0.98 11.48 11.63 11.48 11.63 0.36 12.82 12.97 12.82 12.97 XXX 73721 26 A Mri joint of lwr extre w/o d 0.98 0.35 0.38 0.35 0.38 0.04 1.37 1.40 1.37 1.40 XXX 73721 TC A Mri joint of lwr extre w/o d 0.00 11.13 11.25 NA NA 0.32 11.45 11.57 NA NA XXX 73722 A Mri joint of lwr extr w/dye 1.17 13.76 13.76 13.76 13.76 0.43 15.36 15.36 15.36 15.36 XXX 73722 26 A Mri joint of lwr extr w/dye 1.17 0.42 0.42 0.42 0.42 0.04 1.63 1.63 1.63 1.63 XXX 73722 TC A Mri joint of lwr extr w/dye 0.00 13.34 13.34 NA NA 0.39 13.73 13.73 NA NA XXX 73723 A Mri joint lwr extr w/o&w dye 1.56 25.27 25.27 25.27 25.27 0.78 27.61 27.61 27.61 27.61 XXX 73723 26 A Mri joint lwr extr w/o&w dye 1.56 0.56 0.56 0.56 0.56 0.08 2.20 2.20 2.20 2.20 XXX 73723 TC A Mri joint lwr extr w/o&w dye 0.00 24.71 24.71 NA NA 0.70 25.41 25.41 NA NA XXX 73725 R Mr ang lwr ext w or w/o dye 1.82 11.78 11.92 11.78 11.92 0.57 14.17 14.31 14.17 14.31 XXX 73725 26 R Mr ang lwr ext w or w/o dye 1.82 0.65 0.67 0.65 0.67 0.08 2.55 2.57 2.55 2.57 XXX 73725 TC R Mr ang lwr ext w or w/o dye 0.00 11.13 11.25 NA NA 0.49 11.62 11.74 NA NA XXX 74000 A X-ray exam of abdomen 0.18 0.58 0.60 0.58 0.60 0.03 0.79 0.81 0.79 0.81 XXX 74000 26 A X-ray exam of abdomen 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX 74000 TC A X-ray exam of abdomen 0.00 0.52 0.53 NA NA 0.02 0.54 0.55 NA NA XXX 74010 A X-ray exam of abdomen 0.23 0.65 0.67 0.65 0.67 0.04 0.92 0.94 0.92 0.94 XXX 74010 26 A X-ray exam of abdomen 0.23 0.08 0.09 0.08 0.09 0.01 0.32 0.33 0.32 0.33 XXX 74010 TC A X-ray exam of abdomen 0.00 0.57 0.58 NA NA 0.03 0.60 0.61 NA NA XXX 74020 A X-ray exam of abdomen 0.27 0.71 0.73 0.71 0.73 0.04 1.02 1.04 1.02 1.04 XXX 74020 26 A X-ray exam of abdomen 0.27 0.10 0.11 0.10 0.11 0.01 0.38 0.39 0.38 0.39 XXX 74020 TC A X-ray exam of abdomen 0.00 0.61 0.62 NA NA 0.03 0.64 0.65 NA NA XXX 74022 A X-ray exam series, abdomen 0.32 0.84 0.86 0.84 0.86 0.05 1.21 1.23 1.21 1.23 XXX 74022 26 A X-ray exam series, abdomen 0.32 0.11 0.12 0.11 0.12 0.01 0.44 0.45 0.44 0.45 XXX 74022 TC A X-ray exam series, abdomen 0.00 0.73 0.74 NA NA 0.04 0.77 0.78 NA NA XXX 74150 A Ct abdomen w/o dye 1.19 6.03 6.13 6.03 6.13 0.30 7.52 7.62 7.52 7.62 XXX 74150 26 A Ct abdomen w/o dye 1.19 0.42 0.46 0.42 0.46 0.05 1.66 1.70 1.66 1.70 XXX 74150 TC A Ct abdomen w/o dye 0.00 5.61 5.67 NA NA 0.25 5.86 5.92 NA NA XXX 74160 A Ct abdomen w/dye 1.27 7.24 7.35 7.24 7.35 0.36 8.87 8.98 8.87 8.98 XXX 74160 26 A Ct abdomen w/dye 1.27 0.45 0.49 0.45 0.49 0.06 1.78 1.82 1.78 1.82 XXX 74160 TC A Ct abdomen w/dye 0.00 6.79 6.86 NA NA 0.30 7.09 7.16 NA NA XXX 74170 A Ct abdomen w/o&w dye 1.40 8.93 9.06 8.93 9.06 0.42 10.75 10.88 10.75 10.88 XXX 74170 26 A Ct abdomen w/o&w dye 1.40 0.50 0.54 0.50 0.54 0.06 1.96 2.00 1.96 2.00 XXX 74170 TC A Ct abdomen w/o&w dye 0.00 8.43 8.52 NA NA 0.36 8.79 8.88 NA NA XXX 74175 A Ct angio abdom w/o&w dye 1.20 8.91 8.91 8.91 8.91 0.37 10.48 10.48 10.48 10.48 XXX 74175 26 A Ct angio abdom w/o&w dye 1.20 0.48 0.48 0.48 0.48 0.05 1.73 1.73 1.73 1.73 XXX 74175 TC A Ct angio abdom w/o&w dye 0.00 8.43 8.43 NA NA 0.32 8.75 8.75 NA NA XXX 74181 A Mri abdomen w/o dye 1.10 11.52 11.74 11.52 11.74 0.41 13.03 13.25 13.03 13.25 XXX 74181 26 A Mri abdomen w/o dye 1.10 0.39 0.49 0.39 0.49 0.04 1.53 1.63 1.53 1.63 XXX 74181 TC A Mri abdomen w/o dye 0.00 11.13 11.25 NA NA 0.37 11.50 11.62 NA NA XXX 74182 A Mri abdomen w/dye 1.30 13.80 13.80 13.80 13.80 0.48 15.58 15.58 15.58 15.58 XXX 74182 26 A Mri abdomen w/dye 1.30 0.46 0.46 0.46 0.46 0.05 1.81 1.81 1.81 1.81 XXX 74182 TC A Mri abdomen w/dye 0.00 13.34 13.34 NA NA 0.43 13.77 13.77 NA NA XXX 74183 A Mri abdomen w/o&w dye 1.70 25.31 25.31 25.31 25.31 0.85 27.86 27.86 27.86 27.86 XXX Start Printed Page 65510 74183 26 A Mri abdomen w/o&w dye 1.70 0.60 0.60 0.60 0.60 0.09 2.39 2.39 2.39 2.39 XXX 74183 TC A Mri abdomen w/o&w dye 0.00 24.71 24.71 NA NA 0.76 25.47 25.47 NA NA XXX 74185 R Mri angio, abdom w or w/o dy 1.80 11.77 11.93 11.77 11.93 0.57 14.14 14.30 14.14 14.30 XXX 74185 26 R Mri angio, abdom w or w/o dy 1.80 0.64 0.68 0.64 0.68 0.08 2.52 2.56 2.52 2.56 XXX 74185 TC R Mri angio, abdom w or w/o dy 0.00 11.13 11.25 NA NA 0.49 11.62 11.74 NA NA XXX 74190 A X-ray exam of peritoneum 0.48 1.47 1.47 1.47 1.47 0.08 2.03 2.03 2.03 2.03 XXX 74190 26 A X-ray exam of peritoneum 0.48 0.17 0.16 0.17 0.16 0.02 0.67 0.66 0.67 0.66 XXX 74190 TC A X-ray exam of peritoneum 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 74210 A Contrst x-ray exam of throat 0.36 1.31 1.33 1.31 1.33 0.07 1.74 1.76 1.74 1.76 XXX 74210 26 A Contrst x-ray exam of throat 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 XXX 74210 TC A Contrst x-ray exam of throat 0.00 1.18 1.19 NA NA 0.05 1.23 1.24 NA NA XXX 74220 A Contrast x-ray, esophagus 0.46 1.34 1.37 1.34 1.37 0.07 1.87 1.90 1.87 1.90 XXX 74220 26 A Contrast x-ray, esophagus 0.46 0.16 0.18 0.16 0.18 0.02 0.64 0.66 0.64 0.66 XXX 74220 TC A Contrast x-ray, esophagus 0.00 1.18 1.19 NA NA 0.05 1.23 1.24 NA NA XXX 74230 A Cinema x-ray, throat/esoph 0.53 1.49 1.52 1.49 1.52 0.08 2.10 2.13 2.10 2.13 XXX 74230 26 A Cinema x-ray, throat/esoph 0.53 0.19 0.21 0.19 0.21 0.02 0.74 0.76 0.74 0.76 XXX 74230 TC A Cinema x-ray, throat/esoph 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 74235 A Remove esophagus obstruction 1.19 3.02 3.09 3.02 3.09 0.17 4.38 4.45 4.38 4.45 XXX 74235 26 A Remove esophagus obstruction 1.19 0.42 0.46 0.42 0.46 0.05 1.66 1.70 1.66 1.70 XXX 74235 TC A Remove esophagus obstruction 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 74240 A X-ray exam, upper gi tract 0.69 1.69 1.74 1.69 1.74 0.10 2.48 2.53 2.48 2.53 XXX 74240 26 A X-ray exam, upper gi tract 0.69 0.24 0.27 0.24 0.27 0.03 0.96 0.99 0.96 0.99 XXX 74240 TC A X-ray exam, upper gi tract 0.00 1.45 1.47 NA NA 0.07 1.52 1.54 NA NA XXX 74241 A X-ray exam, upper gi tract 0.69 1.72 1.77 1.72 1.77 0.10 2.51 2.56 2.51 2.56 XXX 74241 26 A X-ray exam, upper gi tract 0.69 0.24 0.27 0.24 0.27 0.03 0.96 0.99 0.96 0.99 XXX 74241 TC A X-ray exam, upper gi tract 0.00 1.48 1.50 NA NA 0.07 1.55 1.57 NA NA XXX 74245 A X-ray exam, upper gi tract 0.91 2.68 2.74 2.68 2.74 0.15 3.74 3.80 3.74 3.80 XXX 74245 26 A X-ray exam, upper gi tract 0.91 0.32 0.35 0.32 0.35 0.04 1.27 1.30 1.27 1.30 XXX 74245 TC A X-ray exam, upper gi tract 0.00 2.36 2.39 NA NA 0.11 2.47 2.50 NA NA XXX 74246 A Contrst x-ray uppr gi tract 0.69 1.87 1.92 1.87 1.92 0.11 2.67 2.72 2.67 2.72 XXX 74246 26 A Contrst x-ray uppr gi tract 0.69 0.24 0.27 0.24 0.27 0.03 0.96 0.99 0.96 0.99 XXX 74246 TC A Contrst x-ray uppr gi tract 0.00 1.63 1.65 NA NA 0.08 1.71 1.73 NA NA XXX 74247 A Contrst x-ray uppr gi tract 0.69 1.92 1.97 1.92 1.97 0.12 2.73 2.78 2.73 2.78 XXX 74247 26 A Contrst x-ray uppr gi tract 0.69 0.25 0.28 0.25 0.28 0.03 0.97 1.00 0.97 1.00 XXX 74247 TC A Contrst x-ray uppr gi tract 0.00 1.67 1.69 NA NA 0.09 1.76 1.78 NA NA XXX 74249 A Contrst x-ray uppr gi tract 0.91 2.88 2.94 2.88 2.94 0.16 3.95 4.01 3.95 4.01 XXX 74249 26 A Contrst x-ray uppr gi tract 0.91 0.32 0.35 0.32 0.35 0.04 1.27 1.30 1.27 1.30 XXX 74249 TC A Contrst x-ray uppr gi tract 0.00 2.56 2.59 NA NA 0.12 2.68 2.71 NA NA XXX 74250 A X-ray exam of small bowel 0.47 1.47 1.50 1.47 1.50 0.08 2.02 2.05 2.02 2.05 XXX 74250 26 A X-ray exam of small bowel 0.47 0.17 0.19 0.17 0.19 0.02 0.66 0.68 0.66 0.68 XXX 74250 TC A X-ray exam of small bowel 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 74251 A X-ray exam of small bowel 0.69 1.54 1.55 1.54 1.55 0.09 2.32 2.33 2.32 2.33 XXX 74251 26 A X-ray exam of small bowel 0.69 0.24 0.24 0.24 0.24 0.03 0.96 0.96 0.96 0.96 XXX 74251 TC A X-ray exam of small bowel 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 74260 A X-ray exam of small bowel 0.50 1.66 1.70 1.66 1.70 0.09 2.25 2.29 2.25 2.29 XXX 74260 26 A X-ray exam of small bowel 0.50 0.18 0.20 0.18 0.20 0.02 0.70 0.72 0.70 0.72 XXX 74260 TC A X-ray exam of small bowel 0.00 1.48 1.50 NA NA 0.07 1.55 1.57 NA NA XXX 74270 A Contrast x-ray exam of colon 0.69 1.93 1.98 1.93 1.98 0.12 2.74 2.79 2.74 2.79 XXX 74270 26 A Contrast x-ray exam of colon 0.69 0.24 0.27 0.24 0.27 0.03 0.96 0.99 0.96 0.99 XXX 74270 TC A Contrast x-ray exam of colon 0.00 1.69 1.71 NA NA 0.09 1.78 1.80 NA NA XXX 74280 A Contrast x-ray exam of colon 0.99 2.57 2.63 2.57 2.63 0.15 3.71 3.77 3.71 3.77 XXX 74280 26 A Contrast x-ray exam of colon 0.99 0.35 0.39 0.35 0.39 0.04 1.38 1.42 1.38 1.42 XXX 74280 TC A Contrast x-ray exam of colon 0.00 2.22 2.24 NA NA 0.11 2.33 2.35 NA NA XXX 74283 A Contrast x-ray exam of colon 2.02 3.27 3.37 3.27 3.37 0.21 5.50 5.60 5.50 5.60 XXX 74283 26 A Contrast x-ray exam of colon 2.02 0.72 0.79 0.72 0.79 0.09 2.83 2.90 2.83 2.90 XXX 74283 TC A Contrast x-ray exam of colon 0.00 2.55 2.58 NA NA 0.12 2.67 2.70 NA NA XXX 74290 A Contrast x-ray, gallbladder 0.32 0.84 0.86 0.84 0.86 0.05 1.21 1.23 1.21 1.23 XXX 74290 26 A Contrast x-ray, gallbladder 0.32 0.11 0.12 0.11 0.12 0.01 0.44 0.45 0.44 0.45 XXX 74290 TC A Contrast x-ray, gallbladder 0.00 0.73 0.74 NA NA 0.04 0.77 0.78 NA NA XXX 74291 A Contrast x-rays, gallbladder 0.20 0.48 0.50 0.48 0.50 0.03 0.71 0.73 0.71 0.73 XXX 74291 26 A Contrast x-rays, gallbladder 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 XXX 74291 TC A Contrast x-rays, gallbladder 0.00 0.41 0.42 NA NA 0.02 0.43 0.44 NA NA XXX 74300 C X-ray bile ducts/pancreas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 74300 26 A X-ray bile ducts/pancreas 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 XXX 74300 TC C X-ray bile ducts/pancreas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 74301 C X-rays at surgery add-on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 74301 26 A X-rays at surgery add-on 0.21 0.07 0.08 0.07 0.08 0.01 0.29 0.30 0.29 0.30 ZZZ 74301 TC C X-rays at surgery add-on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 74305 A X-ray bile ducts/pancreas 0.42 0.93 0.96 0.93 0.96 0.06 1.41 1.44 1.41 1.44 XXX 74305 26 A X-ray bile ducts/pancreas 0.42 0.15 0.17 0.15 0.17 0.02 0.59 0.61 0.59 0.61 XXX 74305 TC A X-ray bile ducts/pancreas 0.00 0.78 0.79 NA NA 0.04 0.82 0.83 NA NA XXX 74320 A Contrast x-ray of bile ducts 0.54 3.32 3.37 3.32 3.37 0.16 4.02 4.07 4.02 4.07 XXX 74320 26 A Contrast x-ray of bile ducts 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX 74320 TC A Contrast x-ray of bile ducts 0.00 3.13 3.16 NA NA 0.14 3.27 3.30 NA NA XXX 74327 A X-ray bile stone removal 0.70 2.00 2.05 2.00 2.05 0.12 2.82 2.87 2.82 2.87 XXX 74327 26 A X-ray bile stone removal 0.70 0.25 0.28 0.25 0.28 0.03 0.98 1.01 0.98 1.01 XXX 74327 TC A X-ray bile stone removal 0.00 1.75 1.77 NA NA 0.09 1.84 1.86 NA NA XXX 74328 A Xray bile duct endoscopy 0.70 3.38 3.44 3.38 3.44 0.17 4.25 4.31 4.25 4.31 XXX 74328 26 A Xray bile duct endoscopy 0.70 0.25 0.28 0.25 0.28 0.03 0.98 1.01 0.98 1.01 XXX 74328 TC A Xray bile duct endoscopy 0.00 3.13 3.16 NA NA 0.14 3.27 3.30 NA NA XXX 74329 A X-ray for pancreas endoscopy 0.70 3.38 3.44 3.38 3.44 0.17 4.25 4.31 4.25 4.31 XXX 74329 26 A X-ray for pancreas endoscopy 0.70 0.25 0.28 0.25 0.28 0.03 0.98 1.01 0.98 1.01 XXX 74329 TC A X-ray for pancreas endoscopy 0.00 3.13 3.16 NA NA 0.14 3.27 3.30 NA NA XXX Start Printed Page 65511 74330 A X-ray bile/panc endoscopy 0.90 3.45 3.49 3.45 3.49 0.18 4.53 4.57 4.53 4.57 XXX 74330 26 A X-ray bile/panc endoscopy 0.90 0.32 0.33 0.32 0.33 0.04 1.26 1.27 1.26 1.27 XXX 74330 TC A X-ray bile/panc endoscopy 0.00 3.13 3.16 NA NA 0.14 3.27 3.30 NA NA XXX 74340 A X-ray guide for GI tube 0.54 2.79 2.84 2.79 2.84 0.14 3.47 3.52 3.47 3.52 XXX 74340 26 A X-ray guide for GI tube 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX 74340 TC A X-ray guide for GI tube 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 74350 A X-ray guide, stomach tube 0.76 3.40 3.46 3.40 3.46 0.17 4.33 4.39 4.33 4.39 XXX 74350 26 A X-ray guide, stomach tube 0.76 0.27 0.30 0.27 0.30 0.03 1.06 1.09 1.06 1.09 XXX 74350 TC A X-ray guide, stomach tube 0.00 3.13 3.16 NA NA 0.14 3.27 3.30 NA NA XXX 74355 A X-ray guide, intestinal tube 0.76 2.87 2.93 2.87 2.93 0.15 3.78 3.84 3.78 3.84 XXX 74355 26 A X-ray guide, intestinal tube 0.76 0.27 0.30 0.27 0.30 0.03 1.06 1.09 1.06 1.09 XXX 74355 TC A X-ray guide, intestinal tube 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 74360 A X-ray guide, GI dilation 0.54 3.32 3.37 3.32 3.37 0.16 4.02 4.07 4.02 4.07 XXX 74360 26 A X-ray guide, GI dilation 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX 74360 TC A X-ray guide, GI dilation 0.00 3.13 3.16 NA NA 0.14 3.27 3.30 NA NA XXX 74363 A X-ray, bile duct dilation 0.88 6.36 6.46 6.36 6.46 0.31 7.55 7.65 7.55 7.65 XXX 74363 26 A X-ray, bile duct dilation 0.88 0.31 0.34 0.31 0.34 0.04 1.23 1.26 1.23 1.26 XXX 74363 TC A X-ray, bile duct dilation 0.00 6.05 6.12 NA NA 0.27 6.32 6.39 NA NA XXX 74400 A Contrst x-ray, urinary tract 0.49 1.84 1.88 1.84 1.88 0.11 2.44 2.48 2.44 2.48 XXX 74400 26 A Contrst x-ray, urinary tract 0.49 0.17 0.19 0.17 0.19 0.02 0.68 0.70 0.68 0.70 XXX 74400 TC A Contrst x-ray, urinary tract 0.00 1.67 1.69 NA NA 0.09 1.76 1.78 NA NA XXX 74410 A Contrst x-ray, urinary tract 0.49 2.11 2.15 2.11 2.15 0.11 2.71 2.75 2.71 2.75 XXX 74410 26 A Contrst x-ray, urinary tract 0.49 0.17 0.19 0.17 0.19 0.02 0.68 0.70 0.68 0.70 XXX 74410 TC A Contrst x-ray, urinary tract 0.00 1.94 1.96 NA NA 0.09 2.03 2.05 NA NA XXX 74415 A Contrst x-ray, urinary tract 0.49 2.27 2.31 2.27 2.31 0.12 2.88 2.92 2.88 2.92 XXX 74415 26 A Contrst x-ray, urinary tract 0.49 0.17 0.19 0.17 0.19 0.02 0.68 0.70 0.68 0.70 XXX 74415 TC A Contrst x-ray, urinary tract 0.00 2.10 2.12 NA NA 0.10 2.20 2.22 NA NA XXX 74420 A Contrst x-ray, urinary tract 0.36 2.73 2.77 2.73 2.77 0.14 3.23 3.27 3.23 3.27 XXX 74420 26 A Contrst x-ray, urinary tract 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 XXX 74420 TC A Contrst x-ray, urinary tract 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 74425 A Contrst x-ray, urinary tract 0.36 1.43 1.45 1.43 1.45 0.08 1.87 1.89 1.87 1.89 XXX 74425 26 A Contrst x-ray, urinary tract 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 XXX 74425 TC A Contrst x-ray, urinary tract 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 74430 A Contrast x-ray, bladder 0.32 1.16 1.18 1.16 1.18 0.07 1.55 1.57 1.55 1.57 XXX 74430 26 A Contrast x-ray, bladder 0.32 0.11 0.12 0.11 0.12 0.02 0.45 0.46 0.45 0.46 XXX 74430 TC A Contrast x-ray, bladder 0.00 1.05 1.06 NA NA 0.05 1.10 1.11 NA NA XXX 74440 A X-ray, male genital tract 0.38 1.25 1.27 1.25 1.27 0.07 1.70 1.72 1.70 1.72 XXX 74440 26 A X-ray, male genital tract 0.38 0.13 0.14 0.13 0.14 0.02 0.53 0.54 0.53 0.54 XXX 74440 TC A X-ray, male genital tract 0.00 1.12 1.13 NA NA 0.05 1.17 1.18 NA NA XXX 74445 A X-ray exam of penis 1.14 1.52 1.57 1.52 1.57 0.10 2.76 2.81 2.76 2.81 XXX 74445 26 A X-ray exam of penis 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 XXX 74445 TC A X-ray exam of penis 0.00 1.12 1.13 NA NA 0.05 1.17 1.18 NA NA XXX 74450 A X-ray, urethra/bladder 0.33 1.57 1.60 1.57 1.60 0.09 1.99 2.02 1.99 2.02 XXX 74450 26 A X-ray, urethra/bladder 0.33 0.12 0.13 0.12 0.13 0.02 0.47 0.48 0.47 0.48 XXX 74450 TC A X-ray, urethra/bladder 0.00 1.45 1.47 NA NA 0.07 1.52 1.54 NA NA XXX 74455 A X-ray, urethra/bladder 0.33 1.69 1.72 1.69 1.72 0.10 2.12 2.15 2.12 2.15 XXX 74455 26 A X-ray, urethra/bladder 0.33 0.12 0.13 0.12 0.13 0.02 0.47 0.48 0.47 0.48 XXX 74455 TC A X-ray, urethra/bladder 0.00 1.57 1.59 NA NA 0.08 1.65 1.67 NA NA XXX 74470 A X-ray exam of kidney lesion 0.54 1.43 1.46 1.43 1.46 0.08 2.05 2.08 2.05 2.08 XXX 74470 26 A X-ray exam of kidney lesion 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX 74470 TC A X-ray exam of kidney lesion 0.00 1.24 1.25 NA NA 0.06 1.30 1.31 NA NA XXX 74475 A X-ray control, cath insert 0.54 4.23 4.29 4.23 4.29 0.20 4.97 5.03 4.97 5.03 XXX 74475 26 A X-ray control, cath insert 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX 74475 TC A X-ray control, cath insert 0.00 4.04 4.08 NA NA 0.18 4.22 4.26 NA NA XXX 74480 A X-ray control, cath insert 0.54 4.23 4.29 4.23 4.29 0.20 4.97 5.03 4.97 5.03 XXX 74480 26 A X-ray control, cath insert 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX 74480 TC A X-ray control, cath insert 0.00 4.04 4.08 NA NA 0.18 4.22 4.26 NA NA XXX 74485 A X-ray guide, GU dilation 0.54 3.32 3.37 3.32 3.37 0.17 4.03 4.08 4.03 4.08 XXX 74485 26 A X-ray guide, GU dilation 0.54 0.19 0.21 0.19 0.21 0.03 0.76 0.78 0.76 0.78 XXX 74485 TC A X-ray guide, GU dilation 0.00 3.13 3.16 NA NA 0.14 3.27 3.30 NA NA XXX 74710 A X-ray measurement of pelvis 0.34 1.17 1.19 1.17 1.19 0.07 1.58 1.60 1.58 1.60 XXX 74710 26 A X-ray measurement of pelvis 0.34 0.12 0.13 0.12 0.13 0.02 0.48 0.49 0.48 0.49 XXX 74710 TC A X-ray measurement of pelvis 0.00 1.05 1.06 NA NA 0.05 1.10 1.11 NA NA XXX 74740 A X-ray, female genital tract 0.38 1.44 1.46 1.44 1.46 0.08 1.90 1.92 1.90 1.92 XXX 74740 26 A X-ray, female genital tract 0.38 0.14 0.15 0.14 0.15 0.02 0.54 0.55 0.54 0.55 XXX 74740 TC A X-ray, female genital tract 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 74742 A X-ray, fallopian tube 0.61 3.36 3.40 3.36 3.40 0.16 4.13 4.17 4.13 4.17 XXX 74742 26 A X-ray, fallopian tube 0.61 0.23 0.24 0.23 0.24 0.02 0.86 0.87 0.86 0.87 XXX 74742 TC A X-ray, fallopian tube 0.00 3.13 3.16 NA NA 0.14 3.27 3.30 NA NA XXX 74775 A X-ray exam of perineum 0.62 1.67 1.71 1.67 1.71 0.10 2.39 2.43 2.39 2.43 XXX 74775 26 A X-ray exam of perineum 0.62 0.22 0.24 0.22 0.24 0.03 0.87 0.89 0.87 0.89 XXX 74775 TC A X-ray exam of perineum 0.00 1.45 1.47 NA NA 0.07 1.52 1.54 NA NA XXX 75552 A Heart mri for morph w/o dye 1.60 11.70 11.87 11.70 11.87 0.56 13.86 14.03 13.86 14.03 XXX 75552 26 A Heart mri for morph w/o dye 1.60 0.57 0.62 0.57 0.62 0.07 2.24 2.29 2.24 2.29 XXX 75552 TC A Heart mri for morph w/o dye 0.00 11.13 11.25 NA NA 0.49 11.62 11.74 NA NA XXX 75553 A Heart mri for morph w/dye 2.00 11.84 11.98 11.84 11.98 0.58 14.42 14.56 14.42 14.56 XXX 75553 26 A Heart mri for morph w/dye 2.00 0.71 0.73 0.71 0.73 0.09 2.80 2.82 2.80 2.82 XXX 75553 TC A Heart mri for morph w/dye 0.00 11.13 11.25 NA NA 0.49 11.62 11.74 NA NA XXX 75554 A Cardiac MRI/function 1.83 11.84 11.98 11.84 11.98 0.56 14.23 14.37 14.23 14.37 XXX 75554 26 A Cardiac MRI/function 1.83 0.71 0.73 0.71 0.73 0.07 2.61 2.63 2.61 2.63 XXX 75554 TC A Cardiac MRI/function 0.00 11.13 11.25 NA NA 0.49 11.62 11.74 NA NA XXX 75555 A Cardiac MRI/limited study 1.74 11.82 11.96 11.82 11.96 0.56 14.12 14.26 14.12 14.26 XXX 75555 26 A Cardiac MRI/limited study 1.74 0.69 0.71 0.69 0.71 0.07 2.50 2.52 2.50 2.52 XXX Start Printed Page 65512 75555 TC A Cardiac MRI/limited study 0.00 11.13 11.25 NA NA 0.49 11.62 11.74 NA NA XXX 75556 N Cardiac MRI/flow mapping 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 75600 A Contrast x-ray exam of aorta 0.49 12.72 12.86 12.72 12.86 0.56 13.77 13.91 13.77 13.91 XXX 75600 26 A Contrast x-ray exam of aorta 0.49 0.21 0.22 0.21 0.22 0.02 0.72 0.73 0.72 0.73 XXX 75600 TC A Contrast x-ray exam of aorta 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75605 A Contrast x-ray exam of aorta 1.14 12.95 13.11 12.95 13.11 0.59 14.68 14.84 14.68 14.84 XXX 75605 26 A Contrast x-ray exam of aorta 1.14 0.44 0.47 0.44 0.47 0.05 1.63 1.66 1.63 1.66 XXX 75605 TC A Contrast x-ray exam of aorta 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75625 A Contrast x-ray exam of aorta 1.14 12.92 13.08 12.92 13.08 0.59 14.65 14.81 14.65 14.81 XXX 75625 26 A Contrast x-ray exam of aorta 1.14 0.41 0.44 0.41 0.44 0.05 1.60 1.63 1.60 1.63 XXX 75625 TC A Contrast x-ray exam of aorta 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75630 A X-ray aorta, leg arteries 1.79 13.72 13.85 13.72 13.85 0.65 16.16 16.29 16.16 16.29 XXX 75630 26 A X-ray aorta, leg arteries 1.79 0.68 0.67 0.68 0.67 0.08 2.55 2.54 2.55 2.54 XXX 75630 TC A X-ray aorta, leg arteries 0.00 13.04 13.18 NA NA 0.57 13.61 13.75 NA NA XXX 75635 A Ct angio abdominal arteries 1.89 9.19 9.19 9.19 9.19 0.37 11.45 11.45 11.45 11.45 XXX 75635 26 A Ct angio abdominal arteries 1.89 0.76 0.76 0.76 0.76 0.05 2.70 2.70 2.70 2.70 XXX 75635 TC A Ct angio abdominal arteries 0.00 8.43 8.43 NA NA 0.32 8.75 8.75 NA NA XXX 75650 A Artery x-rays, head & neck 1.49 13.04 13.22 13.04 13.22 0.61 15.14 15.32 15.14 15.32 XXX 75650 26 A Artery x-rays, head & neck 1.49 0.53 0.58 0.53 0.58 0.07 2.09 2.14 2.09 2.14 XXX 75650 TC A Artery x-rays, head & neck 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75658 A Artery x-rays, arm 1.31 13.04 13.20 13.04 13.20 0.60 14.95 15.11 14.95 15.11 XXX 75658 26 A Artery x-rays, arm 1.31 0.53 0.56 0.53 0.56 0.06 1.90 1.93 1.90 1.93 XXX 75658 TC A Artery x-rays, arm 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75660 A Artery x-rays, head & neck 1.31 13.00 13.17 13.00 13.17 0.60 14.91 15.08 14.91 15.08 XXX 75660 26 A Artery x-rays, head & neck 1.31 0.49 0.53 0.49 0.53 0.06 1.86 1.90 1.86 1.90 XXX 75660 TC A Artery x-rays, head & neck 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75662 A Artery x-rays, head & neck 1.66 13.16 13.33 13.16 13.33 0.62 15.44 15.61 15.44 15.61 XXX 75662 26 A Artery x-rays, head & neck 1.66 0.65 0.69 0.65 0.69 0.08 2.39 2.43 2.39 2.43 XXX 75662 TC A Artery x-rays, head & neck 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75665 A Artery x-rays, head & neck 1.31 12.99 13.16 12.99 13.16 0.61 14.91 15.08 14.91 15.08 XXX 75665 26 A Artery x-rays, head & neck 1.31 0.48 0.52 0.48 0.52 0.07 1.86 1.90 1.86 1.90 XXX 75665 TC A Artery x-rays, head & neck 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75671 A Artery x-rays, head & neck 1.66 13.11 13.29 13.11 13.29 0.62 15.39 15.57 15.39 15.57 XXX 75671 26 A Artery x-rays, head & neck 1.66 0.60 0.65 0.60 0.65 0.08 2.34 2.39 2.34 2.39 XXX 75671 TC A Artery x-rays, head & neck 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75676 A Artery x-rays, neck 1.31 12.99 13.16 12.99 13.16 0.61 14.91 15.08 14.91 15.08 XXX 75676 26 A Artery x-rays, neck 1.31 0.48 0.52 0.48 0.52 0.07 1.86 1.90 1.86 1.90 XXX 75676 TC A Artery x-rays, neck 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75680 A Artery x-rays, neck 1.66 13.11 13.29 13.11 13.29 0.62 15.39 15.57 15.39 15.57 XXX 75680 26 A Artery x-rays, neck 1.66 0.60 0.65 0.60 0.65 0.08 2.34 2.39 2.34 2.39 XXX 75680 TC A Artery x-rays, neck 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75685 A Artery x-rays, spine 1.31 12.98 13.15 12.98 13.15 0.60 14.89 15.06 14.89 15.06 XXX 75685 26 A Artery x-rays, spine 1.31 0.47 0.51 0.47 0.51 0.06 1.84 1.88 1.84 1.88 XXX 75685 TC A Artery x-rays, spine 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75705 A Artery x-rays, spine 2.18 13.29 13.49 13.29 13.49 0.65 16.12 16.32 16.12 16.32 XXX 75705 26 A Artery x-rays, spine 2.18 0.78 0.85 0.78 0.85 0.11 3.07 3.14 3.07 3.14 XXX 75705 TC A Artery x-rays, spine 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75710 A Artery x-rays, arm/leg 1.14 12.93 13.09 12.93 13.09 0.60 14.67 14.83 14.67 14.83 XXX 75710 26 A Artery x-rays, arm/leg 1.14 0.42 0.45 0.42 0.45 0.06 1.62 1.65 1.62 1.65 XXX 75710 TC A Artery x-rays, arm/leg 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75716 A Artery x-rays, arms/legs 1.31 12.98 13.15 12.98 13.15 0.60 14.89 15.06 14.89 15.06 XXX 75716 26 A Artery x-rays, arms/legs 1.31 0.47 0.51 0.47 0.51 0.06 1.84 1.88 1.84 1.88 XXX 75716 TC A Artery x-rays, arms/legs 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75722 A Artery x-rays, kidney 1.14 12.95 13.11 12.95 13.11 0.59 14.68 14.84 14.68 14.84 XXX 75722 26 A Artery x-rays, kidney 1.14 0.44 0.47 0.44 0.47 0.05 1.63 1.66 1.63 1.66 XXX 75722 TC A Artery x-rays, kidney 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75724 A Artery x-rays, kidneys 1.49 13.13 13.29 13.13 13.29 0.59 15.21 15.37 15.21 15.37 XXX 75724 26 A Artery x-rays, kidneys 1.49 0.62 0.65 0.62 0.65 0.05 2.16 2.19 2.16 2.19 XXX 75724 TC A Artery x-rays, kidneys 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75726 A Artery x-rays, abdomen 1.14 12.92 13.08 12.92 13.08 0.59 14.65 14.81 14.65 14.81 XXX 75726 26 A Artery x-rays, abdomen 1.14 0.41 0.44 0.41 0.44 0.05 1.60 1.63 1.60 1.63 XXX 75726 TC A Artery x-rays, abdomen 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75731 A Artery x-rays, adrenal gland 1.14 12.92 13.08 12.92 13.08 0.59 14.65 14.81 14.65 14.81 XXX 75731 26 A Artery x-rays, adrenal gland 1.14 0.41 0.44 0.41 0.44 0.05 1.60 1.63 1.60 1.63 XXX 75731 TC A Artery x-rays, adrenal gland 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75733 A Artery x-rays, adrenals 1.31 12.99 13.16 12.99 13.16 0.60 14.90 15.07 14.90 15.07 XXX 75733 26 A Artery x-rays, adrenals 1.31 0.48 0.52 0.48 0.52 0.06 1.85 1.89 1.85 1.89 XXX 75733 TC A Artery x-rays, adrenals 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75736 A Artery x-rays, pelvis 1.14 12.92 13.08 12.92 13.08 0.59 14.65 14.81 14.65 14.81 XXX 75736 26 A Artery x-rays, pelvis 1.14 0.41 0.44 0.41 0.44 0.05 1.60 1.63 1.60 1.63 XXX 75736 TC A Artery x-rays, pelvis 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75741 A Artery x-rays, lung 1.31 12.98 13.15 12.98 13.15 0.60 14.89 15.06 14.89 15.06 XXX 75741 26 A Artery x-rays, lung 1.31 0.47 0.51 0.47 0.51 0.06 1.84 1.88 1.84 1.88 XXX 75741 TC A Artery x-rays, lung 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75743 A Artery x-rays, lungs 1.66 13.10 13.28 13.10 13.28 0.61 15.37 15.55 15.37 15.55 XXX 75743 26 A Artery x-rays, lungs 1.66 0.59 0.64 0.59 0.64 0.07 2.32 2.37 2.32 2.37 XXX 75743 TC A Artery x-rays, lungs 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75746 A Artery x-rays, lung 1.14 12.92 13.08 12.92 13.08 0.59 14.65 14.81 14.65 14.81 XXX 75746 26 A Artery x-rays, lung 1.14 0.41 0.44 0.41 0.44 0.05 1.60 1.63 1.60 1.63 XXX 75746 TC A Artery x-rays, lung 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75756 A Artery x-rays, chest 1.14 13.00 13.14 13.00 13.14 0.58 14.72 14.86 14.72 14.86 XXX 75756 26 A Artery x-rays, chest 1.14 0.49 0.50 0.49 0.50 0.04 1.67 1.68 1.67 1.68 XXX 75756 TC A Artery x-rays, chest 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX Start Printed Page 65513 75774 A Artery x-ray, each vessel 0.36 12.65 12.79 12.65 12.79 0.56 13.57 13.71 13.57 13.71 ZZZ 75774 26 A Artery x-ray, each vessel 0.36 0.14 0.15 0.14 0.15 0.02 0.52 0.53 0.52 0.53 ZZZ 75774 TC A Artery x-ray, each vessel 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA ZZZ 75790 A Visualize A-V shunt 1.84 2.00 2.07 2.00 2.07 0.16 4.00 4.07 4.00 4.07 XXX 75790 26 A Visualize A-V shunt 1.84 0.65 0.71 0.65 0.71 0.09 2.58 2.64 2.58 2.64 XXX 75790 TC A Visualize A-V shunt 0.00 1.35 1.36 NA NA 0.07 1.42 1.43 NA NA XXX 75801 A Lymph vessel x-ray, arm/leg 0.81 5.66 5.75 5.66 5.75 0.29 6.76 6.85 6.76 6.85 XXX 75801 26 A Lymph vessel x-ray, arm/leg 0.81 0.29 0.32 0.29 0.32 0.05 1.15 1.18 1.15 1.18 XXX 75801 TC A Lymph vessel x-ray, arm/leg 0.00 5.37 5.43 NA NA 0.24 5.61 5.67 NA NA XXX 75803 A Lymph vessel x-ray,arms/legs 1.17 5.79 5.88 5.79 5.88 0.29 7.25 7.34 7.25 7.34 XXX 75803 26 A Lymph vessel x-ray,arms/legs 1.17 0.42 0.45 0.42 0.45 0.05 1.64 1.67 1.64 1.67 XXX 75803 TC A Lymph vessel x-ray,arms/legs 0.00 5.37 5.43 NA NA 0.24 5.61 5.67 NA NA XXX 75805 A Lymph vessel x-ray, trunk 0.81 6.34 6.44 6.34 6.44 0.31 7.46 7.56 7.46 7.56 XXX 75805 26 A Lymph vessel x-ray, trunk 0.81 0.29 0.32 0.29 0.32 0.04 1.14 1.17 1.14 1.17 XXX 75805 TC A Lymph vessel x-ray, trunk 0.00 6.05 6.12 NA NA 0.27 6.32 6.39 NA NA XXX 75807 A Lymph vessel x-ray, trunk 1.17 6.47 6.57 6.47 6.57 0.32 7.96 8.06 7.96 8.06 XXX 75807 26 A Lymph vessel x-ray, trunk 1.17 0.42 0.45 0.42 0.45 0.05 1.64 1.67 1.64 1.67 XXX 75807 TC A Lymph vessel x-ray, trunk 0.00 6.05 6.12 NA NA 0.27 6.32 6.39 NA NA XXX 75809 A Nonvascular shunt, x-ray 0.47 0.95 0.97 0.95 0.97 0.06 1.48 1.50 1.48 1.50 XXX 75809 26 A Nonvascular shunt, x-ray 0.47 0.17 0.18 0.17 0.18 0.02 0.66 0.67 0.66 0.67 XXX 75809 TC A Nonvascular shunt, x-ray 0.00 0.78 0.79 NA NA 0.04 0.82 0.83 NA NA XXX 75810 A Vein x-ray, spleen/liver 1.14 12.91 13.08 12.91 13.08 0.60 14.65 14.82 14.65 14.82 XXX 75810 26 A Vein x-ray, spleen/liver 1.14 0.40 0.44 0.40 0.44 0.06 1.60 1.64 1.60 1.64 XXX 75810 TC A Vein x-ray, spleen/liver 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75820 A Vein x-ray, arm/leg 0.70 1.19 1.23 1.19 1.23 0.08 1.97 2.01 1.97 2.01 XXX 75820 26 A Vein x-ray, arm/leg 0.70 0.25 0.28 0.25 0.28 0.03 0.98 1.01 0.98 1.01 XXX 75820 TC A Vein x-ray, arm/leg 0.00 0.94 0.95 NA NA 0.05 0.99 1.00 NA NA XXX 75822 A Vein x-ray, arms/legs 1.06 1.85 1.90 1.85 1.90 0.12 3.03 3.08 3.03 3.08 XXX 75822 26 A Vein x-ray, arms/legs 1.06 0.38 0.41 0.38 0.41 0.05 1.49 1.52 1.49 1.52 XXX 75822 TC A Vein x-ray, arms/legs 0.00 1.47 1.49 NA NA 0.07 1.54 1.56 NA NA XXX 75825 A Vein x-ray, trunk 1.14 12.92 13.08 12.92 13.08 0.60 14.66 14.82 14.66 14.82 XXX 75825 26 A Vein x-ray, trunk 1.14 0.41 0.44 0.41 0.44 0.06 1.61 1.64 1.61 1.64 XXX 75825 TC A Vein x-ray, trunk 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75827 A Vein x-ray, chest 1.14 12.91 13.08 12.91 13.08 0.59 14.64 14.81 14.64 14.81 XXX 75827 26 A Vein x-ray, chest 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 XXX 75827 TC A Vein x-ray, chest 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75831 A Vein x-ray, kidney 1.14 12.91 13.08 12.91 13.08 0.59 14.64 14.81 14.64 14.81 XXX 75831 26 A Vein x-ray, kidney 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 XXX 75831 TC A Vein x-ray, kidney 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75833 A Vein x-ray, kidneys 1.49 13.04 13.22 13.04 13.22 0.61 15.14 15.32 15.14 15.32 XXX 75833 26 A Vein x-ray, kidneys 1.49 0.53 0.58 0.53 0.58 0.07 2.09 2.14 2.09 2.14 XXX 75833 TC A Vein x-ray, kidneys 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75840 A Vein x-ray, adrenal gland 1.14 12.92 13.08 12.92 13.08 0.61 14.67 14.83 14.67 14.83 XXX 75840 26 A Vein x-ray, adrenal gland 1.14 0.41 0.44 0.41 0.44 0.07 1.62 1.65 1.62 1.65 XXX 75840 TC A Vein x-ray, adrenal gland 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75842 A Vein x-ray, adrenal glands 1.49 13.03 13.21 13.03 13.21 0.61 15.13 15.31 15.13 15.31 XXX 75842 26 A Vein x-ray, adrenal glands 1.49 0.52 0.57 0.52 0.57 0.07 2.08 2.13 2.08 2.13 XXX 75842 TC A Vein x-ray, adrenal glands 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75860 A Vein x-ray, neck 1.14 12.94 13.10 12.94 13.10 0.60 14.68 14.84 14.68 14.84 XXX 75860 26 A Vein x-ray, neck 1.14 0.43 0.46 0.43 0.46 0.06 1.63 1.66 1.63 1.66 XXX 75860 TC A Vein x-ray, neck 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75870 A Vein x-ray, skull 1.14 12.93 13.09 12.93 13.09 0.60 14.67 14.83 14.67 14.83 XXX 75870 26 A Vein x-ray, skull 1.14 0.42 0.45 0.42 0.45 0.06 1.62 1.65 1.62 1.65 XXX 75870 TC A Vein x-ray, skull 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75872 A Vein x-ray, skull 1.14 12.91 13.08 12.91 13.08 0.59 14.64 14.81 14.64 14.81 XXX 75872 26 A Vein x-ray, skull 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 XXX 75872 TC A Vein x-ray, skull 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75880 A Vein x-ray, eye socket 0.70 1.19 1.23 1.19 1.23 0.08 1.97 2.01 1.97 2.01 XXX 75880 26 A Vein x-ray, eye socket 0.70 0.25 0.28 0.25 0.28 0.03 0.98 1.01 0.98 1.01 XXX 75880 TC A Vein x-ray, eye socket 0.00 0.94 0.95 NA NA 0.05 0.99 1.00 NA NA XXX 75885 A Vein x-ray, liver 1.44 13.02 13.20 13.02 13.20 0.60 15.06 15.24 15.06 15.24 XXX 75885 26 A Vein x-ray, liver 1.44 0.51 0.56 0.51 0.56 0.06 2.01 2.06 2.01 2.06 XXX 75885 TC A Vein x-ray, liver 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75887 A Vein x-ray, liver 1.44 13.02 13.20 13.02 13.20 0.60 15.06 15.24 15.06 15.24 XXX 75887 26 A Vein x-ray, liver 1.44 0.51 0.56 0.51 0.56 0.06 2.01 2.06 2.01 2.06 XXX 75887 TC A Vein x-ray, liver 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75889 A Vein x-ray, liver 1.14 12.91 13.08 12.91 13.08 0.59 14.64 14.81 14.64 14.81 XXX 75889 26 A Vein x-ray, liver 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 XXX 75889 TC A Vein x-ray, liver 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75891 A Vein x-ray, liver 1.14 12.91 13.08 12.91 13.08 0.59 14.64 14.81 14.64 14.81 XXX 75891 26 A Vein x-ray, liver 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 XXX 75891 TC A Vein x-ray, liver 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75893 A Venous sampling by catheter 0.54 12.70 12.85 12.70 12.85 0.56 13.80 13.95 13.80 13.95 XXX 75893 26 A Venous sampling by catheter 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX 75893 TC A Venous sampling by catheter 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75894 A X-rays, transcath therapy 1.31 24.43 24.72 24.43 24.72 1.12 26.86 27.15 26.86 27.15 XXX 75894 26 A X-rays, transcath therapy 1.31 0.47 0.51 0.47 0.51 0.07 1.85 1.89 1.85 1.89 XXX 75894 TC A X-rays, transcath therapy 0.00 23.96 24.21 NA NA 1.05 25.01 25.26 NA NA XXX 75896 A X-rays, transcath therapy 1.31 21.32 21.58 21.32 21.58 0.97 23.60 23.86 23.60 23.86 XXX 75896 26 A X-rays, transcath therapy 1.31 0.48 0.52 0.48 0.52 0.06 1.85 1.89 1.85 1.89 XXX 75896 TC A X-rays, transcath therapy 0.00 20.84 21.06 NA NA 0.91 21.75 21.97 NA NA XXX 75898 A Follow-up angiogram 1.65 1.65 1.71 1.65 1.71 0.12 3.42 3.48 3.42 3.48 XXX 75898 26 A Follow-up angiogram 1.65 0.60 0.65 0.60 0.65 0.07 2.32 2.37 2.32 2.37 XXX Start Printed Page 65514 75898 TC A Follow-up angiogram 0.00 1.05 1.06 NA NA 0.05 1.10 1.11 NA NA XXX 75900 A Arterial catheter exchange 0.49 21.00 21.24 21.00 21.24 0.94 22.43 22.67 22.43 22.67 XXX 75900 26 A Arterial catheter exchange 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 XXX 75900 TC A Arterial catheter exchange 0.00 20.82 21.04 NA NA 0.92 21.74 21.96 NA NA XXX 75940 A X-ray placement, vein filter 0.54 12.70 12.85 12.70 12.85 0.57 13.81 13.96 13.81 13.96 XXX 75940 26 A X-ray placement, vein filter 0.54 0.19 0.21 0.19 0.21 0.03 0.76 0.78 0.76 0.78 XXX 75940 TC A X-ray placement, vein filter 0.00 12.51 12.64 NA NA 0.54 13.05 13.18 NA NA XXX 75945 A Intravascular us 0.40 4.68 4.75 4.68 4.75 0.23 5.31 5.38 5.31 5.38 XXX 75945 26 A Intravascular us 0.40 0.15 0.17 0.15 0.17 0.03 0.58 0.60 0.58 0.60 XXX 75945 TC A Intravascular us 0.00 4.53 4.58 NA NA 0.20 4.73 4.78 NA NA XXX 75946 A Intravascular us add-on 0.40 2.43 2.47 2.43 2.47 0.14 2.97 3.01 2.97 3.01 ZZZ 75946 26 A Intravascular us add-on 0.40 0.15 0.17 0.15 0.17 0.03 0.58 0.60 0.58 0.60 ZZZ 75946 TC A Intravascular us add-on 0.00 2.28 2.30 NA NA 0.11 2.39 2.41 NA NA ZZZ 75952 A Endovasc repair abdom aorta 4.00 1.60 1.60 1.60 1.60 0.68 6.28 6.28 6.28 6.28 XXX 75953 A Abdom aneurysm endovas rpr 1.36 0.54 0.54 0.54 0.54 0.68 2.58 2.58 2.58 2.58 XXX 75960 A Transcatheter intro, stent 0.82 15.11 15.28 15.11 15.28 0.68 16.61 16.78 16.61 16.78 XXX 75960 26 A Transcatheter intro, stent 0.82 0.31 0.33 0.31 0.33 0.04 1.17 1.19 1.17 1.19 XXX 75960 TC A Transcatheter intro, stent 0.00 14.80 14.95 NA NA 0.64 15.44 15.59 NA NA XXX 75961 A Retrieval, broken catheter 4.25 11.94 12.19 11.94 12.19 0.64 16.83 17.08 16.83 17.08 XXX 75961 26 A Retrieval, broken catheter 4.25 1.52 1.66 1.52 1.66 0.18 5.95 6.09 5.95 6.09 XXX 75961 TC A Retrieval, broken catheter 0.00 10.42 10.53 NA NA 0.46 10.88 10.99 NA NA XXX 75962 A Repair arterial blockage 0.54 15.82 16.01 15.82 16.01 0.72 17.08 17.27 17.08 17.27 XXX 75962 26 A Repair arterial blockage 0.54 0.20 0.22 0.20 0.22 0.03 0.77 0.79 0.77 0.79 XXX 75962 TC A Repair arterial blockage 0.00 15.62 15.79 NA NA 0.69 16.31 16.48 NA NA XXX 75964 A Repair artery blockage, each 0.36 8.46 8.56 8.46 8.56 0.38 9.20 9.30 9.20 9.30 ZZZ 75964 26 A Repair artery blockage, each 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 ZZZ 75964 TC A Repair artery blockage, each 0.00 8.33 8.42 NA NA 0.36 8.69 8.78 NA NA ZZZ 75966 A Repair arterial blockage 1.31 16.13 16.33 16.13 16.33 0.75 18.19 18.39 18.19 18.39 XXX 75966 26 A Repair arterial blockage 1.31 0.51 0.54 0.51 0.54 0.06 1.88 1.91 1.88 1.91 XXX 75966 TC A Repair arterial blockage 0.00 15.62 15.79 NA NA 0.69 16.31 16.48 NA NA XXX 75968 A Repair artery blockage, each 0.36 8.47 8.57 8.47 8.57 0.37 9.20 9.30 9.20 9.30 ZZZ 75968 26 A Repair artery blockage, each 0.36 0.14 0.15 0.14 0.15 0.01 0.51 0.52 0.51 0.52 ZZZ 75968 TC A Repair artery blockage, each 0.00 8.33 8.42 NA NA 0.36 8.69 8.78 NA NA ZZZ 75970 A Vascular biopsy 0.83 11.76 11.91 11.76 11.91 0.54 13.13 13.28 13.13 13.28 XXX 75970 26 A Vascular biopsy 0.83 0.30 0.33 0.30 0.33 0.04 1.17 1.20 1.17 1.20 XXX 75970 TC A Vascular biopsy 0.00 11.46 11.58 NA NA 0.50 11.96 12.08 NA NA XXX 75978 A Repair venous blockage 0.54 15.81 16.06 15.81 16.06 0.71 17.06 17.31 17.06 17.31 XXX 75978 26 A Repair venous blockage 0.54 0.19 0.27 0.19 0.27 0.02 0.75 0.83 0.75 0.83 XXX 75978 TC A Repair venous blockage 0.00 15.62 15.79 NA NA 0.69 16.31 16.48 NA NA XXX 75980 A Contrast xray exam bile duct 1.44 5.88 5.99 5.88 5.99 0.30 7.62 7.73 7.62 7.73 XXX 75980 26 A Contrast xray exam bile duct 1.44 0.51 0.56 0.51 0.56 0.06 2.01 2.06 2.01 2.06 XXX 75980 TC A Contrast xray exam bile duct 0.00 5.37 5.43 NA NA 0.24 5.61 5.67 NA NA XXX 75982 A Contrast xray exam bile duct 1.44 6.56 6.68 6.56 6.68 0.33 8.33 8.45 8.33 8.45 XXX 75982 26 A Contrast xray exam bile duct 1.44 0.51 0.56 0.51 0.56 0.06 2.01 2.06 2.01 2.06 XXX 75982 TC A Contrast xray exam bile duct 0.00 6.05 6.12 NA NA 0.27 6.32 6.39 NA NA XXX 75984 A Xray control catheter change 0.72 2.19 2.24 2.19 2.24 0.12 3.03 3.08 3.03 3.08 XXX 75984 26 A Xray control catheter change 0.72 0.25 0.28 0.25 0.28 0.03 1.00 1.03 1.00 1.03 XXX 75984 TC A Xray control catheter change 0.00 1.94 1.96 NA NA 0.09 2.03 2.05 NA NA XXX 75989 A Abscess drainage under x-ray 1.19 3.55 3.62 3.55 3.62 0.19 4.93 5.00 4.93 5.00 XXX 75989 26 A Abscess drainage under x-ray 1.19 0.42 0.46 0.42 0.46 0.05 1.66 1.70 1.66 1.70 XXX 75989 TC A Abscess drainage under x-ray 0.00 3.13 3.16 NA NA 0.14 3.27 3.30 NA NA XXX 75992 A Atherectomy, x-ray exam 0.54 15.83 16.02 15.83 16.02 0.71 17.08 17.27 17.08 17.27 XXX 75992 26 A Atherectomy, x-ray exam 0.54 0.21 0.23 0.21 0.23 0.02 0.77 0.79 0.77 0.79 XXX 75992 TC A Atherectomy, x-ray exam 0.00 15.62 15.79 NA NA 0.69 16.31 16.48 NA NA XXX 75993 A Atherectomy, x-ray exam 0.36 8.48 8.58 8.48 8.58 0.37 9.21 9.31 9.21 9.31 ZZZ 75993 26 A Atherectomy, x-ray exam 0.36 0.15 0.16 0.15 0.16 0.01 0.52 0.53 0.52 0.53 ZZZ 75993 TC A Atherectomy, x-ray exam 0.00 8.33 8.42 NA NA 0.36 8.69 8.78 NA NA ZZZ 75994 A Atherectomy, x-ray exam 1.31 16.13 16.33 16.13 16.33 0.75 18.19 18.39 18.19 18.39 XXX 75994 26 A Atherectomy, x-ray exam 1.31 0.51 0.54 0.51 0.54 0.06 1.88 1.91 1.88 1.91 XXX 75994 TC A Atherectomy, x-ray exam 0.00 15.62 15.79 NA NA 0.69 16.31 16.48 NA NA XXX 75995 A Atherectomy, x-ray exam 1.31 16.08 16.29 16.08 16.29 0.75 18.14 18.35 18.14 18.35 XXX 75995 26 A Atherectomy, x-ray exam 1.31 0.46 0.50 0.46 0.50 0.06 1.83 1.87 1.83 1.87 XXX 75995 TC A Atherectomy, x-ray exam 0.00 15.62 15.79 NA NA 0.69 16.31 16.48 NA NA XXX 75996 A Atherectomy, x-ray exam 0.36 8.47 8.57 8.47 8.57 0.37 9.20 9.30 9.20 9.30 ZZZ 75996 26 A Atherectomy, x-ray exam 0.36 0.14 0.15 0.14 0.15 0.01 0.51 0.52 0.51 0.52 ZZZ 75996 TC A Atherectomy, x-ray exam 0.00 8.33 8.42 NA NA 0.36 8.69 8.78 NA NA ZZZ 76000 A Fluoroscope examination 0.17 1.35 1.37 1.35 1.37 0.07 1.59 1.61 1.59 1.61 XXX 76000 26 A Fluoroscope examination 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 76000 TC A Fluoroscope examination 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 76001 A Fluoroscope exam, extensive 0.67 2.84 2.90 2.84 2.90 0.15 3.66 3.72 3.66 3.72 XXX 76001 26 A Fluoroscope exam, extensive 0.67 0.24 0.27 0.24 0.27 0.03 0.94 0.97 0.94 0.97 XXX 76001 TC A Fluoroscope exam, extensive 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 76003 A Needle localization by x-ray 0.54 1.48 1.51 1.48 1.51 0.09 2.11 2.14 2.11 2.14 XXX 76003 26 A Needle localization by x-ray 0.54 0.18 0.20 0.18 0.20 0.03 0.75 0.77 0.75 0.77 XXX 76003 TC A Needle localization by x-ray 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 76005 A Fluoroguide for spine inject 0.60 1.49 1.49 1.49 1.49 0.09 2.18 2.18 2.18 2.18 XXX 76005 26 A Fluoroguide for spine inject 0.60 0.19 0.19 0.19 0.19 0.03 0.82 0.82 0.82 0.82 XXX 76005 TC A Fluoroguide for spine inject 0.00 1.30 1.30 NA NA 0.06 1.36 1.36 NA NA XXX 76006 A X-ray stress view 0.41 0.19 0.19 0.19 0.19 0.04 0.64 0.64 0.64 0.64 XXX 76010 A X-ray, nose to rectum 0.18 0.58 0.60 0.58 0.60 0.03 0.79 0.81 0.79 0.81 XXX 76010 26 A X-ray, nose to rectum 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX 76010 TC A X-ray, nose to rectum 0.00 0.52 0.53 NA NA 0.02 0.54 0.55 NA NA XXX 76012 A Percut vertebroplasty fluor 1.31 0.49 0.49 0.49 0.49 1.10 2.90 2.90 2.90 2.90 XXX Start Printed Page 65515 76013 A Percut vertebroplasty, ct 1.38 0.52 0.52 0.52 0.52 0.48 2.38 2.38 2.38 2.38 XXX 76020 A X-rays for bone age 0.19 0.59 0.61 0.59 0.61 0.03 0.81 0.83 0.81 0.83 XXX 76020 26 A X-rays for bone age 0.19 0.07 0.08 0.07 0.08 0.01 0.27 0.28 0.27 0.28 XXX 76020 TC A X-rays for bone age 0.00 0.52 0.53 NA NA 0.02 0.54 0.55 NA NA XXX 76040 A X-rays, bone evaluation 0.27 0.88 0.90 0.88 0.90 0.07 1.22 1.24 1.22 1.24 XXX 76040 26 A X-rays, bone evaluation 0.27 0.10 0.11 0.10 0.11 0.03 0.40 0.41 0.40 0.41 XXX 76040 TC A X-rays, bone evaluation 0.00 0.78 0.79 NA NA 0.04 0.82 0.83 NA NA XXX 76061 A X-rays, bone survey 0.45 1.15 1.18 1.15 1.18 0.07 1.67 1.70 1.67 1.70 XXX 76061 26 A X-rays, bone survey 0.45 0.16 0.18 0.16 0.18 0.02 0.63 0.65 0.63 0.65 XXX 76061 TC A X-rays, bone survey 0.00 0.99 1.00 NA NA 0.05 1.04 1.05 NA NA XXX 76062 A X-rays, bone survey 0.54 1.62 1.66 1.62 1.66 0.09 2.25 2.29 2.25 2.29 XXX 76062 26 A X-rays, bone survey 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX 76062 TC A X-rays, bone survey 0.00 1.43 1.45 NA NA 0.07 1.50 1.52 NA NA XXX 76065 A X-rays, bone evaluation 0.28 0.83 0.85 0.83 0.85 0.05 1.16 1.18 1.16 1.18 XXX 76065 26 A X-rays, bone evaluation 0.28 0.10 0.11 0.10 0.11 0.01 0.39 0.40 0.39 0.40 XXX 76065 TC A X-rays, bone evaluation 0.00 0.73 0.74 NA NA 0.04 0.77 0.78 NA NA XXX 76066 A Joint(s) survey, single film 0.31 1.21 1.23 1.21 1.23 0.07 1.59 1.61 1.59 1.61 XXX 76066 26 A Joint(s) survey, single film 0.31 0.11 0.12 0.11 0.12 0.02 0.44 0.45 0.44 0.45 XXX 76066 TC A Joint(s) survey, single film 0.00 1.10 1.11 NA NA 0.05 1.15 1.16 NA NA XXX 76070 I CT scan, bone density study +0.25 3.03 3.07 3.03 3.07 0.14 3.42 3.46 3.42 3.46 XXX 76070 26 I CT scan, bone density study +0.25 0.10 0.11 0.10 0.11 0.01 0.36 0.37 0.36 0.37 XXX 76070 TC I CT scan, bone density study +0.00 2.93 2.96 NA NA 0.13 3.06 3.09 NA NA XXX 76075 A Dual energy x-ray study 0.30 3.18 3.22 3.18 3.22 0.15 3.63 3.67 3.63 3.67 XXX 76075 26 A Dual energy x-ray study 0.30 0.11 0.12 0.11 0.12 0.01 0.42 0.43 0.42 0.43 XXX 76075 TC A Dual energy x-ray study 0.00 3.07 3.10 NA NA 0.14 3.21 3.24 NA NA XXX 76076 A Dual energy x-ray study 0.22 0.83 0.85 0.83 0.85 0.05 1.10 1.12 1.10 1.12 XXX 76076 26 A Dual energy x-ray study 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX 76076 TC A Dual energy x-ray study 0.00 0.75 0.76 NA NA 0.04 0.79 0.80 NA NA XXX 76078 A Photodensitometry 0.20 0.83 0.85 0.83 0.85 0.05 1.08 1.10 1.08 1.10 XXX 76078 26 A Photodensitometry 0.20 0.08 0.09 0.08 0.09 0.01 0.29 0.30 0.29 0.30 XXX 76078 TC A Photodensitometry 0.00 0.75 0.76 NA NA 0.04 0.79 0.80 NA NA XXX 76080 A X-ray exam of fistula 0.54 1.24 1.27 1.24 1.27 0.07 1.85 1.88 1.85 1.88 XXX 76080 26 A X-ray exam of fistula 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX 76080 TC A X-ray exam of fistula 0.00 1.05 1.06 NA NA 0.05 1.10 1.11 NA NA XXX 76086 A X-ray of mammary duct 0.36 2.73 2.77 2.73 2.77 0.14 3.23 3.27 3.23 3.27 XXX 76086 26 A X-ray of mammary duct 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 XXX 76086 TC A X-ray of mammary duct 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 76088 A X-ray of mammary ducts 0.45 3.80 3.86 3.80 3.86 0.18 4.43 4.49 4.43 4.49 XXX 76088 26 A X-ray of mammary ducts 0.45 0.16 0.18 0.16 0.18 0.02 0.63 0.65 0.63 0.65 XXX 76088 TC A X-ray of mammary ducts 0.00 3.64 3.68 NA NA 0.16 3.80 3.84 NA NA XXX 76090 A Mammogram, one breast 0.58 1.26 1.25 1.26 1.25 0.08 1.92 1.91 1.92 1.91 XXX 76090 26 A Mammogram, one breast 0.58 0.21 0.19 0.21 0.19 0.03 0.82 0.80 0.82 0.80 XXX 76090 TC A Mammogram, one breast 0.00 1.05 1.06 NA NA 0.05 1.10 1.11 NA NA XXX 76091 A Mammogram, both breasts 0.69 1.55 1.55 1.55 1.55 0.09 2.33 2.33 2.33 2.33 XXX 76091 26 A Mammogram, both breasts 0.69 0.25 0.24 0.25 0.24 0.03 0.97 0.96 0.97 0.96 XXX 76091 TC A Mammogram, both breasts 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 76092 X Mammogram, screening 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76093 A Magnetic image, breast 1.63 18.07 18.31 18.07 18.31 0.83 20.53 20.77 20.53 20.77 XXX 76093 26 A Magnetic image, breast 1.63 0.58 0.63 0.58 0.63 0.07 2.28 2.33 2.28 2.33 XXX 76093 TC A Magnetic image, breast 0.00 17.49 17.68 NA NA 0.76 18.25 18.44 NA NA XXX 76094 A Magnetic image, both breasts 1.63 24.32 24.62 24.32 24.62 1.10 27.05 27.35 27.05 27.35 XXX 76094 26 A Magnetic image, both breasts 1.63 0.58 0.63 0.58 0.63 0.07 2.28 2.33 2.28 2.33 XXX 76094 TC A Magnetic image, both breasts 0.00 23.74 23.99 NA NA 1.03 24.77 25.02 NA NA XXX 76095 A Stereotactic breast biopsy 1.59 7.68 7.81 7.68 7.81 0.40 9.67 9.80 9.67 9.80 XXX 76095 26 A Stereotactic breast biopsy 1.59 0.57 0.62 0.57 0.62 0.09 2.25 2.30 2.25 2.30 XXX 76095 TC A Stereotactic breast biopsy 0.00 7.11 7.19 NA NA 0.31 7.42 7.50 NA NA XXX 76096 A X-ray of needle wire, breast 0.56 1.50 1.53 1.50 1.53 0.09 2.15 2.18 2.15 2.18 XXX 76096 26 A X-ray of needle wire, breast 0.56 0.20 0.22 0.20 0.22 0.03 0.79 0.81 0.79 0.81 XXX 76096 TC A X-ray of needle wire, breast 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 76098 A X-ray exam, breast specimen 0.16 0.47 0.49 0.47 0.49 0.03 0.66 0.68 0.66 0.68 XXX 76098 26 A X-ray exam, breast specimen 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX 76098 TC A X-ray exam, breast specimen 0.00 0.41 0.42 NA NA 0.02 0.43 0.44 NA NA XXX 76100 A X-ray exam of body section 0.58 1.45 1.48 1.45 1.48 0.09 2.12 2.15 2.12 2.15 XXX 76100 26 A X-ray exam of body section 0.58 0.21 0.23 0.21 0.23 0.03 0.82 0.84 0.82 0.84 XXX 76100 TC A X-ray exam of body section 0.00 1.24 1.25 NA NA 0.06 1.30 1.31 NA NA XXX 76101 A Complex body section x-ray 0.58 1.62 1.66 1.62 1.66 0.10 2.30 2.34 2.30 2.34 XXX 76101 26 A Complex body section x-ray 0.58 0.21 0.23 0.21 0.23 0.03 0.82 0.84 0.82 0.84 XXX 76101 TC A Complex body section x-ray 0.00 1.41 1.43 NA NA 0.07 1.48 1.50 NA NA XXX 76102 A Complex body section x-rays 0.58 1.93 1.97 1.93 1.97 0.12 2.63 2.67 2.63 2.67 XXX 76102 26 A Complex body section x-rays 0.58 0.21 0.23 0.21 0.23 0.03 0.82 0.84 0.82 0.84 XXX 76102 TC A Complex body section x-rays 0.00 1.72 1.74 NA NA 0.09 1.81 1.83 NA NA XXX 76120 A Cinematic x-rays 0.38 1.19 1.21 1.19 1.21 0.07 1.64 1.66 1.64 1.66 XXX 76120 26 A Cinematic x-rays 0.38 0.14 0.15 0.14 0.15 0.02 0.54 0.55 0.54 0.55 XXX 76120 TC A Cinematic x-rays 0.00 1.05 1.06 NA NA 0.05 1.10 1.11 NA NA XXX 76125 A Cinematic x-rays add-on 0.27 0.88 0.90 0.88 0.90 0.05 1.20 1.22 1.20 1.22 ZZZ 76125 26 A Cinematic x-rays add-on 0.27 0.10 0.11 0.10 0.11 0.01 0.38 0.39 0.38 0.39 ZZZ 76125 TC A Cinematic x-rays add-on 0.00 0.78 0.79 NA NA 0.04 0.82 0.83 NA NA ZZZ 76140 I X-ray consultation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76150 A X-ray exam, dry process 0.00 0.41 0.42 NA NA 0.02 0.43 0.44 NA NA XXX 76350 C Special x-ray contrast study 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76355 A CAT scan for localization 1.21 8.62 8.75 8.62 8.75 0.41 10.24 10.37 10.24 10.37 XXX 76355 26 A CAT scan for localization 1.21 0.43 0.47 0.43 0.47 0.06 1.70 1.74 1.70 1.74 XXX 76355 TC A CAT scan for localization 0.00 8.19 8.28 NA NA 0.35 8.54 8.63 NA NA XXX Start Printed Page 65516 76360 A CAT scan for needle biopsy 1.16 8.60 8.72 8.60 8.72 0.40 10.16 10.28 10.16 10.28 XXX 76360 26 A CAT scan for needle biopsy 1.16 0.41 0.44 0.41 0.44 0.05 1.62 1.65 1.62 1.65 XXX 76360 TC A CAT scan for needle biopsy 0.00 8.19 8.28 NA NA 0.35 8.54 8.63 NA NA XXX 76365 D CAT scan for cyst aspiration 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76365 26 D CAT scan for cyst aspiration 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76365 TC D CAT scan for cyst aspiration 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX 76370 A CAT scan for therapy guide 0.85 3.23 3.29 3.23 3.29 0.17 4.25 4.31 4.25 4.31 XXX 76370 26 A CAT scan for therapy guide 0.85 0.30 0.33 0.30 0.33 0.04 1.19 1.22 1.19 1.22 XXX 76370 TC A CAT scan for therapy guide 0.00 2.93 2.96 NA NA 0.13 3.06 3.09 NA NA XXX 76375 A 3d/holograph reconstr add-on 0.16 3.58 3.63 3.58 3.63 0.16 3.90 3.95 3.90 3.95 XXX 76375 26 A 3d/holograph reconstr add-on 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX 76375 TC A 3d/holograph reconstr add-on 0.00 3.52 3.56 NA NA 0.15 3.67 3.71 NA NA XXX 76380 A CAT scan follow-up study 0.98 3.83 3.90 3.83 3.90 0.19 5.00 5.07 5.00 5.07 XXX 76380 26 A CAT scan follow-up study 0.98 0.35 0.38 0.35 0.38 0.04 1.37 1.40 1.37 1.40 XXX 76380 TC A CAT scan follow-up study 0.00 3.48 3.52 NA NA 0.15 3.63 3.67 NA NA XXX 76390 A Mr spectroscopy 1.40 11.63 11.81 11.63 11.81 0.55 13.58 13.76 13.58 13.76 XXX 76390 26 A Mr spectroscopy 1.40 0.50 0.56 0.50 0.56 0.06 1.96 2.02 1.96 2.02 XXX 76390 TC A Mr spectroscopy 0.00 11.13 11.25 NA NA 0.49 11.62 11.74 NA NA XXX 76393 A Mr guidance for needle place 1.50 11.66 11.66 11.66 11.66 0.52 13.68 13.68 13.68 13.68 XXX 76393 26 A Mr guidance for needle place 1.50 0.53 0.53 0.53 0.53 0.06 2.09 2.09 2.09 2.09 XXX 76393 TC A Mr guidance for needle place 0.00 11.13 11.13 NA NA 0.46 11.59 11.59 NA NA XXX 76400 A Magnetic image, bone marrow 1.60 11.70 11.87 11.70 11.87 0.56 13.86 14.03 13.86 14.03 XXX 76400 26 A Magnetic image, bone marrow 1.60 0.57 0.62 0.57 0.62 0.07 2.24 2.29 2.24 2.29 XXX 76400 TC A Magnetic image, bone marrow 0.00 11.13 11.25 NA NA 0.49 11.62 11.74 NA NA XXX 76499 C Radiographic procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76499 26 C Radiographic procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76499 TC C Radiographic procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76506 A Echo exam of head 0.63 1.67 1.70 1.67 1.70 0.10 2.40 2.43 2.40 2.43 XXX 76506 26 A Echo exam of head 0.63 0.26 0.27 0.26 0.27 0.03 0.92 0.93 0.92 0.93 XXX 76506 TC A Echo exam of head 0.00 1.41 1.43 NA NA 0.07 1.48 1.50 NA NA XXX 76511 A Echo exam of eye 0.94 1.78 1.73 1.78 1.73 0.08 2.80 2.75 2.80 2.75 XXX 76511 26 A Echo exam of eye 0.94 0.44 0.40 0.44 0.40 0.02 1.40 1.36 1.40 1.36 XXX 76511 TC A Echo exam of eye 0.00 1.34 1.33 NA NA 0.06 1.40 1.39 NA NA XXX 76512 A Echo exam of eye 0.66 1.86 1.87 1.86 1.87 0.09 2.61 2.62 2.61 2.62 XXX 76512 26 A Echo exam of eye 0.66 0.32 0.32 0.32 0.32 0.01 0.99 0.99 0.99 0.99 XXX 76512 TC A Echo exam of eye 0.00 1.54 1.55 NA NA 0.08 1.62 1.63 NA NA XXX 76513 A Echo exam of eye, water bath 0.66 2.28 2.19 2.28 2.19 0.09 3.03 2.94 3.03 2.94 XXX 76513 26 A Echo exam of eye, water bath 0.66 0.33 0.33 0.33 0.33 0.01 1.00 1.00 1.00 1.00 XXX 76513 TC A Echo exam of eye, water bath 0.00 1.95 1.86 NA NA 0.08 2.03 1.94 NA NA XXX 76516 A Echo exam of eye 0.54 1.36 1.41 1.36 1.41 0.07 1.97 2.02 1.97 2.02 XXX 76516 26 A Echo exam of eye 0.54 0.27 0.27 0.27 0.27 0.01 0.82 0.82 0.82 0.82 XXX 76516 TC A Echo exam of eye 0.00 1.09 1.14 NA NA 0.06 1.15 1.20 NA NA XXX 76519 A Echo exam of eye 0.54 1.51 1.52 1.51 1.52 0.07 2.12 2.13 2.12 2.13 XXX 76519 26 A Echo exam of eye 0.54 0.27 0.27 0.27 0.27 0.01 0.82 0.82 0.82 0.82 XXX 76519 TC A Echo exam of eye 0.00 1.24 1.25 NA NA 0.06 1.30 1.31 NA NA XXX 76529 A Echo exam of eye 0.57 2.04 1.95 2.04 1.95 0.08 2.69 2.60 2.69 2.60 XXX 76529 26 A Echo exam of eye 0.57 0.27 0.27 0.27 0.27 0.01 0.85 0.85 0.85 0.85 XXX 76529 TC A Echo exam of eye 0.00 1.77 1.68 NA NA 0.07 1.84 1.75 NA NA XXX 76536 A Echo exam of head and neck 0.56 1.61 1.65 1.61 1.65 0.09 2.26 2.30 2.26 2.30 XXX 76536 26 A Echo exam of head and neck 0.56 0.20 0.22 0.20 0.22 0.02 0.78 0.80 0.78 0.80 XXX 76536 TC A Echo exam of head and neck 0.00 1.41 1.43 NA NA 0.07 1.48 1.50 NA NA XXX 76604 A Echo exam of chest 0.55 1.50 1.53 1.50 1.53 0.08 2.13 2.16 2.13 2.16 XXX 76604 26 A Echo exam of chest 0.55 0.20 0.22 0.20 0.22 0.02 0.77 0.79 0.77 0.79 XXX 76604 TC A Echo exam of chest 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 76645 A Echo exam of breast(s) 0.54 1.24 1.27 1.24 1.27 0.08 1.86 1.89 1.86 1.89 XXX 76645 26 A Echo exam of breast(s) 0.54 0.19 0.21 0.19 0.21 0.03 0.76 0.78 0.76 0.78 XXX 76645 TC A Echo exam of breast(s) 0.00 1.05 1.06 NA NA 0.05 1.10 1.11 NA NA XXX 76700 A Echo exam of abdomen 0.81 2.25 2.30 2.25 2.30 0.13 3.19 3.24 3.19 3.24 XXX 76700 26 A Echo exam of abdomen 0.81 0.29 0.32 0.29 0.32 0.04 1.14 1.17 1.14 1.17 XXX 76700 TC A Echo exam of abdomen 0.00 1.96 1.98 NA NA 0.09 2.05 2.07 NA NA XXX 76705 A Echo exam of abdomen 0.59 1.62 1.66 1.62 1.66 0.10 2.31 2.35 2.31 2.35 XXX 76705 26 A Echo exam of abdomen 0.59 0.21 0.23 0.21 0.23 0.03 0.83 0.85 0.83 0.85 XXX 76705 TC A Echo exam of abdomen 0.00 1.41 1.43 NA NA 0.07 1.48 1.50 NA NA XXX 76770 A Echo exam abdomen back wall 0.74 2.22 2.27 2.22 2.27 0.12 3.08 3.13 3.08 3.13 XXX 76770 26 A Echo exam abdomen back wall 0.74 0.26 0.29 0.26 0.29 0.03 1.03 1.06 1.03 1.06 XXX 76770 TC A Echo exam abdomen back wall 0.00 1.96 1.98 NA NA 0.09 2.05 2.07 NA NA XXX 76775 A Echo exam abdomen back wall 0.58 1.62 1.66 1.62 1.66 0.10 2.30 2.34 2.30 2.34 XXX 76775 26 A Echo exam abdomen back wall 0.58 0.21 0.23 0.21 0.23 0.03 0.82 0.84 0.82 0.84 XXX 76775 TC A Echo exam abdomen back wall 0.00 1.41 1.43 NA NA 0.07 1.48 1.50 NA NA XXX 76778 A Echo exam kidney transplant 0.74 2.22 2.27 2.22 2.27 0.12 3.08 3.13 3.08 3.13 XXX 76778 26 A Echo exam kidney transplant 0.74 0.26 0.29 0.26 0.29 0.03 1.03 1.06 1.03 1.06 XXX 76778 TC A Echo exam kidney transplant 0.00 1.96 1.98 NA NA 0.09 2.05 2.07 NA NA XXX 76800 A Echo exam spinal canal 1.13 1.74 1.81 1.74 1.81 0.11 2.98 3.05 2.98 3.05 XXX 76800 26 A Echo exam spinal canal 1.13 0.33 0.38 0.33 0.38 0.04 1.50 1.55 1.50 1.55 XXX 76800 TC A Echo exam spinal canal 0.00 1.41 1.43 NA NA 0.07 1.48 1.50 NA NA XXX 76805 A Echo exam of pregnant uterus 0.99 2.44 2.49 2.44 2.49 0.14 3.57 3.62 3.57 3.62 XXX 76805 26 A Echo exam of pregnant uterus 0.99 0.36 0.39 0.36 0.39 0.04 1.39 1.42 1.39 1.42 XXX 76805 TC A Echo exam of pregnant uterus 0.00 2.08 2.10 NA NA 0.10 2.18 2.20 NA NA XXX 76810 A Echo exam of pregnant uterus 1.97 4.90 5.00 4.90 5.00 0.25 7.12 7.22 7.12 7.22 XXX 76810 26 A Echo exam of pregnant uterus 1.97 0.73 0.79 0.73 0.79 0.07 2.77 2.83 2.77 2.83 XXX 76810 TC A Echo exam of pregnant uterus 0.00 4.17 4.21 NA NA 0.18 4.35 4.39 NA NA XXX 76815 A Echo exam of pregnant uterus 0.65 1.65 1.69 1.65 1.69 0.09 2.39 2.43 2.39 2.43 XXX 76815 26 A Echo exam of pregnant uterus 0.65 0.24 0.26 0.24 0.26 0.02 0.91 0.93 0.91 0.93 XXX Start Printed Page 65517 76815 TC A Echo exam of pregnant uterus 0.00 1.41 1.43 NA NA 0.07 1.48 1.50 NA NA XXX 76816 A Echo exam follow-up/repeat 0.57 1.32 1.35 1.32 1.35 0.07 1.96 1.99 1.96 1.99 XXX 76816 26 A Echo exam follow-up/repeat 0.57 0.22 0.24 0.22 0.24 0.02 0.81 0.83 0.81 0.83 XXX 76816 TC A Echo exam follow-up/repeat 0.00 1.10 1.11 NA NA 0.05 1.15 1.16 NA NA XXX 76818 A Fetl biophys profil w/stress 0.86 1.93 1.96 1.93 1.96 0.12 2.91 2.94 2.91 2.94 XXX 76818 26 A Fetl biophys profil w/stress 0.86 0.33 0.34 0.33 0.34 0.04 1.23 1.24 1.23 1.24 XXX 76818 TC A Fetl biophys profil w/stress 0.00 1.60 1.62 NA NA 0.08 1.68 1.70 NA NA XXX 76819 A Fetl biophys profil w/o strs 0.63 1.84 1.84 1.84 1.84 0.11 2.58 2.58 2.58 2.58 XXX 76819 26 A Fetl biophys profil w/o strs 0.63 0.24 0.24 0.24 0.24 0.03 0.90 0.90 0.90 0.90 XXX 76819 TC A Fetl biophys profil w/o strs 0.00 1.60 1.60 NA NA 0.08 1.68 1.68 NA NA XXX 76825 A Echo exam of fetal heart 1.67 2.57 2.53 2.57 2.53 0.15 4.39 4.35 4.39 4.35 XXX 76825 26 A Echo exam of fetal heart 1.67 0.61 0.55 0.61 0.55 0.06 2.34 2.28 2.34 2.28 XXX 76825 TC A Echo exam of fetal heart 0.00 1.96 1.98 NA NA 0.09 2.05 2.07 NA NA XXX 76826 A Echo exam of fetal heart 0.83 1.00 1.12 1.00 1.12 0.07 1.90 2.02 1.90 2.02 XXX 76826 26 A Echo exam of fetal heart 0.83 0.30 0.41 0.30 0.41 0.03 1.16 1.27 1.16 1.27 XXX 76826 TC A Echo exam of fetal heart 0.00 0.70 0.71 NA NA 0.04 0.74 0.75 NA NA XXX 76827 A Echo exam of fetal heart 0.58 1.93 2.07 1.93 2.07 0.12 2.63 2.77 2.63 2.77 XXX 76827 26 A Echo exam of fetal heart 0.58 0.22 0.34 0.22 0.34 0.02 0.82 0.94 0.82 0.94 XXX 76827 TC A Echo exam of fetal heart 0.00 1.71 1.73 NA NA 0.10 1.81 1.83 NA NA XXX 76828 A Echo exam of fetal heart 0.56 1.32 1.35 1.32 1.35 0.09 1.97 2.00 1.97 2.00 XXX 76828 26 A Echo exam of fetal heart 0.56 0.22 0.24 0.22 0.24 0.02 0.80 0.82 0.80 0.82 XXX 76828 TC A Echo exam of fetal heart 0.00 1.10 1.11 NA NA 0.07 1.17 1.18 NA NA XXX 76830 A Echo exam, transvaginal 0.69 1.76 1.81 1.76 1.81 0.11 2.56 2.61 2.56 2.61 XXX 76830 26 A Echo exam, transvaginal 0.69 0.25 0.28 0.25 0.28 0.03 0.97 1.00 0.97 1.00 XXX 76830 TC A Echo exam, transvaginal 0.00 1.51 1.53 NA NA 0.08 1.59 1.61 NA NA XXX 76831 A Echo exam, uterus 0.72 1.78 1.82 1.78 1.82 0.10 2.60 2.64 2.60 2.64 XXX 76831 26 A Echo exam, uterus 0.72 0.27 0.29 0.27 0.29 0.02 1.01 1.03 1.01 1.03 XXX 76831 TC A Echo exam, uterus 0.00 1.51 1.53 NA NA 0.08 1.59 1.61 NA NA XXX 76856 A Echo exam of pelvis 0.69 1.76 1.81 1.76 1.81 0.11 2.56 2.61 2.56 2.61 XXX 76856 26 A Echo exam of pelvis 0.69 0.25 0.28 0.25 0.28 0.03 0.97 1.00 0.97 1.00 XXX 76856 TC A Echo exam of pelvis 0.00 1.51 1.53 NA NA 0.08 1.59 1.61 NA NA XXX 76857 A Echo exam of pelvis 0.38 1.18 1.20 1.18 1.20 0.07 1.63 1.65 1.63 1.65 XXX 76857 26 A Echo exam of pelvis 0.38 0.13 0.14 0.13 0.14 0.02 0.53 0.54 0.53 0.54 XXX 76857 TC A Echo exam of pelvis 0.00 1.05 1.06 NA NA 0.05 1.10 1.11 NA NA XXX 76870 A Echo exam of scrotum 0.64 1.74 1.78 1.74 1.78 0.11 2.49 2.53 2.49 2.53 XXX 76870 26 A Echo exam of scrotum 0.64 0.23 0.25 0.23 0.25 0.03 0.90 0.92 0.90 0.92 XXX 76870 TC A Echo exam of scrotum 0.00 1.51 1.53 NA NA 0.08 1.59 1.61 NA NA XXX 76872 A Echo exam, transrectal 0.69 1.75 1.80 1.75 1.80 0.12 2.56 2.61 2.56 2.61 XXX 76872 26 A Echo exam, transrectal 0.69 0.24 0.27 0.24 0.27 0.04 0.97 1.00 0.97 1.00 XXX 76872 TC A Echo exam, transrectal 0.00 1.51 1.53 NA NA 0.08 1.59 1.61 NA NA XXX 76873 A Echograp trans r, pros study 1.55 2.61 2.61 2.61 2.61 0.21 4.37 4.37 4.37 4.37 XXX 76873 26 A Echograp trans r, pros study 1.55 0.53 0.53 0.53 0.53 0.08 2.16 2.16 2.16 2.16 XXX 76873 TC A Echograp trans r, pros study 0.00 2.08 2.08 NA NA 0.13 2.21 2.21 NA NA XXX 76880 A Echo exam of extremity 0.59 1.62 1.66 1.62 1.66 0.10 2.31 2.35 2.31 2.35 XXX 76880 26 A Echo exam of extremity 0.59 0.21 0.23 0.21 0.23 0.03 0.83 0.85 0.83 0.85 XXX 76880 TC A Echo exam of extremity 0.00 1.41 1.43 NA NA 0.07 1.48 1.50 NA NA XXX 76885 A Echo exam, infant hips 0.74 1.77 1.81 1.77 1.81 0.11 2.62 2.66 2.62 2.66 XXX 76885 26 A Echo exam, infant hips 0.74 0.26 0.28 0.26 0.28 0.03 1.03 1.05 1.03 1.05 XXX 76885 TC A Echo exam, infant hips 0.00 1.51 1.53 NA NA 0.08 1.59 1.61 NA NA XXX 76886 A Echo exam, infant hips 0.62 1.63 1.67 1.63 1.67 0.10 2.35 2.39 2.35 2.39 XXX 76886 26 A Echo exam, infant hips 0.62 0.22 0.24 0.22 0.24 0.03 0.87 0.89 0.87 0.89 XXX 76886 TC A Echo exam, infant hips 0.00 1.41 1.43 NA NA 0.07 1.48 1.50 NA NA XXX 76930 A Echo guide, cardiocentesis 0.67 1.79 1.83 1.79 1.83 0.10 2.56 2.60 2.56 2.60 XXX 76930 26 A Echo guide, cardiocentesis 0.67 0.28 0.30 0.28 0.30 0.02 0.97 0.99 0.97 0.99 XXX 76930 TC A Echo guide, cardiocentesis 0.00 1.51 1.53 NA NA 0.08 1.59 1.61 NA NA XXX 76932 A Echo guide for heart biopsy 0.67 1.79 1.83 1.79 1.83 0.10 2.56 2.60 2.56 2.60 XXX 76932 26 A Echo guide for heart biopsy 0.67 0.28 0.30 0.28 0.30 0.02 0.97 0.99 0.97 0.99 XXX 76932 TC A Echo guide for heart biopsy 0.00 1.51 1.53 NA NA 0.08 1.59 1.61 NA NA XXX 76934 A Echo guide for chest tap 0.67 1.75 1.80 1.75 1.80 0.11 2.53 2.58 2.53 2.58 XXX 76934 26 A Echo guide for chest tap 0.67 0.24 0.27 0.24 0.27 0.03 0.94 0.97 0.94 0.97 XXX 76934 TC A Echo guide for chest tap 0.00 1.51 1.53 NA NA 0.08 1.59 1.61 NA NA XXX 76936 A Echo guide for artery repair 1.99 6.96 7.19 6.96 7.19 0.39 9.34 9.57 9.34 9.57 XXX 76936 26 A Echo guide for artery repair 1.99 0.72 0.88 0.72 0.88 0.11 2.82 2.98 2.82 2.98 XXX 76936 TC A Echo guide for artery repair 0.00 6.24 6.31 NA NA 0.28 6.52 6.59 NA NA XXX 76938 A Echo exam for drainage 0.67 1.75 1.80 1.75 1.80 0.12 2.54 2.59 2.54 2.59 XXX 76938 26 A Echo exam for drainage 0.67 0.24 0.27 0.24 0.27 0.04 0.95 0.98 0.95 0.98 XXX 76938 TC A Echo exam for drainage 0.00 1.51 1.53 NA NA 0.08 1.59 1.61 NA NA XXX 76941 A Echo guide for transfusion 1.34 2.02 2.08 2.02 2.08 0.13 3.49 3.55 3.49 3.55 XXX 76941 26 A Echo guide for transfusion 1.34 0.50 0.54 0.50 0.54 0.06 1.90 1.94 1.90 1.94 XXX 76941 TC A Echo guide for transfusion 0.00 1.52 1.54 NA NA 0.07 1.59 1.61 NA NA XXX 76942 A Echo guide for biopsy 0.67 1.74 1.79 1.74 1.79 0.12 2.53 2.58 2.53 2.58 XXX 76942 26 A Echo guide for biopsy 0.67 0.23 0.26 0.23 0.26 0.04 0.94 0.97 0.94 0.97 XXX 76942 TC A Echo guide for biopsy 0.00 1.51 1.53 NA NA 0.08 1.59 1.61 NA NA XXX 76945 A Echo guide, villus sampling 0.67 1.76 1.89 1.76 1.89 0.10 2.53 2.66 2.53 2.66 XXX 76945 26 A Echo guide, villus sampling 0.67 0.24 0.35 0.24 0.35 0.03 0.94 1.05 0.94 1.05 XXX 76945 TC A Echo guide, villus sampling 0.00 1.52 1.54 NA NA 0.07 1.59 1.61 NA NA XXX 76946 A Echo guide for amniocentesis 0.38 1.65 1.68 1.65 1.68 0.09 2.12 2.15 2.12 2.15 XXX 76946 26 A Echo guide for amniocentesis 0.38 0.14 0.15 0.14 0.15 0.01 0.53 0.54 0.53 0.54 XXX 76946 TC A Echo guide for amniocentesis 0.00 1.51 1.53 NA NA 0.08 1.59 1.61 NA NA XXX 76948 A Echo guide, ova aspiration 0.38 1.65 1.68 1.65 1.68 0.10 2.13 2.16 2.13 2.16 XXX 76948 26 A Echo guide, ova aspiration 0.38 0.14 0.15 0.14 0.15 0.02 0.54 0.55 0.54 0.55 XXX 76948 TC A Echo guide, ova aspiration 0.00 1.51 1.53 NA NA 0.08 1.59 1.61 NA NA XXX 76950 A Echo guidance radiotherapy 0.58 1.50 1.53 1.50 1.53 0.09 2.17 2.20 2.17 2.20 XXX Start Printed Page 65518 76950 26 A Echo guidance radiotherapy 0.58 0.20 0.22 0.20 0.22 0.03 0.81 0.83 0.81 0.83 XXX 76950 TC A Echo guidance radiotherapy 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 76960 A Echo guidance radiotherapy 0.58 1.50 1.53 1.50 1.53 0.09 2.17 2.20 2.17 2.20 XXX 76960 26 A Echo guidance radiotherapy 0.58 0.20 0.22 0.20 0.22 0.03 0.81 0.83 0.81 0.83 XXX 76960 TC A Echo guidance radiotherapy 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 76965 A Echo guidance radiotherapy 1.34 5.97 6.32 5.97 6.32 0.31 7.62 7.97 7.62 7.97 XXX 76965 26 A Echo guidance radiotherapy 1.34 0.45 0.74 0.45 0.74 0.07 1.86 2.15 1.86 2.15 XXX 76965 TC A Echo guidance radiotherapy 0.00 5.52 5.58 NA NA 0.24 5.76 5.82 NA NA XXX 76970 A Ultrasound exam follow-up 0.40 1.19 1.22 1.19 1.22 0.07 1.66 1.69 1.66 1.69 XXX 76970 26 A Ultrasound exam follow-up 0.40 0.14 0.16 0.14 0.16 0.02 0.56 0.58 0.56 0.58 XXX 76970 TC A Ultrasound exam follow-up 0.00 1.05 1.06 NA NA 0.05 1.10 1.11 NA NA XXX 76975 A GI endoscopic ultrasound 0.81 1.80 1.84 1.80 1.84 0.11 2.72 2.76 2.72 2.76 XXX 76975 26 A GI endoscopic ultrasound 0.81 0.29 0.31 0.29 0.31 0.03 1.13 1.15 1.13 1.15 XXX 76975 TC A GI endoscopic ultrasound 0.00 1.51 1.53 NA NA 0.08 1.59 1.61 NA NA XXX 76977 A Us bone density measure 0.05 1.43 1.43 1.43 1.43 0.05 1.53 1.53 1.53 1.53 XXX 76977 26 A Us bone density measure 0.05 0.02 0.02 0.02 0.02 0.01 0.08 0.08 0.08 0.08 XXX 76977 TC A Us bone density measure 0.00 1.41 1.41 NA NA 0.04 1.45 1.45 NA NA XXX 76986 A Ultrasound guide intraoper 1.20 3.03 3.10 3.03 3.10 0.19 4.42 4.49 4.42 4.49 XXX 76986 26 A Ultrasound guide intraoper 1.20 0.43 0.47 0.43 0.47 0.07 1.70 1.74 1.70 1.74 XXX 76986 TC A Ultrasound guide intraoper 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 76999 C Echo examination procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76999 26 C Echo examination procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76999 TC C Echo examination procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77261 A Radiation therapy planning 1.39 0.55 0.58 0.55 0.58 0.06 2.00 2.03 2.00 2.03 XXX 77262 A Radiation therapy planning 2.11 0.82 0.87 0.82 0.87 0.09 3.02 3.07 3.02 3.07 XXX 77263 A Radiation therapy planning 3.14 1.21 1.29 1.21 1.29 0.13 4.48 4.56 4.48 4.56 XXX 77280 A Set radiation therapy field 0.70 3.70 3.77 3.70 3.77 0.18 4.58 4.65 4.58 4.65 XXX 77280 26 A Set radiation therapy field 0.70 0.25 0.28 0.25 0.28 0.03 0.98 1.01 0.98 1.01 XXX 77280 TC A Set radiation therapy field 0.00 3.45 3.49 NA NA 0.15 3.60 3.64 NA NA XXX 77285 A Set radiation therapy field 1.05 5.89 5.98 5.89 5.98 0.29 7.23 7.32 7.23 7.32 XXX 77285 26 A Set radiation therapy field 1.05 0.37 0.40 0.37 0.40 0.04 1.46 1.49 1.46 1.49 XXX 77285 TC A Set radiation therapy field 0.00 5.52 5.58 NA NA 0.25 5.77 5.83 NA NA XXX 77290 A Set radiation therapy field 1.56 7.01 7.13 7.01 7.13 0.35 8.92 9.04 8.92 9.04 XXX 77290 26 A Set radiation therapy field 1.56 0.55 0.60 0.55 0.60 0.06 2.17 2.22 2.17 2.22 XXX 77290 TC A Set radiation therapy field 0.00 6.46 6.53 NA NA 0.29 6.75 6.82 NA NA XXX 77295 A Set radiation therapy field 4.57 29.34 29.79 29.34 29.79 1.41 35.32 35.77 35.32 35.77 XXX 77295 26 A Set radiation therapy field 4.57 1.61 1.77 1.61 1.77 0.18 6.36 6.52 6.36 6.52 XXX 77295 TC A Set radiation therapy field 0.00 27.73 28.02 NA NA 1.23 28.96 29.25 NA NA XXX 77299 C Radiation therapy planning 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77299 26 C Radiation therapy planning 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77299 TC C Radiation therapy planning 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77300 A Radiation therapy dose plan 0.62 1.56 1.59 1.56 1.59 0.09 2.27 2.30 2.27 2.30 XXX 77300 26 A Radiation therapy dose plan 0.62 0.22 0.24 0.22 0.24 0.03 0.87 0.89 0.87 0.89 XXX 77300 TC A Radiation therapy dose plan 0.00 1.34 1.35 NA NA 0.06 1.40 1.41 NA NA XXX 77305 A Radiation therapy dose plan 0.70 2.09 2.14 2.09 2.14 0.12 2.91 2.96 2.91 2.96 XXX 77305 26 A Radiation therapy dose plan 0.70 0.25 0.28 0.25 0.28 0.03 0.98 1.01 0.98 1.01 XXX 77305 TC A Radiation therapy dose plan 0.00 1.84 1.86 NA NA 0.09 1.93 1.95 NA NA XXX 77310 A Radiation therapy dose plan 1.05 2.69 2.74 2.69 2.74 0.15 3.89 3.94 3.89 3.94 XXX 77310 26 A Radiation therapy dose plan 1.05 0.37 0.40 0.37 0.40 0.04 1.46 1.49 1.46 1.49 XXX 77310 TC A Radiation therapy dose plan 0.00 2.32 2.34 NA NA 0.11 2.43 2.45 NA NA XXX 77315 A Radiation therapy dose plan 1.56 3.19 3.27 3.19 3.27 0.18 4.93 5.01 4.93 5.01 XXX 77315 26 A Radiation therapy dose plan 1.56 0.55 0.60 0.55 0.60 0.06 2.17 2.22 2.17 2.22 XXX 77315 TC A Radiation therapy dose plan 0.00 2.64 2.67 NA NA 0.12 2.76 2.79 NA NA XXX 77321 A Radiation therapy port plan 0.95 4.35 4.43 4.35 4.43 0.21 5.51 5.59 5.51 5.59 XXX 77321 26 A Radiation therapy port plan 0.95 0.33 0.37 0.33 0.37 0.04 1.32 1.36 1.32 1.36 XXX 77321 TC A Radiation therapy port plan 0.00 4.02 4.06 NA NA 0.17 4.19 4.23 NA NA XXX 77326 A Radiation therapy dose plan 0.93 2.67 2.73 2.67 2.73 0.15 3.75 3.81 3.75 3.81 XXX 77326 26 A Radiation therapy dose plan 0.93 0.33 0.36 0.33 0.36 0.04 1.30 1.33 1.30 1.33 XXX 77326 TC A Radiation therapy dose plan 0.00 2.34 2.37 NA NA 0.11 2.45 2.48 NA NA XXX 77327 A Radiation therapy dose plan 1.39 3.94 4.03 3.94 4.03 0.21 5.54 5.63 5.54 5.63 XXX 77327 26 A Radiation therapy dose plan 1.39 0.49 0.54 0.49 0.54 0.06 1.94 1.99 1.94 1.99 XXX 77327 TC A Radiation therapy dose plan 0.00 3.45 3.49 NA NA 0.15 3.60 3.64 NA NA XXX 77328 A Radiation therapy dose plan 2.09 5.67 5.79 5.67 5.79 0.30 8.06 8.18 8.06 8.18 XXX 77328 26 A Radiation therapy dose plan 2.09 0.74 0.81 0.74 0.81 0.09 2.92 2.99 2.92 2.99 XXX 77328 TC A Radiation therapy dose plan 0.00 4.93 4.98 NA NA 0.21 5.14 5.19 NA NA XXX 77331 A Special radiation dosimetry 0.87 0.81 0.85 0.81 0.85 0.06 1.74 1.78 1.74 1.78 XXX 77331 26 A Special radiation dosimetry 0.87 0.31 0.34 0.31 0.34 0.04 1.22 1.25 1.22 1.25 XXX 77331 TC A Special radiation dosimetry 0.00 0.50 0.51 NA NA 0.02 0.52 0.53 NA NA XXX 77332 A Radiation treatment aid(s) 0.54 1.53 1.56 1.53 1.56 0.08 2.15 2.18 2.15 2.18 XXX 77332 26 A Radiation treatment aid(s) 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX 77332 TC A Radiation treatment aid(s) 0.00 1.34 1.35 NA NA 0.06 1.40 1.41 NA NA XXX 77333 A Radiation treatment aid(s) 0.84 2.18 2.23 2.18 2.23 0.13 3.15 3.20 3.15 3.20 XXX 77333 26 A Radiation treatment aid(s) 0.84 0.30 0.33 0.30 0.33 0.04 1.18 1.21 1.18 1.21 XXX 77333 TC A Radiation treatment aid(s) 0.00 1.88 1.90 NA NA 0.09 1.97 1.99 NA NA XXX 77334 A Radiation treatment aid(s) 1.24 3.67 3.74 3.67 3.74 0.19 5.10 5.17 5.10 5.17 XXX 77334 26 A Radiation treatment aid(s) 1.24 0.44 0.48 0.44 0.48 0.05 1.73 1.77 1.73 1.77 XXX 77334 TC A Radiation treatment aid(s) 0.00 3.23 3.26 NA NA 0.14 3.37 3.40 NA NA XXX 77336 A Radiation physics consult 0.00 2.96 2.99 NA NA 0.13 3.09 3.12 NA NA XXX 77370 A Radiation physics consult 0.00 3.47 3.51 NA NA 0.15 3.62 3.66 NA NA XXX 77399 C External radiation dosimetry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77399 26 C External radiation dosimetry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77399 TC C External radiation dosimetry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77401 A Radiation treatment delivery 0.00 1.76 1.78 NA NA 0.09 1.85 1.87 NA NA XXX Start Printed Page 65519 77402 A Radiation treatment delivery 0.00 1.76 1.78 NA NA 0.09 1.85 1.87 NA NA XXX 77403 A Radiation treatment delivery 0.00 1.76 1.78 NA NA 0.09 1.85 1.87 NA NA XXX 77404 A Radiation treatment delivery 0.00 1.76 1.78 NA NA 0.09 1.85 1.87 NA NA XXX 77406 A Radiation treatment delivery 0.00 1.76 1.78 NA NA 0.09 1.85 1.87 NA NA XXX 77407 A Radiation treatment delivery 0.00 2.08 2.10 NA NA 0.10 2.18 2.20 NA NA XXX 77408 A Radiation treatment delivery 0.00 2.08 2.10 NA NA 0.10 2.18 2.20 NA NA XXX 77409 A Radiation treatment delivery 0.00 2.08 2.10 NA NA 0.10 2.18 2.20 NA NA XXX 77411 A Radiation treatment delivery 0.00 2.08 2.10 NA NA 0.10 2.18 2.20 NA NA XXX 77412 A Radiation treatment delivery 0.00 2.32 2.34 NA NA 0.11 2.43 2.45 NA NA XXX 77413 A Radiation treatment delivery 0.00 2.32 2.34 NA NA 0.11 2.43 2.45 NA NA XXX 77414 A Radiation treatment delivery 0.00 2.32 2.34 NA NA 0.11 2.43 2.45 NA NA XXX 77416 A Radiation treatment delivery 0.00 2.32 2.34 NA NA 0.11 2.43 2.45 NA NA XXX 77417 A Radiology port film(s) 0.00 0.59 0.60 NA NA 0.03 0.62 0.63 NA NA XXX 77427 A Radiation tx management, x5 3.31 1.17 1.17 1.17 1.17 0.14 4.62 4.62 4.62 4.62 XXX 77431 A Radiation therapy management 1.81 0.73 0.77 0.73 0.77 0.07 2.61 2.65 2.61 2.65 XXX 77432 A Stereotactic radiation trmt 7.93 3.21 3.75 3.21 3.75 0.33 11.47 12.01 11.47 12.01 XXX 77470 A Special radiation treatment 2.09 11.80 11.99 11.80 11.99 0.58 14.47 14.66 14.47 14.66 XXX 77470 26 A Special radiation treatment 2.09 0.73 0.80 0.73 0.80 0.09 2.91 2.98 2.91 2.98 XXX 77470 TC A Special radiation treatment 0.00 11.07 11.19 NA NA 0.49 11.56 11.68 NA NA XXX 77499 C Radiation therapy management 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77499 26 C Radiation therapy management 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77499 TC C Radiation therapy management 0.00 0.00 0.00 0.00 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 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 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 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 0.00 0.00 0.00 0.00 XXX 77600 R Hyperthermia treatment 1.56 3.58 3.66 3.58 3.66 0.21 5.35 5.43 5.35 5.43 XXX 77600 26 R Hyperthermia treatment 1.56 0.55 0.60 0.55 0.60 0.08 2.19 2.24 2.19 2.24 XXX 77600 TC R Hyperthermia treatment 0.00 3.03 3.06 NA NA 0.13 3.16 3.19 NA NA XXX 77605 R Hyperthermia treatment 2.09 4.77 4.88 4.77 4.88 0.31 7.17 7.28 7.17 7.28 XXX 77605 26 R Hyperthermia treatment 2.09 0.73 0.80 0.73 0.80 0.13 2.95 3.02 2.95 3.02 XXX 77605 TC R Hyperthermia treatment 0.00 4.04 4.08 NA NA 0.18 4.22 4.26 NA NA XXX 77610 R Hyperthermia treatment 1.56 3.58 3.66 3.58 3.66 0.20 5.34 5.42 5.34 5.42 XXX 77610 26 R Hyperthermia treatment 1.56 0.55 0.60 0.55 0.60 0.07 2.18 2.23 2.18 2.23 XXX 77610 TC R Hyperthermia treatment 0.00 3.03 3.06 NA NA 0.13 3.16 3.19 NA NA XXX 77615 R Hyperthermia treatment 2.09 4.77 4.88 4.77 4.88 0.27 7.13 7.24 7.13 7.24 XXX 77615 26 R Hyperthermia treatment 2.09 0.73 0.80 0.73 0.80 0.09 2.91 2.98 2.91 2.98 XXX 77615 TC R Hyperthermia treatment 0.00 4.04 4.08 NA NA 0.18 4.22 4.26 NA NA XXX 77620 R Hyperthermia treatment 1.56 3.60 3.68 3.60 3.68 0.19 5.35 5.43 5.35 5.43 XXX 77620 26 R Hyperthermia treatment 1.56 0.57 0.62 0.57 0.62 0.06 2.19 2.24 2.19 2.24 XXX 77620 TC R Hyperthermia treatment 0.00 3.03 3.06 NA NA 0.13 3.16 3.19 NA NA XXX 77750 A Infuse radioactive materials 4.91 3.06 3.19 3.06 3.19 0.23 8.20 8.33 8.20 8.33 090 77750 26 A Infuse radioactive materials 4.91 1.73 1.85 1.73 1.85 0.17 6.81 6.93 6.81 6.93 090 77750 TC A Infuse radioactive materials 0.00 1.33 1.34 NA NA 0.06 1.39 1.40 NA NA 090 77761 A Apply intrcav radiat simple 3.81 3.74 3.89 3.74 3.89 0.28 7.83 7.98 7.83 7.98 090 77761 26 A Apply intrcav radiat simple 3.81 1.25 1.37 1.25 1.37 0.16 5.22 5.34 5.22 5.34 090 77761 TC A Apply intrcav radiat simple 0.00 2.49 2.52 NA NA 0.12 2.61 2.64 NA NA 090 77762 A Apply intrcav radiat interm 5.72 5.62 5.80 5.62 5.80 0.38 11.72 11.90 11.72 11.90 090 77762 26 A Apply intrcav radiat interm 5.72 2.04 2.18 2.04 2.18 0.22 7.98 8.12 7.98 8.12 090 77762 TC A Apply intrcav radiat interm 0.00 3.58 3.62 NA NA 0.16 3.74 3.78 NA NA 090 77763 A Apply intrcav radiat compl 8.57 7.49 7.76 7.49 7.76 0.53 16.59 16.86 16.59 16.86 090 77763 26 A Apply intrcav radiat compl 8.57 3.03 3.25 3.03 3.25 0.34 11.94 12.16 11.94 12.16 090 77763 TC A Apply intrcav radiat compl 0.00 4.46 4.51 NA NA 0.19 4.65 4.70 NA NA 090 77776 A Apply interstit radiat simpl 4.66 3.30 3.60 3.30 3.60 0.35 8.31 8.61 8.31 8.61 XXX 77776 26 A Apply interstit radiat simpl 4.66 1.14 1.42 1.14 1.42 0.24 6.04 6.32 6.04 6.32 XXX 77776 TC A Apply interstit radiat simpl 0.00 2.16 2.18 NA NA 0.11 2.27 2.29 NA NA XXX 77777 A Apply interstit radiat inter 7.48 6.86 7.09 6.86 7.09 0.50 14.84 15.07 14.84 15.07 090 77777 26 A Apply interstit radiat inter 7.48 2.65 2.84 2.65 2.84 0.32 10.45 10.64 10.45 10.64 090 77777 TC A Apply interstit radiat inter 0.00 4.21 4.25 NA NA 0.18 4.39 4.43 NA NA 090 77778 A Apply iterstit radiat compl 11.19 9.01 9.36 9.01 9.36 0.69 20.89 21.24 20.89 21.24 090 77778 26 A Apply iterstit radiat compl 11.19 3.91 4.21 3.91 4.21 0.47 15.57 15.87 15.57 15.87 090 77778 TC A Apply iterstit radiat compl 0.00 5.10 5.15 NA NA 0.22 5.32 5.37 NA NA 090 77781 A High intensity brachytherapy 1.66 20.75 21.00 20.75 21.00 0.95 23.36 23.61 23.36 23.61 090 77781 26 A High intensity brachytherapy 1.66 0.59 0.63 0.59 0.63 0.07 2.32 2.36 2.32 2.36 090 77781 TC A High intensity brachytherapy 0.00 20.16 20.37 NA NA 0.88 21.04 21.25 NA NA 090 77782 A High intensity brachytherapy 2.49 21.04 21.32 21.04 21.32 0.98 24.51 24.79 24.51 24.79 090 77782 26 A High intensity brachytherapy 2.49 0.88 0.95 0.88 0.95 0.10 3.47 3.54 3.47 3.54 090 77782 TC A High intensity brachytherapy 0.00 20.16 20.37 NA NA 0.88 21.04 21.25 NA NA 090 77783 A High intensity brachytherapy 3.73 21.47 21.77 21.47 21.77 1.03 26.23 26.53 26.23 26.53 090 77783 26 A High intensity brachytherapy 3.73 1.31 1.40 1.31 1.40 0.15 5.19 5.28 5.19 5.28 090 77783 TC A High intensity brachytherapy 0.00 20.16 20.37 NA NA 0.88 21.04 21.25 NA NA 090 77784 A High intensity brachytherapy 5.61 22.13 22.48 22.13 22.48 1.10 28.84 29.19 28.84 29.19 090 77784 26 A High intensity brachytherapy 5.61 1.97 2.11 1.97 2.11 0.22 7.80 7.94 7.80 7.94 090 77784 TC A High intensity brachytherapy 0.00 20.16 20.37 NA NA 0.88 21.04 21.25 NA NA 090 77789 A Apply surface radiation 1.12 0.85 0.89 0.85 0.89 0.05 2.02 2.06 2.02 2.06 090 77789 26 A Apply surface radiation 1.12 0.40 0.43 0.40 0.43 0.03 1.55 1.58 1.55 1.58 090 77789 TC A Apply surface radiation 0.00 0.45 0.46 NA NA 0.02 0.47 0.48 NA NA 090 77790 A Radiation handling 1.05 0.87 0.91 0.87 0.91 0.06 1.98 2.02 1.98 2.02 XXX 77790 26 A Radiation handling 1.05 0.37 0.40 0.37 0.40 0.04 1.46 1.49 1.46 1.49 XXX 77790 TC A Radiation handling 0.00 0.50 0.51 NA NA 0.02 0.52 0.53 NA NA XXX 77799 C Radium/radioisotope therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77799 26 C Radium/radioisotope therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77799 TC C Radium/radioisotope therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65520 78000 A Thyroid, single uptake 0.19 1.03 1.05 1.03 1.05 0.06 1.28 1.30 1.28 1.30 XXX 78000 26 A Thyroid, single uptake 0.19 0.07 0.08 0.07 0.08 0.01 0.27 0.28 0.27 0.28 XXX 78000 TC A Thyroid, single uptake 0.00 0.96 0.97 NA NA 0.05 1.01 1.02 NA NA XXX 78001 A Thyroid, multiple uptakes 0.26 1.40 1.42 1.40 1.42 0.07 1.73 1.75 1.73 1.75 XXX 78001 26 A Thyroid, multiple uptakes 0.26 0.10 0.11 0.10 0.11 0.01 0.37 0.38 0.37 0.38 XXX 78001 TC A Thyroid, multiple uptakes 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 78003 A Thyroid suppress/stimul 0.33 1.08 1.10 1.08 1.10 0.06 1.47 1.49 1.47 1.49 XXX 78003 26 A Thyroid suppress/stimul 0.33 0.12 0.13 0.12 0.13 0.01 0.46 0.47 0.46 0.47 XXX 78003 TC A Thyroid suppress/stimul 0.00 0.96 0.97 NA NA 0.05 1.01 1.02 NA NA XXX 78006 A Thyroid imaging with uptake 0.49 2.54 2.59 2.54 2.59 0.13 3.16 3.21 3.16 3.21 XXX 78006 26 A Thyroid imaging with uptake 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 XXX 78006 TC A Thyroid imaging with uptake 0.00 2.36 2.39 NA NA 0.11 2.47 2.50 NA NA XXX 78007 A Thyroid image, mult uptakes 0.50 2.74 2.79 2.74 2.79 0.14 3.38 3.43 3.38 3.43 XXX 78007 26 A Thyroid image, mult uptakes 0.50 0.18 0.20 0.18 0.20 0.02 0.70 0.72 0.70 0.72 XXX 78007 TC A Thyroid image, mult uptakes 0.00 2.56 2.59 NA NA 0.12 2.68 2.71 NA NA XXX 78010 A Thyroid imaging 0.39 1.95 1.98 1.95 1.98 0.11 2.45 2.48 2.45 2.48 XXX 78010 26 A Thyroid imaging 0.39 0.14 0.15 0.14 0.15 0.02 0.55 0.56 0.55 0.56 XXX 78010 TC A Thyroid imaging 0.00 1.81 1.83 NA NA 0.09 1.90 1.92 NA NA XXX 78011 A Thyroid imaging with flow 0.45 2.56 2.61 2.56 2.61 0.13 3.14 3.19 3.14 3.19 XXX 78011 26 A Thyroid imaging with flow 0.45 0.17 0.19 0.17 0.19 0.02 0.64 0.66 0.64 0.66 XXX 78011 TC A Thyroid imaging with flow 0.00 2.39 2.42 NA NA 0.11 2.50 2.53 NA NA XXX 78015 A Thyroid met imaging 0.67 2.80 2.86 2.80 2.86 0.15 3.62 3.68 3.62 3.68 XXX 78015 26 A Thyroid met imaging 0.67 0.24 0.27 0.24 0.27 0.03 0.94 0.97 0.94 0.97 XXX 78015 TC A Thyroid met imaging 0.00 2.56 2.59 NA NA 0.12 2.68 2.71 NA NA XXX 78016 A Thyroid met imaging/studies 0.82 3.77 3.84 3.77 3.84 0.18 4.77 4.84 4.77 4.84 XXX 78016 26 A Thyroid met imaging/studies 0.82 0.31 0.34 0.31 0.34 0.03 1.16 1.19 1.16 1.19 XXX 78016 TC A Thyroid met imaging/studies 0.00 3.46 3.50 NA NA 0.15 3.61 3.65 NA NA XXX 78018 A Thyroid met imaging, body 0.86 5.70 5.80 5.70 5.80 0.27 6.83 6.93 6.83 6.93 XXX 78018 26 A Thyroid met imaging, body 0.86 0.32 0.36 0.32 0.36 0.03 1.21 1.25 1.21 1.25 XXX 78018 TC A Thyroid met imaging, body 0.00 5.38 5.44 NA NA 0.24 5.62 5.68 NA NA XXX 78020 A Thyroid met uptake 0.60 1.53 1.53 1.53 1.53 0.14 2.27 2.27 2.27 2.27 ZZZ 78020 26 A Thyroid met uptake 0.60 0.23 0.23 0.23 0.23 0.02 0.85 0.85 0.85 0.85 ZZZ 78020 TC A Thyroid met uptake 0.00 1.30 1.30 NA NA 0.12 1.42 1.42 NA NA ZZZ 78070 A Parathyroid nuclear imaging 0.82 2.11 2.12 2.11 2.12 0.12 3.05 3.06 3.05 3.06 XXX 78070 26 A Parathyroid nuclear imaging 0.82 0.30 0.29 0.30 0.29 0.03 1.15 1.14 1.15 1.14 XXX 78070 TC A Parathyroid nuclear imaging 0.00 1.81 1.83 NA NA 0.09 1.90 1.92 NA NA XXX 78075 A Adrenal nuclear imaging 0.74 5.66 5.74 5.66 5.74 0.27 6.67 6.75 6.67 6.75 XXX 78075 26 A Adrenal nuclear imaging 0.74 0.28 0.30 0.28 0.30 0.03 1.05 1.07 1.05 1.07 XXX 78075 TC A Adrenal nuclear imaging 0.00 5.38 5.44 NA NA 0.24 5.62 5.68 NA NA XXX 78099 C Endocrine nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78099 26 C Endocrine nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78099 TC C Endocrine nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78102 A Bone marrow imaging, ltd 0.55 2.24 2.28 2.24 2.28 0.12 2.91 2.95 2.91 2.95 XXX 78102 26 A Bone marrow imaging, ltd 0.55 0.21 0.23 0.21 0.23 0.02 0.78 0.80 0.78 0.80 XXX 78102 TC A Bone marrow imaging, ltd 0.00 2.03 2.05 NA NA 0.10 2.13 2.15 NA NA XXX 78103 A Bone marrow imaging, mult 0.75 3.43 3.48 3.43 3.48 0.17 4.35 4.40 4.35 4.40 XXX 78103 26 A Bone marrow imaging, mult 0.75 0.28 0.30 0.28 0.30 0.03 1.06 1.08 1.06 1.08 XXX 78103 TC A Bone marrow imaging, mult 0.00 3.15 3.18 NA NA 0.14 3.29 3.32 NA NA XXX 78104 A Bone marrow imaging, body 0.80 4.33 4.40 4.33 4.40 0.21 5.34 5.41 5.34 5.41 XXX 78104 26 A Bone marrow imaging, body 0.80 0.29 0.32 0.29 0.32 0.03 1.12 1.15 1.12 1.15 XXX 78104 TC A Bone marrow imaging, body 0.00 4.04 4.08 NA NA 0.18 4.22 4.26 NA NA XXX 78110 A Plasma volume, single 0.19 1.02 1.04 1.02 1.04 0.06 1.27 1.29 1.27 1.29 XXX 78110 26 A Plasma volume, single 0.19 0.08 0.09 0.08 0.09 0.01 0.28 0.29 0.28 0.29 XXX 78110 TC A Plasma volume, single 0.00 0.94 0.95 NA NA 0.05 0.99 1.00 NA NA XXX 78111 A Plasma volume, multiple 0.22 2.64 2.68 2.64 2.68 0.13 2.99 3.03 2.99 3.03 XXX 78111 26 A Plasma volume, multiple 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX 78111 TC A Plasma volume, multiple 0.00 2.56 2.59 NA NA 0.12 2.68 2.71 NA NA XXX 78120 A Red cell mass, single 0.23 1.81 1.84 1.81 1.84 0.10 2.14 2.17 2.14 2.17 XXX 78120 26 A Red cell mass, single 0.23 0.09 0.10 0.09 0.10 0.01 0.33 0.34 0.33 0.34 XXX 78120 TC A Red cell mass, single 0.00 1.72 1.74 NA NA 0.09 1.81 1.83 NA NA XXX 78121 A Red cell mass, multiple 0.32 3.01 3.05 3.01 3.05 0.13 3.46 3.50 3.46 3.50 XXX 78121 26 A Red cell mass, multiple 0.32 0.12 0.13 0.12 0.13 0.01 0.45 0.46 0.45 0.46 XXX 78121 TC A Red cell mass, multiple 0.00 2.89 2.92 NA NA 0.12 3.01 3.04 NA NA XXX 78122 A Blood volume 0.45 4.74 4.80 4.74 4.80 0.22 5.41 5.47 5.41 5.47 XXX 78122 26 A Blood volume 0.45 0.17 0.18 0.17 0.18 0.02 0.64 0.65 0.64 0.65 XXX 78122 TC A Blood volume 0.00 4.57 4.62 NA NA 0.20 4.77 4.82 NA NA XXX 78130 A Red cell survival study 0.61 3.06 3.11 3.06 3.11 0.15 3.82 3.87 3.82 3.87 XXX 78130 26 A Red cell survival study 0.61 0.23 0.25 0.23 0.25 0.03 0.87 0.89 0.87 0.89 XXX 78130 TC A Red cell survival study 0.00 2.83 2.86 NA NA 0.12 2.95 2.98 NA NA XXX 78135 A Red cell survival kinetics 0.64 5.07 5.14 5.07 5.14 0.24 5.95 6.02 5.95 6.02 XXX 78135 26 A Red cell survival kinetics 0.64 0.23 0.25 0.23 0.25 0.03 0.90 0.92 0.90 0.92 XXX 78135 TC A Red cell survival kinetics 0.00 4.84 4.89 NA NA 0.21 5.05 5.10 NA NA XXX 78140 A Red cell sequestration 0.61 4.13 4.19 4.13 4.19 0.20 4.94 5.00 4.94 5.00 XXX 78140 26 A Red cell sequestration 0.61 0.22 0.24 0.22 0.24 0.03 0.86 0.88 0.86 0.88 XXX 78140 TC A Red cell sequestration 0.00 3.91 3.95 NA NA 0.17 4.08 4.12 NA NA XXX 78160 A Plasma iron turnover 0.33 3.79 3.83 3.79 3.83 0.19 4.31 4.35 4.31 4.35 XXX 78160 26 A Plasma iron turnover 0.33 0.15 0.15 0.15 0.15 0.03 0.51 0.51 0.51 0.51 XXX 78160 TC A Plasma iron turnover 0.00 3.64 3.68 NA NA 0.16 3.80 3.84 NA NA XXX 78162 A Iron absorption exam 0.45 3.36 3.40 3.36 3.40 0.15 3.96 4.00 3.96 4.00 XXX 78162 26 A Iron absorption exam 0.45 0.18 0.19 0.18 0.19 0.01 0.64 0.65 0.64 0.65 XXX 78162 TC A Iron absorption exam 0.00 3.18 3.21 NA NA 0.14 3.32 3.35 NA NA XXX 78170 A Red cell iron utilization 0.41 5.41 5.48 5.41 5.48 0.27 6.09 6.16 6.09 6.16 XXX 78170 26 A Red cell iron utilization 0.41 0.15 0.16 0.15 0.16 0.04 0.60 0.61 0.60 0.61 XXX Start Printed Page 65521 78170 TC A Red cell iron utilization 0.00 5.26 5.32 NA NA 0.23 5.49 5.55 NA NA XXX 78172 C Total body iron estimation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78172 26 A Total body iron estimation 0.53 0.19 0.21 0.19 0.21 0.02 0.74 0.76 0.74 0.76 XXX 78172 TC C Total body iron estimation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78185 A Spleen imaging 0.40 2.48 2.53 2.48 2.53 0.13 3.01 3.06 3.01 3.06 XXX 78185 26 A Spleen imaging 0.40 0.14 0.16 0.14 0.16 0.02 0.56 0.58 0.56 0.58 XXX 78185 TC A Spleen imaging 0.00 2.34 2.37 NA NA 0.11 2.45 2.48 NA NA XXX 78190 A Platelet survival, kinetics 1.09 6.06 6.15 6.06 6.15 0.31 7.46 7.55 7.46 7.55 XXX 78190 26 A Platelet survival, kinetics 1.09 0.39 0.42 0.39 0.42 0.06 1.54 1.57 1.54 1.57 XXX 78190 TC A Platelet survival, kinetics 0.00 5.67 5.73 NA NA 0.25 5.92 5.98 NA NA XXX 78191 A Platelet survival 0.61 7.50 7.60 7.50 7.60 0.34 8.45 8.55 8.45 8.55 XXX 78191 26 A Platelet survival 0.61 0.22 0.24 0.22 0.24 0.03 0.86 0.88 0.86 0.88 XXX 78191 TC A Platelet survival 0.00 7.28 7.36 NA NA 0.31 7.59 7.67 NA NA XXX 78195 A Lymph system imaging 1.20 4.48 4.50 4.48 4.50 0.23 5.91 5.93 5.91 5.93 XXX 78195 26 A Lymph system imaging 1.20 0.44 0.42 0.44 0.42 0.05 1.69 1.67 1.69 1.67 XXX 78195 TC A Lymph system imaging 0.00 4.04 4.08 NA NA 0.18 4.22 4.26 NA NA XXX 78199 C Blood/lymph nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78199 26 C Blood/lymph nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78199 TC C Blood/lymph nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78201 A Liver imaging 0.44 2.50 2.54 2.50 2.54 0.13 3.07 3.11 3.07 3.11 XXX 78201 26 A Liver imaging 0.44 0.16 0.17 0.16 0.17 0.02 0.62 0.63 0.62 0.63 XXX 78201 TC A Liver imaging 0.00 2.34 2.37 NA NA 0.11 2.45 2.48 NA NA XXX 78202 A Liver imaging with flow 0.51 3.05 3.10 3.05 3.10 0.14 3.70 3.75 3.70 3.75 XXX 78202 26 A Liver imaging with flow 0.51 0.19 0.21 0.19 0.21 0.02 0.72 0.74 0.72 0.74 XXX 78202 TC A Liver imaging with flow 0.00 2.86 2.89 NA NA 0.12 2.98 3.01 NA NA XXX 78205 A Liver imaging (3D) 0.71 6.12 6.21 6.12 6.21 0.29 7.12 7.21 7.12 7.21 XXX 78205 26 A Liver imaging (3D) 0.71 0.26 0.29 0.26 0.29 0.03 1.00 1.03 1.00 1.03 XXX 78205 TC A Liver imaging (3D) 0.00 5.86 5.92 NA NA 0.26 6.12 6.18 NA NA XXX 78206 A Liver image (3d) w/flow 0.96 6.22 6.22 6.22 6.22 0.13 7.31 7.31 7.31 7.31 XXX 78206 26 A Liver image (3d) w/flow 0.96 0.36 0.36 0.36 0.36 0.04 1.36 1.36 1.36 1.36 XXX 78206 TC A Liver image (3d) w/flow 0.00 5.86 5.86 NA NA 0.09 5.95 5.95 NA NA XXX 78215 A Liver and spleen imaging 0.49 3.10 3.15 3.10 3.15 0.14 3.73 3.78 3.73 3.78 XXX 78215 26 A Liver and spleen imaging 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 XXX 78215 TC A Liver and spleen imaging 0.00 2.92 2.95 NA NA 0.12 3.04 3.07 NA NA XXX 78216 A Liver & spleen image/flow 0.57 3.67 3.73 3.67 3.73 0.17 4.41 4.47 4.41 4.47 XXX 78216 26 A Liver & spleen image/flow 0.57 0.21 0.23 0.21 0.23 0.02 0.80 0.82 0.80 0.82 XXX 78216 TC A Liver & spleen image/flow 0.00 3.46 3.50 NA NA 0.15 3.61 3.65 NA NA XXX 78220 A Liver function study 0.49 3.88 3.94 3.88 3.94 0.18 4.55 4.61 4.55 4.61 XXX 78220 26 A Liver function study 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 XXX 78220 TC A Liver function study 0.00 3.70 3.74 NA NA 0.16 3.86 3.90 NA NA XXX 78223 A Hepatobiliary imaging 0.84 3.94 4.01 3.94 4.01 0.20 4.98 5.05 4.98 5.05 XXX 78223 26 A Hepatobiliary imaging 0.84 0.30 0.33 0.30 0.33 0.04 1.18 1.21 1.18 1.21 XXX 78223 TC A Hepatobiliary imaging 0.00 3.64 3.68 NA NA 0.16 3.80 3.84 NA NA XXX 78230 A Salivary gland imaging 0.45 2.32 2.36 2.32 2.36 0.13 2.90 2.94 2.90 2.94 XXX 78230 26 A Salivary gland imaging 0.45 0.16 0.18 0.16 0.18 0.02 0.63 0.65 0.63 0.65 XXX 78230 TC A Salivary gland imaging 0.00 2.16 2.18 NA NA 0.11 2.27 2.29 NA NA XXX 78231 A Serial salivary imaging 0.52 3.35 3.40 3.35 3.40 0.16 4.03 4.08 4.03 4.08 XXX 78231 26 A Serial salivary imaging 0.52 0.20 0.22 0.20 0.22 0.02 0.74 0.76 0.74 0.76 XXX 78231 TC A Serial salivary imaging 0.00 3.15 3.18 NA NA 0.14 3.29 3.32 NA NA XXX 78232 A Salivary gland function exam 0.47 3.70 3.76 3.70 3.76 0.16 4.33 4.39 4.33 4.39 XXX 78232 26 A Salivary gland function exam 0.47 0.18 0.20 0.18 0.20 0.01 0.66 0.68 0.66 0.68 XXX 78232 TC A Salivary gland function exam 0.00 3.52 3.56 NA NA 0.15 3.67 3.71 NA NA XXX 78258 A Esophageal motility study 0.74 3.13 3.19 3.13 3.19 0.15 4.02 4.08 4.02 4.08 XXX 78258 26 A Esophageal motility study 0.74 0.27 0.30 0.27 0.30 0.03 1.04 1.07 1.04 1.07 XXX 78258 TC A Esophageal motility study 0.00 2.86 2.89 NA NA 0.12 2.98 3.01 NA NA XXX 78261 A Gastric mucosa imaging 0.69 4.34 4.40 4.34 4.40 0.21 5.24 5.30 5.24 5.30 XXX 78261 26 A Gastric mucosa imaging 0.69 0.27 0.29 0.27 0.29 0.03 0.99 1.01 0.99 1.01 XXX 78261 TC A Gastric mucosa imaging 0.00 4.07 4.11 NA NA 0.18 4.25 4.29 NA NA XXX 78262 A Gastroesophageal reflux exam 0.68 4.49 4.55 4.49 4.55 0.21 5.38 5.44 5.38 5.44 XXX 78262 26 A Gastroesophageal reflux exam 0.68 0.26 0.28 0.26 0.28 0.03 0.97 0.99 0.97 0.99 XXX 78262 TC A Gastroesophageal reflux exam 0.00 4.23 4.27 NA NA 0.18 4.41 4.45 NA NA XXX 78264 A Gastric emptying study 0.78 4.38 4.45 4.38 4.45 0.21 5.37 5.44 5.37 5.44 XXX 78264 26 A Gastric emptying study 0.78 0.28 0.31 0.28 0.31 0.03 1.09 1.12 1.09 1.12 XXX 78264 TC A Gastric emptying study 0.00 4.10 4.14 NA NA 0.18 4.28 4.32 NA NA XXX 78267 X Breath tst attain/anal c-14 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 78270 A Vit B-12 absorption exam 0.20 1.61 1.64 1.61 1.64 0.09 1.90 1.93 1.90 1.93 XXX 78270 26 A Vit B-12 absorption exam 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 XXX 78270 TC A Vit B-12 absorption exam 0.00 1.54 1.56 NA NA 0.08 1.62 1.64 NA NA XXX 78271 A Vit B-12 absorp exam, IF 0.20 1.70 1.73 1.70 1.73 0.09 1.99 2.02 1.99 2.02 XXX 78271 26 A Vit B-12 absorp exam, IF 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 XXX 78271 TC A Vit B-12 absorp exam, IF 0.00 1.63 1.65 NA NA 0.08 1.71 1.73 NA NA XXX 78272 A Vit B-12 absorp, combined 0.27 2.41 2.44 2.41 2.44 0.12 2.80 2.83 2.80 2.83 XXX 78272 26 A Vit B-12 absorp, combined 0.27 0.10 0.11 0.10 0.11 0.01 0.38 0.39 0.38 0.39 XXX 78272 TC A Vit B-12 absorp, combined 0.00 2.31 2.33 NA NA 0.11 2.42 2.44 NA NA XXX 78278 A Acute GI blood loss imaging 0.99 5.20 5.28 5.20 5.28 0.25 6.44 6.52 6.44 6.52 XXX 78278 26 A Acute GI blood loss imaging 0.99 0.36 0.39 0.36 0.39 0.04 1.39 1.42 1.39 1.42 XXX 78278 TC A Acute GI blood loss imaging 0.00 4.84 4.89 NA NA 0.21 5.05 5.10 NA NA XXX 78282 C GI protein loss exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78282 26 A GI protein loss exam 0.38 0.14 0.15 0.14 0.15 0.02 0.54 0.55 0.54 0.55 XXX 78282 TC C GI protein loss exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78290 A Meckel's divert exam 0.68 3.27 3.33 3.27 3.33 0.16 4.11 4.17 4.11 4.17 XXX 78290 26 A Meckel's divert exam 0.68 0.24 0.27 0.24 0.27 0.03 0.95 0.98 0.95 0.98 XXX Start Printed Page 65522 78290 TC A Meckel's divert exam 0.00 3.03 3.06 NA NA 0.13 3.16 3.19 NA NA XXX 78291 A Leveen/shunt patency exam 0.88 3.37 3.43 3.37 3.43 0.17 4.42 4.48 4.42 4.48 XXX 78291 26 A Leveen/shunt patency exam 0.88 0.32 0.35 0.32 0.35 0.04 1.24 1.27 1.24 1.27 XXX 78291 TC A Leveen/shunt patency exam 0.00 3.05 3.08 NA NA 0.13 3.18 3.21 NA NA XXX 78299 C GI nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78299 26 C GI nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78299 TC C GI nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78300 A Bone imaging, limited area 0.62 2.69 2.74 2.69 2.74 0.15 3.46 3.51 3.46 3.51 XXX 78300 26 A Bone imaging, limited area 0.62 0.22 0.24 0.22 0.24 0.03 0.87 0.89 0.87 0.89 XXX 78300 TC A Bone imaging, limited area 0.00 2.47 2.50 NA NA 0.12 2.59 2.62 NA NA XXX 78305 A Bone imaging, multiple areas 0.83 3.94 4.01 3.94 4.01 0.19 4.96 5.03 4.96 5.03 XXX 78305 26 A Bone imaging, multiple areas 0.83 0.30 0.33 0.30 0.33 0.03 1.16 1.19 1.16 1.19 XXX 78305 TC A Bone imaging, multiple areas 0.00 3.64 3.68 NA NA 0.16 3.80 3.84 NA NA XXX 78306 A Bone imaging, whole body 0.86 4.56 4.63 4.56 4.63 0.22 5.64 5.71 5.64 5.71 XXX 78306 26 A Bone imaging, whole body 0.86 0.31 0.34 0.31 0.34 0.04 1.21 1.24 1.21 1.24 XXX 78306 TC A Bone imaging, whole body 0.00 4.25 4.29 NA NA 0.18 4.43 4.47 NA NA XXX 78315 A Bone imaging, 3 phase 1.02 5.12 5.20 5.12 5.20 0.25 6.39 6.47 6.39 6.47 XXX 78315 26 A Bone imaging, 3 phase 1.02 0.37 0.40 0.37 0.40 0.04 1.43 1.46 1.43 1.46 XXX 78315 TC A Bone imaging, 3 phase 0.00 4.75 4.80 NA NA 0.21 4.96 5.01 NA NA XXX 78320 A Bone imaging (3D) 1.04 6.25 6.34 6.25 6.34 0.30 7.59 7.68 7.59 7.68 XXX 78320 26 A Bone imaging (3D) 1.04 0.39 0.42 0.39 0.42 0.04 1.47 1.50 1.47 1.50 XXX 78320 TC A Bone imaging (3D) 0.00 5.86 5.92 NA NA 0.26 6.12 6.18 NA NA XXX 78350 A Bone mineral, single photon 0.22 0.83 0.85 0.83 0.85 0.05 1.10 1.12 1.10 1.12 XXX 78350 26 A Bone mineral, single photon 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX 78350 TC A Bone mineral, single photon 0.00 0.75 0.76 NA NA 0.04 0.79 0.80 NA NA XXX 78351 N Bone mineral, dual photon +0.30 1.55 1.22 0.12 0.14 0.01 1.86 1.53 0.43 0.45 XXX 78399 C Musculoskeletal nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78399 26 C Musculoskeletal nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78399 TC C Musculoskeletal nuclear exam 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78414 26 A Non-imaging heart function 0.45 0.17 0.18 0.17 0.18 0.02 0.64 0.65 0.64 0.65 XXX 78414 TC C Non-imaging heart function 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78428 A Cardiac shunt imaging 0.78 2.57 2.61 2.57 2.61 0.14 3.49 3.53 3.49 3.53 XXX 78428 26 A Cardiac shunt imaging 0.78 0.33 0.35 0.33 0.35 0.03 1.14 1.16 1.14 1.16 XXX 78428 TC A Cardiac shunt imaging 0.00 2.24 2.26 NA NA 0.11 2.35 2.37 NA NA XXX 78445 A Vascular flow imaging 0.49 2.02 2.06 2.02 2.06 0.11 2.62 2.66 2.62 2.66 XXX 78445 26 A Vascular flow imaging 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 XXX 78445 TC A Vascular flow imaging 0.00 1.84 1.86 NA NA 0.09 1.93 1.95 NA NA XXX 78455 A Venous thrombosis study 0.73 4.23 4.29 4.23 4.29 0.20 5.16 5.22 5.16 5.22 XXX 78455 26 A Venous thrombosis study 0.73 0.27 0.29 0.27 0.29 0.03 1.03 1.05 1.03 1.05 XXX 78455 TC A Venous thrombosis study 0.00 3.96 4.00 NA NA 0.17 4.13 4.17 NA NA XXX 78456 A Acute venous thrombus image 1.00 4.33 4.33 4.33 4.33 0.28 5.61 5.61 5.61 5.61 XXX 78456 26 A Acute venous thrombus image 1.00 0.37 0.37 0.37 0.37 0.04 1.41 1.41 1.41 1.41 XXX 78456 TC A Acute venous thrombus image 0.00 3.96 3.96 NA NA 0.24 4.20 4.20 NA NA XXX 78457 A Venous thrombosis imaging 0.77 2.92 2.98 2.92 2.98 0.15 3.84 3.90 3.84 3.90 XXX 78457 26 A Venous thrombosis imaging 0.77 0.28 0.31 0.28 0.31 0.03 1.08 1.11 1.08 1.11 XXX 78457 TC A Venous thrombosis imaging 0.00 2.64 2.67 NA NA 0.12 2.76 2.79 NA NA XXX 78458 A Ven thrombosis images, bilat 0.90 4.34 4.40 4.34 4.40 0.20 5.44 5.50 5.44 5.50 XXX 78458 26 A Ven thrombosis images, bilat 0.90 0.34 0.36 0.34 0.36 0.03 1.27 1.29 1.27 1.29 XXX 78458 TC A Ven thrombosis images, bilat 0.00 4.00 4.04 NA NA 0.17 4.17 4.21 NA NA XXX 78459 I Heart muscle imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78459 26 I Heart muscle imaging (PET) +1.88 0.75 0.93 0.75 0.93 0.08 2.71 2.89 2.71 2.89 XXX 78459 TC I Heart muscle imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78460 A Heart muscle blood, single 0.86 2.66 2.72 2.66 2.72 0.14 3.66 3.72 3.66 3.72 XXX 78460 26 A Heart muscle blood, single 0.86 0.32 0.35 0.32 0.35 0.03 1.21 1.24 1.21 1.24 XXX 78460 TC A Heart muscle blood, single 0.00 2.34 2.37 NA NA 0.11 2.45 2.48 NA NA XXX 78461 A Heart muscle blood, multiple 1.23 5.16 5.24 5.16 5.24 0.26 6.65 6.73 6.65 6.73 XXX 78461 26 A Heart muscle blood, multiple 1.23 0.47 0.50 0.47 0.50 0.05 1.75 1.78 1.75 1.78 XXX 78461 TC A Heart muscle blood, multiple 0.00 4.69 4.74 NA NA 0.21 4.90 4.95 NA NA XXX 78464 A Heart image (3d), single 1.09 7.42 7.53 7.42 7.53 0.35 8.86 8.97 8.86 8.97 XXX 78464 26 A Heart image (3d), single 1.09 0.41 0.44 0.41 0.44 0.04 1.54 1.57 1.54 1.57 XXX 78464 TC A Heart image (3d), single 0.00 7.01 7.09 NA NA 0.31 7.32 7.40 NA NA XXX 78465 A Heart image (3d), multiple 1.46 12.28 12.44 12.28 12.44 0.56 14.30 14.46 14.30 14.46 XXX 78465 26 A Heart image (3d), multiple 1.46 0.57 0.61 0.57 0.61 0.05 2.08 2.12 2.08 2.12 XXX 78465 TC A Heart image (3d), multiple 0.00 11.71 11.83 NA NA 0.51 12.22 12.34 NA NA XXX 78466 A Heart infarct image 0.69 2.87 2.92 2.87 2.92 0.15 3.71 3.76 3.71 3.76 XXX 78466 26 A Heart infarct image 0.69 0.27 0.29 0.27 0.29 0.03 0.99 1.01 0.99 1.01 XXX 78466 TC A Heart infarct image 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 78468 A Heart infarct image (ef) 0.80 3.94 4.00 3.94 4.00 0.19 4.93 4.99 4.93 4.99 XXX 78468 26 A Heart infarct image (ef) 0.80 0.30 0.32 0.30 0.32 0.03 1.13 1.15 1.13 1.15 XXX 78468 TC A Heart infarct image (ef) 0.00 3.64 3.68 NA NA 0.16 3.80 3.84 NA NA XXX 78469 A Heart infarct image (3D) 0.92 5.53 5.61 5.53 5.61 0.26 6.71 6.79 6.71 6.79 XXX 78469 26 A Heart infarct image (3D) 0.92 0.34 0.37 0.34 0.37 0.03 1.29 1.32 1.29 1.32 XXX 78469 TC A Heart infarct image (3D) 0.00 5.19 5.24 NA NA 0.23 5.42 5.47 NA NA XXX 78472 A Gated heart, planar, single 0.98 5.84 5.93 5.84 5.93 0.29 7.11 7.20 7.11 7.20 XXX 78472 26 A Gated heart, planar, single 0.98 0.37 0.40 0.37 0.40 0.04 1.39 1.42 1.39 1.42 XXX 78472 TC A Gated heart, planar, single 0.00 5.47 5.53 NA NA 0.25 5.72 5.78 NA NA XXX 78473 A Gated heart, multiple 1.47 8.75 8.88 8.75 8.88 0.40 10.62 10.75 10.62 10.75 XXX 78473 26 A Gated heart, multiple 1.47 0.56 0.60 0.56 0.60 0.05 2.08 2.12 2.08 2.12 XXX 78473 TC A Gated heart, multiple 0.00 8.19 8.28 NA NA 0.35 8.54 8.63 NA NA XXX 78478 A Heart wall motion add-on 0.62 1.80 1.83 1.80 1.83 0.10 2.52 2.55 2.52 2.55 ZZZ 78478 26 A Heart wall motion add-on 0.62 0.25 0.26 0.25 0.26 0.02 0.89 0.90 0.89 0.90 ZZZ 78478 TC A Heart wall motion add-on 0.00 1.55 1.57 NA NA 0.08 1.63 1.65 NA NA ZZZ Start Printed Page 65523 78480 A Heart function add-on 0.62 1.80 1.83 1.80 1.83 0.10 2.52 2.55 2.52 2.55 ZZZ 78480 26 A Heart function add-on 0.62 0.25 0.26 0.25 0.26 0.02 0.89 0.90 0.89 0.90 ZZZ 78480 TC A Heart function add-on 0.00 1.55 1.57 NA NA 0.08 1.63 1.65 NA NA ZZZ 78481 A Heart first pass, single 0.98 5.59 5.66 5.59 5.66 0.26 6.83 6.90 6.83 6.90 XXX 78481 26 A Heart first pass, single 0.98 0.40 0.42 0.40 0.42 0.03 1.41 1.43 1.41 1.43 XXX 78481 TC A Heart first pass, single 0.00 5.19 5.24 NA NA 0.23 5.42 5.47 NA NA XXX 78483 A Heart first pass, multiple 1.47 8.40 8.51 8.40 8.51 0.39 10.26 10.37 10.26 10.37 XXX 78483 26 A Heart first pass, multiple 1.47 0.59 0.62 0.59 0.62 0.05 2.11 2.14 2.11 2.14 XXX 78483 TC A Heart first pass, multiple 0.00 7.81 7.89 NA NA 0.34 8.15 8.23 NA NA XXX 78491 I Heart image (pet), single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78491 26 I Heart image (pet), single +1.50 0.60 0.81 0.60 0.81 0.05 2.15 2.36 2.15 2.36 XXX 78491 TC I Heart image (pet), single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78492 I Heart image (pet), multiple 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78492 26 I Heart image (pet), multiple +1.87 0.75 0.93 0.75 0.93 0.06 2.68 2.86 2.68 2.86 XXX 78492 TC I Heart image (pet), multiple 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78494 A Heart image, spect 1.19 7.46 7.46 7.46 7.46 0.29 8.94 8.94 8.94 8.94 XXX 78494 26 A Heart image, spect 1.19 0.45 0.45 0.45 0.45 0.04 1.68 1.68 1.68 1.68 XXX 78494 TC A Heart image, spect 0.00 7.01 7.01 NA NA 0.25 7.26 7.26 NA NA XXX 78496 A Heart first pass add-on 0.50 7.21 7.21 7.21 7.21 0.27 7.98 7.98 7.98 7.98 ZZZ 78496 26 A Heart first pass add-on 0.50 0.20 0.20 0.20 0.20 0.02 0.72 0.72 0.72 0.72 ZZZ 78496 TC A Heart first pass add-on 0.00 7.01 7.01 NA NA 0.25 7.26 7.26 NA NA ZZZ 78499 C Cardiovascular nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78499 26 C Cardiovascular nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78499 TC C Cardiovascular nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78580 A Lung perfusion imaging 0.74 3.68 3.75 3.68 3.75 0.18 4.60 4.67 4.60 4.67 XXX 78580 26 A Lung perfusion imaging 0.74 0.27 0.30 0.27 0.30 0.03 1.04 1.07 1.04 1.07 XXX 78580 TC A Lung perfusion imaging 0.00 3.41 3.45 NA NA 0.15 3.56 3.60 NA NA XXX 78584 A Lung V/Q image single breath 0.99 3.53 3.60 3.53 3.60 0.18 4.70 4.77 4.70 4.77 XXX 78584 26 A Lung V/Q image single breath 0.99 0.35 0.39 0.35 0.39 0.04 1.38 1.42 1.38 1.42 XXX 78584 TC A Lung V/Q image single breath 0.00 3.18 3.21 NA NA 0.14 3.32 3.35 NA NA XXX 78585 A Lung V/Q imaging 1.09 5.98 6.07 5.98 6.07 0.30 7.37 7.46 7.37 7.46 XXX 78585 26 A Lung V/Q imaging 1.09 0.39 0.42 0.39 0.42 0.05 1.53 1.56 1.53 1.56 XXX 78585 TC A Lung V/Q imaging 0.00 5.59 5.65 NA NA 0.25 5.84 5.90 NA NA XXX 78586 A Aerosol lung image, single 0.40 2.71 2.76 2.71 2.76 0.14 3.25 3.30 3.25 3.30 XXX 78586 26 A Aerosol lung image, single 0.40 0.14 0.16 0.14 0.16 0.02 0.56 0.58 0.56 0.58 XXX 78586 TC A Aerosol lung image, single 0.00 2.57 2.60 NA NA 0.12 2.69 2.72 NA NA XXX 78587 A Aerosol lung image, multiple 0.49 2.97 3.02 2.97 3.02 0.14 3.60 3.65 3.60 3.65 XXX 78587 26 A Aerosol lung image, multiple 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 XXX 78587 TC A Aerosol lung image, multiple 0.00 2.79 2.82 NA NA 0.12 2.91 2.94 NA NA XXX 78588 A Perfusion lung image 1.09 3.58 3.58 3.58 3.58 0.20 4.87 4.87 4.87 4.87 XXX 78588 26 A Perfusion lung image 1.09 0.40 0.40 0.40 0.40 0.05 1.54 1.54 1.54 1.54 XXX 78588 TC A Perfusion lung image 0.00 3.18 3.18 NA NA 0.15 3.33 3.33 NA NA XXX 78591 A Vent image, 1 breath, 1 proj 0.40 2.97 3.02 2.97 3.02 0.14 3.51 3.56 3.51 3.56 XXX 78591 26 A Vent image, 1 breath, 1 proj 0.40 0.14 0.16 0.14 0.16 0.02 0.56 0.58 0.56 0.58 XXX 78591 TC A Vent image, 1 breath, 1 proj 0.00 2.83 2.86 NA NA 0.12 2.95 2.98 NA NA XXX 78593 A Vent image, 1 proj, gas 0.49 3.61 3.67 3.61 3.67 0.17 4.27 4.33 4.27 4.33 XXX 78593 26 A Vent image, 1 proj, gas 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 XXX 78593 TC A Vent image, 1 proj, gas 0.00 3.43 3.47 NA NA 0.15 3.58 3.62 NA NA XXX 78594 A Vent image, mult proj, gas 0.53 5.14 5.21 5.14 5.21 0.23 5.90 5.97 5.90 5.97 XXX 78594 26 A Vent image, mult proj, gas 0.53 0.19 0.21 0.19 0.21 0.02 0.74 0.76 0.74 0.76 XXX 78594 TC A Vent image, mult proj, gas 0.00 4.95 5.00 NA NA 0.21 5.16 5.21 NA NA XXX 78596 A Lung differential function 1.27 7.47 7.59 7.47 7.59 0.36 9.10 9.22 9.10 9.22 XXX 78596 26 A Lung differential function 1.27 0.46 0.50 0.46 0.50 0.05 1.78 1.82 1.78 1.82 XXX 78596 TC A Lung differential function 0.00 7.01 7.09 NA NA 0.31 7.32 7.40 NA NA XXX 78599 C Respiratory nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78599 26 C Respiratory nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78599 TC C Respiratory nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78600 A Brain imaging, ltd static 0.44 3.02 3.07 3.02 3.07 0.14 3.60 3.65 3.60 3.65 XXX 78600 26 A Brain imaging, ltd static 0.44 0.16 0.18 0.16 0.18 0.02 0.62 0.64 0.62 0.64 XXX 78600 TC A Brain imaging, ltd static 0.00 2.86 2.89 NA NA 0.12 2.98 3.01 NA NA XXX 78601 A Brain imaging, ltd w/ flow 0.51 3.57 3.63 3.57 3.63 0.17 4.25 4.31 4.25 4.31 XXX 78601 26 A Brain imaging, ltd w/ flow 0.51 0.19 0.21 0.19 0.21 0.02 0.72 0.74 0.72 0.74 XXX 78601 TC A Brain imaging, ltd w/ flow 0.00 3.38 3.42 NA NA 0.15 3.53 3.57 NA NA XXX 78605 A Brain imaging, complete 0.53 3.58 3.64 3.58 3.64 0.17 4.28 4.34 4.28 4.34 XXX 78605 26 A Brain imaging, complete 0.53 0.20 0.22 0.20 0.22 0.02 0.75 0.77 0.75 0.77 XXX 78605 TC A Brain imaging, complete 0.00 3.38 3.42 NA NA 0.15 3.53 3.57 NA NA XXX 78606 A Brain imaging, compl w/flow 0.64 4.07 4.13 4.07 4.13 0.20 4.91 4.97 4.91 4.97 XXX 78606 26 A Brain imaging, compl w/flow 0.64 0.23 0.25 0.23 0.25 0.03 0.90 0.92 0.90 0.92 XXX 78606 TC A Brain imaging, compl w/flow 0.00 3.84 3.88 NA NA 0.17 4.01 4.05 NA NA XXX 78607 A Brain imaging (3D) 1.23 6.96 7.06 6.96 7.06 0.34 8.53 8.63 8.53 8.63 XXX 78607 26 A Brain imaging (3D) 1.23 0.46 0.49 0.46 0.49 0.05 1.74 1.77 1.74 1.77 XXX 78607 TC A Brain imaging (3D) 0.00 6.50 6.57 NA NA 0.29 6.79 6.86 NA NA XXX 78608 N Brain imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78609 N Brain imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78610 A Brain flow imaging only 0.30 1.68 1.71 1.68 1.71 0.09 2.07 2.10 2.07 2.10 XXX 78610 26 A Brain flow imaging only 0.30 0.11 0.12 0.11 0.12 0.01 0.42 0.43 0.42 0.43 XXX 78610 TC A Brain flow imaging only 0.00 1.57 1.59 NA NA 0.08 1.65 1.67 NA NA XXX 78615 A Cerebral blood flow imaging 0.42 3.98 4.03 3.98 4.03 0.19 4.59 4.64 4.59 4.64 XXX 78615 26 A Cerebral blood flow imaging 0.42 0.16 0.17 0.16 0.17 0.02 0.60 0.61 0.60 0.61 XXX 78615 TC A Cerebral blood flow imaging 0.00 3.82 3.86 NA NA 0.17 3.99 4.03 NA NA XXX 78630 A Cerebrospinal fluid scan 0.68 5.26 5.33 5.26 5.33 0.25 6.19 6.26 6.19 6.26 XXX 78630 26 A Cerebrospinal fluid scan 0.68 0.25 0.27 0.25 0.27 0.03 0.96 0.98 0.96 0.98 XXX 78630 TC A Cerebrospinal fluid scan 0.00 5.01 5.06 NA NA 0.22 5.23 5.28 NA NA XXX Start Printed Page 65524 78635 A CSF ventriculography 0.61 2.78 2.82 2.78 2.82 0.14 3.53 3.57 3.53 3.57 XXX 78635 26 A CSF ventriculography 0.61 0.25 0.26 0.25 0.26 0.02 0.88 0.89 0.88 0.89 XXX 78635 TC A CSF ventriculography 0.00 2.53 2.56 NA NA 0.12 2.65 2.68 NA NA XXX 78645 A CSF shunt evaluation 0.57 3.62 3.68 3.62 3.68 0.17 4.36 4.42 4.36 4.42 XXX 78645 26 A CSF shunt evaluation 0.57 0.21 0.23 0.21 0.23 0.02 0.80 0.82 0.80 0.82 XXX 78645 TC A CSF shunt evaluation 0.00 3.41 3.45 NA NA 0.15 3.56 3.60 NA NA XXX 78647 A Cerebrospinal fluid scan 0.90 6.21 6.29 6.21 6.29 0.29 7.40 7.48 7.40 7.48 XXX 78647 26 A Cerebrospinal fluid scan 0.90 0.35 0.37 0.35 0.37 0.03 1.28 1.30 1.28 1.30 XXX 78647 TC A Cerebrospinal fluid scan 0.00 5.86 5.92 NA NA 0.26 6.12 6.18 NA NA XXX 78650 A CSF leakage imaging 0.61 4.84 4.91 4.84 4.91 0.22 5.67 5.74 5.67 5.74 XXX 78650 26 A CSF leakage imaging 0.61 0.23 0.25 0.23 0.25 0.02 0.86 0.88 0.86 0.88 XXX 78650 TC A CSF leakage imaging 0.00 4.61 4.66 NA NA 0.20 4.81 4.86 NA NA XXX 78660 A Nuclear exam of tear flow 0.53 2.29 2.33 2.29 2.33 0.12 2.94 2.98 2.94 2.98 XXX 78660 26 A Nuclear exam of tear flow 0.53 0.19 0.21 0.19 0.21 0.02 0.74 0.76 0.74 0.76 XXX 78660 TC A Nuclear exam of tear flow 0.00 2.10 2.12 NA NA 0.10 2.20 2.22 NA NA XXX 78699 C Nervous system nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78699 26 C Nervous system nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78699 TC C Nervous system nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78700 A Kidney imaging, static 0.45 3.19 3.24 3.19 3.24 0.15 3.79 3.84 3.79 3.84 XXX 78700 26 A Kidney imaging, static 0.45 0.16 0.18 0.16 0.18 0.02 0.63 0.65 0.63 0.65 XXX 78700 TC A Kidney imaging, static 0.00 3.03 3.06 NA NA 0.13 3.16 3.19 NA NA XXX 78701 A Kidney imaging with flow 0.49 3.72 3.78 3.72 3.78 0.17 4.38 4.44 4.38 4.44 XXX 78701 26 A Kidney imaging with flow 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 XXX 78701 TC A Kidney imaging with flow 0.00 3.54 3.58 NA NA 0.15 3.69 3.73 NA NA XXX 78704 A Imaging renogram 0.74 4.20 4.27 4.20 4.27 0.20 5.14 5.21 5.14 5.21 XXX 78704 26 A Imaging renogram 0.74 0.27 0.30 0.27 0.30 0.03 1.04 1.07 1.04 1.07 XXX 78704 TC A Imaging renogram 0.00 3.93 3.97 NA NA 0.17 4.10 4.14 NA NA XXX 78707 A Kidney flow/function image 0.96 4.79 4.87 4.79 4.87 0.23 5.98 6.06 5.98 6.06 XXX 78707 26 A Kidney flow/function image 0.96 0.35 0.38 0.35 0.38 0.04 1.35 1.38 1.35 1.38 XXX 78707 TC A Kidney flow/function image 0.00 4.44 4.49 NA NA 0.19 4.63 4.68 NA NA XXX 78708 A Kidney flow/function image 1.21 4.88 4.94 4.88 4.94 0.24 6.33 6.39 6.33 6.39 XXX 78708 26 A Kidney flow/function image 1.21 0.44 0.45 0.44 0.45 0.05 1.70 1.71 1.70 1.71 XXX 78708 TC A Kidney flow/function image 0.00 4.44 4.49 NA NA 0.19 4.63 4.68 NA NA XXX 78709 A Kidney flow/function image 1.41 4.95 4.99 4.95 4.99 0.25 6.61 6.65 6.61 6.65 XXX 78709 26 A Kidney flow/function image 1.41 0.51 0.50 0.51 0.50 0.06 1.98 1.97 1.98 1.97 XXX 78709 TC A Kidney flow/function image 0.00 4.44 4.49 NA NA 0.19 4.63 4.68 NA NA XXX 78710 A Kidney imaging (3D) 0.66 6.10 6.18 6.10 6.18 0.29 7.05 7.13 7.05 7.13 XXX 78710 26 A Kidney imaging (3D) 0.66 0.24 0.26 0.24 0.26 0.03 0.93 0.95 0.93 0.95 XXX 78710 TC A Kidney imaging (3D) 0.00 5.86 5.92 NA NA 0.26 6.12 6.18 NA NA XXX 78715 A Renal vascular flow exam 0.30 1.69 1.72 1.69 1.72 0.09 2.08 2.11 2.08 2.11 XXX 78715 26 A Renal vascular flow exam 0.30 0.12 0.13 0.12 0.13 0.01 0.43 0.44 0.43 0.44 XXX 78715 TC A Renal vascular flow exam 0.00 1.57 1.59 NA NA 0.08 1.65 1.67 NA NA XXX 78725 A Kidney function study 0.38 1.91 1.94 1.91 1.94 0.10 2.39 2.42 2.39 2.42 XXX 78725 26 A Kidney function study 0.38 0.14 0.15 0.14 0.15 0.01 0.53 0.54 0.53 0.54 XXX 78725 TC A Kidney function study 0.00 1.77 1.79 NA NA 0.09 1.86 1.88 NA NA XXX 78730 A Urinary bladder retention 0.36 1.58 1.61 1.58 1.61 0.09 2.03 2.06 2.03 2.06 XXX 78730 26 A Urinary bladder retention 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 XXX 78730 TC A Urinary bladder retention 0.00 1.45 1.47 NA NA 0.07 1.52 1.54 NA NA XXX 78740 A Ureteral reflux study 0.57 2.30 2.34 2.30 2.34 0.12 2.99 3.03 2.99 3.03 XXX 78740 26 A Ureteral reflux study 0.57 0.20 0.22 0.20 0.22 0.02 0.79 0.81 0.79 0.81 XXX 78740 TC A Ureteral reflux study 0.00 2.10 2.12 NA NA 0.10 2.20 2.22 NA NA XXX 78760 A Testicular imaging 0.66 2.90 2.95 2.90 2.95 0.15 3.71 3.76 3.71 3.76 XXX 78760 26 A Testicular imaging 0.66 0.24 0.26 0.24 0.26 0.03 0.93 0.95 0.93 0.95 XXX 78760 TC A Testicular imaging 0.00 2.66 2.69 NA NA 0.12 2.78 2.81 NA NA XXX 78761 A Testicular imaging/flow 0.71 3.44 3.50 3.44 3.50 0.17 4.32 4.38 4.32 4.38 XXX 78761 26 A Testicular imaging/flow 0.71 0.26 0.29 0.26 0.29 0.03 1.00 1.03 1.00 1.03 XXX 78761 TC A Testicular imaging/flow 0.00 3.18 3.21 NA NA 0.14 3.32 3.35 NA NA XXX 78799 C Genitourinary nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78799 26 C Genitourinary nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78799 TC C Genitourinary nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78800 A Tumor imaging, limited area 0.66 3.62 3.68 3.62 3.68 0.18 4.46 4.52 4.46 4.52 XXX 78800 26 A Tumor imaging, limited area 0.66 0.24 0.26 0.24 0.26 0.03 0.93 0.95 0.93 0.95 XXX 78800 TC A Tumor imaging, limited area 0.00 3.38 3.42 NA NA 0.15 3.53 3.57 NA NA XXX 78801 A Tumor imaging, mult areas 0.79 4.49 4.56 4.49 4.56 0.21 5.49 5.56 5.49 5.56 XXX 78801 26 A Tumor imaging, mult areas 0.79 0.29 0.32 0.29 0.32 0.03 1.11 1.14 1.11 1.14 XXX 78801 TC A Tumor imaging, mult areas 0.00 4.20 4.24 NA NA 0.18 4.38 4.42 NA NA XXX 78802 A Tumor imaging, whole body 0.86 5.81 5.90 5.81 5.90 0.28 6.95 7.04 6.95 7.04 XXX 78802 26 A Tumor imaging, whole body 0.86 0.32 0.35 0.32 0.35 0.03 1.21 1.24 1.21 1.24 XXX 78802 TC A Tumor imaging, whole body 0.00 5.49 5.55 NA NA 0.25 5.74 5.80 NA NA XXX 78803 A Tumor imaging (3D) 1.09 6.91 7.01 6.91 7.01 0.33 8.33 8.43 8.33 8.43 XXX 78803 26 A Tumor imaging (3D) 1.09 0.41 0.44 0.41 0.44 0.04 1.54 1.57 1.54 1.57 XXX 78803 TC A Tumor imaging (3D) 0.00 6.50 6.57 NA NA 0.29 6.79 6.86 NA NA XXX 78805 A Abscess imaging, ltd area 0.73 3.65 3.71 3.65 3.71 0.18 4.56 4.62 4.56 4.62 XXX 78805 26 A Abscess imaging, ltd area 0.73 0.27 0.29 0.27 0.29 0.03 1.03 1.05 1.03 1.05 XXX 78805 TC A Abscess imaging, ltd area 0.00 3.38 3.42 NA NA 0.15 3.53 3.57 NA NA XXX 78806 A Abscess imaging, whole body 0.86 6.70 6.79 6.70 6.79 0.32 7.88 7.97 7.88 7.97 XXX 78806 26 A Abscess imaging, whole body 0.86 0.32 0.34 0.32 0.34 0.03 1.21 1.23 1.21 1.23 XXX 78806 TC A Abscess imaging, whole body 0.00 6.38 6.45 NA NA 0.29 6.67 6.74 NA NA XXX 78807 A Nuclear localization/abscess 1.09 6.92 7.02 6.92 7.02 0.33 8.34 8.44 8.34 8.44 XXX 78807 26 A Nuclear localization/abscess 1.09 0.42 0.45 0.42 0.45 0.04 1.55 1.58 1.55 1.58 XXX 78807 TC A Nuclear localization/abscess 0.00 6.50 6.57 NA NA 0.29 6.79 6.86 NA NA XXX 78810 N Tumor imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78810 26 N Tumor imaging (PET) +1.93 0.77 0.95 0.77 0.95 0.09 2.79 2.97 2.79 2.97 XXX Start Printed Page 65525 78810 TC N Tumor imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78890 B Nuclear medicine data proc +0.05 1.32 1.33 1.32 1.33 0.06 1.43 1.44 1.43 1.44 XXX 78890 26 B Nuclear medicine data proc +0.05 0.02 0.02 0.02 0.02 0.01 0.08 0.08 0.08 0.08 XXX 78890 TC B Nuclear medicine data proc +0.00 1.30 1.31 NA NA 0.05 1.35 1.36 NA NA XXX 78891 B Nuclear med data proc +0.10 2.64 2.67 2.64 2.67 0.12 2.86 2.89 2.86 2.89 XXX 78891 26 B Nuclear med data proc +0.10 0.04 0.04 0.04 0.04 0.01 0.15 0.15 0.15 0.15 XXX 78891 TC B Nuclear med data proc +0.00 2.60 2.63 NA NA 0.11 2.71 2.74 NA NA XXX 78990 I Provide diag radionuclide(s) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78999 C Nuclear diagnostic exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78999 26 C Nuclear diagnostic exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78999 TC C Nuclear diagnostic exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79000 A Init hyperthyroid therapy 1.80 3.25 3.34 3.25 3.34 0.19 5.24 5.33 5.24 5.33 XXX 79000 26 A Init hyperthyroid therapy 1.80 0.65 0.71 0.65 0.71 0.07 2.52 2.58 2.52 2.58 XXX 79000 TC A Init hyperthyroid therapy 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 79001 A Repeat hyperthyroid therapy 1.05 1.68 1.72 1.68 1.72 0.10 2.83 2.87 2.83 2.87 XXX 79001 26 A Repeat hyperthyroid therapy 1.05 0.38 0.41 0.38 0.41 0.04 1.47 1.50 1.47 1.50 XXX 79001 TC A Repeat hyperthyroid therapy 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 79020 A Thyroid ablation 1.81 3.24 3.33 3.24 3.33 0.19 5.24 5.33 5.24 5.33 XXX 79020 26 A Thyroid ablation 1.81 0.64 0.70 0.64 0.70 0.07 2.52 2.58 2.52 2.58 XXX 79020 TC A Thyroid ablation 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 79030 A Thyroid ablation, carcinoma 2.10 3.37 3.46 3.37 3.46 0.20 5.67 5.76 5.67 5.76 XXX 79030 26 A Thyroid ablation, carcinoma 2.10 0.77 0.83 0.77 0.83 0.08 2.95 3.01 2.95 3.01 XXX 79030 TC A Thyroid ablation, carcinoma 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 79035 A Thyroid metastatic therapy 2.52 3.54 3.64 3.54 3.64 0.21 6.27 6.37 6.27 6.37 XXX 79035 26 A Thyroid metastatic therapy 2.52 0.94 1.01 0.94 1.01 0.09 3.55 3.62 3.55 3.62 XXX 79035 TC A Thyroid metastatic therapy 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 79100 A Hematopoetic nuclear therapy 1.32 3.09 3.16 3.09 3.16 0.17 4.58 4.65 4.58 4.65 XXX 79100 26 A Hematopoetic nuclear therapy 1.32 0.49 0.53 0.49 0.53 0.05 1.86 1.90 1.86 1.90 XXX 79100 TC A Hematopoetic nuclear therapy 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 79200 A Intracavitary nuclear trmt 1.99 3.35 3.44 3.35 3.44 0.19 5.53 5.62 5.53 5.62 XXX 79200 26 A Intracavitary nuclear trmt 1.99 0.75 0.81 0.75 0.81 0.07 2.81 2.87 2.81 2.87 XXX 79200 TC A Intracavitary nuclear trmt 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 79300 C Interstitial nuclear therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79300 26 A Interstitial nuclear therapy 1.60 0.58 0.63 0.58 0.63 0.07 2.25 2.30 2.25 2.30 XXX 79300 TC C Interstitial nuclear therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79400 A Nonhemato nuclear therapy 1.96 3.33 3.41 3.33 3.41 0.20 5.49 5.57 5.49 5.57 XXX 79400 26 A Nonhemato nuclear therapy 1.96 0.73 0.78 0.73 0.78 0.08 2.77 2.82 2.77 2.82 XXX 79400 TC A Nonhemato nuclear therapy 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 79420 C Intravascular nuclear ther 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79420 26 A Intravascular nuclear ther 1.51 0.54 0.59 0.54 0.59 0.06 2.11 2.16 2.11 2.16 XXX 79420 TC C Intravascular nuclear ther 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79440 A Nuclear joint therapy 1.99 3.40 3.47 3.40 3.47 0.20 5.59 5.66 5.59 5.66 XXX 79440 26 A Nuclear joint therapy 1.99 0.80 0.84 0.80 0.84 0.08 2.87 2.91 2.87 2.91 XXX 79440 TC A Nuclear joint therapy 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 79900 C Provide ther radiopharm(s) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79999 C Nuclear medicine therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79999 26 C Nuclear medicine therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79999 TC C Nuclear medicine therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80048 X Basic metabolic panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80050 N General health panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80051 X Electrolyte panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80053 X Comprehen metabolic panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80055 I Obstetric panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80061 X Lipid panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80069 X Renal function panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80072 X Arthritis panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80074 X Acute hepatitis panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80076 X Hepatic function panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80090 X Torch antibody panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80100 X Drug screen, qualitate/multi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80101 X Drug screen, single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80102 X Drug confirmation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80103 X Drug analysis, tissue prep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80150 X Assay of amikacin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80152 X Assay of amitriptyline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80154 X Assay of benzodiazepines 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80156 X Assay, carbamazepine, total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80157 X Assay, carbamazepine, free 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80158 X Assay of cyclosporine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80160 X Assay of desipramine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80162 X Assay of digoxin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80164 X Assay, dipropylacetic acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80166 X Assay of doxepin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80168 X Assay of ethosuximide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80170 X Assay of gentamicin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80172 X Assay of gold 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80173 X Assay of haloperidol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80174 X Assay of imipramine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80176 X Assay of lidocaine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80178 X Assay of lithium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80182 X Assay of nortriptyline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80184 X Assay of phenobarbital 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80185 X Assay of phenytoin, total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65526 80186 X Assay of phenytoin, free 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80188 X Assay of primidone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80190 X Assay of procainamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80192 X Assay of procainamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80194 X Assay of quinidine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80196 X Assay of salicylate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80197 X Assay of tacrolimus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80198 X Assay of theophylline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80200 X Assay of tobramycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80201 X Assay of topiramate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80202 X Assay of vancomycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80299 X Quantitative assay, drug 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80400 X Acth stimulation panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80402 X Acth stimulation panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80406 X Acth stimulation panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80408 X Aldosterone suppression eval 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80410 X Calcitonin stimul panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80412 X CRH stimulation panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80414 X Testosterone response 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80415 X Estradiol response panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80416 X Renin stimulation panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80417 X Renin stimulation panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80418 X Pituitary evaluation panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80420 X Dexamethasone panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80422 X Glucagon tolerance panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80424 X Glucagon tolerance panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80426 X Gonadotropin hormone panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80428 X Growth hormone panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80430 X Growth hormone panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80432 X Insulin suppression panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80434 X Insulin tolerance panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80435 X Insulin tolerance panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80436 X Metyrapone panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80438 X TRH stimulation panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80439 X TRH stimulation panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80440 X TRH stimulation panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80500 A Lab pathology consultation 0.37 0.18 0.19 0.16 0.18 0.01 0.56 0.57 0.54 0.56 XXX 80502 A Lab pathology consultation 1.33 0.63 0.56 0.58 0.53 0.05 2.01 1.94 1.96 1.91 XXX 81000 X Urinalysis, nonauto w/scope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 81001 X Urinalysis, auto w/scope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 81002 X Urinalysis nonauto w/o scope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 81003 X Urinalysis, auto, w/o scope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 81005 X Urinalysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 81007 X Urine screen for bacteria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 81015 X Microscopic exam of urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 81020 X Urinalysis, glass test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 81025 X Urine pregnancy test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 81050 X Urinalysis, volume measure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 81099 X Urinalysis test procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82000 X Assay of blood acetaldehyde 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82003 X Assay of acetaminophen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82009 X Test for acetone/ketones 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82010 X Acetone assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82013 X Acetylcholinesterase assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82016 X Acylcarnitines, qual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82017 X Acylcarnitines, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82024 X Assay of acth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82030 X Assay of adp & amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82040 X Assay of serum albumin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82042 X Assay of urine albumin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82043 X Microalbumin, quantitative 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82044 X Microalbumin, semiquant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82055 X Assay of ethanol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82075 X Assay of breath ethanol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82085 X Assay of aldolase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82088 X Assay of aldosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82101 X Assay of urine alkaloids 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82103 X Alpha-1-antitrypsin, total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82104 X Alpha-1-antitrypsin, pheno 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82105 X Alpha-fetoprotein, serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82106 X Alpha-fetoprotein, amniotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82108 X Assay of aluminum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82120 X Amines, vaginal fluid qual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82127 X Amino acid, single qual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82128 X Amino acids, mult qual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82131 X Amino acids, single quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82135 X Assay, aminolevulinic acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82136 X Amino acids, quant, 2-5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82139 X Amino acids, quan, 6 or more 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82140 X Assay of ammonia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82143 X Amniotic fluid scan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82145 X Assay of amphetamines 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82150 X Assay of amylase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65527 82154 X Androstanediol glucuronide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82157 X Assay of androstenedione 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82160 X Assay of androsterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82163 X Assay of angiotensin II 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82164 X Angiotensin I enzyme test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82172 X Assay of apolipoprotein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82175 X Assay of arsenic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82180 X Assay of ascorbic acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82190 X Atomic absorption 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82205 X Assay of barbiturates 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82232 X Assay of beta-2 protein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82239 X Bile acids, total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82240 X Bile acids, cholylglycine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82247 X Bilirubin, total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82248 X Bilirubin, direct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82251 D Assay of bilirubin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82252 X Fecal bilirubin test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82261 X Assay of biotinidase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82270 X Test for blood, feces 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82273 X Test for blood, other source 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82286 X Assay of bradykinin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82300 X Assay of cadmium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82306 X Assay of vitamin D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82307 X Assay of vitamin D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82308 X Assay of calcitonin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82310 X Assay of calcium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82330 X Assay of calcium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82331 X Calcium infusion test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82340 X Assay of calcium in urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82355 X Calculus (stone) analysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82360 X Calculus (stone) assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82365 X Calculus (stone) assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82370 X X-ray assay, calculus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82373 X Assay, c-d transfer measure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82374 X Assay, blood carbon dioxide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82375 X Assay, blood carbon monoxide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82376 X Test for carbon monoxide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82378 X Carcinoembryonic antigen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82379 X Assay of carnitine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82380 X Assay of carotene 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82382 X Assay, urine catecholamines 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82383 X Assay, blood catecholamines 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82384 X Assay, three catecholamines 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82387 X Assay of cathepsin-d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82390 X Assay of ceruloplasmin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82397 X Chemiluminescent assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82415 X Assay of chloramphenicol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82435 X Assay of blood chloride 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82436 X Assay of urine chloride 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82438 X Assay, other fluid chlorides 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82441 X Test for chlorohydrocarbons 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82465 X Assay, bld/serum cholesterol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82480 X Assay, serum cholinesterase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82482 X Assay, rbc cholinesterase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82485 X Assay, chondroitin sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82486 X Gas/liquid chromatography 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82487 X Paper chromatography 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82488 X Paper chromatography 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82489 X Thin layer chromatography 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82491 X Chromotography, quant, sing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82492 X Chromotography, quant, mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82495 X Assay of chromium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82507 X Assay of citrate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82520 X Assay of cocaine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82523 X Collagen crosslinks 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82525 X Assay of copper 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82528 X Assay of corticosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82530 X Cortisol, free 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82533 X Total cortisol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82540 X Assay of creatine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82541 X Column chromotography, qual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82542 X Column chromotography, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82543 X Column chromotograph/isotope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82544 X Column chromotograph/isotope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82550 X Assay of ck (cpk) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82552 X Assay of cpk in blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82553 X Creatine, MB fraction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82554 X Creatine, isoforms 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82565 X Assay of creatinine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82570 X Assay of urine creatinine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82575 X Creatinine clearance test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82585 X Assay of cryofibrinogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82595 X Assay of cryoglobulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65528 82600 X Assay of cyanide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82607 X Vitamin B-12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82608 X B-12 binding capacity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82615 X Test for urine cystines 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82626 X Dehydroepiandrosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82627 X Dehydroepiandrosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82633 X Desoxycorticosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82634 X Deoxycortisol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82638 X Assay of dibucaine number 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82646 X Assay of dihydrocodeinone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82649 X Assay of dihydromorphinone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82651 X Assay of dihydrotestosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82652 X Assay of dihydroxyvitamin d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82654 X Assay of dimethadione 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82657 X Enzyme cell activity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82658 X Enzyme cell activity, ra 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82664 X Electrophoretic test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82666 X Assay of epiandrosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82668 X Assay of erythropoietin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82670 X Assay of estradiol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82671 X Assay of estrogens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82672 X Assay of estrogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82677 X Assay of estriol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82679 X Assay of estrone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82690 X Assay of ethchlorvynol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82693 X Assay of ethylene glycol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82696 X Assay of etiocholanolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82705 X Fats/lipids, feces, qual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82710 X Fats/lipids, feces, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82715 X Assay of fecal fat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82725 X Assay of blood fatty acids 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82726 X Long chain fatty acids 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82728 X Assay of ferritin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82731 X Assay of fetal fibronectin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82735 X Assay of fluoride 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82742 X Assay of flurazepam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82746 X Blood folic acid serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82747 X Assay of folic acid, rbc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82757 X Assay of semen fructose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82759 X Assay of rbc galactokinase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82760 X Assay of galactose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82775 X Assay galactose transferase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82776 X Galactose transferase test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82784 X Assay of gammaglobulin igm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82785 X Assay of gammaglobulin ige 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82787 X Igg 1, 2, 3 or 4, each 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82800 X Blood pH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82803 X Blood gases: pH, pO2 & pCO2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82805 X Blood gases W/02 saturation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82810 X Blood gases, O2 sat only 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82820 X Hemoglobin-oxygen affinity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82926 X Assay of gastric acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82928 X Assay of gastric acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82938 X Gastrin test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82941 X Assay of gastrin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82943 X Assay of glucagon 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82945 X Glucose other fluid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82946 X Glucagon tolerance test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82947 X Assay, glucose, blood quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82948 X Reagent strip/blood glucose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82950 X Glucose test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82951 X Glucose tolerance test (GTT) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82952 X GTT-added samples 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82953 X Glucose-tolbutamide test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82955 X Assay of g6pd enzyme 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82960 X Test for G6PD enzyme 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82962 X Glucose blood test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82963 X Assay of glucosidase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82965 X Assay of gdh enzyme 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82975 X Assay of glutamine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82977 X Assay of GGT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82978 X Assay of glutathione 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82979 X Assay, rbc glutathione 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82980 X Assay of glutethimide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82985 X Glycated protein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83001 X Gonadotropin (FSH) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83002 X Gonadotropin (LH) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83003 X Assay, growth hormone (hgh) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83008 X Assay of guanosine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83010 X Assay of haptoglobin, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83012 X Assay of haptoglobins 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83013 X H pylori analysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83014 X H pylori drug admin/collect 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65529 83015 X Heavy metal screen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83018 X Quantitative screen, metals 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83020 X Hemoglobin electrophoresis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83020 26 A Hemoglobin electrophoresis 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX 83021 X Hemoglobin chromotography 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83026 X Hemoglobin, copper sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83030 X Fetal hemoglobin, chemical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83033 X Fetal hemoglobin assay, qual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83036 X Glycated hemoglobin test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83045 X Blood methemoglobin test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83050 X Blood methemoglobin assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83051 X Assay of plasma hemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83055 X Blood sulfhemoglobin test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83060 X Blood sulfhemoglobin assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83065 X Assay of hemoglobin heat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83068 X Hemoglobin stability screen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83069 X Assay of urine hemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83070 X Assay of hemosiderin, qual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83071 X Assay of hemosiderin, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83080 X Assay of b hexosaminidase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83088 X Assay of histamine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83090 X Assay of homocystine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83150 X Assay of for hva 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83491 X Assay of corticosteroids 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83497 X Assay of 5-hiaa 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83498 X Assay of progesterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83499 X Assay of progesterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83500 X Assay, free hydroxyproline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83505 X Assay, total hydroxyproline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83516 X Immunoassay, nonantibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83518 X Immunoassay, dipstick 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83519 X Immunoassay, nonantibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83520 X Immunoassay, RIA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83525 X Assay of insulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83527 X Assay of insulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83528 X Assay of intrinsic factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83540 X Assay of iron 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83550 X Iron binding test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83570 X Assay of idh enzyme 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83582 X Assay of ketogenic steroids 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83586 X Assay 17- ketosteroids 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83593 X Fractionation, ketosteroids 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83605 X Assay of lactic acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83615 X Lactate (LD) (LDH) enzyme 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83625 X Assay of ldh enzymes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83632 X Placental lactogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83633 X Test urine for lactose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83634 X Assay of urine for lactose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83655 X Assay of lead 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83661 X L/s ratio, fetal lung 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83662 X Foam stability, fetal lung 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83663 X Fluoro polarize, fetal lung 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83664 X Lamellar bdy, fetal lung 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83670 X Assay of lap enzyme 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83690 X Assay of lipase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83715 X Assay of blood lipoproteins 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83716 X Assay of blood lipoproteins 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83718 X Assay of lipoprotein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83719 X Assay of blood lipoprotein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83721 X Assay of blood lipoprotein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83727 X Assay of lrh hormone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83735 X Assay of magnesium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83775 X Assay of md enzyme 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83785 X Assay of manganese 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83788 X Mass spectrometry qual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83789 X Mass spectrometry quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83805 X Assay of meprobamate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83825 X Assay of mercury 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83835 X Assay of metanephrines 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83840 X Assay of methadone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83857 X Assay of methemalbumin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83858 X Assay of methsuximide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83864 X Mucopolysaccharides 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83866 X Mucopolysaccharides screen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83872 X Assay synovial fluid mucin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83873 X Assay of csf protein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83874 X Assay of myoglobin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83883 X Assay, nephelometry not spec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83885 X Assay of nickel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83887 X Assay of nicotine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83890 X Molecule isolate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83891 X Molecule isolate nucleic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83892 X Molecular diagnostics 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65530 83893 X Molecule dot/slot/blot 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83894 X Molecule gel electrophor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83896 X Molecular diagnostics 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83897 X Molecule nucleic transfer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83898 X Molecule nucleic ampli 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83901 X Molecule nucleic ampli 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83902 X Molecular diagnostics 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83903 X Molecule mutation scan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83904 X Molecule mutation identify 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83905 X Molecule mutation identify 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83906 X Molecule mutation identify 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83912 X Genetic examination 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83912 26 A Genetic examination 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX 83915 X Assay of nucleotidase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83916 X Oligoclonal bands 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83918 X Organic acids, total, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83919 X Organic acids, qual, each 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83921 X Organic acid, single, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83925 X Assay of opiates 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83930 X Assay of blood osmolality 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83935 X Assay of urine osmolality 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83937 X Assay of osteocalcin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83945 X Assay of oxalate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83970 X Assay of parathormone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83986 X Assay of body fluid acidity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83992 X Assay for phencyclidine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84022 X Assay of phenothiazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84030 X Assay of blood pku 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84035 X Assay of phenylketones 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84060 X Assay acid phosphatase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84061 X Phosphatase, forensic exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84066 X Assay prostate phosphatase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84075 X Assay alkaline phosphatase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84078 X Assay alkaline phosphatase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84080 X Assay alkaline phosphatases 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84081 X Amniotic fluid enzyme test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84085 X Assay of rbc pg6d enzyme 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84087 X Assay phosphohexose enzymes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84100 X Assay of phosphorus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84105 X Assay of urine phosphorus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84106 X Test for porphobilinogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84110 X Assay of porphobilinogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84119 X Test urine for porphyrins 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84120 X Assay of urine porphyrins 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84126 X Assay of feces porphyrins 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84127 X Assay of feces porphyrins 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84132 X Assay of serum potassium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84133 X Assay of urine potassium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84134 X Assay of prealbumin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84135 X Assay of pregnanediol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84138 X Assay of pregnanetriol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84140 X Assay of pregnenolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84143 X Assay of 17-hydroxypregneno 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84144 X Assay of progesterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84146 X Assay of prolactin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84150 X Assay of prostaglandin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84152 X Assay of psa, complexed 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84153 X Assay of psa, total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84154 X Assay of psa, free 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84155 X Assay of protein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84160 X Assay of serum protein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84165 X Assay of serum proteins 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84165 26 A Assay of serum proteins 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX 84181 X Western blot test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84181 26 A Western blot test 0.37 0.14 0.16 0.14 0.16 0.01 0.52 0.54 0.52 0.54 XXX 84182 X Protein, western blot test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84182 26 A Protein, western blot test 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX 84202 X Assay RBC protoporphyrin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84203 X Test RBC protoporphyrin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84206 X Assay of proinsulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84207 X Assay of vitamin b-6 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84210 X Assay of pyruvate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84220 X Assay of pyruvate kinase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84228 X Assay of quinine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84233 X Assay of estrogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84234 X Assay of progesterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84235 X Assay of endocrine hormone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84238 X Assay, nonendocrine receptor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84244 X Assay of renin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84252 X Assay of vitamin b-2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84255 X Assay of selenium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84260 X Assay of serotonin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84270 X Assay of sex hormone globul 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65531 84275 X Assay of sialic acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84285 X Assay of silica 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84295 X Assay of serum sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84300 X Assay of urine sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84305 X Assay of somatomedin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84307 X Assay of somatostatin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84311 X Spectrophotometry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84315 X Body fluid specific gravity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84375 X Chromatogram assay, sugars 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84376 X Sugars, single, qual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84377 X Sugars, multiple, qual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84378 X Sugars single quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84379 X Sugars multiple quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84392 X Assay of urine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84402 X Assay of testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84403 X Assay of total testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84425 X Assay of vitamin b-1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84430 X Assay of thiocyanate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84432 X Assay of thyroglobulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84436 X Assay of total thyroxine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84437 X Assay of neonatal thyroxine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84439 X Assay of free thyroxine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84442 X Assay of thyroid activity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84443 X Assay thyroid stim hormone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84445 X Assay of tsi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84446 X Assay of vitamin e 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84449 X Assay of transcortin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84450 X Transferase (AST) (SGOT) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84460 X Alanine amino (ALT) (SGPT) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84466 X Assay of transferrin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84478 X Assay of triglycerides 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84479 X Assay of thyroid (t3 or t4) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84480 X Assay, triiodothyronine (t3) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84481 X Free assay (FT-3) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84482 X T3 reverse 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84484 X Assay of troponin, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84485 X Assay duodenal fluid trypsin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84488 X Test feces for trypsin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84490 X Assay of feces for trypsin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84510 X Assay of tyrosine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84512 X Assay of troponin, qual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84520 X Assay of urea nitrogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84525 X Urea nitrogen semi-quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84540 X Assay of urine/urea-n 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84545 X Urea-N clearance test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84550 X Assay of blood/uric acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84560 X Assay of urine/uric acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84577 X Assay of feces/urobilinogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84578 X Test urine urobilinogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84580 X Assay of urine urobilinogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84583 X Assay of urine urobilinogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84585 X Assay of urine vma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84586 X Assay of vip 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84588 X Assay of vasopressin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84590 X Assay of vitamin a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84591 X Assay of nos vitamin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84597 X Assay of vitamin k 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84600 X Assay of volatiles 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84620 X Xylose tolerance test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84630 X Assay of zinc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84681 X Assay of c-peptide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84702 X Chorionic gonadotropin test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84703 X Chorionic gonadotropin assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84830 X Ovulation tests 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84999 X Clinical chemistry test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85002 X Bleeding time test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85007 X Differential WBC count 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85008 X Nondifferential WBC count 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85009 X Differential WBC count 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85013 X Hematocrit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85014 X Hematocrit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85018 X Hemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85021 X Automated hemogram 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85022 X Automated hemogram 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85023 X Automated hemogram 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85024 X Automated hemogram 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85025 X Automated hemogram 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85027 X Automated hemogram 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85031 X Manual hemogram, cbc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85041 X Red blood cell (RBC) count 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85044 X Reticulocyte count 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85045 X Reticulocyte count 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85046 X Reticyte/hgb concentrate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65532 85048 X White blood cell (WBC) count 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85060 A Blood smear interpretation 0.45 0.19 0.20 0.19 0.20 0.02 0.66 0.67 0.66 0.67 XXX 85095 A Bone marrow aspiration 1.08 4.47 3.54 0.43 0.51 0.03 5.58 4.65 1.54 1.62 XXX 85097 A Bone marrow interpretation 0.94 1.80 1.48 0.40 0.43 0.03 2.77 2.45 1.37 1.40 XXX 85102 A Bone marrow biopsy 1.37 4.59 3.66 0.55 0.63 0.04 6.00 5.07 1.96 2.04 XXX 85130 X Chromogenic substrate assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85170 X Blood clot retraction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85175 X Blood clot lysis time 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85210 X Blood clot factor II test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85220 X Blood clot factor V test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85230 X Blood clot factor VII test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85240 X Blood clot factor VIII test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85244 X Blood clot factor VIII test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85245 X Blood clot factor VIII test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85246 X Blood clot factor VIII test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85247 X Blood clot factor VIII test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85250 X Blood clot factor IX test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85260 X Blood clot factor X test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85270 X Blood clot factor XI test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85280 X Blood clot factor XII test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85290 X Blood clot factor XIII test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85291 X Blood clot factor XIII test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85292 X Blood clot factor assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85293 X Blood clot factor assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85300 X Antithrombin III test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85301 X Antithrombin III test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85302 X Blood clot inhibitor antigen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85303 X Blood clot inhibitor test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85305 X Blood clot inhibitor assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85306 X Blood clot inhibitor test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85307 X Assay activated protein c 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85335 X Factor inhibitor test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85337 X Thrombomodulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85345 X Coagulation time 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85347 X Coagulation time 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85348 X Coagulation time 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85360 X Euglobulin lysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85362 X Fibrin degradation products 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85366 X Fibrinogen test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85370 X Fibrinogen test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85378 X Fibrin degradation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85379 X Fibrin degradation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85384 X Fibrinogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85385 X Fibrinogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85390 X Fibrinolysins screen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85390 26 A Fibrinolysins screen 0.37 0.13 0.15 0.13 0.15 0.01 0.51 0.53 0.51 0.53 XXX 85400 X Fibrinolytic plasmin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85410 X Fibrinolytic antiplasmin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85415 X Fibrinolytic plasminogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85420 X Fibrinolytic plasminogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85421 X Fibrinolytic plasminogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85441 X Heinz bodies, direct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85445 X Heinz bodies, induced 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85460 X Hemoglobin, fetal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85461 X Hemoglobin, fetal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85475 X Hemolysin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85520 X Heparin assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85525 X Heparin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85530 X Heparin-protamine tolerance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85535 X Iron stain, blood cells 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85536 X Iron stain peripheral blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85540 X Wbc alkaline phosphatase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85547 X RBC mechanical fragility 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85549 X Muramidase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85555 X RBC osmotic fragility 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85557 X RBC osmotic fragility 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85576 X Blood platelet aggregation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85576 26 A Blood platelet aggregation 0.37 0.16 0.18 0.15 0.17 0.01 0.54 0.56 0.53 0.55 XXX 85585 X Blood platelet estimation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85590 X Platelet count, manual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85595 X Platelet count, automated 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85597 X Platelet neutralization 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85610 X Prothrombin time 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85611 X Prothrombin test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85612 X Viper venom prothrombin time 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85613 X Russell viper venom, diluted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85635 X Reptilase test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85651 X Rbc sed rate, nonautomated 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85652 X Rbc sed rate, automated 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85660 X RBC sickle cell test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85670 X Thrombin time, plasma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85675 X Thrombin time, titer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85705 X Thromboplastin inhibition 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65533 85730 X Thromboplastin time, partial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85732 X Thromboplastin time, partial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85810 X Blood viscosity examination 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85999 X Hematology procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86000 X Agglutinins, febrile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86001 X Allergen specific igg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86003 X Allergen specific IgE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86005 X Allergen specific IgE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86021 X WBC antibody identification 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86022 X Platelet antibodies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86023 X Immunoglobulin assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86038 X Antinuclear antibodies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86039 X Antinuclear antibodies (ANA) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86060 X Antistreptolysin o, titer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86063 X Antistreptolysin o, screen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86077 A Physician blood bank service 0.94 0.48 0.44 0.40 0.38 0.03 1.45 1.41 1.37 1.35 XXX 86078 A Physician blood bank service 0.94 0.50 0.47 0.40 0.39 0.03 1.47 1.44 1.37 1.36 XXX 86079 A Physician blood bank service 0.94 0.50 0.47 0.41 0.40 0.03 1.47 1.44 1.38 1.37 XXX 86140 X C-reactive protein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86146 X Glycoprotein antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86147 X Cardiolipin antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86148 X Phospholipid antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86155 X Chemotaxis assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86156 X Cold agglutinin, screen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86157 X Cold agglutinin, titer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86160 X Complement, antigen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86161 X Complement/function activity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86162 X Complement, total (CH50) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86171 X Complement fixation, each 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86185 X Counterimmunoelectrophoresis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86215 X Deoxyribonuclease, antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86225 X DNA antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86226 X DNA antibody, single strand 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86235 X Nuclear antigen antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86243 X Fc receptor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86255 X Fluorescent antibody, screen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86255 26 A Fluorescent antibody, screen 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX 86256 X Fluorescent antibody, titer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86256 26 A Fluorescent antibody, titer 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX 86277 X Growth hormone antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86280 X Hemagglutination inhibition 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86294 X Immunoassay, tumor qual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86300 X Immunoassay, tumor ca 15-3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86301 X Immunoassay, tumor, ca 19-9 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86304 X Immunoassay, tumor ca 125 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86308 X Heterophile antibodies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86309 X Heterophile antibodies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86310 X Heterophile antibodies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86316 X Immunoassay, tumor other 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86317 X Immunoassay,infectious agent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86318 X Immunoassay,infectious agent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86320 X Serum immunoelectrophoresis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86320 26 A Serum immunoelectrophoresis 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX 86325 X Other immunoelectrophoresis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86325 26 A Other immunoelectrophoresis 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX 86327 X Immunoelectrophoresis assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86327 26 A Immunoelectrophoresis assay 0.42 0.18 0.19 0.18 0.19 0.01 0.61 0.62 0.61 0.62 XXX 86329 X Immunodiffusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86331 X Immunodiffusion ouchterlony 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86332 X Immune complex assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86334 X Immunofixation procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86334 26 A Immunofixation procedure 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX 86337 X Insulin antibodies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86340 X Intrinsic factor antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86341 X Islet cell antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86343 X Leukocyte histamine release 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86344 X Leukocyte phagocytosis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86353 X Lymphocyte transformation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86359 X T cells, total count 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86360 X T cell, absolute count/ratio 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86361 X T cell, absolute count 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86376 X Microsomal antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86378 X Migration inhibitory factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86382 X Neutralization test, viral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86384 X Nitroblue tetrazolium dye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86403 X Particle agglutination test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86406 X Particle agglutination test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86430 X Rheumatoid factor test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86431 X Rheumatoid factor, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86485 C Skin test, candida 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86490 A Coccidioidomycosis skin test 0.00 0.29 0.29 NA NA 0.02 0.31 0.31 NA NA XXX 86510 A Histoplasmosis skin test 0.00 0.32 0.32 NA NA 0.02 0.34 0.34 NA NA XXX 86580 A TB intradermal test 0.00 0.25 0.25 NA NA 0.02 0.27 0.27 NA NA XXX Start Printed Page 65534 86585 A TB tine test 0.00 0.20 0.20 NA NA 0.01 0.21 0.21 NA NA XXX 86586 C Skin test, unlisted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86590 X Streptokinase, antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86592 X Blood serology, qualitative 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86593 X Blood serology, quantitative 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86602 X Antinomyces antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86603 X Adenovirus antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86606 X Aspergillus antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86609 X Bacterium antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86611 X Bartonella antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86612 X Blastomyces antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86615 X Bordetella antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86617 X Lyme disease antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86618 X Lyme disease antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86619 X Borrelia antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86622 X Brucella antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86625 X Campylobacter antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86628 X Candida antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86631 X Chlamydia antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86632 X Chlamydia igm antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86635 X Coccidioides antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86638 X Q fever antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86641 X Cryptococcus antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86644 X CMV antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86645 X CMV antibody, IgM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86648 X Diphtheria antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86651 X Encephalitis antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86652 X Encephalitis antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86653 X Encephalitis antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86654 X Encephalitis antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86658 X Enterovirus antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86663 X Epstein-barr antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86664 X Epstein-barr antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86665 X Epstein-barr antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86666 X Ehrlichia antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86668 X Francisella tularensis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86671 X Fungus antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86674 X Giardia lamblia antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86677 X Helicobacter pylori 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86682 X Helminth antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86683 X Hemoglobin, fecal antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86684 X Hemophilus influenza 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86687 X Htlv-i antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86688 X Htlv-ii antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86689 X HTLV/HIV confirmatory test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86692 X Hepatitis, delta agent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86694 X Herpes simplex test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86695 X Herpes simplex test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86696 X Herpes simplex type 2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86698 X Histoplasma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86701 X HIV-1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86702 X HIV-2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86703 X HIV-1/HIV-2, single assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86704 X Hep b core antibody, total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86705 X Hep b core antibody, igm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86706 X Hep b surface antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86707 X Hep be antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86708 X Hep a antibody, total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86709 X Hep a antibody, igm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86710 X Influenza virus antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86713 X Legionella antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86717 X Leishmania antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86720 X Leptospira antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86723 X Listeria monocytogenes ab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86727 X Lymph choriomeningitis ab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86729 X Lympho venereum antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86732 X Mucormycosis antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86735 X Mumps antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86738 X Mycoplasma antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86741 X Neisseria meningitidis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86744 X Nocardia antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86747 X Parvovirus antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86750 X Malaria antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86753 X Protozoa antibody nos 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86756 X Respiratory virus antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86757 X Rickettsia antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86759 X Rotavirus antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86762 X Rubella antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86765 X Rubeola antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86768 X Salmonella antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86771 X Shigella antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86774 X Tetanus antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86777 X Toxoplasma antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65535 86778 X Toxoplasma antibody, igm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86781 X Treponema pallidum, confirm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86784 X Trichinella antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86787 X Varicella-zoster antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86790 X Virus antibody nos 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86793 X Yersinia antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86800 X Thyroglobulin antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86803 X Hepatitis c ab test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86804 X Hep c ab test, confirm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86805 X Lymphocytotoxicity assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86806 X Lymphocytotoxicity assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86807 X Cytotoxic antibody screening 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86808 X Cytotoxic antibody screening 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86812 X HLA typing, A, B, or C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86813 X HLA typing, A, B, or C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86816 X HLA typing, DR/DQ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86817 X HLA typing, DR/DQ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86821 X Lymphocyte culture, mixed 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86822 X Lymphocyte culture, primed 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86849 X Immunology procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86850 X RBC antibody screen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86860 X RBC antibody elution 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86870 X RBC antibody identification 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86880 X Coombs test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86885 X Coombs test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86886 X Coombs test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86890 X Autologous blood process 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86891 X Autologous blood, op salvage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86900 X Blood typing, ABO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86901 X Blood typing, Rh (D) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86903 X Blood typing, antigen screen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86904 X Blood typing, patient serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86905 X Blood typing, RBC antigens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86906 X Blood typing, Rh phenotype 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86910 N Blood typing, paternity test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86911 N Blood typing, antigen system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86915 X Bone marrow/stem cell prep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86920 X Compatibility test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86921 X Compatibility test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86922 X Compatibility test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86927 X Plasma, fresh frozen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86930 X Frozen blood prep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86931 X Frozen blood thaw 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86932 X Frozen blood freeze/thaw 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86940 X Hemolysins/agglutinins, auto 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86941 X Hemolysins/agglutinins 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86945 X Blood product/irradiation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86950 X Leukacyte transfusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86965 X Pooling blood platelets 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86970 X RBC pretreatment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86971 X RBC pretreatment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86972 X RBC pretreatment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86975 X RBC pretreatment, serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86976 X RBC pretreatment, serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86977 X RBC pretreatment, serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86978 X RBC pretreatment, serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86985 X Split blood or products 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86999 X Transfusion procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87001 X Small animal inoculation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87003 X Small animal inoculation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87015 X Specimen concentration 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87040 X Blood culture for bacteria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87045 X Stool culture, bacteria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87046 X Stool cultr, bacteria, each 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87060 D Nose/throat culture, bact 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87070 X Culture, bacteria, other 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87071 X Culture bacteri aerobic othr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87072 D Culture of specimen by kit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87073 X Culture bacteria anaerobic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87075 X Culture bacteria anaerobic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87076 X Culture anaerobe ident, each 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87077 X Culture aerobic identify 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87081 X Culture screen only 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87082 D Culture of specimen by kit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87083 D Culture of specimen by kit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87084 X Culture of specimen by kit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87085 D Culture of specimen by kit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87086 X Urine culture/colony count 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87087 D Urine bacteria culture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87088 X Urine bacteria culture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87101 X Skin fungi culture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87102 X Fungus isolation culture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87103 X Blood fungus culture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65536 87106 X Fungi identification, yeast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87107 X Fungi identification, mold 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87109 X Mycoplasma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87110 X Chlamydia culture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87116 X Mycobacteria culture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87117 D Mycobacteria culture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87118 X Mycobacteric identification 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87140 X Cultur type immunofluoresc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87143 X Culture typing, glc/hplc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87145 X Culture typing, phage method 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87147 X Culture type, immunologic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87149 X Culture type, nucleic acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87151 D Culture typing, serologic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87152 X Culture type pulse field gel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87155 D Culture typing, precipitin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87158 X Culture typing, added method 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87163 D Special microbiology culture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87164 X Dark field examination 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87164 26 A Dark field examination 0.37 0.17 0.18 0.16 0.18 0.01 0.55 0.56 0.54 0.56 XXX 87166 X Dark field examination 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87168 X Macroscopic exam arthropod 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87169 X Macacroscopic exam parasite 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87172 X Pinworm exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87174 D Endotoxin, bacterial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87175 D Assay, endotoxin, bacterial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87176 X Tissue homogenization, cultr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87177 X Ova and parasites smears 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87181 X Microbe susceptible, diffuse 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87184 X Microbe susceptible, disk 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87185 X Microbe susceptible, enzyme 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87186 X Microbe susceptible, mic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87187 X Microbe susceptible, mlc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87188 X Microbe suscept, macrobroth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87190 X Microbe suscept, mycobacteri 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87192 D Antibiotic sensitivity, each 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87197 X Bactericidal level, serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87205 X Smear, gram stain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87206 X Smear, fluorescent/acid stai 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87207 X Smear, special stain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87207 26 A Smear, special stain 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX 87208 X Smear, stain & interpret 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87210 X Smear, wet mount, saline/ink 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87211 D Smear, stain & interpret 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87220 X Tissue exam for fungi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87230 X Assay, toxin or antitoxin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87250 X Virus inoculate, eggs/animal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87252 X Virus inoculation, tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87253 X Virus inoculate tissue, addl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87254 X Virus inoculation, shell via 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87260 X Adenovirus ag, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87265 X Pertussis ag, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87270 X Chlamydia trachomatis ag, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87272 X Cryptosporidum/gardia ag, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87273 X Herpes simplex 2, ag, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87274 X Herpes simplex 1, ag, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87275 X Influenza b, ag, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87276 X Influenza a, ag, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87277 X Legionella micdadei, ag, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87278 X Legion pneumophilia ag, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87279 X Parainfluenza, ag, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87280 X Respiratory syncytial ag, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87281 X Pneumocystis carinii, ag, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87283 X Rubeola, ag, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87285 X Treponema pallidum, ag, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87290 X Varicella zoster, ag, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87299 X Antibody detection, nos, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87300 X Ag detection, polyval, if 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87301 X Adenovirus ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87320 X Chylmd trach ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87324 X Clostridium ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87327 X Cryptococcus neoform ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87328 X Cryptospor ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87332 X Cytomegalovirus ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87335 X E coli 0157 ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87336 X Entamoeb hist dispr, ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87337 X Entamoeb hist group, ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87338 X Hpylori, stool, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87339 X Hpylori ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87340 X Hepatitis b surface ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87341 X Hepatitis b surface, ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87350 X Hepatitis be ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87380 X Hepatitis delta ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87385 X Histoplasma capsul ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65537 87390 X Hiv-1 ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87391 X Hiv-2 ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87400 X Influenza a/b, ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87420 X Resp syncytial ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87425 X Rotavirus ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87427 X Shiga-like toxin ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87430 X Strep a ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87449 X Ag detect nos, eia, mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87450 X Ag detect nos, eia, single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87451 X Ag detect polyval, eia, mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87470 X Bartonella, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87471 X Bartonella, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87472 X Bartonella, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87475 X Lyme dis, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87476 X Lyme dis, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87477 X Lyme dis, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87480 X Candida, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87481 X Candida, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87482 X Candida, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87485 X Chylmd pneum, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87486 X Chylmd pneum, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87487 X Chylmd pneum, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87490 X Chylmd trach, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87491 X Chylmd trach, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87492 X Chylmd trach, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87495 X Cytomeg, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87496 X Cytomeg, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87497 X Cytomeg, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87510 X Gardner vag, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87511 X Gardner vag, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87512 X Gardner vag, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87515 X Hepatitis b, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87516 X Hepatitis b , dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87517 X Hepatitis b , dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87520 X Hepatitis c , rna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87521 X Hepatitis c , rna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87522 X Hepatitis c, rna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87525 X Hepatitis g , dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87526 X Hepatitis g, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87527 X Hepatitis g, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87528 X Hsv, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87529 X Hsv, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87530 X Hsv, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87531 X Hhv-6, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87532 X Hhv-6, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87533 X Hhv-6, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87534 X Hiv-1, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87535 X Hiv-1, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87536 X Hiv-1, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87537 X Hiv-2, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87538 X Hiv-2, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87539 X Hiv-2, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87540 X Legion pneumo, dna, dir prob 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87541 X Legion pneumo, dna, amp prob 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87542 X Legion pneumo, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87550 X Mycobacteria, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87551 X Mycobacteria, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87552 X Mycobacteria, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87555 X M.tuberculo, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87556 X M.tuberculo, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87557 X M.tuberculo, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87560 X M.avium-intra, dna, dir prob 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87561 X M.avium-intra, dna, amp prob 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87562 X M.avium-intra, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87580 X M.pneumon, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87581 X M.pneumon, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87582 X M.pneumon, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87590 X N.gonorrhoeae, dna, dir prob 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87591 X N.gonorrhoeae, dna, amp prob 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87592 X N.gonorrhoeae, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87620 X Hpv, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87621 X Hpv, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87622 X Hpv, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87650 X Strep a, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87651 X Strep a, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87652 X Strep a, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87797 X Detect agent nos, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87798 X Detect agent nos, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87799 X Detect agent nos, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87800 X Detect agnt mult, dna, direc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87801 X Detect agnt mult, dna, ampli 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87810 X Chylmd trach assay w/optic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87850 X N. gonorrhoeae assay w/optic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65538 87880 X Strep a assay w/optic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87899 X Agent nos assay w/optic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87901 X Genotype, dna, hiv reverse t 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87903 X Phenotype, dna hiv w/culture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87904 X Phenotype, dna hiv w/clt add 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87999 X Microbiology procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88000 N Autopsy (necropsy), gross 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88005 N Autopsy (necropsy), gross 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88007 N Autopsy (necropsy), gross 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88012 N Autopsy (necropsy), gross 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88014 N Autopsy (necropsy), gross 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88016 N Autopsy (necropsy), gross 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88020 N Autopsy (necropsy), complete 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88025 N Autopsy (necropsy), complete 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88027 N Autopsy (necropsy), complete 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88028 N Autopsy (necropsy), complete 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88029 N Autopsy (necropsy), complete 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88036 N Limited autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88037 N Limited autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88040 N Forensic autopsy (necropsy) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88045 N Coroner's autopsy (necropsy) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88099 N Necropsy (autopsy) procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88104 A Cytopathology, fluids 0.56 0.79 0.71 0.79 0.71 0.04 1.39 1.31 1.39 1.31 XXX 88104 26 A Cytopathology, fluids 0.56 0.24 0.24 0.24 0.24 0.02 0.82 0.82 0.82 0.82 XXX 88104 TC A Cytopathology, fluids 0.00 0.55 0.47 NA NA 0.02 0.57 0.49 NA NA XXX 88106 A Cytopathology, fluids 0.56 0.54 0.51 0.54 0.51 0.04 1.14 1.11 1.14 1.11 XXX 88106 26 A Cytopathology, fluids 0.56 0.24 0.24 0.24 0.24 0.02 0.82 0.82 0.82 0.82 XXX 88106 TC A Cytopathology, fluids 0.00 0.30 0.27 NA NA 0.02 0.32 0.29 NA NA XXX 88107 A Cytopathology, fluids 0.76 0.87 0.78 0.87 0.78 0.05 1.68 1.59 1.68 1.59 XXX 88107 26 A Cytopathology, fluids 0.76 0.33 0.31 0.33 0.31 0.03 1.12 1.10 1.12 1.10 XXX 88107 TC A Cytopathology, fluids 0.00 0.54 0.47 NA NA 0.02 0.56 0.49 NA NA XXX 88108 A Cytopath, concentrate tech 0.56 0.70 0.66 0.70 0.66 0.04 1.30 1.26 1.30 1.26 XXX 88108 26 A Cytopath, concentrate tech 0.56 0.24 0.25 0.24 0.25 0.02 0.82 0.83 0.82 0.83 XXX 88108 TC A Cytopath, concentrate tech 0.00 0.46 0.41 NA NA 0.02 0.48 0.43 NA NA XXX 88125 A Forensic cytopathology 0.26 0.32 0.27 0.32 0.27 0.02 0.60 0.55 0.60 0.55 XXX 88125 26 A Forensic cytopathology 0.26 0.11 0.10 0.11 0.10 0.01 0.38 0.37 0.38 0.37 XXX 88125 TC A Forensic cytopathology 0.00 0.21 0.17 NA NA 0.01 0.22 0.18 NA NA XXX 88130 X Sex chromatin identification 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88140 X Sex chromatin identification 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88141 A Cytopath, c/v, interpret 0.42 0.18 0.22 0.18 0.22 0.01 0.61 0.65 0.61 0.65 XXX 88142 X Cytopath, c/v, thin layer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88143 X Cytopath c/v thin layer redo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88144 X Cytopath, c/v thin lyr redo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88145 X Cytopath, c/v thin lyr sel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88147 X Cytopath, c/v, automated 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88148 X Cytopath, c/v, auto rescreen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88150 X Cytopath, c/v, manual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88152 X Cytopath, c/v, auto redo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88153 X Cytopath, c/v, redo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88154 X Cytopath, c/v, select 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88155 X Cytopath, c/v, index add-on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88160 A Cytopath smear, other source 0.50 0.98 0.82 0.98 0.82 0.04 1.52 1.36 1.52 1.36 XXX 88160 26 A Cytopath smear, other source 0.50 0.22 0.21 0.22 0.21 0.02 0.74 0.73 0.74 0.73 XXX 88160 TC A Cytopath smear, other source 0.00 0.76 0.61 NA NA 0.02 0.78 0.63 NA NA XXX 88161 A Cytopath smear, other source 0.50 0.97 0.83 0.97 0.83 0.04 1.51 1.37 1.51 1.37 XXX 88161 26 A Cytopath smear, other source 0.50 0.21 0.21 0.21 0.21 0.02 0.73 0.73 0.73 0.73 XXX 88161 TC A Cytopath smear, other source 0.00 0.76 0.62 NA NA 0.02 0.78 0.64 NA NA XXX 88162 A Cytopath smear, other source 0.76 0.84 0.85 0.84 0.85 0.05 1.65 1.66 1.65 1.66 XXX 88162 26 A Cytopath smear, other source 0.76 0.33 0.36 0.33 0.36 0.03 1.12 1.15 1.12 1.15 XXX 88162 TC A Cytopath smear, other source 0.00 0.51 0.49 NA NA 0.02 0.53 0.51 NA NA XXX 88164 X Cytopath tbs, c/v, manual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88165 X Cytopath tbs, c/v, redo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88166 X Cytopath tbs, c/v, auto redo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88167 X Cytopath tbs, c/v, select 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88170 A Fine needle aspiration 1.27 0.86 0.92 0.86 0.92 0.10 2.23 2.29 2.23 2.29 XXX 88170 26 A Fine needle aspiration 1.27 0.53 0.54 0.53 0.54 0.07 1.87 1.88 1.87 1.88 XXX 88170 TC A Fine needle aspiration 0.00 0.33 0.38 NA NA 0.03 0.36 0.41 NA NA XXX 88171 A Fine needle aspiration 1.27 0.72 0.91 0.72 0.91 0.08 2.07 2.26 2.07 2.26 XXX 88171 26 A Fine needle aspiration 1.27 0.49 0.56 0.49 0.56 0.05 1.81 1.88 1.81 1.88 XXX 88171 TC A Fine needle aspiration 0.00 0.23 0.35 NA NA 0.03 0.26 0.38 NA NA XXX 88172 A Cytopathology eval of fna 0.60 1.09 1.01 1.09 1.01 0.04 1.73 1.65 1.73 1.65 XXX 88172 26 A Cytopathology eval of fna 0.60 0.26 0.29 0.26 0.29 0.02 0.88 0.91 0.88 0.91 XXX 88172 TC A Cytopathology eval of fna 0.00 0.83 0.72 NA NA 0.02 0.85 0.74 NA NA XXX 88173 A Cytopath eval, fna, report 1.39 1.31 1.22 1.31 1.22 0.07 2.77 2.68 2.77 2.68 XXX 88173 26 A Cytopath eval, fna, report 1.39 0.60 0.57 0.60 0.57 0.05 2.04 2.01 2.04 2.01 XXX 88173 TC A Cytopath eval, fna, report 0.00 0.71 0.65 NA NA 0.02 0.73 0.67 NA NA XXX 88180 A Cell marker study 0.36 0.65 0.58 0.65 0.58 0.03 1.04 0.97 1.04 0.97 XXX 88180 26 A Cell marker study 0.36 0.15 0.16 0.15 0.16 0.01 0.52 0.53 0.52 0.53 XXX 88180 TC A Cell marker study 0.00 0.50 0.42 NA NA 0.02 0.52 0.44 NA NA XXX 88182 A Cell marker study 0.77 1.69 1.51 1.69 1.51 0.06 2.52 2.34 2.52 2.34 XXX 88182 26 A Cell marker study 0.77 0.33 0.37 0.33 0.37 0.03 1.13 1.17 1.13 1.17 XXX 88182 TC A Cell marker study 0.00 1.36 1.14 NA NA 0.03 1.39 1.17 NA NA XXX 88199 C Cytopathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65539 88199 26 C Cytopathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88199 TC C Cytopathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88230 X Tissue culture, lymphocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88233 X Tissue culture, skin/biopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88235 X Tissue culture, placenta 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88237 X Tissue culture, bone marrow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88239 X Tissue culture, tumor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88240 X Cell cryopreserve/storage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88241 X Frozen cell preparation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88245 X Chromosome analysis, 20-25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88248 X Chromosome analysis, 50-100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88249 X Chromosome analysis, 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88261 X Chromosome analysis, 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88262 X Chromosome analysis, 15-20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88263 X Chromosome analysis, 45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88264 X Chromosome analysis, 20-25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88267 X Chromosome analys, placenta 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88269 X Chromosome analys, amniotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88271 X Cytogenetics, dna probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88272 X Cytogenetics, 3-5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88273 X Cytogenetics, 10-30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88274 X Cytogenetics, 25-99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88275 X Cytogenetics, 100-300 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88280 X Chromosome karyotype study 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88283 X Chromosome banding study 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88285 X Chromosome count, additional 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88289 X Chromosome study, additional 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88291 A Cyto/molecular report 0.52 0.22 0.22 0.22 0.22 0.02 0.76 0.76 0.76 0.76 XXX 88299 C Cytogenetic study 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88300 A Surgical path, gross 0.08 0.42 0.37 0.42 0.37 0.02 0.52 0.47 0.52 0.47 XXX 88300 26 A Surgical path, gross 0.08 0.03 0.05 0.03 0.05 0.01 0.12 0.14 0.12 0.14 XXX 88300 TC A Surgical path, gross 0.00 0.39 0.32 NA NA 0.01 0.40 0.33 NA NA XXX 88302 A Tissue exam by pathologist 0.13 1.11 0.94 1.11 0.94 0.03 1.27 1.10 1.27 1.10 XXX 88302 26 A Tissue exam by pathologist 0.13 0.06 0.09 0.06 0.09 0.01 0.20 0.23 0.20 0.23 XXX 88302 TC A Tissue exam by pathologist 0.00 1.05 0.85 NA NA 0.02 1.07 0.87 NA NA XXX 88304 A Tissue exam by pathologist 0.22 0.89 0.82 0.89 0.82 0.03 1.14 1.07 1.14 1.07 XXX 88304 26 A Tissue exam by pathologist 0.22 0.10 0.14 0.10 0.14 0.01 0.33 0.37 0.33 0.37 XXX 88304 TC A Tissue exam by pathologist 0.00 0.79 0.68 NA NA 0.02 0.81 0.70 NA NA XXX 88305 A Tissue exam by pathologist 0.75 1.64 1.51 1.64 1.51 0.05 2.44 2.31 2.44 2.31 XXX 88305 26 A Tissue exam by pathologist 0.75 0.33 0.39 0.33 0.39 0.02 1.10 1.16 1.10 1.16 XXX 88305 TC A Tissue exam by pathologist 0.00 1.31 1.12 NA NA 0.03 1.34 1.15 NA NA XXX 88307 A Tissue exam by pathologist 1.59 2.45 2.25 2.45 2.25 0.11 4.15 3.95 4.15 3.95 XXX 88307 26 A Tissue exam by pathologist 1.59 0.69 0.73 0.69 0.73 0.06 2.34 2.38 2.34 2.38 XXX 88307 TC A Tissue exam by pathologist 0.00 1.76 1.52 NA NA 0.05 1.81 1.57 NA NA XXX 88309 A Tissue exam by pathologist 2.28 3.46 3.12 3.46 3.12 0.13 5.87 5.53 5.87 5.53 XXX 88309 26 A Tissue exam by pathologist 2.28 0.99 1.01 0.99 1.01 0.08 3.35 3.37 3.35 3.37 XXX 88309 TC A Tissue exam by pathologist 0.00 2.47 2.11 NA NA 0.05 2.52 2.16 NA NA XXX 88311 A Decalcify tissue 0.24 0.18 0.20 0.18 0.20 0.02 0.44 0.46 0.44 0.46 XXX 88311 26 A Decalcify tissue 0.24 0.10 0.11 0.10 0.11 0.01 0.35 0.36 0.35 0.36 XXX 88311 TC A Decalcify tissue 0.00 0.08 0.09 NA NA 0.01 0.09 0.10 NA NA XXX 88312 A Special stains 0.54 1.59 1.26 1.59 1.26 0.03 2.16 1.83 2.16 1.83 XXX 88312 26 A Special stains 0.54 0.23 0.21 0.23 0.21 0.02 0.79 0.77 0.79 0.77 XXX 88312 TC A Special stains 0.00 1.36 1.05 NA NA 0.01 1.37 1.06 NA NA XXX 88313 A Special stains 0.24 1.10 0.89 1.10 0.89 0.02 1.36 1.15 1.36 1.15 XXX 88313 26 A Special stains 0.24 0.10 0.11 0.10 0.11 0.01 0.35 0.36 0.35 0.36 XXX 88313 TC A Special stains 0.00 1.00 0.78 NA NA 0.01 1.01 0.79 NA NA XXX 88314 A Histochemical stain 0.45 1.04 0.95 1.04 0.95 0.04 1.53 1.44 1.53 1.44 XXX 88314 26 A Histochemical stain 0.45 0.19 0.24 0.19 0.24 0.02 0.66 0.71 0.66 0.71 XXX 88314 TC A Histochemical stain 0.00 0.85 0.71 NA NA 0.02 0.87 0.73 NA NA XXX 88318 A Chemical histochemistry 0.42 1.72 1.36 1.72 1.36 0.02 2.16 1.80 2.16 1.80 XXX 88318 26 A Chemical histochemistry 0.42 0.18 0.17 0.18 0.17 0.01 0.61 0.60 0.61 0.60 XXX 88318 TC A Chemical histochemistry 0.00 1.54 1.19 NA NA 0.01 1.55 1.20 NA NA XXX 88319 A Enzyme histochemistry 0.53 1.68 1.39 1.68 1.39 0.04 2.25 1.96 2.25 1.96 XXX 88319 26 A Enzyme histochemistry 0.53 0.23 0.24 0.23 0.24 0.02 0.78 0.79 0.78 0.79 XXX 88319 TC A Enzyme histochemistry 0.00 1.45 1.15 NA NA 0.02 1.47 1.17 NA NA XXX 88321 A Microslide consultation 1.30 0.61 0.57 0.56 0.53 0.04 1.95 1.91 1.90 1.87 XXX 88323 A Microslide consultation 1.35 2.19 1.84 2.19 1.84 0.07 3.61 3.26 3.61 3.26 XXX 88323 26 A Microslide consultation 1.35 0.59 0.55 0.59 0.55 0.05 1.99 1.95 1.99 1.95 XXX 88323 TC A Microslide consultation 0.00 1.60 1.29 NA NA 0.02 1.62 1.31 NA NA XXX 88325 A Comprehensive review of data 2.22 0.94 0.83 0.94 0.83 0.08 3.24 3.13 3.24 3.13 XXX 88329 A Path consult introp 0.67 0.39 0.39 0.29 0.32 0.02 1.08 1.08 0.98 1.01 XXX 88331 A Path consult intraop, 1 bloc 1.19 0.81 0.91 0.81 0.91 0.07 2.07 2.17 2.07 2.17 XXX 88331 26 A Path consult intraop, 1 bloc 1.19 0.52 0.54 0.52 0.54 0.04 1.75 1.77 1.75 1.77 XXX 88331 TC A Path consult intraop, 1 bloc 0.00 0.29 0.37 NA NA 0.03 0.32 0.40 NA NA XXX 88332 A Path consult intraop, addl 0.59 0.44 0.48 0.44 0.48 0.04 1.07 1.11 1.07 1.11 XXX 88332 26 A Path consult intraop, addl 0.59 0.26 0.27 0.26 0.27 0.02 0.87 0.88 0.87 0.88 XXX 88332 TC A Path consult intraop, addl 0.00 0.18 0.21 NA NA 0.02 0.20 0.23 NA NA XXX 88342 A Immunocytochemistry 0.85 1.31 1.16 1.31 1.16 0.05 2.21 2.06 2.21 2.06 XXX 88342 26 A Immunocytochemistry 0.85 0.37 0.37 0.37 0.37 0.03 1.25 1.25 1.25 1.25 XXX 88342 TC A Immunocytochemistry 0.00 0.94 0.79 NA NA 0.02 0.96 0.81 NA NA XXX 88346 A Immunofluorescent study 0.86 1.31 1.14 1.31 1.14 0.05 2.22 2.05 2.22 2.05 XXX 88346 26 A Immunofluorescent study 0.86 0.37 0.36 0.37 0.36 0.03 1.26 1.25 1.26 1.25 XXX 88346 TC A Immunofluorescent study 0.00 0.94 0.78 NA NA 0.02 0.96 0.80 NA NA XXX Start Printed Page 65540 88347 A Immunofluorescent study 0.86 1.82 1.48 1.82 1.48 0.05 2.73 2.39 2.73 2.39 XXX 88347 26 A Immunofluorescent study 0.86 0.37 0.32 0.37 0.32 0.03 1.26 1.21 1.26 1.21 XXX 88347 TC A Immunofluorescent study 0.00 1.45 1.16 NA NA 0.02 1.47 1.18 NA NA XXX 88348 A Electron microscopy 1.51 6.22 5.28 6.22 5.28 0.11 7.84 6.90 7.84 6.90 XXX 88348 26 A Electron microscopy 1.51 0.65 0.81 0.65 0.81 0.05 2.21 2.37 2.21 2.37 XXX 88348 TC A Electron microscopy 0.00 5.57 4.47 NA NA 0.06 5.63 4.53 NA NA XXX 88349 A Scanning electron microscopy 0.76 7.77 6.25 7.77 6.25 0.08 8.61 7.09 8.61 7.09 XXX 88349 26 A Scanning electron microscopy 0.76 0.33 0.46 0.33 0.46 0.03 1.12 1.25 1.12 1.25 XXX 88349 TC A Scanning electron microscopy 0.00 7.44 5.79 NA NA 0.05 7.49 5.84 NA NA XXX 88355 A Analysis, skeletal muscle 1.85 3.92 3.41 3.92 3.41 0.12 5.89 5.38 5.89 5.38 XXX 88355 26 A Analysis, skeletal muscle 1.85 0.80 0.85 0.80 0.85 0.07 2.72 2.77 2.72 2.77 XXX 88355 TC A Analysis, skeletal muscle 0.00 3.12 2.56 NA NA 0.05 3.17 2.61 NA NA XXX 88356 A Analysis, nerve 3.02 4.42 4.04 4.42 4.04 0.16 7.60 7.22 7.60 7.22 XXX 88356 26 A Analysis, nerve 3.02 1.30 1.35 1.30 1.35 0.10 4.42 4.47 4.42 4.47 XXX 88356 TC A Analysis, nerve 0.00 3.12 2.69 NA NA 0.06 3.18 2.75 NA NA XXX 88358 A Analysis, tumor 2.82 1.67 1.88 1.67 1.88 0.16 4.65 4.86 4.65 4.86 XXX 88358 26 A Analysis, tumor 2.82 1.22 1.23 1.22 1.23 0.10 4.14 4.15 4.14 4.15 XXX 88358 TC A Analysis, tumor 0.00 0.45 0.65 NA NA 0.06 0.51 0.71 NA NA XXX 88362 A Nerve teasing preparations 2.17 2.71 2.57 2.71 2.57 0.12 5.00 4.86 5.00 4.86 XXX 88362 26 A Nerve teasing preparations 2.17 0.93 0.97 0.93 0.97 0.07 3.17 3.21 3.17 3.21 XXX 88362 TC A Nerve teasing preparations 0.00 1.78 1.60 NA NA 0.05 1.83 1.65 NA NA XXX 88365 A Tissue hybridization 0.93 1.60 1.41 1.60 1.41 0.05 2.58 2.39 2.58 2.39 XXX 88365 26 A Tissue hybridization 0.93 0.39 0.40 0.39 0.40 0.03 1.35 1.36 1.35 1.36 XXX 88365 TC A Tissue hybridization 0.00 1.21 1.01 NA NA 0.02 1.23 1.03 NA NA XXX 88371 X Protein, western blot tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88371 26 A Protein, western blot tissue 0.37 0.14 0.16 0.14 0.16 0.01 0.52 0.54 0.52 0.54 XXX 88372 X Protein analysis w/probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88372 26 A Protein analysis w/probe 0.37 0.15 0.17 0.15 0.17 0.01 0.53 0.55 0.53 0.55 XXX 88399 C Surgical pathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88399 26 C Surgical pathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88399 TC C Surgical pathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88400 X Bilirubin total transcut 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89050 X Body fluid cell count 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89051 X Body fluid cell count 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89060 X Exam,synovial fluid crystals 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89060 26 A Exam,synovial fluid crystals 0.37 0.17 0.18 0.16 0.18 0.01 0.55 0.56 0.54 0.56 XXX 89100 A Sample intestinal contents 0.60 1.88 1.53 0.22 0.28 0.02 2.50 2.15 0.84 0.90 XXX 89105 A Sample intestinal contents 0.50 2.16 1.73 0.18 0.24 0.02 2.68 2.25 0.70 0.76 XXX 89125 X Specimen fat stain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89130 A Sample stomach contents 0.45 1.72 1.40 0.12 0.20 0.02 2.19 1.87 0.59 0.67 XXX 89132 A Sample stomach contents 0.19 1.79 1.40 0.08 0.11 0.01 1.99 1.60 0.28 0.31 XXX 89135 A Sample stomach contents 0.79 1.83 1.53 0.28 0.37 0.03 2.65 2.35 1.10 1.19 XXX 89136 A Sample stomach contents 0.21 1.38 1.10 0.08 0.12 0.01 1.60 1.32 0.30 0.34 XXX 89140 A Sample stomach contents 0.94 2.20 1.87 0.27 0.42 0.03 3.17 2.84 1.24 1.39 XXX 89141 A Sample stomach contents 0.85 2.67 2.20 0.34 0.45 0.03 3.55 3.08 1.22 1.33 XXX 89160 X Exam feces for meat fibers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89190 X Nasal smear for eosinophils 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89250 X Fertilization of oocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89251 X Culture oocyte w/embryos 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89252 X Assist oocyte fertilization 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89253 X Embryo hatching 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89254 X Oocyte identification 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89255 X Prepare embryo for transfer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89256 X Prepare cryopreserved embryo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89257 X Sperm identification 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89258 X Cryopreservation, embryo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89259 X Cryopreservation, sperm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89260 X Sperm isolation, simple 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89261 X Sperm isolation, complex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89264 X Identify sperm tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89300 X Semen analysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89310 X Semen analysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89320 X Semen analysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89321 X Semen analysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89325 X Sperm antibody test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89329 X Sperm evaluation test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89330 X Evaluation, cervical mucus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89350 A Sputum specimen collection 0.00 0.40 0.41 NA NA 0.02 0.42 0.43 NA NA XXX 89355 X Exam feces for starch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89360 A Collect sweat for test 0.00 0.45 0.46 NA NA 0.02 0.47 0.48 NA NA XXX 89365 X Water load test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89399 C Pathology lab procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89399 26 C Pathology lab procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89399 TC C Pathology lab procedure 0.00 0.00 0.00 0.00 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 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 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 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 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 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 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 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 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 0.00 0.00 0.00 0.00 XXX Start Printed Page 65541 90378 X Rsv ig, im, 50mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90379 E Rsv ig, iv 0.00 0.00 0.00 0.00 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 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 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 0.00 0.00 0.00 0.00 XXX 90389 E Tetanus ig, im 0.00 0.00 0.00 0.00 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 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 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 0.00 0.00 0.00 0.00 XXX 90471 N Immunization admin 0.00 0.00 0.00 0.00 0.00 0.01 0.01 0.01 0.01 0.01 XXX 90472 N Immunization admin, each add 0.00 0.00 0.00 0.00 0.00 0.01 0.01 0.01 0.01 0.01 XXX 90476 E Adenovirus vaccine, type 4 0.00 0.00 0.00 0.00 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 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 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 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 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 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 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 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 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 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 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 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 0.00 0.00 0.00 0.00 XXX 90657 X Flu vaccine, 6-35 mo, im 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 90659 X Flu vaccine, whole, im 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 90669 N Pneumococcal vacc, ped<5 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 90680 E Rotovirus vaccine, oral 0.00 0.00 0.00 0.00 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 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 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 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 0.00 0.00 0.00 0.00 XXX 90700 E Dtap vaccine, im 0.00 0.00 0.00 0.00 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 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 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 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 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 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 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 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 0.00 0.00 0.00 0.00 XXX 90709 E Rubella & mumps vaccine, sc 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 90713 E Poliovirus, ipv, sc 0.00 0.00 0.00 0.00 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 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 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 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 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 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 0.00 0.00 0.00 0.00 XXX 90723 X Dtap-hep b-ipv vaccine, im 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 90732 X Pneumococcal vacc, adult/ill 0.00 0.00 0.00 0.00 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 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 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 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 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 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 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 0.00 0.00 0.00 0.00 XXX 90748 E Hep b/hib vaccine, im 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 90780 A IV infusion therapy, 1 hour 0.00 1.10 1.11 1.10 1.11 0.06 1.16 1.17 1.16 1.17 XXX 90781 A IV infusion, additional hour 0.00 0.56 0.57 0.56 0.57 0.03 0.59 0.60 0.59 0.60 ZZZ 90782 T Injection, sc/im 0.00 0.11 0.11 0.11 0.11 0.01 0.12 0.12 0.12 0.12 XXX 90783 T Injection, ia 0.00 0.40 0.41 0.40 0.41 0.02 0.42 0.43 0.42 0.43 XXX 90784 T Injection, iv 0.00 0.47 0.48 0.47 0.48 0.03 0.50 0.51 0.50 0.51 XXX 90788 T Injection of antibiotic 0.00 0.12 0.12 0.12 0.12 0.01 0.13 0.13 0.13 0.13 XXX 90799 C Ther/prophylactic/dx inject 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90801 A Psy dx interview 2.80 1.16 1.05 0.93 0.88 0.06 4.02 3.91 3.79 3.74 XXX 90802 A Intac psy dx interview 3.01 1.17 0.98 0.99 0.85 0.07 4.25 4.06 4.07 3.93 XXX 90804 A Psytx, office, 20-30 min 1.21 0.54 0.50 0.40 0.40 0.03 1.78 1.74 1.64 1.64 XXX 90805 A Psytx, off, 20-30 min w/e&m 1.37 0.60 0.55 0.44 0.43 0.03 2.00 1.95 1.84 1.83 XXX 90806 A Psytx, off, 45-50 min 1.86 0.77 0.73 0.62 0.61 0.04 2.67 2.63 2.52 2.51 XXX 90807 A Psytx, off, 45-50 min w/e&m 2.02 0.80 0.75 0.66 0.64 0.05 2.87 2.82 2.73 2.71 XXX 90808 A Psytx, office, 75-80 min 2.79 1.09 1.10 0.93 0.98 0.07 3.95 3.96 3.79 3.84 XXX Start Printed Page 65542 90809 A Psytx, off, 75-80, w/e&m 2.95 1.13 1.13 0.96 1.01 0.07 4.15 4.15 3.98 4.03 XXX 90810 A Intac psytx, off, 20-30 min 1.32 0.56 0.58 0.44 0.49 0.03 1.91 1.93 1.79 1.84 XXX 90811 A Intac psytx, 20-30, w/e&m 1.48 0.64 0.64 0.48 0.52 0.03 2.15 2.15 1.99 2.03 XXX 90812 A Intac psytx, off, 45-50 min 1.97 0.83 0.78 0.65 0.65 0.05 2.85 2.80 2.67 2.67 XXX 90813 A Intac psytx, 45-50 min w/e&m 2.13 0.87 0.81 0.70 0.69 0.05 3.05 2.99 2.88 2.87 XXX 90814 A Intac psytx, off, 75-80 min 2.90 1.20 1.06 1.14 1.02 0.07 4.17 4.03 4.11 3.99 XXX 90815 A Intac psytx, 75-80 w/e&m 3.06 1.21 1.07 0.98 0.90 0.07 4.34 4.20 4.11 4.03 XXX 90816 A Psytx, hosp, 20-30 min 1.25 0.58 0.53 0.43 0.42 0.03 1.86 1.81 1.71 1.70 XXX 90817 A Psytx, hosp, 20-30 min w/e&m 1.41 0.63 0.57 0.46 0.44 0.03 2.07 2.01 1.90 1.88 XXX 90818 A Psytx, hosp, 45-50 min 1.89 0.82 0.76 0.65 0.64 0.04 2.75 2.69 2.58 2.57 XXX 90819 A Psytx, hosp, 45-50 min w/e&m 2.05 0.83 0.77 0.66 0.64 0.05 2.93 2.87 2.76 2.74 XXX 90821 A Psytx, hosp, 75-80 min 2.83 1.14 1.14 0.97 1.01 0.06 4.03 4.03 3.86 3.90 XXX 90822 A Psytx, hosp, 75-80 min w/e&m 2.99 1.13 1.13 0.97 1.01 0.07 4.19 4.19 4.03 4.07 XXX 90823 A Intac psytx, hosp, 20-30 min 1.36 0.68 0.67 0.45 0.50 0.03 2.07 2.06 1.84 1.89 XXX 90824 A Intac psytx, hsp 20-30 w/e&m 1.52 0.72 0.70 0.49 0.53 0.03 2.27 2.25 2.04 2.08 XXX 90826 A Intac psytx, hosp, 45-50 min 2.01 0.91 0.84 0.69 0.68 0.04 2.96 2.89 2.74 2.73 XXX 90827 A Intac psytx, hsp 45-50 w/e&m 2.16 0.94 0.87 0.69 0.68 0.05 3.15 3.08 2.90 2.89 XXX 90828 A Intac psytx, hosp, 75-80 min 2.94 1.23 1.08 1.02 0.93 0.07 4.24 4.09 4.03 3.94 XXX 90829 A Intac psytx, hsp 75-80 w/e&m 3.10 1.26 1.11 1.00 0.91 0.07 4.43 4.28 4.17 4.08 XXX 90845 A Psychoanalysis 1.79 0.70 0.64 0.59 0.55 0.04 2.53 2.47 2.42 2.38 XXX 90846 R Family psytx w/o patient 1.83 0.74 0.72 0.62 0.63 0.04 2.61 2.59 2.49 2.50 XXX 90847 R Family psytx w/patient 2.21 0.87 0.81 0.75 0.72 0.05 3.13 3.07 3.01 2.98 XXX 90849 R Multiple family group psytx 0.59 0.37 0.35 0.20 0.22 0.01 0.97 0.95 0.80 0.82 XXX 90853 A Group psychotherapy 0.59 0.35 0.33 0.20 0.22 0.01 0.95 0.93 0.80 0.82 XXX 90857 A Intac group psytx 0.63 0.38 0.33 0.23 0.21 0.02 1.03 0.98 0.88 0.86 XXX 90862 A Medication management 0.95 0.44 0.43 0.31 0.33 0.02 1.41 1.40 1.28 1.30 XXX 90865 A Narcosynthesis 2.84 1.63 1.36 0.93 0.83 0.07 4.54 4.27 3.84 3.74 XXX 90870 A Electroconvulsive therapy 1.88 0.75 0.71 0.75 0.71 0.04 2.67 2.63 2.67 2.63 000 90871 A Electroconvulsive therapy 2.72 NA NA 1.03 1.00 0.06 NA NA 3.81 3.78 000 90875 N Psychophysiological therapy +1.20 0.88 0.88 0.48 0.48 0.03 2.11 2.11 1.71 1.71 XXX 90876 N Psychophysiological therapy +1.90 1.16 1.16 0.76 0.76 0.04 3.10 3.10 2.70 2.70 XXX 90880 A Hypnotherapy 2.19 0.89 0.84 0.71 0.71 0.05 3.13 3.08 2.95 2.95 XXX 90882 N Environmental manipulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90885 B Psy evaluation of records +0.97 0.39 0.38 0.39 0.38 0.02 1.38 1.37 1.38 1.37 XXX 90887 B Consultation with family +1.48 0.82 0.71 0.59 0.53 0.03 2.33 2.22 2.10 2.04 XXX 90889 B Preparation of report 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 90901 A Biofeedback train, any meth 0.41 0.72 0.80 0.18 0.40 0.02 1.15 1.23 0.61 0.83 000 90911 A Biofeedback peri/uro/rectal 0.89 0.87 0.96 0.37 0.59 0.04 1.80 1.89 1.30 1.52 000 90918 A ESRD related services, month 11.18 5.30 4.57 5.30 4.57 0.30 16.78 16.05 16.78 16.05 XXX 90919 A ESRD related services, month 8.54 4.32 3.84 4.32 3.84 0.24 13.10 12.62 13.10 12.62 XXX 90920 A ESRD related services, month 7.27 3.77 3.42 3.77 3.42 0.19 11.23 10.88 11.23 10.88 XXX 90921 A ESRD related services, month 4.47 2.70 2.62 2.70 2.62 0.12 7.29 7.21 7.29 7.21 XXX 90922 A ESRD related services, day 0.37 0.16 0.14 0.16 0.14 0.01 0.54 0.52 0.54 0.52 XXX 90923 A Esrd related services, day 0.28 0.14 0.13 0.14 0.13 0.01 0.43 0.42 0.43 0.42 XXX 90924 A Esrd related services, day 0.24 0.12 0.11 0.12 0.11 0.01 0.37 0.36 0.37 0.36 XXX 90925 A Esrd related services, day 0.15 0.09 0.09 0.09 0.09 0.01 0.25 0.25 0.25 0.25 XXX 90935 A Hemodialysis, one evaluation 1.22 NA NA 0.78 0.95 0.03 NA NA 2.03 2.20 000 90937 A Hemodialysis, repeated eval 2.11 NA NA 1.10 1.46 0.06 NA NA 3.27 3.63 000 90940 X Hemodialysis access study 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90945 A Dialysis, one evaluation 1.28 NA NA 0.81 0.95 0.04 NA NA 2.13 2.27 000 90947 A Dialysis, repeated eval 2.16 NA NA 1.12 1.41 0.06 NA NA 3.34 3.63 000 90989 X Dialysis training, complete 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 90997 A Hemoperfusion 1.84 NA NA 1.01 1.31 0.05 NA NA 2.90 3.20 000 90999 C Dialysis procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91000 A Esophageal intubation 0.73 0.35 0.44 0.35 0.44 0.04 1.12 1.21 1.12 1.21 000 91000 26 A Esophageal intubation 0.73 0.27 0.36 0.27 0.36 0.03 1.03 1.12 1.03 1.12 000 91000 TC A Esophageal intubation 0.00 0.08 0.08 NA NA 0.01 0.09 0.09 NA NA 000 91010 A Esophagus motility study 1.25 1.27 1.54 1.27 1.54 0.10 2.62 2.89 2.62 2.89 000 91010 26 A Esophagus motility study 1.25 0.45 0.71 0.45 0.71 0.05 1.75 2.01 1.75 2.01 000 91010 TC A Esophagus motility study 0.00 0.82 0.83 NA NA 0.05 0.87 0.88 NA NA 000 91011 A Esophagus motility study 1.50 1.57 1.89 1.57 1.89 0.10 3.17 3.49 3.17 3.49 000 91011 26 A Esophagus motility study 1.50 0.55 0.86 0.55 0.86 0.05 2.10 2.41 2.10 2.41 000 91011 TC A Esophagus motility study 0.00 1.02 1.03 NA NA 0.05 1.07 1.08 NA NA 000 91012 A Esophagus motility study 1.46 1.67 1.99 1.67 1.99 0.12 3.25 3.57 3.25 3.57 000 91012 26 A Esophagus motility study 1.46 0.53 0.84 0.53 0.84 0.06 2.05 2.36 2.05 2.36 000 91012 TC A Esophagus motility study 0.00 1.14 1.15 NA NA 0.06 1.20 1.21 NA NA 000 91020 A Gastric motility 1.44 1.26 1.57 1.26 1.57 0.11 2.81 3.12 2.81 3.12 000 91020 26 A Gastric motility 1.44 0.50 0.80 0.50 0.80 0.06 2.00 2.30 2.00 2.30 000 91020 TC A Gastric motility 0.00 0.76 0.77 NA NA 0.05 0.81 0.82 NA NA 000 91030 A Acid perfusion of esophagus 0.91 0.55 0.56 0.55 0.56 0.05 1.51 1.52 1.51 1.52 000 91030 26 A Acid perfusion of esophagus 0.91 0.33 0.34 0.33 0.34 0.03 1.27 1.28 1.27 1.28 000 91030 TC A Acid perfusion of esophagus 0.00 0.22 0.22 NA NA 0.02 0.24 0.24 NA NA 000 91032 A Esophagus, acid reflux test 1.21 1.17 1.41 1.17 1.41 0.10 2.48 2.72 2.48 2.72 000 91032 26 A Esophagus, acid reflux test 1.21 0.43 0.66 0.43 0.66 0.05 1.69 1.92 1.69 1.92 000 91032 TC A Esophagus, acid reflux test 0.00 0.74 0.75 NA NA 0.05 0.79 0.80 NA NA 000 91033 A Prolonged acid reflux test 1.30 1.81 2.09 1.81 2.09 0.14 3.25 3.53 3.25 3.53 000 91033 26 A Prolonged acid reflux test 1.30 0.47 0.74 0.47 0.74 0.05 1.82 2.09 1.82 2.09 000 91033 TC A Prolonged acid reflux test 0.00 1.34 1.35 NA NA 0.09 1.43 1.44 NA NA 000 91052 A Gastric analysis test 0.79 0.62 0.69 0.62 0.69 0.05 1.46 1.53 1.46 1.53 000 91052 26 A Gastric analysis test 0.79 0.28 0.35 0.28 0.35 0.03 1.10 1.17 1.10 1.17 000 91052 TC A Gastric analysis test 0.00 0.34 0.34 NA NA 0.02 0.36 0.36 NA NA 000 Start Printed Page 65543 91055 A Gastric intubation for smear 0.94 0.58 0.65 0.58 0.65 0.06 1.58 1.65 1.58 1.65 000 91055 26 A Gastric intubation for smear 0.94 0.28 0.35 0.28 0.35 0.04 1.26 1.33 1.26 1.33 000 91055 TC A Gastric intubation for smear 0.00 0.30 0.30 NA NA 0.02 0.32 0.32 NA NA 000 91060 A Gastric saline load test 0.45 0.35 0.45 0.35 0.45 0.04 0.84 0.94 0.84 0.94 000 91060 26 A Gastric saline load test 0.45 0.13 0.23 0.13 0.23 0.02 0.60 0.70 0.60 0.70 000 91060 TC A Gastric saline load test 0.00 0.22 0.22 NA NA 0.02 0.24 0.24 NA NA 000 91065 A Breath hydrogen test 0.20 0.43 0.47 0.43 0.47 0.03 0.66 0.70 0.66 0.70 000 91065 26 A Breath hydrogen test 0.20 0.07 0.11 0.07 0.11 0.01 0.28 0.32 0.28 0.32 000 91065 TC A Breath hydrogen test 0.00 0.36 0.36 NA NA 0.02 0.38 0.38 NA NA 000 91100 A Pass intestine bleeding tube 1.08 NA NA 0.46 0.50 0.06 NA NA 1.60 1.64 000 91105 A Gastric intubation treatment 0.37 NA NA 0.20 0.26 0.02 NA NA 0.59 0.65 000 91122 A Anal pressure record 1.77 1.35 1.49 1.35 1.49 0.17 3.29 3.43 3.29 3.43 000 91122 26 A Anal pressure record 1.77 0.65 0.78 0.65 0.78 0.10 2.52 2.65 2.52 2.65 000 91122 TC A Anal pressure record 0.00 0.70 0.71 NA NA 0.07 0.77 0.78 NA NA 000 91132 C Electrogastrography 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91132 26 C Electrogastrography 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91132 TC C Electrogastrography 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91133 C Electrogastrography w/test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91133 26 C Electrogastrography w/test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91133 TC C Electrogastrography w/test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91299 C Gastroenterology procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91299 26 C Gastroenterology procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91299 TC C Gastroenterology procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92002 A Eye exam, new patient 0.88 1.10 0.96 0.36 0.34 0.02 2.00 1.86 1.26 1.24 XXX 92004 A Eye exam, new patient 1.67 1.73 1.45 0.72 0.62 0.03 3.43 3.15 2.42 2.32 XXX 92012 A Eye exam established pat 0.67 1.05 0.91 0.31 0.29 0.01 1.73 1.59 0.99 0.97 XXX 92014 A Eye exam & treatment 1.10 1.36 1.17 0.51 0.46 0.02 2.48 2.29 1.63 1.58 XXX 92015 N Refraction +0.38 1.40 1.14 0.15 0.20 0.01 1.79 1.53 0.54 0.59 XXX 92018 A New eye exam & treatment 1.51 NA NA 0.72 0.67 0.03 NA NA 2.26 2.21 XXX 92019 A Eye exam & treatment 1.31 NA NA 0.62 0.53 0.03 NA NA 1.96 1.87 XXX 92020 A Special eye evaluation 0.37 0.70 0.60 0.17 0.17 0.01 1.08 0.98 0.55 0.55 XXX 92060 A Special eye evaluation 0.69 1.53 1.25 1.53 1.25 0.02 2.24 1.96 2.24 1.96 XXX 92060 26 A Special eye evaluation 0.69 0.30 0.28 0.30 0.28 0.01 1.00 0.98 1.00 0.98 XXX 92060 TC A Special eye evaluation 0.00 1.23 0.97 NA NA 0.01 1.24 0.98 NA NA XXX 92065 A Orthoptic/pleoptic training 0.37 0.80 0.70 0.80 0.70 0.02 1.19 1.09 1.19 1.09 XXX 92065 26 A Orthoptic/pleoptic training 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX 92065 TC A Orthoptic/pleoptic training 0.00 0.64 0.52 NA NA 0.01 0.65 0.53 NA NA XXX 92070 A Fitting of contact lens 0.70 1.03 1.10 0.34 0.42 0.01 1.74 1.81 1.05 1.13 XXX 92081 A Visual field examination(s) 0.36 1.42 1.16 1.42 1.16 0.02 1.80 1.54 1.80 1.54 XXX 92081 26 A Visual field examination(s) 0.36 0.16 0.17 0.16 0.17 0.01 0.53 0.54 0.53 0.54 XXX 92081 TC A Visual field examination(s) 0.00 1.26 0.99 NA NA 0.01 1.27 1.00 NA NA XXX 92082 A Visual field examination(s) 0.44 1.25 1.07 1.25 1.07 0.02 1.71 1.53 1.71 1.53 XXX 92082 26 A Visual field examination(s) 0.44 0.20 0.23 0.20 0.23 0.01 0.65 0.68 0.65 0.68 XXX 92082 TC A Visual field examination(s) 0.00 1.05 0.84 NA NA 0.01 1.06 0.85 NA NA XXX 92083 A Visual field examination(s) 0.50 1.23 1.15 1.23 1.15 0.02 1.75 1.67 1.75 1.67 XXX 92083 26 A Visual field examination(s) 0.50 0.23 0.32 0.23 0.32 0.01 0.74 0.83 0.74 0.83 XXX 92083 TC A Visual field examination(s) 0.00 1.00 0.83 NA NA 0.01 1.01 0.84 NA NA XXX 92100 A Serial tonometry exam(s) 0.92 0.79 0.66 0.40 0.34 0.02 1.73 1.60 1.34 1.28 XXX 92120 A Tonography & eye evaluation 0.81 0.77 0.66 0.32 0.28 0.02 1.60 1.49 1.15 1.11 XXX 92130 A Water provocation tonography 0.81 0.87 0.79 0.40 0.37 0.02 1.70 1.62 1.23 1.20 XXX 92135 A Opthalmic dx imaging 0.35 1.19 1.19 1.19 1.19 0.02 1.56 1.56 1.56 1.56 XXX 92135 26 A Opthalmic dx imaging 0.35 0.16 0.16 0.16 0.16 0.01 0.52 0.52 0.52 0.52 XXX 92135 TC A Opthalmic dx imaging 0.00 1.03 1.03 NA NA 0.01 1.04 1.04 NA NA XXX 92140 A Glaucoma provocative tests 0.50 0.95 0.80 0.22 0.21 0.01 1.46 1.31 0.73 0.72 XXX 92225 A Special eye exam, initial 0.38 1.64 1.35 0.16 0.18 0.01 2.03 1.74 0.55 0.57 XXX 92226 A Special eye exam, subsequent 0.33 1.73 1.41 0.15 0.17 0.01 2.07 1.75 0.49 0.51 XXX 92230 A Eye exam with photos 0.60 1.28 1.15 0.19 0.24 0.02 1.90 1.77 0.81 0.86 XXX 92235 A Eye exam with photos 0.81 2.31 2.16 2.31 2.16 0.07 3.19 3.04 3.19 3.04 XXX 92235 26 A Eye exam with photos 0.81 0.40 0.46 0.40 0.46 0.02 1.23 1.29 1.23 1.29 XXX 92235 TC A Eye exam with photos 0.00 1.91 1.70 NA NA 0.05 1.96 1.75 NA NA XXX 92240 A Icg angiography 1.10 2.75 2.49 2.75 2.49 0.07 3.92 3.66 3.92 3.66 XXX 92240 26 A Icg angiography 1.10 0.53 0.56 0.53 0.56 0.02 1.65 1.68 1.65 1.68 XXX 92240 TC A Icg angiography 0.00 2.22 1.93 NA NA 0.05 2.27 1.98 NA NA XXX 92250 A Eye exam with photos 0.44 1.75 1.43 1.75 1.43 0.02 2.21 1.89 2.21 1.89 XXX 92250 26 A Eye exam with photos 0.44 0.21 0.23 0.21 0.23 0.01 0.66 0.68 0.66 0.68 XXX 92250 TC A Eye exam with photos 0.00 1.54 1.20 NA NA 0.01 1.55 1.21 NA NA XXX 92260 A Ophthalmoscopy/dynamometry 0.20 0.22 0.31 0.10 0.15 0.01 0.43 0.52 0.31 0.36 XXX 92265 A Eye muscle evaluation 0.81 1.27 1.04 1.27 1.04 0.04 2.12 1.89 2.12 1.89 XXX 92265 26 A Eye muscle evaluation 0.81 0.33 0.27 0.33 0.27 0.02 1.16 1.10 1.16 1.10 XXX 92265 TC A Eye muscle evaluation 0.00 0.94 0.77 NA NA 0.02 0.96 0.79 NA NA XXX 92270 A Electro-oculography 0.81 1.03 0.95 1.03 0.95 0.05 1.89 1.81 1.89 1.81 XXX 92270 26 A Electro-oculography 0.81 0.35 0.36 0.35 0.36 0.03 1.19 1.20 1.19 1.20 XXX 92270 TC A Electro-oculography 0.00 0.68 0.59 NA NA 0.02 0.70 0.61 NA NA XXX 92275 A Electroretinography 1.01 1.17 1.13 1.17 1.13 0.04 2.22 2.18 2.22 2.18 XXX 92275 26 A Electroretinography 1.01 0.45 0.48 0.45 0.48 0.02 1.48 1.51 1.48 1.51 XXX 92275 TC A Electroretinography 0.00 0.72 0.65 NA NA 0.02 0.74 0.67 NA NA XXX 92283 A Color vision examination 0.17 0.65 0.57 0.65 0.57 0.02 0.84 0.76 0.84 0.76 XXX 92283 26 A Color vision examination 0.17 0.07 0.10 0.07 0.10 0.01 0.25 0.28 0.25 0.28 XXX 92283 TC A Color vision examination 0.00 0.58 0.47 NA NA 0.01 0.59 0.48 NA NA XXX 92284 A Dark adaptation eye exam 0.24 1.98 1.61 1.98 1.61 0.02 2.24 1.87 2.24 1.87 XXX 92284 26 A Dark adaptation eye exam 0.24 0.08 0.14 0.08 0.14 0.01 0.33 0.39 0.33 0.39 XXX 92284 TC A Dark adaptation eye exam 0.00 1.90 1.47 NA NA 0.01 1.91 1.48 NA NA XXX 92285 A Eye photography 0.20 1.90 1.51 1.90 1.51 0.02 2.12 1.73 2.12 1.73 XXX Start Printed Page 65544 92285 26 A Eye photography 0.20 0.09 0.12 0.09 0.12 0.01 0.30 0.33 0.30 0.33 XXX 92285 TC A Eye photography 0.00 1.81 1.39 NA NA 0.01 1.82 1.40 NA NA XXX 92286 A Internal eye photography 0.66 2.07 1.89 2.07 1.89 0.03 2.76 2.58 2.76 2.58 XXX 92286 26 A Internal eye photography 0.66 0.32 0.47 0.32 0.47 0.01 0.99 1.14 0.99 1.14 XXX 92286 TC A Internal eye photography 0.00 1.75 1.42 NA NA 0.02 1.77 1.44 NA NA XXX 92287 A Internal eye photography 0.81 1.96 1.88 0.30 0.43 0.02 2.79 2.71 1.13 1.26 XXX 92310 N Contact lens fitting +1.17 1.08 1.16 0.47 0.70 0.00 2.25 2.33 1.64 1.87 XXX 92311 A Contact lens fitting 1.08 1.05 1.03 0.40 0.42 0.03 2.16 2.14 1.51 1.53 XXX 92312 A Contact lens fitting 1.26 1.03 1.09 0.46 0.50 0.03 2.32 2.38 1.75 1.79 XXX 92313 A Contact lens fitting 0.92 1.06 1.04 0.32 0.36 0.02 2.00 1.98 1.26 1.30 XXX 92314 N Prescription of contact lens +0.69 0.88 0.87 0.28 0.42 0.00 1.57 1.56 0.97 1.11 XXX 92315 A Prescription of contact lens 0.45 0.77 0.76 0.18 0.23 0.01 1.23 1.22 0.64 0.69 XXX 92316 A Prescription of contact lens 0.68 0.85 0.90 0.27 0.33 0.01 1.54 1.59 0.96 1.02 XXX 92317 A Prescription of contact lens 0.45 0.93 0.80 0.19 0.20 0.01 1.39 1.26 0.65 0.66 XXX 92325 A Modification of contact lens 0.00 0.39 0.40 0.39 0.40 0.01 0.40 0.41 0.40 0.41 XXX 92326 A Replacement of contact lens 0.00 1.62 1.64 1.62 1.64 0.05 1.67 1.69 1.67 1.69 XXX 92330 A Fitting of artificial eye 1.08 1.02 1.07 0.41 0.46 0.04 2.14 2.19 1.53 1.58 XXX 92335 A Fitting of artificial eye 0.45 0.83 1.16 0.18 0.40 0.01 1.29 1.62 0.64 0.86 XXX 92340 N Fitting of spectacles +0.37 0.66 0.61 0.15 0.22 0.00 1.03 0.98 0.52 0.59 XXX 92341 N Fitting of spectacles +0.47 0.69 0.66 0.19 0.28 0.00 1.16 1.13 0.66 0.75 XXX 92342 N Fitting of spectacles +0.53 0.72 0.70 0.21 0.32 0.00 1.25 1.23 0.74 0.85 XXX 92352 B Special spectacles fitting +0.37 0.66 0.58 0.15 0.20 0.01 1.04 0.96 0.53 0.58 XXX 92353 B Special spectacles fitting +0.50 0.71 0.64 0.20 0.26 0.02 1.23 1.16 0.72 0.78 XXX 92354 B Special spectacles fitting +0.00 8.79 8.88 8.79 8.88 0.08 8.87 8.96 8.87 8.96 XXX 92355 B Special spectacles fitting +0.00 4.30 4.35 4.30 4.35 0.01 4.31 4.36 4.31 4.36 XXX 92358 B Eye prosthesis service +0.00 0.96 0.97 0.96 0.97 0.04 1.00 1.01 1.00 1.01 XXX 92370 N Repair & adjust spectacles +0.32 0.50 0.47 0.13 0.19 0.00 0.82 0.79 0.45 0.51 XXX 92371 B Repair & adjust spectacles +0.00 0.61 0.62 0.61 0.62 0.02 0.63 0.64 0.63 0.64 XXX 92390 N Supply of spectacles 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92391 N Supply of contact lenses 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92392 I Supply of low vision aids +0.00 4.02 4.06 4.02 4.06 0.02 4.04 4.08 4.04 4.08 XXX 92393 I Supply of artificial eye +0.00 12.46 12.59 12.46 12.59 0.47 12.93 13.06 12.93 13.06 XXX 92395 I Supply of spectacles +0.00 1.36 1.38 1.36 1.38 0.08 1.44 1.46 1.44 1.46 XXX 92396 I Supply of contact lenses +0.00 2.29 2.31 2.29 2.31 0.06 2.35 2.37 2.35 2.37 XXX 92499 C Eye service or procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92499 26 C Eye service or procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92499 TC C Eye service or procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92502 A Ear and throat examination 1.51 NA NA 1.33 1.30 0.06 NA NA 2.90 2.87 000 92504 A Ear microscopy examination 0.18 1.04 0.85 0.09 0.10 0.01 1.23 1.04 0.28 0.29 XXX 92506 A Speech/hearing evaluation 0.86 1.47 1.24 0.45 0.41 0.04 2.37 2.14 1.35 1.31 XXX 92507 A Speech/hearing therapy 0.52 1.34 1.10 0.28 0.26 0.02 1.88 1.64 0.82 0.80 XXX 92508 A Speech/hearing therapy 0.26 0.97 0.78 0.15 0.14 0.01 1.24 1.05 0.42 0.41 XXX 92510 A Rehab for ear implant 1.50 1.94 1.83 0.85 0.82 0.06 3.50 3.39 2.41 2.38 XXX 92511 A Nasopharyngoscopy 0.84 1.28 1.19 0.42 0.43 0.03 2.15 2.06 1.29 1.30 000 92512 A Nasal function studies 0.55 1.09 0.95 0.20 0.22 0.02 1.66 1.52 0.77 0.79 XXX 92516 A Facial nerve function test 0.43 0.91 0.79 0.23 0.23 0.02 1.36 1.24 0.68 0.68 XXX 92520 A Laryngeal function studies 0.76 0.56 0.57 0.36 0.34 0.03 1.35 1.36 1.15 1.13 XXX 92525 N Oral function evaluation +1.50 1.55 1.44 0.60 0.59 0.07 3.12 3.01 2.17 2.16 XXX 92526 A Oral function therapy 0.55 1.45 1.22 0.25 0.25 0.02 2.02 1.79 0.82 0.82 XXX 92531 B Spontaneous nystagmus study 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92532 B Positional nystagmus study 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 92534 B Optokinetic nystagmus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92541 A Spontaneous nystagmus test 0.40 0.43 0.50 0.43 0.50 0.04 0.87 0.94 0.87 0.94 XXX 92541 26 A Spontaneous nystagmus test 0.40 0.20 0.27 0.20 0.27 0.02 0.62 0.69 0.62 0.69 XXX 92541 TC A Spontaneous nystagmus test 0.00 0.23 0.23 NA NA 0.02 0.25 0.25 NA NA XXX 92542 A Positional nystagmus test 0.33 0.42 0.48 0.42 0.48 0.03 0.78 0.84 0.78 0.84 XXX 92542 26 A Positional nystagmus test 0.33 0.16 0.22 0.16 0.22 0.01 0.50 0.56 0.50 0.56 XXX 92542 TC A Positional nystagmus test 0.00 0.26 0.26 NA NA 0.02 0.28 0.28 NA NA XXX 92543 A Caloric vestibular test 0.10 0.16 0.18 0.16 0.18 0.02 0.28 0.30 0.28 0.30 XXX 92543 26 A Caloric vestibular test 0.10 0.05 0.07 0.05 0.07 0.01 0.16 0.18 0.16 0.18 XXX 92543 TC A Caloric vestibular test 0.00 0.11 0.11 NA NA 0.01 0.12 0.12 NA NA XXX 92544 A Optokinetic nystagmus test 0.26 0.34 0.38 0.34 0.38 0.03 0.63 0.67 0.63 0.67 XXX 92544 26 A Optokinetic nystagmus test 0.26 0.13 0.17 0.13 0.17 0.01 0.40 0.44 0.40 0.44 XXX 92544 TC A Optokinetic nystagmus test 0.00 0.21 0.21 NA NA 0.02 0.23 0.23 NA NA XXX 92545 A Oscillating tracking test 0.23 0.32 0.35 0.32 0.35 0.03 0.58 0.61 0.58 0.61 XXX 92545 26 A Oscillating tracking test 0.23 0.11 0.14 0.11 0.14 0.01 0.35 0.38 0.35 0.38 XXX 92545 TC A Oscillating tracking test 0.00 0.21 0.21 NA NA 0.02 0.23 0.23 NA NA XXX 92546 A Sinusoidal rotational test 0.29 0.38 0.43 0.38 0.43 0.03 0.70 0.75 0.70 0.75 XXX 92546 26 A Sinusoidal rotational test 0.29 0.14 0.19 0.14 0.19 0.01 0.44 0.49 0.44 0.49 XXX 92546 TC A Sinusoidal rotational test 0.00 0.24 0.24 NA NA 0.02 0.26 0.26 NA NA XXX 92547 A Supplemental electrical test 0.00 0.56 0.57 NA NA 0.05 0.61 0.62 NA NA ZZZ 92548 A Posturography 0.50 1.72 1.80 1.72 1.80 0.13 2.35 2.43 2.35 2.43 XXX 92548 26 A Posturography 0.50 0.26 0.32 0.26 0.32 0.02 0.78 0.84 0.78 0.84 XXX 92548 TC A Posturography 0.00 1.46 1.48 NA NA 0.11 1.57 1.59 NA NA XXX 92551 N Pure tone hearing test, air 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92552 A Pure tone audiometry, air 0.00 0.44 0.45 NA NA 0.03 0.47 0.48 NA NA XXX 92553 A Audiometry, air & bone 0.00 0.65 0.66 NA NA 0.05 0.70 0.71 NA NA XXX 92555 A Speech threshold audiometry 0.00 0.37 0.38 NA NA 0.03 0.40 0.41 NA NA XXX 92556 A Speech audiometry, complete 0.00 0.57 0.58 NA NA 0.05 0.62 0.63 NA NA XXX 92557 A Comprehensive hearing test 0.00 1.18 1.19 NA NA 0.10 1.28 1.29 NA NA XXX 92559 N Group audiometric testing 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX Start Printed Page 65545 92561 A Bekesy audiometry, diagnosis 0.00 0.71 0.72 NA NA 0.05 0.76 0.77 NA NA XXX 92562 A Loudness balance test 0.00 0.40 0.41 NA NA 0.03 0.43 0.44 NA NA XXX 92563 A Tone decay hearing test 0.00 0.37 0.38 NA NA 0.03 0.40 0.41 NA NA XXX 92564 A Sisi hearing test 0.00 0.47 0.48 NA NA 0.04 0.51 0.52 NA NA XXX 92565 A Stenger test, pure tone 0.00 0.39 0.40 NA NA 0.03 0.42 0.43 NA NA XXX 92567 A Tympanometry 0.00 0.52 0.53 NA NA 0.05 0.57 0.58 NA NA XXX 92568 A Acoustic reflex testing 0.00 0.37 0.38 NA NA 0.03 0.40 0.41 NA NA XXX 92569 A Acoustic reflex decay test 0.00 0.40 0.41 NA NA 0.03 0.43 0.44 NA NA XXX 92571 A Filtered speech hearing test 0.00 0.38 0.39 NA NA 0.03 0.41 0.42 NA NA XXX 92572 A Staggered spondaic word test 0.00 0.09 0.09 NA NA 0.01 0.10 0.10 NA NA XXX 92573 A Lombard test 0.00 0.35 0.35 NA NA 0.03 0.38 0.38 NA NA XXX 92575 A Sensorineural acuity test 0.00 0.30 0.30 NA NA 0.02 0.32 0.32 NA NA XXX 92576 A Synthetic sentence test 0.00 0.44 0.45 NA NA 0.04 0.48 0.49 NA NA XXX 92577 A Stenger test, speech 0.00 0.71 0.72 NA NA 0.06 0.77 0.78 NA NA XXX 92579 A Visual audiometry (vra) 0.00 0.72 0.73 NA NA 0.05 0.77 0.78 NA NA XXX 92582 A Conditioning play audiometry 0.00 0.72 0.73 NA NA 0.05 0.77 0.78 NA NA XXX 92583 A Select picture audiometry 0.00 0.88 0.89 NA NA 0.07 0.95 0.96 NA NA XXX 92584 A Electrocochleography 0.00 2.46 2.49 NA NA 0.17 2.63 2.66 NA NA XXX 92585 A Auditor evoke potent, compre 0.50 2.06 2.43 2.06 2.43 0.14 2.70 3.07 2.70 3.07 XXX 92585 26 A Auditor evoke potent, compre 0.50 0.22 0.57 0.22 0.57 0.02 0.74 1.09 0.74 1.09 XXX 92585 TC A Auditor evoke potent, compre 0.00 1.84 1.86 NA NA 0.12 1.96 1.98 NA NA XXX 92586 A Auditor evoke potent, limit 0.00 1.84 1.84 NA NA 0.12 1.96 1.96 NA NA XXX 92587 A Evoked auditory test 0.13 1.37 1.39 1.37 1.39 0.10 1.60 1.62 1.60 1.62 XXX 92587 26 A Evoked auditory test 0.13 0.07 0.08 0.07 0.08 0.01 0.21 0.22 0.21 0.22 XXX 92587 TC A Evoked auditory test 0.00 1.30 1.31 NA NA 0.09 1.39 1.40 NA NA XXX 92588 A Evoked auditory test 0.36 1.63 1.69 1.63 1.69 0.12 2.11 2.17 2.11 2.17 XXX 92588 26 A Evoked auditory test 0.36 0.17 0.21 0.17 0.21 0.01 0.54 0.58 0.54 0.58 XXX 92588 TC A Evoked auditory test 0.00 1.46 1.48 NA NA 0.11 1.57 1.59 NA NA XXX 92589 A Auditory function test(s) 0.00 0.53 0.54 NA NA 0.05 0.58 0.59 NA NA XXX 92590 N Hearing aid exam, one ear 0.00 0.00 0.00 0.00 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 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 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 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 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 0.00 0.00 0.00 0.00 XXX 92596 A Ear protector evaluation 0.00 0.59 0.60 NA NA 0.05 0.64 0.65 NA NA XXX 92597 N Oral speech device eval +1.35 1.49 1.39 0.54 0.68 0.05 2.89 2.79 1.94 2.08 XXX 92598 N Modify oral speech device +0.99 0.76 0.75 0.40 0.48 0.04 1.79 1.78 1.43 1.51 XXX 92599 C ENT procedure/service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92599 26 C ENT procedure/service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92599 TC C ENT procedure/service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92950 A Heart/lung resuscitation cpr 3.80 1.38 1.65 1.17 1.49 0.21 5.39 5.66 5.18 5.50 000 92953 A Temporary external pacing 0.23 NA NA 0.24 0.25 0.01 NA NA 0.48 0.49 000 92960 A Cardioversion electric, ext 2.25 2.19 2.15 0.93 1.21 0.08 4.52 4.48 3.26 3.54 000 92961 A Cardioversion, electric, int 4.60 NA NA 1.96 1.96 0.17 NA NA 6.73 6.73 000 92970 A Cardioassist, internal 3.52 NA NA 1.06 1.74 0.17 NA NA 4.75 5.43 000 92971 A Cardioassist, external 1.77 NA NA 0.92 0.99 0.06 NA NA 2.75 2.82 000 92975 A Dissolve clot, heart vessel 7.25 NA NA 3.16 3.92 0.22 NA NA 10.63 11.39 000 92977 A Dissolve clot, heart vessel 0.00 7.99 8.08 7.99 8.08 0.38 8.37 8.46 8.37 8.46 XXX 92978 A Intravasc us, heart add-on 1.80 5.31 5.45 5.31 5.45 0.26 7.37 7.51 7.37 7.51 ZZZ 92978 26 A Intravasc us, heart add-on 1.80 0.78 0.87 0.78 0.87 0.06 2.64 2.73 2.64 2.73 ZZZ 92978 TC A Intravasc us, heart add-on 0.00 4.53 4.58 NA NA 0.20 4.73 4.78 NA NA ZZZ 92979 A Intravasc us, heart add-on 1.44 2.91 3.00 2.91 3.00 0.15 4.50 4.59 4.50 4.59 ZZZ 92979 26 A Intravasc us, heart add-on 1.44 0.63 0.70 0.63 0.70 0.04 2.11 2.18 2.11 2.18 ZZZ 92979 TC A Intravasc us, heart add-on 0.00 2.28 2.30 NA NA 0.11 2.39 2.41 NA NA ZZZ 92980 A Insert intracoronary stent 14.84 NA NA 6.47 9.28 0.78 NA NA 22.09 24.90 000 92981 A Insert intracoronary stent 4.17 NA NA 1.81 2.60 0.21 NA NA 6.19 6.98 ZZZ 92982 A Coronary artery dilation 10.98 NA NA 4.81 6.89 0.57 NA NA 16.36 18.44 000 92984 A Coronary artery dilation 2.97 NA NA 1.29 1.86 0.16 NA NA 4.42 4.99 ZZZ 92986 A Revision of aortic valve 21.80 NA NA 11.22 11.68 1.14 NA NA 34.16 34.62 090 92987 A Revision of mitral valve 22.70 NA NA 11.62 12.03 1.18 NA NA 35.50 35.91 090 92990 A Revision of pulmonary valve 17.34 NA NA 9.38 9.64 0.90 NA NA 27.62 27.88 090 92992 C Revision of heart chamber 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 090 92995 A Coronary atherectomy 12.09 NA NA 5.27 7.56 0.63 NA NA 17.99 20.28 000 92996 A Coronary atherectomy add-on 3.26 NA NA 1.45 2.06 0.17 NA NA 4.88 5.49 ZZZ 92997 A Pul art balloon repr, percut 12.00 NA NA 5.06 7.38 0.63 NA NA 17.69 20.01 000 92998 A Pul art balloon repr, percut 6.00 NA NA 2.45 2.87 0.31 NA NA 8.76 9.18 ZZZ 93000 A Electrocardiogram, complete 0.17 0.52 0.56 NA NA 0.03 0.72 0.76 NA NA XXX 93005 A Electrocardiogram, tracing 0.00 0.45 0.46 NA NA 0.02 0.47 0.48 NA NA XXX 93010 A Electrocardiogram report 0.17 0.07 0.10 0.07 0.10 0.01 0.25 0.28 0.25 0.28 XXX 93012 A Transmission of ecg 0.00 2.34 2.37 NA NA 0.15 2.49 2.52 NA NA XXX 93014 A Report on transmitted ecg 0.52 0.20 0.26 0.20 0.26 0.02 0.74 0.80 0.74 0.80 XXX 93015 A Cardiovascular stress test 0.75 1.98 2.12 NA NA 0.11 2.84 2.98 NA NA XXX 93016 A Cardiovascular stress test 0.45 0.19 0.25 0.19 0.25 0.01 0.65 0.71 0.65 0.71 XXX 93017 A Cardiovascular stress test 0.00 1.67 1.69 NA NA 0.09 1.76 1.78 NA NA XXX 93018 A Cardiovascular stress test 0.30 0.12 0.18 0.12 0.18 0.01 0.43 0.49 0.43 0.49 XXX 93024 A Cardiac drug stress test 1.17 1.60 1.84 1.60 1.84 0.11 2.88 3.12 2.88 3.12 XXX 93024 26 A Cardiac drug stress test 1.17 0.49 0.72 0.49 0.72 0.04 1.70 1.93 1.70 1.93 XXX 93024 TC A Cardiac drug stress test 0.00 1.11 1.12 NA NA 0.07 1.18 1.19 NA NA XXX 93040 A Rhythm ECG with report 0.16 0.19 0.21 NA NA 0.02 0.37 0.39 NA NA XXX 93041 A Rhythm ECG, tracing 0.00 0.14 0.14 NA NA 0.01 0.15 0.15 NA NA XXX 93042 A Rhythm ECG, report 0.16 0.05 0.07 0.05 0.07 0.01 0.22 0.24 0.22 0.24 XXX Start Printed Page 65546 93224 A ECG monitor/report, 24 hrs 0.52 3.61 3.74 NA NA 0.21 4.34 4.47 NA NA XXX 93225 A ECG monitor/record, 24 hrs 0.00 1.23 1.24 NA NA 0.07 1.30 1.31 NA NA XXX 93226 A ECG monitor/report, 24 hrs 0.00 2.17 2.19 NA NA 0.12 2.29 2.31 NA NA XXX 93227 A ECG monitor/review, 24 hrs 0.52 0.21 0.31 0.21 0.31 0.02 0.75 0.85 0.75 0.85 XXX 93230 A ECG monitor/report, 24 hrs 0.52 3.88 4.02 NA NA 0.22 4.62 4.76 NA NA XXX 93231 A Ecg monitor/record, 24 hrs 0.00 1.51 1.53 NA NA 0.09 1.60 1.62 NA NA XXX 93232 A ECG monitor/report, 24 hrs 0.00 2.16 2.18 NA NA 0.11 2.27 2.29 NA NA XXX 93233 A ECG monitor/review, 24 hrs 0.52 0.21 0.31 0.21 0.31 0.02 0.75 0.85 0.75 0.85 XXX 93235 A ECG monitor/report, 24 hrs 0.45 2.78 2.90 NA NA 0.13 3.36 3.48 NA NA XXX 93236 A ECG monitor/report, 24 hrs 0.00 2.60 2.63 NA NA 0.12 2.72 2.75 NA NA XXX 93237 A ECG monitor/review, 24 hrs 0.45 0.18 0.27 0.18 0.27 0.01 0.64 0.73 0.64 0.73 XXX 93268 A ECG record/review 0.52 3.77 3.87 NA NA 0.24 4.53 4.63 NA NA XXX 93270 A ECG recording 0.00 1.23 1.24 NA NA 0.07 1.30 1.31 NA NA XXX 93271 A Ecg/monitoring and analysis 0.00 2.34 2.37 NA NA 0.15 2.49 2.52 NA NA XXX 93272 A Ecg/review, interpret only 0.52 0.20 0.26 0.20 0.26 0.02 0.74 0.80 0.74 0.80 XXX 93278 A ECG/signal-averaged 0.25 1.25 1.31 1.25 1.31 0.10 1.60 1.66 1.60 1.66 XXX 93278 26 A ECG/signal-averaged 0.25 0.11 0.16 0.11 0.16 0.01 0.37 0.42 0.37 0.42 XXX 93278 TC A ECG/signal-averaged 0.00 1.14 1.15 NA NA 0.09 1.23 1.24 NA NA XXX 93303 A Echo transthoracic 1.30 4.33 4.52 4.33 4.52 0.23 5.86 6.05 5.86 6.05 XXX 93303 26 A Echo transthoracic 1.30 0.50 0.65 0.50 0.65 0.04 1.84 1.99 1.84 1.99 XXX 93303 TC A Echo transthoracic 0.00 3.83 3.87 NA NA 0.19 4.02 4.06 NA NA XXX 93304 A Echo transthoracic 0.75 2.24 2.37 2.24 2.37 0.13 3.12 3.25 3.12 3.25 XXX 93304 26 A Echo transthoracic 0.75 0.31 0.42 0.31 0.42 0.02 1.08 1.19 1.08 1.19 XXX 93304 TC A Echo transthoracic 0.00 1.93 1.95 NA NA 0.11 2.04 2.06 NA NA XXX 93307 A Echo exam of heart 0.92 4.22 4.44 4.22 4.44 0.22 5.36 5.58 5.36 5.58 XXX 93307 26 A Echo exam of heart 0.92 0.39 0.57 0.39 0.57 0.03 1.34 1.52 1.34 1.52 XXX 93307 TC A Echo exam of heart 0.00 3.83 3.87 NA NA 0.19 4.02 4.06 NA NA XXX 93308 A Echo exam of heart 0.53 2.15 2.27 2.15 2.27 0.13 2.81 2.93 2.81 2.93 XXX 93308 26 A Echo exam of heart 0.53 0.22 0.32 0.22 0.32 0.02 0.77 0.87 0.77 0.87 XXX 93308 TC A Echo exam of heart 0.00 1.93 1.95 NA NA 0.11 2.04 2.06 NA NA XXX 93312 A Echo transesophageal 2.20 4.65 4.84 4.65 4.84 0.32 7.17 7.36 7.17 7.36 XXX 93312 26 A Echo transesophageal 2.20 0.89 1.04 0.89 1.04 0.08 3.17 3.32 3.17 3.32 XXX 93312 TC A Echo transesophageal 0.00 3.76 3.80 NA NA 0.24 4.00 4.04 NA NA XXX 93313 A Echo transesophageal 0.95 4.30 3.41 0.22 0.35 0.05 5.30 4.41 1.22 1.35 XXX 93314 A Echo transesophageal 1.25 4.28 4.37 4.28 4.37 0.28 5.81 5.90 5.81 5.90 XXX 93314 26 A Echo transesophageal 1.25 0.52 0.57 0.52 0.57 0.04 1.81 1.86 1.81 1.86 XXX 93314 TC A Echo transesophageal 0.00 3.76 3.80 NA NA 0.24 4.00 4.04 NA NA XXX 93315 A Echo transesophageal 2.78 4.86 4.99 4.86 4.99 0.34 7.98 8.11 7.98 8.11 XXX 93315 26 A Echo transesophageal 2.78 1.10 1.19 1.10 1.19 0.10 3.98 4.07 3.98 4.07 XXX 93315 TC A Echo transesophageal 0.00 3.76 3.80 NA NA 0.24 4.00 4.04 NA NA XXX 93316 A Echo transesophageal 0.95 3.09 2.50 0.23 0.36 0.05 4.09 3.50 1.23 1.36 XXX 93317 A Echo transesophageal 1.83 4.52 4.55 4.52 4.55 0.30 6.65 6.68 6.65 6.68 XXX 93317 26 A Echo transesophageal 1.83 0.76 0.75 0.76 0.75 0.06 2.65 2.64 2.65 2.64 XXX 93317 TC A Echo transesophageal 0.00 3.76 3.80 NA NA 0.24 4.00 4.04 NA NA XXX 93318 C Echo transesophageal intraop 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93318 26 C Echo transesophageal intraop 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93318 TC C Echo transesophageal intraop 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93320 A Doppler echo exam, heart 0.38 1.86 1.96 1.86 1.96 0.11 2.35 2.45 2.35 2.45 ZZZ 93320 26 A Doppler echo exam, heart 0.38 0.16 0.24 0.16 0.24 0.01 0.55 0.63 0.55 0.63 ZZZ 93320 TC A Doppler echo exam, heart 0.00 1.70 1.72 NA NA 0.10 1.80 1.82 NA NA ZZZ 93321 A Doppler echo exam, heart 0.15 1.16 1.20 1.16 1.20 0.08 1.39 1.43 1.39 1.43 ZZZ 93321 26 A Doppler echo exam, heart 0.15 0.06 0.09 0.06 0.09 0.01 0.22 0.25 0.22 0.25 ZZZ 93321 TC A Doppler echo exam, heart 0.00 1.10 1.11 NA NA 0.07 1.17 1.18 NA NA ZZZ 93325 A Doppler color flow add-on 0.07 2.91 2.94 2.91 2.94 0.18 3.16 3.19 3.16 3.19 ZZZ 93325 26 A Doppler color flow add-on 0.07 0.03 0.03 0.03 0.03 0.01 0.11 0.11 0.11 0.11 ZZZ 93325 TC A Doppler color flow add-on 0.00 2.88 2.91 NA NA 0.17 3.05 3.08 NA NA ZZZ 93350 A Echo transthoracic 0.78 2.08 2.25 2.08 2.25 0.13 2.99 3.16 2.99 3.16 XXX 93350 26 A Echo transthoracic 0.78 0.33 0.48 0.33 0.48 0.02 1.13 1.28 1.13 1.28 XXX 93350 TC A Echo transthoracic 0.00 1.75 1.77 NA NA 0.11 1.86 1.88 NA NA XXX 93501 A Right heart catheterization 3.02 17.59 18.46 17.59 18.46 1.03 21.64 22.51 21.64 22.51 000 93501 26 A Right heart catheterization 3.02 1.27 1.85 1.27 1.85 0.16 4.45 5.03 4.45 5.03 000 93501 TC A Right heart catheterization 0.00 16.32 16.61 NA NA 0.87 17.19 17.48 NA NA 000 93503 A Insert/place heart catheter 2.91 NA NA 0.75 1.21 0.16 NA NA 3.82 4.28 000 93505 A Biopsy of heart lining 4.38 3.78 4.18 3.78 4.18 0.36 8.52 8.92 8.52 8.92 000 93505 26 A Biopsy of heart lining 4.38 1.87 2.23 1.87 2.23 0.23 6.48 6.84 6.48 6.84 000 93505 TC A Biopsy of heart lining 0.00 1.91 1.95 NA NA 0.13 2.04 2.08 NA NA 000 93508 A Cath placement, angiography 4.10 13.94 14.47 13.94 14.47 0.75 18.79 19.32 18.79 19.32 000 93508 26 A Cath placement, angiography 4.10 1.77 2.08 1.77 2.08 0.21 6.08 6.39 6.08 6.39 000 93508 TC A Cath placement, angiography 0.00 12.17 12.39 NA NA 0.54 12.71 12.93 NA NA 000 93510 A Left heart catheterization 4.33 37.54 38.54 37.54 38.54 2.13 44.00 45.00 44.00 45.00 000 93510 26 A Left heart catheterization 4.33 1.88 2.24 1.88 2.24 0.22 6.43 6.79 6.43 6.79 000 93510 TC A Left heart catheterization 0.00 35.66 36.30 NA NA 1.91 37.57 38.21 NA NA 000 93511 A Left heart catheterization 5.03 36.89 37.69 36.89 37.69 2.11 44.03 44.83 44.03 44.83 000 93511 26 A Left heart catheterization 5.03 2.18 2.35 2.18 2.35 0.26 7.47 7.64 7.47 7.64 000 93511 TC A Left heart catheterization 0.00 34.71 35.34 NA NA 1.85 36.56 37.19 NA NA 000 93514 A Left heart catheterization 7.05 37.49 38.66 37.49 38.66 2.22 46.76 47.93 46.76 47.93 000 93514 26 A Left heart catheterization 7.05 2.78 3.32 2.78 3.32 0.37 10.20 10.74 10.20 10.74 000 93514 TC A Left heart catheterization 0.00 34.71 35.34 NA NA 1.85 36.56 37.19 NA NA 000 93524 A Left heart catheterization 6.95 48.31 49.66 48.31 49.66 2.79 58.05 59.40 58.05 59.40 000 93524 26 A Left heart catheterization 6.95 2.95 3.48 2.95 3.48 0.36 10.26 10.79 10.26 10.79 000 93524 TC A Left heart catheterization 0.00 45.36 46.18 NA NA 2.43 47.79 48.61 NA NA 000 93526 A Rt & Lt heart catheters 5.99 49.20 50.87 49.20 50.87 2.81 58.00 59.67 58.00 59.67 000 93526 26 A Rt & Lt heart catheters 5.99 2.59 3.42 2.59 3.42 0.31 8.89 9.72 8.89 9.72 000 Start Printed Page 65547 93526 TC A Rt & Lt heart catheters 0.00 46.61 47.45 NA NA 2.50 49.11 49.95 NA NA 000 93527 A Rt & Lt heart catheters 7.28 48.50 50.47 48.50 50.47 2.81 58.59 60.56 58.59 60.56 000 93527 26 A Rt & Lt heart catheters 7.28 3.14 4.29 3.14 4.29 0.38 10.80 11.95 10.80 11.95 000 93527 TC A Rt & Lt heart catheters 0.00 45.36 46.18 NA NA 2.43 47.79 48.61 NA NA 000 93528 A Rt & Lt heart catheters 9.00 49.31 50.35 49.31 50.35 2.90 61.21 62.25 61.21 62.25 000 93528 26 A Rt & Lt heart catheters 9.00 3.95 4.17 3.95 4.17 0.47 13.42 13.64 13.42 13.64 000 93528 TC A Rt & Lt heart catheters 0.00 45.36 46.18 NA NA 2.43 47.79 48.61 NA NA 000 93529 A Rt, Lt heart catheterization 4.80 47.42 48.52 47.42 48.52 2.68 54.90 56.00 54.90 56.00 000 93529 26 A Rt, Lt heart catheterization 4.80 2.06 2.34 2.06 2.34 0.25 7.11 7.39 7.11 7.39 000 93529 TC A Rt, Lt heart catheterization 0.00 45.36 46.18 NA NA 2.43 47.79 48.61 NA NA 000 93530 A Rt heart cath, congenital 4.23 17.91 18.78 17.91 18.78 1.11 23.25 24.12 23.25 24.12 000 93530 26 A Rt heart cath, congenital 4.23 1.59 2.17 1.59 2.17 0.24 6.06 6.64 6.06 6.64 000 93530 TC A Rt heart cath, congenital 0.00 16.32 16.61 NA NA 0.87 17.19 17.48 NA NA 000 93531 A R & l heart cath, congenital 8.35 49.98 51.46 49.98 51.46 2.96 61.29 62.77 61.29 62.77 000 93531 26 A R & l heart cath, congenital 8.35 3.37 4.01 3.37 4.01 0.46 12.18 12.82 12.18 12.82 000 93531 TC A R & l heart cath, congenital 0.00 46.61 47.45 NA NA 2.50 49.11 49.95 NA NA 000 93532 A R & l heart cath, congenital 10.00 49.37 51.13 49.37 51.13 2.95 62.32 64.08 62.32 64.08 000 93532 26 A R & l heart cath, congenital 10.00 4.01 4.95 4.01 4.95 0.52 14.53 15.47 14.53 15.47 000 93532 TC A R & l heart cath, congenital 0.00 45.36 46.18 NA NA 2.43 47.79 48.61 NA NA 000 93533 A R & l heart cath, congenital 6.70 47.90 48.88 47.90 48.88 2.86 57.46 58.44 57.46 58.44 000 93533 26 A R & l heart cath, congenital 6.70 2.54 2.70 2.54 2.70 0.43 9.67 9.83 9.67 9.83 000 93533 TC A R & l heart cath, congenital 0.00 45.36 46.18 NA NA 2.43 47.79 48.61 NA NA 000 93536 A Insert circulation assi 4.85 NA NA 2.12 3.04 0.27 NA NA 7.24 8.16 000 93539 A Injection, cardiac cath 0.40 0.83 0.86 0.17 0.25 0.01 1.24 1.27 0.58 0.66 000 93540 A Injection, cardiac cath 0.43 0.84 0.87 0.19 0.27 0.01 1.28 1.31 0.63 0.71 000 93541 A Injection for lung angiogram 0.29 NA NA 0.13 0.19 0.01 NA NA 0.43 0.49 000 93542 A Injection for heart x-rays 0.29 NA NA 0.12 0.18 0.01 NA NA 0.42 0.48 000 93543 A Injection for heart x-rays 0.29 0.53 0.55 0.13 0.19 0.01 0.83 0.85 0.43 0.49 000 93544 A Injection for aortography 0.25 0.52 0.55 0.11 0.16 0.01 0.78 0.81 0.37 0.42 000 93545 A Inject for coronary x-rays 0.40 0.83 0.74 0.17 0.25 0.01 1.24 1.15 0.58 0.66 000 93555 A Imaging, cardiac cath 0.81 6.40 6.50 6.40 6.50 0.31 7.52 7.62 7.52 7.62 XXX 93555 26 A Imaging, cardiac cath 0.81 0.35 0.34 0.35 0.34 0.03 1.19 1.18 1.19 1.18 XXX 93555 TC A Imaging, cardiac cath 0.00 6.05 6.16 NA NA 0.28 6.33 6.44 NA NA XXX 93556 A Imaging, cardiac cath 0.83 9.91 10.11 9.91 10.11 0.45 11.19 11.39 11.19 11.39 XXX 93556 26 A Imaging, cardiac cath 0.83 0.36 0.39 0.36 0.39 0.03 1.22 1.25 1.22 1.25 XXX 93556 TC A Imaging, cardiac cath 0.00 9.55 9.72 NA NA 0.42 9.97 10.14 NA NA XXX 93561 A Cardiac output measurement 0.50 0.69 0.81 0.69 0.81 0.07 1.26 1.38 1.26 1.38 000 93561 26 A Cardiac output measurement 0.50 0.17 0.28 0.17 0.28 0.02 0.69 0.80 0.69 0.80 000 93561 TC A Cardiac output measurement 0.00 0.52 0.53 NA NA 0.05 0.57 0.58 NA NA 000 93562 A Cardiac output measurement 0.16 0.35 0.40 0.35 0.40 0.04 0.55 0.60 0.55 0.60 000 93562 26 A Cardiac output measurement 0.16 0.05 0.09 0.05 0.09 0.01 0.22 0.26 0.22 0.26 000 93562 TC A Cardiac output measurement 0.00 0.30 0.31 NA NA 0.03 0.33 0.34 NA NA 000 93571 A Heart flow reserve measure 1.80 5.29 5.29 5.29 5.29 0.31 7.40 7.40 7.40 7.40 ZZZ 93571 26 A Heart flow reserve measure 1.80 0.76 0.76 0.76 0.76 0.11 2.67 2.67 2.67 2.67 ZZZ 93571 TC A Heart flow reserve measure 0.00 4.53 4.53 NA NA 0.20 4.73 4.73 NA NA ZZZ 93572 A Heart flow reserve measure 1.44 2.88 2.88 2.88 2.88 0.28 4.60 4.60 4.60 4.60 ZZZ 93572 26 A Heart flow reserve measure 1.44 0.60 0.60 0.60 0.60 0.17 2.21 2.21 2.21 2.21 ZZZ 93572 TC A Heart flow reserve measure 0.00 2.28 2.28 NA NA 0.11 2.39 2.39 NA NA ZZZ 93600 A Bundle of His recording 2.12 2.85 3.28 2.85 3.28 0.22 5.19 5.62 5.19 5.62 000 93600 26 A Bundle of His recording 2.12 0.91 1.32 0.91 1.32 0.11 3.14 3.55 3.14 3.55 000 93600 TC A Bundle of His recording 0.00 1.94 1.96 NA NA 0.11 2.05 2.07 NA NA 000 93602 A Intra-atrial recording 2.12 2.02 2.28 2.02 2.28 0.18 4.32 4.58 4.32 4.58 000 93602 26 A Intra-atrial recording 2.12 0.92 1.17 0.92 1.17 0.12 3.16 3.41 3.16 3.41 000 93602 TC A Intra-atrial recording 0.00 1.10 1.11 NA NA 0.06 1.16 1.17 NA NA 000 93603 A Right ventricular recording 2.12 2.59 2.98 2.59 2.98 0.20 4.91 5.30 4.91 5.30 000 93603 26 A Right ventricular recording 2.12 0.92 1.29 0.92 1.29 0.11 3.15 3.52 3.15 3.52 000 93603 TC A Right ventricular recording 0.00 1.67 1.69 NA NA 0.09 1.76 1.78 NA NA 000 93607 A Left ventricular recording 3.26 2.91 3.17 2.91 3.17 0.26 6.43 6.69 6.43 6.69 000 93607 26 A Left ventricular recording 3.26 1.43 1.67 1.43 1.67 0.17 4.86 5.10 4.86 5.10 000 93607 TC A Left ventricular recording 0.00 1.48 1.50 NA NA 0.09 1.57 1.59 NA NA 000 93609 A Mapping of tachycardia 10.07 7.04 7.03 7.04 7.03 0.66 17.77 17.76 17.77 17.76 000 93609 26 A Mapping of tachycardia 10.07 4.34 4.30 4.34 4.30 0.52 14.93 14.89 14.93 14.89 000 93609 TC A Mapping of tachycardia 0.00 2.70 2.73 NA NA 0.14 2.84 2.87 NA NA 000 93610 A Intra-atrial pacing 3.02 2.64 2.96 2.64 2.96 0.25 5.91 6.23 5.91 6.23 000 93610 26 A Intra-atrial pacing 3.02 1.29 1.60 1.29 1.60 0.17 4.48 4.79 4.48 4.79 000 93610 TC A Intra-atrial pacing 0.00 1.35 1.36 NA NA 0.08 1.43 1.44 NA NA 000 93612 A Intraventricular pacing 3.02 2.90 3.23 2.90 3.23 0.26 6.18 6.51 6.18 6.51 000 93612 26 A Intraventricular pacing 3.02 1.30 1.61 1.30 1.61 0.17 4.49 4.80 4.49 4.80 000 93612 TC A Intraventricular pacing 0.00 1.60 1.62 NA NA 0.09 1.69 1.71 NA NA 000 93615 A Esophageal recording 0.99 0.72 0.72 0.72 0.72 0.05 1.76 1.76 1.76 1.76 000 93615 26 A Esophageal recording 0.99 0.40 0.40 0.40 0.40 0.03 1.42 1.42 1.42 1.42 000 93615 TC A Esophageal recording 0.00 0.32 0.32 NA NA 0.02 0.34 0.34 NA NA 000 93616 A Esophageal recording 1.49 0.82 1.07 0.82 1.07 0.08 2.39 2.64 2.39 2.64 000 93616 26 A Esophageal recording 1.49 0.50 0.75 0.50 0.75 0.06 2.05 2.30 2.05 2.30 000 93616 TC A Esophageal recording 0.00 0.32 0.32 NA NA 0.02 0.34 0.34 NA NA 000 93618 A Heart rhythm pacing 4.26 5.78 6.63 5.78 6.63 0.42 10.46 11.31 10.46 11.31 000 93618 26 A Heart rhythm pacing 4.26 1.84 2.65 1.84 2.65 0.22 6.32 7.13 6.32 7.13 000 93618 TC A Heart rhythm pacing 0.00 3.94 3.98 NA NA 0.20 4.14 4.18 NA NA 000 93619 A Electrophysiology evaluation 7.32 10.80 12.28 10.80 12.28 0.77 18.89 20.37 18.89 20.37 000 93619 26 A Electrophysiology evaluation 7.32 3.15 4.55 3.15 4.55 0.38 10.85 12.25 10.85 12.25 000 93619 TC A Electrophysiology evaluation 0.00 7.65 7.73 NA NA 0.39 8.04 8.12 NA NA 000 93620 A Electrophysiology evaluation 11.59 13.91 16.21 13.91 16.21 1.04 26.54 28.84 26.54 28.84 000 93620 26 A Electrophysiology evaluation 11.59 5.01 7.22 5.01 7.22 0.60 17.20 19.41 17.20 19.41 000 Start Printed Page 65548 93620 TC A Electrophysiology evaluation 0.00 8.90 8.99 NA NA 0.44 9.34 9.43 NA NA 000 93621 C Electrophysiology evaluation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93621 26 A Electrophysiology evaluation 12.66 5.47 7.88 5.47 7.88 0.66 18.79 21.20 18.79 21.20 000 93621 TC C Electrophysiology evaluation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93622 C Electrophysiology evaluation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93622 26 A Electrophysiology evaluation 12.74 5.48 7.91 5.48 7.91 0.67 18.89 21.32 18.89 21.32 000 93622 TC C Electrophysiology evaluation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93623 C Stimulation, pacing heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 93623 26 A Stimulation, pacing heart 2.85 1.23 1.68 1.23 1.68 0.15 4.23 4.68 4.23 4.68 ZZZ 93623 TC C Stimulation, pacing heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 93624 A Electrophysiologic study 4.81 4.03 4.35 4.03 4.35 0.36 9.20 9.52 9.20 9.52 000 93624 26 A Electrophysiologic study 4.81 2.06 2.36 2.06 2.36 0.25 7.12 7.42 7.12 7.42 000 93624 TC A Electrophysiologic study 0.00 1.97 1.99 NA NA 0.11 2.08 2.10 NA NA 000 93631 A Heart pacing, mapping 7.60 9.30 10.13 9.30 10.13 1.17 18.07 18.90 18.07 18.90 000 93631 26 A Heart pacing, mapping 7.60 3.20 3.96 3.20 3.96 0.66 11.46 12.22 11.46 12.22 000 93631 TC A Heart pacing, mapping 0.00 6.10 6.17 NA NA 0.51 6.61 6.68 NA NA 000 93640 A Evaluation heart device 3.52 8.59 9.35 8.59 9.35 0.53 12.64 13.40 12.64 13.40 000 93640 26 A Evaluation heart device 3.52 1.47 2.15 1.47 2.15 0.18 5.17 5.85 5.17 5.85 000 93640 TC A Evaluation heart device 0.00 7.12 7.20 NA NA 0.35 7.47 7.55 NA NA 000 93641 A Electrophysiology evaluation 5.93 9.68 10.89 9.68 10.89 0.66 16.27 17.48 16.27 17.48 000 93641 26 A Electrophysiology evaluation 5.93 2.56 3.69 2.56 3.69 0.31 8.80 9.93 8.80 9.93 000 93641 TC A Electrophysiology evaluation 0.00 7.12 7.20 NA NA 0.35 7.47 7.55 NA NA 000 93642 A Electrophysiology evaluation 4.89 9.17 10.20 9.17 10.20 0.51 14.57 15.60 14.57 15.60 000 93642 26 A Electrophysiology evaluation 4.89 2.05 3.00 2.05 3.00 0.16 7.10 8.05 7.10 8.05 000 93642 TC A Electrophysiology evaluation 0.00 7.12 7.20 NA NA 0.35 7.47 7.55 NA NA 000 93650 A Ablate heart dysrhythm focus 10.51 NA NA 4.61 6.60 0.55 NA NA 15.67 17.66 000 93651 A Ablate heart dysrhythm focus 16.25 NA NA 7.06 10.13 0.85 NA NA 24.16 27.23 000 93652 A Ablate heart dysrhythm focus 17.68 NA NA 7.66 10.58 0.92 NA NA 26.26 29.18 000 93660 A Tilt table evaluation 1.89 2.49 2.68 2.49 2.68 0.08 4.46 4.65 4.46 4.65 000 93660 26 A Tilt table evaluation 1.89 0.82 1.01 0.82 1.01 0.06 2.77 2.96 2.77 2.96 000 93660 TC A Tilt table evaluation 0.00 1.67 1.67 NA NA 0.02 1.69 1.69 NA NA 000 93662 A Intracardiac ecg (ice) 2.80 4.98 4.98 4.98 4.98 0.41 8.19 8.19 8.19 8.19 ZZZ 93662 26 A Intracardiac ecg (ice) 2.80 1.22 1.22 1.22 1.22 0.11 4.13 4.13 4.13 4.13 ZZZ 93662 TC A Intracardiac ecg (ice) 0.00 3.76 3.76 NA NA 0.30 4.06 4.06 NA NA ZZZ 93668 N Peripheral vascular rehab 0.00 0.00 0.00 0.00 0.00 0.01 0.01 0.01 0.01 0.01 XXX 93720 A Total body plethysmography 0.17 0.75 0.81 NA NA 0.06 0.98 1.04 NA NA XXX 93721 A Plethysmography tracing 0.00 0.70 0.71 NA NA 0.05 0.75 0.76 NA NA XXX 93722 A Plethysmography report 0.17 0.05 0.10 0.05 0.09 0.01 0.23 0.28 0.23 0.27 XXX 93724 A Analyze pacemaker system 4.89 6.08 6.37 6.08 6.37 0.38 11.35 11.64 11.35 11.64 000 93724 26 A Analyze pacemaker system 4.89 2.14 2.39 2.14 2.39 0.18 7.21 7.46 7.21 7.46 000 93724 TC A Analyze pacemaker system 0.00 3.94 3.98 NA NA 0.20 4.14 4.18 NA NA 000 93727 A Analyze ilr system 0.52 0.22 0.22 0.22 0.22 0.05 0.79 0.79 0.79 0.79 XXX 93731 A Analyze pacemaker system 0.45 0.68 0.73 0.68 0.73 0.05 1.18 1.23 1.18 1.23 XXX 93731 26 A Analyze pacemaker system 0.45 0.19 0.23 0.19 0.23 0.02 0.66 0.70 0.66 0.70 XXX 93731 TC A Analyze pacemaker system 0.00 0.49 0.50 NA NA 0.03 0.52 0.53 NA NA XXX 93732 A Analyze pacemaker system 0.92 0.90 0.93 0.90 0.93 0.06 1.88 1.91 1.88 1.91 XXX 93732 26 A Analyze pacemaker system 0.92 0.39 0.41 0.39 0.41 0.03 1.34 1.36 1.34 1.36 XXX 93732 TC A Analyze pacemaker system 0.00 0.51 0.52 NA NA 0.03 0.54 0.55 NA NA XXX 93733 A Telephone analy, pacemaker 0.17 0.79 0.84 0.79 0.84 0.06 1.02 1.07 1.02 1.07 XXX 93733 26 A Telephone analy, pacemaker 0.17 0.07 0.11 0.07 0.11 0.01 0.25 0.29 0.25 0.29 XXX 93733 TC A Telephone analy, pacemaker 0.00 0.72 0.73 NA NA 0.05 0.77 0.78 NA NA XXX 93734 A Analyze pacemaker system 0.38 0.51 0.56 0.51 0.56 0.03 0.92 0.97 0.92 0.97 XXX 93734 26 A Analyze pacemaker system 0.38 0.16 0.21 0.16 0.21 0.01 0.55 0.60 0.55 0.60 XXX 93734 TC A Analyze pacemaker system 0.00 0.35 0.35 NA NA 0.02 0.37 0.37 NA NA XXX 93735 A Analyze pacemaker system 0.74 0.76 0.81 0.76 0.81 0.06 1.56 1.61 1.56 1.61 XXX 93735 26 A Analyze pacemaker system 0.74 0.32 0.36 0.32 0.36 0.03 1.09 1.13 1.09 1.13 XXX 93735 TC A Analyze pacemaker system 0.00 0.44 0.45 NA NA 0.03 0.47 0.48 NA NA XXX 93736 A Telephone analy, pacemaker 0.15 0.69 0.73 0.69 0.73 0.06 0.90 0.94 0.90 0.94 XXX 93736 26 A Telephone analy, pacemaker 0.15 0.07 0.10 0.07 0.10 0.01 0.23 0.26 0.23 0.26 XXX 93736 TC A Telephone analy, pacemaker 0.00 0.62 0.63 NA NA 0.05 0.67 0.68 NA NA XXX 93737 A Analyze cardio/defibrillator 0.45 0.68 0.72 0.68 0.72 0.04 1.17 1.21 1.17 1.21 XXX 93737 26 A Analyze cardio/defibrillator 0.45 0.19 0.22 0.19 0.22 0.01 0.65 0.68 0.65 0.68 XXX 93737 TC A Analyze cardio/defibrillator 0.00 0.49 0.50 NA NA 0.03 0.52 0.53 NA NA XXX 93738 A Analyze cardio/defibrillator 0.92 0.90 0.92 0.90 0.92 0.06 1.88 1.90 1.88 1.90 XXX 93738 26 A Analyze cardio/defibrillator 0.92 0.39 0.40 0.39 0.40 0.03 1.34 1.35 1.34 1.35 XXX 93738 TC A Analyze cardio/defibrillator 0.00 0.51 0.52 NA NA 0.03 0.54 0.55 NA NA XXX 93740 B Temperature gradient studies +0.16 0.21 0.28 0.21 0.28 0.02 0.39 0.46 0.39 0.46 XXX 93740 26 B Temperature gradient studies +0.16 0.06 0.13 0.06 0.13 0.01 0.23 0.30 0.23 0.30 XXX 93740 TC B Temperature gradient studies +0.00 0.15 0.15 NA NA 0.01 0.16 0.16 NA NA XXX 93741 A Analyze ht pace device sngl 0.80 0.98 0.98 0.98 0.98 0.05 1.83 1.83 1.83 1.83 XXX 93741 26 A Analyze ht pace device sngl 0.80 0.32 0.32 0.32 0.32 0.02 1.14 1.14 1.14 1.14 XXX 93741 TC A Analyze ht pace device sngl 0.00 0.66 0.66 NA NA 0.03 0.69 0.69 NA NA XXX 93742 A Analyze ht pace device sngl 0.91 1.02 1.02 1.02 1.02 0.05 1.98 1.98 1.98 1.98 XXX 93742 26 A Analyze ht pace device sngl 0.91 0.36 0.36 0.36 0.36 0.02 1.29 1.29 1.29 1.29 XXX 93742 TC A Analyze ht pace device sngl 0.00 0.66 0.66 NA NA 0.03 0.69 0.69 NA NA XXX 93743 A Analyze ht pace device dual 1.03 1.14 1.14 1.14 1.14 0.06 2.23 2.23 2.23 2.23 XXX 93743 26 A Analyze ht pace device dual 1.03 0.41 0.41 0.41 0.41 0.03 1.47 1.47 1.47 1.47 XXX 93743 TC A Analyze ht pace device dual 0.00 0.73 0.73 NA NA 0.03 0.76 0.76 NA NA XXX 93744 A Analyze ht pace device dual 1.18 1.13 1.13 1.13 1.13 0.06 2.37 2.37 2.37 2.37 XXX 93744 26 A Analyze ht pace device dual 1.18 0.47 0.47 0.47 0.47 0.03 1.68 1.68 1.68 1.68 XXX 93744 TC A Analyze ht pace device dual 0.00 0.66 0.66 NA NA 0.03 0.69 0.69 NA NA XXX 93760 N Cephalic thermogram 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX Start Printed Page 65549 93770 B Measure venous pressure +0.16 0.09 0.12 0.09 0.12 0.02 0.27 0.30 0.27 0.30 XXX 93770 26 B Measure venous pressure +0.16 0.06 0.09 0.06 0.09 0.01 0.23 0.26 0.23 0.26 XXX 93770 TC B Measure venous pressure +0.00 0.03 0.03 NA NA 0.01 0.04 0.04 NA NA XXX 93784 N Ambulatory BP monitoring 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93786 N Ambulatory BP recording 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93788 N Ambulatory BP analysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93790 N Review/report BP recording 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93797 A Cardiac rehab 0.18 0.40 0.36 0.07 0.08 0.01 0.59 0.55 0.26 0.27 000 93798 A Cardiac rehab/monitor 0.28 0.47 0.48 0.12 0.16 0.01 0.76 0.77 0.41 0.45 000 93799 C Cardiovascular procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93799 26 C Cardiovascular procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93799 TC C Cardiovascular procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93875 A Extracranial study 0.22 1.18 1.24 1.18 1.24 0.10 1.50 1.56 1.50 1.56 XXX 93875 26 A Extracranial study 0.22 0.08 0.13 0.08 0.13 0.01 0.31 0.36 0.31 0.36 XXX 93875 TC A Extracranial study 0.00 1.10 1.11 NA NA 0.09 1.19 1.20 NA NA XXX 93880 A Extracranial study 0.60 3.92 4.01 3.92 4.01 0.33 4.85 4.94 4.85 4.94 XXX 93880 26 A Extracranial study 0.60 0.22 0.27 0.22 0.27 0.04 0.86 0.91 0.86 0.91 XXX 93880 TC A Extracranial study 0.00 3.70 3.74 NA NA 0.29 3.99 4.03 NA NA XXX 93882 A Extracranial study 0.40 2.61 2.67 2.61 2.67 0.22 3.23 3.29 3.23 3.29 XXX 93882 26 A Extracranial study 0.40 0.15 0.18 0.15 0.18 0.04 0.59 0.62 0.59 0.62 XXX 93882 TC A Extracranial study 0.00 2.46 2.49 NA NA 0.18 2.64 2.67 NA NA XXX 93886 A Intracranial study 0.94 4.58 4.64 4.58 4.64 0.37 5.89 5.95 5.89 5.95 XXX 93886 26 A Intracranial study 0.94 0.39 0.41 0.39 0.41 0.05 1.38 1.40 1.38 1.40 XXX 93886 TC A Intracranial study 0.00 4.19 4.23 NA NA 0.32 4.51 4.55 NA NA XXX 93888 A Intracranial study 0.62 3.04 3.09 3.04 3.09 0.26 3.92 3.97 3.92 3.97 XXX 93888 26 A Intracranial study 0.62 0.24 0.26 0.24 0.26 0.04 0.90 0.92 0.90 0.92 XXX 93888 TC A Intracranial study 0.00 2.80 2.83 NA NA 0.22 3.02 3.05 NA NA XXX 93922 A Extremity study 0.25 1.23 1.29 1.23 1.29 0.13 1.61 1.67 1.61 1.67 XXX 93922 26 A Extremity study 0.25 0.09 0.14 0.09 0.14 0.02 0.36 0.41 0.36 0.41 XXX 93922 TC A Extremity study 0.00 1.14 1.15 NA NA 0.11 1.25 1.26 NA NA XXX 93923 A Extremity study 0.45 2.34 2.45 2.34 2.45 0.22 3.01 3.12 3.01 3.12 XXX 93923 26 A Extremity study 0.45 0.17 0.26 0.17 0.26 0.04 0.66 0.75 0.66 0.75 XXX 93923 TC A Extremity study 0.00 2.17 2.19 NA NA 0.18 2.35 2.37 NA NA XXX 93924 A Extremity study 0.50 2.54 2.67 2.54 2.67 0.26 3.30 3.43 3.30 3.43 XXX 93924 26 A Extremity study 0.50 0.19 0.29 0.19 0.29 0.05 0.74 0.84 0.74 0.84 XXX 93924 TC A Extremity study 0.00 2.35 2.38 NA NA 0.21 2.56 2.59 NA NA XXX 93925 A Lower extremity study 0.58 3.93 4.02 3.93 4.02 0.33 4.84 4.93 4.84 4.93 XXX 93925 26 A Lower extremity study 0.58 0.21 0.26 0.21 0.26 0.04 0.83 0.88 0.83 0.88 XXX 93925 TC A Lower extremity study 0.00 3.72 3.76 NA NA 0.29 4.01 4.05 NA NA XXX 93926 A Lower extremity study 0.39 2.62 2.69 2.62 2.69 0.22 3.23 3.30 3.23 3.30 XXX 93926 26 A Lower extremity study 0.39 0.14 0.18 0.14 0.18 0.03 0.56 0.60 0.56 0.60 XXX 93926 TC A Lower extremity study 0.00 2.48 2.51 NA NA 0.19 2.67 2.70 NA NA XXX 93930 A Upper extremity study 0.46 4.12 4.22 4.12 4.22 0.34 4.92 5.02 4.92 5.02 XXX 93930 26 A Upper extremity study 0.46 0.17 0.23 0.17 0.23 0.03 0.66 0.72 0.66 0.72 XXX 93930 TC A Upper extremity study 0.00 3.95 3.99 NA NA 0.31 4.26 4.30 NA NA XXX 93931 A Upper extremity study 0.31 2.73 2.80 2.73 2.80 0.22 3.26 3.33 3.26 3.33 XXX 93931 26 A Upper extremity study 0.31 0.11 0.15 0.11 0.15 0.02 0.44 0.48 0.44 0.48 XXX 93931 TC A Upper extremity study 0.00 2.62 2.65 NA NA 0.20 2.82 2.85 NA NA XXX 93965 A Extremity study 0.35 1.22 1.30 1.22 1.30 0.12 1.69 1.77 1.69 1.77 XXX 93965 26 A Extremity study 0.35 0.13 0.20 0.13 0.20 0.02 0.50 0.57 0.50 0.57 XXX 93965 TC A Extremity study 0.00 1.09 1.10 NA NA 0.10 1.19 1.20 NA NA XXX 93970 A Extremity study 0.68 4.35 4.44 4.35 4.44 0.38 5.41 5.50 5.41 5.50 XXX 93970 26 A Extremity study 0.68 0.25 0.30 0.25 0.30 0.05 0.98 1.03 0.98 1.03 XXX 93970 TC A Extremity study 0.00 4.10 4.14 NA NA 0.33 4.43 4.47 NA NA XXX 93971 A Extremity study 0.45 2.89 2.95 2.89 2.95 0.25 3.59 3.65 3.59 3.65 XXX 93971 26 A Extremity study 0.45 0.16 0.19 0.16 0.19 0.03 0.64 0.67 0.64 0.67 XXX 93971 TC A Extremity study 0.00 2.73 2.76 NA NA 0.22 2.95 2.98 NA NA XXX 93975 A Vascular study 1.80 5.32 5.32 5.32 5.32 0.47 7.59 7.59 7.59 7.59 XXX 93975 26 A Vascular study 1.80 0.65 0.60 0.65 0.60 0.11 2.56 2.51 2.56 2.51 XXX 93975 TC A Vascular study 0.00 4.67 4.72 NA NA 0.36 5.03 5.08 NA NA XXX 93976 A Vascular study 1.21 3.54 3.54 3.54 3.54 0.31 5.06 5.06 5.06 5.06 XXX 93976 26 A Vascular study 1.21 0.43 0.40 0.43 0.40 0.06 1.70 1.67 1.70 1.67 XXX 93976 TC A Vascular study 0.00 3.11 3.14 NA NA 0.25 3.36 3.39 NA NA XXX 93978 A Vascular study 0.65 4.06 4.15 4.06 4.15 0.36 5.07 5.16 5.07 5.16 XXX 93978 26 A Vascular study 0.65 0.24 0.29 0.24 0.29 0.05 0.94 0.99 0.94 0.99 XXX 93978 TC A Vascular study 0.00 3.82 3.86 NA NA 0.31 4.13 4.17 NA NA XXX 93979 A Vascular study 0.44 2.71 2.77 2.71 2.77 0.24 3.39 3.45 3.39 3.45 XXX 93979 26 A Vascular study 0.44 0.16 0.19 0.16 0.19 0.04 0.64 0.67 0.64 0.67 XXX 93979 TC A Vascular study 0.00 2.55 2.58 NA NA 0.20 2.75 2.78 NA NA XXX 93980 A Penile vascular study 1.25 3.92 4.07 3.92 4.07 0.35 5.52 5.67 5.52 5.67 XXX 93980 26 A Penile vascular study 1.25 0.45 0.56 0.45 0.56 0.07 1.77 1.88 1.77 1.88 XXX 93980 TC A Penile vascular study 0.00 3.47 3.51 NA NA 0.28 3.75 3.79 NA NA XXX 93981 A Penile vascular study 0.44 3.36 3.46 3.36 3.46 0.28 4.08 4.18 4.08 4.18 XXX 93981 26 A Penile vascular study 0.44 0.16 0.23 0.16 0.23 0.02 0.62 0.69 0.62 0.69 XXX 93981 TC A Penile vascular study 0.00 3.20 3.23 NA NA 0.26 3.46 3.49 NA NA XXX 93990 A Doppler flow testing 0.25 2.58 2.64 2.58 2.64 0.21 3.04 3.10 3.04 3.10 XXX 93990 26 A Doppler flow testing 0.25 0.10 0.13 0.10 0.13 0.02 0.37 0.40 0.37 0.40 XXX 93990 TC A Doppler flow testing 0.00 2.48 2.51 NA NA 0.19 2.67 2.70 NA NA XXX 94010 A Breathing capacity test 0.17 0.79 0.77 0.79 0.77 0.03 0.99 0.97 0.99 0.97 XXX 94010 26 A Breathing capacity test 0.17 0.05 0.11 0.05 0.11 0.01 0.23 0.29 0.23 0.29 XXX 94010 TC A Breathing capacity test 0.00 0.74 0.66 NA NA 0.02 0.76 0.68 NA NA XXX 94014 A Patient recorded spirometry 0.52 0.51 0.51 NA NA 0.03 1.06 1.06 NA NA XXX 94015 A Patient recorded spirometry 0.00 0.34 0.34 NA NA 0.01 0.35 0.35 NA NA XXX Start Printed Page 65550 94016 A Review patient spirometry 0.52 0.17 0.17 0.17 0.17 0.02 0.71 0.71 0.71 0.71 XXX 94060 A Evaluation of wheezing 0.31 1.18 1.22 1.18 1.22 0.06 1.55 1.59 1.55 1.59 XXX 94060 26 A Evaluation of wheezing 0.31 0.10 0.17 0.10 0.17 0.01 0.42 0.49 0.42 0.49 XXX 94060 TC A Evaluation of wheezing 0.00 1.08 1.05 NA NA 0.05 1.13 1.10 NA NA XXX 94070 A Evaluation of wheezing 0.60 3.75 3.30 3.75 3.30 0.10 4.45 4.00 4.45 4.00 XXX 94070 26 A Evaluation of wheezing 0.60 0.18 0.24 0.18 0.24 0.02 0.80 0.86 0.80 0.86 XXX 94070 TC A Evaluation of wheezing 0.00 3.57 3.06 NA NA 0.08 3.65 3.14 NA NA XXX 94150 B Vital capacity test +0.07 0.61 0.51 0.61 0.51 0.02 0.70 0.60 0.70 0.60 XXX 94150 26 B Vital capacity test +0.07 0.03 0.05 0.03 0.05 0.01 0.11 0.13 0.11 0.13 XXX 94150 TC B Vital capacity test +0.00 0.58 0.46 NA NA 0.01 0.59 0.47 NA NA XXX 94200 A Lung function test (MBC/MVV) 0.11 0.31 0.34 0.31 0.34 0.03 0.45 0.48 0.45 0.48 XXX 94200 26 A Lung function test (MBC/MVV) 0.11 0.03 0.06 0.03 0.06 0.01 0.15 0.18 0.15 0.18 XXX 94200 TC A Lung function test (MBC/MVV) 0.00 0.28 0.28 NA NA 0.02 0.30 0.30 NA NA XXX 94240 A Residual lung capacity 0.26 1.37 1.27 1.37 1.27 0.05 1.68 1.58 1.68 1.58 XXX 94240 26 A Residual lung capacity 0.26 0.08 0.12 0.08 0.12 0.01 0.35 0.39 0.35 0.39 XXX 94240 TC A Residual lung capacity 0.00 1.29 1.15 NA NA 0.04 1.33 1.19 NA NA XXX 94250 A Expired gas collection 0.11 0.63 0.55 0.63 0.55 0.02 0.76 0.68 0.76 0.68 XXX 94250 26 A Expired gas collection 0.11 0.03 0.06 0.03 0.06 0.01 0.15 0.18 0.15 0.18 XXX 94250 TC A Expired gas collection 0.00 0.60 0.49 NA NA 0.01 0.61 0.50 NA NA XXX 94260 A Thoracic gas volume 0.13 0.39 0.47 0.39 0.47 0.04 0.56 0.64 0.56 0.64 XXX 94260 26 A Thoracic gas volume 0.13 0.04 0.07 0.04 0.07 0.01 0.18 0.21 0.18 0.21 XXX 94260 TC A Thoracic gas volume 0.00 0.35 0.40 NA NA 0.03 0.38 0.43 NA NA XXX 94350 A Lung nitrogen washout curve 0.26 1.17 1.08 1.17 1.08 0.04 1.47 1.38 1.47 1.38 XXX 94350 26 A Lung nitrogen washout curve 0.26 0.08 0.12 0.08 0.12 0.01 0.35 0.39 0.35 0.39 XXX 94350 TC A Lung nitrogen washout curve 0.00 1.09 0.96 NA NA 0.03 1.12 0.99 NA NA XXX 94360 A Measure airflow resistance 0.26 0.64 0.78 0.64 0.78 0.06 0.96 1.10 0.96 1.10 XXX 94360 26 A Measure airflow resistance 0.26 0.08 0.11 0.08 0.11 0.01 0.35 0.38 0.35 0.38 XXX 94360 TC A Measure airflow resistance 0.00 0.56 0.67 NA NA 0.05 0.61 0.72 NA NA XXX 94370 A Breath airway closing volume 0.26 2.48 1.97 2.48 1.97 0.03 2.77 2.26 2.77 2.26 XXX 94370 26 A Breath airway closing volume 0.26 0.08 0.10 0.08 0.10 0.01 0.35 0.37 0.35 0.37 XXX 94370 TC A Breath airway closing volume 0.00 2.40 1.87 NA NA 0.02 2.42 1.89 NA NA XXX 94375 A Respiratory flow volume loop 0.31 0.45 0.53 0.45 0.53 0.03 0.79 0.87 0.79 0.87 XXX 94375 26 A Respiratory flow volume loop 0.31 0.09 0.13 0.09 0.13 0.01 0.41 0.45 0.41 0.45 XXX 94375 TC A Respiratory flow volume loop 0.00 0.36 0.40 NA NA 0.02 0.38 0.42 NA NA XXX 94400 A CO2 breathing response curve 0.40 0.84 0.85 0.84 0.85 0.06 1.30 1.31 1.30 1.31 XXX 94400 26 A CO2 breathing response curve 0.40 0.13 0.23 0.13 0.23 0.01 0.54 0.64 0.54 0.64 XXX 94400 TC A CO2 breathing response curve 0.00 0.71 0.62 NA NA 0.05 0.76 0.67 NA NA XXX 94450 A Hypoxia response curve 0.40 0.81 0.77 0.81 0.77 0.04 1.25 1.21 1.25 1.21 XXX 94450 26 A Hypoxia response curve 0.40 0.10 0.14 0.10 0.14 0.02 0.52 0.56 0.52 0.56 XXX 94450 TC A Hypoxia response curve 0.00 0.71 0.63 NA NA 0.02 0.73 0.65 NA NA XXX 94620 A Pulmonary stress test/simple 0.64 2.29 2.28 2.29 2.28 0.10 3.03 3.02 3.03 3.02 XXX 94620 26 A Pulmonary stress test/simple 0.64 0.20 0.34 0.20 0.34 0.02 0.86 1.00 0.86 1.00 XXX 94620 TC A Pulmonary stress test/simple 0.00 2.09 1.94 NA NA 0.08 2.17 2.02 NA NA XXX 94621 A Pulm stress test/complex 1.42 2.12 2.15 2.12 2.15 0.13 3.67 3.70 3.67 3.70 XXX 94621 26 A Pulm stress test/complex 1.42 0.44 0.52 0.44 0.52 0.05 1.91 1.99 1.91 1.99 XXX 94621 TC A Pulm stress test/complex 0.00 1.68 1.63 NA NA 0.08 1.76 1.71 NA NA XXX 94640 A Airway inhalation treatment 0.00 0.67 0.61 0.22 0.27 0.02 0.69 0.63 0.24 0.29 XXX 94642 C Aerosol inhalation treatment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94650 A Pressure breathing (IPPB) 0.00 0.64 0.58 0.20 0.25 0.02 0.66 0.60 0.22 0.27 XXX 94651 A Pressure breathing (IPPB) 0.00 0.59 0.54 0.19 0.24 0.02 0.61 0.56 0.21 0.26 XXX 94652 A Pressure breathing (IPPB) 0.00 0.72 0.65 0.22 0.28 0.06 0.78 0.71 0.28 0.34 XXX 94656 A Initial ventilator mgmt 1.22 NA NA 0.32 0.55 0.06 NA NA 1.60 1.83 XXX 94657 A Continued ventilator mgmt 0.83 NA NA 0.25 0.36 0.03 NA NA 1.11 1.22 XXX 94660 A Pos airway pressure, CPAP 0.76 0.66 0.69 0.23 0.37 0.03 1.45 1.48 1.02 1.16 XXX 94662 A Neg press ventilation, cnp 0.76 NA NA 0.24 0.26 0.02 NA NA 1.02 1.04 XXX 94664 A Aerosol or vapor inhalations 0.00 0.50 0.51 0.16 0.26 0.03 0.53 0.54 0.19 0.29 XXX 94665 A Aerosol or vapor inhalations 0.00 0.51 0.51 0.16 0.25 0.04 0.55 0.55 0.20 0.29 XXX 94667 A Chest wall manipulation 0.00 0.81 0.76 0.26 0.35 0.04 0.85 0.80 0.30 0.39 XXX 94668 A Chest wall manipulation 0.00 0.69 0.61 0.22 0.26 0.02 0.71 0.63 0.24 0.28 XXX 94680 A Exhaled air analysis, o2 0.26 0.81 0.82 0.81 0.82 0.06 1.13 1.14 1.13 1.14 XXX 94680 26 A Exhaled air analysis, o2 0.26 0.09 0.15 0.09 0.15 0.01 0.36 0.42 0.36 0.42 XXX 94680 TC A Exhaled air analysis, o2 0.00 0.72 0.67 NA NA 0.05 0.77 0.72 NA NA XXX 94681 A Exhaled air analysis, o2/co2 0.20 1.71 1.70 1.71 1.70 0.11 2.02 2.01 2.02 2.01 XXX 94681 26 A Exhaled air analysis, o2/co2 0.20 0.07 0.11 0.07 0.11 0.01 0.28 0.32 0.28 0.32 XXX 94681 TC A Exhaled air analysis, o2/co2 0.00 1.64 1.59 NA NA 0.10 1.74 1.69 NA NA XXX 94690 A Exhaled air analysis 0.07 0.56 0.57 0.56 0.57 0.04 0.67 0.68 0.67 0.68 XXX 94690 26 A Exhaled air analysis 0.07 0.02 0.03 0.02 0.03 0.01 0.10 0.11 0.10 0.11 XXX 94690 TC A Exhaled air analysis 0.00 0.54 0.54 NA NA 0.03 0.57 0.57 NA NA XXX 94720 A Monoxide diffusing capacity 0.26 1.39 1.32 1.39 1.32 0.06 1.71 1.64 1.71 1.64 XXX 94720 26 A Monoxide diffusing capacity 0.26 0.08 0.12 0.08 0.12 0.01 0.35 0.39 0.35 0.39 XXX 94720 TC A Monoxide diffusing capacity 0.00 1.31 1.20 NA NA 0.05 1.36 1.25 NA NA XXX 94725 A Membrane diffusion capacity 0.26 0.82 1.12 0.82 1.12 0.11 1.19 1.49 1.19 1.49 XXX 94725 26 A Membrane diffusion capacity 0.26 0.08 0.11 0.08 0.11 0.01 0.35 0.38 0.35 0.38 XXX 94725 TC A Membrane diffusion capacity 0.00 0.74 1.01 NA NA 0.10 0.84 1.11 NA NA XXX 94750 A Pulmonary compliance study 0.23 3.58 2.90 3.58 2.90 0.04 3.85 3.17 3.85 3.17 XXX 94750 26 A Pulmonary compliance study 0.23 0.07 0.12 0.07 0.12 0.01 0.31 0.36 0.31 0.36 XXX 94750 TC A Pulmonary compliance study 0.00 3.51 2.78 NA NA 0.03 3.54 2.81 NA NA XXX 94760 T Measure blood oxygen level 0.00 0.09 0.14 NA NA 0.02 0.11 0.16 NA NA XXX 94761 T Measure blood oxygen level 0.00 0.17 0.30 NA NA 0.05 0.22 0.35 NA NA XXX 94762 A Measure blood oxygen level 0.00 0.11 0.38 NA NA 0.08 0.19 0.46 NA NA XXX 94770 A Exhaled carbon dioxide test 0.15 0.76 0.68 0.76 0.68 0.07 0.98 0.90 0.98 0.90 XXX 94770 26 A Exhaled carbon dioxide test 0.15 0.04 0.06 0.04 0.06 0.01 0.20 0.22 0.20 0.22 XXX 94770 TC A Exhaled carbon dioxide test 0.00 0.72 0.62 NA NA 0.06 0.78 0.68 NA NA XXX Start Printed Page 65551 94772 C Breath recording, infant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94772 26 C Breath recording, infant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94772 TC C Breath recording, infant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94799 C Pulmonary service/procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94799 26 C Pulmonary service/procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94799 TC C Pulmonary service/procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95004 A Allergy skin tests 0.00 0.10 0.10 0.10 0.10 0.01 0.11 0.11 0.11 0.11 XXX 95010 A Sensitivity skin tests 0.15 0.45 0.37 0.07 0.07 0.01 0.61 0.53 0.23 0.23 XXX 95015 A Sensitivity skin tests 0.15 0.49 0.40 0.07 0.07 0.01 0.65 0.56 0.23 0.23 XXX 95024 A Allergy skin tests 0.00 0.14 0.14 0.14 0.14 0.01 0.15 0.15 0.15 0.15 XXX 95027 A Skin end point titration 0.00 0.14 0.14 NA NA 0.01 0.15 0.15 NA NA XXX 95028 A Allergy skin tests 0.00 0.23 0.23 NA NA 0.01 0.24 0.24 NA NA XXX 95044 A Allergy patch tests 0.00 0.20 0.20 0.20 0.20 0.01 0.21 0.21 0.21 0.21 XXX 95052 A Photo patch test 0.00 0.25 0.25 0.25 0.25 0.01 0.26 0.26 0.26 0.26 XXX 95056 A Photosensitivity tests 0.00 0.17 0.17 0.17 0.15 0.01 0.18 0.18 0.18 0.16 XXX 95060 A Eye allergy tests 0.00 0.35 0.35 NA NA 0.02 0.37 0.37 NA NA XXX 95065 A Nose allergy test 0.00 0.20 0.20 NA NA 0.01 0.21 0.21 NA NA XXX 95070 A Bronchial allergy tests 0.00 2.27 2.29 NA NA 0.02 2.29 2.31 NA NA XXX 95071 A Bronchial allergy tests 0.00 2.90 2.93 NA NA 0.02 2.92 2.95 NA NA XXX 95075 A Ingestion challenge test 0.95 0.89 1.20 0.43 0.59 0.03 1.87 2.18 1.41 1.57 XXX 95078 A Provocative testing 0.00 0.25 0.25 NA NA 0.02 0.27 0.27 NA NA XXX 95115 A Immunotherapy, one injection 0.00 0.38 0.39 0.38 0.39 0.02 0.40 0.41 0.40 0.41 000 95117 A Immunotherapy injections 0.00 0.50 0.51 0.50 0.51 0.02 0.52 0.53 0.52 0.53 000 95120 I Immunotherapy, one injection 0.00 0.00 0.00 0.00 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 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 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 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 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 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 0.00 0.00 0.00 0.00 XXX 95144 A Antigen therapy services 0.06 0.25 0.22 0.03 0.04 0.01 0.32 0.29 0.10 0.11 000 95145 A Antigen therapy services 0.06 0.50 0.47 0.03 0.07 0.01 0.57 0.54 0.10 0.14 000 95146 A Antigen therapy services 0.06 0.60 0.62 0.02 0.10 0.01 0.67 0.69 0.09 0.17 000 95147 A Antigen therapy services 0.06 0.86 0.89 0.02 0.14 0.01 0.93 0.96 0.09 0.21 000 95148 A Antigen therapy services 0.06 0.83 0.87 0.03 0.15 0.01 0.90 0.94 0.10 0.22 000 95149 A Antigen therapy services 0.06 1.03 1.08 0.02 0.17 0.01 1.10 1.15 0.09 0.24 000 95165 A Antigen therapy services 0.06 0.20 0.18 0.02 0.03 0.01 0.27 0.25 0.09 0.10 000 95170 A Antigen therapy services 0.06 0.27 0.30 0.02 0.06 0.01 0.34 0.37 0.09 0.13 000 95180 A Rapid desensitization 2.01 1.71 1.32 0.86 0.67 0.04 3.76 3.37 2.91 2.72 000 95199 C Allergy immunology services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 95805 A Multiple sleep latency test 1.88 7.66 7.25 7.66 7.25 0.34 9.88 9.47 9.88 9.47 XXX 95805 26 A Multiple sleep latency test 1.88 0.67 0.66 0.67 0.66 0.06 2.61 2.60 2.61 2.60 XXX 95805 TC A Multiple sleep latency test 0.00 6.99 6.59 NA NA 0.28 7.27 6.87 NA NA XXX 95806 A Sleep study, unattended 1.66 1.73 3.25 1.73 3.08 0.32 3.71 5.23 3.71 5.06 XXX 95806 26 A Sleep study, unattended 1.66 0.54 1.07 0.54 0.90 0.06 2.26 2.79 2.26 2.62 XXX 95806 TC A Sleep study, unattended 0.00 1.19 2.18 NA NA 0.26 1.45 2.44 NA NA XXX 95807 A Sleep study, attended 1.66 10.83 10.34 10.83 10.34 0.40 12.89 12.40 12.89 12.40 XXX 95807 26 A Sleep study, attended 1.66 0.53 0.90 0.53 0.90 0.05 2.24 2.61 2.24 2.61 XXX 95807 TC A Sleep study, attended 0.00 10.30 9.44 NA NA 0.35 10.65 9.79 NA NA XXX 95808 A Polysomnography, 1-3 2.65 17.52 15.51 17.52 15.51 0.44 20.61 18.60 20.61 18.60 XXX 95808 26 A Polysomnography, 1-3 2.65 0.93 1.36 0.93 1.36 0.09 3.67 4.10 3.67 4.10 XXX 95808 TC A Polysomnography, 1-3 0.00 16.59 14.15 NA NA 0.35 16.94 14.50 NA NA XXX 95810 A Polysomnography, 4 or more 3.53 15.27 13.83 15.27 13.83 0.47 19.27 17.83 19.27 17.83 XXX 95810 26 A Polysomnography, 4 or more 3.53 1.20 1.57 1.20 1.57 0.12 4.85 5.22 4.85 5.22 XXX 95810 TC A Polysomnography, 4 or more 0.00 14.07 12.26 NA NA 0.35 14.42 12.61 NA NA XXX 95811 A Polysomnography w/cpap 3.80 14.06 13.04 14.06 13.04 0.49 18.35 17.33 18.35 17.33 XXX 95811 26 A Polysomnography w/cpap 3.80 1.28 1.66 1.28 1.66 0.13 5.21 5.59 5.21 5.59 XXX 95811 TC A Polysomnography w/cpap 0.00 12.78 11.38 NA NA 0.36 13.14 11.74 NA NA XXX 95812 A Electroencephalogram (EEG) 1.08 3.39 3.05 3.39 3.05 0.13 4.60 4.26 4.60 4.26 XXX 95812 26 A Electroencephalogram (EEG) 1.08 0.46 0.48 0.46 0.48 0.04 1.58 1.60 1.58 1.60 XXX 95812 TC A Electroencephalogram (EEG) 0.00 2.93 2.57 NA NA 0.09 3.02 2.66 NA NA XXX 95813 A Electroencephalogram (EEG) 1.73 4.59 3.95 4.59 3.95 0.15 6.47 5.83 6.47 5.83 XXX 95813 26 A Electroencephalogram (EEG) 1.73 0.71 0.67 0.71 0.67 0.06 2.50 2.46 2.50 2.46 XXX 95813 TC A Electroencephalogram (EEG) 0.00 3.88 3.28 NA NA 0.09 3.97 3.37 NA NA XXX 95816 A Electroencephalogram (EEG) 1.08 3.15 2.78 3.15 2.78 0.12 4.35 3.98 4.35 3.98 XXX 95816 26 A Electroencephalogram (EEG) 1.08 0.47 0.43 0.47 0.43 0.04 1.59 1.55 1.59 1.55 XXX 95816 TC A Electroencephalogram (EEG) 0.00 2.68 2.35 NA NA 0.08 2.76 2.43 NA NA XXX 95819 A Electroencephalogram (EEG) 1.08 3.63 3.21 3.63 3.21 0.12 4.83 4.41 4.83 4.41 XXX 95819 26 A Electroencephalogram (EEG) 1.08 0.47 0.49 0.47 0.49 0.04 1.59 1.61 1.59 1.61 XXX 95819 TC A Electroencephalogram (EEG) 0.00 3.16 2.72 NA NA 0.08 3.24 2.80 NA NA XXX 95822 A Sleep electroencephalogram 1.08 2.44 2.46 2.44 2.46 0.15 3.67 3.69 3.67 3.69 XXX 95822 26 A Sleep electroencephalogram 1.08 0.47 0.51 0.47 0.51 0.04 1.59 1.63 1.59 1.63 XXX 95822 TC A Sleep electroencephalogram 0.00 1.97 1.95 NA NA 0.11 2.08 2.06 NA NA XXX 95824 A Electroencephalography 0.74 0.71 0.80 0.71 0.80 0.05 1.50 1.59 1.50 1.59 XXX 95824 26 H Electroencephalography 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95824 TC H Electroencephalography 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX 95827 A Night electroencephalogram 1.08 2.70 2.86 2.70 2.86 0.15 3.93 4.09 3.93 4.09 XXX 95827 26 A Night electroencephalogram 1.08 0.42 0.56 0.42 0.56 0.03 1.53 1.67 1.53 1.67 XXX 95827 TC A Night electroencephalogram 0.00 2.28 2.30 NA NA 0.12 2.40 2.42 NA NA XXX 95829 A Surgery electrocorticogram 6.21 28.41 21.47 28.41 21.47 0.33 34.95 28.01 34.95 28.01 XXX 95829 26 A Surgery electrocorticogram 6.21 2.01 1.63 2.01 1.63 0.31 8.53 8.15 8.53 8.15 XXX 95829 TC A Surgery electrocorticogram 0.00 26.40 19.84 NA NA 0.02 26.42 19.86 NA NA XXX 95830 A Insert electrodes for EEG 1.70 3.25 2.65 0.75 0.78 0.07 5.02 4.42 2.52 2.55 XXX Start Printed Page 65552 95831 A Limb muscle testing, manual 0.28 0.47 0.43 0.13 0.14 0.01 0.76 0.72 0.42 0.43 XXX 95832 A Hand muscle testing, manual 0.29 0.43 0.39 0.11 0.12 0.01 0.73 0.69 0.41 0.42 XXX 95833 A Body muscle testing, manual 0.47 0.55 0.52 0.24 0.23 0.01 1.03 1.00 0.72 0.71 XXX 95834 A Body muscle testing, manual 0.60 0.62 0.63 0.29 0.30 0.02 1.24 1.25 0.91 0.92 XXX 95851 A Range of motion measurements 0.16 0.52 0.46 0.08 0.09 0.01 0.69 0.63 0.25 0.26 XXX 95852 A Range of motion measurements 0.11 0.42 0.36 0.05 0.06 0.01 0.54 0.48 0.17 0.18 XXX 95857 A Tensilon test 0.53 0.62 0.60 0.24 0.25 0.02 1.17 1.15 0.79 0.80 XXX 95858 A Tensilon test & myogram 1.56 1.10 1.11 1.10 1.11 0.07 2.73 2.74 2.73 2.74 XXX 95858 26 A Tensilon test & myogram 1.56 0.71 0.71 0.71 0.71 0.04 2.31 2.31 2.31 2.31 XXX 95858 TC A Tensilon test & myogram 0.00 0.39 0.40 NA NA 0.03 0.42 0.43 NA NA XXX 95860 A Muscle test, one limb 0.96 1.12 1.14 1.12 1.14 0.05 2.13 2.15 2.13 2.15 XXX 95860 26 A Muscle test, one limb 0.96 0.44 0.53 0.44 0.53 0.03 1.43 1.52 1.43 1.52 XXX 95860 TC A Muscle test, one limb 0.00 0.68 0.61 NA NA 0.02 0.70 0.63 NA NA XXX 95861 A Muscle test, two limbs 1.54 1.44 1.62 1.44 1.62 0.10 3.08 3.26 3.08 3.26 XXX 95861 26 A Muscle test, two limbs 1.54 0.71 0.88 0.71 0.88 0.05 2.30 2.47 2.30 2.47 XXX 95861 TC A Muscle test, two limbs 0.00 0.73 0.74 NA NA 0.05 0.78 0.79 NA NA XXX 95863 A Muscle test, 3 limbs 1.87 1.77 1.95 1.77 1.95 0.11 3.75 3.93 3.75 3.93 XXX 95863 26 A Muscle test, 3 limbs 1.87 0.84 1.01 0.84 1.01 0.06 2.77 2.94 2.77 2.94 XXX 95863 TC A Muscle test, 3 limbs 0.00 0.93 0.94 NA NA 0.05 0.98 0.99 NA NA XXX 95864 A Muscle test, 4 limbs 1.99 2.68 2.95 2.68 2.95 0.16 4.83 5.10 4.83 5.10 XXX 95864 26 A Muscle test, 4 limbs 1.99 0.91 1.16 0.91 1.16 0.06 2.96 3.21 2.96 3.21 XXX 95864 TC A Muscle test, 4 limbs 0.00 1.77 1.79 NA NA 0.10 1.87 1.89 NA NA XXX 95867 A Muscle test, head or neck 0.79 0.94 1.02 0.94 1.02 0.06 1.79 1.87 1.79 1.87 XXX 95867 26 A Muscle test, head or neck 0.79 0.36 0.43 0.36 0.43 0.03 1.18 1.25 1.18 1.25 XXX 95867 TC A Muscle test, head or neck 0.00 0.58 0.59 NA NA 0.03 0.61 0.62 NA NA XXX 95868 A Muscle test, head or neck 1.18 1.22 1.44 1.22 1.44 0.08 2.48 2.70 2.48 2.70 XXX 95868 26 A Muscle test, head or neck 1.18 0.53 0.74 0.53 0.74 0.04 1.75 1.96 1.75 1.96 XXX 95868 TC A Muscle test, head or neck 0.00 0.69 0.70 NA NA 0.04 0.73 0.74 NA NA XXX 95869 A Muscle test, thor paraspinal 0.37 0.38 0.43 0.38 0.43 0.03 0.78 0.83 0.78 0.83 XXX 95869 26 A Muscle test, thor paraspinal 0.37 0.17 0.22 0.17 0.22 0.01 0.55 0.60 0.55 0.60 XXX 95869 TC A Muscle test, thor paraspinal 0.00 0.21 0.21 NA NA 0.02 0.23 0.23 NA NA XXX 95870 A Muscle test, nonparaspinal 0.37 0.37 0.42 0.37 0.42 0.03 0.77 0.82 0.77 0.82 XXX 95870 26 A Muscle test, nonparaspinal 0.37 0.16 0.21 0.16 0.21 0.01 0.54 0.59 0.54 0.59 XXX 95870 TC A Muscle test, nonparaspinal 0.00 0.21 0.21 NA NA 0.02 0.23 0.23 NA NA XXX 95872 A Muscle test, one fiber 1.50 1.26 1.29 1.26 1.29 0.08 2.84 2.87 2.84 2.87 XXX 95872 26 A Muscle test, one fiber 1.50 0.66 0.68 0.66 0.68 0.04 2.20 2.22 2.20 2.22 XXX 95872 TC A Muscle test, one fiber 0.00 0.60 0.61 NA NA 0.04 0.64 0.65 NA NA XXX 95875 A Limb exercise test 1.34 1.32 1.15 1.32 1.15 0.09 2.75 2.58 2.75 2.58 XXX 95875 26 A Limb exercise test 1.34 0.56 0.48 0.56 0.48 0.04 1.94 1.86 1.94 1.86 XXX 95875 TC A Limb exercise test 0.00 0.76 0.67 NA NA 0.05 0.81 0.72 NA NA XXX 95900 A Motor nerve conduction test 0.42 0.70 0.70 0.70 0.70 0.03 1.15 1.15 1.15 1.15 XXX 95900 26 A Motor nerve conduction test 0.42 0.19 0.24 0.19 0.24 0.01 0.62 0.67 0.62 0.67 XXX 95900 TC A Motor nerve conduction test 0.00 0.51 0.46 NA NA 0.02 0.53 0.48 NA NA XXX 95903 A Motor nerve conduction test 0.60 0.52 0.55 0.52 0.55 0.04 1.16 1.19 1.16 1.19 XXX 95903 26 A Motor nerve conduction test 0.60 0.27 0.30 0.27 0.30 0.02 0.89 0.92 0.89 0.92 XXX 95903 TC A Motor nerve conduction test 0.00 0.25 0.25 NA NA 0.02 0.27 0.27 NA NA XXX 95904 A Sense/mixed n conduction tst 0.34 0.62 0.62 0.62 0.62 0.03 0.99 0.99 0.99 0.99 XXX 95904 26 A Sense/mixed n conduction tst 0.34 0.15 0.21 0.15 0.21 0.01 0.50 0.56 0.50 0.56 XXX 95904 TC A Sense/mixed n conduction tst 0.00 0.47 0.41 NA NA 0.02 0.49 0.43 NA NA XXX 95920 A Intraop nerve test add-on 2.11 2.26 2.42 2.26 2.42 0.20 4.57 4.73 4.57 4.73 ZZZ 95920 26 A Intraop nerve test add-on 2.11 0.96 1.11 0.96 1.11 0.14 3.21 3.36 3.21 3.36 ZZZ 95920 TC A Intraop nerve test add-on 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA ZZZ 95921 A Autonomic nerv function test 0.90 0.71 0.72 0.71 0.72 0.05 1.66 1.67 1.66 1.67 XXX 95921 26 A Autonomic nerv function test 0.90 0.34 0.34 0.34 0.34 0.03 1.27 1.27 1.27 1.27 XXX 95921 TC A Autonomic nerv function test 0.00 0.37 0.38 NA NA 0.02 0.39 0.40 NA NA XXX 95922 A Autonomic nerv function test 0.96 0.79 0.79 0.79 0.79 0.05 1.80 1.80 1.80 1.80 XXX 95922 26 A Autonomic nerv function test 0.96 0.42 0.41 0.42 0.41 0.03 1.41 1.40 1.41 1.40 XXX 95922 TC A Autonomic nerv function test 0.00 0.37 0.38 NA NA 0.02 0.39 0.40 NA NA XXX 95923 A Autonomic nerv function test 0.90 2.60 2.14 2.60 2.14 0.05 3.55 3.09 3.55 3.09 XXX 95923 26 A Autonomic nerv function test 0.90 0.39 0.38 0.39 0.38 0.03 1.32 1.31 1.32 1.31 XXX 95923 TC A Autonomic nerv function test 0.00 2.21 1.76 NA NA 0.02 2.23 1.78 NA NA XXX 95925 A Somatosensory testing 0.54 1.13 1.26 1.13 1.26 0.07 1.74 1.87 1.74 1.87 XXX 95925 26 A Somatosensory testing 0.54 0.23 0.35 0.23 0.35 0.02 0.79 0.91 0.79 0.91 XXX 95925 TC A Somatosensory testing 0.00 0.90 0.91 NA NA 0.05 0.95 0.96 NA NA XXX 95926 A Somatosensory testing 0.54 1.14 1.26 1.14 1.26 0.07 1.75 1.87 1.75 1.87 XXX 95926 26 A Somatosensory testing 0.54 0.24 0.35 0.24 0.35 0.02 0.80 0.91 0.80 0.91 XXX 95926 TC A Somatosensory testing 0.00 0.90 0.91 NA NA 0.05 0.95 0.96 NA NA XXX 95927 A Somatosensory testing 0.54 1.16 1.28 1.16 1.28 0.08 1.78 1.90 1.78 1.90 XXX 95927 26 A Somatosensory testing 0.54 0.26 0.37 0.26 0.37 0.03 0.83 0.94 0.83 0.94 XXX 95927 TC A Somatosensory testing 0.00 0.90 0.91 NA NA 0.05 0.95 0.96 NA NA XXX 95930 A Visual evoked potential test 0.35 0.70 0.75 0.70 0.75 0.02 1.07 1.12 1.07 1.12 XXX 95930 26 A Visual evoked potential test 0.35 0.15 0.27 0.15 0.27 0.01 0.51 0.63 0.51 0.63 XXX 95930 TC A Visual evoked potential test 0.00 0.55 0.48 NA NA 0.01 0.56 0.49 NA NA XXX 95933 A Blink reflex test 0.59 1.02 1.11 1.02 1.11 0.07 1.68 1.77 1.68 1.77 XXX 95933 26 A Blink reflex test 0.59 0.24 0.32 0.24 0.32 0.02 0.85 0.93 0.85 0.93 XXX 95933 TC A Blink reflex test 0.00 0.78 0.79 NA NA 0.05 0.83 0.84 NA NA XXX 95934 A H-reflex test 0.51 0.44 0.48 0.44 0.48 0.04 0.99 1.03 0.99 1.03 XXX 95934 26 A H-reflex test 0.51 0.23 0.27 0.23 0.27 0.02 0.76 0.80 0.76 0.80 XXX 95934 TC A H-reflex test 0.00 0.21 0.21 NA NA 0.02 0.23 0.23 NA NA XXX 95936 A H-reflex test 0.55 0.46 0.49 0.46 0.49 0.04 1.05 1.08 1.05 1.08 XXX 95936 26 A H-reflex test 0.55 0.25 0.28 0.25 0.28 0.02 0.82 0.85 0.82 0.85 XXX 95936 TC A H-reflex test 0.00 0.21 0.21 NA NA 0.02 0.23 0.23 NA NA XXX 95937 A Neuromuscular junction test 0.65 0.62 0.67 0.62 0.67 0.04 1.31 1.36 1.31 1.36 XXX Start Printed Page 65553 95937 26 A Neuromuscular junction test 0.65 0.28 0.33 0.28 0.33 0.02 0.95 1.00 0.95 1.00 XXX 95937 TC A Neuromuscular junction test 0.00 0.34 0.34 NA NA 0.02 0.36 0.36 NA NA XXX 95950 A Ambulatory eeg monitoring 1.51 3.79 4.81 3.79 4.81 0.44 5.74 6.76 5.74 6.76 XXX 95950 26 A Ambulatory eeg monitoring 1.51 0.67 0.83 0.67 0.83 0.08 2.26 2.42 2.26 2.42 XXX 95950 TC A Ambulatory eeg monitoring 0.00 3.12 3.98 NA NA 0.36 3.48 4.34 NA NA XXX 95951 A EEG monitoring/videorecord 6.00 23.52 20.04 23.52 20.04 0.58 30.10 26.62 30.10 26.62 XXX 95951 26 A EEG monitoring/videorecord 6.00 2.61 2.37 2.61 2.37 0.20 8.81 8.57 8.81 8.57 XXX 95951 TC A EEG monitoring/videorecord 0.00 20.91 17.67 NA NA 0.38 21.29 18.05 NA NA XXX 95953 A EEG monitoring/computer 3.08 7.61 7.68 7.61 7.68 0.46 11.15 11.22 11.15 11.22 XXX 95953 26 A EEG monitoring/computer 3.08 1.33 1.33 1.33 1.33 0.10 4.51 4.51 4.51 4.51 XXX 95953 TC A EEG monitoring/computer 0.00 6.28 6.35 NA NA 0.36 6.64 6.71 NA NA XXX 95954 A EEG monitoring/giving drugs 2.45 4.33 3.88 4.33 3.88 0.15 6.93 6.48 6.93 6.48 XXX 95954 26 A EEG monitoring/giving drugs 2.45 1.06 1.30 1.06 1.30 0.10 3.61 3.85 3.61 3.85 XXX 95954 TC A EEG monitoring/giving drugs 0.00 3.27 2.58 NA NA 0.05 3.32 2.63 NA NA XXX 95955 A EEG during surgery 1.01 2.30 2.51 2.30 2.51 0.19 3.50 3.71 3.50 3.71 XXX 95955 26 A EEG during surgery 1.01 0.35 0.54 0.35 0.54 0.05 1.41 1.60 1.41 1.60 XXX 95955 TC A EEG during surgery 0.00 1.95 1.97 NA NA 0.14 2.09 2.11 NA NA XXX 95956 A Eeg monitoring, cable/radio 3.08 31.25 25.48 31.25 25.48 0.47 34.80 29.03 34.80 29.03 XXX 95956 26 A Eeg monitoring, cable/radio 3.08 1.34 1.41 1.34 1.41 0.11 4.53 4.60 4.53 4.60 XXX 95956 TC A Eeg monitoring, cable/radio 0.00 29.91 24.07 NA NA 0.36 30.27 24.43 NA NA XXX 95957 A EEG digital analysis 1.98 2.56 2.53 2.56 2.53 0.17 4.71 4.68 4.71 4.68 XXX 95957 26 A EEG digital analysis 1.98 0.87 0.82 0.87 0.82 0.07 2.92 2.87 2.92 2.87 XXX 95957 TC A EEG digital analysis 0.00 1.69 1.71 NA NA 0.10 1.79 1.81 NA NA XXX 95958 A EEG monitoring/function test 4.25 3.53 3.98 3.53 3.98 0.29 8.07 8.52 8.07 8.52 XXX 95958 26 A EEG monitoring/function test 4.25 1.80 2.23 1.80 2.23 0.18 6.23 6.66 6.23 6.66 XXX 95958 TC A EEG monitoring/function test 0.00 1.73 1.75 NA NA 0.11 1.84 1.86 NA NA XXX 95961 A Electrode stimulation, brain 2.97 2.63 2.70 2.63 2.70 0.24 5.84 5.91 5.84 5.91 XXX 95961 26 A Electrode stimulation, brain 2.97 1.33 1.39 1.33 1.39 0.18 4.48 4.54 4.48 4.54 XXX 95961 TC A Electrode stimulation, brain 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA XXX 95962 A Electrode stim, brain add-on 3.21 2.71 2.76 2.71 2.76 0.23 6.15 6.20 6.15 6.20 ZZZ 95962 26 A Electrode stim, brain add-on 3.21 1.41 1.45 1.41 1.45 0.17 4.79 4.83 4.79 4.83 ZZZ 95962 TC A Electrode stim, brain add-on 0.00 1.30 1.31 NA NA 0.06 1.36 1.37 NA NA ZZZ 95970 A Analyze neurostim, no prog 0.45 0.17 0.17 0.14 0.14 0.03 0.65 0.65 0.62 0.62 XXX 95971 A Analyze neurostim, simple 0.78 0.29 0.29 0.23 0.23 0.06 1.13 1.13 1.07 1.07 XXX 95972 A Analyze neurostim, complex 1.50 0.63 0.63 0.55 0.55 0.17 2.30 2.30 2.22 2.22 XXX 95973 A Analyze neurostim, complex 0.92 0.40 0.40 0.37 0.37 0.07 1.39 1.39 1.36 1.36 ZZZ 95974 A Cranial neurostim, complex 3.00 1.32 1.32 1.32 1.32 0.15 4.47 4.47 4.47 4.47 XXX 95975 A Cranial neurostim, complex 1.70 0.74 0.74 0.73 0.73 0.07 2.51 2.51 2.50 2.50 ZZZ 95999 C Neurological procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 96100 A Psychological testing 0.00 1.75 1.77 1.75 1.77 0.15 1.90 1.92 1.90 1.92 XXX 96105 A Assessment of aphasia 0.00 1.75 1.77 1.75 1.77 0.15 1.90 1.92 1.90 1.92 XXX 96110 C Developmental test, lim 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 96111 A Developmental test, extend 0.00 1.75 1.77 1.75 1.77 0.15 1.90 1.92 1.90 1.92 XXX 96115 A Neurobehavior status exam 0.00 1.75 1.77 1.75 1.77 0.15 1.90 1.92 1.90 1.92 XXX 96117 A Neuropsych test battery 0.00 1.75 1.77 1.75 1.77 0.15 1.90 1.92 1.90 1.92 XXX 96400 A Chemotherapy, sc/im 0.00 0.13 0.13 0.13 0.13 0.01 0.14 0.14 0.14 0.14 XXX 96405 A Intralesional chemo admin 0.52 1.82 1.47 0.25 0.24 0.02 2.36 2.01 0.79 0.78 000 96406 A Intralesional chemo admin 0.80 2.53 2.05 0.31 0.31 0.02 3.35 2.87 1.13 1.13 000 96408 A Chemotherapy, push technique 0.00 0.96 0.97 0.96 0.97 0.05 1.01 1.02 1.01 1.02 XXX 96410 A Chemotherapy,infusion method 0.00 1.54 1.56 1.54 1.56 0.07 1.61 1.63 1.61 1.63 XXX 96412 A Chemo, infuse method add-on 0.00 1.14 1.15 1.14 1.15 0.06 1.20 1.21 1.20 1.21 ZZZ 96414 A Chemo, infuse method add-on 0.00 1.33 1.34 1.33 1.34 0.07 1.40 1.41 1.40 1.41 XXX 96420 A Chemotherapy, push technique 0.00 1.24 1.25 1.24 1.25 0.07 1.31 1.32 1.31 1.32 XXX 96422 A Chemotherapy,infusion method 0.00 1.22 1.23 1.22 1.23 0.07 1.29 1.30 1.29 1.30 XXX 96423 A Chemo, infuse method add-on 0.00 0.48 0.49 0.48 0.49 0.02 0.50 0.51 0.50 0.51 ZZZ 96425 A Chemotherapy,infusion method 0.00 1.42 1.44 1.42 1.44 0.07 1.49 1.51 1.49 1.51 XXX 96440 A Chemotherapy, intracavitary 2.37 7.97 6.20 1.12 1.06 0.12 10.46 8.69 3.61 3.55 000 96445 A Chemotherapy, intracavitary 2.20 8.33 6.51 1.04 0.91 0.07 10.60 8.78 3.31 3.18 000 96450 A Chemotherapy, into CNS 1.89 6.73 5.28 0.90 0.79 0.06 8.68 7.23 2.85 2.74 000 96520 A Pump refilling, maintenance 0.00 0.88 0.89 0.88 0.89 0.05 0.93 0.94 0.93 0.94 XXX 96530 A Pump refilling, maintenance 0.00 1.06 1.07 1.06 1.07 0.05 1.11 1.12 1.11 1.12 XXX 96542 A Chemotherapy injection 1.42 4.02 3.31 0.57 0.58 0.05 5.49 4.78 2.04 2.05 XXX 96545 B Provide chemotherapy agent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 96549 C Chemotherapy, unspecified 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 96570 A Photodynamic tx, 30 min 1.10 0.44 0.44 0.44 0.44 0.04 1.58 1.58 1.58 1.58 ZZZ 96571 A Photodynamic tx, addl 15 min 0.55 0.22 0.22 0.22 0.22 0.02 0.79 0.79 0.79 0.79 ZZZ 96900 A Ultraviolet light therapy 0.00 0.39 0.40 0.39 0.40 0.02 0.41 0.42 0.41 0.42 XXX 96902 B Trichogram +0.41 0.25 0.27 0.16 0.20 0.01 0.67 0.69 0.58 0.62 XXX 96910 A Photochemotherapy with UV-B 0.00 0.58 0.59 0.58 0.59 0.03 0.61 0.62 0.61 0.62 XXX 96912 A Photochemotherapy with UV-A 0.00 0.65 0.66 0.65 0.66 0.04 0.69 0.70 0.69 0.70 XXX 96913 A Photochemotherapy, UV-A or B 0.00 1.35 1.36 1.35 1.36 0.08 1.43 1.44 1.43 1.44 XXX 96999 C Dermatological procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97001 A Pt evaluation 1.20 0.56 0.52 0.48 0.46 0.10 1.86 1.82 1.78 1.76 XXX 97002 A Pt re-evaluation 0.60 0.35 0.27 0.26 0.21 0.04 0.99 0.91 0.90 0.85 XXX 97003 A Ot evaluation 1.20 0.67 0.60 0.32 0.34 0.05 1.92 1.85 1.57 1.59 XXX 97004 A Ot re-evaluation 0.60 0.43 0.33 0.13 0.11 0.02 1.05 0.95 0.75 0.73 XXX 97010 B Hot or cold packs therapy +0.06 0.24 0.24 0.01 0.07 0.01 0.31 0.31 0.08 0.14 XXX 97012 A Mechanical traction therapy 0.25 0.27 0.26 0.05 0.09 0.01 0.53 0.52 0.31 0.35 XXX 97014 A Electric stimulation therapy 0.18 0.25 0.24 0.03 0.08 0.01 0.44 0.43 0.22 0.27 XXX 97016 A Vasopneumatic device therapy 0.18 0.25 0.26 0.03 0.09 0.01 0.44 0.45 0.22 0.28 XXX 97018 A Paraffin bath therapy 0.06 0.22 0.23 0.01 0.07 0.01 0.29 0.30 0.08 0.14 XXX 97020 A Microwave therapy 0.06 0.23 0.23 0.01 0.06 0.01 0.30 0.30 0.08 0.13 XXX 97022 A Whirlpool therapy 0.17 0.43 0.38 0.03 0.08 0.01 0.61 0.56 0.21 0.26 XXX Start Printed Page 65554 97024 A Diathermy treatment 0.06 0.24 0.24 0.01 0.07 0.01 0.31 0.31 0.08 0.14 XXX 97026 A Infrared therapy 0.06 0.22 0.22 0.01 0.06 0.01 0.29 0.29 0.08 0.13 XXX 97028 A Ultraviolet therapy 0.08 0.22 0.22 0.01 0.06 0.01 0.31 0.31 0.10 0.15 XXX 97032 A Electrical stimulation 0.25 0.28 0.25 0.05 0.08 0.01 0.54 0.51 0.31 0.34 XXX 97033 A Electric current therapy 0.26 0.31 0.27 0.05 0.08 0.02 0.59 0.55 0.33 0.36 XXX 97034 A Contrast bath therapy 0.21 0.27 0.23 0.04 0.06 0.01 0.49 0.45 0.26 0.28 XXX 97035 A Ultrasound therapy 0.21 0.17 0.16 0.04 0.06 0.01 0.39 0.38 0.26 0.28 XXX 97036 A Hydrotherapy 0.28 0.36 0.33 0.05 0.10 0.01 0.65 0.62 0.34 0.39 XXX 97039 A Physical therapy treatment 0.20 0.27 0.27 0.04 0.10 0.01 0.48 0.48 0.25 0.31 XXX 97110 A Therapeutic exercises 0.45 0.19 0.18 0.08 0.10 0.03 0.67 0.66 0.56 0.58 XXX 97112 A Neuromuscular reeducation 0.45 0.30 0.26 0.08 0.10 0.02 0.77 0.73 0.55 0.57 XXX 97113 A Aquatic therapy/exercises 0.44 0.32 0.30 0.08 0.12 0.03 0.79 0.77 0.55 0.59 XXX 97116 A Gait training therapy 0.40 0.30 0.26 0.07 0.08 0.02 0.72 0.68 0.49 0.50 XXX 97124 A Massage therapy 0.35 0.28 0.24 0.06 0.08 0.01 0.64 0.60 0.42 0.44 XXX 97139 A Physical medicine procedure 0.21 0.25 0.23 0.04 0.07 0.01 0.47 0.45 0.26 0.29 XXX 97140 A Manual therapy 0.43 0.31 0.31 0.08 0.08 0.02 0.76 0.76 0.53 0.53 XXX 97150 A Group therapeutic procedures 0.27 0.27 0.26 0.05 0.09 0.02 0.56 0.55 0.34 0.38 XXX 97504 A Orthotic training 0.45 0.30 0.26 0.08 0.10 0.03 0.78 0.74 0.56 0.58 XXX 97520 A Prosthetic training 0.45 0.30 0.27 0.08 0.10 0.02 0.77 0.74 0.55 0.57 XXX 97530 A Therapeutic activities 0.44 0.18 0.18 0.08 0.11 0.02 0.64 0.64 0.54 0.57 XXX 97532 A Cognitive skills development 0.44 0.23 0.23 0.08 0.08 0.01 0.68 0.68 0.53 0.53 XXX 97533 A Sensory integration 0.44 0.29 0.29 0.08 0.08 0.01 0.74 0.74 0.53 0.53 XXX 97535 A Self care mngment training 0.45 0.30 0.27 0.08 0.11 0.02 0.77 0.74 0.55 0.58 XXX 97537 A Community/work reintegration 0.45 0.30 0.27 0.08 0.11 0.01 0.76 0.73 0.54 0.57 XXX 97542 A Wheelchair mngment training 0.25 0.26 0.24 0.05 0.08 0.01 0.52 0.50 0.31 0.34 XXX 97545 R Work hardening 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 ZZZ 97601 A Wound care selective 0.50 0.49 0.49 0.09 0.09 0.04 1.03 1.03 0.63 0.63 XXX 97602 B Wound care non-selective 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97703 A Prosthetic checkout 0.25 0.15 0.16 0.05 0.09 0.02 0.42 0.43 0.32 0.36 XXX 97750 A Physical performance test 0.45 0.24 0.25 0.08 0.13 0.02 0.71 0.72 0.55 0.60 XXX 97770 D Cognitive skills development 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97780 N Acupuncture w/o stimul 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97781 N Acupuncture w/stimul 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97799 C Physical medicine procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97802 N Medical nutrition, indiv, in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97803 N Med nutrition, indiv, subseq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97804 N Medical nutrition, group 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 98925 A Osteopathic manipulation 0.45 0.39 0.36 0.15 0.18 0.01 0.85 0.82 0.61 0.64 000 98926 A Osteopathic manipulation 0.65 0.45 0.45 0.26 0.30 0.02 1.12 1.12 0.93 0.97 000 98927 A Osteopathic manipulation 0.87 0.52 0.49 0.31 0.34 0.03 1.42 1.39 1.21 1.24 000 98928 A Osteopathic manipulation 1.03 0.60 0.57 0.36 0.39 0.03 1.66 1.63 1.42 1.45 000 98929 A Osteopathic manipulation 1.19 0.66 0.60 0.38 0.39 0.04 1.89 1.83 1.61 1.62 000 98940 A Chiropractic manipulation 0.45 0.25 0.27 0.13 0.14 0.01 0.71 0.73 0.59 0.60 000 98941 A Chiropractic manipulation 0.65 0.31 0.31 0.18 0.18 0.02 0.98 0.98 0.85 0.85 000 98942 A Chiropractic manipulation 0.87 0.37 0.36 0.25 0.23 0.03 1.27 1.26 1.15 1.13 000 98943 N Chiropractic manipulation +0.40 0.36 0.35 0.16 0.20 0.01 0.77 0.76 0.57 0.61 XXX 99000 B Specimen handling 0.00 0.00 0.00 0.00 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 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 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 0.00 0.00 0.00 0.00 XXX 99025 B Initial surgical evaluation 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 99052 B Medical services at night 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99054 B Medical servcs, unusual hrs 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99056 B Non-office medical services 0.00 0.00 0.00 0.00 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 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 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 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 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 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 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 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 0.00 0.00 0.00 0.00 XXX 99100 B Special anesthesia service 0.00 0.00 0.00 0.00 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 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 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 0.00 0.00 0.00 0.00 ZZZ 99141 B Sedation, iv/im or inhalant +0.80 2.00 1.73 0.39 0.52 0.04 2.84 2.57 1.23 1.36 XXX 99142 B Sedation, oral/rectal/nasal +0.60 1.17 1.05 0.31 0.40 0.03 1.80 1.68 0.94 1.03 XXX 99170 A Anogenital exam, child 1.75 1.87 1.87 0.70 0.70 0.07 3.69 3.69 2.52 2.52 000 99172 N Ocular function screen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99173 N Visual acuity screen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99175 A Induction of vomiting 0.00 1.38 1.40 1.38 1.40 0.08 1.46 1.48 1.46 1.48 XXX 99183 A Hyperbaric oxygen therapy 2.34 NA NA 0.76 1.02 0.12 NA NA 3.22 3.48 XXX 99185 A Regional hypothermia 0.00 0.63 0.64 0.63 0.64 0.03 0.66 0.67 0.66 0.67 XXX 99186 A Total body hypothermia 0.00 1.77 1.79 1.77 1.79 0.37 2.14 2.16 2.14 2.16 XXX 99190 X Special pump services 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 99195 A Phlebotomy 0.00 0.44 0.45 0.44 0.45 0.02 0.46 0.47 0.46 0.47 XXX 99199 C Special service/proc/report 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99201 A Office/outpatient visit, new 0.45 0.46 0.46 0.16 0.17 0.02 0.93 0.93 0.63 0.64 XXX Start Printed Page 65555 99202 A Office/outpatient visit, new 0.88 0.74 0.69 0.33 0.31 0.05 1.67 1.62 1.26 1.24 XXX 99203 A Office/outpatient visit, new 1.34 1.08 0.97 0.50 0.45 0.08 2.50 2.39 1.92 1.87 XXX 99204 A Office/outpatient visit, new 2.00 1.50 1.37 0.74 0.66 0.10 3.60 3.47 2.84 2.76 XXX 99205 A Office/outpatient visit, new 2.67 1.77 1.59 0.97 0.84 0.12 4.56 4.38 3.76 3.63 XXX 99211 A Office/outpatient visit, est 0.17 0.37 0.34 0.06 0.07 0.01 0.55 0.52 0.24 0.25 XXX 99212 A Office/outpatient visit, est 0.45 0.51 0.47 0.17 0.17 0.02 0.98 0.94 0.64 0.64 XXX 99213 A Office/outpatient visit, est 0.67 0.67 0.62 0.24 0.23 0.03 1.37 1.32 0.94 0.93 XXX 99214 A Office/outpatient visit, est 1.10 1.02 0.92 0.40 0.37 0.04 2.16 2.06 1.54 1.51 XXX 99215 A Office/outpatient visit, est 1.77 1.32 1.22 0.65 0.59 0.07 3.16 3.06 2.49 2.43 XXX 99217 A Observation care discharge 1.28 NA NA 0.45 0.48 0.05 NA NA 1.78 1.81 XXX 99218 A Observation care 1.28 NA NA 0.45 0.52 0.05 NA NA 1.78 1.85 XXX 99219 A Observation care 2.14 NA NA 0.74 0.84 0.08 NA NA 2.96 3.06 XXX 99220 A Observation care 2.99 NA NA 1.05 1.10 0.11 NA NA 4.15 4.20 XXX 99221 A Initial hospital care 1.28 NA NA 0.47 0.54 0.05 NA NA 1.80 1.87 XXX 99222 A Initial hospital care 2.14 NA NA 0.76 0.85 0.08 NA NA 2.98 3.07 XXX 99223 A Initial hospital care 2.99 NA NA 1.07 1.11 0.10 NA NA 4.16 4.20 XXX 99231 A Subsequent hospital care 0.64 NA NA 0.24 0.28 0.02 NA NA 0.90 0.94 XXX 99232 A Subsequent hospital care 1.06 NA NA 0.38 0.41 0.03 NA NA 1.47 1.50 XXX 99233 A Subsequent hospital care 1.51 NA NA 0.54 0.57 0.05 NA NA 2.10 2.13 XXX 99234 A Observ/hosp same date 1.95 NA NA 0.70 0.71 0.11 NA NA 2.76 2.77 XXX 99235 A Observ/hosp same date 2.81 NA NA 0.03 1.03 0.13 NA NA 3.93 4.74 XXX 99236 A Observ/hosp same date 3.66 NA NA 1.25 1.25 0.17 NA NA 5.08 5.85 XXX 99238 A Hospital discharge day 1.28 NA NA 0.45 0.48 0.04 NA NA 1.77 1.80 XXX 99239 A Hospital discharge day 1.75 NA NA 0.62 0.60 0.05 NA NA 2.42 2.40 XXX 99241 A Office consultation 0.64 0.60 0.62 0.23 0.26 0.04 1.28 1.30 0.91 0.94 XXX 99242 A Office consultation 1.29 1.00 0.96 0.49 0.47 0.09 2.38 2.34 1.87 1.85 XXX 99243 A Office consultation 1.72 1.34 1.27 0.67 0.64 0.10 3.16 3.09 2.49 2.46 XXX 99244 A Office consultation 2.58 1.78 1.67 0.97 0.90 0.13 4.49 4.38 3.68 3.61 XXX 99245 A Office consultation 3.43 2.24 2.14 1.29 1.20 0.16 5.83 5.73 4.88 4.79 XXX 99251 A Initial inpatient consult 0.66 NA NA 0.30 0.41 0.04 NA NA 1.00 1.11 XXX 99252 A Initial inpatient consult 1.32 NA NA 0.57 0.63 0.08 NA NA 1.97 2.03 XXX 99253 A Initial inpatient consult 1.82 NA NA 0.76 0.83 0.09 NA NA 2.67 2.74 XXX 99254 A Initial inpatient consult 2.64 NA NA 1.07 1.13 0.11 NA NA 3.82 3.88 XXX 99255 A Initial inpatient consult 3.65 NA NA 1.44 1.51 0.15 NA NA 5.24 5.31 XXX 99261 A Follow-up inpatient consult 0.42 NA NA 0.21 0.25 0.02 NA NA 0.65 0.69 XXX 99262 A Follow-up inpatient consult 0.85 NA NA 0.37 0.40 0.03 NA NA 1.25 1.28 XXX 99263 A Follow-up inpatient consult 1.27 NA NA 0.52 0.57 0.04 NA NA 1.83 1.88 XXX 99271 A Confirmatory consultation 0.45 0.64 0.64 0.21 0.24 0.03 1.12 1.12 0.69 0.72 XXX 99272 A Confirmatory consultation 0.84 0.87 0.85 0.37 0.38 0.06 1.77 1.75 1.27 1.28 XXX 99273 A Confirmatory consultation 1.19 1.09 1.10 0.51 0.52 0.07 2.35 2.36 1.77 1.78 XXX 99274 A Confirmatory consultation 1.73 1.41 1.39 0.73 0.71 0.09 3.23 3.21 2.55 2.53 XXX 99275 A Confirmatory consultation 2.31 1.64 1.70 0.91 1.16 0.10 4.05 4.11 3.32 3.57 XXX 99281 A Emergency dept visit 0.33 NA NA 0.09 0.14 0.02 NA NA 0.44 0.49 XXX 99282 A Emergency dept visit 0.55 NA NA 0.15 0.22 0.03 NA NA 0.73 0.80 XXX 99283 A Emergency dept visit 1.24 NA NA 0.32 0.37 0.08 NA NA 1.64 1.69 XXX 99284 A Emergency dept visit 1.95 NA NA 0.49 0.56 0.12 NA NA 2.56 2.63 XXX 99285 A Emergency dept visit 3.06 NA NA 0.74 0.86 0.19 NA NA 3.99 4.11 XXX 99288 B Direct advanced life support 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99291 A Critical care, first hour 4.00 1.57 1.57 1.32 1.38 0.14 5.71 5.71 5.46 5.52 XXX 99292 A Critical care, addl 30 min 2.00 0.85 0.81 0.65 0.66 0.07 2.92 2.88 2.72 2.73 ZZZ 99295 A Neonatal critical care 16.00 NA NA 4.86 5.02 0.70 NA NA 21.56 21.72 XXX 99296 A Neonatal critical care 8.00 NA NA 2.61 2.63 0.23 NA NA 10.84 10.86 XXX 99297 A Neonatal critical care 4.00 NA NA 1.32 1.32 0.12 NA NA 5.44 5.44 XXX 99298 A Neonatal critical care 2.75 NA NA 0.96 0.96 0.10 NA NA 3.81 3.81 XXX 99301 A Nursing facility care 1.20 NA NA 0.42 0.44 0.04 NA NA 1.66 1.68 XXX 99302 A Nursing facility care 1.61 NA NA 0.56 0.56 0.05 NA NA 2.22 2.22 XXX 99303 A Nursing facility care 2.01 NA NA 0.69 0.78 0.06 NA NA 2.76 2.85 XXX 99311 A Nursing fac care, subseq 0.60 NA NA 0.21 0.25 0.02 NA NA 0.83 0.87 XXX 99312 A Nursing fac care, subseq 1.00 NA NA 0.34 0.37 0.03 NA NA 1.37 1.40 XXX 99313 A Nursing fac care, subseq 1.42 NA NA 0.49 0.49 0.04 NA NA 1.95 1.95 XXX 99315 A Nursing fac discharge day 1.13 NA NA 0.39 0.43 0.04 NA NA 1.56 1.60 XXX 99316 A Nursing fac discharge day 1.50 NA NA 0.52 0.53 0.05 NA NA 2.07 2.08 XXX 99321 A Rest home visit, new patient 0.71 0.43 0.42 0.35 0.36 0.02 1.16 1.15 1.08 1.09 XXX 99322 A Rest home visit, new patient 1.01 0.68 0.65 0.45 0.48 0.03 1.72 1.69 1.49 1.52 XXX 99323 A Rest home visit, new patient 1.28 0.93 0.90 0.56 0.62 0.04 2.25 2.22 1.88 1.94 XXX 99331 A Rest home visit, est pat 0.60 0.47 0.43 0.31 0.31 0.02 1.09 1.05 0.93 0.93 XXX 99332 A Rest home visit, est pat 0.80 0.59 0.54 0.38 0.38 0.03 1.42 1.37 1.21 1.21 XXX 99333 A Rest home visit, est pat 1.00 0.72 0.66 0.45 0.46 0.03 1.75 1.69 1.48 1.49 XXX 99341 A Home visit, new patient 1.01 0.54 0.55 0.48 0.51 0.05 1.60 1.61 1.54 1.57 XXX 99342 A Home visit, new patient 1.52 0.84 0.79 0.68 0.67 0.05 2.41 2.36 2.25 2.24 XXX 99343 A Home visit, new patient 2.27 1.30 1.19 1.28 1.17 0.07 3.64 3.53 3.62 3.51 XXX 99344 A Home visit, new patient 3.03 1.60 1.43 1.30 1.21 0.10 4.73 4.56 4.43 4.34 XXX 99345 A Home visit, new patient 3.79 1.85 1.62 1.36 1.25 0.12 5.76 5.53 5.27 5.16 XXX 99347 A Home visit, est patient 0.76 0.47 0.48 0.36 0.39 0.03 1.26 1.27 1.15 1.18 XXX 99348 A Home visit, est patient 1.26 0.72 0.69 0.53 0.54 0.04 2.02 1.99 1.83 1.84 XXX 99349 A Home visit, est patient 2.02 1.07 0.97 0.80 0.77 0.06 3.15 3.05 2.88 2.85 XXX 99350 A Home visit, est patient 3.03 1.48 1.32 1.16 1.08 0.10 4.61 4.45 4.29 4.21 XXX 99354 A Prolonged service, office 1.77 1.43 1.28 0.63 0.58 0.06 3.26 3.11 2.46 2.41 ZZZ 99355 A Prolonged service, office 1.77 1.23 1.13 0.62 0.57 0.06 3.06 2.96 2.45 2.40 ZZZ 99356 A Prolonged service, inpatient 1.71 NA NA 0.60 0.68 0.06 NA NA 2.37 2.45 ZZZ 99357 A Prolonged service, inpatient 1.71 NA NA 0.62 0.70 0.06 NA NA 2.39 2.47 ZZZ 99358 B Prolonged serv, w/o contact 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 99359 B Prolonged serv, w/o contact 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ Start Printed Page 65556 99360 X Physician standby services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99361 B Physician/team conference 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99362 B Physician/team conference 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99371 B Physician phone consultation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99372 B Physician phone consultation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99373 B Physician phone consultation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99374 B Home health care supervision +1.10 1.42 1.20 0.44 0.47 0.04 2.56 2.34 1.58 1.61 XXX 99375 N Home health care supervision 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99377 B Hospice care supervision +1.10 1.42 1.20 0.44 0.47 0.04 2.56 2.34 1.58 1.61 XXX 99378 N Hospice care supervision 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99379 B Nursing fac care supervision +1.10 1.42 1.20 0.44 0.47 0.03 2.55 2.33 1.57 1.60 XXX 99380 B Nursing fac care supervision +1.73 1.67 1.39 0.69 0.66 0.05 3.45 3.17 2.47 2.44 XXX 99381 N Prev visit, new, infant +1.19 1.46 1.43 0.48 0.69 0.04 2.69 2.66 1.71 1.92 XXX 99382 N Prev visit, new, age 1-4 +1.36 1.50 1.51 0.54 0.79 0.04 2.90 2.91 1.94 2.19 XXX 99383 N Prev visit, new, age 5-11 +1.36 1.44 1.46 0.54 0.79 0.04 2.84 2.86 1.94 2.19 XXX 99384 N Prev visit, new, age 12-17 +1.53 1.52 1.57 0.61 0.89 0.05 3.10 3.15 2.19 2.47 XXX 99385 N Prev visit, new, age 18-39 +1.53 1.52 1.52 0.61 0.84 0.05 3.10 3.10 2.19 2.42 XXX 99386 N Prev visit, new, age 40-64 +1.88 1.71 1.75 0.75 1.03 0.06 3.65 3.69 2.69 2.97 XXX 99387 N Prev visit, new, 65 & over +2.06 1.83 1.88 0.82 1.13 0.06 3.95 4.00 2.94 3.25 XXX 99391 N Prev visit, est, infant +1.02 0.99 1.03 0.41 0.60 0.03 2.04 2.08 1.46 1.65 XXX 99392 N Prev visit, est, age 1-4 +1.19 1.06 1.13 0.48 0.69 0.04 2.29 2.36 1.71 1.92 XXX 99393 N Prev visit, est, age 5-11 +1.19 1.03 1.11 0.48 0.69 0.04 2.26 2.34 1.71 1.92 XXX 99394 N Prev visit, est, age 12-17 +1.36 1.11 1.22 0.54 0.79 0.04 2.51 2.62 1.94 2.19 XXX 99395 N Prev visit, est, age 18-39 +1.36 1.14 1.20 0.54 0.75 0.04 2.54 2.60 1.94 2.15 XXX 99396 N Prev visit, est, age 40-64 +1.53 1.23 1.30 0.61 0.84 0.05 2.81 2.88 2.19 2.42 XXX 99397 N Prev visit, est, 65 & over +1.71 1.34 1.43 0.68 0.93 0.05 3.10 3.19 2.44 2.69 XXX 99401 N Preventive counseling, indiv +0.48 0.59 0.57 0.19 0.27 0.01 1.08 1.06 0.68 0.76 XXX 99402 N Preventive counseling, indiv +0.98 0.84 0.87 0.39 0.54 0.02 1.84 1.87 1.39 1.54 XXX 99403 N Preventive counseling, indiv +1.46 1.08 1.17 0.58 0.80 0.03 2.57 2.66 2.07 2.29 XXX 99404 N Preventive counseling, indiv +1.95 1.32 1.47 0.78 1.07 0.04 3.31 3.46 2.77 3.06 XXX 99411 N Preventive counseling, group +0.15 0.17 0.17 0.06 0.08 0.01 0.33 0.33 0.22 0.24 XXX 99412 N Preventive counseling, group +0.25 0.24 0.24 0.10 0.14 0.01 0.50 0.50 0.36 0.40 XXX 99420 N Health risk assessment test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99429 N Unlisted preventive service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99431 A Initial care, normal newborn 1.17 NA NA 0.36 0.60 0.04 NA NA 1.57 1.81 XXX 99432 A Newborn care, not in hosp 1.26 1.14 1.21 0.33 0.60 0.06 2.46 2.53 1.65 1.92 XXX 99433 A Normal newborn care/hospital 0.62 NA NA 0.20 0.32 0.02 NA NA 0.84 0.96 XXX 99435 A Newborn discharge day hosp 1.50 NA NA 0.57 0.85 0.05 NA NA 2.12 2.40 XXX 99436 A Attendance, birth 1.50 0.60 0.87 0.46 0.77 0.05 2.15 2.42 2.01 2.32 XXX 99440 A Newborn resuscitation 2.93 NA NA 0.86 1.47 0.11 NA NA 3.90 4.51 XXX 99450 N Life/disability evaluation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99455 R Disability examination 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 99499 C Unlisted e&m service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0021 I Outside state ambulance serv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0030 D Air ambulance service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0040 D Helicopter ambulance service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0050 D Water amb service emergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0080 I Noninterest escort in non er 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0090 I Interest escort in non er 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0100 I Nonemergency transport taxi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0110 I Nonemergency transport bus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0120 I Noner transport mini-bus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0130 I Noner transport wheelch van 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0140 I Nonemergency transport air 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0160 I Noner transport case worker 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0170 I Noner transport parking fees 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0180 I Noner transport lodgng recip 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0190 I Noner transport meals recip 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0200 I Noner transport lodgng escrt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0210 I Noner transport meals escort 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0225 X Neonatal emergency transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0300 D Ambulance basic non-emer all 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0302 D Ambulance basic emergeny all 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0304 D Amb adv non-er no serv all 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0306 D Amb adv non-er spec serv all 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0308 D Amb adv er no spec serv all 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0310 D Amb adv er spec serv all 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0320 D Amb basic non-er + supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0322 D Amb basic emerg + supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0324 D Adv non-er serv sep mileage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0326 D Adv non-er no serv sep mile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0328 D Adv er no serv sep mileage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0330 D Adv er spec serv sep mile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0340 D Amb basic non-er + mileage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0342 D Ambul basic emer + mileage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0344 D Amb adv non-er no serv +mile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0346 D Amb adv non-er serv + mile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0348 D Adv emer no spec serv + mile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0350 D Adv emer spec serv + mileage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0360 D Basic non-er sep mile & supp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0362 D Basic emer sep mile & supply 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0364 D Adv non-er no serv sep mi&su 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65557 A0366 D Adv non-er serv sep mil&supp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0368 X Adv er no serv sep mile&supp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0370 D Adv er spec serv sep mi&supp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0380 D Basic life support mileage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0382 X Basic support routine suppls 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0384 X Bls defibrillation supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0390 D Advanced life support mileag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0392 X Als defibrillation supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0394 X Als IV drug therapy supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0396 X Als esophageal intub suppls 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0398 X Als routine disposble suppls 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0420 X Ambulance waiting 1/2 hr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0422 X Ambulance 02 life sustaining 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0424 X Extra ambulance attendant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0425 X Ground mileage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0426 X Als 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0427 X ALS1-emergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0428 X bls 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0429 X BLS-emergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0430 X Fixed wing air transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0431 X Rotary wing air transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0432 X PI volunteer ambulance co 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0433 X als 2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0434 X Specialty care transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0435 X Fixed wing air mileage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0436 X Rotary wing air mileage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0888 N Noncovered ambulance mileage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0999 X Unlisted ambulance service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4206 I 1 CC sterile syringe&needle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4207 I 2 CC sterile syringe&needle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4208 I 3 CC sterile syringe&needle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4209 I 5+ CC sterile syringe&needle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4210 N Nonneedle injection device 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4211 P Supp for self-adm injections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4212 P Non coring needle or stylet 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4213 I 20+ CC syringe only 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4214 P 30 CC sterile water/saline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4215 I Sterile needle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4220 P Infusion pump refill kit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4221 X Maint drug infus cath per wk 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4222 X Drug infusion pump supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4230 X Infus insulin pump non needl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4231 X Infusion insulin pump needle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4232 X Syringe w/needle insulin 3cc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4244 I Alcohol or peroxide per pint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4245 I Alcohol wipes per box 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4246 I Betadine/phisohex solution 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4247 I Betadine/iodine swabs/wipes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4250 N Urine reagent strips/tablets 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4253 P Blood glucose/reagent strips 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4254 X Battery for glucose monitor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4255 X Glucose monitor platforms 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4256 P Calibrator solution/chips 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4258 P Lancet device each 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4259 P Lancets per box 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4260 N Levonorgestrel implant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4261 N Cervical cap contraceptive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4262 B Temporary tear duct plug 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4263 A Permanent tear duct plug 0.00 0.00 0.26 0.00 0.26 0.00 0.00 0.26 0.00 0.26 XXX A4265 P Paraffin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4270 B Disposable endoscope sheath 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4280 X Brst prsths adhsv attchmnt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4290 X Sacral nerve stim test lead 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4300 A Cath impl vasc access portal 0.00 0.00 0.26 0.00 0.26 0.00 0.00 0.26 0.00 0.26 XXX A4301 P Implantable access syst perc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4305 P Drug delivery system >=50 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4306 P Drug delivery system <=5 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4310 P Insert tray w/o bag/cath 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4311 P Catheter w/o bag 2-way latex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4312 P Cath w/o bag 2-way silicone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4313 P Catheter w/bag 3-way 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4314 P Cath w/drainage 2-way latex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4315 P Cath w/drainage 2-way silcne 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4316 P Cath w/drainage 3-way 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4319 X Sterile H2O irrigation solut 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4320 P Irrigation tray 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4321 X Cath therapeutic irrig agent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4322 P Irrigation syringe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4323 P Saline irrigation solution 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4324 X Male ext cath w/adh coating 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4325 X Male ext cath w/adh strip 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4326 P Male external catheter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4327 P Fem urinary collect dev cup 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65558 A4328 P Fem urinary collect pouch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4329 P External catheter start set 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4330 P Stool collection pouch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4331 X Extension drainage tubing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4332 X Lubricant for cath insertion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4333 X Urinary cath anchor device 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4334 X Urinary cath leg strap 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4335 P Incontinence supply 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4338 P Indwelling catheter latex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4340 P Indwelling catheter special 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4344 P Cath indw foley 2 way silicn 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4346 P Cath indw foley 3 way 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4347 P Male external catheter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4348 X Male ext cath extended wear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4351 P Straight tip urine catheter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4352 P Coude tip urinary catheter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4353 X Intermittent urinary cath 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4354 P Cath insertion tray w/bag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4355 P Bladder irrigation tubing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4356 P Ext ureth clmp or compr dvc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4357 P Bedside drainage bag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4358 P Urinary leg bag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4359 P Urinary suspensory w/o leg b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4361 P Ostomy face plate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4362 P Solid skin barrier 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4364 P Liq adhes for facial prosth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4365 X Adhesive remover wipes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4367 P Ostomy belt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4368 X Ostomy filter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4369 X Skin barrier liquid per oz 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4370 X Skin barrier paste per oz 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4371 X Skin barrier powder per oz 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4372 X Skin barrier solid 4x4 equiv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4373 X Skin barrier with flange 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4374 X Skin barrier extended wear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4375 X Drainable plastic pch w fcpl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4376 X Drainable rubber pch w fcplt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4377 X Drainable plstic pch w/o fp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4378 X Drainable rubber pch w/o fp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4379 X Urinary plastic pouch w fcpl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4380 X Urinary rubber pouch w fcplt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4381 X Urinary plastic pouch w/o fp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4382 X Urinary hvy plstc pch w/o fp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4383 X Urinary rubber pouch w/o fp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4384 X Ostomy faceplt/silicone ring 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4385 X Ost skn barrier sld ext wear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4386 X Ost skn barrier w flng ex wr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4387 X Ost clsd pouch w att st barr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4388 X Drainable pch w ex wear barr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4389 X Drainable pch w st wear barr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4390 X Drainable pch ex wear convex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4391 X Urinary pouch w ex wear barr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4392 X Urinary pouch w st wear barr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4393 X Urine pch w ex wear bar conv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4394 X Ostomy pouch liq deodorant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4395 X Ostomy pouch solid deodorant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4396 X Peristomal hernia supprt blt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4397 P Irrigation supply sleeve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4398 P Ostomy irrigation bag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4399 P Ostomy irrig cone/cath w brs 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4400 P Ostomy irrigation set 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4402 P Lubricant per ounce 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4404 P Ostomy ring each 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4421 P Ostomy supply misc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4454 P Tape all types all sizes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4455 P Adhesive remover per ounce 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4460 P Elastic compression bandage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4462 X Abdmnl drssng holder/binder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4464 N Joint support device/garment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4465 P Non-elastic extremity binder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4470 P Gravlee jet washer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4480 P Vabra aspirator 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4481 X Tracheostoma filter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4483 X Moisture exchanger 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4490 N Above knee surgical stocking 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4495 N Thigh length surg stocking 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4500 N Below knee surgical stocking 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4510 N Full length surg stocking 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4550 A Surgical trays 0.00 0.00 0.26 0.00 0.26 0.00 0.00 0.26 0.00 0.26 XXX A4554 N Disposable underpads 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4556 P Electrodes, pair 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4557 P Lead wires, pair 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4558 P Conductive paste or gel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65559 A4560 D Pessary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4561 X Pessary rubber, any type 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4562 X Pessary, non rubber,any type 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4565 X Slings 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4570 X Splint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4572 X Rib belt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4575 N Hyperbaric o2 chamber disps 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4580 X Cast supplies (plaster) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4590 X Special casting material 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4595 X TENS suppl 2 lead per month 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4608 X Transtracheal oxygen cath 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4611 X Heavy duty battery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4612 X Battery cables 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4613 X Battery charger 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4614 X Hand-held PEFR meter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4615 X Cannula nasal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4616 X Tubing (oxygen) per foot 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4617 X Mouth piece 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4618 X Breathing circuits 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4619 X Face tent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4620 X Variable concentration mask 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4621 X Tracheotomy mask or collar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4622 X Tracheostomy or larngectomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4623 X Tracheostomy inner cannula 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4624 X Tracheal suction tube 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4625 X Trach care kit for new trach 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4626 X Tracheostomy cleaning brush 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4627 N Spacer bag/reservoir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4628 X Oropharyngeal suction cath 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4629 X Tracheostomy care kit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4630 X Repl bat t.e.n.s. own by pt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4631 X Wheelchair battery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4635 X Underarm crutch pad 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4636 X Handgrip for cane etc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4637 X Repl tip cane/crutch/walker 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4640 X Alternating pressure pad 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4641 E Diagnostic imaging agent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4642 E Satumomab pendetide per dose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4643 E High dose contrast MRI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4644 E Contrast 100-199 MGs iodine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4645 E Contrast 200-299 MGs iodine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4646 E Contrast 300-399 MGs iodine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4647 B Supp- paramagnetic contr mat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4649 P Surgical supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4650 X Supp esrd centrifuge 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4655 X Esrd syringe/needle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4660 X Esrd blood pressure device 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4663 X Esrd blood pressure cuff 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4670 N Auto blood pressure monitor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4680 X Activated carbon filters 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4690 X Dialyzers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4700 X Standard dialysate solution 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4705 X Bicarb dialysate solution 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4712 X Sterile water 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4714 X Treated water for dialysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4730 X Fistula cannulation set dial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4735 X Local/topical anesthetics 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4740 X Esrd shunt accessory 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4750 X Arterial or venous tubing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4755 X Arterial and venous tubing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4760 X Standard testing solution 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4765 X Dialysate concentrate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4770 X Blood testing supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4771 X Blood clotting time tube 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4772 X Dextrostick/glucose strips 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4773 X Hemostix 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4774 X Ammonia test paper 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4780 X Esrd sterilizing agent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4790 X Esrd cleansing agents 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4800 X Heparin/antidote dialysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4820 X Supplies hemodialysis kit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4850 X Rubber tipped hemostats 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4860 X Disposable catheter caps 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4870 X Plumbing/electrical work 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4880 X Water storage tanks 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4890 R Contracts/repair/maintenance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4900 X Capd supply kit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4901 X Ccpd supply kit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4905 X Ipd supply kit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4910 X Esrd nonmedical supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4912 X Gomco drain bottle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4913 X Esrd supply 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4914 X Preparation kit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65560 A4918 X Venous pressure clamp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4919 X Supp dialysis dialyzer holde 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4920 X Harvard pressure clamp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4921 X Measuring cylinder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4927 X Gloves 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5051 P Pouch clsd w barr attached 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5052 P Clsd ostomy pouch w/o barr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5053 P Clsd ostomy pouch faceplate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5054 P Clsd ostomy pouch w/flange 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5055 P Stoma cap 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5061 P Pouch drainable w barrier at 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5062 P Drnble ostomy pouch w/o barr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5063 P Drain ostomy pouch w/flange 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5064 I Drain ostomy pouch w/fceplte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5065 D Drain ostomy pouch on fcplte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5071 P Urinary pouch w/barrier 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5072 P Urinary pouch w/o barrier 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5073 P Urinary pouch on barr w/flng 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5074 I Urinary pouch w/faceplate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5075 I Urinary pouch on faceplate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5081 P Continent stoma plug 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5082 P Continent stoma catheter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5093 P Ostomy accessory convex inse 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5102 P Bedside drain btl w/wo tube 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5105 P Urinary suspensory 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5112 P Urinary leg bag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5113 P Latex leg strap 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5114 P Foam/fabric leg strap 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5119 P Skin barrier wipes box pr 50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5121 P Solid skin barrier 6x6 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5122 P Solid skin barrier 8x8 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5123 P Skin barrier with flange 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5126 P Disk/foam pad +or- adhesive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5131 P Appliance cleaner 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5149 D Incontinence/ostomy supply 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5200 X Percutaneous catheter anchor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5500 X Diab shoe for density insert 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5501 X Diabetic custom molded shoe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5502 X Diabetic shoe density insert 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5503 X Diabetic shoe w/roller/rockr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5504 X Diabetic shoe with wedge 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5505 X Diab shoe w/metatarsal bar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5506 X Diabetic shoe w/off set heel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5507 X Modification diabetic shoe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5508 X Diabetic deluxe shoe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6020 P Collagen wound dressing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6021 X Collagen dressing <=16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6022 X Collagen drsg>6<=48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6023 X Collagen dressing >48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6024 X Collagen dsg wound filler 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6025 I Silicone gel sheet, each 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6154 P Wound pouch each 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6196 P Alginate dressing <=16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6197 P Alginate drsg >16 <=48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6198 P alginate dressing > 48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6199 P Alginate drsg wound filler 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6200 X Compos drsg <=16 no border 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6201 X Compos drsg >16<=48 no bdr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6202 X Compos drsg >48 no border 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6203 P Composite drsg <= 16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6204 P Composite drsg >16<=48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6205 P Composite drsg > 48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6206 P Contact layer <= 16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6207 P Contact layer >16<= 48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6208 P Contact layer > 48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6209 P Foam drsg <=16 sq in w/o bdr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6210 P Foam drg >16<=48 sq in w/o b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6211 P Foam drg > 48 sq in w/o brdr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6212 P Foam drg <=16 sq in w/border 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6213 P Foam drg >16<=48 sq in w/bdr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6214 P Foam drg > 48 sq in w/border 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6215 P Foam dressing wound filler 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6216 P Non-sterile gauze<=16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6217 P Non-sterile gauze>16<=48 sq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6218 P Non-sterile gauze > 48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6219 P Gauze <= 16 sq in w/border 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6220 P Gauze >16 <=48 sq in w/bordr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6221 P Gauze > 48 sq in w/border 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6222 P Gauze <=16 in no w/sal w/o b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6223 P Gauze >16<=48 no w/sal w/o b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6224 P Gauze > 48 in no w/sal w/o b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6228 P Gauze <= 16 sq in water/sal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6229 P Gauze >16<=48 sq in watr/sal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65561 A6230 P Gauze > 48 sq in water/salne 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6231 X Hydrogel dsg<=16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6232 X Hydrogel dsg>16<=48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6233 X Hydrogel dressing >48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6234 P Hydrocolld drg <=16 w/o bdr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6235 P Hydrocolld drg >16<=48 w/o b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6236 P Hydrocolld drg > 48 in w/o b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6237 P Hydrocolld drg <=16 in w/bdr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6238 P Hydrocolld drg >16<=48 w/bdr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6239 P Hydrocolld drg > 48 in w/bdr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6240 P Hydrocolld drg filler paste 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6241 P Hydrocolloid drg filler dry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6242 P Hydrogel drg <=16 in w/o bdr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6243 P Hydrogel drg >16<=48 w/o bdr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6244 P Hydrogel drg >48 in w/o bdr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6245 P Hydrogel drg <= 16 in w/bdr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6246 P Hydrogel drg >16<=48 in w/b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6247 P Hydrogel drg > 48 sq in w/b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6248 P Hydrogel drsg gel filler 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6250 P Skin seal protect moisturizr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6251 P Absorpt drg <=16 sq in w/o b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6252 P Absorpt drg >16 <=48 w/o bdr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6253 P Absorpt drg > 48 sq in w/o b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6254 P Absorpt drg <=16 sq in w/bdr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6255 P Absorpt drg >16<=48 in w/bdr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6256 P Absorpt drg > 48 sq in w/bdr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6257 P Transparent film <= 16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6258 P Transparent film >16<=48 in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6259 P Transparent film > 48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6260 P Wound cleanser any type/size 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6261 P Wound filler gel/paste /oz 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6262 P Wound filler dry form / gram 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6263 P Non-sterile elastic gauze/yd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6264 P Non-sterile no elastic gauze 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6265 P Tape per 18 sq inches 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6266 P Impreg gauze no h20/sal/yard 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6402 P Sterile gauze <= 16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6403 P Sterile gauze>16 <= 48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6404 P Sterile gauze > 48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6405 P Sterile elastic gauze /yd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6406 P Sterile non-elastic gauze/yd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7000 X Disposable canister for pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7001 X Nondisposable pump canister 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7002 X Tubing used w suction pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7003 X Nebulizer administration set 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7004 X Disposable nebulizer sml vol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7005 X Nondisposable nebulizer set 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7006 X Filtered nebulizer admin set 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7007 X Lg vol nebulizer disposable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7008 X Disposable nebulizer prefill 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7009 X Nebulizer reservoir bottle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7010 X Disposable corrugated tubing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7011 X Nondispos corrugated tubing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7012 X Nebulizer water collec devic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7013 X Disposable compressor filter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7014 X Compressor nondispos filter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7015 X Aerosol mask used w nebulize 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7016 X Nebulizer dome & mouthpiece 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7017 X Nebulizer not used w oxygen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7018 X Water distilled w/nebulizer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7019 X Saline solution dispenser 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7020 X Sterile H2O or NSS w lgv neb 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7501 X Tracheostoma valve w diaphra 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7502 X Replacement diaphragm/fplate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7503 X HMES filter holder or cap 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7504 X Tracheostoma HMES filter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7505 X HMES or trach valve housing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7506 X HMES/trachvalve adhesivedisk 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7507 X Integrated filter & holder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7508 X Housing & Integrated Adhesiv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A7509 X Heat & moisture exchange sys 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9150 E Misc/exper non-prescript dru 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9160 N Podiatrist non-covered servi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9170 N Chiropractor non-covered ser 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9190 N Misc/expe personal comfort i 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9270 N Non-covered item or service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9300 N Exercise equipment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9500 E Technetium TC 99m sestamibi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9502 X Technetium TC99M tetrofosmin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9503 E Technetium TC 99m medronate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9504 X Technetium tc 99m apcitide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9505 E Thallous chloride TL 201/mci 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9507 X Indium/111 capromab pendetid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65562 A9508 X Iobenguane sulfate I-131 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9510 X Technetium TC99m Disofenin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9600 X Strontium-89 chloride 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9605 X Samarium sm153 lexidronamm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9700 X Echocardiography Contrast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9900 X Supply/accessory/service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9901 X Delivery/set up/dispensing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0120 N Periodic oral evaluation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0140 N Limit oral eval problm focus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0150 R Comprehensve oral evaluation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0160 N Extensv oral eval prob focus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0170 N Re-eval,est pt,problem focus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0210 I Intraor complete film series 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0220 I Intraoral periapical first f 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0230 I Intraoral periapical ea add 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0240 R Intraoral occlusal film 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0250 R Extraoral first film 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0260 R Extraoral ea additional film 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0270 R Dental bitewing single film 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0272 R Dental bitewings two films 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0274 R Dental bitewings four films 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0277 R Vert bitewings-sev to eight 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0290 I Dental film skull/facial bon 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0310 I Dental saliography 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0320 I Dental tmj arthrogram incl i 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0321 I Dental other tmj films 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0322 I Dental tomographic survey 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0330 I Dental panoramic film 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0340 I Dental cephalometric film 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0350 I Oral/facial images 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0415 N Bacteriologic study 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0425 N Caries susceptibility test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0460 R Pulp vitality test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0470 N Diagnostic casts 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0472 R Gross exam, prep & report 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0473 R Micro exam, prep & report 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0474 R Micro w exam of surg margins 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0480 R Cytopath smear prep & report 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0501 R Histopathologic examinations 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0502 R Other oral pathology procedu 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0999 R Unspecified diagnostic proce 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D1110 N Dental prophylaxis adult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1120 N Dental prophylaxis child 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1201 N Topical fluor w prophy child 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1203 N Topical fluor w/o prophy chi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1204 N Topical fluor w/o prophy adu 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1205 N Topical fluoride w/ prophy a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1310 N Nutri counsel-control caries 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1320 N Tobacco counseling 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1330 N Oral hygiene instruction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1351 N Dental sealant per tooth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1510 R Space maintainer fxd unilat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D1515 R Fixed bilat space maintainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D1520 R Remove unilat space maintain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D1525 R Remove bilat space maintain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D1550 R Recement space maintainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D2110 N Amalgam one surface primary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2120 N Amalgam two surfaces primary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2130 N Amalgam three surfaces prima 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2131 N Amalgam four/more surf prima 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2140 N Amalgam one surface permanen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2150 N Amalgam two surfaces permane 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2160 N Amalgam three surfaces perma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2161 N Amalgam 4 or > surfaces perm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2330 N Resin one surface-anterior 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2331 N Resin two surfaces-anterior 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2332 N Resin three surfaces-anterio 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2335 N Resin 4/> surf or w incis an 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2336 N Composite resin crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2337 N Compo resin crown ant-perm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2380 N Resin one surf poster primar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2381 N Resin two surf poster primar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2382 N Resin three/more surf post p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2385 N Resin one surf poster perman 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2386 N Resin two surf poster perman 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2387 N Resin three/more surf post p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2388 N Resin four/more, post perm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2410 N Dental gold foil one surface 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2420 N Dental gold foil two surface 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2430 N Dental gold foil three surfa 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2510 N Dental inlay metalic 1 surf 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2520 N Dental inlay metallic 2 surf 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2530 N Dental inlay metl 3/more sur 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65563 D2542 N Dental onlay metallic 2 surf 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2543 N Dental onlay metallic 3 surf 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2544 N Dental onlay metl 4/more sur 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2610 N Inlay porcelain/ceramic 1 su 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2620 N Inlay porcelain/ceramic 2 su 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2630 N Dental onlay porc 3/more sur 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2642 N Dental onlay porcelin 2 surf 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2643 N Dental onlay porcelin 3 surf 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2644 N Dental onlay porc 4/more sur 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2650 N Inlay composite/resin one su 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2651 N Inlay composite/resin two su 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2652 N Dental inlay resin 3/mre sur 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2662 N Dental onlay resin 2 surface 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2663 N Dental onlay resin 3 surface 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2664 N Dental onlay resin 4/mre sur 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2710 N Crown resin laboratory 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2720 N Crown resin w/ high noble me 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2721 N Crown resin w/ base metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2722 N Crown resin w/ noble metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2740 N Crown porcelain/ceramic subs 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2750 N Crown porcelain w/ h noble m 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2751 N Crown porcelain fused base m 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2752 N Crown porcelain w/ noble met 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2780 N Crown 3/4 cast hi noble met 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2781 N Crown 3/4 cast base metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2782 N Crown 3/4 cast noble metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2783 N Crown 3/4 porcelain/ceramic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2790 N Crown full cast high noble m 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2791 N Crown full cast base metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2792 N Crown full cast noble metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2799 N Provisional crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2910 N Dental recement inlay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2920 N Dental recement crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2930 N Prefab stnlss steel crwn pri 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2931 N Prefab stnlss steel crown pe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2932 N Prefabricated resin crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2933 N Prefab stainless steel crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2940 N Dental sedative filling 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2950 N Core build-up incl any pins 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2951 N Tooth pin retention 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2952 N Post and core cast + crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2953 N Each addtnl cast post 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2954 N Prefab post/core + crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2955 N Post removal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2957 N Each addtnl prefab post 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2960 N Laminate labial veneer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2961 N Lab labial veneer resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2962 N Lab labial veneer porcelain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2970 R Temporary- fractured tooth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D2980 N Crown repair 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2999 R Dental unspec restorative pr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D3110 N Pulp cap direct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3120 N Pulp cap indirect 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3220 N Therapeutic pulpotomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3221 N Gross pulpal debridement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3230 N Pulpal therapy anterior prim 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3240 N Pulpal therapy posterior pri 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3310 N Anterior 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3320 N Root canal therapy 2 canals 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3330 N Root canal therapy 3 canals 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3331 N Non-surg tx root canal obs 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3332 N Incomplete endodontic tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3333 N Internal root repair 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3346 N Retreat root canal anterior 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3347 N Retreat root canal bicuspid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3348 N Retreat root canal molar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3351 N Apexification/recalc initial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3352 N Apexification/recalc interim 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3353 N Apexification/recalc final 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3410 N Apicoect/perirad surg anter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3421 N Root surgery bicuspid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3425 N Root surgery molar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3426 N Root surgery ea add root 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3430 N Retrograde filling 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3450 N Root amputation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3460 R Endodontic endosseous implan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D3470 N Intentional replantation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3910 N Isolation- tooth w rubb dam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3920 N Tooth splitting 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3950 N Canal prep/fitting of dowel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3999 R Endodontic procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4210 I Gingivectomy/plasty per quad 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4211 I Gingivectomy/plasty per toot 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65564 D4220 N Gingival curettage per quadr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4240 N Gingival flap proc w/ planin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4245 N Apically positioned flap 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4249 N Crown lengthen hard tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4260 R Osseous surgery per quadrant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4263 R Bone replce graft first site 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4264 R Bone replce graft each add 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4266 N Guided tiss regen resorble 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4267 N Guided tiss regen nonresorb 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4268 R Surgical revision procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4270 R Pedicle soft tissue graft pr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4271 R Free soft tissue graft proc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4273 R Subepithelial tissue graft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4274 N Distal/proximal wedge proc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4320 N Provision splnt intracoronal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4321 N Provisional splint extracoro 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4341 N Periodontal scaling & root 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4355 R Full mouth debridement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4381 R Localized chemo delivery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4910 N Periodontal maint procedures 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4920 N Unscheduled dressing change 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4999 N Unspecified periodontal proc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5110 N Dentures complete maxillary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5120 N Dentures complete mandible 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5130 N Dentures immediat maxillary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5140 N Dentures immediat mandible 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5211 N Dentures maxill part resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5212 N Dentures mand part resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5213 N Dentures maxill part metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5214 N Dentures mandibl part metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5281 N Removable partial denture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5410 N Dentures adjust cmplt maxil 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5411 N Dentures adjust cmplt mand 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5421 N Dentures adjust part maxill 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5422 N Dentures adjust part mandbl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5510 N Dentur repr broken compl bas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5520 N Replace denture teeth complt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5610 N Dentures repair resin base 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5620 N Rep part denture cast frame 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5630 N Rep partial denture clasp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5640 N Replace part denture teeth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5650 N Add tooth to partial denture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5660 N Add clasp to partial denture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5710 N Dentures rebase cmplt maxil 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5711 N Dentures rebase cmplt mand 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5720 N Dentures rebase part maxill 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5721 N Dentures rebase part mandbl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5730 N Denture reln cmplt maxil ch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5731 N Denture reln cmplt mand chr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5740 N Denture reln part maxil chr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5741 N Denture reln part mand chr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5750 N Denture reln cmplt max lab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5751 N Denture reln cmplt mand lab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5760 N Denture reln part maxil lab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5761 N Denture reln part mand lab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5810 N Denture interm cmplt maxill 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5811 N Denture interm cmplt mandbl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5820 N Denture interm part maxill 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5821 N Denture interm part mandbl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5850 N Denture tiss conditn maxill 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5851 N Denture tiss condtin mandbl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5860 N Overdenture complete 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5861 N Overdenture partial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5862 N Precision attachment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5867 N Replacement of precision att 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5875 N Prosthesis modification 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5899 N Removable prosthodontic proc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5911 R Facial moulage sectional 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5912 R Facial moulage complete 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5913 I Nasal prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5914 I Auricular prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5915 I Orbital prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5916 I Ocular prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5919 I Facial prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5922 I Nasal septal prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5923 I Ocular prosthesis interim 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5924 I Cranial prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5925 I Facial augmentation implant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5926 I Replacement nasal prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5927 I Auricular replacement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5928 I Orbital replacement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5929 I Facial replacement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5931 I Surgical obturator 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65565 D5932 I Postsurgical obturator 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5933 I Refitting of obturator 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5934 I Mandibular flange prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5935 I Mandibular denture prosth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5936 I Temp obturator prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5937 I Trismus appliance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5951 R Feeding aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5952 I Pediatric speech aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5953 I Adult speech aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5954 I Superimposed prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5955 I Palatal lift prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5958 I Intraoral con def inter plt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5959 I Intraoral con def mod palat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5960 I Modify speech aid prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5982 I Surgical stent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5983 R Radiation applicator 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5984 R Radiation shield 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5985 R Radiation cone locator 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5986 N Fluoride applicator 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5987 R Commissure splint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5988 I Surgical splint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5999 I Maxillofacial prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6010 I Odontics endosteal implant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6020 I Odontics abutment placement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6040 I Odontics eposteal implant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6050 I Odontics transosteal implnt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6055 I Implant connecting bar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6056 N Prefabricated abutment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6057 N Custom abutment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6058 N Abutment supported crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6059 N Abutment supported mtl crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6060 N Abutment supported mtl crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6061 N Abutment supported mtl crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6062 N Abutment supported mtl crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6063 N Abutment supported mtl crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6064 N Abutment supported mtl crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6065 N Implant supported crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6066 N Implant supported mtl crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6067 N Implant supported mtl crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6068 N Abutment supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6069 N Abutment supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6070 N Abutment supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6071 N Abutment supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6072 N Abutment supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6073 N Abutment supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6074 N Abutment supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6075 N Implant supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6076 N Implant supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6077 N Implant supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6078 N Implnt/abut suprtd fixd dent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6079 N Implnt/abut suprtd fixd dent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6080 I Implant maintenance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6090 I Repair implant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6095 I Odontics repr abutment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6100 I Removal of implant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6199 I Implant procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6210 N Prosthodont high noble metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6211 N Bridge base metal cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6212 N Bridge noble metal cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6240 N Bridge porcelain high noble 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6241 N Bridge porcelain base metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6242 N Bridge porcelain nobel metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6245 N Bridge porcelain/ceramic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6250 N Bridge resin w/high noble 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6251 N Bridge resin base metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6252 N Bridge resin w/noble metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6519 N Inlay/onlay porce/ceramic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6520 N Dental retainer two surfaces 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6530 N Retainer metallic 3+ surface 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6543 N Dental retainr onlay 3 surf 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6544 N Dental retainr onlay 4/more 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6545 N Dental retainr cast metl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6548 N Porcelain/ceramic retainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6720 N Retain crown resin w hi nble 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6721 N Crown resin w/base metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6722 N Crown resin w/noble metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6740 N Crown porcelain/ceramic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6750 N Crown porcelain high noble 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6751 N Crown porcelain base metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6752 N Crown porcelain noble metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6780 N Crown 3/4 high noble metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6781 N Crown 3/4 cast based metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6782 N Crown 3/4 cast noble metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65566 D6783 N Crown 3/4 porcelain/ceramic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6790 N Crown full high noble metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6791 N Crown full base metal cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6792 N Crown full noble metal cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6920 R Dental connector bar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D6930 N Dental recement bridge 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6940 N Stress breaker 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6950 N Precision attachment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6970 N Post & core plus retainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6971 N Cast post bridge retainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6972 N Prefab post & core plus reta 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6973 N Core build up for retainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6975 N Coping metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6976 N Each addtnl cast post 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6977 N Each addtl prefab post 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6980 N Bridge repair 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6999 N Fixed prosthodontic proc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7110 R Oral surgery single tooth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7120 R Each add tooth extraction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7130 R Tooth root removal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7210 R Rem imp tooth w mucoper flp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7220 R Impact tooth remov soft tiss 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7230 R Impact tooth remov part bony 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7240 R Impact tooth remov comp bony 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7241 R Impact tooth rem bony w/comp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7250 R Tooth root removal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7260 R Oral antral fistula closure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7270 N Tooth reimplantation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7272 N Tooth transplantation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7280 N Exposure impact tooth orthod 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7281 N Exposure tooth aid eruption 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7285 I Biopsy of oral tissue hard 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7286 I Biopsy of oral tissue soft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7290 N Repositioning of teeth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7291 R Transseptal fiberotomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7310 I Alveoplasty w/ extraction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7320 I Alveoplasty w/o extraction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7340 I Vestibuloplasty ridge extens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7350 I Vestibuloplasty exten graft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7410 I Rad exc lesion up to 1.25 cm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7420 I Lesion > 1.25 cm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7430 I Exc benign tumor to 1.25 cm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7431 I Benign tumor exc > 1.25 cm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7440 I Malig tumor exc to 1.25 cm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7441 I Malig tumor > 1.25 cm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7450 I Rem odontogen cyst to 1.25cm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7451 I Rem odontogen cyst > 1.25 cm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7460 I Rem nonodonto cyst to 1.25cm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7461 I Rem nonodonto cyst > 1.25 cm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7465 I Lesion destruction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7471 I Rem exostosis any site 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7480 I Partial ostectomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7490 I Mandible resection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7510 I I&d absc intraoral soft tiss 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7520 I I&d abscess extraoral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7530 I Removal fb skin/areolar tiss 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7540 I Removal of fb reaction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7550 I Removal of sloughed off bone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7560 I Maxillary sinusotomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7610 I Maxilla open reduct simple 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7620 I Clsd reduct simpl maxilla fx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7630 I Open red simpl mandible fx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7640 I Clsd red simpl mandible fx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7650 I Open red simp malar/zygom fx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7660 I Clsd red simp malar/zygom fx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7670 I Closd rductn splint alveolus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7680 I Reduct simple facial bone fx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7710 I Maxilla open reduct compound 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7720 I Clsd reduct compd maxilla fx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7730 I Open reduct compd mandble fx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7740 I Clsd reduct compd mandble fx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7750 I Open red comp malar/zygma fx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7760 I Clsd red comp malar/zygma fx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7770 I Open reduc compd alveolus fx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7780 I Reduct compnd facial bone fx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7810 I Tmj open reduct-dislocation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7820 I Closed tmp manipulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7830 I Tmj manipulation under anest 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7840 I Removal of tmj condyle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7850 I Tmj meniscectomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7852 I Tmj repair of joint disc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7854 I Tmj excisn of joint membrane 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7856 I Tmj cutting of a muscle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65567 D7858 I Tmj reconstruction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7860 I Tmj cutting into joint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7865 I Tmj reshaping components 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7870 I Tmj aspiration joint fluid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7871 N Lysis + lavage w catheters 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7872 I Tmj diagnostic arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7873 I Tmj arthroscopy lysis adhesn 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7874 I Tmj arthroscopy disc reposit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7875 I Tmj arthroscopy synovectomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7876 I Tmj arthroscopy discectomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7877 I Tmj arthroscopy debridement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7880 I Occlusal orthotic appliance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7899 I Tmj unspecified therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7910 I Dent sutur recent wnd to 5cm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7911 I Dental suture wound to 5 cm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7912 I Suture complicate wnd > 5 cm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7920 I Dental skin graft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7940 R Reshaping bone orthognathic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7941 I Bone cutting ramus closed 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7943 I Cutting ramus open w/graft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7944 I Bone cutting segmented 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7945 I Bone cutting body mandible 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7946 I Reconstruction maxilla total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7947 I Reconstruct maxilla segment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7948 I Reconstruct midface no graft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7949 I Reconstruct midface w/graft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7950 I Mandible graft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7955 I Repair maxillofacial defects 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7960 I Frenulectomy/frenulotomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7970 I Excision hyperplastic tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7971 I Excision pericoronal gingiva 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7980 I Sialolithotomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7981 I Excision of salivary gland 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7982 I Sialodochoplasty 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7983 I Closure of salivary fistula 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7990 I Emergency tracheotomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7991 I Dental coronoidectomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7995 I Synthetic graft facial bones 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7996 I Implant mandible for augment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7997 N Appliance removal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7999 I Oral surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8010 N Limited dental tx primary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8020 N Limited dental tx transition 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8030 N Limited dental tx adolescent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8040 N Limited dental tx adult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8050 N Intercep dental tx primary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8060 N Intercep dental tx transitn 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8070 N Compre dental tx transition 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8080 N Compre dental tx adolescent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8090 N Compre dental tx adult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8210 N Orthodontic rem appliance tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8220 N Fixed appliance therapy habt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8660 N Preorthodontic tx visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8670 N Periodic orthodontc tx visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8680 N Orthodontic retention 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8690 N Orthodontic treatment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8691 N Repair ortho appliance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8692 N Replacement retainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8999 N Orthodontic procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9110 R Tx dental pain minor proc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9210 I Dent anesthesia w/o surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9211 I Regional block anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9212 I Trigeminal block anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9215 I Local anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9220 I General anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9221 I General anesthesia ea ad 15m 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9230 R Analgesia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9241 I Intravenous sedation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9242 I IV sedation ea ad 30 m 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9248 R Sedation (non-iv) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9310 I Dental consultation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9410 I Dental house call 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9420 I Hospital call 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9430 I Office visit during hours 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9440 I Office visit after hours 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9610 I Dent therapeutic drug inject 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9630 R Other drugs/medicaments 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9910 N Dent appl desensitizing med 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9911 N Appl desensitizing resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9920 N Behavior management 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9930 R Treatment of complications 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9940 R Dental occlusal guard 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9941 N Fabrication athletic guard 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65568 D9950 R Occlusion analysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9951 R Limited occlusal adjustment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9952 R Complete occlusal adjustment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9970 N Enamel microabrasion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9971 N Odontoplasty 1-2 teeth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9972 N Extrnl bleaching per arch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9973 N Extrnl bleaching per tooth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9974 N Intrnl bleaching per tooth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9999 I Adjunctive procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0001 X Drawing blood for specimen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0002 A Temporary urinary catheter 0.50 3.00 2.44 0.17 0.32 0.03 3.53 2.97 0.70 0.85 000 G0004 A ECG transm phys review & int 0.52 7.41 7.54 NA NA 0.45 8.38 8.51 NA NA XXX G0005 A ECG 24 hour recording 0.00 1.23 1.24 NA NA 0.07 1.30 1.31 NA NA XXX G0006 A ECG transmission & analysis 0.00 5.97 6.03 NA NA 0.36 6.33 6.39 NA NA XXX G0007 A ECG phy review & interpret 0.52 0.21 0.27 0.21 0.27 0.02 0.75 0.81 0.75 0.81 XXX G0008 X Admin influenza virus vac 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX G0015 A Post symptom ECG tracing 0.00 5.97 6.03 NA NA 0.36 6.33 6.39 NA NA XXX G0016 A Post symptom ECG md review 0.52 0.23 0.28 0.23 0.28 0.02 0.77 0.82 0.77 0.82 XXX G0025 A Collagen skin test kit 0.00 0.00 0.26 0.00 0.26 0.00 0.00 0.26 0.00 0.26 XXX G0026 X Fecal leukocyte examination 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX G0030 C PET imaging prev PET single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0030 26 A PET imaging prev PET single 1.50 0.52 0.52 0.52 0.52 0.04 2.06 2.06 2.06 2.06 XXX G0030 TC C PET imaging prev PET single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0031 C PET imaging prev PET multple 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0031 26 A PET imaging prev PET multple 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 XXX G0031 TC C PET imaging prev PET multple 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0032 C PET follow SPECT 78464 singl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0032 26 A PET follow SPECT 78464 singl 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX G0032 TC C PET follow SPECT 78464 singl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0033 C PET follow SPECT 78464 mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0033 26 A PET follow SPECT 78464 mult 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 XXX G0033 TC C PET follow SPECT 78464 mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0034 C PET follow SPECT 76865 singl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0034 26 A PET follow SPECT 76865 singl 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX G0034 TC C PET follow SPECT 76865 singl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0035 C PET follow SPECT 78465 mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0035 26 A PET follow SPECT 78465 mult 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 XXX G0035 TC C PET follow SPECT 78465 mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0036 C PET follow cornry angio sing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0036 26 A PET follow cornry angio sing 1.50 0.52 0.52 0.52 0.52 0.04 2.06 2.06 2.06 2.06 XXX G0036 TC C PET follow cornry angio sing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0037 C PET follow cornry angio mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0037 26 A PET follow cornry angio mult 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 XXX G0037 TC C PET follow cornry angio mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0038 C PET follow myocard perf sing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0038 26 A PET follow myocard perf sing 1.50 0.52 0.52 0.52 0.52 0.04 2.06 2.06 2.06 2.06 XXX G0038 TC C PET follow myocard perf sing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0039 C PET follow myocard perf mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0039 26 A PET follow myocard perf mult 1.87 0.70 0.70 0.70 0.70 0.07 2.64 2.64 2.64 2.64 XXX G0039 TC C PET follow myocard perf mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0040 C PET follow stress echo singl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0040 26 A PET follow stress echo singl 1.50 0.52 0.52 0.52 0.52 0.04 2.06 2.06 2.06 2.06 XXX G0040 TC C PET follow stress echo singl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0041 C PET follow stress echo mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0041 26 A PET follow stress echo mult 1.87 0.70 0.70 0.70 0.70 0.05 2.62 2.62 2.62 2.62 XXX G0041 TC C PET follow stress echo mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0042 C PET follow ventriculogm sing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0042 26 A PET follow ventriculogm sing 1.50 0.52 0.52 0.52 0.52 0.04 2.06 2.06 2.06 2.06 XXX G0042 TC C PET follow ventriculogm sing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0043 C PET follow ventriculogm mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0043 26 A PET follow ventriculogm mult 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 XXX G0043 TC C PET follow ventriculogm mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0044 C PET following rest ECG singl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0044 26 A PET following rest ECG singl 1.50 0.52 0.52 0.52 0.52 0.04 2.06 2.06 2.06 2.06 XXX G0044 TC C PET following rest ECG singl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0045 C PET following rest ECG mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0045 26 A PET following rest ECG mult 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 XXX G0045 TC C PET following rest ECG mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0046 C PET follow stress ECG singl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0046 26 A PET follow stress ECG singl 1.50 0.52 0.52 0.52 0.52 0.04 2.06 2.06 2.06 2.06 XXX G0046 TC C PET follow stress ECG singl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0047 C PET follow stress ECG mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0047 26 A PET follow stress ECG mult 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 XXX G0047 TC C PET follow stress ECG mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0050 A Residual urine by ultrasound 0.00 0.85 0.86 NA NA 0.04 0.89 0.90 NA NA XXX G0101 A CA screen;pelvic/breast exam 0.45 0.66 0.57 0.17 0.20 0.01 1.12 1.03 0.63 0.66 XXX G0102 A Prostate ca screening; dre 0.17 0.37 0.34 0.06 0.07 0.01 0.55 0.52 0.24 0.25 XXX G0103 X Psa, total screening 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0104 A CA screen;flexi sigmoidscope 0.88 1.75 1.65 0.42 0.46 0.05 2.68 2.58 1.35 1.39 000 G0105 A Colorectal scrn; hi risk ind 3.68 6.60 6.07 1.70 2.38 0.20 10.48 8.95 5.58 6.26 000 Start Printed Page 65569 G0106 A Colon CA screen;barium enema 0.99 2.57 2.63 2.57 2.63 0.15 3.71 3.77 3.71 3.77 XXX G0106 26 A Colon CA screen;barium enema 0.99 0.35 0.39 0.35 0.39 0.04 1.38 1.42 1.38 1.42 XXX G0106 TC A Colon CA screen;barium enema 0.00 2.22 2.24 NA NA 0.11 2.33 2.35 NA NA XXX G0107 X CA screen; fecal blood test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0108 A Diab manage trn per indiv 0.00 1.64 1.64 NA NA 0.01 1.65 1.65 NA NA XXX G0109 A Diab manage trn ind/group 0.00 0.96 0.96 NA NA 0.01 0.97 0.97 NA NA XXX G0110 R Nett pulm-rehab educ; ind 0.90 0.74 0.63 0.36 0.34 0.03 1.67 1.56 1.29 1.27 XXX G0111 R Nett pulm-rehab educ; group 0.27 0.30 0.28 0.11 0.14 0.01 0.58 0.56 0.39 0.42 XXX G0112 R Nett;nutrition guid, initial 1.72 1.44 1.34 0.69 0.78 0.05 3.21 3.11 2.46 2.55 XXX G0113 R Nett;nutrition guid,subseqnt 1.29 1.11 1.04 0.52 0.60 0.04 2.44 2.37 1.85 1.93 XXX G0114 R Nett; psychosocial consult 1.20 0.49 0.46 0.48 0.46 0.03 1.72 1.69 1.71 1.69 XXX G0115 R Nett; psychological testing 1.20 0.67 0.60 0.38 0.38 0.04 1.91 1.84 1.62 1.62 XXX G0116 R Nett; psychosocial counsel 1.11 1.20 1.00 0.44 0.43 0.04 2.35 2.15 1.59 1.58 XXX G0120 A Colon ca scrn; barium enema 0.99 2.57 2.63 2.57 2.63 0.15 3.71 3.77 3.71 3.77 XXX G0120 26 A Colon ca scrn; barium enema 0.99 0.35 0.39 0.35 0.39 0.04 1.38 1.42 1.38 1.42 XXX G0120 TC A Colon ca scrn; barium enema 0.00 2.22 2.24 NA NA 0.11 2.33 2.35 NA NA XXX G0121 N Colon ca scrn not hi rsk ind +3.70 6.51 6.00 1.48 2.22 0.14 10.35 9.84 5.32 6.06 XXX G0122 N Colon ca scrn; barium enema +0.99 2.62 2.66 2.62 2.66 0.15 3.76 3.80 3.76 3.80 XXX G0122 26 N Colon ca scrn; barium enema +0.99 0.40 0.42 0.40 0.42 0.04 1.43 1.45 1.43 1.45 XXX G0122 TC N Colon ca scrn; barium enema +0.00 2.22 2.24 NA NA 0.11 2.33 2.35 NA NA XXX G0123 X Screen cerv/vag thin layer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0124 A Screen c/v thin layer by MD 0.42 0.18 0.22 0.18 0.22 0.01 0.61 0.65 0.61 0.65 XXX G0125 A Lung image (PET) 1.50 56.10 56.11 56.10 56.11 2.00 59.60 59.61 59.60 59.61 XXX G0125 26 A Lung image (PET) 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX G0125 TC A Lung image (PET) 0.00 55.58 55.59 NA NA 1.95 57.53 57.54 NA NA XXX G0126 A Lung image (PET) staging 1.87 56.28 56.29 56.28 56.29 2.01 60.16 60.17 60.16 60.17 XXX G0126 26 A Lung image (PET) staging 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 XXX G0126 TC A Lung image (PET) staging 0.00 55.58 55.59 NA NA 1.95 57.53 57.54 NA NA XXX G0127 R Trim nail(s) 0.11 0.49 0.43 0.04 0.06 0.01 0.61 0.55 0.16 0.18 000 G0128 R CORF skilled nursing service 0.08 0.03 0.03 0.03 0.03 0.01 0.12 0.12 0.12 0.12 XXX G0130 A Single energy x-ray study 0.22 0.90 0.90 0.90 0.90 0.05 1.17 1.17 1.17 1.17 XXX G0130 26 A Single energy x-ray study 0.22 0.11 0.11 0.11 0.11 0.01 0.34 0.34 0.34 0.34 XXX G0130 TC A Single energy x-ray study 0.00 0.79 0.79 NA NA 0.04 0.83 0.83 NA NA XXX G0131 A CT scan, bone density study 0.25 3.18 3.18 3.18 3.18 0.14 3.57 3.57 3.57 3.57 XXX G0131 26 A CT scan, bone density study 0.25 0.13 0.13 0.13 0.13 0.01 0.39 0.39 0.39 0.39 XXX G0131 TC A CT scan, bone density study 0.00 3.05 3.05 NA NA 0.13 3.18 3.18 NA NA XXX G0132 A CT scan, bone density study 0.22 0.90 0.90 0.90 0.90 0.05 1.17 1.17 1.17 1.17 XXX G0132 26 A CT scan, bone density study 0.22 0.11 0.11 0.11 0.11 0.01 0.34 0.34 0.34 0.34 XXX G0132 TC A CT scan, bone density study 0.00 0.79 0.79 NA NA 0.04 0.83 0.83 NA NA XXX G0141 A Scr c/v cyto,autosys and md 0.42 0.18 0.22 0.18 0.22 0.01 0.61 0.65 0.61 0.65 XXX G0143 X Scr c/v cyto,thinlayer,rescr 0.00 0.00 0.00 0.00 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 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 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 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 0.00 0.00 0.00 0.00 XXX G0159 D Perc declot dialysis graft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0160 D Cryo. ablation, prostate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090 G0161 D Echo guide for cryo probes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0161 26 D Echo guide for cryo probes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0161 TC D Echo guide for cryo probes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0163 A Pet for rec of colorectal ca 1.50 56.15 56.15 56.15 56.15 2.00 59.65 59.65 59.65 59.65 XXX G0163 26 A Pet for rec of colorectal ca 1.50 0.57 0.57 0.57 0.57 0.05 2.12 2.12 2.12 2.12 XXX G0163 TC A Pet for rec of colorectal ca 0.00 55.58 55.58 NA NA 1.95 57.53 57.53 NA NA XXX G0164 A Pet for lymphoma staging 1.87 56.28 56.28 56.28 56.28 2.01 60.16 60.16 60.16 60.16 XXX G0164 26 A Pet for lymphoma staging 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 XXX G0164 TC A Pet for lymphoma staging 0.00 55.58 55.58 NA NA 1.95 57.53 57.53 NA NA XXX G0165 A Pet,rec of melanoma/met ca 1.50 56.17 56.17 56.17 56.17 2.00 59.67 59.67 59.67 59.67 XXX G0165 26 A Pet,rec of melanoma/met ca 1.50 0.59 0.59 0.59 0.59 0.05 2.14 2.14 2.14 2.14 XXX G0165 TC A Pet,rec of melanoma/met ca 0.00 55.58 55.58 NA NA 1.95 57.53 57.53 NA NA XXX G0166 A Extrnl counterpulse, per tx 0.07 3.68 3.68 0.03 0.03 0.01 3.76 3.76 0.11 0.11 XXX G0167 C Hyperbaric oz tx;no md reqrd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0168 A Wound closure by adhesive 0.45 1.79 1.79 0.25 0.25 0.01 2.25 2.25 0.71 0.71 000 G0169 D Removal tissue; no anesthsia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0170 D Skin biograft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 010 G0171 D Skin biograft add-on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ G0173 X Stereo radoisurgery,complete 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0174 X Intensitymodulatedradiation 0.00 0.00 0.00 0.00 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 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 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 0.00 0.00 0.00 0.00 XXX G0178 X Intensitymodulatedradiation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0179 A Intensitymodulatedradiation 0.45 1.09 1.09 0.18 0.18 0.06 1.60 1.60 0.69 0.69 XXX G0180 A MD certification HHA patient 0.67 1.18 1.18 0.27 0.27 0.06 1.91 1.91 1.00 1.00 XXX G0181 A Home health care supervision 1.73 1.40 1.40 0.63 0.63 0.06 3.19 3.19 2.42 2.42 XXX G0182 A Hospice care supervision 1.73 1.73 1.73 0.60 0.60 0.06 3.52 3.52 2.39 2.39 XXX G0183 X Ocular photodynamic therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0184 A Ocular photocoagulation 0.47 0.23 0.23 0.23 0.23 0.50 1.20 1.20 1.20 1.20 ZZZ G0185 C Transpuppillary thermotx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY G0186 C Dstry eye lesn,fdr vssl tech 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY G0187 C Dstry mclr drusen,photocoag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY G0188 C Xray lwr extrmty-full lngth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0188 26 C Xray lwr extrmty-full lngth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0188 TC C Xray lwr extrmty-full lngth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65570 G0190 X MD recertification HHA patient 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0191 X Immunization admin,each add 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0192 N Immunization oral/intranasal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0193 C Endoscopicstudyswallowfunctn 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0194 C Sensorytestingendoscopicstud 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0195 C Clinicalevalswallowingfunct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0196 C Evalofswallowingwithradioopa 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0197 A Evalofptforprescipspeechdevi 1.35 1.91 1.91 0.77 0.77 0.04 3.30 3.30 2.16 2.16 XXX G0198 A Patientadapation&trainforspe 0.99 1.05 1.05 0.57 0.57 0.03 2.07 2.07 1.59 1.59 XXX G0199 A Reevaluationofpatientusespec 1.01 1.72 1.72 0.58 0.58 0.03 2.76 2.76 1.62 1.62 XXX G0200 A Evalofpatientprescipofvoicep 1.35 1.91 1.91 0.77 0.77 0.04 3.30 3.30 2.16 2.16 XXX G0201 A Modifortraininginusevoicepro 0.99 1.05 1.05 0.57 0.57 0.03 2.07 2.07 1.59 1.59 XXX G9001 X MCCD, initial rate 0.00 0.00 0.00 0.00 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 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 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 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 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 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 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 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 0.00 0.00 0.00 0.00 XXX H0001 I Alcohol and/or drug assess 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0002 I Alcohol and/or drug screenin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0003 I Alcohol and/or drug screenin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0004 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0005 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0006 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0007 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0008 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0009 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0010 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0011 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0012 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0013 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0014 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0015 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0016 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0017 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0018 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0019 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0020 I Alcohol and/or drug services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0021 I Alcohol and/or drug training 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0022 I Alcohol and/or drug interven 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0023 I Alcohol and/or drug outreach 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0024 I Alcohol and/or drug preventi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0025 I Alcohol and/or drug preventi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0026 I Alcohol and/or drug preventi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0027 I Alcohol and/or drug preventi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0028 I Alcohol and/or drug preventi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0029 I Alcohol and/or drug preventi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX H0030 I Alcohol and/or drug hotline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0120 E Tetracyclin injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0130 E Abciximab injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0150 E Injection adenosine 6 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0151 E Adenosine injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0170 E Adrenalin epinephrin inject 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0190 E Inj biperiden lactate/5 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0200 E Alatrofloxacin mesylate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0205 E Alglucerase injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0207 E Amifostine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0210 E Methyldopate hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0256 E Alpha 1 proteinase inhibitor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0270 E Alprostadil for injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0275 E Alprostadil urethral suppos 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0280 E Aminophyllin 250 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0282 E Amiodarone HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0285 E Amphotericin B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0286 E Amphotericin B lipid complex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0290 E Ampicillin 500 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0295 E Ampicillin sodium per 1.5 gm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0300 E Amobarbital 125 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0330 E Succinycholine chloride inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0340 E Nandrolon phenpropionate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0350 E Injection anistreplase 30 u 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0360 E Hydralazine hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0380 E Inj metaraminol bitartrate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0390 E Chloroquine injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0395 E Arbutamine HCl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0400 E Inj trimethaphan camsylate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0456 E Azithromycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0460 E Atropine sulfate injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0470 E Dimecaprol injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0475 E Baclofen 10 MG injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65571 J0476 E Baclofen intrathecal trial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0500 E Dicyclomine injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0510 E Benzquinamide injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0515 E Inj benztropine mesylate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0520 E Bethanechol chloride inject 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0530 E Penicillin g benzathine inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0540 E Penicillin g benzathine inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0550 E Penicillin g benzathine inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0560 E Penicillin g benzathine inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0570 E Penicillin g benzathine inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0580 E Penicillin g benzathine inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0585 E Botulinum toxin a per unit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0590 E Ethylnorepinephrine hcl inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0600 E Edetate calcium disodium inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0610 E Calcium gluconate injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0620 E Calcium glycer & lact/10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0630 E Calcitonin salmon injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0635 E Calcitriol injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0640 E Leucovorin calcium injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0670 E Inj mepivacaine HCL/10 ml 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0690 E Cefazolin sodium injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0694 E Cefoxitin sodium injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0695 E Cefonocid sodium injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0696 E Ceftriaxone sodium injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0697 E Sterile cefuroxime injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0698 E Cefotaxime sodium injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0702 E Betamethasone acet&sod phosp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0704 E Betamethasone sod phosp/4 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0710 E Cephapirin sodium injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0713 E Inj ceftazidime per 500 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0715 E Ceftizoxime sodium / 500 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0720 E Chloramphenicol sodium injec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0725 E Chorionic gonadotropin/1000u 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0730 E Chlorpheniramin maleate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0735 E Clonidine hydrochloride 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0740 E Cidofovir injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0743 E Cilastatin sodium injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0745 E Inj codeine phosphate /30 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0760 E Colchicine injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0770 E Colistimethate sodium inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0780 E Prochlorperazine injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0800 E Corticotropin injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0810 E Cortisone injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0835 E Inj cosyntropin per 0.25 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0850 E Cytomegalovirus imm IV /vial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0895 E Deferoxamine mesylate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0900 E Testosterone enanthate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0945 E Brompheniramine maleate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0970 E Estradiol valerate injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1000 E Depo-estradiol cypionate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1020 E Methylprednisolone 20 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1030 E Methylprednisolone 40 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1040 E Methylprednisolone 80 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1050 E Medroxyprogesterone inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1055 N Medrxyprogester acetate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1060 E Testosterone cypionate 1 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1070 E Testosterone cypionat 100 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1080 E Testosterone cypionat 200 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1090 E Testosterone cypionate 50 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1095 E Inj dexamethasone acetate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1100 E Dexamethasone sodium phos 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1110 E Inj dihydroergotamine mesylt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1120 E Acetazolamid sodium injectio 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1160 E Digoxin injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1165 E Phenytoin sodium injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1170 E Hydromorphone injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1180 E Dyphylline injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1190 E Dexrazoxane HCl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1200 E Diphenhydramine hcl injectio 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1205 E Chlorothiazide sodium inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1212 E Dimethyl sulfoxide 50% 50 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1230 E Methadone injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1240 E Dimenhydrinate injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1245 E Dipyridamole injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1250 E Inj dobutamine HCL/250 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1260 E Dolasetron mesylate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1320 E Amitriptyline injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1325 E Epoprostenol injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1327 E Eptifibatide injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1330 E Ergonovine maleate injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1362 E Erythromycin glucep / 250 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1364 E Erythro lactobionate /500 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1380 E Estradiol valerate 10 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65572 J1390 E Estradiol valerate 20 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1410 E Inj estrogen conjugate 25 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1435 E Injection estrone per 1 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1436 E Etidronate disodium inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1438 E Etanercept injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1440 E Filgrastim 300 mcg injeciton 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1441 E Filgrastim 480 mcg injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1450 E Fluconazole 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1452 E Intraocular Fomivirsen na 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1455 E Foscarnet sodium injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1460 E Gamma globulin 1 CC inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1470 E Gamma globulin 2 CC inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1480 E Gamma globulin 3 CC inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1490 E Gamma globulin 4 CC inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1500 E Gamma globulin 5 CC inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1510 E Gamma globulin 6 CC inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1520 E Gamma globulin 7 CC inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1530 E Gamma globulin 8 CC inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1540 E Gamma globulin 9 CC inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1550 E Gamma globulin 10 CC inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1560 E Gamma globulin > 10 CC inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1561 E Immune globulin 500 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1562 D Immune globulin 5 gms 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1563 E IV immune globulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1565 E RSV-ivig 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1570 E Ganciclovir sodium injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1580 E Garamycin gentamicin inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1600 E Gold sodium thiomaleate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1610 E Glucagon hydrochloride/1 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1620 E Gonadorelin hydroch/ 100 mcg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1626 E Granisetron HCl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1630 E Haloperidol injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1631 E Haloperidol decanoate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1642 E Inj heparin sodium per 10 u 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1644 E Inj heparin sodium per 1000u 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1645 E Dalteparin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1650 E Inj enoxaparin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1670 E Tetanus immune globulin inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1690 E Prednisolone tebutate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1700 E Hydrocortisone acetate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1710 E Hydrocortisone sodium ph inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1720 E Hydrocortisone sodium succ i 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1730 E Diazoxide injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1739 E Hydroxyprogesterone cap 125 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1741 E Hydroxyprogesterone cap 250 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1742 E Ibutilide fumarate injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1745 E Infliximab injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1750 E Iron dextran 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1785 E Injection imiglucerase /unit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1790 E Droperidol injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1800 E Propranolol injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1810 E Droperidol/fentanyl inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1820 E Insulin injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1825 E Interferon beta-1a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1830 E Interferon beta-1b / .25 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1840 E Kanamycin sulfate 500 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1850 E Kanamycin sulfate 75 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1885 E Ketorolac tromethamine inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1890 E Cephalothin sodium injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1910 E Kutapressin injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1930 E Propiomazine injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1940 E Furosemide injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1950 E Leuprolide acetate /3.75 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1955 E Inj levocarnitine per 1 gm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1956 E Levofloxacin injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1960 E Levorphanol tartrate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1970 E Methotrimeprazine injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1980 E Hyoscyamine sulfate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1990 E Chlordiazepoxide injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2000 E Lidocaine injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2010 E Lincomycin injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2060 E Lorazepam injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2150 E Mannitol injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2175 E Meperidine hydrochl /100 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2180 E Meperidine/promethazine inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2210 E Methylergonovin maleate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2240 E Metocurine iodide injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2250 E Inj midazolam hydrochloride 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2260 E Inj milrinone lactate / 5 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2270 E Morphine sulfate injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2271 E Morphine so4 injection 100mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2275 E Morphine sulfate injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2300 E Inj nalbuphine hydrochloride 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65573 J2310 E Inj naloxone hydrochloride 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2320 E Nandrolone decanoate 50 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2321 E Nandrolone decanoate 100 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2322 E Nandrolone decanoate 200 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2330 E Thiothixene injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2350 E Niacinamide/niacin injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2352 E Octreotide acetate injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2355 E Oprelvekin injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2360 E Orphenadrine injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2370 E Phenylephrine hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2400 E Chloroprocaine hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2405 E Ondansetron hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2410 E Oxymorphone hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2430 E Pamidronate disodium /30 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2440 E Papaverin hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2460 E Oxytetracycline injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2480 E Hydrochlorides of opium inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2500 E Paricalcitol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2510 E Penicillin g procaine inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2512 E Inj pentagastrin per 2 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2515 E Pentobarbital sodium inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2540 E Penicillin g potassium inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2543 E Piperacillin/tazobactam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2545 E Pentamidine isethionte/300mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2550 E Promethazine hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2560 E Phenobarbital sodium inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2590 E Oxytocin injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2597 E Inj desmopressin acetate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2640 E Prednisolone sodium ph inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2650 E Prednisolone acetate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2670 E Totazoline hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2675 E Inj progesterone per 50 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2680 E Fluphenazine decanoate 25 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2690 E Procainamide hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2700 E Oxacillin sodium injeciton 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2710 E Neostigmine methylslfte inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2720 E Inj protamine sulfate/10 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2725 E Inj protirelin per 250 mcg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2730 E Pralidoxime chloride inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2760 E Phentolaine mesylate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2765 E Metoclopramide hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2770 E Quinupristin/dalfopristin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2780 E Ranitidine hydrochloride inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2790 E Rho d immune globulin inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2792 E Rho(D) immune globulin h, sd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2795 E Ropivacaine HCl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2800 E Methocarbamol injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2810 E Inj theophylline per 40 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2820 E Sargramostim injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2860 E Secobarbital sodium inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2910 E Aurothioglucose injeciton 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2912 E Sodium chloride injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2915 E NA Ferric Gluconate Complex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2920 E Methylprednisolone injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2930 E Methylprednisolone injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2950 E Promazine hcl injeciton 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2970 E Methicillin sodium injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2993 E Reteplase injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2994 D Reteplase double bolus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2995 E Inj streptokinase /250000 IU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2996 D Alteplase recombinant inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2997 E Alteplase recombinant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3000 E Streptomycin injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3010 E Fentanyl citrate injeciton 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3030 E Sumatriptan succinate / 6 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3070 E Pentazocine hcl injeciton 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3080 E Chlorprothixene injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3105 E Terbutaline sulfate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3120 E Testosterone enanthate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3130 E Testosterone enanthate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3140 E Testosterone suspension inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3150 E Testosteron propionate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3230 E Chlorpromazine hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3240 E Thyrotropin injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3245 E Tirofiban hydrochloride 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3250 E Trimethobenzamide hcl inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3260 E Tobramycin sulfate injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3265 E Injection torsemide 10 mg/ml 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3270 E Imipramine hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3280 E Thiethylperazine maleate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3301 E Triamcinolone acetonide inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3302 E Triamcinolone diacetate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3303 E Triamcinolone hexacetonl inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65574 J3305 E Inj trimetrexate glucoronate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3310 E Perphenazine injeciton 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3320 E Spectinomycn di-hcl inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3350 E Urea injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3360 E Diazepam injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3364 E Urokinase 5000 IU injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3365 E Urokinase 250,000 IU inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3370 R Vancomycin hcl injeciton 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3390 E Methoxamine injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3400 E Triflupromazine hcl inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3410 E Hydroxyzine hcl injeciton 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3420 E Vitamin b12 injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3430 E Vitamin k phytonadione inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3450 E Mephentermine sulfate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3470 E Hyaluronidase injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3475 E Inj magnesium sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3480 E Inj potassium chloride 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3485 E Zidovudine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3490 E Drugs unclassified injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3520 N Edetate disodium per 150 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3530 E Nasal vaccine inhalation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3535 N Metered dose inhaler drug 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3570 N Laetrile amygdalin vit B17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7030 E Normal saline solution infus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7040 E Normal saline solution infus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7042 E 5% dextrose/normal saline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7050 E Normal saline solution infus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7051 E Sterile saline/water 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7060 E 5% dextrose/water 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7070 E D5w infusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7100 E Dextran 40 infusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7110 E Dextran 75 infusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7120 E Ringers lactate infusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7130 E Hypertonic saline solution 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7190 X Factor viii 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7191 X Factor VIII (porcine) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7192 X Factor viii recombinant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7194 X Factor ix complex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7197 X Antithrombin iii injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7198 E Anti-inhibitor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7199 E Hemophilia clot factor noc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7300 N Intraut copper contraceptive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7310 E Ganciclovir long act implant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7315 E Sodium hyaluronate injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7320 E Hylan G-F 20 injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7330 E Cultured chondrocytes implnt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7500 X Azathioprine oral 50mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7501 X Azathioprine parenteral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7502 E Cyclosporine oral 100 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7504 X Lymphocyte immune globulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7505 X Monoclonal antibodies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7506 X Prednisone oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7507 E Tacrolimus oral per 1 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7508 E Tacrolimus oral per 5 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7509 X Methylprednisolone oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7510 X Prednisolone oral per 5 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7513 E Daclizumab, parenteral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7515 E Cyclosporine oral 25 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7516 E Cyclosporin parenteral 250mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7517 E Mycophenolate mofetil oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7520 E Sirolimus, oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7525 E Tacrolimus injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7599 X Immunosuppressive drug noc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7608 E Acetylcysteine inh sol u d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7610 D Acetylcysteine 10% injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7615 D Acetylcysteine 20% injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7618 E Albuterol inh sol con 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7619 E Albuterol inh sol u d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7620 D Albuterol sulfate .083%/ml 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7625 D Albuterol sulfate .5% inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7627 D Bitolterolmesylate inhal sol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7628 E Bitolterol mes inhal sol con 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7629 E Bitolterol mes inh sol u d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7630 D Cromolyn sodium injeciton 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7631 E Cromolyn sodium inh sol u d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7635 E Atropine inhal sol con 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7636 E Atropine inhal sol unit dose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7637 E Dexamethasone inhal sol con 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7638 E Dexamethasone inhal sol u d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7639 E Dornase alpha inhal sol u d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7640 D Epinephrine injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7642 E Glycopyrrolate inhal sol con 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7643 E Glycopyrrolate inhal sol u d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65575 J7644 E Ipratropium brom inh sol u d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7645 D Ipratropium bromide .02%/ml 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7648 E Isoetharine hcl inh sol con 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7649 E Isoetharine hcl inh sol u d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7650 D Isoetharine hcl .1% inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7651 D Isoetharine hcl .125% inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7652 D Isoetharine hcl .167% inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7653 D Isoetharine hcl .2%/ inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7654 D Isoetharine hcl .25% inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7655 D Isoetharine hcl 1% inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7658 E Isoproterenolhcl inh sol con 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7659 E Isoproterenol hcl inh sol ud 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7660 D Isoproterenol hcl .5% inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7665 D Isoproterenol hcl 1% inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7668 E Metaproterenol inh sol con 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7669 E Metaproterenol inh sol u d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7670 D Metaproterenol sulfate .4% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7672 D Metaproterenol sulfate .6% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7675 D Metaproterenol sulfate 5% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7680 E Terbutaline so4 inh sol con 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7681 E Terbutaline so4 inh sol u d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7682 E Tobramycin inhalation sol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7683 E Triamcinolone inh sol con 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7684 E Triamcinolone inh sol u d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7699 E Inhalation solution for DME 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7799 E Non-inhalation drug for DME 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J8499 N Oral prescrip drug non chemo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J8510 E Oral busulfan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J8520 E Capecitabine, oral, 150 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J8521 E Capecitabine, oral, 500 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J8530 E Cyclophosphamide oral 25 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J8560 E Etoposide oral 50 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J8600 E Melphalan oral 2 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J8610 E Methotrexate oral 2.5 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J8700 E Temozolmide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J8999 E Oral prescription drug chemo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9000 E Doxorubic hcl 10 MG vl chemo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9001 E Doxorubicin hcl liposome inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9015 E Aldesleukin/single use vial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9020 E Asparaginase injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9031 E Bcg live intravesical vac 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9040 E Bleomycin sulfate injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9045 E Carboplatin injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9050 E Carmus bischl nitro inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9060 E Cisplatin 10 MG injeciton 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9062 E Cisplatin 50 MG injeciton 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9065 E Inj cladribine per 1 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9070 E Cyclophosphamide 100 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9080 E Cyclophosphamide 200 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9090 E Cyclophosphamide 500 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9091 E Cyclophosphamide 1.0 grm inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9092 E Cyclophosphamide 2.0 grm inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9093 E Cyclophosphamide lyophilized 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9094 E Cyclophosphamide lyophilized 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9095 E Cyclophosphamide lyophilized 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9096 E Cyclophosphamide lyophilized 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9097 E Cyclophosphamide lyophilized 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9100 E Cytarabine hcl 100 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9110 E Cytarabine hcl 500 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9120 E Dactinomycin actinomycin d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9130 E Dacarbazine 10 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9140 E Dacarbazine 200 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9150 E Daunorubicin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9151 E Daunorubicin citrate liposom 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9160 E Denileukin diftitox, 300 mcg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9165 E Diethylstilbestrol injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9170 E Docetaxel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9180 E Epirubicin HCl injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9181 E Etoposide 10 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9182 E Etoposide 100 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9185 E Fludarabine phosphate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9190 E Fluorouracil injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9200 E Floxuridine injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9201 E Gemcitabine HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9202 E Goserelin acetate implant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9206 E Irinotecan injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9208 E Ifosfomide injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9209 E Mesna injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9211 E Idarubicin hcl injeciton 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9212 E Interferon alfacon-1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9213 E Interferon alfa-2a inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9214 E Interferon alfa-2b inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9215 E Interferon alfa-n3 inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65576 J9216 E Interferon gamma 1-b inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9217 E Leuprolide acetate suspnsion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9218 E Leuprolide acetate injeciton 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9219 E Leuprolide acetate implant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9230 E Mechlorethamine hcl inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9245 E Inj melphalan hydrochl 50 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9250 E Methotrexate sodium inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9260 E Methotrexate sodium inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9265 E Paclitaxel injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9266 E Pegaspargase/singl dose vial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9268 E Pentostatin injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9270 E Plicamycin (mithramycin) inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9280 E Mitomycin 5 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9290 E Mitomycin 20 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9291 E Mitomycin 40 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9293 E Mitoxantrone hydrochl / 5 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9310 E Rituximab cancer treatment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9320 E Streptozocin injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9340 E Thiotepa injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9350 E Topotecan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9355 E Trastuzumab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9357 E Valrubicin, 200 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9360 E Vinblastine sulfate inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9370 E Vincristine sulfate 1 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9375 E Vincristine sulfate 2 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9380 E Vincristine sulfate 5 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9390 E Vinorelbine tartrate/10 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9600 E Porfimer sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9999 E Chemotherapy drug 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX M0064 A Visit for drug monitoring 0.37 0.26 0.25 0.12 0.14 0.01 0.64 0.63 0.50 0.52 XXX M0075 N Cellular therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX M0076 N Prolotherapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX M0100 N Intragastric hypothermia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX M0300 N IV chelationtherapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX M0301 N Fabric wrapping of aneurysm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX M0302 A Assessment of cardiac output 0.17 0.88 0.88 0.88 0.88 0.02 1.07 1.07 1.07 1.07 XXX M0302 26 A Assessment of cardiac output 0.17 0.08 0.08 0.08 0.08 0.01 0.26 0.26 0.26 0.26 XXX M0302 TC A Assessment of cardiac output 0.00 0.80 0.80 NA NA 0.01 0.81 0.81 NA NA XXX P2028 X Cephalin floculation test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P2029 X Congo red blood test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P2031 N Hair analysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P2033 X Blood thymol turbidity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P2038 X Blood mucoprotein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P3000 X Screen pap by tech w md supv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P3001 A Screening pap smear by phys 0.42 0.18 0.22 0.18 0.22 0.01 0.61 0.65 0.61 0.65 XXX P7001 I Culture bacterial urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9010 E Whole blood for transfusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9011 E Blood split unit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9012 E Cryoprecipitate each unit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9013 D Unit/s blood fibrinogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9016 E RBC leukocytes reduced 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9017 E One donor fresh frozn plasma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9018 D Plasma protein fract, unit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9019 E Platelets, each unit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9020 E Plaelet rich plasma unit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9021 E Red blood cells unit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9022 E Washed red blood cells unit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9023 X Frozen plasma, pooled, sd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9031 X Platelets leukocytes reduced 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9032 X Platelets, irradiated 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9033 X Platelets leukoreduced irrad 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9034 X Platelets, pheresis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9035 X Platelet pheres leukoreduced 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9036 X Platelet pheresis irradiated 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9037 X Plate pheres leukoredu irrad 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9038 X RBC irradiated 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9039 X RBC deglycerolized 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9040 X RBC leukoreduced irradiated 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9041 X Albumin(human), 5% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9042 X Albumin (human), 25% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9043 X Plasma protein fraction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9044 X Cryoprecipitatereducedplasma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9603 X One-way allow prorated miles 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9604 X One-way allow prorated trip 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9612 X Catheterize for urine spec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9615 X Urine specimen collect mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0034 D Admin of influenza vaccine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0035 A Cardiokymography 0.17 0.45 0.48 0.45 0.48 0.03 0.65 0.68 0.65 0.68 XXX Q0035 26 A Cardiokymography 0.17 0.07 0.09 0.07 0.09 0.01 0.25 0.27 0.25 0.27 XXX Q0035 TC A Cardiokymography 0.00 0.38 0.39 NA NA 0.02 0.40 0.41 NA NA XXX Q0091 A Obtaining screen pap smear 0.37 0.72 0.62 0.14 0.18 0.01 1.10 1.00 0.52 0.56 XXX Q0092 A Set up port xray equipment 0.00 0.32 0.32 NA NA 0.01 0.33 0.33 NA NA XXX Q0111 X Wet mounts/ w preparations 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65577 Q0112 X Potassium hydroxide preps 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0113 X Pinworm examinations 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0114 X Fern test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0115 X Post-coital mucous exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0136 X Non esrd epoetin alpha inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0144 N Azithromycin dihydrate, oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0156 D Human albumin 5% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0157 D Human albumin 25% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0160 X Factor IX non-recombinant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0161 X Factor IX recombinant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0163 X Diphenhydramine HCl 50mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0164 X Prochlorperazine maleate 5mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0165 X Prochlorperazine maleate10mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0166 X Granisetron HCl 1 mg oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0167 X Dronabinol 2.5mg oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0168 X Dronabinol 5mg oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0169 X Promethazine HCl 12.5mg oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0170 X Promethazine HCl 25 mg oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0171 X Chlorpromazine HCl 10mg oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0172 X Chlorpromazine HCl 25mg oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0173 X Trimethobenzamide HCl 250mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0174 X Thiethylperazine maleate10mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0175 X Perphenazine 4mg oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0176 X Perphenazine 8mg oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0177 X Hydroxyzine pamoate 25mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0178 X Hydroxyzine pamoate 50mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0179 X Ondansetron HCl 8mg oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0180 X Dolasetron mesylate oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0181 X Unspecified oral anti-emetic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0183 X Nonmetabolic active tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0184 X Metabolically active tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0185 X Metabolic active D/E tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0186 D Paramedic intercept, rural 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0187 E Factor viia recombinant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q1001 X Ntiol category 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q1002 X Ntiol category 2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q1003 X Ntiol category 3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q1004 X Ntiol category 4 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q1005 X Ntiol category 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2001 N Oral cabergoline 0.5 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2002 E Elliotts b solution per ml 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2003 E Aprotinin, 10,000 kiu 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2004 E Bladder calculi irrig sol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2005 E Corticorelin ovine triflutat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2006 E Digoxin immune fab (ovine) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2007 E Ethanolamine oleate 100 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2008 E Fomepizole, 1.5 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2009 E Fosphenytoin, 50 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2010 E Glatiramer acetate, per dose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2011 E Hemin, per 1 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2012 E Pegademase bovine, 25 iu 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2013 E Pentastarch 10% solution 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2014 E Sermorelin acetate, 0.5 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2015 E Somatrem, 5 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2016 E Somatropin, 1 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2017 E Teniposide, 50 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2018 E Urofollitropin, 75 iu 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2019 E Basiliximab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2020 E Histrelin acetate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2021 E Lepirudin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q2022 E VonWillebrandFactrCmplxperIU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q3001 E Brachytherapy Radioelements 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q3002 E Gallium ga 67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q3003 E Technetium tc99m bicisate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q3004 E Xenon xe 133 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q3005 E Technetium tc99m mertiatide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q3006 E Technetium tc99m glucepatate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q3007 E Sodium phosphate p32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q3008 E Indium 111-in pentetreotide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q3009 E Technetium tc99m oxidronate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q3010 E Technetium tc99mlabeledrbcs 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q3011 E Chromic phosphate p32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q3012 E Cyanocobalamin cobalt co57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9920 E Epoetin with hct <= 20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9921 E Epoetin with hct = 21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9922 E Epoetin with hct = 22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9923 E Epoetin with hct = 23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9924 E Epoetin with hct = 24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9925 E Epoetin with hct = 25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9926 E Epoetin with hct = 26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9927 E Epoetin with hct = 27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9928 E Epoetin with hct = 28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9929 E Epoetin with hct = 29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65578 Q9930 E Epoetin with hct = 30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9931 E Epoetin with hct = 31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9932 E Epoetin with hct = 32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9933 E Epoetin with hct = 33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9934 E Epoetin with hct = 34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9935 E Epoetin with hct = 35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9936 E Epoetin with hct = 36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9937 E Epoetin with hct = 37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9938 E Epoetin with hct = 38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9939 E Epoetin with hct = 39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9940 E Epoetin with hct >= 40 0.00 0.00 0.00 0.00 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 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 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 0.00 0.00 0.00 0.00 XXX S0009 I Injection, butorphanol tartr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0010 D Injection, somatrem, 5 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0011 D Injection, somatropin, 5 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0012 I Butorphanol tartrate, nasal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0014 I Tacrine hydrochloride, 10 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0016 I Injection, amikacin sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0017 I Injection, aminocaproic acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0020 I Injection, bupivicaine hydro 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0021 I Injection, cefoperazone sod 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0023 I Injection, cimetidine hydroc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0024 I Injection, ciprofloxacin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0028 I Injection, famotidine, 20 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0029 I Injection, fluconazole 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0030 I Injection, metronidazole 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0032 I Injection, nafcillin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0034 I Injection, ofloxacin, 400 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0039 I Injection, sulfamethoxazole 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0040 I Injection, ticarcillin disod 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0071 I Injection, acyclovir sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0072 I Injection, amikacin sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0073 I Injection, aztreonam, 500 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0074 I Injection, cefotetan disodiu 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0077 I Injection, clindamycin phosp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0078 I Injection, fosphenytoin sodi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0080 I Injection, pentamidine iseth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0081 I Injection, piperacillin sodi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0085 I injection, gatifloxacin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0086 I Injection, verteporfin, 15mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0090 I Sildenafil citrate, 25 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0096 I Injection, itraconazole, 200 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0097 D Injection, ibutilide fumarat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0098 D Injection, sodium ferric glu 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0156 I Exemestane, 25 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0157 I Becaplermin gel 1%, 0.5 gm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0220 I Medical conference by physic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0221 I Medical conference, 60 min 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0601 I Screening proctoscopy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0605 I Digital rectal examination, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0610 I Annual gynecological examina 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0612 I Annual gynecological examina 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0620 I Routine ophthalmological exa 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0621 I Routine ophthalmological exa 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0630 I Removal of sutures 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0800 I Laser in situ keratomileusis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0810 I Photorefractive keratectomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0820 I Computerized corneal topogra 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0830 I Ultrasound pachymetry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S1015 I IV tubing extension set 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S1016 I Non-pvc intravenous administ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2050 D Donor enterectomy, with prep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2052 I Transplantation of small int 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2053 I Transplantation of small int 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2054 I Transplantation of multivisc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2055 I Harvesting of donor multivis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2060 I Lobar lung transplantation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2061 I Donor lobectomy (lung) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2102 I Islet cell tissue transplant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2103 I Adrenal tissue transplant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2109 D Autologous chondrocyte trans 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2120 I Low density lipoprotein(LDL) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2140 I Cord blood harvesting 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2142 I Cord blood-derived stem-cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2180 I Donor leukocyte infusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2190 D Subcutaneous implantation of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2202 I Echosclerotherapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2204 D Transmyocardial laser revasc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2205 I Minimally invasive direct co 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2206 I Minimally invasive direct co 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2207 I Minimally invasive direct co 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65579 S2208 I Minimally invasive direct co 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2209 I Minimally invasive direct co 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2210 I Cryosurgical ablation (in si 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2220 I Thrombectomy, coronary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2300 I Arthroscopy, shoulder, surgi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2340 I Chemodenervation of abductor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2350 I Diskectomy, anterior, with d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2351 I Diskectomy, anterior, with d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2370 I Intradiscal electrothermal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S2371 I Each additional interspace 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S3620 X Newborn metabolic screening 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S3645 I HIV-1 antibody testing of or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S3650 I Saliva test, hormone level; 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S3652 I Saliva test, hormone level; 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S3700 I Bladder tumor-associated 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S3708 I Gastrointestinal fat absorpt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S3902 I Ballistocardiogram 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S3904 I Masters two step 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S3906 I Transfusion, direct, blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5000 I Prescription drug, generic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5001 I Prescription drug,brand name 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5002 I Fat emulsion 10% in 250 ml 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5003 I Fat emulsion 20% in 250 ml 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5010 I 5% dextrose and 45% saline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5011 I 5% dextrose in lactated ring 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5012 I 5% dextrose with potassium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5013 I 5% dextrose/45%saline,1000ml 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5014 I 5% dextrose/45%saline,1500ml 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5016 I Antibiotic admin supplies w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5017 I Antibiotic adminsupplies w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5018 I Pain therapy admin supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5019 I Chemotherapy admin supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5020 I Chemotherapy admin supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5021 I Hydration therapy admin supp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5022 I Growth hormone therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5025 I Infusion pump rental,perdiem 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S5503 I Maintenance of implanted vas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8001 I Radiofrequency stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8035 I Magnetic source imaging 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8040 I Topographic brain mapping 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8048 D Isolated limb perfusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8049 I Intraoperative radiation the 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8060 D Supply of contrast material 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8080 I Scintimammography 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8085 I Fluorine-18 fluorodeoxygluco 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8092 I Electron beam computed tomog 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8095 I Wig (for medically-induced h 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8096 I Portable peak flow meter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8105 I Oximeter for measuring blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8110 I Peak expiratory flow rate (p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8200 I Chest compression vest 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8205 I Chest compression system gen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8210 I Mucus trap 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8260 I Oral orthotic for treatment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8300 D Sacral nerve stimulation tes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8400 I Incontinence pants, each 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8402 I Diapers, each 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8405 I Incontinence liners, each 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8950 I Complex lymphedema therapy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8999 I Resuscitation bag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9001 I Home uterine monitor with or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9007 I Ultrafiltration monitor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9015 I Automated EEG monitoring 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9022 I Digital subtraction angiogra 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9023 I Xenon regional cerebral bloo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9024 I Paranasal sinus ultrasound 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9025 I Omnicardiogram/cardiointegra 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9033 D Gait analysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9035 I Medical equipment or supplie 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9055 I Procuren or other growth fac 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9056 I Coma stimulation per diem 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9061 I Medical supplies and equipme 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9075 I Smoking cessation treatment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9085 I Meniscal allograft transplan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9088 I Services provided in urgent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9090 I Vertebral axial decompressio 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9122 I Home health aide or certifie 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9123 I Nursing care, in the home; b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9124 I Nursing care, in the home; b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9125 I Respite care, in the home, p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9126 I Hospice care, in the home, p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9127 I Social work visit, in the ho 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9128 I Speech therapy, in the home, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65580 S9129 I Occupational therapy, in the 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9140 I Diabetic Management Program, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9141 I Diabetic Management Program, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9200 I Nursing services and all nec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9210 I Nursing services and all nec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9220 I Nursing services and all nec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9225 I Nursing services and all nec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9230 I Nursing services and all nec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9300 I Nursing services and all nec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9308 I Nursing services and all nec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9310 I Nursing services and all nec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9395 I Nursing services and all nec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9420 I Nursing services and all nec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9423 I Nursing services, patient as 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9425 I Nursing services and all nec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9435 I Medical foods for inborn err 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9455 I Diabetic Management Program, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9460 I Diabetic Management Program, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9465 I Diabetic Management Program, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9470 I Nutritional counseling, diet 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9472 I Cardiac rehabilitation progr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9473 I Pulmonary rehabilitation pro 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9474 I Enterostomal therapy by a re 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9475 I Ambulatory setting substance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9480 I Intensive outpatient psychia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9485 I Crisis intervention mental h 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9524 I Nursing services related to 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9526 I Skilled nursing visits for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9527 I Insertion of a peripherally 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9528 I Insertion of midline central 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9533 I Pain management, intravenous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9535 I Administration of hematopoie 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9539 I Administration of antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9543 I Administration of medication 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9545 I Administration of immune glo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9550 I Home IV therapy, hydration 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9555 I Additional home infusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9990 I Services provided as part of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9991 I Services provided as part of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9992 I Transportation costs to and 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9994 I Lodging costs (e.g. hotel ch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9996 I Meals for clinical trial par 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9999 I Sales tax 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2020 X Vision svcs frames purchases 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2025 N Eyeglasses delux frames 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2100 X Lens spher single plano 4.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2101 X Single visn sphere 4.12-7.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2102 X Singl visn sphere 7.12-20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2103 X Spherocylindr 4.00d/12-2.00d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2104 X Spherocylindr 4.00d/2.12-4d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2105 X Spherocylinder 4.00d/4.25-6d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2106 X Spherocylinder 4.00d/>6.00d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2107 X Spherocylinder 4.25d/12-2d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2108 X Spherocylinder 4.25d/2.12-4d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2109 X Spherocylinder 4.25d/4.25-6d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2110 X Spherocylinder 4.25d/over 6d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2111 X Spherocylindr 7.25d/.25-2.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2112 X Spherocylindr 7.25d/2.25-4d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2113 X Spherocylindr 7.25d/4.25-6d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2114 X Spherocylinder over 12.00d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2115 X Lens lenticular bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2116 X Nonaspheric lens bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2117 X Aspheric lens bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2118 X Lens aniseikonic single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2199 X Lens single vision not oth c 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2200 X Lens spher bifoc plano 4.00d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2201 X Lens sphere bifocal 4.12-7.0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2202 X Lens sphere bifocal 7.12-20. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2203 X Lens sphcyl bifocal 4.00d/.1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2204 X Lens sphcy bifocal 4.00d/2.1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2205 X Lens sphcy bifocal 4.00d/4.2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2206 X Lens sphcy bifocal 4.00d/ove 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2207 X Lens sphcy bifocal 4.25-7d/. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2208 X Lens sphcy bifocal 4.25-7/2. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2209 X Lens sphcy bifocal 4.25-7/4. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2210 X Lens sphcy bifocal 4.25-7/ov 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2211 X Lens sphcy bifo 7.25-12/.25- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2212 X Lens sphcyl bifo 7.25-12/2.2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2213 X Lens sphcyl bifo 7.25-12/4.2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2214 X Lens sphcyl bifocal over 12. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2215 X Lens lenticular bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2216 X Lens lenticular nonaspheric 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2217 X Lens lenticular aspheric bif 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65581 V2218 X Lens aniseikonic bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2219 X Lens bifocal seg width over 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2220 X Lens bifocal add over 3.25d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2299 X Lens bifocal speciality 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2300 X Lens sphere trifocal 4.00d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2301 X Lens sphere trifocal 4.12-7. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2302 X Lens sphere trifocal 7.12-20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2303 X Lens sphcy trifocal 4.0/.12- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2304 X Lens sphcy trifocal 4.0/2.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2305 X Lens sphcy trifocal 4.0/4.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2306 X Lens sphcyl trifocal 4.00/>6 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2307 X Lens sphcy trifocal 4.25-7/. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2308 X Lens sphc trifocal 4.25-7/2. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2309 X Lens sphc trifocal 4.25-7/4. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2310 X Lens sphc trifocal 4.25-7/>6 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2311 X Lens sphc trifo 7.25-12/.25- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2312 X Lens sphc trifo 7.25-12/2.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2313 X Lens sphc trifo 7.25-12/4.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2314 X Lens sphcyl trifocal over 12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2315 X Lens lenticular trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2316 X Lens lenticular nonaspheric 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2317 X Lens lenticular aspheric tri 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2318 X Lens aniseikonic trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2319 X Lens trifocal seg width > 28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2320 X Lens trifocal add over 3.25d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2399 X Lens trifocal speciality 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2410 X Lens variab asphericity sing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2430 X Lens variable asphericity bi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2499 X Variable asphericity lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2500 X Contact lens pmma spherical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2501 X Cntct lens pmma-toric/prism 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2502 X Contact lens pmma bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2503 X Cntct lens pmma color vision 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2510 X Cntct gas permeable sphericl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2511 X Cntct toric prism ballast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2512 X Cntct lens gas permbl bifocl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2513 X Contact lens extended wear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2520 P Contact lens hydrophilic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2521 X Cntct lens hydrophilic toric 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2522 X Cntct lens hydrophil bifocl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2523 X Cntct lens hydrophil extend 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2530 X Contact lens gas impermeable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2531 X Contact lens gas permeable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2599 X Contact lens/es other type 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2600 X Hand held low vision aids 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2610 X Single lens spectacle mount 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2615 X Telescop/othr compound lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2623 X Plastic eye prosth custom 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2624 X Polishing artifical eye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2625 X Enlargemnt of eye prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2626 X Reduction of eye prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2627 X Scleral cover shell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2628 X Fabrication & fitting 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2629 X Prosthetic eye other type 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2630 X Anter chamber intraocul lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2631 X Iris support intraoclr lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2632 X Post chmbr intraocular lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2700 X Balance lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2710 X Glass/plastic slab off prism 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2715 X Prism lens/es 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2718 X Fresnell prism press-on lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2730 X Special base curve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2740 X Rose tint plastic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2741 X Non-rose tint plastic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2742 X Rose tint glass 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2743 X Non-rose tint glass 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2744 X Tint photochromatic lens/es 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2750 X Anti-reflective coating 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2755 X UV lens/es 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2760 X Scratch resistant coating 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2770 X Occluder lens/es 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2780 X Oversize lens/es 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2781 X Progressive lens per lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2785 X Corneal tissue processing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2790 X Amniotic membrane 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2799 X Miscellaneous vision service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5008 N Hearing screening 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5010 N Assessment for hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5011 N Hearing aid fitting/checking 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5014 N Hearing aid repair/modifying 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5020 N Conformity evaluation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5030 N Body-worn hearing aid air 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5040 N Body-worn hearing aid bone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65582 V5050 N Hearing aid monaural in ear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5060 N Behind ear hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5070 N Glasses air conduction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5080 N Glasses bone conduction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5090 N Hearing aid dispensing fee 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5100 N Body-worn bilat hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5110 N Hearing aid dispensing fee 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5120 N Body-worn binaur hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5130 N In ear binaural hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5140 N Behind ear binaur hearing ai 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5150 N Glasses binaural hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5160 N Dispensing fee binaural 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5170 N Within ear cros hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5180 N Behind ear cros hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5190 N Glasses cros hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5200 N Cros hearing aid dispens fee 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5210 N In ear bicros hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5220 N Behind ear bicros hearing ai 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5230 N Glasses bicros hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5240 N Dispensing fee bicros 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX V5336 N Repair communication device 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5362 R Speech screening 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5363 R Language screening 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5364 R Dysphagia screening 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 1 CPT codes and descriptions only are copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 Copyright 1994 American Dental Association. All rights reserved. 3 + Indicates RVUs are not used for Medicare payment. 4 PE RVUs = Practice Expense Relative Value Units. Addendum C.—Codes with Interim RVUs
CPT1/HCPCS2 MOD Status Description Physician Work RVUs3 Fully Implemented Non-Facility PE RVUs Year 2001 Transitional Non-Facility PE RVUs Fully Implemented Facility PE RVUs Year 2001 Transitional Facility PE RVUs Mal- Practice RVUs Fully Implemented Non-Facility Total Year 2001 Transitional Non-Facility Total Fully Implemented Facility Total Year 2001 Transitional Facility Total Global 11980 A Implant hormone pellet(s) 1.48 1.14 1.14 0.63 0.63 0.10 2.72 2.72 2.21 2.21 000 15342 A Cultured skin graft, 25 cm 1.00 2.20 2.20 0.78 0.78 0.39 3.59 3.59 2.17 2.17 010 15343 A Culture skn graft addl 25 cm 0.25 0.28 0.28 0.10 0.10 0.09 0.62 0.62 0.44 0.44 ZZZ 16035 A Incision of burn scab, initi 3.75 NA NA 1.59 1.70 0.36 NA NA 5.70 5.81 090 16036 A Incise burn scab, addl incis 1.50 NA NA 0.64 0.64 0.18 NA NA 2.32 2.32 ZZZ 19100 A Bx breast percut w/o image 1.27 3.33 2.67 0.46 0.43 0.10 4.70 4.04 1.83 1.80 000 19101 A Biopsy of breast, open 3.18 9.82 8.00 2.97 2.86 0.20 13.20 11.38 6.35 6.24 010 19102 A Bx breast percut w/image 2.00 4.58 4.58 0.73 0.73 0.08 6.66 6.66 2.81 2.81 000 19103 A Bx breast percut w/device 2.37 10.83 10.83 0.86 0.86 0.08 13.28 13.28 3.31 3.31 000 19120 A Removal of breast lesion 5.56 4.41 4.10 3.62 3.50 0.56 10.53 10.22 9.74 9.62 090 19125 A Excision, breast lesion 6.06 5.04 4.57 3.78 3.62 0.61 11.71 11.24 10.45 10.29 090 19126 A Excision, addl breast lesion 2.93 NA NA 1.11 1.23 0.30 NA NA 4.34 4.46 ZZZ 19295 A Place breast clip, percut 0.00 2.61 2.61 0.94 0.94 0.01 2.62 2.62 0.95 0.95 ZZZ 20979 A Us bone stimulation 0.62 0.57 0.57 0.25 0.25 0.04 1.23 1.23 0.91 0.91 000 21199 A Reconstr lwr jaw w/advance 16.00 NA NA 10.53 10.53 1.00 NA NA 27.53 27.53 090 22520 A Percut vertebroplasty thor 8.91 NA NA 3.95 3.95 0.89 NA NA 13.75 13.75 010 22521 A Percut vertebroplasty lumb 8.34 NA NA 3.72 3.72 0.84 NA NA 12.90 12.90 010 22522 A Percut vertebroplasty addl 3.00 NA NA 1.20 1.20 0.30 NA NA 4.50 4.50 ZZZ 30465 A Repair nasal stenosis 11.64 NA NA 9.12 9.12 0.82 NA NA 21.58 21.58 090 33140 A Heart revascularize (tmr) 20.00 NA NA 12.79 12.79 2.27 NA NA 35.06 35.06 090 33141 A Heart tmr w/other procedure 4.84 NA NA 1.97 1.97 0.60 NA NA 7.41 7.41 ZZZ 33533 A CABG, arterial, single 25.83 NA NA 19.44 22.29 3.24 NA NA 48.51 51.36 090 33534 A CABG, arterial, two 28.82 NA NA 20.12 23.69 3.63 NA NA 52.57 56.14 090 33535 A CABG, arterial, three 31.81 NA NA 21.05 25.28 3.97 NA NA 56.83 61.06 090 33536 A Cabg, arterial, four or more 34.79 NA NA 18.16 24.00 3.29 NA NA 56.24 62.08 090 34800 A Endovasc abdo repair w/tube 20.75 NA NA 9.72 9.72 1.49 NA NA 31.96 31.96 090 34802 A Endovasc abdo repr w/device 23.00 NA NA 10.62 10.62 1.65 NA NA 35.27 35.27 090 34804 A Endovasc abdo repr w/device 23.00 NA NA 10.62 10.62 1.65 NA NA 35.27 35.27 090 34808 A Endovasc abdo occlud device 4.13 NA NA 1.65 1.65 0.29 NA NA 6.07 6.07 ZZZ 34812 A Xpose for endoprosth, aortic 6.75 NA NA 2.70 2.70 0.49 NA NA 9.94 9.94 000 34813 A Xpose for endoprosth, femorl 4.80 NA NA 1.92 1.92 0.34 NA NA 7.06 7.06 ZZZ 34820 A Xpose for endoprosth, iliac 9.75 NA NA 3.90 3.90 0.70 NA NA 14.35 14.35 000 34825 A Endovasc extend prosth, init 12.00 NA NA 6.23 6.23 0.86 NA NA 19.09 19.09 090 34826 A Endovasc exten prosth, addl 4.13 NA NA 1.65 1.65 0.29 NA NA 6.07 6.07 ZZZ 34830 A Open aortic tube prosth repr 32.59 NA NA 14.81 14.81 2.34 NA NA 49.74 49.74 090 34831 A Open aortoiliac prosth repr 35.34 NA NA 15.90 15.90 2.53 NA NA 53.77 53.77 090 34832 A Open aortofemor prosth repr 35.34 NA NA 15.90 15.90 2.53 NA NA 53.77 53.77 090 35600 A Harvest artery for cabg 4.95 NA NA 1.98 1.98 0.54 NA NA 7.47 7.47 ZZZ 36540 B Collect blood venous device 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 36831 A Av fistula excision, open 8.00 2.95 2.95 2.95 2.95 0.79 11.74 11.74 11.74 11.74 090 36832 A Av fistula revision, open 10.50 NA NA 5.90 6.35 1.13 NA NA 17.53 17.98 090 36870 A Av fistula revision, open 5.16 30.67 30.67 2.51 2.51 0.40 36.23 36.23 8.07 8.07 090 Start Printed Page 65583 38500 A Biopsy/removal, lymph nodes 2.88 2.64 2.41 2.30 2.16 0.28 5.80 5.57 5.46 5.32 010 38530 A Biopsy/removal, lymph nodes 6.13 NA NA 5.36 4.88 0.63 NA NA 12.12 11.64 090 43231 A Esoph endoscopy w/us exam 4.09 NA NA 1.84 1.84 0.24 NA NA 6.17 6.17 000 43232 A Esoph endoscopy w/us fn bx 4.71 NA NA 2.18 2.18 0.28 NA NA 7.17 7.17 000 43240 A Esoph endoscope w/drain cyst 7.39 NA NA 3.05 3.05 0.45 NA NA 10.89 10.89 000 43241 A Upper GI endoscopy with tube 2.59 NA NA 1.22 1.69 0.14 NA NA 3.95 4.42 000 43242 A Uppr gi endoscopy w/us fn bx 5.51 1.98 1.98 1.98 1.98 0.34 7.83 7.83 7.83 7.83 000 43256 A Uppr gi endoscopy w stent 4.35 1.56 1.56 1.56 1.56 0.26 6.17 6.17 6.17 6.17 000 43752 B Nasal/orogastric w/stent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44132 N Enterectomy, cadaver donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44133 N Enterectomy, live donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44135 N Intestine transplnt, cadaver 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44136 N Intestine transplant, live 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44360 A Small bowel endoscopy 2.59 NA NA 1.31 1.85 0.14 NA NA 4.04 4.58 000 44361 A Small bowel endoscopy/biopsy 2.87 NA NA 1.41 2.02 0.15 NA NA 4.43 5.04 000 44363 A Small bowel endoscopy 3.50 NA NA 1.60 2.01 0.19 NA NA 5.29 5.70 000 44364 A Small bowel endoscopy 3.74 NA NA 1.73 2.56 0.21 NA NA 5.68 6.51 000 44365 A Small bowel endoscopy 3.31 NA NA 1.58 2.30 0.18 NA NA 5.07 5.79 000 44366 A Small bowel endoscopy 4.41 NA NA 1.96 2.96 0.22 NA NA 6.59 7.59 000 44369 A Small bowel endoscopy 4.52 NA NA 1.95 2.98 0.23 NA NA 6.70 7.73 000 44370 A Small bowel endoscopy/stent 4.33 1.56 1.56 1.56 1.56 0.26 6.15 6.15 6.15 6.15 000 44372 A Small bowel endoscopy 4.41 NA NA 1.99 2.98 0.27 NA NA 6.67 7.66 000 44373 A Small bowel endoscopy 3.50 NA NA 1.70 2.45 0.19 NA NA 5.39 6.14 000 44376 A Small bowel endoscopy 5.26 NA NA 2.28 2.81 0.29 NA NA 7.83 8.36 000 44377 A Small bowel endoscopy/biopsy 5.53 NA NA 2.38 2.94 0.28 NA NA 8.19 8.75 000 44378 A Small bowel endoscopy 7.13 NA NA 2.95 3.64 0.37 NA NA 10.45 11.14 000 44379 A S bowel endoscope w/stent 7.07 2.52 2.52 2.52 2.52 0.45 10.04 10.04 10.04 10.04 000 44380 A Small bowel endoscopy 1.05 NA NA 0.74 1.01 0.08 NA NA 1.87 2.14 000 44382 A Small bowel endoscopy 1.27 NA NA 0.82 1.16 0.09 NA NA 2.18 2.52 000 44383 A Ileoscopy w/stent 2.41 0.87 0.87 0.87 0.87 0.15 3.43 3.43 3.43 3.43 000 44388 A Colon endoscopy 2.50 5.48 5.09 1.26 1.79 0.18 8.16 7.77 3.94 4.47 000 44389 A Colonoscopy with biopsy 2.77 5.92 5.53 1.37 1.96 0.18 8.87 8.48 4.32 4.91 000 44390 A Colonoscopy for foreign body 3.39 6.56 5.63 1.59 1.91 0.22 10.17 9.24 5.20 5.52 000 44391 A Colonoscopy for bleeding 3.82 5.60 5.63 1.55 2.45 0.23 9.65 9.68 5.60 6.50 000 44392 A Colonoscopy & polypectomy 3.38 6.12 5.99 1.59 2.33 0.23 9.73 9.60 5.20 5.94 000 44393 A Colonoscopy, lesion removal 4.28 6.79 6.56 1.92 2.88 0.27 11.34 11.11 6.47 7.43 000 44394 A Colonoscopy w/snare 3.92 6.54 6.31 1.79 2.67 0.26 10.72 10.49 5.97 6.85 000 44397 A Colonoscopy w stent 4.23 NA NA 1.90 1.90 0.30 NA NA 6.43 6.43 000 44500 A Intro, gastrointestinal tube 0.49 NA NA 0.35 0.36 0.02 NA NA 0.86 0.87 000 45300 A Proctosigmoidoscopy dx 0.38 1.24 1.08 0.23 0.25 0.05 1.67 1.51 0.66 0.68 000 45303 A Proctosigmoidoscopy dilate 0.44 1.41 1.23 0.26 0.28 0.06 1.91 1.73 0.76 0.78 000 45305 A Protosigmoidoscopy w/bx 0.56 1.34 1.23 0.30 0.34 0.09 1.99 1.88 0.95 0.99 000 45307 A Protosigmoidoscopy fb 0.94 2.26 2.04 0.44 0.68 0.15 3.35 3.13 1.53 1.77 000 45308 A Protosigmoidoscopy removal 0.83 1.49 1.43 0.40 0.46 0.13 2.45 2.39 1.36 1.42 000 45309 A Protosigmoidoscopy removal 1.11 2.07 1.86 0.50 0.53 0.17 3.35 3.14 1.78 1.81 000 45315 A Protosigmoidoscopy removal 1.40 2.32 2.06 0.62 0.79 0.20 3.92 3.66 2.22 2.39 000 45317 A Protosigmoidoscopy bleed 1.50 1.76 1.66 0.65 0.83 0.20 3.46 3.36 2.35 2.53 000 45320 A Protosigmoidoscopy ablate 1.58 1.71 1.79 0.68 1.02 0.20 3.49 3.57 2.46 2.80 000 45321 A Protosigmoidoscopy volvul 1.17 NA NA 0.53 0.80 0.17 NA NA 1.87 2.14 000 45327 A Proctosigmoidoscopy w/stent 1.46 NA NA 0.83 0.83 0.12 NA NA 2.41 2.41 000 45330 A Diagnostic sigmoidoscopy 0.88 1.75 1.65 0.42 0.46 0.05 2.68 2.58 1.35 1.39 000 45331 A Sigmoidoscopy and biopsy 1.15 1.98 1.92 0.52 0.77 0.07 3.20 3.14 1.74 1.99 000 45332 A Sigmoidoscopy w/fb removal 1.79 3.54 3.13 0.75 1.04 0.11 5.44 5.03 2.65 2.94 000 45333 A Sigmoidoscopy & polypectomy 1.79 3.14 2.96 0.75 1.15 0.12 5.05 4.87 2.66 3.06 000 45334 A Sigmoidoscopy for bleeding 2.73 NA NA 1.09 1.55 0.16 NA NA 3.98 4.44 000 45337 A Sigmoidoscopy & decompress 2.15 NA NA 0.89 1.37 0.15 NA NA 3.19 3.67 000 45338 A Sigmoidoscpy w/tumr remove 2.34 3.67 3.36 0.95 1.32 0.15 6.16 5.85 3.44 3.81 000 45339 A Sigmoidoscopy w/ablate tumr 2.86 2.85 3.02 1.14 1.74 0.17 5.88 6.05 4.17 4.77 000 45341 A Sigmoidoscopy w/ultrasound 3.46 NA NA 1.66 1.66 0.24 NA NA 5.36 5.36 000 45342 A Sigmoidoscopy w/us guide bx 4.08 NA NA 1.81 1.81 0.29 NA NA 6.18 6.18 000 45345 A Sigmodoscopy w/stent 2.66 NA NA 1.30 1.30 0.18 NA NA 4.14 4.14 000 45378 A Diagnostic colonoscopy 3.68 6.60 6.07 1.70 2.38 0.20 10.48 9.95 5.58 6.26 000 45379 A Colonoscopy w/fb removal 4.69 7.33 6.94 2.05 2.95 0.25 12.27 11.88 6.99 7.89 000 45380 A Colonoscopy and biopsy 3.98 6.78 6.39 1.81 2.56 0.21 10.97 10.58 6.00 6.75 000 45382 A Colonoscopy/control bleeding 5.69 7.95 7.56 2.23 3.27 0.27 13.91 13.52 8.19 9.23 000 45383 A Lesion removal colonoscopy 5.83 7.82 7.47 2.48 3.47 0.32 13.97 13.62 8.63 9.62 000 45384 A Lesion remove colonoscopy 4.67 7.41 6.96 2.06 2.95 0.24 12.32 11.87 6.97 7.86 000 45385 A Lesion removal colonoscopy 5.27 7.57 7.48 2.28 3.30 0.28 13.12 13.03 7.83 8.85 000 45387 A Colonoscopy w/stent 5.62 NA NA 2.41 2.41 0.36 NA NA 8.39 8.39 000 47379 C Laparoscope procedure, liver 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 50545 A Laparo radical nephrectomy 24.00 NA NA 9.41 9.41 1.81 NA NA 35.22 35.22 090 50546 A Laparoscopic nephrectomy 20.48 NA NA 8.31 8.31 1.37 NA NA 30.16 30.16 090 50548 A Laparo remove k/ureter 24.40 NA NA 9.44 9.44 1.49 NA NA 35.33 35.33 090 50947 A Laparo new ureter/bladder 24.50 NA NA 11.62 11.62 1.84 NA NA 37.96 37.96 090 50948 A Laparo new ureter/bladder 22.50 NA NA 10.51 10.51 1.70 NA NA 34.71 34.71 090 50949 C Laparoscope proc, ureter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 52341 A Cysto w/ureter stricture tx 6.00 NA NA 2.40 2.40 0.34 NA NA 8.74 8.74 000 52342 A Cysto w/up stricture tx 6.50 NA NA 2.60 2.60 0.36 NA NA 9.46 9.46 000 52343 A Cysto w/renal stricture tx 7.20 NA NA 2.88 2.88 0.40 NA NA 10.48 10.48 000 52344 A Cysto/uretero, stone remove 7.70 NA NA 3.08 3.08 0.42 NA NA 11.20 11.20 000 52345 A Cysto/uretero w/up stricture 8.20 NA NA 3.28 3.28 0.46 NA NA 11.94 11.94 000 52346 A Cystouretero w/renal strict 9.23 NA NA 3.69 3.69 0.51 NA NA 13.43 13.43 000 52351 A Cystouretro & or pyeloscope 5.86 NA NA 1.96 2.74 0.32 NA NA 8.14 8.92 000 Start Printed Page 65584 52352 A Cystouretro w/stone remove 6.88 NA NA 2.30 3.78 0.38 NA NA 9.56 11.04 000 52353 A Cystouretero w/lithotripsy 7.97 NA NA 2.66 4.38 0.44 NA NA 11.07 12.79 000 52354 A Cystouretero w/biopsy 7.34 NA NA 2.45 3.44 0.41 NA NA 10.20 11.19 000 52355 A Cystouretero w/excise tumor 8.82 NA NA 2.95 3.82 0.50 NA NA 12.27 13.14 000 52400 A Cystouretero w/congen repr 9.68 NA NA 5.36 5.42 0.53 NA NA 15.57 15.63 090 54512 A Excise lesion testis 8.58 NA NA 4.86 4.86 0.51 NA NA 13.95 13.95 090 54522 A Orchiectomy, partial 9.50 NA NA 5.79 5.79 0.57 NA NA 15.86 15.86 090 55873 A Cryoablate prostate 17.80 NA NA 10.16 10.16 1.01 NA NA 28.97 28.97 090 57022 A I &d vaginal hematoma, ob 2.56 NA NA 1.60 1.60 0.14 NA NA 4.30 4.30 010 57023 A I &d vag hematoma, trauma 2.56 NA NA 1.60 1.60 0.14 NA NA 4.30 4.30 010 57287 A Revise/remove sling repair 10.71 NA NA 7.02 7.02 0.64 NA NA 18.37 18.37 090 58353 A Endometr ablate, thermal 3.56 NA NA 2.16 2.16 0.19 NA NA 5.91 5.91 010 61697 A Brain aneurysm repr, complx 50.52 NA NA 27.76 27.76 9.57 NA NA 87.85 87.85 090 61698 A Brain aneurysm repr, complx 48.41 NA NA 26.87 26.87 9.28 NA NA 84.56 84.56 090 61700 A Brain aneurysm repr , simple 50.52 NA NA 27.76 29.42 10.18 NA NA 88.46 90.12 090 61702 A Inner skull vessel surgery 48.41 NA NA 26.87 30.01 9.75 NA NA 85.03 88.17 090 62252 A Csf shunt reprogram 0.74 1.40 1.40 1.40 1.40 0.04 2.18 2.18 2.18 2.18 XXX 63040 A Laminotomy, single cervical 18.81 NA NA 12.98 15.35 3.36 NA NA 35.15 37.52 090 63042 A Laminotomy, single lumbar 17.47 NA NA 12.60 14.67 3.11 NA NA 33.18 35.25 090 63043 B Laminotomy, addl cervical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 63044 B Laminotomy, addl lumbar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 64612 A Destroy nerve, face muscle 1.96 2.95 2.61 1.65 1.44 0.09 5.00 4.66 3.70 3.49 010 64613 A Destroy nerve, spine muscle 1.96 1.61 1.60 1.37 1.23 0.10 3.67 3.66 3.43 3.29 010 64614 A Destroy nerve, extrem musc 2.20 3.37 3.37 0.81 0.81 0.16 5.73 5.73 3.17 3.17 010 66982 A Cataract surgery, complex 13.50 NA NA 9.09 9.09 0.55 NA NA 23.14 23.14 090 66984 A Cataract surg w/iol, i stage 10.23 NA NA 7.60 8.77 0.41 NA NA 18.24 19.41 090 67221 A Ocular photodynamic ther 4.01 4.40 4.40 2.00 2.00 0.50 8.91 8.91 6.51 6.51 000 69714 A Implant temple bone w/stimul 14.00 NA NA 8.71 8.71 0.97 NA NA 23.68 23.68 090 69715 A Temple bne implnt w/stimulat 18.25 NA NA 10.49 10.49 1.25 NA NA 29.99 29.99 090 69717 A Temple bone implant revision 14.98 NA NA 8.37 8.37 1.04 NA NA 24.39 24.39 090 69718 A Revise temple bone implant 18.50 NA NA 10.58 10.58 1.27 NA NA 30.35 30.35 090 70496 A Ct angiography, head 1.75 7.71 7.71 7.71 7.71 0.54 10.00 10.00 10.00 10.00 XXX 70498 A Ct angiography, neck 1.75 7.71 7.71 7.71 7.71 0.54 10.00 10.00 10.00 10.00 XXX 70540 A Mri orbit/face/neck w/o dye 0.98 11.48 11.69 11.48 11.69 0.36 12.82 13.03 12.82 13.03 XXX 70542 A Mri orbit/face/neck w/dye 1.17 13.76 13.76 13.76 13.76 0.43 15.36 15.36 15.36 15.36 XXX 70543 A Mri orbt/fac/nck w/o&w dye 1.56 25.27 25.27 25.27 25.27 0.78 27.61 27.61 27.61 27.61 XXX 70544 A Mr angiography head w/o dye 1.20 11.56 11.56 11.56 11.56 0.56 13.32 13.32 13.32 13.32 XXX 70545 A Mr angiography head w/dye 1.20 11.56 11.56 11.56 11.56 0.56 13.32 13.32 13.32 13.32 XXX 70546 A Mr angiograph head w/o&w dye 1.80 22.89 22.89 22.89 22.89 0.56 25.25 25.25 25.25 25.25 XXX 70547 A Mr angiography neck w/o dye 1.20 11.56 11.56 11.56 11.56 0.56 13.32 13.32 13.32 13.32 XXX 70548 A Mr angiography neck w/dye 1.20 11.56 11.56 11.56 11.56 0.56 13.32 13.32 13.32 13.32 XXX 70549 A Mr angiograph neck w/o&w dye 1.80 22.89 22.89 22.89 22.89 0.56 25.25 25.25 25.25 25.25 XXX 71275 A Ct angiography, chest 1.20 9.26 9.26 9.26 9.26 0.37 10.83 10.83 10.83 10.83 XXX 71550 A Mri chest w/o dye 1.10 11.52 11.74 11.52 11.74 0.41 13.03 13.25 13.03 13.25 XXX 71551 A Mri chest w/dye 1.30 13.80 13.80 13.80 13.80 0.48 15.58 15.58 15.58 15.58 XXX 71552 A Mri chest w/o&w dye 1.70 25.31 25.31 25.31 25.31 0.63 27.64 27.64 27.64 27.64 XXX 72191 A Ct angiograph pelv w/o&w dye 1.20 8.91 8.91 8.91 8.91 0.37 10.48 10.48 10.48 10.48 XXX 72195 A Mri pelvis w/o dye 1.10 11.52 11.52 11.52 11.52 0.41 13.03 13.03 13.03 13.03 XXX 72196 A Mri pelvis w/dye 1.30 13.80 13.44 13.80 13.44 0.48 15.58 15.22 15.58 15.22 XXX 72197 A Mri pelvis w/o & w dye 1.70 25.31 25.31 25.31 25.31 0.85 27.86 27.86 27.86 27.86 XXX 73206 A Ct angio upr extrm w/o&w dye 1.20 7.85 7.85 7.85 7.85 0.37 9.42 9.42 9.42 9.42 XXX 73218 A Mri upper extremity w/o dye 0.98 11.48 11.48 11.48 11.48 0.36 12.82 12.82 12.82 12.82 XXX 73219 A Mri upper extremity w/dye 1.17 13.76 13.76 13.76 13.76 0.43 15.36 15.36 15.36 15.36 XXX 73220 A Mri uppr extremity w/o&w dye 1.56 25.27 22.03 25.27 22.03 0.78 27.61 24.37 27.61 24.37 XXX 73221 A Mri joint upr extrem w/o dye 0.98 11.48 11.63 11.48 11.63 0.36 12.82 12.97 12.82 12.97 XXX 73222 A Mri joint upr extrem w/ dye 1.17 13.76 13.76 13.76 13.76 0.43 15.36 15.36 15.36 15.36 XXX 73223 A Mri joint upr extr w/o&w dye 1.56 25.27 25.27 25.27 25.27 0.78 27.61 27.61 27.61 27.61 XXX 73706 A Ct angio lwr extr w/o&w dye 1.20 7.85 7.85 7.85 7.85 0.37 9.42 9.42 9.42 9.42 XXX 73718 A Mri lower extremity w/o dye 0.98 11.48 11.48 11.48 11.48 0.36 12.82 12.82 12.82 12.82 XXX 73719 A Mri lower extremity w/dye 1.17 13.76 13.76 13.76 13.76 0.43 15.36 15.36 15.36 15.36 XXX 73720 A Mri lwr extremity w/o&w dye 1.56 25.26 22.02 25.26 22.02 0.78 27.60 24.36 27.60 24.36 XXX 73721 A Mri joint of lwr extre w/o d 0.98 11.48 11.63 11.48 11.63 0.36 12.82 12.97 12.82 12.97 XXX 73722 A Mri joint of lwr extr w/dye 1.17 13.76 13.76 13.76 13.76 0.43 15.36 15.36 15.36 15.36 XXX 73723 A Mri joint lwr extr w/o&w dye 1.56 25.27 25.27 25.27 25.27 0.78 27.61 27.61 27.61 27.61 XXX 74175 A Ct angio abdom w/o&w dye 1.20 8.91 8.91 8.91 8.91 0.37 10.48 10.48 10.48 10.48 XXX 74181 A Mri abdomen w/o dye 1.10 11.52 11.74 11.52 11.74 0.41 13.03 13.25 13.03 13.25 XXX 74182 A Mri abdomen w/dye 1.30 13.80 13.80 13.80 13.80 0.48 15.58 15.58 15.58 15.58 XXX 74183 A Mri abdomen w/o&w dye 1.70 25.31 25.31 25.31 25.31 0.85 27.86 27.86 27.86 27.86 XXX 75635 A Ct angio abdominal arteries 1.89 9.19 9.19 9.19 9.19 0.37 11.45 11.45 11.45 11.45 XXX 75952 A Endovasc repair abdom aorta 4.00 1.60 1.60 1.60 1.60 0.68 6.28 6.28 6.28 6.28 XXX 75953 A Abdom aneurysm endovas rpr 1.36 0.54 0.54 0.54 0.54 0.68 2.58 2.58 2.58 2.58 XXX 76012 A Percut vertebroplasty fluor 1.31 0.49 0.49 0.49 0.49 1.10 2.90 2.90 2.90 2.90 XXX 76013 A Percut vertebroplasty, ct 1.38 0.52 0.52 0.52 0.52 0.48 2.38 2.38 2.38 2.38 XXX 76393 A Mr guidance for needle place 1.50 11.66 11.66 11.66 11.66 0.52 13.68 13.68 13.68 13.68 XXX 76818 A Fetl biophys profil w/stress 0.86 1.93 1.96 1.93 1.96 0.12 2.91 2.94 2.91 2.94 XXX 76819 A Fetl biophys profil w/o strs 0.63 1.84 1.84 1.84 1.84 0.11 2.58 2.58 2.58 2.58 XXX 76975 A GI endoscopic ultrasound 0.81 1.80 1.84 1.80 1.84 0.11 2.72 2.76 2.72 2.76 XXX 77520 C Proton trmt, simple w/o comp 0.00 0.00 0.00 0.00 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 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 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 0.00 0.00 0.00 0.00 XXX 90940 X Hemodialysis access study 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91132 C Electrogastrography 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 65585 91133 C Electrogastrography w/test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92585 A Auditor evoke potent, compre 0.50 2.06 2.43 2.06 2.43 0.14 2.70 3.07 2.70 3.07 XXX 92586 A Auditor evoke potent, limit 0.00 1.84 1.84 NA NA 0.12 1.96 1.96 NA NA XXX 93662 A Intracardiac ecg (ice) 2.80 4.98 4.98 4.98 4.98 0.41 8.19 8.19 8.19 8.19 ZZZ 93668 N Peripheral vascular rehab 0.00 0.00 0.00 0.00 0.00 0.01 0.01 0.01 0.01 0.01 XXX 96570 A Photodynamic tx, 30 min 1.10 0.44 0.44 0.44 0.44 0.04 1.58 1.58 1.58 1.58 ZZZ 96571 A Photodynamic tx, addl 15 min 0.55 0.22 0.22 0.22 0.22 0.02 0.79 0.79 0.79 0.79 ZZZ 97532 A Cognitive skills development 0.44 0.23 0.23 0.08 0.08 0.01 0.68 0.68 0.53 0.53 XXX 97533 A Sensory integration 0.44 0.29 0.29 0.08 0.08 0.01 0.74 0.74 0.53 0.53 XXX 97601 A Wound care selective 0.50 0.49 0.49 0.09 0.09 0.04 1.03 1.03 0.63 0.63 XXX 97602 B Wound care non-selective 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97802 N Medical nutrition, indiv, in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97803 N Med nutrition, indiv, subseq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97804 N Medical nutrition, group 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99172 N Ocular function screen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99234 A Observ/hosp same date 1.95 NA NA 0.70 0.71 0.11 NA NA 2.76 2.77 XXX 99235 A Observ/hosp same date 2.81 NA NA 0.99 1.03 0.13 NA NA 3.93 3.97 XXX 99236 A Observ/hosp same date 3.66 NA NA 1.25 1.25 0.17 NA NA 5.08 5.08 XXX 99291 A Critical care, first hour 4.00 1.57 1.57 1.32 1.38 0.14 5.71 5.71 5.46 5.52 XXX 99292 A Critical care, addl 30 min 2.00 0.85 0.81 0.65 0.66 0.07 2.92 2.88 2.72 2.73 ZZZ G0179 A MD recertification HHA patient 0.45 1.09 1.09 0.18 0.18 0.06 1.60 1.60 0.69 0.69 XXX G0180 A MD certification HHA patient 0.67 1.18 1.18 0.27 0.27 0.06 1.91 1.91 1.00 1.00 XXX G0181 A Home health care supervision 1.73 1.40 1.40 0.63 0.63 0.06 3.19 3.19 2.42 2.42 XXX G0182 A Hospice care supervision 1.73 1.73 1.73 0.60 0.60 0.06 3.52 3.52 2.39 2.39 XXX G0184 A Ocular photocoagulation 0.47 0.23 0.23 0.23 0.23 0.50 1.20 1.20 1.20 1.20 ZZZ G0193 C Endoscopic study swallow functn 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0194 C Sensory testing endoscopic stud 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0195 C Clinical eval swallowing funct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0196 C Eval of swallowing with radioopa 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0197 A Eval of pt for prescip speech devi 1.35 1.91 1.91 0.77 0.77 0.04 3.30 3.30 2.16 2.16 XXX G0198 A Patient adapation & train for spe 0.99 1.05 1.05 0.57 0.57 0.03 2.07 2.07 1.59 1.59 XXX G0199 A Reevaluation of patient use spec 1.01 1.72 1.72 0.58 0.58 0.03 2.76 2.76 1.62 1.62 XXX G0200 A Eval of patient prescip of voice p 1.35 1.91 1.91 0.77 0.77 0.04 3.30 3.30 2.16 2.16 XXX G0201 A Modi for training in use voice pro 0.99 1.05 1.05 0.57 0.57 0.03 2.07 2.07 1.59 1.59 XXX M0302 A Assessment of cardiac output 0.17 0.88 0.88 0.88 0.88 0.02 1.07 1.07 1.07 1.07 XXX 1 CPT codes and descriptions only are copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 Copyright 1994 American Dental Association. All rights reserved. 3 + Indicates RVUs are not used for Medicare payment. 4 PE RVUs = Practice Expense Relative Value Units. Addendum D.—2002 Geographic Practice Cost Indices by Medicare Carrier and Locality
Carrier No. Locality No. Locality name Work Practice expense Malpractice 00510 00 ALABAMA 0.978 0.870 0.807 00831 01 ALASKA 1.064 1.172 1.223 00832 00 ARIZONA 0.994 0.978 1.111 00520 13 ARKANSAS 0.953 0.847 0.340 02050 26 ANAHEIM/SANTA ANA, CA 1.037 1.184 0.955 02050 18 LOS ANGELES, CA 1.056 1.139 0.955 31140 03 MARIN/NAPA/SOLANO, CA 1.015 1.248 0.687 31140 07 OAKLAND/BERKELEY, CA 1.041 1.235 0.687 31140 05 SAN FRANCISCO, CA 1.068 1.458 0.687 31140 06 SAN MATEO, CA 1.048 1.432 0.687 31140 09 SANTA CLARA, CA 1.063 1.380 0.639 02050 17 VENTURA, CA 1.028 1.125 0.783 02050 99 REST OF CALIFORNIA* 1.007 1.034 0.748 31140 99 REST OF CALIFORNIA* 1.007 1.034 0.748 00824 01 COLORADO 0.985 0.992 0.840 10230 00 CONNECTICUT 1.050 1.156 0.966 00902 01 DELAWARE 1.019 1.035 0.712 00903 01 DC + MD/VA SUBURBS 1.050 1.166 0.909 00590 03 FORT LAUDERDALE, FL 0.996 1.018 1.877 00590 04 MIAMI, FL 1.015 1.052 2.528 00590 99 REST OF FLORIDA 0.975 0.946 1.265 00511 01 ATLANTA, GA 1.006 1.059 0.935 00511 99 REST OF GEORGIA 0.970 0.892 0.935 00833 01 HAWAII/GUAM 0.997 1.124 0.834 05130 00 IDAHO 0.960 0.881 0.497 00952 16 CHICAGO, IL 1.028 1.092 1.797 00952 12 EAST ST. LOUIS, IL 0.988 0.924 1.691 00952 15 SUBURBAN CHICAGO, IL 1.006 1.071 1.645 00952 99 REST OF ILLINOIS 0.964 0.889 1.157 00630 00 INDIANA 0.981 0.922 0.481 00826 00 IOWA 0.959 0.876 0.596 Start Printed Page 65586 00650 00 KANSAS* 0.963 0.895 0.756 00740 04 KANSAS* 0.963 0.895 0.756 00660 00 KENTUCKY 0.970 0.866 0.877 00528 01 NEW ORLEANS, LA 0.998 0.945 1.283 00528 99 REST OF LOUISIANA 0.968 0.870 1.073 31142 03 SOUTHERN MAINE 0.979 0.999 0.666 31142 99 REST OF MAINE 0.961 0.910 0.666 00901 01 BALTIMORE/SURR. CNTYS, MD 1.021 1.038 0.916 00901 99 REST OF MARYLAND 0.984 0.972 0.774 31143 01 METROPOLITAN BOSTON 1.041 1.239 0.784 31143 99 REST OF MASSACHUSETTS 1.010 1.129 0.784 00953 01 DETROIT, MI 1.043 1.038 2.738 00953 99 REST OF MICHIGAN 0.997 0.938 1.571 10240 00 MINNESOTA 0.990 0.974 0.452 10250 00 MISSISSIPPI 0.957 0.837 0.779 00740 02 METROPOLITAN KANSAS CITY, MO 0.988 0.967 0.846 00523 01 METROPOLITAN ST. LOUIS, MO 0.994 0.938 0.846 00740 99 REST OF MISSOURI* 0.946 0.825 0.793 00523 99 REST OF MISSOURI* 0.946 0.825 0.793 00751 01 MONTANA 0.950 0.876 0.727 00655 00 NEBRASKA 0.948 0.877 0.430 00834 00 NEVADA 1.005 1.039 1.209 31144 40 NEW HAMPSHIRE 0.986 1.030 0.825 00805 01 NORTHERN NJ 1.058 1.193 0.860 00805 99 REST OF NEW JERSEY 1.029 1.110 0.860 00521 05 NEW MEXICO 0.973 0.900 0.902 00803 01 MANHATTAN, NY 1.094 1.351 1.668 00803 02 NYC SUBURBS/LONG I., NY 1.068 1.251 1.952 00803 03 POUGHKPSIE/N NYC SUBURBS, NY 1.011 1.075 1.275 14330 04 QUEENS, NY 1.058 1.228 1.871 00801 99 REST OF NEW YORK 0.998 0.944 0.764 05535 00 NORTH CAROLINA 0.970 0.931 0.595 00820 01 NORTH DAKOTA 0.950 0.880 0.657 16360 00 OHIO 0.988 0.944 0.957 00522 00 OKLAHOMA 0.968 0.876 0.444 00835 01 PORTLAND, OR 0.996 1.049 0.436 00835 99 REST OF OREGON 0.961 0.933 0.436 00865 01 METROPOLITAN PHILADELPHIA, PA 1.023 1.092 1.413 00865 99 REST OF PENNSYLVANIA 0.989 0.929 0.774 00973 20 PUERTO RICO 0.881 0.712 0.275 00870 01 RHODE ISLAND 1.017 1.065 0.883 00880 01 SOUTH CAROLINA 0.974 0.904 0.279 00820 02 SOUTH DAKOTA 0.935 0.878 0.406 05440 35 TENNESSEE 0.975 0.900 0.592 00900 31 AUSTIN, TX 0.986 0.996 0.859 00900 20 BEAUMONT, TX 0.992 0.890 1.338 00900 09 BRAZORIA, TX 0.992 0.978 1.338 00900 11 DALLAS, TX 1.010 1.065 0.931 00900 28 FORT WORTH, TX 0.987 0.981 0.931 00900 15 GALVESTON, TX 0.988 0.969 1.338 00900 18 HOUSTON, TX 1.020 1.007 1.336 00900 99 REST OF TEXAS 0.966 0.880 0.956 00910 09 UTAH 0.976 0.941 0.644 31145 50 VERMONT 0.973 0.986 0.539 00973 50 VIRGIN ISLANDS 0.965 1.023 1.002 10490 00 VIRGINIA 0.984 0.938 0.500 00836 02 SEATTLE (KING CNTY), WA 1.005 1.100 0.788 00836 99 REST OF WASHINGTON 0.981 0.972 0.788 16510 16 WEST VIRGINIA 0.963 0.850 1.378 00951 00 WISCONSIN 0.981 0.929 0.939 00825 21 WYOMING 0.967 0.895 1.005 * Payment locality is serviced by two carriers. Note: Work GPCI is the 1/4 work GPCI required by Section 1848(e)(1)(A)(iii) of the Social Security Act. GPCIs rescaled by the following factors for budget netrality: Work = 0.99699; Practice Expense = 0.99235; Malpractice Expense = 1.00215. Addendum E.—2001 Geographic Practice Cost Indices by Medicare Carrier and Locality
Carrier No. Locality No. Locality name Work Practice expense Malpractice 00510 00 ALABAMA 0.978 0.871 0.841 Start Printed Page 65587 00831 01 ALASKA 1.063 1.172 1.378 00832 00 ARIZONA 0.994 0.975 1.150 00520 13 ARKANSAS 0.953 0.851 0.371 02050 26 ANAHEIM/SANTA ANA, CA 1.036 1.187 0.901 02050 18 LOS ANGELES, CA 1.055 1.169 0.901 31140 03 MARIN/NAPA/SOLANO, CA 1.014 1.205 0.677 31140 07 OAKLAND/BERKELEY, CA 1.040 1.216 0.677 31140 05 SAN FRANCISCO, CA 1.067 1.378 0.677 31140 06 SAN MATEO, CA 1.047 1.353 0.677 31140 09 SANTA CLARA, CA 1.062 1.321 0.653 02050 17 VENTURA, CA 1.027 1.128 0.750 02050 99 REST OF CALIFORNIA* 1.007 1.039 0.723 31140 99 REST OF CALIFORNIA* 1.007 1.039 0.723 00824 01 COLORADO 0.986 0.981 0.817 10230 00 CONNECTICUT 1.049 1.164 1.009 00902 01 DELAWARE 1.019 1.032 0.786 00903 01 DC + MD/VA SUBURBS 1.050 1.164 0.970 00590 03 FORT LAUDERDALE, FL 0.996 1.022 1.830 00590 04 MIAMI, FL 1.015 1.064 2.439 00590 99 REST OF FLORIDA 0.975 0.947 1.296 00511 01 ATLANTA, GA 1.006 1.046 0.943 00511 99 REST OF GEORGIA 0.970 0.896 0.943 00833 01 HAWAII/GUAM 0.997 1.154 0.894 05130 00 IDAHO 0.960 0.887 0.532 00952 16 CHICAGO, IL 1.027 1.090 1.745 00952 12 EAST ST. LOUIS, IL 0.988 0.927 1.589 00952 15 SUBURBAN CHICAGO, IL 1.006 1.069 1.505 00952 99 REST OF ILLINOIS 0.964 0.888 1.074 00630 00 INDIANA 0.981 0.919 0.445 00826 00 IOWA 0.959 0.879 0.622 00650 00 KANSAS* 0.963 0.897 0.823 00740 04 KANSAS* 0.963 0.897 0.823 00660 00 KENTUCKY 0.970 0.870 0.842 00528 01 NEW ORLEANS, LA 0.998 0.947 1.218 00528 99 REST OF LOUISIANA 0.969 0.876 1.052 31142 03 SOUTHERN MAINE 0.979 1.015 0.687 31142 99 REST OF MAINE 0.961 0.917 0.687 00901 01 BALTIMORE/SURR. CNTYS, MD 1.020 1.038 1.007 00901 99 REST OF MARYLAND 0.985 0.979 0.820 31143 01 METROPOLITAN BOSTON 1.040 1.218 0.748 31143 99 REST OF MASSACHUSETTS 1.010 1.111 0.748 00953 01 DETROIT, MI 1.042 1.030 2.903 00953 99 REST OF MICHIGAN 0.996 0.938 1.700 10240 00 MINNESOTA 0.990 0.971 0.479 10250 00 MISSISSIPPI 0.957 0.841 0.750 00740 02 METROPOLITAN KANSAS CITY, MO 0.988 0.958 1.021 00523 01 METROPOLITAN ST. LOUIS, MO 0.994 0.940 1.022 00740 99 REST OF MISSOURI* 0.946 0.826 0.979 00523 99 REST OF MISSOURI* 0.946 0.826 0.979 00751 01 MONTANA 0.951 0.877 0.729 00655 00 NEBRASKA 0.949 0.875 0.436 00834 00 NEVADA 1.005 1.035 1.103 31144 40 NEW HAMPSHIRE 0.987 1.032 0.919 00805 01 NORTHERN NJ 1.057 1.192 0.827 00805 99 REST OF NEW JERSEY 1.028 1.102 0.827 00521 05 NEW MEXICO 0.973 0.905 0.809 00803 01 MANHATTAN, NY 1.093 1.352 1.661 00803 02 NYC SUBURBS/LONG I., NY 1.067 1.242 1.942 00803 03 POUGHKPSIE/N NYC SUBURBS, NY 1.010 1.079 1.300 14330 04 QUEENS, NY 1.057 1.231 1.855 00801 99 REST OF NEW YORK 0.998 0.951 0.778 05535 00 NORTH CAROLINA 0.970 0.927 0.546 00820 01 NORTH DAKOTA 0.950 0.879 0.657 16360 00 OHIO 0.989 0.941 1.016 00522 00 OKLAHOMA 0.969 0.879 0.447 00835 01 PORTLAND, OR 0.996 1.035 0.511 00835 99 REST OF OREGON 0.961 0.935 0.511 00865 01 METROPOLITAN PHILADELPHIA, PA 1.023 1.090 1.310 00865 99 REST OF PENNSYLVANIA 0.989 0.930 0.705 00973 20 PUERTO RICO 0.882 0.720 0.317 00870 01 RHODE ISLAND 1.017 1.067 1.036 Start Printed Page 65588 00880 01 SOUTH CAROLINA 0.975 0.905 0.279 00820 02 SOUTH DAKOTA 0.935 0.876 0.420 05440 35 TENNESSEE 0.975 0.900 0.572 00900 31 AUSTIN, TX 0.986 0.998 0.854 00900 20 BEAUMONT, TX 0.992 0.895 1.362 00900 09 BRAZORIA, TX 0.992 0.978 1.362 00900 11 DALLAS, TX 1.010 1.040 0.930 00900 28 FORT WORTH, TX 0.987 0.976 0.930 00900 15 GALVESTON, TX 0.988 0.969 1.362 00900 18 HOUSTON, TX 1.020 1.007 1.377 00900 99 REST OF TEXAS 0.966 0.884 0.914 00910 09 UTAH 0.977 0.925 0.619 31145 50 VERMONT 0.973 0.985 0.544 00973 50 VIRGIN ISLANDS 0.965 1.029 1.017 10490 00 VIRGINIA 0.985 0.939 0.529 00836 02 SEATTLE (KING CNTY), WA 1.005 1.090 0.765 00836 99 REST OF WASHINGTON 0.982 0.974 0.765 16510 16 WEST VIRGINIA 0.963 0.852 1.242 00951 00 WISCONSIN 0.981 0.931 0.890 00825 21 WYOMING 0.967 0.895 0.855 * Payment locality is serviced by two carriers. Note: Work GPCI is the 1/4 work GPCI required by Section 1848(e)(1)(A)(iii) of the Social Security Act. GPCIs rescaled by the following factors for budget neutrality: Work = 0.99699; Practice Expense = 0.99235; Malpractice Expense = 1.00215. Addendum F.—Proposed 2002 Versus 1999 Geographic Adjustment Factors (GAF)
[In Descending Order of Difference]
Locality 1999 GAF 2002 GAF Difference Percent difference SAN MATEO, CA 1.122 1.199 0.077 6.89 SAN FRANCISCO, CA 1.143 1.221 0.078 6.84 SANTA CLARA, CA 1.125 1.184 0.059 5.28 MARIN/NAPA/SOLANO, CA 1.058 1.104 0.046 4.33 METROPOLITAN BOSTON 1.088 1.117 0.029 2.64 OAKLAND/BERKELEY, CA 1.086 1.113 0.027 2.46 REST OF MASSACHUSETTS 1.030 1.053 0.023 2.24 DALLAS, TX 1.009 1.031 0.022 2.19 UTAH 0.931 0.951 0.020 2.10 SEATTLE (KING CNTY), WA 1.023 1.038 0.015 1.48 INDIANA 0.927 0.941 0.014 1.46 NORTH CAROLINA 0.928 0.942 0.014 1.46 WYOMING 0.925 0.938 0.013 1.36 PORTLAND, OR 0.987 1.000 0.013 1.35 REST OF NEW JERSEY 1.044 1.058 0.014 1.34 COLORADO 0.971 0.983 0.012 1.27 ATLANTA, GA 1.015 1.026 0.011 1.10 SOUTH CAROLINA 0.913 0.923 0.010 1.06 NEVADA 1.016 1.026 0.010 1.00 SOUTH DAKOTA 0.886 0.895 0.009 0.99 MINNESOTA 0.957 0.966 0.009 0.99 REST OF PENNSYLVANIA 0.948 0.956 0.008 0.89 NORTHERN NJ 1.099 1.109 0.010 0.89 VERMONT 0.957 0.965 0.008 0.88 NEBRASKA 0.894 0.902 0.008 0.87 TENNESSEE 0.924 0.932 0.008 0.82 VENTURA, CA 1.055 1.062 0.007 0.66 NORTH DAKOTA 0.906 0.912 0.006 0.63 ANAHEIM/SANTA ANA, CA 1.090 1.097 0.007 0.63 REST OF ILLINOIS 0.933 0.939 0.006 0.60 SUBURBAN CHICAGO, IL 1.048 1.054 0.006 0.57 METROPOLITAN PHILADELPHIA, PA 1.059 1.065 0.006 0.56 FORT WORTH, TX 0.978 0.983 0.005 0.55 OKLAHOMA 0.908 0.913 0.005 0.52 NEW MEXICO 0.935 0.940 0.005 0.49 WEST VIRGINIA 0.925 0.929 0.004 0.39 VIRGINIA 0.946 0.950 0.004 0.37 REST OF WASHINGTON 0.968 0.971 0.003 0.35 REST OF CALIFORNIA 1.007 1.010 0.003 0.32 ARKANSAS 0.886 0.889 0.003 0.32 Start Printed Page 65589 WISCONSIN 0.955 0.957 0.002 0.26 MONTANA 0.910 0.912 0.002 0.19 AUSTIN, TX 0.985 0.986 0.001 0.14 DELAWARE 1.015 1.016 0.001 0.12 MISSISSIPPI 0.900 0.901 0.001 0.08 IOWA 0.912 0.913 0.001 0.08 KENTUCKY 0.923 0.924 0.001 0.07 REST OF TEXAS 0.929 0.930 0.001 0.07 DC + MD/VA SUBURBS 1.095 1.095 −0.000 −0.02 IDAHO 0.913 0.912 −0.001 −0.14 REST OF OREGON 0.934 0.933 −0.001 −0.15 NEW ORLEANS, LA 0.986 0.984 −0.002 −0.17 ARIZONA 0.994 0.991 −0.003 −0.27 NYC SUBURBS/LONG I., NY 1.177 1.173 −0.004 −0.30 ALABAMA 0.930 0.927 −0.003 −0.36 REST OF MAINE 0.934 0.931 −0.003 −0.36 CHICAGO, IL 1.084 1.080 −0.004 −0.38 OHIO 0.973 0.968 −0.005 −0.47 MANHATTAN, NY 1.227 1.221 −0.006 −0.47 REST OF GEORGIA 0.940 0.936 −0.004 −0.47 PUERTO RICO 0.794 0.790 −0.004 −0.47 BALTIMORE/SURR. CNTYS, MD 1.031 1.025 −0.006 −0.57 VIRGIN ISLANDS 0.997 0.991 −0.006 −0.57 EAST ST. LOUIS, IL 0.989 0.983 −0.006 −0.57 REST OF NEW YORK 0.973 0.967 −0.006 −0.57 KANSAS 0.933 0.928 −0.005 −0.58 CONNECTICUT 1.100 1.093 −0.007 −0.65 REST OF LOUISIANA 0.936 0.930 −0.006 −0.68 BRAZORIA, TX 1.005 0.997 −0.008 −0.77 METROPOLITAN KANSAS CITY, MO 0.982 0.974 −0.008 −0.77 REST OF MARYLAND 0.980 0.972 −0.008 −0.77 HOUSTON, TX 1.034 1.025 −0.009 −0.86 NEW HAMPSHIRE 1.008 0.999 −0.009 −0.86 GALVESTON, TX 1.000 0.991 −0.009 −0.87 REST OF FLORIDA 0.981 0.972 −0.009 −0.88 POUGHKPSIE/N NYC SUBURBS, NY 1.056 1.046 −0.010 −0.94 SOUTHERN MAINE 0.987 0.977 −0.010 −0.97 QUEENS, NY 1.167 1.156 −0.011 −0.98 FORT LAUDERDALE, FL 1.046 1.033 −0.013 −1.23 RHODE ISLAND 1.047 1.033 −0.014 −1.33 BEAUMONT, TX 0.973 0.959 −0.014 −1.39 ALASKA 1.131 1.115 −0.016 −1.44 LOS ANGELES, CA 1.104 1.088 −0.016 −1.46 METROPOLITAN ST. LOUIS, MO 0.983 0.965 −0.018 −1.79 REST OF MISSOURI 0.908 0.890 −0.018 −2.00 REST OF MICHIGAN 1.013 0.990 −0.023 −2.24 MIAMI, FL 1.105 1.079 −0.026 −2.36 HAWAII/GUAM 1.072 1.046 −0.026 −2.42 DETROIT, MI 1.131 1.095 −0.036 −3.20 Addendum G—Technical Addendum To The April 1999 Report On The Development Of Resource Based Malpractice Relative Value Units Prepared By KPMG
Table of Contents
Executive Summary
E.1. Changes in This Update of the Resource Based Malpractice Relative Value Units
E.2. Impact by Physician Specialty
E.3. Impact by Class of Procedure
Background
B.1. Background of the Malpractice RVU
B.2. Malpractice Insurance Premium Rate Survey
Methodology
M.1. Overview
M.2. Mapping of Medicare Specialties to ISO Codes
M.3. Calculating the National Average Specialist Premiums
M.4. Specialist Risk Factors
Surgical Codes vs. Non Surgical codes
Obstetrical Codes
Obstetrics/Gynecology Risk Factors
Spinal Surgeries
Invasive Cardiology Procedures
Risk Factor Assignment Algorithm
M.5. Physician Profile Dataset
M.6. Calculating Average Risk Factors by Procedure
M.7. Codes Whose RBMRVUS were not Assigned Using the Risk Factor Algorithms
M.8. Budget Neutrality Adjustment
M.9. Numerical Example
Executive Summary
E.1. Changes in This Update of the Resource Based Malpractice Relative Value Units
This addendum to the original April 1999 Report on Resource Based Malpractice Relative Value Units (RBMRVUs) describes the first update to the RBMRVUs. The Original Report converted the Malpractice Relative Start Printed Page 65590Value Units (RVUs) to a resource basis from a charge basis and was the source of the 2000 Malpractice RVUs. The conversion was accomplished by deriving physician specialty surgical and non-surgical risk factors from Malpractice premium and rating data. These risk factors were than used to calculate RBMRVUs by procedure based on the composition of physician specialties performing the procedure.
The changes included in this update are as follows:
- 1996-98 Malpractice Premium Data replaces 1993-95 Malpractice Premium Data.
- Where premium data was not available, KPMG consulted the rating manuals of 5 physician malpractice insurers as opposed to using just St. Paul's manual.
- In the Original Report, Neurosurgeons had separate risk factors for surgical and non-surgical procedures. This has been changed so that the same surgical risk factor is used for all procedures performed by Neurosurgeons.
- The risk factor used for most surgical procedures performed by Neurologists and Cardiologists is now the factor for minor surgery. In the original report, the factor for major surgery was used. Pursuant to our conversation, the change was made because the surgical procedures performed by Neurologists and Cardiologists are less intensive than those performed by their surgical counterparts This change was made for all procedures except invasive Cardiology procedures, which are discussed in the following item.
- Risk factors for invasive Cardiology procedures, including Cardiac Catheterizations and Angioplasties, were established separately from risk factors for other procedures, and were based on data from the new malpractice survey for Cardiologists performing these procedures. These invasive Cardiology procedures have the following Current Procedural Terminology (CPT) Codes: 92980-92998, 93501-93536, 93600-93614, 93617-93641 and 93643-93652.
- 1999 Physician Utilization data provided by HCFA mapped to 2000 CPT codes was used as the basis for the distribution of physician specialty by procedure. The first report used 1997 utilization data mapped to 1999 CPT codes.
This addendum includes an analysis of the impact of the new risk factors and a numerical example illustrating the calculation of the CPT level RBMRVUs. This addendum has been organized according to the structure of the initial Resource Based Malpractice RVU report. Only those sections with changes have been updated.
E.2. Impact by Physician Specialty
The exhibit on pages 6-7 illustrates the impact that this update has on the various physician specialties. All figures are expressed as a percentage of total RVUs, including the impact percentages. Anesthesiologists and Pathologists derive only a small portion of their income from procedures which have explicit Malpractice Relative Value Units. The impact to Anesthesiologists and Pathologists as presented in this exhibit shows the change in the portion of their income attributable only to those codes having explicit Malpractice Relative Value Units. Total RVUs are calculated using the 2000 physician fee schedule. Other changes will take place in 2001 that may change these percentages as a percentage of total RVUs. In particular, an additional year of phasing in the Resource Based Practice Expense RVUs may have a significant impact on the Malpractice RVUs as a percentage of total RVUs by specialty. It is the intention of this exhibit to show only the isolated impact of the RBMRVU change. For this reason, other changes made in the 2001 RBRVS have not been included.
This update produces more modest changes than were originally made by converting the Malpractice RVUs from a charge basis to a resource basis. The biggest gains are for Orthopedic Surgeons (+1.1%) and Hand Surgeons (+0.7%). These changes occur for the following reasons:
- Orthopedic Surgeons: The 1993-95 Malpractice Survey only tracked Orthopedic Surgeons that perform spinal surgeries. In the Original Report, a reduction was made in the Orthopedic Surgical Risk Factor to reflect the possibility that the premium data in the survey might be artificially high for other Orthopedic Surgeons. The 1996-98 Malpractice Premium Survey provided additional data on this subject. When Malpractice Insurers differentiate between Orthopedic Surgeons that do and don't perform spinal surgery the differences can be substantial; however, the survey indicated that this practice is not as widespread as originally anticipated. For this reason, the average 1996-98 premium data was used as the basis for the Orthopedic Surgeons' risk factor in this update.
- Hand Surgeons: Orthopedic Surgeons also perform many of the surgical procedures that Hand Surgeons perform; resulting in a carry over effect to the Hand Surgeon specialty.
The biggest reductions are for Anesthesiologists (−1.3%), Nephrologists (−0.9%), and Cardiologists (−0.7%). Explanation of these losses are as follows:
- Anesthesiologists: Based on the 1996-98 Malpractice Survey, Anesthesiologists' premiums are decreasing at the fastest rate (3.75% per year). Because Anesthesiologists receive very little of their Medicare fees from the Malpractice RVUs in this update, this change impacts them less than the −1.3% change would imply.
- Nephrologists: Nephrologists are not tracked in the survey; their risk factor was based on the St. Paul's underwriting manual in the original RBMRVU report. This update uses five separate underwriting manuals (although only four had risk factors for Nephrologists). St. Paul's assigns Nephrologists the highest risk factor of the four, and was the only insurer to have separate factors for surgical and non-surgical.
- Cardiologists: Cardiologists have been impacted by the reduction in the risk factor for invasive Cardiology procedures. Our new RBMRVUs for these procedures used risk factors appropriate for Cardiologists performing these procedures.
Impact Analysis by Medicare Specialty Code
[All Figures Expressed as a Percentage of Total RVUs]
Spclty code Medicare description Resource-based RBMRVUs by year Impact from 2000 to 2001* 2000 2001 01 General practice 2.6% 2.7% +0.1% 02 General surgery 4.5% 4.5% +0.1% 03 Allergy/Immunology 3.9% 4.0% +0.1% Start Printed Page 65591 04 Otolaryngology 3.3% 3.4% +0.1% 05 Anesthesiology 4.9% 3.6% −1.3% 06 Cardiology 3.6% 2.9% −0.7 07 Dermatology 2.4% 2.5% +0.1% 08 Family practice 2.3% 2.5% +0.2% 10 Gastroenterology 2.9% 2.7% −0.2% 11 Internal medicine 2.5% 2.5% +0.0% 12 Osteopathic manipulative therapy 2.5% 2.6% +0.1% 13 Neurology 2.7% 2.8% +0.0% 14 Neurosurgery 6.4% 7.0% +0.6% 16 Obstetrics/Gynecology 3.1% 3.6% +0.5% 18 Ophthalmology 2.0% 1.9% −0.1% 19 Oral surgery (dentists only) 3.1% 3.3% +0.2% 20 Orthopedic surgery 4.0% 5.1% +1.1% 22 Pathology 1.9% 2.5% +0.6% 24 Plastic and reconstructive surgery 3.7% 3.9% +0.2% 25 Physical medicine and rehab 2.6% 2.5% −0.1% 26 Psychiatry 2.0% 1.9% −0.1% 28 Colorectal surgery (formerly proctology) 4.0% 3.7% −0.2% 29 Pulmonary disease 2.6% 2.6% +0.1% 30 Diagnostic radiology 3.4% 3.6% +0.2% 33 Thoracic surgery 5.4% 5.3% −0.1% 34 Urology 2.8% 3.0% +0.2% 35 Chiropractic 1.8% 1.8% 0.0% 36 Nuclear medicine 3.4% 3.4% +0.0% 37 Pediatric medicine 2.9% 2.9% +0.0% 38 Geriataric medicine 2.4% 2.4% +0.1% 39 Nephrology 3.2% 2.2% −0.9% 40 Hand surgery 3.6% 4.3% +0.7% 41 Optometrist 1.8% 1.6% −0.2% 44 Infectious disease 2.6% 2.6% +0.0% 46 Endocrinology 2.4% 2.5% +0.1% 48 Podiatry 3.1% 3.0% −0.1% 62 Psychologist 6.3% 6.2% −0.1% 64 Audiologist 7.1% 7.1% +0.0% 65 Physical therapist 2.9% 2.6% −0.3% 66 Rheumatology 2.4% 2.7% +0.3% 67 Occupational therapist 3.0% 2.7% −0.3% 68 Clinical psychologist 2.5% 2.2% −0.3% 69 Clinical lab 2.4% 2.8% +0.4% 70 Multispecialty clinic or group practice 3.1% 3.1% 0.0% 76 Peripheral vascular disease 4.7% 4.7% +0.0% 77 Vascular surgery 5.3% 5.2% 0.0% 78 Cardiac surgery 5.6% 5.4% −0.1% 79 Addiction medicine 2.2% 2.2% 0.0% 81 Critical care 2.8% 2.8% −0.1% 82 Hematology 2.7% 2.7% +0.1% 83 Hematology/oncology 2.8% 2.9% +0.1% 84 Preventive medicine 2.6% 2.6% +0.0% 85 Maxillofacial Surgery 3.4% 3.6% +0.2% 86 Neuropsychiatry 2.3% 2.3% −0.1% 90 Medical oncology 2.9% 3.0% +0.1% 91 Surgical oncology 4.0% 4.3% +0.3% 92 Radiation oncology 3.3% 3.5% +0.3% 93 Emergency Medicine 4.3% 4.2% −0.1% 94 Interventional Radiology 3.3% 3.4% +0.1% 95 Independent physiological lab 5.0% 5.0% 0.0% 97 Physician assistant 2.2% 2.3% +0.1% 98 Gynecologist/oncologist 3.5% 4.0% +0.6% Total 3.0% 3.0% +0.0 * Rounding may create the appearance of arithmetic errors. E.3. Impact by Class of Procedure
The exhibit on pages 9-11 shows the impact that the proposed update to the RBMRVUs will have on different types of procedures. All figures are again expressed as a percentage of total RVUs including the impact percentages. The largest increases are for Maternity (+2.0%), Musculoskeletal surgeries Start Printed Page 65592(+1.4%) and Female Genital surgeries (+1.2%). (Cytogenic Studies also increase +1.3%; however, utilization is very small and there is only one CPT code in this range 88230-88299 that uses RVUs: 88291). Following is an explanation of these gains:
- Musculoskeletal Surgeries: These surgeries tend to be performed by Orthopedic Surgeons. Since Orthopedic Surgeons' risk factors increased, the Malpractice RVUs for these codes have also increased.
- Maternity: RVUs for maternity procedures are linked to the risk factor selected for Obstetrics. This is not a specialty tracked in the physician malpractice survey—the risk factor was assigned by reviewing rating manuals. The five malpractice insurers' manuals showed an increased risk factor was needed for Obstetrics.
- Female Genital Surgeries: Similar to Obstetrics, the five malpractice insurers' manuals showed that an increase was needed in the surgical risk factor for Gynecologists.
The largest decreases were for Dialysis (−1.6%) and Medical Cardiovascular procedures (−1.4%).
Following is an explanation of these reductions:
- Dialysis: The RVUs decreased because of the decrease in risk factor for Nephrologists.
- Medical Cardiovascular: These procedures include the invasive Cardiology procedures mentioned in the previous section for Cardiologists. The risk factor for Cardiologists was reduced, and the resulting RVUs for these procedures are more reflective of actual insurer practice.
Impact Analysis by Procedure Type
[All Figures Expressed as a Percentage of Total RVUs]
Type Resource-based RBMRVUs by year Impact by year 2000 2001 2000 to 2001* Surgical: Auditory System 3.2% 3.2% +0.0% Cardiovascular System 5.7% 5.3% −0.4% Digestive System 4.3% 4.1% −0.3% Endocrine System 5.2% 5.4% +0.1% Eye and Ocular Adnexa 2.0% 2.1% +0.0% Female Genital System 4.3% 5.5% +1.2% Hemic and Lymphatic Systems 4.9% 5.2% +0.3% Integumentary System 3.4% 3.3% 0.0% Male Genital System 3.1% 3.3% +0.2% Maternity Care and Delivery 8.1% 10.1% +2.0% Mediastinum and Diaphragm 5.5% 5.4% 0.0% Muskuloskeletal System 4.6% 6.0% +1.4% Nervous System 7.2% 6.8% −0.5% Operating Microscope 10.8% 9.8% −0.9% Respiratory System 4.0% 4.0% 0.0% Urinary System 3.1% 3.3% +0.2% Subtotal 4.1% 4.2% +0.1% E&M: Care Plan Oversight Services 2.2% 2.2% 0.0% Consultations 2.8% 3.0% +0.2% Critical Care Services 2.8% 2.8% 0.0% Domiciliary, Rest Home or Custodial Care 2.2% 2.1% 0.0% Emergency Department Services 4.5% 4.3% −0.1% Home Services 2.3% 2.3% +0.0% Hospital Inpatient Services 2.4% 2.4% 0.0% Hospital Observation 2.6% 2.6% 0.0% Neonatal Intensive Care 2.6% 3.0% +0.3% Newborn Care 1.9% 2.0% +0.1% Nursing Facility Services 2.3% 2.2% 0.0% Office or Other Outpatient 1.9% 2.3% +0.3% Prolonged Services 2.2% 2.2% 0.0% Subtotal 2.4% 2.5% +0.2% Medicine: Allergy and Clinical Immunology 4.7% 4.7% 0.0% Biofeedback 2.0% 1.8% −0.2% Cardiovascular 4.4% 3.0% −1.4% Central Nervous System Tests 7.7% 7.7% 0.0% Chemotherapy 4.6% 4.6% +0.0% Chiropractic Manipulative Therapy 1.8% 1.8% 0.0% Dialysis 3.6% 2.0% −1.6% Gastroenterology 3.3% 3.3% 0.0% Neurology and Neuromuscular Procedures 3.0% 2.9% −0.2% Non-Invasive Vascular Diagnostic Studies 6.2% 6.2% 0.0% Opthalmology 1.7% 1.4% −0.3% Osteopathic Manipulative Therapy 2.1% 1.9% −0.3% Start Printed Page 65593 Physical Medicine and Rehabilitation 2.8% 2.6% −0.3% Subtotal 3.4% 2.7% −0.7% Pathology & Lab: Chemistry 1.7% 1.7% 0.0% Consultations (Clinical Pathology) 1.8% 1.9% +0.1% Cytogenic Studies 1.3% 2.6% +1.3% Cytopathology 2.1% 2.7% +0.6% Hematology & Coagulation 1.5% 1.6% +0.1% Immunology 3.4% 3.5% +0.1% Microbiology 1.8% 1.8% 0.0% Other 1.8% 1.8% 0.0% Surgical pathology 2.0% 2.6% +0.6% Subtotal 2.0% 2.6% 0.5% Radiology Diagnostic Imaging 3.6% 3.8% +0.2% Diagnostic Ultrasound 3.5% 3.6% +0.1% Nuclear Medicine 3.6% 3.6% +0.1% Radiation Oncology 3.3% 3.6% +0.3% Subtotal 3.5% 3.7% +0.2% * Rounding may create the appearance of arithmetic errors. Background
B.1. Background of the Malpractice RVU
Please see the April 1999 report on RBMRVUs for a complete description of the charge based Malpractice RVUs.
B.2. Malpractice Insurance Premium Rate Survey
The original development of Resource Based Malpractice RVUs relied upon malpractice insurance premiums for the 1993-95 period. As part of the update to the Malpractice Geographic Practice Cost Indices (GPCI) scheduled to be implemented in the 2001 fee schedule, KPMG collected physician malpractice insurance data for the 1996-98 period. One of the purposes of this addendum is to establish new specialist risk factors derived from the information collected in the most recent survey.
In order to collect the necessary premium data, 52 Departments of Insurance (DOI) from all fifty states, Washington D.C. and Puerto Rico were contacted and sent questionnaires. Each Department of Insurance was requested to supply:
- 1996-98 Premium Rates for the top Physician Malpractice Insurers doing business in the state. These premium rates had to conform to a very specific benefit plan. Annual premiums were collected and/or adjusted to the following specifications: $1 million limit on individual claims/ $3 million limit on aggregate claims, mature “claims-made” coverage (see Section 4.2.2. of the Third Update of the GPCI for a detailed discussion of “claims-made”).
- Name and number of contacts at the DOI and Insurance Carriers.
- Definitions of the geographic rating areas used in the state.
- Definitions of Risk Classifications.
For the majority of states, copies of rate filings were obtained. A few states summarized this information by specialty across insurer. Some states did not have filings or could not comply with the survey in a timely manner. For these states, malpractice insurers were contacted directly.
Some states have Joint Underwriting Associations (JUAs) and Patient Compensation Funds (PCFs) that impact physician malpractice costs. The South Carolina JUA was included because it has the majority market share. All other JUAs were excluded. PCFs were included only when participation was mandatory, with one exception. In South Carolina, the PCF was included even though it is not mandatory because the majority of South Carolina physicians that participate in the JUA also participate in the PCF.
Since PCFs often provide unlimited coverage, states with mandatory PCFs may have a cost level that is higher than the $1 million/$3 million limits mentioned previously. For those states, no actuarial adjustment was made to reduce the premium level to a $1 million/$3 million policy. This was considered appropriate since the intention of the survey was to track actual physician costs as closely as possible.
Overall KPMG collected physician malpractice insurance premium data on a total of 46 companies across all 50 states, Puerto Rico, and Washington, D.C. Insurance companies that operated in more than one state are counted once in this total. In 38 states KPMG collected data from at least two companies. In the remainder of the states, KPMG received information from one company. In each of these states, the sole insurer had a medical malpractice market share of 49% or more (medical malpractice insurance includes physician and hospital malpractice insurance). On average, data was collected from insurance companies with a 56% medical malpractice market share.
There is reason to believe that the actual captured physician malpractice insurance market share is larger than stated here. This is due to the fact that market share statistics included hospital malpractice insurance, but companies that primarily deal in hospital Start Printed Page 65594malpractice have been largely excluded. The most credible and consistently available source of medical malpractice insurance premium data comes from National Association of Insurance Commissioners (NAIC) annual statement blanks. Unfortunately, the annual statement line for medical malpractice includes both hospital and physician malpractice insurance. Departments of Insurance provided input regarding significant physician malpractice insurance carriers.
The Office of Management and Budget (OMB) approved physician malpractice survey was primarily designed to update the GPCI not the Malpractice RVU. The needs of the two updates are not the same. While the GPCI focuses on regional cost differences, the ideal Malpractice RVU survey would provide more detail on premium variations by specialty. In accordance with the OMB approved survey, malpractice data was collected for twenty physician specialties. (There are over 90 HCFA specialty codes.) Since the amount of time it takes to perform the survey is a critical component of OMB approval, the number of specialties tracked in the survey has not been changed. In order to supplement the premium survey, five rating manuals were used from among the largest malpractice insurers in order to derive risk factors for specialties not tracked in the survey. Even for the twenty specialties tracked in the survey, it was necessary to supplement the premium data with risk factors from the selected five insurers. Since the survey specified the level of surgical involvement for a specialty, it was not possible to get a surgical and non-surgical risk factor from the same premium data.
Typically malpractice insurers sub-divide each specialty into three separate levels of surgical involvement:
1. Major Surgery
2. Minor Surgery (typically assisting the surgeon or performing very minor surgeries)
3. No Surgery
The surgical risk factors are derived from the highest level of surgical involvement listed for the specialty in the insurers rating manual, typically the “major surgery” category. The non-surgical factors are derived from the lowest level of surgical involvement listed, typically the “no surgery” factors. For those surveyed specialties that had minor surgical involvement, the premium data was used as a reasonability check with the selected surgical and non-surgical risk factors. The minor surgery premium risk factor should fall between the surgical and non-surgical factors and should also be in line with the minor surgery risk factor of the median or most representative rating manual.
For Cardiologists and Neurologists, the minor surgery premium average was also used to set the surgical risk factors. This is due to the fact that the surgical procedures that these specialties perform tend to fit the minor surgery category.
One American Medical Association (AMA) suggestion regarding the first calculation of the RBMRVUs was their desire that surgical specialties always be granted their surgical risk factor even for the non-surgical procedures that they perform. This change has been incorporated in this update of the risk factors for specialties defined as surgeons. The two specialties impacted by this change are Neurosurgeons and Surgical Oncologists.
In the first RBMRVU calculation, Neurologists and Neurosurgeons shared surgical and non-surgical risk factors. This was not inconsistent with the St. Paul's rating manual. Neurosurgeons received higher Malpractice RVU compensation because they performed more surgical procedures. However, the surgical risk factor for Neurosurgeons is now used to calculate the malpractice RVUs for all procedures they perform—surgical and non-surgical. As noted above, Neurologists receive the minor surgery risk factor for the surgical procedures they perform.
In the original report, Surgical Oncologists were mapped to the Avg. Physician risk factors with separate surgical and non-surgical risk factors. In this update, Surgical Oncologists are given the General Surgeons' risk factors which are the same for surgical and non-surgical procedures.
The following table (A-1) shows how the premium data was used for each of the twenty tracked physician specialties (note that any risk factor that is not calculated using premium data from the survey was derived from the rating manual risk factors):
Start Printed Page 65595Table A-1.—Uses of the Physician Malpractice Premium Data Collected in the Survey
Specialty Surgery Used for surgical RF? Used for non-surgical RF? Used for reasonability check? Ophthalmology Major Yes No Yes. General Surgery Major Yes Yes Yes. Thoracic Surgery Major Yes Yes Yes. Urology Surgery Major Yes Yes Yes. Anesthesiology Major Yes Yes Yes. Neurosurgery Major Yes Yes Yes. Orthopedic Surgery Major Yes Yes Yes. Plastic Surgery Major Yes Yes Yes. Otorhinolaryngology Major Yes No Yes. Gynecology None No Yes Yes. Psychiatry None No Yes Yes. Pulmonary Disease None Yes Yes Yes. Gastroenterology Minor No No Yes. Radiology Minor Yes Yes Yes. Cardiovascular Disease Minor Yes No Yes. Dermatology Minor No No Yes. Internal Medicine Minor No No Yes. Neurology Minor Yes No Yes. Pathology Minor Yes Yes Yes. General/Family Practice Minor No No Yes. Methodology
M.1. Overview
Please see the Final Report on the Resource Based Malpractice RVUs for a complete overview of the methodology. This update only describes changes to the original methodology. The following changes are being implemented in this update:
- 1996-98 Malpractice Premium Data is used in place of 1993-95 Premium Data.
- Physician premium data from the survey is used to calculate risk factors according to Table A-1 of this update.
- The premium weighted average risk factors of five selected Malpractice Insurers are used. They are Continental Casualty Company (CNA), St. Paul Fire and Marine Insurance Company (St. Paul), Medical Liability Mutual Insurance Company (MLMIC), Medical Protective Company (Medical Protective), and Doctors Company. These five insurers are among the largest malpractice insurers. This is the methodology used for all specialties that are not based on malpractice premium data.
M.2. Mapping of Medicare Specialties to ISO Codes
Please see the April 1999 Report on RBMRVUs for a complete discussion of malpractice insurer's ISO codes and how they are translated into Medicare Physician Specialty Codes.
M.3. Calculating the National Average Specialist Premiums
Please see section M.3. of the Final Report on the Resource Based Malpractice RVUs for a complete discussion of methodology. One of the adjustments described in that report “normalizes” the premium data in the survey for the geographic spread of specialties. A geographic bias is measured by calculating the average Malpractice GPCI that a specialty receives. Variations can be noticeable. For example, it was found that Psychiatrists have a Malpractice GPCI that is 5.6% above the average while General/Family Practitioners are 6.2% below the average. Not to adjust for this phenomenon would effectively create a “double count” of the geographic concentration of a given specialty. Specialties more highly concentrated in high malpractice cost areas would receive higher RVUs because their premiums would be higher, in part due to their geographic concentration in higher cost areas. At the same time they would receive a higher Malpractice GPCI for the identical reason. For specialties more highly concentrated in lower malpractice cost areas, the opposite would be true. They would be effectively “double penalized” for their concentration in low malpractice cost areas. By dividing each specialty's premium by its average Malpractice GPCI, risk factors developed from these new adjusted premiums more accurately reflect the relative cost differences of each specialty as opposed to the geographic dispersion of the specialty.
This normalization calculation has been updated for the risk factors used in this update. A 1998 RVU distribution was used in place of the 1997 RVU distribution used in the original report. The 2002-3 Malpractice GPCI was used as the basis for the normalization. The 2001 “phase-in” Malpractice GPCI was considered, but the 2002-2003 Malpractice GPCI was utilized since it will be in place longer than the 2001 Malpractice GPCI and it is unlikely that Malpractice RVUs will be updated in the interim (beyond updates for new CPT codes).
In Table A-2, the average malpractice premiums tracked in the survey are shown along with their average 2002-3 Malpractice GPCI and the adjusted premium used for risk factors. Note that Psychiatry has been normalized to a 1.31 risk factor to be consistent with the average non-surgical factor developed from the five malpractice insurers' rate manuals (see Table A-3) for Psychiatry. This makes it easier to perform an “apples to apples” comparison of the risk factors developed from premium data versus the comparable rating manual risk factors.
M.4. Specialist Risk Factors
Surgical Codes vs. Non Surgical Codes
Consistent with the development of the original RBMRVUs, separate surgical and non-surgical risk factors continue to be used. For the purposes of calculating RBMRVUs surgeries are defined as CPT codes falling in the range of 10000 through 69999, and codes 92980-92998, 93501-93536, 93600-93614, 93617-93641 and 93643-93652.
Obstetrical Codes
Medicare specialty codes do not distinguish between Obstetricians and Gynecologists. However, malpractice premiums can be quite different for these specialties. Because the majority of Medicare OB/GYN services will be Gynecological, a Gynecology risk factor was used for all OB/GYN procedures, except those that are clearly Obstetrical, such as maternity codes (59000-59899). These codes were assigned a risk factor that is consistent with a risk factor for an Obstetrician who performs surgery in the Original Report. This practice is continued in this addendum. The obstetrical risk factor has been updated.
Obstetrics/Gynecology Risk Factors
Obstetricians and Gynecologists have raised the concern about their average malpractice premium and their corresponding Malpractice RVUs. The survey tracked the Malpractice premium for a Gynecologist who does not perform surgery. We recognize that approximately 40% of Work RVUs paid to Gynecologists under the Medicare program are for surgical procedures. We also recognize that Obstetricians have virtually no utilization under the Medicare program and that they will pay much more for Malpractice Insurance than the typical Gynecologist.
These issues have been addressed in the risk factor methodology. First, Gynecologists receive a risk factor consistent with their Malpractice Survey Premium only for non-surgical procedures. For their surgical procedures they receive a risk factor that is 3.26 times (6.17 vs. 1.89) that which would be granted if we only used their Survey Premium. Second, Obstetricians have been handled by making an explicit adjustment to the maternity codes in order to reflect their higher malpractice costs. These codes are granted a risk factor of 10.83 (based on the rate manuals) which is 76% higher than the Gynecologists' Surgical risk factor and 461% higher than the Gynecologists' Non Surgical risk factor.
Spinal Surgeries
If the risk factor calculated for a Spinal Surgery procedure (CPTs 22100-22899) falls below the risk factor for an Orthopedic Surgeon performing Spinal Surgery (8.64), then the risk factor for an Orthopedic Surgeon performing spinal surgery is used.
Invasive Cardiology Procedures
The following codes receive the greater of their actual average risk factor or the risk factor for invasive Cardiology (3.16): 92980-92998, 93501-93536, 93600-93614, 93617-93641 and 93643-93652.
Risk Factor Assignment Algorithm
The Risk Factor Assignment Algorithm from the original report is presented in this section. Changes are indicated in bold:
Having discussed the background and issues surrounding the physician risk factors, the actual mechanics of the algorithm used to assign risk factors will now be described. The assignment algorithm was as follows: Start Printed Page 65596
1. The lowest normalized malpractice premium specialty was determined to be Psychiatry. This specialty was assigned a risk factor value of “1.31”. This factor was selected to be consistent with the risk factor developed for non-surgical Psychiatry developed from rating manuals.
2. If the specialty's normalized average malpractice premium is the basis for the risk factor (as defined in Table A-1), the Risk Factor was calculated as follows:
For example, Ophthalmologists' had a 96-98 average premium of $11,209. Their average MGPCI was 0.98915. Dividing $11,209 by .98915 yields $11,332 as the normalized average premium. Dividing this result by the adjusted Psychiatrists' premium ($11,332/$6,263) gives an answer of 1.81. This 1.81 is then multiplied by 1.31 to give the final risk factor of 2.37.
3. If the risk factor was not being set with malpractice premium data, five rating manuals from among the largest malpractice insurers were consulted and an average risk factor (RF) was developed based on the market share weighted average. Using Psychiatry, non-surgical as an example: C.N.A. Weighting × C.N.A. RF + St. Paul Weighting × St. Paul RF + M.L.M.I.C. Weighting × M.L.M.I.C. RF + Medical Protective Weighting × Medical Protective Risk Factor + Doctors Weighting × Doctors Risk Factor =
25.955% × 1.50 + 25.547% × 1.00 + 20.923% × 1.00 + 14.637% × 1.33 + 12.938% × 2.00 = Note that Weightings are developed by calculating the Insurers' annual earned premium as a percent of the total for all five insurers.
M.5. Physician Profile Dataset
The April 1999 report on the RBMRVU describes this dataset. For this update, we used 1999 utilization data cross walked to 2000 CPT codes. HCFA performed this cross walk before giving the utilization data to KPMG. The most critical task performed on this data by KPMG was the application of the Modifiers to the underlying utilization data. KPMG made the conversions to the Allowed Services counts outlined in the table on the next page. The adjustments in the table are consistent with the modifier adjustments that HCFA specifies for processing physician claims.
Modifier Description Code type Handling/value of code 51 Multiple Procedures Rule applies 50%. Endoscopic Procedure * 100%; summary data only. Since claims history could not be taken into account endoscopies are counted 100%. Modifier does not apply 100%. No payment adjustment 100%. 54 Surgical Only Surgery code Intraoperative % applied. Non surgery code 0%. 55 Post Operative Only Surgery code Post Op % applied. Non surgery code 0%. 56 Pre Operative Only Surgery code Pre Op % applied. Non surgery code 0%. 62 Co Surgeons Co Surgeons not permitted 0%. Co Surgeons permitted with or without documentation 62.5%. Does not apply 0%. 80 Asst. Surgeon Don't pay or does not apply 0%. Asst Surgeon permitted with or without documentation 16%. 26 Prof. Only 100%. TC Technical Only Malpractice RVUs are unchanged. 53 Terminated endoscopy 100%. * This is more likely to distort the impact analysis rather than the average risk factor. Endoscopies will be over-weighted in the impact analysis. M.6. Calculating Average Risk Factors by Procedure
Please see the April 1999 report for a complete description of the calculation. The formula for calculating the risk factors is stated below:
Start Printed Page 65597Where:
SERVICESPROC/MOD, SPEC = Number of procedures performed in 1999 by specialty for specific procedure code
RFSPEC= Risk factor for specialty calculated in M.4.
SERVICESPROC/MOD = Number of procedures performed in 1999 for specific procedure code
Avg. RFPROC/MOD = The average risk factor for the particular combination of procedure and modifier code.
M.7. Codes Whose RBMRVUs were not Assigned Using the Risk Factor Algorithms
Please see table A-5 for the assignments made for codes with insufficient utilization data.
M.8. Budget Neutrality Adjustment
Please see the April 1999 report for a complete discussion. The new budget neutrality adjustment is .0171569. Note that this adjustment is applied before inclusion of the technical codes which are left unchanged.
The formula for budget neutrality and the final calculation of RBMRVUs is given below:
This budget neutrality adjustment is multiplied by the Unadjusted RBMRVUs to get the final RBMRVUs.
Where:
SERVICESPROC/MOD = Number of procedures performed in 1999 for specific procedure code
Raw RBMRVUPROC/MOD = The resource-based RVU allocation for the risk-factor method prior to adjustment for budget neutrality
2000 Aggregate MP RVUs = 2000 aggregate malpractice RVUs projected from the 1999 utilization data and 2000 malpractice RVUs
BN Adj = 2001 budget neutrality adjustment, forces RBMRVUs to be budget neutral to the 1999 experience
RBMRVUPROC/MOD = RBMRVU after applying 2001 budget neutrality adjustment
M.9. Numerical Example
The development of risk factors has been demonstrated in a previous section. This numerical example will focus on applying those risk factors to the Procedure Code Malpractice Relative Value Units.
This example will look at the calculation of the Resource Based Malpractice RVU for code 99213-Office/Outpatient Visit, Established Patient, and is shown on the next page. We start with raw physician specialty utilization databased on 1999 utilization and mapped to 2000 codes by the Health Care Financing Administration. In the exhibit, Column B shows the distribution of services by specialty. Column B is labeled “Adjusted Allowed Services” because certain modifier rules have been applied to the counts.
Numerical Example for CPT Code 99213 Calculation of the Average Risk Factor
Code Description A Risk factor B Adjusted allowed svcs C Percent of total D Product A X B 1 General practice 1.73 4,507,361 5.18 7,797,735 2 General surgery 6.14 1,516,808 1.74 9,313,201 3 Allergy/Immunology 1.05 306,558 0.35 321,886 4 Otolaryngology 2.31 1,484,673 1.70 3,429,595 5 Anesthesiology 3.28 289,300 0.33 948,904 6 Cardiology 1.81 5,711,251 6.56 10,337,364 7 Dermatology 1.12 1,904,507 2.19 2,133,048 8 Family practice 1.73 18,552,260 21.30 32,095,410 10 Gastroenterology 1.95 1,564,620 1.80 3,051,009 11 Internal medicine 1.89 25,202,921 28.94 47,633,521 12 Osteopathic manipulative therapy 2.19 86,452 0.10 189,330 13 Neurology 1.96 1,102,524 1.27 2,160,947 14 Neurosurgery 12.64 187,609 0.22 2,371,378 16 Obstetrics/Gynecology 1.89 822,589 0.94 1,554,693 18 Ophthalmology 1.18 3,171,237 3.64 3,742,060 19 Oral surgery (dentists only) 2.19 9,070 0.01 19,863 20 Orthopedic surgery 8.53 2,643,730 3.04 22,551,017 22 Pathology 2.07 25,423 0.03 52,626 24 Plastic and reconstructive surgery 6.57 114,446 0.13 751,910 25 Physical medicine and rehab 1.07 340,226 0.39 364,042 26 Psychiatry 1.31 91,260 0.10 119,551 28 Colorectal surgery (formerly proctolog) 3.81 52,161 0.06 198,733 29 Pulmonary disease 1.94 1,785,484 2.05 3,463,839 Start Printed Page 65598 30 Diagnostic radiology 2.60 71,349 0.08 185,507 33 Thoracic surgery 8.14 90,142 0.10 733,756 34 Urology 3.58 3,013,435 3.46 10,788,097 36 Nuclear medicine 1.38 10,151 0.01 14,008 37 Pediatric medicine 1.75 128,072 0.15 224,126 38 Geriataric medicine 1.16 242,737 0.28 281,575 39 Nephrology 1.57 661,649 0.76 1,038,789 40 Hand surgery 5.75 32,714 0.04 188,106 41 Optometrist 2.19 629,614 0.72 1,378,855 44 Infectious disease 1.57 242,070 0.28 380,050 46 Endocrinology 1.57 689,586 0.79 1,082,650 48 Podiatry 2.19 1,392,115 1.60 3,048,732 65 Physical therapist 1.07 18 0.00 19 66 Rheumatology 1.68 1,248,991 1.43 2,098,305 67 Occupational therapist 1.08 4 0.00 4 68 Clinical psychologist 1.31 10 0.00 13 69 Clinical lab 2.07 95 0.00 197 70 Multispecialty clinic or group practice 2.19 3,515,620 4.04 7,699,208 76 Peripheral vascular disease 2.19 15,471 0.02 33,881 77 Vascular surgery 7.41 157,071 0.18 1,163,896 78 Cardiac surgery 7.93 15,718 0.02 124,644 79 Addiction medicine 1.31 9,586 0.01 12,558 81 Critical care 2.19 57,499 0.07 125,923 82 Hematology 1.62 70,854 0.08 114,783 83 Hematology/oncology 1.62 1,531,160 1.76 2,480,479 84 Preventive medicine 1.29 7,780 0.01 10,036 85 Maxillofacial surgery 6.57 4,718 0.01 30,997 86 Neuropsychiatry 1.31 2,358 0.00 3,089 90 Medical oncology 1.85 592,350 0.68 1,095,848 91 Surgical oncology 6.14 30,958 0.04 190,082 92 Radiation oncology 2.40 186,255 0.21 447,012 93 Emergency medicine 4.30 294,726 0.34 1,267,322 94 Interventional Radiology 2.68 1,908 0.00 5,113 95 Independent physiological lab 2.07 3 0.00 6 98 Gynecologist/oncologist 1.93 30,429 0.03 58,728 SUBTOTAL FOR RISK FCTR CALCULATION 2.21 86,449,686 99.26 190,908,055 OTHER 645,885 0.74 N/A TOTAL 87,095,571 100.00 Notice that 0.74% of the services are performed by specialties that have not had risk factors developed for them (“OTHER”). For this 99213 code, this is largely comprised of Physician Assistants and Nurse Practitioners.
The next step is to determine the average risk factor. Column D shows the product of each specialties' risk factor multiplied by the number of Allowed Services for that specialty. If we add up each specialties' product and divide by the total number of allowed services, we have calculated the average risk factor for the code. For code 99213 this is (190,908,055) / (86,449,686) = 2.21. Note that this is just an application of the following formula shown in Section M6:
Next we need to multiply the average risk factor for the code by the Work RVUs for the code. For code 99213 this is: 2.21 * 0.67 = 1.48. Finally the budget neutrality adjustment of .0171569 is applied to 1.48. The result is .0171569 * 1.48 = .03 Malpractice RVUs.
Attachments
Table A-2: Average Premiums, MGPCI, and Resulting Risk Factors by Specialty Start Printed Page 65599
Table A-3: Weighted Average Risk Factors Developed from Five Rating Manuals
Table A-4: Selected Risk Factors by HCFA Specialty
Table A-5: Cross Walk Assumptions 1
Table A-2.—Average Premiums, MGPCI and Resulting Risk Factors By Specialty
ISO Specialty 1996 avg 1997 avg 1998 avg 93-95 96-98 Annual trend Avg MGPCI Normalized 96-98*** Risk fctr*** 80114 Opthalmology $11,304 $11,377 $10,945 $10,960 $11,209 0.75% 0.989% $11,332 2.37 80143 General surgery 27,667 28,116 27,694 27,020 27,825 0.98% 0.948 29,367 6.14 80144 Thoracic surgery 39,056 39,020 38,359 38,789 38,812 0.02% 0.997 38,919 8.14 80145 Urology 16,799 17,163 16,911 15,817 16,958 2.35% 0.991 17,116 3.58 80151 Anesthesiology 15,708 15,468 14,904 17,231 15,360 −3.75% 0.980 15,678 3.28 80152 Neurosurgery 58,104 58,263 56,735 54,610 57,701 1.85% 0.954 60,455 12.64 80154 Orthopedic surgery 39,182 38,882 37,688 38,877 38,584 −0.25% 0.946 40,774 8.53 80156 Plastic surgery 31,670 31,708 31,062 30,599 31,480 0.95% 1.002 31,415 6.57 80159 Otolaryngology 20,603 19,845 19,521 19,748 19,990 0.41% 0.989 20,212 4.23 80244 Gynecology 8,445 8,690 8,790 *n/a 8,642 *n/a 0.957 9,033 1.89 80249 Psychiatry** 6,645 6,533 6,664 7,240 6,614 −2.96% 1.056 6,263 1.31 80269 Pulmonary disease 9,352 9,553 9,620 8,594 9,508 3.42% 1.025 9,278 1.94 80274 Gastroenterology 11,691 11,890 11,655 11,008 11,745 2.18% 1.008 11,648 2.44 80280 Diagnostic radiology 12,099 12,651 12,365 10,783 12,372 4.68% 0.994 12,442 2.60 80281 Cardiology 13,265 13,367 12,980 12,465 13,204 1.94% 1.013 13,037 2.73 80282 Dermatology 10,690 10,856 10,394 10,946 10,650 −0.91% 1.037 10,272 2.15 80284 Internal medicine 11,770 11,941 11,798 11,491 11,836 0.99% 1.019 11,611 2.43 80288 Neurology 14,000 13,758 13,421 12,396 13,726 3.45% 1.029 13,335 2.79 80292 Pathology 9,633 9,690 9,439 8,913 9,587 2.46% 0.969 9,895 2.07 80423 General practice 11,181 11,354 11,167 10,465 11,234 2.39% 0.938 11,977 2.51 * Data not available. ** Psychiatry is set to 1.31 to be consistent with risk factor taken from rating manuals (see Table A-3). *** Actual precision on premium and GPCIs is greater than shown. May not be able to reproduce results exactly due to rounding. Start Printed Page 65600Table A-3.—Weighted Average Risk Factors Developed From Five Rating Manuals
[Calculation of Weighted Average Risk Factors]
Code Description Weights--> Weighted Avg. Risk Factors 25.955% C.N.A. 25.547% St. Paul 20.923% Insurers MLMIC 14.637% Med. Prof. 12.938% Doctors Non Surg Surg Non Surg Surg Non Surg Surg Non Surg Surg Non Surg Surg Non Surg Surg 01 General practice 1.73 4.43 1.67 6.17 1.23 2.93 2.24 5.09 1.57 2.60 2.18 4.89 02 General surgery 6.24 6.24 6.17 6.17 4.64 4.64 8.04 8.04 5.38 5.38 7.63 7.63 03 Allergy/Immunology 1.05 1.29 1.00 1.00 1.00 1.00 1.00 1.00 1.00 2.60 1.40 1.40 04 Otolaryngology 2.31 3.92 1.00 3.58 1.23 2.93 3.59 5.09 1.33 2.60 6.12 6.12 05 Anesthesiology 3.11 3.11 3.58 3.58 2.43 2.43 3.14 3.14 3.36 3.36 3.15 3.15 06 Cardiology 1.81 2.85 1.50 3.58 1.23 1.79 2.91 2.91 1.33 2.60 2.37 3.62 Cardiac Catheterization 3.16 3.16 3.58 3.58 2.36 2.36 3.20 3.20 3.36 3.36 3.62 3.62 07 Dermatology 1.12 2.41 1.00 1.50 1.00 4.64 1.00 1.00 1.00 2.60 1.93 1.93 08 Family practice 1.73 4.43 1.67 6.17 1.23 2.93 2.24 5.09 1.57 2.60 2.18 4.89 10 Gastroenterology 1.95 2.78 1.50 3.58 1.23 2.36 2.91 2.91 1.57 1.57 3.13 3.13 11 Internal medicine 1.89 2.53 1.67 3.58 1.23 1.79 2.91 2.91 1.57 1.57 2.37 2.37 13 Neurology 1.96 2.11 1.67 1.67 1.23 1.79 2.39 2.39 1.57 1.47 3.75 3.75 14 Neurosurgery 12.67 12.67 10.00 10.00 9.42 9.42 20.96 20.96 10.63 10.63 13.31 13.31 16 Gynecology 1.93 6.17 1.50 6.17 1.23 4.64 3.59 9.01 1.33 5.38 2.18 5.48 Obstetrics n/a 10.83 n/a 10.00 n/a 7.15 n/a 15.53 n/a 10.63 n/a 12.41 18 Ophthalmology 1.18 2.36 1.00 1.50 1.23 1.79 1.00 3.20 1.33 2.60 1.55 3.60 20 Orthopedic surgery wo Spinal 8.45 8.45 8.17 8.17 6.01 6.01 12.18 12.18 7.97 7.97 8.36 8.36 Orthopedic surgery with Spinal 8.64 8.64 8.17 8.17 6.01 6.01 12.18 12.18 9.30 9.30 8.36 8.36 22 Pathology 1.57 1.77 1.50 1.50 1.00 1.79 1.81 1.81 1.57 1.57 2.43 2.43 24 Plastic Surgery 7.19 7.19 8.17 8.17 4.64 4.64 9.01 9.01 7.97 7.97 6.42 6.42 25 Physical Med & Rehab 1.07 1.07 1.00 1.00 1.23 1.23 1.00 1.00 n/a n/a 1.00 1.00 26 Psychiatry 1.31 1.49 1.50 1.50 1.00 1.00 1.00 1.00 1.33 2.60 2.00 2.00 28 Colorectal surgery 3.81 3.81 3.58 3.58 2.36 2.36 5.09 5.09 n/a n/a 5.02 5.02 29 Pulmonary disease 1.82 1.82 1.00 1.00 1.23 1.23 2.91 2.91 1.57 1.57 3.13 3.13 30 Diagnostic radiology 2.28 2.58 1.67 1.67 1.23 1.79 4.24 4.24 1.57 2.60 3.26 3.26 33 Thoracic surgery 7.20 7.20 6.17 6.17 6.01 6.01 8.04 8.04 9.30 9.30 7.91 7.91 34 Urology 3.59 3.59 3.58 3.58 2.36 2.36 5.09 5.09 2.60 2.60 4.71 4.71 36 Nuclear medicine 1.38 1.61 1.50 1.50 1.23 1.23 n/a n/a 1.33 2.60 1.47 1.47 37 Pediatric medicine 1.75 4.92 1.67 6.17 1.23 4.64 n/a n/a n/a n/a 2.97 2.97 38 Geriataric medicine 1.16 2.08 1.00 1.50 1.23 2.36 n/a n/a 1.33 2.60 n/a n/a 39 Nephrology 1.57 1.94 1.50 1.50 1.23 2.36 n/a n/a 1.57 1.57 2.37 2.37 40 Hand surgery 5.75 5.75 6.17 6.17 4.64 4.64 n/a n/a 5.38 5.38 7.54 7.54 44 Infectious disease 1.57 1.75 1.50 1.50 1.23 1.79 n/a n/a 1.57 1.57 2.37 2.37 46 Endocrinology 1.57 1.94 1.50 1.50 1.23 2.36 n/a n/a 1.57 1.57 2.37 2.37 66 Rheumatology 1.68 2.01 1.00 1.00 1.23 1.79 2.91 2.91 1.33 2.60 2.37 2.37 67 Occupational therapist 1.08 1.08 1.00 1.00 1.23 1.23 1.00 1.00 n/a n/a n/a n/a 77 Vascular surgery 7.41 7.41 6.17 6.17 6.01 6.01 9.01 9.01 9.30 9.30 7.91 7.91 78 Cardiac surgery 7.93 7.93 8.17 8.17 6.01 6.01 9.01 9.01 9.30 9.30 7.91 7.91 82 Hematology 1.62 1.76 1.50 1.50 1.23 1.79 1.81 1.81 1.57 1.57 2.37 2.37 83 Hematology/oncology 1.62 1.76 1.50 1.50 1.23 1.79 1.81 1.81 1.57 1.57 2.37 2.37 84 Preventive medicine 1.29 4.43 1.00 6.17 1.23 2.93 1.00 5.09 1.57 2.60 2.18 4.89 90 Medical oncology 1.85 1.85 1.50 1.50 1.23 1.23 2.91 2.91 1.57 1.57 2.37 2.37 92 Radiation oncology 2.40 2.40 1.50 1.50 2.36 2.36 2.91 2.91 2.60 2.60 3.26 3.26 93 Emergency medicine 4.30 4.96 6.17 6.17 2.93 4.64 3.25 3.25 3.36 4.82 6.06 6.06 94 Interventional Radiology 2.68 2.68 1.50 1.50 2.36 2.36 4.24 4.24 2.60 2.60 3.26 3.26 98 Gynecologist/oncologist 1.93 6.17 1.50 6.17 1.23 4.64 3.59 9.01 1.33 5.38 2.18 5.48 Start Printed Page 65601Table A-4.—Medicare Specialties and Risk Factor Assignment
Code Medical description Non surgical risk factor Surgical risk factor Notes 01 General practice 1.73 4.43 Rating Manuals used. 02 General surgery 6.14 6.14 Premium data used. 03 Allergy/Immunology 1.05 1.29 Rating Manuals used. 04 Otolaryngology 2.31 4.23 Surg RF from survey, Non-Surg RF from manuals. 05 Anesthesiology 3.28 3.28 Premium data used. 06 Cardiology 1.81 2.73 Surg RF from survey, Non-Surg RF from manuals. 07 Dermatology 1.12 2.41 Rating Manuals used. 08 Family practice 1.73 4.43 Rating Manuals used. 10 Gastroenterology 1.95 2.78 Rating Manuals used. 11 Internal medicine 1.89 2.53 Rating Manuals used. 12 Osteopathic manipulative therapy 2.19 3.75 Cross walked to All Physician Average Risk Factors. 13 Neurology 1.96 2.79 Surg RF from survey, Non-Surg RF from manuals. 14 Neurosurgery 12.64 12.64 Premium data used. 16 Obstetrics/Gynecology 1.89 6.17 Surg RF from manuals, Non-Surg RF from survey. 18 Ophthalmology 1.18 2.37 Surg RF from survey, Non-Surg RF from Manuals. 19 Oral surgery (dentists only) 2.19 3.75 Cross walked to All Physician Average Risk Factors. 20 Orthopedic surgery 8.53 8.53 Premium data used. 22 Pathology 2.07 2.07 Premium data used. 24 Plastic and reconstructive surgery 6.57 6.57 Premium data used. 25 Physical medicine and rehab 1.07 1.07 Rating Manuals used. 26 Psychiatry 1.31 1.49 Surg RF from manuals, Non-Surg RF from survey. 28 Colorectal surgery (formerly proctology) 3.81 3.81 Rating Manuals used. 29 Pulmonary disease 1.94 1.94 Premium data used. 30 Diagnostic radiology 2.60 2.60 Premium data used. 33 Thoracic surgery 8.14 8.14 Premium data used. 34 Urology 3.58 3.58 Premium data used. 35 Chiropractic 1.89 2.53 Cross walked to Internal Medicine Risk Factor. 36 Nuclear medicine 1.38 1.61 Rating Manuals used. 37 Pediatric medicine 1.75 4.92 Rating Manuals used. 38 Geriataric medicine 1.16 2.08 Rating Manuals used. 39 Nephrology 1.57 1.94 Rating Manuals used. 40 Hand surgery 5.75 5.75 Rating Manuals used. 41 Optometrist 2.19 3.75 Cross walked to All Physician Average Risk Factors. 44 Infectious disease 1.57 1.75 Rating Manuals used. 46 Endocrinology 1.57 1.94 Rating Manuals used. 48 Podiatry 2.19 3.75 Cross walked to All Physician Average Risk Factors. 62 Psychologist 1.31 1.49 Cross walked to Psychiatrists' Risk Factors. 65 Physical Therapist 1.07 1.07 Cross walked to Physical Med. & Rehab Risk Factors. 66 Rheumatology 1.68 2.01 Rating Manuals used. 67 Occupational therapist (independently practicing) 1.08 1.08 Rating Manuals used. 68 Clinical psychologist 1.31 1.49 Cross walked to Psychiatrists' Risk Factors. 69 Clinical lab 2.07 2.07 Cross walked to Pathologists' Risk Factors. 70 Multispecialty clinic or group practice 2.19 3.75 Cross walked to All Physician Average Risk Factors. 76 Peripheral vascular disease 2.19 3.75 Cross walked to All Physician Average Risk Factors. 77 Vascular surgery 7.41 7.41 Rating Manuals used. 78 Cardiac surgery 7.93 7.93 Rating Manuals used. 79 Addiction medicine 1.31 1.49 Cross walked to Psychiatrists' Risk Factors. 81 Critical care 2.19 3.75 Cross walked to All Physician Average Risk Factors. 82 Hematology 1.62 1.76 Rating Manuals used. 83 Hematology/oncology 1.62 1.76 Rating Manuals used. 84 Preventive medicine 1.29 4.43 Rating Manuals used. 85 Maxillofacial surgery 6.57 6.57 Cross walked to Plastic Surgeons' Risk Factors. 86 Neuropsychiatry 1.31 1.49 Cross walked to Psychiatrists' Risk Factors. 90 Medical oncology 1.85 1.85 Rating Manuals used. 91 Surgical Oncology 6.14 6.14 Cross walked to General Surgeons' Risk Factors. 92 Radiation oncology 2.40 2.40 Rating Manuals used. 93 Emergency medicine 4.30 4.96 Rating Manuals used. 94 Interventional Radiology 2.68 2.68 Rating Manuals used. 95 Independent physiological lab 2.07 2.07 Cross walked to Pathologists' Risk Factors. 98 Gynecologist/oncologist 1.93 6.17 Rating Manuals used. End Supplemental InformationExhibit A-5.—Cross Walk Assumptions
HCPCS MOD Description Status Cross walk assumption HCPCS MOD Description 11975 Insert contraceptive cap N 11976 Removal of contraceptive cap. 11977 Removal/reinsert contra cap N 11976 Removal of contraceptive cap. 11980 Implant hormone pellet(s) A XXXXX AVG SURGICAL. 13300 Repair of wound or lesion D 13102 Repair wound/lesion add-on. 15580 Attach skin pedicle graft D 15574 Form skin pedicle flap. 15625 Skin graft D 15350 Skin homograft. 15775 Hair transplant punch grafts R 15776 Hair transplant punch grafts. 15850 Removal of sutures B 15851 Removal of sutures. 20979 Us bone stimulation N XXXXX Interventional Radiology. 21077 Prepare face/oral prosthesis A 21076 Prepare face/oral prosthesis. 21083 Prepare face/oral prosthesis A 21076 Prepare face/oral prosthesis. 21127 Augmentation, lower jaw bone A 21125 Augmentation, lower jaw bone. 21155 Reconstruct midface, lefort A 21154 Reconstruct midface, lefort. 21159 Reconstruct midface, lefort A 21154 Reconstruct midface, lefort. 21263 Revise eye sockets A 21260 Revise eye sockets. 24931 Amputate upper arm & implant A 24900 Amputation of upper arm. 25455 Revision of wrist joint A 25450 Revision of wrist joint. 26504 Hand tendon reconstruction A 26500 Hand tendon reconstruction. 26551 Great toe-hand transfer A XXXXX Orthopedic Surgeon. 26554 Double transfer, toe-hand A XXXXX Orthopedic Surgeon. 26556 Toe joint transfer A XXXXX Orthopedic Surgeon. 27734 Repair lower leg epiphyses A 27730 Repair of tibia epiphysis. 32001 Total lung lavage D 32997 Total lung lavage. 33242 Repair pulse generator/leads D 33218 Revise eltrd pacing-defib. 33247 Insert/replace leads D 33216 Revise eltrd pacing-defib. 33506 Repair artery, translocation A 33502 Coronary artery correction. 33688 Repair heart septum defect A 33684 Repair heart septum defect. 33710 Repair of heart defects A 33702 Repair of heart defects. 33771 Repair great vessels defect A 33770 Repair great vessels defect. 33774 Repair great vessels defect A 33770 Repair great vessels defect. 33775 Repair great vessels defect A 33770 Repair great vessels defect. 33776 Repair great vessels defect A 33770 Repair great vessels defect. 33777 Repair great vessels defect A 33770 Repair great vessels defect. 33778 Repair great vessels defect A 33770 Repair great vessels defect. 33781 Repair great vessels defect A 33770 Repair great vessels defect. 33918 Repair pulmonary atresia A 33917 Repair pulmonary atresia. 33968 Remove aortic assist device A 33971 Aortic circulation assist. 36550 Declot vascular device A 36533 Insertion of access device. 42210 Reconstruct cleft palate A 42205 Reconstruct cleft palate. 42227 Lengthening of palate A 42226 Lengthening of palate. 42509 Parotid duct diversion A 42507 Parotid duct diversion. 42835 Removal of adenoids A 42830 Removal of adenoids. 46742 Repair of imperforated anus A 46753 Reconstruction of anus. 46746 Repair of cloacal anomaly A 46744 Repair of cloacal anomaly. 46748 Repair of cloacal anomaly A 46744 Repair of cloacal anomaly. 46751 Repair of anal sphincter A 46753 Reconstruction of anus. 47136 Transplantation of liver R 47130 Partial removal of liver. 49611 Repair umbilical lesion A 49610 Repair umbilical lesion. 50526 Repair renal-abdomen fistula A 50525 Repair renal-abdomen fistula. 54316 Reconstruction of urethra A 54322 Reconstruction of urethra. 54901 Fusion of spermatic ducts A 54900 Fusion of spermatic ducts. 56300 Laparoscopy; diagnostic D 49320 Diag laparo separate proc. 56301 Laparoscopy; tubal cautery D 58670 Laparoscopy, tubal cautery. 56302 Laparoscopy; tubal block D 58671 Laparoscopy, tubal block. 56303 Laparoscopy; excise lesions D 58662 Laparoscopy, excise lesions. 56304 Laparoscopy; lysis D 58660 Laparoscopy, lysis. 56305 Laparoscopy; biopsy D 49321 Laparoscopy, biopsy. 56306 Laparoscopy; aspiration D 49322 Laparoscopy, aspiration. 56307 Laparoscopy; remove adnexa D 58661 Laparoscopy, remove adnexa. 56308 Laparoscopy; hysterectomy D 58550 Laparo-asst vag hysterectomy. 56309 Laparoscopy; remove myoma D 58551 Laparoscopy, remove myoma. 56310 Laparoscopic enterolysis D 44200 Laparoscopy, enterolysis. 56311 Laparoscopic lymph node biop D 38570 Laparoscopy, lymph node biop. 56312 Laparoscopic lymphadenectomy D 38571 Laparoscopy, lymphadenectomy. 56313 Laparoscopic lymphadenectomy D 38572 Laparoscopy, lymphadenectomy. 56314 Lapar; drain lymphocele D 49323 Laparo drain lymphocele. 56315 Laparoscopic appendectomy D 44970 Laparoscopy, appendectomy. 56316 Laparoscopic hernia repair D 49650 Laparo hernia repair initial. 56317 Laparoscopic hernia repair D 49651 Laparo hernia repair recur. 56318 Laparoscopic orchiectomy D 54690 Laparoscopy, surgical; orchiectomy. Start Printed Page 65602 56320 Laparoscopy, spermatic veins D 55550 Laparo ligate spermatic vein. 56322 Laparoscopy, vagus nerves D 43651 Laparoscopy, vagus nerve. 56323 Laparoscopy, vagus nerves D 43652 Laparoscopy, vagus nerve. 56324 Laparoscopy, cholecystoenter D 47570 Laparo cholecystoenterostomy. 56340 Laparoscopic cholecystectomy D 47562 Laparoscopic cholecystectomy. 56341 Laparoscopic cholecystectomy D 47563 Laparo cholecystectomy/graph. 56342 Laparoscopic cholecystectomy D 47564 Laparo cholecystectomy/explr. 56343 Laparoscopic salpingostomy D 58673 Laparoscopy, salpingostomy. 56344 Laparoscopic fimbrioplasty D 58672 Laparoscopy, fimbrioplasty. 56346 Laparoscopic gastrostomy D 43653 Laparoscopy, gastrostomy. 56348 Laparo; resect intestine D 44202 Laparo, resect intestine. 56349 Laparoscopy; fundoplasty D 43280 Laparoscopy, fundoplasty. 56350 Hysteroscopy; diagnostic D 58555 Hysteroscopy, dx, sep proc. 56351 Hysteroscopy; biopsy D 58558 Hysteroscopy, biopsy. 56352 Hysteroscopy; lysis D 58559 Hysteroscopy, lysis. 56353 Hysteroscopy; resect septum D 58560 Hysteroscopy, resect septum. 56354 Hysteroscopy; remove myoma D 58561 Hysteroscopy, remove myoma. 56355 Hysteroscopy; remove impact D 58562 Hysteroscopy, remove fb. 56356 Hysteroscopy; ablation D 58563 Hysteroscopy, ablation. 56362 Laparoscopy w/cholangio D 47560 Laparoscopy w/cholangio. 56363 Laparoscopy w/biopsy D 47561 Laparo w/cholangio/biopsy. 58300 Insert intrauterine device N 58301 Remove intrauterine device. 58970 Retrieval of oocyte A XXXXX Gynecologist. 58976 Transfer of embryo A XXXXX Gynecologist. 61544 Remove & treat brain lesion A 61533 Implant brain electrodes. 61609 Transect artery, sinus A XXXXX Neurosurgeon. 61611 Transect artery, sinus A XXXXX Neurosurgeon. 61855 Implant neuroelectrodes D 61862 Implant neurostimul, subcort. 61865 Implant neuroelectrodes D 61862 Implant neurostimul, subcort. 61885 Implant neurostim one array A XXXXX Neurosurgeon. 62115 Reduction of skull defect A XXXXX Neurosurgeon. 62274 Inject spinal anesthetic D 62310 Inject spine c/t. 62275 Inject spinal anesthetic D 62310 Inject spine c/t. 62276 Inject spinal anesthetic D 62318 Inject spine w/cath, c/t. 62277 Inject spinal anesthetic D 62318 Inject spine w/cath, c/t. 62278 Inject spinal anesthetic D 62311 Inject spine l/s (cd). 62279 Inject spinal anesthetic D 62319 Inject spine w/cath l/s (cd). 62288 Injection into spinal canal D 62310 Inject spine c/t. 62289 Injection into spinal canal D 62311 Inject spine l/s (cd). 62298 Injection into spinal canal D 62310 Inject spine c/t. 63196 Incise spinal column & cord A 63197 Incise spinal column & cord. 63198 Incise spinal column & cord A 63197 Incise spinal column & cord. 63199 Incise spinal column & cord A 63197 Incise spinal column & cord. 64440 Injection for nerve block D 64479 Inj foramen epidural c/t. 64441 Injection for nerve block D 64480 Inj foramen epidural add-on. 64442 Injection for nerve block D 64475 Inj paravertebral l/s. 64443 Inject, nerve block add-on D 64476 Inj paravertebral l/s add-on. 64862 Repair of low back nerves A 64861 Repair of arm nerves. 64870 Fusion of facial/other nerve A 64866 Fusion of facial/other nerve. 64876 Repair nerve/shorten bone A 64874 Repair & revise nerve add-on. 77419 Weekly radiation therapy D 77427 Radiation tx management, x5. 77420 Weekly radiation therapy D 77427 Radiation tx management, x5. 77425 Weekly radiation therapy D 77427 Radiation tx management, x5. 77430 Weekly radiation therapy D 77427 Radiation tx management, x5. 78351 Bone mineral, dual photon N 78350 Bone mineral, single photon. 89136 Sample stomach contents A 89135 Sample stomach contents. 90875 Psychophysiological therapy N XXXXX PSYCHIATRY. 90876 Psychophysiological therapy N XXXXX PSYCHIATRY. 90885 Psy evaluation of records B XXXXX PSYCHIATRY. 90887 Consultation with family B XXXXX PSYCHIATRY. 92015 Refraction N XXXXX OPTHALMOLOGY. 92352 Special spectacles fitting B XXXXX OPTOMETRIST. 92353 Special spectacles fitting B XXXXX OPTOMETRIST. 92354 Special spectacles fitting B XXXXX OPTOMETRIST. 92355 Special spectacles fitting B XXXXX OPTOMETRIST. 92358 Eye prosthesis service B XXXXX OPTHALMOLOGY. 92371 Repair & adjust spectacles B XXXXX OPTOMETRIST. 92392 Supply of low vision aids I XXXXX OPTOMETRIST. 92393 Supply of artificial eye I XXXXX OPTHALMOLOGY. 92395 Supply of spectacles I XXXXX OPTOMETRIST. Start Printed Page 65603 92396 Supply of contact lenses I XXXXX OPTOMETRIST. 96570 Photodynamic tx, 30 min A XXXXX SURGICAL ONCOLOGY. 96571 Photodynamic tx, addl 15 min A XXXXX SURGICAL ONCOLOGY. 96902 Trichogram B XXXXX DERMATOLOGY. 97010 Hot or cold packs therapy B XXXXX PHYSICAL MEDICINE. 98943 Chiropractic manipulation N 98942 Chiropractic manipulation. 99141 Sedation, iv/im or inhalant B XXXXX ANESTHESIOLOGIST. 99142 Sedation, oral/rectal/nasal B XXXXX ANESTHESIOLOGIST. 99170 Anogenital exam, child A XXXXX AVG NON SURGICAL. 99374 Home health care supervision B 99375 Home health care supervision. 99377 Hospice care supervision B 99378 Hospice care supervision. 99379 Nursing fac care supervision B 99313 Nursing fac care, subseq. 99380 Nursing fac care supervision B 99313 Nursing fac care, subseq. 99381 Prev visit, new, infant N XXXXX PEDIATRICIAN. 99382 Prev visit, new, age 1-4 N XXXXX PEDIATRICIAN. 99383 Prev visit, new, age 5-11 N XXXXX PEDIATRICIAN. 99384 Prev visit, new, age 12-17 N XXXXX FAMILY PRACTITIONER. 99385 Prev visit, new, age 18-39 N XXXXX FAMILY PRACTITIONER. 99386 Prev visit, new, age 40-64 N XXXXX FAMILY PRACTITIONER. 99387 Prev visit, new, 65 & over N XXXXX FAMILY PRACTITIONER. 99391 Prev visit, est, infant N XXXXX PEDIATRICIAN. 99392 Prev visit, est, age 1-4 N XXXXX PEDIATRICIAN. 99393 Prev visit, est, age 5-11 N XXXXX PEDIATRICIAN. 99394 Prev visit, est, age 12-17 N XXXXX FAMILY PRACTITIONER. 99395 Prev visit, est, age 18-39 N XXXXX FAMILY PRACTITIONER. 99396 Prev visit, est, age 40-64 N XXXXX FAMILY PRACTITIONER. 99397 Prev visit, est, 65 & over N XXXXX FAMILY PRACTITIONER. 99401 Preventive counseling, indiv N XXXXX PSYCHIATRIST. 99402 Preventive counseling, indiv N XXXXX PSYCHIATRIST. 99403 Preventive counseling, indiv N XXXXX PSYCHIATRIST. 99404 Preventive counseling, indiv N XXXXX PSYCHIATRIST. 99411 Preventive counseling, group N XXXXX PSYCHIATRIST. 99412 Preventive counseling, group N XXXXX PSYCHIATRIST. G0102 Prostate ca screening; dre A XXXXX UROLOGIST. G0114 Nett; psychosocial consult R XXXXX PSYCHIATRIST. G0121 Colon ca scrn not hi rsk ind N XXXXX AVG NON SURGICAL. G0128 CORF skilled nursing service R XXXXX NURSE PRACTITIONER. G0166 Extrnl counterpulse, per tx A XXXXX NURSE PRACTITIONER. G0167 Hyperbaric oz tx;no md reqrd A XXXXX NURSE PRACTITIONER. G0168 Wound closure by adhesive A XXXXX NURSE PRACTITIONER. G0169 Removal tissue; no anesthsia A XXXXX AVG SURGICAL. G0170 Skin biograft A 15350 Skin homograft. G0171 Skin biograft add-on A 15350 Skin homograft. Q0068 Extracorpeal plasmapheresis D XXXXX AVG NON SURGICAL. [FR Doc. 00-27833 Filed 10-31-00; 8:45 am]
BILLING CODE 4210-01-P
Document Information
- Published:
- 11/01/2000
- Department:
- Health Care Finance Administration
- Entry Type:
- Rule
- Action:
- Final rule with comment period.
- Document Number:
- 00-27833
- Pages:
- 65375-65603 (229 pages)
- Docket Numbers:
- HCFA-1120-FC
- RINs:
- 0938-AK11
- Topics:
- Administrative practice and procedure, Health facilities, Health professions, Kidney diseases, Laboratories, Medicare, Reporting and recordkeeping requirements, Rural areas, X-rays
- PDF File:
- 00-27833.pdf
- CFR: (2)
- 42 CFR 410.68
- 42 CFR 414.22