[Federal Register Volume 59, Number 235 (Thursday, December 8, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-29916]
[[Page Unknown]]
[Federal Register: December 8, 1994]
_______________________________________________________________________
Part II
Department of Health and Human Services
_______________________________________________________________________
Health Care Financing Administration
_______________________________________________________________________
42 CFR Parts 410 and 414
Medicare Program; Physician Fee Schedule for Calendar Year 1995;
Payment Policies and Relative Value Unit Adjustments; Final Rule
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
42 CFR Parts 410 and 414
[BPD-789-FC]
RIN 0938-AG52
Medicare Program; Refinements to Geographic Adjustment Factor
Values, Revisions to Payment Policies, Adjustments to the Relative
Value Units (RVUs) Under the Physician Fee Schedule for Calendar Year
1995, and the 5-Year Refinement of RVUs
AGENCY: Health Care Financing Administration (HCFA), HHS.
ACTION: Final rule with comment period.
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SUMMARY: This final rule revises the geographic adjustment factor
values and fee schedule payment areas, various payment policies for
specific physician services, the relative value units (RVUs) for
certain existing procedure codes, and establishes interim RVUs for new
and revised procedure codes. It implements section 13518 of the Omnibus
Budget Reconciliation Act of 1993 that requires payment for antigens
under the physician fee schedule. This final rule also discusses the
process for periodic review and adjustment of RVUs not less frequently
than every 5 years as required by section 1848(c)(2)(B)(i) of the
Social Security Act.
DATES: Effective Date: January 1, 1995.
The revisions to the geographic adjustment factor values, other
payment policies, and RVUs apply to physician services furnished
beginning January 1, 1995.
Comment Date: We will accept comments on interim RVUs for new or
revised procedure codes identified in Addendum C and on all RVUs
considered under the 5-year refinement process. Comments will be
considered if we receive them at the appropriate addresses, as provided
below, no later than 5 p.m., February 6, 1995.
ADDRESSES: Mail written comments related to the 5-year refinement
process (1 original and 3 copies) to the following address: Health Care
Financing Administration, Department of Health and Human Services,
Attention: BPD-789-FC (5-Year Refinement), P.O. Box 26688, Baltimore,
MD 21207.
Mail written comments related to interim RVUs for new and revised
procedure codes (1 original and 3 copies) to the following address:
Health Care Financing Administration, Department of Health and Human
Services, Attention: BPD-789-FC (Interim RVUs), P.O. Box 7519,
Baltimore, MD 21207-0519.
If you prefer, you may deliver your written comments to one of the
following addresses: Room 309-G, Hubert H. Humphrey Building, 200
Independence Avenue, SW., Washington, DC 20201, or Room 132, East High
Rise Building, 6325 Security Boulevard, Baltimore, MD 21207.
Because of staffing and resource limitations, we cannot accept
comments by facsimile (FAX) transmission. In commenting, please refer
to file code BPD-789-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 309-G of
the Department's offices at 200 Independence Avenue, SW., Washington,
DC, on Monday through Friday of each week from 8:30 a.m. to 5 p.m.
(phone: (202) 690-7890).
Copies: To order copies of the Federal Register containing this
document, send your request to: New Orders, Superintendent of
Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify stock
number GPO stock #069-001-000-81-5 and enclose a check or money order
payable to the Superintendent of Documents, or enclose your Visa or
Master Card number and expiration date. Credit card orders can also be
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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.
Copies of the source files for this document can also be purchased
on high density 3.5 inch personal computer diskettes for $20. Send your
request to: Superintendent of Documents, Attention: Electronic
Products, P.O. Box 37082, Washington, DC 20013-7082. Enclose a check or
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Visa or Master Card number and expiration date. Credit card orders for
the diskettes can also be placed by calling (202) 512-1530 or by faxing
to (202) 512-1262. The file format on the diskettes is comma delimited
ASCII.
FOR FURTHER INFORMATION CONTACT: For further information concerning
revisions to payment policies and the adjustments to the relative value
units contact Elizabeth Holland, (410) 966-1309. For issues related to
refinements to the geographic adjustment factor values and changes to
the geographic practice cost indices and payment areas, contact Bob
Ulikowski, (410) 966-5721.
SUPPLEMENTARY INFORMATION: The information in this final rule with
comment period updates information in the following Federal Register
documents:
June 5, 1991, proposed rule entitled ``Fee Schedule for
Physicians' Services'' (56 FR 25792).
November 25, 1991, final rule entitled ``Fee Schedule for
Physicians' Services'' (56 FR 59502).
September 15, 1992, correction notice for the 1992 fee
schedule (57 FR 42491).
November 25, 1992, final notice with comment period
entitled ``Fee Schedule for Physicians' Services for CY 1993'' (57 FR
55914).
June 7, 1993, correction notice for the 1993 fee schedule
(58 FR 31964).
July 14, 1993, proposed rule entitled ``Revisions to
Payment Policies Under the Physician Fee Schedule'' (58 FR 37994).
December 2, 1993, final rule with comment entitled
``Revisions to Payment Policies and Adjustments to the Relative Value
Units under the Physician Fee Schedule for Calendar Year 1994'' (58 FR
63626). (There were two correction notices published for the 1994
physician fee schedule (July 15, 1994, 59 FR 36069) and (August 4,
1994, 59 FR 39828).)
June 24, 1994, proposed rule entitled ``Refinements to
Geographic Adjustment Factor Values and Other Policies Under the
Physician Fee Schedule'' (58 FR 32754).
July 15, 1994, correction notice for the 1993 fee schedule
(57 FR 36069).
August 4, 1994, correction notice for the 1993 fee
schedule (57 FR 39828).
In this final rule, we provide background on the statutory
authority for and development of the physician fee schedule. We also
explain in detail the process by which certain interim work relative
value units (RVUs) are reviewed and, in some cases, revised. In
addition, we explain the 5-year refinement process for RVUs required by
section 1848(c)(2)(B)(i) of the Act as added by section 6102 of the
Omnibus Budget Reconciliation Act of 1989 (OBRA '89), Public Law 101-
237.
Section 1848(c)(2)(B) of the Act provides that adjustments in RVUs
resulting from an annual review of those RVUs may not cause total fee
schedule payments to differ by more than $20 million from what they
would have been had the adjustments not been made. Thus, the statute
allows a $20 million tolerance for increasing or reducing total
expenditures under the physician fee schedule. We have determined that
net increases because of changes in RVUs for codes reviewed as part of
a refinement process, the addition of new codes to the fee schedule,
and the revisions in payment policies would have added to projected
expenditures in calendar year (CY) 1995 by approximately $385 million
($35 million of which result from the addition of new procedure codes
or refinements of existing procedure codes). Therefore, it is necessary
to adjust the RVUs for all services paid under the physician fee
schedule. We have made those adjustments in such a manner as to achieve
budget neutrality as we were best able to estimate. As a result, the
total projected expenditures from the revised fee schedule are
estimated to be the same as they would have been had we not changed the
RVUs for any individual codes or added new codes to the fee schedule.
We have adjusted all RVUs by a uniform adjustment factor of 0.989,
which results in a uniform reduction of 1.1 percent to the RVUs for all
services.
The conversion factor (CF) is a national value that converts RVUs
into payment amounts. There are three separate CFs: one for surgical
services, one for primary care services, and one for nonsurgical
services other than primary care. The CFs are updated annually.
Anesthesia services are paid differently from other physicians'
services under the fee schedule. Payment for anesthesia services is
based on base unit RVUs that are assigned to each service and on time
units that can vary by procedure. The base and time units are
multiplied by an anesthesia-specific CF, not the CFs used for surgical,
nonsurgical, or primary care services.
This final rule also contains revisions to the geographic
adjustment factor (GAF) values as required in section 1848(e)(1)(c) of
the Act.
Addenda to this rule provide the following information:
Addendum A--Explanation and Use of Addenda B through G
Addendum B--1995 Relative Value Units (RVUs) and Related Information
Used in Determining Medicare Payments for 1995
Addendum C--Codes with Interim RVUs
Addendum D--1995 Geographic Practice Cost Indices by Medicare Carrier
and Locality
Addendum E--1996 Geographic Practice Cost Indices by Medicare Carrier
and Locality
Addendum F--Procedure Codes Subject to the Site-of-Service Differential
Addendum G--Reference Set with 1995 Work RVUs
The RVUs and revisions to payment policies in this final rule apply
to physicians' services furnished on or after January 1, 1995.
For those codes identified in Addendum C of this final rule as new
or revised codes, the RVUs and update indicators are considered to be
interim as they have not been published before this final rule.
Therefore, we will accept comments on these interim RVUs and update
indicators if they are received no later than 5 p.m. February 6, 1995.
The RVUs for the remaining codes are final. However, as we discuss in
section VI, we are accepting comments on RVUs as part of the 5-year
refinement process.
To assist readers in referencing sections contained in this
proposed rule, we are providing the following table of contents:
Table of Contents
I. Background
A. Legislative History
B. Related Federal Register Publications
C. Components of the Fee Schedule Payment Amounts
D. Summary of the Development of the RVUs
1. Work RVUs
2. Practice Expense and Malpractice Expense RVUs
II. Specific Proposals for Calendar Year 1995 and Responses to Public
Comments
A. GPCI Changes
B. Payment Area (Locality) Change
C. Work RVUs--Refinement of Proposed RVUs (Includes Table 1--
Refinement of Proposed RVUs)
D. Separate Payment for Physician Care Plan Oversight Services
E. Payment for Multiple Surgical Procedures
F. Application of Site-of-Service Payment Differential
G. Bundled Services
1. Generation and Interpretation of Automated Data (CPT Codes
78890 and 78891)
2. Noninvasive Ear or Pulse Oximetry (CPT Code 94760)
H. RVUs for Doppler Echocardiography (CPT Code 93325)
I. Nuclear Medicine
J. End-Stage Renal Disease (ESRD)
1. Hospital Inpatient Dialysis on the Same Date as an Evaluation
and Management Service
2. Payment for Outpatient ESRD-Related Services under the
Physician Fee Schedule
K. Therapeutic Apheresis
III. OBRA '93 Provision--Payment for Antigens (Allergen Immunotherapy)
IV. Provisions of this Final Rule
V. Refinement of RVUs for CY 1995 and Responses to Public Comments on
Interim RVUs for 1994
A. Summary of Issues Discussed Related to the Adjustment of RVUs
B. Process for Establishing Work RVUs for the 1995 Fee Schedule
1. Work RVU Refinements of Interim RVUs
a. Methodology (Includes Table 2--Work RVU Refinements of
Interim and Related RVUs)
b. Discussion of Codes Not Reviewed by Panel (Includes Table 3--
Prolonged Services)
2. Establishment of Interim Work RVUs for New and Revised Codes
for 1995
a. Methodology (Includes Table 4--American Medical Association
(AMA) Relative Value Update Committee (RUC) Recommendations and
HCFA's Decisions
b. Discussion of Codes for Which the RUC Recommendations Were
Not Accepted (Includes Table 5--Preventive Medicine)
C. Adjustments to All RVUs Due to Limitation on Annual Expenditures
D. Summary of Changes for the 1995 Fee Schedule (Includes Table 6--
Anesthesia Codes and Imputed RVUs)
VI. Five-year Refinement of RVUs
A. Proposed Process for Refinement of Work RVUs
B. Scope of the 5-year Refinement
C. Nature and Format of Comments on Work RVUs
D. Including Anesthesia Services Under the 5-year Refinement
(Includes Table 6--Anesthesia Codes and Imputed RVUs)
VII. Collection of Information Requirements
VIII. Response to Comments
IX. Regulatory Impact Analysis
A. Introduction
B. Effects of Implementing Specific Proposals for CY 1995
1. GPCI Changes
2. Payment Area (Locality) Change
3. Separate Payment for Physician Care Plan Oversight Services
4. Payment for Multiple Surgical Procedures
5. Application of Site-of-Service Payment Differential
6. Bundled Services
7. RVUs for Doppler Echocardiography (CPT Code 93325)
8. Nuclear Medicine
9. End-Stage Renal Disease (ESRD)
a. Hospital Inpatient Dialysis on the Same Date as an Evaluation
and Management Service
b. Payment for Outpatient ESRD-Related Services Under the
Physician Fee Schedule
10. Therapeutic Apheresis
C. OBRA '93 Provision--Payment for Antigens (Allergen Immunotherapy)
D. Refinement of RVUs for CY 1995
E. Rural Hospital Impact Statement
Text of Final Regulations
Addenda
Addendum A--Explanation and Use of Addenda B through G
Addendum B--1995 Relative Value Units (RVUs) and Related Information
Used in Determining Medicare Payments for 1995
Addendum C--Codes with Interim RVUs
Addendum D--1995 Geographic Practice Cost Indices by Medicare
Carrier and Locality
Addendum E--1996 Geographic Practice Cost Indices by Medicare
Carrier and Locality
Addendum F--Procedure Codes Subject to the Site-of-Service
Differential
Addendum G--Reference Set with 1995 Work RVUs.
In addition, because of the many organizations and terms to which
we refer by acronym in this final rule, we are listing those acronyms
and their corresponding terms in alphabetical order below:
AAFP--American Academy of Family Practice
ACC--American College of Cardiology
ACR--American College of Radiology
AMA--American Medical Association
ARM--Alternate reimbursement method
ASC--Ambulatory surgical center
ASIM--American Society of Internal Medicine
BOMA--Building Owners and Managers Association
CF--Conversion factor
CFR--Code of Federal Regulations
CMD--[Medicare] Carrier medical director
CPT--[Physicians'] Current Procedural Terminology [4th Edition,
1994, copyrighted by the American Medical Association]
CY--Calendar year
EEG--Encephalogram
ESRD--End-stage renal disease
FY--Fiscal year
GAF--Geographic adjustment factor
GPCI--Geographic practice cost index
GRT--Gross receipts tax
GSA--General Services Administration
HCFA--Health Care Financing Administration
HCPAC--Health Care Professional Advisory Council
HCPCS--HCFA Common Procedure Coding System
HHA--Home health agency
HHS--[Department of] Health and Human Services
HUD--[Department of] Housing and Urban Development
ICU--Intensive care unit
JCAI--Joint Council of Allergy and Immunology
MCP--Monthly capitation payment
MEI--Medicare Economic Index
MRI--Magnetic resonance imaging
MVPS--Medicare volume performance standards
NAMCS--National Ambulatory Medical Care Survey
NF--Nursing facility
OBRA--Omnibus Budget Reconciliation Act
PC--Professional component
PT--Physical therapist
RFA--Regulatory Flexibility Act
RPA--Renal Physicians Association
RUC--[AMA Specialty Society] Relative [Value] Update Committee
RVU--Relative value unit
SMI--Supplementary medical insurance
SNF--Skilled nursing facility
TC--Technical component
USPS--United States Postal Service
I. Background
A. Legislative History
The Medicare program was established in 1965 by the addition of
title XVIII to the Social Security Act (the Act). Until January 1,
1992, Medicare paid for physicians' services based on a reasonable
charge system. This system led to payment variations among types of
services, physician specialties, and geographic areas. Thus, the
Congress included a physician payment reform provision in OBRA '89,
Public Law 101-239, enacted on December 19, 1989. Section 6102 of OBRA
'89 amended title XVIII of the Act by adding a new section 1848,
``Payment for Physicians' Services.'' This section contains three major
elements: (1) A fee schedule for the payment of physicians' services;
(2) a Medicare volume performance standard (MVPS) 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 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. The Omnibus Budget Reconciliation Acts of 1990 (OBRA '90)
and 1993 (OBRA '93), Public Laws 101-508 and 103-66, enacted on
November 5, 1990 and August 10, 1993, respectively, contained several
modifications and clarifications to the OBRA '89 provisions that
established the physician fee schedule.
Section 1848(e)(1)(C) of the Act requires us to review and, if
necessary, adjust the geographic practice cost indices (GPCIs) at least
every 3 years. This section also requires us to phase in the adjustment
over 2 years and implement only one-half of any adjustment if more than
1 year has elapsed since the last GPCI revision. The GPCIs were first
implemented in 1992 and have not been reviewed since that time. Thus,
we are required to complete the first GPCI review and implement only
one-half of any adjustment by 1995 and one-half in 1996.
The Act requires that payments vary among fee schedule areas
according to geographic indices. In general, the fee schedule areas
that existed under the prior reasonable charge system were retained
under the fee schedule. A detailed discussion of fee schedule areas can
be found in the June 5, 1991 proposed rule (56 FR 25832) and in the
November 25, 1991 final rule (56 FR 59514). We are required by section
1848(e)(1)(A) of the Act to develop separate indices to measure
relative cost differences among fee schedule areas compared to the
national average for each of the three fee schedule components. While
requiring that the practice expense GPCIs and malpractice GPCIs reflect
the full relative cost differences, the Act requires that the work
indices reflect only one-quarter of the relative cost differences
compared to the national average.
B. Related Federal Register Publications
We published a final rule on November 25, 1991 (56 FR 59502) to
implement section 1848 of the Act by establishing a fee schedule for
physicians' services furnished on or after January 1, 1992. (The fee
schedule regulations were originally set forth at 42 CFR, part 415 and
later moved to 42 CFR, part 414 as described in the September 1992
correction notice (57 FR 42491).) In the November 1991 final rule (56
FR 59511), we stated our intention to update RVUs for new and revised
codes in the American Medical Association's (AMA) Physicians' Current
Procedural Terminology (CPT) through an ``interim RVU'' process every
year. Our first update to the RVUs was published on November 25, 1992,
as a final notice with a 60-day comment period on new and revised RVUs
only (57 FR 55914).
On July 14, 1993, we published a proposed rule (58 FR 37994) to
announce our plans to establish physician work RVUs for new and revised
codes and to revise payment policies for specific physician services
and supplies. On December 2, 1993, we published a final rule (58 FR
63626) announcing revised payment policies and RVUs for 1994. (We
solicited comments on new and revised RVUs.)
On June 24, 1994, we published a proposed rule (59 FR 32754) to
announce our intention to revise the GAF values, fee schedule payment
areas, payment policies for specific physician services, and the MVPS
calculation. We also proposed RVUs for certain physician services.
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 for under the physician fee
schedule is the product of three factors: (1) A nationally uniform
relative value; (2) a GAF for each physician fee schedule area; and (3)
nationally uniform CFs for surgical and nonsurgical services. (There is
a separate CF for anesthesia services.) (Beginning with the CY 1994
update, section 13511 of OBRA '93 requires us to establish a separate
CF for primary care services.) This general formula can be expressed
as:
Payments=RVUts x GAFtsa x CF
where
RVUt=Total relative value units for the service
GAFt=Total geographic adjustment factor for the fee schedule area
CF=Uniform national CF
s=Service
a=Fee schedule area
The RVUs for each service reflect the relative resources involved
in furnishing the three components of a physician's service: (1) Work;
(2) practice expenses or overhead exclusive of malpractice liability
insurance costs; and (3) professional liability insurance or
malpractice costs.
Section 1848(e) of the Act requires the Secretary 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 costs of practice expenses, malpractice insurance, and
physician work in an area compared to the national average. In
accordance with the law, however, the GAF for the physician's work
reflects one-quarter of the relative cost of physician's work compared
to the national average.
The CFs are national values that convert RVUs into payment amounts.
We also established a separate CF for anesthesia services. For the
first year of the fee schedule, the law required a base-year CF that
was budget-neutral relative to 1991 estimated expenditures. The
Secretary is required to recommend to the Congress updates to the CFs
by April 15 of each year as part of the MVPS and annual fee schedule
update process. The Congress may choose to enact the Secretary's
recommendation, enact another update amount, or not act at all. If the
Congress does not act, the annual fee schedule update is set according
to a ``default'' mechanism in the law. Under this mechanism, the update
will equal the Medicare Economic Index (MEI) adjusted by the amount
actual expenditures for the second previous fiscal year (FY) were
greater or less than the performance standard rate of increase for that
FY. (The MEI is a physician input price index, in which the annual
percent changes for the direct-labor price component are adjusted by an
annual percent change in a 10-year moving average index of labor
productivity in the nonfarm business sector.) The MVPS for FY 1995 and
the physician fee schedule update for CY 95 are published elsewhere in
this Federal Register issue as a final notice (BPD-807-FN).
D. Summary of the Development of the RVUs
1. Work RVUs
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. The original work RVUs
for most codes were developed by a research team at the Harvard School
of Public Health 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 are 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 are
based on RVUs from a uniform relative value guide. We established a
separate CF for anesthesia services because we continue to recognize
time as a factor in determining payment for these services.
Proposed RVUs for services were published in a proposed rule in the
Federal Register on June 5, 1991 (56 FR 25792). We responded to the
comments in the November 1991 final rule. Since many of the RVUs were
published for the first time in the final rule, we considered the RVUs
to be interim during the first year of the fee schedule and gave the
public 120 days to comment on all work RVUs. In response to the final
rule, we received comments on approximately 1,000 services. We
responded to those comments and listed the new RVUs in the November
1992 notice for the 1993 fee schedule for physicians' services. We
considered these RVUs to be final and did not request comments on them.
The November 1992 notice (57 FR 55914) also discussed the process
used to establish work RVUs for codes that were new or revised in 1993.
The RVUs for these codes, which were listed in Addendum C of the
November 1992 notice, were considered interim in 1993 and open to
comment through January 26, 1993.
We responded to comments received on RVUs listed in Addendum C of
the November 1992 notice (57 FR 56152) in the December 1993 final rule
(58 FR 63647) for the 1994 physician fee schedule. The December 1993
final rule discussed the process used to establish RVUs for codes that
were new or revised in 1994. The RVUs for these codes, which are listed
in Addendum C of the December 1993 final rule (58 FR 63842), were
considered interim in 1994 and open to comment through January 31,
1994. We proposed RVUs for some non-Medicare and carrier-priced codes
in our June 1994 proposed rule (59 FR 32760). Codes listed in Table 1
of the June 1994 proposed rule were open to comment.
2. Practice Expense and Malpractice Expense RVUs
Section 1848(c)(2)(C) of the Act requires that the practice expense
and malpractice expense RVUs equal the product of the base allowed
charges and the practice expense and malpractice percentages for the
service. Base allowed charges are defined as the national average
allowed charges for the service furnished during 1991, as estimated
using the most recent data available. For most services, we used 1989
charge data ``aged'' to reflect the 1991 payment rules, since those
were the most recent data available for the 1992 fee schedule.
If charge data were unavailable or insufficient, we imputed the
practice expense and malpractice expense RVUs from the work RVUs. For
example, if a procedure has work RVUs of 6.00, and the specialty
practice cost percentages for the specialty furnishing the service is
60 percent work, 30 percent practice expense, and 10 percent
malpractice expense, then the total RVUs would be 10.00 (6.00/.60), the
practice expense RVUs would be 3.00 (10 x .30), and the malpractice
expense RVUs would be 1.00 (10 x .10).
II. Specific Proposals for Calendar Year 1995 and Responses to Public
Comments
In response to the publication of the June 24, 1994 proposed rule,
we received approximately 3,400 comments. We received comments from
individual physicians and health care workers and professional
associations and societies. The majority of the comments addressed two
proposals: (1) To allow separate payment for physician care plan
oversight; and (2) to convert Iowa to a statewide payment area
effective January 1, 1995.
The proposed rule discussed policies that affect the number of RVUs
on which payment for certain services would be based. Any changes
implemented through this final rule are subject to the $20 million
limitation on annual adjustments as required by section 1848(c)(2)(B)
of the Act.
After reviewing the comments and determining the policies we will
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 1995, including RVU changes
necessitated by the 1995 CPT coding changes. We discuss in detail the
effects of these changes in the Regulatory Impact Analysis (section
IX).
In the June 1994 proposed rule (58 FR 32754), we invited public
comments on a proposal to include clinical diagnostic laboratory
services performed in hospital outpatient settings in the MVPS category
of nonsurgical services beginning in FY 1996. We are responding to the
comments we received on this issue in the final notice entitled
``Physician Fee Schedule Update For Calendar Year 1995 and Physician
Performance Standard Rates of Increase for Federal Fiscal Year 1995''
(BPD-807-FN) published elsewhere in this Federal Register issue.
For the convenience of the reader, the headings for the policy
issues in sections II and III, for the most part, correspond to the
headings used in the June 1994 proposed rule. More detailed background
information for each issue can be found in the June 1994 proposed rule
(59 FR 32754).
A. GPCI Changes
As stated earlier, 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 review is required by 1995. The law also requires that
only one-half of any revision be implemented in the first year if more
than 1 year has elapsed since the last GPCI revision. The proposed
fully revised 1996 GPCIs were published at Addendum B in the June 1994
proposed rule (59 FR 32779). The proposed 1995 GPCIs, representing one-
half of the effects of the revision, were published at Addendum C in
the June 1994 proposed rule (59 FR 32783). The final revised GPCIs for
1995 and 1996 can be found at Addenda D and E respectively, of this
final rule. Except for Iowa, which was converted from seven payment
areas to a single statewide locality and now has statewide GPCIs (see
discussion of locality changes later in this final rule), the GPCIs are
unchanged from those listed in the proposed rule.
We based the GPCIs on proxy data selected to best measure the area
differences in a ``market basket'' of goods consisting of the resources
required to operate a private medical practice. A reevaluation of the
proxies used and a search for alternative data sources led us to
conclude that the original proxies are still the best available data
sources. While there were some very minor refinements made in the
methodology, the GPCI revisions primarily consist of using the same
proxies but much more recent and comprehensive data. The wage proxy
data for physician work and employee wages are from 1990 census data,
rather than from 1980 census data as in the current GPCIs. The
Department of Housing and Urban Development (HUD) rental proxy data are
from 1994 fair market rental data rather than from 1987 fair market
rental data. The actual malpractice insurance premium data are from
1990 through 1992 premium data rather than from 1985 and 1986 premium
data and are for 20 rather than 3 physician specialties. Studies
available from the National Technical Information Service containing
detailed descriptions of the methodology, technical aspects, and data
underlying the GPCIs are listed in the June 1994 proposed rule (59 FR
32756 and 32758).
We mentioned in the proposed rule that we were analyzing commercial
rent data to assess their suitability for use in constructing the
rental indices. We have completed our analysis of commercial rent data
from the Building Owners and Managers Association (BOMA), the General
Services Administration (GSA), and the United States Postal Service
(USPS). We did not use the BOMA and GSA data because of poor geographic
coverage, especially outside of large metropolitan areas. That is, data
were not widely and consistently available for all Medicare fee
schedule areas. The USPS data have much better geographic coverage, but
sample sizes in many fee schedule areas were often unacceptably small,
which could cause erroneous results. Where data were available, all
three sources of commercial data were highly correlated with and
generally validated the HUD indices. USPS rents and HUD rents were
highly correlated across States, with a correlation coefficient of
0.85. The HUD rents were highly correlated; coefficients ranged from
0.73 to 0.89 with USPS, GSA, and BOMA indices across 48 large
metropolitan areas. We still believe that the HUD rental data are the
best available data to construct the GPCI rental indices.
Comment: Commenters generally agreed with the use of more recent
and comprehensive data in updating the GPCIs. They expressed concern,
however, over the continued use of proxy data rather than actual
physician cost data, particularly for physician work and office rents.
Some commenters stated that we should use actual physician earnings
rather than the earnings of other professional occupations for the work
index. Others stated that we should have used only the earnings of
professionals with advanced degrees, rather than the all-education
sample. Other commenters expressed concern over the continued use of
residential rather than commercial rents.
Response: In revising the GPCIs, we conducted an extensive search
for alternative data sources as well as for more recent data. The
search led us to conclude that the current GPCI proxies are still the
best available data to measure practice cost variations among
geographic areas. As stated in all previous discussions in proposed and
final rules on the GPCI, the actual earnings of physicians were not
used to adjust geographical differences in fees because these fees are,
in large part, the determinants of the earnings. That is, the use of
actual physician earnings would be ``circular.'' We used the all-
education sample (which includes professionals with advanced degrees)
rather than the advanced degree only sample, because its larger sample
size makes it more accurate and the differences between the two were
negligible in all but a few of the smallest localities. We believe the
small advanced degree sample in these smallest localities may produce
inaccurate results. As discussed in the paragraph preceding this
comment, we believe that the HUD data are still the best data available
for measuring rental differences among areas.
Comment: Some commenters from areas estimated to experience the
largest decreases in payments under the revised GPCIs stated that the
magnitude of the changes demonstrates that the GPCIs are inherently
unstable and unreliable and contain significant methodological and data
difficulties. They attribute the difficulties to the use of proxy data
rather than actual physician cost data.
Response: We disagree. The revised GPCIs are based on census data
that are 10 years more recent, HUD rental data that are 7 years more
recent, and malpractice data that are 6 years more recent than the data
used to construct the current GPCIs. We believe the validity and
stability of the GPCIs are underscored by the fact that, out of the 216
physician fee schedule areas, which are an inconsistent mix of large
and small and urban and rural areas, no area's GAF increased or
decreased by more than about 8 percent, with 75 percent of GAFs
changing by less than 3 percent. It is not unreasonable to assume that
the use of actual physician cost data would have resulted in changes of
the same or larger magnitude over the same period of time.
Comment: Many commenters questioned how their GPCIs could decrease
when their actual expenses have increased every year.
Response: The GPCIs measure area costs compared to the national
average. As we explained in the June 1994 proposed rule (59 FR 32759),
a decrease in an area GPCI does not mean that actual costs have
decreased in that area. It means that costs in that area have declined
compared to the national average. That is, costs in that area have not
increased as fast as national average costs since the current GPCIs
were computed.
Comment: Commenters stated that Medicare physician payments should
be the same everywhere because physician effort and quality of services
do not differ among areas. One commenter did not believe that the
GPCIs, or any index, could accurately reflect area cost differences
because of factors such as practice differences and supply and demand.
Response: Section 1848(e)(1)(A) of the Act requires that payments
vary among fee schedule areas. It would be impossible for the GPCIs to
exactly reflect cost differences for each individual practice. However,
the GPCIs have been examined by government and private groups, and
there is general agreement that the GPCIs are the best available
measurement of area practice cost differences.
Comment: One commenter stated that the GPCIs should reflect only
the differences in practice expense and malpractice expense and that
there should be no recognition of area differences in the value of
physician work.
Response: Section 1848 (e)(1)(A) of the Act requires that the GPCIs
measure one-quarter of the differences among fee schedule areas in the
relative value of physician work effort. It recognizes the full
differences among areas in practice expense and malpractice costs.
Comment: Commenters questioned the GPCI assumption that the cost of
medical equipment, supplies, and miscellaneous items are uniform
everywhere, that is, has an index value of 1.000.
Response: We agree that price differences for medical equipment,
supplies, and miscellaneous items may exist. However, such differences
are more likely to be based on factors such as volume discounts than on
geographic location. We could find no data demonstrating consistent
area price differences for this component. Also, since this component
represents only about 14 percent of the GPCI, a 10-percent variation in
area price differences would yield about a 1-percent difference in
payments.
Comment: Commenters from New York State complained that the use of
1990 through 1992 malpractice data does not reflect the situation in
1994 because 1990 through 1992 was a stable period for malpractice
premiums in New York, while premiums have increased dramatically in
1993 and 1994. The commenters also objected to basing the malpractice
GPCIs primarily on policies written by a single insurer, St. Paul Fire
and Marine, which they state does not currently provide policies in New
York State. The commenters suggested that we use premium data from
Medical Liability Mutual of New York, which has the largest malpractice
market share in the State.
Response: In calculating the proposed malpractice GPCIs, we used
more recent premium data (1990 through 1992 versus 1985 and 1986 data)
and more comprehensive premium data (more insurers and premiums for 20
versus 3 physician specialties). Thus, we believe the proposed
malpractice GPCIs are vastly improved over the current malpractice
GPCIs. The current malpractice GPCIs, not the proposed malpractice
GPCIs, were based primarily on policies written by St. Paul Fire and
Marine. The proposed New York malpractice GPCIs were based on premium
data from insurers providing 80 percent of the malpractice insurance
market in New York, including premium data from Medical Liability
Mutual of New York. Because of the time required to collect and analyze
data, it is not possible to be absolutely current. That is, a 1995 GPCI
proposed in 1994 cannot be based on 1994 or 1995 data. The 1990 through
1992 malpractice data were the most recent data available when the
revised GPCIs were developed. More recent malpractice premium trends
will be reflected in the next GPCI revision.
Comment: One commenter expressed concern that the revised GPCIs
would further exacerbate the problem of access to medical care in rural
areas because GPCIs in urban areas increased, while those in rural
areas decreased.
Response: We believe that the revised GPCIs have a broadly mixed
effect, in large part because of the great variation in the composition
of fee schedule payment areas. Some areas are a whole State, others are
primarily urban or rural, and still others are a combination of urban
and rural areas. It is an oversimplification to argue that revised
urban GPCIs increased while rural GPCIs decreased. For example, while
GPCIs in some urban areas--Rhode Island, Manhattan, Miami, and
Houston--showed significant increases, GPCIs in other urban areas--Las
Vegas, San Diego, Los Angeles, and Chicago--showed significant
decreases. While some rural GPCIs--southern Illinois, rural Oregon,
Montana, and Idaho--showed decreases, other rural areas--Maine,
Vermont, New Hampshire, and rural Florida--showed significant
increases. About 75 percent of all 216 fee schedule areas changed by
less than 3 percent under the fully revised GPCIs.
Comment: Commenters from urban areas in two States, Arkansas and
New Mexico, that currently have statewide payment areas, stated that
costs were higher in their areas than in the rural areas of the State
and that they should have a different GPCI from the rest of the State.
Response: Section 1848 (e)(1)(A)(i) of the Act requires that the
GPCIs reflect practice cost differences among fee schedule areas. These
fee schedule areas happen to be statewide areas and, thus, have
statewide GPCIs. This is a locality issue rather than a GPCI issue. As
stated in the locality section of the proposed rule (59 FR 32759), we
are reviewing the existing payment locality configuration for possible
changes sometime after 1996. In the meantime, the only locality changes
we will consider are changes to a statewide locality in States
currently having multiple payment areas.
Comment: One commenter stated that the GPCIs should recognize the
effect of a gross receipts tax (GRT) in States such as Hawaii and New
Mexico, which have a GRT on physician professional services.
Response: A State GRT on the professional services of physicians is
not a resource cost in producing a physician's service and, thus, is
not included in the GPCIs. Conceptually, there is little difference
between State taxes on physicians' professional services and State
taxes on the net income or earnings of professional corporations,
partnerships, or sole proprietorships. The purpose of a State GRT is to
raise revenue for the State. In addition to being inconsistent with the
statutory intent of measuring resource costs, increasing Medicare
payments to reflect a State GRT would in effect be passing the State
tax through to the Federal Medicare program. We do not believe that the
Medicare Part B trust funds should be used to subsidize State tax
measures.
Final Decision: Except for Iowa, the proposed GPCIs will be
effective beginning in 1995. (As stated earlier, one-half of the
effects of the revision will be effective in 1995 and one-half in
1996.) The GPCIs for Iowa are discussed below.
B. Payment Area (Locality) Change
In the June 1994 proposed rule (59 FR 32759), we proposed to
convert Iowa to a statewide payment area on January 1, 1995. In the
June 1991 proposed rule (56 FR 25832) and the November 1991 final rule
(56 FR 59514) on the physician fee schedule, we stated that until we
decide on ultimate large-scale changes, the only locality changes we
would consider would be requests for converting individual States with
multiple localities to a single statewide locality if ``* * *
overwhelming support from the physician community for the change can be
demonstrated.'' The Iowa Medical Society requested a statewide payment
area and presented evidence that local organizations representing about
75 percent of total State medical society members, including
organizations representing about 70 percent of members in areas
expected to experience payment reductions under a statewide locality,
supported a statewide payment area. The Iowa Medical Society membership
represents about 75 percent of all Iowa physicians.
Proposing the conversion in the proposed rule provided an
opportunity for all physicians in Iowa, both State medical society
members and nonmembers, to comment on the change. The comments we
received support our position that overwhelming support exists for a
statewide locality in Iowa. Of the 1,625 comments received from Iowa
physicians, 98 percent supported a statewide payment area. Support was
unanimous among the 1,095 comments from Iowa physicians in winning
areas. Of the 530 letters from physicians in losing areas, about 94
percent supported the change. We received only 34 comments from
physicians opposing the change.
The new statewide payment area for Iowa means replacing the current
seven area GPCIs with budget-neutral statewide GPCIs. The revised
statewide GPCIs for Iowa can be found at Addenda D and E. These are the
same statewide GPCIs that were published at Addenda E and F in the June
1994 proposed rule (50 FR 32789).
Comment: Commenters supported a statewide payment area because they
believed that services and costs were the same in all areas and that
equal payment rates would help improve access to care in underserved
rural areas.
Response: We agree that there is no evidence that the quality of
services is different in rural and urban areas. We also agree that
equal payment rates may encourage physicians to practice in rural
areas.
Comment: Some urban physicians in Iowa commented that their
practice costs were higher than in rural areas and that their payments
should, therefore, continue to reflect these higher costs.
Response: We agree that the GPCIs show that practice costs are
generally slightly higher in urban areas in Iowa. However, as
previously mentioned, in responding to comments on the June 1991
proposed rule and in order to be responsive to the physician community,
we agreed to consider requests for conversion to a statewide payment
area if overwhelming support exists among the physician community for
the change. This support was demonstrated in Iowa.
Comment: On the general subject of localities, several commenters
stated that the current locality structure is outdated and inconsistent
and should be revised.
Response: We are funding a study of the physician fee schedule
locality structure. We expect to have the results next year and will
consider possible locality changes in the future.
Comment: Some commenters suggested that we establish clear
criteria, such as an absolute numerical standard of the level of
support among physicians in the State, to be met in order for us to
convert localities to a statewide payment area. They requested an
explanation of the decision process in the States that we converted.
Response: To be responsive to the physician community we stated
that we would consider requests for a change to a statewide locality if
there was overwhelming support for the change among physicians in both
winning and losing areas. We did not set absolute numerical levels of
support to be met because of the uniqueness of the current locality
structure in each State. Some large populous, primarily urban, States
have only two localities. On the other hand, some less populous,
primarily rural, States have seven localities. We believe that setting
an absolute numerical level of support would limit the discretion
required for us to properly evaluate the request in each unique
situation.
While not setting an absolute numerical standard, we have employed
a consistent process in evaluating each request. Upon receiving a
preliminary contact from a State medical society, we inform the society
that at a minimum we require: (1) A formal request for the change from
the State medical society, along with a copy of a recently adopted
resolution requesting the change; (2) the number of licensed actively
practicing physicians in the State and the number that are society
members; (3) the number of society members in each local (county)
society; and (4) letters from the local societies representing
physicians in the losing areas indicating the level of support for the
change. After evaluating this material, and, in some cases, contacting
the medical society if more information is required, if we believe that
the material demonstrates overwhelming support among both winning and
losing physicians, we announce the proposed change in the Federal
Register. If the public comments received demonstrate this overwhelming
support, we announce the change in a final rule in the Federal
Register.
Final Decision: Iowa will become a statewide payment area effective
January 1, 1995.
C. Work RVUs--Refinement of Proposed RVUs (Includes Table 1--Refinement
of Proposed RVUs)
In the June 1994 proposed rule (59 FR 32760), we proposed physician
work RVUs for approximately 100 carrier-priced and non-Medicare CPT
codes. For 35 of those codes, we received recommendations from the AMA
Specialty Society Relative Value Update Committee (RUC) that were
consistent with our proposed work RVUs. We received 37 substantive
comments objecting to the proposed work RVUs associated with 23 CPT
codes.
Although we did not include a work RVU for CPT code 30450
(rhinoplasty or revision of nose) in the proposed rule, we received
comments on it. Since it is part of the ``revision of nose'' family of
codes and we received a RUC recommendation, we included it in this
refinement process. Since we did not propose a work RVU for this code,
the work RVU will be considered interim for 1995.
We convened a multispecialty panel of physicians to assist us in
reviewing the comments. The panel was moderated by our medical staff
and consisted of the following groups:
A clinician representing each of the specialties most
identified with the procedures in question. The specialists on the
panel were nominated by the specialty society that submitted the
comments. Eleven specialty societies were represented on the panel.
Primary care clinicians nominated by the American Academy
of Family Practice (AAFP), the American Society of Internal Medicine
(ASIM), the American Academy of Osteopathy, and the American Academy of
Pediatrics.
Medicare carrier medical directors (CMDs).
After reviewing the comments we received, we submitted comments on
24 codes for evaluation by the panel. The panel discussed the physician
work involved in each procedure under review in comparison to the work
associated with other services on the fee schedule. We assembled a set
of reference services that included: (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 120
services. Panelists were encouraged to make comparisons to these
reference services whose work RVUs had not been challenged in the
comment process. We asked specialty societies to compare clinical
aspects of the work of services they believed were incorrectly valued
to one or more of the reference services.
The intent of the panel process is to capture each participant's
independent judgment based on the discussion and his or her clinical
experience. Following each discussion, participants rated the work for
the procedure. Ratings were individual and confidential, and there was
no attempt to achieve consensus among the panel members.
We analyzed the ratings of work for consistency among the groups
represented on each panel. Generally, we used the statistical tests
described in the November 1992 final notice (57 FR 55938) to determine
if there was agreement among the groups of the panel and if the agreed-
upon RVUs were significantly different from the proposed RVUs.
Our decision to convene multispecialty panels of physicians and to
apply statistical tests was based on our need to balance the interests
of those who commented on the work RVUs against the redistributive
effects that would occur in other specialties, particularly the
potential adverse effect on primary care services. Of the 24 codes
reviewed by our multispecialty panel, all of the requests were for
increased work RVUs.
Of the 24 proposed work RVUs that were reviewed, approximately 87.5
percent (21 codes) were increased and approximately 12.5 percent (3)
were not changed. We had to clarify the meaning of two of the codes
reviewed before the panel members could rate the work. First, the
repair of a protruding ear (CPT code 69300) is interpreted to represent
the repair of a single ear. If both ears are repaired during the same
operative session, CPT code 69300 should be reported with a bilateral
modifier and payment will be made at 150 percent of the payment amount
for repairing only one ear. Second, the descriptor for newborn
resuscitation (CPT code 99440) is unclear because it refers to ``high
risk newborn.'' Some physicians have misinterpreted this code and used
it to report the services provided to any newborn following a cesarean
section. Rather, CPT code 99440 should be used to report only the care
provided to infants requiring life support following delivery. Our
interpretation of CPT code 99440, which was the basis of the panel
members' rating of the work, is that newborn resuscitation means
providing positive pressure ventilation and/or chest compressions in
the presence of inadequate ventilation and/or cardiac output.
Table 1 lists the codes reviewed during the refinement process
described in this section. This table includes the following
information:
HCPCS (HCFA Common Procedure Coding System) code. This is
the CPT code for a service.
Description. This is an abbreviated version of the
narrative description of the code.
HCFA proposed work RVUs. The work RVUs that appeared in
Table 1 of the June 1994 proposed rule (59 FR 32760) are shown for each
reviewed code.
Requested work RVUs. This column identifies the work RVUs
requested by commenters. We received more than one comment on some
codes, and, in a few of these cases, the commenters requested different
RVUs. The table lists the highest requested RVUs.
1995 work RVUs. This column contains the final RVUs for
physician work. The 1995 RVUs shown have not been adjusted for budget
neutrality.
The HCFA proposed RVUs for codes that do not appear in this table
but did appear in Table 1 in the proposed rule are considered final.
The RVUs for these codes will be rescaled to maintain budget
neutrality.
Table 1.--Refinement of Proposed RVUs
------------------------------------------------------------------------
HCFA
HCPCS* Description proposed Requested 1995 work
work RVUs work RVUs RVU**
------------------------------------------------------------------------
15775.. Hair transplant punch grafts.. 4.00 5.31 4.00
15776.. Hair transplant punch grafts.. 5.60 7.44 5.60
19396.. Design custom breast implant.. 1.70 2.96 2.19
30400.. Reconstruction of nose........ 8.85 9.87 9.34
30410.. Reconstruction of nose........ 9.95 13.82 12.53
30420.. Reconstruction of nose........ 12.76 16.62 15.57
30430.. Revision of nose.............. 5.60 7.40 6.80
30435.. Revision of nose.............. 9.65 12.24 11.35
30450.. Revision of nose.............. 13.43 18.51 18.26
31582.. Revision of larynx............ 16.32 20.18 19.95
37788.. Revascularization, penis...... 15.00 22.70 21.57
50320.. Removal of donor kidney....... 16.16 22.37 21.46
54670.. Repair testis injury.......... 5.33 6.50 6.13
55870.. Electroejaculation............ 0.30 3.95 2.61
69300.. Revise external ear........... 5.50 6.91 6.43
92015.. Refraction.................... 0.38 0.53 0.38
92314.. Prescription of contact lens.. 0.64 0.79 0.70
92341.. Fitting of spectacles......... 0.44 0.51 0.48
92342.. Fitting of spectacles......... 0.51 0.59 0.54
92370.. Repair & adjust spectacles.... 0.17 0.49 0.32
99431.. Initial care, normal newborn.. 0.74 1.23 1.18
99432.. Newborn care not in hospital.. 1.15 1.28 1.27
99433.. Normal newborn care, hospital. 0.44 0.64 0.63
99440.. Newborn resuscitation......... 0.92 2.96 2.96
------------------------------------------------------------------------
*All numeric CPT HCPCS Copyright 1994 American Medical Association.
**RVUs do not reflect adjustment for budget neutrality.
D. Separate Payment for Physician Care Plan Oversight Services
We proposed to allow separate payment for care plan oversight
services furnished on or after January 1, 1995 for beneficiaries
receiving Medicare-covered home health care services. We did not
propose to pay separately for care plan oversight for beneficiaries in
hospices, beneficiaries under the care of an HHA but not receiving
covered HHA care, and beneficiaries residing in skilled nursing
facilities (SNFs) and nursing facilities (NFs). We also stated that we
would prohibit payment to a physician who has a significant ownership
interest in, or a significant financial or contractual relationship
with, an HHA (see Sec. 424.22(d) regarding the limitations on
certification and the establishment of a treatment plan for home health
services).
We proposed to establish one level of payment when the care plan
oversight services require at least 30 minutes in a 30-day period.
We stated that the physician work involved in HHA care plan
oversight is similar to that described as hospital discharge day
management (CPT code 99238); therefore, we proposed assigning the same
level of RVUs to the code for care plan oversight. For 1994, CPT code
99238 is assigned 1.63 total RVUs (1.07 work RVUs, 0.52 practice
expense RVUs, and 0.04 malpractice expense RVUs). We proposed to
subject these services to the CF for nonsurgical services other than
primary care.
[Hospice]
Comment: Many commenters expressed concern that the prospective
rate paid to the hospice does not include payment to the beneficiary's
attending physician for care plan oversight services. Numerous
commenters, including physicians, hospice and visiting nurses, and
hospice and medical organizations argued that the care plan oversight
services furnished by the attending physician in a hospice setting are
often greater than those required in the typical home care setting due
to the deteriorating condition of hospice patients. The complex pain
management required by many hospice patients and the undesirability of
having these patients leave their homes for office visits were cited as
examples of the need for separate payments for care plan oversight
services.
Response: We agree that the attending physician for a beneficiary
receiving care under the Medicare hospice benefit may furnish physician
services that meet the requirements for care plan oversight services.
In certain situations, the care requirements of patients receiving the
hospice benefit are complex and require significant medical management
furnished by the attending physician. We plan to allow separate payment
for care plan oversight services when our other criteria for payment
are met. We will not allow separate payment for care plan oversight
services furnished by the hospice medical director or a physician who
is employed by the hospice or who provides services under arrangements
with the hospice (see Sec. 418.304(c)) since payments for care plan
oversight services furnished by those physicians are included in the
prospective rates paid to the hospices.
[Skilled Nursing Facility (SNF)/Nursing Facility (NF)]
Comment: Several commenters expressed concern that the 1993
increase in work RVUs for the SNF and NF evaluation and management
codes for new or established patients did not account for care plan
oversight services. These commenters believed that the SNF and NF
values were increased to incorporate the demands of required
comprehensive reassessments and do not include the level of work and
associated physician costs specified in the care plan oversight CPT
codes.
Response: For a patient residing in an SNF or NF, a physician is
required to perform a reassessment annually and after any episode when
the patient's condition changes significantly. This requirement ensures
that, as necessary, treatment plans are updated and care is coordinated
with other providers. The evaluation and management codes for SNF and
NF visits include payment for supervision services and were
specifically increased in 1993 to account for physician work involved
in developing and revising medical plans of care. We believe that the
payments for the prework and postwork associated with the required and
medically necessary periodic reassessments and visits provide adequate
payment for the medical management of a patient. Therefore, we will not
allow separate payment for care plan oversight services for patients
residing in an SNF or NF.
[Beneficiaries Not Receiving Covered Home Health Services]
Comment: Several commenters recommended that we allow payment for
care plan oversight services for all beneficiaries under the care of
HHAs, including situations when Medicaid pays for the home health
services. Further, several commenters believed that we should allow
payment for care plan oversight services for beneficiaries receiving
home intravenous therapy, parenteral and enteral feeding, and
ventilator support, whether or not HHAs were involved in the care.
The commenters stated that many families furnish care to
chronically ill beneficiaries under the direction of a physician
without the services of an HHA. These commenters believed that
increased physician involvement would benefit all Medicare
beneficiaries. They also believed that physicians should be paid for
furnishing care plan oversight services for all patients who need
medical supervision.
Response: We agree with the commenters that active physician
involvement in the care of patients is essential for ensuring quality
care. We do not believe, however, that all circumstances in which
physician involvement is desired demonstrate a need for additional
payment for care plan oversight services. Care plan oversight services
for which we have determined separate payment is warranted include the
physician supervision and management of complex or multidisciplinary
care modalities involving regular physician development or revision.
The Medicare beneficiaries who require this type of service are the
most ill and demand the level of services indicated under the Medicare
home health and hospice benefits. Therefore, we will not allow separate
payment for care plan oversight for services furnished to beneficiaries
not receiving Medicare-covered home health or hospice services.
We believe that care plan oversight services are distinct from
routine follow-up services for patients receiving home intravenous
therapy, parenteral and enteral feeding, ventilator support, and other
sophisticated treatments. We do not believe that all patients who
benefit from the use of new therapies and medical advances necessarily
require extensive care plan oversight services. We do recognize,
however, that some of these patients may require more intense services
related to complex medical conditions. We believe that these
beneficiaries are likely to be receiving covered home health services.
[Care Plan Oversight by Other Practitioners]
Comment: Some commenters believed that patients may require care
plan oversight services that could be furnished by nurse practitioners
and physician assistants. These commenters, however, expressed
conflicting opinions as to which patients required physician care plan
oversight services and which patients could be managed by nonphysician
providers.
Response: Section 1861(m) of the Act provides coverage of home
health services where those services are furnished under a plan of care
established and periodically reviewed by a physician. Further, sections
1814(a)(2)(C) and 1835(a)(2)(A) of the Act require physicians to
certify the need for home health services. Thus, while there may be
some cases for which nurse practitioners or physician assistants are
able to oversee the care of patients in the home, physicians are
required by current law to perform certain functions. As a matter of
equity, we wish to provide adequate payment for services to those
patients with complex conditions requiring significant medical
decision-making for whom physicians are required to perform these
services. We will continue to evaluate these comments in the context of
our initiative to improve the Medicare home health benefit.
[Concerns About Fraud]
Comment: Some commenters expressed concern that limiting payment
for care plan oversight services only for beneficiaries receiving
covered HHA services would lead to inappropriate HHA referrals and
fraudulent billing for care plan oversight services.
Response: We have no basis to believe that physicians would certify
inappropriately the need for home health services and do not believe
that our proposal would invite fraudulent billing. We believe that the
professional integrity of physicians combined with postpayment
monitoring and education will be sufficient to deter fraudulent
referrals.
[Other Comments]
Comment: One commenter suggested that payments for physician home
visits be increased instead of implementing separate payment for care
plan oversight services. Another commenter maintained that reducing the
often unneeded and duplicative administrative work that is required
under current Medicare rules be investigated before implementing
payment for physician care plan oversight. Another commenter
recommended developing an alternative method of identifying
beneficiaries who need an unusual amount of oversight through the use
of a modifier or identifying diagnosis.
Response: We believe, in certain situations, patients receiving
home health and hospice services require significant medical management
that does not require face-to-face encounters with the physician.
Increasing payments for home visits would not provide an adequate
method of ensuring increased payments for physicians furnishing complex
care plan oversight services during a month in which the physician does
not make a visit to the patient's home. Furthermore, this alternative
would increase payments for all home visits whether or not the patient
required complex oversight services rather than compensating physicians
for the level of services furnished.
Care plan oversight services for patients requiring complex or
multidisciplinary care modalities involving regular physician
development or revision necessitate a high level of decision-making and
go beyond administrative functions. While we recognize the need to look
for opportunities to streamline Medicare administrative requirements,
we plan to provide payment for significant medical management services
for which our past policy may not have provided adequate payment.
We believe that patients who require care plan oversight services
have complex health needs. Often these patients require significant
medical management services due to a variety of physical and
psychosocial conditions that are not easily identified by any one
diagnosis. We also do not believe that the use of a modifier would
provide a more efficient method of payment for care plan oversight
services.
[Physicians Eligible to Receive Payment]
Comment: Several commenters supported restricting payment for care
plan oversight services to one physician per month. Other commenters
maintained that there may be certain situations in which payment for
care plan oversight services to more than one physician in a month
would be appropriate.
Response: The conditions of participation for HHAs, set forth in
Sec. 484.18(b), state that the patient's plan of care is reviewed by
the patient's attending physician. We believe that, in general, only
one physician typically performs this role and is responsible for
signing the HHA plan of care. Under the Medicare hospice benefit, the
hospice medical director or physician designee and the patient's
attending physician participate in the plan of care. However, only
attending physician services, which are not considered hospice care,
are paid directly through Medicare Part B. Services of a hospice
medical director and all other hospice physician services are paid
directly to the hospice through the Medicare hospice prospective
payment system. Therefore, the hospice patient's designated attending
physician is the single physician outside of the Medicare hospice
benefit potentially participating in hospice care plan oversight
services and, hence, eligible for payment for care plan oversight
services under Medicare Part B. Finally, single physician involvement
in care plan oversight services is consistent with the CPT definition
of the care plan oversight code.
[Requirement That the Physician See the Patient]
Comment: A few commenters questioned the appropriateness of
requiring that the physician billing for care plan oversight services
be required to have seen the patient in the prior 6-month period and at
6-month intervals. Some commenters were concerned that this requirement
was arbitrary and not necessary because physicians should decide the
frequency of visits. Some commenters expressed concern over situations
in which the patient moved or traveled to another State or a physician
was covering for the physician supervising the plan of care.
Response: Before proposing separate payment for care plan
oversight, we expressed concern for the need to ensure that high
quality care is delivered to beneficiaries receiving care in the home.
We believe that the medical management of patients with complex health
needs should be linked with a face-to-face evaluation of the patient.
We do not believe that it is unreasonable to specify that a physician
be required to see a patient within 6 months of establishing, or
significantly revising, a plan of care. While we, in general, support
the role of the physician in determining the frequency of visits, we
believe that the patients for whom we plan to allow separate payment
for care plan oversight have complex medical conditions requiring
intensive treatments, frequent determinations of responses to
therapies, and reassessments of plans of care.
Several commenters expressed concern that a face-to-face encounter
would be required every 6 months. We believe that these commenters have
misunderstood our proposal. We are not proposing periodic face-to-face
encounters as a condition for payment for care plan oversight services
although periodic face-to-face encounters could contribute to the
delivery of high quality services. We plan to require a face-to-face
encounter within 6 months of the first billing for care plan oversight
services to indicate the active involvement of the physician in the
medical decision-making required to develop or modify the plan of care.
With respect to the comments concerning patients who travel, we do
not believe that, during the same 1-month period, patients generally
would require 30 minutes of care plan oversight services from two
physicians. Further, we do not believe that patients requiring covered
home health or hospice services travel to a great extent, particularly
those who require recurrent revisions in their treatment plans. In
cases in which the patient traveled and required physician services
involving significant medical decision-making, we believe that a
physician, having never seen or not having seen a patient for a period
of time exceeding 6 months, would schedule a face-to-face encounter in
order to perform an accurate evaluation.
We believe the cases in which a covering physician may furnish
medical supervision services to a patient for whom another physician
bills for care plan oversight services are similar to traditional
arrangements between physicians for cross-coverage. The covering
physician may bill for services furnished to the extent that the
appropriate criteria were met.
[Thirty-Day Period]
Comment: A number of commenters asked how the 30-day period covered
by care plan oversight would be determined.
Response: We proposed to allow separate payment for physician care
plan services involving 30 or more minutes of the physician's time in a
30-day period. We agree with the commenters' belief that a calendar
month period would be easier to administer. Therefore, we plan to allow
separate payment for physician care plan oversight services requiring
at least 30 minutes per calendar month. Physicians may bill for
services when they meet the requirements for payment.
[Interest in HHA]
Comment: One commenter stated that payments for care plan oversight
services should not be denied to physicians who have ownership interest
in HHAs other than the agency furnishing services to the physician's
patients.
Response: We will not allow separate payment for care plan
oversight services furnished by a physician to patients receiving
services from a HHA with which the physician has a significant
financial or contractual relationship. This policy is consistent with
Sec. 424.22(d), which prohibits a physician who has a significant
ownership interest in, or a significant financial or contractual
relationship with, an HHA that is furnishing the services from
certifying or recertifying the need for home health services or from
establishing or reviewing a plan of treatment. Given the strictures
against the participation of such a physician in establishing a plan of
treatment, it would be anomalous to pay the physician for care plan
supervision.
[Conversion Factor (CF)]
Comment: A number of commenters opposed the application of the CF
for nonsurgical services other than primary care to care plan oversight
services. These commenters supported the use of the CF for primary care
services and the inclusion of care plan oversight services in the
primary care volume performance standard. They believed that primary
care physicians are the most likely to furnish care plan oversight
services to patients under Medicare's home health and hospice benefits.
Further, the commenters maintained that care plan oversight services
are most similar in work to primary care visits.
Response: We have reconsidered our proposal and agree that the CF
for primary care should be used for care plan oversight services.
Section 1842(i)(4) of the Act, as amended by section 4042(b) of the
Omnibus Budget Reconciliation Act of 1987 (OBRA '87), Public Law 100-
203, enacted on December 22, 1987, and section 13511 of OBRA '93,
defines primary care services as ``office medical services, emergency
department services, home medical services, skilled nursing,
intermediate care, and long-term care medical services, or nursing
home, boarding home, domiciliary, or custodial care medical services.''
We have considered payment for care plan oversight services to be
bundled into medical visits as well as other services, and we are now
establishing separate payment for them under certain conditions.
Because we consider care plan oversight to be primarily bundled into
those services that were cited by the Congress as primary care
services, we believe that the separate payment for care plan oversight
services should also be classified as primary care services.
[Use of Hospital Discharge Day RVUs for Care Plan Oversight]
Comment: Several commenters objected to our decision to decrease
the RUC recommendations for work RVUs for care plan oversight. These
commenters requested that we provide an explanation for the proposed
RVUs for care plan oversight services. Further, these commenters were
concerned that the type and amount of services associated with the
hospital discharge day were not similar to care plan oversight services
since the physician often must make complex care plan decisions based
on new information from nonphysician health professionals without
directly examining the patient.
Response: We proposed to assign 1.07 work RVUs to care plan
oversight services (CPT code 99375) because we believe that the nature
of the work involved in care plan oversight is comparable to the work
of hospital discharge management (CPT code 99238) that involves the
development of plans for home care of varying complexities that serve a
variety of patients including those who have changing conditions. While
we agree that the physician activities associated with discharging a
patient from the hospital are not identical to the physician activities
associated with care plan oversight, we do believe they are
sufficiently comparable to warrant the assignment of the same work RVUs
to both services.
We also believe that the physician work in care plan oversight is
comparable to the preservice and postservice work associated with
evaluation and management services provided to established patients in
the office setting. Consequently, we analyzed Harvard Phase III data on
the intensity of work associated with this category of evaluation and
management services to determine the reasonableness of our decision to
assign 1.07 work RVUs to this service.
The Harvard data indicate that the intensity of preservice and
postservice work equals 90 percent of the intensity of the intraservice
work for evaluation and management services provided to established
patients. When we revised the intraservice work of evaluation and
management services for 1993 in our November 1992 final notice (57 FR
55951), we established the intraservice intensity at 0.03 work RVUs per
minute for established patient visits. Using the Harvard data on
preservice and postservice intensity, we arrived at 0.027 work RVUs per
minute for preservice and postservice work for evaluation and
management services.
Using our intensity value of 0.027 work RVUs per minute and our
proposed work RVUs of 1.07 for care plan oversight (CPT code 99375), we
are able to calculate, by dividing the work RVUs by the intensity
(1.07/0.027), that 40 minutes of preservice and postservice work is
associated with the proposed RVUs for this service. The care plan
oversight code for which we will allow separate payment is used to
report a minimum of 30 minutes of service in a 30-day period, and we
believe that an assignment of work RVUs that corresponds to 40 minutes
of service is appropriate. Therefore, we have assigned interim work
RVUs of 1.07 that are reduced to 1.06 after application of the
adjustment necessary to achieve budget neutrality as described
elsewhere in this rule.
[Excluding Payment for Care Plan Oversight During the Same Month as
Hospital Discharge]
Comment: A number of commenters opposed our not permitting payment
for care plan oversight services during the same month that a physician
bills for the hospital discharge day management (CPT code 99238). The
commenters believed that the RVUs assigned to CPT code 99238 do not
account for all the adjustments in the care plan that occur, sometimes
daily, as unstable patients are managed at home. Further, the physician
cannot predict all changes that may occur for 30 days following
discharge, the time when the patient is the least stable and requires
the most care plan oversight. The commenters believed that the work
associated with a hospital discharge does not include care plan
oversight services and, thus, is not included in the payment for CPT
code 99238.
Response: As a result of our review of the comments on this issue,
we have decided to allow payment for care plan oversight services for
patients receiving covered home health and hospice services during the
month following hospital discharge if the other conditions for payment
are met. The physician must furnish at least 30 minutes of care plan
oversight in that month beyond that which was furnished on the day of
hospital discharge. We agree that physician involvement during the
period of transition from care received in the hospital to services
furnished in the home is important in facilitating continuity of care
and improving outcomes.
[Conditions for Payment]
[Establishment of a HCPCS Code]
Comment: Several commenters opposed the establishment of a level 2
HCPCS code for care plan oversight services. These commenters were
concerned that a HCPCS code would cause confusion and increase
implementation costs. The commenters also believed it was unnecessary
since there is an existing CPT code for the service. The commenters
suggested that we issue coverage instructions to carriers rather than
develop a HCPCS code. Further, the commenters believed that
establishing a HCPCS code for care plan oversight services furnished to
Medicare beneficiaries would undermine data integrity and comparability
across many payers. Some of the commenters believed that the
development of codes should remain the medical profession's
responsibility, not ours, unless there is no suitable code.
Response: Our proposal to establish an alpha-numeric HCPCS code for
care plan oversight, rather than to use the CPT codes, arose from the
fact that the CPT codes include categories of patients who will not be
included in our policy. Furthermore, the CPT includes two levels of
code: CPT code 99375 describes care plan oversight requiring 30 to 60
minutes within a 30-day period, and CPT code 99376 describes care plan
oversight requiring more than 60 minutes. Nevertheless, there are other
instances in which Medicare policy is based on a different
interpretation of a code than the interpretation indicated by the CPT,
and we recognize the burden placed on physicians by existence of
multiple codes with essentially the same definition. Therefore, we have
decided to apply our policy to CPT code 99375 and will pursue a change
in the definition of the CPT code that is consistent with our policy.
If that change does not occur by 1996, we will establish an alpha-
numeric procedure code.
[Payment for Telephone Calls]
Comment: Several commenters suggested that we allow payment for
telephone calls to patients and family members under the care plan
oversight code. Further, a number of commenters recommended that phone
calls by nurses to relay decisions from physicians to HHAs be included
as covered care plan oversight services.
Response: The care plan oversight services for which we will allow
separate payment do not include telephone calls to patients and family
members. The code definition identifies communication with other health
care professionals involved in the patient's care as care plan
oversight services. It has been our long-standing policy not to allow
separate payment for telephone calls to patients and family members
because payment for telephone calls is included in the payment for
evaluation and management services. We will recognize for separate
payment only the physician's communications to the health care
professionals involved in the patient's care. Further, we have decided
to define care plan oversight services as those covered activities
performed by the responsible physician, and we plan to allow separate
payment for care plan oversight services only to that physician.
[Budget Neutrality]
Comment: Several commenters did not believe that care plan
oversight services have been bundled into existing services. The
commenters suggested that care plan oversight be treated as a new
service and, thus, not be subject to the $20 million budget neutrality
limit. Other commenters opposed the reduction of RVUs across all
services to pay for care plan oversight and maintain budget neutrality.
These commenters argued that care plan oversight services associated
with surgical procedures are covered in the global payment for these
services and cannot be billed separately and, therefore, oppose
applying budget neutrality reductions to surgical procedures. Other
commenters believed that services that traditionally have never
required care plan oversight were valued appropriately at their current
RVU assignments and that any reductions in these RVUs would be
inappropriate.
Response: We do not consider medical management and supervision of
complex patients to be a new service. Our proposal is to provide
additional separate payment for services for which our current policy
may not provide adequate payment. Medical management and coordinating
care for patients has traditionally been furnished along with a variety
of physician services including covered visits and procedures, and
payment has been made through the preservice and postservice work
components of these visits and procedures. Global surgical fees include
payment for the necessary adjustments in therapy during the global
period. As we stated in our June 1994 proposed rule, we will allow
payment during the global surgical period for furnished care plan
oversight services unrelated to the surgical procedure and identified
by CPT modifier -24.
Although primary care physicians may be more likely to furnish care
plan oversight services than physicians of certain other specialties,
physicians are not prohibited from furnishing care plan oversight
services because of the specialty area in which they practice.
Therefore, we believe that payment for care plan oversight is an
``unbundling'' of services previously covered by payments for a wide
variety of existing services and, thus, requires that budget neutrality
adjustments apply to RVUs across all physician services.
Comment: Several commenters opposed RVU adjustments as a mechanism
to preserve budget neutrality. These commenters suggested that the CFs
be adjusted, instead, in order to maintain the integrity of the
relative value system.
Response: These comments reflect the misunderstanding that RVUs
are, in themselves, a measurement of a fixed quantity of work or other
resources. RVUs are not units of measurement; they are ratios. When
RVUs are adjusted across the board for budget neutrality purposes, the
relativity between different services is maintained. The valuation of
services is meaningful only when RVUs are combined with a CF. Thus, the
changing of either RVUs or the CF produces the same effect on the
valuation of services.
Section 1848(d)(1)(B) of the Act provides for establishing a
budget-neutral CF for the 1992 physician fee schedule. Section
1848(d)(1)(A) of the Act, however, provides that the CF for each year
after 1992 will be the CF for the prior year adjusted by the update(s)
under section 1848(d)(3) of the Act. Section 1848(d)(3) of the Act sets
forth the default update and does not authorize further adjustments for
budget neutrality purposes.
For the 1995 fee schedule, we have estimated the net change in
expenditures resulting from the assignment of RVUs for care plan
oversight services to be approximately $310 million. Thus, a budget-
neutrality adjustment of 0.90 percent is needed to comply with the
statutory requirement that changes in RVUs not exceed $20 million. We
determined that this adjustment should be made to all RVUs, that is, to
the work, practice expense, and malpractice expense RVUs for all
services.
Comment: Several commenters suggested redistributing funding from a
variety of home health programs to pay for care plan oversight services
rather than adjusting only the physician fee schedule.
Response: Section 1848(c)(2)(B)(ii) of the Act requires that
adjustments to RVUs for a year may not cause the amount of Medicare
expenditures for physician services to differ by more than $20 million
from the amount of expenditures that would have been made if revisions
in payment policies or RVU adjustments had not been made. This section
does not authorize us to offset Medicare expenditures for physician'
services by lowering expenditures elsewhere in the program.
Comment: Several commenters expressed concern that we have
overestimated the utilization frequency and potential budget impact of
the new care plan oversight code.
Response: We believe that our utilization and cost estimates, which
are based on covered home health and hospice claims data, are
reasonable. We are considering the RVUs established for the care plan
oversight services (CPT code 99375) to be ``interim'' for 3 years. If
utilization of this service differs significantly from our estimates,
we will make an additional adjustment to achieve budget neutrality.
Further, estimates of changes in utilization had an insignificant
effect on the adjustment necessary to achieve budget neutrality in
1995.
[Other Comment]
Comment: One commenter recommended that payment for care plan
oversight services be given to the HHA, which could use the payments as
a means of encouraging physicians to sign the care plans on time.
Response: We plan to recognize care plan oversight services as a
physician service covered under Medicare Part B. In general, Medicare
pays the provider only for services furnished by the provider (see
Sec. 424.51) and pays the physician for the services furnished by the
physician. Medicare law sharply limits reassignment of claims to other
than the individual entitled to payment (see section 1842(b)(6) of the
Act and Sec. 424.70) as recommended by the commenter. In addition, we
would not permit separate payment for care plan oversight services to a
physician who has a significant financial or contractual relationship
with an HHA (see Sec. 424.22(d)). Further, the purpose of allowing
separate payment for care plan oversight services is to compensate
physicians for the time they spend coordinating complex care among
practitioners and integrating significant new information into the
treatment plan, not to sign care plans for certification or
recertification purposes. For these reasons, we cannot pay HHAs for
care plan oversight services.
[Documentation Requirements]
Comment: Several commenters expressed concern that physicians not
be held to a ``stop watch'' standard in recording the time associated
with furnishing care plan oversight services and that physicians should
not be required to make those extra efforts. These commenters claimed
that it is unlikely that physicians will be able to time these
activities exactly and that each oversight activity will require
preparation time and follow-up time. Other commenters maintained that
documentation of the precise time associated with a telephone call
should only be required if the call is unusually extensive. A number of
commenters suggested that the signed treatment plan be considered
adequate documentation that care plan oversight services had been
furnished. One commenter believed that HHAs should be prohibited from
maintaining the documentation necessary for the physician to support a
claim for care plan oversight services.
Response: We believe it is appropriate to require physicians to
document and maintain a record of the care plan oversight services
furnished and the duration of time spent on the services for which
payment is claimed. We believe this documentation requirement is
consistent with standard medical practice. Physicians can best describe
the services furnished and the time spent by documenting them in the
patient's record. We also believe that the nature of individualized
plans of care for patients requiring complex medical management is not
adaptable to a standardized report. Further, all covered home health
services must be furnished under a plan of treatment that is
established and periodically reviewed by a physician (see
Sec. 409.42(d)). Thus, we have decided that a signed treatment plan is
not sufficient documentation that significant complex medical
management requiring the integration of new information into the plan
of care or the adjustments in medical therapy was furnished by the
physician.
We plan to work with the CMDs and their carrier advisory
committees, which include representatives from medical specialty
societies, in educating physicians on documentation requirements. We
will require that the physician who furnishes the services document
which services were furnished and the date and length of time
associated with those services.
[Postpayment Monitoring]
Comment: Several commenters expressed concern that initial
postpayment reviews should emphasize education on the proper use of the
code and the conditions for which Medicare recognizes payment and
should not result in denial of payment. These commenters requested that
professional organizations be consulted in developing protocols for
sample and focused medical reviews. Further, the commenters emphasized
the need to recognize legitimate high users of care plan oversight,
that is, physicians specializing in the care of the aged.
Response: We agree with commenters that the initial postpayment
reviews should emphasize education on the proper use of the care plan
oversight code and conditions for which Medicare will allow separate
payment and should not ordinarily result in denials of payment. We also
agree that certain physicians, by the nature of their practices and
patient populations, may furnish care plan oversight services more
frequently than other physicians. We plan to include mechanisms in the
medical review guidelines to identify these providers. In addition,
local medical review policy is developed with the participation of the
carrier advisory committees.
[Beneficiary Liability]
Comment: We did not receive comments from beneficiaries on the
beneficiary liability aspect of the proposal. Several other commenters,
however, believed that any additional liability for coinsurance would
be a burden on some beneficiaries. One commenter predicted that
requiring coinsurance for physician care plan oversight services would
cause patients to refuse home care altogether. Other commenters
maintained that the benefits of increased physician involvement in care
plan development and oversight would outweigh the burden of any
additional coinsurance. These commenters agreed with our contention
that there would not be an increase or decrease in overall beneficiary
liability for coinsurance amounts.
Several commenters stated that beneficiaries may not understand
that they would be liable for coinsurance for care plan oversight
services. The major medical societies indicated a willingness to work
with beneficiary groups and with us to ensure that beneficiaries are
informed that physicians may bill and that Medicare will pay for care
plan oversight services when the specified conditions are met.
Response: Section 1833 of the Act provides that Medicare pays 80
percent of the fee schedule amount for physician services. We believe
that implementing separate payment for care plan oversight in a budget-
neutral manner by reducing the RVUs for all other physician services
would reduce coinsurance amounts for the other services and, therefore,
not increase or decrease overall coinsurance liability. We recognize,
however, that for some beneficiaries receiving Medicare-covered home
health or hospice services, particularly those other than the
approximately 75 percent who have some type of supplemental insurance
that will cover the additional coinsurance amount, the required
coinsurance for care plan oversight services will be approximately $12
for each month in which the care plan oversight service is allowed.
We are aware that beneficiaries may not realize that they will be
liable for coinsurance for care plan oversight services. We will work
with the HHA, hospice, and physician groups to encourage providers to
inform beneficiaries that physicians may bill and that Medicare will
pay for these services when the specified conditions are met.
Final Decision: We will allow separate payment for physician care
plan oversight services under the following conditions:
(1) The services are furnished to beneficiaries receiving Medicare-
covered home health and hospice services.
(2) The physician has furnished a service requiring a face-to-face
encounter with the patient in the 6 months before the first billing for
the service.
(3) The physician does not have a significant financial
relationship with the home health agency, is not the medical director
or employee of the hospice, and does not provide services under an
arrangement with the hospice.
If the above conditions are met, we will do the following:
(1) Allow payment to one physician per month for recurrent
physician oversight supervision of therapy involving 30 or more minutes
of the physician's time per month.
(2) Allow payment for care plan oversight to a physician providing
postsurgical care during the postoperative period only if the care plan
oversight is documented to be unrelated to the surgery.
(3) Allow payment during the 30 days following discharge provided
that the other conditions for payment are met.
(4) Allow payment under CPT code 99375 in accordance with the above
rules. That is, for Medicare purposes, CPT code 99375 refers only to
the services furnished to beneficiaries receiving Medicare-covered home
health and hospice services requiring 30 or more minutes per month. We
will not make additional payment for services beyond 60 minutes, and we
will consider CPT code 99376 bundled for Medicare purposes.
(5) Base 1995 payment on 1.61 total RVUs (1.06 work RVUs, 0.51
practice expense RVUs, and 0.04 malpractice expense RVUs); the same as
the 1995 payment for CPT code 99238.
E. Payment for Multiple Surgical Procedures
We proposed to revise our existing multiple surgery reduction
policy for paying multiple surgical procedures performed on the same
patient, on the same day, by the same surgeon. Under that policy, the
procedure with the highest fee schedule payment is paid the lesser of
the actual charge or 100 percent of the fee schedule amount. Payment
for the second highest valued procedure is based on the lesser of the
actual charge or 50 percent of the fee schedule amount. Payment for the
third to fifth highest valued procedures is based on the lesser of the
actual charges or 25 percent of the fee schedule amounts. Claims
involving more than five procedures are priced by Medicare carriers on
a ``by report'' basis.
Our proposal would revise the policy only for the third through the
fifth surgical procedures. We would continue to pay the highest valued
procedure at 100 percent and the second highest valued procedures at 50
percent. For the third through the fifth surgical procedures, we
proposed to increase payment from 25 percent to 50 percent. Thus, the
second through the fifth procedures would be based on the lesser of the
actual charge or 50 percent of the fee schedule amount. We proposed
that surgical procedures beyond the fifth procedure would continue to
be priced by Medicare carriers ``by report'' based on documentation of
the services furnished.
[Budget Neutrality Issues]
Comment: Some commenters objected to our proposal to reduce any
RVUs to ensure the budget neutrality of this change. One commenter
questioned the statutory basis for making this policy change budget
neutral because the authority for maintaining budget neutrality is
found in the section of the law that addresses adjustments to RVUs and
the commenter does not believe that the proposed change to the multiple
surgery policy is a change to RVUs.
Response: We consider the multiple surgery reduction to be an
adjustment to RVUs that is necessary to appropriately reflect the
resources associated with combinations of surgeries performed on the
same date. (We are using the word ``date'' instead of ``day'' to
clarify which 24-hour period is subject to bundling.) Therefore, we
consider changes to the multiple surgery reductions to be subject to
the budget neutrality provisions of the law.
Specifically, the Harvard study, on which the proposed change is
based, included an analysis of the relative value of the work involved
in multiple services. Our application of percentage reductions to the
fee schedule amounts for the services furnished was an expedient means
of adjusting the RVUs for multiple services.
We could have made the multiple surgery adjustment by adjusting
RVUs directly, but this alternative has serious disadvantages. For
example, we could have reduced the RVUs for surgeries by the
percentages supported by the Harvard study based on the number of times
that each surgery was performed as a multiple surgery. This would
average out the efficiency produced by multiple surgeries across all
surgeries. However, this would, by definition, create anomalies in the
scale of RVUs for work because the work RVUs for these surgeries would
no longer represent the work in a service when it is the only service
performed.
Alternatively, we could have implemented the multiple surgery
reductions by adjusting the RVUs for each procedure performed by the
appropriate percentage before applying the GPCIs and CF to create a fee
schedule amount (similar to what we do for the site-of-service
adjustment). This would be much more complex for us and for Medicare
carriers to administer and confusing for physicians. Also, it would
result in the same payments as our applying the reductions to the
payment amounts.
In this particular case, the amount of adjustment attributable to
the change in the multiple surgery policy that would be required to all
RVUs is only 0.10 percent.
Comment: Some commenters supported the proposed change but objected
to our proposal to reduce the RVUs for all procedures to the extent
necessary to make it budget neutral. They argued that the multiple
surgery reduction will benefit only surgeons and that primary care and
nonsurgical specialties should not be adversely affected by an
adjustment to RVUs for the services surgeons provide. The commenters
indicated that this situation is not analogous to the rescaling of all
RVUs to add separate payment for care plan oversight services in a
budget neutral manner. They believed that surgical specialties also
provide evaluation and management services and would be able to bill
and be paid for care plan oversight if they furnish it.
Some commenters supported the proposed change and also supported
our proposal to make it budget neutral by reducing all RVUs for all
services by 0.10 percent.
Response: We have decided to apply the budget neutrality adjustment
of 0.10 percent to all RVUs for the following reasons. The reduction of
RVUs within only surgical services could result in distortions in the
relative relationship of physician work RVUs for surgeries in
relationship to other services. The multiple surgery reduction policy
applies to most of the major surgeries and many of the minor surgeries.
Since the amount of reduction would be greater if we rescaled only
surgical procedures, we believe that such a rescaling carries
considerable risk to the integrity of the scale. When we implemented
the fee schedule, to avoid distortions in the scale for work RVUs, we
chose to have a multiple surgery reduction rather than to incorporate
the multiple surgery reduction in the RVUs for surgical services.
Reducing RVUs only within the surgical services would be
inconsistent with our application of budget neutrality to care plan
oversight services. In both cases, we have proposed a policy change
that will result in increased payment for specified services that are
already included in the fee schedule but that we believe are
undervalued. While physicians who provide mostly primary care object to
the application of budget neutrality to all RVUs for all services
because of the 0.10 percent reduction due to the multiple surgery
policy, we believe primary care physicians will benefit when they
perform multiple minor procedures. Similarly, if surgeons provide care
plan oversight services (that are not part of the routine post-
operative global care related to a surgery), they also may bill and be
paid for the care plan oversight services they furnish. For example, an
orthopaedic surgeon who is the physician of record for a beneficiary
with osteomyelitis who is receiving Medicare-covered home health care
benefits could bill and be paid for care plan oversight if the
surgeon's services meet the criteria for payment. [Relationship of
multiple surgery policy to RVUs for codes that describe multiple
surgeries]
Comment: A commenter stated that the multiple surgery policy we
propose to change was used to establish values for some codes that
describe multiple surgeries and that because we now have evidence that
our policy underpaid the third through fifth procedures, we should
reconstruct the RVUs for multiple surgery procedures based on the
higher payment levels we propose for the third through fifth
procedures.
Another commenter stated that although the use of a standard
percent reduction is required when applying uniform payment policies,
it does not mean that these averages should be applied when valuing an
individual procedure code that, by the language of the code, involves
multiple procedures. In these cases, neither we nor RUC should be bound
by the multiple surgery rule and the average data on which it is based.
The commenter maintained that, instead, work values should be assigned
based on the best available data on the resource costs associated with
the code in question.
Response: We agree that the work values for codes that describe
multiple procedures should be based, when available, on the physician
work described by the procedure code. Otherwise, we believe it is
reasonable to value these codes in a manner consistent with our
multiple surgery payment rules.
There have been a few rare cases in which we have used the multiple
surgery reductions to assign RVUs to a procedure based on information
regarding the work involved in the components of the procedure. These
codes were subject to comment before they were made final; commenters
had an opportunity at that time to challenge the interim value based on
the relationship between the work involved in the service described by
the code to the work involved in other physician services. As described
elsewhere in this final rule, for 1995, all physician work RVUs are
subject to public comment as part of the 5 year refinement process.
Therefore, commenters will have another opportunity to present evidence
to demonstrate that the physician work values for any code are
inappropriate in comparison to the work values for other services.
Final Decision: We will increase the payment for the third through
fifth surgeries performed on the same patient on the same date by the
same surgeon from 25 percent to 50 percent of the global payment. We
will rescale RVUs for all services to ensure budget neutrality.
F. Application of Site-of-Service Payment Differential
In our June 1994 proposed rule, we proposed to update the list of
procedures subject to the site-of-service payment differential using
1993 data to be effective for services furnished beginning January 1,
1995. To avert concern about the statistical validity of the data for
low-volume procedures, we proposed to exclude any procedure performed
fewer than 100 times annually. If the procedure is part of a ``family''
of codes that is otherwise on the site-of-service payment differential
list, we proposed to include it even if the volume is less than the
100-procedure threshold. (The previous list excluded all procedures
with volumes less than 1,000 in 1989.)
In the November 1991 final rule (56 FR 59595), we agreed that the
site-of-service limitation should not be applied to services that were
on the list of approved procedures for ambulatory surgical centers
(ASCs) published in the Federal Register. Therefore, we proposed to add
certain procedures to the list of services subject to the site-of-
service payment differential that we had proposed for removal from the
list of approved ASC procedures. The proposed notice listing the
proposed deletions from the ASC list, ``Proposed Additions to and
Deletions from the Current List of Covered Procedures for Ambulatory
Surgical Centers,'' was published in the Federal Register December 14,
1993 (58 FR 65357).
Comment: A number of commenters objected to the general amount of
the payment for practice expenses. Many believed that the current
payments for practice expenses are undervalued and that the actual
practice costs should be used. Other commenters objected to the
percentage reduction we apply to practice expense for services not
performed in a physician's office, and others objected to the
methodology used to calculate practice expenses in the November 1991
final rule (56 FR 59502). Some commenters requested a review of
practice costs in different settings as a way to determine more
accurately whether a site-of-service reduction should be imposed and to
determine more accurately the percentage reduction. Some commenters
believed that there is no difference in practice costs between the
hospital site-of-service and the office site-of-service.
Response: Section 1848(c)(2)(C) of the Act sets forth the
requirements for the payment for practice expenses. This section of the
Act requires that we derive the practice expenses from average allowed
charge data for CY 1991. The Social Security Act Amendments of 1994,
Public Law 103-432), enacted on October 31, 1994, require us to
determine practice expense components of RVUs according to the relative
resources involved with furnishing the service. Until that system is
implemented in January 1998, we are bound by the current requirements
for payment for practice expenses.
Comment: Several commenters were concerned about the safety of
performing services on the site-of-service payment differential list in
their offices. As evidence, several commenters cited the fact that if
anesthesia is used in some procedures, the procedures should not be
performed in a physician's office. Other commenters believed that our
policy to have a payment reduction based on the site of service would
steer patients to have procedures performed in an inappropriate
setting.
Response: We select the procedures on the site-of-service payment
differential list based on the fact that they are already performed in
a physician office more than 50 percent of the time. We used data from
CY 1993 as the basis for determining whether a procedure met the 50
percent criterion. We recognize that procedures are not always
performed in a physician office, and it is not the purpose of this
policy to dictate where a physician should perform the service. We
anticipate that physicians would consider the welfare of the
beneficiary in selecting the site at which to perform the service.
Some of the commenters cited specific services that they believed
could not be performed in physician offices at any time. Based on those
comments and further review of our data, we have determined that the
following six procedures are not physician office procedures: CPT codes
31040 (pterygomaxillary fossa surgery, any approach), 33415 (resection
or incision of subvalvular tissue for discrete subvalvular aortic
stenosis), 33420 (valvotomy, mitral valve; closed heart), 40700
(plastic repair of cleft lip/nasal deformity; primary, partial or
complete, unilateral), 43420 (closure of esophagostomy or fistula;
cervical approach), and 61000 (subdural tap through fontanelle, or
suture, infant, unilateral or bilateral; initial). Therefore, we are
removing them from the site-of-service payment differential list.
Comment: Several commenters believed that there are inconsistencies
in the application of the site-of-service payment differential to
individual codes within a family of similar services. They noted that,
in some cases, one code in a family is subject to the site-of-service
reduction and other codes in the family are not.
Response: In general, we agree that a consistent application of the
site-of-service payment differential across families of similar
services would reduce what appear to be anomalous payment policies.
However, we do not believe that procedures, particularly high volume
procedures, that are performed more than 50 percent of the time in a
physician's office should be exempted from the list simply because
other procedures in the family are not on the list. Nonetheless, we
have addressed part of the problem of inconsistencies within a family
of services by excluding some of the procedures performed fewer than
100 times during the year from the site-of-service payment differential
list.
Comment: Several commenters objected to the inclusion of the
following codes: CPT codes 95880 (cerebral aphasia testing) and 95881
(cerebral developmental testing) as inconsistent with our policy of
exempting psychotherapy services from the site-of-service payment
differential list.
Response: The commenters correctly stated that psychotherapy codes
are excluded from the site-of-service list; however, the two codes
listed are not psychotherapy codes. They are diagnostic tests.
Therefore, we are retaining CPT codes 95880 and 95881 on the site-of-
service list.
Comment: Commenters questioned specific codes that were proposed
for inclusion on the site-of-service payment differential list. Many of
the commenters referred to codes that are used as miscellaneous codes
or codes for otherwise unidentified services, such as CPT codes 21499
(unlisted musculoskeletal procedure, head), 69949 (unlisted procedure,
inner ear), 69979 (unlisted procedure, temporal bone, middle fossa
approach), and 90749 (unlisted immunization procedure). A number of
commenters believed that carrier-priced codes, that is, codes that do
not have nationally published RVUs, should not be subject to the site-
of-service reduction.
Response: We agree with these commenters and are removing codes
that do not have nationally published RVUs. We inadvertently included
most of those codes in the proposed list of procedures subject to the
site-of-service payment differential. We are, therefore, removing CPT
codes 21499, 69949, 69979, and 90749 from the list.
Comment: One commenter objected to the deletion of the following
CPT codes from the ASC list: CPT codes 11403, 11423, 11443 (excision of
benign skin lesions); CPT codes 11603, 11623, 11643 (excision of
malignant skin lesions); CPT code 12052 (layer of closure of wounds of
face, ears, eyelids, nose, lips and/or mucous membranes, 2.6 cm to 5.0
cm); CPT code 45330 (sigmoidoscopy, flexible; diagnostic, with or
without collection of specimen(s) by brushing or washing (separate
procedure)); and CPT code 65860 (severing adhesions of anterior
segment, laser technique (separate procedure)).
Response: Our proposal concerned only the application of the site-
of-service payment differential, not changes to the ASC list. As
referenced earlier in this section, we published a separate notice on
proposed additions and deletions of procedures on the ASC list in the
December 14, 1993 proposed notice (58 FR 65357).
Final Decision: The site-of-service list for 1995 appears in
Addendum F of this final rule. All additions to the list are identified
by an asterisk.
G. Bundled Services
1. Generation and Interpretation of Automated Data (CPT Codes 78890 and
78891)
We proposed to bundle payment for CPT codes 78890 and 78891 into
the payment for the primary procedure and assign a ``B'' status
indicator to show that payment would be bundled into the payment for
another service. We proposed to redistribute the RVUs associated with
CPT codes 78890 and 78891 across all codes.
Comment: A number of commenters noted that payment for CPT codes
78890 and 78891 should not be allowed when the generation and
interpretation of quantitative data is inherent in the primary
procedure, such as myocardial perfusion imaging. However, they believed
payment for these codes should be allowed when the procedure is
nonquantitative. The commenters maintained that CPT codes clearly
distinguish codes that include quantitative analysis work and codes
that are nonquantitative. Further, the commenters argued that the work
RVUs for primary procedures in which quantitative analysis is not
always done do not include payment for the generation and
interpretation of quantitative data.
Response: We do not agree that the CPT codes clearly distinguish
between codes that include quantitative analysis and codes that do not.
In fact, we believe that the lack of clarity in the CPT codes has
contributed to the incorrect use of these codes in various parts of the
country.
Several commenters identified CPT code 78460 (myocardial perfusion
imaging) as being ``quantitative.'' Thus, commenters believed the
additional reporting of CPT code 78890 or 78891 would be inappropriate.
However, CPT code 78460 and others like it are not defined as
``quantitative.'' Rather, they are defined as ``quantitative or
qualitative.'' Thus, the commenters' belief that we should foreclose
use of CPT codes 78890 and 78891 when a given study is quantitative
cannot be implemented easily if the codes cited by the commenters
describe quantitative or qualitative studies.
In response to commenters' concerns that bundling CPT codes 78890
and 78891 would fail to recognize the added work associated with the
generation of automated data, we note that the work RVUs of these codes
are only 0.05 and 0.10, respectively. We believe this amount of work is
within the range of work associated with the payment for any of the
primary procedures and a policy that would allow CPT codes 78890 and
78891 to be used with some codes but not others is not justified.
Comment: One commenter expressed concern that we did not make
sufficient efforts to investigate and correct inappropriate billing
practices before suggesting that payment for generating and
interpreting quantitative data be bundled into payments for primary
procedures.
Response: Medicare charge data show that the incorrect use of CPT
codes 78890 and 78891 has led to inappropriate claims and duplicate
payments to physicians. It is our responsibility to ensure that
payments under the physician fee schedule are made for distinct
physicians' services. In general, we do not allow separate payment for
calculations or the use of computers to analyze data. Upon review of
the comments received, we believe that there are sufficient reasons to
bundle payment for CPT codes 78890 and 78891 into the payment for the
primary procedure.
Final Decision: We will assign a ``B'' status indicator to CPT
codes 78890 and 78891. Payment for these services will be bundled into
payments for the primary procedure. We will redistribute the RVUs
associated with CPT codes 78890 and 78891 across all other codes in the
nuclear medicine section of the CPT Manual (CPT codes 78000 through
78999).
2. Noninvasive Ear or Pulse Oximetry (CPT Code 94760)
We proposed to bundle payment for CPT code 94760 into the payment
for the larger procedure that required the pulse oximetry test and
assign a ``B'' status indicator to show that payment would be bundled
into the payment for another service. Because pulse oximetry may be
performed in conjunction with a variety of physician services, we
proposed to implement this in a budget-neutral manner by redistributing
the current RVUs across all services.
Comment: Several commenters opposed the proposal not to allow
separate payment for CPT code 94760 (noninvasive ear or pulse oximetry
for oxygen saturation; single determination). These commenters argued
that there are valid situations in which pulse oximetry is performed in
a stand-alone fashion and not as part of a larger procedure.
Response: As a result of our review of the comments on this issue,
we have decided not to implement this proposal. We agree that there are
certain situations in which the measurement of oxygen saturation is
required to demonstrate the need for covered medical therapies. In
these cases, we recognize that noninvasive ear or pulse oximetry may
not be furnished in addition to another service, such as an office
visit or procedure. We believe, however, that noninvasive pulse
oximetry is a simple monitoring test that is sometimes performed as
part of a larger procedure. We may reconsider this proposal in the
future.
Final Decision: We have decided to continue to allow separate
payment for CPT code 94760 under the physician fee schedule.
H. RVUs for Doppler Echocardiography (CPT Code 93325)
As a result of comments received about the distribution of RVUs to
the professional component (PC) that resulted from the 1993 refinement
process, we proposed to redistribute the RVUs assigned to Doppler color
flow velocity mapping (CPT code 93325). The result of our proposal
would be an increase in the practice expense and malpractice expense
RVUs of the technical component of the code and a decrease in the
practice expense RVUs of the professional component of the code.
Comment: Two Medicare carriers agreed with the proposal. Another
carrier had no comment on the specific proposal but indicated that the
RVUs for all echocardiography codes should be reviewed for consistency
with other similar ultrasonography codes. The carrier pointed out that
cardiac ultrasonography (echocardiographs) does not include Doppler
color flow velocity mapping (CPT code 93325) (and, thus, separate
billing for CPT code 93325 is permitted), while the CPT indicates that
duplex scans include this service. The carrier suggested that the RVUs
for CPT code 93325 be bundled into all the appropriate codes that would
then be given a bundled (B) status indicator.
Response: We disagree with the suggestion for bundling the RVUs for
CPT code 93325 into the echocardiography codes at this time because it
would be contrary to the CPT codes and because echocardiography
procedures may be performed without Doppler color flow velocity
mapping. We understand the carrier's point about the technical
component (TC) RVUs assigned to the two groups of procedure codes in
that the assigned RVUs do not clearly reflect which codes include the
Doppler technology; however, these RVUs were established from
historical data in accordance with the statute. We believe that any
changes in TCs generally must await statutory changes. The Social
Security Act Amendments of 1994 require us to establish practice
expense RVUs according to a resource-based methodology. This change
will be effective for services performed on or after January 1, 1998.
Comment: Several commenters, including physician specialty
organizations, objected to our proposal to redistribute a substantial
portion of the practice expense and malpractice expense RVUs assigned
to the PC of CPT code 93325 in 1993 and 1994 to the TC of the procedure
in 1995. The AMA supported the views of the specialty groups. The
commenters made the following observations:
The proposal would result in a significant savings
``windfall'' for HCFA of from $7.4 to $9.4 million in 1995 because
Medicare carriers do not make TC payments for services furnished in
hospital inpatient settings.
The PC payment would be inadequate to compensate
physicians for the time, skill, and effort involved in the procedure.
The proposed 0.04 practice expense RVUs do not compensate
the physician for the cost of equipment, personnel, and supplies. The
ratio between TC and PC should be 60/40.
The majority of the malpractice expense RVUs should be
assigned to the PC.
There should be a 3-year transition to mitigate the effect
of the reallocation.
Any redistribution of practice expense RVUs should await
implementation of a resource-based practice expense methodology.
Response: The circumstances pertaining to changes to the RVUs
assigned to CPT code 93325 are unique. We do not believe that our
proposal to correct a mistake should be used as an opportunity to
attack the general methodology for calculating practice expense and
malpractice expense RVUs. For 1992, CPT code 93325 was designated as a
TC-only code, and the established fee schedule policy was that any
physician work involved in CPT code 93325 was payable through the PC of
the associated echocardiography procedure code.
As part of the 1992 RVU refinement process, we determined that CPT
code 93325 required additional physician work, thus, 0.07 RVUs were
established to recognize this work for the 1993 fee schedule. The
decision reflected a determination that the 1992 policy should be
modified to recognize that some, but not all, of the additional
physician work associated with CPT code 93325 was payable through the
associated echocardiography procedure code. Unfortunately, the practice
expense and malpractice expense RVUs were distributed in the same way
as would have been the case with other procedure codes that have a PC
and a TC. We did not take into account that, in this unique situation,
a very modest PC was created out of what previously had been a TC-only
code. While the change had no effect on global (combined service)
billings for procedures from physicians' offices, it had the
significant, unintended effect of overpaying billers of the PC and
underpaying billers of the TC.
We did not propose this change to achieve ``windfall'' savings.
Rather, after having received no payment for the PC of this code in
1992, PC billers of this service received the ``windfall'' in 1993 and
1994 at the expense of freestanding TC billers. Further, we see no
reason to transition an excessive past payment over 3 years; the TC
billers whose payments were cut in half over the 2-year period did not
receive a similar transition.
In response to the comment that the payment would be inadequate to
compensate physicians for the time, skill, and effort involved in the
procedure, we note that the practice expense and malpractice expense
RVUs are not designed to provide payment for these factors. These are
elements of physician work payable through the 0.07 work RVU component
of CPT code 93325 and the element representing physician work in the
associated echocardiography procedure code.
In response to the comment that the proposed practice expense RVUs
would be insufficient to cover equipment, personnel, and supply costs,
we maintain that, in the case of procedures having TCs, the payment for
these elements are made through the TC, not the PC. These elements of
cost are what the TC represents.
In response to the comment that the majority of the malpractice
expense RVUs should be assigned to the PC, we note that suppliers also
have liability insurance costs, and we believe that, given the
circumstances under which the PC for this code was created, the
appropriate approach is to relate the malpractice RVUs to the
proportion the created physician work element bore to the TC.
Finally, with respect to the comment that any redistribution of
practice expense RVUs should await implementation of a resource-based
practice expense methodology, we believe that we may correct errors
that we have made in calculating the components of the global service.
Final Decision: We are adopting our proposal to redistribute the
RVUs for CPT code 93325 as described in the proposed rule (59 FR 32769)
effective for services furnished beginning January 1, 1995.
I. Nuclear Medicine
Based on recommendations from the American College of Nuclear
Physicians and The Society of Nuclear Medicine we proposed that CPT
modifier -51 for multiple procedures be used when it is necessary to
perform a whole body planar study before a SPECT study is performed,
both to determine if tomography is needed and to deduce the region to
be selectively imaged. This would result in full fee schedule payment
for the procedure with the highest payment level and a 50-percent
payment for the second procedure.
Comment: We received few comments on this proposal. The comments
from individual physicians and physicians' organizations ranged from
support of the proposal to stating that the planar and SPECT studies
involved different equipment that do not produce the type of savings
usually associated with multiple procedures. The commenter making the
latter point indicated that the PCs of these procedures could reflect
some economy of scale but that payment of the full fee schedule amount
was the preferred alternative to the proposed policy.
Response: Under the physician fee schedule policy, surgical
services furnished on the same date are subject to a multiple procedure
payment adjustment and the CPT codes to which this adjustment apply
have a ``1'' indicator in the appropriate field of the physician fee
schedule database. However, in the case of diagnostic tests, that field
generally shows an indicator of ``0,'' indicating that the multiple
procedure adjustment does not apply, and Part B Medicare carriers
generally pay in full for diagnostic tests performed on the same date
as long as each test is medically necessary. If a carrier determined
that a test was not medically necessary because it duplicated another
test previously performed, the payment for the additional test would be
denied in full.
As this proposal was presented to us, there was a need to clarify
to Medicare carriers that these procedures did not necessarily
duplicate one another when performed on the same date because there
were valid medical reasons to perform both of these procedures one
after the other. We agree with the suggestion and are adopting the
proposal. Regarding the comment that there is more reason to apply this
policy to only the PCs of these procedures because the TCs utilize
different technologies, we note that, since approximately 90 percent of
these procedures are performed in a hospital setting, only the
professional component is billable to the carrier. Therefore, although
we are applying this policy to global, PC, and TC billings, the major
impact of the policy will be on PCs.
Comment: A Medicare carrier asked if the instructions implementing
this proposal would require extensive system changes. The carrier
indicated that if these services were assigned a multiple surgery
indicator of ``1'' and the multiple procedure reduction applied when
one service is billed with another procedure with the same indicator,
application of the multiple surgery reduction would be relatively easy.
Response: Our policy will not require extensive systems changes. We
will assign a multiple surgery indicator on our database as suggested
by the commenter.
Final Decision: We are adopting the proposal for services furnished
on or after January 1, 1995. We may wish to consider applying this
``multiple procedure'' policy to other diagnostic tests in the future.
J. End-Stage Renal Disease (ESRD)
1. Hospital Inpatient Dialysis on the Same Date as an Evaluation and
Management Service
We proposed to pay for either an evaluation and management code or
an inpatient dialysis code (CPT codes 90935 through 90947), but not
both, on the same day. We proposed implementing the policy in a budget
neutral manner by redistributing the payment for an evaluation and
management service performed on the same day as dialysis into the
payment for the dialysis service. We proposed to determine the current
evaluation and management payment allowed when dialysis and an
evaluation and management service are performed on the same day. We
would make the appropriate adjustments to the work, practice expense,
and malpractice expense RVUs to each of the four dialysis codes so that
the payments remain budget neutral.
Comment: Most commenters objected to incorporating payment for
evaluation and management services on the same day as inpatient
dialysis into the payment for the dialysis. Most of these commenters
misunderstood our proposal, believing that payment for the evaluation
and management service would be eliminated altogether. Others believed
that we contended that hospital visits are not necessary on the same
day as dialysis. Some commenters indicated that inpatient dialysis is
not an evaluation and management service but a procedure and,
therefore, should not be bundled with other evaluation and management
services. Many commenters described the complex medical details of a
dialysis patient undergoing the dialysis process, yet characterized
their own involvement as medical evaluation and decision-making. Others
said that the other evaluation and management services are not related
to the dialysis service. Commenters also indicated that without clear
evidence of inappropriate billing of excessive, unnecessary hospital
visits, the policy should not be changed. Others said that denying the
nephrologists' hospital visits will only lead to concurrent care
billing by other specialists.
Response: This proposal is consistent with the way other evaluation
and management services for physicians are paid in that we allow
payment for only one subsequent hospital visit code per date regardless
of the number of actual encounters on that day. The RVUs for these
codes were increased in recognition of the fact that some patients need
more than one encounter per day. We are not eliminating payment for
medically necessary physicians' services. We are simply paying for them
in a different way by including these payments in the fee schedule
amount for inpatient dialysis.
We do not agree that the physician's involvement during an
inpatient dialysis is appropriately characterized as a procedure. The
commenters who addressed this indicated that their work during dialysis
was medical evaluation and decision-making. This follows our general
policy of allowing payment for only one inpatient evaluation and
management service furnished by the same physician on the same date of
service.
Comment: Some commenters agreed that subsequent hospital visits
furnished on the same day as inpatient dialysis should not be billed,
but that the following services should be separately billable: an
initial hospital visit, consultations, care furnished on the day of
discharge, and all surgical procedures (for example, the insertion of a
catheter). While most commenters did not agree with our proposal, they
stated that if some of the evaluation and management services are
bundled, we should at least maintain these particular services as
separately billable.
Response: We agree with part of this comment and have decided to
modify our proposal accordingly. We did not propose bundling surgical
procedures and intend for them to remain separately billable.
Final Decision: As a result of our review of the comments on this
issue, we have modified our proposal. Instead of bundling payment for
all evaluation and management services performed on the same date as
inpatient dialysis into the payment for the dialysis service, we will
bundle payment for selected evaluation and management services. We will
bundle payment for subsequent hospital visits (CPT codes 99231 through
99233) and follow-up inpatient consultations (CPT codes 99261 through
99263) into the fee schedule amounts for inpatient dialysis (CPT codes
90935 through 90947). We are implementing this proposal using the
methodology described in the proposed rule (59 FR 32770). We increased
the RVUs of the inpatient dialysis codes in proportion to the dollars
spent for these evaluation and management codes billed on behalf of the
same patient on the same date by the same physician. The adjusted RVUs
are as follows:
------------------------------------------------------------------------
Practice Malpractice
CPT code Work expense expense Total
------------------------------------------------------------------------
90935..................... 1.22 1.49 0.1 2.81
90937..................... 2.11 2.65 0.18 4.94
90945..................... 1.28 1.27 0.08 2.63
90947..................... 2.16 2.09 0.14 4.39
------------------------------------------------------------------------
The practice expense RVUs for CPT code 90937 reflect the adjustment
required by the section 13513 of OBRA '93 that requires us to apply an
adjustment to practice expense RVUs for services for which practice
expense RVUs exceed 128 percent of the work RVUs and that are performed
less than 75 percent of the time in an office setting.
Carriers will be instructed not to pay a physician for both
dialysis and a subsequent hospital visit or a follow-up inpatient
consultation on the same date of service. We will allow separate
billing and payment for an initial hospital visit (CPT codes 99221
through 99223), an initial inpatient consultation (CPT codes 99251
through 99255), and a hospital discharge service (CPT code 99238) when
billed on the same date as an inpatient dialysis service (CPT codes
90935 through 90947). We will continue to prohibit more than one
inpatient dialysis service per date since the codes themselves
recognize that some patients require repeat physician evaluations on a
given date.
2. Payment for Outpatient ESRD-Related Services Under the Physician Fee
Schedule
We proposed to include the monthly capitation payment (MCP) (CPT
codes 90918 through 90921) under the physician fee schedule. We did not
propose RVUs for these codes. Rather, we requested comments from
nephrologists and other interested parties on the work RVU for this
service and the basis for their recommendations. We also requested that
RUC consider the MCP for purposes of recommending a work RVU. We
proposed to base the practice expense and malpractice expense RVUs on
current payment allowances by applying the nephrologists' practice
expense shares to the current allowance. We proposed applying the
nonsurgical update to these codes.
Comment: Most commenters agreed that the MCP should be included in
the physician fee schedule, but supported the values recommended by
RUC.
Response: HCFA's CMD panel considered the RUC recommendation and
adjusted the RUC value to correspond to what the CMDs believed to be
the amount of physician work for the typical chronic outpatient
maintenance dialysis patient. A complete discussion of the development
of RVUs for these codes appears in section V.
Comment: Some commenters stated that the bundle of services
included in the MCP should be specifically defined before final RVUs
for the MCP are assigned.
Response: Services included in the MCP are defined in Sec. 414.314.
This definition of services was first published in the Code of Federal
Regulations (CFR) in the context of the former Alternate Reimbursement
Method (ARM), which was the predecessor of the present MCP, implemented
in 1983. This definition provides that all outpatient services related
to the treatment of the patient's renal (ESRD) condition and any
service furnished during a visit that was necessitated by the patient's
renal condition are included in the MCP. The MCP is intended to be a
global payment including all physicians' services related to the
treatment of the patient's ESRD condition during a month.
Final Decision: We will pay for CPT codes 90918 through 90921 under
the Medicare physician fee schedule for services performed on or after
January 1, 1995, as we proposed in our June 1994 proposed rule. In
addition, we will pay for CPT code 90922 under the physician fee
schedule because it represents the daily equivalent of the monthly MCP
codes. We are establishing the interim values that are discussed in
Section V of this notice.
We will implement this proposal in a budget neutral manner and will
apply the nonsurgical update to these codes. We will transition payment
to the fee schedule over 2 years using a blend in 1995: 50 percent will
be the full physician fee schedule amount and 50 percent will be the
historical payment amount. In 1996, we will base payment on the full
fee schedule amount.
K. Therapeutic Apheresis
We proposed to remove the physician work RVUs for therapeutic
apheresis (CPT code 36520) and consider it an ``incident-to'' service
on the fee schedule because we did not believe this service requires
physician work but rather that it is performed by staff under the
direction of a physician. Moreover, because this procedure is usually
performed in a hospital by hospital staff, payment is part of the
payment to the hospital. We proposed to assign the following RVUs for
this ``incident-to'' service: practice expense--1.87; malpractice
expense--0.12; total RVUs--1.99. Under our proposal, the code could be
billed for the service only if it is performed in the office.
Comment: Several commenters expressed concern that the amount of
physician work involved in treating patients receiving therapeutic
apheresis was unrecognized by HCFA. Commenters gave the following
examples of physician responsibilities associated with therapeutic
apheresis:
Physicians must evaluate the patient and the laboratory
data to determine if the procedure is indicated, educate the patient
regarding treatment, and obtain informed consent.
Physicians are usually present during portions of the
procedure to write orders, decide whether to continue treatment, and to
adjust treatment parameters such as plasma flow, fluid replacement, and
anticoagulation. These services are beyond the current scope of nursing
practice.
Physicians may be present for the entire procedure
depending on the patient's condition, response to treatment, and
whether other therapeutic apheresis team members are present. In
settings in which the technical procedure is performed by a medical
technician, the physician is in continuous attendance.
The physician must be available to intervene in the event
of complications.
Physicians are responsible for the placement of the
vascular access device and for establishing the plan for site and
catheter care.
Physicians must evaluate the patient after the treatment,
document the procedure notes, and plan for subsequent care.
A number of commenters described the work of the physician as
involving evaluation, management, and consultation. A few commenters
noted that the physician work involved with therapeutic apheresis is
similar to the work involved with inpatient dialysis.
Several commenters stated that the Medicare coverage rules require,
for payment to be allowed for services provided in a nonhospital
setting, that a physician be present during therapeutic apheresis to
perform medical services and to respond to medical emergencies, that
each patient be under the care of a physician, and that all
nonphysician services be furnished under the direct, personal
supervision of a physician. The respondents stated that these
requirements demonstrated the physician work required with the
procedure.
Response: As a result of the comments we received on this issue, we
have decided not to remove the physician work RVUs for therapeutic
apheresis. We agree with the commenters that therapeutic apheresis
requires physician work. As described by the commenters, the services
physicians furnish to patients receiving therapeutic apheresis are
generally evaluation and management services. Thus, we believe that the
policy on payment for therapeutic apheresis should be consistent with
our payment policy for inpatient dialysis services. We do not believe
payment should be made for both the therapeutic apheresis code and
certain other evaluation and management codes on the same date.
Final Decision: As a result of our review of the comments on this
issue, we have modified our proposed policy. We will continue to allow
payment for physician work RVUs for therapeutic apheresis under Part B
in the hospital and nonhospital settings. However, we will not permit
payment for both therapeutic apheresis and certain evaluation and
management codes on the same date. Specifically, we will not allow
separate payment for CPT codes 99211 through 99215 (established patient
office or other outpatient visits), 99231 through 99233 (subsequent
hospital care) and 99261 through 99263 (follow-up inpatient
consultations) on the same date that CPT code 36520 (therapeutic
apheresis) is provided. However, physicians furnishing therapeutic
apheresis services may choose to bill for the appropriate evaluation
and management visit or consultation code indicating the level of
services provided rather than billing for the therapeutic apheresis
services. This will permit physicians to be paid for the level of
service furnished. In addition, the time spent in therapeutic apheresis
management may not be counted in determining the duration of time spent
on critical care services (CPT codes 99291 and 99292). Further, we
consider the code for therapeutic apheresis to include payment for all
medical management services for the patient on that date and,
therefore, we will allow payment for only one billing (a single unit)
of CPT code 36520 for the same physician on the same date for the same
patient.
Separate payment is allowed for physician services furnished to
establish the required vascular access if performed by the physician
and if the criteria for payment under the appropriate CPT code are
satisfied. We will also allow separate billing for CPT codes 99221
through 99223 (an initial hospital visit), CPT codes 99241 through
99245 and 99251 through 99255 (initial consultations), and CPT code
99238 (a hospital discharge service) when billed on the same date as
CPT code 36520 (therapeutic apheresis). Our revised policy is
consistent with the policy for inpatient dialysis services described
elsewhere in this final rule.
We will implement this policy in a budget-neutral manner by
bundling the payment for certain evaluation and management services
performed on the same date as therapeutic apheresis into the payment
for the therapeutic apheresis service. We calculated the adjustment
required by dividing the sum of the 1993 allowed charges for
therapeutic apheresis and the appropriate evaluation and management
codes billed in conjunction with therapeutic apheresis by the 1993
allowed charges for therapeutic apheresis. Using this methodology, the
work, practice expense, and malpractice expense RVUs for therapeutic
apheresis have been increased for 1995. The total 1995 RVUs for
therapeutic apheresis are 3.78 (1.74 work RVUs, 1.92 practice expense
RVUs, and 0.12 malpractice expense RVUs.)
III. OBRA '93 Provision--Payment for Antigens (Allergen Immunotherapy)
In the June 1994 proposed rule (59 FR 32770), we explained a number
of steps that we proposed to take to bring payment for antigen services
under the physician fee schedule. As a result of changes made in OBRA
'93, effective for services furnished on or after January 1, 1995,
antigen services must be paid for under the physician fee schedule.
One proposed change was to no longer recognize J codes (that is,
level 2 HCPCS codes) for antigen services. The J codes are seldom used,
primarily because most physicians use the appropriate CPT codes to
report the services. We believe that we should simplify coding, and,
therefore, billing, for antigen services by eliminating use of the J
codes.
Another proposal that we announced was our plan to no longer
recognize the ``complete service'' CPT codes. As we explained in the
proposed rule (59 FR 32771), there are three types of CPT antigen
codes. The first type includes the injection only codes (CPT codes
95115 and 95117). The second type includes the codes representing the
antigen extract itself and the physician's professional service in
creating that extract (CPT codes 95144 through 95149, 95165, and
95170). The third category includes the ``complete service'' codes (CPT
codes 95120 through 95134), which represent both the injection(s) and
the extract and its preparation. Some allergists performing both the
injection and the extract/extract preparation services bill the
components (that is, the injection services and the extract/extract
preparation), while others furnishing both services simply bill the one
complete service code. As we explained in the proposed rule (59 FR
32771), we believe that the use of the complete service codes should be
eliminated. Only component billing should be used by allergists
furnishing both services. In our judgment, accurate payment cannot be
guaranteed under the complete service codes because they can represent
more than one way to deliver antigen services, and those different
methods of delivery have different resource costs.
We proposed accepting the RVUs that have been recommended to us by
the Joint Council of Allergy and Immunology (JCAI) as listed in the
June 1994 proposed rule (59 FR 32772).
Finally, we do not propose to make transition payments for antigen
services. Instead, we plan to go to the full fee schedule amounts
immediately. We made this proposal because there is wide variation in
the way in which Medicare carriers currently pay for antigen services.
Some pay by vial, with a vial representing 10 cc's for some and 7 cc's
for others. Some pay by dose. Still others factor in concentrations of
the antigen. As we stated in the proposed rule (59 FR 32772), we
believe that there should be a transition only when the units of
service are the same, or at least approximately the same, under the old
and new payment systems. Since we have no assurance that most carriers
use the antigen definitions we are employing under the fee schedule, we
propose no transition from our prior carrier payment amounts.
Comment: Some commenters objected to the elimination of the use of
``complete service'' codes (CPT codes 95120 through 95134). According
to these commenters, the complete service codes are the only codes that
accurately describe the provision of antigens through a treatment
board. When a treatment board is used, according to the commenters, the
various allergenic extracts are drawn directly from the bottle into the
syringe for injection. Thus, no vial is created. This means that the
treatment board allergists' use of component billing (that is, the
injection code (CPT codes 95115 or 95117) plus the extract/extract
preparation code (for example, CPT code 95165)) would not be
technically accurate. This is because the extract/extract preparation
codes are described in terms of vials and, as noted above, treatment
board physicians do not create vials when they furnish antigen therapy.
One commenter suggested that if we pursue the elimination of the
use of the complete codes, we should clarify that physicians may use
the extract/extract preparation vial codes when using a treatment
board, even though no vial is created.
Response: We continue to believe that use of the complete service
codes will not permit accurate Medicare payment. Because it is possible
for a complete service to equal an injection code plus a dose or doses
from multiple or single dose vials, we cannot establish one accurate
price for the complete service code. That inability stems from the fact
that resource costs are higher for a dose from a single dose vial than
from a multiple dose vial. This is evidenced in the per dose RVU
differential between the single dose vial (CPT code 95144) and the
multiple dose vial (CPT code 95165) extract/extract preparation codes.
Therefore, we have decided to adopt our proposal to eliminate use of
CPT codes 95120 through 95134. (We recognize that some commenters have
stated that single dose vials (CPT code 95144) are not used by
allergists who are also going to inject the antigen. Those allergists
supposedly use only multiple dose vials. The language of the single
dose vial code, however, does not limit the use of single dose vials to
allergists who are not performing the injection service.)
Also, in general, we believe that it is best to have only one way
to bill for a service. To have only one billing method, in terms of the
appropriate codes to use, avoids confusion on the part of both carriers
and physicians.
We agree with the commenter who suggested that, if we eliminate use
of the complete service codes, we clarify that the allergists who use
treatment boards, who formerly used the complete service codes, are to
use the extract/extract preparation vial codes (for example, CPT codes
95145 through 95149, 95165, and 95170) even though they prepare no
vials. They would also bill the appropriate injection code (CPT codes
95115 or 95117). Therefore, like all other allergists furnishing a
complete service, they would bill for it on a component basis. We would
not expect treatment board allergists to use extract/extract
preparation CPT code 95144, the code representing single dose vials.
They should bill the appropriate injection code plus CPT code 95165.
We will request changes to the CPT, effective January 1996, so that
the language describing the extract/extract preparation codes clearly
permits their use by allergists who use treatment boards. We will also
seek a change in the descriptor for the single dose vial code (CPT code
95144). We will suggest that it be changed to reflect that it is a vial
being injected by a physician other than the one who prepared the
antigen.
Comment: One commenter believed that our proposed per dose pricing
is inappropriate. The commenter pointed out that 1 cc can represent one
dose for patient A, but two doses for patient B. She, therefore,
recommended that we not use the CPT code and that we instead establish
a HCPCS code to pay in a manner other than on the basis of doses.
Pricing could be, for example, on a cc basis.
Response: We share the concern expressed by the commenter that
doses, as the unit of service chosen for payment purposes, not be
abused. To avoid confusion and disruption, however, we believe that we
should adhere to the current codes' use of doses. We plan to monitor
our payment for antigen services to determine whether there is a
pattern of physicians inappropriately increasing the number of doses
they furnish from a vial of extract and, therefore, ultimately
increasing the number of doses for which they bill.
Final Decision: We have deleted the J codes for antigen services
(J0220, J0230, J0240, J7010, and J7020). We will no longer recognize
the complete service codes. The RVUs for CPT codes 95115, 95117, and
95144 through 95170 that we proposed have been appropriately adjusted
for budget neutrality and appear in Addendum B of this final rule.
Payment for these codes will be based on the full fee schedule amounts.
For CPT codes 95144 through 95170, we will adhere to doses as the unit
of service for payment purposes.
IV. Provisions of This Final Rule
The provisions of this final rule, for the most part, restate the
provisions of the June 1994 proposed rule. This section lists all the
provisions of this final rule and includes changes from the proposed
rule. This final rule makes the following amendments to 42 CFR:
Simplifies the authority citations for parts 410 and 414.
Adds section 1881 of the Act to Sec. 410.1 (``Basis and
scope'') as the authority for Medicare coverage for end-stage renal
disease patients.
Revises Sec. 410.152(b)(4) (``Amounts of payment'') to
recognize that payment may be based on 80 percent of the payment amount
computed on any other payment methodologies (for example, the physician
fee schedule) than simply on a reasonable charge basis.
Adds the definition of ``antigens'' under the definition
of ``physicians' services'' under Sec. 414.2 (``Definitions'').
Revises Sec. 414.4 (``Fee schedule areas'') by removing
specific references to States identified as statewide fee schedule
areas and clarifying that we will announce proposed and final changes
in the Federal Register. This is a change from the proposed rule in
which we identified Iowa as a statewide fee schedule area effective
January 1, 1995.
Adds new Sec. 414.39 (``Special rules for payment of care
plan oversight''). We changed the policy in the proposed rule to state
that we will pay for care plan oversight services for beneficiaries
receiving hospice services as well as home health services. Also, we
decided to permit a physician to receive payment for services furnished
during a calendar month period rather than for a 30-day period.
Revises Sec. 414.314 (``Monthly capitation payment
method'') by specifying in paragraph (c) (``Determination of payment
amount'') that the MCP is paid under the Medicare physician fee
schedule described in part 414. Also, we are removing paragraph (d)
(``Publication of payment amount'') because the MCP rate will be
published with all other physician services paid under the physician
fee schedule.
In addition, the final rule differs from the proposed rule in that
we have revised our proposed payment policies as a result of public
comments for the following physician services:
We are not adopting our proposal to bundle payment for
noninvasive ear or pulse oximetry into the payment for the larger
procedure with which it is performed.
Instead of bundling payment for all evaluation and
management services performed on the same day as inpatient dialysis
into the payment for the dialysis service, we will bundle payment for
only selected evaluation and management services that are furnished on
the same date inpatient dialysis is furnished. We are requiring that
the services furnished on the same date (rather than day) be bundled to
clarify which 24-hour period is subject to bundling.
Instead of removing the physician work RVUs for
therapeutic apheresis, we will pay physicians for either selected
evaluation and management services or therapeutic apheresis, but not
both, in inpatient and outpatient settings.
V. Refinement of RVUs for CY 1995 and Responses to Public Comments on
Interim RVUs for 1994
A. Summary of Issues Discussed Related to the Adjustment of RVUs
Section V.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. (The CPT,
which is published annually by the AMA, is a listing of descriptive
terms and identifying codes for reporting medical services and
procedures performed by physicians.) In section V.C., we discuss
adjustments due to limitations on annual expenditures. We summarize
changes for the 1995 physician fee schedule in section V.D. of this
final rule. Changes to codes on the physician fee schedule reflected in
Addendum B are effective for services furnished beginning January 1,
1995.
B. Process for Establishing Work RVUs for the 1995 Fee Schedule
Our December 2, 1993 final rule on the 1994 physician fee schedule
(58 FR 63626) announced the final 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, 1994. We announced
that we would accept comments on interim RVUs for new or revised codes
and for codes previously designated as carrier-priced codes. We
announced that we considered the RVUs for the remaining codes to be
final and not subject to further public comment.
In this section, we summarize the refinements to the interim work
RVUs that have occurred since publication of the December 1993 final
rule and our establishment of the work RVUs for new and revised codes
for the 1995 fee schedule.
1. Work RVU Refinements of Interim RVUs
a. Methodology (Includes table 2--work RVU refinements of interim
and related RVUs). Although the RVUs in the December 1993 final rule
were used to calculate 1994 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 approximately 35 substantive comments
from 27 specialty societies on approximately 118 CPT codes with interim
RVUs. We also received 37 recommendations from the RUC.
Only those RVUs that were identified in the December 1993 final
rule as interim were subject to a comment period. We convened a
multispecialty panel of physicians to assist us in the review of the
comments with certain exceptions. The comments that we did not submit
to panel review are discussed at the end of this section. The panel was
moderated by our medical staff and consisted of the following groups:
A clinician representing each of the specialties most
identified with the procedures in question. The specialists on the
panel were nominated by the specialty society that submitted the
comments. Ten specialty societies were represented on the panel.
Primary care clinicians nominated by the AAFP, the ASIM,
the American College of Physicians, the American Academy of Osteopathy,
and the American Academy of Pediatrics.
CMDs.
After eliminating the codes with final RVUs and certain codes that
are discussed at the end of this section, we submitted comments on 27
codes for evaluation by the panel. 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 assembled a set
of reference services and asked specialty societies to compare 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 120
services. Panelists were encouraged to make comparisons to reference
services.
The intent of the panel process was to capture each participant's
independent judgment based on the discussion and his or her clinical
experience. Following each discussion, participants 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 final
rule 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 December 1993
final rule. We did not modify the RVUs unless there was 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 two
remaining groups as the basis for new RVUs. We used the same
methodology in analyzing the ratings that we used in the refinement
process for the 1993 fee schedule. The statistical tests were described
in detail in the November 25, 1992 final notice (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 the interests of those who commented on the work RVUs against
the redistributive effects that would occur in other specialties,
particularly the potential adverse effect on primary care services. Of
the 27 codes reviewed by our multispecialty panel, all of the requests
were for increased values.
We also received comments on RVUs that were subject to comment 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 in section V.B.1.b. of this final rule. Of
the approximately 115 interim work RVUs that were reviewed,
approximately 43 percent were increased, approximately 12 percent were
decreased, and approximately 45 percent were not changed.
We received RUC recommendations for approximately 37 codes that
appear in Table 2. We have accepted or increased 95 percent of these
recommendations.
Table 2--work RVU refinements of interim and related RVUs. Table 2
lists the interim and related codes reviewed during the 1994 refinement
process described in this section. This table includes the following
information:
HCPCS (HCFA Common Procedure Coding System) code. This is
the CPT code for a service.
Description. This is an abbreviated version of the
narrative description of the code.
1994 work RVUs. The work RVUs that appeared in the
December 1993 rule are shown for each reviewed code.
Requested work RVUs. This column identifies the work RVUs
requested by commenters including RUC recommendations. We received more
than one comment on some codes, and, in a few of these cases, the
commenters requested different RVUs. The table lists the highest
requested RVUs. For some codes, we received no specific RVU
recommendations. The RVUs shown have not been adjusted for budget
neutrality. Some commenters did not take into account the fact that the
interim RVUs had been rescaled and based their comments on the 1993
RVUs.
1995 work RVUs. This column contains the final RVUs for
physician work. The 1995 RVUs shown have not been adjusted for budget
neutrality.
Basis for decision. This column indicates whether:
--The recommendations of the refinement panel were the basis upon which
we determined that the interim work RVUs published in the December 1993
final rule should be retained (indicator 1);
--A new value emerged from our analysis of the refinement panel ratings
(indicator 2); or
--A new or retained value emerged from some other source (indicator 3).
Codes with an indicator of 3 are discussed following Table 2.
Table 2.--Work RVU Refinements of Interim and Related RVUs
----------------------------------------------------------------------------------------------------------------
1994 work Requested 1995 work Basis for
HCPCS* Description RVU work RVU RVU** decision
----------------------------------------------------------------------------------------------------------------
15788.. Chemical peel, face, epiderm............................... 2.96 5.00 1.98 2
15789.. Chemical peel, face, dermal................................ 3.95 6.59 4.74 2
15792.. Chemical peel, nonfacial................................... 2.37 4.00 1.75 2
15793.. Chemical peel, nonfacial................................... 3.16 5.34 3.55 2
33200.. Insertion of heart pacemaker............................... 11.20 11.20 11.20 3
33206.. Insertion of heart pacemaker............................... 6.11 6.11 6.11 3
33208.. Insertion of heart pacemaker............................... 7.51 7.36 7.36 3
33210.. Insertion of heart electrode............................... 3.34 3.34 3.34 3
33211.. Insertion of heart electrode............................... 3.44 3.44 3.44 3
33212.. Insertion of pulse generator............................... 5.27 5.27 5.27 3
33213.. Insertion of pulse generator............................... 6.22 6.22 6.22 3
33214.. Upgrade of pacemaker system................................ 7.51 7.51 7.51 3
33216.. Revision implanted electrode............................... 5.13 5.13 5.13 3
33217.. Insert/revise electrode.................................... 5.49 5.49 5.49 3
33218.. Repair pacemaker electrodes................................ 5.08 5.08 5.08 3
33220.. Repair pacemaker electrodes................................ 5.16 5.16 5.16 3
33222.. Pacemaker aicd pocket...................................... 4.64 4.64 4.64 3
33223.. Pacemaker aicd pocket...................................... 6.21 6.21 6.21 3
33233.. Removal of pacemaker system................................ 2.85 2.85 3.00 3
33234.. Removal of pacemaker system................................ 4.23 9.00 8.79 3
33235.. Removal pacemaker electrode................................ 5.62 10.25 10.04 3
33236.. Remove electrode/thoracotomy............................... 11.84 11.84 11.84 3
33237.. Remove electrode/thoracotomy............................... 12.83 12.83 12.83 3
33238.. Remove electrode/thoracotomy............................... 14.31 14.31 14.31 3
33240.. Insert/replace pulse gener................................. 7.28 7.28 7.28 3
33241.. Remove pulse generator only................................ 2.85 3.00 3.00 3
33242.. Repair pulse generator /leads.............................. 5.92 5.92 5.92 3
33243.. Remove generator/thoracotomy............................... 21.71 21.71 21.71 3
33244.. Remove generator........................................... 8.43 12.00 8.43 3
33247.. Insert/replace leads....................................... 9.87 9.87 9.87 3
33249.. Insert/replace leads/gener................................. 12.97 12.97 12.97 3
37790.. Penile venous occlusion.................................... 6.91 13.00 8.11 2
38102.. Removal of spleen, total................................... 4.85 7.00 4.85 3
43205.. Esophagus endoscopy/ligation............................... 3.81 4.10 3.83 3
43216.. Esophagus endoscopy/lesion................................. 2.83 2.76 2.43 3
43217.. Esophagus endoscopy........................................ 2.83 2.86 2.93 3
43244.. Upper GI endoscopy/ligation................................ 4.62 4.68 4.64 3
43250.. Upper GI endoscopy/tumor................................... 3.63 3.58 3.24 3
43251.. Operative upper GI endoscopy............................... 3.63 3.68 3.74 3
43259.. Endoscopic ultrasound exam................................. 3.95 6.11 4.94 2
43458.. Dilation of esophagus...................................... 1.03 3.09 3.09 2
43610.. Excision of stomach lesion................................. 10.22 13.00 10.22 3
43611.. Excision of stomach lesion................................. 12.57 16.00 12.57 3
44364.. Small bowel endoscopy...................................... 4.18 4.22 4.27 3
44365.. Small bowel endoscopy...................................... 4.07 4.12 3.77 3
44376.. Small bowel endoscopy...................................... 5.43 7.19 5.75 2
44377.. Small bowel endoscopy...................................... 5.73 7.50 6.05 2
44378.. Small bowel endoscopy...................................... 7.48 8.50 7.80 2
44392.. Colonoscopy & polypectomy.................................. 4.08 3.81 3.86 3
44394.. Colonoscopy w/snare........................................ 4.08 4.42 4.48 3
44500.. Intro, gastrointestinal tube............................... 0.37 0.95 0.50 2
44615.. Intestinal stricturoplasty................................. 11.49 13.50 13.03 2
45308.. Proctosigmoidoscopy........................................ 1.93 1.50 1.53 3
45309.. Proctosigmoidoscopy........................................ 1.93 1.96 2.03 3
45315.. Proctosigmoidoscopy........................................ 2.03 2.06 2.57 3
45333.. Sigmoidoscopy & polypectomy................................ 2.19 1.90 1.98 3
45338.. Sigmoidoscopy.............................................. 2.19 2.51 2.60 3
45384.. Colonoscopy................................................ 5.25 4.71 4.75 3
45385.. Colonoscopy, lesion removal................................ 5.25 5.32 5.37 3
46610.. Anoscopy; remove lesion.................................... 1.53 1.30 1.33 3
46611.. Anoscopy................................................... 1.53 1.76 1.83 3
46612.. Anoscopy; remove lesions................................... 1.63 1.86 2.37 3
48150.. Partial removal of pancreas................................ 34.55 43.00 40.70 3
48152.. Pancreatectomy............................................. 31.33 39.00 36.91 3
48153.. Pancreatectomy............................................. 34.55 43.00 40.70 3
48154.. Pancreatectomy............................................. 31.33 39.00 36.91 3
49495.. Repair inguinal hernia, init............................... 5.85 6.93 5.85 3
49496.. Repair inguinal hernia, init............................... 8.46 9.34 8.46 3
49500.. Repair inguinal hernia..................................... 4.46 5.15 4.46 3
49501.. Repair inguinal hernia, init............................... 7.34 8.10 7.34 3
49507.. Repair inguinal hernia..................................... 7.48 8.20 7.48 3
49521.. Repair inguinal hernia, rec................................ 9.53 10.50 9.53 3
49550.. Repair femoral hernia...................................... 7.05 6.32 7.05 3
49553.. Repair femoral hernia, init................................ 7.48 9.87 7.48 3
49557.. Repair femoral hernia, recur............................... 8.83 10.58 8.83 3
49561.. Repair incisional hernia................................... 11.51 10.90 11.51 3
49565.. Rerepair abdominal hernia.................................. 9.59 9.72 9.59 3
49566.. Repair incisional hernia................................... 11.51 11.80 11.51 3
49568.. Hernia repair w/mesh....................................... 4.94 5.00 4.94 3
49572.. Repair, epigastric hernia.................................. 5.41 7.25 5.41 3
49580.. Repair umbilical hernia.................................... 3.28 5.00 3.28 3
49582.. Repair umbilical hernia.................................... 5.19 7.92 5.19 3
49585.. Repair umbilical hernia.................................... 5.00 5.07 5.00 3
49587.. Repair umbilical hernia.................................... 6.00 8.44 6.00 3
54231.. Dynamic cavernosometry..................................... 2.51 3.67 2.06 2
56620.. Partial removal of vulva................................... 6.76 ------- 6.74 3
56625.. Complete removal of vulva.................................. 7.52 ------- 7.49 3
56630.. Extensive vulva surgery.................................... 10.63 ------- 10.59 3
56631.. Extensive vulva surgery.................................... 14.77 ------- 14.73 3
56632.. Extensive vulva surgery.................................... 16.84 19.37 18.87 3
56633.. Extensive vulva surgery.................................... 12.62 ------- 12.29 3
56634.. Extensive vulva surgery.................................... 16.76 ------- 16.43 3
56637.. Extensive vulva surgery.................................... 18.83 ------- 20.57 3
57454.. Vagina examination and biopsy.............................. 1.28 1.56 1.28 3
58323.. Sperm washing.............................................. 0.19 0.30 0.23 2
61609.. Transect, artery, sinus.................................... 7.90 10.00 10.00 2
61610.. Transect, artery, sinus.................................... 23.69 35.00 30.00 2
61611.. Transect, artery, sinus.................................... 5.92 7.50 7.50 2
61612.. Transect, artery, sinus.................................... 17.77 33.00 28.19 2
74190.. X-ray exam of peritoneum................................... 0.32 1.00 0.49 2
74251.. X-ray exam of small bowel.................................. 0.48 0.83 0.70 2
76075.. Dual energy x-ray study.................................... 0.28 0.30 0.30 3
76975.. Gi endoscopic ultrasound................................... 0.82 1.02 0.82 1
93268.. Ecg record/review.......................................... 0.53 0.53 0.53 3
93539.. Injection, cardiac cath.................................... 0.29 0.29 0.29 3
93540.. Injection, cardiac cath.................................... 0.29 0.43 0.43 3
93724.. Analyze pacemaker system................................... 4.94 4.94 4.94 3
93731.. Analyze pacemaker system................................... 0.46 0.46 0.46 3
93732.. Analyze pacemaker system................................... 0.86 1.20 0.93 3
93733.. Telephone analysis, pacemaker.............................. 0.17 0.17 0.17 3
93734.. Analyze pacemaker system................................... 0.38 0.38 0.38 3
93735.. Analyze pacemaker system................................... 0.51 0.75 0.75 3
93736.. Telephone analysis, pacemaker.............................. 0.15 0.15 0.15 3
93737.. Analyze cardio/defibrillator............................... 0.45 0.45 0.45 3
93738.. Analyze cardio/defibrillator............................... 0.93 0.93 0.93 3
93922.. Extremity study............................................ 0.22 0.41 0.25 3
93923.. Extremity study............................................ 0.41 0.78 0.46 3
93924.. Extremity study............................................ 0.45 0.85 0.51 3
95807.. Sleep study................................................ 1.68 1.70 1.68 3
95808.. Polysomnography, 1-3....................................... 2.75 2.71 2.68 3
95810.. Polysomnography, 4 or more................................. 2.75 3.61 3.57 3
96405.. Intralesional chemo admin.................................. 0.53 1.09 0.53 1
96406.. Intralesional chemo admin.................................. 0.81 1.20 0.81 1
99295.. Neonatal critical care..................................... 14.96 18.42 16.21 2
99296.. Neonatal critical care..................................... 7.46 9.93 7.48 2
99297.. Neonatal critical care..................................... 3.71 5.00 3.88 2
99354.. Prolonged service, office.................................. 1.15 2.33 1.53 3
99355.. Prolonged service, office.................................. 0.38 1.20 1.53 3
99356.. Prolonged service, inpatient............................... 1.15 3.00 1.46 3
99357.. Prolonged service, inpatient............................... 0.38 1.50 1.46 3
----------------------------------------------------------------------------------------------------------------
*All numeric CPT HCPCS Copyright 1994 American Medical Association.
**RVUs do not reflect adjustment for budget neutrality.
b. Discussion of codes not reviewed by the panel (Includes Table
3--Prolonged Services). Codes listed in Table 2 with a basis of
decision of ``3'' fall into several categories. For most of these
codes, we received comments that were not considered by the
multispecialty refinement panel for a variety of reasons. Those codes
and our rationale for the final work RVUs we have established for the
codes are discussed below. The 1995 work RVUs mentioned in this
discussion have not been adjusted for budget-neutrality purposes.
For the following CPT codes, we received RUC recommendations that
support our interim work RVUs. We have made the interim work RVUs the
final work RVUs:
------------------------------------------------------------------------
CPT code Description
------------------------------------------------------------------------
33200.............................. Insertion of heart pacemaker.
33206.............................. Insertion of heart pacemaker.
33210.............................. Insertion of heart electrode.
33211.............................. Insertion of heart electrode.
33212.............................. Insertion of pulse generator.
33213.............................. Insertion of pulse generator.
33214.............................. Upgrade of pacemaker system.
33216.............................. Revision of implanted electrode.
33217.............................. Insert/revise electrode.
33218.............................. Repair of pacemaker electrode(s).
33220.............................. Repair of pacemaker electrode(s).
33222.............................. Pacemaker acid pocket.
33223.............................. Pacemaker acid pocket.
33236.............................. Remove electrode/thoracotomy.
33237.............................. Remove electrode/thoracotomy.
33238.............................. Remove electrode/thoracotomy.
33240.............................. Insert/replace pulse generator.
33242.............................. Repair pulse generator/leads.
33243.............................. Remove generator/thoracotomy.
33247.............................. Insert/replace leads.
33249.............................. Insert/replace leads/generator.
93268.............................. ECG record/review.
93539.............................. Inject circulation assist.
93724.............................. Analyze pacemaker system.
93731.............................. Analyze pacemaker system.
93733.............................. Telephone analysis, pacemaker.
93734.............................. Analyze pacemaker system.
93736.............................. Telephone analysis, pacemaker.
93737.............................. Analyze cardio/defibrillator.
93738.............................. Analyze cardio/defibrillator.
------------------------------------------------------------------------
Insertion of heart pacemaker (CPT code 33208). We received a RUC
recommendation of 7.36 RVUs, which we have accepted.
Removal of permanent pacemaker (CPT codes 33233 through 33235). We
received RUC recommendations for CPT codes 33233, 33234, and 33235 of
2.85, 9.00, and 10.25 RVUs, respectively. The RUC valuations are based
upon a vignette that gives a worst case scenario rather than an average
case. We do agree, however, with the difference in work between CPT
codes 33234 and 33235 of 1.25 RVUs as opposed to the American College
of Cardiology (ACC) recommendation for CPT code 33235 as 10 percent
more than CPT code 33234. As we noted last year, these three codes were
derived from a single 1993 code, CPT code 33232. To be consistent, the
volume-weighted average RVUs for the new codes should equal the RVUs
for the old code, 4.95 on the 1994 scale. We calculated the 1994 RVUs
for this family of codes based on ACC estimates of relative volumes of
5 percent for CPT code 33233 and our own estimates of 38 percent for
CPT code 33234 and 57 percent for CPT code 33235. Our claims experience
has been very different: 69 percent for CPT code 33233, 19 percent for
CPT code 33234, and 12 percent for CPT code 33235. Given our belief
that the RVUs for CPT code 33233 should be the same as the RVUs for CPT
code 33241 (Removal of implantable cardioverter-defibrillator pulse
generator only), we have established 3.00 RVUs for CPT code 33233. We
have recalculated the RVUs for CPT codes 33234 and 33235 based on 1994
utilization data and have established 8.79 RVUs for CPT code 33234 and
10.04 RVUs for CPT code 33235.
Removal of implantable cardioverter-defibrillator pulse generator
only (CPT code 33241). We received a RUC recommendation of 3.00 RVUs
and have decided to accept the recommendation.
Removal of implantable cardioverter-defibrillator pulse generator
and/or lead system; by other than thoracotomy (CPT code 33244). We
received a RUC recommendation of 12.00 RVUs for this service, which
involves a removal only. We believe that the recommendation is too high
since CPT code 33247, which involves insertion and removal, is assigned
9.87 RVUs. We also believe that CPT code 33244 requires less work than
CPT code 33236 (removal by thoracotomy), which is assigned 11.84 RVUs.
We also believe that removal only requires less work than insertion
only (CPT code 33249, which is assigned 12.97 RVUs). For these reasons,
we are retaining 8.43 RVUs for CPT code 33244.
Splenectomy; total, en bloc, for extensive disease, in conjunction
with other procedure (CPT code 38102).
Comment: A commenter agreed with our characterization of this
service as equivalent to the intraoperative work of a stand-alone total
splenectomy (CPT code 38100) but questioned our estimate that the
intraoperative portion constituted 40 percent of the total work of CPT
code 38100. The commenter stated that preoperative and postoperative
visits amount to 43 percent of the total work and argued that the
intraoperative portion should therefore be 57 percent.
Response: The 57 percent figure cited by the commenter includes all
of the nonvisit work, including dressing, scrubbing, and waiting before
surgery, and the postoperative care on the day of surgery, as well as
the work of opening and closing the abdomen. None of this work is
included in CPT code 38102. We estimate that 30 percent of this 57
percent (17 percent of the total work of CPT code 38100) can be
attributed to these other tasks; therefore, we arrive at the 40 percent
figure used for our estimate. Therefore, we have decided to retain the
current 4.85 RVUs for CPT code 38102.
Gastrointestinal endoscopy with band ligation of varices (CPT codes
43205 and 43244).
Comment: A commenter recommended a higher valuation for ligation of
varices (CPT codes 43205 and 43244) than for injection sclerosis of
varices (CPT codes 43204 and 43243). The interim RVUs assigned to
ligation of varices were equivalent to the interim RVUs assigned to the
injection sclerosis of varices.
Response: We reviewed the 1993 RUC recommendations, which were
contradictory on this point, suggesting that CPT code 43205 have 0.20
RVUs more than the RVUs for CPT code 43204 but allowing for no
differential between the RVUs for CPT code 43243 and CPT code 43244.
Because we believe the increment should be equal in both pairs of
codes, we took a volume-weighted average. Because CPT codes 43243 and
43244 are performed less than CPT codes 43204 and 43205, the increment
is only 0.02 RVUs. Thus, we have modified the RVUs for CPT codes 43205
and 43244 (band ligation) and have increased their RVUs by 0.02 RVUs to
3.83 and 4.64, respectively.
Gastrointestinal endoscopy with removal of tumor(s), polyp(s), or
other lesion(s) (CPT codes 43216, 43217, 43250, 43251, 44364, 44365,
44392, 44394, 45308, 45309, 45333, 45338, 45384, 45385, 46610, 46611,
and 46612). These lesions may be removed by hot biopsy forceps or
bipolar cautery (CPT codes 43216, 43250, 44365, 44392, 45308, 45333,
45384, and 46610) or snare technique (CPT codes 43217, 43251, 44364,
44394, 45309, 45338, 45385, and 46611). In the cases of
proctosigmoidoscopy and anoscopy, there are codes that apply only to
the removal of a single lesion (CPT codes 45308, 45309, 46610, and
46611); for multiple lesions, the same code is used for either
technique (CPT codes 45315 and 46612).
Comment: Commenters disagreed with the two techniques (hot biopsy
forceps or bipolar cautery, on the one hand, or snare technique, on the
other hand) being given the same RVUs (2.83), stating that the snare
technique involves more work.
Response: These two techniques were previously reported under the
same CPT code. When the codes were split, we did not have adequate
information on relative volumes to make a work-neutral revaluation, so
we kept the RVUs the same. We also believe the RUC RVUs were
inconsistent (a discussion of the RUC RVUs appears in our December 1993
final rule (58 FR 63668)), valuing the snare technique as 9 percent
more work for esophagoscopy, upper gastrointestinal endoscopy, and
small bowel endoscopy; 63 to 65 percent more work for regular
colonoscopy, stomal colonoscopy, and sigmoidoscopy; and 58 percent more
work for anoscopy and proctosigmoidoscopy. While the number of lesions
removed may vary among these three classes and would justify different
RVUs, the relative work of the two techniques should not vary.
Since we now have volume data available, we took a volume-weighted
average of the RUC recommendations and valued the snare technique as
61.5 percent more than the technique using hot biopsy forceps or
bipolar cautery. We used this finding to calculate RVUs for these codes
in conjunction with three other assumptions: (1) The increase in work
over the base (diagnostic) endoscopy code for a technique should be the
same within each endoscopy class; (2) the increments for single lesion
removal used in the anoscopy/proctosigmoidoscopy class should not be
greater than the increases for the corresponding techniques in the
other two classes; and (3) RVUs should be work-neutral within each
class. These assumptions gave us the following RVUs: 1.01 RVUs for hot
biopsy forceps or bipolar cautery and 1.63 RVUs for snare technique in
the sigmoidoscopy/ colonoscopy class, and 0.82 RVUs and 1.32 RVUs in
the other classes. We have assigned the multiple lesion code in the
anoscopy/proctosigmoidoscopy class 1.86 RVUs. These RVUs, when added to
the RVUs for the corresponding diagnostic endoscopy, give the total
RVUs for these services.
Stomach excision (CPT codes 43610 and 43611).
Comment: A commenter objected to adjusting the RVUs for these
revised codes for ``budget neutrality.''
Response: The discussion of our RVUs for these codes as well as the
new gastrectomy codes makes no mention of budget or work neutrality.
The average RVUs for these families of codes are, in fact, higher than
their predecessor codes. Therefore, we have retained 10.22 RVUs for CPT
code 43610 and 12.57 RVUs for CPT code 43611.
Pancreatic surgery (CPT codes 48150 through 48154).
Comment: A commenter recommended a higher valuation of these
procedures than they had been assigned based upon the complexity of
intraoperative work and extensive preoperative care. One commenter
suggested 43.00 RVUs for CPT code 48150.
Response: The single code for the Whipple procedure was replaced in
1994 by four codes. The procedure as described by the old code was
considered by this year's refinement panel and revalued at 40.59 RVUs.
Using the same ratios as the RUC recommendations, we changed the RVUs
for the four new codes so their volume-weighted average would equal
40.59 RVUs. This resulted in the assignment of 40.70 RVUs to CPT codes
48150 and 48153, and 36.91 RVUs to CPT codes 48152 and 48154.
Hernia repair (CPT codes 49495 through 49587).
Comment: A commenter criticized adjustment of the RVUs for these
services for ``budget neutrality'' and decried the predomination of
budget considerations over clinical judgment. The commenter further
stated that hernia procedures were, in general, undervalued and these
and other general surgical procedures had been denied the opportunity
to have their undervaluation corrected.
Response: The commenter has confused two different uses of the term
``budget neutrality.'' The first use of the term refers to the
budgetary impact of RVU changes and is corrected by the rescaling of
work RVUs for the entire fee schedule, not by changing the RVUs for
individual codes or groups of codes. The second use is the mistaken
application of the term to the conservation of established work RVUs,
which might be more properly called work neutrality. The purpose of
work neutrality adjustments is to ensure that the RVUs for new codes
are consistent with the RVUs for the codes they are replacing. In the
case of the hernia codes, the RUC recommendations explicitly stated
that the proposed RVUs were intended to be equivalent to the RVUs for
the old codes. Our work neutrality calculations were a means of judging
their success at meeting those goals and of correcting any
inconsistencies. We make work neutrality adjustments because we believe
that it is generally inappropriate to use coding changes as an excuse
to reopen discussion of valuations of existing services. To do so would
arbitrarily favor services that are better suited for recoding.
We disagree that there has not been ample opportunity to consider
the valuation of hernia procedures: They were discussed and generally
increased in value in the 1992 refinement process.
Vulvectomy procedures (CPT codes 56620 through 56637).
Comment: A commenter disagreed with our valuation of the work of a
bilateral lymphadenectomy as being only 50 percent greater than the
additional work of a unilateral lymphadenectomy over the base
procedure.
Response: We agree. In this case, if there is no preprocedure or
postprocedure work and no duplication of approach and closure, the
procedure for the second side is identical to the unilateral procedure.
To make this correction, we have revised the RVUs of the entire
vulvectomy family (CPT codes 56620 through 56637), so that the RVUs for
these codes are consistent with the RVUs for the codes before the
addition of CPT code 56632 in 1994 and the extensive revisions of the
vulvectomy codes in 1993.
Colposcopy and biopsy (CPT code 57454).
Comment: A commenter agreed that the change in the wording of the
descriptor was intended to be editorial but that surveys of physicians
performing the procedure indicated that the work should be given a
higher value.
Response: As we have stated in the past, we believe it is
inappropriate to use coding changes as an excuse to reopen discussion
of valuations of existing services. To do so would arbitrarily favor
services that are better suited for recoding. Therefore, we have
retained 1.28 RVUs.
Dual energy x-ray (DEXA) study (CPT code 76075).
Comment: Numerous commenters objected to the 0.28 RVUs assigned to
this service.
Response: We received a RUC recommendation of 0.30 RVUs and have
accepted the RUC recommendation. The RUC recommendation and our final
RVUs are based on a complete DEXA study. By definition, a DEXA study
includes one or more sites, and a study of multiple sites is reported
with CPT code 76075 as a single unit of service. A DEXA study also
includes the following: a discussion of the procedure with the patient
and a review of clinical data (for example, patient history) and other
pertinent radiologic studies; calibration and quality control (for
example, measurement of photons) of the device and assurance that
anatomic markings are appropriately displayed and are in proper
position; and assurance that quantitative data are valid, and that
interpretation of data, generation of the written report, and
communication of the report to the referring physician and/or patient
are completed.
Injection procedure during cardiac catheterization (CPT code
93540). We received a RUC recommendation of 0.43 RVUs, which we have
accepted.
Analyze dual chamber pacemaker system (CPT code 93732). The interim
RVUs for this code were 0.86. We received a RUC recommendation of 1.20
RVUs. We disagree with this recommendation because we believe that the
work is comparable to the work of 0.93 RVUs involved in analyzing a
cardioverter/defibrillator (CPT code 93738). Therefore, we have
assigned the same value, 0.93 RVUs.
Additionally, there are four related codes, CPT codes 93733, 93736,
93737, and 93738, which were not subject to comment but for which the
RUC recommended no change from their current RVUs. Therefore, we have
retained 0.17 RVUs for CPT code 93733, 0.15 RVUs for CPT code 93736,
0.45 RVUs for CPT code 93737, and 0.93 RVUs for CPT code 93738.
Analyze pacemaker system (CPT code 93735). We received a RUC
recommendation of 0.75 RVUs and have accepted it.
Non-invasive physiological studies of arteries (CPT codes 93922
through 93924).
Comment: Commenters requested reconsideration of the RUC
recommendations for these codes. The RUC recommended 0.41 RVUs for CPT
code 93922, 0.78 RVUs for CPT code 93923, and 0.85 RVUs for CPT code
93924.
Response: The 1994 RVUs for these codes reflect that these codes
cover the exact range of services previously reported with deleted CPT
codes 93920 and 93921. We adjusted the RUC recommendations to produce
interim RVUs, which we expected would have the same average RVUs as the
deleted codes. We now have reviewed actual claims experience with the
new codes and have revised these RVUs accordingly, that is, to produce
the same average RVUs as the deleted codes. We have assigned 0.25 RVUs
to CPT code 93922, 0.46 RVUs to CPT code 93923, and 0.51 RVUs to CPT
code 93924.
Sleep studies (CPT 95807 through 95810).
Comment: Commenters requested reconsideration of the RUC
recommendations for these codes. The RUC recommended 1.70 RVUs for CPT
code 95807, 2.71 RVUs for CPT code 95808, and 3.61 RVUs for CPT code
95810.
Response: Because we did not have reliable estimates of
utilization, we did not accept the RUC recommendations as interim RVUs
for CPT codes 95808 and 95810. Instead, we used the 2.79 RVUs of the
predecessor CPT code 95828. On the basis of 1994 claims data, we
recalculated the RVUs for CPT codes 95807, 95808, and 95810, using the
RUC relationships adjusted so that the volume-weighted average of the
three codes would equal the RVUs for CPT code 95828.
Prolonged services (CPT 99354 through 99357).
Comment: Commenters objected to the interim RVUs, preferring those
recommended by the RUC, because those RVUs were based on a survey of 60
physicians by the ASIM and the AAFP with a response rate of 75 percent,
which showed median RVUs of 1.59, 75th percentile RVUs of 1.85, and
median intraservice time of 50 minutes.
Response: The survey methodology used to support the RUC
recommendations is poorly suited to value this service for several
reasons:
(1) Response bias. In the materials submitted to the RUC for these
codes, the AAFP/ASIM survey for CPT code 99354 reported a response rate
of 49 percent (46 of 94) with median RVUs of 2.33, 75th percentile RVUs
of 2.70, and median intraservice time of 60 minutes. The RUC
recommendation was 2.33 RVUs. The commenters reported that, when
additional responses were received (the response rate increased to 75
percent), the median and 75th percentile RVUs and the median
intraservice time fell substantially. This large reduction of reported
RVUs with the receipt of additional responses in the 75 percent sample
reported by the commenters indicates a substantial response bias, that
is, those favoring higher RVUs were more motivated to respond, and
suggests that a 100 percent response rate would produce further
reductions.
(2) Difficulty in characterizing the service. The vignettes used in
the surveys describe entire episodes of care that would be reported
using both an ordinary evaluation and management code and prolonged
services codes but the vignettes did not distinguish what portion of
the work described is included in the basic evaluation and management
service. It is likely that many survey respondents valued the work and
time of the entire episode rather than the portion that would be
considered prolonged services.
Even if the vignettes were constructed in a way that made it easy
to identify the work of prolonged services, the heterogeneity of
services covered by the codes severely weakens the validity of
vignette-based magnitude estimation surveys. Statistically, this method
requires the mode and mean of RVUs to be interchangeable. The fee
schedule RVUs are intended to equal the average (or mean) work of all
patients described by a code. Because it is nearly impossible,
cognitively, to recognize and weigh the work and relative frequency of
the entire range of patients described by the code, a vignette
describing a typical patient (the mode) is substituted. The
relationship of mean and mode becomes weaker as the collection of
services included in a code becomes more heterogeneous. Evaluation and
management services are among the most heterogeneous. This is one
reason why typical times are included in their descriptors to help
distinguish levels of service and are not needed to distinguish
different levels of, for example, intestinal resection. The prolonged
services codes are even more heterogeneous than visit codes, covering
wide ranges of time and levels of service. Attempting to measure the
average work of these codes on the basis of a vignette is similar to
trying to estimate the average work of a code for unlisted procedures
in a given anatomic region (such as CPT code 45999 (Unlisted procedure,
rectum)) by estimating the work of one of the procedures covered by
that code.
(3) The vignettes used for CPT codes 99354 and 99356 describe the
most difficult cases covered by the codes. The vignettes for CPT codes
99354 and 99356 are identical to those for CPT codes 99355 and 99357,
respectively. In order for the episodes described to qualify for CPT
codes 99355 or 99357, they must involve at least 75 minutes of face-to-
face time beyond the typical time for the visit code used. Since CPT
codes 99354 and 99356 describe encounters with anywhere between 30 and
74 minutes of face-to-face time beyond the typical time, the vignettes
describe the longest possible encounters that these codes represent.
For reasons delineated below, we believe that episodes qualifying for
CPT codes 99354 or 99356 average not 74 minutes but 40 minutes, and
only 3 percent will also qualify for CPT codes 99355 or 99357. Even if
these figures are substantial underestimates, unless all prolonged
services episodes qualify for CPT codes 99355 or 99357, the vignettes
overstate the average work.
Even when better suited to circumstances, magnitude estimation
surveys are not a gold standard; they serve as a basis for discussion
because better data are seldom available. In this case, however, there
is a good source of information: the National Ambulatory Medical Care
Survey (NAMCS), conducted by the National Center for Health Statistics.
This study used state-of-the-art sampling techniques to ensure accurate
representation of the full range of ambulatory care in the U.S. Instead
of relying upon physician opinion as to the average length of
encounters, NAMCS recorded face-to-face time for 33,795 visits at the
time of visit. These data, combined with Medicare claims data
concerning the relative frequency of visit codes, form the basis for
Table 3--Prolonged Services, which follows.
Table 3.--Prolonged Services
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Probability Probability Probability
Proportion of code Average Time of code Average Time Probability Average Time of code Average Time
HCPCS* Typical of all qualifying time of beyond qualifying time of beyond of code time of beyond qualifying time of beyond
time office as episode typical for 99354 episode typical qualifying episode typical for 99354 & episode typical
visits prolonged only for 99355 99355 x1
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
99201......................................... 10 0.005 (**) NA NA (**) NA NA (**) NA NA (**) NA NA
99202......................................... 20 0.017 0.0002 53.90 33.90 0.0002 53.90 33.90 (**) NA NA (**) NA NA
99203......................................... 30 0.020 0.0027 66.31 36.31 0.0026 66.25 36.25 (**) NA NA (**) NA NA
99204......................................... 45 0.013 0.0216 81.29 36.29 0.0215 81.06 36.06 0.0001 132.81 87.81 0.0001 128.92 83.92
99205......................................... 60 0.009 0.0431 100.12 40.12 0.0414 98.32 38.32 0.0017 143.22 83.22 0.0016 139.67 79.67
99211......................................... 5 0.042 (**) NA NA (**) NA NA (**) NA NA (**) NA NA
99212......................................... 10 0.194 (**) NA NA (**) NA NA (**) NA NA (**) NA NA
99213......................................... 15 0.469 (**) NA NA (**) NA NA (**) NA NA (**) NA NA
99214......................................... 25 0.157 0.0010 60.58 35.58 0.0010 60.56 35.56 (**) NA NA (**) NA NA
99215......................................... 40 0.034 0.0104 77.96 37.96 0.0103 77.58 37.58 0.0001 118.72 78.72 0.0001 117.79 77.79
99241......................................... 15 0.004 (**) NA NA (**) NA NA (**) NA NA (**) NA NA
99242......................................... 30 0.006 0.0027 66.31 36.31 0.0026 66.25 36.25 (**) NA NA (**) NA NA
99243......................................... 40 0.010 0.0104 77.96 37.96 0.0103 77.58 37.58 0.0001 118.72 78.72 0.0001 117.79 77.79
99244......................................... 60 0.013 0.0431 100.12 40.12 0.0414 98.32 38.32 0.0017 143.22 83.22 0.0016 139.67 79.67
99245......................................... 80 0.006 0.0714 126.41 46.41 0.0674 123.63 43.63 0.0040 173.52 93.52 0.0034 163.14 83.14
Average....................................... ....... .......... 0.0023 93.96 39.84 0.0022 92.28 38.49 0.0001 151.79 86.56 0.0001 145.51 80.75
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
*All numeric CPT HCPCS copyright 1994 American Medical Association.
**Less than 1 in 20,000.
The NAMCS data also confirm our belief that many more visits will
occur at the shorter end of time periods covered by the codes: 60
minute visits are 12 times more likely than 90 minute visits, which are
twice as likely as 120 minute visits. This is a direct consequence of
the laws of probability: If a service has a typical time, the length of
any single visit is more likely to be closer to that typical time than
further away from it.
Comment: Commenters also stated that the interim RVUs contradicted
our position that work per unit time should increase in a linear
fashion for evaluation and management services. Among other examples,
they cited a level-five established patient office visit (typical time
40 minutes) that lasted 100 minutes. This episode would be valued at
2.68 RVUs or 0.027 RVUs per minute, rather than the 0.038 RVUs per
minute (1.53 RVUs/40 minutes) for a typical visit.
Response: The phenomenon described by the commenters is not a
consequence of the interim RVUs. It occurs any time the length of a
visit deviates from the typical time. For example, a level-five
established patient visit that lasted 65 minutes (which would not
qualify for CPT code 99354) would average 0.024 RVUs per minute (1.53
RVUs/65 minutes). If it lasted 30 minutes, the average would be 0.051
RVUs per minute (1.53 RVUs/30 minutes). We do not believe 100 minutes
to be the typical time of an episode qualifying for CPT codes 99215 and
99354. According to the NAMCS data, of those episodes of CPT codes
99215 that qualify for CPT code 99354 (70 minutes or longer), more than
96 percent will be shorter than 100 minutes, and 72 percent will be
less than 80 minutes. As shown in Table 3, the average time should be
77.58 minutes, which would give 0.035 RVUs per minute (2.68 RVUs/77.58
minutes).
By combining the times and RVUs for visit codes and prolonged
services, the commenters imply that this is a single service, described
by a combination of codes. This is one of two possible interpretations:
The codes also can be treated as describing separate services. Assuming
that visit codes and prolonged services codes describe separate
services, a different analysis would be appropriate, looking only at
the time included in the prolonged services code. According to the CPT,
``Prolonged service of less than 30 minutes total duration on a given
date is not separately reported because the work involved is included
in the total work of the evaluation and management codes.'' The times
cited in the CPT visit codes are typical times, not maximum times. The
30 minutes beyond the typical time is not unpaid time; it is as much a
part of the visit as the first minute of the ``typical'' time. In the
100 minute example cited by the commenters, 70 minutes of service (40
minutes time typical for CPT code 99212 plus 30 minutes beyond) would
be attributed to CPT code 99215 and 30 minutes to CPT code 99354. The
work per unit time for CPT code 99354 would then be 0.038 RVUs per
minute (1.15 RVUs/30 minutes), which is what the commenters believed it
should be. (While the work per unit time for CPT code 99215 in this
instance would be low, its RVUs are not in dispute; it is assumed that
episodes shorter than the typical time will also occur and the
difference will average out.) The problem with this interpretation is
that the episode described by the commenter, lasting 60 minutes beyond
the typical time of the visit code, is not representative of the bulk
of services qualifying as CPT code 99354. Referring again to Table 3,
the average duration beyond the typical time for episodes qualifying
for CPT code 99354 is 38.49 minutes. With 30 minutes of this time
included in the visit code, the time covered by the prolonged services
code averages 8.49 minutes. This results in a work per unit time of
0.135 RVUs per minute (1.15 RVUs/8.49 minutes), nearly 4 times what the
commenters believed it should be. With this interpretation, the RVUs
for CPT code 99354 should be lowered to 0.33 RVUs.
These comments indicate a need for us to make a clear choice
between these interpretations. For the interim RVUs, we straddled the
two interpretations by counting only 15 minutes of prolonged services
as included in the visit code and making the apparently generous
estimate of an average of 45 minutes beyond the typical time for CPT
code 99354, rather than the 38.49 minutes we have developed from the
data. We have decided to adopt the first interpretation for the final
rule that the combination of a visit code and a prolonged services code
describes a single service. This interpretation is consistent with the
deliberations of the 1992 refinement panel that established the
linearity of work per unit time for evaluation and management services.
We made these relationships linear by increasing the RVUs for higher
level codes, which had lower work per unit time, to the same intensity
as lower level visits instead of adjusting all RVUs to some
intermediate value. The result was an increase in the average RVUs. A
major reason we did not make this adjustment work-neutral within the
family of visit codes was the argument that the Harvard RVUs were based
upon vignettes that did not adequately consider the possibility of
prolonged services. As the higher level codes were more likely to
include prolonged services, we increased the RVUs for these services.
If we assume that the visit code and prolonged service code represent a
single service, the adoption of the prolonged services codes changes
the work described by the visit codes in the same way that the adoption
of an add-on code changes the value of a surgical procedure that
previously included cases with or without the add-on procedure. In
principle, the visit codes should be adjusted for work-neutrality. At
present, prolonged services are billed so rarely (about once in 4000
visits) that adjustments would be less than 0.01 RVUs. We expect this
frequency to rise substantially as familiarity with these codes
increases. While we could use NAMCS data to predict future utilization,
we believe it is more equitable to wait and see what actually happens.
Another problem with linearity arises with CPT codes 99355 and
99357. Under the CPT coding scheme, these codes represent different
amounts of work per unit time depending on whether one unit or more
than one unit is billed. According to the NAMCS data (see Table 3), the
average length beyond typical time of an episode billed under CPT code
99354 alone is 38.49 minutes. The average length of an episode billing
CPT codes 99354 and 99355 x 1 is 80.75 minutes, a difference of 42.26
minutes of face-to-face time. The average length beyond typical time of
an episode billing CPT codes 99354 and 99355 x 2 (not shown in Table
3) is 116.17 minutes, a difference of 35.42 minutes over CPT code 99355
x 1. This represents an average difference in work of almost 20
percent for the same RVUs. This phenomenon is not a result of the NAMCS
data. If the midpoints of the time periods listed in the CPT are used
instead as typical times, CPT code 99354 alone would represent 52
minutes of face-to-face time, CPT codes 99354 and 99355 x 1 would
represent 89.5 minutes (a difference of 37.5 minutes), and CPT codes
99354 and 99355 x 2 would represent 119.5 minutes (a 30 minute
difference). Here CPT code 99355 represents 25 percent more time the
first time it is used. If a typical episode is instead considered to
last 20 minutes more than the minimum, the times become 50, 95, and 125
minutes and the differences 45 and 30 minutes, or 50 percent. The
problem is inherent in the coding scheme: The difference in average
times represented by codes for two successive time periods depends on
the time periods described by both codes.
Aside from the lack of linearity in the RVUs for CPT codes 99355
and 99357, we believe it becomes increasingly difficult to estimate and
document face-to-face time as these episodes become longer. We are
afraid this difficulty will result in excessive variability in how the
codes are used and how they are reviewed by Medicare carriers. One
possible solution to both the linearity and documentation problems
would be to bundle CPT codes 99355 and 99357 into CPT codes 99354 and
99356, respectively. This would reduce the task of estimation and
documentation to simply establishing that the episode involved more
than 30 minutes of face-to-face time beyond the typical time for the
visit code. As shown in Table 3, the average time of all prolonged
services beyond the typical time is 39.84 minutes. This average is only
slightly more than the average time of episodes qualifying for CPT code
99354 alone, because episodes qualifying for CPT code 99355 are far
less frequent.
Based on our data, we have given the prolonged services codes the
same RVUs as visits with 40 minutes of face-to-face or floor time. For
the outpatient setting (CPT codes 99354 and 99355), the RVUs are
identical to those of CPT code 99215, which has 1.53 RVUs. For the
inpatient setting (CPT codes 99356 and 99357), the RVUs are the average
of CPT code 99221 (30 minute initial hospital visit) and CPT code 99322
(50 minute hospital visit) resulting in 1.46 RVUs. We will not make
work neutrality adjustments at present but will review the situation
when utilization has stabilized. We will also continue to closely
monitor usage of CPT codes 99355 and 99357 and will consider measures
such as bundling or requiring submission of documentation if the codes
appear to be overused.
2. Establishment of Interim Work RVUs for New and Revised Codes for
1995
a. Methodology (Includes Table 4--American Medical Association
(AMA) Specialty Society Relative Value Update Committee (RUC)
Recommendations and HCFA's Decisions). The major aspect of establishing
work RVUs for 1995 was related to the assignment of interim RVUs for
all new and revised CPT codes. As described in our November 1992 notice
on the 1993 fee schedule (57 FR 55938), we established a process, based
on recommendations received from the American Medical Association (AMA)
Specialty Society Relative Value Update Committee (RUC), for
establishing interim RVUs for new and revised codes.
The RUC was formed in November 1991 and grew out of a series of
discussions between the AMA and the major national medical specialty
societies. The RUC is comprised of 26 members; 22 are representatives
of major specialty societies. The remaining members represent the AMA,
the American Osteopathic Association, and the CPT Editorial Panel. The
work of the RUC is supported by an the RUC Advisory Committee made up
of representatives of 65 specialty societies in the AMA House of
Delegates. The RUC used a small group survey method to produce work
RVUs that were voted on by the RUC, with a two-thirds vote required for
acceptance. The RUC then submitted to us those accepted RVUs as
recommended values.
We received work RVU recommendations for approximately 330 new and
revised codes from the RUC. Physician panels consisting of CMDs and our
staff reviewed the RUC recommendations by comparing them to our
reference set or to other comparable services on the fee schedule for
which work RVUs had been established previously, or to both of these
criteria. The panels also considered the relationships among the new
and revised codes for which we received the RUC recommendations. We
agreed with a majority of those relationships reflected in the RUC
values. In some cases when we agreed with the RUC relationships, we
revised the RVUs recommended by the RUC in order to achieve work
neutrality within families of codes. For approximately 85 percent of
the RUC recommendations, proposed RVUs were accepted or increased, and
for approximately 13 percent, RVUs were decreased.
We also received 8 recommendations from specialty societies for new
or revised codes for which the RUC did not provide a recommendation.
The specialty society recommendations were also reviewed by the
physician panels. For 100 percent of the specialty society
recommendations, the proposed RVUs were accepted.
Table 4 is a listing of those codes that will be new or revised in
1995 for which we received recommended work RVUs. This table includes
the following information:
HCPCS (HCFA Common Procedure Coding System) code. This is
the CPT code for a service. An asterisk identifies new codes.
Description. This is an abbreviated version of the
narrative description of the code.
RUC-recommended work RVUs. This column identifies the work
RVUs recommended by the RUC. If no recommendation was received from the
RUC, this column shows ``no rec.''
Specialty-recommended RVUs. This column identifies work
RVUs recommended by a specialty society.
HCFA decision. This column indicates whether we agreed
with the RUC recommendation (``agreed''); we established work RVUs that
are higher than the RUC recommendation (``increased''); or we
established work RVUs that were less than the RUC recommendation
(``decreased''). Codes for which we did not accept the RUC
recommendation are discussed in greater detail following Table 4. An
(a) in this column indicates that RVUs were not assigned. A (b)
indicates that RVUs were assigned by HCFA. A (c) indicates that no work
RVUs were assigned. An (x) indicates that this service is not paid
under the physician fee schedule. A discussion follows the table in
section V.B.2.b.
HCFA value. This column contains the 1995 RVUs for
physician work. The 1995 RVUs shown have not been adjusted for budget
neutrality.
This table includes only those codes that were reviewed by the full
RUC or for which we received a recommendation from a specialty society.
In addition to the codes on the table, there were 158 revised codes
that the RUC Advisory Committee determined did not need to be revalued
either because the coding change was determined to be editorial in
nature or the existing RVUs required no further review by the full RUC.
We agreed that the RVUs for 145 of these codes should not be changed.
Of the 13 codes which were revalued, 5 increased in value and 8
decreased in value. The following is a summary of our rationale for
revising the RVUs for the 13 remaining codes:
Radical resection of sternum (CPT code 21630). CPT 1994 included
two codes for radical resection of sternum. CPT code 21630 was used to
report resection for tumor. CPT code 21633 was used to report resection
for osteomyelitis. CPT code 21633 has been deleted, and CPT 1995
directs the reporting of CPT code 21630 in its place. To keep the
effect of this coding change work-neutral, we calculated a frequency
weighted average of the two codes to determine the revised work RVUs of
15.95 for revised CPT code 21630.
Tendon sheath incision (CPT code 25000). CPT 1994 included two
codes for tendon sheath incision. CPT code 25000 was used to report
incision at radial styloid for deQuervain's disease. CPT code 25005 was
used to report incision for other stenosing tenosynovitis. CPT code
25005 has been deleted, and CPT 1995 directs the reporting of CPT code
25000 in its place. To keep the effect of this coding change work-
neutral, we calculated a frequency weighted average of the two codes to
determine the revised work RVUs of 3.24 for revised CPT code 25000.
Flexor origin slide, forearm and/or wrist (CPT code 25315) and
flexor origin slide, forearm and/or wrist; with tendon(s) transfer (CPT
code 25316).
CPT 1994 included four codes for flexor origin slides. Two CPT
codes (25316 and 25315, respectively) were used to report slides for
cerebral palsy (with or without tendon(s) transfer). Two CPT codes
(25318 and 25317, respectively) were used to report slides for Volkmann
contracture (with or without tendon(s) transfer). CPT codes 25318 and
25317 have been deleted, and CPT 1995 directs reporting of CPT codes
25316 or 25315 (for either cerebral palsy or Volkmann contracture) in
their place. To keep the effect of this coding change work-neutral, we
calculated a frequency weighted average of the two pairs of codes to
determine the revised work RVUs of 11.62 for CPT code 25316 and 9.56
for CPT code 25315.
Pleurectomy (CPT code 32310). CPT 1994 included two codes for
excision of chest lining. CPT code 32310 was used to report parietal
(separate procedure). CPT code 32315 was used to report partial
pleurectomy. CPT code 32315 has been deleted, and CPT 1995 directs the
reporting of CPT code 32310 in its place. To keep the effect of this
coding change work-neutral, we calculated a frequency weighted average
of the two codes to determine the revised work RVUs of 12.18 for
revised CPT code 32310.
Mediastinotomy, transthoracic approach (CPT code 39010). CPT 1994
included two codes for mediastinotomy. CPT code 39010 was used to
report a transthoracic approach to incision. CPT code 39020 was used to
report a sternal split. CPT code 39020 has been deleted, and CPT 1995
directs the reporting of CPT code 39010 in its place. To keep the
effect of this coding change work-neutral, we calculated a frequency
weighted average of the two codes to determine the revised work RVUs of
10.90 for revised CPT code 39010.
Non-invasive vascular diagnostic studies, duplex scans (CPT codes
93882, 93888, 93926, 93931, 93971, 93976, 93979). There are multiple
codes in CPT 1994 for duplex scans depending on the anatomical
location. For each location there are two codes: one for a complete
bilateral study and one for a follow-up or limited study. In CPT 1995,
the ``follow-up or limited study'' codes have been revised to read:
``unilateral or limited study.'' The codes now explicitly equate
unilateral studies with limited studies. We believe that the payment
relationships between unilateral and complete studies in this group of
codes should be the same as those between most unilateral and bilateral
procedures throughout the fee schedule: A complete (bilateral) study
should be valued at 150 percent of a unilateral or limited study. We
adjusted RVUs for each pair of codes so that the volume-weighted
average work, practice expense, and malpractice expense for each pair
stay the same, but the RVUs for complete procedures are 50 percent
greater than the corresponding limited procedures. Because of this
decision, the codes for seven of the complete studies (CPT codes 93886,
93925, 93930, 93970, 93975, and 93978) have also been revised.
In addition to these 13 codes, there was a CPT revision not
reviewed by the RUC Advisory Committee or the full RUC for which we
believe a revision to the work RVUs is needed. That CPT code is 25447
(interposition arthroplasty). CPT 1994 included two codes for
arthroplasty. CPT code 25447 was used to report repair of intercarpal
or carpometacarpal joints. CPT code 26527 was used to report
arthroplasty of the carpometacarpal joints. CPT code 26527 has been
deleted, and CPT 1995 directs the reporting of CPT code 25447 in its
place. To keep the effect of this coding change work-neutral, we
calculated a frequency weighted average of the two codes to determine
the revised work RVUs of 9.97 for CPT code 25447.
Table 4.--AMA RUC Recommendations and HCFA's Decisions
----------------------------------------------------------------------------------------------------------------
RUC Specialty
HCPCS* Description recommended recommended HCFAdecision 1995 work
RVUs RVUs RVU**
----------------------------------------------------------------------------------------------------------------
11920.... Correct skin color defects.................... 1.63 ........... Agreed.......... 1.63
11921.... Correct skin color defects.................... 1.95 ........... Agreed.......... 1.95
11922.... Correct skin color defects.................... 0.50 ........... Agreed.......... 0.50
11975.... Insert contraceptive cap...................... 1.50 ........... Agreed.......... 1.50
11976.... Removal of contraceptive cap.................. 1.80 ........... Agreed.......... 1.80
11977.... Remove/reinsert contra cap.................... 3.30 ........... Decreased....... 2.55
# 19367.. Breast reconstruction......................... 25.00 ........... Agreed.......... 25.00
# 19368.. Breast reconstruction......................... 31.50 ........... Agreed.......... 31.50
# 19369.. Breast reconstruction......................... 29.00 ........... Agreed.......... 29.00
20802.... Replantation, arm, complete................... 50.00 ........... Decreased....... 40.00
20805.... Replant forearm, complete..................... 70.46 ........... Decreased....... 48.95
20808.... Replantation, hand, complete.................. 76.08 ........... Decreased....... 60.86
20816.... Replantation digit, complete.................. 33.00 ........... Decreased....... 30.00
20822.... Replantation digit, complete.................. 30.03 ........... Decreased....... 24.80
20824.... Replantation thumb, complete.................. 35.68 ........... Decreased....... 30.00
20827.... Replantation thumb, complete.................. 31.22 ........... Decreased....... 25.50
20838.... Replantation, foot, complete.................. 50.00 ........... Decreased....... 40.00
20955.... Microvascular fibula graft.................... 38.00 ........... Agreed.......... 38.00
20969.... Bone-skin graft............................... 44.28 ........... Decreased....... 42.55
20970.... Bone-skin graft, pelvis....................... 44.10 ........... Decreased....... 41.68
20972.... Bone-skin graft, metatarsal................... 44.22 ........... Decreased....... 42.00
20973.... Bone-skin graft, great toe.................... 47.29 ........... Decreased....... 44.80
25240.... Partial removal of ulna....................... 4.96 ........... Agreed.......... 4.96
25320.... Repair/revise wrist joint..................... 10.00 ........... Agreed.......... 10.00
# 25337.. Reconstruct ulna/radioulnar................... 9.50 ........... Decreased....... 9.20
# 25830.. Fusion radioulnar jnt/ulna.................... 9.50 ........... Decreased....... 9.20
25915.... Amputation of forearm......................... 20.00 ........... Decreased....... 16.79
26550.... Construct thumb replacement................... 25.02 ........... Decreased....... 21.00
26555.... Positional change of finger................... 19.47 ........... Decreased....... 16.34
26580.... Repair hand deformity......................... 17.71 ........... Decreased....... 15.99
26585.... Repair finger deformity....................... 16.36 ........... Decreased....... 13.73
26590.... Repair finger deformity....................... 21.00 ........... Decreased....... 17.63
28360.... Reconstruct cleft foot........................ 12.63 ........... Agreed.......... 12.63
# 29445.. Apply rigid leg cast.......................... 1.80 ........... Agreed.......... 1.80
# 31254.. Revision of ethmoid sinus..................... 4.70 ........... Agreed.......... 4.70
# 31255.. Removal of ethmoid sinus...................... 7.04 ........... Agreed.......... 7.04
# 31256.. Exploration maxillary sinus................... 3.33 ........... Agreed.......... 3.33
# 31267.. Endoscopy, maxillary sinus.................... 5.52 ........... Agreed.......... 5.52
# 31276.. Sinus surgical endoscopy...................... 8.85 ........... Decreased....... 7.50
32820.... Reconstruct injured chest..................... 20.00 ........... Agreed.......... 20.00
32850.... Donor pneumonectomy........................... 11.84 ........... (x)............. ------
32851.... Lung transplant, single....................... 35.53 ........... Agreed.......... 35.53
32852.... Lung transplant w/bypass...................... 37.51 ........... Increased....... 38.53
32853.... Lung transplant, double....................... 44.42 ........... Agreed.......... 44.42
32854.... Lung transplant w/bypass...................... 49.35 ........... Decreased....... 47.42
33245.... Implant heart defibrillator................... 12.71 ........... Agreed.......... 12.71
33246.... Implant heart defibrillator................... 19.49 ........... Agreed.......... 19.49
33320.... Repair major blood vessel(s).................. 15.56 ........... Agreed.......... 15.56
# 33321.. Repair major vessel........................... 18.95 ........... Agreed.......... 18.95
33330.... Insert major vessel graft..................... 19.36 ........... Agreed.......... 19.36
# 33332.. Insert major vessel graft..................... 22.75 ........... Agreed.......... 22.75
33401.... Valvuloplasty, open........................... 22.70 ........... Agreed.......... 22.70
33403.... Valvuloplasty, w/cp bypass.................... 23.69 ........... Agreed.......... 23.69
33406.... Replacement, aortic valve..................... 31.58 ........... Agreed.......... 31.58
33413.... Replacement, aortic valve..................... 34.55 ........... Agreed.......... 34.55
33414.... Repair, aortic valve.......................... 29.61 ........... Agreed.......... 29.61
33417.... Repair of aortic valve........................ 27.64 ........... Agreed.......... 27.64
33470.... Revision of pulmonary valve................... 19.74 ........... Agreed.......... 19.74
33471.... Valvotomy, pulmonary valve.................... 21.37 ........... Agreed.......... 21.37
33472.... Revision of pulmonary valve................... 21.14 ........... Agreed.......... 21.14
33475.... Replacement, pulmonary valve.................. 27.64 ........... Agreed.......... 27.64
33476.... Revision of heart chamber..................... 24.68 ........... Agreed.......... 24.68
33478.... Revision of heart chamber..................... 25.66 ........... Agreed.......... 25.66
33505.... Repair artery w/tunnel........................ 25.66 ........... Agreed.......... 25.66
33506.... Repair artery, translocation.................. 25.66 ........... Agreed.......... 25.66
# 33572.. Open coronary endarterectomy.................. 4.50 ........... Agreed.......... 4.50
33600.... Closure of valve.............................. 28.62 ........... Agreed.......... 28.62
33602.... Closure of valve.............................. 27.64 ........... Agreed.......... 27.64
33606.... Anastomosis/artery-aorta...................... 29.61 ........... Agreed.......... 29.61
33608.... Repair anomaly w/conduit...................... 30.35 ........... Agreed.......... 30.35
33610.... Repair by enlargement......................... 29.61 ........... Agreed.......... 29.61
33611.... Repair double ventricle....................... 31.58 ........... Agreed.......... 31.58
33612.... Repair double ventricle....................... 32.42 ........... Agreed.......... 32.42
33615.... Repair (simple fontan)........................ 30.84 ........... Agreed.......... 30.84
33617.... Repair by modified fontan..................... 32.57 ........... Agreed.......... 32.57
33619.... Repair single ventricle....................... 35.78 ........... Agreed.......... 35.78
33647.... Repair heart septum defects................... 27.75 ........... Agreed.......... 27.75
33660.... Repair of heart defects....................... 24.68 ........... Agreed.......... 24.68
33665.... Repair of heart defects....................... 27.64 ........... Agreed.......... 27.64
33670.... Repair of heart chambers...................... 31.58 ........... Agreed.......... 31.58
33681.... Repair heart septum defect.................... 26.65 ........... Agreed.......... 26.65
33684.... Repair heart septum defect.................... 28.62 ........... Agreed.......... 28.62
33688.... Repair heart septum defect.................... 29.61 ........... Agreed.......... 29.61
33690.... Reinforce pulmonary artery.................... 18.51 ........... Agreed.......... 18.51
33692.... Repair of heart defects....................... 29.61 ........... Agreed.......... 29.61
33694.... Repair of heart defects....................... 30.60 ........... Agreed.......... 30.60
33696.... Repair of heart defects....................... 30.45 ........... Agreed.......... 30.45
33697.... Repair of heart defects....................... 32.57 ........... Agreed.......... 32.57
33698.... Repair of heart defects....................... 33.56 ........... Agreed.......... 33.56
33702.... Repair of heart defects....................... 25.66 ........... Agreed.......... 25.66
33710.... Repair of heart defects....................... 28.67 ........... Agreed.......... 28.67
33720.... Repair of heart defect........................ 25.66 ........... Agreed.......... 25.66
33722.... Repair of heart defect........................ 27.64 ........... Agreed.......... 27.64
33730.... Repair heart-vein defect(s)................... 30.22 ........... Agreed.......... 30.22
33732.... Repair heart-vein defect...................... 27.39 ........... Agreed.......... 27.39
33735.... Revision of heart chamber..................... 20.19 ........... Agreed.......... 20.19
33736.... Revision of heart chamber..................... 22.70 ........... Agreed.......... 22.70
33737.... Revision of heart chamber..................... 20.73 ........... Agreed.......... 20.73
33750.... Major vessel shunt............................ 20.37 ........... Agreed.......... 20.37
33755.... Major vessel shunt............................ 20.73 ........... Agreed.......... 20.73
33762.... Major vessel shunt............................ 20.73 ........... Agreed.......... 20.73
33764.... Major vessel shunt & graft.................... 20.73 ........... Agreed.......... 20.73
33766.... Major vessel shunt............................ 21.71 ........... Agreed.......... 21.71
33767.... Atrial septectomy/septostomy.................. 23.69 ........... Agreed.......... 23.69
33770.... Repair great vessels defect................... 32.32 ........... Agreed.......... 32.32
33771.... Repair great vessels defect................... 33.56 ........... Agreed.......... 33.56
33774.... Repair great vessels defect................... 29.61 ........... Agreed.......... 29.61
33775.... Repair great vessels defect................... 30.84 ........... Agreed.......... 30.84
33776.... Repair great vessels defect................... 32.57 ........... Agreed.......... 32.57
33777.... Repair great vessels defect................... 32.08 ........... Agreed.......... 32.08
33778.... Repair great vessels defect................... 34.55 ........... Agreed.......... 34.55
33779.... Repair great vessels defect................... 34.79 ........... Agreed.......... 34.79
33780.... Repair great vessels defect................... 35.53 ........... Agreed.......... 35.53
33781.... Repair great vessels defect................... 35.04 ........... Agreed.......... 35.04
33786.... Repair arterial trunk......................... 33.56 ........... Agreed.......... 33.56
33788.... Revision of pulmonary artery.................. 25.66 ........... Agreed.......... 25.66
33802.... Repair vessel defect.......................... 16.78 ........... Agreed.......... 16.78
33803.... Repair vessel defect.......................... 18.75 ........... Agreed.......... 18.75
33813.... Repair septal defect.......................... 19.74 ........... Agreed.......... 19.74
33814.... Repair septal defect.......................... 24.68 ........... Agreed.......... 24.68
33820.... Revise major vessel........................... 15.79 ........... Agreed.......... 15.79
33822.... Revise major vessel........................... 16.78 ........... Agreed.......... 16.78
33824.... Revise major vessel........................... 18.75 ........... Agreed.......... 18.75
33840.... Remove aorta constriction..................... 19.74 ........... Agreed.......... 19.74
33845.... Remove aorta constriction..................... 21.22 ........... Agreed.......... 21.22
33851.... Remove aorta constriction..................... 20.23 ........... Agreed.......... 20.23
33852.... Repair septal defect.......................... 22.70 ........... Agreed.......... 22.70
33853.... Repair septal defect.......................... 30.60 ........... Agreed.......... 30.60
33917.... Repair pulmonary artery....................... 23.69 ........... Agreed.......... 23.69
33918.... Repair pulmonary atresia...................... 25.66 ........... Agreed.......... 25.66
33919.... Repair pulmonary atresia...................... 31.46 ........... Agreed.......... 31.46
33920.... Repair pulmonary atresia...................... 31.09 ........... Agreed.......... 31.09
33922.... Transect pulmonary artery..................... 22.70 ........... Agreed.......... 22.70
33930.... Removal of donor heart/lung................... 14.31 ........... (x)............. ---------
33935.... Transplantation, heart/lung................... 57.50 ........... Agreed.......... 57.50
33940.... Removal of donor heart........................ 10.35 ........... (x)............. ---------
33945.... Transplantation of heart...................... 40.00 ........... Agreed.......... 40.00
34501.... Repair valve, femoral vein.................... 9.82 ........... Agreed.......... 9.82
34510.... Transposition of vein valve................... 11.88 ........... Agreed.......... 11.88
34520.... Cross-over vein graft......................... 12.47 ........... Agreed.......... 12.47
34530.... Leg vein fusion............................... 16.51 ........... Agreed.......... 16.51
35161.... Repair defect of artery....................... 17.64 ........... Agreed.......... 17.64
35162.... Repair artery rupture......................... 18.66 ........... Agreed.......... 18.66
35472.... Repair arterial blockage...................... 6.99 ........... Agreed.......... 6.99
35548.... Artery bypass graft........................... 20.35 ........... Agreed.......... 20.35
35549.... Artery bypass graft........................... 22.15 ........... Agreed.......... 22.15
35870.... Repair vessel graft defect.................... 20.85 ........... Agreed.......... 20.85
36835.... Artery to vein shunt.......................... 6.61 ........... Agreed.......... 6.61
# 37209.. Exchange arterial catheter.................... 3.66 ........... Decreased....... 1.50
41822.... Excision of gum lesion........................ 2.29 ........... Agreed.......... 2.29
41823.... Excision of gum lesion........................ 3.18 ........... Agreed.......... 3.18
41828.... Excision of gum lesion........................ 1.27 ........... Agreed.......... 1.27
41830.... Removal of gum tissue......................... 1.13 ........... Agreed.......... 1.13
41872.... Repair gum.................................... 2.47 ........... Agreed.......... 2.47
41874.... Repair tooth socket........................... 2.97 ........... Agreed.......... 2.97
43100.... Excision of esophagus lesion.................. 8.56 ........... Agreed.......... 8.56
43101.... Excision of esophagus lesion.................. 15.28 ........... Agreed.......... 15.28
# 43107.. Removal of esophagus.......................... 27.50 ........... Agreed.......... 27.50
# 43108.. Removal of esophagus.......................... 33.00 ........... Agreed.......... 33.00
# 43112.. Removal of esophagus.......................... 30.00 ........... Agreed.......... 30.00
# 43113.. Removal of esophagus.......................... 34.00 ........... Agreed.......... 34.00
# 43116.. Partial removal of esophagus.................. 30.00 ........... Agreed.......... 30.00
# 43117.. Partial removal of esophagus.................. 28.79 ........... Agreed.......... 28.79
# 43118.. Partial removal of esophagus.................. 32.00 ........... Agreed.......... 32.00
# 43121.. Partial removal of esophagus.................. 28.00 ........... Agreed.......... 28.00
# 43122.. Partial removal of esophagus.................. 28.00 ........... Agreed.......... 28.00
# 43123.. Partial removal of esophagus.................. 32.00 ........... Agreed.......... 32.00
# 43124.. Removal of esophagus.......................... 25.00 ........... Agreed.......... 25.00
# 43249.. Esophagus endoscopy, dilation................. 2.93 ........... Agreed.......... 2.93
43320.... Fuse esophagus & stomach...................... 14.65 ........... Agreed.......... 14.65
# 43360.. Gastrointestinal repair....................... 26.35 ........... Agreed.......... 26.35
# 43361.. Gastrointestinal repair....................... 30.00 ........... Agreed.......... 30.00
# 43405.. Ligate/staple esophagus....................... 15.00 ........... Agreed.......... 15.00
43501.... Surgical repair of stomach.................... 14.00 ........... Agreed.......... 14.00
# 43502.. Surgical repair of stomach.................... 16.00 ........... Agreed.......... 16.00
43510.... Surgical opening of stomach................... 9.37 ........... Agreed.......... 9.37
43842.... Gastroplasty for obesity...................... 11.99 ........... Increased....... 13.91
43843.... Gastroplasty for obesity...................... 11.99 ........... Increased....... 13.91
43846.... Gastric bypass for obesity.................... 12.90 ........... Increased....... 18.04
# 43847.. Gastric bypass for obesity.................... 14.32 ........... Increased....... 20.09
# 43848.. Revision gastroplasty......................... 15.00 ........... Increased....... 22.35
44120.... Removal of small intestine.................... 13.30 ........... Agreed.......... 13.30
# 44121.. Removal of small intestine.................... 4.50 ........... Agreed.......... 4.50
44125.... Removal of small intestine.................... 13.30 ........... Agreed.......... 13.30
# 44139.. Mobilization of colon......................... 2.25 ........... Agreed.......... 2.25
45110.... Removal of rectum............................. 21.92 ........... Agreed.......... 21.92
45111.... Partial removal of rectum..................... 15.14 ........... Agreed.......... 15.14
45112.... Removal of rectum............................. 24.29 ........... Agreed.......... 24.29
# 45113.. Partial proctectomy........................... 24.96 ........... Agreed.......... 24.96
45114.... Partial removal of rectum..................... 21.44 ........... Agreed.......... 21.44
45120.... Removal of rectum............................. 23.03 ........... Agreed.......... 23.03
45121.... Removal of rectum and colon................... 25.24 ........... Agreed.......... 25.24
# 45123.. Partial proctectomy........................... 13.42 ........... Agreed.......... 13.42
45170.... Excision of rectal lesion..................... 9.50 ........... Agreed.......... 9.50
# 45190.. Destruction rectal tumor...................... 8.00 ........... Agreed.......... 8.00
# 45562.. Exploration/repair of rectum.................. 11.25 ........... Agreed.......... 11.25
# 45563.. Exploration/repair of rectum.................. 17.75 ........... Agreed.......... 17.75
47000.... Needle biopsy of liver........................ 1.92 ........... Agreed.......... 1.92
47001.... Needle biopsy, liver.......................... 1.92 ........... Agreed.......... 1.92
# 47015.. Inject/aspirate liver cyst.................... 8.88 ........... Agreed.......... 8.88
47133.... Removal of donor liver........................ 19.41 ........... (x)............. --------
# 47134.. Partial removal, donor liver.................. 39.59 ........... Agreed.......... 39.59
47135.... Transplantation of liver...................... 78.47 ........... Agreed.......... 78.47
# 47136.. Transplantation of liver...................... 64.75 ........... Agreed.......... 64.75
47420.... Incision of bile duct......................... 15.48 ........... Agreed.......... 15.48
47460.... Incise bile duct sphincter.................... 14.57 ........... Agreed.......... 14.57
47530.... Revise, reinsert bile tube.................... 5.47 ........... Agreed.......... 5.47
# 47711.. Excision of bile duct tumor................... 18.36 ........... Agreed.......... 18.36
# 47712.. Excision of bile duct tumor................... 24.00 ........... Agreed.......... 24.00
# 47741.. Fuse gallbladder & bowel...................... 16.41 ........... Agreed.......... 16.41
47760.... Fuse bile ducts and bowel..................... 20.15 ........... Agreed.......... 20.15
47765.... Fuse liver ducts & bowel...................... 19.25 ........... Agreed.......... 19.25
# 47785.. Fuse bile ducts and bowel..................... 24.68 ........... Agreed.......... 24.68
# 47900.. Suture bile duct injury....................... 15.80 ........... Agreed.......... 15.80
48550.... Donor pancreatectomy.......................... 25.30 ........... (x)............. --------
48554.... Transplantallograft pancreas.................. 34.55 ........... Agreed.......... 34.55
48556.... Removal, allograft pancreas................... 19.74 ........... Decreased....... 14.04
# 49422.. Remove perm cannula/catheter.................. 5.92 ........... Agreed.......... 5.92
49425.... Insert abdomen-venous drain................... 10.33 ........... Agreed.......... 10.33
# 49428.. Ligation of shunt............................. 3.99 ........... Decreased....... 2.00
# 49429.. Removal of shunt.............................. 6.42 ........... Agreed.......... 6.42
50300.... Removal of donor kidney....................... 9.06 ........... (x)............. -------
# 51784.. Anal/urinary muscle study..................... 1.55 ........... Agreed.......... 1.55
# 52327.. Cystoscopy, inject material................... 5.25 ........... Agreed.......... 5.25
# 52647.. Laser surgery of prostate..................... 10.25 ........... Decreased....... 7.50
# 52648.. Laser surgery of prostate..................... 11.64 ........... Decreased....... 8.75
57520.... Conization of cervix.......................... 3.45 ........... Increased....... 4.00
# 57522.. Conization of cervix.......................... 3.30 ........... Agreed.......... 3.30
58970.... Retrieval of oocyte........................... 3.57 ........... Agreed.......... 3.57
58976.... Transfer of embryo............................ 3.87 ........... Agreed.......... 3.87
59012.... Fetal cord puncture, prenatal................. 3.49 ........... Agreed.......... 3.49
59015.... Chorion biopsy................................ 2.22 ........... Agreed.......... 2.22
59050.... Fetal monitor w/report........................ No rec 0.90 Agreed.......... 0.90
# 59051.. Fetal monitor/interpret only.................. No rec 0.75 Agreed.......... 0.75
# 59855.. Abortion...................................... 5.80 ........... Decreased....... 4.80
# 59856.. Abortion...................................... 7.24 ........... Agreed.......... 7.24
# 59857.. Abortion...................................... 8.81 ........... Agreed.......... 8.81
# 60001.. Aspirate/inject thyroid cyst.................. 0.98 ........... Agreed.......... 0.98
60100.... Biopsy of thyroid............................. 0.98 ........... Agreed.......... 0.98
# 60210.. Partial excision thyroid...................... 10.63 ........... Agreed.......... 10.63
# 60212.. Partial thyroid excision...................... 15.65 ........... Agreed.......... 15.65
60220.... Partial removal of thyroid.................... 9.97 ........... Agreed.......... 9.97
60260.... Repeat thyroid surgery........................ 14.65 ........... Agreed.......... 14.65
60270.... Removal of thyroid............................ 16.62 ........... Agreed.......... 16.62
# 60271.. Removal of thyroid............................ 14.32 ........... Agreed.......... 14.32
# 60512.. Autotransplant, parathyroid................... 4.50 ........... Agreed.......... 4.50
60520.... Removal of thymus gland....................... 16.00 ........... Agreed.......... 16.00
# 60521.. Removal thymus gland.......................... 18.00 ........... Agreed.......... 18.00
# 60522.. Removal of thymus gland....................... 22.00 ........... Agreed.......... 22.00
61530.... Removal of brain lesion....................... 42.82 ........... Agreed.......... 42.82
61559.... Excision of skull/sutures..................... 32.00 ........... Agreed.......... 32.00
61564.... Excision of skull tumor....................... 33.00 ........... Agreed.......... 33.00
# 64820.. Remove sympathetic nerves..................... 10.00 ........... Decreased....... 9.20
64872.... Subsequent repair of nerve.................... 2.01 ........... Agreed.......... 2.01
64874.... Repair & revise nerve......................... 3.01 ........... Agreed.......... 3.01
64876.... Repair nerve; shorten bone.................... 3.42 ........... Agreed.......... 3.42
65125.... Revise ocular implant......................... 3.00 ........... Agreed.......... 3.00
# 75900.. Arterial catheter exchange.................... 0.50 ........... Agreed.......... 0.50
# 76093.. Magnetic image, breast........................ 1.94 ........... Decreased....... 1.65
# 76094.. Magnetic image, both breasts.................. 1.94 ........... Decreased....... 1.65
# 76936.. Echo guide for artery repair.................. 2.64 ........... Decreased....... 1.32
# 76941.. Echo guide for transfusion.................... 1.35 ........... Agreed.......... 1.35
# 76945.. Echo guide, villus sampling................... 0.68 ........... Agreed.......... 0.68
90849.... Special family therapy........................ 0.60 ........... Agreed.......... 0.60
90918.... ESRD related services, month.................. 13.27 ........... Decreased....... 9.88
90919.... ESRD related services, month.................. 9.13 ........... Decreased....... 7.21
90920.... ESRD related services, month.................. 6.64 ........... Decreased....... 5.93
90921.... ESRD related services, month.................. 5.24 ........... Decreased....... 3.09
90922.... ESRD related services, day.................... 0.17 ........... Decreased....... 0.10
# 92587.. Evoked auditory test.......................... No rec 0.13 Agreed.......... 0.13
# 92588.. Evoked auditory test.......................... No rec 0.36 Agreed.......... 0.36
# 92980.. Insert intracoronary stent.................... 15.00 ........... Agreed.......... 15.00
# 92981.. Insert intracoronary stent.................... 4.22 ........... Agreed.......... 4.22
93012.... Transmission of ECG........................... No rec 0.00 Agreed.......... 0.00
93014.... Report on transmitted ECG..................... No rec 0.53 Agreed.......... 0.53
# 93270.. ECG recording................................. 0.00 ........... Agreed.......... 0.00
# 93271.. ECG/monitoring and analysis................... 0.00 ........... Agreed.......... 0.00
# 93272.. ECG/review, interpret only.................... 0.53 ........... Agreed.......... 0.53
# 93350.. Echo exam of heart............................ 0.79 ........... Agreed.......... 0.79
93641.... Electrophysiology evaluation.................. 8.60 ........... Decreased....... 6.00
# 93990.. Doppler flow testing.......................... No rec ........... (b)............. 0.25
# 95812.. Electroencephalogram (EEG).................... 1.75 ........... (b)............. 1.09
# 95813.. Electroencephalogram (EEG).................... No rec ........... (b)............. 1.75
95816.... Electroencephalogram (EEG).................... 1.09 ........... Agreed.......... 1.09
95819.... Electroencephalogram (EEG).................... 1.09 ........... Agreed.......... 1.09
95822.... Sleep electroencephalogram.................... 1.09 ........... Agreed.......... 1.09
95954.... EEG monitoring/giving drugs................... 2.48 ........... Agreed.......... 2.48
# 95957.. EEG digital analysis.......................... 2.00 ........... Agreed.......... 2.00
95961.... Electrode stimulation, brain.................. 3.00 ........... Agreed.......... 3.00
95962.... Electrode stimulation, brain.................. 3.25 ........... Agreed.......... 3.25
96913.... Photochemotherapy, uv-a or b.................. 1.54 ........... (c)............. ------
97010.... Hot or cold packs therapy..................... 0.11 ........... Agreed.......... 0.11
97012.... Mechanical traction therapy................... 0.25 ........... Agreed.......... 0.25
97014.... Electric stimulation therapy.................. 0.18 ........... Agreed.......... 0.18
97016.... Vasopneumatic device therapy.................. 0.25 ........... Decreased....... 0.18
97018.... Paraffin bath therapy......................... 0.15 ........... Decreased....... 0.11
97020.... Microwave therapy............................. 0.15 ........... Decreased....... 0.11
97022.... Whirlpool therapy............................. 0.25 ........... Agreed.......... 0.25
97024.... Diathermy treatment........................... 0.15 ........... Decreased....... 0.11
97026.... Infrared therapy.............................. 0.11 ........... Agreed.......... 0.11
97028.... Ultraviolet therapy........................... 0.20 ........... Agreed.......... 0.20
# 97032.. Electrical stimulation........................ 0.25 ........... Agreed.......... 0.25
# 97033.. Electric current therapy...................... 0.26 ........... Agreed.......... 0.26
# 97034.. Contrast bath therapy......................... 0.21 ........... Agreed.......... 0.21
# 97035.. Ultrasound therapy............................ 0.21 ........... Agreed.......... 0.21
# 97036.. Hydrotherapy.................................. 0.28 ........... Increased....... 0.38
97110.... Therapeutic exercises......................... 0.45 ........... Agreed.......... 0.45
97112.... Neuromuscular reeducation..................... 0.45 ........... Agreed.......... 0.45
# 97113.. Aquatic therapy/exercises..................... 0.44 ........... Agreed.......... 0.44
97116.... Gait training therapy......................... 0.40 ........... Agreed.......... 0.40
97122.... Manual traction therapy....................... 0.45 ........... Agreed.......... 0.45
97124.... Massage therapy............................... 0.35 ........... Agreed.......... 0.35
# 97150.. Group therapeutic procedures.................. No rec ........... (b)............. 0.27
# 97265.. Joint mobilization............................ No rec ........... (b)............. 0.45
97530.... Therapeutic activities........................ 0.44 ........... Agreed.......... 0.44
97545.... Work hardening................................ 1.70 ........... (a)............. --------
97546.... Work hardening................................ 0.70 ........... (a)............. --------
# 97750.. Physical performance test..................... 0.45 ........... Agreed.......... 0.45
# 97770.. Cognitive skills development.................. 0.44 ........... Agreed.......... 0.44
99360.... Physician standby services.................... 1.20 ........... (x)............. --------
99381.... Preventive visit, new, infant................. 1.12 ........... Increased....... 1.20
99382.... Preventive visit, new, age 1-4................ 1.30 ........... Increased....... 1.38
99383.... Preventive visit, new, age 5-11............... 1.30 ........... Increased....... 1.38
99384.... Preventive visit, new, 12-17.................. 1.49 ........... Increased....... 1.55
99385.... Preventive visit, new, 18-39.................. 1.47 ........... Increased....... 1.55
99386.... Preventive visit, new, 40-64.................. 1.65 ........... Increased....... 1.90
99387.... Preventive visit, new, 65 & over.............. 1.95 ........... Increased....... 2.08
99391.... Preventive visit, est, infant................. 0.90 ........... Increased....... 1.03
99392.... Preventive visit, est, age 1-4................ 0.95 ........... Increased....... 1.20
99393.... Preventive visit, est, age 5-11............... 0.95 ........... Increased....... 1.20
99394.... Preventive visit, est, 12-17.................. 1.20 ........... Increased....... 1.38
99395.... Preventive visit, est, 18-39.................. 1.18 ........... Increased....... 1.38
99396.... Preventive visit, est, 40-64.................. 1.38 ........... Increased....... 1.55
99397.... Preventive visit, est, 65 & over.............. 1.50 ........... Increased....... 1.73
99401.... Preventive counseling, indiv.................. 0.49 ........... Agreed.......... 0.49
99402.... Preventive counseling, indiv.................. 0.99 ........... Agreed.......... 0.99
99403.... Preventive counseling, indiv.................. 1.48 ........... Agreed.......... 1.48
99404.... Preventive counseling, indiv.................. 1.97 ........... Agreed.......... 1.97
----------------------------------------------------------------------------------------------------------------
(a) No RVUs assigned.
(b) RVUs assigned by HCFA.
(c) No work RVUs assigned.
(x) Not paid under the physician fee schedule.
*All numeric HCPCS CPT Copyright 1994 American Medical Association.
**RVUs do not reflect adjustment for budget neutrality.
#New codes.
b. Discussion of codes for which the RUC recommendations were not
accepted (Includes Table 5--Preventive Medicine). The following is a
summary of our rationale for not accepting particular recommendations.
It is arranged by type of service in CPT code order. This summary
refers only to work RVUs. Furthermore, the RVUs in the following
discussion have not been adjusted by the budget neutrality adjustment
factor.
Removal with reinsertion of contraceptive capsules (CPT code
11977). We received RUC recommendations for three CPT codes related to
the insertion and removal of contraceptive capsules. We accepted the
RUC recommendations of 1.50 RVUs for the insertion of capsules (CPT
code 11975) and 1.80 RVUs for the removal of capsules (CPT code 11976).
We rejected the RUC recommendation of 3.30 RVUs for the removal with
insertion of contraceptive capsules (CPT code 11977), which represents
the sum of the RVUs of CPT codes 11975 and 11976. We believe that the
addition of RVUs is inappropriate since it fails to take into account
the reduced work associated with multiple procedures. We have assigned
2.55 RVUs to CPT code 11977 in accordance with our usual multiple
surgery reductions (the full value of CPT code 11976 (1.8 RVUs) plus 50
percent of the value of CPT code 11975 (1.5 x 0.5 = 0.75 RVUs) equals
2.55 RVUs.
(1) Microsurgery.
Replantation (arm, forearm, and hand) (CPT codes 20802 through
20808).
------------------------------------------------------------------------
RUC-
CPT code recommended
work RVUs
------------------------------------------------------------------------
20802...................................................... 50.00
20805...................................................... 70.46
20808...................................................... 76.08
------------------------------------------------------------------------
We believe that the RUC recommendations are too high and that the
median time estimate for CPT code 20802 is incorrect. The RUC used an
intraoperative intensity of 4.50 RVUs per hour for all three codes. We
decreased this intraoperative intensity and used an intensity level of
4.00 RVUs per hour for CPT code 20802, 4.15 RVUs per hour for CPT code
20805, and 4.30 RVUs per hour for CPT code 20808 to reflect the rank
order of these three codes. The intraoperative times used for these
codes also follow this rank order. They were 8, 10, and 12 hours,
respectively. Using these intensities and times, we assigned the
following RVUs to these codes:
------------------------------------------------------------------------
Assigned
CPT code work
RVUs
------------------------------------------------------------------------
20802......................................................... 40.00
20805......................................................... 48.95
20808......................................................... 60.86
------------------------------------------------------------------------
Replantation (digit and thumb) (CPT codes 20816, 20822, 20824, and
20827).
------------------------------------------------------------------------
RUC-
CPT code recommended
work RVUs
------------------------------------------------------------------------
20816...................................................... 33.00
20822...................................................... 30.03
20824...................................................... 35.68
20827...................................................... 31.22
------------------------------------------------------------------------
Unlike CPT codes 20802 through 20808, these procedure codes are
performed in situations that are less likely to be physiologically
unstable. Therefore, we decreased the intraoperative intensity from
4.20 RVUs per hour to 4.00 RVUs per hour. Using this intensity with the
RUC survey median time, we assigned 30.00 RVUs to CPT code 20816, 24.80
RVUs to CPT code 20822, and 25.50 RVUs to CPT code 20827. We believe
that the intensity of CPT code 20824 was slightly higher than the other
codes in this group but that the postoperative intensity was less. We
used an intensity of 4.10 RVUs per hour to assign 30.00 RVUs to this
code.
Replantation (foot) (CPT code 20838). The RUC recommended 50.00
RVUs. We believe that the work involved in CPT code 20838 is the same
as the work for CPT code 20802. Therefore, we assigned 40.00 RVUs to
CPT code 20838.
Microvascular flaps (CPT codes 20955, 20969, 20970, 20972, and
20973).
------------------------------------------------------------------------
RUC-
CPT code recommended
work RVUs
------------------------------------------------------------------------
20955...................................................... 38.00
20969...................................................... 44.28
20970...................................................... 44.10
20972...................................................... 44.22
20973...................................................... 47.29
------------------------------------------------------------------------
We used an intraoperative intensity of 3.80 RVUs per hour for CPT
codes 20955 and 20969. For CPT code 20955, the intraoperative time
estimate was 8 hours, resulting in 38.00 RVUs. We used the RUC survey
times for CPT code 20969 except that we reduced the preoperative time
to 100 minutes because we believed the preservice work description of
CPT code 20969 was identical to CPT codes 20955 and 20970, both
surveyed at 100 minutes. We also compared CPT code 20969 to CPT code
20802: CPT code 20969 is more likely to be performed on an elective
basis, has more preoperative time, and is more intense. The assigned
RVUs of 42.55 reflect these differences.
We believe that the intensity of CPT code 20970 is slightly higher
because this code is more difficult and riskier than CPT code 20969,
and, therefore, we used an intensity of 4.00 RVUs per hour to calculate
the RVUs. Because the estimated time is 40 minutes shorter than CPT
code 20969, we assigned 41.68 RVUs to CPT code 20970. We also used the
same intensity level to assign 44.80 RVUs to CPT code 20973.
Using an intensity of 4.30 RVUs per hour for CPT code 20972, we
assigned 42.00 RVUs to this code. This value maintains the rank order
of CPT codes 20969, 20970, and 20972 that exists in the RUC-recommended
RVUs.
(2) Hand Surgery.
Reconstruction for stabilization of unstable distal ulna or distal
radioulnar joint (CPT code 25337). The RUC recommended 9.50 RVUs. We
agree with the RUC's key reference service for this code, CPT code
25312, which has 9.18 RVUs. However, we believe that CPT code 25337 is
only slightly more work than the reference service. Therefore, we
assigned 9.20 RVUs to CPT code 25337.
Distal radioulnar joint arthrodesis and segmental resection of ulna
(CPT code 25830). The RUC recommended 9.50 RVUs. We believe that the
work involved in this code is equal to the work of CPT code 25337.
Therefore, we assigned 9.20 RVUs to CPT code 25830.
Krukenberg, digits (CPT codes 25915, 26550, 26555, 26585 and
26590).
------------------------------------------------------------------------
RUC-
CPT code recommended
work RVUs
------------------------------------------------------------------------
25915...................................................... 20.00
26550...................................................... 25.02
26555...................................................... 19.47
26585...................................................... 16.36
26590...................................................... 21.00
------------------------------------------------------------------------
We agree with the RUC's use of CPT code 26550 as the base procedure
for this group of codes. We believe, however, that it is overvalued. We
used an intensity level of 4.00 RVUs per hour and assigned 21.00 RVUs
to this code. We then used the RUC's rank order of the other codes in
this group relative to the base procedure to assign RVUs to the other
codes. The results follow:
------------------------------------------------------------------------
Assigned
CPT code work
RVUs
------------------------------------------------------------------------
25915......................................................... 16.79
26550......................................................... 21.00
26555......................................................... 16.34
26585......................................................... 13.73
26590......................................................... 17.63
------------------------------------------------------------------------
Sympathectomy, digital arteries (CPT code 64820). The RUC
recommended 10.00 RVUs. We agree with the reference service used by the
RUC, CPT code 35207 (repair of one blood vessel). The intensity of the
two services is approximately the same because the work on two vessels
is similar to the anastomosis of a single vessel. Therefore, we used an
intensity level of 3.90 RVUs per hour and assigned 9.20 RVUs to CPT
code 64820.
(3) Orthopedic Surgery.
Repair of cleft hand (CPT code 26580). The RUC recommended 17.71
RVUs. Since we agreed with the RUC recommendation for repair of a cleft
foot (CPT code 28360), we then applied the intensity of CPT code 28360
(4.00 RVUs per hour) to the RUC median survey times for CPT code 26580.
As a result of this calculation, we assigned 15.99 RVUs to CPT code
26580.
(4) Endoscopic Sinus Surgery.
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (CPT
code 31276). The RUC recommended 8.85 RVUs. We believe these RVUs are
too high and are inconsistent with the RVUs assigned to other sinus
endoscopy codes. We used an intensity of 4.90 RVUs per hour, a level
about equal to the intensity of CPT code 31255. From these
calculations, we assigned 7.50 RVUs to CPT code 31276.
(5) Lung Transplant.
Lung transplant, with bypass (CPT codes 32852 and 32854). We agreed
with the RUC-recommended RVUs for lung transplant (single or double)
without bypass, but wanted to standardize the RVUs added for bypass for
both codes. The RUC added 2.00 RVUs to the ``without bypass'' code for
CPT code 32852 and 5.00 RVUs to the respective ``without bypass'' code
for CPT code 32854. We believe that whether the lung transplant is
single or double, the extra work associated with adding bypass is
equal. We set this additional amount of work at 3.00 RVUs. Therefore,
we assigned 38.53 RVUs to CPT code 32852 and 47.42 RVUs to CPT code
32854.
(6) General Surgery.
Exchange of a previously placed arterial catheter during
thrombolytic therapy (CPT code 37209). The RUC recommended 3.66 RVUs
for CPT code 37209 and 0.50 for CPT code 75900 (the radiological
supervision and interpretation procedure). We believe the intensity of
the intraoperative work is overestimated (6.30 RVUs per hour). We
believe the intensity to be a little more than that for CPT code 36248
(catheter placement in an additional order of a vascular family), which
is assigned 1.02 RVUs. Thus, we believe the total work for CPT codes
37209 and 75900 to be valued at 2.00 RVUs. Since we accepted the RUC-
recommended 0.50 RVUs for CPT code 75900, we assigned 1.50 RVUs to CPT
code 37209.
Gastric restrictive procedure, with gastric bypass for morbid
obesity; with small bowel reconstruction to limit absorption (CPT code
43847). The RUC recommended 14.32 RVUs. We increased the RVUs to 20.09,
based on an intraoperative intensity of 3.50 RVUs per hour, which are
slightly less than those of a repair of an abdominal aortic aneurysm.
To maintain the proper order relationship of this code to the rest
of the codes in this family (CPT codes 43842, 43843, 43846, and 43848),
we recalculated the work RVUs for CPT code 43842 to have the same
intensity and raised its RVUs to 13.91. To be consistent with the RUC
recommendations, we assigned the same 13.91 RVUs to CPT code 43843,
valued CPT code 43846 between CPT code 43843 and CPT code 43847, and
valued CPT code 43848 higher than CPT code 43847, as shown below:
------------------------------------------------------------------------
Assigned
CPT code work
RVUs
------------------------------------------------------------------------
43842......................................................... 13.91
43843......................................................... 13.91
43846......................................................... 18.04
43847......................................................... 20.09
43848......................................................... 22.35
------------------------------------------------------------------------
Partial colectomy procedures (CPT codes 44139 through 44147). We
agreed with the RUC recommendation of 2.25 RVUs for CPT code 44139
(mobilization of splenic flexure), which is only reported in
conjunction with the appropriate partial colectomy code (CPT code
44140, 44141, 44143, 44144, 44145, 44146 or 44147). In order to
maintain work neutrality within this family of codes, we reduced
slightly the RVUs of the partial colectomy codes based on our current
and projected utilization of the codes, including CPT code 44139.
Removal of transplanted pancreatic allograft (CPT code 48556). The
RUC recommended 19.74 RVUs based on the use of CPT code 43635 as a
reference procedure. We believe these RVUs are too high and disagree
with the RUC's use of CPT code 43635 as a reference. We believe that
this procedure is more closely related to CPT code 50370 (removal of
transplanted homograft) but is approximately 25 percent more work. We,
therefore, added 25 percent to the 11.23 RVUs assigned to CPT code
50370, resulting in 14.04 RVUs for CPT code 48556.
Ligation of peritoneal-venous shunt (CPT code 49428). The RUC
recommended 3.99 RVUs. The specialty reported that this procedure is
similar to CPT code 37700 (ligation and division of long saphenous vein
at saphenofemoral junction, or distal interruptions). We disagree that
this procedure is comparable in work and intensity to CPT code 37700.
We believe this procedure is a little less work than a more comparable
procedure, ligation of a temporal artery (CPT code 37609, with 2.30
RVUs). Therefore, we assigned 2.00 RVUs to CPT code 49428.
(7) Urology.
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 code 52647) and Contact laser
vaporization with or without transurethral resection of prostate,
including control of postoperative bleeding, complete (vasectomy,
meatotomy, cystourethroscopy, urethral calibration and/or dilation, and
internal urethrotomy are included) (CPT code 52648). The RUC
recommended 10.25 RVUs for CPT code 52647 and 11.64 for CPT code 52648,
which are the same RVUs currently assigned to CPT code 52601
(transurethral resection of the prostate (TURP)). We disagree with
these recommendations, believing that the reduction in postoperative
work relative to a transurethral repair of the prostate (TURP) was
underestimated and the intraoperative intensity was overvalued. Based
on an intensity of 6.40 and the RUC survey of intraoperative time, we
assigned 7.50 RVUs to CPT code 52647 (non-contact laser coagulation of
prostate). Based on an intensity of 5.60 and the RUC survey of
intraoperative time, we assigned 8.75 RVUs to CPT code 52648 (contact
laser vaporization with or without transurethral resection of the
prostate).
(8) Obstetrics and Gynecology.
Conization of cervix (CPT code 57520). The RUC proposed 3.35 RVUs
for this code. We believe this service has been undervalued because it
is significantly more work than CPT code 57522, a new code for which
RUC recommended 3.30 RVUs and with which we agree. Therefore, we
increased the RVUs for CPT code 57520 to 4.00.
Fetal monitoring during labor by consulting physician (CPT codes
59050 and 59051). We did not receive RUC recommendations for these
codes, but we did receive recommendations from a specialty society,
which we have accepted. These codes are used by consulting physicians
to report their interpretations of fetal monitoring. CPT code 59050 is
used when the consulting physician interprets a fetal monitoring strip
and gives advice to the attending physician about any needed changes in
the management of the labor. Often, subsequent monitoring strips will
need to be interpreted. CPT code 59051 is used when the consulting
physician interprets a fetal monitoring strip and determines that no
change in management of the labor is needed. Neither code requires
face-to-face contact with the patient since fetal monitoring strips may
be faxed to a remote location for interpretation. If a consultation is
provided and the requirements for Medicare coverage are met, the
appropriate level of consultation code may be reported in addition to
the fetal monitoring CPT code 59051. If the consulting physician takes
over management of the case and subsequently performs the delivery,
however, the fetal monitoring codes may not be reported separately
since payment for the monitoring is included in the payment for
delivery.
Induced abortion, by one or more vaginal suppositories (CPT code
59855). The RUC recommended 5.80 RVUs. We believe that the management
of the patient and the length of stay are the same as for an
amnioinjection, but the physician work in placing suppositories is less
than the work in an amnioinjection, regardless of the number of
suppositories needed. We established 4.80 RVUs for CPT code 59855
because the service is less work than CPT code 59850 (abortion by
amnioinjection).
(9) Radiology.
Magnetic resonance imaging, breast, without and/or with contrast
material(s); unilateral (CPT code 76093) and Magnetic resonance
imaging, breast, without and/or with contrast material(s); bilateral
(CPT code 76094). The RUC recommended 1.94 RVUs for both the unilateral
and bilateral magnetic resonance imaging (MRI) of the breast. We
disagree with the amount of time described for these procedures (median
time of 50 minutes). We believe that this time more likely reflects the
time to take the images than the time spent interpreting the images. We
believe the work associated with preservice activities and postservice
work to be somewhat greater than that for CPT code 71550 (MRI of the
chest), which has 1.62 RVUs, and less than that for a level-four office
visit (CPT code 99205), which has 1.73 RVUs. Therefore, we assigned
1.65 RVUs to both procedures.
Ultrasound guided compression repair of arterial pseudo-aneurysm or
arteriovenous fistulae (includes diagnostic ultrasound evaluation,
compression of lesion and imaging) (CPT code 76936). The RUC
recommended 2.64 RVUs. We disagree. We believe that while the procedure
takes 20 to 40 minutes, the intensity is considerably less than is
reflected in an RVU recommendation of 2.64 RVUs. We believe the work is
similar to a level-three subsequent hospital visit, which has a time of
35 minutes and an assignment of 1.26 RVUs. We therefore assigned 1.32
RVUs to CPT code 76936.
(10) Nephrology.
ESRD-related services, month (CPT code 90921). The recommendations
for the assignment of RVUs from the Renal Physicians Association (RPA)
to the RUC and from the RUC to us follow:
------------------------------------------------------------------------
RPA- RUC-
CPT code recommended recommended
work RVUs work RVUs
------------------------------------------------------------------------
90921:
Facility.................................... 6.92 5.69
Home........................................ 5.00 2.68
Weighted Average.............................. 6.24 5.24
------------------------------------------------------------------------
Since the same MCP is paid for services to home dialysis patients
as for services to facility patients, these two values are therefore
combined in proportion to the percentages of the dialysis population
that dialyzes at home (18 percent) and in a facility (82 percent)
resulting in a recommended weighted 6.24 RVUs. The physicians surveyed
by the RPA reported a total physician work time of 120 minutes per
month for facility dialysis and 90 minutes per month for home dialysis.
The RUC evaluated the RPA RVUs using a ``building block'' approach,
using the values of the ``office, established patient'' visit codes.
The RUC recommended the following mix of ``office, established
patient'' visits as most appropriately representing the monthly work in
treating a typical dialysis patient:
Facility hemodialysis--
1.5 x CPT code 99214 (established patient office visit, 25
minutes)+4 x CPT code 99213 (established patient office visit, 15
minutes)+1 x CPT code 99215 (established patient office visit, 40
minutes)+0.50 (case management)=5.69 RVUs.
Home peritoneal dialysis--
1.5 x CPT code 99214 (established patient office visit, 25 minutes)+1/
6 x CPT code 99215 (established patient office visit, 40 minutes)+1.00
(case management)=2.68 RVUs.
Combining these two RVUs and weighting by the respective percentages of
the population in the facility and in the home resulted in a combined
recommended 5.24 RVUs. The RUC considered its recommendation to be
``interim.''
We convened a panel of our CMDs to review the recommended RVUs. We
included a representative from the RUC in the panel discussion. In
evaluating this service, we used the RUC's overall approach of using
different office visit codes as ``building blocks'' for the MCP, but we
adjusted the mix of the visits used by the RUC. We believe that the
following mix of visit code ``building blocks'' most appropriately
represents the typical mix of encounters with the ESRD patient who is
dialyzed in a dialysis facility and accounts for the service intensity
and complexity of decision-making and the preservice and postservice
work for a month's care of a typical dialysis patient.
The results follow for CPT code 90921:
4 x CPT code 99212 (established patient office visit, 10
minutes)+2 x CPT code 99214 (established patient office visit, 25
minutes)=4 x 0.38+2 x 0.95=1.52+1.9=3.42 RVUs. These are the RVUs for
facility hemodialysis.
To establish RVUs for treating a home dialysis patient, we used the
ratio of work for a home patient versus a facility patient from the
RUC's recommended RVUs: 2.68/5.69=0.47. Substituting this value in the
formula:
0.82 x 3.42+0.18 x {0.47 x 3.42}=3.09 RVUs.
Where, 0.82=percentage of facility dialysis population
3.42=RVUs for facility dialysis
0.18=percentage of home dialysis population
0.47=ratio of work for home versus facility dialysis.
Thus, we have assigned 3.09 RVUs to CPT code 90921.
ESRD-related services, month (CPT codes 90918 through 90920). For
the three codes used to identify MCP services for pediatric patients,
we received the following recommendations from the RUC:
------------------------------------------------------------------------
RUC-
CPT code recommended
RVUs
------------------------------------------------------------------------
90918...................................................... 13.27
90919...................................................... 9.13
90920...................................................... 6.64
------------------------------------------------------------------------
Following the same ``building block'' methodology described above,
we arrived at the following results:
For CPT code 90918:
16xCPT code 99212 (established patient office visit, 10 minutes)+4 x
CPT code 99214 (established patient office visit, 25
minutes)=16x0.38+4x0.95=6.08+3.8=9.88 RVUs.
For CPT code 90919:
12xCPT code 99212 (established patient office visit, 10 minutes)+2xCPT
code 99214 (established patient office visit, 25
minutes)=12x0.38+2x0.95=4.56+1.9=6.46 RVUs.
For CPT code 90920:
8xCPT code 99212 (established patient office visit, 10 minutes)+2xCPT
code 99214 (established patient office visit, 25
minutes)=8x0.38+2x0.95=3.04+1.9=4.94 RVUs.
However, the RVUs for these codes are disproportionate to the RVUs
that resulted from the survey performed by the pediatric nephrologists.
We believe that the relationship between the RVUs resulting from a
single surveyed group are reliable even when the absolute values are
questionable. Therefore, we decided to adjust the two lower-valued
pediatric codes (CPT codes 90919 and 90920) to be in proportion to the
RVUs for CPT code 90918 by using the relationship between the RVUs
resulting from the pediatric nephrologists' survey. The surveyed RVUs
are:
CPT code 90918=18.71 RVUs
CPT code 90919=13.68 RVUs; RVUs=13.68/18.71=0.73
CPT code 90920=11.28 RVUs; RVUs=11.28/18.71=0.60
Applying these relative values to the RVUs for CPT code 90918:
CPT code 90919=0.73xCPT code 90918=0.73x9.88=7.21 RVUs.
CPT code 90920=0.60xCPT code 90918=0.60x9.88=5.93 RVUs.
The pediatric dialysis codes were not explicitly weighted by a
factor for facility and home dialysis patients because the difference
in physician work between the two therapies for these patients is not
significant.
Thus, we assigned the following RVUs to these codes:
------------------------------------------------------------------------
Assigned
CPT code work
RVUs
------------------------------------------------------------------------
90918......................................................... 9.88
90919......................................................... 7.21
90920......................................................... 5.93
------------------------------------------------------------------------
ESRD-related services, daily (CPT code 90922).
The RUC recommended 0.17 RVUs. The overwhelming majority of MCP
patients are adults. Therefore, for CPT code 90922, we based our
assignment of 0.10 RVUs on 1/30 (per day) of the RVUs for CPT code
90921. For the pediatric patients, physicians must bill the appropriate
monthly code (CPT codes 90918 through 90920) with the modifier -52 and
units that represent the number of days.
Cardiography (CPT codes 93012, 93014, 93268, 93270, 93271, and
HCPCS codes G0004 through G0007, G0015 and G0016).
In CPT 1994, the descriptor for CPT code 93268 read ``Patient
demand single or multiple event recording with presymptom or
postsymptom memory loop, includes transmission, physician review and
interpretation, per 30 day period of time.'' The 0.53 work RVUs
assigned to this code were based on a RUC recommendation. Subsequent to
the publication of last year's final rule, we established a temporary
code, G0003, for the reporting of patient demand event recording with
24 hour attended monitoring.
In CPT 1995, the patient demand event recording CPT code 93268 has
been revised, and several new codes have been added. CPT code 93268
will now be used to report only event recordings performed with
presymptom memory loops. Postsymptom recordings will now be reported
with CPT codes 93012 and 93014, which have been revised to describe a
30 day period of time. We did not receive RUC recommendations for these
codes. However, we received recommendations from a specialty society of
0.00 RVUs for CPT code 93012 and 0.53 RVUs for CPT code 93014. We have
accepted these recommendations. Two new codes, CPT codes 93270 and
93271, have been added for reporting the two separate technical
components of event recording with presymptom memory loops (recording
including hook-up and monitoring including the receipt of
transmissions). In light of these CPT changes, we have issued six new
temporary codes that will be used to report patient demand event
recordings with 24 hour attended monitoring. The new codes are:
------------------------------------------------------------------------
HCPCS code Description
------------------------------------------------------------------------
G0004.............................. Patient demand single or multiple
event recording with pre-symptom
memory loop and 24 hour attended
monitoring, per 30 day period;
includes transmission, physician
review and interpretation.
G0005.............................. Patient demand single or multiple
event recording with pre-symptom
memory loop and 24 hour attended
monitoring, per 30 day period;
recording (includes hook-up,
recording and disconnection)).
G0006.............................. Patient demand single or multiple
event recording with pre-symptom
memory loop and 24 hour attended
monitoring, per 30 day period; 24
hour attended monitoring, receipt
of transmissions, and analysis.
G0007.............................. Patient demand single or multiple
event recording with pre-symptom
memory loop and 24 hour attended
monitoring, per 30 day period;
physician review and
interpretation only.
G0015.............................. Post-symptom telephonic
transmission of electrocardiogram
rhythm strip(s) and 24 hour
attended monitoring, per 30 day
period; tracing only.
G0016.............................. Post-symptom telephonic
transmission of electrocardiogram
rhythm strip(s) and 24 hour
attended monitoring, per 30 day
period; physician review and
interpretation only.
------------------------------------------------------------------------
(11) Intracardiac electrophysiological procedures.
Electrophysiologic evaluation of a cardioverter-defibrillator leads and
pulse generator (CPT code 93641).
We received a RUC recommendation of 8.60 RVUs, which is more than
5.00 RVUs higher than the evaluation of the leads only (CPT code
93640), which is assigned 3.56 RVUs. We believe this difference is too
great and have decreased the RVUs for CPT code 93641 to 6.00. This
value is more than the work of 1.5 hours of critical care, which is
valued at 5.54 RVUs (CPT codes 99291 and 99292).
Duplex scan of hemodialysis access (CPT code 93990). This code was
not reviewed by the RUC because the code was developed after the close
of the RUC review cycle. We have assigned 0.25 RVUs to this code, which
we believe involves slightly less work than the 0.31 RVUs assigned to
CPT code 93931, which is used to report a unilateral duplex scan of the
upper extremity arteries. We have assigned 2.68 RVUs to the technical
component of CPT code 93990 based on the RVUs assigned to the technical
component of CPT code 93926, which is used to report a unilateral
duplex scan of the lower extremity arteries. CPT code 93990 is the only
code to be used for reporting a duplex scan of hemodialysis access
since, by definition, it includes arterial inflow, body of access, and
venous outflow. Therefore, it would be incorrect to report duplex scans
of arteries or veins in addition to CPT code 93990. The clinical
indications for this procedure are not well established, and it is
prone to overutilization. We are in the process of developing medical
review policy for this technology and welcome comments on this subject.
(12) Neurology. Electroencephalogram (EEG) extended monitoring (CPT
codes 95812 and 95813).
The RUC recommended 1.75 RVUs for CPT code 95812, which is used to
report extended EEG monitoring up to 1 hour, and did not recommend RVUs
for CPT code 95813, which is used to report extended EEG monitoring
greater than 1 hour. We believe these codes have both a technical and a
professional component. In the hospital setting, the physician review
and interpretation of the EEG tracings associated with up to 1 hour of
extended monitoring should be reported with CPT code 95812 and modifier
-26. To report the review and interpretation of greater than 1 hour of
extended monitoring, CPT code 95813 and modifier -26 should be used.
CPT code 95813 should not be reported in addition to CPT code 95812,
and it should not be reported more than once on a given date of service
regardless of the number of hours of monitoring.
We believe the RUC recommendation of 1.75 RVUs for CPT code 95812
is too high. We believe the physician work is comparable to the work
involved in the review and interpretation of a full EEG (CPT code
95819) and have assigned the same RVUs (1.09) to CPT code 95812. For
extended monitoring greater than 1 hour (CPT code 95813), we do not
believe there is a direct correlation between the duration of
monitoring and the amount of physician work since prolonged periods of
time on monitoring may pass with no need for physician review and
interpretation. Consequently, we do not believe that information on the
typical duration of extended monitoring is critical to the assignment
of RVUs. We recognize that the work will be greater than that
associated with an EEG but do not believe that it is much more than a
level-four office visit with a new patient (CPT code 99204 with 1.73
work RVUs), which typically requires 45 minutes of face-to-face time
with the patient. Therefore, we have assigned 1.75 RVUs to CPT code
95813.
(13) Dermatology. Photochemotherapy (CPT code 96913).
The RUC recommended 1.54 RVUs and a global period of 10 days to CPT
code 96913 (Photochemotherapy (Goeckerman and/or PUVA) for severe
photoresponsive dermatoses requiring at least four to eight hours of
care under direct supervision of the physician (includes application of
medication and dressings)). We have not assigned any work RVUs to this
service because it is not clear that photochemotherapy requires any
physician work beyond that already described by existing evaluation and
management codes. We have assigned practice expense and malpractice
expense RVUs based on historic charges for this code so that it will no
longer be carrier-priced. We have categorized this service as an
``incident to'' code, which means that it is covered incident to a
physician's service when it is furnished by auxiliary personnel
employed by the physician and working under his or her direct
supervision. Payment may not be made for this service when it is
furnished to hospital inpatients or patients in a hospital outpatient
department. Physicians may bill for evaluation and management services
in those settings.
(14) Physical medicine. The CPT codes for physical medicine
services have been substantially revised for 1995, and the codes have
been organized into a number of categories: supervised modalities,
constant attendance modalities, therapeutic procedures, and other
procedures. These revised codes were forwarded to the RUC's Health Care
Professional Advisory Committee (HCPAC) for evaluation of the work in
the services represented by the new codes. The HCPAC is a multi-
disciplinary committee of nonphysician practitioners, which includes,
but is not limited to, representatives of the American Physical Therapy
Association and the American Occupational Therapy Association, both of
which had recommended RVUs for these new and revised codes. The HCPAC
reviewed the work in these services in the context of the work in other
services on the relative value scale and provided us with recommended
RVUs for them. These RVUs are shown as the RUC-recommended RVUs in
Table 4.
The work RVUs for physical medicine services that were included in
the Medicare fee schedule for 1992, 1993, and 1994 were based on
historic charges rather than the work in furnishing the service.
Therefore, the work RVUs established for these codes for 1995
represents the first time that the work RVUs for these codes have been
based on the work associated with furnishing the service.
We based the work RVUs for these services on the expectation that
the definition of the codes represents how the services will be
furnished when billed to Medicare. For example, we expect that when 15
minutes of a service in the constant attendance category is billed, we
may be confident that the provider furnished the 15 minutes of constant
one-on-one attendance that is included in the definition of the code.
If the provider did not furnish 15 minutes of one-on-one constant
attendance, as the code is defined, he or she may not bill a code for
15 minutes of constant attendance. If the provider is overseeing the
therapy of more than one patient during a period of time, he or she
must bill the code for group therapy (CPT code 97150), since he or she
is not furnishing constant attendance to a single patient.
The HCPAC provided recommended RVUs for 26 of the 28 new or revised
codes. Of the 26 codes for which the HCPAC provided recommended RVUs,
we agreed with or increased the RVUs for 20 codes (about 76 percent),
mostly therapeutic or other procedures. We decreased the work RVUs for
6 codes (about 22 percent), all of which were modalities that do not
require the constant attendance of a professional. Two of the codes for
which the HCPAC provided recommended RVUs we set as carrier-priced, as
explained below.
Application of a modality to one or more areas; vasopneumatic
devices (CPT code 97016). The RUC recommended 0.25 RVUs. We believe
that the work in the procedure is overstated. We think that the typical
service described by this code is most like the work in CPT code 97014
(unattended E stim); we believe that neither volume measurements nor
blood pressure checks are routinely a part of the service. Therefore,
we reduced the RVUs to 0.18, the same RVUs assigned to CPT code 97014.
Application of a modality to one or more areas; paraffin bath (CPT
code 97018). The RUC recommended 0.15 RVUs. We believe that this
service is similar to CPT 97010 (application of hot or cold packs)
since it requires use of heat, like hot packs, to loosen the joint
before a therapeutic procedure. We reduced the RVUs to 0.11.
Application of a modality to one or more areas; microwave (CPT code
97020). The RUC recommended 0.15 RVUs. We believe the work is
comparable to the work of CPT code 97010 (application of hot or cold
packs). Therefore, we assigned 0.11 RVUs to CPT code 97020.
Application of a modality to one or more areas; diathermy (CPT code
97024). The RUC recommended 0.15 RVUs. We believe that the work is
equivalent to the work of hot/cold packs. Therefore, we assigned 0.11
RVUs to CPT code 97024.
Application of a modality to one or more areas; Hubbard tank (CPT
code 97036). The RUC recommended 0.28 RVUs. We believe this value is
too low. We believe that the work involved in this service is similar
to the work in CPT code 99212 (established patient office visit) and
150 percent of the work in CPT code 97022 (whirlpool), for which the
RUC recommended 0.25 RVUs. CPT code 97036 is used to report services to
patients who are sick, difficult to manage in the tank, with a broad
range of problems that are often systemic or cardiovascular. We
assigned 0.38 RVUs to CPT code 97036, the same RVUs as for CPT code
99212.
Therapeutic procedure(s), group (2 or more individuals) (CPT code
97150). The RUC recommended that this code be priced by carriers. We
believe this code is likely to be used with such frequency that leaving
pricing to the carriers would be inappropriate. We have assigned RVUs
based on the assumption that the typical group includes five
individuals and that the typical group session is of 45 minutes
duration. The calculations we made follow. First, we used the RVUs of
CPT code 97110, which has 0.45 RVUs for each 15 minutes. We multiplied
this value by 3 to determine the RVUs of a 45 minute session. We then
divided this by 5 to determine the amount of work that can be
attributed to one individual in the group. The result of this
calculation is 0.27 RVUs.
Joint mobilization, one or more areas (peripheral or spinal) (CPT
code 97265). The RUC did not make a recommendation. We assigned 0.45
RVUs because we believe the work represented by this code is comparable
to the work in CPT code 97250 (myofascial release).
Work hardening/conditioning (CPT codes 97545 and 97546).
------------------------------------------------------------------------
RUC-
CPT code recommended
RVUs
------------------------------------------------------------------------
97545...................................................... 1.70
97546...................................................... 0.70
------------------------------------------------------------------------
We reviewed the RUC recommendations and have decided to defer
assigning RVUs for these codes until there is a better definition of
the services. It is not clear whether the time specified in the codes
(CPT code 97545 is for the initial 2 hours, and CPT code 97546 is for
each additional hour) describes the time of the patient or the
practitioner. We believe it is possible for a physical therapist (PT)
to do work hardening for four patients simultaneously, rotating from
patient to patient located within the same room. Moreover, we believe
that there is more work (that is, higher intensity and more one-on-one
attention) in the first 2 or more hours of service, not the initial 2
hours of care in a day, as these codes are defined. We believe that the
intensity and amount of work drops off quickly early in the process and
that it would be impossible to value the services correctly under its
current definition. While Medicare rarely pays for these services, some
workers compensation programs base payment on Medicare RVUs, and, to
avoid establishing inappropriate RVUs, we will keep these codes
carrier-priced.
Physician standby services (CPT code 99360). The RUC recommended
work RVUs for this code, and we agreed with that recommendation. Under
Medicare rules, however, physician standby services are considered to
be hospital services and are not payable under the physician fee
schedule (58 FR 63642). Therefore, we are not assigning RVUs to CPT
code 99360.
(15) Preventive Medicine (CPT codes 99381 through 99397). Initially
we received recommendations for the 14 preventive medicine codes from
the November 1993 RUC meeting (see Table 5--Preventive Medicine, which
follows).
Table 5.--Preventive Medicine
----------------------------------------------------------------------------------------------------------------
CMDs 1995 work
HCPCS* Harvard value RUC 11/93 CMDs 1/94 withcounselling RUC 5/94 RVU**
----------------------------------------------------------------------------------------------------------------
99381......... 0.63 1.14 0.70 1.20 1.12 1.20
99382......... 0.83 1.17 0.88 1.38 1.30 1.38
99383......... 0.65 1.18 0.88 1.38 1.30 1.38
99384......... 0.78 1.38 1.05 1.55 1.49 1.55
99385......... 0.93 1.41 1.05 1.55 1.47 1.55
99386......... 1.14 1.58 1.40 1.90 1.65 1.90
99387......... 1.57 1.75 1.58 2.08 1.95 2.08
99391......... 0.69 0.78 0.53 1.03 0.90 1.03
99392......... 0.68 0.84 0.63 1.13 0.95 1.20
99393......... 0.67 0.84 0.70 1.20 0.95 1.20
99394......... 0.77 0.95 0.88 1.38 1.20 1.38
99395......... 0.85 0.95 0.88 1.38 1.18 1.38
99396......... 1.20 1.09 1.05 1.55 1.38 1.55
99397......... 1.12 1.20 1.23 1.73 1.50 1.73
----------------------------------------------------------------------------------------------------------------
*All numeric CPT HCPCS Copyright 1994 American Medical Association.
**RVUs do not reflect adjustment for budget neutrality.
We reviewed these RVUs with a panel of CMDs at a January 1994
meeting. We believe that the RUC-recommended RVUs for the new patient
codes (CPT codes 99381 through 99387) and the established patient codes
(CPT codes 99391 through 99397) were too high when compared to other
evaluation and management services.
Specifically, we had several reservations. First, we did not agree
with the RUC's conclusion that the work of the preventive medicine
services is equivalent to the work of other evaluation and management
services. That conclusion seemed to have been based on an assumption
that the preventive medicine services require less technical skill and
physical effort but more mental effort than other evaluation and
management services. We did not believe that more mental effort and
judgment are required since the preventive medicine codes, as
structured at that time, described only the obtaining of a history and
the performance of an examination of a healthy patient. Further, the
codes explicitly excluded counseling, which at that time was reported
with other codes. The evaluation and management codes, on the other
hand, describe the obtaining of a history and the performance of an
examination of a sick patient and explicitly include counseling.
Second, the clinical judgment of our CMDs that the November 1993
RUC recommendations were too high was supported by an analysis of the
intensity (work divided by time) of the RUC recommendations. In
reviewing the preventive medicine codes, we looked to the RVUs and
typical times of CPT codes for an office visit for a new patient and an
office visit for an established patient. Those RVUs and the typical
face-to-face times that are specified in each of the codes were
compared to the RUC recommendations and the RUC survey data on
intraservice time (that is, face-to-face time) for the preventive
medicine codes. Based on this comparison, the intensity of the
preventive medicine codes exceeded that of the other evaluation and
management codes.
Third, empirical Harvard data supported a conclusion that the
intensity (work divided by time) of these services is less than that of
other evaluation and management services.
In light of the expected revisions to the codes by the CPT
Editorial Panel, we informed the RUC of our concerns and decided to
wait for the RUC's recommendations for the revised codes before
publishing our interim RVUs. In May of 1994, we received the RUC
recommendations for the revised preventive medicine codes. These codes
had been revised to explicitly incorporate counseling and risk factor
reduction into the visit service. The problems of intensity we noted
with the earlier RUC recommendations persisted. Therefore, we decided
to value the preventive medicine codes by adding 0.50 RVUs to each of
the values we had calculated for the codes when they explicitly
excluded counseling. (See Table 5.) This value of 0.50 RVUs is
equivalent to the RUC-recommended RVUs for CPT code 99401, which is
used to report 15 minutes of counseling. These calculations result in
slightly higher RVUs than the RVUs recommended by the RUC. We also
increased the RVUs for CPT code 99392 to 1.20 so that they would be
consistent with the RUC recommendation that the work of CPT code 99392
and the work of CPT code 99393 are equivalent.
(16) Cadaver Donor Organ Retrieval.
------------------------------------------------------------------------
CPT code Description
------------------------------------------------------------------------
32850.............................. Donor pneumonectomy(ies) with
preparation and maintenance of
allograft (cadaver).
33930.............................. Donor cardiectomy-pneumonectomy,
with preparation and maintenance
of allograft.
33940.............................. Donor cardiectomy, with preparation
and maintenance of allograft.
47133.............................. Donor hepatectomy, with preparation
and maintenance of homograft.
48550.............................. Donor pancreatectomy, with
preparation and maintenance of
allograft from cadaver donor, with
or without duodenal segment for
transplantation.
50300.............................. Donor nephrectomy, with preparation
and maintenance of homograft; from
cadaver donor, unilateral or
bilateral.
------------------------------------------------------------------------
We reviewed the RUC recommendation for these cadaver donor codes as
a group with representatives of the RUC, our CMDs, and representatives
of the specialty societies involved with transplant surgery. We have
concluded that the assignment of RVUs to these codes could lead to
inequitable payment to some physicians because of the marked variations
in time associated with organ acquisitions. Therefore, payment for
these services will not be made under the physician fee schedule.
Rather, the services furnished by a surgeon who retrieves a cadaveric
donor organ that is intended for a Medicare-covered transplant will
continue to be paid outside the hospital prospective payment system at
100 percent of the reasonable cost under part A on a retrospective
basis, as set forth at 42 CFR 412.100. These costs are included in the
organ acquisition charge of the Certified Transplant Center or the
Independent Organ Procurement Organization.
C. Adjustments to All RVUs Due to Limitation on Annual Expenditures
Section 1848(c)(2)(B)(ii) of the Act states that adjustments to
RVUs for a year may not cause the amount of expenditures for
physicians' services to differ by more than $20 million from the amount
of expenditures that would have been made if the RVUs had not been
adjusted. Consistent with this statutory requirement, we have estimated
the net change in expenditures resulting from the refinement of
existing RVUs, the establishment of RVUs for new and revised codes for
1995, and revisions to certain payment policies. To conduct this
analysis, we used utilization data from 1993 National Claims History
data, which we updated to reflect 1994 and 1995 coding changes. For new
or revised codes in 1994 and 1995, we used the frequencies attributed
to existing codes. In determining which existing codes should be mapped
to the new or revised codes, we used information received from the RUC,
background information provided to the CPT Editorial Panel as part of
the requests for coding changes, and the judgment of our medical staff.
We considered changes in the volume and intensity of physician
services. We examined the combined effect of all of the 1995 changes
relative to what would have happened if these changes were not made. We
analyzed the effects for each specialty and found there to be no
overall net effect on volume and intensity.
We have estimated the net increase in program costs in CY 1995
resulting from the adjustments to RVUs to be approximately $35 million.
This is a net figure in that savings from the reductions in RVUs for
some services partially offset the cost associated with increases in
the RVUs for other services. In addition, we have estimated the cost of
revisions in payment policies to be approximately $350 million in 1995,
thus resulting in a total $385 million in additional expenditures
because of these changes. This figure requires a reduction of 1.1
percent in the RVUs of all services to comply with the statutory
limitation on increases in expenditures. Although a $20 million
tolerance is permitted under the law, this 1.1 percent reduction to all
RVUs is designed to approximate budget neutrality as closely as
possible, without creating any increase or decrease in expenditures as
a result of RVU adjustments or revisions in payment policies.
D. Summary of Changes for the 1995 Fee Schedule
In this final rule, we have explained the process by which the
interim work RVUs for some codes were reviewed and, in some cases,
revised. Addendum B contains the RVUs and other related information for
all services paid under the physician fee schedule. The RVUs listed in
Addendum B are effective for services furnished beginning January 1,
1995.
In addition, we have explained the process by which we established
RVUs for new and revised codes. These codes are included in Addendum B
and are also listed separately in Addendum C. We will consider comments
on all RVUs for the codes listed in Addendum C if we receive them at
the appropriate address, as provided in the Addresses section of this
preamble, no later than 5 p.m. on February 6, 1995. Comments must
include the appropriate CPT code (for example, CPT code 90918) and the
suggested RVUs (for example, 1.23 RVUs). Unless otherwise specified, we
will assume all suggested RVUs are on the 1995 scale. Failure to
provide this information may result in our inability to evaluate the
comments adequately.
VI. Five-Year Refinement of RVUs
A. Proposed Process for Refinement of Work RVUs
Section 1848(c)(2)(B)(i) of the Act requires that we review all
RVUs no less often than every 5 years. Since we implemented the
physician fee schedule effective for services furnished beginning
January 1, 1992, we are initiating the 5-year refinement of RVUs that
will be effective for services furnished beginning January 1, 1997.
As the basis for beginning our 5-year refinement of work RVUs, we
are requesting public comments on all work RVUs for all services in the
1995 physician fee schedule. We believe this fee schedule is
essentially complete since we have now published RVUs for hundreds of
services that were previously carrier-priced. In addition, we have
published RVUs for many commonly furnished services that are not
covered by Medicare but are covered by other payers. Finally, as
discussed below, RVUs for all pediatric services are now included in
this fee schedule. Comments will be considered if we receive them at
the appropriate address, as provided below, no later than 5 p.m.,
February 6, 1995. Mail written comments related to the 5-year
refinement process (1 original and 3 copies) to the following address:
Health Care Financing Administration, Department of Health and Human
Services, Attention: BPD-789-FC (5-Year Refinement), P.O. Box 26688,
Baltimore, MD 21207. Comments must include the appropriate CPT code
(for example, CPT code 90918) and the suggested RVUs (for example,
11.00 RVUs). Unless otherwise specified, we will assume all suggested
RVUs are on the 1995 scale. Failure to provide this information may
result in our inability to evaluate the comments adequately. We will
consider comments on all work RVUs in the development of a proposed
rule, which we intend to publish in 1996. In the proposed rule, we will
propose the revisions to work RVUs that we believe need to be made.
After review and analysis of comments on the proposed rule, as
described in sections V.B. and V.C. of this final rule, we will issue
the results of the 5-year refinement in a final rule.
We propose to share some of the comments we receive on all 1995
RVUs with the RUC, which currently makes recommendations to us on the
assignment of RVUs to new and revised CPT codes and has offered to
advise us on the assignment of RVUs to procedures for which we receive
substantive comments. We believe that the RUC's perspective will be
helpful because of the RUC's experience in recommending RVUs for the
codes that have been added to, or revised by, the CPT since we
implemented the physician fee schedule in 1992. Furthermore, the RUC,
by virtue of its multispecialty membership and consultation with
approximately 65 specialty societies, involves the family of medicine
in the refinement process. We emphasize, however, that we retain the
responsibility for analyzing the comments on the 1995 physician fee
schedule, developing the proposed rule for 1996, evaluating the
comments on the proposed rule, and deciding whether to revise RVUs. We
are not delegating this responsibility to the RUC or any other
organization.
B. Scope of the 5-Year Refinement
We have made several preliminary decisions about the scope of the
5-year refinement and issues on which we are requesting public comment:
All work RVUs are subject to comment and an in-depth consideration
of the comments as part of the 5-year refinement. We are particularly
interested in receiving comments on physician services for which
medical practice has changed since the Harvard surveys were performed
from 1988 through 1990, but for which there have been no code changes
and, therefore, no reconsideration of whether the work RVUs continue to
be accurate.
We are aware that the Social Security Act Amendments of 1994
require the development of RVUs for the full range of pediatric
services. These amendments also call for a study of the RVUs for
pediatric services to determine whether there are significant
variations in the resources used in furnishing similar services to
different populations.
We believe that the development of RVUs for the full range of
pediatric services is essentially complete. In November 1991, we
solicited public comment on interim RVUs for many of the codes in the
CPT that relate directly to pediatric services. In November 1992, we
published final RVUs for those codes including 48 pediatric surgical
and urologic services that had been the subject of a Harvard study
conducted for the American Pediatric Surgical Association. In 1994, the
CPT published a complete revision of the congenital heart procedures.
RVUs recommended by the RUC for those services have been accepted and
are published in this final rule. In 1994, CPT also revised the hernia
repair codes to recognize the differences in the procedures when
performed on infants and children. RVUs have also been assigned to
those services. Finally, with this final rule, we have published
interim RVUs for well-baby visits and other preventive medicine
services that are not covered by Medicare. Through public notice and
comment, and with the assistance of the RUC, we have now reviewed and
assigned RVUs to every pediatric service described in the CPT.
As for determining whether there are significant variations in the
resources used in furnishing similar services to children and adults,
we propose to use the 5-year refinement process described in section
VI. of this final rule as the mechanism for addressing this question.
If there are pediatric services not described in CPT 1995, they should
be brought to our attention and referred to the CPT for consideration.
If there are existing CPT codes that are used to report services
furnished to both children and adults and there is a significant
difference in the work based on the patient's age, those codes should
be identified and commented on in the manner described in section VI.
of this final rule. Substantive comments on work will be referred to
the RUC for its consideration. If additional codes are needed, the
service in question will be forwarded to the CPT for consideration.
For several reasons, we believe that the identification of
potentially misvalued services through this final rule and the
development of new CPT codes (if necessary) is preferable to the use of
an age-related modifier that would be applied to all procedures. First,
the RVUs assigned to a given code are based on the typical or average
case. There are some cases that require more work and some that require
less. The routine use of a modifier to identify those cases that
require more work suggests that the RVUs for the unmodified code should
be reduced since the typical or average case would now require less
work. Second, we are not convinced that the work associated with
pediatric services is consistently greater than the work associated
with the same services furnished to adults. In fact, we believe there
may be instances when the work is actually less. Third, the use of a
modifier would create claims processing difficulties for us, and, for
some other payers, simply could not be implemented.
Practice expense and malpractice expense RVUs will not be subject
to comment and will not be recalculated as a part of the 5-year
refinement. Section 1848(c)(2)(C) of the Act requires that the practice
expense and malpractice expense RVUs be calculated based upon 1991
allowed charges and practice expense and malpractice expense shares for
the specialties that furnish the services. When we calculated the
practice expense and malpractice expense RVUs, we aged 1989 actual
charges forward to approximate 1991 actual charges, and we used the
specialty practice shares from the AMA's Socioeconomic Survey of
practice expenses by specialty. We have reviewed the practice expense
and malpractice expense RVUs, and we believe that we estimated the 1991
average allowed charges accurately and that the specialty shares have
not changed significantly. Therefore, we believe that recalculation of
the practice expense and malpractice expense RVUs would not produce
significantly different results.
C. Nature and Format of Comments on Work RVUs
While we welcome any written public comments, we have found from
past experience that the most useful comments have followed a
particular pattern: They include the CPT code, a clinical description
of the service, and a discussion of how the work of that service is
analogous to one or more reference services. The use of one or more
reference services is of fundamental importance because the relative
value of the work in a physician service exists only in comparison with
the physician work in another service.
The reference services cited should be commonly performed services
with established work RVUs and also fairly well understood outside of
their specialty. We have included a list of suggested reference
services in Addendum G. We believe that the RVUs assigned to these
services represent good benchmarks to serve as the basis for comparison
with the work represented by other codes. However, the inclusion of
these services in the reference set does not preclude the public from
commenting on the RVUs assigned to these services.
If none of the services in the reference set is a suitable
reference, we recommend choosing another service from the physician fee
schedule and explaining why it is a better reference procedure.
Physician work has two components: time and intensity. The clinical
analogy for many services can be strengthened by dividing the service
into the following three time segments and comparing them with the
respective segments of the reference services:
Preservice work--Work performed before the actual
procedure such as review of records, solicitation of informed consent,
and preparation of equipment. Time spent by the physician dressing,
scrubbing, and waiting for the patient should be identified. Preservice
work also includes the time spent scrubbing, positioning, or otherwise
preparing the patient. For surgical procedures with global periods,
commenters should include estimates of the number, time, and type of
visits from the day before surgery until the time the patient enters
the operating room. The visit when the physician decides to operate and
the visits preceding it should not be included in the estimate of
preservice work since these services are not included in the Medicare
definition of global period.
Intraservice work--The actual performance of the
procedure. For evaluation and management services, this would be
described as ``face to face'' time in the office setting and ``unit/
floor'' time in the inpatient setting. For surgical procedures, the
customary term would be ``skin-to- skin'' or its equivalent for those
procedures not beginning with incisions.
Postservice work--Analysis of data collected from the
encounter, preparation of a report, and communication of the results.
For procedures with global periods, commenters should identify the time
spent by the physician with the patient after the procedure on the same
day and whether the patient typically goes home, to an ordinary
hospital bed, or to the intensive care unit. Commenters should describe
the number, time, and type of physician visits from the day after the
procedure until the end of the global period. They should also
distinguish inpatient from outpatient visits.
In making these estimations, we encourage detailed clinical
information such as data derived from operating logs, operative
reports, and medical charts concerning the length of service, the
amount of work performed before and after the service, and the length
of stay in the hospital. The usefulness of these data is greatly
increased if the data are presented with comparable data for reference
services and evidence that justifies that the data presented are
nationally representative of the average work involved in furnishing
the service. One common mistake commenters make is to provide data that
are not demonstrated to be representative of national practices.
Another common mistake is to present a lengthy and elaborate
description of the work in the service, but to omit, or to provide an
incomplete description of, the comparability of the work in the service
to the work in the reference procedure or procedures identified.
Intensity of the work in the service is best compared by breaking
the intensity into the following elements:
Mental effort and judgment--Commenters should compare the
service in question with a reference service as to the amount of
clinical data that needs to be considered, the fund of knowledge
required, the range of possible decisions, the number of factors
considered in making a decision, and the degree of complexity of the
interaction of these factors.
Technical skill and physical effort--One useful measure of
skill is the point in training when a resident is expected to be able
to perform the procedure. Physical effort can be compared by dividing
services into tasks and making the direct comparison of tasks. In
making the comparison, it is necessary to show that the differences in
physician effort are not reflected accurately by differences in the
time involved; if they are, considerations of physician effort amount
to double counting of physician work in the service.
Psychological stress--Two kinds of psychological stress
are usually associated with physician work. The first is the pressure
involved when the outcome is heavily dependent upon skill and judgment
and a mistake has serious consequences. The second is related to
unpleasant conditions connected with the work that are not affected by
skill or judgment. These circumstances would include situations with
high rates of mortality or morbidity regardless of the physician's
skill or judgment, difficult patients or families, or physician
physical discomfort. Of the two forms of stress, only the former is
fully accepted as an aspect of work; many consider the latter to be a
highly variable function of physician personality.
Intensity often varies significantly in the course of furnishing a
service. One common mistake commenters make is to ``anchor'' the value
of the service to a point of maximum intensity during the service as
the basis for comparing services. It is unlikely that the maximum
intensity is an accurate reflection of the average intensity of a
service; a lengthy procedure that is simple except for a few moments of
extreme intensity is probably less work than one of equal length during
which a fairly high level of intensity is maintained throughout.
D. Including Anesthesia Services Under the 5 Year Refinement (Includes
Table 6--Anesthesia Codes and Imputed RVUs)
Under the physician fee schedule, the allowance for an anesthesia
service is based on the sum of base units and time units multiplied by
an anesthesia-specific CF. The base units we use for determining
payment for physician anesthesia services have remained the same since
1992. These base unit values were established in 1989 when we
implemented the uniform relative value guide. These base unit values,
are, with few exceptions, based upon the base unit values in the 1988
Relative Value Guide of the American Society of Anesthesiology (ASA).
There have been only a few anesthesia coding revisions since 1992, and,
for these codes, we have accepted the ASA's base unit values.
Unlike other physician services, the anesthesia codes do not have
assigned work, practice expense, and malpractice expense RVUs. Although
anesthesia services do not have distinct work RVUs, we are deriving
work RVUs per anesthesia service (code) so that comparisons can be made
among other anesthesia services and, to the extent possible, other
medical and surgical services paid under the physician fee schedule.
While we are providing anesthesia work RVUs for comparative
purposes, we have no intent to alter the payment methodology for
anesthesia services under the physician fee schedule. As required by
section 1842(b)(13)(A), we will base allowances for anesthesia services
on allowable base and time units and the anesthesia CF. We will include
anesthesia services with all other physician services to determine the
nature of the overall budget neutrality adjustment. This adjustment
factor will be applied to the anesthesia CF.
On the basis of 1993 national anesthesia claims data for anesthesia
services personally performed by anesthesiologists, we computed an
average time unit value per anesthesia code. The sum of the code-
specific base unit and the average time unit was multiplied by the
national average anesthesia CF to calculate a national average
allowance per anesthesia code.
We made the following additional adjustments to the anesthesia
allowance to arrive at the anesthesia work RVUs per code. We divided
the national average anesthesia allowance per code by the national
surgical CF. The resulting amount, the estimated total RVUs per
anesthesia code, was multiplied by the anesthesia specialty share for
mean net income, or 69.5 percent, to derive the anesthesia work RVUs.
For example, cataract anesthesia (CPT code 00142) has a uniform
base unit value of 4 units and an average time unit of 4.74 units. The
1994 national anesthesia CF is $15.32. The 1994 national surgical CF is
$39.45. The anesthesia specialty share for work is 0.695. The work RVUs
for this code are 2.36 units or [(8.74 units x $15.32)/($39.45)] x
0.695.
We have listed in Table 6--Anesthesia Codes and Imputed RVUs, which
follows, the imputed work RVUs for each of the anesthesia codes. (Work
RVUs were not computed for CPT codes 00103 and 00215 as these represent
new codes for 1994.)
The imputed work RVUs for anesthesia codes, such as cataract
anesthesia and bypass surgery, should prove useful to physicians for
making comparisons. We realize, however, that some anesthesia codes,
such as those used to report lower abdominal or upper abdominal
anesthesia services, encompass such a large class of unrelated surgical
codes that the average time unit for these codes may not be a
meaningful value.
We are currently conducting a similar type of analysis to arrive at
the anesthesia work RVUs by surgical code. We intend to share the
results of this analysis with the RUC.
Table 6.--Anesthesia Codes and Imputed RVUs
------------------------------------------------------------------------
Imputed
HCPCS* Description Base unit Time unit work RVUs
------------------------------------------------------------------------
00100.... Anesth, skin surgery........ 5 7.26 3.31
00102.... Anesth, repair of cleft lip. 6 8.53 3.92
00104.... Anesth for electroshock..... 4 1.55 1.50
00120.... Anesthesia for ear surgery.. 5 8.11 3.54
00124.... Anesthesia for ear exam..... 4 3.62 2.06
00126.... Anesth, tympanotomy......... 4 3.49 2.02
00140.... Anesth, procedures on eye... 5 5.87 2.93
00142.... Anesthesia for lens surgery. 4 4.74 2.36
00144.... Anesth, corneal transplant.. 6 7.91 3.75
00145.... Anesth, vitrectomy.......... 6 8.93 4.03
00147.... Anesth, iridectomy.......... 4 5.94 2.68
00148.... Anesthesia for eye exam..... 4 5.53 2.57
00160.... Anesth, nose, sinus surgery. 5 7.05 3.25
00162.... Anesth, nose, sinus surgery. 7 9.32 4.40
00164.... Anesth, biopsy of nose...... 4 5.68 2.61
00170.... Anesth, procedure on mouth.. 5 6.11 3.00
00172.... Anesth, cleft palate repair. 6 8.74 3.98
00174.... Anesth, pharyngeal surgery.. 6 6.62 3.41
00176.... Anesth, pharyngeal surgery.. 7 20.52 7.43
00190.... Anesth, facial bone surgery. 5 9.67 3.96
00192.... Anesth, facial bone surgery. 7 18.46 6.87
00210.... Anesth, open head surgery... 11 15.20 7.07
00212.... Anesth, skull drainage...... 5 6.38 3.07
00214.... Anesth, skull drainage...... 9 7.82 4.54
00216.... Anesth, head vessel surgery. 15 21.05 9.73
00218.... Anesth, special head surgery 13 14.48 7.42
00220.... Anesth, spinal fluid shunt.. 10 8.76 5.06
00222.... Anesth, head nerve surgery.. 6 5.93 3.22
00300.... Anesth, skin surgery, neck.. 5 6.54 3.11
00320.... Anesth, neck organ surgery.. 6 6.50 3.37
00322.... Anesth, biopsy of thyroid... 3 6.97 2.69
00350.... Anesth, neck vessel surgery. 10 10.98 5.66
00352.... Anesth, neck vessel surgery. 5 4.89 2.67
00400.... Anesth, chest skin surgery.. 3 5.03 2.17
00402.... Anesth, surgery of breast... 5 10.87 4.28
00404.... Anesth, surgery of breast... 5 8.80 3.72
00406.... Anesth, surgery of breast... 13 9.11 5.97
00410.... Anesth, correct heart rhythm 4 2.03 1.63
00420.... Anesth, skin surgery, back.. 5 6.27 3.04
00450.... Anesth, surgery of shoulder. 5 6.74 3.17
00452.... Anesth, surgery of shoulder. 6 10.14 4.36
00454.... Anesth, collarbone biopsy... 3 5.81 2.38
00470.... Anesth, removal of rib...... 6 8.24 3.84
00472.... Anesth, chest wall repair... 10 11.39 5.77
00474.... Anesth, surgery of rib(s)... 13 12.75 6.95
00500.... Anesth, esophageal surgery.. 15 21.13 9.75
00520.... Anesth, chest procedure..... 6 5.32 3.06
00522.... Anesth, chest lining biopsy. 4 5.44 2.55
00524.... Anesth, chest drainage...... 4 4.36 2.26
00528.... Anesth, chest partition view 8 7.39 4.15
00530.... Anesth, pacemaker insertion. 4 6.92 2.95
00532.... Anesth, vascular access..... 4 4.97 2.42
00540.... Anesth, cardioverter/defib.. 13 12.99 7.01
00542.... Anesth, chest surgery....... 15 13.32 7.64
00544.... Anesth, release of lung..... 15 14.00 7.83
00546.... Anesth, chest lining removal 15 15.59 8.26
00548.... Anesth, lung, chest wall
surg....................... 15 14.86 8.06
00560.... Anesth, trachea, bronchi
surg....................... 15 10.89 6.99
00562.... Anesth, open heart surgery.. 20 22.27 11.41
00580.... Anesth, open heart surgery.. 20 27.01 12.69
00600.... Anesth, heart/lung
transplant................. 10 14.31 6.56
00604.... Anesth, spine, cord surgery. 13 13.44 7.14
00620.... Anesth, surgery of vertebra. 10 15.34 6.84
00622.... Anesth, spine, cord surgery. 13 10.08 6.23
00630.... Anesth, removal of nerves... 8 11.30 5.21
00632.... Anesth, spine, cord surgery. 7 7.95 4.03
00634.... Anesth, removal of nerves... 10 1.92 3.22
00670.... Anesth for chemonucleolysis. 13 21.82 9.40
00700.... Anesth, spine, cord surgery. 3 5.99 2.43
00702.... Anesth, abdominal wall surg. 4 7.67 3.15
00730.... Anesth, for liver biopsy.... 5 6.94 3.22
00740.... Anesth, abdominal wall surg. 5 3.29 2.24
00750.... Anesth, gi visualization.... 4 6.62 2.87
00752.... Anesth, repair of hernia.... 6 7.45 3.63
00754.... Anesth, repair of hernia.... 7 9.12 4.35
00756.... Anesth, repair of hernia.... 7 11.55 5.01
00770.... Anesth, repair of hernia.... 15 18.01 8.91
00790.... Anesth, blood vessel repair. 7 9.88 4.56
00792.... Anesth, surg upper abdomen.. 13 19.03 8.64
00794.... Anesth, part liver removal.. 8 23.85 8.60
00796.... Anesth, pancreas removal.... 30 41.76 19.37
00800.... Anesth, for liver transplant 3 5.88 2.40
00802.... Anesth, abdominal wall surg. 5 10.47 4.18
00806.... Anesth, fat layer removal... 6 8.28 3.85
00810.... Anesth, intestine endoscopy. 6 3.74 2.63
00820.... Anesth, abdominal wall surg. 5 6.56 3.12
00830.... Anesth, repair of hernia.... 4 6.69 2.89
00832.... Anesth, repair of hernia.... 6 7.55 3.66
00840.... Anesth, surg lower abdomen.. 6 10.27 4.39
00842.... Anesth, amniocentesis....... 4 7.45 3.09
00844.... Anesth, pelvis surgery...... 7 14.94 5.92
00846.... Anesth, hysterectomy........ 8 13.06 5.68
00848.... Anesth, pelvic organ surg... 8 19.41 7.40
00850.... Anesth, cesarean section.... 7 7.15 3.82
00855.... Anesth, hysterectomy........ 8 11.61 5.29
00857.... Analgesia, labor & c-section 7 10.33 4.68
00860.... Anesth, surgery of abdomen.. 6 10.22 4.38
00862.... Anesth, kidney, ureter surg. 7 13.01 5.40
00864.... Anesth, removal of bladder.. 8 24.43 8.75
00866.... Anesth, removal of adrenal.. 10 14.86 6.71
00868.... Anesth, kidney transplant... 10 18.32 7.64
00870.... Anesth, bladder stone surg.. 5 6.79 3.18
00872.... Anesth, kidney stone
destruct................... 7 6.77 3.72
00873.... Anesth, kidney stone
destruct................... 5 6.63 3.14
00880.... Anesth, abdomen vessel surg. 15 18.84 9.13
00882.... Anesth, major vein ligation. 10 5.81 4.27
00884.... Anesth, major vein revision. 5 5.58 2.86
00900.... Anesth, perineal procedure.. 3 5.02 2.16
00902.... Anesth, anorectal surgery... 4 4.49 2.29
00904.... Anesth, perineal surgery.... 7 15.41 6.05
00906.... Anesth, removal of vulva.... 4 7.78 3.18
00908.... Anesth, removal of prostate. 6 13.65 5.30
00910.... Anesth, bladder surgery..... 3 4.19 1.94
00912.... Anesth, bladder tumor surg.. 5 4.85 2.66
00914.... Anesth, removal of prostate. 5 6.31 3.05
00916.... Anesth, bleeding control.... 5 5.57 2.85
00918.... Anesth, stone removal....... 5 6.01 2.97
00920.... Anesth, genitalia surgery... 3 5.26 2.23
00922.... Anesth, sperm duct surgery.. 6 6.36 3.34
00924.... Anesth, testis exploration.. 4 5.22 2.49
00926.... Anesth, removal of testis... 4 5.14 2.47
00928.... Anesth, removal of testis... 6 6.63 3.41
00930.... Anesth, testis suspension... 4 5.41 2.54
00932.... Anesth, amputation of penis. 4 8.57 3.39
00934.... Anesth, penis, nodes removal 6 13.73 5.33
00936.... Anesth, penis, nodes removal 8 15.15 6.25
00938.... Anesth, insert penis device. 4 9.43 3.62
00940.... Anesth, vaginal procedures.. 3 3.78 1.83
00942.... Anesth, surgery on vagina... 4 7.93 3.22
00944.... Anesth, vaginal hysterectomy 6 10.16 4.36
00946.... Anesth, vaginal delivery.... 5 11.28 4.39
00948.... Anesth, repair of cervix.... 4 4.28 2.23
00950.... Anesth, vaginal endoscopy... 5 4.83 2.65
00952.... Anesth, uterine endoscopy... 4 3.95 2.15
00955.... Analgesia, vaginal delivery. 5 15.56 5.55
01000.... Anesth, skin surgery, pelvis 3 6.17 2.47
01110.... Anesth, skin surgery, pelvis 5 7.05 3.25
01120.... Anesth, pelvis surgery...... 6 8.38 3.88
01130.... Anesth, body cast procedure. 3 5.81 2.38
01140.... Anesth, amputation at pelvis 15 16.21 8.42
01150.... Anesth, pelvic tumor surgery 8 15.54 6.35
01160.... Anesth, pelvis procedure.... 4 6.34 2.79
00170.... Anesth, pelvis surgery...... 8 10.39 4.96
01180.... Anesth, pelvis nerve removal 3 7.70 2.89
01190.... Anesth, pelvis nerve removal 4 5.72 2.62
01200.... Anesth, hip joint procedure. 4 4.22 2.22
01202.... Anesth, arthroscopy of hip.. 4 8.83 3.46
01210.... Anesth, hip joint surgery... 6 8.54 3.92
01212.... Anesth, hip disarticulation. 10 11.20 5.72
01214.... Anesth, replacement of hip.. 10 12.45 6.06
01220.... Anesth, procedure on femur.. 4 6.55 2.85
01230.... Anesth, surgery of femur.... 6 8.51 3.92
01232.... Anesth, amputation of femur. 5 6.97 3.23
01234.... Anesth, radical femur surg.. 8 10.09 4.88
01240.... Anesth, upper leg skin surg. 3 5.82 2.38
01250.... Anesth, upper leg surgery... 4 6.35 2.79
01260.... Anesth, upper leg veins surg 3 8.79 3.18
01270.... Anesth, thigh arteries surg. 8 15.31 6.29
01272.... Anesth, femoral artery surg. 4 7.55 3.12
01274.... Anesth, femoral embolectomy. 6 9.29 4.13
01300.... Anesth, skin surgery, knee.. 3 5.66 2.34
01320.... Anesth, knee area surgery... 4 6.71 2.89
01340.... Anesth, knee area procedure. 4 7.33 3.06
01360.... Anesth, knee area surgery... 5 10.45 4.17
01380.... Anesth, knee joint procedure 3 3.23 1.68
01382.... Anesth, knee arthroscopy.... 3 6.08 2.45
01390.... Anesth, knee area procedure. 3 6.00 2.43
01392.... Anesth, knee area surgery... 4 8.83 3.46
01400.... Anesth, knee joint surgery.. 4 7.65 3.14
01402.... Anesth, replacement of knee. 7 11.58 5.01
01404.... Anesth, amputation at knee.. 5 7.22 3.30
01420.... Anesth, knee joint casting.. 3 6.31 2.51
01430.... Anesth, knee veins surgery.. 3 12.92 4.30
01432.... Anesth, knee vessel surg.... 5 9.49 3.91
01440.... Anesth, knee arteries surg.. 5 12.62 4.76
01442.... Anesth, knee artery surg.... 8 13.36 5.76
01444.... Anesth, knee artery repair.. 8 16.95 6.73
01460.... Anesth, lower leg skin surg. 3 5.29 2.24
01462.... Anesth, lower leg procedure. 3 5.45 2.28
01464.... Anesth, ankle arthroscopy... 3 7.91 2.94
01470.... Anesth, lower leg surgery... 3 5.82 2.38
01472.... Anesth, achilles tendon surg 5 8.07 3.53
01474.... Anesth, lower leg surgery... 5 8.69 3.69
01480.... Anesth, lower leg bone surg. 3 7.10 2.73
01482.... Anesth, radical leg surgery. 4 7.07 2.99
01484.... Anesth, lower leg revision.. 4 8.80 3.45
01486.... Anesth, ankle replacement... 7 11.48 4.99
01490.... Anesth, lower leg casting... 3 5.28 2.23
01500.... Anesth, leg arteries surg... 8 15.19 6.26
01502.... Anesth, lowerleg embolectomy 6 9.69 4.23
01520.... Anesth, lower leg vein surg. 3 8.88 3.21
01522.... Anesth, lower leg vein surg. 5 8.24 3.57
01600.... Anesth, shoulder skin surg.. 3 5.60 2.32
01610.... Anesth, surgery of shoulder. 5 7.88 3.48
01620.... Anesth, shoulder procedure.. 4 4.03 2.17
01622.... Anesth, shoulder arthroscopy 4 9.10 3.54
01630.... Anesth, surgery of shoulder. 5 9.17 3.82
01632.... Anesth, surgery of shoulder. 6 10.85 4.55
01634.... Anesth, shoulder joint amput 9 11.49 5.53
01636.... Anesth, forequarter amput... 15 10.53 6.89
01638.... Anesth, shoulder replacement 10 13.28 6.28
01650.... Anesth, shoulder artery surg 6 8.44 3.90
01652.... Anesth, shoulder vessel surg 10 10.49 5.53
01654.... Anesth, shoulder vessel surg 8 13.32 5.75
01656.... Anesth, arm-leg vessel surg. 10 17.67 7.47
01670.... Anesth, shoulder vein surg.. 4 5.98 2.69
01680.... Anesth, shoulder casting.... 3 5.04 2.17
01682.... Anesth, airplane cast....... 4 6.93 2.95
01700.... Anesth, elbow area skin surg 3 5.60 2.32
01710.... Anesth, elbow area surgery.. 3 5.83 2.38
01712.... Anesth, upper arm tendon
surg....................... 5 6.47 3.10
01714.... Anesth, upper arm tendon
surg....................... 5 9.46 3.90
01716.... Anesth, biceps tendon repair 5 7.93 3.49
01730.... Anesth, upper arm procedure. 3 5.46 2.28
01732.... Anesth, elbow arthroscopy... 3 7.99 2.97
01740.... Anesth, upper arm surgery... 4 8.42 3.35
01742.... Anesth, humerus surgery..... 5 9.48 3.91
01744.... Anesth, humerus repair...... 5 12.16 4.63
01756.... Anesth, radical humerus surg 6 10.89 4.56
01758.... Anesth, humeral lesion surg. 5 6.92 3.22
01760.... Anesth, elbow replacement... 7 15.83 6.16
01770.... Anesth, upper arm artery
surg....................... 8 9.30 4.67
01772.... Anesth, upper arm
embolectomy................ 6 7.52 3.65
01780.... Anesth, upper arm vein surg. 3 6.25 2.50
01782.... Anesth, upper arm vein
repair..................... 4 9.36 3.61
01784.... Anesth, av fistula repair... 6 8.50 3.91
01800.... Anesth, lower arm skin surg. 3 5.57 2.31
01810.... Anesth, lower arm surgery... 3 5.26 2.23
01820.... Anesth, lower arm procedure. 3 4.85 2.12
01830.... Anesth, lower arm surgery... 3 7.69 2.89
01832.... Anesth, wrist replacement... 6 10.03 4.33
01840.... Anesth, lower arm artery
surg....................... 6 8.25 3.85
01842.... Anesth, lower arm
embolectomy................ 6 7.00 3.51
01844.... Anesth, vascular shunt surg. 6 8.50 3.91
01850.... Anesth, lower arm vein surg. 3 5.93 2.41
01852.... Anesth, lower arm vein
repair..................... 4 5.60 2.59
01860.... Anesth, lower arm casting... 3 4.47 2.02
01900.... Anesth, uterus/tube inject.. 3 5.15 2.20
01902.... Anesth, burr holes, skull... 9 7.15 4.36
01904.... Anesth, skull x-ray inject.. 7 3.02 2.70
01906.... Anesth, lumbar myelography.. 5 4.85 2.66
01908.... Anesth, cervical myelography 5 5.28 2.77
01910.... Anesth, skull myelography... 9 4.48 3.64
01912.... Anesth, lumbar discography.. 5 3.66 2.34
01914.... Anesth, cervical discography 6 3.99 2.70
01916.... Anesth, head arteriogram.... 5 6.95 3.23
01918.... Anesth, limb arteriogram.... 5 4.72 2.62
01920.... Anesth, catheterize heart... 7 5.19 3.29
01921.... Anesth, vessel surgery...... 7 5.73 3.44
01922.... Anesth, cat or MRI scan..... 7 6.05 3.52
01990.... Support for organ donor..... 7 0.12 1.92
01995.... Regional anesthesia, limb... 5 0.10 1.38
01996.... Manage daily drug therapy... 3 0.00 0.81
------------------------------------------------------------------------
*All numeric CPT HCPCS Copyright 1994 American Medical Association.
VII. 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 1980 (44 U.S.C. 3501 et seq.).
VIII. 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.
IX. Regulatory Impact Analysis
A. Introduction
Consistent with the Regulatory Flexibility Act (RFA) (5 U.S.C. 601
through 612), we prepare a regulatory flexibility analysis unless the
Secretary certifies that a rule will not have a significant economic
impact on a substantial number of small entities. For purposes of the
RFA, all physicians are considered to be small entities.
This final rule will not have a significant economic impact on a
substantial number of small entities. Nevertheless, we are preparing a
regulatory flexibility analysis because the provisions of this rule are
expected to have varying effects on the distribution of Medicare
physician payments across specialties and across geographic areas. We
anticipate that virtually all of the approximately 500,000 physicians
who furnish covered services to Medicare beneficiaries will be affected
by one or more provisions of this rule. In addition, physicians who are
paid by private insurers for non-Medicare services will be affected to
the extent that they are paid by private insurers that choose to use
the RVUs. However, with few exceptions, we expect that the impact on
individual medical practitioners will be limited.
Issues discussed in sections B (Effects of implementing proposed
policy changes) and C (OBRA '93 provision for payment of antigens) will
have no impact on Medicare program expenditures because the effects of
these changes have been neutralized in the establishment of RVUs for
1995. Section 1848(c)(2)(B) of the Act requires that adjustments to
RVUs in a year may not cause the amount of expenditures for the year to
differ by more than $20 million from the amount of expenditures that
would have been made if these adjustments had not been made. We refer
to this as the budget-neutrality requirement.
We have estimated the net increase in program costs in CY 1995
resulting from the adjustments to RVUs to be approximately $35 million.
This is a net figure in that savings from the reductions in RVUs for
some services partially offset the cost associated with increases in
the RVUs for other services. In addition, we have estimated the cost of
revisions in payment policies to be approximately $350 million, thus
resulting in a total of $385 million in additional expenditures because
of these changes. This figure requires a reduction of 1.1 percent in
the RVUs for all services to comply with the statutory limitation on
increases in expenditures. Although a $20 million tolerance is
permitted under the law, this 1.1 percent reduction to all RVUs is
designed to approximate budget neutrality as closely as possible,
without creating any increase or decrease in expenditures as a result
of RVU adjustments or revisions in payment policies.
In accordance with the provisions of Executive Order 12866, this
final rule was reviewed by the Office of Management and Budget.
B. Effects of Implementing Specific Proposals for CY 1995
1. GPCI Changes
The revised GPCIs will be implemented in a budget-neutral manner.
They will not change the total national physician fee schedule payments
that would have been made in 1995 had the current GPCIs been retained.
The final revised GPCIs for 1995 and 1996, found at Addenda D and E
respectively of this final rule, will merely redistribute payments
among fee schedule payment areas. Except for Iowa, which was converted
from seven payment areas to a single statewide locality and now has
statewide GPCIs, the GPCIs are unchanged from those listed in Addenda C
and B in the proposed rule (59 FR 32779).
The overall redistributive effects of the GPCI changes on payment
areas were contained in Addendum D of the proposed rule (59 FR 32786).
The effect on individual physicians within these areas will vary from
general area effects because of volume and mix of services.
2. Payment Area (Locality) Change
The change to convert Iowa to a statewide payment area effective
January 1, 1995, will be made on a budget-neutral basis within the
State. However, some modest redistribution in payments could occur
within the State. From our past experience, redistribution of payments
will flow from urban areas, which usually have had higher GPCIs before
the change, to rural areas, which usually have had lower GPCIs before
the change. We estimate this redistribution to be generally in the
range of 1 to 3 percent. These estimates represent aggregate effects
among the areas of the State. The effect on individual physicians will
vary depending on factors such as the mix and volume of their services
to Medicare beneficiaries.
3. Separate Payment for Physician Care Plan Oversight Services
Under certain conditions, we will allow separate payment for
physician care plan oversight services furnished on or after January 1,
1995 to beneficiaries receiving Medicare-covered home health care and
hospice services. We will establish a fee schedule payment amount based
on 1.61 RVUs, which, after applying the primary care CF of $36.38,
results in a payment amount of approximately $60. This service may be
billed only once per month.
Studies based on Medicare HHA and hospice utilization data indicate
that payment for this service could be allowed for approximately 5.25
million claims and will result in incurred Medicare expenditures of
approximately $310 million for CY 1995. Thus, we estimate that a
reduction of approximately 0.9 percent in the RVUs for other services
will be required to offset this amount to retain budget neutrality in
1995.
The RVUs established for CPT code 99375, care plan oversight, will
be an ``interim'' value for 3 years, during which time we will make
additional adjustments to ensure that separate payment for care plan
oversight services will not result in an increase in Medicare
expenditures for those years. Under our current utilization cost
projections, separate payment for care plan oversight services will
still result in a small increase ($15 million) for 1998 through 1999.
We believe that this increase in expenditures will be offset by savings
resulting from the inclusion of outpatient clinical laboratory services
in the MVPS definition of physician services as published elsewhere in
this Federal Register issue.
We believe the majority of beneficiaries will not sustain any
significant change in coinsurance liabilities or out-of-pocket costs.
Because we are making this a budget-neutral change by reducing the RVUs
for all other physician services, we will not be increasing or
decreasing overall coinsurance liability. We recognize, however, that
for some beneficiaries, particularly the approximately 25 percent who
have no supplemental insurance that will cover the additional
coinsurance amount, the required coinsurance for these services will be
approximately $12 for each month in which their physician is paid for
care plan oversight services. Approximately 10 percent of all
beneficiaries receive services from nonparticipating physicians. These
beneficiaries will be liable for any amount that exceeds the Medicare-
approved amount up to the limiting charge for this service that is 115
percent of the fee schedule amount for nonparticipating physicians. All
physicians may be impacted by separate payment for care plan oversight
services because RVUs for all services paid under the physician fee
schedule will be reduced to maintain budget neutrality. To the extent
that they do not meet the conditions for payment for care plan
oversight services, certain physicians may experience a greater impact
from the minor reduction in the RVUs for other physician services as a
result of the adjustments necessary to maintain budget neutrality.
4. Payment for Multiple Surgical Procedures
We are revising only the standard multiple surgery policy that
requires carriers to rank the procedures by payment amount and base
payment on the highest priced procedure at the lesser of the actual
charges or 100 percent of the fee schedule amount; the second procedure
at 50 percent; the third, fourth, and fifth procedures at 25 percent;
and procedures subsequent to the fifth procedure ``by report'' based on
documentation of the services furnished. We are not changing the
special multiple surgery policies for dermatology and endoscopy.
As revised, we will pay the lesser of the actual charge or 50
percent for the second through fifth procedures. Procedures performed
after the fifth procedure will continue to be paid ``by report'' based
on documentation of the services furnished. Under this change, the
standard multiple surgery policy will be the same as the current policy
that applies to multiple dermatology procedures. This change in payment
policy will simplify carrier payment procedures because we will have
two, rather than three, multiple surgery policies.
Preliminary studies of 1992 utilization and cost data indicate that
this change to the 100/50/50/50/50 percent payment policy would result
in increased 1995 Medicare payments of approximately $35 million, were
it not for the budget-neutrality adjustment to all RVUs. Our estimate
is that this change will require a reduction in all RVUs of about 0.1
percent. Given the increase in the CFs for all services, we do not
believe that physicians will see a reduction in payment as a result of
this payment policy change.
Beneficiary liability for payment of the third through fifth
services will increase because the beneficiaries' coinsurance payment
equals 20 percent of the Medicare payment. Physicians who perform
multiple procedures on the same date for a patient that are now paid on
the basis of the lesser of the actual charge or 25 percent of the fee
schedule payment for the third through fifth procedures will be paid
twice as much for the third through fifth procedures. Therefore, the
beneficiaries' coinsurance will also increase. In addition, the amount
that nonparticipating physicians may bill over the fee schedule amount
if they do not accept assignment will also increase because the
limiting charge is a percent of the fee schedule amount. However,
beneficiary liability for other services will be reduced slightly as a
result of slightly lower payments for the other services.
5. Application of Site-of-Service Payment Differential
We apply a payment differential to services that are routinely
furnished in physicians' offices if they are furnished outside the
office. We have revised the list of surgical procedures subject to the
site-of-service differential using 1993 data. The revised list will be
effective for services furnished beginning January 1, 1995. To avoid
any concern about the statistical validity of the data for low-volume
procedures, we will exclude any procedure performed fewer than 100
times a year unless the procedure is part of a ``family'' of codes that
meets the requirements to be on the site-of-service list. We will add
approximately 225 codes and remove 12 codes from the site-of-service
list based on 1993 data and criteria. Were it not for budget-neutrality
adjustments, we estimate that these additions to the list would have
resulted in a $12 million reduction in Medicare payments in 1995.
6. Bundled Services
Bundling of payment for CPT codes 78890 and 78891 (Generation and
interpretation of automated data) in the nuclear medicine series of the
CPT will mean that physicians who are currently billing for and
receiving separate payment for the services may no longer do so. These
two codes are billed in addition to a primary procedure, but in CY
1992, CPT codes 78890 and 78891 were billed in combination with another
procedure only 12.7 and 2.5 percent of the time, respectively. These
data indicate that these codes are being reported incorrectly. We will
bundle the payment for these codes into the payments for the primary
procedure in a budget-neutral manner by redistributing the RVUs
currently assigned to CPT codes 78890 and 78891 across all other codes
in the nuclear medicine series of the CPT. The Medicare payment for
these services in CY 1992 was $1.6 million for approximately 38,000
services. The effect of this change on individual physicians will be
minimal.
7. RVUs for Doppler Echocardiography (CPT Code 93325)
We are redistributing the RVUs assigned to CPT code 99325, which
will approximately double the fee schedule payment amount for the TC of
CPT code 93325 if the service is furnished in nonhospital settings.
Payment for the PC of the services furnished in settings such as
hospitals, in which the PC only is billed, will be reduced by more than
90 percent. Global payments for procedures furnished in physicians'
offices and other nonhospital settings will be unaffected by adoption
of this policy.
8. Nuclear Medicine
Many carriers currently do not pay for the second procedure of
certain multiple diagnostic nuclear medicine procedures. Under this
final rule, carriers will pay the full fee schedule payment for the
procedure with the highest payment and 50 percent of the fee schedule
amount for the second procedure. We believe that the overall effect of
this policy will be minimal considering the low number of multiple
procedures of this type performed. Those carriers that currently pay in
full for the second procedure will reduce payments for multiple nuclear
procedures. Conversely, there will be a slight increase in payments by
carriers that are not paying for the second procedure.
9. End-Stage Renal Disease (ESRD)
a. Hospital inpatient dialysis on the same date as an evaluation
and management service. We are bundling payment for certain subsequent
evaluation and management hospital visits (CPT codes 99231 through
99233) and subsequent consultations (CPT codes 99261 through 99263)
performed on the same date as inpatient dialysis into the payment for
dialysis services (CPT codes 90935 through 90947). We will continue to
allow separate billing and payment for an initial hospital visit, an
initial consultation, and a discharge service on the same date as an
inpatient dialysis service.
According to CY 1992 data, subsequent hospital visits and
subsequent consultations were furnished on the same date as dialysis
services approximately 168,000 times and payment for these services
approximated $8.7 million. This change will be implemented in a budget-
neutral manner because the RVUs for these evaluation and management
codes that are being bundled will be redistributed across the four
dialysis codes. This change will increase payments for the four
dialysis services.
b. Payment for outpatient ESRD-related services under the physician
fee schedule. We will pay for the monthly capitation payment (MCP, CPT
codes 90918 through 90922) under the Medicare physician fee schedule.
The RVUs for these codes will be ``interim'' for 1995. We will
implement this proposal in a budget neutral manner and will apply the
nonsurgical update to these codes. We will transition payment to the
fee schedule over 2 years using a blend in 1995: 50 percent of the full
fee schedule amount and 50 percent of the historical payment amount. In
1996, we will base payment on the full fee schedule amount.
We estimate that payment for the MCP under the Medicare physician
fee schedule will result in a $22 million increase in Medicare
expenditures from 1996 to 1999. We believe that this increase will be
offset by savings resulting from the inclusion of outpatient clinical
laboratory services in the MVPS definition of physician services
published elsewhere in this Federal Register issue.
10. Therapeutic Apheresis
We proposed redesignating therapeutic apheresis (CPT code 36520) as
an ``incident-to'' service and allowing payment only when the service
is performed in an office setting. We have modified our proposed
policy. We will continue to allow payment for physician work RVUs for
CPT code 36520 in hospital and nonhospital settings. We will not make
separate payment for therapeutic apheresis and for some evaluation and
management procedures if they are billed on the same date. A full
discussion of which evaluation and management codes are not covered on
the same date as therapeutic apheresis can be found in section II.K. of
this preamble. Because we have bundled the payment and redistributed
the RVUs for those evaluation and management codes into the therapeutic
apheresis code, the overall impact of this policy change is budget
neutral for CY 1995. We do not anticipate that this policy will have an
impact on hospitals. Because of the limited number of services and the
increase in RVUs for therapeutic apheresis, we believe the impact on
physicians will be minimal.
C. OBRA '93 Provision--Payment for Antigens (Allergen Immunotherapy)
Effective for services furnished beginning January 1, 1995, we will
eliminate the use of HCPCS antigen J codes and require all physicians
to bill for allergy therapy services using CPT codes 95115, 95117,
95144 through 95149, 95165, and 95170. In addition, we will no longer
permit payment under the CPT allergy complete service codes (CPT codes
95120 through 95134) that are used by approximately half of the
allergists.
Because of the variations in the current payment system, we were
not able to precisely relate current frequencies to those that will
occur under the fee schedule. We were not able to ensure budget
neutrality within the antigen category. We believe, however, that the
revised RVUs we are assigning are reasonable and we have no basis for
concluding that they will result in a significant change in
expenditures.
D. Refinement of RVUs for CY 1995
Section 1848(c)(2)(B) of the Act provides that adjustments in RVUs
may not cause total fee schedule payments to differ by more than $20
million from what they would have been had the adjustments not been
made. Thus, the statute allows a $20 million tolerance for increasing
or reducing total expenditures under the physician fee schedule. We
have determined that net increases because of changes in RVUs would
have added an estimated $35 million to projected CY 1995 expenditures.
Since we must implement certain revisions to the fee schedule in a
budget-neutral manner, it is necessary to reduce all RVUs by 0.1
percent to account for the refinement of RVUs on existing codes and the
addition of new codes.
E. Rural Hospital Impact Statement
Section 1102(b) of the Act requires the Secretary 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.
This final rule will have little direct effect on payments to rural
hospitals since this rule will change only payments made to physicians
and certain other practitioners under Part B of the Medicare program
and will not change payments to hospitals under Part A, nor do we
believe the changes will have a major, indirect effect on rural
hospitals.
Therefore, we are not preparing an analysis for section 1102(b) of
the Act since we have determined, and the Secretary certifies, that
this rule will not have a significant impact on the operations of a
substantial number of small rural hospitals.
List 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, Medicare, Physicians, Reporting and recordkeeping
requirements.
42 CFR chapter IV is amended as set forth below:
PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
A. Part 410 is amended as set forth below:
1. The authority citation for part 410 is revised to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and1395hh).
2. In Sec. 410.1, paragraph (a) is amended by adding a sentence at
the end of the paragraph to read as follows:
Sec. 410.1 Basis and scope.
(a) Statutory basis. * * * Section 1881 provides for Medicare
coverage for end stage renal disease patients.
* * * * *
Subpart E--Payment of SMI Benefits
3. In Sec. 410.152, the introductory text of paragraph (b) is
republished and paragraph (b)(4) is revised to read as follows:
Sec. 410.152 Amounts of payment.
* * * * *
(b) Basic rules for payment. Except as specified in paragraphs (c)
through (h) of this section, Medicare Part B pays the following
amounts:
* * * * *
(4) For services furnished by a person or an entity other than
those specified in paragraphs (b)(1) through (b)(3) of this section, 80
percent of the reasonable charges or 80 percent of the payment amount
computed on any other payment basis for the services.
* * * * *
PART 414--PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
B. Part 414 is amended as set forth below:
Subpart A--General Provisions
1. The authority citation for part 414, subpart A is revised to
read as follows:
Authority: 1102 and 1871 of the Social Security Act as amended
(42 U.S.C. 1302 and 1395hh).
2. In Sec. 414.2, in the definition of ``Physicians' services,''
the introductory text is republished and a new paragraph (6) is added
to read as follows:
Sec. 414.2 Definitions.
* * * * *
Physicians' services means the following services to the extent
that they are covered by Medicare:
* * * * *
(6) Antigens, as described in section 1861(s)(2)(G) of the Act.
3. Section 414.4 is revised to read as follows:
Sec. 414.4 Fee schedule areas.
(a) General. HCFA establishes physician fee schedule areas that
generally conform to the geographic localities in existence before
January 1, 1992.
(b) Changes. HCFA announces proposed changes to fee schedule areas
in the Federal Register and provides an opportunity for public comment.
After considering public comments, HCFA publishes the final changes in
the Federal Register.
4. A new Sec. 414.39 is added to read as follows:
Sec. 414.39 Special rules for payment of care plan oversight.
(a) General. Except as specified in paragraph (b) of this section,
payment for care plan oversight is included in the payment for visits
and other services under the physician fee schedule.
(b) Exception. Separate payment is made under the following
conditions for physician care plan oversight services furnished to
beneficiaries who receive HHA and hospice services that are covered by
Medicare:
(1) The care plan oversight services require recurrent physician
supervision of therapy involving 30 or more minutes of the physician's
time per month.
(2) Payment is made to only one physician per patient for services
furnished during a calendar month period. The physician must have
furnished a service requiring a face-to-face encounter with the patient
at least once during the 6-month period before the month for which care
plan oversight payment is first billed. The physician may not have a
significant financial or contractual relationship with the HHA in
accordance with Sec. 424.22(d) of this chapter. The physician may not
be the medical director or employee of the HHA or hospice and may not
furnish services under an arrangement with the hospice.
(3) If a physician furnishes care plan oversight services during a
postoperative period, payment for care plan oversight services is made
if the services are documented in the patient's medical record as
unrelated to the surgery.
5. In Sec. 414.314, paragraph (d) is removed and paragraph (c) is
revised to read as follows:
Sec. 414.314 Monthly capitation payment method.
* * * * *
(c) Determination of payment amount. The amount of payment for the
MCP is determined under the Medicare physician fee schedule described
in this part 414.
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
Dated: November 4, 1994.
Bruce C. Vladeck,
Administrator, Health Care Financing Administration.
Dated: November 14, 1994.
Donna E. Shalala,
Secretary.
Note: The following addenda will not appear in the annual Code
of Federal Regulations.
Addendum A--Explanation and Use of Addenda B Through G
The addenda on the following pages provide various data pertaining
to the Medicare fee schedule for physicians' services furnished in
1995. Addendum B contains the RVUs for work, practice expense, and
malpractice expense, and other information for all services included in
the physician fee schedule. Addendum C provides interim RVUs and
related information for codes that are subject to comment. Each code
listed in Addendum C is also included in Addendum B. Further
explanations of the information in these addenda are provided at the
beginning of each addendum.
To compute a fee schedule amount according to the formula provided
in the final rule, use the RVUs listed in Addendum B and the GPCIs for
1995 listed in Addendum D of this final rule. In applying the formula,
use a CF of $39.447 for services designated as surgical, a CF of
$36.382 for primary care services, and a CF of $34.616 for other
nonsurgical services.
The resulting fee schedule amount does not reflect the effects of
the transition rules. That is, if a service is subject to the
transition in a fee schedule area, the payment amount for that service
will be an amount greater or less than the fee schedule amount. An
individual can obtain the fee schedule payment amounts in his or her
area by contacting the local Medicare carrier.
Addendum D lists the GPCIs for 1995.
Addendum E lists the GPCIs for 1996.
Addendum F lists the procedure codes subject to the site-of-service
differential.
Addendum G lists the reference set.
Addendum B--1995 Relative Value Units (RVUs) and Related
Information Used in Determining Medicare Payments for 1995
This addendum contains the following information for each HCPCS
code in level 1 (CPT) and level 2 (alpha-numeric HCPCS), except for
alpha-numeric codes beginning with B (enteral and parenteral therapy),
E (durable medical equipment), K (temporary codes for nonphysician
services or items), or L (orthotics), and codes for anesthesiology.
1. HCPCS code. This is the CPT or level 2 HCPCS number for the
service. Level 2 HCPCS codes are included at the end of this addendum.
2. Modifier. A modifier is shown if there is a TC (modifier TC) and
a 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.
3. Status indicator. This indicator shows whether the 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 paid under the physician
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=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 codes. 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 codes. These codes are deleted effective with the
beginning of the CY.
E=Excluded from physician fee schedule by regulation. These codes
are for items or services that HCFA 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.
H=Deleted modifier. This code had TC and PC components in 1994. For
1995, these components are deleted.
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 codes. 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 service
and is furnished on the same day as a physician service, payment for it
is bundled into the payment for the physician service to which it is
incident (an example is an elastic bandage furnished by a physician
incident to a physician service).
--If the item or service is covered as other than incident to a
physician 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
covered and no RVUs are shown, the service 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 ``physician 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. Work RVUs. These are the RVUs for the physician work for this
service for 1995. Codes that are not used for Medicare payment are
identified with a ``#.''
6. Practice expense RVUs. These are the RVUs for the practice
expense for the service for 1995. Codes that are subject to the OBRA
'93 practice expense reduction are identified by an asterisk in this
column.
7. Malpractice expense RVUs. These are the RVUs for the malpractice
expense for the service for 1995.
8. Total RVUs. This is the sum of the work, practice expense, and
malpractice expense RVUs for 1995.
9. 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 1995
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.
10. Update indicator. This column indicates whether the update for
surgical procedures, primary care services, or other nonsurgical
services applies to the HCPCS code in column 1. A ``0'' appears in this
field for codes that are deleted in 1995 or are not paid under the
physician fee schedule. A ``P'' in this column indicates that the
update and CF for primary care services applies to this code. An ``N''
in this column indicates that the update and CF for other nonsurgical
services applies to this code. An ``S'' in this column indicates that
the separate update and CF for surgical procedures applies.
Federal Register / Vol. 59, No. 235 / Thursday, December 8, 1994 / Rules
and Regulations
\1\All numeric CPT HCPCS Copyright 1994 American Medical Association.
\2\#Indicates RVUs are not used for Medicare payment.
\3\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.
Addendum B.--Relative Value Units (RVUs) and Related Information
--------------------------------------------------------------------------------------------------------------------------------------------------------
Practice
HCPCS\1\ MOD Status Description Work expense Malpractice Total Global Update
RVUs\2\ RVUs\3\ RVUs period
--------------------------------------------------------------------------------------------------------------------------------------------------------
10040... ...... A Acne surgery............................................. 1.34 0.32 0.03 1.69 010 S
10060... ...... A Drainage of skin abscess................................. 1.12 0.44 0.04 1.60 010 S
10061... ...... A Drainage of skin abscess................................. 2.48 0.64 0.06 3.18 010 S
10080... ...... A Drainage of pilonidal cyst............................... 1.62 0.50 0.05 2.17 010 N
10081... ...... A Drainage of pilonidal cyst............................... 2.40 1.11 0.16 3.67 010 S
10120... ...... A Remove foreign body...................................... 1.19 0.46 0.05 1.70 010 S
10121... ...... A Remove foreign body...................................... 2.64 1.00 0.12 3.76 010 S
10140... ...... A Drainage of hematoma/fluid............................... 1.48 0.48 0.05 2.01 010 S
10160... ...... A Puncture drainage of lesion.............................. 1.15 0.38 0.05 1.58 010 S
10180... ...... A Complex drainage, wound.................................. 2.20 1.05 0.18 3.43 010 S
11000... ...... A Surgical cleansing of skin............................... 0.91 0.40 0.04 1.35 000 S
11001... ...... A Additional cleansing of skin............................. 0.45 0.26 0.02 0.73 ZZZ S
11040... ...... A Surgical cleansing, abrasion............................. 0.50 0.40 0.04 0.94 000 S
11041... ...... A Surgical cleansing of skin............................... 0.82 0.56 0.06 1.44 000 S
11042... ...... A Cleansing of skin/tissue................................. 1.12 0.65 0.08 1.85 000 S
11043... ...... A Cleansing of tissue/muscle............................... 1.83 1.81 0.34 3.98 010 S
11044... ...... A Cleansing tissue/muscle/bone............................. 2.28 2.82 0.49 5.59 010 S
11050... ...... A Trim skin lesion......................................... 0.43 0.37 0.03 0.83 000 S
11051... ...... A Trim 2 to 4 skin lesions................................. 0.66 0.50 0.05 1.21 000 S
11052... ...... A Trim over 4 skin lesions................................. 0.86 0.41 0.04 1.31 000 S
11100... ...... A Biopsy of skin lesion.................................... 0.81 0.51 0.04 1.36 000 S
11101... ...... A Biopsy, each added lesion................................ 0.41 0.29 0.02 0.72 ZZZ S
11200... ...... A Removal of skin tags..................................... 0.69 0.43 0.04 1.16 010 S
11201... ...... A Removal of added skin tags............................... 0.26 0.17 0.02 0.45 ZZZ S
11300... ...... A Shave skin lesion........................................ 0.51 0.53 0.05 1.09 000 S
11301... ...... A Shave skin lesion........................................ 0.85 0.67 0.06 1.58 000 S
11302... ...... A Shave skin lesion........................................ 1.05 0.89 0.09 2.03 000 S
11303... ...... A Shave skin lesion........................................ 1.24 1.36 0.17 2.77 000 S
11305... ...... A Shave skin lesion........................................ 0.67 0.52 0.05 1.24 000 S
11306... ...... A Shave skin lesion........................................ 0.99 0.71 0.07 1.77 000 S
11307... ...... A Shave skin lesion........................................ 1.14 0.94 0.10 2.18 000 S
11308... ...... A Shave skin lesion........................................ 1.41 1.40 0.17 2.98 000 S
11310... ...... A Shave skin lesion........................................ 0.73 0.69 0.06 1.48 000 S
11311... ...... A Shave skin lesion........................................ 1.05 0.85 0.08 1.98 000 S
11312... ...... A Shave skin lesion........................................ 1.20 1.12 0.11 2.43 000 S
11313... ...... A Shave skin lesion........................................ 1.62 1.49 0.15 3.26 000 S
11400... ...... A Removal of skin lesion................................... 0.86 0.53 0.05 1.44 010 S
11401... ...... A Removal of skin lesion................................... 1.27 0.67 0.06 2.00 010 S
11402... ...... A Removal of skin lesion................................... 1.56 0.89 0.09 2.54 010 S
11403... ...... A Removal of skin lesion................................... 1.87 1.17 0.13 3.17 010 S
11404... ...... A Removal of skin lesion................................... 2.15 1.38 0.17 3.70 010 S
11406... ...... A Removal of skin lesion................................... 2.71 1.88 0.33 4.92 010 S
11420... ...... A Removal of skin lesion................................... 1.01 0.52 0.05 1.58 010 S
11421... ...... A Removal of skin lesion................................... 1.48 0.71 0.07 2.26 010 S
11422... ...... A Removal of skin lesion................................... 1.71 0.94 0.10 2.75 010 S
11423... ...... A Removal of skin lesion................................... 2.12 1.31 0.15 3.58 010 S
11424... ...... A Removal of skin lesion................................... 2.57 1.39 0.16 4.12 010 S
11426... ...... A Removal of skin lesion................................... 3.73 1.83 0.29 5.85 010 S
11440... ...... A Removal of skin lesion................................... 1.10 0.69 0.06 1.85 010 S
11441... ...... A Removal of skin lesion................................... 1.56 0.85 0.08 2.49 010 S
11442... ...... A Removal of skin lesion................................... 1.82 1.12 0.11 3.05 010 S
11443... ...... A Removal of skin lesion................................... 2.44 1.45 0.15 4.04 010 S
11444... ...... A Removal of skin lesion................................... 3.37 1.47 0.14 4.98 010 S
11446... ...... A Removal of skin lesion................................... 4.44 1.78 0.18 6.40 010 S
11450... ...... A Removal, sweat gland lesion.............................. 2.58 2.68 0.44 5.70 090 S
11451... ...... A Removal, sweat gland lesion.............................. 3.80 2.90 0.46 7.16 090 S
11462... ...... A Removal, sweat gland lesion.............................. 2.36 2.41 0.36 5.13 090 S
11463... ...... A Removal, sweat gland lesion.............................. 3.80 2.00 0.34 6.14 090 S
11470... ...... A Removal, sweat gland lesion.............................. 3.10 2.78 0.45 6.33 090 S
11471... ...... A Removal, sweat gland lesion.............................. 4.26 2.46 0.48 7.20 090 S
11600... ...... A Removal of skin lesion................................... 1.36 1.13 0.10 2.59 010 S
11601... ...... A Removal of skin lesion................................... 1.88 1.39 0.12 3.39 010 S
11602... ...... A Removal of skin lesion................................... 2.04 1.82 0.16 4.02 010 S
11603... ...... A Removal of skin lesion................................... 2.30 2.25 0.21 4.76 010 S
11604... ...... A Removal of skin lesion................................... 2.53 2.59 0.26 5.38 010 S
11606... ...... A Removal of skin lesion................................... 3.38 3.11 0.49 6.98 010 S
11620... ...... A Removal of skin lesion................................... 1.29 1.34 0.12 2.75 010 S
11621... ...... A Removal of skin lesion................................... 1.92 1.75 0.16 3.83 010 S
11622... ...... A Removal of skin lesion................................... 2.29 2.20 0.19 4.68 010 S
11623... ...... A Removal of skin lesion................................... 2.88 2.58 0.25 5.71 010 S
11624... ...... A Removal of skin lesion................................... 3.38 3.21 0.32 6.91 010 S
11626... ...... A Removal of skin lesion................................... 4.20 3.41 0.51 8.12 010 S
11640... ...... A Removal of skin lesion................................... 1.48 1.65 0.15 3.28 010 S
11641... ...... A Removal of skin lesion................................... 2.39 2.09 0.18 4.66 010 S
11642... ...... A Removal of skin lesion................................... 2.88 2.57 0.23 5.68 010 S
11643... ...... A Removal of skin lesion................................... 3.45 3.01 0.28 6.74 010 S
11644... ...... A Removal of skin lesion................................... 4.50 3.51 0.33 8.34 010 S
11646... ...... A Removal of skin lesion................................... 5.85 4.32 0.60 10.77 010 S
11700... ...... A Scraping of 1-5 nails.................................... 0.32 0.32 0.03 0.67 000 S
11701... ...... A Scraping of additional nails............................. 0.23 0.23 0.02 0.48 ZZZ S
11710... ...... A Scraping of 1-5 nails.................................... 0.32 0.32 0.03 0.67 000 S
11711... ...... A Scraping of additional nails............................. 0.20 0.19 0.02 0.41 ZZZ S
11730... ...... A Removal of nail plate.................................... 1.13 0.45 0.04 1.62 000 S
11731... ...... A Removal of second nail plate............................. 0.55 0.51 0.05 1.11 ZZZ S
11732... ...... A Remove additional nail plate............................. 0.38 0.25 0.02 0.65 ZZZ S
11740... ...... A Drain blood from under nail.............................. 0.37 0.39 0.04 0.80 000 S
11750... ...... A Removal of nail bed...................................... 1.66 2.10 0.19 3.95 010 S
11752... ...... A Remove nail bed/finger tip............................... 2.37 2.82 0.36 5.55 010 S
11755... ...... A Biopsy, nail unit........................................ 1.31 0.99 0.12 2.42 000 S
11760... ...... A Reconstruction of nail bed............................... 1.53 0.93 0.09 2.55 010 S
11762... ...... A Reconstruction of nail bed............................... 2.84 2.57 0.24 5.65 010 S
11765... ...... A Excision of nail fold, toe............................... 0.64 0.51 0.05 1.20 010 S
11770... ...... A Removal of pilonidal lesion.............................. 2.56 2.67 0.44 5.67 010 S
11771... ...... A Removal of pilonidal lesion.............................. 5.15 4.52 0.92 10.59 090 S
11772... ...... A Removal of pilonidal lesion.............................. 6.36 4.82 1.01 12.19 090 S
11900... ...... A Injection into skin lesions.............................. 0.52 0.25 0.02 0.79 000 S
11901... ...... A Added skin lesion injections............................. 0.80 0.41 0.03 1.24 000 S
11920... ...... R Correct skin color defects............................... 1.61 1.18 0.23 3.02 000 S
11921... ...... R Correct skin color defects............................... 1.93 1.40 0.28 3.61 000 S
11922... ...... R Correct skin color defects............................... 0.49 0.36 0.07 0.92 ZZZ S
11950... ...... R Therapy for contour defects.............................. 0.84 1.19 0.11 2.14 000 S
11951... ...... R Therapy for contour defects.............................. 1.19 1.19 0.11 2.49 000 S
11952... ...... R Therapy for contour defects.............................. 1.69 1.19 0.11 2.99 000 S
11954... ...... R Therapy for contour defects.............................. 1.85 1.19 0.11 3.15 000 S
11960... ...... A Insert tissue expander(s)................................ 6.04 *7.73 1.48 15.25 090 S
11970... ...... A Replace tissue expander.................................. 6.65 *8.51 1.61 16.77 090 S
11971... ...... A Remove tissue expander(s)................................ 1.51 *3.11 0.82 5.44 090 S
11975... ...... N Insert contraceptive cap................................. #1.48 1.06 0.25 2.79 XXX O
11976... ...... R Removal of contraceptive cap............................. 1.78 1.28 0.30 3.36 XXX N
11977... ...... N Remove/reinsert contra cap............................... #2.52 1.80 0.42 4.74 XXX O
12001... ...... A Repair superficial wound(s).............................. 1.65 0.57 0.05 2.27 010 N
12002... ...... A Repair superficial wound(s).............................. 1.81 0.79 0.07 2.67 010 N
12004... ...... A Repair superficial wound(s).............................. 2.19 1.14 0.10 3.43 010 N
12005... ...... A Repair superficial wound(s).............................. 2.81 1.47 0.14 4.42 010 N
12006... ...... A Repair superficial wound(s).............................. 3.62 1.78 0.19 5.59 010 N
12007... ...... A Repair superficial wound(s).............................. 4.07 1.80 0.19 6.06 010 S
12011... ...... A Repair superficial wound(s).............................. 1.71 0.74 0.06 2.51 010 N
12013... ...... A Repair superficial wound(s).............................. 1.94 1.03 0.08 3.05 010 N
12014... ...... A Repair superficial wound(s).............................. 2.41 1.19 0.10 3.70 010 N
12015... ...... A Repair superficial wound(s).............................. 3.14 1.62 0.14 4.90 010 N
12016... ...... A Repair superficial wound(s).............................. 3.88 2.26 0.19 6.33 010 N
12017... ...... A Repair superficial wound(s).............................. 4.66 3.36 0.31 8.33 010 N
12018... ...... A Repair superficial wound(s).............................. 5.48 5.15 0.48 11.11 010 S
12020... ...... A Closure of split wound................................... 2.57 1.19 0.18 3.94 010 S
12021... ...... A Closure of split wound................................... 1.79 0.62 0.11 2.52 010 S
12031... ...... A Layer closure of wound(s)................................ 2.10 0.72 0.07 2.89 010 S
12032... ...... A Layer closure of wound(s)................................ 2.42 1.05 0.10 3.57 010 S
12034... ...... A Layer closure of wound(s)................................ 2.87 1.47 0.15 4.49 010 S
12035... ...... A Layer closure of wound(s)................................ 3.38 1.92 0.23 5.53 010 S
12036... ...... A Layer closure of wound(s)................................ 4.00 2.32 0.37 6.69 010 S
12037... ...... A Layer closure of wound(s)................................ 4.62 3.09 0.48 8.19 010 S
12041... ...... A Layer closure of wound(s)................................ 2.32 0.84 0.08 3.24 010 N
12042... ...... A Layer closure of wound(s)................................ 2.69 1.17 0.12 3.98 010 N
12044... ...... A Layer closure of wound(s)................................ 3.09 1.62 0.17 4.88 010 N
12045... ...... A Layer closure of wound(s)................................ 3.59 2.13 0.23 5.95 010 N
12046... ...... A Layer closure of wound(s)................................ 4.20 2.82 0.37 7.39 010 S
12047... ...... A Layer closure of wound(s)................................ 4.60 4.02 0.56 9.18 010 N
12051... ...... A Layer closure of wound(s)................................ 2.42 1.01 0.10 3.53 010 S
12052... ...... A Layer closure of wound(s)................................ 2.72 1.47 0.14 4.33 010 S
12053... ...... A Layer closure of wound(s)................................ 3.07 1.76 0.17 5.00 010 S
12054... ...... A Layer closure of wound(s)................................ 3.41 2.60 0.25 6.26 010 S
12055... ...... A Layer closure of wound(s)................................ 4.38 3.24 0.37 7.99 010 S
12056... ...... A Layer closure of wound(s)................................ 5.19 4.74 0.52 10.45 010 S
12057... ...... A Layer closure of wound(s)................................ 5.91 5.57 0.48 11.96 010 S
13100... ...... A Repair of wound or lesion................................ 3.07 1.14 0.13 4.34 010 S
13101... ...... A Repair of wound or lesion................................ 3.87 2.08 0.21 6.16 010 S
13120... ...... A Repair of wound or lesion................................ 3.25 1.35 0.17 4.77 010 S
13121... ...... A Repair of wound or lesion................................ 4.28 2.65 0.33 7.26 010 S
13131... ...... A Repair of wound or lesion................................ 3.74 1.98 0.23 5.95 010 S
13132... ...... A Repair of wound or lesion................................ 4.21 4.57 0.44 9.22 010 S
13150... ...... A Repair of wound or lesion................................ 3.76 1.76 0.23 5.75 010 S
13151... ...... A Repair of wound or lesion................................ 4.40 2.45 0.35 7.20 010 S
13152... ...... A Repair of wound or lesion................................ 6.28 5.13 0.68 12.09 010 S
13160... ...... A Late closure of wound.................................... 9.53 3.33 0.58 13.44 090 S
13300... ...... A Repair of wound or lesion................................ 5.11 5.71 0.86 11.68 010 S
14000... ...... A Skin tissue rearrangement................................ 5.43 3.41 0.38 9.22 090 S
14001... ...... A Skin tissue rearrangement................................ 7.78 4.75 0.76 13.29 090 S
14020... ...... A Skin tissue rearrangement................................ 6.08 4.90 0.49 11.47 090 S
14021... ...... A Skin tissue rearrangement................................ 9.37 6.21 0.94 16.52 090 S
14040... ...... A Skin tissue rearrangement................................ 7.18 6.77 0.65 14.60 090 S
14041... ...... A Skin tissue rearrangement................................ 10.74 7.88 1.02 19.64 090 S
14060... ...... A Skin tissue rearrangement................................ 8.05 7.75 1.04 16.84 090 S
14061... ...... A Skin tissue rearrangement................................ 11.42 10.49 1.27 23.18 090 S
14300... ...... A Skin tissue rearrangement................................ 10.76 11.31 1.84 23.91 090 S
14350... ...... A Skin tissue rearrangement................................ 9.05 6.07 1.05 16.17 090 S
15000... ...... A Skin graft procedure..................................... 1.95 *2.55 0.53 5.03 ZZZ S
15050... ...... A Skin pinch graft procedure............................... 3.90 1.79 0.30 5.99 090 S
15100... ...... A Skin split graft procedure............................... 8.05 4.54 0.89 13.48 090 S
15101... ...... A Skin split graft procedure............................... 1.72 1.59 0.33 3.64 ZZZ S
15120... ...... A Skin split graft procedure............................... 9.14 6.05 0.94 16.13 090 S
15121... ...... A Skin split graft procedure............................... 2.67 2.91 0.53 6.11 ZZZ S
15200... ...... A Skin full graft procedure................................ 7.46 4.13 0.69 12.28 090 S
15201... ...... A Skin full graft procedure................................ 1.32 *2.06 0.50 3.88 ZZZ S
15220... ...... A Skin full graft procedure................................ 7.42 4.84 0.85 13.11 090 S
15221... ...... A Skin full graft procedure................................ 1.19 *1.99 0.50 3.68 ZZZ S
15240... ...... A Skin full graft procedure................................ 8.30 6.10 1.03 15.43 090 S
15241... ...... A Skin full graft procedure................................ 1.86 *2.64 0.58 5.08 ZZZ S
15260... ...... A Skin full graft procedure................................ 9.56 7.46 0.99 18.01 090 S
15261... ...... A Skin full graft procedure................................ 2.23 *3.34 0.60 6.17 ZZZ S
15350... ...... A Skin homograft procedure................................. 3.89 2.15 0.42 6.46 090 S
15400... ...... A Skin heterograft procedure............................... 4.91 1.06 0.17 6.14 090 S
15570... ...... A Form skin pedicle flap................................... 3.75 *7.26 2.08 13.09 090 S
15572... ...... A Form skin pedicle flap................................... 3.80 *6.95 1.86 12.61 090 S
15574... ...... A Form skin pedicle flap................................... 3.85 *6.95 1.66 12.46 090 S
15576... ...... A Form skin pedicle flap................................... 4.27 3.12 0.60 7.99 090 S
15580... ...... A Attach skin pedicle graft................................ 3.30 *5.32 1.30 9.92 090 S
15600... ...... A Skin graft procedure..................................... 1.70 *3.31 0.88 5.89 090 S
15610... ...... A Skin graft procedure..................................... 2.21 *3.19 0.80 6.20 090 S
15620... ...... A Skin graft procedure..................................... 2.69 *3.96 0.86 7.51 090 S
15625... ...... A Skin graft procedure..................................... 1.81 *3.04 0.78 5.63 090 S
15630... ...... A Skin graft procedure..................................... 3.02 *4.26 0.90 8.18 090 S
15650... ...... A Transfer skin pedicle flap............................... 3.61 *4.62 0.93 9.16 090 S
15732... ...... A Muscle-skin graft, head/neck............................. 12.10 *15.79 3.46 31.35 090 S
15734... ...... A Muscle-skin graft, trunk................................. 16.52 19.01 3.24 38.77 090 S
15736... ...... A Muscle-skin graft, arm................................... 15.26 16.21 3.02 34.49 090 S
15738... ...... A Muscle-skin graft, leg................................... 10.07 *13.60 3.29 26.96 090 S
15740... ...... A Island pedicle flap graft................................ 9.45 10.39 1.62 21.46 090 S
15750... ...... A Neurovascular pedicle graft.............................. 10.61 11.96 2.03 24.60 090 S
15755... ...... A Microvascular flap graft................................. 28.33 30.09 5.33 63.75 090 S
15760... ...... A Composite skin graft..................................... 8.28 7.29 1.11 16.68 090 S
15770... ...... A Derma-fat-fascia graft................................... 6.85 7.46 0.95 15.26 090 S
15775... ...... R Hair transplant punch grafts............................. 3.96 2.88 0.56 7.40 000 S
15776... ...... R Hair transplant punch grafts............................. 5.54 4.03 0.79 10.36 000 S
15780... ...... A Abrasion treatment of skin............................... 6.73 1.53 0.13 8.39 090 S
15781... ...... A Abrasion treatment of skin............................... 4.67 3.77 0.39 8.83 090 S
15782... ...... A Abrasion treatment of skin............................... 4.19 1.19 0.13 5.51 090 S
15783... ...... A Abrasion treatment of skin............................... 4.16 1.85 0.19 6.20 090 S
15786... ...... A Abrasion treatment of lesion............................. 1.98 0.62 0.06 2.66 010 S
15787... ...... A Abrasion, added skin lesions............................. 0.33 0.23 0.03 0.59 ZZZ S
15788... ...... A Chemical peel, face, epiderm............................. 1.96 1.48 0.12 3.56 090 S
15789... ...... A Chemical peel, face, dermal.............................. 4.69 1.48 0.12 6.29 090 S
15792... ...... A Chemical peel, nonfacial................................. 1.73 0.50 0.05 2.28 090 S
15793... ...... A Chemical peel, nonfacial................................. 3.51 0.50 0.05 4.06 090 S
15810... ...... A Salabrasion.............................................. 4.49 3.80 0.29 8.58 090 S
15811... ...... A Salabrasion.............................................. 5.14 3.74 0.73 9.61 090 S
15819... ...... A Plastic surgery, neck.................................... 8.87 8.01 0.87 17.75 090 S
15820... ...... A Revision of lower eyelid................................. 4.80 *6.14 0.64 11.58 090 S
15821... ...... A Revision of lower eyelid................................. 5.37 *6.87 0.68 12.92 090 S
15822... ...... A Revision of upper eyelid................................. 4.27 *5.73 0.56 10.56 090 S
15823... ...... A Revision of upper eyelid................................. 6.65 7.71 0.61 14.97 090 S
15824... ...... R Removal of forehead wrinkles............................. 0.00 0.00 0.00 0.00 XXX S
15825... ...... R Removal of neck wrinkles................................. 0.00 0.00 0.00 0.00 XXX S
15826... ...... R Removal of brow wrinkles................................. 0.00 0.00 0.00 0.00 XXX S
15828... ...... R Removal of face wrinkles................................. 0.00 0.00 0.00 0.00 XXX S
15829... ...... R Removal of skin wrinkles................................. 0.00 0.00 0.00 0.00 XXX S
15831... ...... A Excise excessive skin tissue............................. 11.66 9.84 2.01 23.51 090 S
15832... ...... A Excise excessive skin tissue............................. 10.97 8.29 1.33 20.59 090 S
15833... ...... A Excise excessive skin tissue............................. 10.02 6.22 1.12 17.36 090 S
15834... ...... A Excise excessive skin tissue............................. 10.16 7.18 1.22 18.56 090 S
15835... ...... A Excise excessive skin tissue............................. 10.98 7.00 1.22 19.20 090 S
15836... ...... A Excise excessive skin tissue............................. 8.83 5.80 1.10 15.73 090 S
15837... ...... A Excise excessive skin tissue............................. 8.08 5.97 0.85 14.90 090 S
15838... ...... A Excise excessive skin tissue............................. 6.78 5.88 0.73 13.39 090 S
15839... ...... A Excise excessive skin tissue............................. 8.92 2.44 0.46 11.82 090 S
15840... ...... A Graft for face nerve palsy............................... 12.26 15.54 2.28 30.08 090 S
15841... ...... A Graft for face nerve palsy............................... 21.53 16.87 2.76 41.16 090 S
15842... ...... A Graft for face nerve palsy............................... 35.98 29.00 2.68 67.66 090 S
15845... ...... A Skin and muscle repair, face............................. 11.80 *15.10 2.54 29.44 090 S
15850... ...... B Removal of sutures....................................... #0.78 0.36 0.04 1.18 XXX O
15851... ...... A Removal of sutures....................................... 0.86 0.30 0.03 1.19 000 N
15852... ...... A Dressing change, not for burn............................ 0.86 0.44 0.07 1.37 000 N
15860... ...... A Test for blood flow in graft............................. 1.95 1.35 0.25 3.55 000 S
15876... ...... R Suction assisted lipectomy............................... 0.00 0.00 0.00 0.00 XXX S
15877... ...... R Suction assisted lipectomy............................... 0.00 0.00 0.00 0.00 XXX S
15878... ...... R Suction assisted lipectomy............................... 0.00 0.00 0.00 0.00 XXX S
15879... ...... R Suction assisted lipectomy............................... 0.00 0.00 0.00 0.00 XXX S
15920... ...... A Removal of tail bone ulcer............................... 7.37 2.95 0.63 10.95 090 S
15922... ...... A Removal of tail bone ulcer............................... 9.17 5.98 1.19 16.34 090 S
15931... ...... A Remove sacrum pressure sore.............................. 8.13 2.93 0.55 11.61 090 S
15933... ...... A Remove sacrum pressure sore.............................. 9.64 6.92 1.43 17.99 090 S
15934... ...... A Remove sacrum pressure sore.............................. 11.40 7.46 1.50 20.36 090 S
15935... ...... A Remove sacrum pressure sore.............................. 13.05 11.24 2.27 26.56 090 S
15936... ...... A Remove sacrum pressure sore.............................. 11.31 10.27 2.05 23.63 090 S
15937... ...... A Remove sacrum pressure sore.............................. 12.98 13.47 2.67 29.12 090 S
15940... ...... A Removal of pressure sore................................. 8.19 3.55 0.73 12.47 090 S
15941... ...... A Removal of pressure sore................................. 10.15 7.05 1.39 18.59 090 S
15944... ...... A Removal of pressure sore................................. 10.18 9.26 1.82 21.26 090 S
15945... ...... A Removal of pressure sore................................. 11.32 11.14 2.09 24.55 090 S
15946... ...... A Removal of pressure sore................................. 19.81 16.61 3.24 39.66 090 S
15950... ...... A Remove thigh pressure sore............................... 6.79 3.01 0.58 10.38 090 S
15951... ...... A Remove thigh pressure sore............................... 9.57 7.65 1.58 18.80 090 S
15952... ...... A Remove thigh pressure sore............................... 10.18 7.13 1.37 18.68 090 S
15953... ...... A Remove thigh pressure sore............................... 11.39 9.08 1.87 22.34 090 S
15956... ...... A Remove thigh pressure sore............................... 13.93 17.17 3.39 34.49 090 S
15958... ...... A Remove thigh pressure sore............................... 13.89 *17.77 3.76 35.42 090 S
15999... ...... C Removal of pressure sore................................. 0.00 0.00 0.00 0.00 YYY S
16000... ...... A Initial treatment of burn(s)............................. 0.89 0.35 0.03 1.27 000 N
16010... ...... A Treatment of burn(s)..................................... 0.87 0.32 0.03 1.22 000 N
16015... ...... A Treatment of burn(s)..................................... 2.35 2.04 0.38 4.77 000 S
16020... ...... A Treatment of burn(s)..................................... 0.80 0.34 0.03 1.17 000 N
16025... ...... A Treatment of burn(s)..................................... 1.85 0.45 0.05 2.35 000 S
16030... ...... A Treatment of burn(s)..................................... 2.08 0.52 0.08 2.68 000 S
16035... ...... A Incision of burn scab.................................... 4.53 1.88 0.34 6.75 090 S
16040... ...... A Burn wound excision...................................... 1.02 *2.10 0.53 3.65 000 S
16041... ...... A Burn wound excision...................................... 2.70 3.16 0.53 6.39 000 S
16042... ...... A Burn wound excision...................................... 2.35 *3.02 0.53 5.90 000 S
17000... ...... A Destroy benign/premal lesion............................. 0.64 0.42 0.03 1.09 010 S
17001... ...... A Destruction of add'l lesions............................. 0.19 0.19 0.02 0.40 ZZZ S
17002... ...... A Destruction of add'l lesions............................. 0.19 0.10 0.01 0.30 ZZZ S
17010... ...... A Destruction skin lesion(s)............................... 1.01 0.48 0.04 1.53 010 S
17100... ...... A Destruction of skin lesion............................... 0.53 0.37 0.03 0.93 010 S
17101... ...... A Destruction of 2nd lesion................................ 0.11 0.18 0.02 0.31 ZZZ S
17102... ...... A Destruction of add'l lesions............................. 0.11 0.08 0.01 0.20 ZZZ S
17104... ...... A Destruction of skin lesions.............................. 2.01 0.07 0.01 2.09 010 S
17105... ...... A Destruction of skin lesions.............................. 0.76 0.31 0.03 1.10 010 S
17106... ...... A Destruction of skin lesions.............................. 4.54 1.93 0.18 6.65 090 S
17107... ...... A Destruction of skin lesions.............................. 9.06 3.70 0.39 13.15 090 S
17108... ...... A Destruction of skin lesions.............................. 13.10 9.32 0.69 23.11 090 S
17110... ...... A Destruction of skin lesions.............................. 0.55 0.40 0.03 0.98 010 S
17200... ...... A Electrocautery of skin tags.............................. 0.59 0.41 0.04 1.04 010 S
17201... ...... A Electrocautery added lesions............................. 0.38 0.15 0.01 0.54 ZZZ S
17250... ...... A Chemical cautery, tissue................................. 0.50 0.34 0.04 0.88 000 S
17260... ...... A Destruction of skin lesions.............................. 0.86 1.13 0.10 2.09 010 S
17261... ...... A Destruction of skin lesions.............................. 1.12 1.39 0.12 2.63 010 S
17262... ...... A Destruction of skin lesions.............................. 1.53 1.82 0.16 3.51 010 S
17263... ...... A Destruction of skin lesions.............................. 1.74 2.25 0.21 4.20 010 S
17264... ...... A Destruction of skin lesions.............................. 1.89 2.59 0.26 4.74 010 S
17266... ...... A Destruction of skin lesions.............................. 2.29 3.11 0.49 5.89 010 S
17270... ...... A Destruction of skin lesions.............................. 1.27 1.34 0.12 2.73 010 S
17271... ...... A Destruction of skin lesions.............................. 1.44 1.75 0.16 3.35 010 S
17272... ...... A Destruction of skin lesions.............................. 1.72 2.20 0.19 4.11 010 S
17273... ...... A Destruction of skin lesions.............................. 2.00 2.58 0.25 4.83 010 S
17274... ...... A Destruction of skin lesions.............................. 2.54 3.21 0.32 6.07 010 S
17276... ...... A Destruction of skin lesions.............................. 3.15 3.41 0.51 7.07 010 S
17280... ...... A Destruction of skin lesions.............................. 1.12 1.65 0.15 2.92 010 S
17281... ...... A Destruction of skin lesions.............................. 1.67 2.09 0.18 3.94 010 S
17282... ...... A Destruction of skin lesions.............................. 1.99 2.57 0.23 4.79 010 S
17283... ...... A Destruction of skin lesions.............................. 2.59 3.01 0.28 5.88 010 S
17284... ...... A Destruction of skin lesions.............................. 3.16 3.51 0.33 7.00 010 S
17286... ...... A Destruction of skin lesions.............................. 4.39 4.32 0.60 9.31 010 S
17304... ...... A Chemosurgery of skin lesion.............................. 7.60 4.02 0.31 11.93 000 S
17305... ...... A 2nd stage chemosurgery................................... 2.85 2.26 0.17 5.28 000 S
17306... ...... A 3rd stage chemosurgery................................... 2.85 1.40 0.11 4.36 000 S
17307... ...... A Followup skin lesion therapy............................. 2.85 1.47 0.12 4.44 000 S
17310... ...... A Extensive skin chemosurgery.............................. 0.95 0.13 0.01 1.09 000 S
17340... ...... A Cryotherapy of skin...................................... 0.73 0.28 0.02 1.03 010 S
17360... ...... A Skin peel therapy........................................ 1.40 0.27 0.02 1.69 010 S
17380... ...... R Hair removal by electrolysis............................. 0.00 0.00 0.00 0.00 XXX S
17999... ...... C Skin tissue procedure.................................... 0.00 0.00 0.00 0.00 YYY S
19000... ...... A Drainage of breast lesion................................ 0.84 0.38 0.07 1.29 000 S
19001... ...... A Drain added breast lesion................................ 0.42 0.24 0.05 0.71 ZZZ S
19020... ...... A Incision of breast lesion................................ 3.37 1.40 0.28 5.05 090 S
19030... ...... A Injection for breast x-ray............................... 1.53 0.49 0.04 2.06 000 N
19100... ...... A Biopsy of breast......................................... 1.27 0.64 0.13 2.04 000 S
19101... ...... A Biopsy of breast......................................... 3.13 2.34 0.45 5.92 010 S
19110... ...... A Nipple exploration....................................... 4.15 2.46 0.51 7.12 090 S
19112... ...... A Excise breast duct fistula............................... 3.52 2.34 0.35 6.21 090 S
19120... ...... A Removal of breast lesion................................. 4.84 2.90 0.60 8.34 090 S
19125... ...... A Excision, breast lesion.................................. 5.85 2.90 0.60 9.35 000 S
19126... ...... A Excision, add'l breast lesion............................ 2.93 1.45 0.31 4.69 ZZZ S
19140... ...... A Removal of breast tissue................................. 4.90 4.29 0.91 10.10 090 S
19160... ...... A Removal of breast tissue................................. 6.65 4.13 0.88 11.66 090 S
19162... ...... A Remove breast tissue, nodes.............................. 12.81 9.38 1.96 24.15 090 S
19180... ...... A Removal of breast........................................ 8.15 5.61 1.17 14.93 090 S
19182... ...... A Removal of breast........................................ 7.28 6.07 1.27 14.62 090 S
19200... ...... A Removal of breast........................................ 14.23 10.22 2.15 26.60 090 S
19220... ...... A Removal of breast........................................ 14.23 10.73 2.38 27.34 090 S
19240... ...... A Removal of breast........................................ 14.71 9.44 1.99 26.14 090 S
19260... ...... A Removal of chest wall lesion............................. 13.91 5.05 1.04 20.00 090 S
19271... ...... A Revision of chest wall................................... 17.07 13.95 2.77 33.79 090 S
19272... ...... A Extensive chest wall surgery............................. 19.47 12.60 2.56 34.63 090 S
19290... ...... A Place needle wire, breast................................ 1.27 0.44 0.07 1.78 000 S
19291... ...... A Place needle wire, breast................................ 0.63 0.25 0.04 0.92 ZZZ S
19316... ...... A Suspension of breast..................................... 10.07 12.84 2.43 25.34 090 S
19318... ...... A Reduction of large breast................................ 11.08 *14.18 3.23 28.49 090 S
19324... ...... A Enlarge breast........................................... 5.55 3.29 0.67 9.51 090 S
19325... ...... A Enlarge breast with implant.............................. 8.05 5.87 1.13 15.05 090 S
19328... ...... A Removal of breast implant................................ 5.32 3.76 0.73 9.81 090 S
19330... ...... A Removal of implant material.............................. 7.18 3.88 0.75 11.81 090 S
19340... ...... A Immediate breast prosthesis.............................. 6.33 *8.61 2.06 17.00 ZZZ S
19342... ...... A Delayed breast prosthesis................................ 10.64 10.81 2.03 23.48 090 S
19350... ...... A Breast reconstruction.................................... 8.21 7.08 1.38 16.67 090 S
19355... ...... A Correct inverted nipple(s)............................... 7.27 4.93 1.00 13.20 090 S
19357... ...... A Breast reconstruction.................................... 16.72 12.15 2.37 31.24 090 S
19361... ...... A Breast reconstruction.................................... 17.82 20.13 3.88 41.83 090 S
19362... ...... D Breast reconstruction.................................... 0.00 0.00 0.00 0.00 090 S
19364... ...... A Breast reconstruction.................................... 27.60 16.68 3.58 47.86 090 S
19366... ...... A Breast reconstruction.................................... 19.84 16.40 3.18 39.42 090 S
19367... ...... A Breast reconstruction.................................... 24.73 20.13 3.88 48.74 090 S
19368... ...... A Breast reconstruction.................................... 31.15 20.13 3.88 55.16 090 S
19369... ...... A Breast reconstruction.................................... 28.68 20.13 3.88 52.69 090 S
19370... ...... A Surgery of breast capsule................................ 7.59 6.17 1.19 14.95 090 S
19371... ...... A Removal of breast capsule................................ 8.84 7.91 1.54 18.29 090 S
19380... ...... A Revise breast reconstruction............................. 8.63 8.11 1.57 18.31 090 S
19396... ...... A Design custom breast implant............................. 2.17 1.57 0.31 4.05 000 S
19499... ...... C Breast surgery procedure................................. 0.00 0.00 0.00 0.00 YYY S
20000... ...... A Incision of abscess...................................... 1.85 0.85 0.08 2.78 010 S
20005... ...... A Incision of deep abscess................................. 3.02 1.83 0.28 5.13 010 S
20200... ...... A Muscle biopsy............................................ 1.46 1.12 0.18 2.76 000 S
20205... ...... A Deep muscle biopsy....................................... 2.35 1.88 0.33 4.56 000 S
20206... ...... A Needle biopsy, muscle.................................... 0.99 0.96 0.14 2.09 000 S
20220... ...... A Bone biopsy, trocar/needle............................... 1.27 1.31 0.09 2.67 000 N
20225... ...... A Bone biopsy, trocar/needle............................... 1.87 *2.39 0.28 4.54 000 N
20240... ...... A Bone biopsy, excisional.................................. 3.07 1.88 0.18 5.13 010 S
20245... ...... A Bone biopsy, excisional.................................. 3.68 3.58 0.44 7.70 010 S
20250... ...... A Open bone biopsy......................................... 4.63 5.07 0.76 10.46 010 S
20251... ...... A Open bone biopsy......................................... 5.16 5.84 0.92 11.92 010 S
20500... ...... A Injection of sinus tract................................. 1.18 0.36 0.04 1.58 010 N
20501... ...... A Inject sinus tract for x-ray............................. 0.76 0.30 0.02 1.08 000 N
20520... ...... A Removal of foreign body.................................. 1.80 0.71 0.08 2.59 010 S
20525... ...... A Removal of foreign body.................................. 3.23 2.23 0.33 5.79 010 S
20550... ...... A Inj tendon/ligament/cyst................................. 0.86 0.38 0.04 1.28 000 N
20600... ...... A Drain/inject joint/bursa................................. 0.66 0.47 0.05 1.18 000 S
20605... ...... A Drain/inject joint/bursa................................. 0.68 0.45 0.05 1.18 000 S
20610... ...... A Drain/inject joint/bursa................................. 0.79 0.45 0.05 1.29 000 N
20615... ...... A Treatment of bone cyst................................... 2.23 0.49 0.06 2.78 010 N
20650... ...... A Insert and remove bone pin............................... 2.07 1.08 0.14 3.29 010 S
20660... ...... A Apply, remove fixation device............................ 2.51 1.56 0.21 4.28 000 S
20661... ...... A Application of head brace................................ 4.27 3.82 0.65 8.74 090 S
20662... ...... A Application of pelvis brace.............................. 5.52 6.54 1.03 13.09 090 S
20663... ...... A Application of thigh brace............................... 4.88 4.64 0.76 10.28 090 S
20665... ...... A Removal of fixation device............................... 1.26 0.50 0.07 1.83 010 S
20670... ...... A Removal of support implant............................... 1.69 0.74 0.11 2.54 010 S
20680... ...... A Removal of support implant............................... 3.25 3.33 0.51 7.09 090 S
20690... ...... A Apply bone fixation device............................... 3.52 3.66 0.58 7.76 ZZZ S
20692... ...... A Apply bone fixation device............................... 6.41 5.51 0.89 12.81 ZZZ S
20693... ...... A Adjust bone fixation device.............................. 5.42 2.49 0.42 8.33 090 S
20694... ...... A Remove bone fixation device.............................. 3.81 2.60 0.41 6.82 090 S
20802... ...... A Replantation, arm, complete.............................. 39.56 37.72 6.17 83.45 090 S
20804... ...... C Replantation, arm, partial............................... 0.00 0.00 0.00 0.00 090 S
20805... ...... A Replant forearm, complete................................ 48.41 46.17 7.56 102.14 090 S
20806... ...... C Replantation, forearm, partial........................... 0.00 0.00 0.00 0.00 090 S
20808... ...... A Replantation, hand, complete............................. 60.19 57.40 9.40 126.99 090 S
20812... ...... C Replantation, hand, partial.............................. 0.00 0.00 0.00 0.00 090 S
20816... ...... A Replantation digit, complete............................. 29.67 28.30 4.63 62.60 090 S
20820... ...... C Replantation, digit, partial............................. 0.00 0.00 0.00 0.00 090 S
20822... ...... A Replantation digit, complete............................. 24.53 23.39 3.83 51.75 090 S
20823... ...... C Replantation, digit, partial............................. 0.00 0.00 0.00 0.00 090 S
20824... ...... A Replantation thumb, complete............................. 29.67 28.30 4.63 62.60 090 S
20826... ...... C Replantation, thumb, partial............................. 0.00 0.00 0.00 0.00 090 S
20827... ...... A Replantation thumb, complete............................. 25.22 24.05 3.94 53.21 090 S
20828... ...... C Replantation, thumb, partial............................. 0.00 0.00 0.00 0.00 090 S
20832... ...... C Replantation, leg, complete.............................. 0.00 0.00 0.00 0.00 090 S
20834... ...... C Replantation, leg, partial............................... 0.00 0.00 0.00 0.00 090 S
20838... ...... A Replantation, foot, complete............................. 39.56 37.72 6.17 83.45 090 S
20840... ...... C Replantation, foot, partial.............................. 0.00 0.00 0.00 0.00 090 S
20900... ...... A Removal of bone for graft................................ 5.03 2.80 0.45 8.28 090 S
20902... ...... A Removal of bone for graft................................ 6.74 4.95 0.80 12.49 090 S
20910... ...... A Remove cartilage for graft............................... 5.03 0.79 0.09 5.91 090 S
20912... ...... A Remove cartilage for graft............................... 6.04 4.62 0.64 11.30 090 S
20920... ...... A Removal of fascia for graft.............................. 4.87 3.93 0.50 9.30 090 S
20922... ...... A Removal of fascia for graft.............................. 6.04 4.39 0.71 11.14 090 S
20924... ...... A Removal of tendon for graft.............................. 6.04 5.45 0.85 12.34 090 S
20926... ...... A Removal of tissue for graft.............................. 5.03 2.59 0.39 8.01 090 S
20950... ...... A Record fluid pressure, muscle............................ 1.26 1.09 0.17 2.52 000 S
20955... ...... A Microvascular fibula graft............................... 37.58 35.84 5.86 79.28 090 S
20960... ...... C Microvascular rib graft.................................. 0.00 0.00 0.00 0.00 090 S
20962... ...... C Microvascular bone graft................................. 0.00 0.00 0.00 0.00 090 S
20969... ...... A Bone-skin graft.......................................... 42.08 40.13 6.57 88.78 090 S
20970... ...... A Bone-skin graft, pelvis.................................. 41.22 39.31 6.44 86.97 090 S
20971... ...... C Bone-skin graft, rib..................................... 0.00 0.00 0.00 0.00 090 S
20972... ...... A Bone-skin graft, metatarsal.............................. 41.54 39.61 6.49 87.64 090 S
20973... ...... A Bone-skin graft, great toe............................... 44.31 42.25 6.91 93.47 090 S
20974... ...... A Electrical bone stimulation.............................. 0.62 3.42 0.53 4.57 ZZZ S
20975... ...... A Electrical bone stimulation.............................. 2.60 *3.33 0.56 6.49 ZZZ S
20999... ...... C Musculoskeletal surgery.................................. 0.00 0.00 0.00 0.00 YYY S
21010... ...... A Incision of jaw joint.................................... 9.06 10.24 0.93 20.23 090 S
21015... ...... A Resection of facial tumor................................ 4.94 *6.32 1.13 12.39 090 S
21025... ...... A Excision of bone, lower jaw.............................. 5.03 4.14 0.38 9.55 090 S
21026... ...... A Excision of facial bone(s)............................... 4.53 3.14 0.28 7.95 090 S
21029... ...... A Contour of face bone lesion.............................. 7.21 *9.23 0.78 17.22 090 S
21030... ...... A Removal of face bone lesion.............................. 7.05 3.35 0.29 10.69 090 S
21031... ...... A Remove exostosis, mandible............................... 2.01 3.68 0.32 6.01 090 S
21032... ...... A Remove exostosis, maxilla................................ 4.27 3.88 0.35 8.50 090 S
21034... ...... A Removal of face bone lesion.............................. 15.11 6.98 0.89 22.98 090 S
21040... ...... A Removal of jaw bone lesion............................... 2.01 2.76 0.24 5.01 090 S
21041... ...... A Removal of jaw bone lesion............................... 5.03 5.76 0.50 11.29 090 S
21044... ...... A Removal of jaw bone lesion............................... 11.08 9.55 1.11 21.74 090 S
21045... ...... A Extensive jaw surgery.................................... 15.11 13.83 1.58 30.52 090 S
21050... ...... A Removal of jaw joint..................................... 10.07 12.33 1.08 23.48 090 S
21060... ...... A Remove jaw joint cartilage............................... 9.56 11.59 1.04 22.19 090 S
21070... ...... A Remove coronoid process.................................. 7.66 6.81 0.82 15.29 090 S
21079... ...... C Prepare face/oral prosthesis............................. 0.00 0.00 0.00 0.00 090 S
21080... ...... C Prepare face/oral prosthesis............................. 0.00 0.00 0.00 0.00 090 S
21081... ...... C Prepare face/oral prosthesis............................. 0.00 0.00 0.00 0.00 090 S
21082... ...... C Prepare face/oral prosthesis............................. 0.00 0.00 0.00 0.00 090 S
21083... ...... C Prepare face/oral prosthesis............................. 0.00 0.00 0.00 0.00 090 S
21084... ...... C Prepare face/oral prosthesis............................. 0.00 0.00 0.00 0.00 090 S
21085... ...... C Prepare face/oral prosthesis............................. 0.00 0.00 0.00 0.00 090 S
21086... ...... C Prepare face/oral prosthesis............................. 0.00 0.00 0.00 0.00 090 S
21087... ...... C Prepare face/oral prosthesis............................. 0.00 0.00 0.00 0.00 090 S
21088... ...... C Prepare face/oral prosthesis............................. 0.00 0.00 0.00 0.00 090 S
21089... ...... C Prepare face/oral prosthesis............................. 0.00 0.00 0.00 0.00 090 S
21100... ...... A Maxillofacial fixation................................... 4.04 1.06 0.11 5.21 090 S
21110... ...... A Interdental fixation..................................... 5.03 5.53 0.46 11.02 090 S
21116... ...... A Injection, jaw joint x-ray............................... 0.81 0.73 0.06 1.60 000 S
21120... ...... A Reconstruction of chin................................... 4.75 3.59 0.42 8.76 090 S
21121... ...... A Reconstruction of chin................................... 7.46 5.65 0.66 13.77 090 S
21122... ...... A Reconstruction of chin................................... 8.21 6.23 0.73 15.17 090 S
21123... ...... A Reconstruction of chin................................... 10.74 8.14 0.95 19.83 090 S
21125... ...... A Augmentation lower jaw bone.............................. 6.22 4.72 0.54 11.48 090 S
21127... ...... A Augmentation lower jaw bone.............................. 10.43 7.91 0.92 19.26 090 S
21137... ...... A Reduction of forehead.................................... 9.40 7.11 0.83 17.34 090 S
21138... ...... A Reduction of forehead.................................... 11.72 8.86 1.04 21.62 090 S
21139... ...... A Reduction of forehead.................................... 14.06 10.64 1.25 25.95 090 S
21144... ...... A Reconstruct midface, lefort.............................. 16.92 12.84 1.50 31.26 090 S
21145... ...... A Reconstruct midface, lefort.............................. 18.92 14.34 1.68 34.94 090 S
21146... ...... A Reconstruct midface, lefort.............................. 19.58 14.84 1.74 36.16 090 S
21147... ...... A Reconstruct midface, lefort.............................. 20.30 15.40 1.81 37.51 090 S
21150... ...... A Reconstruct midface, lefort.............................. 24.41 18.46 2.17 45.04 090 S
21151... ...... A Reconstruct midface, lefort.............................. 27.34 20.68 2.42 50.44 090 S
21154... ...... A Reconstruct midface, lefort.............................. 29.28 22.15 2.59 54.02 090 S
21155... ...... A Reconstruct midface, lefort.............................. 33.19 25.11 2.94 61.24 090 S
21159... ...... A Reconstruct midface, lefort.............................. 40.99 31.02 3.63 75.64 090 S
21160... ...... A Reconstruct midface, lefort.............................. 44.90 33.96 3.98 82.84 090 S
21172... ...... A Reconstruct orbit/forehead............................... 26.84 20.30 2.37 49.51 090 S
21175... ...... A Reconstruct orbit/forehead............................... 32.21 24.37 2.85 59.43 090 S
21179... ...... A Reconstruct entire forehead.............................. 21.47 16.24 1.90 39.61 090 S
21180... ...... A Reconstruct entire forehead.............................. 24.41 18.46 2.17 45.04 090 S
21181... ...... A Contour cranial bone lesion.............................. 9.40 7.11 0.83 17.34 090 S
21182... ...... A Reconstruct cranial bone................................. 31.23 23.63 2.77 57.63 090 S
21183... ...... A Reconstruct cranial bone................................. 34.17 25.85 3.03 63.05 090 S
21184... ...... A Reconstruct cranial bone................................. 37.10 28.06 3.28 68.44 090 S
21188... ...... A Reconstruction of midface................................ 21.47 16.24 1.90 39.61 090 S
21193... ...... A Reconstruct lower jaw bone............................... 16.23 12.31 1.44 29.98 090 S
21194... ...... A Reconstruct lower jaw bone............................... 18.81 14.26 1.67 34.74 090 S
21195... ...... A Reconstruct lower jaw bone............................... 16.27 12.34 1.44 30.05 090 S
21196... ...... A Reconstruct lower jaw bone............................... 17.94 13.61 1.58 33.13 090 S
21198... ...... A Reconstruct lower jaw bone............................... 13.36 14.82 1.74 29.92 090 S
21206... ...... A Reconstruct upper jaw bone............................... 13.36 10.14 1.19 24.69 090 S
21208... ...... A Augmentation of facial bones............................. 9.56 11.26 1.07 21.89 090 S
21209... ...... A Reduction of facial bones................................ 6.28 4.59 0.76 11.63 090 S
21210... ...... A Face bone graft.......................................... 9.56 *12.24 1.29 23.09 090 S
21215... ...... A Lower jaw bone graft..................................... 10.07 *12.89 1.42 24.38 090 S
21230... ...... A Rib cartilage graft...................................... 10.07 10.37 1.69 22.13 090 S
21235... ...... A Ear cartilage graft...................................... 6.28 *8.04 1.09 15.41 090 S
21240... ...... A Reconstruction of jaw joint.............................. 13.10 *18.35 2.09 33.54 090 S
21242... ...... A Reconstruction of jaw joint.............................. 12.10 *19.01 2.25 33.36 090 S
21243... ...... A Reconstruction of jaw joint.............................. 18.98 14.40 1.68 35.06 090 S
21244... ...... A Reconstruction of lower jaw.............................. 11.08 *15.10 1.93 28.11 090 S
21245... ...... A Reconstruction of jaw.................................... 11.08 11.47 1.31 23.86 090 S
21246... ...... A Reconstruction of jaw.................................... 11.65 8.83 1.04 21.52 090 S
21247... ...... A Reconstruct lower jaw bone............................... 21.15 *27.08 2.27 50.50 090 S
21248... ...... A Reconstruction of jaw.................................... 11.08 *16.29 1.75 29.12 090 S
21249... ...... A Reconstruction of jaw.................................... 17.12 *29.08 3.29 49.49 090 S
21255... ...... A Reconstruct lower jaw bone............................... 15.63 *20.00 1.68 37.31 090 S
21256... ...... A Reconstruction of orbit.................................. 15.13 *19.36 1.63 36.12 090 S
21260... ...... A Revise eye sockets....................................... 15.44 *19.76 1.66 36.86 090 S
21261... ...... A Revise eye sockets....................................... 29.43 17.78 1.65 48.86 090 S
21263... ...... A Revise eye sockets....................................... 26.56 *34.00 2.86 63.42 090 S
21267... ...... A Revise eye sockets....................................... 17.66 14.61 2.13 34.40 090 S
21268... ...... A Revise eye sockets....................................... 22.88 15.35 3.13 41.36 090 S
21270... ...... A Augmentation cheek bone.................................. 12.10 9.60 1.41 23.11 090 S
21275... ...... A Revision orbitofacial bones.............................. 10.50 8.95 1.26 20.71 090 S
21280... ...... A Revision of eyelid....................................... 5.64 7.19 0.61 13.44 090 S
21282... ...... A Revision of eyelid....................................... 3.26 *5.80 0.79 9.85 090 S
21295... ...... A Revision of jaw muscle/bone.............................. 1.43 0.96 0.13 2.52 090 S
21296... ...... A Revision of jaw muscle/bone.............................. 3.97 3.62 0.22 7.81 090 S
21299... ...... C Cranio/maxillofacial surgery............................. 0.00 0.00 0.00 0.00 YYY S
21300... ...... A Treatment of skull fracture.............................. 0.72 *1.05 0.11 1.88 000 S
21310... ...... A Treatment of nose fracture............................... 0.58 *0.76 0.09 1.43 000 N
21315... ...... A Treatment of nose fracture............................... 1.41 1.81 0.21 3.43 010 S
21320... ...... A Treatment of nose fracture............................... 1.82 *2.33 0.34 4.49 010 S
21325... ...... A Repair of nose fracture.................................. 3.52 4.09 0.52 8.13 090 S
21330... ...... A Repair of nose fracture.................................. 5.03 *6.45 0.86 12.34 090 S
21335... ...... A Repair of nose fracture.................................. 8.05 *10.50 1.56 20.11 090 S
21336... ...... A Repair nasal septal fracture............................. 5.35 4.09 0.52 9.96 090 S
21337... ...... A Repair nasal septal fracture............................. 2.52 2.82 0.38 5.72 090 S
21338... ...... A Repair nasoethmoid fracture.............................. 6.04 5.01 0.66 11.71 090 S
21339... ...... A Repair nasoethmoid fracture.............................. 7.56 7.09 0.70 15.35 090 S
21340... ...... A Repair of nose fracture.................................. 10.07 8.91 1.04 20.02 090 S
21343... ...... A Repair of sinus fracture................................. 12.10 9.17 1.08 22.35 090 S
21344... ...... A Repair of sinus fracture................................. 18.43 9.17 1.08 28.68 090 S
21345... ...... A Repair of nose/jaw fracture.............................. 7.63 7.90 0.81 16.34 090 S
21346... ...... A Repair of nose/jaw fracture.............................. 9.92 9.40 1.04 20.36 090 S
21347... ...... A Repair of nose/jaw fracture.............................. 11.86 10.36 1.36 23.58 090 S
21348... ...... A Repair of nose/jaw fracture.............................. 15.60 11.34 2.22 29.16 090 S
21355... ...... A Repair cheek bone fracture............................... 3.52 1.56 0.17 5.25 010 S
21356... ...... A Repair cheek bone fracture............................... 3.88 *5.58 0.89 10.35 010 S
21360... ...... A Repair cheek bone fracture............................... 6.04 7.28 0.89 14.21 090 S
21365... ...... A Repair cheek bone fracture............................... 13.97 12.35 1.63 27.95 090 S
21366... ...... A Repair cheek bone fracture............................... 16.61 12.08 2.36 31.05 090 S
21385... ...... A Repair eye socket fracture............................... 8.56 9.59 1.13 19.28 090 S
21386... ...... A Repair eye socket fracture............................... 8.56 9.07 1.25 18.88 090 S
21387... ...... A Repair eye socket fracture............................... 9.07 7.45 0.96 17.48 090 S
21390... ...... A Repair eye socket fracture............................... 9.47 11.89 1.37 22.73 090 S
21395... ...... A Repair eye socket fracture............................... 11.85 9.63 1.37 22.85 090 S
21400... ...... A Treat eye socket fracture................................ 1.31 *1.67 0.17 3.15 090 N
21401... ...... A Repair eye socket fracture............................... 3.05 2.58 0.32 5.95 090 S
21406... ...... A Repair eye socket fracture............................... 6.55 5.21 0.74 12.50 090 S
21407... ...... A Repair eye socket fracture............................... 8.05 7.09 0.78 15.92 090 S
21408... ...... A Repair eye socket fracture............................... 11.57 8.49 0.99 21.05 090 S
21421... ...... A Treat mouth roof fracture................................ 4.80 *6.14 0.62 11.56 090 S
21422... ...... A Repair mouth roof fracture............................... 7.78 9.80 1.19 18.77 090 S
21423... ...... A Repair mouth roof fracture............................... 9.72 9.80 1.19 20.71 090 S
21431... ...... A Treat craniofacial fracture.............................. 6.59 6.02 0.71 13.32 090 S
21432... ...... A Repair craniofacial fracture............................. 8.05 6.76 0.84 15.65 090 S
21433... ...... A Repair craniofacial fracture............................. 23.69 17.96 2.10 43.75 090 S
21435... ...... A Repair craniofacial fracture............................. 16.12 13.25 1.88 31.25 090 S
21436... ...... A Repair craniofacial fracture............................. 26.21 14.65 2.08 42.94 090 S
21440... ...... A Repair dental ridge fracture............................. 2.52 3.07 0.28 5.87 090 S
21445... ...... A Repair dental ridge fracture............................. 5.03 6.11 0.56 11.70 090 S
21450... ...... A Treat lower jaw fracture................................. 2.78 2.84 0.26 5.88 090 S
21451... ...... A Treat lower jaw fracture................................. 4.55 *6.05 0.74 11.34 090 S
21452... ...... A Treat lower jaw fracture................................. 1.85 1.39 0.17 3.41 090 S
21453... ...... A Treat lower jaw fracture................................. 5.18 *6.64 0.55 12.37 090 S
21454... ...... A Treat lower jaw fracture................................. 6.04 *10.34 1.42 17.80 090 S
21461... ...... A Repair lower jaw fracture................................ 7.56 *10.12 1.30 18.98 090 S
21462... ...... A Repair lower jaw fracture................................ 9.15 *11.71 1.34 22.20 090 S
21465... ...... A Repair lower jaw fracture................................ 11.13 8.44 0.99 20.56 090 S
21470... ...... A Repair lower jaw fracture................................ 14.19 17.13 1.74 33.06 090 S
21480... ...... A Reset dislocated jaw..................................... 0.61 *0.83 0.09 1.53 000 S
21485... ...... A Reset dislocated jaw..................................... 3.73 2.19 0.20 6.12 090 S
21490... ...... A Repair dislocated jaw.................................... 11.08 6.31 0.52 17.91 090 S
21493... ...... A Treat hyoid bone fracture................................ 1.19 *1.52 0.13 2.84 090 S
21494... ...... A Repair hyoid bone fracture............................... 5.87 *7.52 0.63 14.02 090 S
21495... ...... A Repair hyoid bone fracture............................... 5.32 4.82 0.51 10.65 090 S
21497... ...... A Interdental wiring....................................... 3.61 3.97 0.38 7.96 090 S
21499... ...... C Head surgery procedure................................... 0.00 0.00 0.00 0.00 YYY S
21501... ...... A Drain neck/chest lesion.................................. 3.52 1.82 0.26 5.60 090 S
21502... ...... A Drain chest lesion....................................... 6.44 4.22 0.75 11.41 090 S
21510... ...... A Drainage of bone lesion.................................. 5.03 3.82 0.50 9.35 090 S
21550... ...... A Biopsy of neck/chest..................................... 2.01 0.85 0.12 2.98 010 S
21555... ...... A Remove lesion neck/chest................................. 4.09 1.60 0.25 5.94 090 S
21556... ...... A Remove lesion neck/chest................................. 5.28 3.80 0.64 9.72 090 S
21557... ...... A Remove tumor, neck or chest.............................. 8.56 8.50 1.41 18.47 090 S
21600... ...... A Partial removal of rib................................... 6.27 4.50 0.88 11.65 090 S
21610... ...... A Partial removal of rib................................... 8.54 5.17 0.76 14.47 090 S
21615... ...... A Removal of rib........................................... 9.03 10.13 1.96 21.12 090 S
21616... ...... A Removal of rib and nerves................................ 11.11 7.26 1.50 19.87 090 S
21620... ...... A Partial removal of sternum............................... 6.04 6.85 1.23 14.12 090 S
21627... ...... A Sternal debridement...................................... 6.06 5.03 0.90 11.99 090 S
21630... ...... A Extensive sternum surgery................................ 15.77 12.89 2.40 31.06 090 S
21632... ...... A Extensive sternum surgery................................ 16.62 11.54 2.22 30.38 090 S
21633... ...... D Extensive sternum surgery................................ 0.00 0.00 0.00 0.00 090 S
21700... ...... A Revision of neck muscle.................................. 5.84 4.16 0.50 10.50 090 S
21705... ...... A Revision of neck muscle/rib.............................. 9.03 4.85 0.96 14.84 090 S
21720... ...... A Revision of neck muscle.................................. 5.44 3.84 0.52 9.80 090 S
21725... ...... A Revision of neck muscle.................................. 6.55 4.84 0.74 12.13 090 S
21740... ...... A Reconstruction of sternum................................ 15.42 8.99 1.64 26.05 090 S
21750... ...... A Repair of sternum separation............................. 10.07 7.33 1.43 18.83 090 S
21800... ...... A Treatment of rib fracture................................ 0.91 0.77 0.07 1.75 090 N
21805... ...... A Treatment of rib fracture................................ 2.62 1.35 0.17 4.14 090 S
21810... ...... A Treatment of rib fracture(s)............................. 6.68 7.33 0.61 14.62 090 N
21820... ...... A Treat sternum fracture................................... 1.20 1.36 0.17 2.73 090 S
21825... ...... A Repair sternum fracture.................................. 6.82 6.90 1.12 14.84 090 S
21899... ...... C Neck/chest surgery procedure............................. 0.00 0.00 0.00 0.00 YYY S
21920... ...... A Biopsy soft tissue of back............................... 2.01 0.79 0.11 2.91 010 S
21925... ...... A Biopsy soft tissue of back............................... 4.23 1.95 0.32 6.50 090 S
21930... ...... A Remove lesion, back or flank............................. 6.55 2.72 0.49 9.76 090 S
21935... ...... A Remove tumor of back..................................... 17.12 6.59 1.30 25.01 090 S
22100... ...... A Remove part of neck vertebra............................. 8.19 6.37 0.83 15.39 090 S
22101... ...... A Remove part, thorax vertebra............................. 8.19 6.57 1.19 15.95 090 S
22102... ...... A Remove part, lumbar vertebra............................. 8.78 4.38 0.62 13.78 090 S
22105... ...... A Remove part of neck vertebra............................. 13.02 10.77 1.72 25.51 090 S
22106... ...... A Remove part, thorax vertebra............................. 11.59 9.24 1.53 22.36 090 S
22107... ...... A Remove part, lumbar vertebra............................. 11.59 4.90 0.84 17.33 090 S
22110... ...... A Remove part of neck vertebra............................. 11.59 9.72 1.64 22.95 090 S
22112... ...... A Remove part, thorax vertebra............................. 11.59 9.90 1.63 23.12 090 S
22114... ...... A Remove part, lumbar vertebra............................. 11.59 7.25 1.17 20.01 090 S
22140... ...... A Reconstruct neck spine................................... 22.19 16.92 2.73 41.84 090 S
22141... ...... A Reconstruct thorax spine................................. 25.44 17.22 2.78 45.44 090 S
22142... ...... A Reconstruct lumbar spine................................. 25.44 21.57 3.20 50.21 090 S
22145... ...... A Reconstruct vertebra(e).................................. 6.71 6.85 1.09 14.65 ZZZ S
22148... ...... A Harvesting bone graft.................................... 3.02 *3.90 0.82 7.74 ZZZ S
22150... ...... A Reconstruct neck spine................................... 22.15 17.55 2.76 42.46 090 S
22151... ...... A Reconstruct thorax spine................................. 22.15 17.64 3.24 43.03 090 S
22152... ...... A Reconstruct lumbar spine................................. 22.15 18.34 3.25 43.74 090 S
22210... ...... A Revision of neck spine................................... 22.51 13.83 2.43 38.77 090 S
22212... ...... A Revision of thorax spine................................. 18.14 17.29 2.83 38.26 090 S
22214... ...... A Revision of lumbar spine................................. 18.14 15.11 2.68 35.93 090 S
22220... ...... A Revision of neck spine................................... 20.15 16.64 2.63 39.42 090 S
22222... ...... A Revision of thorax spine................................. 20.15 13.61 1.58 35.34 090 S
22224... ...... A Revision of lumbar spine................................. 20.15 14.68 2.66 37.49 090 S
22230... ...... A Additional revision of spine............................. 6.04 5.07 0.89 12.00 ZZZ S
22305... ...... A Treat spine process fracture............................. 1.86 *2.38 0.37 4.61 090 S
22310... ...... A Treat spine fracture..................................... 1.86 *3.19 0.69 5.74 090 S
22315... ...... A Treat spine fracture..................................... 8.36 5.51 0.86 14.73 090 S
22325... ...... A Repair of spine fracture................................. 17.19 8.32 1.34 26.85 090 S
22326... ...... A Repair neck spine fracture............................... 18.43 15.93 2.74 37.10 090 S
22327... ...... A Repair thorax spine fracture............................. 17.56 15.95 2.35 35.86 090 S
22505... ...... A Manipulation of spine.................................... 1.77 1.31 0.17 3.25 010 N
22548... ...... A Neck spine fusion........................................ 24.08 22.74 3.82 50.64 090 S
22554... ...... A Neck spine fusion........................................ 18.14 19.81 3.52 41.47 090 S
22556... ...... A Thorax spine fusion...................................... 23.17 21.68 3.58 48.43 090 S
22558... ...... A Lumbar spine fusion...................................... 22.12 20.17 3.38 45.67 090 S
22585... ...... A Additional spinal fusion................................. 5.53 5.40 0.93 11.86 ZZZ S
22590... ...... A Spine & skull spinal fusion.............................. 18.96 21.57 3.44 43.97 090 S
22595... ...... A Neck spinal fusion....................................... 19.24 22.46 3.87 45.57 090 S
22600... ...... A Neck spine fusion........................................ 18.05 19.36 3.32 40.73 090 S
22610... ...... A Thorax spine fusion...................................... 15.11 17.87 2.75 35.73 090 S
22612... ...... A Lumbar spine fusion...................................... 22.25 19.22 3.09 44.56 090 S
22625... ...... A Lumbar spine fusion...................................... 19.91 21.93 3.56 45.40 090 S
22630... ...... A Lumbar spine fusion...................................... 20.93 18.44 3.15 42.52 090 S
22650... ...... A Additional spinal fusion................................. 6.44 5.65 0.92 13.01 ZZZ S
22800... ...... A Fusion of spine.......................................... 16.92 *21.66 3.58 42.16 090 S
22802... ...... A Fusion of spine.......................................... 31.31 28.32 4.61 64.24 090 S
22810... ...... A Fusion of spine.......................................... 29.00 18.41 3.15 50.56 090 S
22812... ...... A Fusion of spine.......................................... 27.20 25.93 4.24 57.37 090 S
22820... ...... A Harvesting of bone....................................... 2.79 *3.64 0.74 7.17 ZZZ S
22830... ...... A Exploration of spinal fusion............................. 10.22 *13.07 2.18 25.47 090 S
22840... ...... A Insert spine fixation device............................. 12.54 *17.61 3.63 33.78 000 S
22842... ...... A Insert spine fixation device............................. 14.42 *19.62 4.02 38.06 000 S
22845... ...... A Insert spine fixation device............................. 12.48 *15.97 3.27 31.72 000 S
22849... ...... A Reinsert spinal fixation................................. 12.86 11.76 1.97 26.59 090 S
22850... ...... A Remove spine fixation device............................. 8.98 9.17 1.50 19.65 090 S
22852... ...... A Remove spine fixation device............................. 8.40 9.80 1.57 19.77 090 S
22855... ...... A Remove spine fixation device............................. 9.10 7.46 1.25 17.81 090 S
22899... ...... C Spine surgery procedure.................................. 0.00 0.00 0.00 0.00 YYY S
22900... ...... A Remove abdominal wall lesion............................. 6.56 3.03 0.60 10.19 090 S
22999... ...... C Abdomen surgery procedure................................ 0.00 0.00 0.00 0.00 YYY S
23000... ...... A Removal of calcium deposits.............................. 4.12 3.24 0.47 7.83 090 S
23020... ...... A Release shoulder joint................................... 8.25 7.27 1.09 16.61 090 S
23030... ...... A Drain shoulder lesion.................................... 3.16 2.16 0.35 5.67 010 S
23031... ...... A Drain shoulder bursa..................................... 2.69 0.50 0.05 3.24 010 S
23035... ...... A Drain shoulder bone lesion............................... 7.80 6.22 1.04 15.06 090 S
23040... ...... A Exploratory shoulder surgery............................. 8.39 9.27 1.47 19.13 090 S
23044... ...... A Exploratory shoulder surgery............................. 6.40 6.91 1.18 14.49 090 S
23065... ...... A Biopsy shoulder tissues.................................. 2.24 0.66 0.09 2.99 010 S
23066... ...... A Biopsy shoulder tissues.................................. 4.01 1.18 0.10 5.29 090 S
23075... ...... A Removal of shoulder lesion............................... 2.34 1.68 0.29 4.31 010 S
23076... ...... A Removal of shoulder lesion............................... 7.12 3.54 0.65 11.31 090 S
23077... ...... A Remove tumor of shoulder................................. 14.65 7.38 1.38 23.41 090 S
23100... ...... A Biopsy of shoulder joint................................. 5.63 *7.20 1.24 14.07 090 S
23101... ...... A Shoulder joint surgery................................... 5.21 *6.68 1.21 13.10 090 S
23105... ...... A Remove shoulder joint lining............................. 7.74 *9.91 1.73 19.38 090 S
23106... ...... A Incision of collarbone joint............................. 5.56 4.75 0.80 11.11 090 S
23107... ...... A Explore, treat shoulder joint............................ 8.13 9.59 1.60 19.32 090 S
23120... ...... A Partial removal, collarbone.............................. 6.65 4.61 0.74 12.00 090 S
23125... ...... A Removal of collarbone.................................... 8.90 8.49 1.27 18.66 090 S
23130... ...... A Partial removal, shoulderbone............................ 7.10 7.05 1.14 15.29 090 S
23140... ...... A Removal of bone lesion................................... 6.43 4.16 0.73 11.32 090 S
23145... ...... A Removal of bone lesion................................... 8.54 8.13 1.33 18.00 090 S
23146... ...... A Removal of bone lesion................................... 7.34 5.23 1.01 13.58 090 S
23150... ...... A Removal of humerus lesion................................ 7.80 6.64 1.01 15.45 090 S
23155... ...... A Removal of humerus lesion................................ 9.58 8.80 1.37 19.75 090 S
23156... ...... A Removal of humerus lesion................................ 8.00 7.64 1.25 16.89 090 S
23170... ...... A Remove collarbone lesion................................. 6.27 4.81 0.78 11.86 090 S
23172... ...... A Remove shoulder blade lesion............................. 6.24 5.16 0.73 12.13 090 S
23174... ...... A Remove humerus lesion.................................... 8.71 8.55 1.21 18.47 090 S
23180... ...... A Remove collarbone lesion................................. 7.82 4.30 0.67 12.79 090 S
23182... ...... A Remove shoulderblade lesion.............................. 7.44 6.57 1.13 15.14 090 S
23184... ...... A Remove humerus lesion.................................... 8.61 8.83 1.48 18.92 090 S
23190... ...... A Partial removal of scapula............................... 6.78 6.07 0.98 13.83 090 S
23195... ...... A Removal of head of humerus............................... 9.00 8.91 1.45 19.36 090 S
23200... ...... A Removal of collarbone.................................... 11.05 9.17 1.26 21.48 090 S
23210... ...... A Removal of shoulderblade................................. 11.39 9.01 1.41 21.81 090 S
23220... ...... A Partial removal of humerus............................... 13.31 12.05 2.03 27.39 090 S
23221... ...... A Partial removal of humerus............................... 16.62 18.13 1.19 35.94 090 S
23222... ...... A Partial removal of humerus............................... 16.64 15.02 2.30 33.96 090 S
23330... ...... A Remove shoulder foreign body............................. 1.80 0.55 0.07 2.42 010 S
23331... ...... A Remove shoulder foreign body............................. 6.89 2.26 0.38 9.53 090 S
23332... ...... A Remove shoulder foreign body............................. 10.59 9.72 1.57 21.88 090 S
23350... ...... A Injection for shoulder x-ray............................. 1.00 0.52 0.05 1.57 000 N
23395... ...... A Muscle transfer, shoulder/arm............................ 12.42 11.13 1.84 25.39 090 S
23397... ...... A Muscle transfers......................................... 15.23 13.97 2.34 31.54 090 S
23400... ...... A Fixation of shoulderblade................................ 12.96 9.84 1.68 24.48 090 S
23405... ...... A Incision of tendon & muscle.............................. 7.97 7.49 0.99 16.45 090 S
23406... ...... A Incise tendon(s) & muscle(s)............................. 10.33 9.41 1.58 21.32 090 S
23410... ...... A Repair of tendon(s)...................................... 11.90 10.94 1.75 24.59 090 S
23412... ...... A Repair of tendon(s)...................................... 12.69 13.37 2.16 28.22 090 S
23415... ...... A Release of shoulder ligament............................. 9.51 5.18 0.83 15.52 090 S
23420... ...... A Repair of shoulder....................................... 12.60 14.68 2.34 29.62 090 S
23430... ...... A Repair biceps tendon..................................... 9.56 7.34 1.19 18.09 090 S
23440... ...... A Removal/transplant tendon................................ 10.08 7.17 1.17 18.42 090 S
23450... ...... A Repair shoulder capsule.................................. 12.85 12.75 2.04 27.64 090 S
23455... ...... A Repair shoulder capsule.................................. 13.82 15.56 2.50 31.88 090 S
23460... ...... A Repair shoulder capsule.................................. 14.66 14.07 2.24 30.97 090 S
23462... ...... A Repair shoulder capsule.................................. 14.62 15.13 2.48 32.23 090 S
23465... ...... A Repair shoulder capsule.................................. 15.14 14.15 2.27 31.56 090 S
23466... ...... A Repair shoulder capsule.................................. 13.65 16.53 2.67 32.85 090 S
23470... ...... A Reconstruct shoulder joint............................... 16.12 16.76 2.65 35.53 090 S
23472... ...... A Reconstruct shoulder joint............................... 16.09 *23.33 4.89 44.31 090 S
23480... ...... A Revision of collarbone................................... 10.56 6.59 1.02 18.17 090 S
23485... ...... A Revision of collarbone................................... 12.68 11.35 1.87 25.90 090 S
23490... ...... A Reinforce clavicle....................................... 11.31 9.98 0.80 22.09 090 S
23491... ...... A Reinforce shoulder bones................................. 13.63 12.70 2.11 28.44 090 S
23500... ...... A Treat clavicle fracture.................................. 1.95 1.65 0.21 3.81 090 S
23505... ...... A Treat clavicle fracture.................................. 3.54 2.57 0.38 6.49 090 S
23515... ...... A Repair clavicle fracture................................. 7.01 6.93 1.12 15.06 090 S
23520... ...... A Treat clavicle dislocation............................... 2.03 1.38 0.19 3.60 090 S
23525... ...... A Treat clavicle dislocation............................... 3.40 1.98 0.27 5.65 090 S
23530... ...... A Repair clavicle dislocation.............................. 7.02 6.58 0.91 14.51 090 S
23532... ...... A Repair clavicle dislocation.............................. 7.59 7.23 1.19 16.01 090 S
23540... ...... A Treat clavicle dislocation............................... 2.10 1.55 0.19 3.84 090 S
23545... ...... A Treat clavicle dislocation............................... 3.07 1.98 0.29 5.34 090 S
23550... ...... A Repair clavicle dislocation.............................. 6.65 *8.51 1.46 16.62 090 S
23552... ...... A Repair clavicle dislocation.............................. 7.83 7.29 1.17 16.29 090 S
23570... ...... A Treat shoulderblade fracture............................. 2.10 1.70 0.25 4.05 090 S
23575... ...... A Treat shoulderblade fracture............................. 3.88 2.75 0.43 7.06 090 S
23585... ...... A Repair scapula fracture.................................. 8.41 7.70 1.29 17.40 090 S
23600... ...... A Treat humerus fracture................................... 2.75 2.90 0.43 6.08 090 S
23605... ...... A Treat humerus fracture................................... 4.56 4.76 0.76 10.08 090 S
23615... ...... A Repair humerus fracture.................................. 8.38 *10.72 1.78 20.88 090 S
23616... ...... A Repair humerus fracture.................................. 19.88 22.32 3.54 45.74 090 S
23620... ...... A Treat humerus fracture................................... 2.25 *2.88 0.46 5.59 090 S
23625... ...... A Treat humerus fracture................................... 3.64 3.82 0.60 8.06 090 S
23630... ...... A Repair humerus fracture.................................. 6.89 8.82 1.40 17.11 090 S
23650... ...... A Treat shoulder dislocation............................... 3.24 2.10 0.24 5.58 090 S
23655... ...... A Treat shoulder dislocation............................... 4.26 2.93 0.44 7.63 090 S
23660... ...... A Repair shoulder dislocation.............................. 7.09 9.07 1.40 17.56 090 S
23665... ...... A Treat dislocation/fracture............................... 4.16 3.35 0.51 8.02 090 S
23670... ...... A Repair dislocation/fracture.............................. 7.44 *9.52 1.85 18.81 090 S
23675... ...... A Treat dislocation/fracture............................... 5.60 3.93 0.61 10.14 090 S
23680... ...... A Repair dislocation/fracture.............................. 9.44 *12.09 2.13 23.66 090 S
23700... ...... A Fixation of shoulder..................................... 2.47 2.09 0.34 4.90 010 S
23800... ...... A Fusion of shoulder joint................................. 13.32 16.35 2.63 32.30 090 S
23802... ...... A Fusion of shoulder joint................................. 14.67 14.07 2.24 30.98 090 S
23900... ...... A Amputation of arm & girdle............................... 18.40 12.57 2.40 33.37 090 S
23920... ...... A Amputation at shoulder joint............................. 13.60 13.85 2.54 29.99 090 S
23921... ...... A Amputation follow-up surgery............................. 5.03 4.27 0.74 10.04 090 S
23929... ...... C Shoulder surgery procedure............................... 0.00 0.00 0.00 0.00 YYY S
23930... ...... A Drainage of arm lesion................................... 2.78 1.61 0.24 4.63 010 S
23931... ...... A Drainage of arm bursa.................................... 1.63 0.75 0.11 2.49 010 S
23935... ...... A Drain arm/elbow bone lesion.............................. 5.56 4.69 0.78 11.03 090 S
24000... ...... A Exploratory elbow surgery................................ 5.32 *7.10 1.44 13.86 090 S
24006... ...... A Release elbow joint...................................... 8.70 7.14 1.17 17.01 090 S
24065... ...... A Biopsy arm/elbow soft tissue............................. 2.03 0.79 0.10 2.92 010 S
24066... ...... A Biopsy arm/elbow soft tissue............................. 4.95 2.71 0.41 8.07 090 S
24075... ...... A Remove arm/elbow lesion.................................. 3.79 1.98 0.35 6.12 090 S
24076... ...... A Remove arm/elbow lesion.................................. 6.01 3.68 0.67 10.36 090 S
24077... ...... A Remove tumor of arm/elbow................................ 11.18 9.79 1.87 22.84 090 S
24100... ...... A Biopsy elbow joint lining................................ 4.67 4.23 0.69 9.59 090 S
24101... ...... A Explore/treat elbow joint................................ 5.84 *7.47 1.41 14.72 090 S
24102... ...... A Remove elbow joint lining................................ 7.57 *9.68 1.81 19.06 090 S
24105... ...... A Removal of elbow bursa................................... 3.43 3.77 0.63 7.83 090 S
24110... ...... A Remove humerus lesion.................................... 7.08 7.69 1.22 15.99 090 S
24115... ...... A Remove/graft bone lesion................................. 8.88 7.68 1.33 17.89 090 S
24116... ...... A Remove/graft bone lesion................................. 11.13 9.72 1.47 22.32 090 S
24120... ...... A Remove elbow lesion...................................... 6.36 6.02 0.98 13.36 090 S
24125... ...... A Remove/graft bone lesion................................. 7.40 5.79 0.61 13.80 090 S
24126... ...... A Remove/graft bone lesion................................. 7.76 7.40 1.21 16.37 090 S
24130... ...... A Removal of head of radius................................ 5.96 6.72 1.08 13.76 090 S
24134... ...... A Removal of arm bone lesion............................... 8.98 8.69 1.24 18.91 090 S
24136... ...... A Remove radius bone lesion................................ 7.33 8.78 0.92 17.03 090 S
24138... ...... A Remove elbow bone lesion................................. 7.36 6.39 1.06 14.81 090 S
24140... ...... A Partial removal of arm bone.............................. 8.56 8.77 1.45 18.78 090 S
24145... ...... A Partial removal of radius................................ 7.12 6.38 1.03 14.53 090 S
24147... ...... A Partial removal of elbow................................. 7.00 6.61 1.08 14.69 090 S
24150... ...... A Extensive humerus surgery................................ 12.43 14.08 2.24 28.75 090 S
24151... ...... A Extensive humerus surgery................................ 14.65 13.83 2.11 30.59 090 S
24152... ...... A Extensive radius surgery................................. 9.51 6.80 1.16 17.47 090 S
24153... ...... A Extensive radius surgery................................. 10.96 10.44 1.71 23.11 090 S
24155... ...... A Removal of elbow joint................................... 11.11 10.75 1.72 23.58 090 S
24160... ...... A Remove elbow joint implant............................... 7.43 4.84 0.80 13.07 090 S
24164... ...... A Remove radius head implant............................... 5.79 5.53 0.90 12.22 090 S
24200... ...... A Removal of arm foreign body.............................. 1.71 0.56 0.06 2.33 010 N
24201... ...... A Removal of arm foreign body.............................. 4.30 3.06 0.49 7.85 090 S
24220... ...... A Injection for elbow x-ray................................ 1.31 0.51 0.05 1.87 000 N
24301... ...... A Muscle/tendon transfer................................... 9.78 7.90 1.23 18.91 090 S
24305... ...... A Arm tendon lengthening................................... 7.16 3.08 0.29 10.53 090 S
24310... ...... A Revision of arm tendon................................... 5.72 2.95 0.48 9.15 090 S
24320... ...... A Repair of arm tendon..................................... 10.01 9.20 1.29 20.50 090 S
24330... ...... A Revision of arm muscles.................................. 9.18 8.74 1.43 19.35 090 S
24331... ...... A Revision of arm muscles.................................. 10.10 9.62 1.57 21.29 090 S
24340... ...... A Repair of biceps tendon.................................. 7.58 7.00 1.13 15.71 090 S
24342... ...... A Repair of ruptured tendon................................ 10.13 10.38 1.76 22.27 090 S
24350... ...... A Repair of tennis elbow................................... 5.05 4.23 0.69 9.97 090 S
24351... ...... A Repair of tennis elbow................................... 5.73 4.57 0.73 11.03 090 S
24352... ...... A Repair of tennis elbow................................... 6.14 5.69 0.93 12.76 090 S
24354... ...... A Repair of tennis elbow................................... 6.19 5.61 0.94 12.74 090 S
24356... ...... A Revision of tennis elbow................................. 6.39 7.28 1.18 14.85 090 S
24360... ...... A Reconstruct elbow joint.................................. 11.76 *15.05 2.47 29.28 090 S
24361... ...... A Reconstruct elbow joint.................................. 13.50 13.13 2.00 28.63 090 S
24362... ...... A Reconstruct elbow joint.................................. 14.41 13.14 0.80 28.35 090 S
24363... ...... A Replace elbow joint...................................... 17.66 *22.61 4.13 44.40 090 S
24365... ...... A Reconstruct head of radius............................... 7.93 7.52 1.19 16.64 090 S
24366... ...... A Reconstruct head of radius............................... 8.67 11.05 1.80 21.52 090 S
24400... ...... A Revision of humerus...................................... 10.55 8.43 1.37 20.35 090 S
24410... ...... A Revision of humerus...................................... 14.28 14.04 2.06 30.38 090 S
24420... ...... A Revision of humerus...................................... 12.90 12.30 2.01 27.21 090 S
24430... ...... A Repair of humerus........................................ 12.26 14.66 2.34 29.26 090 S
24435... ...... A Repair humerus with graft................................ 12.19 *15.61 2.84 30.64 090 S
24470... ...... A Revision of elbow joint.................................. 8.32 7.92 1.30 17.54 090 S
24495... ...... A Decompression of forearm................................. 7.59 5.75 1.10 14.44 090 S
24498... ...... A Reinforce humerus........................................ 11.30 10.37 1.62 23.29 090 S
24500... ...... A Treat humerus fracture................................... 3.01 2.54 0.36 5.91 090 S
24505... ...... A Treat humerus fracture................................... 4.83 4.50 0.71 10.04 090 S
24515... ...... A Repair humerus fracture.................................. 10.92 9.65 1.54 22.11 090 S
24516... ...... A Repair humerus fracture.................................. 10.92 9.65 1.54 22.11 090 S
24530... ...... A Treat humerus fracture................................... 3.30 2.73 0.42 6.45 090 S
24535... ...... A Treat humerus fracture................................... 6.51 4.85 0.78 12.14 090 S
24538... ...... A Treat humerus fracture................................... 8.85 7.98 1.26 18.09 090 S
24545... ...... A Repair humerus fracture.................................. 9.65 9.97 1.59 21.21 090 S
24546... ...... A Repair humerus fracture.................................. 14.66 9.97 1.59 26.22 090 S
24560... ...... A Treat humerus fracture................................... 2.62 2.16 0.30 5.08 090 S
24565... ...... A Treat humerus fracture................................... 5.22 3.45 0.54 9.21 090 S
24566... ...... A Treat humerus fracture................................... 7.17 6.06 0.96 14.19 090 S
24575... ...... A Repair humerus fracture.................................. 9.91 7.79 1.24 18.94 090 S
24576... ...... A Treat humerus fracture................................... 2.66 2.16 0.33 5.15 090 S
24577... ...... A Treat humerus fracture................................... 5.45 4.00 0.61 10.06 090 S
24579... ...... A Repair humerus fracture.................................. 10.85 8.37 1.35 20.57 090 S
24582... ...... A Treat humerus fracture................................... 7.83 6.62 1.06 15.51 090 S
24586... ...... A Repair elbow fracture.................................... 14.37 14.72 2.36 31.45 090 S
24587... ...... A Repair elbow fracture.................................... 14.26 13.72 2.17 30.15 090 S
24600... ...... A Treat elbow dislocation.................................. 4.08 1.95 0.26 6.29 090 S
24605... ...... A Treat elbow dislocation.................................. 5.08 2.29 0.37 7.74 090 S
24615... ...... A Repair elbow dislocation................................. 8.76 9.29 1.48 19.53 090 S
24620... ...... A Treat elbow fracture..................................... 6.62 3.78 0.57 10.97 090 S
24635... ...... A Repair elbow fracture.................................... 12.42 11.06 1.78 25.26 090 S
24640... ...... A Treat elbow dislocation.................................. 1.15 1.01 0.08 2.24 010 N
24650... ...... A Treat radius fracture.................................... 2.01 2.25 0.33 4.59 090 S
24655... ...... A Treat radius fracture.................................... 4.17 3.01 0.45 7.63 090 S
24665... ...... A Repair radius fracture................................... 7.69 7.13 1.14 15.96 090 S
24666... ...... A Repair radius fracture................................... 8.87 10.27 1.60 20.74 090 S
24670... ...... A Treatment of ulna fracture............................... 2.39 1.95 0.27 4.61 090 S
24675... ...... A Treatment of ulna fracture............................... 4.52 3.51 0.54 8.57 090 S
24685... ...... A Repair ulna fracture..................................... 8.34 8.40 1.34 18.08 090 S
24800... ...... A Fusion of elbow joint.................................... 10.75 10.59 1.55 22.89 090 S
24802... ...... A Fusion/graft of elbow joint.............................. 12.79 12.18 1.99 26.96 090 S
24900... ...... A Amputation of upper arm.................................. 8.76 7.68 1.39 17.83 090 S
24920... ...... A Amputation of upper arm.................................. 8.69 6.78 1.19 16.66 090 S
24925... ...... A Amputation follow-up surgery............................. 6.61 6.27 0.75 13.63 090 S
24930... ...... A Amputation follow-up surgery............................. 9.40 8.16 1.17 18.73 090 S
24931... ...... A Amputate upper arm & implant............................. 11.71 11.17 1.84 24.72 090 S
24935... ...... A Revision of amputation................................... 14.37 13.70 2.24 30.31 090 S
24940... ...... C Revision of upper arm.................................... 0.00 0.00 0.00 0.00 090 S
24999... ...... C Upper arm/elbow surgery.................................. 0.00 0.00 0.00 0.00 YYY S
25000... ...... A Incision of tendon sheath................................ 3.20 3.94 0.62 7.76 090 S
25005... ...... D Incision of tendon sheath................................ 0.00 0.00 0.00 0.00 090 S
25020... ...... A Decompression of forearm................................. 5.55 4.35 0.77 10.67 090 S
25023... ...... A Decompression of forearm................................. 11.80 5.44 0.94 18.18 090 S
25028... ...... A Drainage of forearm lesion............................... 4.88 2.06 0.36 7.30 090 S
25031... ...... A Drainage of forearm bursa................................ 3.90 0.66 0.09 4.65 090 S
25035... ...... A Treat forearm bone lesion................................ 6.83 6.30 1.01 14.14 090 S
25040... ...... A Explore/treat wrist joint................................ 6.61 5.69 0.90 13.20 090 S
25065... ...... A Biopsy forearm soft tissues.............................. 2.39 0.75 0.09 3.23 010 S
25066... ...... A Biopsy forearm soft tissues.............................. 3.87 1.54 0.22 5.63 090 S
25075... ...... A Removal of forearm lesion................................ 3.61 2.19 0.37 6.17 090 S
25076... ...... A Removal of forearm lesion................................ 4.77 3.77 0.67 9.21 090 S
25077... ...... A Remove tumor, forearm/wrist.............................. 9.25 8.48 1.67 19.40 090 S
25085... ...... A Incision of wrist capsule................................ 5.13 4.62 0.71 10.46 090 S
25100... ...... A Biopsy of wrist joint.................................... 3.66 *4.69 0.79 9.14 090 S
25101... ...... A Explore/treat wrist joint................................ 4.43 5.61 0.98 11.02 090 S
25105... ...... A Remove wrist joint lining................................ 5.56 *7.11 1.19 13.86 090 S
25107... ...... A Remove wrist joint cartilage............................. 5.89 5.28 0.89 12.06 090 S
25110... ...... A Remove wrist tendon lesion............................... 3.79 2.80 0.46 7.05 090 S
25111... ...... A Remove wrist tendon lesion............................... 3.24 3.22 0.55 7.01 090 S
25112... ...... A Reremove wrist tendon lesion............................. 4.38 3.72 0.66 8.76 090 S
25115... ...... A Remove wrist/forearm lesion.............................. 6.26 7.14 1.23 14.63 090 S
25116... ...... A Remove wrist/forearm lesion.............................. 6.44 8.17 1.38 15.99 090 S
25118... ...... A Excise wrist tendon sheath............................... 4.11 *5.26 1.02 10.39 090 S
25119... ...... A Partial removal of ulna.................................. 5.64 *7.22 1.32 14.18 090 S
25120... ...... A Removal of forearm lesion................................ 5.70 6.53 1.14 13.37 090 S
25125... ...... A Remove/graft forearm lesion.............................. 7.06 6.84 1.04 14.94 090 S
25126... ...... A Remove/graft forearm lesion.............................. 7.13 6.80 1.12 15.05 090 S
25130... ...... A Removal of wrist lesion.................................. 5.08 4.21 0.67 9.96 090 S
25135... ...... A Remove & graft wrist lesion.............................. 6.58 5.46 0.97 13.01 090 S
25136... ...... A Remove & graft wrist lesion.............................. 5.68 4.74 0.85 11.27 090 S
25145... ...... A Remove forearm bone lesion............................... 5.97 5.95 0.75 12.67 090 S
25150... ...... A Partial removal of ulna.................................. 6.56 6.67 1.12 14.35 090 S
25151... ...... A Partial removal of radius................................ 6.86 5.75 1.02 13.63 090 S
25170... ...... A Extensive forearm surgery................................ 10.45 9.79 1.51 21.75 090 S
25210... ...... A Removal of wrist bone.................................... 5.55 4.88 0.80 11.23 090 S
25215... ...... A Removal of wrist bones................................... 7.40 8.68 1.42 17.50 090 S
25230... ...... A Partial removal of radius................................ 4.86 5.57 0.85 11.28 090 S
25240... ...... A Partial removal of ulna.................................. 4.91 5.30 0.86 11.07 090 S
25246... ...... A Injection for wrist x-ray................................ 1.45 0.50 0.05 2.00 000 N
25248... ...... A Remove forearm foreign body.............................. 4.96 2.18 0.37 7.51 090 S
25250... ...... A Removal of wrist prosthesis.............................. 6.31 5.63 0.91 12.85 090 S
25251... ...... A Removal of wrist prosthesis.............................. 9.08 8.25 1.39 18.72 090 S
25260... ...... A Repair forearm tendon/muscle............................. 7.33 4.61 0.78 12.72 090 S
25263... ...... A Repair forearm tendon/muscle............................. 7.37 5.77 1.03 14.17 090 S
25265... ...... A Repair forearm tendon/muscle............................. 9.54 7.93 1.41 18.88 090 S
25270... ...... A Repair forearm tendon/muscle............................. 5.71 3.36 0.55 9.62 090 S
25272... ...... A Repair forearm tendon/muscle............................. 6.75 3.44 0.54 10.73 090 S
25274... ...... A Repair forearm tendon/muscle............................. 8.44 6.62 1.13 16.19 090 S
25280... ...... A Revise wrist/forearm tendon.............................. 6.82 4.22 0.69 11.73 090 S
25290... ...... A Incise wrist/forearm tendon.............................. 5.03 2.47 0.41 7.91 090 S
25295... ...... A Release wrist/forearm tendon............................. 6.26 3.05 0.52 9.83 090 S
25300... ...... A Fusion of tendons at wrist............................... 8.46 7.36 1.19 17.01 090 S
25301... ...... A Fusion of tendons at wrist............................... 8.09 6.77 1.18 16.04 090 S
25310... ...... A Transplant forearm tendon................................ 7.68 7.14 1.17 15.99 090 S
25312... ...... A Transplant forearm tendon................................ 9.08 7.63 1.31 18.02 090 S
25315... ...... A Revise palsy hand tendon(s).............................. 9.45 8.06 1.34 18.85 090 S
25316... ...... A Revise palsy hand tendon(s).............................. 11.49 10.58 1.78 23.85 090 S
25317... ...... D Revise hand contracture.................................. 0.00 0.00 0.00 0.00 090 S
25318... ...... D Revise hand contracture.................................. 0.00 0.00 0.00 0.00 090 S
25320... ...... A Repair/revise wrist joint................................ 9.89 8.60 1.45 19.94 090 S
25330... ...... A Revise wrist joint....................................... 10.85 9.23 1.50 21.58 090 S
25331... ...... A Revise wrist joint....................................... 12.60 14.66 2.40 29.66 090 S
25332... ...... A Revise wrist joint....................................... 10.83 9.98 1.61 22.42 090 S
25335... ...... A Realignment of hand...................................... 12.11 11.41 1.56 25.08 090 S
25337... ...... A Reconstruct ulna/radioulnar.............................. 9.10 8.60 1.45 19.15 090 S
25350... ...... A Revision of radius....................................... 8.23 7.61 1.26 17.10 090 S
25355... ...... A Revision of radius....................................... 9.55 9.12 1.49 20.16 090 S
25360... ...... A Revision of ulna......................................... 7.88 6.41 0.99 15.28 090 S
25365... ...... A Revise radius & ulna..................................... 11.63 10.31 1.57 23.51 090 S
25370... ...... A Revise radius or ulna.................................... 12.34 11.76 1.92 26.02 090 S
25375... ...... A Revise radius & ulna..................................... 12.27 13.38 0.87 26.52 090 S
25390... ...... A Shorten radius/ulna...................................... 9.85 8.82 1.50 20.17 090 S
25391... ...... A Lengthen radius/ulna..................................... 12.75 11.25 1.93 25.93 090 S
25392... ...... A Shorten radius & ulna.................................... 13.05 12.44 2.04 27.53 090 S
25393... ...... A Lengthen radius & ulna................................... 14.90 14.21 2.32 31.43 090 S
25400... ...... A Repair radius or ulna.................................... 10.30 10.78 1.75 22.83 090 S
25405... ...... A Repair/graft radius or ulna.............................. 13.48 12.42 2.02 27.92 090 S
25415... ...... A Repair radius & ulna..................................... 12.64 11.42 1.92 25.98 090 S
25420... ...... A Repair/graft radius & ulna............................... 15.34 14.70 2.28 32.32 090 S
25425... ...... A Repair/graft radius or ulna.............................. 12.44 12.02 1.87 26.33 090 S
25426... ...... A Repair/graft radius & ulna............................... 14.92 11.72 2.13 28.77 090 S
25440... ...... A Repair/graft wrist bone.................................. 9.95 9.05 1.50 20.50 090 S
25441... ...... A Reconstruct wrist joint.................................. 12.26 11.36 1.89 25.51 090 S
25442... ...... A Reconstruct wrist joint.................................. 10.34 7.06 1.22 18.62 090 S
25443... ...... A Reconstruct wrist joint.................................. 9.88 9.38 1.52 20.78 090 S
25444... ...... A Reconstruct wrist joint.................................. 10.64 10.14 1.66 22.44 090 S
25445... ...... A Reconstruct wrist joint.................................. 9.27 10.36 1.72 21.35 090 S
25446... ...... A Wrist replacement........................................ 15.52 *19.86 3.49 38.87 090 S
25447... ...... A Repair wrist joint(s).................................... 9.86 9.65 1.56 21.07 090 S
25449... ...... A Remove wrist joint implant............................... 13.78 7.84 1.16 22.78 090 S
25450... ...... A Revision of wrist joint.................................. 7.67 7.31 1.19 16.17 090 S
25455... ...... A Revision of wrist joint.................................. 9.15 8.71 1.42 19.28 090 S
25490... ...... A Reinforce radius......................................... 9.12 8.69 1.42 19.23 090 S
25491... ...... A Reinforce ulna........................................... 9.54 9.10 1.49 20.13 090 S
25492... ...... A Reinforce radius and ulna................................ 11.75 11.20 1.84 24.79 090 S
25500... ...... A Treat fracture of radius................................. 2.30 2.33 0.29 4.92 090 S
25505... ...... A Treat fracture of radius................................. 4.96 3.57 0.51 9.04 090 S
25515... ...... A Repair fracture of radius................................ 8.63 7.63 1.22 17.48 090 S
25520... ...... A Repair fracture of radius................................ 6.01 5.74 0.94 12.69 090 S
25525... ...... A Repair fracture of radius................................ 11.69 11.15 1.83 24.67 090 S
25526... ...... A Repair fracture of radius................................ 12.43 11.85 1.94 26.22 090 S
25530... ...... A Treat fracture of ulna................................... 1.94 2.44 0.35 4.73 090 S
25535... ...... A Treat fracture of ulna................................... 4.91 3.57 0.54 9.02 090 S
25545... ...... A Repair fracture of ulna.................................. 8.35 7.58 1.20 17.13 090 S
25560... ...... A Treat fracture radius & ulna............................. 2.29 2.27 0.27 4.83 090 S
25565... ...... A Treat fracture radius & ulna............................. 5.29 4.66 0.70 10.65 090 S
25574... ...... A Treat fracture radius & ulna............................. 6.03 *8.37 1.73 16.13 090 S
25575... ...... A Repair fracture radius/ulna.............................. 9.47 10.70 1.73 21.90 090 S
25600... ...... A Treat fracture radius/ulna............................... 2.48 2.84 0.42 5.74 090 S
25605... ...... A Treat fracture radius/ulna............................... 5.36 3.95 0.61 9.92 090 S
25611... ...... A Repair fracture radius/ulna.............................. 7.11 6.01 0.97 14.09 090 S
25620... ...... A Repair fracture radius/ulna.............................. 8.15 7.13 1.14 16.42 090 S
25622... ...... A Treat wrist bone fracture................................ 2.43 2.28 0.33 5.04 090 S
25624... ...... A Treat wrist bone fracture................................ 4.28 3.67 0.57 8.52 090 S
25628... ...... A Repair wrist bone fracture............................... 7.81 7.13 1.16 16.10 090 S
25630... ...... A Treat wrist bone fracture................................ 2.73 2.19 0.30 5.22 090 S
25635... ...... A Treat wrist bone fracture................................ 4.16 3.36 0.50 8.02 090 S
25645... ...... A Repair wrist bone fracture............................... 6.85 6.68 0.95 14.48 090 S
25650... ...... A Repair wrist bone fracture............................... 2.87 2.66 0.36 5.89 090 S
25660... ...... A Treat wrist dislocation.................................. 4.53 1.82 0.26 6.61 090 S
25670... ...... A Repair wrist dislocation................................. 7.52 7.08 1.12 15.72 090 S
25675... ...... A Treat wrist dislocation.................................. 4.44 2.28 0.34 7.06 090 S
25676... ...... A Repair wrist dislocation................................. 7.55 7.32 1.11 15.98 090 S
25680... ...... A Treat wrist fracture..................................... 5.63 2.44 0.36 8.43 090 S
25685... ...... A Repair wrist fracture.................................... 9.23 8.79 1.44 19.46 090 S
25690... ...... A Treat wrist dislocation.................................. 5.16 4.89 0.73 10.78 090 S
25695... ...... A Repair wrist dislocation................................. 7.94 7.04 1.17 16.15 090 S
25800... ...... A Fusion of wrist joint.................................... 9.21 10.94 1.80 21.95 090 S
25805... ...... A Fusion/graft of wrist joint.............................. 10.57 12.85 2.09 25.51 090 S
25810... ...... A Fusion/graft of wrist joint.............................. 9.79 *12.53 2.06 24.38 090 S
25820... ...... A Fusion of hand bones..................................... 7.14 8.91 1.48 17.53 090 S
25825... ...... A Fusion hand bones with graft............................. 8.60 *11.02 1.99 21.61 090 S
25830... ...... A Fusion radioulnar jnt/ulna............................... 9.10 8.60 1.45 19.15 090 S
25900... ...... A Amputation of forearm.................................... 8.15 7.08 1.31 16.54 090 S
25905... ...... A Amputation of forearm.................................... 8.40 7.11 1.15 16.66 090 S
25907... ...... A Amputation follow-up surgery............................. 7.27 5.74 1.00 14.01 090 S
25909... ...... A Amputation follow-up surgery............................. 8.37 5.55 1.06 14.98 090 S
25915... ...... A Amputation of forearm.................................... 16.61 15.83 2.59 35.03 090 S
25920... ...... A Amputate hand at wrist................................... 8.09 7.00 1.20 16.29 090 S
25922... ...... A Amputate hand at wrist................................... 6.96 5.55 1.02 13.53 090 S
25924... ...... A Amputation follow-up surgery............................. 7.87 7.50 1.22 16.59 090 S
25927... ...... A Amputation of hand....................................... 8.27 6.29 1.22 15.78 090 S
25929... ...... A Amputation follow-up surgery............................. 7.13 4.74 0.96 12.83 090 S
25931... ...... A Amputation follow-up surgery............................. 7.35 4.54 0.90 12.79 090 S
25999... ...... C Forearm or wrist surgery................................. 0.00 0.00 0.00 0.00 YYY S
26010... ...... A Drainage of finger abscess............................... 1.49 0.48 0.05 2.02 010 N
26011... ...... A Drainage of finger abscess............................... 2.14 1.54 0.24 3.92 010 S
26020... ...... A Drain hand tendon sheath................................. 4.01 3.72 0.63 8.36 090 S
26025... ...... A Drainage of palm bursa................................... 4.32 4.51 0.76 9.59 090 S
26030... ...... A Drainage of palm bursa(s)................................ 5.36 5.73 0.98 12.07 090 S
26034... ...... A Treat hand bone lesion................................... 5.59 4.23 0.71 10.53 090 S
26035... ...... A Decompress fingers/hand.................................. 8.38 5.17 0.86 14.41 090 S
26037... ...... A Decompress fingers/hand.................................. 6.68 6.37 1.05 14.10 090 S
26040... ...... A Release palm contracture................................. 3.09 2.86 0.49 6.44 090 S
26045... ...... A Release palm contracture................................. 5.27 4.83 0.81 10.91 090 S
26055... ...... A Incise finger tendon sheath.............................. 2.56 *3.28 0.56 6.40 090 S
26060... ...... A Incision of finger tendon................................ 2.71 1.13 0.17 4.01 090 S
26070... ...... A Explore/treat hand joint................................. 3.34 2.76 0.42 6.52 090 S
26075... ...... A Explore/treat finger joint............................... 3.44 3.78 0.62 7.84 090 S
26080... ...... A Explore/treat finger joint............................... 3.78 3.14 0.51 7.43 090 S
26100... ...... A Biopsy hand joint lining................................. 3.54 2.99 0.45 6.98 090 S
26105... ...... A Biopsy finger joint lining............................... 3.58 4.17 0.67 8.42 090 S
26110... ...... A Biopsy finger joint lining............................... 3.40 2.93 0.50 6.83 090 S
26115... ...... A Removal of hand lesion................................... 3.68 2.01 0.34 6.03 090 S
26116... ...... A Removal of hand lesion................................... 5.19 3.71 0.62 9.52 090 S
26117... ...... A Remove tumor, hand/finger................................ 8.24 5.07 0.91 14.22 090 S
26121... ...... A Release palm contracture................................. 7.34 *9.40 1.61 18.35 090 S
26123... ...... A Release palm contracture................................. 8.64 9.10 1.53 19.27 090 S
26125... ...... A Release palm contracture................................. 4.61 2.62 0.45 7.68 ZZZ S
26130... ...... A Remove wrist joint lining................................ 5.13 5.01 0.86 11.00 090 S
26135... ...... A Revise finger joint, each................................ 6.67 4.86 0.82 12.35 090 S
26140... ...... A Revise finger joint, each................................ 5.88 4.40 0.75 11.03 090 S
26145... ...... A Tendon excision, palm/finger............................. 6.03 4.71 0.80 11.54 090 S
26160... ...... A Remove tendon sheath lesion.............................. 3.00 2.32 0.40 5.72 090 S
26170... ...... A Removal of palm tendon, each............................. 4.62 2.83 0.45 7.90 090 S
26180... ...... A Removal of finger tendon................................. 5.00 4.01 0.71 9.72 090 S
26200... ...... A Remove hand bone lesion.................................. 5.25 4.48 0.72 10.45 090 S
26205... ...... A Remove/graft bone lesion................................. 7.24 6.40 1.03 14.67 090 S
26210... ...... A Removal of finger lesion................................. 4.97 3.90 0.64 9.51 090 S
26215... ...... A Remove/graft finger lesion............................... 6.81 5.55 0.94 13.30 090 S
26230... ...... A Partial removal of hand bone............................. 5.96 4.26 0.69 10.91 090 S
26235... ...... A Partial removal, finger bone............................. 5.82 4.17 0.71 10.70 090 S
26236... ...... A Partial removal, finger bone............................. 4.95 3.86 0.66 9.47 090 S
26250... ...... A Extensive hand surgery................................... 7.26 6.00 1.07 14.33 090 S
26255... ...... A Extensive hand surgery................................... 11.66 8.94 1.54 22.14 090 S
26260... ...... A Extensive finger surgery................................. 6.74 5.73 0.97 13.44 090 S
26261... ...... A Extensive finger surgery................................. 8.54 7.70 1.31 17.55 090 S
26262... ...... A Partial removal of finger................................ 5.41 4.75 0.76 10.92 090 S
26320... ...... A Removal of implant from hand............................. 3.74 3.54 0.57 7.85 090 S
26350... ...... A Repair finger/hand tendon................................ 5.76 5.74 0.99 12.49 090 S
26352... ...... A Repair/graft hand tendon................................. 7.26 6.60 1.10 14.96 090 S
26356... ...... A Repair finger/hand tendon................................ 7.05 7.21 1.24 15.50 090 S
26357... ...... A Repair finger/hand tendon................................ 8.16 6.58 1.19 15.93 090 S
26358... ...... A Repair/graft hand tendon................................. 8.69 7.40 1.27 17.36 090 S
26370... ...... A Repair finger/hand tendon................................ 6.71 6.71 1.13 14.55 090 S
26372... ...... A Repair/graft hand tendon................................. 8.27 6.39 1.15 15.81 090 S
26373... ...... A Repair finger/hand tendon................................ 7.67 6.85 1.11 15.63 090 S
26390... ...... A Revise hand/finger tendon................................ 8.73 7.95 1.23 17.91 090 S
26392... ...... A Repair/graft hand tendon................................. 9.77 8.61 1.26 19.64 090 S
26410... ...... A Repair hand tendon....................................... 4.37 3.29 0.51 8.17 090 S
26412... ...... A Repair/graft hand tendon................................. 5.91 6.01 0.97 12.89 090 S
26415... ...... A Excision, hand/finger tendon............................. 8.05 6.75 0.90 15.70 090 S
26416... ...... A Graft hand or finger tendon.............................. 9.06 8.64 1.41 19.11 090 S
26418... ...... A Repair finger tendon..................................... 4.02 3.58 0.59 8.19 090 S
26420... ...... A Repair/graft finger tendon............................... 6.37 5.68 0.96 13.01 090 S
26426... ...... A Repair finger/hand tendon................................ 5.86 6.31 1.07 13.24 090 S
26428... ...... A Repair/graft finger tendon............................... 6.90 5.50 1.00 13.40 090 S
26432... ...... A Repair finger tendon..................................... 3.87 3.15 0.51 7.53 090 S
26433... ...... A Repair finger tendon..................................... 4.41 3.94 0.66 9.01 090 S
26434... ...... A Repair/graft finger tendon............................... 5.80 4.95 0.84 11.59 090 S
26437... ...... A Realignment of tendons................................... 5.53 4.05 0.68 10.26 090 S
26440... ...... A Release palm/finger tendon............................... 4.76 3.57 0.59 8.92 090 S
26442... ...... A Release palm & finger tendon............................. 6.10 3.37 0.59 10.06 090 S
26445... ...... A Release hand/finger tendon............................... 4.16 3.25 0.54 7.95 090 S
26449... ...... A Release forearm/hand tendon.............................. 6.39 5.57 0.96 12.92 090 S
26450... ...... A Incision of palm tendon.................................. 3.54 2.28 0.36 6.18 090 S
26455... ...... A Incision of finger tendon................................ 3.51 1.89 0.33 5.73 090 S
26460... ...... A Incise hand/finger tendon................................ 3.33 1.72 0.30 5.35 090 S
26471... ...... A Fusion of finger tendons................................. 5.55 4.15 0.67 10.37 090 S
26474... ...... A Fusion of finger tendons................................. 5.14 4.61 0.75 10.50 090 S
26476... ...... A Tendon lengthening....................................... 5.00 2.89 0.27 8.16 090 S
26477... ...... A Tendon shortening........................................ 4.97 3.99 0.73 9.69 090 S
26478... ...... A Lengthening of hand tendon............................... 5.62 4.30 0.72 10.64 090 S
26479... ...... A Shortening of hand tendon................................ 5.56 5.29 0.86 11.71 090 S
26480... ...... A Transplant hand tendon................................... 6.49 6.53 1.11 14.13 090 S
26483... ...... A Transplant/graft hand tendon............................. 7.87 8.50 1.40 17.77 090 S
26485... ...... A Transplant palm tendon................................... 7.28 6.50 1.08 14.86 090 S
26489... ...... A Transplant/graft palm tendon............................. 9.00 3.40 0.51 12.91 090 S
26490... ...... A Revise thumb tendon...................................... 7.99 7.80 1.28 17.07 090 S
26492... ...... A Tendon transfer with graft............................... 9.17 8.75 1.21 19.13 090 S
26494... ...... A Hand tendon/muscle transfer.............................. 8.05 7.28 1.23 16.56 090 S
26496... ...... A Revise thumb tendon...................................... 9.17 8.73 1.53 19.43 090 S
26497... ...... A Finger tendon transfer................................... 9.15 8.02 1.38 18.55 090 S
26498... ...... A Finger tendon transfer................................... 13.55 11.78 2.04 27.37 090 S
26499... ...... A Revision of finger....................................... 8.56 7.75 1.25 17.56 090 S
26500... ...... A Hand tendon reconstruction............................... 5.67 3.49 0.60 9.76 090 S
26502... ...... A Hand tendon reconstruction............................... 6.74 5.27 0.95 12.96 090 S
26504... ...... A Hand tendon reconstruction............................... 7.05 6.72 1.11 14.88 090 S
26508... ...... A Release thumb contracture................................ 5.61 4.15 0.72 10.48 090 S
26510... ...... A Thumb tendon transfer.................................... 5.03 4.15 0.68 9.86 090 S
26516... ...... A Fusion of knuckle joint.................................. 6.75 4.16 0.67 11.58 090 S
26517... ...... A Fusion of knuckle joints................................. 8.34 7.07 1.23 16.64 090 S
26518... ...... A Fusion of knuckle joints................................. 8.53 6.51 1.22 16.26 090 S
26520... ...... A Release knuckle contracture.............................. 5.01 4.48 0.71 10.20 090 S
26525... ...... A Release finger contracture............................... 5.04 3.64 0.62 9.30 090 S
26527... ...... D Revise wrist joint....................................... 0.00 0.00 0.00 0.00 090 S
26530... ...... A Revise knuckle joint..................................... 6.38 5.16 0.85 12.39 090 S
26531... ...... A Revise knuckle with implant.............................. 7.57 6.65 1.11 15.33 090 S
26535... ...... A Revise finger joint...................................... 4.95 4.84 0.58 10.37 090 S
26536... ...... A Revise/implant finger joint.............................. 6.06 7.21 1.19 14.46 090 S
26540... ...... A Repair hand joint........................................ 6.03 6.64 1.12 13.79 090 S
26541... ...... A Repair hand joint with graft............................. 8.20 8.94 1.47 18.61 090 S
26542... ...... A Repair hand joint with graft............................. 6.38 5.67 0.97 13.02 090 S
26545... ...... A Reconstruct finger joint................................. 6.50 5.27 0.94 12.71 090 S
26548... ...... A Reconstruct finger joint................................. 7.61 5.79 1.00 14.40 090 S
26550... ...... A Construct thumb replacement.............................. 20.77 19.81 3.24 43.82 090 S
26552... ...... C Construct thumb replacement.............................. 0.00 0.00 0.00 0.00 090 S
26555... ...... A Positional change of finger.............................. 16.16 15.41 2.52 34.09 090 S
26557... ...... C Construct finger replacement............................. 0.00 0.00 0.00 0.00 090 S
26558... ...... C Added finger surgery..................................... 0.00 0.00 0.00 0.00 090 S
26559... ...... C Added finger surgery..................................... 0.00 0.00 0.00 0.00 090 S
26560... ...... A Repair of web finger..................................... 5.23 4.65 0.66 10.54 090 S
26561... ...... A Repair of web finger..................................... 10.50 8.89 1.56 20.95 090 S
26562... ...... A Repair of web finger..................................... 9.23 10.97 0.82 21.02 090 S
26565... ...... A Correct metacarpal flaw.................................. 6.45 5.82 0.85 13.12 090 S
26567... ...... A Correct finger deformity................................. 6.53 4.28 0.67 11.48 090 S
26568... ...... A Lengthen metacarpal/finger............................... 8.66 8.45 1.06 18.17 090 S
26580... ...... A Repair hand deformity.................................... 15.81 15.08 2.47 33.36 090 S
26585... ...... A Repair finger deformity.................................. 13.58 12.95 2.12 28.65 090 S
26587... ...... C Reconstruct extra finger................................. 0.00 0.00 0.00 0.00 090 S
26590... ...... A Repair finger deformity.................................. 17.44 16.63 2.72 36.79 090 S
26591... ...... A Repair muscles of hand................................... 2.90 2.29 0.39 5.58 090 S
26593... ...... A Release muscles of hand.................................. 4.89 4.12 0.70 9.71 090 S
26596... ...... A Excision constricting tissue............................. 8.64 8.24 1.35 18.23 090 S
26597... ...... A Release of scar contracture.............................. 9.37 8.02 1.37 18.76 090 S
26600... ...... A Treat metacarpal fracture................................ 1.81 1.54 0.22 3.57 090 S
26605... ...... A Treat metacarpal fracture................................ 2.67 2.29 0.36 5.32 090 S
26607... ...... A Treat metacarpal fracture................................ 5.12 3.55 0.57 9.24 090 S
26608... ...... A Treat metacarpal fracture................................ 5.12 3.55 0.57 9.24 090 S
26615... ...... A Repair metacarpal fracture............................... 5.18 4.87 0.80 10.85 090 S
26641... ...... A Treat thumb dislocation.................................. 3.74 1.11 0.14 4.99 090 S
26645... ...... A Treat thumb fracture..................................... 4.23 2.20 0.33 6.76 090 S
26650... ...... A Repair thumb fracture.................................... 5.49 4.01 0.64 10.14 090 S
26665... ...... A Repair thumb fracture.................................... 7.14 6.39 1.09 14.62 090 S
26670... ...... A Treat hand dislocation................................... 3.54 0.96 0.10 4.60 090 S
26675... ...... A Treat hand dislocation................................... 4.44 4.34 0.60 9.38 090 S
26676... ...... A Pin hand dislocation..................................... 5.29 4.86 0.67 10.82 090 S
26685... ...... A Repair hand dislocation.................................. 6.54 5.76 0.91 13.21 090 S
26686... ...... A Repair hand dislocation.................................. 7.48 6.31 1.04 14.83 090 S
26700... ...... A Treat knuckle dislocation................................ 3.54 0.88 0.10 4.52 090 S
26705... ...... A Treat knuckle dislocation................................ 3.99 1.78 0.27 6.04 090 S
26706... ...... A Pin knuckle dislocation.................................. 4.92 4.68 0.75 10.35 090 S
26715... ...... A Repair knuckle dislocation............................... 5.48 4.13 0.66 10.27 090 S
26720... ...... A Treat finger fracture, each.............................. 1.56 1.10 0.15 2.81 090 S
26725... ...... A Treat finger fracture, each.............................. 3.18 1.54 0.23 4.95 090 S
26727... ...... A Treat finger fracture, each.............................. 4.92 2.45 0.38 7.75 090 S
26735... ...... A Repair finger fracture, each............................. 5.72 3.73 0.61 10.06 090 S
26740... ...... A Treat finger fracture, each.............................. 1.81 1.16 0.16 3.13 090 S
26742... ...... A Treat finger fracture, each.............................. 3.70 1.98 0.32 6.00 090 S
26746... ...... A Repair finger fracture, each............................. 5.55 4.75 0.80 11.10 090 S
26750... ...... A Treat finger fracture, each.............................. 1.60 0.83 0.10 2.53 090 S
26755... ...... A Treat finger fracture, each.............................. 2.97 1.08 0.15 4.20 090 S
26756... ...... A Pin finger fracture, each................................ 4.19 1.90 0.33 6.42 090 S
26765... ...... A Repair finger fracture, each............................. 4.04 2.66 0.45 7.15 090 S
26770... ...... A Treat finger dislocation................................. 2.89 0.76 0.08 3.73 090 S
26775... ...... A Treat finger dislocation................................. 3.51 1.13 0.17 4.81 090 S
26776... ...... A Pin finger dislocation................................... 4.60 2.08 0.35 7.03 090 S
26785... ...... A Repair finger dislocation................................ 4.08 2.97 0.48 7.53 090 S
26820... ...... A Thumb fusion with graft.................................. 7.84 6.65 1.05 15.54 090 S
26841... ...... A Fusion of thumb.......................................... 6.79 6.17 1.00 13.96 090 S
26842... ...... A Thumb fusion with graft.................................. 7.75 8.58 1.37 17.70 090 S
26843... ...... A Fusion of hand joint..................................... 7.21 6.37 1.10 14.68 090 S
26844... ...... A Fusion/graft of hand joint............................... 8.24 7.35 1.19 16.78 090 S
26850... ...... A Fusion of knuckle........................................ 6.57 4.63 0.76 11.96 090 S
26852... ...... A Fusion of knuckle with graft............................. 7.97 5.72 1.00 14.69 090 S
26860... ...... A Fusion of finger joint................................... 4.49 4.30 0.68 9.47 090 S
26861... ...... A Fusion of finger joint, added............................ 1.74 *2.23 0.43 4.40 ZZZ S
26862... ...... A Fusion/graft of finger joint............................. 7.06 5.16 0.85 13.07 090 S
26863... ...... A Fuse/graft added joint................................... 3.90 3.37 0.57 7.84 ZZZ S
26910... ...... A Amputate metacarpal bone................................. 7.18 5.16 0.93 13.27 090 S
26951... ...... A Amputation of finger/thumb............................... 4.41 2.87 0.49 7.77 090 S
26952... ...... A Amputation of finger/thumb............................... 6.02 4.00 0.69 10.71 090 S
26989... ...... C Hand/finger surgery...................................... 0.00 0.00 0.00 0.00 YYY S
26990... ...... A Drainage of pelvis lesion................................ 6.76 3.10 0.51 10.37 090 S
26991... ...... A Drainage of pelvis bursa................................. 6.05 1.81 0.29 8.15 090 S
26992... ...... A Drainage of bone lesion.................................. 13.97 6.38 1.05 21.40 090 S
27000... ...... A Incision of hip tendon................................... 5.27 1.85 0.24 7.36 090 S
27001... ...... A Incision of hip tendon................................... 7.70 2.34 0.38 10.42 090 S
27003... ...... A Incision of hip tendon................................... 6.53 6.77 1.08 14.38 090 S
27005... ...... A Incision of hip tendon................................... 9.00 3.37 0.54 12.91 090 S
27006... ...... A Incision of hip tendons.................................. 9.50 4.64 0.77 14.91 090 S
27025... ...... A Incision of hip/thigh fascia............................. 10.16 6.12 1.02 17.30 090 S
27030... ...... A Drainage of hip joint.................................... 12.09 11.42 1.86 25.37 090 S
27033... ...... A Exploration of hip joint................................. 12.38 11.52 1.85 25.75 090 S
27035... ...... A Denervation of hip joint................................. 15.72 11.86 2.21 29.79 090 S
27040... ...... A Biopsy of soft tissues................................... 3.26 0.72 0.11 4.09 010 N
27041... ...... A Biopsy of soft tissues................................... 9.36 2.67 0.44 12.47 090 S
27047... ...... A Remove hip/pelvis lesion................................. 7.16 1.89 0.32 9.37 090 S
27048... ...... A Remove hip/pelvis lesion................................. 5.70 4.33 0.82 10.85 090 S
27049... ...... A Remove tumor, hip/pelvis................................. 12.52 10.14 1.87 24.53 090 S
27050... ...... A Biopsy of sacroiliac joint............................... 3.73 *4.78 0.90 9.41 090 S
27052... ...... A Biopsy of hip joint...................................... 5.45 *7.78 1.59 14.82 090 S
27054... ...... A Removal of hip joint lining.............................. 7.60 *10.74 2.26 20.60 090 S
27060... ...... A Removal of ischial bursa................................. 4.73 3.93 0.68 9.34 090 S
27062... ...... A Remove femur lesion/bursa................................ 4.74 4.23 0.70 9.67 090 S
27065... ...... A Removal of hip bone lesion............................... 4.98 5.59 0.90 11.47 090 S
27066... ...... A Removal of hip bone lesion............................... 9.17 7.90 1.30 18.37 090 S
27067... ...... A Remove/graft hip bone lesion............................. 12.64 11.63 1.93 26.20 090 S
27070... ...... A Partial removal of hip bone.............................. 9.58 7.41 1.21 18.20 090 S
27071... ...... A Partial removal of hip bone.............................. 10.23 8.50 1.45 20.18 090 S
27075... ...... A Extensive hip surgery.................................... 15.85 13.54 2.32 31.71 090 S
27076... ...... A Extensive hip surgery.................................... 17.93 16.37 2.61 36.91 090 S
27077... ...... A Extensive hip surgery.................................... 21.29 18.98 3.24 43.51 090 S
27078... ...... A Extensive hip surgery.................................... 11.86 9.20 1.67 22.73 090 S
27079... ...... A Extensive hip surgery.................................... 12.11 8.64 1.66 22.41 090 S
27080... ...... A Removal of tail bone..................................... 5.63 4.78 0.87 11.28 090 S
27086... ...... A Remove hip foreign body.................................. 1.82 0.58 0.07 2.47 010 S
27087... ...... A Remove hip foreign body.................................. 8.01 3.62 0.60 12.23 090 S
27090... ...... A Removal of hip prosthesis................................ 12.00 9.09 1.46 22.55 090 S
27091... ...... A Removal of hip prosthesis................................ 20.48 19.81 3.16 43.45 090 S
27093... ...... A Injection for hip x-ray.................................. 1.30 0.82 0.11 2.23 000 S
27095... ...... A Injection for hip x-ray.................................. 1.50 0.93 0.13 2.56 000 N
27097... ...... A Revision of hip tendon................................... 8.08 7.71 1.26 17.05 090 S
27098... ...... A Transfer tendon to pelvis................................ 8.08 7.71 1.26 17.05 090 S
27100... ...... A Transfer of abdominal muscle............................. 10.57 7.68 1.42 19.67 090 S
27105... ...... A Transfer of spinal muscle................................ 11.26 5.89 1.36 18.51 090 S
27110... ...... A Transfer of iliopsoas muscle............................. 12.49 10.61 1.86 24.96 090 S
27111... ...... A Transfer of iliopsoas muscle............................. 11.44 11.63 1.65 24.72 090 S
27120... ...... A Reconstruction of hip socket............................. 16.43 18.10 2.95 37.48 090 S
27122... ...... A Reconstruction of hip socket............................. 13.56 *17.36 2.94 33.86 090 S
27125... ...... A Partial hip replacement.................................. 13.21 *16.91 3.01 33.13 090 S
27130... ...... A Total hip replacement.................................... 18.68 *23.91 4.58 47.17 090 S
27132... ...... A Total hip replacement.................................... 21.44 *27.44 5.09 53.97 090 S
27134... ...... A Revise hip joint replacement............................. 24.54 *31.41 5.96 61.91 090 S
27137... ...... A Revise hip joint replacement............................. 18.67 *24.31 4.82 47.80 090 S
27138... ...... A Revise hip joint replacement............................. 18.93 *24.23 4.58 47.74 090 S
27140... ...... A Transplant of femur ridge................................ 11.43 11.05 1.71 24.19 090 S
27146... ...... A Incision of hip bone..................................... 13.72 10.88 1.35 25.95 090 S
27147... ...... A Revision of hip bone..................................... 17.58 16.97 2.76 37.31 090 S
27151... ...... A Incision of hip bones.................................... 18.58 17.71 2.90 39.19 090 S
27156... ...... A Revision of hip bones.................................... 20.16 18.32 3.08 41.56 090 S
27158... ...... A Revision of pelvis....................................... 18.10 14.42 2.64 35.16 090 S
27161... ...... A Incision of neck of femur................................ 15.20 14.31 2.31 31.82 090 S
27165... ...... A Incision/fixation of femur............................... 16.20 16.76 2.63 35.59 090 S
27170... ...... A Repair/graft femur head/neck............................. 14.90 16.41 2.65 33.96 090 S
27175... ...... A Treat slipped epiphysis.................................. 7.24 1.18 0.18 8.60 090 S
27176... ...... A Treat slipped epiphysis.................................. 10.89 10.39 1.70 22.98 090 S
27177... ...... A Repair slipped epiphysis................................. 13.76 12.39 2.05 28.20 090 S
27178... ...... A Repair slipped epiphysis................................. 10.76 10.46 1.55 22.77 090 S
27179... ...... A Revise head/neck of femur................................ 11.69 11.15 1.83 24.67 090 S
27181... ...... A Repair slipped epiphysis................................. 13.80 13.14 2.16 29.10 090 S
27185... ...... A Revision of femur epiphysis.............................. 8.30 2.77 0.87 11.94 090 S
27187... ...... A Reinforce hip bones...................................... 12.57 *16.09 2.76 31.42 090 S
27193... ...... A Treat pelvic ring fracture............................... 4.64 2.41 0.39 7.44 090 S
27194... ...... A Treat pelvic ring fracture............................... 8.73 3.90 0.50 13.13 090 S
27200... ...... A Treat tail bone fracture................................. 1.76 1.49 0.17 3.42 090 S
27202... ...... A Repair tail bone fracture................................ 6.52 6.15 0.89 13.56 090 S
27215... ...... A Pelvic fracture(s) treatment............................. 9.39 *12.02 2.33 23.74 090 S
27216... ...... A Treat pelvic ring fracture............................... 14.20 4.30 0.66 19.16 090 S
27217... ...... A Treat pelvic ring fracture............................... 13.19 14.55 2.33 30.07 090 S
27218... ...... A Treat pelvic ring fracture............................... 18.83 14.55 2.33 35.71 090 S
27220... ...... A Treat hip socket fracture................................ 5.26 4.26 0.64 10.16 090 S
27222... ...... A Treat hip socket fracture................................ 10.95 6.37 1.03 18.35 090 S
27226... ...... A Treat hip wall fracture.................................. 13.93 15.78 2.52 32.23 090 S
27227... ...... A Treat hip fracture(s).................................... 15.39 *19.70 3.20 38.29 090 S
27228... ...... A Treat hip fracture(s).................................... 17.90 19.95 3.20 41.05 090 S
27230... ...... A Treat fracture of thigh.................................. 4.95 3.30 0.41 8.66 090 S
27232... ...... A Treat fracture of thigh.................................. 9.32 8.98 1.46 19.76 090 S
27235... ...... A Repair of thigh fracture................................. 11.02 *14.10 2.60 27.72 090 S
27236... ...... A Repair of thigh fracture................................. 14.14 16.91 2.71 33.76 090 S
27238... ...... A Treatment of thigh fracture.............................. 5.06 4.91 0.71 10.68 090 S
27240... ...... A Treatment of thigh fracture.............................. 10.86 9.70 1.53 22.09 090 S
27244... ...... A Repair of thigh fracture................................. 14.35 16.30 2.62 33.27 090 S
27245... ...... A Repair of thigh fracture................................. 18.72 16.30 2.62 37.64 090 S
27246... ...... A Treatment of thigh fracture.............................. 4.36 3.87 0.60 8.83 090 S
27248... ...... A Repair of thigh fracture................................. 9.73 *12.46 2.11 24.30 090 S
27250... ...... A Treat hip dislocation.................................... 6.31 3.19 0.45 9.95 090 S
27252... ...... A Treat hip dislocation.................................... 9.47 4.34 0.68 14.49 090 S
27253... ...... A Repair of hip dislocation................................ 11.98 13.14 2.11 27.23 090 S
27254... ...... A Repair of hip dislocation................................ 17.29 13.47 2.27 33.03 090 S
27256... ...... A Treatment of hip dislocation............................. 3.72 1.88 0.31 5.91 010 S
27257... ...... A Treatment of hip dislocation............................. 4.82 4.62 0.73 10.17 010 S
27258... ...... A Repair of hip dislocation................................ 14.40 13.73 2.25 30.38 090 S
27259... ...... A Repair of hip dislocation................................ 18.03 17.20 2.82 38.05 090 S
27265... ...... A Treatment of hip dislocation............................. 5.58 3.46 0.54 9.58 090 S
27266... ...... A Treatment of hip dislocation............................. 7.73 4.45 0.71 12.89 090 S
27275... ...... A Manipulation of hip joint................................ 2.00 1.88 0.30 4.18 010 S
27280... ...... A Fusion of sacroiliac joint............................... 11.81 10.06 1.77 23.64 090 S
27282... ...... A Fusion of pubic bones.................................... 10.57 9.01 1.69 21.27 090 S
27284... ...... A Fusion of hip joint...................................... 15.62 14.50 2.40 32.52 090 S
27286... ...... A Fusion of hip joint...................................... 15.65 15.20 2.26 33.11 090 S
27290... ...... A Amputation of leg at hip................................. 21.68 25.40 4.70 51.78 090 S
27295... ...... A Amputation of leg at hip................................. 17.32 16.54 2.95 36.81 090 S
27299... ...... C Pelvis/hip joint surgery................................. 0.00 0.00 0.00 0.00 YYY S
27301... ...... A Drain thigh/knee lesion.................................. 5.96 2.46 0.40 8.82 090 S
27303... ...... A Drainage of bone lesion.................................. 7.69 5.86 0.96 14.51 090 S
27305... ...... A Incise thigh tendon & fascia............................. 5.42 3.80 0.68 9.90 090 S
27306... ...... A Incision of thigh tendon................................. 4.27 1.99 0.32 6.58 090 S
27307... ...... A Incision of thigh tendons................................ 5.30 3.01 0.48 8.79 090 S
27310... ...... A Exploration of knee joint................................ 8.26 9.60 1.51 19.37 090 S
27315... ...... A Partial removal, thigh nerve............................. 6.51 5.38 0.96 12.85 090 S
27320... ...... A Partial removal, thigh nerve............................. 5.90 5.18 0.73 11.81 090 S
27323... ...... A Biopsy thigh soft tissues................................ 2.67 0.91 0.13 3.71 010 S
27324... ...... A Biopsy thigh soft tissues................................ 4.53 2.63 0.45 7.61 090 S
27327... ...... A Removal of thigh lesion.................................. 4.32 2.29 0.40 7.01 090 S
27328... ...... A Removal of thigh lesion.................................. 5.31 4.07 0.73 10.11 090 S
27329... ...... A Remove tumor, thigh/knee................................. 11.74 11.69 2.14 25.57 090 S
27330... ...... A Biopsy knee joint lining................................. 4.71 *6.29 1.19 12.19 090 S
27331... ...... A Explore/treat knee joint................................. 5.51 *7.45 1.49 14.45 090 S
27332... ...... A Removal of knee cartilage................................ 7.85 *10.05 1.73 19.63 090 S
27333... ...... A Removal of knee cartilage................................ 6.81 *11.23 2.52 20.56 090 S
27334... ...... A Remove knee joint lining................................. 7.95 *10.18 1.77 19.90 090 S
27335... ...... A Remove knee joint lining................................. 9.19 *11.76 2.05 23.00 090 S
27340... ...... A Removal of kneecap bursa................................. 3.92 3.85 0.62 8.39 090 S
27345... ...... A Removal of knee cyst..................................... 5.63 5.63 0.95 12.21 090 S
27350... ...... A Removal of kneecap....................................... 7.42 *9.49 1.54 18.45 090 S
27355... ...... A Remove femur lesion...................................... 7.06 7.58 1.23 15.87 090 S
27356... ...... A Remove femur lesion/graft................................ 8.60 8.20 1.34 18.14 090 S
27357... ...... A Remove femur lesion/graft................................ 9.63 8.80 1.43 19.86 090 S
27358... ...... A Remove femur lesion/fixation............................. 4.74 4.55 0.72 10.01 ZZZ S
27360... ...... A Partial removal leg bone(s).............................. 9.23 8.56 1.40 19.19 090 S
27365... ...... A Extensive leg surgery.................................... 13.84 13.94 2.43 30.21 090 S
27370... ...... A Injection for knee x-ray................................. 0.96 0.60 0.05 1.61 000 N
27372... ...... A Removal of foreign body.................................. 4.81 3.42 0.54 8.77 090 S
27380... ...... A Repair of kneecap tendon................................. 6.63 7.94 1.29 15.86 090 S
27381... ...... A Repair/graft kneecap tendon.............................. 9.66 11.27 1.82 22.75 090 S
27385... ...... A Repair of thigh muscle................................... 7.17 8.84 1.42 17.43 090 S
27386... ...... A Repair/graft of thigh muscle............................. 9.72 *12.44 2.02 24.18 090 S
27390... ...... A Incision of thigh tendon................................. 4.89 4.36 0.71 9.96 090 S
27391... ...... A Incision of thigh tendons................................ 6.67 5.42 0.90 12.99 090 S
27392... ...... A Incision of thigh tendons................................ 8.52 7.67 1.28 17.47 090 S
27393... ...... A Lengthening of thigh tendon.............................. 5.95 5.67 0.93 12.55 090 S
27394... ...... A Lengthening of thigh tendons............................. 7.97 5.73 0.94 14.64 090 S
27395... ...... A Lengthening of thigh tendons............................. 10.96 10.48 1.65 23.09 090 S
27396... ...... A Transplant of thigh tendon............................... 7.33 7.06 1.11 15.50 090 S
27397... ...... A Transplants of thigh tendons............................. 9.33 8.88 1.45 19.66 090 S
27400... ...... A Revise thigh muscles/tendons............................. 8.47 7.89 1.24 17.60 090 S
27403... ...... A Repair of knee cartilage................................. 7.80 8.79 1.44 18.03 090 S
27405... ...... A Repair of knee ligament.................................. 7.97 10.17 1.67 19.81 090 S
27407... ...... A Repair of knee ligament.................................. 9.44 8.87 1.42 19.73 090 S
27409... ...... A Repair of knee ligaments................................. 11.80 *15.10 2.48 29.38 090 S
27418... ...... A Repair degenerated kneecap............................... 9.82 12.23 1.85 23.90 090 S
27420... ...... A Revision of unstable kneecap............................. 9.15 10.99 1.74 21.88 090 S
27422... ...... A Revision of unstable kneecap............................. 9.10 11.45 1.83 22.38 090 S
27424... ...... A Revision/removal of kneecap.............................. 9.13 *11.68 1.89 22.70 090 S
27425... ...... A Lateral retinacular release.............................. 5.04 *6.46 1.08 12.58 090 S
27427... ...... A Reconstruction, knee..................................... 8.68 *11.39 2.25 22.32 090 S
27428... ...... A Reconstruction, knee..................................... 10.68 *13.67 2.71 27.06 090 S
27429... ...... A Reconstruction, knee..................................... 11.86 11.27 1.83 24.96 090 S
27430... ...... A Revision of thigh muscles................................ 8.92 9.36 1.50 19.78 090 S
27435... ...... A Incision of knee joint................................... 8.74 7.03 1.13 16.90 090 S
27437... ...... A Revise kneecap........................................... 7.74 *9.91 1.55 19.20 090 S
27438... ...... A Revise kneecap with implant.............................. 10.29 13.13 2.14 25.56 090 S
27440... ...... A Revision of knee joint................................... 9.49 11.83 2.10 23.42 090 S
27441... ...... A Revision of knee joint................................... 9.81 9.14 1.51 20.46 090 S
27442... ...... A Revision of knee joint................................... 11.14 *14.98 3.05 29.17 090 S
27443... ...... A Revision of knee joint................................... 10.18 *15.27 3.34 28.79 090 S
27445... ...... A Revision of knee joint................................... 16.39 *22.34 4.21 42.94 090 S
27446... ...... A Revision of knee joint................................... 15.03 *19.79 3.87 38.69 090 S
27447... ...... A Total knee replacement................................... 19.69 *25.31 4.95 49.95 090 S
27448... ...... A Incision of thigh........................................ 10.25 12.87 2.09 25.21 090 S
27450... ...... A Incision of thigh........................................ 13.08 14.84 2.36 30.28 090 S
27454... ...... A Realignment of thigh bone................................ 12.26 *15.70 2.82 30.78 090 S
27455... ...... A Realignment of knee...................................... 12.01 12.01 1.95 25.97 090 S
27457... ...... A Realignment of knee...................................... 12.60 13.30 2.14 28.04 090 S
27465... ...... A Shortening of thigh bone................................. 12.84 12.24 2.00 27.08 090 S
27466... ...... A Lengthening of thigh bone................................ 15.08 13.43 2.27 30.78 090 S
27468... ...... A Shorten/lengthen thighs.................................. 17.65 16.84 2.75 37.24 090 S
27470... ...... A Repair of thigh.......................................... 14.82 16.67 2.60 34.09 090 S
27472... ...... A Repair/graft of thigh.................................... 16.40 19.87 3.16 39.43 090 S
27475... ...... A Surgery to stop leg growth............................... 8.11 7.74 1.27 17.12 090 S
27477... ...... A Surgery to stop leg growth............................... 9.32 *12.87 2.57 24.76 090 S
27479... ...... A Surgery to stop leg growth............................... 12.18 11.63 1.89 25.70 090 S
27485... ...... A Surgery to stop leg growth............................... 8.31 7.91 1.30 17.52 090 S
27486... ...... A Revise knee joint replace................................ 16.63 *21.74 4.26 42.63 090 S
27487... ...... A Revise knee joint replace................................ 21.69 *29.50 5.97 57.16 090 S
27488... ...... A Removal of knee prosthesis............................... 14.48 16.16 2.58 33.22 090 S
27495... ...... A Reinforce thigh.......................................... 14.26 17.63 2.82 34.71 090 S
27496... ...... A Decompression of thigh/knee.............................. 4.75 4.53 0.74 10.02 090 S
27497... ...... A Decompression of thigh/knee.............................. 5.81 5.55 0.91 12.27 090 S
27498... ...... A Decompression of thigh/knee.............................. 6.63 6.32 1.04 13.99 090 S
27499... ...... A Decompression of thigh/knee.............................. 7.64 7.28 1.19 16.11 090 S
27500... ...... A Treatment of thigh fracture.............................. 5.29 5.41 0.82 11.52 090 S
27501... ...... A Treatment of thigh fracture.............................. 5.29 5.41 0.82 11.52 090 S
27502... ...... A Treatment of thigh fracture.............................. 9.51 7.67 1.21 18.39 090 S
27503... ...... A Treatment of thigh fracture.............................. 9.51 7.67 1.21 18.39 090 S
27506... ...... A Repair of thigh fracture................................. 15.93 16.02 2.56 34.51 090 S
27507... ...... A Treatment of thigh fracture.............................. 12.85 16.02 2.56 31.43 090 S
27508... ...... A Treatment of thigh fracture.............................. 5.21 4.22 0.65 10.08 090 S
27509... ...... A Treatment of thigh fracture.............................. 6.77 4.22 0.65 11.64 090 S
27510... ...... A Treatment of thigh fracture.............................. 8.19 6.82 1.09 16.10 090 S
27511... ...... A Treatment of thigh fracture.............................. 12.50 *16.00 2.56 31.06 090 S
27513... ...... A Treatment of thigh fracture.............................. 16.78 16.02 2.56 35.36 090 S
27514... ...... A Repair of thigh fracture................................. 15.98 15.76 2.53 34.27 090 S
27516... ...... A Repair of thigh growth plate............................. 4.92 4.82 0.71 10.45 090 S
27517... ...... A Repair of thigh growth plate............................. 8.20 7.82 1.28 17.30 090 S
27519... ...... A Repair of thigh growth plate............................. 13.82 12.68 2.05 28.55 090 S
27520... ...... A Treat kneecap fracture................................... 2.68 3.04 0.45 6.17 090 S
27524... ...... A Repair of kneecap fracture............................... 9.38 10.34 1.65 21.37 090 S
27530... ...... A Treatment of knee fracture............................... 3.23 3.40 0.51 7.14 090 S
27532... ...... A Treatment of knee fracture............................... 6.81 5.68 0.91 13.40 090 S
27535... ...... A Treatment of knee fracture............................... 10.36 11.69 1.88 23.93 090 S
27536... ...... A Repair of knee fracture.................................. 14.51 11.69 1.88 28.08 090 S
27538... ...... A Treat knee fracture(s)................................... 4.64 3.37 0.51 8.52 090 S
27540... ...... A Repair of knee fracture.................................. 12.38 10.95 1.74 25.07 090 S
27550... ...... A Treat knee dislocation................................... 5.53 2.57 0.36 8.46 090 S
27552... ...... A Treat knee dislocation................................... 7.39 3.43 0.53 11.35 090 S
27556... ...... A Repair of knee dislocation............................... 13.47 12.48 1.95 27.90 090 S
27557... ...... A Repair of knee dislocation............................... 15.80 14.60 2.43 32.83 090 S
27558... ...... A Repair of knee dislocation............................... 16.75 14.60 2.43 33.78 090 S
27560... ...... A Treat kneecap dislocation................................ 3.64 1.43 0.16 5.23 090 S
27562... ...... A Treat kneecap dislocation................................ 5.48 5.18 0.76 11.42 090 S
27566... ...... A Repair kneecap dislocation............................... 11.48 10.58 1.67 23.73 090 S
27570... ...... A Fixation of knee joint................................... 1.69 1.72 0.28 3.69 010 S
27580... ...... A Fusion of knee........................................... 12.26 *15.70 2.56 30.52 090 S
27590... ...... A Amputate leg at thigh.................................... 10.24 9.11 1.80 21.15 090 S
27591... ...... A Amputate leg at thigh.................................... 11.09 11.77 2.11 24.97 090 S
27592... ...... A Amputate leg at thigh.................................... 8.75 8.11 1.61 18.47 090 S
27594... ...... A Amputation follow-up surgery............................. 6.30 3.65 0.68 10.63 090 S
27596... ...... A Amputation follow-up surgery............................. 9.63 7.37 1.42 18.42 090 S
27598... ...... A Amputate lower leg at knee............................... 9.56 10.04 1.78 21.38 090 S
27599... ...... C Leg surgery procedure.................................... 0.00 0.00 0.00 0.00 YYY S
27600... ...... A Decompression of lower leg............................... 5.02 3.39 0.64 9.05 090 S
27601... ...... A Decompression of lower leg............................... 4.98 3.38 0.67 9.03 090 S
27602... ...... A Decompression of lower leg............................... 6.63 4.05 0.77 11.45 090 S
27603... ...... A Drain lower leg lesion................................... 4.41 2.38 0.41 7.20 090 S
27604... ...... A Drain lower leg bursa.................................... 4.23 1.02 0.14 5.39 090 S
27605... ...... A Incision of achilles tendon.............................. 2.82 1.18 0.14 4.14 010 S
27606... ...... A Incision of achilles tendon.............................. 3.87 2.12 0.35 6.34 010 S
27607... ...... A Treat lower leg bone lesion.............................. 7.05 6.01 0.98 14.04 090 S
27610... ...... A Explore/treat ankle joint................................ 7.27 7.43 1.13 15.83 090 S
27612... ...... A Exploration of ankle joint............................... 6.23 *7.97 1.30 15.50 090 S
27613... ...... A Biopsy lower leg soft tissue............................. 2.12 0.67 0.10 2.89 010 S
27614... ...... A Biopsy lower leg soft tissue............................. 5.29 2.26 0.38 7.93 090 S
27615... ...... A Remove tumor, lower leg.................................. 11.79 8.23 1.42 21.44 090 S
27618... ...... A Remove lower leg lesion.................................. 4.94 2.10 0.32 7.36 090 S
27619... ...... A Remove lower leg lesion.................................. 7.98 4.13 0.67 12.78 090 S
27620... ...... A Explore, treat ankle joint............................... 5.69 6.03 0.96 12.68 090 S
27625... ...... A Remove ankle joint lining................................ 7.88 8.71 1.27 17.86 090 S
27626... ...... A Remove ankle joint lining................................ 8.49 *10.86 1.25 20.60 090 S
27630... ...... A Removal of tendon lesion................................. 4.65 3.10 0.46 8.21 090 S
27635... ...... A Remove lower leg bone lesion............................. 7.29 8.04 1.27 16.60 090 S
27637... ...... A Remove/graft leg bone lesion............................. 9.14 8.47 1.40 19.01 090 S
27638... ...... A Remove/graft leg bone lesion............................. 9.89 9.15 1.52 20.56 090 S
27640... ...... A Partial removal of tibia................................. 10.21 9.81 1.57 21.59 090 S
27641... ...... A Partial removal of fibula................................ 8.36 7.13 1.18 16.67 090 S
27645... ...... A Extensive lower leg surgery.............................. 13.14 11.64 1.98 26.76 090 S
27646... ...... A Extensive lower leg surgery.............................. 11.69 10.75 1.71 24.15 090 S
27647... ...... A Extensive ankle/heel surgery............................. 11.21 9.95 1.35 22.51 090 S
27648... ...... A Injection for ankle x-ray................................ 0.96 0.52 0.05 1.53 000 N
27650... ...... A Repair achilles tendon................................... 9.07 8.98 1.41 19.46 090 S
27652... ...... A Repair/graft achilles tendon............................. 9.62 10.41 1.56 21.59 090 S
27654... ...... A Repair of achilles tendon................................ 9.34 10.93 1.65 21.92 090 S
27656... ...... A Repair leg fascia defect................................. 4.31 3.18 0.54 8.03 090 S
27658... ...... A Repair of leg tendon, each............................... 4.61 4.02 0.60 9.23 090 S
27659... ...... A Repair of leg tendon, each............................... 6.28 5.87 0.86 13.01 090 S
27664... ...... A Repair of leg tendon, each............................... 4.33 3.41 0.52 8.26 090 S
27665... ...... A Repair of leg tendon, each............................... 5.11 4.95 0.76 10.82 090 S
27675... ...... A Repair lower leg tendons................................. 6.78 6.40 0.94 14.12 090 S
27676... ...... A Repair lower leg tendons................................. 7.87 7.56 1.14 16.57 090 S
27680... ...... A Release of lower leg tendon.............................. 5.37 4.12 0.61 10.10 090 S
27681... ...... A Release of lower leg tendons............................. 6.36 5.97 0.86 13.19 090 S
27685... ...... A Revision of lower leg tendon............................. 6.08 3.83 0.41 10.32 090 S
27686... ...... A Revise lower leg tendons................................. 6.93 6.56 0.90 14.39 090 S
27687... ...... A Revision of calf tendon.................................. 5.84 5.45 0.76 12.05 090 S
27690... ...... A Revise lower leg tendon.................................. 8.09 6.74 0.88 15.71 090 S
27691... ...... A Revise lower leg tendon.................................. 9.25 7.89 1.23 18.37 090 S
27692... ...... A Revise additional leg tendon............................. 1.87 2.03 0.29 4.19 ZZZ S
27695... ...... A Repair of ankle ligament................................. 6.09 *7.79 1.32 15.20 090 S
27696... ...... A Repair of ankle ligaments................................ 7.72 7.06 1.16 15.94 090 S
27698... ...... A Repair of ankle ligament................................. 8.87 *11.35 1.86 22.08 090 S
27700... ...... A Revision of ankle joint.................................. 8.67 *11.11 1.51 21.29 090 S
27702... ...... A Reconstruct ankle joint.................................. 12.64 *18.57 3.99 35.20 090 S
27703... ...... A Reconstruction, ankle joint.............................. 14.49 13.82 2.25 30.56 090 S
27704... ...... A Removal of ankle implant................................. 7.20 5.84 0.98 14.02 090 S
27705... ...... A Incision of tibia........................................ 9.63 10.74 1.76 22.13 090 S
27707... ...... A Incision of fibula....................................... 3.71 *4.75 0.79 9.25 090 S
27709... ...... A Incision of tibia & fibula............................... 9.14 *11.70 2.14 22.98 090 S
27712... ...... A Realignment of lower leg................................. 11.81 10.99 1.63 24.43 090 S
27715... ...... A Revision of lower leg.................................... 12.97 12.61 1.88 27.46 090 S
27720... ...... A Repair of tibia.......................................... 10.95 13.97 2.25 27.17 090 S
27722... ...... A Repair/graft of tibia.................................... 10.92 10.50 1.64 23.06 090 S
27724... ...... A Repair/graft of tibia.................................... 12.11 *15.50 2.87 30.48 090 S
27725... ...... A Repair of lower leg...................................... 11.04 10.43 1.53 23.00 090 S
27727... ...... A Repair of lower leg...................................... 12.89 9.38 1.84 24.11 090 S
27730... ...... A Repair of tibia epiphysis................................ 6.88 3.59 0.84 11.31 090 S
27732... ...... A Repair of fibula epiphysis............................... 5.06 4.84 0.79 10.69 090 S
27734... ...... A Repair lower leg epiphyses............................... 7.89 7.54 1.23 16.66 090 S
27740... ...... A Repair of leg epiphyses.................................. 8.75 8.36 1.36 18.47 090 S
27742... ...... A Repair of leg epiphyses.................................. 9.72 9.29 1.52 20.53 090 S
27745... ...... A Reinforce tibia.......................................... 9.39 8.97 1.39 19.75 090 S
27750... ...... A Treatment of tibia fracture.............................. 2.90 3.45 0.50 6.85 090 S
27752... ...... A Treatment of tibia fracture.............................. 5.16 5.09 0.81 11.06 090 S
27756... ...... A Repair of tibia fracture................................. 5.84 *8.21 1.70 15.75 090 S
27758... ...... A Repair of tibia fracture................................. 10.51 *13.46 2.22 26.19 090 S
27759... ...... A Repair of tibia fracture................................. 12.60 13.74 2.22 28.56 090 S
27760... ...... A Treatment of ankle fracture.............................. 2.81 2.58 0.37 5.76 090 S
27762... ...... A Treatment of ankle fracture.............................. 4.80 3.36 0.50 8.66 090 S
27766... ...... A Repair of ankle fracture................................. 7.61 7.87 1.26 16.74 090 S
27780... ...... A Treatment of fibula fracture............................. 2.47 1.97 0.26 4.70 090 S
27781... ...... A Treatment of fibula fracture............................. 4.20 3.29 0.49 7.98 090 S
27784... ...... A Repair of fibula fracture................................ 6.45 5.59 0.87 12.91 090 S
27786... ...... A Treatment of ankle fracture.............................. 2.66 2.52 0.38 5.56 090 S
27788... ...... A Treatment of ankle fracture.............................. 4.25 3.27 0.50 8.02 090 S
27792... ...... A Repair of ankle fracture................................. 7.04 7.38 1.17 15.59 090 S
27808... ...... A Treatment of ankle fracture.............................. 2.63 2.79 0.39 5.81 090 S
27810... ...... A Treatment of ankle fracture.............................. 4.82 5.05 0.80 10.67 090 S
27814... ...... A Repair of ankle fracture................................. 9.87 10.00 1.60 21.47 090 S
27816... ...... A Treatment of ankle fracture.............................. 2.71 *3.47 0.55 6.73 090 S
27818... ...... A Treatment of ankle fracture.............................. 5.08 *6.51 1.06 12.65 090 S
27822... ...... A Repair of ankle fracture................................. 8.39 *10.73 1.88 21.00 090 S
27823... ...... A Repair of ankle fracture................................. 10.90 12.79 2.05 25.74 090 S
27824... ...... A Treat lower leg fracture................................. 2.71 *3.47 0.55 6.73 090 S
27825... ...... A Treat lower leg fracture................................. 5.08 *6.51 1.06 12.65 090 S
27826... ...... A Treat lower leg fracture................................. 7.43 *9.57 1.88 18.88 090 S
27827... ...... A Treat lower leg fracture................................. 9.90 11.71 1.88 23.49 090 S
27828... ...... A Treat lower leg fracture................................. 12.33 12.79 2.05 27.17 090 S
27829... ...... A Treat lower leg joint.................................... 4.87 *6.74 1.37 12.98 090 S
27830... ...... A Treat lower leg dislocation.............................. 3.50 3.25 0.46 7.21 090 S
27831... ...... A Treat lower leg dislocation.............................. 4.27 3.98 0.59 8.84 090 S
27832... ...... A Repair lower leg dislocation............................. 5.96 5.70 0.89 12.55 090 S
27840... ...... A Treat ankle dislocation.................................. 4.27 1.87 0.21 6.35 090 S
27842... ...... A Treat ankle dislocation.................................. 5.72 2.22 0.34 8.28 090 S
27846... ...... A Repair ankle dislocation................................. 9.04 8.59 1.37 19.00 090 S
27848... ...... A Repair ankle dislocation................................. 10.45 8.36 1.32 20.13 090 S
27860... ...... A Fixation of ankle joint.................................. 2.29 1.39 0.23 3.91 010 S
27870... ...... A Fusion of ankle joint.................................... 10.42 *13.34 2.22 25.98 090 S
27871... ...... A Fusion of tibiofibular joint............................. 8.55 7.79 1.21 17.55 090 S
27880... ...... A Amputation of lower leg.................................. 10.69 8.36 1.60 20.65 090 S
27881... ...... A Amputation of lower leg.................................. 10.89 10.82 1.87 23.58 090 S
27882... ...... A Amputation of lower leg.................................. 7.80 7.36 1.42 16.58 090 S
27884... ...... A Amputation follow-up surgery............................. 7.40 3.37 0.61 11.38 090 S
27886... ...... A Amputation follow-up surgery............................. 8.35 7.17 1.34 16.86 090 S
27888... ...... A Amputation of foot at ankle.............................. 8.70 9.49 1.65 19.84 090 S
27889... ...... A Amputation of foot at ankle.............................. 8.82 8.43 1.55 18.80 090 S
27892... ...... A Decompression of leg..................................... 6.03 3.39 0.64 10.06 090 S
27893... ...... A Decompression of leg..................................... 5.99 3.38 0.67 10.04 090 S
27894... ...... A Decompression of leg..................................... 7.64 4.05 0.77 12.46 090 S
27899... ...... C Leg/ankle surgery procedure.............................. 0.00 0.00 0.00 0.00 YYY S
28001... ...... A Drainage of bursa of foot................................ 2.68 0.52 0.05 3.25 010 S
28002... ...... A Treatment of foot infection.............................. 3.76 2.25 0.33 6.34 010 S
28003... ...... A Treatment of foot infection.............................. 7.49 3.50 0.59 11.58 090 S
28005... ...... A Treat foot bone lesion................................... 7.65 4.08 0.61 12.34 090 S
28008... ...... A Incision of foot fascia.................................. 4.19 2.68 0.29 7.16 090 S
28010... ...... A Incision of toe tendon................................... 2.97 3.62 0.33 6.92 090 S
28011... ...... A Incision of toe tendons.................................. 3.99 1.77 0.19 5.95 090 S
28020... ...... A Exploration of a foot joint.............................. 4.75 4.40 0.56 9.71 090 S
28022... ...... A Exploration of a foot joint.............................. 4.41 2.74 0.31 7.46 090 S
28024... ...... A Exploration of a toe joint............................... 4.12 2.39 0.24 6.75 090 S
28030... ...... A Removal of foot nerve.................................... 5.78 3.93 0.42 10.13 090 S
28035... ...... A Decompression of tibia nerve............................. 4.83 *6.18 0.90 11.91 090 S
28043... ...... A Excision of foot lesion.................................. 3.41 1.73 0.20 5.34 090 S
28045... ...... A Excision of foot lesion.................................. 4.46 3.99 0.46 8.91 090 S
28046... ...... A Resection of tumor, foot................................. 9.41 5.35 0.79 15.55 090 S
28050... ...... A Biopsy of foot joint lining.............................. 3.99 3.84 0.53 8.36 090 S
28052... ...... A Biopsy of foot joint lining.............................. 3.70 3.82 0.43 7.95 090 S
28054... ...... A Biopsy of toe joint lining............................... 3.21 2.24 0.28 5.73 090 S
28060... ...... A Partial removal foot fascia.............................. 5.05 4.22 0.53 9.80 090 S
28062... ...... A Removal of foot fascia................................... 6.23 7.06 0.86 14.15 090 S
28070... ...... A Removal of foot joint lining............................. 4.73 4.48 0.48 9.69 090 S
28072... ...... A Removal of foot joint lining............................. 4.32 3.21 0.42 7.95 090 S
28080... ...... A Removal of foot lesion................................... 3.18 *4.07 0.45 7.70 090 S
28086... ...... A Excise foot tendon sheath................................ 4.52 3.12 0.46 8.10 090 S
28088... ...... A Excise foot tendon sheath................................ 3.62 3.62 0.40 7.64 090 S
28090... ...... A Removal of foot lesion................................... 4.26 3.02 0.29 7.57 090 S
28092... ...... A Removal of toe lesions................................... 3.49 2.03 0.25 5.77 090 S
28100... ...... A Removal of ankle/heel lesion............................. 5.37 4.58 0.56 10.51 090 S
28102... ...... A Remove/graft foot lesion................................. 7.31 6.84 0.85 15.00 090 S
28103... ...... A Remove/graft foot lesion................................. 6.10 5.61 0.69 12.40 090 S
28104... ...... A Removal of foot lesion................................... 4.86 4.33 0.49 9.68 090 S
28106... ...... A Remove/graft foot lesion................................. 6.74 6.42 0.79 13.95 090 S
28107... ...... A Remove/graft foot lesion................................. 5.16 4.86 0.48 10.50 090 S
28108... ...... A Removal of toe lesions................................... 4.01 4.20 0.38 8.59 090 S
28110... ...... A Part removal of metatarsal............................... 3.82 3.48 0.39 7.69 090 S
28111... ...... A Part removal of metatarsal............................... 4.64 5.04 0.65 10.33 090 S
28112... ...... A Part removal of metatarsal............................... 4.23 3.96 0.45 8.64 090 S
28113... ...... A Part removal of metatarsal............................... 4.09 4.44 0.48 9.01 090 S
28114... ...... A Removal of metatarsal heads.............................. 7.16 *9.17 1.42 17.75 090 S
28116... ...... A Revision of foot......................................... 6.17 5.48 0.57 12.22 090 S
28118... ...... A Removal of heel bone..................................... 5.56 5.71 0.66 11.93 090 S
28119... ...... A Removal of heel spur..................................... 5.10 5.44 0.57 11.11 090 S
28120... ...... A Part removal of ankle/heel............................... 4.81 5.04 0.67 10.52 090 S
28122... ...... A Partial removal of foot bone............................. 6.62 4.48 0.54 11.64 090 S
28124... ...... A Partial removal of toe................................... 4.39 4.11 0.37 8.87 090 S
28126... ...... A Partial removal of toe................................... 3.39 3.98 0.36 7.73 090 S
28130... ...... A Removal of ankle bone.................................... 7.33 7.03 0.88 15.24 090 S
28140... ...... A Removal of metatarsal.................................... 6.45 4.93 0.62 12.00 090 S
28150... ...... A Removal of toe........................................... 3.83 3.29 0.38 7.50 090 S
28153... ...... A Partial removal of toe................................... 3.40 3.99 0.36 7.75 090 S
28160... ...... A Partial removal of toe................................... 3.59 4.12 0.38 8.09 090 S
28171... ...... A Extensive foot surgery................................... 8.98 7.99 0.88 17.85 090 S
28173... ...... A Extensive foot surgery................................... 8.18 5.74 0.74 14.66 090 S
28175... ...... A Extensive foot surgery................................... 5.59 5.38 0.58 11.55 090 S
28190... ...... A Removal of foot foreign body............................. 1.91 0.52 0.05 2.48 010 S
28192... ...... A Removal of foot foreign body............................. 4.49 1.95 0.24 6.68 090 S
28193... ...... A Removal of foot foreign body............................. 5.44 2.38 0.30 8.12 090 S
28200... ...... A Repair of foot tendon.................................... 4.45 5.06 0.50 10.01 090 S
28202... ...... A Repair/graft of foot tendon.............................. 6.38 5.82 0.77 12.97 090 S
28208... ...... A Repair of foot tendon.................................... 4.11 2.81 0.28 7.20 090 S
28210... ...... A Repair/graft of foot tendon.............................. 5.95 5.60 0.60 12.15 090 S
28220... ...... A Release of foot tendon................................... 4.27 3.87 0.43 8.57 090 S
28222... ...... A Release of foot tendons.................................. 5.36 6.40 0.63 12.39 090 S
28225... ...... A Release of foot tendon................................... 3.42 2.37 0.25 6.04 090 S
28226... ...... A Release of foot tendons.................................. 4.27 3.38 0.40 8.05 090 S
28230... ...... A Incision of foot tendon(s)............................... 4.00 2.43 0.22 6.65 090 S
28232... ...... A Incision of toe tendon................................... 3.26 1.60 0.15 5.01 090 S
28234... ...... A Incision of foot tendon.................................. 3.19 1.53 0.14 4.86 090 S
28236... ...... A Transfer of foot tendon.................................. 8.01 7.52 1.09 16.62 090 S
28238... ...... A Revision of foot tendon.................................. 7.27 7.23 0.85 15.35 090 S
28240... ...... A Release of big toe....................................... 4.12 2.13 0.23 6.48 090 S
28250... ...... A Revision of foot fascia.................................. 5.66 4.46 0.50 10.62 090 S
28260... ...... A Release of midfoot joint................................. 7.50 4.43 0.48 12.41 090 S
28261... ...... A Revision of foot tendon.................................. 8.92 5.91 0.58 15.41 090 S
28262... ...... A Revision of foot and ankle............................... 12.19 11.91 1.44 25.54 090 S
28264... ...... A Release of midfoot joint................................. 9.80 9.56 1.17 20.53 090 S
28270... ...... A Release of foot contracture.............................. 4.58 2.63 0.23 7.44 090 S
28272... ...... A Release of toe joint, each............................... 3.67 2.04 0.18 5.89 090 S
28280... ...... A Fusion of toes........................................... 4.93 2.22 0.30 7.45 090 S
28285... ...... A Repair of hammertoe...................................... 4.41 4.37 0.39 9.17 090 S
28286... ...... A Repair of hammertoe...................................... 4.41 3.58 0.38 8.37 090 S
28288... ...... A Partial removal of foot bone............................. 3.73 3.75 0.43 7.91 090 S
28290... ...... A Correction of bunion..................................... 5.37 5.36 0.63 11.36 090 S
28292... ...... A Correction of bunion..................................... 6.24 7.05 0.74 14.03 090 S
28293... ...... A Correction of bunion..................................... 8.25 9.55 0.98 18.78 090 S
28294... ...... A Correction of bunion..................................... 8.14 9.16 0.86 18.16 090 S
28296... ...... A Correction of bunion..................................... 8.69 8.81 0.98 18.48 090 S
28297... ...... A Correction of bunion..................................... 8.69 9.02 1.05 18.76 090 S
28298... ...... A Correction of bunion..................................... 7.52 8.89 0.79 17.20 090 S
28299... ...... A Correction of bunion..................................... 8.46 10.14 1.08 19.68 090 S
28300... ...... A Incision of heel bone.................................... 9.12 6.52 0.79 16.43 090 S
28302... ...... A Incision of ankle bone................................... 9.13 8.89 1.12 19.14 090 S
28304... ...... A Incision of midfoot bones................................ 8.67 6.44 0.70 15.81 090 S
28305... ...... A Incise/graft midfoot bones............................... 9.99 9.85 1.03 20.87 090 S
28306... ...... A Incision of metatarsal................................... 5.71 4.57 0.47 10.75 090 S
28307... ...... A Incision of metatarsal................................... 6.04 5.87 0.76 12.67 090 S
28308... ...... A Incision of metatarsal................................... 5.09 5.71 0.50 11.30 090 S
28309... ...... A Incision of metatarsals.................................. 8.83 6.87 1.00 16.70 090 S
28310... ...... A Revision of big toe...................................... 5.06 4.17 0.42 9.65 090 S
28312... ...... A Revision of toe.......................................... 4.29 4.56 0.45 9.30 090 S
28313... ...... A Repair deformity of toe.................................. 4.75 2.57 0.31 7.63 090 S
28315... ...... A Removal of sesamoid bone................................. 4.60 4.24 0.41 9.25 090 S
28320... ...... A Repair of foot bones..................................... 8.76 8.69 1.03 18.48 090 S
28322... ...... A Repair of metatarsals.................................... 8.03 4.67 0.52 13.22 090 S
28340... ...... A Resect enlarged toe tissue............................... 6.58 6.34 0.91 13.83 090 S
28341... ...... A Resect enlarged toe...................................... 7.86 7.66 0.96 16.48 090 S
28344... ...... A Repair extra toe(s)...................................... 3.89 3.70 0.60 8.19 090 S
28345... ...... A Repair webbed toe(s)..................................... 5.52 5.34 0.73 11.59 090 S
28360... ...... A Reconstruct cleft foot................................... 12.49 11.91 1.95 26.35 090 S
28400... ...... A Treatment of heel fracture............................... 2.01 *2.57 0.40 4.98 090 S
28405... ...... A Treatment of heel fracture............................... 4.28 3.90 0.58 8.76 090 S
28406... ...... A Treatment of heel fracture............................... 5.82 6.09 0.93 12.84 090 S
28415... ...... A Repair of heel fracture.................................. 13.28 9.02 1.39 23.69 090 S
28420... ...... A Repair/graft heel fracture............................... 15.80 10.89 1.63 28.32 090 S
28430... ...... A Treatment of ankle fracture.............................. 1.96 2.45 0.35 4.76 090 S
28435... ...... A Treatment of ankle fracture.............................. 3.25 3.36 0.50 7.11 090 S
28436... ...... A Treatment of ankle fracture.............................. 4.40 4.19 0.68 9.27 090 S
28445... ...... A Repair of ankle fracture................................. 8.78 8.80 1.40 18.98 090 S
28450... ...... A Treat midfoot fracture, each............................. 1.77 1.87 0.25 3.89 090 S
28455... ...... A Treat midfoot fracture, each............................. 2.94 2.54 0.34 5.82 090 S
28456... ...... A Repair midfoot fracture.................................. 2.39 2.27 0.38 5.04 090 S
28465... ...... A Repair midfoot fracture, each............................ 6.55 5.54 0.81 12.90 090 S
28470... ...... A Treat metatarsal fracture................................ 1.76 1.80 0.23 3.79 090 S
28475... ...... A Treat metatarsal fracture................................ 2.74 2.34 0.30 5.38 090 S
28476... ...... A Repair metatarsal fracture............................... 3.15 3.37 0.45 6.97 090 S
28485... ...... A Repair metatarsal fracture............................... 5.31 4.68 0.60 10.59 090 S
28490... ...... A Treat big toe fracture................................... 1.01 0.90 0.10 2.01 090 S
28495... ...... A Treat big toe fracture................................... 1.48 1.12 0.13 2.73 090 S
28496... ...... A Repair big toe fracture.................................. 2.18 2.07 0.31 4.56 090 S
28505... ...... A Repair big toe fracture.................................. 3.55 2.99 0.43 6.97 090 S
28510... ...... A Treatment of toe fracture................................ 1.01 0.89 0.09 1.99 090 S
28515... ...... A Treatment of toe fracture................................ 1.36 1.12 0.11 2.59 090 S
28525... ...... A Repair of toe fracture................................... 3.08 2.06 0.29 5.43 090 S
28530... ...... A Treat sesamoid bone fracture............................. 1.01 1.00 0.10 2.11 090 S
28531... ...... A Treat sesamoid bone fracture............................. 2.01 1.91 0.32 4.24 090 S
28540... ...... A Treat foot dislocation................................... 1.89 0.60 0.06 2.55 090 S
28545... ...... A Treat foot dislocation................................... 2.19 1.31 0.14 3.64 090 S
28546... ...... A Treat foot dislocation................................... 2.89 2.74 0.45 6.08 090 S
28555... ...... A Repair foot dislocation.................................. 5.84 5.58 0.73 12.15 090 S
28570... ...... A Treat foot dislocation................................... 1.56 1.59 0.17 3.32 090 S
28575... ...... A Treat foot dislocation................................... 2.91 2.77 0.42 6.10 090 S
28576... ...... A Treat foot dislocation................................... 3.75 2.77 0.42 6.94 090 S
28585... ...... A Repair foot dislocation.................................. 7.46 4.96 0.55 12.97 090 S
28600... ...... A Treat foot dislocation................................... 1.76 0.68 0.08 2.52 090 S
28605... ...... A Treat foot dislocation................................... 2.42 2.26 0.34 5.02 090 S
28606... ...... A Treat foot dislocation................................... 4.48 3.49 0.55 8.52 090 S
28615... ...... A Repair foot dislocation.................................. 5.12 4.96 0.78 10.86 090 S
28630... ...... A Treat toe dislocation.................................... 1.65 1.03 0.11 2.79 010 S
28635... ...... A Treat toe dislocation.................................... 1.86 1.45 0.18 3.49 010 S
28636... ...... A Treat toe dislocation.................................... 2.67 2.56 0.42 5.65 010 S
28645... ...... A Repair toe dislocation................................... 3.96 3.24 0.38 7.58 090 S
28660... ...... A Treat toe dislocation.................................... 1.18 0.63 0.06 1.87 010 S
28665... ...... A Treat toe dislocation.................................... 1.87 0.98 0.11 2.96 010 S
28666... ...... A Treat toe dislocation.................................... 2.56 2.44 0.40 5.40 010 S
28675... ...... A Repair of toe dislocation................................ 2.68 3.00 0.41 6.09 090 S
28705... ...... A Fusion of foot bones..................................... 14.23 15.11 2.35 31.69 090 S
28715... ...... A Fusion of foot bones..................................... 12.18 12.33 1.89 26.40 090 S
28725... ...... A Fusion of foot bones..................................... 10.86 9.44 1.44 21.74 090 S
28730... ...... A Fusion of foot bones..................................... 9.91 9.00 1.33 20.24 090 S
28735... ...... A Fusion of foot bones..................................... 10.07 9.76 1.37 21.20 090 S
28737... ...... A Revision of foot bones................................... 8.89 8.87 1.13 18.89 090 S
28740... ...... A Fusion of foot bones..................................... 6.20 5.14 0.72 12.06 090 S
28750... ...... A Fusion of big toe joint.................................. 4.77 5.32 0.82 10.91 090 S
28755... ...... A Fusion of big toe joint.................................. 4.48 3.69 0.45 8.62 090 S
28760... ...... A Fusion of big toe joint.................................. 5.47 5.40 0.65 11.52 090 S
28800... ...... A Amputation of midfoot.................................... 7.37 6.65 1.19 15.21 090 S
28805... ...... A Amputation thru metatarsal............................... 7.55 6.32 1.21 15.08 090 S
28810... ...... A Amputation toe & metatarsal.............................. 5.53 3.91 0.75 10.19 090 S
28820... ...... A Amputation of toe........................................ 3.56 2.58 0.46 6.60 090 S
28825... ...... A Partial amputation of toe................................ 3.13 2.40 0.41 5.94 090 S
28899... ...... C Foot/toes surgery procedure.............................. 0.00 0.00 0.00 0.00 YYY S
29000... ...... A Application of body cast................................. 2.25 1.85 0.21 4.31 000 S
29010... ...... A Application of body cast................................. 2.06 2.33 0.34 4.73 000 S
29015... ...... A Application of body cast................................. 2.41 2.33 0.33 5.07 000 S
29020... ...... A Application of body cast................................. 2.11 1.82 0.23 4.16 000 S
29025... ...... A Application of body cast................................. 2.40 0.75 0.14 3.29 000 S
29035... ...... A Application of body cast................................. 1.77 1.95 0.32 4.04 000 S
29040... ...... A Application of body cast................................. 2.22 2.02 0.30 4.54 000 S
29044... ...... A Application of body cast................................. 2.12 2.09 0.34 4.55 000 S
29046... ...... A Application of body cast................................. 2.41 2.23 0.36 5.00 000 S
29049... ...... A Application of shoulder cast............................. 0.89 0.42 0.06 1.37 000 S
29055... ...... A Application of shoulder cast............................. 1.78 1.20 0.17 3.15 000 S
29058... ...... A Application of shoulder cast............................. 1.31 0.65 0.09 2.05 000 S
29065... ...... A Application of long arm cast............................. 0.87 0.80 0.13 1.80 000 S
29075... ...... A Application of forearm cast.............................. 0.77 0.61 0.10 1.48 000 S
29085... ...... A Apply hand/wrist cast.................................... 0.87 0.50 0.08 1.45 000 S
29105... ...... A Apply long arm splint.................................... 0.87 0.50 0.08 1.45 000 S
29125... ...... A Apply forearm splint..................................... 0.59 0.37 0.05 1.01 000 S
29126... ...... A Apply forearm splint..................................... 0.77 0.40 0.06 1.23 000 S
29130... ...... A Application of finger splint............................. 0.50 0.17 0.02 0.69 000 S
29131... ...... A Application of finger splint............................. 0.55 0.39 0.06 1.00 000 S
29200... ...... A Strapping of chest....................................... 0.65 0.27 0.03 0.95 000 N
29220... ...... A Strapping of low back.................................... 0.64 0.38 0.05 1.07 000 S
29240... ...... A Strapping of shoulder.................................... 0.71 0.27 0.03 1.01 000 S
29260... ...... A Strapping of elbow or wrist.............................. 0.55 0.23 0.03 0.81 000 S
29280... ...... A Strapping of hand or finger.............................. 0.51 0.21 0.02 0.74 000 S
29305... ...... A Application of hip cast.................................. 2.03 1.88 0.31 4.22 000 S
29325... ...... A Application of hip casts................................. 2.32 1.94 0.28 4.54 000 S
29345... ...... A Application of long leg cast............................. 1.40 1.02 0.16 2.58 000 S
29355... ...... A Application of long leg cast............................. 1.53 1.10 0.17 2.80 000 S
29358... ...... A Apply long leg cast brace................................ 1.43 *1.84 0.33 3.60 000 S
29365... ...... A Application of long leg cast............................. 1.18 0.86 0.14 2.18 000 S
29405... ...... A Apply short leg cast..................................... 0.86 0.79 0.12 1.77 000 S
29425... ...... A Apply short leg cast..................................... 1.01 0.97 0.14 2.12 000 S
29435... ...... A Apply short leg cast..................................... 1.18 1.18 0.18 2.54 000 S
29440... ...... A Addition of walker to cast............................... 0.57 0.23 0.03 0.83 000 S
29445... ...... A Apply rigid leg cast..................................... 1.78 1.70 0.28 3.76 000 S
29450... ...... A Application of leg cast.................................. 1.02 0.39 0.04 1.45 000 S
29505... ...... A Application long leg splint.............................. 0.69 0.57 0.07 1.33 000 S
29515... ...... A Application lower leg splint............................. 0.73 0.47 0.06 1.26 000 S
29520... ...... A Strapping of hip......................................... 0.54 0.36 0.03 0.93 000 S
29530... ...... A Strapping of knee........................................ 0.57 0.35 0.05 0.97 000 S
29540... ...... A Strapping of ankle....................................... 0.51 0.30 0.03 0.84 000 S
29550... ...... A Strapping of toes........................................ 0.47 0.28 0.03 0.78 000 S
29580... ...... A Application of paste boot................................ 0.57 0.79 0.04 1.40 000 S
29590... ...... A Application of foot splint............................... 0.76 0.28 0.03 1.07 000 S
29700... ...... A Removal/revision of cast................................. 0.88 0.32 0.05 1.25 000 S
29705... ...... A Removal/revision of cast................................. 1.12 0.35 0.05 1.52 000 S
29710... ...... A Removal/revision of cast................................. 1.34 0.45 0.07 1.86 000 S
29715... ...... A Removal/revision of cast................................. 0.94 0.86 0.12 1.92 000 S
29720... ...... A Repair of body cast...................................... 0.68 0.23 0.04 0.95 000 S
29730... ...... A Windowing of cast........................................ 0.75 0.26 0.04 1.05 000 S
29740... ...... A Wedging of cast.......................................... 1.12 0.38 0.06 1.56 000 S
29750... ...... A Wedging of clubfoot cast................................. 1.26 0.50 0.07 1.83 000 S
29799... ...... C Casting/strapping procedure.............................. 0.00 0.00 0.00 0.00 YYY S
29800... ...... A Jaw arthroscopy/surgery.................................. 5.28 4.01 0.46 9.75 090 S
29804... ...... A Jaw arthroscopy/surgery.................................. 7.99 *11.75 1.46 21.20 090 S
29815... ...... A Shoulder arthroscopy..................................... 5.74 4.84 0.76 11.34 090 S
29819... ...... A Shoulder arthroscopy/surgery............................. 7.33 *9.38 1.73 18.44 090 S
29820... ...... A Shoulder arthroscopy/surgery............................. 6.81 *8.72 1.73 17.26 090 S
29821... ...... A Shoulder arthroscopy/surgery............................. 7.43 *10.36 2.13 19.92 090 S
29822... ...... A Shoulder arthroscopy/surgery............................. 7.14 *9.14 1.74 18.02 090 S
29823... ...... A Shoulder arthroscopy/surgery............................. 7.86 *11.10 2.32 21.28 090 S
29825... ...... A Shoulder arthroscopy/surgery............................. 7.33 *10.00 2.05 19.38 090 S
29826... ...... A Shoulder arthroscopy/surgery............................. 8.70 *11.44 2.31 22.45 090 S
29830... ...... A Elbow arthroscopy........................................ 5.63 5.32 0.83 11.78 090 S
29834... ...... A Elbow arthroscopy/surgery................................ 6.13 5.84 0.96 12.93 090 S
29835... ...... A Elbow arthroscopy/surgery................................ 6.33 6.03 0.99 13.35 090 S
29836... ...... A Elbow arthroscopy/surgery................................ 7.37 7.03 1.15 15.55 090 S
29837... ...... A Elbow arthroscopy/surgery................................ 6.72 6.40 1.06 14.18 090 S
29838... ...... A Elbow arthroscopy/surgery................................ 7.42 7.05 1.14 15.61 090 S
29840... ...... A Wrist arthroscopy........................................ 5.39 3.29 0.54 9.22 090 S
29843... ...... A Wrist arthroscopy/surgery................................ 5.86 5.60 0.91 12.37 090 S
29844... ...... A Wrist arthroscopy/surgery................................ 6.22 5.59 0.95 12.76 090 S
29845... ...... A Wrist arthroscopy/surgery................................ 7.34 7.00 1.15 15.49 090 S
29846... ...... A Wrist arthroscopy/surgery................................ 6.60 *9.44 2.20 18.24 090 S
29847... ...... A Wrist arthroscopy/surgery................................ 6.93 6.78 0.97 14.68 090 S
29848... ...... A Wrist arthroscopy/surgery................................ 4.04 3.85 0.62 8.51 090 S
29850... ...... A Knee arthroscopy/surgery................................. 7.96 *10.19 1.74 19.89 090 S
29851... ...... A Knee arthroscopy/surgery................................. 12.38 10.95 1.74 25.07 090 S
29855... ...... A Tibial arthroscopy/surgery............................... 9.48 11.69 1.88 23.05 090 S
29856... ...... A Tibial arthroscopy/surgery............................... 13.28 11.69 1.88 26.85 090 S
29870... ...... A Knee arthroscopy, diagnostic............................. 4.94 4.02 0.64 9.60 090 S
29871... ...... A Knee arthroscopy/drainage................................ 6.29 6.77 0.96 14.02 090 S
29874... ...... A Knee arthroscopy/surgery................................. 6.79 *8.69 1.52 17.00 090 S
29875... ...... A Knee arthroscopy/surgery................................. 6.16 *8.10 1.61 15.87 090 S
29876... ...... A Knee arthroscopy/surgery................................. 7.51 *9.78 1.95 19.24 090 S
29877... ...... A Knee arthroscopy/surgery................................. 7.05 *9.13 1.81 17.99 090 S
29879... ...... A Knee arthroscopy/surgery................................. 7.63 *10.55 2.19 20.37 090 S
29880... ...... A Knee arthroscopy/surgery................................. 8.09 *10.95 2.22 21.26 090 S
29881... ...... A Knee arthroscopy/surgery................................. 7.46 *9.54 1.82 18.82 090 S
29882... ...... A Knee arthroscopy/surgery................................. 8.24 *10.54 1.90 20.68 090 S
29883... ...... A Knee arthroscopy/surgery................................. 9.00 *13.07 2.80 24.87 090 S
29884... ...... A Knee arthroscopy/surgery................................. 6.92 *8.86 1.56 17.34 090 S
29885... ...... A Knee arthroscopy/surgery................................. 8.63 8.23 1.35 18.21 090 S
29886... ...... A Knee arthroscopy/surgery................................. 7.13 6.80 1.12 15.05 090 S
29887... ...... A Knee arthroscopy/surgery................................. 8.58 10.52 1.71 20.81 090 S
29888... ...... A Knee arthroscopy/surgery................................. 13.28 *17.00 3.18 33.46 090 S
29889... ...... A Knee arthroscopy/surgery................................. 10.76 10.26 1.68 22.70 090 S
29894... ...... A Ankle arthroscopy/surgery................................ 6.95 *8.90 1.47 17.32 090 S
29895... ...... A Ankle arthroscopy/surgery................................ 6.73 *8.60 1.51 16.84 090 S
29897... ...... A Ankle arthroscopy/surgery................................ 6.92 *8.90 1.77 17.59 090 S
29898... ...... A Ankle arthroscopy/surgery................................ 8.03 *10.28 1.91 20.22 090 S
29909... ...... C Arthroscopy of joint..................................... 0.00 0.00 0.00 0.00 YYY S
30000... ...... A Drainage of nose lesion.................................. 1.38 0.58 0.05 2.01 010 S
30020... ...... A Drainage of nose lesion.................................. 1.38 0.60 0.06 2.04 010 S
30100... ...... A Intranasal biopsy........................................ 0.94 0.69 0.08 1.71 000 S
30110... ...... A Removal of nose polyp(s)................................. 1.58 1.29 0.14 3.01 010 S
30115... ...... A Removal of nose polyp(s)................................. 4.25 2.81 0.30 7.36 090 S
30117... ...... A Removal of intranasal lesion............................. 3.06 2.84 0.31 6.21 090 S
30118... ...... A Removal of intranasal lesion............................. 9.23 8.01 0.92 18.16 090 S
30120... ...... A Revision of nose......................................... 5.14 *6.59 1.00 12.73 090 S
30124... ...... A Removal of nose lesion................................... 3.00 1.34 0.16 4.50 090 S
30125... ...... A Removal of nose lesion................................... 6.79 5.55 0.73 13.07 090 S
30130... ...... A Removal of turbinate bones............................... 3.17 1.67 0.17 5.01 090 S
30140... ...... A Removal of turbinate bones............................... 3.28 3.04 0.34 6.66 090 S
30150... ...... A Partial removal of nose.................................. 8.48 7.92 1.07 17.47 090 S
30160... ...... A Removal of nose.......................................... 8.92 *11.42 1.73 22.07 090 S
30200... ...... A Injection treatment of nose.............................. 0.78 0.37 0.04 1.19 000 S
30210... ...... A Nasal sinus therapy...................................... 1.03 0.26 0.03 1.32 010 S
30220... ...... A Insert nasal septal button............................... 1.49 1.51 0.16 3.16 010 S
30300... ...... A Remove nasal foreign body................................ 0.99 0.46 0.05 1.50 010 S
30310... ...... A Remove nasal foreign body................................ 1.91 1.62 0.18 3.71 010 S
30320... ...... A Remove nasal foreign body................................ 4.39 4.29 0.43 9.11 090 S
30400... ...... R Reconstruction of nose................................... 9.24 9.97 1.36 20.57 090 S
30410... ...... R Reconstruction of nose................................... 12.39 14.54 2.01 28.94 090 S
30420... ...... R Reconstruction of nose................................... 15.40 17.78 2.22 35.40 090 S
30430... ...... R Revision of nose......................................... 6.73 6.09 0.66 13.48 090 S
30435... ...... R Revision of nose......................................... 11.23 10.17 1.10 22.50 090 S
30450... ...... R Revision of nose......................................... 18.06 11.24 0.91 30.21 090 S
30460... ...... A Revision of nose......................................... 9.48 8.58 0.93 18.99 090 S
30462... ...... A Revision of nose......................................... 18.98 17.16 1.87 38.01 090 S
30520... ...... A Repair of nasal septum................................... 5.55 *7.13 0.96 13.64 090 S
30540... ...... A Repair nasal defect...................................... 7.46 6.63 0.70 14.79 090 S
30545... ...... A Repair nasal defect...................................... 10.89 10.83 0.93 22.65 090 S
30560... ...... A Release of nasal adhesions............................... 1.21 0.55 0.06 1.82 010 S
30580... ...... A Repair upper jaw fistula................................. 6.49 6.24 0.57 13.30 090 S
30600... ...... A Repair mouth/nose fistula................................ 5.87 3.77 0.36 10.00 090 S
30620... ...... A Intranasal reconstruction................................ 5.55 *7.61 1.10 14.26 090 S
30630... ...... A Repair nasal septum defect............................... 6.83 6.24 0.71 13.78 090 S
30801... ...... A Cauterization inner nose................................. 1.02 0.47 0.05 1.54 010 S
30802... ...... A Cauterization inner nose................................. 1.98 0.94 0.11 3.03 010 S
30901... ...... A Control of nosebleed..................................... 1.21 0.56 0.06 1.83 000 S
30903... ...... A Control of nosebleed..................................... 1.54 0.85 0.08 2.47 000 S
30905... ...... A Control of nosebleed..................................... 1.97 1.79 0.17 3.93 000 S
30906... ...... A Repeat control of nosebleed.............................. 2.45 1.08 0.11 3.64 000 S
30915... ...... A Ligation nasal sinus artery.............................. 6.72 4.95 0.52 12.19 090 S
30920... ...... A Ligation upper jaw artery................................ 7.46 *9.85 1.32 18.63 090 S
30930... ...... A Therapy fracture of nose................................. 1.21 0.71 0.08 2.00 010 S
30999... ...... C Nasal surgery procedure.................................. 0.00 0.00 0.00 0.00 YYY N
31000... ...... A Irrigation maxillary sinus............................... 1.10 0.43 0.05 1.58 010 S
31002... ...... A Irrigation sphenoid sinus................................ 1.86 0.46 0.05 2.37 010 S
31020... ...... A Exploration maxillary sinus.............................. 2.81 2.66 0.29 5.76 090 S
31030... ...... A Exploration maxillary sinus.............................. 5.60 *7.16 0.86 13.62 090 S
31032... ...... A Explore sinus,remove polyps.............................. 6.22 *7.96 0.99 15.17 090 S
31040... ...... A Exploration behind upper jaw............................. 8.83 7.98 0.86 17.67 090 S
31050... ...... A Exploration sphenoid sinus............................... 5.07 5.96 0.64 11.67 090 S
31051... ...... A Sphenoid sinus surgery................................... 6.85 8.12 0.85 15.82 090 S
31070... ...... A Exploration of frontal sinus............................. 4.04 4.69 0.50 9.23 090 S
31071... ...... D Exploration of frontal sinus............................. 0.00 0.00 0.00 0.00 090 S
31075... ...... A Exploration of frontal sinus............................. 8.57 10.51 1.10 20.18 090 S
31080... ...... A Removal of frontal sinus................................. 10.73 9.21 1.12 21.06 090 S
31081... ...... A Removal of frontal sinus................................. 11.93 10.32 1.30 23.55 090 S
31084... ...... A Removal of frontal sinus................................. 12.69 14.79 1.62 29.10 090 S
31085... ...... A Removal of frontal sinus................................. 13.38 15.65 1.76 30.79 090 S
31086... ...... A Removal of frontal sinus................................. 11.98 10.87 1.15 24.00 090 S
31087... ...... A Removal of frontal sinus................................. 12.14 10.39 1.33 23.86 090 S
31090... ...... A Exploration of sinuses................................... 8.65 *13.98 2.12 24.75 090 S
31200... ...... A Removal of ethmoid sinus................................. 4.68 4.62 0.48 9.78 090 S
31201... ...... A Removal of ethmoid sinus................................. 7.91 7.01 0.75 15.67 090 S
31205... ...... A Removal of ethmoid sinus................................. 9.65 8.03 0.81 18.49 090 S
31225... ...... A Removal of upper jaw..................................... 15.19 *19.44 2.37 37.00 090 S
31230... ...... A Removal of upper jaw..................................... 21.06 21.74 2.48 45.28 090 S
31231... ...... A Nasal endoscopy, dx...................................... 0.73 1.37 0.15 2.25 000 S
31233... ...... A Nasal/sinus endoscopy, dx................................ 1.56 *2.00 0.31 3.87 000 S
31235... ...... A Nasal/sinus endoscopy, dx................................ 2.74 0.96 0.10 3.80 000 S
31237... ...... A Nasal/sinus endoscopy, surg.............................. 1.88 *2.40 0.37 4.65 000 S
31238... ...... A Nasal/sinus endoscopy, surg.............................. 3.26 *4.17 0.45 7.88 000 S
31239... ...... A Nasal/sinus endoscopy, surg.............................. 8.50 *10.88 1.18 20.56 010 S
31240... ...... A Nasal/sinus endoscopy, surg.............................. 2.61 *3.34 0.37 6.32 000 S
31245... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31246... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31247... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31248... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31249... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31250... ...... D Nasal endoscopy, diagnostic.............................. 0.00 0.00 0.00 0.00 000 S
31251... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31252... ...... D Nasal endoscopy, polypectomy............................. 0.00 0.00 0.00 0.00 000 S
31254... ...... A Revision of ethmoid sinus................................ 4.65 *5.95 0.69 11.29 000 S
31255... ...... A Removal of ethmoid sinus................................. 6.96 *8.91 1.14 17.01 000 S
31256... ...... A Exploration maxillary sinus.............................. 3.29 3.77 0.41 7.47 000 S
31258... ...... D Nasal endoscopy, surgical................................ 0.00 0.00 0.00 0.00 000 S
31260... ...... D Endoscopy, maxillary sinus............................... 0.00 0.00 0.00 0.00 000 S
31261... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31262... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31263... ...... D Endoscopy, maxillary sinus............................... 0.00 0.00 0.00 0.00 000 S
31264... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31265... ...... D Endoscopy, maxillary sinus............................... 0.00 0.00 0.00 0.00 000 S
31266... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31267... ...... A Endoscopy, maxillary sinus............................... 5.46 5.23 0.81 11.50 000 S
31268... ...... D Endoscopy, maxillary sinus............................... 0.00 0.00 0.00 0.00 000 S
31269... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31270... ...... D Endoscopy, sphenoid sinus................................ 0.00 0.00 0.00 0.00 000 S
31271... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31275... ...... D Sphenoid endoscopy, surgical............................. 0.00 0.00 0.00 0.00 000 S
31276... ...... A Sinus surgical endoscopy................................. 7.42 6.72 0.73 14.87 000 S
31277... ...... D Sphenoid endoscopy, surgical............................. 0.00 0.00 0.00 0.00 000 S
31280... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31281... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31282... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31283... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31284... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31285... ...... D Endoscopy, combined sinuses.............................. 0.00 0.00 0.00 0.00 000 S
31286... ...... D Nasal/sinus endoscopy, surg.............................. 0.00 0.00 0.00 0.00 000 S
31287... ...... A Nasal/sinus endoscopy, surg.............................. 3.92 *5.01 0.65 9.58 000 S
31288... ...... A Nasal/sinus endoscopy, surg.............................. 4.58 *5.86 0.78 11.22 000 S
31290... ...... A Nasal/sinus endoscopy, surg.............................. 12.87 *16.47 1.80 31.14 010 S
31291... ...... A Nasal/sinus endoscopy, surg.............................. 13.52 *17.31 1.88 32.71 010 S
31292... ...... A Nasal/sinus endoscopy, surg.............................. 10.45 *13.38 1.45 25.28 010 S
31293... ...... A Nasal/sinus endoscopy, surg.............................. 11.43 *14.64 1.59 27.66 010 S
31294... ...... A Nasal/sinus endoscopy, surg.............................. 13.06 *16.72 1.83 31.61 010 S
31299... ...... C Sinus surgery procedure.................................. 0.00 0.00 0.00 0.00 YYY S
31300... ...... A Removal of larynx lesion................................. 13.28 11.58 1.28 26.14 090 S
31320... ...... A Diagnostic incision larynx............................... 4.54 3.87 0.48 8.89 090 S
31360... ...... A Removal of larynx........................................ 15.19 19.36 2.19 36.74 090 S
31365... ...... A Removal of larynx........................................ 21.83 27.14 3.10 52.07 090 S
31367... ...... A Partial removal of larynx................................ 18.98 17.22 1.88 38.08 090 S
31368... ...... A Partial removal of larynx................................ 23.72 26.76 3.06 53.54 090 S
31370... ...... A Partial removal of larynx................................ 18.50 17.18 1.88 37.56 090 S
31375... ...... A Partial removal of larynx................................ 18.50 14.84 1.56 34.90 090 S
31380... ...... A Partial removal of larynx................................ 18.50 17.27 1.88 37.65 090 S
31382... ...... A Partial removal of larynx................................ 18.50 16.06 1.78 36.34 090 S
31390... ...... A Removal of larynx & pharynx.............................. 21.15 *28.01 4.05 53.21 090 S
31395... ...... A Reconstruct larynx & pharynx............................. 26.19 *33.52 4.42 64.13 090 S
31400... ...... A Revision of larynx....................................... 9.06 7.81 0.91 17.78 090 S
31420... ...... A Removal of epiglottis.................................... 9.06 8.08 0.84 17.98 090 S
31500... ...... A Insert emergency airway.................................. 2.33 1.14 0.14 3.61 000 N
31502... ...... A Change of windpipe airway................................ 0.65 0.58 0.07 1.30 000 S
31505... ...... A Diagnostic laryngoscopy.................................. 0.61 0.43 0.05 1.09 000 S
31510... ...... A Laryngoscopy with biopsy................................. 1.92 0.55 0.07 2.54 000 S
31511... ...... A Remove foreign body, larynx.............................. 2.16 0.96 0.10 3.22 000 S
31512... ...... A Removal of larynx lesion................................. 2.07 1.79 0.20 4.06 000 S
31513... ...... A Injection into vocal cord................................ 2.10 *2.78 0.38 5.26 000 S
31515... ...... A Laryngoscopy for aspiration.............................. 1.80 1.13 0.14 3.07 000 S
31520... ...... A Diagnostic laryngoscopy.................................. 2.56 1.64 0.18 4.38 000 S
31525... ...... A Diagnostic laryngoscopy.................................. 2.63 2.20 0.23 5.06 000 S
31526... ...... A Diagnostic laryngoscopy.................................. 2.57 *3.29 0.38 6.24 000 S
31527... ...... A Laryngoscopy for treatment............................... 3.27 2.99 0.30 6.56 000 S
31528... ...... A Laryngoscopy and dilatation.............................. 2.37 2.66 0.30 5.33 000 S
31529... ...... A Laryngoscopy and dilatation.............................. 2.68 2.46 0.25 5.39 000 S
31530... ...... A Operative laryngoscopy................................... 3.39 3.63 0.39 7.41 000 S
31531... ...... A Operative laryngoscopy................................... 3.73 *4.78 0.60 9.11 000 S
31535... ...... A Operative laryngoscopy................................... 3.16 4.01 0.45 7.62 000 S
31536... ...... A Operative laryngoscopy................................... 3.17 *4.37 0.59 8.13 000 S
31540... ...... A Operative laryngoscopy................................... 4.13 *5.29 0.61 10.03 000 S
31541... ...... A Operative laryngoscopy................................... 3.56 *5.24 0.75 9.55 000 S
31560... ...... A Operative laryngoscopy................................... 5.46 4.99 0.51 10.96 000 S
31561... ...... A Operative laryngoscopy................................... 4.90 *7.48 1.08 13.46 000 S
31570... ...... A Laryngoscopy with injection.............................. 3.87 *4.95 0.60 9.42 000 S
31571... ...... A Laryngoscopy with injection.............................. 3.52 *4.96 0.69 9.17 000 S
31575... ...... A Diagnostic laryngoscopy.................................. 1.10 1.56 0.17 2.83 000 S
31576... ...... A Laryngoscopy with biopsy................................. 1.97 *2.52 0.33 4.82 000 S
31577... ...... A Remove foreign body, larynx.............................. 2.47 *3.16 0.37 6.00 000 S
31578... ...... A Removal of larynx lesion................................. 2.84 *3.73 0.48 7.05 000 S
31579... ...... A Diagnostic laryngoscopy.................................. 2.26 2.33 0.26 4.85 000 S
31580... ...... A Revision of larynx....................................... 11.01 *14.09 1.63 26.73 090 S
31582... ...... A Revision of larynx....................................... 19.73 17.87 1.94 39.54 090 S
31584... ...... A Repair of larynx fracture................................ 18.50 12.72 1.34 32.56 090 S
31585... ...... A Repair of larynx fracture................................ 4.40 3.77 0.40 8.57 090 S
31586... ...... A Repair of larynx fracture................................ 7.24 6.55 0.71 14.50 090 S
31587... ...... A Revision of larynx....................................... 7.98 7.21 0.79 15.98 090 S
31588... ...... A Revision of larynx....................................... 11.82 10.70 1.16 23.68 090 S
31590... ...... A Reinnervate larynx....................................... 6.36 5.76 0.62 12.74 090 S
31595... ...... A Larynx nerve surgery..................................... 7.58 6.84 0.74 15.16 090 S
31599... ...... C Larynx surgery procedure................................. 0.00 0.00 0.00 0.00 YYY S
31600... ...... A Incision of windpipe..................................... 3.62 4.04 0.65 8.31 000 S
31601... ...... A Incision of windpipe..................................... 4.45 5.03 0.66 10.14 000 S
31603... ...... A Incision of windpipe..................................... 4.15 4.23 0.66 9.04 000 S
31605... ...... A Incision of windpipe..................................... 3.58 4.19 0.50 8.27 000 S
31610... ...... A Incision of windpipe..................................... 7.87 6.67 0.92 15.46 090 S
31611... ...... A Surgery/speech prosthesis................................ 5.03 *7.23 1.04 13.30 090 S
31612... ...... A Puncture/clear windpipe.................................. 0.91 1.17 0.12 2.20 000 S
31613... ...... A Repair windpipe opening.................................. 4.24 2.21 0.28 6.73 090 S
31614... ...... A Repair windpipe opening.................................. 6.11 6.74 0.73 13.58 090 S
31615... ...... A Visualization of windpipe................................ 2.09 1.95 0.22 4.26 000 S
31622... ...... A Diagnostic bronchoscopy.................................. 2.80 3.57 0.34 6.71 000 N
31625... ...... A Bronchoscopy with biopsy................................. 3.37 3.83 0.35 7.55 000 N
31628... ...... A Bronchoscopy with biopsy................................. 3.81 *4.88 0.38 9.07 000 N
31629... ...... A Bronchoscopy with biopsy................................. 3.37 *4.31 0.34 8.02 000 N
31630... ...... A Bronchoscopy with repair................................. 3.82 3.72 0.50 8.04 000 S
31631... ...... A Bronchoscopy with dilation............................... 4.37 3.94 0.48 8.79 000 N
31635... ...... A Remove foreign body, airway.............................. 3.68 4.53 0.53 8.74 000 S
31640... ...... A Bronchoscopy & remove lesion............................. 4.94 5.02 0.67 10.63 000 S
31641... ...... A Bronchoscopy, treat blockage............................. 5.03 *6.49 0.85 12.37 000 N
31645... ...... A Bronchoscopy, clear airways.............................. 3.16 3.62 0.30 7.08 000 N
31646... ...... A Bronchoscopy, reclear airways............................ 2.72 3.06 0.27 6.05 000 N
31656... ...... A Bronchoscopy, inject for x-ray........................... 2.17 *2.77 0.31 5.25 000 N
31659... ...... D Bronchoscopic procedures................................. 0.00 0.00 0.00 0.00 000 N
31700... ...... A Insertion of airway catheter............................. 1.34 1.38 0.17 2.89 000 N
31708... ...... A Instill airway contrast dye.............................. 1.41 0.77 0.09 2.27 000 N
31710... ...... A Insertion of airway catheter............................. 1.30 0.90 0.12 2.32 000 N
31715... ...... A Injection for bronchus x-ray............................. 1.11 0.48 0.04 1.63 000 N
31717... ...... A Bronchial brush biopsy................................... 2.12 0.73 0.06 2.91 000 N
31720... ...... A Clearance of airways..................................... 1.06 0.74 0.09 1.89 000 N
31725... ...... A Clearance of airways..................................... 1.96 1.41 0.15 3.52 000 N
31730... ...... A Intro windpipe wire/tube................................. 2.85 2.47 0.23 5.55 000 N
31750... ...... A Repair of windpipe....................................... 9.05 8.88 1.09 19.02 090 S
31755... ...... A Repair of windpipe....................................... 14.69 13.30 1.44 29.43 090 S
31760... ...... A Repair of windpipe....................................... 20.89 10.92 2.55 34.36 090 S
31766... ...... A Reconstruction of windpipe............................... 28.82 18.40 1.12 48.34 090 S
31770... ...... A Repair/graft of bronchus................................. 21.15 15.07 2.08 38.30 090 S
31775... ...... A Reconstruct bronchus..................................... 22.15 16.37 1.92 40.44 090 S
31780... ...... A Reconstruct windpipe..................................... 16.14 17.33 2.08 35.55 090 S
31781... ...... A Reconstruct windpipe..................................... 22.22 16.86 1.96 41.04 090 S
31785... ...... A Remove windpipe lesion................................... 16.14 8.92 1.17 26.23 090 S
31786... ...... A Remove windpipe lesion................................... 22.54 13.30 2.24 38.08 090 S
31800... ...... A Repair of windpipe injury................................ 6.77 4.90 0.76 12.43 090 S
31805... ...... A Repair of windpipe injury................................ 12.59 9.82 1.41 23.82 090 S
31820... ...... A Closure of windpipe lesion............................... 4.10 3.58 0.46 8.14 090 S
31825... ...... A Repair of windpipe defect................................ 6.31 5.00 0.58 11.89 090 S
31830... ...... A Revise windpipe scar..................................... 4.26 3.66 0.42 8.34 090 S
31899... ...... C Airways surgical procedure............................... 0.00 0.00 0.00 0.00 YYY S
32000... ...... A Drainage of chest........................................ 1.54 0.90 0.08 2.52 000 N
32002... ...... A Treatment of collapsed lung.............................. 2.19 1.34 0.22 3.75 000 N
32005... ...... A Treat lung lining chemically............................. 2.19 1.09 0.15 3.43 000 S
32020... ...... A Insertion of chest tube.................................. 3.98 2.63 0.43 7.04 000 S
32035... ...... A Exploration of chest..................................... 6.55 6.76 1.25 14.56 090 S
32036... ...... A Exploration of chest..................................... 7.56 7.13 1.32 16.01 090 S
32095... ...... A Biopsy through chest wall................................ 7.13 8.25 1.45 16.83 090 S
32100... ...... A Exploration/biopsy of chest.............................. 10.07 11.24 2.10 23.41 090 S
32110... ...... A Explore/repair chest..................................... 11.76 11.51 2.01 25.28 090 S
32120... ...... A Re-exploration of chest.................................. 9.62 9.45 1.72 20.79 090 S
32124... ...... A Explore chest, free adhesions............................ 10.93 10.94 2.21 24.08 090 S
32140... ...... A Removal of lung lesion(s)................................ 12.14 12.37 2.42 26.93 090 S
32141... ...... A Remove/treat lung lesions................................ 12.14 13.42 2.53 28.09 090 S
32150... ...... A Removal of lung lesion(s)................................ 12.42 10.34 2.01 24.77 090 S
32151... ...... A Remove lung foreign body................................. 12.42 9.15 1.37 22.94 090 S
32160... ...... A Open chest heart massage................................. 7.13 *9.13 1.52 17.78 090 S
32200... ...... A Drainage of lung lesion.................................. 13.10 6.89 0.93 20.92 090 S
32215... ...... A Treat chest lining....................................... 10.07 7.62 1.28 18.97 090 S
32220... ...... A Release of lung.......................................... 17.62 15.81 3.01 36.44 090 S
32225... ...... A Partial release of lung.................................. 12.10 11.84 2.28 26.22 090 S
32310... ...... A Removal of chest lining.................................. 12.05 11.64 2.10 25.79 090 S
32315... ...... D Partial removal chest lining............................. 0.00 0.00 0.00 0.00 090 S
32320... ...... A Free/remove chest lining................................. 19.15 18.10 3.40 40.65 090 S
32400... ...... A Needle biopsy chest lining............................... 1.76 1.48 0.12 3.36 000 N
32402... ...... A Open biopsy chest lining................................. 6.55 7.58 1.34 15.47 090 S
32405... ...... A Biopsy, lung or mediastinum.............................. 1.93 2.12 0.18 4.23 000 N
32420... ...... A Puncture/clear lung...................................... 2.18 1.50 0.13 3.81 000 N
32440... ...... A Removal of lung.......................................... 19.15 18.56 3.55 41.26 090 S
32442... ...... A Sleeve pneumonectomy..................................... 24.68 17.94 3.50 46.12 090 S
32445... ...... A Removal of lung.......................................... 23.37 20.46 3.88 47.71 090 S
32480... ...... A Partial removal of lung.................................. 16.84 17.15 3.23 37.22 090 S
32482... ...... A Bilobectomy.............................................. 18.54 17.15 3.23 38.92 090 S
32484... ...... A Segmentectomy............................................ 19.52 17.15 3.23 39.90 090 S
32485... ...... A Partial removal of lung.................................. 21.53 21.46 3.93 46.92 090 S
32486... ...... A Sleeve lobectomy......................................... 22.75 16.54 3.23 42.52 090 S
32488... ...... A Completion pneumonectomy................................. 24.41 17.74 3.46 45.61 090 S
32500... ...... A Partial removal of lung.................................. 13.10 13.47 2.56 29.13 090 S
32520... ...... A Remove lung & revise chest............................... 19.42 20.67 3.93 44.02 090 S
32522... ...... A Remove lung & revise chest............................... 21.94 21.90 4.19 48.03 090 S
32525... ...... A Remove lung & revise chest............................... 24.33 23.50 4.61 52.44 090 S
32540... ...... A Removal of lung lesion................................... 13.31 11.67 2.05 27.03 090 S
32601... ...... A Thoracoscopy, diagnostic................................. 5.46 3.47 0.57 9.50 000 S
32602... ...... A Thoracoscopy, diagnostic................................. 5.96 3.87 0.64 10.47 000 S
32603... ...... A Thoracoscopy, diagnostic................................. 7.81 3.47 0.57 11.85 000 S
32604... ...... A Thoracoscopy, diagnostic................................. 8.78 3.87 0.64 13.29 000 S
32605... ...... A Thoracoscopy, diagnostic................................. 6.93 3.47 0.57 10.97 000 S
32606... ...... A Thoracoscopy, diagnostic................................. 8.40 3.87 0.64 12.91 000 S
32650... ...... A Thoracoscopy, surgical................................... 10.07 7.62 1.28 18.97 090 S
32651... ...... A Thoracoscopy, surgical................................... 12.10 11.84 2.28 26.22 090 S
32652... ...... A Thoracoscopy, surgical................................... 17.62 15.81 3.01 36.44 090 S
32653... ...... A Thoracoscopy, surgical................................... 12.42 10.34 2.01 24.77 090 S
32654... ...... A Thoracoscopy, surgical................................... 11.76 11.51 2.01 25.28 090 S
32655... ...... A Thoracoscopy, surgical................................... 12.42 13.42 2.53 28.37 090 S
32656... ...... A Thoracoscopy, surgical................................... 12.10 13.36 2.36 27.82 090 S
32657... ...... A Thoracoscopy, surgical................................... 13.10 13.47 2.56 29.13 090 S
32658... ...... A Thoracoscopy, surgical................................... 11.08 13.26 2.52 26.86 090 S
32659... ...... A Thoracoscopy, surgical................................... 10.91 *13.96 2.61 27.48 090 S
32660... ...... A Thoracoscopy, surgical................................... 16.62 19.93 3.56 40.11 090 S
32661... ...... A Thoracoscopy, surgical................................... 12.70 9.25 1.47 23.42 090 S
32662... ...... A Thoracoscopy, surgical................................... 15.76 14.55 2.74 33.05 090 S
32663... ...... A Thoracoscopy, surgical................................... 17.43 17.15 3.23 37.81 090 S
32664... ...... A Thoracoscopy, surgical................................... 13.65 10.55 2.04 26.24 090 S
32665... ...... A Thoracoscopy, surgical................................... 14.73 14.33 2.64 31.70 090 S
32800... ...... A Repair lung hernia....................................... 12.10 8.28 1.58 21.96 090 S
32810... ...... A Close chest after drainage............................... 11.59 6.50 1.19 19.28 090 S
32815... ...... A Close bronchial fistula.................................. 21.36 15.22 2.62 39.20 090 S
32820... ...... A Reconstruct injured chest................................ 19.78 19.01 3.24 42.03 090 S
32850... ...... X Donor pneumonectomy...................................... 0.00 0.00 0.00 0.00 XXX 0
32851... ...... A Lung transplant, single.................................. 35.14 25.55 4.99 65.68 090 S
32852... ...... A Lung transplant w/bypass................................. 38.11 27.71 5.41 71.23 090 S
32853... ...... A Lung transplant, double.................................. 43.93 31.94 6.24 82.11 090 S
32854... ...... A Lung transplant w/bypass................................. 46.90 34.10 6.67 87.67 090 S
32900... ...... A Removal of rib(s)........................................ 18.14 8.47 1.63 28.24 090 S
32905... ...... A Revise & repair chest wall............................... 19.15 12.74 2.60 34.49 090 S
32906... ...... A Revise & repair chest wall............................... 25.17 15.42 2.92 43.51 090 S
32940... ...... A Revision of lung......................................... 18.14 11.37 1.75 31.26 090 S
32960... ...... A Therapeutic pneumothorax................................. 1.84 0.93 0.13 2.90 000 N
32999... ...... C Chest surgery procedure.................................. 0.00 0.00 0.00 0.00 YYY S
33010... ...... A Drainage of heart sac.................................... 2.24 1.54 0.14 3.92 000 N
33011... ...... A Repeat drainage of heart sac............................. 2.24 1.11 0.12 3.47 000 N
33015... ...... A Incision of heart sac.................................... 5.64 4.26 0.62 10.52 090 S
33020... ...... A Incision of heart sac.................................... 11.08 13.26 2.52 26.86 090 S
33025... ...... A Incision of heart sac.................................... 10.91 *13.96 2.61 27.48 090 S
33030... ...... A Partial removal of heart sac............................. 16.62 21.02 3.92 41.56 090 S
33031... ...... A Partial removal of heart sac............................. 19.64 13.25 2.50 35.39 090 S
33050... ...... A Removal of heart sac lesion.............................. 12.70 9.25 1.47 23.42 090 S
33100... ...... D Removal of heart sac..................................... 0.00 0.00 0.00 0.00 090 S
33120... ...... A Removal of heart lesion.................................. 22.57 *28.89 5.17 56.63 090 S
33130... ...... A Removal of heart lesion.................................. 19.53 13.50 2.22 35.25 090 S
33200... ...... A Insertion of heart pacemaker............................. 11.08 12.27 1.90 25.25 090 S
33201... ...... A Insertion of heart pacemaker............................. 8.93 11.19 1.67 21.79 090 S
33206... ...... A Insertion of heart pacemaker............................. 6.04 *7.73 1.34 15.11 090 S
33207... ...... A Insertion of heart pacemaker............................. 7.28 9.01 1.33 17.62 090 S
33208... ...... A Insertion of heart pacemaker............................. 7.28 *9.50 1.54 18.32 090 N
33210... ...... A Insertion of heart electrode............................. 3.30 3.30 0.27 6.87 000 N
33211... ...... A Insertion of heart electrode............................. 3.40 3.30 0.27 6.97 000 N
33212... ...... A Insertion of pulse generator............................. 5.21 5.38 0.88 11.47 090 S
33213... ...... A Insertion of pulse generator............................. 6.15 5.38 0.88 12.41 090 N
33214... ...... A Upgrade of pacemaker system.............................. 7.43 5.40 1.06 13.89 090 N
33216... ...... A Revision implanted electrode............................. 5.07 5.02 0.55 10.64 090 N
33217... ...... A Insert/revise electrode.................................. 5.43 5.02 0.55 11.00 090 N
33218... ...... A Repair pacemaker electrodes.............................. 5.02 4.59 0.62 10.23 090 S
33220... ...... A Repair pacemaker electrode............................... 5.10 4.59 0.62 10.31 090 N
33222... ...... A Pacemaker aicd pocket.................................... 4.59 5.70 1.01 11.30 090 S
33223... ...... A Pacemaker aicd pocket.................................... 6.14 5.70 1.01 12.85 090 S
33233... ...... A Removal of pacemaker system.............................. 2.97 2.64 0.05 5.66 090 N
33234... ...... A Removal of pacemaker system.............................. 8.69 4.74 0.38 13.81 090 S
33235... ...... A Removal pacemaker electrode.............................. 9.93 5.21 0.55 15.69 090 N
33236... ...... A Remove electrode/thoracotomy............................. 11.71 3.98 0.62 16.31 090 S
33237... ...... A Remove electrode/thoracotomy............................. 12.69 9.60 1.13 23.42 090 S
33238... ...... A Remove electrode/thoracotomy............................. 14.15 10.29 2.01 26.45 090 S
33240... ...... A Insert/replace pulse gener............................... 7.20 5.38 0.88 13.46 090 S
33241... ...... A Remove pulse generator only.............................. 2.97 2.16 0.43 5.56 090 S
33242... ...... A Repair pulse generator/leads............................. 5.85 *7.50 1.54 14.89 090 S
33243... ...... A Remove generator/thoracotomy............................. 21.47 9.02 1.54 32.03 090 S
33244... ...... A Remove generator......................................... 8.34 9.02 1.54 18.90 090 S
33245... ...... A Implant heart defibrillator.............................. 12.57 *16.09 2.36 31.02 090 S
33246... ...... A Implant heart defibrillator.............................. 19.28 20.79 3.19 43.26 090 S
33247... ...... A Insert/replace leads..................................... 9.36 *13.24 2.36 25.06 090 N
33249... ...... A Insert/replace leads/gener............................... 12.83 *16.81 3.19 32.83 090 S
33250... ...... A Ablate heart dysrhythm focus............................. 19.54 11.56 0.86 31.96 090 S
33251... ...... A Ablate heart dysrhythm focus............................. 22.57 16.41 3.21 42.19 090 S
33260... ...... A Ablate heart dysrhythm focus............................. 16.19 11.77 2.29 30.25 090 S
33261... ...... A Ablate heart dysrhythm focus............................. 22.57 13.96 2.73 39.26 090 S
33300... ...... A Repair of heart wound.................................... 16.19 14.36 2.60 33.15 090 S
33305... ...... A Repair of heart wound.................................... 19.22 17.40 3.07 39.69 090 S
33310... ...... A Exploratory heart surgery................................ 17.12 11.28 1.93 30.33 090 S
33315... ...... A Exploratory heart surgery................................ 20.15 14.48 2.57 37.20 090 S
33320... ...... A Repair major blood vessel(s)............................. 15.39 14.14 2.51 32.04 090 S
33321... ...... A Repair major vessel...................................... 18.74 21.75 3.61 44.10 090 S
33322... ...... A Repair major blood vessel(s)............................. 18.40 21.75 3.61 43.76 090 S
33330... ...... A Insert major vessel graft................................ 19.15 12.67 1.93 33.75 090 S
33332... ...... A Insert major vessel graft................................ 22.50 15.07 2.39 39.96 090 S
33335... ...... A Insert major vessel graft................................ 27.66 15.07 2.39 45.12 090 S
33350... ...... C Repair major blood vessel(s)............................. 0.00 0.00 0.00 0.00 090 S
33400... ...... A Repair of aortic valve................................... 23.16 26.21 2.83 52.20 090 S
33401... ...... A Valvuloplasty, open...................................... 22.45 26.21 2.83 51.49 090 S
33403... ...... A Valvuloplasty, w/cp bypass............................... 23.43 26.21 2.83 52.47 090 S
33404... ...... A Prepare heart-aorta conduit.............................. 26.62 31.25 5.59 63.46 090 S
33405... ...... A Replacement of aortic valve.............................. 28.47 30.48 5.33 64.28 090 S
33406... ...... A Replacement, aortic valve................................ 31.23 38.65 7.45 77.33 090 S
33411... ...... A Replacement of aortic valve.............................. 30.37 38.65 7.45 76.47 090 S
33412... ...... A Replacement of aortic valve.............................. 32.26 38.65 7.45 78.36 090 S
33413... ...... A Replacement, aortic valve................................ 34.17 41.09 7.23 82.49 090 S
33414... ...... A Repair, aortic valve..................................... 29.28 38.65 7.45 75.38 090 S
33415... ...... A Revision, subvalvular tissue............................. 25.02 30.48 5.33 60.83 090 S
33416... ...... A Revise ventricle muscle.................................. 28.20 28.14 4.99 61.33 090 S
33417... ...... A Repair of aortic valve................................... 27.34 34.71 6.18 68.23 090 S
33420... ...... A Revision of mitral valve................................. 20.69 19.82 2.45 42.96 090 S
33422... ...... A Revision of mitral valve................................. 23.72 *30.35 6.45 60.52 090 S
33425... ...... A Repair of mitral valve................................... 25.57 31.27 5.42 62.26 090 S
33426... ...... A Repair of mitral valve................................... 26.07 31.96 5.80 63.83 090 S
33427... ...... A Repair of mitral valve................................... 32.07 34.71 6.30 73.08 090 S
33430... ...... A Replacement of mitral valve.............................. 29.42 34.85 6.11 70.38 090 S
33460... ...... A Revision of tricuspid valve.............................. 21.60 26.07 4.73 52.40 090 S
33463... ...... A Valvuloplasty, tricuspid................................. 24.16 32.67 5.95 62.78 090 S
33464... ...... A Valvuloplasty, tricuspid................................. 25.87 32.67 5.95 64.49 090 S
33465... ...... A Replace tricuspid valve.................................. 26.57 32.67 5.95 65.19 090 S
33468... ...... A Revision of tricuspid valve.............................. 28.20 34.71 6.30 69.21 090 S
33470... ...... A Revision of pulmonary valve.............................. 19.52 19.82 2.45 41.79 090 S
33471... ...... A Valvotomy, pulmonary valve............................... 21.13 26.21 2.83 50.17 090 S
33472... ...... A Revision of pulmonary valve.............................. 20.91 *30.64 2.83 54.38 090 S
33474... ...... A Revision of pulmonary valve.............................. 20.91 *30.64 2.83 54.38 090 S
33475... ...... A Replacement, pulmonary valve............................. 27.34 34.85 6.11 68.30 090 S
33476... ...... A Revision of heart chamber................................ 24.41 28.14 4.99 57.54 090 S
33478... ...... A Revision of heart chamber................................ 25.38 31.27 5.42 62.07 090 S
33500... ...... A Repair heart vessel fistula.............................. 23.91 29.55 5.20 58.66 090 S
33501... ...... A Repair heart vessel fistula.............................. 16.14 14.14 2.51 32.79 090 S
33502... ...... A Coronary artery correction............................... 19.80 14.14 2.51 36.45 090 S
33503... ...... A Coronary artery graft.................................... 20.15 29.55 5.20 54.90 090 S
33504... ...... A Coronary artery graft.................................... 23.16 29.55 5.20 57.91 090 S
33505... ...... A Repair artery w/tunnel................................... 25.38 34.24 6.03 65.65 090 S
33506... ...... A Repair artery, translocation............................. 25.38 34.24 6.03 65.65 090 S
33510... ...... A CABG, vein, single....................................... 23.29 29.55 5.20 58.04 090 S
33511... ...... A CABG, vein, two.......................................... 25.57 32.44 5.71 63.72 090 S
33512... ...... A CABG, vein, three........................................ 27.84 35.33 6.22 69.39 090 S
33513... ...... A CABG, vein, four......................................... 30.12 38.21 6.73 75.06 090 S
33514... ...... A CABG, vein, five......................................... 32.39 41.09 7.23 80.71 090 S
33516... ...... A CABG, vein, six.................................. 34.66 43.97 7.74 86.37 090 S
33517... ...... A CABG, artery-vein, single................................ 2.27 2.89 0.50 5.66 090 S
33518... ...... A CABG, artery-vein, two................................... 4.55 5.77 1.02 11.34 090 S
33519... ...... A CABG, artery-vein, three................................. 6.82 8.65 1.52 16.99 090 S
33521... ...... A CABG, artery-vein, four.................................. 9.10 11.54 2.03 22.67 090 S
33522... ...... A CABG, artery-vein, five.................................. 11.37 14.43 2.54 28.34 090 S
33523... ...... A CABG, artery-vein, six........................... 13.65 17.32 3.05 34.02 090 S
33530... ...... A Coronary artery, bypass/reop............................. 5.86 *8.87 2.18 16.91 ZZZ S
33533... ...... A CABG, arterial, single................................... 24.00 30.45 5.36 59.81 090 S
33534... ...... A CABG, arterial, two...................................... 26.99 34.24 6.03 67.26 090 S
33535... ...... A CABG, arterial, three.................................... 29.98 38.03 6.70 74.71 090 S
33536... ...... A CABG, arterial, four............................. 32.96 41.82 7.37 82.15 090 S
33542... ...... A Removal of heart lesion.................................. 26.57 30.73 5.53 62.83 090 S
33545... ...... A Repair of heart damage................................... 33.96 34.92 6.28 75.16 090 S
33570... ...... D Revise coronary circulation.............................. 0.00 0.00 0.00 0.00 090 S
33572... ...... A Open coronary endarterectomy............................. 4.45 3.23 0.63 8.31 ZZZ S
33575... ...... D Revise coronary circulation.............................. 0.00 0.00 0.00 0.00 090 S
33600... ...... A Closure of valve......................................... 28.31 34.85 6.11 69.27 090 S
33602... ...... A Closure of valve......................................... 27.34 30.48 5.33 63.15 090 S
33606... ...... A Anastomosis/artery-aorta................................. 29.28 38.65 7.45 75.38 090 S
33608... ...... A Repair anomaly w/conduit................................. 30.02 38.65 7.45 76.12 090 S
33610... ...... A Repair by enlargement.................................... 29.28 38.65 7.45 75.38 090 S
33611... ...... A Repair double ventricle.................................. 31.23 38.65 7.45 77.33 090 S
33612... ...... A Repair double ventricle.................................. 32.06 38.65 7.45 78.16 090 S
33615... ...... A Repair (simple fontan)................................... 30.50 38.65 7.45 76.60 090 S
33617... ...... A Repair by modified fontan................................ 32.21 38.65 7.45 78.31 090 S
33619... ...... A Repair single ventricle.................................. 35.39 44.30 8.04 87.73 090 S
33641... ...... A Repair heart septum defect............................... 19.93 *25.51 4.87 50.31 090 S
33645... ...... A Revision of heart veins.................................. 22.78 27.61 4.87 55.26 090 S
33647... ...... A Repair heart septum defects.............................. 27.44 34.92 6.28 68.64 090 S
33660... ...... A Repair of heart defects.................................. 24.41 31.27 5.42 61.10 090 S
33665... ...... A Repair of heart defects.................................. 27.34 31.27 5.42 64.03 090 S
33670... ...... A Repair of heart chambers................................. 31.23 38.65 7.45 77.33 090 S
33681... ...... A Repair heart septum defect............................... 26.36 34.92 6.28 67.56 090 S
33684... ...... A Repair heart septum defect............................... 28.31 34.92 6.28 69.51 090 S
33688... ...... A Repair heart septum defect............................... 29.28 34.92 6.28 70.48 090 S
33690... ...... A Reinforce pulmonary artery............................... 18.31 22.10 4.29 44.70 090 S
33692... ...... A Repair of heart defects.................................. 29.28 38.65 7.45 75.38 090 S
33694... ...... A Repair of heart defects.................................. 30.26 38.65 7.45 76.36 090 S
33696... ...... A Repair of heart defects.................................. 30.12 38.65 7.45 76.22 090 S
33697... ...... A Repair of heart defects.................................. 32.21 38.65 7.45 78.31 090 S
33698... ...... A Repair of heart defects.................................. 33.19 38.65 7.45 79.29 090 S
33702... ...... A Repair of heart defects.................................. 25.38 30.48 5.33 61.19 090 S
33710... ...... A Repair of heart defects.................................. 28.35 34.92 6.28 69.55 090 S
33720... ...... A Repair of heart defect................................... 25.38 30.48 5.33 61.19 090 S
33722... ...... A Repair of heart defect................................... 27.34 30.48 5.33 63.15 090 S
33730... ...... A Repair heart-vein defect(s).............................. 29.89 38.65 7.45 75.99 090 S
33732... ...... A Repair heart-vein defect................................. 27.09 31.27 5.42 63.78 090 S
33735... ...... A Revision of heart chamber................................ 19.97 25.69 4.87 50.53 090 S
33736... ...... A Revision of heart chamber................................ 22.45 25.69 4.87 53.01 090 S
33737... ...... A Revision of heart chamber................................ 20.50 25.69 4.87 51.06 090 S
33750... ...... A Major vessel shunt....................................... 20.15 22.10 4.29 46.54 090 S
33755... ...... A Major vessel shunt....................................... 20.50 22.10 4.29 46.89 090 S
33762... ...... A Major vessel shunt....................................... 20.50 22.10 4.29 46.89 090 S
33764... ...... A Major vessel shunt & graft............................... 20.50 22.10 4.29 46.89 090 S
33766... ...... A Major vessel shunt....................................... 21.47 22.10 4.29 47.86 090 S
33767... ...... A Atrial septectomy/septostomy............................. 23.43 25.69 4.87 53.99 090 S
33770... ...... A Repair great vessels defect.............................. 31.96 38.65 7.45 78.06 090 S
33771... ...... A Repair great vessels defect.............................. 33.19 38.65 7.45 79.29 090 S
33774... ...... A Repair great vessels defect.............................. 29.28 31.27 5.42 65.97 090 S
33775... ...... A Repair great vessels defect.............................. 30.50 31.27 5.42 67.19 090 S
33776... ...... A Repair great vessels defect.............................. 32.21 34.92 6.28 73.41 090 S
33777... ...... A Repair great vessels defect.............................. 31.73 31.27 5.42 68.42 090 S
33778... ...... A Repair great vessels defect.............................. 34.17 41.82 7.37 83.36 090 S
33779... ...... A Repair great vessels defect.............................. 34.41 41.82 7.37 83.60 090 S
33780... ...... A Repair great vessels defect.............................. 35.14 41.82 7.37 84.33 090 S
33781... ...... A Repair great vessels defect.............................. 34.65 41.82 7.37 83.84 090 S
33786... ...... A Repair arterial trunk.................................... 33.19 38.65 7.45 79.29 090 S
33788... ...... A Revision of pulmonary artery............................. 25.38 29.55 5.20 60.13 090 S
33800... ...... A Aortic suspension........................................ 15.18 14.14 2.51 31.83 090 S
33802... ...... A Repair vessel defect..................................... 16.60 22.10 4.29 42.99 090 S
33803... ...... A Repair vessel defect..................................... 18.54 22.10 4.29 44.93 090 S
33813... ...... A Repair septal defect..................................... 19.52 22.10 4.29 45.91 090 S
33814... ...... A Repair septal defect..................................... 24.41 30.48 5.33 60.22 090 S
33820... ...... A Revise major vessel...................................... 15.62 22.10 4.29 42.01 090 S
33822... ...... A Revise major vessel...................................... 16.60 22.10 4.29 42.99 090 S
33824... ...... A Revise major vessel...................................... 18.54 22.10 4.29 44.93 090 S
33840... ...... A Remove aorta constriction................................ 19.52 31.25 5.59 56.36 090 S
33845... ...... A Remove aorta constriction................................ 20.99 31.25 5.59 57.83 090 S
33851... ...... A Remove aorta constriction................................ 20.01 31.25 5.59 56.85 090 S
33852... ...... A Repair septal defect..................................... 22.45 31.25 5.59 59.29 090 S
33853... ...... A Repair septal defect..................................... 30.26 38.65 7.45 76.36 090 S
33860... ...... A Ascending aorta graft.................................... 31.23 34.71 6.18 72.12 090 S
33861... ...... A Ascending aorta graft.................................... 33.19 34.71 6.18 74.08 090 S
33863... ...... A Ascending aorta graft.................................... 35.14 34.71 6.18 76.03 090 S
33870... ...... A Transverse aortic arch graft............................. 37.74 44.30 8.04 90.08 090 S
33875... ...... A Thoracic aorta graft..................................... 26.94 31.25 5.59 63.78 090 S
33877... ...... A Thoracoabdominal graft................................... 40.29 44.11 8.38 92.78 090 S
33910... ...... A Remove lung artery emboli................................ 21.86 14.65 2.77 39.28 090 S
33915... ...... A Remove lung artery emboli................................ 18.84 12.02 2.22 33.08 090 S
33916... ...... A Surgery of great vessel.................................. 24.17 17.57 3.43 45.17 090 S
33917... ...... A Repair pulmonary artery.................................. 23.43 34.71 6.30 64.44 090 S
33918... ...... A Repair pulmonary atresia................................. 25.38 29.55 5.20 60.13 090 S
33919... ...... A Repair pulmonary atresia................................. 31.11 38.65 7.45 77.21 090 S
33920... ...... A Repair pulmonary atresia................................. 30.75 38.65 7.45 76.85 090 S
33922... ...... A Transect pulmonary artery................................ 22.45 26.21 2.83 51.49 090 S
33930... ...... X Removal of donor heart/lung.............................. 0.00 0.00 0.00 0.00 XXX O
33935... ...... R Transplantation, heart/lung.............................. 56.87 64.80 11.05 132.72 090 S
33940... ...... X Removal of donor heart................................... 0.00 0.00 0.00 0.00 XXX O
33945... ...... R Transplantation of heart................................. 39.56 64.80 11.05 115.41 090 S
33960... ...... A External circulation assist.............................. 19.36 7.01 0.94 27.31 XXX S
33961... ...... A External circulation assist.............................. 10.93 7.01 0.94 18.88 XXX S
33970... ...... A Aortic circulation assist................................ 8.05 7.54 1.00 16.59 000 S
33971... ...... A Aortic circulation assist................................ 4.04 *5.16 0.91 10.11 090 S
33973... ...... A Insert balloon device.................................... 9.76 7.54 1.00 18.30 000 S
33974... ...... A Remove intra-aortic balloon.............................. 12.69 5.56 0.91 19.16 090 S
33975... ...... A Implant ventricular device............................... 19.52 14.19 2.77 36.48 090 S
33976... ...... A Implant ventricular device............................... 26.60 19.33 3.78 49.71 090 S
33977... ...... A Remove ventricular device................................ 17.08 12.41 2.43 31.92 090 S
33978... ...... A Remove ventricular device................................ 19.52 14.19 2.77 36.48 090 S
33999... ...... C Cardiac surgery procedure................................ 0.00 0.00 0.00 0.00 YYY S
34001... ...... A Removal of artery clot................................... 11.69 9.58 1.87 23.14 090 S
34051... ...... A Removal of artery clot................................... 13.62 8.81 1.59 24.02 090 S
34101... ...... A Removal of artery clot................................... 8.73 8.34 1.71 18.78 090 S
34111... ...... A Removal of arm artery clot............................... 7.18 7.59 1.59 16.36 090 S
34151... ...... A Removal of artery clot................................... 15.23 11.96 2.39 29.58 090 S
34201... ...... A Removal of artery clot................................... 8.04 8.90 1.78 18.72 090 S
34203... ...... A Removal of leg artery clot............................... 11.06 8.63 1.72 21.41 090 S
34401... ...... A Removal of vein clot..................................... 11.64 8.07 1.39 21.10 090 S
34421... ...... A Removal of vein clot..................................... 8.89 7.45 1.51 17.85 090 S
34451... ...... A Removal of vein clot..................................... 13.13 10.69 2.14 25.96 090 S
34471... ...... A Removal of vein clot..................................... 9.12 3.51 0.55 13.18 090 S
34490... ...... A Removal of vein clot..................................... 6.51 7.27 1.54 15.32 090 S
34501... ...... A Repair valve, femoral vein............................... 9.71 7.35 0.86 17.92 090 S
34502... ...... A Reconstruct, vena cava................................... 25.65 18.65 3.64 47.94 090 S
34510... ...... A Transposition of vein valve.............................. 11.75 8.89 1.04 21.68 090 S
34520... ...... A Cross-over vein graft.................................... 12.33 9.33 1.09 22.75 090 S
34530... ...... A Leg vein fusion.......................................... 16.33 12.35 1.44 30.12 090 S
35001... ...... A Repair defect of artery.................................. 18.14 15.90 3.18 37.22 090 S
35002... ...... A Repair artery rupture, neck.............................. 19.43 12.64 2.41 34.48 090 S
35005... ...... A Repair defect of artery.................................. 16.62 10.28 2.19 29.09 090 S
35011... ...... A Repair defect of artery.................................. 10.43 *13.35 2.76 26.54 090 S
35013... ...... A Repair artery rupture, arm............................... 15.96 14.70 3.03 33.69 090 S
35021... ...... A Repair defect of artery.................................. 17.62 18.13 3.06 38.81 090 S
35022... ...... A Repair artery rupture, chest............................. 21.15 14.78 2.80 38.73 090 S
35045... ...... A Repair defect of arm artery.............................. 9.98 12.35 2.50 24.83 090 S
35081... ...... A Repair defect of artery.................................. 22.15 21.45 4.18 47.78 090 S
35082... ...... A Repair artery rupture, aorta............................. 28.82 22.91 4.59 56.32 090 S
35091... ...... A Repair defect of artery.................................. 28.10 22.67 4.25 55.02 090 S
35092... ...... A Repair artery rupture, aorta............................. 36.06 26.27 5.21 67.54 090 S
35102... ...... A Repair defect of artery.................................. 23.44 22.15 4.32 49.91 090 S
35103... ...... A Repair artery rupture, groin............................. 31.31 26.16 5.21 62.68 090 S
35111... ...... A Repair defect of artery.................................. 15.12 17.60 3.70 36.42 090 S
35112... ...... A Repair artery rupture, spleen............................ 17.38 10.45 2.22 30.05 090 S
35121... ...... A Repair defect of artery.................................. 24.68 19.12 3.66 47.46 090 S
35122... ...... A Repair artery rupture, belly............................. 32.08 17.92 3.96 53.96 090 S
35131... ...... A Repair defect of artery.................................. 17.00 15.88 3.15 36.03 090 S
35132... ...... A Repair artery rupture, groin............................. 20.40 18.68 3.58 42.66 090 S
35141... ...... A Repair defect of artery.................................. 13.28 14.70 2.88 30.86 090 S
35142... ...... A Repair artery rupture, thigh............................. 14.62 16.10 3.24 33.96 090 S
35151... ...... A Repair defect of artery.................................. 15.76 15.36 2.94 34.06 090 S
35152... ...... A Repair artery rupture, knee.............................. 15.46 9.27 1.95 26.68 090 S
35161... ...... A Repair defect of artery.................................. 17.45 15.88 3.15 36.48 090 S
35162... ...... A Repair artery rupture.................................... 18.45 18.68 3.58 40.71 090 S
35180... ...... A Repair blood vessel lesion............................... 12.16 7.37 1.48 21.01 090 S
35182... ...... A Repair blood vessel lesion............................... 16.12 10.65 1.61 28.38 090 S
35184... ...... A Repair blood vessel lesion............................... 10.79 9.73 1.96 22.48 090 S
35188... ...... A Repair blood vessel lesion............................... 13.10 8.11 1.59 22.80 090 S
35189... ...... A Repair blood vessel lesion............................... 17.12 11.33 2.21 30.66 090 S
35190... ...... A Repair blood vessel lesion............................... 11.79 10.34 2.14 24.27 090 S
35201... ...... A Repair blood vessel lesion............................... 8.90 10.07 1.94 20.91 090 S
35206... ...... A Repair blood vessel lesion............................... 8.49 10.15 2.03 20.67 090 S
35207... ...... A Repair blood vessel lesion............................... 9.06 10.80 1.93 21.79 090 S
35211... ...... A Repair blood vessel lesion............................... 20.15 13.38 2.59 36.12 090 S
35216... ...... A Repair blood vessel lesion............................... 17.12 10.68 2.08 29.88 090 S
35221... ...... A Repair blood vessel lesion............................... 15.11 11.09 2.20 28.40 090 S
35226... ...... A Repair blood vessel lesion............................... 8.17 10.28 1.95 20.40 090 S
35231... ...... A Repair blood vessel lesion............................... 10.76 *13.78 2.91 27.45 090 S
35236... ...... A Repair blood vessel lesion............................... 9.39 *12.02 2.56 23.97 090 S
35241... ...... A Repair blood vessel lesion............................... 21.15 13.49 2.60 37.24 090 S
35246... ...... A Repair blood vessel lesion............................... 18.14 16.95 2.15 37.24 090 S
35251... ...... A Repair blood vessel lesion............................... 16.12 9.59 1.88 27.59 090 S
35256... ...... A Repair blood vessel lesion............................... 10.14 12.40 2.39 24.93 090 S
35261... ...... A Repair blood vessel lesion............................... 10.39 13.16 2.66 26.21 090 S
35266... ...... A Repair blood vessel lesion............................... 9.06 *11.59 2.41 23.06 090 S
35271... ...... A Repair blood vessel lesion............................... 20.15 12.53 2.56 35.24 090 S
35276... ...... A Repair blood vessel lesion............................... 17.12 10.85 2.26 30.23 090 S
35281... ...... A Repair blood vessel lesion............................... 15.11 17.28 3.37 35.76 090 S
35286... ...... A Repair blood vessel lesion............................... 10.78 11.71 2.33 24.82 090 S
35301... ...... A Rechanneling of artery................................... 15.95 14.46 2.81 33.22 090 S
35311... ...... A Rechanneling of artery................................... 22.61 22.06 4.61 49.28 090 S
35321... ...... A Rechanneling of artery................................... 11.08 12.96 2.69 26.73 090 S
35331... ...... A Rechanneling of artery................................... 22.15 13.34 2.66 38.15 090 S
35341... ...... A Rechanneling of artery................................... 23.67 17.37 3.53 44.57 090 S
35351... ...... A Rechanneling of artery................................... 19.15 14.95 2.97 37.07 090 S
35355... ...... A Rechanneling of artery................................... 15.11 15.42 2.99 33.52 090 S
35361... ...... A Rechanneling of artery................................... 22.15 19.37 3.88 45.40 090 S
35363... ...... A Rechanneling of artery................................... 23.16 22.77 4.40 50.33 090 S
35371... ...... A Rechanneling of artery................................... 10.49 12.51 2.50 25.50 090 S
35372... ...... A Rechanneling of artery................................... 12.28 11.20 2.28 25.76 090 S
35381... ...... A Rechanneling of artery................................... 14.50 13.67 2.71 30.88 090 S
35390... ...... A Reoperation, carotid..................................... 3.19 1.67 0.39 5.25 ZZZ S
35450... ...... A Repair arterial blockage................................. 10.07 *12.89 1.38 24.34 000 N
35452... ...... A Repair arterial blockage................................. 6.91 4.35 0.61 11.87 000 S
35454... ...... A Repair arterial blockage................................. 6.04 *7.73 1.53 15.30 000 S
35456... ...... A Repair arterial blockage................................. 7.35 *9.41 1.69 18.45 000 S
35458... ...... A Repair arterial blockage................................. 9.49 10.13 1.83 21.45 000 S
35459... ...... A Repair arterial blockage................................. 8.63 10.39 1.69 20.71 000 S
35460... ...... A Repair venous blockage................................... 6.04 3.16 0.74 9.94 000 S
35470... ...... A Repair arterial blockage................................. 8.63 10.39 1.69 20.71 000 N
35471... ...... A Repair arterial blockage................................. 10.07 *12.89 1.38 24.34 000 N
35472... ...... A Repair arterial blockage................................. 6.91 3.61 0.85 11.37 000 N
35473... ...... A Repair arterial blockage................................. 6.04 *7.73 1.53 15.30 000 N
35474... ...... A Repair arterial blockage................................. 7.36 *9.42 1.69 18.47 000 N
35475... ...... R Repair arterial blockage................................. 9.49 10.13 1.83 21.45 000 N
35476... ...... A Repair venous blockage................................... 6.04 3.16 0.74 9.94 000 N
35480... ...... A Atherectomy, open........................................ 11.08 13.43 1.38 25.89 000 S
35481... ...... A Atherectomy, open........................................ 7.61 4.35 0.61 12.57 000 S
35482... ...... A Atherectomy, open........................................ 6.65 *8.51 1.53 16.69 000 S
35483... ...... A Atherectomy, open........................................ 8.10 *10.36 1.69 20.15 000 S
35484... ...... A Atherectomy, open........................................ 10.44 10.13 1.83 22.40 000 S
35485... ...... A Atherectomy, open........................................ 9.49 4.52 1.06 15.07 000 S
35490... ...... A Atherectomy, percutaneous................................ 11.08 13.43 1.38 25.89 000 N
35491... ...... A Atherectomy, percutaneous................................ 7.61 4.35 0.61 12.57 000 N
35492... ...... A Atherectomy, percutaneous................................ 6.65 *8.51 1.53 16.69 000 N
35493... ...... A Atherectomy, percutaneous................................ 8.10 *10.36 1.69 20.15 000 N
35494... ...... A Atherectomy, percutaneous................................ 10.44 10.13 1.83 22.40 000 N
35495... ...... A Atherectomy, percutaneous................................ 9.49 4.52 1.06 15.07 000 N
35501... ...... A Artery bypass graft...................................... 18.23 19.35 3.49 41.07 090 S
35506... ...... A Artery bypass graft...................................... 18.23 19.17 3.64 41.04 090 S
35507... ...... A Artery bypass graft...................................... 18.23 17.92 3.61 39.76 090 S
35508... ...... A Artery bypass graft...................................... 17.21 18.11 3.43 38.75 090 S
35509... ...... A Artery bypass graft...................................... 16.70 18.90 3.92 39.52 090 S
35511... ...... A Artery bypass graft...................................... 15.39 10.40 1.92 27.71 090 S
35515... ...... A Artery bypass graft...................................... 17.21 11.25 2.01 30.47 090 S
35516... ...... A Artery bypass graft...................................... 14.88 17.37 3.54 35.79 090 S
35518... ...... A Artery bypass graft...................................... 14.05 17.47 3.38 34.90 090 S
35521... ...... A Artery bypass graft...................................... 14.80 17.53 3.34 35.67 090 S
35526... ...... A Artery bypass graft...................................... 18.63 12.95 2.44 34.02 090 S
35531... ...... A Artery bypass graft...................................... 24.17 20.25 3.90 48.32 090 S
35533... ...... A Artery bypass graft...................................... 19.15 21.04 4.43 44.62 090 S
35536... ...... A Artery bypass graft...................................... 21.65 21.37 4.17 47.19 090 S
35541... ...... A Artery bypass graft...................................... 24.17 19.55 3.65 47.37 090 S
35546... ...... A Artery bypass graft...................................... 24.17 21.39 4.26 49.82 090 S
35548... ...... A Artery bypass graft...................................... 20.13 19.55 3.65 43.33 090 S
35549... ...... A Artery bypass graft...................................... 21.91 21.39 4.26 47.56 090 S
35551... ...... A Artery bypass graft...................................... 25.17 19.25 3.87 48.29 090 S
35556... ...... A Artery bypass graft...................................... 15.47 18.71 3.71 37.89 090 S
35558... ...... A Artery bypass graft...................................... 12.82 *16.41 3.23 32.46 090 S
35560... ...... A Artery bypass graft...................................... 22.12 20.22 3.93 46.27 090 S
35563... ...... A Artery bypass graft...................................... 13.83 8.32 1.70 23.85 090 S
35565... ...... A Artery bypass graft...................................... 13.83 *17.69 3.51 35.03 090 S
35566... ...... A Artery bypass graft...................................... 20.21 20.62 4.08 44.91 090 S
35571... ...... A Artery bypass graft...................................... 16.66 19.36 3.87 39.89 090 S
35582... ...... A Vein bypass graft........................................ 25.69 23.74 4.89 54.32 090 S
35583... ...... A Vein bypass graft........................................ 15.97 *20.44 4.13 40.54 090 S
35585... ...... A Vein bypass graft........................................ 19.05 22.95 4.63 46.63 090 S
35587... ...... A Vein bypass graft........................................ 17.07 21.51 4.13 42.71 090 S
35601... ...... A Artery bypass graft...................................... 16.19 18.83 3.33 38.35 090 S
35606... ...... A Artery bypass graft...................................... 17.40 17.55 3.51 38.46 090 S
35612... ...... A Artery bypass graft...................................... 14.39 16.75 3.30 34.44 090 S
35616... ...... A Artery bypass graft...................................... 14.39 16.79 3.42 34.60 090 S
35621... ...... A Artery bypass graft...................................... 13.23 *16.94 3.80 33.97 090 S
35623... ...... A Bypass graft, not vein................................... 15.42 8.06 1.88 25.36 090 S
35626... ...... A Artery bypass graft...................................... 22.26 20.51 4.08 46.85 090 S
35631... ...... A Artery bypass graft...................................... 23.16 17.87 3.57 44.60 090 S
35636... ...... A Artery bypass graft...................................... 21.15 13.50 2.45 37.10 090 S
35641... ...... A Artery bypass graft...................................... 22.67 20.56 4.08 47.31 090 S
35642... ...... A Artery bypass graft...................................... 16.70 10.33 2.20 29.23 090 S
35645... ...... A Artery bypass graft...................................... 16.19 11.15 2.05 29.39 090 S
35646... ...... A Artery bypass graft...................................... 24.00 23.78 4.73 52.51 090 S
35650... ...... A Artery bypass graft...................................... 13.05 *16.71 3.56 33.32 090 S
35651... ...... A Artery bypass graft...................................... 23.67 24.09 4.69 52.45 090 S
35654... ...... A Artery bypass graft...................................... 17.62 22.10 4.42 44.14 090 S
35656... ...... A Artery bypass graft...................................... 13.86 *17.73 3.60 35.19 090 S
35661... ...... A Artery bypass graft...................................... 11.81 *15.11 3.30 30.22 090 S
35663... ...... A Artery bypass graft...................................... 12.82 *16.41 3.80 33.03 090 S
35665... ...... A Artery bypass graft...................................... 14.05 17.79 3.57 35.41 090 S
35666... ...... A Artery bypass graft...................................... 15.97 20.06 4.00 40.03 090 S
35671... ...... A Artery bypass graft...................................... 12.18 *16.61 4.08 32.87 090 S
35681... ...... A Artery bypass graft...................................... 8.05 *12.79 3.52 24.36 ZZZ S
35691... ...... A Arterial transposition................................... 16.70 19.62 3.81 40.13 090 S
35693... ...... A Arterial transposition................................... 14.01 9.40 1.91 25.32 090 S
35694... ...... A Arterial transposition................................... 17.81 9.33 2.17 29.31 090 S
35695... ...... A Arterial transposition................................... 17.81 9.33 2.17 29.31 090 S
35700... ...... A Reoperation, bypass graft................................ 3.08 1.61 0.38 5.07 ZZZ S
35701... ...... A Exploration, carotid artery.............................. 4.54 *5.82 1.25 11.61 090 S
35721... ...... A Exploration, femoral artery.............................. 4.54 5.56 1.11 11.21 090 S
35741... ...... A Exploration popliteal artery............................. 4.54 5.73 1.15 11.42 090 S
35761... ...... A Exploration of artery/vein............................... 4.54 5.81 1.14 11.49 090 S
35800... ...... A Explore neck vessels..................................... 6.04 5.28 0.97 12.29 090 S
35820... ...... A Explore chest vessels.................................... 11.64 7.92 1.43 20.99 090 S
35840... ...... A Explore abdominal vessels................................ 8.63 7.23 1.44 17.30 090 S
35860... ...... A Explore limb vessels..................................... 4.54 5.81 1.15 11.50 090 S
35870... ...... A Repair vessel graft defect............................... 20.35 10.64 2.47 33.46 090 S
35875... ...... A Removal of clot in graft................................. 9.07 8.21 1.65 18.93 090 S
35876... ...... A Removal of clot in graft................................. 12.91 8.21 1.65 22.77 090 S
35901... ...... A Excision, graft, neck.................................... 7.25 7.18 1.46 15.89 090 S
35903... ...... A Excision, graft, extremity............................... 8.63 7.18 1.46 17.27 090 S
35905... ...... A Excision, graft, thorax.................................. 16.89 7.18 1.46 25.53 090 S
35907... ...... A Excision, graft, abdomen................................. 17.68 7.18 1.46 26.32 090 S
36000... ...... A Place needle in vein..................................... 0.18 *0.32 0.04 0.54 XXX N
36005... ...... A Injection, venography.................................... 0.95 0.47 0.04 1.46 000 N
36010... ...... A Place catheter in vein................................... 2.43 2.11 0.31 4.85 XXX N
36011... ...... A Place catheter in vein................................... 3.14 1.90 0.22 5.26 XXX N
36012... ...... A Place catheter in vein................................... 3.52 2.67 0.32 6.51 XXX N
36013... ...... A Place catheter in artery................................. 2.52 2.11 0.31 4.94 XXX N
36014... ...... A Place catheter in artery................................. 3.02 2.28 0.27 5.57 XXX N
36015... ...... A Place catheter in artery................................. 3.52 2.67 0.32 6.51 XXX N
36100... ...... A Establish access to artery............................... 3.02 2.59 0.32 5.93 XXX N
36120... ...... A Establish access to artery............................... 2.01 2.32 0.30 4.63 XXX N
36140... ...... A Establish access to artery............................... 2.01 1.41 0.24 3.66 XXX N
36145... ...... A Artery to vein shunt..................................... 2.01 *2.65 0.49 5.15 XXX N
36160... ...... A Establish access to aorta................................ 2.52 2.32 0.35 5.19 XXX S
36200... ...... A Place catheter in aorta.................................. 3.02 2.73 0.28 6.03 XXX N
36215... ...... A Place catheter in artery................................. 4.47 2.78 0.23 7.48 XXX N
36216... ...... A Place catheter in artery................................. 5.28 3.29 0.27 8.84 XXX N
36217... ...... A Place catheter in artery................................. 6.30 3.92 0.32 10.54 XXX N
36218... ...... A Place catheter in artery................................. 1.01 0.62 0.05 1.68 XXX N
36245... ...... A Place catheter in artery................................. 5.07 3.15 0.26 8.48 XXX N
36246... ...... A Place catheter in artery................................. 5.28 3.29 0.27 8.84 XXX N
36247... ...... A Place catheter in artery................................. 6.30 3.92 0.32 10.54 XXX N
36248... ...... A Place catheter in artery................................. 1.01 0.62 0.05 1.68 XXX N
36260... ...... A Insertion of infusion pump............................... 9.27 6.74 1.41 17.42 090 S
36261... ...... A Revision of infusion pump................................ 5.04 2.23 0.42 7.69 090 S
36262... ...... A Removal of infusion pump................................. 3.70 1.93 0.40 6.03 090 S
36299... ...... C Vessel injection procedure............................... 0.00 0.00 0.00 0.00 YYY N
36400... ...... A Drawing blood............................................ 0.18 0.09 0.01 0.28 XXX N
36405... ...... A Drawing blood............................................ 0.18 0.45 0.03 0.66 XXX N
36406... ...... A Drawing blood............................................ 0.18 0.16 0.01 0.35 XXX S
36410... ...... A Drawing blood............................................ 0.18 0.22 0.02 0.42 XXX N
36415... ...... G Drawing blood............................................ 0.00 0.00 0.00 0.00 XXX O
36420... ...... A Establish access to vein................................. 1.01 0.51 0.05 1.57 XXX N
36425... ...... A Establish access to vein................................. 0.76 0.08 0.01 0.85 XXX N
36430... ...... A Blood transfusion service................................ 0.00 0.96 0.07 1.03 XXX N
36440... ...... A Blood transfusion service................................ 1.03 0.94 0.07 2.04 XXX S
36450... ...... A Exchange transfusion service............................. 2.23 1.88 0.18 4.29 XXX N
36455... ...... A Exchange transfusion service............................. 2.43 2.27 0.22 4.92 XXX N
36460... ...... A Transfusion service, fetal............................... 6.59 4.71 1.09 12.39 XXX N
36468... ...... R Injection(s);spider veins................................ 0.00 0.00 0.00 0.00 XXX S
36469... ...... R Injection(s);spider veins................................ 0.00 0.00 0.00 0.00 XXX S
36470... ...... A Injection therapy of vein................................ 1.02 0.27 0.04 1.33 010 S
36471... ...... A Injection therapy of veins............................... 1.49 0.39 0.05 1.93 010 S
36481... ...... A Insertion of catheter, vein.............................. 6.99 5.30 0.61 12.90 000 S
36488... ...... A Insertion of catheter, vein.............................. 1.35 0.97 0.14 2.46 000 N
36489... ...... A Insertion of catheter, vein.............................. 1.22 1.12 0.17 2.51 000 N
36490... ...... A Insertion of catheter, vein.............................. 1.67 1.38 0.20 3.25 000 N
36491... ...... A Insertion of catheter, vein.............................. 1.43 1.71 0.32 3.46 000 N
36493... ...... A Repositioning of cvc..................................... 1.21 0.63 0.16 2.00 000 N
36500... ...... A Insertion of catheter, vein.............................. 3.52 0.08 0.01 3.61 000 N
36510... ...... A Insertion of catheter, vein.............................. 1.09 0.34 0.02 1.45 000 N
36520... ...... A Plasma and/or cell exchange.............................. 1.74 1.92 0.12 3.78 000 N
36522... ...... A Photopheresis............................................ 1.67 *3.31 0.37 5.35 ZZZ S
36530... ...... R Insertion of infusion pump............................... 4.83 4.82 1.02 10.67 010 S
36531... ...... R Revision of infusion pump................................ 4.80 4.37 0.27 9.44 010 S
36532... ...... R Removal of infusion pump................................. 3.23 1.77 0.37 5.37 010 S
36533... ...... A Insertion of access port................................. 3.82 4.29 0.85 8.96 010 S
36534... ...... A Revision of access port.................................. 3.79 3.46 0.21 7.46 010 S
36535... ...... A Removal of access port................................... 2.22 1.81 0.38 4.41 010 S
36600... ...... A Withdrawal of arterial blood............................. 0.32 0.28 0.02 0.62 XXX N
36620... ...... A Insertion catheter, artery............................... 1.15 0.66 0.14 1.95 000 N
36625... ...... A Insertion catheter, artery............................... 2.11 0.86 0.18 3.15 000 N
36640... ...... A Insertion catheter, artery............................... 2.10 2.32 0.40 4.82 000 N
36660... ...... A Insertion catheter, artery............................... 1.40 0.49 0.04 1.93 000 N
36680... ...... A Insert needle, bone cavity............................... 1.20 1.24 0.10 2.54 000 N
36800... ...... A Insertion of cannula..................................... 2.43 2.22 0.28 4.93 000 N
36810... ...... A Insertion of cannula..................................... 3.97 4.85 0.74 9.56 000 S
36815... ...... A Insertion of cannula..................................... 2.62 *3.35 0.70 6.67 000 S
36821... ...... A Artery-vein fusion....................................... 8.39 7.24 1.46 17.09 090 S
36822... ...... A Insertion of cannula(s).................................. 5.03 5.60 0.77 11.40 090 S
36825... ...... A Artery-vein graft........................................ 9.36 11.20 2.21 22.77 090 S
36830... ...... A Artery-vein graft........................................ 7.78 *9.96 2.36 20.10 090 S
36832... ...... A Revise artery-vein fistula............................... 5.84 *8.47 2.38 16.69 090 S
36834... ...... A Repair A-V aneurysm...................................... 9.32 7.80 1.66 18.78 090 S
36835... ...... A Artery to vein shunt..................................... 6.54 3.42 0.79 10.75 090 S
36840... ...... D Insert mandril........................................... 0.00 0.00 0.00 0.00 090 S
36845... ...... D Fusion with mandril...................................... 0.00 0.00 0.00 0.00 090 S
36860... ...... A Cannula declotting....................................... 2.01 2.57 0.43 5.01 000 N
36861... ...... A Cannula declotting....................................... 2.52 *3.71 1.01 7.24 000 S
37140... ...... A Revision of circulation.................................. 22.15 16.29 3.34 41.78 090 S
37145... ...... A Revision of circulation.................................. 23.16 17.13 1.72 42.01 090 S
37160... ...... A Revision of circulation.................................. 20.15 17.74 3.79 41.68 090 S
37180... ...... A Revision of circulation.................................. 23.16 14.19 2.76 40.11 090 S
37181... ...... A Splice spleen/kidney veins............................... 25.17 16.41 3.52 45.10 090 S
37190... ...... D Repair of circulation defect............................. 0.00 0.00 0.00 0.00 090 S
37200... ...... A Transcatheter biopsy..................................... 4.56 1.59 0.13 6.28 000 N
37201... ...... A Transcatheter therapy infuse............................. 7.25 5.50 0.64 13.39 000 N
37202... ...... A Transcatheter therapy infuse............................. 5.68 4.30 0.50 10.48 000 N
37203... ...... A Transcatheter retrieval.................................. 5.03 3.82 0.45 9.30 000 N
37204... ...... A Transcatheter occlusion.................................. 18.14 13.76 1.60 33.50 000 N
37205... ...... A Transcatheter stent...................................... 8.28 5.16 0.42 13.86 000 S
37206... ...... A Transcatheter stent...................................... 4.13 2.58 0.21 6.92 ZZZ S
37207... ...... A Transcatheter stent...................................... 8.28 5.16 0.42 13.86 000 S
37208... ...... A Transcatheter stent...................................... 4.13 2.58 0.21 6.92 ZZZ S
37209... ...... A Exchange arterial catheter............................... 1.48 0.92 0.08 2.48 000 N
37565... ...... A Ligation of neck vein.................................... 3.90 3.79 0.74 8.43 090 S
37600... ...... A Ligation of neck artery.................................. 3.90 *5.10 0.80 9.80 090 S
37605... ...... A Ligation of neck artery.................................. 4.63 5.56 1.04 11.23 090 S
37606... ...... A Ligation of neck artery.................................. 4.63 *5.92 0.72 11.27 090 S
37607... ...... A Ligation of fistula...................................... 5.84 3.06 0.71 9.61 090 S
37609... ...... A Temporal artery procedure................................ 2.27 2.22 0.38 4.87 010 S
37615... ...... A Ligation of neck artery.................................. 4.39 *5.64 1.11 11.14 090 S
37616... ...... A Ligation of chest artery................................. 14.69 4.21 0.83 19.73 090 S
37617... ...... A Ligation of abdomen artery............................... 14.19 8.00 1.54 23.73 090 S
37618... ...... A Ligation of extremity artery............................. 3.90 *4.98 1.06 9.94 090 S
37620... ...... A Revision of major vein................................... 9.24 8.81 1.48 19.53 090 S
37650... ...... A Revision of major vein................................... 4.39 4.02 0.52 8.93 090 S
37660... ...... A Revision of major vein................................... 9.65 5.75 1.07 16.47 090 S
37700... ...... A Revise leg vein.......................................... 3.52 3.64 0.73 7.89 090 S
37720... ...... A Removal of leg vein...................................... 5.22 5.11 1.04 11.37 090 S
37730... ...... A Removal of leg veins..................................... 6.63 6.95 1.40 14.98 090 S
37735... ...... A Removal of leg veins/lesion.............................. 9.90 8.34 1.68 19.92 090 S
37760... ...... A Revision of leg veins.................................... 9.90 7.48 1.52 18.90 090 S
37780... ...... A Revision of leg vein..................................... 3.52 1.89 0.35 5.76 090 S
37785... ...... A Revise secondary varicosity.............................. 3.56 0.98 0.18 4.72 090 S
37788... ...... A Revascularization, penis................................. 21.33 15.14 1.48 37.95 090 S
37790... ...... A Penile venous occlusion.................................. 8.02 5.70 0.55 14.27 090 S
37799... ...... C Vascular surgery procedure............................... 0.00 0.00 0.00 0.00 YYY S
38100... ...... A Removal of spleen, total................................. 11.99 8.55 1.81 22.35 090 S
38101... ...... A Removal of spleen, partial............................... 12.59 6.99 1.51 21.09 090 S
38102... ...... A Removal of spleen, total................................. 4.80 2.51 0.58 7.89 ZZZ S
38115... ...... A Repair of ruptured spleen................................ 12.59 7.64 1.49 21.72 090 S
38200... ...... A Injection for spleen x-ray............................... 2.64 1.71 0.15 4.50 000 S
38230... ...... A Bone marrow collection................................... 3.16 2.78 0.21 6.15 010 N
38240... ...... A Bone marrow transplantation.............................. 2.24 2.08 0.14 4.46 XXX N
38241... ...... A Bone marrow transplantation.............................. 2.24 2.04 0.13 4.41 XXX N
38300... ...... A Drainage lymph node lesion............................... 1.48 0.58 0.10 2.16 010 S
38305... ...... A Drainage lymph node lesion............................... 4.24 1.96 0.36 6.56 090 S
38308... ...... A Incision of lymph channels............................... 4.55 3.37 0.45 8.37 090 S
38380... ...... A Thoracic duct procedure.................................. 6.53 4.44 0.76 11.73 090 S
38381... ...... A Thoracic duct procedure.................................. 12.10 7.56 1.50 21.16 090 S
38382... ...... A Thoracic duct procedure.................................. 9.24 4.84 1.13 15.21 090 S
38500... ...... A Biopsy/removal, lymph node(s)............................ 2.83 1.59 0.31 4.73 010 S
38505... ...... A Needle biopsy, lymph node(s)............................. 1.14 1.12 0.17 2.43 000 S
38510... ...... A Biopsy/removal, lymph node(s)............................ 3.90 2.54 0.45 6.89 090 S
38520... ...... A Biopsy/removal, lymph node(s)............................ 4.86 2.99 0.56 8.41 090 S
38525... ...... A Biopsy/removal, lymph node(s)............................ 4.37 2.59 0.53 7.49 090 S
38530... ...... A Biopsy/removal, lymph node(s)............................ 5.82 3.17 0.65 9.64 090 S
38542... ...... A Explore deep node(s), neck............................... 5.41 4.26 0.59 10.26 090 S
38550... ...... A Removal neck/armpit lesion............................... 6.42 3.23 0.63 10.28 090 S
38555... ...... A Removal neck/armpit lesion............................... 13.05 7.27 1.38 21.70 090 S
38562... ...... A Removal, pelvic lymph nodes.............................. 9.65 6.88 1.20 17.73 090 S
38564... ...... A Removal, abdomen lymph nodes............................. 10.00 7.39 1.51 18.90 090 S
38700... ...... A Removal of lymph nodes, neck............................. 7.56 9.64 1.31 18.51 090 S
38720... ...... A Removal of lymph nodes, neck............................. 12.29 *15.73 2.04 30.06 090 S
38724... ...... A Removal of lymph nodes, neck............................. 13.22 14.36 2.00 29.58 090 S
38740... ...... A Remove armpit lymph nodes................................ 6.28 4.72 1.00 12.00 090 S
38745... ...... A Remove armpits lymph nodes............................... 8.08 8.28 1.76 18.12 090 S
38746... ...... A Remove thoracic lymph nodes.............................. 4.39 2.29 0.53 7.21 ZZZ S
38747... ...... A Remove abdominal lymph nodes............................. 4.89 2.56 0.59 8.04 ZZZ S
38760... ...... A Remove groin lymph nodes................................. 8.19 6.63 1.35 16.17 090 S
38765... ...... A Remove groin lymph nodes................................. 14.98 12.67 2.42 30.07 090 S
38770... ...... A Remove pelvis lymph nodes................................ 12.10 15.40 1.73 29.23 090 S
38780... ...... A Remove abdomen lymph nodes............................... 15.17 16.06 3.13 34.36 090 S
38790... ...... A Injection for lymphatic xray............................. 1.29 *1.82 0.19 3.30 000 N
38794... ...... A Access thoracic lymph duct............................... 4.05 2.84 0.38 7.27 090 S
38999... ...... C Blood/lymph system procedure............................. 0.00 0.00 0.00 0.00 YYY S
39000... ...... A Exploration of chest..................................... 5.03 6.05 1.08 12.16 090 S
39010... ...... A Exploration of chest..................................... 10.78 11.46 2.08 24.32 090 S
39020... ...... D Exploration of chest..................................... 0.00 0.00 0.00 0.00 090 S
39200... ...... A Removal chest lesion..................................... 12.40 11.58 2.14 26.12 090 S
39220... ...... A Removal chest lesion..................................... 16.16 14.94 2.83 33.93 090 S
39400... ...... A Visualization of chest................................... 5.11 5.12 0.95 11.18 010 S
39499... ...... C Chest procedure.......................................... 0.00 0.00 0.00 0.00 YYY S
39501... ...... A Repair diaphragm laceration.............................. 12.10 10.66 2.10 24.86 090 S
39502... ...... A Repair paraesophageal hernia............................. 15.18 11.93 2.45 29.56 090 S
39503... ...... A Repair of diaphragm hernia............................... 33.22 25.18 2.94 61.34 090 S
39520... ...... A Repair of diaphragm hernia............................... 15.18 12.53 2.46 30.17 090 S
39530... ...... A Repair of diaphragm hernia............................... 14.22 14.06 2.71 30.99 090 S
39531... ...... A Repair of diaphragm hernia............................... 15.23 10.00 1.80 27.03 090 S
39540... ...... A Repair of diaphragm hernia............................... 12.10 11.98 2.51 26.59 090 S
39541... ...... A Repair of diaphragm hernia............................... 13.10 12.16 2.37 27.63 090 S
39545... ...... A Revision of diaphragm.................................... 12.10 7.90 1.31 21.31 090 S
39547... ...... D Revision of diaphragm.................................... 0.00 0.00 0.00 0.00 090 S
39599... ...... C Diaphragm surgery procedure.............................. 0.00 0.00 0.00 0.00 YYY S
40490... ...... A Biopsy of lip............................................ 1.22 0.74 0.07 2.03 000 S
40500... ...... A Partial excision of lip.................................. 4.08 *5.51 0.94 10.53 090 S
40510... ...... A Partial excision of lip.................................. 4.57 *5.84 0.83 11.24 090 S
40520... ...... A Partial excision of lip.................................. 4.54 4.50 0.68 9.72 090 S
40525... ...... A Reconstruct lip with flap................................ 7.26 *9.30 1.43 17.99 090 S
40527... ...... A Reconstruct lip with flap................................ 8.71 *11.16 1.65 21.52 090 S
40530... ...... A Partial removal of lip................................... 5.14 5.10 0.74 10.98 090 S
40650... ...... A Repair lip............................................... 3.49 *4.47 0.65 8.61 090 S
40652... ...... A Repair lip............................................... 4.08 *5.23 0.79 10.10 090 S
40654... ...... A Repair lip............................................... 5.13 *6.57 1.00 12.70 090 S
40700... ...... A Repair cleft lip/nasal................................... 12.04 8.46 1.28 21.78 090 S
40701... ...... A Repair cleft lip/nasal................................... 15.10 *19.33 1.62 36.05 090 S
40702... ...... A Repair cleft lip/nasal................................... 12.34 9.37 1.10 22.81 090 S
40720... ...... A Repair cleft lip/nasal................................... 12.91 9.59 1.79 24.29 090 S
40761... ...... A Repair cleft lip/nasal................................... 14.00 10.84 1.74 26.58 090 S
40799... ...... C Lip surgery procedure.................................... 0.00 0.00 0.00 0.00 YYY S
40800... ...... A Drainage of mouth lesion................................. 1.12 0.74 0.07 1.93 010 S
40801... ...... A Drainage of mouth lesion................................. 2.48 1.70 0.16 4.34 010 S
40804... ...... A Removal foreign body, mouth.............................. 1.19 0.58 0.06 1.83 010 S
40805... ...... A Removal foreign body, mouth.............................. 2.64 2.50 0.30 5.44 010 S
40806... ...... A Incision of lip fold..................................... 0.31 0.36 0.03 0.70 000 S
40808... ...... A Biopsy of mouth lesion................................... 0.91 0.76 0.08 1.75 010 S
40810... ...... A Excision of mouth lesion................................. 1.26 1.18 0.11 2.55 010 S
40812... ...... A Excise/repair mouth lesion............................... 2.26 1.50 0.14 3.90 010 S
40814... ...... A Excise/repair mouth lesion............................... 3.27 3.23 0.32 6.82 090 S
40816... ...... A Excision of mouth lesion................................. 3.52 3.22 0.33 7.07 090 S
40818... ...... A Excise oral mucosa for graft............................. 2.26 2.25 0.20 4.71 090 S
40819... ...... A Excise lip or cheek fold................................. 2.26 1.23 0.14 3.63 090 S
40820... ...... A Treatment of mouth lesion................................ 1.23 0.53 0.06 1.82 010 S
40830... ...... A Repair mouth laceration.................................. 1.71 0.67 0.07 2.45 010 S
40831... ...... A Repair mouth laceration.................................. 2.41 1.94 0.21 4.56 010 S
40840... ...... R Reconstruction of mouth.................................. 8.31 6.28 0.73 15.32 090 S
40842... ...... R Reconstruction of mouth.................................. 8.31 6.28 0.73 15.32 090 S
40843... ...... R Reconstruction of mouth.................................. 11.63 8.80 1.03 21.46 090 S
40844... ...... R Reconstruction of mouth.................................. 15.37 11.63 1.36 28.36 090 S
40845... ...... R Reconstruction of mouth.................................. 17.94 23.99 1.93 43.86 090 S
40899... ...... C Mouth surgery procedure.................................. 0.00 0.00 0.00 0.00 YYY S
41000... ...... A Drainage of mouth lesion................................. 1.25 0.76 0.08 2.09 010 S
41005... ...... A Drainage of mouth lesion................................. 1.21 0.62 0.07 1.90 010 S
41006... ...... A Drainage of mouth lesion................................. 3.03 1.01 0.11 4.15 090 S
41007... ...... A Drainage of mouth lesion................................. 2.89 2.90 0.30 6.09 090 S
41008... ...... A Drainage of mouth lesion................................. 3.16 1.06 0.11 4.33 090 S
41009... ...... A Drainage of mouth lesion................................. 3.35 3.31 0.34 7.00 090 S
41010... ...... A Incision of tongue fold.................................. 1.19 0.37 0.04 1.60 010 S
41015... ...... A Drainage of mouth lesion................................. 3.72 0.87 0.10 4.69 090 S
41016... ...... A Drainage of mouth lesion................................. 3.72 3.69 0.38 7.79 090 S
41017... ...... A Drainage of mouth lesion................................. 3.72 1.40 0.14 5.26 090 S
41018... ...... A Drainage of mouth lesion................................. 4.75 3.93 0.38 9.06 090 S
41100... ...... A Biopsy of tongue......................................... 1.58 0.80 0.08 2.46 010 S
41105... ...... A Biopsy of tongue......................................... 1.37 1.03 0.12 2.52 010 S
41108... ...... A Biopsy of floor of mouth................................. 1.00 0.85 0.09 1.94 010 S
41110... ...... A Excision of tongue lesion................................ 1.46 1.30 0.15 2.91 010 S
41112... ...... A Excision of tongue lesion................................ 2.63 2.39 0.23 5.25 090 S
41113... ...... A Excision of tongue lesion................................ 3.09 3.41 0.37 6.87 090 S
41114... ...... A Excision of tongue lesion................................ 7.88 6.39 0.73 15.00 090 S
41115... ...... A Excision of tongue fold.................................. 1.69 1.78 0.17 3.64 010 S
41116... ...... A Excision of mouth lesion................................. 2.36 2.49 0.27 5.12 090 S
41120... ...... A Partial removal of tongue................................ 8.83 7.28 0.88 16.99 090 S
41130... ...... A Partial removal of tongue................................ 10.27 9.06 1.14 20.47 090 S
41135... ...... A Tongue and neck surgery.................................. 14.29 *18.30 2.64 35.23 090 S
41140... ...... A Removal of tongue........................................ 23.46 18.89 2.45 44.80 090 S
41145... ...... A Tongue removal; neck surgery............................. 27.58 22.79 2.95 53.32 090 S
41150... ...... A Tongue, mouth, jaw surgery............................... 19.36 18.96 2.46 40.78 090 S
41153... ...... A Tongue, mouth, neck surgery.............................. 21.18 25.00 3.03 49.21 090 S
41155... ...... A Tongue, jaw, & neck surgery.............................. 23.40 *29.95 3.75 57.10 090 S
41250... ...... A Repair tongue laceration................................. 1.86 1.07 0.11 3.04 010 S
41251... ...... A Repair tongue laceration................................. 2.22 2.07 0.21 4.50 010 S
41252... ...... A Repair tongue laceration................................. 2.92 2.35 0.26 5.53 010 S
41500... ...... A Fixation of tongue....................................... 3.50 3.29 0.26 7.05 090 S
41510... ...... A Tongue to lip surgery.................................... 3.32 2.53 0.45 6.30 090 S
41520... ...... A Reconstruction, tongue fold.............................. 2.63 2.88 0.28 5.79 090 S
41599... ...... C Tongue and mouth surgery................................. 0.00 0.00 0.00 0.00 YYY S
41800... ...... A Drainage of gum lesion................................... 1.12 0.69 0.07 1.88 010 S
41805... ...... A Removal foreign body, gum................................ 1.19 0.84 0.08 2.11 010 S
41806... ...... A Removal foreign body, jawbone............................ 2.64 1.64 0.15 4.43 010 S
41820... ...... R Excision, gum, each quadrant............................. 0.00 0.00 0.00 0.00 XXX S
41821... ...... R Excision of gum flap..................................... 0.00 0.00 0.00 0.00 XXX S
41822... ...... R Excision of gum lesion................................... 2.26 3.03 0.25 5.54 010 S
41823... ...... R Excision of gum lesion................................... 3.15 4.20 0.34 7.69 090 S
41825... ...... A Excision of gum lesion................................... 1.26 1.49 0.14 2.89 010 S
41826... ...... A Excision of gum lesion................................... 2.26 2.07 0.18 4.51 010 S
41827... ...... A Excision of gum lesion................................... 3.27 3.78 0.38 7.43 090 S
41828... ...... R Excision of gum lesion................................... 1.26 1.68 0.14 3.08 010 S
41830... ...... R Removal of gum tissue.................................... 1.12 1.49 0.12 2.73 010 S
41850... ...... R Treatment of gum lesion.................................. 0.00 0.00 0.00 0.00 XXX S
41870... ...... R Gum graft................................................ 0.00 0.00 0.00 0.00 XXX S
41872... ...... R Repair gum............................................... 2.44 3.26 0.27 5.97 090 S
41874... ...... R Repair tooth socket...................................... 2.94 3.93 0.32 7.19 090 S
41899... ...... C Dental surgery procedure................................. 0.00 0.00 0.00 0.00 YYY S
42000... ...... A Drainage mouth roof lesion............................... 1.18 0.62 0.06 1.86 010 S
42100... ...... A Biopsy roof of mouth..................................... 1.26 0.79 0.08 2.13 010 S
42104... ...... A Excision lesion, mouth roof.............................. 1.59 1.62 0.17 3.38 010 S
42106... ...... A Excision lesion, mouth roof.............................. 2.63 2.22 0.21 5.06 010 S
42107... ...... A Excision lesion, mouth roof.............................. 4.20 4.91 0.50 9.61 090 S
42120... ...... A Remove palate/lesion..................................... 5.39 *6.93 1.01 13.33 090 S
42140... ...... A Excision of uvula........................................ 1.54 1.35 0.15 3.04 090 S
42145... ...... A Repair, palate, pharynx/uvula............................ 7.04 *10.33 1.45 18.82 090 S
42160... ...... A Treatment mouth roof lesion.............................. 1.75 1.53 0.16 3.44 010 S
42180... ...... A Repair palate............................................ 2.45 2.24 0.26 4.95 010 S
42182... ...... A Repair palate............................................ 3.78 3.47 0.38 7.63 010 S
42200... ...... A Reconstruct cleft palate................................. 9.48 7.19 0.85 17.52 090 S
42205... ...... A Reconstruct cleft palate................................. 8.96 10.82 0.79 20.57 090 S
42210... ...... A Reconstruct cleft palate................................. 10.02 12.51 0.95 23.48 090 S
42215... ...... A Reconstruct cleft palate................................. 8.42 7.68 0.86 16.96 090 S
42220... ...... A Reconstruct cleft palate................................. 6.65 5.40 0.81 12.86 090 S
42225... ...... A Reconstruct cleft palate................................. 9.08 6.90 1.08 17.06 090 S
42226... ...... A Lengthening of palate.................................... 9.42 7.89 0.86 18.17 090 S
42227... ...... A Lengthening of palate.................................... 8.89 7.41 0.38 16.68 090 S
42235... ...... A Repair palate............................................ 7.50 5.55 0.49 13.54 090 S
42260... ...... A Repair nose to lip fistula............................... 4.17 3.98 0.44 8.59 090 S
42280... ...... A Preparation, palate mold................................. 1.49 1.99 0.17 3.65 010 S
42281... ...... A Insertion, palate prosthesis............................. 1.77 1.47 0.15 3.39 010 S
42299... ...... C Palate/uvula surgery..................................... 0.00 0.00 0.00 0.00 YYY S
42300... ...... A Drainage of salivary gland............................... 1.88 0.96 0.12 2.96 010 S
42305... ...... A Drainage of salivary gland............................... 5.59 2.18 0.27 8.04 090 S
42310... ...... A Drainage of salivary gland............................... 1.51 1.03 0.12 2.66 010 S
42320... ...... A Drainage of salivary gland............................... 2.30 1.83 0.22 4.35 010 S
42325... ...... A Create salivary cyst drain............................... 2.65 2.12 0.20 4.97 090 S
42326... ...... A Create salivary cyst drain............................... 3.65 4.34 0.33 8.32 090 S
42330... ...... A Removal of salivary stone................................ 2.16 1.10 0.12 3.38 010 S
42335... ...... A Removal of salivary stone................................ 3.21 2.47 0.27 5.95 090 S
42340... ...... A Removal of salivary stone................................ 4.47 4.25 0.45 9.17 090 S
42400... ...... A Biopsy of salivary gland................................. 0.78 0.79 0.10 1.67 000 S
42405... ...... A Biopsy of salivary gland................................. 3.24 1.54 0.19 4.97 010 S
42408... ...... A Excision of salivary cyst................................ 4.41 3.24 0.38 8.03 090 S
42409... ...... A Drainage of salivary cyst................................ 2.71 2.81 0.30 5.82 090 S
42410... ...... A Excise parotid gland/lesion.............................. 8.88 5.94 0.92 15.74 090 S
42415... ...... A Excise parotid gland/lesion.............................. 16.12 12.68 1.68 30.48 090 S
42420... ...... A Excise parotid gland/lesion.............................. 18.63 14.82 1.87 35.32 090 S
42425... ...... A Excise parotid gland/lesion.............................. 12.36 11.10 1.43 24.89 090 S
42426... ...... A Excise parotid gland/lesion.............................. 19.88 24.12 3.21 47.21 090 S
42440... ...... A Excision submaxillary gland.............................. 6.61 7.98 0.99 15.58 090 S
42450... ...... A Excision sublingual gland................................ 4.38 3.42 0.35 8.15 090 S
42500... ...... A Repair salivary duct..................................... 4.06 4.61 0.50 9.17 090 S
42505... ...... A Repair salivary duct..................................... 5.92 7.34 0.86 14.12 090 S
42507... ...... A Parotid duct diversion................................... 5.96 4.65 0.67 11.28 090 S
42508... ...... A Parotid duct diversion................................... 8.64 7.61 0.94 17.19 090 S
42509... ...... A Parotid duct diversion................................... 11.08 7.31 1.23 19.62 090 S
42510... ...... A Parotid duct diversion................................... 7.71 7.65 0.84 16.20 090 S
42550... ...... A Injection for salivary x-ray............................. 1.25 0.44 0.04 1.73 000 N
42600... ...... A Closure of salivary fistula.............................. 4.58 3.89 0.46 8.93 090 S
42650... ...... A Dilation of salivary duct................................ 0.77 0.39 0.04 1.20 000 S
42660... ...... A Dilation of salivary duct................................ 1.13 0.50 0.06 1.69 000 S
42665... ...... A Ligation of salivary duct................................ 2.43 2.04 0.25 4.72 090 S
42699... ...... C Salivary surgery procedure............................... 0.00 0.00 0.00 0.00 YYY S
42700... ...... A Drainage of tonsil abscess............................... 1.57 0.85 0.10 2.52 010 S
42720... ...... A Drainage of throat abscess............................... 2.61 1.89 0.22 4.72 010 S
42725... ...... A Drainage of throat abscess............................... 7.60 4.45 0.53 12.58 090 S
42800... ...... A Biopsy of throat......................................... 1.34 0.74 0.08 2.16 010 S
42802... ...... A Biopsy of throat......................................... 1.49 1.02 0.12 2.63 010 S
42804... ...... A Biopsy of upper nose/throat.............................. 1.19 1.09 0.13 2.41 010 S
42806... ...... A Biopsy of upper nose/throat.............................. 1.53 1.40 0.16 3.09 010 S
42808... ...... A Excise pharynx lesion.................................... 2.25 2.52 0.29 5.06 010 S
42809... ...... A Remove pharynx foreign body.............................. 1.76 0.82 0.08 2.66 010 S
42810... ...... A Excision of neck cyst.................................... 3.20 3.14 0.47 6.81 090 S
42815... ...... A Excision of neck cyst.................................... 6.75 8.47 1.12 16.34 090 S
42820... ...... A Remove tonsils and adenoids.............................. 3.59 3.15 0.32 7.06 090 S
42821... ...... A Remove tonsils and adenoids.............................. 4.10 3.93 0.46 8.49 090 S
42825... ...... A Removal of tonsils....................................... 3.21 2.64 0.33 6.18 090 S
42826... ...... A Removal of tonsils....................................... 3.19 3.86 0.43 7.48 090 S
42830... ...... A Removal of adenoids...................................... 2.49 1.86 0.27 4.62 090 S
42831... ...... A Removal of adenoids...................................... 2.61 2.36 0.25 5.22 090 S
42835... ...... A Removal of adenoids...................................... 2.22 1.86 0.10 4.18 090 S
42836... ...... A Removal of adenoids...................................... 3.10 2.79 0.31 6.20 090 S
42842... ...... A Extensive surgery of throat.............................. 8.13 6.69 0.73 15.55 090 S
42844... ...... A Extensive surgery of throat.............................. 12.73 10.85 1.27 24.85 090 S
42845... ...... A Extensive surgery of throat.............................. 21.88 18.62 2.22 42.72 090 S
42860... ...... A Excision of tonsil tags.................................. 2.14 1.89 0.21 4.24 090 S
42870... ...... A Excision of lingual tonsil............................... 5.16 2.32 0.26 7.74 090 S
42880... ...... A Excise nose/throat lesion................................ 6.01 4.62 0.52 11.15 090 S
42890... ...... A Partial removal of pharynx............................... 11.67 8.99 1.03 21.69 090 S
42892... ...... A Revision of pharyngeal walls............................. 13.94 10.92 1.27 26.13 090 S
42894... ...... A Revision of pharyngeal walls............................. 20.68 16.06 1.83 38.57 090 S
42900... ...... A Repair throat wound...................................... 4.98 4.26 0.48 9.72 010 S
42950... ...... A Reconstruction of throat................................. 7.70 9.86 1.10 18.66 090 S
42953... ...... A Repair throat, esophagus................................. 8.21 6.34 0.93 15.48 090 S
42955... ...... A Surgical opening of throat............................... 6.50 3.32 0.43 10.25 090 S
42960... ...... A Control throat bleeding.................................. 2.28 1.08 0.12 3.48 010 S
42961... ...... A Control throat bleeding.................................. 5.18 1.75 0.19 7.12 090 S
42962... ...... A Control throat bleeding.................................. 6.64 5.98 0.68 13.30 090 S
42970... ...... A Control nose/throat bleeding............................. 4.78 1.03 0.10 5.91 090 N
42971... ...... A Control nose/throat bleeding............................. 5.56 2.90 0.34 8.80 090 S
42972... ...... A Control nose/throat bleeding............................. 6.55 4.55 0.73 11.83 090 S
42999... ...... C Throat surgery procedure................................. 0.00 0.00 0.00 0.00 YYY S
43000... ...... D Incision of esophagus.................................... 0.00 0.00 0.00 0.00 090 S
43020... ...... A Incision of esophagus.................................... 7.72 6.58 0.71 15.01 090 S
43030... ...... A Throat muscle surgery.................................... 7.15 *9.15 1.21 17.51 090 S
43040... ...... D Incision of esophagus.................................... 0.00 0.00 0.00 0.00 090 S
43045... ...... A Incision of esophagus.................................... 18.83 12.45 2.36 33.64 090 S
43100... ...... A Excision of esophagus lesion............................. 8.47 6.19 0.95 15.61 090 S
43101... ...... A Excision of esophagus lesion............................. 15.11 9.48 1.88 26.47 090 S
43105... ...... D Removal of upper esophagus............................... 0.00 0.00 0.00 0.00 090 S
43106... ...... D Removal of upper esophagus............................... 0.00 0.00 0.00 0.00 090 S
43107... ...... A Removal of esophagus..................................... 27.20 22.50 4.42 54.12 090 S
43108... ...... A Removal of esophagus..................................... 32.64 25.27 4.77 62.68 090 S
43110... ...... D Partial removal of esophagus............................. 0.00 0.00 0.00 0.00 090 S
43111... ...... D Partial removal of esophagus............................. 0.00 0.00 0.00 0.00 090 S
43112... ...... A Removal of esophagus..................................... 29.67 21.65 4.22 55.54 090 S
43113... ...... A Removal of esophagus..................................... 33.63 25.27 4.77 63.67 090 S
43115... ...... D Partial removal of esophagus............................. 0.00 0.00 0.00 0.00 090 S
43116... ...... A Partial removal of esophagus............................. 29.67 25.27 4.77 59.71 090 S
43117... ...... A Partial removal of esophagus............................. 28.47 25.27 4.77 58.51 090 S
43118... ...... A Partial removal of esophagus............................. 31.65 25.27 4.77 61.69 090 S
43119... ...... D Removal of esophagus..................................... 0.00 0.00 0.00 0.00 090 S
43120... ...... D Remove esophagus & stomach............................... 0.00 0.00 0.00 0.00 090 S
43121... ...... A Partial removal of esophagus............................. 27.69 21.36 4.19 53.24 090 S
43122... ...... A Partial removal of esophagus............................. 27.69 21.36 4.19 53.24 090 S
43123... ...... A Partial removal of esophagus............................. 31.65 25.27 4.77 61.69 090 S
43124... ...... A Removal of esophagus..................................... 24.73 22.50 4.42 51.65 090 S
43130... ...... A Removal of esophagus pouch............................... 10.68 10.51 1.60 22.79 090 S
43135... ...... A Removal of esophagus pouch............................... 15.11 11.72 2.17 29.00 090 S
43200... ...... A Esophagus endoscopy...................................... 1.59 *2.13 0.26 3.98 000 S
43202... ...... A Esophagus endoscopy, biopsy.............................. 1.89 *2.57 0.31 4.77 000 N
43204... ...... A Esophagus endoscopy & inject............................. 3.77 *4.83 0.36 8.96 000 N
43205... ...... A Esophagus endoscopy/ligation............................. 3.79 2.70 0.18 6.67 000 N
43215... ...... A Esophagus endoscopy...................................... 2.60 *3.47 0.46 6.53 000 N
43216... ...... A Esophagus endoscopy/lesion............................... 2.40 *3.64 0.37 6.41 000 N
43217... ...... A Esophagus endoscopy...................................... 2.90 *3.64 0.37 6.91 000 N
43219... ...... A Esophagus endoscopy...................................... 2.80 *3.58 0.34 6.72 000 N
43220... ...... A Esophagus endoscopy, dilation............................ 2.10 *2.68 0.27 5.05 000 N
43226... ...... A Esophagus endoscopy, dilation............................ 2.34 *3.08 0.26 5.68 000 N
43227... ...... A Esophagus endoscopy, repair.............................. 3.60 *4.61 0.34 8.55 000 N
43228... ...... A Esophagus endoscopy, ablation............................ 3.77 4.79 0.38 8.94 000 N
43234... ...... A Upper GI endoscopy, exam................................. 2.01 *2.57 0.30 4.88 000 N
43235... ...... A Upper GI endoscopy, diagnosis............................ 2.39 *3.07 0.29 5.75 000 N
43239... ...... A Upper GI endoscopy, biopsy............................... 2.69 *3.45 0.33 6.47 000 N
43241... ...... A Upper GI endoscopy with tube............................. 2.59 *3.61 0.38 6.58 000 N
43243... ...... A Upper GI endoscopy & inject.............................. 4.57 5.63 0.39 10.59 000 N
43244... ...... A Upper GI endoscopy/ligation.............................. 4.59 3.47 0.41 8.47 000 N
43245... ...... A Operative upper GI endoscopy............................. 3.39 *4.34 0.40 8.13 000 N
43246... ...... A Place gastrostomy tube................................... 4.33 *5.55 0.51 10.39 000 N
43247... ...... A Operative upper GI endoscopy............................. 3.39 *4.34 0.38 8.11 000 N
43248... ...... A Upper GI endoscopy/guidewire............................. 3.15 *4.03 0.35 7.53 000 N
43249... ...... A Esophagus endoscopy, dilation............................ 2.90 3.73 0.30 6.93 000 N
43250... ...... A Upper GI endoscopy/tumor................................. 3.20 *4.60 0.43 8.23 000 N
43251... ...... A Operative upper GI endoscopy............................. 3.70 *4.60 0.43 8.73 000 N
43255... ...... A Operative upper GI endoscopy............................. 4.40 5.63 0.38 10.41 000 N
43258... ...... A Operative upper GI endoscopy............................. 4.55 5.41 0.38 10.34 000 N
43259... ...... A Endoscopic ultrasound exam............................... 4.89 4.02 0.35 9.26 000 N
43260... ...... A Endoscopy, bile duct/pancreas............................ 5.96 5.98 0.39 12.33 000 N
43261... ...... A Endoscopy, bile duct/pancreas............................ 6.27 5.98 0.39 12.64 000 N
43262... ...... A Endoscopy, bile duct/pancreas............................ 7.39 9.00 0.58 16.97 000 N
43263... ...... A Endoscopy, bile duct/pancreas............................ 6.19 5.83 0.38 12.40 000 N
43264... ...... A Endoscopy, bile duct/pancreas............................ 8.90 8.92 0.61 18.43 000 N
43265... ...... A Endoscopy, bile duct/pancreas............................ 8.90 6.82 0.49 16.21 000 N
43267... ...... A Endoscopy, bile duct/pancreas............................ 7.39 7.41 0.48 15.28 000 N
43268... ...... A Endoscopy, bile duct/pancreas............................ 7.39 8.72 0.56 16.67 000 N
43269... ...... A Endoscopy, bile duct/pancreas............................ 6.04 7.35 0.51 13.90 000 N
43271... ...... A Endoscopy, bile duct/pancreas............................ 7.39 7.63 0.50 15.52 000 N
43272... ...... A Endoscopy, bile duct/pancreas............................ 7.39 5.60 0.42 13.41 000 N
43300... ...... A Repair of esophagus...................................... 8.72 *11.17 1.70 21.59 090 S
43305... ...... A Repair esophagus and fistula............................. 16.14 13.71 1.78 31.63 090 S
43310... ...... A Repair of esophagus...................................... 24.20 16.99 3.23 44.42 090 S
43312... ...... A Repair esophagus and fistula............................. 27.26 13.72 2.30 43.28 090 S
43320... ...... A Fuse esophagus & stomach................................. 14.49 11.68 2.05 28.22 090 S
43321... ...... D Fuse esophagus & stomach................................. 0.00 0.00 0.00 0.00 090 S
43324... ...... A Revise esophagus & stomach............................... 15.18 11.88 2.53 29.59 090 S
43325... ...... A Revise esophagus & stomach............................... 14.63 11.61 2.29 28.53 090 S
43326... ...... A Revise esophagus & stomach............................... 14.37 7.52 1.75 23.64 090 S
43330... ...... A Repair of esophagus...................................... 14.27 11.36 2.39 28.02 090 S
43331... ...... A Repair of esophagus...................................... 14.73 14.33 2.64 31.70 090 S
43340... ...... A Fuse esophagus & intestine............................... 14.16 12.44 2.52 29.12 090 S
43341... ...... A Fuse esophagus & intestine............................... 15.26 9.90 1.56 26.72 090 S
43350... ...... A Surgical opening, esophagus.............................. 11.25 7.88 1.15 20.28 090 S
43351... ...... A Surgical opening, esophagus.............................. 13.42 8.77 1.53 23.72 090 S
43352... ...... A Surgical opening, esophagus.............................. 10.92 8.86 1.47 21.25 090 S
43360... ...... A Gastrointestinal repair.................................. 26.06 21.36 4.19 51.61 090 S
43361... ...... A Gastrointestinal repair.................................. 29.67 25.27 4.77 59.71 090 S
43400... ...... A Ligate esophagus veins................................... 15.55 10.82 1.63 28.00 090 S
43401... ...... A Esophagus surgery for veins.............................. 16.26 9.59 1.93 27.78 090 S
43405... ...... A Ligate/staple esophagus.................................. 14.84 14.33 2.64 31.81 090 S
43410... ...... A Repair esophagus wound................................... 9.61 8.90 1.54 20.05 090 S
43415... ...... A Repair esophagus wound................................... 15.86 12.74 2.52 31.12 090 S
43420... ...... A Repair esophagus opening................................. 10.19 5.88 0.78 16.85 090 S
43425... ...... A Repair esophagus opening................................. 15.58 9.94 1.71 27.23 090 S
43450... ...... A Dilate esophagus......................................... 1.38 0.68 0.05 2.11 000 N
43453... ...... A Dilate esophagus......................................... 1.51 1.51 0.11 3.13 000 N
43456... ...... A Dilate esophagus......................................... 3.52 2.47 0.24 6.23 000 N
43458... ...... A Dilation of esophagus.................................... 3.06 *2.02 0.27 5.35 000 N
43460... ...... A Pressure treatment esophagus............................. 3.80 1.67 0.15 5.62 000 N
43499... ...... C Esophagus surgery procedure.............................. 0.00 0.00 0.00 0.00 YYY N
43500... ...... A Surgical opening of stomach.............................. 7.60 6.13 1.20 14.93 090 S
43501... ...... A Surgical repair of stomach............................... 13.85 8.58 1.83 24.26 090 S
43502... ...... A Surgical repair of stomach............................... 15.82 8.58 1.83 26.23 090 S
43510... ...... A Surgical opening of stomach.............................. 9.27 8.29 0.94 18.50 090 N
43520... ...... A Incision of pyloric muscle............................... 7.00 4.48 0.87 12.35 090 S
43600... ...... A Biopsy of stomach........................................ 1.91 0.50 0.05 2.46 000 N
43605... ...... A Biopsy of stomach........................................ 8.23 5.91 1.29 15.43 090 S
43610... ...... A Excision of stomach lesion............................... 10.11 8.17 1.71 19.99 090 S
43611... ...... A Excision of stomach lesion............................... 12.43 8.17 1.71 22.31 090 S
43620... ...... A Removal of stomach....................................... 21.03 15.38 3.19 39.60 090 S
43621... ...... A Removal of stomach....................................... 21.47 15.38 3.19 40.04 090 S
43622... ...... A Removal of stomach....................................... 22.82 15.38 3.19 41.39 090 S
43631... ...... A Removal of stomach, partial.............................. 18.10 12.42 2.66 33.18 090 S
43632... ...... A Removal stomach, partial................................. 18.10 12.42 2.66 33.18 090 S
43633... ...... A Removal stomach, partial................................. 18.54 12.42 2.66 33.62 090 S
43634... ...... A Removal stomach, partial................................. 19.89 20.83 4.57 45.29 090 S
43635... ...... A Partial removal of stomach............................... 2.06 1.08 0.26 3.40 ZZZ S
43638... ...... A Partial removal of stomach............................... 20.15 12.75 2.73 35.63 090 S
43639... ...... A Removal stomach, partial................................. 20.64 12.75 2.73 36.12 090 S
43640... ...... A Vagotomy & pylorus repair................................ 13.28 10.34 2.19 25.81 090 S
43641... ...... A Vagotomy & pylorus repair................................ 13.28 10.34 2.18 25.80 090 S
43750... ...... A Place gastrostomy tube................................... 5.71 4.35 0.56 10.62 010 N
43760... ...... A Change gastrostomy tube.................................. 1.10 0.69 0.09 1.88 000 N
43761... ...... A Reposition gastrostomy tube.............................. 2.01 1.06 0.25 3.32 000 N
43800... ...... A Reconstruction of pylorus................................ 9.41 6.85 1.47 17.73 090 S
43810... ...... A Fusion of stomach and bowel.............................. 10.08 7.64 1.53 19.25 090 S
43820... ...... A Fusion of stomach and bowel.............................. 10.43 8.29 1.75 20.47 090 S
43825... ...... A Fusion of stomach and bowel.............................. 13.28 11.08 2.30 26.66 090 S
43830... ...... A Place gastrostomy tube................................... 4.84 *6.19 1.19 12.22 090 S
43831... ...... A Place gastrostomy tube................................... 6.41 5.20 0.93 12.54 090 S
43832... ...... A Place gastrostomy tube................................... 10.68 7.95 1.36 19.99 090 S
43840... ...... A Repair of stomach lesion................................. 10.45 7.84 1.66 19.95 090 S
43842... ...... A Gastroplasty for obesity................................. 13.76 13.72 2.93 30.41 090 S
43843... ...... A Gastroplasty for obesity................................. 13.76 13.72 2.93 30.41 090 S
43844... ...... D Gastric bypass for obesity............................... 0.00 0.00 0.00 0.00 090 S
43846... ...... A Gastric bypass for obesity............................... 17.84 14.80 3.30 35.94 090 S
43847... ...... A Gastric bypass for obesity............................... 19.87 9.67 1.13 30.67 090 S
43848... ...... A Revision gastroplasty.................................... 22.10 14.80 3.30 40.20 090 S
43850... ...... A Revise stomach-bowel fusion.............................. 18.14 11.64 2.25 32.03 090 S
43855... ...... A Revise stomach-bowel fusion.............................. 19.15 10.44 2.28 31.87 090 S
43860... ...... A Revise stomach-bowel fusion.............................. 18.14 11.46 2.51 32.11 090 S
43865... ...... A Revise stomach-bowel fusion.............................. 19.15 13.39 2.98 35.52 090 S
43870... ...... A Repair stomach opening................................... 6.56 5.77 1.14 13.47 090 S
43880... ...... A Repair stomach-bowel fistula............................. 18.14 8.25 1.76 28.15 090 S
43885... ...... D Revise stomach placement................................. 0.00 0.00 0.00 0.00 090 S
43999... ...... C Stomach surgery procedure................................ 0.00 0.00 0.00 0.00 YYY N
44005... ...... A Freeing of bowel adhesion................................ 12.52 8.28 1.75 22.55 090 S
44010... ...... A Incision of small bowel.................................. 9.24 6.91 1.42 17.57 090 S
44015... ...... A Insert needle catheter, bowel............................ 2.62 3.22 0.45 6.29 ZZZ S
44020... ...... A Exploration of small bowel............................... 10.69 7.81 1.65 20.15 090 S
44021... ...... A Decompress small bowel................................... 10.83 7.00 1.48 19.31 090 S
44025... ...... A Incision of large bowel.................................. 11.07 7.74 1.61 20.42 090 S
44040... ...... D Exteriorization of bowel................................. 0.00 0.00 0.00 0.00 090 S
44050... ...... A Reduce bowel obstruction................................. 10.05 7.77 1.64 19.46 090 S
44055... ...... A Correct malrotation of bowel............................. 11.92 7.66 1.60 21.18 090 S
44100... ...... A Biopsy of bowel.......................................... 2.01 1.38 0.13 3.52 000 N
44110... ...... A Excision of bowel lesion(s).............................. 9.01 7.67 1.58 18.26 090 S
44111... ...... A Excision of bowel lesion(s).............................. 11.05 9.67 2.14 22.86 090 S
44120... ...... A Removal of small intestine............................... 13.15 9.46 2.02 24.63 090 S
44121... ...... A Removal of small intestine............................... 4.45 2.32 0.54 7.31 ZZZ S
44125... ...... A Removal of small intestine............................... 13.15 10.75 2.28 26.18 090 S
44130... ...... A Bowel to bowel fusion.................................... 11.09 8.67 1.86 21.62 090 S
44139... ...... A Mobilization of colon.................................... 2.23 1.17 0.27 3.67 ZZZ S
44140... ...... A Partial removal of colon................................. 16.97 11.37 2.40 30.74 090 S
44141... ...... A Partial removal of colon................................. 17.36 11.86 2.55 31.77 090 S
44143... ...... A Partial removal of colon................................. 15.00 12.26 2.62 29.88 090 S
44144... ...... A Partial removal of colon................................. 15.00 12.06 2.53 29.59 090 S
44145... ...... A Partial removal of colon................................. 21.29 13.25 2.78 37.32 090 S
44146... ...... A Partial removal of colon................................. 22.22 14.98 3.14 40.34 090 S
44147... ...... A Partial removal of colon................................. 16.23 15.34 3.30 34.87 090 S
44150... ...... A Removal of colon......................................... 19.04 14.84 3.17 37.05 090 S
44151... ...... A Removal of colon/ileostomy............................... 17.95 10.21 2.22 30.38 090 S
44152... ...... A Removal of colon/ileostomy............................... 22.98 15.44 3.36 41.78 090 S
44153... ...... A Removal of colon/ileostomy............................... 24.69 19.35 3.63 47.67 090 S
44155... ...... A Removal of colon......................................... 22.09 16.65 3.50 42.24 090 S
44156... ...... A Removal of colon/ileostomy............................... 20.48 11.40 2.52 34.40 090 S
44160... ...... A Removal of colon......................................... 14.09 12.44 2.68 29.21 090 S
44300... ...... A Open bowel to skin....................................... 7.77 6.03 1.29 15.09 090 S
44310... ...... A Ileostomy/jejunostomy.................................... 10.07 7.88 1.66 19.61 090 S
44312... ...... A Revision of ileostomy.................................... 5.34 3.08 0.45 8.87 090 S
44314... ...... A Revision of ileostomy.................................... 9.77 6.68 1.21 17.66 090 S
44316... ...... A Devise bowel pouch....................................... 13.59 9.64 1.43 24.66 090 S
44320... ...... A Colostomy................................................ 11.39 7.46 1.57 20.42 090 S
44322... ...... A Colostomy with biopsies.................................. 10.31 9.07 1.88 21.26 090 S
44340... ...... A Revision of colostomy.................................... 4.92 1.68 0.35 6.95 090 S
44345... ...... A Revision of colostomy.................................... 10.05 4.84 1.03 15.92 090 S
44346... ...... A Revision of colostomy.................................... 11.13 6.65 1.38 19.16 090 S
44360... ...... A Small bowel endoscopy.................................... 2.92 *3.74 0.32 6.98 000 N
44361... ...... A Small bowel endoscopy, biopsy............................ 3.23 *4.14 0.34 7.71 000 N
44363... ...... A Small bowel endoscopy.................................... 3.94 2.99 0.36 7.29 000 N
44364... ...... A Small bowel endoscopy.................................... 4.22 4.73 0.72 9.67 000 N
44365... ...... A Small bowel endoscopy.................................... 3.73 4.73 0.72 9.18 000 N
44366... ...... A Small bowel endoscopy.................................... 4.97 5.86 0.45 11.28 000 N
44369... ...... A Small bowel endoscopy.................................... 5.09 *6.52 0.50 12.11 000 N
44372... ...... A Small bowel endoscopy.................................... 4.97 5.83 0.67 11.47 000 N
44373... ...... A Small bowel endoscopy.................................... 3.94 *5.03 0.50 9.47 000 N
44376... ...... A Small bowel endoscopy.................................... 5.69 4.05 0.26 10.00 000 N
44377... ...... A Small bowel endoscopy.................................... 5.98 4.26 0.28 10.52 000 N
44378... ...... A Small bowel endoscopy.................................... 7.71 5.27 0.35 13.33 000 N
44380... ...... A Small bowel endoscopy.................................... 1.51 *1.97 0.22 3.70 000 N
44382... ...... A Small bowel endoscopy.................................... 1.82 *2.54 0.29 4.65 000 N
44385... ...... A Endoscopy of bowel pouch................................. 1.82 *2.44 0.34 4.60 000 S
44386... ...... A Endoscopy, bowel pouch, biopsy........................... 2.12 1.54 0.15 3.81 000 N
44388... ...... A Colon endoscopy.......................................... 2.82 *3.61 0.50 6.93 000 S
44389... ...... A Colonoscopy with biopsy.................................. 3.13 *4.00 0.45 7.58 000 N
44390... ...... A Colonoscopy for foreign body............................. 3.83 2.63 0.28 6.74 000 N
44391... ...... A Colonoscopy for bleeding................................. 4.32 5.26 0.53 10.11 000 N
44392... ...... A Colonoscopy & polypectomy................................ 3.82 *5.16 0.70 9.68 000 N
44393... ...... A Colonoscopy, lesion removal.............................. 4.84 5.41 0.70 10.95 000 N
44394... ...... A Colonoscopy w/snare...................................... 4.43 *5.16 0.70 10.29 000 N
44500... ...... A Intro, gastrointestinal tube............................. 0.49 0.36 0.02 0.87 000 N
44602... ...... A Suture, small intestine.................................. 9.72 7.65 1.62 18.99 090 S
44603... ...... A Suture, small intestine.................................. 12.94 9.09 1.96 23.99 090 S
44604... ...... A Suture, large intestine.................................. 12.94 7.87 1.67 22.48 090 S
44605... ...... A Repair of bowel lesion................................... 13.91 9.37 2.02 25.30 090 S
44615... ...... A Intestinal stricturoplasty............................... 12.89 6.74 1.57 21.20 090 S
44620... ...... A Repair bowel opening..................................... 9.65 5.97 1.26 16.88 090 S
44625... ...... A Repair bowel opening..................................... 12.10 9.58 2.03 23.71 090 S
44640... ...... A Repair bowel-skin fistula................................ 13.34 6.54 1.35 21.23 090 S
44650... ...... A Repair bowel fistula..................................... 13.76 7.33 1.46 22.55 090 S
44660... ...... A Repair bowel-bladder fistula............................. 13.14 8.34 1.21 22.69 090 S
44661... ...... A Repair bowel-bladder fistula............................. 15.44 13.94 2.52 31.90 090 S
44680... ...... A Surgical revision, intestine............................. 12.41 9.71 2.14 24.26 090 S
44799... ...... C Intestine surgery procedure.............................. 0.00 0.00 0.00 0.00 YYY S
44800... ...... A Excision of bowel pouch.................................. 10.12 5.24 1.08 16.44 090 S
44820... ...... A Excision of mesentery lesion............................. 9.31 5.80 1.21 16.32 090 S
44850... ...... A Repair of mesentery...................................... 8.64 5.60 1.18 15.42 090 S
44899... ...... C Bowel surgery procedure.................................. 0.00 0.00 0.00 0.00 YYY S
44900... ...... A Drainage of appendix abscess............................. 7.86 4.28 0.88 13.02 090 S
44950... ...... A Appendectomy............................................. 6.06 4.89 1.01 11.96 090 S
44955... ...... A Appendectomy............................................. 1.53 *2.25 0.60 4.38 ZZZ S
44960... ...... A Appendectomy............................................. 9.78 5.89 1.24 16.91 090 S
45000... ...... A Drainage of pelvic abscess............................... 4.28 1.59 0.24 6.11 090 S
45005... ...... A Drainage of rectal abscess............................... 1.96 1.29 0.21 3.46 010 S
45020... ...... A Drainage of rectal abscess............................... 4.40 2.61 0.51 7.52 090 S
45100... ...... A Biopsy of rectum......................................... 3.38 1.88 0.35 5.61 090 S
45108... ...... A Removal of anorectal lesion.............................. 4.28 2.66 0.53 7.47 090 S
45110... ...... A Removal of rectum........................................ 21.68 16.32 3.43 41.43 090 S
45111... ...... A Partial removal of rectum................................ 14.97 11.77 2.49 29.23 090 S
45112... ...... A Removal of rectum........................................ 24.02 16.06 3.36 43.44 090 S
45113... ...... A Partial proctectomy...................................... 24.69 16.06 3.36 44.11 090 S
45114... ...... A Partial removal of rectum................................ 21.20 15.39 3.24 39.83 090 S
45116... ...... A Partial removal of rectum................................ 19.09 10.77 2.34 32.20 090 S
45120... ...... A Removal of rectum........................................ 22.78 16.39 3.54 42.71 090 S
45121... ...... A Removal of rectum and colon.............................. 24.96 10.79 2.01 37.76 090 S
45123... ...... A Partial proctectomy...................................... 13.27 11.77 2.49 27.53 090 S
45130... ...... A Excision of rectal prolapse.............................. 13.03 8.92 1.79 23.74 090 S
45135... ...... A Excision of rectal prolapse.............................. 15.36 15.95 3.50 34.81 090 S
45150... ...... A Excision of rectal stricture............................. 5.26 3.38 0.63 9.27 090 S
45160... ...... A Excision of rectal lesion................................ 12.34 7.46 1.56 21.36 090 S
45170... ...... A Excision of rectal lesion................................ 9.40 4.62 0.96 14.98 090 S
45180... ...... D Removal of rectal lesion................................. 0.00 0.00 0.00 0.00 090 S
45190... ...... A Destruction rectal tumor................................. 7.91 5.09 1.06 14.06 090 S
45300... ...... A Proctosigmoidoscopy...................................... 0.70 0.55 0.07 1.32 000 S
45303... ...... A Proctosigmoidoscopy...................................... 0.50 *0.65 0.12 1.27 000 S
45305... ...... A Proctosigmoidoscopy; biopsy.............................. 1.01 0.84 0.14 1.99 000 S
45307... ...... A Proctosigmoidoscopy...................................... 1.71 1.27 0.18 3.16 000 S
45308... ...... A Proctosigmoidoscopy...................................... 1.51 1.13 0.20 2.84 000 S
45309... ...... A Proctosigmoidoscopy...................................... 2.01 1.13 0.20 3.34 000 S
45315... ...... A Proctosigmoidoscopy...................................... 2.54 1.19 0.18 3.91 000 S
45317... ...... A Proctosigmoidoscopy...................................... 2.73 1.26 0.19 4.18 000 S
45320... ...... A Proctosigmoidoscopy...................................... 2.88 1.87 0.34 5.09 000 S
45321... ...... A Proctosigmoidoscopy...................................... 2.12 1.47 0.27 3.86 000 S
45330... ...... A Sigmoidoscopy, diagnostic................................ 0.96 *1.23 0.12 2.31 000 N
45331... ...... A Sigmoidoscopy and biopsy................................. 1.26 *1.61 0.15 3.02 000 N
45332... ...... A Sigmoidoscopy............................................ 1.96 1.76 0.16 3.88 000 N
45333... ...... A Sigmoidoscopy & polypectomy.............................. 1.96 2.24 0.26 4.46 000 N
45334... ...... A Sigmoidoscopy for bleeding............................... 2.99 2.71 0.23 5.93 000 N
45337... ...... A Sigmoidoscopy, decompression............................. 2.36 *3.03 0.38 5.77 000 N
45338... ...... A Sigmoidoscopy............................................ 2.57 2.24 0.26 5.07 000 N
45339... ...... A Sigmoidoscopy............................................ 3.14 3.24 0.31 6.69 000 N
45355... ...... A Surgical colonoscopy..................................... 3.52 1.17 0.10 4.79 000 N
45378... ...... A Diagnostic colonoscopy................................... 3.70 4.13 0.39 8.22 000 N
45379... ...... A Colonoscopy.............................................. 4.72 5.33 0.45 10.50 000 N
45380... ...... A Colonoscopy and biopsy................................... 4.01 4.79 0.40 9.20 000 N
45382... ...... A Colonoscopy, control bleeding............................ 5.73 5.87 0.41 12.01 000 N
45383... ...... A Colonoscopy, lesion removal.............................. 5.87 5.92 0.50 12.29 000 N
45384... ...... A Colonoscopy.............................................. 4.70 *6.65 0.58 11.93 000 N
45385... ...... A Colonoscopy, lesion removal.............................. 5.31 *6.65 0.58 12.54 000 N
45500... ...... A Repair of rectum......................................... 6.59 5.95 1.21 13.75 090 S
45505... ...... A Repair of rectum......................................... 5.54 6.29 1.23 13.06 090 S
45520... ...... A Treatment of rectal prolapse............................. 0.55 0.61 0.10 1.26 000 N
45540... ...... A Correct rectal prolapse.................................. 11.98 9.89 2.10 23.97 090 S
45541... ...... A Correct rectal prolapse.................................. 9.79 10.17 2.04 22.00 090 S
45550... ...... A Repair rectum; remove sigmoid............................ 13.38 11.49 2.38 27.25 090 S
45560... ...... A Repair of rectocele...................................... 7.48 4.79 0.98 13.25 090 S
45562... ...... A Exploration/repair of rectum............................. 11.13 8.09 1.58 20.80 090 S
45563... ...... A Exploration/repair of rectum............................. 17.55 12.77 2.49 32.81 090 S
45800... ...... A Repair rectumbladder fistula............................. 12.75 9.82 1.45 24.02 090 S
45805... ...... A Repair fistula; colostomy................................ 15.08 12.32 2.39 29.79 090 S
45820... ...... A Repair rectourethral fistula............................. 13.31 8.98 1.23 23.52 090 S
45825... ...... A Repair fistula; colostomy................................ 15.45 9.87 1.66 26.98 090 S
45900... ...... A Reduction of rectal prolapse............................. 1.68 0.58 0.11 2.37 010 S
45905... ...... A Dilation of anal sphincter............................... 1.51 0.71 0.12 2.34 010 S
45910... ...... A Dilation of rectal narrowing............................. 1.86 0.87 0.13 2.86 010 S
45915... ...... A Remove rectal obstruction................................ 2.09 0.78 0.09 2.96 010 N
45999... ...... C Rectum surgery procedure................................. 0.00 0.00 0.00 0.00 YYY N
46030... ...... A Removal of rectal marker................................. 1.20 0.40 0.07 1.67 010 S
46040... ...... A Incision of rectal abscess............................... 4.90 1.69 0.34 6.93 090 S
46045... ...... A Incision of rectal abscess............................... 3.91 1.85 0.38 6.14 090 S
46050... ...... A Incision of anal abscess................................. 1.14 0.60 0.11 1.85 010 S
46060... ...... A Incision of rectal abscess............................... 5.03 5.35 1.12 11.50 090 S
46070... ...... A Incision of anal septum.................................. 2.63 1.37 0.33 4.33 090 S
46080... ...... A Incision of anal sphincter............................... 2.35 2.13 0.43 4.91 010 S
46083... ...... A Incise external hemorrhoid............................... 1.35 0.63 0.08 2.06 010 N
46200... ...... A Removal of anal fissure.................................. 3.02 3.29 0.66 6.97 090 S
46210... ...... A Removal of anal crypt.................................... 2.52 0.77 0.14 3.43 090 S
46211... ...... A Removal of anal crypts................................... 4.07 1.90 0.38 6.35 090 S
46220... ...... A Removal of anal tab...................................... 1.51 0.63 0.12 2.26 010 S
46221... ...... A Ligation of hemorrhoid(s)................................ 1.38 0.66 0.14 2.18 010 S
46230... ...... A Removal of anal tabs..................................... 2.52 0.83 0.12 3.47 010 S
46250... ...... A Hemorrhoidectomy......................................... 4.29 2.84 0.52 7.65 090 S
46255... ...... A Hemorrhoidectomy......................................... 4.95 4.72 0.85 10.52 090 S
46257... ...... A Remove hemorrhoids & fissure............................. 5.87 5.23 1.08 12.18 090 S
46258... ...... A Remove hemorrhoids & fistula............................. 6.26 5.87 1.22 13.35 090 S
46260... ...... A Hemorrhoidectomy......................................... 6.70 6.07 1.25 14.02 090 S
46261... ...... A Remove hemorrhoids & fissure............................. 6.54 6.62 1.34 14.50 090 S
46262... ...... A Remove hemorrhoids & fistula............................. 6.77 6.72 1.39 14.88 090 S
46270... ...... A Removal of anal fistula.................................. 3.51 1.87 0.37 5.75 090 S
46275... ...... A Removal of anal fistula.................................. 4.35 5.50 1.13 10.98 090 S
46280... ...... A Removal of anal fistula.................................. 5.63 6.08 1.24 12.95 090 S
46281... ...... D Closure of anal fistula.................................. 0.00 0.00 0.00 0.00 090 S
46285... ...... A Removal of anal fistula.................................. 3.88 2.28 0.43 6.59 090 S
46288... ...... A Repair anal fistula...................................... 6.83 3.57 0.83 11.23 090 S
46320... ...... A Removal of hemorrhoid clot............................... 1.58 0.70 0.11 2.39 010 S
46500... ...... A Injection into hemorrhoids............................... 1.53 0.32 0.06 1.91 010 S
46600... ...... A Diagnostic anoscopy...................................... 0.50 0.28 0.03 0.81 000 N
46604... ...... A Anoscopy and dilation.................................... 1.31 0.38 0.06 1.75 000 S
46606... ...... A Anoscopy and biopsy...................................... 0.81 0.36 0.06 1.23 000 S
46608... ...... A Anoscopy; remove foreign body............................ 1.51 1.07 0.12 2.70 000 N
46610... ...... A Anoscopy; remove lesion.................................. 1.32 0.85 0.15 2.32 000 S
46611... ...... A Anoscopy................................................. 1.81 0.85 0.15 2.81 000 S
46612... ...... A Anoscopy; remove lesions................................. 2.34 1.39 0.20 3.93 000 S
46614... ...... A Anoscopy; control bleeding............................... 2.01 1.55 0.25 3.81 000 S
46615... ...... A Anoscopy................................................. 2.68 1.55 0.25 4.48 000 S
46700... ...... A Repair of anal stricture................................. 6.40 6.14 1.24 13.78 090 S
46705... ...... A Repair of anal stricture................................. 6.38 3.60 0.77 10.75 090 S
46715... ...... A Repair of anovaginal fistula............................. 6.73 3.51 0.82 11.06 090 S
46716... ...... A Repair of anovaginal fistula............................. 11.58 6.05 1.40 19.03 090 S
46730... ...... A Construction of absent anus.............................. 20.54 10.74 2.50 33.78 090 S
46735... ...... A Construction of absent anus.............................. 24.91 13.04 3.04 40.99 090 S
46740... ...... A Construction of absent anus.............................. 22.08 11.55 2.68 36.31 090 S
46742... ...... A Repair, imperforated anus................................ 27.82 19.75 1.93 49.50 090 S
46744... ...... A Repair, cloacal anomaly.................................. 31.23 22.17 2.17 55.57 090 S
46746... ...... A Repair, cloacal anomaly.................................. 34.17 24.26 2.37 60.80 090 S
46748... ...... A Repair, cloacal anomaly.................................. 38.07 27.03 2.64 67.74 090 S
46750... ...... A Repair of anal sphincter................................. 7.35 6.00 1.22 14.57 090 S
46751... ...... A Repair of anal sphincter................................. 7.78 4.07 0.95 12.80 090 S
46753... ...... A Reconstruction of anus................................... 6.04 4.89 1.02 11.95 090 S
46754... ...... A Removal of suture from anus.............................. 1.51 1.48 0.30 3.29 010 S
46760... ...... A Repair of anal sphincter................................. 10.61 6.80 1.41 18.82 090 S
46761... ...... A Repair of anal sphincter................................. 10.16 6.83 1.35 18.34 090 S
46762... ...... A Implant artificial sphincter............................. 9.26 5.72 1.21 16.19 090 S
46900... ...... A Destruction, anal lesion(s).............................. 1.81 0.39 0.06 2.26 010 S
46910... ...... A Destruction, anal lesion(s).............................. 1.81 0.64 0.08 2.53 010 S
46916... ...... A Cryosurgery, anal lesion(s).............................. 1.81 0.67 0.06 2.54 010 S
46917... ...... A Laser surgery, anal lesion(s)............................ 1.81 1.94 0.31 4.06 010 S
46922... ...... A Excision of anal lesion(s)............................... 1.81 1.28 0.23 3.32 010 S
46924... ...... A Destruction, anal lesion(s).............................. 2.71 2.56 0.46 5.73 010 S
46934... ...... A Destruction of hemorrhoids............................... 3.84 1.19 0.17 5.20 090 N
46935... ...... A Destruction of hemorrhoids............................... 2.40 1.62 0.22 4.24 010 N
46936... ...... A Destruction of hemorrhoids............................... 4.17 2.29 0.24 6.70 090 N
46937... ...... A Cryotherapy of rectal lesion............................. 2.66 2.35 0.45 5.46 010 S
46938... ...... A Cryotherapy of rectal lesion............................. 4.42 2.50 0.52 7.44 090 S
46940... ...... A Treatment of anal fissure................................ 2.29 0.51 0.09 2.89 010 S
46942... ...... A Treatment of anal fissure................................ 2.01 0.46 0.08 2.55 010 S
46945... ...... A Ligation of hemorrhoids.................................. 3.06 0.63 0.12 3.81 090 S
46946... ...... A Ligation of hemorrhoids.................................. 4.04 0.94 0.17 5.15 090 S
46999... ...... C Anus surgery procedure................................... 0.00 0.00 0.00 0.00 YYY S
47000... ...... A Needle biopsy of liver................................... 1.90 1.40 0.13 3.43 000 N
47001... ...... A Needle biopsy, liver..................................... 1.90 1.40 0.13 3.43 ZZZ S
47010... ...... A Drainage of liver lesion................................. 8.75 6.75 1.13 16.63 090 S
47015... ...... A Inject/aspirate liver cyst............................... 8.78 6.75 1.13 16.66 090 S
47100... ...... A Wedge biopsy of liver.................................... 6.75 3.29 0.67 10.71 090 S
47120... ...... A Partial removal of liver................................. 19.99 12.00 2.48 34.47 090 S
47122... ...... A Extensive removal of liver............................... 32.54 17.58 3.59 53.71 090 S
47125... ...... A Partial removal of liver................................. 28.68 17.43 3.61 49.72 090 S
47130... ...... A Partial removal of liver................................. 31.56 19.19 3.89 54.64 090 S
47133... ...... X Removal of donor liver................................... 0.00 0.00 0.00 0.00 XXX O
47134... ...... R Partial removal, donor liver............................. 39.15 20.48 4.77 64.40 XXX S
47135... ...... R Transplantation of liver................................. 77.61 54.48 8.49 140.58 090 S
47136... ...... R Transplantation of liver................................. 64.04 33.50 7.79 105.33 090 S
47300... ...... A Surgery for liver lesion................................. 8.75 7.67 1.59 18.01 090 S
47350... ...... A Repair liver wound....................................... 11.29 7.46 1.49 20.24 090 S
47355... ...... A Repair liver wound....................................... 12.18 7.18 1.35 20.71 090 S
47360... ...... A Repair liver wound....................................... 15.34 10.93 2.18 28.45 090 S
47399... ...... C Liver surgery procedure.................................. 0.00 0.00 0.00 0.00 YYY S
47400... ...... A Incision of liver duct................................... 18.90 8.53 1.36 28.79 090 S
47420... ...... A Incision of bile duct.................................... 15.31 9.48 1.99 26.78 090 S
47425... ...... A Incision of bile duct.................................... 14.79 11.71 2.45 28.95 090 S
47440... ...... D Incision of bile duct.................................... 0.00 0.00 0.00 0.00 090 S
47460... ...... A Incise bile duct sphincter............................... 14.41 15.54 1.82 31.77 090 N
47480... ...... A Incision of gallbladder.................................. 8.05 7.60 1.59 17.24 090 S
47490... ...... A Incision of gallbladder.................................. 6.04 3.57 0.38 9.99 090 N
47500... ...... A Injection for liver x-rays............................... 1.96 1.51 0.14 3.61 000 N
47505... ...... A Injection for liver x-rays............................... 0.76 *1.14 0.14 2.04 000 N
47510... ...... A Insert catheter, bile duct............................... 7.39 2.87 0.25 10.51 090 N
47511... ...... A Insert bile duct drain................................... 9.91 2.87 0.25 13.03 090 N
47525... ...... A Change bile duct catheter................................ 5.41 1.59 0.16 7.16 010 N
47530... ...... A Revise, reinsert bile tube............................... 5.41 1.51 0.19 7.11 090 N
47550... ...... A Bile duct endoscopy...................................... 3.02 1.56 0.35 4.93 000 S
47552... ...... A Biliary endoscopy, thru skin............................. 6.04 1.36 0.21 7.61 000 S
47553... ...... A Biliary endoscopy, thru skin............................. 6.35 3.80 0.62 10.77 000 N
47554... ...... A Biliary endoscopy, thru skin............................. 9.06 3.93 0.67 13.66 000 S
47555... ...... A Biliary endoscopy, thru skin............................. 7.56 2.63 0.30 10.49 000 N
47556... ...... A Biliary endoscopy, thru skin............................. 8.56 2.63 0.30 11.49 000 N
47600... ...... A Removal of gallbladder................................... 10.68 7.53 1.58 19.79 090 S
47605... ...... A Removal of gallbladder................................... 11.53 8.14 1.75 21.42 090 S
47610... ...... A Removal of gallbladder................................... 13.86 9.37 2.00 25.23 090 S
47612... ...... A Removal of gallbladder................................... 14.75 14.23 3.05 32.03 090 S
47620... ...... A Removal of gallbladder................................... 15.79 11.23 2.36 29.38 090 S
47630... ...... A Remove bile duct stone................................... 8.31 3.75 0.40 12.46 090 N
47700... ...... A Exploration of bile ducts................................ 13.75 7.63 1.58 22.96 090 S
47701... ...... A Bile duct revision....................................... 26.57 8.21 1.90 36.68 090 S
47710... ...... D Excision of bile duct tumor.............................. 0.00 0.00 0.00 0.00 090 S
47711... ...... A Excision of bile duct tumor.............................. 18.16 12.06 2.46 32.68 090 S
47712... ...... A Excision of bile duct tumor.............................. 23.74 12.06 2.46 38.26 090 S
47715... ...... A Excision of bile duct cyst............................... 14.50 8.22 1.71 24.43 090 S
47716... ...... A Fusion of bile duct cyst................................. 12.53 6.56 1.53 20.62 090 S
47720... ...... A Fuse gallbladder & bowel................................. 11.90 9.16 1.93 22.99 090 S
47721... ...... A Fuse upper gi structures................................. 14.41 11.42 2.47 28.30 090 S
47740... ...... A Fuse gallbladder & bowel................................. 13.93 10.21 2.14 26.28 090 S
47741... ...... A Fuse gallbladder & bowel................................. 16.23 14.35 3.02 33.60 090 S
47760... ...... A Fuse bile ducts and bowel................................ 19.93 11.61 2.53 34.07 090 S
47765... ...... A Fuse liver ducts & bowel................................. 19.04 14.61 2.97 36.62 090 S
47780... ...... A Fuse bile ducts and bowel................................ 20.40 13.07 2.73 36.20 090 S
47785... ...... A Fuse bile ducts and bowel................................ 24.41 13.07 2.73 40.21 090 S
47800... ...... A Reconstruction of bile ducts............................. 17.71 13.22 2.43 33.36 090 S
47801... ...... A Placement, bile duct support............................. 11.28 5.48 0.81 17.57 090 S
47802... ...... A Fuse liver duct & intestine.............................. 16.01 10.27 1.75 28.03 090 S
47900... ...... A Suture bile duct injury.................................. 15.63 13.22 2.43 31.28 090 S
47999... ...... C Bile tract surgery procedure............................. 0.00 0.00 0.00 0.00 YYY S
48000... ...... A Drainage of abdomen...................................... 13.10 7.05 1.40 21.55 090 S
48001... ...... A Placement of drain, pancreas............................. 15.54 8.13 1.89 25.56 090 S
48005... ...... A Resect/debride pancreas.................................. 17.57 9.19 2.14 28.90 090 S
48020... ...... A Removal of pancreatic stone.............................. 12.98 6.78 1.57 21.33 090 S
48100... ...... A Biopsy of pancreas....................................... 10.19 4.21 0.79 15.19 090 S
48102... ...... A Needle biopsy, pancreas.................................. 4.43 2.41 0.25 7.09 010 N
48120... ...... A Removal of pancreas lesion............................... 12.79 9.72 2.07 24.58 090 S
48140... ...... A Partial removal of pancreas.............................. 18.27 13.29 2.83 34.39 090 S
48145... ...... A Partial removal of pancreas.............................. 19.09 15.71 3.16 37.96 090 S
48146... ...... A Pancreatectomy........................................... 21.73 16.49 1.92 40.14 090 S
48148... ...... A Removal of pancreatic duct............................... 14.41 8.23 1.68 24.32 090 S
48150... ...... A Partial removal of pancreas.............................. 40.25 22.54 4.75 67.54 090 S
48152... ...... A Pancreatectomy........................................... 36.50 22.54 4.75 63.79 090 S
48153... ...... A Pancreatectomy........................................... 40.25 22.54 4.75 67.54 090 S
48154... ...... A Pancreatectomy........................................... 36.50 22.54 4.75 63.79 090 S
48155... ...... A Removal of pancreas...................................... 19.43 20.40 4.26 44.09 090 S
48160... ...... N Pancreas removal, transplant............................. 0.00 0.00 0.00 0.00 XXX O
48180... ...... A Fuse pancreas and bowel.................................. 20.88 12.60 2.63 36.11 090 S
48400... ...... A Injection, intraoperative................................ 1.95 1.03 0.24 3.22 ZZZ N
48500... ...... A Surgery of pancreas cyst................................. 12.04 8.53 1.66 22.23 090 S
48510... ...... A Drain pancreatic pseudocyst.............................. 11.22 7.54 1.44 20.20 090 S
48520... ...... A Fuse pancreas cyst and bowel............................. 12.97 11.30 2.43 26.70 090 S
48540... ...... A Fuse pancreas cyst and bowel............................. 15.77 12.66 2.65 31.08 090 S
48545... ...... A Pancreatorrhaphy......................................... 14.65 7.66 1.79 24.10 090 S
48547... ...... A Duodenal exclusion....................................... 21.18 11.08 2.58 34.84 090 S
48550... ...... N Donor pancreatectomy..................................... 0.00 0.00 0.00 0.00 XXX O
48554... ...... N Transplantallograft pancreas............................. #34.17 17.87 4.16 56.20 XXX O
48556... ...... A Removal, allograft pancreas.............................. 13.89 7.26 1.69 22.84 090 S
48999... ...... C Pancreas surgery procedure............................... 0.00 0.00 0.00 0.00 YYY S
49000... ...... A Exploration of abdomen................................... 8.99 6.79 1.40 17.18 090 S
49002... ...... A Reopening of abdomen..................................... 9.40 6.05 1.21 16.66 090 S
49010... ...... A Exploration behind abdomen............................... 11.19 6.95 1.31 19.45 090 S
49020... ...... A Drain abdominal abscess.................................. 9.06 4.82 0.91 14.79 090 S
49040... ...... A Drain abdominal abscess.................................. 8.74 6.54 1.27 16.55 090 S
49060... ...... A Drain abdominal abscess.................................. 10.55 5.54 1.01 17.10 090 S
49080... ...... A Puncture, peritoneal cavity.............................. 1.35 0.87 0.08 2.30 000 N
49081... ...... A Removal of abdominal fluid............................... 1.26 0.75 0.07 2.08 000 N
49085... ...... A Remove abdomen foreign body.............................. 7.91 3.46 0.67 12.04 090 S
49180... ...... A Biopsy, abdominal mass................................... 1.49 1.82 0.20 3.51 000 N
49200... ...... A Removal of abdominal lesion.............................. 9.19 8.38 1.70 19.27 090 S
49201... ...... A Removal of abdominal lesion.............................. 13.60 12.10 2.50 28.20 090 S
49215... ...... A Excise sacral spine tumor................................ 21.05 8.50 1.59 31.14 090 S
49220... ...... A Multiple surgery, abdomen................................ 13.66 12.30 2.53 28.49 090 S
49250... ...... A Excision of umbilicus.................................... 7.42 4.52 0.96 12.90 090 S
49255... ...... A Removal of omentum....................................... 4.04 *5.16 1.15 10.35 090 S
49400... ...... A Air injection into abdomen............................... 1.88 1.12 0.17 3.17 000 S
49420... ...... A Insert abdominal drain................................... 2.22 1.58 0.20 4.00 000 S
49421... ...... A Insert abdominal drain................................... 4.89 4.14 0.81 9.84 090 S
49422... ...... A Remove perm cannula/catheter............................. 5.85 4.14 0.81 10.80 010 S
49425... ...... A Insert abdomen-venous drain.............................. 10.22 8.48 1.78 20.48 090 S
49426... ...... A Revise abdomen-venous shunt.............................. 8.57 5.39 1.07 15.03 090 S
49427... ...... A Injection, abdominal shunt............................... 0.89 0.49 0.03 1.41 000 N
49428... ...... A Ligation of shunt........................................ 1.98 1.04 0.24 3.26 010 S
49429... ...... A Removal of shunt......................................... 6.35 3.32 0.77 10.44 010 S
49495... ...... A Repair inguinal hernia, init............................. 5.79 4.98 0.95 11.72 090 S
49496... ...... A Repair inguinal hernia, init............................. 8.37 5.04 1.08 14.49 090 S
49500... ...... A Repair inguinal hernia................................... 4.41 4.98 0.95 10.34 090 S
49501... ...... A Repair inguinal hernia, init............................. 7.26 5.04 1.08 13.38 090 S
49505... ...... A Repair inguinal hernia................................... 6.17 4.51 0.94 11.62 090 S
49507... ...... A Repair, inguinal hernia.................................. 7.40 5.04 1.08 13.52 090 S
49520... ...... A Rerepair inguinal hernia................................. 7.87 5.22 1.11 14.20 090 S
49521... ...... A Repair inguinal hernia, rec.............................. 9.43 5.04 1.08 15.55 090 S
49525... ...... A Repair inguinal hernia................................... 6.97 5.55 1.16 13.68 090 S
49540... ...... A Repair lumbar hernia..................................... 7.91 5.20 1.12 14.23 090 S
49550... ...... A Repair femoral hernia.................................... 6.97 4.61 0.97 12.55 090 S
49553... ...... A Repair femoral hernia, init.............................. 7.40 4.61 0.97 12.98 090 S
49555... ...... A Repair femoral hernia.................................... 7.29 6.07 1.26 14.62 090 S
49557... ...... A Repair femoral hernia, recur............................. 8.73 6.07 1.26 16.06 090 S
49560... ...... A Repair abdominal hernia.................................. 9.48 5.65 1.19 16.32 090 S
49561... ...... A Repair incisional hernia................................. 11.38 5.65 1.19 18.22 090 S
49565... ...... A Rerepair abdominal hernia................................ 9.48 6.41 1.35 17.24 090 S
49566... ...... A Repair incisional hernia................................. 11.38 6.41 1.35 19.14 090 S
49568... ...... A Hernia repair w/mesh..................................... 4.89 2.56 0.59 8.04 ZZZ S
49570... ...... A Repair epigastric hernia................................. 4.46 4.38 0.91 9.75 090 S
49572... ...... A Repair, epigastric hernia................................ 5.35 5.60 1.18 12.13 090 S
49580... ...... A Repair umbilical hernia.................................. 3.24 *4.15 0.94 8.33 090 S
49582... ...... A Repair umbilical hernia.................................. 5.13 4.61 0.94 10.68 090 S
49585... ...... A Repair umbilical hernia.................................. 4.95 4.41 0.91 10.27 090 S
49587... ...... A Repair umbilical hernia.................................. 5.93 4.41 0.91 11.25 090 S
49590... ...... A Repair abdominal hernia.................................. 6.55 5.63 1.22 13.40 090 S
49600... ...... A Repair umbilical lesion.................................. 9.48 5.26 0.77 15.51 090 S
49605... ...... A Repair umbilical lesion.................................. 21.92 8.57 1.77 32.26 090 S
49606... ...... A Repair umbilical lesion.................................. 17.93 8.31 0.96 27.20 090 S
49610... ...... A Repair umbilical lesion.................................. 9.83 5.48 1.27 16.58 090 S
49611... ...... A Repair umbilical lesion.................................. 8.25 9.00 0.58 17.83 090 S
49900... ...... A Repair of abdominal wall................................. 4.54 3.66 0.75 8.95 090 S
49905... ...... A Omental flap............................................. 6.55 3.42 0.80 10.77 ZZZ S
49999... ...... C Abdomen surgery procedure................................ 0.00 0.00 0.00 0.00 YYY S
50010... ...... A Exploration of kidney.................................... 10.07 9.55 1.13 20.75 090 S
50020... ...... A Drainage of kidney abscess............................... 12.41 6.80 0.85 20.06 090 S
50040... ...... A Drainage of kidney....................................... 13.80 7.18 0.62 21.60 090 N
50045... ...... A Exploration of kidney.................................... 14.48 9.81 0.89 25.18 090 S
50060... ...... A Removal of kidney stone.................................. 18.00 12.25 1.21 31.46 090 S
50065... ...... A Incision of kidney....................................... 19.62 13.93 1.35 34.90 090 S
50070... ...... A Incision of kidney....................................... 19.15 12.87 1.35 33.37 090 S
50075... ...... A Removal of kidney stone.................................. 24.05 16.87 1.62 42.54 090 S
50080... ...... A Removal of kidney stone.................................. 13.98 12.20 1.15 27.33 090 S
50081... ...... A Removal of kidney stone.................................. 20.58 14.96 1.44 36.98 090 S
50100... ...... A Revise kidney blood vessels.............................. 15.11 10.34 1.35 26.80 090 S
50120... ...... A Exploration of kidney.................................... 15.00 10.91 1.24 27.15 090 S
50125... ...... A Explore and drain kidney................................. 15.61 10.95 1.06 27.62 090 S
50130... ...... A Removal of kidney stone.................................. 16.12 12.80 1.26 30.18 090 S
50135... ...... A Exploration of kidney.................................... 18.14 17.05 1.63 36.82 090 S
50200... ...... A Biopsy of kidney......................................... 2.63 2.61 0.22 5.46 000 N
50205... ...... A Biopsy of kidney......................................... 12.69 5.64 0.69 19.02 090 S
50220... ...... A Removal of kidney........................................ 15.98 13.31 1.43 30.72 090 S
50225... ...... A Removal of kidney........................................ 18.93 16.52 1.70 37.15 090 S
50230... ...... A Removal of kidney........................................ 20.56 18.40 1.84 40.80 090 S
50234... ...... A Removal of kidney & ureter............................... 21.11 16.65 1.65 39.41 090 S
50236... ...... A Removal of kidney & ureter............................... 23.33 17.74 1.74 42.81 090 S
50240... ...... A Partial removal of kidney................................ 20.24 16.00 1.70 37.94 090 S
50280... ...... A Removal of kidney lesion................................. 14.63 10.86 1.16 26.65 090 S
50290... ...... A Removal of kidney lesion................................. 13.69 8.87 1.19 23.75 090 S
50300... ...... X Removal of donor kidney.................................. 0.00 0.00 0.00 0.00 XXX O
50320... ...... A Removal of donor kidney.................................. 21.22 16.49 2.40 40.11 090 S
50340... ...... A Removal of kidney........................................ 10.73 12.49 2.24 25.46 090 S
50360... ...... A Transplantation of kidney................................ 27.05 24.45 4.24 55.74 090 S
50365... ...... A Transplantation of kidney................................ 32.54 30.71 3.89 67.14 090 S
50370... ...... A Remove transplanted kidney............................... 11.11 11.08 1.92 24.11 090 S
50380... ...... A Reimplantation of kidney................................. 16.49 10.12 1.71 28.32 090 S
50390... ...... A Drainage of kidney lesion................................ 3.24 1.69 0.15 5.08 000 N
50392... ...... A Insert kidney drain...................................... 5.59 2.36 0.20 8.15 000 N
50393... ...... A Insert ureteral tube..................................... 6.88 3.01 0.26 10.15 000 N
50394... ...... A Injection for kidney x-ray............................... 0.76 0.55 0.05 1.36 000 N
50395... ...... A Create passage to kidney................................. 5.15 3.33 0.29 8.77 000 N
50396... ...... A Measure kidney pressure.................................. 2.09 0.50 0.05 2.64 000 N
50398... ...... A Change kidney tube....................................... 1.46 0.53 0.05 2.04 000 S
50400... ...... A Revision of kidney/ureter................................ 18.07 13.66 1.36 33.09 090 S
50405... ...... A Revision of kidney/ureter................................ 22.45 17.29 1.74 41.48 090 S
50500... ...... A Repair of kidney wound................................... 18.27 12.46 1.64 32.37 090 S
50520... ...... A Close kidney-skin fistula................................ 15.93 10.34 1.50 27.77 090 S
50525... ...... A Repair renal-abdomen fistula............................. 20.59 12.61 1.99 35.19 090 S
50526... ...... A Repair renal-abdomen fistula............................. 22.15 7.39 2.32 31.86 090 S
50540... ...... A Revision of horseshoe kidney............................. 19.15 13.41 1.54 34.10 090 S
50551... ...... A Kidney endoscopy......................................... 5.60 2.19 0.21 8.00 000 S
50553... ...... A Kidney endoscopy......................................... 5.99 1.66 0.17 7.82 000 S
50555... ...... A Kidney endoscopy & biopsy................................ 6.53 4.70 0.45 11.68 000 S
50557... ...... A Kidney endoscopy & treatment............................. 6.62 4.71 0.49 11.82 000 S
50559... ...... A Renal endoscopy; radiotracer............................. 6.78 1.34 0.14 8.26 000 S
50561... ...... A Kidney endoscopy & treatment............................. 7.59 5.12 0.49 13.20 000 S
50570... ...... A Kidney endoscopy......................................... 9.54 1.45 0.14 11.13 000 S
50572... ...... A Kidney endoscopy......................................... 10.35 7.25 0.75 18.35 000 S
50574... ...... A Kidney endoscopy & biopsy................................ 11.02 7.08 0.64 18.74 000 S
50575... ...... A Kidney endoscopy......................................... 13.98 9.93 0.97 24.88 000 S
50576... ...... A Kidney endoscopy & treatment............................. 10.99 8.69 0.77 20.45 000 S
50578... ...... A Renal endoscopy; radiotracer............................. 11.35 3.79 1.19 16.33 000 S
50580... ...... A Kidney endoscopy & treatment............................. 11.86 3.58 0.35 15.79 000 S
50590... ...... A Fragmenting of kidney stone.............................. 9.62 10.11 0.97 20.70 090 S
50600... ...... A Exploration of ureter.................................... 14.78 9.69 1.01 25.48 090 S
50605... ...... A Insert ureteral support.................................. 14.40 6.11 0.60 21.11 090 S
50610... ...... A Removal of ureter stone.................................. 14.86 11.77 1.17 27.80 090 S
50620... ...... A Removal of ureter stone.................................. 14.17 11.49 1.16 26.82 090 S
50630... ...... A Removal of ureter stone.................................. 13.95 12.71 1.25 27.91 090 S
50650... ...... A Removal of ureter........................................ 16.37 12.07 1.21 29.65 090 S
50660... ...... A Removal of ureter........................................ 18.44 12.49 1.53 32.46 090 S
50684... ...... A Injection for ureter x-ray............................... 0.76 0.49 0.05 1.30 000 S
50686... ...... A Measure ureter pressure.................................. 1.51 0.37 0.04 1.92 000 S
50688... ...... A Change of ureter tube.................................... 1.14 0.39 0.04 1.57 010 S
50690... ...... A Injection for ureter x-ray............................... 1.16 0.32 0.03 1.51 000 S
50700... ...... A Revision of ureter....................................... 14.10 12.57 1.29 27.96 090 S
50715... ...... A Release of ureter........................................ 17.60 11.24 1.49 30.33 090 S
50722... ...... A Release of ureter........................................ 15.11 10.32 1.97 27.40 090 S
50725... ...... A Release/revise ureter.................................... 17.12 12.05 1.75 30.92 090 S
50727... ...... A Revise ureter............................................ 7.57 5.37 0.51 13.45 090 S
50728... ...... A Revise ureter............................................ 11.13 7.90 0.77 19.80 090 S
50740... ...... A Fusion of ureter & kidney................................ 17.12 13.03 1.88 32.03 090 S
50750... ...... A Fusion of ureter & kidney................................ 18.14 14.04 1.26 33.44 090 S
50760... ...... A Fusion of ureters........................................ 17.12 13.47 1.48 32.07 090 S
50770... ...... A Splicing of ureters...................................... 18.14 15.23 1.53 34.90 090 S
50780... ...... A Reimplant ureter in bladder.............................. 17.12 13.78 1.46 32.36 090 S
50782... ...... A Reimplant ureter in bladder.............................. 18.23 13.78 1.46 33.47 090 S
50783... ...... A Reimplant ureter in bladder.............................. 19.17 13.78 1.46 34.41 090 S
50785... ...... A Reimplant ureter in bladder.............................. 19.15 15.42 1.80 36.37 090 S
50800... ...... A Implant ureter in bowel.................................. 13.10 14.67 1.51 29.28 090 S
50810... ...... A Fusion of ureter & bowel................................. 18.14 12.57 1.75 32.46 090 S
50815... ...... A Urine shunt to bowel..................................... 18.14 19.76 2.75 40.65 090 S
50820... ...... A Construct bowel bladder.................................. 20.15 18.97 2.50 41.62 090 S
50825... ...... A Construct bowel bladder.................................. 26.19 30.54 3.33 60.06 090 S
50830... ...... A Revise urine flow........................................ 29.29 20.93 2.27 52.49 090 S
50840... ...... A Replace ureter by bowel.................................. 18.14 13.32 1.35 32.81 090 S
50845... ...... A Appendico-vesicostomy.................................... 19.52 13.87 1.35 34.74 090 S
50860... ...... A Transplant ureter to skin................................ 13.99 10.92 1.16 26.07 090 S
50900... ...... A Repair of ureter......................................... 12.58 9.98 1.15 23.71 090 S
50920... ...... A Closure ureter/skin fistula.............................. 13.22 9.52 0.99 23.73 090 S
50930... ...... A Closure ureter/bowel fistula............................. 17.61 12.50 1.22 31.33 090 S
50940... ...... A Release of ureter........................................ 13.47 9.90 0.95 24.32 090 S
50951... ...... A Endoscopy of ureter...................................... 5.84 1.67 0.17 7.68 000 S
50953... ...... A Endoscopy of ureter...................................... 6.24 1.66 0.16 8.06 000 S
50955... ...... A Ureter endoscopy & biopsy................................ 6.75 2.55 0.25 9.55 000 S
50957... ...... A Ureter endoscopy & treatment............................. 6.79 2.50 0.25 9.54 000 S
50959... ...... A Ureter endoscopy & tracer................................ 4.40 3.38 0.29 8.07 000 S
50961... ...... A Ureter endoscopy & treatment............................. 6.05 2.62 0.26 8.93 000 S
50970... ...... A Ureter endoscopy......................................... 7.14 5.17 0.52 12.83 000 S
50972... ...... A Ureter endoscopy & catheter.............................. 6.89 1.54 0.16 8.59 000 S
50974... ...... A Ureter endoscopy & biopsy................................ 9.17 7.01 0.65 16.83 000 S
50976... ...... A Ureter endoscopy & treatment............................. 9.04 6.41 0.62 16.07 000 S
50978... ...... A Ureter endoscopy & tracer................................ 5.10 4.05 0.48 9.63 000 S
50980... ...... A Ureter endoscopy & treatment............................. 6.85 3.13 0.30 10.28 000 S
51000... ...... A Drainage of bladder...................................... 0.78 0.48 0.05 1.31 000 S
51005... ...... A Drainage of bladder...................................... 1.02 0.46 0.04 1.52 000 S
51010... ...... A Drainage of bladder...................................... 2.54 0.97 0.11 3.62 010 S
51020... ...... A Incise & treat bladder................................... 6.04 6.85 0.71 13.60 090 S
51030... ...... A Incise & treat bladder................................... 6.04 4.53 0.43 11.00 090 S
51040... ...... A Incise & drain bladder................................... 4.08 *5.70 0.75 10.53 090 S
51045... ...... A Incise bladder, drain ureter............................. 6.04 4.96 0.50 11.50 090 S
51050... ...... A Removal of bladder stone................................. 6.04 7.12 0.70 13.86 090 S
51060... ...... A Removal of ureter stone.................................. 8.05 *10.31 1.19 19.55 090 S
51065... ...... A Removal of ureter stone.................................. 8.05 7.08 0.71 15.84 090 S
51080... ...... A Drainage of bladder abscess.............................. 5.41 5.18 0.57 11.16 090 S
51500... ...... A Removal of bladder cyst.................................. 9.54 6.86 1.21 17.61 090 S
51520... ...... A Removal of bladder lesion................................ 8.69 8.53 0.87 18.09 090 S
51525... ...... A Removal of bladder lesion................................ 12.78 10.67 1.06 24.51 090 S
51530... ...... A Removal of bladder lesion................................ 11.32 9.25 1.02 21.59 090 S
51535... ...... A Repair of ureter lesion.................................. 11.51 7.68 1.14 20.33 090 S
51550... ...... A Partial removal of bladder............................... 14.34 10.71 1.17 26.22 090 S
51555... ...... A Partial removal of bladder............................... 19.60 12.26 1.31 33.17 090 S
51565... ...... A Revise bladder & ureter(s)............................... 20.01 15.84 1.67 37.52 090 S
51570... ...... A Removal of bladder....................................... 22.16 15.66 1.62 39.44 090 S
51575... ...... A Removal of bladder & nodes............................... 27.93 22.87 2.25 53.05 090 S
51580... ...... A Remove bladder; revise tract............................. 28.20 19.95 2.04 50.19 090 S
51585... ...... A Removal of bladder & nodes............................... 32.22 25.12 2.42 59.76 090 S
51590... ...... A Remove bladder; revise tract............................. 30.21 24.52 2.56 57.29 090 S
51595... ...... A Remove bladder; revise tract............................. 34.25 33.80 3.34 71.39 090 S
51596... ...... A Remove bladder, create pouch............................. 36.27 34.89 3.45 74.61 090 S
51597... ...... A Removal of pelvic structures............................. 35.27 30.63 4.31 70.21 090 S
51600... ...... A Injection for bladder x-ray.............................. 0.88 0.28 0.03 1.19 000 S
51605... ...... A Preparation for bladder xray............................. 1.13 0.30 0.03 1.46 000 S
51610... ...... A Injection for bladder x-ray.............................. 1.59 0.27 0.02 1.88 000 S
51700... ...... A Irrigation of bladder.................................... 0.88 0.22 0.02 1.12 000 S
51705... ...... A Change of bladder tube................................... 0.99 0.38 0.04 1.41 010 S
51710... ...... A Change of bladder tube................................... 1.46 0.57 0.06 2.09 010 S
51715... ...... A Endoscopic injection/implant............................. 3.74 2.65 0.27 6.66 000 S
51720... ...... A Treatment of bladder lesion.............................. 1.96 0.45 0.05 2.46 000 S
51725... ...... A Simple cystometrogram.................................... 1.51 1.01 0.11 2.63 000 S
51725... 26 A Simple cystometrogram.................................... 1.51 0.63 0.07 2.21 000 S
51725... TC A Simple cystometrogram.................................... 0.00 0.38 0.04 0.42 000 S
51726... ...... A Complex cystometrogram................................... 1.71 1.29 0.13 3.13 000 S
51726... 26 A Complex cystometrogram................................... 1.71 0.81 0.08 2.60 000 S
51726... TC A Complex cystometrogram................................... 0.00 0.48 0.05 0.53 000 S
51736... ...... A Urine flow measurement................................... 0.84 0.41 0.04 1.29 000 S
51736... 26 A Urine flow measurement................................... 0.84 0.26 0.03 1.13 000 S
51736... TC A Urine flow measurement................................... 0.00 0.15 0.01 0.16 000 S
51741... ...... A Electro-uroflowmetry, first.............................. 1.57 0.56 0.06 2.19 000 S
51741... 26 A Electro-uroflowmetry, first.............................. 1.57 0.35 0.04 1.96 000 S
51741... TC A Electro-uroflowmetry, first.............................. 0.00 0.21 0.02 0.23 000 S
51772... ...... A Urethra pressure profile................................. 1.61 0.94 0.11 2.66 000 S
51772... 26 A Urethra pressure profile................................. 1.61 0.52 0.06 2.19 000 S
51772... TC A Urethra pressure profile................................. 0.00 0.42 0.05 0.47 000 S
51784... ...... A Anal/urinary muscle study................................ 1.53 1.04 0.11 2.68 000 S
51784... 26 A Anal/urinary muscle study................................ 1.53 0.65 0.07 2.25 000 S
51784... TC A Anal/urinary muscle study................................ 0.00 0.39 0.04 0.43 000 S
51785... ...... A Anal/urinary muscle study................................ 1.53 1.04 0.11 2.68 000 S
51785... 26 A Anal/urinary muscle study................................ 1.53 0.65 0.07 2.25 000 S
51785... TC A Anal/urinary muscle study................................ 0.00 0.39 0.04 0.43 000 S
51792... ...... A Urinary reflex study..................................... 1.10 1.93 0.20 3.23 000 S
51792... 26 A Urinary reflex study..................................... 1.10 0.59 0.06 1.75 000 S
51792... TC A Urinary reflex study..................................... 0.00 1.34 0.14 1.48 000 S
51795... ...... A Urine voiding pressure study............................. 1.53 1.44 0.16 3.13 000 S
51795... 26 A Urine voiding pressure study............................. 1.53 0.57 0.06 2.16 000 S
51795... TC A Urine voiding pressure study............................. 0.00 0.87 0.10 0.97 000 S
51797... ...... A Intraabdominal pressure test............................. 1.60 0.96 0.10 2.66 000 S
51797... 26 A Intraabdominal pressure test............................. 1.60 0.51 0.05 2.16 000 S
51797... TC A Intraabdominal pressure test............................. 0.00 0.45 0.05 0.50 000 S
51800... ...... A Revision of bladder/urethra.............................. 16.31 12.02 1.47 29.80 090 S
51820... ...... A Revision of urinary tract................................ 16.67 7.39 1.32 25.38 090 S
51840... ...... A Attach bladder/urethra................................... 9.78 9.22 1.26 20.26 090 S
51841... ...... A Attach bladder/urethra................................... 12.10 11.01 1.48 24.59 090 S
51845... ...... A Repair bladder neck...................................... 9.06 10.71 1.09 20.86 090 S
51860... ...... A Repair of bladder wound.................................. 11.17 7.62 0.91 19.70 090 S
51865... ...... A Repair of bladder wound.................................. 13.99 10.96 1.27 26.22 090 S
51880... ...... A Repair of bladder opening................................ 7.21 4.96 0.52 12.69 090 S
51900... ...... A Repair bladder/vagina lesion............................. 11.67 11.65 1.41 24.73 090 S
51920... ...... A Close bladder-uterus fistula............................. 10.57 7.51 0.73 18.81 090 S
51925... ...... A Hysterectomy/bladder repair.............................. 14.10 10.07 2.33 26.50 090 S
51940... ...... A Correction of bladder defect............................. 25.00 18.95 2.22 46.17 090 S
51960... ...... A Revision of bladder & bowel.............................. 21.15 21.40 2.27 44.82 090 S
51980... ...... A Construct bladder opening................................ 10.43 7.46 0.75 18.64 090 S
52000... ...... A Cystoscopy............................................... 2.01 1.33 0.14 3.48 000 S
52005... ...... A Cystoscopy & ureter catheter............................. 2.37 2.20 0.22 4.79 000 S
52007... ...... A Cystoscopy and biopsy.................................... 3.02 2.82 0.28 6.12 000 S
52010... ...... A Cystoscopy & duct catheter............................... 3.02 1.90 0.20 5.12 000 S
52204... ...... A Cystoscopy............................................... 2.37 2.38 0.24 4.99 000 S
52214... ...... A Cystoscopy and treatment................................. 3.71 2.80 0.28 6.79 000 S
52224... ...... A Cystoscopy and treatment................................. 3.14 2.90 0.29 6.33 000 S
52234... ...... A Cystoscopy and treatment................................. 4.63 4.71 0.45 9.79 000 S
52235... ...... A Cystoscopy and treatment................................. 5.45 *6.97 0.81 13.23 000 S
52240... ...... A Cystoscopy and treatment................................. 9.72 10.65 1.04 21.41 000 S
52250... ...... A Cystoscopy & radiotracer................................. 4.50 2.86 0.29 7.65 000 S
52260... ...... A Cystoscopy & treatment................................... 3.92 2.11 0.22 6.25 000 S
52265... ...... A Cystoscopy & treatment................................... 2.94 1.35 0.14 4.43 000 S
52270... ...... A Cystoscopy & revise urethra.............................. 3.84 3.47 0.35 7.66 000 S
52275... ...... A Cystoscopy & revise urethra.............................. 4.70 3.42 0.34 8.46 000 S
52276... ...... A Cystoscopy and treatment................................. 3.93 4.58 0.45 8.96 000 S
52277... ...... A Cystoscopy and treatment................................. 6.17 4.82 0.47 11.46 000 S
52281... ...... A Cystoscopy and treatment................................. 2.80 2.31 0.23 5.34 000 S
52283... ...... A Cystoscopy and treatment................................. 3.74 1.51 0.15 5.40 000 S
52285... ...... A Cystoscopy and treatment................................. 3.61 2.94 0.30 6.85 000 S
52290... ...... A Cystoscopy and treatment................................. 4.59 2.34 0.24 7.17 000 S
52300... ...... A Cystoscopy and treatment................................. 5.35 3.47 0.36 9.18 000 S
52305... ...... A Cystoscopy and treatment................................. 5.31 3.50 0.35 9.16 000 S
52310... ...... A Cystoscopy and treatment................................. 2.81 2.99 0.30 6.10 000 S
52315... ...... A Cystoscopy and treatment................................. 5.21 4.07 0.40 9.68 000 S
52317... ...... A Remove bladder stone..................................... 6.72 6.19 0.59 13.50 000 S
52318... ...... A Remove bladder stone..................................... 9.19 7.88 0.77 17.84 000 S
52320... ...... A Cystoscopy and treatment................................. 4.70 4.86 0.47 10.03 000 S
52325... ...... A Cystoscopy, stone removal................................ 6.16 7.01 0.68 13.85 000 S
52327... ...... A Cystoscopy, inject material.............................. 5.19 3.69 0.36 9.24 000 S
52330... ...... A Cystoscopy and treatment................................. 5.04 3.47 0.35 8.86 000 S
52332... ...... A Cystoscopy and treatment................................. 2.83 3.21 0.32 6.36 000 S
52334... ...... A Create passage to kidney................................. 4.83 3.33 0.34 8.50 000 S
52335... ...... A Endoscopy of urinary tract............................... 5.86 4.69 0.45 11.00 000 S
52336... ...... A Cystoscopy, stone removal................................ 6.88 *8.81 0.99 16.68 000 S
52337... ...... A Cystoscopy, stone removal................................ 7.97 *10.21 1.08 19.26 000 S
52338... ...... A Cystoscopy and treatment................................. 7.34 5.92 0.57 13.83 000 S
52339... ...... A Cystoscopy and treatment................................. 8.82 5.92 0.57 15.31 000 S
52340... ...... A Cystoscopy and treatment................................. 7.76 5.15 0.50 13.41 090 S
52450... ...... A Incision of prostate..................................... 7.05 4.99 0.49 12.53 090 S
52500... ...... A Revision of bladder neck................................. 7.82 7.44 0.72 15.98 090 S
52510... ...... A Dilation prostatic urethra............................... 6.04 7.64 0.74 14.42 090 S
52601... ...... A Prostatectomy (TURP)..................................... 11.51 11.87 1.16 24.54 090 S
52606... ...... A Control postop bleeding.................................. 7.51 3.32 0.33 11.16 090 S
52612... ...... A Prostatectomy, first stage............................... 7.05 *9.03 0.99 17.07 090 S
52614... ...... A Prostatectomy, second stage.............................. 6.04 7.09 0.68 13.81 090 S
52620... ...... A Remove residual prostate................................. 6.04 5.33 0.51 11.88 090 S
52630... ...... A Remove prostate regrowth................................. 6.55 *9.01 1.13 16.69 090 S
52640... ...... A Relieve bladder contracture.............................. 6.04 6.43 0.62 13.09 090 S
52647... ...... A Laser surgery of prostate................................ 7.42 11.87 1.16 20.45 090 S
52648... ...... A Laser surgery of prostate................................ 8.65 11.87 1.16 21.68 090 S
52650... ...... D Prostatectomy............................................ 0.00 0.00 0.00 0.00 090 S
52700... ...... A Drainage of prostate abscess............................. 6.31 3.30 0.34 9.95 090 S
53000... ...... A Incision of urethra...................................... 2.01 1.76 0.17 3.94 010 S
53010... ...... A Incision of urethra...................................... 3.02 3.52 0.37 6.91 090 S
53020... ...... A Incision of urethra...................................... 1.77 0.82 0.09 2.68 000 S
53025... ...... A Incision of urethra...................................... 1.13 0.80 0.08 2.01 000 S
53040... ...... A Drainage of urethra abscess.............................. 6.01 1.85 0.19 8.05 090 S
53060... ...... A Drainage of urethra abscess.............................. 2.58 0.51 0.07 3.16 010 S
53080... ...... A Drainage of urinary leakage.............................. 5.87 3.98 0.45 10.30 090 S
53085... ...... A Drainage of urinary leakage.............................. 9.67 6.75 0.70 17.12 090 S
53200... ...... A Biopsy of urethra........................................ 2.59 1.10 0.12 3.81 000 S
53210... ...... A Removal of urethra....................................... 11.71 6.64 0.67 19.02 090 S
53215... ...... A Removal of urethra....................................... 14.59 10.00 0.96 25.55 090 S
53220... ...... A Treatment of urethra lesion.............................. 6.58 4.77 0.49 11.84 090 S
53230... ...... A Removal of urethra lesion................................ 9.04 7.93 0.79 17.76 090 S
53235... ...... A Removal of urethra lesion................................ 9.60 5.02 0.49 15.11 090 N
53240... ...... A Surgery for urethra pouch................................ 6.03 4.33 0.45 10.81 090 S
53250... ...... A Removal of urethra gland................................. 5.69 4.05 0.40 10.14 090 S
53260... ...... A Treatment of urethra lesion.............................. 2.93 1.12 0.16 4.21 010 S
53265... ...... A Treatment of urethra lesion.............................. 3.07 1.88 0.22 5.17 010 S
53270... ...... A Removal of urethra gland................................. 2.93 0.84 0.18 3.95 010 S
53275... ...... A Repair of urethra defect................................. 4.37 2.37 0.25 6.99 010 S
53400... ...... A Revise urethra, 1st stage................................ 11.79 7.47 0.76 20.02 090 S
53405... ...... A Revise urethra, 2nd stage................................ 13.70 10.38 1.21 25.29 090 S
53410... ...... A Reconstruction of urethra................................ 15.59 8.56 0.84 24.99 090 S
53415... ...... A Reconstruction of urethra................................ 18.50 11.87 1.15 31.52 090 S
53420... ...... A Reconstruct urethra, stage 1............................. 13.28 10.88 1.05 25.21 090 S
53425... ...... A Reconstruct urethra, stage 2............................. 15.18 9.25 0.88 25.31 090 S
53430... ...... A Reconstruction of urethra................................ 15.54 7.16 0.76 23.46 090 S
53440... ...... A Correct bladder function................................. 11.49 13.14 1.39 26.02 090 S
53442... ...... A Remove perineal prosthesis............................... 7.67 5.84 0.67 14.18 090 S
53443... ...... A Reconstruction of urethra................................ 18.98 10.03 1.07 30.08 090 S
53445... ...... A Correct urine flow control............................... 13.15 *16.83 2.03 32.01 090 S
53447... ...... A Remove artificial sphincter.............................. 12.37 9.16 0.89 22.42 090 S
53449... ...... A Correct artificial sphincter............................. 9.16 8.41 0.82 18.39 090 S
53450... ...... A Revision of urethra...................................... 5.72 2.74 0.27 8.73 090 S
53460... ...... A Revision of urethra...................................... 6.70 2.44 0.25 9.39 090 S
53502... ...... A Repair of urethra injury................................. 7.21 4.97 0.56 12.74 090 S
53505... ...... A Repair of urethra injury................................. 7.21 5.18 0.51 12.90 090 S
53510... ...... A Repair of urethra injury................................. 9.57 6.98 0.66 17.21 090 S
53515... ...... A Repair of urethra injury................................. 12.71 9.03 0.88 22.62 090 S
53520... ...... A Repair of urethra defect................................. 8.21 5.89 0.56 14.66 090 S
53600... ...... A Dilate urethra stricture................................. 1.21 0.33 0.03 1.57 000 S
53601... ...... A Dilate urethra stricture................................. 0.98 0.29 0.03 1.30 000 S
53605... ...... A Dilate urethra stricture................................. 1.28 0.46 0.05 1.79 000 S
53620... ...... A Dilate urethra stricture................................. 1.62 0.47 0.05 2.14 000 S
53621... ...... A Dilate urethra stricture................................. 1.35 0.38 0.04 1.77 000 S
53640... ...... A Relieve bladder retention................................ 1.59 0.57 0.06 2.22 000 S
53660... ...... A Dilation of urethra...................................... 0.71 0.28 0.03 1.02 000 S
53661... ...... A Dilation of urethra...................................... 0.72 0.25 0.03 1.00 000 S
53665... ...... A Dilation of urethra...................................... 0.76 0.36 0.04 1.16 000 S
53670... ...... A Insert urinary catheter.................................. 0.50 0.22 0.02 0.74 000 S
53675... ...... A Insert urinary catheter.................................. 1.47 0.47 0.05 1.99 000 S
53800... ...... D Urinalysis, glass test................................... 0.00 0.00 0.00 0.00 XXX O
53899... ...... C Urology surgery procedure................................ 0.00 0.00 0.00 0.00 YYY S
54000... ...... A Slitting of prepuce...................................... 1.49 0.63 0.07 2.19 010 S
54001... ...... A Slitting of prepuce...................................... 2.14 0.84 0.09 3.07 010 S
54015... ...... A Drain penis lesion....................................... 5.16 0.83 0.09 6.08 010 S
54050... ...... A Destruction, penis lesion(s)............................. 1.19 0.38 0.03 1.60 010 S
54055... ...... A Destruction, penis lesion(s)............................. 1.19 0.61 0.06 1.86 010 S
54056... ...... A Cryosurgery, penis lesion(s)............................. 1.19 0.53 0.04 1.76 010 S
54057... ...... A Laser surg, penis lesion(s).............................. 1.19 *1.61 0.21 3.01 010 S
54060... ...... A Excision of penis lesion(s).............................. 1.88 1.17 0.12 3.17 010 S
54065... ...... A Destruction, penis lesion(s)............................. 2.37 2.47 0.25 5.09 010 S
54100... ...... A Biopsy of penis.......................................... 1.90 0.65 0.07 2.62 000 S
54105... ...... A Biopsy of penis.......................................... 3.45 1.01 0.11 4.57 010 S
54110... ...... A Treatment of penis lesion................................ 9.66 6.03 0.61 16.30 090 S
54111... ...... A Treat penis lesion, graft................................ 13.03 9.18 0.97 23.18 090 S
54112... ...... A Treat penis lesion, graft................................ 15.14 10.84 1.14 27.12 090 S
54115... ...... A Treatment of penis lesion................................ 5.68 4.18 0.44 10.30 090 S
54120... ...... A Partial removal of penis................................. 9.24 6.47 0.62 16.33 090 S
54125... ...... A Removal of penis......................................... 12.80 11.56 1.17 25.53 090 S
54130... ...... A Remove penis & nodes..................................... 18.92 14.66 1.32 34.90 090 S
54135... ...... A Remove penis & nodes..................................... 25.01 17.75 1.74 44.50 090 S
54150... ...... A Circumcision............................................. 1.78 0.54 0.05 2.37 010 S
54152... ...... A Circumcision............................................. 2.26 1.82 0.20 4.28 010 S
54160... ...... A Circumcision............................................. 2.43 1.66 0.21 4.30 010 S
54161... ...... A Circumcision............................................. 3.22 2.17 0.23 5.62 010 S
54200... ...... A Treatment of penis lesion................................ 1.01 0.32 0.03 1.36 010 S
54205... ...... A Treatment of penis lesion................................ 7.20 5.11 0.50 12.81 090 S
54220... ...... A Treatment of penis lesion................................ 2.42 1.58 0.17 4.17 000 S
54230... ...... A Prepare penis study...................................... 1.34 1.34 0.13 2.81 000 S
54231... ...... A Dynamic cavernosometry................................... 2.04 1.44 0.14 3.62 000 S
54235... ...... A Penile injection......................................... 1.19 0.43 0.04 1.66 000 S
54240... ...... A Penis study.............................................. 1.31 0.99 0.12 2.42 000 S
54240... 26 A Penis study.............................................. 1.31 0.51 0.06 1.88 000 S
54240... TC A Penis study.............................................. 0.00 0.48 0.06 0.54 000 S
54250... ...... A Penis study.............................................. 2.22 0.80 0.08 3.10 000 S
54250... 26 A Penis study.............................................. 2.22 0.50 0.05 2.77 000 S
54250... TC A Penis study.............................................. 0.00 0.30 0.03 0.33 000 S
54300... ...... A Revision of penis........................................ 10.05 6.88 0.87 17.80 090 S
54304... ...... A Revision of penis........................................ 12.13 8.66 0.90 21.69 090 S
54308... ...... A Reconstruction of urethra................................ 11.58 5.84 0.74 18.16 090 S
54312... ...... A Reconstruction of urethra................................ 13.16 9.37 0.91 23.44 090 S
54316... ...... A Reconstruction of urethra................................ 15.97 11.34 1.12 28.43 090 S
54318... ...... A Reconstruction of urethra................................ 10.47 7.53 1.11 19.11 090 S
54322... ...... A Reconstruction of urethra................................ 12.34 7.61 0.74 20.69 090 S
54324... ...... A Reconstruction of urethra................................ 15.46 10.98 1.08 27.52 090 S
54326... ...... A Reconstruction of urethra................................ 14.81 10.51 1.03 26.35 090 S
54328... ...... A Revise penis, urethra.................................... 14.80 10.72 1.24 26.76 090 S
54332... ...... A Revise penis, urethra.................................... 16.17 12.52 1.13 29.82 090 S
54336... ...... A Revise penis, urethra.................................... 18.95 18.79 1.40 39.14 090 S
54340... ...... A Secondary urethral surgery............................... 8.55 6.07 0.59 15.21 090 S
54344... ...... A Secondary urethral surgery............................... 15.22 16.61 1.10 32.93 090 S
54348... ...... A Secondary urethral surgery............................... 16.37 11.62 1.14 29.13 090 S
54352... ...... A Reconstruct urethra, penis............................... 23.84 16.18 1.49 41.51 090 S
54360... ...... A Penis plastic surgery.................................... 11.39 7.02 0.73 19.14 090 S
54380... ...... A Repair penis............................................. 12.59 9.42 0.75 22.76 090 S
54385... ...... A Repair penis............................................. 14.75 10.46 0.89 26.10 090 S
54390... ...... A Repair penis and bladder................................. 20.97 13.57 1.58 36.12 090 S
54400... ...... A Insert semi-rigid prosthesis............................. 8.58 *10.99 1.27 20.84 090 S
54401... ...... A Insert self-contd prosthesis............................. 9.67 *13.76 1.73 25.16 090 S
54402... ...... A Remove penis prosthesis.................................. 8.67 6.00 0.58 15.25 090 S
54405... ...... A Insert multi-comp prosthesis............................. 12.63 *17.10 2.10 31.83 090 S
54407... ...... A Remove multi-comp prosthesis............................. 12.61 11.22 1.10 24.93 090 S
54409... ...... A Revise penis prosthesis.................................. 11.53 8.97 0.87 21.37 090 S
54420... ...... A Revision of penis........................................ 10.75 7.74 0.87 19.36 090 S
54430... ...... A Revision of penis........................................ 9.55 6.99 0.69 17.23 090 S
54435... ...... A Revision of penis........................................ 5.63 4.15 0.39 10.17 090 S
54440... ...... C Repair of penis.......................................... 0.00 0.00 0.00 0.00 090 S
54450... ...... A Preputial stretching..................................... 1.12 0.68 0.07 1.87 000 S
54500... ...... A Biopsy of testis......................................... 1.31 0.44 0.05 1.80 000 S
54505... ...... A Biopsy of testis......................................... 3.41 1.86 0.22 5.49 010 S
54510... ...... A Removal of testis lesion................................. 5.24 3.03 0.38 8.65 090 S
54520... ...... A Removal of testis........................................ 4.93 5.31 0.52 10.76 090 S
54530... ...... A Removal of testis........................................ 8.04 7.32 0.77 16.13 090 S
54535... ...... A Extensive testis surgery................................. 11.43 8.54 1.02 20.99 090 S
54550... ...... A Exploration for testis................................... 7.36 5.25 0.61 13.22 090 S
54560... ...... A Exploration for testis................................... 10.46 7.23 0.81 18.50 090 S
54600... ...... A Reduce testis torsion.................................... 6.59 4.62 0.48 11.69 090 S
54620... ...... A Suspension of testis..................................... 4.69 3.32 0.33 8.34 010 S
54640... ...... A Suspension of testis..................................... 6.55 7.82 0.91 15.28 090 S
54650... ...... A Orchiopexy (Fowler-Stephens)............................. 10.93 7.82 0.91 19.66 090 S
54660... ...... A Revision of testis....................................... 4.80 3.40 0.34 8.54 090 S
54670... ...... A Repair testis injury..................................... 6.06 4.30 0.43 10.79 090 S
54680... ...... A Relocation of testis(es)................................. 11.53 8.19 0.80 20.52 090 S
54700... ...... A Drainage of scrotum...................................... 3.38 0.90 0.11 4.39 010 S
54800... ...... A Biopsy of epididymis..................................... 2.33 1.97 0.19 4.49 000 S
54820... ...... A Exploration of epididymis................................ 4.72 2.62 0.29 7.63 090 S
54830... ...... A Remove epididymis lesion................................. 5.07 3.51 0.39 8.97 090 S
54840... ...... A Remove epididymis lesion................................. 5.01 4.84 0.48 10.33 090 S
54860... ...... A Removal of epididymis.................................... 6.01 5.17 0.50 11.68 090 S
54861... ...... A Removal of epididymis.................................... 8.54 7.30 0.72 16.56 090 S
54900... ...... A Fusion of spermatic ducts................................ 12.61 8.95 0.87 22.43 090 S
54901... ...... A Fusion of spermatic ducts................................ 17.30 12.29 1.20 30.79 090 S
55000... ...... A Drainage of hydrocele.................................... 1.43 0.40 0.04 1.87 000 S
55040... ...... A Removal of hydrocele..................................... 5.15 4.88 0.55 10.58 090 S
55041... ...... A Removal of hydroceles.................................... 7.38 7.47 0.81 15.66 090 S
55060... ...... A Repair of hydrocele...................................... 5.21 4.13 0.50 9.84 090 S
55100... ...... A Drainage of scrotum abscess.............................. 2.03 0.63 0.07 2.73 010 S
55110... ...... A Explore scrotum.......................................... 5.28 3.48 0.37 9.13 090 S
55120... ...... A Removal of scrotum lesion................................ 4.78 1.79 0.21 6.78 090 S
55150... ...... A Removal of scrotum....................................... 6.62 5.45 0.57 12.64 090 S
55175... ...... A Revision of scrotum...................................... 4.93 4.49 0.48 9.90 090 S
55180... ...... A Revision of scrotum...................................... 10.07 6.83 0.82 17.72 090 S
55200... ...... A Incision of sperm duct................................... 4.14 1.97 0.20 6.31 090 S
55250... ...... A Removal of sperm duct(s)................................. 3.21 2.63 0.28 6.12 090 S
55300... ...... A Preparation, sperm duct x-ray............................ 3.51 2.71 0.27 6.49 000 S
55400... ...... A Repair of sperm duct..................................... 8.25 6.56 0.62 15.43 090 S
55450... ...... A Ligation of sperm duct................................... 3.91 2.61 0.32 6.84 010 S
55500... ...... A Removal of hydrocele..................................... 5.28 4.32 0.50 10.10 090 S
55520... ...... A Removal of sperm cord lesion............................. 5.72 3.12 0.51 9.35 090 S
55530... ...... A Revise spermatic cord veins.............................. 5.45 5.20 0.60 11.25 090 S
55535... ...... A Revise spermatic cord veins.............................. 6.25 4.40 0.45 11.10 090 S
55540... ...... A Revise hernia & sperm veins.............................. 7.25 4.54 0.91 12.70 090 S
55600... ...... A Incise sperm duct pouch.................................. 6.07 4.31 0.55 10.93 090 S
55605... ...... A Incise sperm duct pouch.................................. 7.60 5.60 0.59 13.79 090 S
55650... ...... A Remove sperm duct pouch.................................. 11.26 7.22 0.76 19.24 090 S
55680... ...... A Remove sperm pouch lesion................................ 4.82 4.43 0.38 9.63 090 S
55700... ...... A Biopsy of prostate....................................... 1.57 1.50 0.15 3.22 000 S
55705... ...... A Biopsy of prostate....................................... 4.41 3.37 0.34 8.12 010 S
55720... ...... A Drainage of prostate abscess............................. 7.54 3.51 0.37 11.42 090 S
55725... ...... A Drainage of prostate abscess............................. 7.70 5.62 0.54 13.86 090 S
55801... ...... A Removal of prostate...................................... 16.25 12.76 1.44 30.45 090 S
55810... ...... A Extensive prostate surgery............................... 21.21 17.88 1.77 40.86 090 S
55812... ...... A Extensive prostate surgery............................... 25.65 17.68 1.94 45.27 090 S
55815... ...... A Extensive prostate surgery............................... 28.47 25.20 2.42 56.09 090 S
55821... ...... A Removal of prostate...................................... 13.00 13.59 1.35 27.94 090 S
55831... ...... A Removal of prostate...................................... 14.30 14.56 1.44 30.30 090 S
55840... ...... A Extensive prostate surgery............................... 21.21 16.60 1.61 39.42 090 S
55842... ...... A Extensive prostate surgery............................... 22.70 19.16 1.88 43.74 090 S
55845... ...... A Extensive prostate surgery............................... 26.73 25.10 2.44 54.27 090 S
55860... ...... A Surgical exposure, prostate.............................. 13.33 7.13 0.70 21.16 090 S
55862... ...... A Extensive prostate surgery............................... 17.09 11.69 1.20 29.98 090 S
55865... ...... A Extensive prostate surgery............................... 21.65 24.52 2.39 48.56 090 S
55870... ...... A Electroejaculation....................................... 2.58 1.83 0.18 4.59 000 N
55899... ...... C Genital surgery procedure................................ 0.00 0.00 0.00 0.00 YYY S
55970... ...... N Sex transformation, M to F............................... 0.00 0.00 0.00 0.00 XXX O
55980... ...... N Sex transformation, F to M............................... 0.00 0.00 0.00 0.00 XXX O
56300... ...... A Pelvis laparoscopy, dx................................... 3.58 *4.58 1.03 9.19 010 S
56301... ...... A Laparoscopy; tubal cautery............................... 3.68 *4.95 1.28 9.91 010 S
56302... ...... A Laparoscopy; tubal block................................. 4.11 *5.26 1.32 10.69 010 S
56303... ...... A Laparoscopy; excise lesions.............................. 5.69 5.53 1.16 12.38 010 S
56304... ...... A Laparoscopy; lysis....................................... 4.37 *5.60 1.20 11.17 010 S
56305... ...... A Pelvic laparoscopy; biopsy............................... 3.80 *4.87 0.95 9.62 010 S
56306... ...... A Laparoscopy; aspiration.................................. 3.80 *4.87 1.18 9.85 010 S
56307... ...... A Laparoscopy; remove adnexa............................... 5.60 *7.16 1.60 14.36 010 S
56308... ...... A Laparoscopy; hysterectomy................................ 13.87 9.39 2.07 25.33 010 S
56309... ...... A Laparoscopy; remove myoma................................ 5.60 4.76 1.03 11.39 010 S
56311... ...... A Laparoscopic lymph node biop............................. 8.93 6.38 1.47 16.78 010 S
56312... ...... A Laparoscopic lymphadenectomy............................. 12.06 8.56 0.84 21.46 010 S
56313... ...... A Laparoscopic lymphadenectomy............................. 14.00 10.01 2.31 26.32 010 S
56315... ...... A Laparoscopic appendectomy................................ 6.06 4.89 1.01 11.96 090 S
56316... ...... A Laparoscopic hernia repair............................... 6.17 4.51 0.94 11.62 090 S
56317... ...... A Laparoscopic hernia repair............................... 7.87 5.22 1.11 14.20 090 S
56320... ...... A Laparoscopy, spermatic veins............................. 6.25 4.40 0.45 11.10 090 S
56322... ...... A Laparoscopy, vagus nerves................................ 9.70 5.07 1.18 15.95 090 S
56323... ...... A Laparoscopy, vagus nerves................................ 11.65 6.09 1.41 19.15 090 S
56324... ...... A Laparoscopy, cholecystoenter............................. 11.90 9.16 1.93 22.99 090 S
56340... ...... A Laparoscopic cholecystectomy............................. 10.68 7.99 1.74 20.41 090 S
56341... ...... A Laparoscopic cholecystectomy............................. 11.53 8.43 1.84 21.80 090 S
56342... ...... A Laparoscopic cholecystectomy............................. 13.86 9.37 2.00 25.23 090 S
56350... ...... A Hysteroscopy; diagnostic................................. 2.39 1.99 0.44 4.82 000 S
56351... ...... A Hysteroscopy; biopsy..................................... 2.85 1.99 0.44 5.28 000 S
56352... ...... A Hysteroscopy; lysis...................................... 3.14 3.77 0.85 7.76 000 S
56353... ...... A Hysteroscopy; resect septum.............................. 3.51 3.77 0.85 8.13 000 S
56354... ...... A Hysteroscopy; remove myoma............................... 3.85 *4.93 1.30 10.08 000 S
56355... ...... A Hysteroscopy; remove impact.............................. 3.09 1.99 0.44 5.52 000 S
56356... ...... A Hysteroscopy; ablation................................... 3.43 *5.04 1.49 9.96 000 S
56360... ...... A Peritoneoscopy........................................... 4.04 3.80 0.43 8.27 000 S
56361... ...... A Peritoneoscopy w/biopsy.................................. 4.32 4.93 0.49 9.74 000 S
56362... ...... A Peritoneoscopy w/cholangio............................... 4.89 2.77 0.19 7.85 000 S
56363... ...... A Peritoneoscopy w/biopsy.................................. 5.18 3.93 0.45 9.56 000 S
56399... ...... C Laparoscopy procedure.................................... 0.00 0.00 0.00 0.00 YYY S
56405... ...... A I & D of vulva/perineum.................................. 1.39 0.76 0.15 2.30 010 S
56420... ...... A Drainage of gland abscess................................ 1.34 0.80 0.13 2.27 010 S
56440... ...... A Surgery for vulva lesion................................. 2.79 2.63 0.52 5.94 010 S
56441... ...... A Lysis of labial lesion(s)................................ 1.92 1.65 0.30 3.87 010 S
56501... ...... A Destruction, vulva lesion(s)............................. 1.48 0.54 0.11 2.13 010 S
56515... ...... A Destruction, vulva lesion(s)............................. 1.85 *2.46 0.66 4.97 010 S
56605... ...... A Biopsy of vulva/perineum................................. 0.86 0.68 0.15 1.69 000 S
56606... ...... A Biopsy of vulva/perineum................................. 0.43 0.35 0.08 0.86 000 S
56620... ...... A Partial removal of vulva................................. 6.67 6.47 1.40 14.54 090 S
56625... ...... A Complete removal of vulva................................ 7.41 *9.52 2.13 19.06 090 S
56630... ...... A Extensive vulva surgery.................................. 10.47 *13.46 3.28 27.21 090 S
56631... ...... A Extensive vulva surgery.................................. 14.57 *18.70 4.51 37.78 090 S
56632... ...... A Extensive vulva surgery.................................. 18.66 *21.32 4.51 44.49 090 S
56633... ...... A Extensive vulva surgery.................................. 12.15 *15.97 3.28 31.40 090 S
56634... ...... A Extensive vulva surgery.................................. 16.25 *21.21 4.51 41.97 090 S
56637... ...... A Extensive vulva surgery.................................. 20.34 21.42 4.51 46.27 090 S
56640... ...... A Extensive vulva surgery.................................. 20.09 19.95 4.36 44.40 090 S
56700... ...... A Partial removal of hymen................................. 2.42 1.82 0.35 4.59 010 S
56720... ...... A Incision of hymen........................................ 0.68 0.48 0.11 1.27 000 S
56740... ...... A Remove vagina gland lesion............................... 3.60 2.87 0.55 7.02 010 S
56800... ...... A Repair of vagina......................................... 3.73 2.92 0.57 7.22 010 S
56805... ...... A Repair clitoris.......................................... 15.49 11.75 1.37 28.61 090 S
56810... ...... A Repair of perineum....................................... 3.97 2.62 0.51 7.10 010 S
57000... ...... A Exploration of vagina.................................... 2.92 2.03 0.35 5.30 010 S
57010... ...... A Drainage of pelvic abscess............................... 5.41 2.65 0.51 8.57 090 S
57020... ...... A Drainage of pelvic fluid................................. 1.50 0.65 0.14 2.29 000 S
57061... ...... A Destruction vagina lesion(s)............................. 1.20 0.82 0.17 2.19 010 S
57065... ...... A Destruction vagina lesion(s)............................. 2.56 *3.28 0.74 6.58 010 S
57100... ...... A Biopsy of vagina......................................... 0.97 0.62 0.13 1.72 000 S
57105... ...... A Biopsy of vagina......................................... 1.64 1.57 0.33 3.54 010 S
57108... ...... A Partial removal of vagina................................ 5.69 5.28 1.10 12.07 090 S
57110... ...... A Removal of vagina........................................ 13.48 7.88 1.76 23.12 090 S
57120... ...... A Closure of vagina........................................ 6.73 6.99 1.51 15.23 090 S
57130... ...... A Remove vagina lesion..................................... 2.40 2.62 0.55 5.57 010 S
57135... ...... A Remove vagina lesion..................................... 2.64 1.93 0.38 4.95 010 S
57150... ...... A Treat vagina infection................................... 0.94 0.19 0.04 1.17 000 S
57160... ...... A Insertion of pessary..................................... 0.89 0.25 0.05 1.19 000 S
57170... ...... A Fitting of diaphragm/cap................................. 0.91 0.32 0.06 1.29 000 S
57180... ...... A Treat vaginal bleeding................................... 1.53 0.55 0.11 2.19 010 S
57200... ...... A Repair of vagina......................................... 3.68 2.71 0.60 6.99 090 S
57210... ...... A Repair vagina/perineum................................... 4.73 3.27 0.65 8.65 090 S
57220... ...... A Revision of urethra...................................... 3.87 4.44 0.80 9.11 090 S
57230... ...... A Repair of urethral lesion................................ 5.07 3.84 0.64 9.55 090 S
57240... ...... A Repair bladder & vagina.................................. 5.39 *6.90 1.60 13.89 090 S
57250... ...... A Repair rectum & vagina................................... 4.96 *6.40 1.69 13.05 090 S
57260... ...... A Repair of vagina......................................... 7.59 8.65 1.88 18.12 090 S
57265... ...... A Extensive repair of vagina............................... 7.36 *9.42 2.11 18.89 090 S
57268... ...... A Repair of bowel bulge.................................... 6.14 7.02 1.50 14.66 090 S
57270... ...... A Repair of bowel pouch.................................... 7.36 6.83 1.44 15.63 090 S
57280... ...... A Suspension of vagina..................................... 8.35 8.53 1.85 18.73 090 S
57282... ...... A Repair of vaginal prolapse............................... 8.06 8.72 1.89 18.67 090 S
57288... ...... A Repair bladder defect.................................... 12.34 10.72 1.36 24.42 090 S
57289... ...... A Repair bladder & vagina.................................. 6.40 *8.19 1.13 15.72 090 S
57291... ...... A Construction of vagina................................... 7.46 5.35 1.19 14.00 090 S
57292... ...... A Construct vagina with graft.............................. 12.34 6.55 1.38 20.27 090 S
57300... ...... A Repair rectum-vagina fistula............................. 6.81 7.91 1.66 16.38 090 S
57305... ...... A Repair rectum-vagina fistula............................. 8.69 7.55 1.56 17.80 090 S
57307... ...... A Fistula repair & colostomy............................... 10.05 6.11 1.28 17.44 090 S
57310... ...... A Repair urethrovaginal lesion............................. 6.10 4.32 0.48 10.90 090 S
57311... ...... A Repair urethrovaginal lesion............................. 7.23 5.58 0.41 13.22 090 S
57320... ...... A Repair bladder-vagina lesion............................. 7.33 *9.38 1.35 18.06 090 S
57330... ...... A Repair bladder-vagina lesion............................. 11.67 8.29 0.81 20.77 090 S
57335... ...... A Repair vagina............................................ 9.11 6.91 0.81 16.83 090 S
57400... ...... A Dilation of vagina....................................... 0.83 0.33 0.06 1.22 000 S
57410... ...... A Pelvic examination....................................... 0.59 0.36 0.05 1.00 000 S
57415... ...... A Removal vaginal foreign body............................. 0.91 0.36 0.05 1.32 010 S
57452... ...... A Examination of vagina.................................... 0.99 0.65 0.14 1.78 000 S
57454... ...... A Vagina examination & biopsy.............................. 1.27 1.21 0.26 2.74 000 S
57460... ...... A Cervix excision.......................................... 2.83 2.02 0.46 5.31 000 S
57500... ...... A Biopsy of cervix......................................... 0.97 0.57 0.12 1.66 000 S
57505... ...... A Endocervical curettage................................... 1.09 0.63 0.13 1.85 010 S
57510... ...... A Cauterization of cervix.................................. 1.85 0.52 0.09 2.46 010 S
57511... ...... A Cryocautery of cervix.................................... 1.85 0.85 0.17 2.87 010 S
57513... ...... A Laser surgery of cervix.................................. 1.85 *2.47 0.67 4.99 010 S
57520... ...... A Conization of cervix..................................... 3.96 3.45 0.73 8.14 090 S
57522... ...... A Conization of cervix..................................... 3.26 3.45 0.73 7.44 090 S
57530... ...... A Removal of cervix........................................ 4.42 3.61 0.78 8.81 090 S
57540... ...... A Removal of residual cervix............................... 6.01 6.74 1.51 14.26 090 S
57545... ...... A Remove cervix, repair pelvis............................. 6.63 4.58 1.03 12.24 090 S
57550... ...... A Removal of residual cervix............................... 4.91 *6.28 1.54 12.73 090 S
57555... ...... A Remove cervix, repair vagina............................. 8.14 10.10 2.17 20.41 090 S
57556... ...... A Remove cervix, repair bowel.............................. 7.56 9.44 1.92 18.92 090 S
57700... ...... A Revision of cervix....................................... 3.30 2.39 0.34 6.03 090 S
57720... ...... A Revision of cervix....................................... 3.87 2.76 0.50 7.13 090 S
57800... ...... A Dilation of cervical canal............................... 0.77 0.48 0.10 1.35 000 S
57820... ...... A D&c of residual cervix................................... 1.62 *2.08 0.46 4.16 010 S
58100... ...... A Biopsy of uterus lining.................................. 0.71 0.66 0.14 1.51 000 S
58120... ...... A Dilation and curettage (D&C)............................. 2.45 2.70 0.56 5.71 010 S
58140... ...... A Removal of uterus lesion................................. 7.61 8.33 1.71 17.65 090 S
58145... ...... A Removal of uterus lesion................................. 7.36 8.24 1.54 17.14 090 S
58150... ...... A Total hysterectomy....................................... 13.00 9.57 2.08 24.65 090 S
58152... ...... A Total hysterectomy....................................... 14.10 11.99 2.59 28.68 090 S
58180... ...... A Partial hysterectomy..................................... 9.06 9.76 2.11 20.93 090 S
58200... ...... A Extensive hysterectomy................................... 20.34 12.98 2.80 36.12 090 S
58210... ...... A Extensive hysterectomy................................... 23.97 17.77 3.87 45.61 090 S
58240... ...... A Removal of pelvis contents............................... 28.79 28.73 6.15 63.67 090 S
58260... ...... A Vaginal hysterectomy..................................... 11.39 9.39 2.07 22.85 090 S
58262... ...... A Vaginal hysterectomy..................................... 13.06 9.39 2.07 24.52 090 S
58263... ...... A Vaginal hysterectomy..................................... 14.27 10.32 2.22 26.81 090 S
58267... ...... A Hysterectomy & vagina repair............................. 13.94 11.53 2.46 27.93 090 S
58270... ...... A Hysterectomy & vagina repair............................. 12.60 10.32 2.22 25.14 090 S
58275... ...... A Hysterectomy, revise vagina.............................. 13.99 11.02 2.32 27.33 090 S
58280... ...... A Hysterectomy, revise vagina.............................. 14.35 10.50 2.30 27.15 090 S
58285... ...... A Extensive hysterectomy................................... 17.45 11.60 2.70 31.75 090 S
58300... ...... N Insert intrauterine device............................... #1.01 0.77 0.13 1.91 XXX O
58301... ...... A Remove intrauterine device............................... 0.73 0.45 0.08 1.26 000 S
58321... ...... A Artificial insemination.................................. 0.92 0.71 0.15 1.78 000 S
58322... ...... A Artificial insemination.................................. 1.10 0.71 0.15 1.96 000 S
58323... ...... A Sperm washing............................................ 0.23 0.16 0.04 0.43 000 S
58340... ...... A Inject for uterus/tube x-ray............................. 0.88 0.57 0.08 1.53 000 S
58345... ...... A Reopen fallopian tube.................................... 4.61 3.49 0.41 8.51 010 S
58350... ...... A Reopen fallopian tube.................................... 0.96 0.69 0.16 1.81 010 S
58400... ...... A Suspension of uterus..................................... 5.66 5.64 1.16 12.46 090 S
58410... ...... A Suspension of uterus..................................... 6.78 5.53 0.84 13.15 090 S
58520... ...... A Repair of ruptured uterus................................ 6.35 4.24 0.99 11.58 090 S
58540... ...... A Revision of uterus....................................... 8.58 6.13 1.42 16.13 090 S
58600... ...... A Division of fallopian tube............................... 3.74 *5.36 1.38 10.48 090 S
58605... ...... A Division of fallopian tube............................... 3.29 *4.21 1.01 8.51 090 S
58611... ...... A Ligate oviduct(s)........................................ 0.63 0.47 0.10 1.20 ZZZ S
58615... ...... A Occlude fallopian tube(s)................................ 3.85 2.91 0.35 7.11 010 S
58700... ...... A Removal of fallopian tube................................ 5.92 6.33 1.31 13.56 090 S
58720... ...... A Removal of ovary/tube(s)................................. 6.20 7.50 1.63 15.33 090 S
58740... ...... A Revise fallopian tube(s)................................. 5.28 *6.94 1.88 14.10 090 S
58750... ...... A Repair oviduct(s)........................................ 8.82 6.31 1.46 16.59 090 S
58752... ...... A Revise ovarian tube(s)................................... 7.94 6.74 0.93 15.61 090 S
58760... ...... A Remove tubal obstruction................................. 7.16 5.11 1.19 13.46 090 S
58770... ...... A Create new tubal opening................................. 6.96 5.28 1.11 13.35 090 S
58800... ...... A Drainage of ovarian cyst(s).............................. 3.77 2.68 0.53 6.98 090 S
58805... ...... A Drainage of ovarian cyst(s).............................. 5.44 6.38 1.36 13.18 090 S
58820... ...... A Drainage of ovarian abscess.............................. 3.96 2.76 0.49 7.21 090 S
58822... ...... A Drainage of ovarian abscess.............................. 6.18 3.55 0.81 10.54 090 S
58825... ...... A Transposition, ovary(s).................................. 5.63 4.03 0.93 10.59 090 S
58900... ...... A Biopsy of ovary(s)....................................... 5.49 5.19 1.07 11.75 090 S
58920... ...... A Partial removal of ovary(s).............................. 6.28 6.78 1.41 14.47 090 S
58925... ...... A Removal of ovarian cyst(s)............................... 6.40 6.56 1.38 14.34 090 S
58940... ...... A Removal of ovary(s)...................................... 6.54 6.49 1.33 14.36 090 S
58943... ...... A Removal of ovary(s)...................................... 17.49 12.11 2.63 32.23 090 S
58950... ...... A Resect ovarian malignancy................................ 14.10 11.24 2.38 27.72 090 S
58951... ...... A Resect ovarian malignancy................................ 20.34 18.34 3.93 42.61 090 S
58952... ...... A Resect ovarian malignancy................................ 21.35 18.11 3.92 43.38 090 S
58960... ...... A Exploration of abdomen................................... 10.14 *12.98 2.95 26.07 090 S
58970... ...... A Retrieval of oocyte...................................... 3.53 2.52 0.58 6.63 000 N
58972... ...... C Fertilization of oocyte.................................. 0.00 0.00 0.00 0.00 000 N
58974... ...... C Transfer of embryo....................................... 0.00 0.00 0.00 0.00 000 N
58976... ...... A Transfer of embryo....................................... 3.83 2.73 0.63 7.19 000 N
58999... ...... C Genital surgery procedure................................ 0.00 0.00 0.00 0.00 YYY S
59000... ...... A Amniocentesis............................................ 1.30 0.97 0.18 2.45 000 S
59012... ...... A Fetal cord puncture, prenatal............................ 3.45 2.62 0.31 6.38 000 S
59015... ...... A Chorion biopsy........................................... 2.20 1.20 0.10 3.50 000 S
59020... ...... A Fetal contract stress test............................... 0.66 *1.35 0.29 2.30 000 S
59020... 26 A Fetal contract stress test............................... 0.66 *0.85 0.19 1.70 000 S
59020... TC A Fetal contract stress test............................... 0.00 0.50 0.10 0.60 000 S
59025... ...... A Fetal non-stress test.................................... 0.53 0.61 0.12 1.26 000 S
59025... 26 A Fetal non-stress test.................................... 0.53 0.39 0.08 1.00 000 S
59025... TC A Fetal non-stress test.................................... 0.00 0.22 0.04 0.26 000 S
59030... ...... A Fetal scalp blood sample................................. 1.99 1.58 0.21 3.78 000 S
59050... ...... A Fetal monitor w/report................................... 0.89 0.81 0.15 1.85 XXX S
59051... ...... A Fetal monitor/interpret onl.............................. 0.74 0.81 0.15 1.70 XXX N
59100... ...... A Remove uterus lesion..................................... 5.96 4.14 0.96 11.06 090 S
59120... ...... A Treat ectopic pregnancy.................................. 7.11 7.86 1.50 16.47 090 S
59121... ...... A Treat ectopic pregnancy.................................. 6.99 5.38 1.07 13.44 090 S
59130... ...... A Treat ectopic pregnancy.................................. 7.88 5.96 0.70 14.54 090 S
59135... ...... A Treat ectopic pregnancy.................................. 13.00 9.85 1.15 24.00 090 S
59136... ...... A Treat ectopic pregnancy.................................. 8.69 6.22 1.44 16.35 090 S
59140... ...... A Treat ectopic pregnancy.................................. 5.09 4.66 0.29 10.04 090 S
59150... ...... A Treat ectopic pregnancy.................................. 6.34 4.53 1.05 11.92 090 S
59151... ...... A Treat ectopic pregnancy.................................. 7.24 8.61 0.64 16.49 090 S
59160... ...... A D&C after delivery....................................... 2.66 2.93 0.52 6.11 010 S
59200... ...... A Insert cervical dilator.................................. 0.79 0.54 0.11 1.44 000 S
59300... ...... A Episiotomy or vaginal repair............................. 2.41 0.99 0.10 3.50 000 S
59320... ...... A Revision of cervix....................................... 2.48 1.78 0.41 4.67 000 S
59325... ...... A Revision of cervix....................................... 4.07 2.89 0.29 7.25 000 S
59350... ...... A Repair of uterus......................................... 4.95 3.54 0.82 9.31 000 S
59400... ...... A Obstetrical care......................................... 20.99 14.99 3.47 39.45 MMM S
59409... ...... A Obstetrical care......................................... 13.28 9.48 2.20 24.96 MMM S
59410... ...... A Obstetrical care......................................... 14.44 10.31 2.39 27.14 MMM S
59412... ...... A Antepartum manipulation.................................. 1.71 1.22 0.29 3.22 MMM S
59414... ...... A Deliver placenta......................................... 1.61 1.15 0.27 3.03 MMM S
59425... ...... A Antepartum care only..................................... 4.04 2.88 0.66 7.58 MMM S
59426... ...... A Antepartum care only..................................... 6.91 4.94 1.14 12.99 MMM S
59430... ...... A Care after delivery...................................... 2.01 0.38 0.07 2.46 MMM S
59510... ...... A Cesarean delivery........................................ 23.67 16.90 3.92 44.49 MMM S
59514... ...... A Cesarean delivery only................................... 15.39 10.99 2.55 28.93 MMM S
59515... ...... A Cesarean delivery........................................ 16.55 11.82 2.73 31.10 MMM S
59525... ...... A Remove uterus after cesarean............................. 8.54 3.81 0.88 13.23 MMM S
59812... ...... A Treatment of miscarriage................................. 3.10 3.61 0.77 7.48 090 S
59820... ...... A Care of miscarriage...................................... 3.73 3.75 0.77 8.25 090 S
59821... ...... A Treatment of miscarriage................................. 4.26 2.72 0.62 7.60 090 S
59830... ...... A Treat uterus infection................................... 5.96 4.53 0.52 11.01 090 S
59840... ...... A Abortion................................................. 2.91 3.22 0.69 6.82 010 S
59841... ...... A Abortion................................................. 3.24 3.75 0.76 7.75 010 S
59850... ...... A Abortion................................................. 5.46 4.00 0.85 10.31 090 S
59851... ...... A Abortion................................................. 5.62 4.28 0.88 10.78 090 S
59852... ...... A Abortion................................................. 7.70 5.51 1.27 14.48 090 S
59855... ...... A Abortion................................................. 4.75 3.39 0.78 8.92 090 S
59856... ...... A Abortion................................................. 7.16 5.11 1.19 13.46 090 S
59857... ...... A Abortion................................................. 8.71 6.22 1.44 16.37 090 S
59870... ...... A Evacuate mole of uterus.................................. 4.08 2.91 0.67 7.66 090 S
59899... ...... C Maternity care procedure................................. 0.00 0.00 0.00 0.00 YYY S
60000... ...... A Drain thyroid/tongue cyst................................ 1.71 0.60 0.09 2.40 010 N
60001... ...... A Aspirate/inject thyroid cyst............................. 0.97 1.05 0.12 2.14 000 N
60100... ...... A Biopsy of thyroid........................................ 0.97 1.05 0.12 2.14 000 N
60200... ...... A Remove thyroid lesion.................................... 8.83 6.02 1.04 15.89 090 S
60210... ...... A Partial excision thyroid................................. 10.51 8.68 1.65 20.84 090 S
60212... ...... A Partial thyroid excision................................. 15.48 9.04 1.74 26.26 090 S
60220... ...... A Partial removal of thyroid............................... 9.86 8.54 1.61 20.01 090 S
60225... ...... A Partial removal of thyroid............................... 11.65 10.49 1.92 24.06 090 S
60240... ...... A Removal of thyroid....................................... 15.66 10.58 1.96 28.20 090 S
60245... ...... D Partial removal of thyroid............................... 0.00 0.00 0.00 0.00 090 S
60246... ...... D Partial removal of thyroid............................... 0.00 0.00 0.00 0.00 090 S
60252... ...... A Removal of thyroid....................................... 15.40 13.65 2.55 31.60 090 S
60254... ...... A Extensive thyroid surgery................................ 16.68 19.21 3.08 38.97 090 S
60260... ...... A Repeat thyroid surgery................................... 14.49 3.14 0.34 17.97 090 S
60270... ...... A Removal of thyroid....................................... 16.44 13.97 2.54 32.95 090 S
60271... ...... A Removal of thyroid....................................... 14.16 12.14 2.25 28.55 090 S
60280... ...... A Remove thyroid duct lesion............................... 5.55 *7.10 1.11 13.76 090 S
60281... ...... A Remove thyroid duct lesion............................... 8.00 5.04 0.95 13.99 090 S
60500... ...... A Explore parathyroid glands............................... 15.40 11.36 2.31 29.07 090 S
60502... ...... A Re-explore parathyroids.................................. 19.25 11.39 2.33 32.97 090 S
60505... ...... A Explore parathyroid glands............................... 19.93 13.14 2.56 35.63 090 S
60512... ...... A Autotransplant, parathyroid.............................. 4.45 2.32 0.54 7.31 ZZZ S
60520... ...... A Removal of thymus gland.................................. 15.82 13.54 2.46 31.82 090 S
60521... ...... A Removal thymus gland..................................... 17.80 13.54 2.46 33.80 090 S
60522... ...... A Removal of thymus gland.................................. 21.76 13.54 2.46 37.76 090 S
60540... ...... A Explore adrenal gland.................................... 15.72 12.05 2.08 29.85 090 S
60545... ...... A Explore adrenal gland.................................... 18.51 14.27 2.34 35.12 090 S
60600... ...... A Remove carotid body lesion............................... 16.13 11.46 1.88 29.47 090 S
60605... ...... A Remove carotid body lesion............................... 18.20 10.71 2.21 31.12 090 S
60699... ...... C Endocrine surgery procedure.............................. 0.00 0.00 0.00 0.00 YYY S
61000... ...... A Remove cranial cavity fluid.............................. 1.58 1.07 0.17 2.82 000 S
61001... ...... A Remove cranial cavity fluid.............................. 1.49 0.88 0.17 2.54 000 S
61020... ...... A Remove brain cavity fluid................................ 1.51 1.26 0.20 2.97 000 S
61026... ...... A Injection into brain canal............................... 1.69 2.03 0.22 3.94 000 N
61050... ...... A Remove brain canal fluid................................. 1.51 1.23 0.15 2.89 000 N
61055... ...... A Injection into brain canal............................... 2.10 1.88 0.19 4.17 000 N
61070... ...... A Brain canal shunt procedure.............................. 0.89 0.49 0.03 1.41 000 N
61105... ...... A Drill skull for examination.............................. 8.19 6.89 1.24 16.32 090 S
61106... ...... A Drill skull for exam/surgery............................. 7.35 6.15 1.15 14.65 ZZZ S
61107... ...... A Drill skull for implantation............................. 4.35 *5.68 1.26 11.29 000 S
61108... ...... A Drill skull for drainage................................. 10.80 12.05 2.22 25.07 090 S
61120... ...... A Pierce skull for examination............................. 9.31 5.95 1.08 16.34 090 S
61130... ...... A Pierce skull, exam/surgery............................... 6.37 4.95 0.96 12.28 ZZZ S
61140... ...... A Pierce skull for biopsy.................................. 14.84 14.13 2.56 31.53 090 S
61150... ...... A Pierce skull for drainage................................ 16.37 14.65 2.63 33.65 090 S
61151... ...... A Pierce skull for drainage................................ 11.40 2.13 0.37 13.90 090 S
61154... ...... A Pierce skull, remove clot................................ 13.67 *17.50 3.27 34.44 090 S
61156... ...... A Pierce skull for drainage................................ 15.23 16.19 3.05 34.47 090 S
61210... ...... A Pierce skull; implant device............................. 4.72 *6.54 1.53 12.79 000 S
61215... ...... A Insert brain-fluid device................................ 10.05 9.00 1.63 20.68 090 S
61250... ...... A Pierce skull & explore................................... 11.03 8.03 1.44 20.50 090 S
61253... ...... A Pierce skull & explore................................... 13.00 9.62 1.69 24.31 090 S
61304... ...... A Open skull for exploration............................... 20.63 26.03 4.78 51.44 090 S
61305... ...... A Open skull for exploration............................... 24.77 29.11 5.05 58.93 090 S
61312... ...... A Open skull for drainage.................................. 20.54 24.13 4.46 49.13 090 S
61313... ...... A Open skull for drainage.................................. 20.54 24.04 4.38 48.96 090 S
61314... ...... A Open skull for drainage.................................. 22.78 25.62 4.68 53.08 090 S
61315... ...... A Open skull for drainage.................................. 25.91 24.41 4.47 54.79 090 S
61320... ...... A Open skull for drainage.................................. 23.90 18.70 3.41 46.01 090 S
61321... ...... A Open skull for drainage.................................. 26.66 19.83 3.54 50.03 090 S
61330... ...... A Decompress eye socket.................................... 15.65 12.97 1.22 29.84 090 S
61332... ...... A Explore/biopsy eye socket................................ 26.08 20.72 2.76 49.56 090 S
61333... ...... A Explore orbit; remove lesion............................. 26.75 20.46 3.26 50.47 090 S
61334... ...... A Explore orbit; remove object............................. 17.07 14.65 1.82 33.54 090 S
61340... ...... A Relieve cranial pressure................................. 11.56 *14.80 2.54 28.90 090 S
61343... ...... A Incise skull, pressure relief............................ 27.87 30.05 5.28 63.20 090 S
61345... ...... A Relieve cranial pressure................................. 25.36 19.18 3.45 47.99 090 S
61440... ...... A Incise skull for surgery................................. 24.79 20.75 3.00 48.54 090 S
61450... ...... A Incise skull for surgery................................. 24.29 20.43 3.43 48.15 090 S
61458... ...... A Incise skull for brain wound............................. 25.97 27.28 4.87 58.12 090 S
61460... ...... A Incise skull for surgery................................. 26.75 25.05 3.98 55.78 090 S
61470... ...... A Incise skull for surgery................................. 20.79 13.86 2.53 37.18 090 S
61480... ...... A Incise skull for surgery................................. 16.77 15.07 1.78 33.62 090 S
61490... ...... A Incise skull for surgery................................. 15.63 11.72 2.16 29.51 090 S
61500... ...... A Removal of skull lesion.................................. 16.93 20.07 3.58 40.58 090 S
61501... ...... A Remove infected skull bone............................... 13.59 *17.40 3.33 34.32 090 S
61510... ...... A Removal of brain lesion.................................. 23.39 27.04 4.90 55.33 090 S
61512... ...... A Remove brain lining lesion............................... 24.26 29.02 5.28 58.56 090 S
61514... ...... A Removal of brain abscess................................. 23.49 25.52 4.74 53.75 090 S
61516... ...... A Removal of brain lesion.................................. 22.84 26.48 4.57 53.89 090 S
61518... ...... A Removal of brain lesion.................................. 32.27 30.02 5.46 67.75 090 S
61519... ...... A Remove brain lining lesion............................... 33.84 31.22 5.77 70.83 090 S
61520... ...... A Removal of brain lesion.................................. 38.35 33.85 5.89 78.09 090 S
61521... ...... A Removal of brain lesion.................................. 39.48 32.97 5.85 78.30 090 S
61522... ...... A Removal of brain abscess................................. 27.55 19.96 3.79 51.30 090 S
61524... ...... A Removal of brain lesion.................................. 26.02 27.45 5.15 58.62 090 S
61526... ...... A Removal of brain lesion.................................. 29.71 34.01 4.79 68.51 090 S
61530... ...... A Removal of brain lesion.................................. 42.35 34.01 4.79 81.15 090 S
61531... ...... A Implant brain electrodes................................. 20.50 14.98 1.75 37.23 090 S
61533... ...... A Implant brain electrodes................................. 23.41 17.02 3.33 43.76 090 S
61534... ...... A Removal of brain lesion.................................. 19.13 6.38 2.01 27.52 090 S
61535... ...... A Remove brain electrodes.................................. 10.23 7.66 1.25 19.14 090 S
61536... ...... A Removal of brain lesion.................................. 29.43 21.96 3.99 55.38 090 S
61538... ...... A Removal of brain tissue.................................. 28.05 29.08 4.97 62.10 090 S
61539... ...... A Removal of brain tissue.................................. 30.05 22.96 4.07 57.08 090 S
61541... ...... A Incision of brain tissue................................. 26.95 19.80 3.78 50.53 090 S
61542... ...... A Removal of brain tissue.................................. 27.39 19.91 3.90 51.20 090 S
61543... ...... A Removal of brain tissue.................................. 20.62 17.24 2.49 40.35 090 S
61544... ...... A Remove & treat brain lesion.............................. 23.71 28.19 2.11 54.01 090 S
61545... ...... A Excision of brain tumor.................................. 34.50 25.66 4.80 64.96 090 S
61546... ...... A Removal of pituitary gland............................... 29.33 27.01 4.78 61.12 090 S
61548... ...... A Removal of pituitary gland............................... 20.15 24.78 4.03 48.96 090 S
61550... ...... A Release of skull seams................................... 14.24 11.81 1.11 27.16 090 S
61552... ...... A Release of skull seams................................... 19.02 13.83 2.70 35.55 090 S
61556... ...... A Incise skull/sutures..................................... 21.35 15.53 3.04 39.92 090 S
61557... ...... A Incise skull/sutures..................................... 21.47 15.62 3.05 40.14 090 S
61558... ...... A Excision of skull/sutures................................ 24.41 17.74 3.47 45.62 090 S
61559... ...... A Excision of skull/sutures................................ 31.65 23.01 4.50 59.16 090 S
61563... ...... A Excision of skull tumor.................................. 25.87 18.81 3.68 48.36 090 S
61564... ...... A Excision of skull tumor.................................. 32.64 23.73 4.64 61.01 090 S
61570... ...... A Remove brain foreign body................................ 22.89 16.49 3.06 42.44 090 S
61571... ...... A Incise skull for brain wound............................. 24.55 18.32 3.21 46.08 090 S
61575... ...... A Skull base/brainstem surgery............................. 32.33 32.99 5.05 70.37 090 S
61576... ...... A Skull base/brainstem surgery............................. 33.82 28.23 3.91 65.96 090 S
61580... ...... A Craniofacial approach, skull............................. 28.90 21.01 4.10 54.01 090 S
61581... ...... A Craniofacial approach, skull............................. 32.80 23.84 4.66 61.30 090 S
61582... ...... A Craniofacial approach, skull............................. 29.77 21.65 4.22 55.64 090 S
61583... ...... A Craniofacial approach, skull............................. 33.97 24.70 4.83 63.50 090 S
61584... ...... A Orbitocranial approach/skull............................. 32.89 23.91 4.68 61.48 090 S
61585... ...... A Orbitocranial approach/skull............................. 36.80 26.75 5.23 68.78 090 S
61590... ...... A Infratemporal approach/skull............................. 40.02 29.10 5.68 74.80 090 S
61591... ...... A Infratemporal approach/skull............................. 41.97 30.52 5.96 78.45 090 S
61592... ...... A Orbitocranial approach/skull............................. 38.07 27.68 5.41 71.16 090 S
61595... ...... A Transtemporal approach/skull............................. 28.12 20.44 4.00 52.56 090 S
61596... ...... A Transcochlear approach/skull............................. 34.17 24.84 4.86 63.87 090 S
61597... ...... A Transcondylar approach/skull............................. 36.12 26.26 5.13 67.51 090 S
61598... ...... A Transpetrosal approach/skull............................. 31.83 23.13 4.52 59.48 090 S
61600... ...... A Resect/excise cranial lesion............................. 24.41 17.74 3.46 45.61 090 S
61601... ...... A Resect/excise cranial lesion............................. 26.16 19.03 3.72 48.91 090 S
61605... ...... A Resect/excise cranial lesion............................. 27.62 20.09 3.93 51.64 090 S
61606... ...... A Resect/excise cranial lesion............................. 37.00 26.90 5.25 69.15 090 S
61607... ...... A Resect/excise cranial lesion............................. 34.56 25.13 4.91 64.60 090 S
61608... ...... A Resect/excise cranial lesion............................. 40.21 29.24 5.71 75.16 090 S
61609... ...... A Transect, artery, sinus.................................. 9.89 7.19 1.40 18.48 ZZZ S
61610... ...... A Transect, artery, sinus.................................. 29.67 21.57 4.21 55.45 ZZZ S
61611... ...... A Transect, artery, sinus.................................. 7.42 5.39 1.06 13.87 ZZZ S
61612... ...... A Transect, artery, sinus.................................. 27.88 20.27 3.96 52.11 ZZZ S
61613... ...... A Remove aneurysm, sinus................................... 39.43 28.67 5.61 73.71 090 S
61615... ...... A Resect/excise lesion, skull.............................. 30.36 22.07 4.31 56.74 090 S
61616... ...... A Resect/excise lesion, skull.............................. 41.29 30.03 5.86 77.18 090 S
61618... ...... A Repair dura.............................................. 15.62 11.35 2.22 29.19 090 S
61619... ...... A Repair dura.............................................. 19.52 14.19 2.77 36.48 090 S
61624... ...... A Occlusion/embolization cath.............................. 20.15 15.28 1.79 37.22 000 N
61626... ...... A Occlusion/embolization cath.............................. 16.62 12.60 1.47 30.69 000 N
61680... ...... A Intracranial vessel surgery.............................. 36.45 31.06 5.79 73.30 090 S
61682... ...... A Intracranial vessel surgery.............................. 42.21 35.31 6.36 83.88 090 S
61684... ...... A Intracranial vessel surgery.............................. 39.25 29.76 3.47 72.48 090 S
61686... ...... A Intracranial vessel surgery.............................. 47.45 35.98 4.20 87.63 090 S
61690... ...... A Intracranial vessel surgery.............................. 33.82 27.46 4.09 65.37 090 S
61692... ...... A Intracranial vessel surgery.............................. 37.96 28.79 3.36 70.11 090 S
61700... ...... A Inner skull vessel surgery............................... 34.83 31.69 5.67 72.19 090 S
61702... ...... A Inner skull vessel surgery............................... 39.20 36.31 6.61 82.12 090 S
61703... ...... A Clamp neck artery........................................ 16.27 12.21 2.24 30.72 090 S
61705... ...... A Revise circulation to head............................... 34.49 30.41 5.25 70.15 090 S
61708... ...... A Revise circulation to head............................... 33.59 25.20 2.32 61.11 090 S
61710... ...... A Revise circulation to head............................... 28.14 16.63 1.75 46.52 090 S
61711... ...... A Fusion of skull arteries................................. 34.62 33.04 6.20 73.86 090 S
61712... ...... A Skull or spine microsurgery.............................. 3.49 *4.47 0.93 8.89 ZZZ S
61720... ...... A Incise skull/brain surgery............................... 15.85 *20.36 4.05 40.26 090 S
61735... ...... A Incise skull/brain surgery............................... 17.08 12.96 1.51 31.55 090 S
61750... ...... A Incise skull; brain biopsy............................... 10.03 *17.04 4.31 31.38 090 S
61751... ...... A Brain biopsy with cat scan............................... 15.18 *20.24 4.44 39.86 090 S
61760... ...... A Implant brain electrodes................................. 24.83 14.98 1.75 41.56 090 S
61770... ...... A Incise skull for treatment............................... 15.14 *19.38 3.43 37.95 090 S
61790... ...... A Treat trigeminal nerve................................... 10.31 *13.76 3.03 27.10 090 S
61791... ...... A Treat trigeminal tract................................... 7.29 *12.26 3.16 22.71 090 S
61793... ...... A Focus radiation beam..................................... 16.70 21.35 1.96 40.01 090 S
61795... ...... A Brain surgery using computer............................. 4.04 *6.45 1.55 12.04 000 S
61850... ...... A Implant neuroelectrodes.................................. 15.98 11.63 2.26 29.87 090 S
61855... ...... A Implant neuroelectrodes.................................. 12.94 10.39 1.47 24.80 090 S
61860... ...... A Implant neuroelectrodes.................................. 11.20 8.14 1.59 20.93 090 S
61865... ...... A Implant neuroelectrodes.................................. 21.70 15.78 3.09 40.57 090 S
61870... ...... A Implant neuroelectrodes.................................. 5.77 4.19 0.82 10.78 090 S
61875... ...... A Implant neuroelectrodes.................................. 9.20 6.69 1.31 17.20 090 S
61880... ...... A Revise/remove neuroelectrode............................. 5.72 4.79 0.66 11.17 090 S
61885... ...... A Implant neuroreceiver.................................... 2.35 1.96 0.29 4.60 090 S
61888... ...... A Revise/remove neuroreceiver.............................. 3.10 2.25 0.44 5.79 010 S
62000... ...... A Repair of skull fracture................................. 11.26 5.73 0.95 17.94 090 S
62005... ...... A Repair of skull fracture................................. 14.84 11.08 1.97 27.89 090 S
62010... ...... A Treatment of head injury................................. 18.43 19.20 3.39 41.02 090 S
62100... ...... A Repair brain fluid leakage............................... 20.78 21.62 3.72 46.12 090 S
62115... ...... A Reduction of skull defect................................ 20.50 15.51 1.82 37.83 090 S
62116... ...... A Reduction of skull defect................................ 22.45 16.98 1.99 41.42 090 S
62117... ...... A Reduction of skull defect................................ 25.38 19.20 2.25 46.83 090 S
62120... ...... A Repair skull cavity lesion............................... 22.34 16.90 1.98 41.22 090 S
62121... ...... A Incise skull repair...................................... 20.25 17.51 3.41 41.17 090 S
62140... ...... A Repair of skull defect................................... 12.63 13.43 2.39 28.45 090 S
62141... ...... A Repair of skull defect................................... 13.90 17.73 3.28 34.91 090 S
62142... ...... A Remove skull plate/flap.................................. 9.91 *12.69 2.64 25.24 090 S
62143... ...... A Replace skull plate/flap................................. 12.11 9.17 1.65 22.93 090 S
62145... ...... A Repair of skull & brain.................................. 17.68 13.16 2.29 33.13 090 S
62146... ...... A Repair of skull with graft............................... 15.11 10.99 2.15 28.25 090 S
62147... ...... A Repair of skull with graft............................... 18.14 13.17 2.57 33.88 090 S
62180... ...... A Establish brain cavity shunt............................. 12.72 14.21 2.70 29.63 090 S
62190... ...... A Establish brain cavity shunt............................. 10.13 *13.26 3.21 26.60 090 S
62192... ...... A Establish brain cavity shunt............................. 11.31 *14.48 2.74 28.53 090 S
62194... ...... A Replace/irrigate catheter................................ 2.81 1.88 0.29 4.98 010 N
62200... ...... A Establish brain cavity shunt............................. 13.24 *16.95 3.09 33.28 090 S
62201... ...... A Establish brain cavity shunt............................. 12.10 8.78 1.72 22.60 090 S
62220... ...... A Establish brain cavity shunt............................. 12.06 *15.43 3.12 30.61 090 S
62223... ...... A Establish brain cavity shunt............................. 12.81 *16.40 3.02 32.23 090 S
62225... ...... A Replace/irrigate catheter................................ 4.71 4.80 0.58 10.09 090 S
62230... ...... A Replace/revise brain shunt............................... 9.71 9.83 1.82 21.36 090 S
62256... ...... A Remove brain cavity shunt................................ 5.90 6.38 1.17 13.45 090 S
62258... ...... A Replace brain cavity shunt............................... 13.60 14.78 2.55 30.93 090 S
62268... ...... A Drain spinal cord cyst................................... 3.87 2.98 0.36 7.21 000 N
62269... ...... A Needle biopsy spinal cord................................ 4.07 1.75 0.28 6.10 000 N
62270... ...... A Spinal fluid tap, diagnostic............................. 1.13 0.71 0.06 1.90 000 N
62272... ...... A Drain spinal fluid....................................... 1.35 1.01 0.12 2.48 000 N
62273... ...... A Treat lumbar spine lesion................................ 2.15 1.12 0.26 3.53 000 N
62274... ...... A Inject spinal anesthetic................................. 1.78 0.74 0.17 2.69 000 N
62275... ...... A Inject spinal anesthetic................................. 1.79 0.59 0.19 2.57 000 N
62276... ...... A Inject spinal anesthetic................................. 2.04 1.23 0.23 3.50 000 N
62277... ...... A Inject spinal anesthetic................................. 2.15 0.84 0.23 3.22 000 N
62278... ...... A Inject spinal anesthetic................................. 1.51 0.98 0.26 2.75 000 N
62279... ...... A Inject spinal anesthetic................................. 1.58 0.82 0.24 2.64 000 N
62280... ...... A Treat spinal cord lesion................................. 2.58 0.71 0.14 3.43 010 N
62281... ...... A Treat spinal cord lesion................................. 2.61 0.87 0.28 3.76 010 N
62282... ...... A Treat spinal canal lesion................................ 2.28 1.70 0.40 4.38 010 N
62284... ...... A Injection for myelogram.................................. 1.54 *1.98 0.34 3.86 000 S
62287... ...... A Percutaneous diskectomy.................................. 4.13 *9.79 2.65 16.57 090 S
62288... ...... A Injection into spinal canal.............................. 1.74 1.12 0.24 3.10 000 N
62289... ...... A Injection into spinal canal.............................. 1.64 1.07 0.29 3.00 000 N
62290... ...... A Inject for spine disk x-ray.............................. 3.58 1.86 0.24 5.68 000 N
62291... ...... A Inject for spine disk x-ray.............................. 2.91 1.78 0.39 5.08 000 N
62292... ...... A Injection into disk lesion............................... 7.00 *9.90 2.13 19.03 090 S
62294... ...... A Injection into spinal artery............................. 8.05 5.84 0.68 14.57 090 S
62298... ...... A Injection into spinal canal.............................. 2.20 1.04 0.13 3.37 000 N
63001... ...... A Removal of spinal lamina................................. 14.50 *18.55 3.42 36.47 090 S
63003... ...... A Removal of spinal lamina................................. 14.63 17.93 3.23 35.79 090 S
63005... ...... A Removal of spinal lamina................................. 13.53 *17.32 3.10 33.95 090 S
63011... ...... A Removal of spinal lamina................................. 11.11 9.99 1.87 22.97 090 S
63012... ...... A Removal of spinal lamina................................. 14.21 18.07 3.15 35.43 090 S
63015... ...... A Removal of spinal lamina................................. 16.59 *21.23 4.18 42.00 090 S
63016... ...... A Removal of spinal lamina................................. 17.43 *22.30 4.11 43.84 090 S
63017... ...... A Removal of spinal lamina................................. 15.85 *20.29 4.00 40.14 090 S
63020... ...... A Neck spine disk surgery.................................. 12.53 *16.04 3.38 31.95 090 S
63030... ...... A Low back disk surgery.................................... 12.11 *15.50 2.81 30.42 090 S
63035... ...... A Added spinal disk surgery................................ 3.15 *4.04 0.76 7.95 ZZZ S
63040... ...... A Neck spine disk surgery.................................. 17.56 *22.48 4.30 44.34 090 S
63042... ...... A Low back disk surgery.................................... 17.27 *22.10 4.38 43.75 090 S
63045... ...... A Removal of spinal lamina................................. 15.31 *19.75 4.38 39.44 090 S
63046... ...... A Removal of spinal lamina................................. 14.61 *19.75 4.58 38.94 090 S
63047... ...... A Removal of spinal lamina................................. 12.76 *19.32 4.48 36.56 090 S
63048... ...... A Removal of spinal lamina................................. 3.26 *4.54 1.03 8.83 ZZZ S
63055... ...... A Decompress spinal cord................................... 20.67 23.73 4.18 48.58 090 S
63056... ...... A Decompress spinal cord................................... 19.11 21.84 3.76 44.71 090 S
63057... ...... A Decompress spinal cord................................... 3.00 *4.10 0.85 7.95 ZZZ S
63064... ...... A Decompress spinal cord................................... 23.23 23.83 4.09 51.15 090 S
63066... ...... A Decompress spinal cord................................... 3.26 2.48 0.45 6.19 ZZZ S
63075... ...... A Neck spine disk surgery.................................. 19.77 17.57 3.21 40.55 090 S
63076... ...... A Neck spine disk surgery.................................. 4.05 *5.19 0.97 10.21 ZZZ S
63077... ...... A Spine disk surgery, thorax............................... 20.25 18.42 3.17 41.84 090 S
63078... ...... A Spine disk surgery, thorax............................... 3.28 2.61 0.45 6.34 ZZZ S
63081... ...... A Removal of vertebral body................................ 22.08 26.26 4.50 52.84 090 S
63082... ...... A Removal of vertebral body................................ 4.37 *5.79 1.22 11.38 ZZZ S
63085... ...... A Removal of vertebral body................................ 25.07 27.39 4.69 57.15 090 S
63086... ...... A Removal of vertebral body................................ 3.19 *4.59 1.07 8.85 ZZZ S
63087... ...... A Removal of vertebral body................................ 27.56 28.25 4.85 60.66 090 S
63088... ...... A Removal of vertebral body................................ 4.33 *5.67 1.18 11.18 ZZZ S
63090... ...... A Removal of vertebral body................................ 26.20 29.22 4.92 60.34 090 S
63091... ...... A Removal of vertebral body................................ 3.03 2.73 0.46 6.22 ZZZ S
63170... ...... A Incise spinal cord tract(s).............................. 18.18 18.88 3.28 40.34 090 S
63172... ...... A Drainage of spinal cyst.................................. 16.19 *20.72 4.26 41.17 090 S
63173... ...... A Drainage of spinal cyst.................................. 20.40 15.47 1.81 37.68 090 S
63180... ...... A Revise spinal cord ligaments............................. 16.75 11.61 2.05 30.41 090 S
63182... ...... A Revise spinal cord ligaments............................. 18.91 16.44 2.21 37.56 090 S
63185... ...... A Incise spinal column/nerves.............................. 13.85 15.55 2.93 32.33 090 S
63190... ...... A Incise spinal column/nerves.............................. 16.26 *20.81 3.91 40.98 090 S
63191... ...... A Incise spinal column/nerves.............................. 16.42 13.04 2.21 31.67 090 S
63194... ...... A Incise spinal column & cord.............................. 17.53 13.02 2.33 32.88 090 S
63195... ...... A Incise spinal column & cord.............................. 17.16 13.86 2.11 33.13 090 S
63196... ...... A Incise spinal column & cord.............................. 20.57 15.59 1.83 37.99 090 S
63197... ...... A Incise spinal column & cord.............................. 19.38 14.36 2.62 36.36 090 S
63198... ...... A Incise spinal column & cord.............................. 22.45 16.32 3.19 41.96 090 S
63199... ...... A Incise spinal column & cord.............................. 23.89 21.40 2.61 47.90 090 S
63200... ...... A Release of spinal cord................................... 17.66 12.49 1.83 31.98 090 S
63250... ...... A Revise spinal cord vessels............................... 38.67 27.99 5.22 71.88 090 S
63251... ...... A Revise spinal cord vessels............................... 38.86 22.74 4.32 65.92 090 S
63252... ...... A Revise spinal cord vessels............................... 38.85 28.25 5.52 72.62 090 S
63265... ...... A Excise intraspinal lesion................................ 20.04 22.01 3.90 45.95 090 S
63266... ...... A Excise intraspinal lesion................................ 20.65 24.76 4.43 49.84 090 S
63267... ...... A Excise intraspinal lesion................................ 16.70 *21.38 4.20 42.28 090 S
63268... ...... A Excise intraspinal lesion................................ 17.27 12.56 2.46 32.29 090 S
63270... ...... A Excise intraspinal lesion................................ 24.84 18.14 3.42 46.40 090 S
63271... ...... A Excise intraspinal lesion................................ 24.96 26.60 4.79 56.35 090 S
63272... ...... A Excise intraspinal lesion................................ 23.69 23.15 4.26 51.10 090 S
63273... ...... A Excise intraspinal lesion................................ 22.66 17.56 3.12 43.34 090 S
63275... ...... A Biopsy/excise spinal tumor............................... 22.05 27.82 5.09 54.96 090 S
63276... ...... A Biopsy/excise spinal tumor............................... 21.76 25.31 4.62 51.69 090 S
63277... ...... A Biopsy/excise spinal tumor............................... 19.51 23.75 4.25 47.51 090 S
63278... ...... A Biopsy/excise spinal tumor............................... 19.24 23.34 4.32 46.90 090 S
63280... ...... A Biopsy/excise spinal tumor............................... 26.72 28.08 4.99 59.79 090 S
63281... ...... A Biopsy/excise spinal tumor............................... 26.42 27.67 4.96 59.05 090 S
63282... ...... A Biopsy/excise spinal tumor............................... 24.96 24.11 4.44 53.51 090 S
63283... ...... A Biopsy/excise spinal tumor............................... 23.57 18.77 3.44 45.78 090 S
63285... ...... A Biopsy/excise spinal tumor............................... 34.24 24.49 4.49 63.22 090 S
63286... ...... A Biopsy/excise spinal tumor............................... 33.94 28.76 4.92 67.62 090 S
63287... ...... A Biopsy/excise spinal tumor............................... 34.43 25.72 4.53 64.68 090 S
63290... ...... A Biopsy/excise spinal tumor............................... 35.04 27.16 4.65 66.85 090 S
63300... ...... A Removal of vertebral body................................ 22.78 17.27 2.02 42.07 090 S
63301... ...... A Removal of vertebral body................................ 25.08 18.45 3.58 47.11 090 S
63302... ...... A Removal of vertebral body................................ 25.60 21.36 3.02 49.98 090 S
63303... ...... A Removal of vertebral body................................ 28.47 18.50 3.39 50.36 090 S
63304... ...... A Removal of vertebral body................................ 28.10 21.31 2.49 51.90 090 S
63305... ...... A Removal of vertebral body................................ 29.42 22.49 3.75 55.66 090 S
63306... ...... A Removal of vertebral body................................ 30.01 22.76 2.65 55.42 090 S
63307... ...... A Removal of vertebral body................................ 29.42 24.42 2.98 56.82 090 S
63308... ...... A Removal of vertebral body................................ 5.25 4.05 0.73 10.03 ZZZ S
63600... ...... A Remove spinal cord lesion................................ 13.08 10.70 2.63 26.41 090 N
63610... ...... A Stimulation of spinal cord............................... 8.73 6.73 2.06 17.52 000 N
63615... ...... A Remove lesion of spinal cord............................. 15.40 11.55 2.03 28.98 090 S
63650... ...... A Implant neuroelectrodes.................................. 5.99 *8.05 2.13 16.17 090 S
63655... ...... A Implant neuroelectrodes.................................. 8.95 *14.90 3.64 27.49 090 S
63660... ...... A Revise/remove neuroelectrode............................. 5.54 *7.09 1.56 14.19 090 S
63685... ...... A Implant neuroreceiver.................................... 6.29 7.40 1.46 15.15 090 S
63688... ...... A Revise/remove neuroreceiver.............................. 4.77 *6.10 1.26 12.13 090 S
63690... ...... A Analysis of neuroreceiver................................ 0.45 *0.65 0.12 1.22 XXX N
63691... ...... A Analysis of neuroreceiver................................ 0.65 0.41 0.11 1.17 XXX N
63700... ...... A Repair of spinal herniation.............................. 15.62 11.35 2.22 29.19 090 S
63702... ...... A Repair of spinal herniation.............................. 17.57 12.78 2.49 32.84 090 S
63704... ...... A Repair of spinal herniation.............................. 19.52 14.19 2.77 36.48 090 S
63706... ...... A Repair of spinal herniation.............................. 22.45 16.33 3.18 41.96 090 S
63707... ...... A Repair spinal fluid leakage.............................. 10.14 *12.98 2.56 25.68 090 S
63709... ...... A Repair spinal fluid leakage.............................. 13.26 *16.97 3.30 33.53 090 S
63710... ...... A Graft repair of spine defect............................. 13.01 9.75 1.58 24.34 090 S
63740... ...... A Install spinal shunt..................................... 10.43 *13.35 2.99 26.77 090 S
63741... ...... A Install spinal shunt..................................... 7.13 *9.92 2.39 19.44 090 S
63744... ...... A Revision of spinal shunt................................. 6.83 8.15 1.68 16.66 090 S
63746... ...... A Removal of spinal shunt.................................. 5.60 5.52 1.08 12.20 090 S
63750... ...... A Insert spinal canal catheter............................. 7.23 *11.24 3.03 21.50 090 S
63780... ...... A Insert spinal canal catheter............................. 6.22 1.93 0.55 8.70 090 N
64400... ...... A Injection for nerve block................................ 1.11 0.48 0.05 1.64 000 N
64402... ...... A Injection for nerve block................................ 1.25 0.62 0.09 1.96 000 S
64405... ...... A Injection for nerve block................................ 1.32 0.64 0.07 2.03 000 N
64408... ...... A Injection for nerve block................................ 1.41 1.04 0.11 2.56 000 N
64410... ...... A Injection for nerve block................................ 1.43 0.71 0.15 2.29 000 N
64412... ...... A Injection for nerve block................................ 1.18 0.62 0.08 1.88 000 N
64413... ...... A Injection for nerve block................................ 1.40 0.74 0.08 2.22 000 N
64415... ...... A Injection for nerve block................................ 1.48 0.26 0.07 1.81 000 N
64417... ...... A Injection for nerve block................................ 1.44 0.63 0.15 2.22 000 N
64418... ...... A Injection for nerve block................................ 1.32 0.85 0.10 2.27 000 N
64420... ...... A Injection for nerve block................................ 1.18 0.64 0.07 1.89 000 N
64421... ...... A Injection for nerve block................................ 1.68 0.83 0.17 2.68 000 N
64425... ...... A Injection for nerve block................................ 1.75 0.57 0.10 2.42 000 N
64430... ...... A Injection for nerve block................................ 1.46 0.70 0.12 2.28 000 S
64435... ...... A Injection for nerve block................................ 1.45 0.47 0.09 2.01 000 S
64440... ...... A Injection for nerve block................................ 1.34 0.79 0.09 2.22 000 N
64441... ...... A Injection for nerve block................................ 1.79 1.01 0.12 2.92 000 N
64442... ...... A Injection for nerve block................................ 1.41 1.19 0.16 2.76 000 N
64443... ...... A Injection for nerve block................................ 1.35 0.63 0.12 2.10 ZZZ N
64445... ...... A Injection for nerve block................................ 1.48 0.49 0.06 2.03 000 N
64450... ...... A Injection for nerve block................................ 1.27 0.53 0.05 1.85 000 S
64505... ...... A Injection for nerve block................................ 1.36 0.62 0.06 2.04 000 N
64508... ...... A Injection for nerve block................................ 1.12 1.04 0.08 2.24 000 N
64510... ...... A Injection for nerve block................................ 1.22 0.71 0.18 2.11 000 N
64520... ...... A Injection for nerve block................................ 1.35 0.72 0.17 2.24 000 N
64530... ...... A Injection for nerve block................................ 1.58 1.17 0.28 3.03 000 N
64550... ...... A Apply neurostimulator.................................... 0.18 0.44 0.04 0.66 000 N
64553... ...... A Implant neuroelectrodes.................................. 2.26 1.02 0.10 3.38 010 N
64555... ...... A Implant neuroelectrodes.................................. 2.22 0.42 0.10 2.74 010 N
64560... ...... A Implant neuroelectrodes.................................. 2.31 1.45 0.24 4.00 010 S
64565... ...... A Implant neuroelectrodes.................................. 1.71 0.76 0.08 2.55 010 N
64573... ...... A Implant neuroelectrodes.................................. 4.35 3.16 0.61 8.12 090 S
64575... ...... A Implant neuroelectrodes.................................. 4.27 3.07 0.40 7.74 090 S
64577... ...... A Implant neuroelectrodes.................................. 4.54 2.76 0.45 7.75 090 S
64580... ...... A Implant neuroelectrodes.................................. 4.04 2.91 0.20 7.15 090 S
64585... ...... A Revise/remove neuroelectrode............................. 2.01 0.97 0.09 3.07 010 S
64590... ...... A Implant neuroreceiver.................................... 2.35 1.84 0.35 4.54 010 S
64595... ...... A Revise/remove neuroreceiver.............................. 1.68 1.12 0.21 3.01 010 S
64600... ...... A Injection treatment of nerve............................. 3.40 1.69 0.17 5.26 010 N
64605... ...... A Injection treatment of nerve............................. 5.56 1.56 0.33 7.45 010 N
64610... ...... A Injection treatment of nerve............................. 7.11 7.26 1.35 15.72 010 N
64612... ...... A Destroy nerve, face muscle............................... 1.91 1.45 0.17 3.53 010 S
64613... ...... A Destroy nerve, spine muscle.............................. 1.91 1.45 0.17 3.53 010 S
64620... ...... A Injection treatment of nerve............................. 2.79 1.00 0.19 3.98 010 N
64622... ...... A Injection treatment of nerve............................. 2.95 1.82 0.35 5.12 010 N
64623... ...... A Injection treatment of nerve............................. 0.99 0.85 0.17 2.01 ZZZ N
64630... ...... A Injection treatment of nerve............................. 2.95 1.74 0.38 5.07 010 N
64640... ...... A Injection treatment of nerve............................. 2.49 0.92 0.09 3.50 010 N
64680... ...... A Injection treatment of nerve............................. 2.57 1.55 0.41 4.53 010 N
64702... ...... A Revise finger/toe nerve.................................. 4.02 4.22 0.70 8.94 090 S
64704... ...... A Revise hand/foot nerve................................... 4.44 5.38 0.74 10.56 090 S
64708... ...... A Revise arm/leg nerve..................................... 5.71 *7.31 1.26 14.28 090 S
64712... ...... A Revision of sciatic nerve................................ 7.18 *9.19 1.68 18.05 090 S
64713... ...... A Revision of arm nerve(s)................................. 10.34 9.40 1.72 21.46 090 S
64714... ...... A Revise low back nerve(s)................................. 9.87 6.13 1.41 17.41 090 S
64716... ...... A Revision of cranial nerve................................ 5.80 4.83 0.67 11.30 090 S
64718... ...... A Revise ulnar nerve at elbow.............................. 5.48 6.72 1.13 13.33 090 S
64719... ...... A Revise ulnar nerve at wrist.............................. 4.72 4.95 0.85 10.52 090 S
64721... ...... A Carpal tunnel surgery.................................... 3.99 4.90 0.83 9.72 090 S
64722... ...... A Relieve pressure on nerve(s)............................. 4.46 *5.71 1.11 11.28 090 S
64726... ...... A Release foot/toe nerve................................... 3.97 0.72 0.07 4.76 090 S
64727... ...... A Internal nerve revision.................................. 3.10 3.24 0.55 6.89 ZZZ S
64732... ...... A Incision of brow nerve................................... 4.15 4.31 0.72 9.18 090 S
64734... ...... A Incision of cheek nerve.................................. 4.62 4.61 0.67 9.90 090 S
64736... ...... A Incision of chin nerve................................... 4.40 4.46 0.42 9.28 090 S
64738... ...... A Incision of jaw nerve.................................... 5.42 5.07 0.61 11.10 090 S
64740... ...... A Incision of tongue nerve................................. 5.28 5.18 0.62 11.08 090 S
64742... ...... A Incision of facial nerve................................. 5.91 5.00 0.44 11.35 090 S
64744... ...... A Incise nerve, back of head............................... 4.87 6.10 1.10 12.07 090 S
64746... ...... A Incise diaphragm nerve................................... 5.62 3.77 0.77 10.16 090 S
64752... ...... A Incision of vagus nerve.................................. 6.64 3.93 0.85 11.42 090 S
64755... ...... A Incision of stomach nerves............................... 13.10 10.47 2.27 25.84 090 S
64760... ...... A Incision of vagus nerve.................................. 6.54 6.65 1.50 14.69 090 S
64761... ...... A Incision of pelvis nerve................................. 6.10 4.66 0.50 11.26 090 S
64763... ...... A Incise hip/thigh nerve................................... 6.72 4.80 0.92 12.44 090 S
64766... ...... A Incise hip/thigh nerve................................... 8.31 6.67 1.20 16.18 090 S
64771... ...... A Sever cranial nerve...................................... 6.99 6.42 0.73 14.14 090 S
64772... ...... A Incision of spinal nerve................................. 6.79 6.77 1.30 14.86 090 S
64774... ...... A Remove skin nerve lesion................................. 4.86 2.74 0.45 8.05 090 S
64776... ...... A Remove digit nerve lesion................................ 4.86 2.78 0.41 8.05 090 S
64778... ...... A Added digit nerve surgery................................ 3.11 2.73 0.43 6.27 ZZZ S
64782... ...... A Remove limb nerve lesion................................. 5.81 4.70 0.46 10.97 090 S
64783... ...... A Added limb nerve surgery................................. 3.72 3.26 0.47 7.45 ZZZ S
64784... ...... A Remove nerve lesion...................................... 9.46 5.64 0.96 16.06 090 S
64786... ...... A Remove sciatic nerve lesion.............................. 15.10 12.66 2.14 29.90 090 S
64787... ...... A Implant nerve end........................................ 4.30 3.47 0.60 8.37 ZZZ S
64788... ...... A Remove skin nerve lesion................................. 4.30 3.63 0.50 8.43 090 S
64790... ...... A Removal of nerve lesion.................................. 10.95 7.11 1.22 19.28 090 S
64792... ...... A Removal of nerve lesion.................................. 14.40 8.99 1.66 25.05 090 S
64795... ...... A Biopsy of nerve.......................................... 3.01 2.38 0.39 5.78 000 S
64802... ...... A Remove sympathetic nerves................................ 8.22 5.40 1.10 14.72 090 S
64804... ...... A Remove sympathetic nerves................................ 13.65 12.77 2.44 28.86 090 S
64809... ...... A Remove sympathetic nerves................................ 12.79 10.55 2.04 25.38 090 S
64818... ...... A Remove sympathetic nerves................................ 9.42 8.57 1.72 19.71 090 S
64820... ...... A Remove sympathetic nerves................................ 9.10 6.62 1.30 17.02 090 S
64830... ...... A Microrepair of nerve..................................... 3.10 2.01 0.38 5.49 ZZZ S
64831... ...... A Repair of digit nerve.................................... 8.84 3.38 0.56 12.78 090 S
64832... ...... A Repair additional nerve.................................. 5.66 1.40 0.24 7.30 ZZZ S
64834... ...... A Repair of hand or foot nerve............................. 9.77 3.50 0.56 13.83 090 S
64835... ...... A Repair of hand or foot nerve............................. 10.47 5.96 1.03 17.46 090 S
64836... ...... A Repair of hand or foot nerve............................. 10.47 6.70 1.22 18.39 090 S
64837... ...... A Repair additional nerve.................................. 6.26 4.45 0.85 11.56 ZZZ S
64840... ...... A Repair of leg nerve...................................... 12.43 10.35 0.53 23.31 090 S
64856... ...... A Repair/transpose nerve................................... 12.81 8.21 1.46 22.48 090 S
64857... ...... A Repair arm/leg nerve..................................... 13.43 9.53 1.54 24.50 090 S
64858... ...... A Repair sciatic nerve..................................... 15.43 10.98 2.11 28.52 090 S
64859... ...... A Additional nerve surgery................................. 4.26 3.50 0.58 8.34 ZZZ S
64861... ...... A Repair of arm nerves..................................... 17.94 13.42 1.38 32.74 090 S
64862... ...... A Repair of low back nerves................................ 18.14 21.56 1.61 41.31 090 S
64864... ...... A Repair of facial nerve................................... 11.87 7.86 1.16 20.89 090 S
64865... ...... A Repair of facial nerve................................... 14.70 12.34 1.50 28.54 090 S
64866... ...... A Fusion of facial/other nerve............................. 14.94 11.19 1.84 27.97 090 S
64868... ...... A Fusion of facial/other nerve............................. 13.36 11.19 1.47 26.02 090 S
64870... ...... A Fusion of facial/other nerve............................. 15.19 13.91 1.70 30.80 090 S
64872... ...... A Subsequent repair of nerve............................... 1.99 1.44 0.29 3.72 ZZZ S
64874... ...... A Repair & revise nerve.................................... 2.98 2.17 0.43 5.58 ZZZ S
64876... ...... A Repair nerve; shorten bone............................... 3.38 2.46 0.48 6.32 ZZZ N
64885... ...... A Nerve graft, head or neck................................ 16.73 12.69 1.48 30.90 090 S
64886... ...... A Nerve graft, head or neck................................ 19.95 15.13 1.77 36.85 090 S
64890... ...... A Nerve graft, hand or foot................................ 14.35 12.26 2.12 28.73 090 S
64891... ...... A Nerve graft, hand or foot................................ 15.21 10.42 1.73 27.36 090 S
64892... ...... A Nerve graft, arm or leg.................................. 13.85 11.04 1.69 26.58 090 S
64893... ...... A Nerve graft, arm or leg.................................. 14.61 13.93 2.27 30.81 090 S
64895... ...... A Nerve graft, hand or foot................................ 18.39 13.16 2.55 34.10 090 S
64896... ...... A Nerve graft, hand or foot................................ 19.38 17.53 1.90 38.81 090 S
64897... ...... A Nerve graft, arm or leg.................................. 17.38 12.63 2.47 32.48 090 S
64898... ...... A Nerve graft, arm or leg.................................. 18.39 14.40 2.35 35.14 090 S
64901... ...... A Additional nerve graft................................... 10.22 10.16 0.87 21.25 ZZZ S
64902... ...... A Additional nerve graft................................... 11.83 11.92 0.99 24.74 ZZZ S
64905... ...... A Nerve pedicle transfer................................... 13.22 9.40 0.70 23.32 090 S
64907... ...... A Nerve pedicle transfer................................... 17.90 13.02 2.55 33.47 090 S
64999... ...... C Nervous system surgery................................... 0.00 0.00 0.00 0.00 YYY N
65091... ...... A Revise eye............................................... 6.10 *7.81 0.45 14.36 090 S
65093... ...... A Revise eye with implant.................................. 6.47 *8.28 0.52 15.27 090 S
65101... ...... A Removal of eye........................................... 6.52 *8.35 0.47 15.34 090 S
65103... ...... A Remove eye/insert implant................................ 7.06 *9.04 0.50 16.60 090 S
65105... ...... A Remove eye/attach implant................................ 7.82 *10.01 0.55 18.38 090 S
65110... ...... A Removal of eye........................................... 13.18 15.99 1.14 30.31 090 S
65112... ...... A Remove eye, revise socket................................ 15.44 12.16 1.09 28.69 090 S
65114... ...... A Remove eye, revise socket................................ 16.59 13.07 1.65 31.31 090 S
65125... ...... A Revise ocular implant.................................... 2.97 2.47 0.13 5.57 090 S
65130... ...... A Insert ocular implant.................................... 6.75 *8.64 0.50 15.89 090 S
65135... ...... A Insert ocular implant.................................... 6.93 5.42 0.35 12.70 090 S
65140... ...... A Attach ocular implant.................................... 7.46 6.22 0.33 14.01 090 S
65150... ...... A Revise ocular implant.................................... 5.97 *8.44 0.56 14.97 090 S
65155... ...... A Reinsert ocular implant.................................. 8.21 *11.11 0.90 20.22 090 S
65175... ...... A Removal of ocular implant................................ 5.93 7.49 0.40 13.82 090 S
65205... ...... A Remove foreign body from eye............................. 0.78 0.37 0.02 1.17 000 S
65210... ...... A Remove foreign body from eye............................. 0.84 0.46 0.03 1.33 000 S
65220... ...... A Remove foreign body from eye............................. 0.71 0.52 0.04 1.27 000 N
65222... ...... A Remove foreign body from eye............................. 0.93 0.57 0.03 1.53 000 S
65235... ...... A Remove foreign body from eye............................. 7.12 5.61 0.30 13.03 090 S
65260... ...... A Remove foreign body from eye............................. 10.35 8.63 0.45 19.43 090 S
65265... ...... A Remove foreign body from eye............................. 12.04 10.04 0.51 22.59 090 S
65270... ...... A Repair of eye wound...................................... 1.85 1.17 0.07 3.09 010 S
65272... ...... A Repair of eye wound...................................... 3.57 1.64 0.10 5.31 090 S
65273... ...... A Repair of eye wound...................................... 3.89 3.22 0.21 7.32 090 S
65275... ...... A Repair of eye wound...................................... 5.04 0.66 0.04 5.74 090 S
65280... ...... A Repair of eye wound...................................... 7.10 *9.09 0.49 16.68 090 S
65285... ...... A Repair of eye wound...................................... 12.06 12.26 0.64 24.96 090 S
65286... ...... A Repair of eye wound...................................... 5.16 4.79 0.25 10.20 090 S
65290... ...... A Repair of eye socket wound............................... 5.06 6.20 0.37 11.63 090 S
65400... ...... A Removal of eye lesion.................................... 5.61 6.46 0.35 12.42 090 S
65410... ...... A Biopsy of cornea......................................... 1.47 1.59 0.11 3.17 000 S
65420... ...... A Removal of eye lesion.................................... 3.97 4.28 0.23 8.48 090 S
65426... ...... A Removal of eye lesion.................................... 5.05 *6.47 0.38 11.90 090 S
65430... ...... A Corneal smear............................................ 0.87 0.54 0.03 1.44 000 S
65435... ...... A Curette/treat cornea..................................... 0.92 0.77 0.04 1.73 000 S
65436... ...... A Curette/treat cornea..................................... 3.99 1.53 0.08 5.60 090 S
65450... ...... A Treatment of corneal lesion.............................. 3.07 3.28 0.17 6.52 090 S
65600... ...... A Revision of cornea....................................... 3.15 2.62 0.14 5.91 090 S
65710... ...... A Corneal transplant....................................... 9.52 *15.38 1.13 26.03 090 S
65730... ...... A Corneal transplant....................................... 11.83 *18.27 1.29 31.39 090 S
65750... ...... A Corneal transplant....................................... 12.58 *19.00 1.33 32.91 090 S
65755... ...... A Corneal transplant....................................... 12.58 *19.52 1.39 33.49 090 S
65760... ...... N Revision of cornea....................................... 0.00 0.00 0.00 0.00 XXX O
65765... ...... N Revision of cornea....................................... 0.00 0.00 0.00 0.00 XXX O
65767... ...... N Corneal tissue transplant................................ 0.00 0.00 0.00 0.00 XXX O
65770... ...... A Revise cornea with implant............................... 16.56 13.81 0.71 31.08 090 S
65771... ...... N Radial keratotomy........................................ 0.00 0.00 0.00 0.00 XXX O
65772... ...... A Correction of astigmatism................................ 4.04 *5.16 0.31 9.51 090 S
65775... ...... A Correction of astigmatism................................ 5.44 *7.62 0.50 13.56 090 S
65800... ...... A Drainage of eye.......................................... 1.91 1.72 0.10 3.73 000 S
65805... ...... A Drainage of eye.......................................... 1.91 1.81 0.10 3.82 000 S
65810... ...... A Drainage of eye.......................................... 4.57 5.45 0.30 10.32 090 S
65815... ...... A Drainage of eye.......................................... 4.75 4.49 0.24 9.48 090 S
65820... ...... A Relieve inner eye pressure............................... 7.60 9.54 0.51 17.65 090 S
65850... ...... A Incision of eye.......................................... 10.18 *13.03 0.69 23.90 090 S
65855... ...... A Laser surgery of eye..................................... 4.65 *7.38 0.52 12.55 090 S
65860... ...... A Incise inner eye adhesions............................... 3.37 *5.12 0.37 8.86 090 S
65865... ...... A Incise inner eye adhesions............................... 5.42 *6.93 0.41 12.76 090 S
65870... ...... A Incise inner eye adhesions............................... 5.92 5.86 0.31 12.09 090 S
65875... ...... A Incise inner eye adhesions............................... 6.14 6.28 0.34 12.76 090 S
65880... ...... A Incise inner eye adhesions............................... 6.69 6.85 0.37 13.91 090 S
65900... ...... A Remove eye lesion........................................ 10.43 7.91 0.92 19.26 090 S
65920... ...... A Remove implant from eye.................................. 7.90 8.36 0.44 16.70 090 S
65930... ...... A Remove blood clot from eye............................... 7.03 7.68 0.41 15.12 090 S
66020... ...... A Injection treatment of eye............................... 1.54 *2.02 0.14 3.70 010 S
66030... ...... A Injection treatment of eye............................... 1.20 0.54 0.03 1.77 010 S
66130... ...... A Remove eye lesion........................................ 7.54 5.28 0.28 13.10 090 S
66150... ...... A Glaucoma surgery......................................... 7.60 *9.72 0.59 17.91 090 S
66155... ...... A Glaucoma surgery......................................... 7.48 *9.57 0.50 17.55 090 S
66160... ...... A Glaucoma surgery......................................... 9.47 10.77 0.55 20.79 090 S
66165... ...... A Glaucoma surgery......................................... 7.31 *9.36 0.57 17.24 090 S
66170... ...... A Glaucoma surgery......................................... 11.31 12.15 0.63 24.09 090 S
66172... ...... A Incision of eye.......................................... 13.67 12.15 0.63 26.45 090 S
66180... ...... A Implant eye shunt........................................ 12.63 *16.17 1.03 29.83 090 S
66185... ...... A Revise eye shunt......................................... 7.69 *9.85 0.58 18.12 090 S
66220... ...... A Repair eye lesion........................................ 7.32 5.95 0.34 13.61 090 S
66225... ...... A Repair/graft eye lesion.................................. 10.55 *13.64 0.86 25.05 090 S
66250... ...... A Follow-up surgery of eye................................. 5.63 *7.20 0.38 13.21 090 S
66500... ...... A Incision of iris......................................... 3.58 *4.58 0.27 8.43 090 S
66505... ...... A Incision of iris......................................... 3.93 3.27 0.17 7.37 090 S
66600... ...... A Remove iris and lesion................................... 8.23 9.36 0.51 18.10 090 S
66605... ...... A Removal of iris.......................................... 12.34 11.87 0.67 24.88 090 S
66625... ...... A Removal of iris.......................................... 4.95 *7.10 0.48 12.53 090 S
66630... ...... A Removal of iris.......................................... 5.81 *7.43 0.45 13.69 090 S
66635... ...... A Removal of iris.......................................... 5.90 *7.72 0.49 14.11 090 S
66680... ...... A Repair iris and ciliary body............................. 5.14 6.42 0.35 11.91 090 S
66682... ...... A Repair iris and ciliary body............................. 5.86 7.33 0.38 13.57 090 S
66700... ...... A Destruction, ciliary body................................ 4.55 *5.83 0.35 10.73 090 S
66710... ...... A Destruction, ciliary body................................ 4.55 *6.08 0.41 11.04 090 S
66720... ...... A Destruction, ciliary body................................ 4.55 *5.83 0.38 10.76 090 S
66740... ...... A Destruction, ciliary body................................ 4.55 *6.01 0.39 10.95 090 S
66761... ...... A Revision of iris......................................... 3.77 *6.46 0.47 10.70 090 S
66762... ...... A Revision of iris......................................... 4.33 *7.53 0.55 12.41 090 S
66770... ...... A Removal of inner eye lesion.............................. 4.88 *6.79 0.45 12.12 090 S
66820... ...... A Incision, secondary cataract............................. 3.76 *4.81 0.29 8.86 090 S
66821... ...... A After cataract laser surgery............................. 2.78 *4.83 0.37 7.98 090 S
66825... ...... A Reposition intraocular lens.............................. 7.73 7.33 0.38 15.44 090 S
66830... ...... A Removal of lens lesion................................... 7.80 7.67 0.40 15.87 090 S
66840... ...... A Removal of lens material................................. 7.51 *9.61 0.54 17.66 090 S
66850... ...... A Removal of lens material................................. 8.66 *11.09 0.70 20.45 090 S
66852... ...... A Removal of lens material................................. 9.52 *13.23 0.90 23.65 090 S
66920... ...... A Extraction of lens....................................... 8.46 *10.82 0.60 19.88 090 S
66930... ...... A Extraction of lens....................................... 9.73 10.49 0.57 20.79 090 S
66940... ...... A Extraction of lens....................................... 8.48 *10.85 0.62 19.95 090 S
66983... ...... A Remove cataract, insert lens............................. 8.54 *13.20 0.95 22.69 090 S
66984... ...... A Remove cataract, insert lens............................. 9.89 *13.93 0.94 24.76 090 S
66985... ...... A Insert lens prosthesis................................... 7.89 *10.10 0.63 18.62 090 S
66986... ...... A Exchange lens prosthesis................................. 11.78 12.20 0.63 24.61 090 S
66999... ...... C Eye surgery procedure.................................... 0.00 0.00 0.00 0.00 YYY S
67005... ...... A Partial removal of eye fluid............................. 6.63 *13.93 1.13 21.69 090 S
67010... ...... A Partial removal of eye fluid............................. 6.67 *13.28 1.04 20.99 090 S
67015... ...... A Release of eye fluid..................................... 6.69 6.45 0.35 13.49 090 S
67025... ...... A Replace eye fluid........................................ 6.44 6.75 0.36 13.55 090 S
67028... ...... A Injection eye drug....................................... 2.52 *3.22 0.18 5.92 000 S
67030... ...... A Incise inner eye strands................................. 4.44 *7.06 0.50 12.00 090 S
67031... ...... A Laser surgery, eye strands............................... 3.42 *8.88 0.75 13.05 090 S
67036... ...... A Removal of inner eye fluid............................... 11.33 *19.99 1.49 32.81 090 S
67038... ...... A Strip retinal membrane................................... 20.20 *27.25 1.80 49.25 090 S
67039... ...... A Laser treatment of retina................................ 13.60 *22.84 1.68 38.12 090 S
67040... ...... A Laser treatment of retina................................ 16.26 *24.86 1.75 42.87 090 S
67101... ...... A Repair detached retina................................... 7.02 *9.83 0.66 17.51 090 S
67105... ...... A Repair detached retina................................... 7.06 *11.22 0.80 19.08 090 S
67107... ...... A Repair detached retina................................... 13.99 *17.91 1.10 33.00 090 S
67108... ...... A Repair detached retina................................... 19.90 *26.71 1.76 48.37 090 S
67109... ...... A Repair detached retina................................... 11.51 *16.40 1.12 29.03 090 S
67110... ...... A Repair detached retina................................... 8.14 *13.06 0.97 22.17 090 S
67112... ...... A Re-repair detached retina................................ 16.15 16.51 0.86 33.52 090 S
67115... ...... A Release encircling material.............................. 4.64 *6.36 0.44 11.44 090 S
67120... ...... A Remove eye implant material.............................. 5.63 7.15 0.38 13.16 090 S
67121... ...... A Remove eye implant material.............................. 10.17 9.42 0.49 20.08 090 S
67141... ...... A Treatment of retina...................................... 4.90 *7.09 0.48 12.47 090 S
67145... ...... A Treatment of retina...................................... 5.07 *7.23 0.49 12.79 090 S
67208... ...... A Treatment of retinal lesion.............................. 6.40 *8.28 0.52 15.20 090 S
67210... ...... A Treatment of retinal lesion.............................. 9.48 9.02 0.47 18.97 090 S
67218... ...... A Treatment of retinal lesion.............................. 12.73 13.31 0.70 26.74 090 S
67227... ...... A Treatment of retinal lesion.............................. 6.28 *8.11 0.51 14.90 090 S
67228... ...... A Treatment of retinal lesion.............................. 12.39 9.39 0.48 22.26 090 S
67250... ...... A Reinforce eye wall....................................... 8.36 6.99 0.40 15.75 090 S
67255... ...... A Reinforce/graft eye wall................................. 8.39 *12.60 0.87 21.86 090 S
67299... ...... C Eye surgery procedure.................................... 0.00 0.00 0.00 0.00 YYY S
67311... ...... A Revise eye muscle........................................ 6.30 *8.06 0.47 14.83 090 S
67312... ...... A Revise two eye muscles................................... 7.55 *9.66 0.53 17.74 090 S
67314... ...... A Revise eye muscle........................................ 7.12 *9.18 0.58 16.88 090 S
67316... ...... A Revise two eye muscles................................... 8.02 *10.34 0.67 19.03 090 S
67318... ...... A Revise eye muscle(s)..................................... 7.45 6.21 0.33 13.99 090 S
67320... ...... A Revise eye muscle(s)..................................... 8.26 *10.57 0.69 19.52 090 S
67331... ...... A Eye surgery follow-up.................................... 7.72 *9.89 0.54 18.15 090 S
67332... ...... A Rerevise eye muscles..................................... 8.59 *11.00 0.58 20.17 090 S
67334... ...... A Revise eye muscle w/suture............................... 7.56 6.30 0.33 14.19 090 S
67335... ...... A Eye suture during surgery................................ 2.49 *5.28 0.43 8.20 ZZZ S
67340... ...... A Revise eye muscle........................................ 9.45 7.88 0.41 17.74 090 S
67343... ...... A Release eye tissue....................................... 7.00 5.83 0.31 13.14 090 S
67345... ...... A Destroy nerve of eye muscle.............................. 2.91 2.22 0.26 5.39 010 S
67350... ...... A Biopsy eye muscle........................................ 2.87 2.39 0.13 5.39 000 S
67399... ...... C Eye muscle surgery procedure............................. 0.00 0.00 0.00 0.00 YYY S
67400... ...... A Explore/biopsy eye socket................................ 9.20 10.91 0.62 20.73 090 S
67405... ...... A Explore/drain eye socket................................. 7.42 *9.49 0.67 17.58 090 S
67412... ...... A Explore/treat eye socket................................. 9.14 *11.70 0.67 21.51 090 S
67413... ...... A Explore/treat eye socket................................. 9.75 8.09 0.57 18.41 090 S
67414... ...... A Explore/decompress eye socket............................ 10.07 8.39 0.44 18.90 090 S
67415... ...... A Aspiration orbital contents.............................. 1.76 2.02 0.12 3.90 000 S
67420... ...... A Explore/treat eye socket................................. 13.36 16.78 1.11 31.25 090 S
67430... ...... A Explore/treat eye socket................................. 12.79 10.65 0.54 23.98 090 S
67440... ...... A Explore/drain eye socket................................. 12.43 *15.91 0.97 29.31 090 S
67445... ...... A Explore/decompress eye socket............................ 13.36 11.13 0.57 25.06 090 S
67450... ...... A Explore/biopsy eye socket................................ 12.80 15.29 0.87 28.96 090 S
67500... ...... A Inject/treat eye socket.................................. 0.79 0.73 0.06 1.58 000 S
67505... ...... A Inject/treat eye socket.................................. 0.82 1.04 0.06 1.92 000 S
67515... ...... A Inject/treat eye socket.................................. 0.61 0.56 0.03 1.20 000 S
67550... ...... A Insert eye socket implant................................ 9.69 9.62 0.70 20.01 090 S
67560... ...... A Revise eye socket implant................................ 10.10 8.30 0.48 18.88 090 S
67570... ...... A Decompress optic nerve................................... 12.52 7.56 0.39 20.47 090 S
67599... ...... C Orbit surgery procedure.................................. 0.00 0.00 0.00 0.00 YYY S
67700... ...... A Drainage of eyelid abscess............................... 1.30 0.49 0.03 1.82 010 S
67710... ...... A Incision of eyelid....................................... 0.97 1.01 0.06 2.04 010 S
67715... ...... A Incision of eyelid fold.................................. 1.17 *1.49 0.09 2.75 010 S
67800... ...... A Remove eyelid lesion..................................... 1.35 0.94 0.05 2.34 010 S
67801... ...... A Remove eyelid lesions.................................... 1.85 1.39 0.08 3.32 010 S
67805... ...... A Remove eyelid lesions.................................... 2.17 1.38 0.08 3.63 010 S
67808... ...... A Remove eyelid lesion(s).................................. 3.55 2.13 0.13 5.81 090 S
67810... ...... A Biopsy of eyelid......................................... 1.48 0.81 0.05 2.34 000 S
67820... ...... A Revise eyelashes......................................... 0.89 0.38 0.02 1.29 000 S
67825... ...... A Revise eyelashes......................................... 1.33 0.90 0.05 2.28 010 S
67830... ...... A Revise eyelashes......................................... 1.65 *2.36 0.17 4.18 010 S
67835... ...... A Revise eyelashes......................................... 5.41 *6.95 0.45 12.81 090 S
67840... ...... A Remove eyelid lesion..................................... 1.99 1.22 0.07 3.28 010 S
67850... ...... A Treat eyelid lesion...................................... 1.64 0.82 0.05 2.51 010 S
67875... ...... A Closure of eyelid by suture.............................. 1.35 *1.72 0.13 3.20 000 S
67880... ...... A Revision of eyelid....................................... 3.55 3.94 0.23 7.72 090 S
67882... ...... A Revision of eyelid....................................... 4.77 *6.10 0.37 11.24 090 S
67900... ...... A Repair brow defect....................................... 4.54 3.78 0.20 8.52 090 S
67901... ...... A Repair eyelid defect..................................... 6.82 *8.73 0.64 16.19 090 S
67902... ...... A Repair eyelid defect..................................... 6.88 *8.81 0.72 16.41 090 S
67903... ...... A Repair eyelid defect..................................... 6.22 *9.25 0.73 16.20 090 S
67904... ...... A Repair eyelid defect..................................... 5.96 *8.98 0.71 15.65 090 S
67906... ...... A Repair eyelid defect..................................... 6.64 5.46 0.36 12.46 090 S
67908... ...... A Repair eyelid defect..................................... 4.95 *7.52 0.54 13.01 090 S
67909... ...... A Revise eyelid defect..................................... 5.22 *6.69 0.48 12.39 090 S
67911... ...... A Revise eyelid defect..................................... 5.09 *8.06 0.79 13.94 090 S
67914... ...... A Repair eyelid defect..................................... 3.60 *5.17 0.39 9.16 090 S
67915... ...... A Repair eyelid defect..................................... 3.10 1.25 0.07 4.42 090 S
67916... ...... A Repair eyelid defect..................................... 5.13 6.50 0.38 12.01 090 S
67917... ...... A Repair eyelid defect..................................... 5.84 *7.48 0.47 13.79 090 S
67921... ...... A Repair eyelid defect..................................... 3.32 3.82 0.20 7.34 090 S
67922... ...... A Repair eyelid defect..................................... 2.98 1.19 0.07 4.24 090 S
67923... ...... A Repair eyelid defect..................................... 5.70 6.88 0.38 12.96 090 S
67924... ...... A Repair eyelid defect..................................... 5.64 *7.22 0.43 13.29 090 S
67930... ...... A Repair eyelid wound...................................... 3.56 1.27 0.08 4.91 010 S
67935... ...... A Repair eyelid wound...................................... 6.07 3.79 0.24 10.10 090 S
67938... ...... A Remove eyelid foreign body............................... 1.28 0.52 0.03 1.83 010 S
67950... ...... A Revision of eyelid....................................... 5.64 *7.22 0.45 13.31 090 S
67961... ...... A Revision of eyelid....................................... 5.51 *7.05 0.50 13.06 090 S
67966... ...... A Revision of eyelid....................................... 6.39 *8.37 0.66 15.42 090 S
67971... ...... A Reconstruction of eyelid................................. 9.56 10.68 0.64 20.88 090 S
67973... ...... A Reconstruction of eyelid................................. 12.59 13.54 0.91 27.04 090 S
67974... ...... A Reconstruction of eyelid................................. 12.56 14.07 0.87 27.50 090 S
67975... ...... A Reconstruction of eyelid................................. 8.90 4.15 0.24 13.29 090 S
67999... ...... C Eyelid surgery procedure................................. 0.00 0.00 0.00 0.00 YYY S
68020... ...... A Incise/drain eyelid lining............................... 1.32 0.51 0.03 1.86 010 S
68040... ...... A Treatment of eyelid lesions.............................. 0.85 0.45 0.02 1.32 000 S
68100... ...... A Biopsy of eyelid lining.................................. 1.35 0.99 0.06 2.40 000 S
68110... ...... A Remove eyelid lining lesion.............................. 1.72 1.24 0.07 3.03 010 S
68115... ...... A Remove eyelid lining lesion.............................. 2.31 1.93 0.11 4.35 010 S
68130... ...... A Remove eyelid lining lesion.............................. 4.75 4.09 0.22 9.06 090 S
68135... ...... A Remove eyelid lining lesion.............................. 1.79 0.74 0.04 2.57 010 S
68200... ...... A Treat eyelid by injection................................ 0.49 0.52 0.03 1.04 000 S
68320... ...... A Revise/graft eyelid lining............................... 4.97 *6.37 0.42 11.76 090 S
68325... ...... A Revise/graft eyelid lining............................... 6.96 *8.91 0.62 16.49 090 S
68326... ...... A Revise/graft eyelid lining............................... 6.75 8.62 0.49 15.86 090 S
68328... ...... A Revise/graft eyelid lining............................... 7.78 *9.96 0.82 18.56 090 S
68330... ...... A Revise eyelid lining..................................... 4.53 *5.80 0.35 10.68 090 S
68335... ...... A Revise/graft eyelid lining............................... 6.79 *9.14 0.68 16.61 090 S
68340... ...... A Separate eyelid adhesions................................ 3.92 3.14 0.17 7.23 090 S
68360... ...... A Revise eyelid lining..................................... 4.12 *5.28 0.33 9.73 090 S
68362... ...... A Revise eyelid lining..................................... 6.94 8.01 0.42 15.37 090 S
68399... ...... C Eyelid lining surgery.................................... 0.00 0.00 0.00 0.00 YYY S
68400... ...... A Incise/drain tear gland.................................. 1.64 1.00 0.06 2.70 010 S
68420... ...... A Incise/drain tear sac.................................... 2.25 1.02 0.06 3.33 010 S
68440... ...... A Incise tear duct opening................................. 0.89 0.76 0.04 1.69 010 S
68500... ...... A Removal of tear gland.................................... 10.47 7.61 0.75 18.83 090 S
68505... ...... A Partial removal tear gland............................... 10.39 8.69 0.49 19.57 090 S
68510... ...... A Biopsy of tear gland..................................... 4.61 3.69 0.28 8.58 000 S
68520... ...... A Removal of tear sac...................................... 7.11 *9.10 0.51 16.72 090 S
68525... ...... A Biopsy of tear sac....................................... 4.43 3.68 0.23 8.34 000 S
68530... ...... A Clearance of tear duct................................... 3.61 2.85 0.17 6.63 010 S
68540... ...... A Remove tear gland lesion................................. 10.10 8.31 0.50 18.91 090 S
68550... ...... A Remove tear gland lesion................................. 12.66 11.34 0.74 24.74 090 S
68700... ...... A Repair tear ducts........................................ 6.20 2.69 0.15 9.04 090 S
68705... ...... A Revise tear duct opening................................. 2.01 1.02 0.05 3.08 010 S
68720... ...... A Create tear sac drain.................................... 7.68 *10.20 0.74 18.62 090 S
68745... ...... A Create tear duct drain................................... 8.23 6.56 0.45 15.24 090 S
68750... ...... A Create tear duct drain................................... 8.21 *11.49 0.83 20.53 090 S
68760... ...... A Close tear duct opening.................................. 1.68 0.92 0.04 2.64 010 S
68761... ...... A Close tear duct opening.................................. 1.31 0.92 0.04 2.27 010 S
68770... ...... A Close tear system fistula................................ 6.62 4.24 0.23 11.09 090 S
68800... ...... A Dilate tear duct opening(s).............................. 1.11 0.42 0.02 1.55 010 S
68820... ...... A Explore tear duct system................................. 1.47 0.55 0.03 2.05 010 S
68825... ...... A Explore tear duct system................................. 1.53 1.49 0.09 3.11 010 S
68830... ...... A Reopen tear duct channel................................. 2.12 1.93 0.10 4.15 010 S
68840... ...... A Explore/irrigate tear ducts.............................. 1.22 0.49 0.03 1.74 010 S
68850... ...... A Injection for tear sac x-ray............................. 0.80 0.51 0.04 1.35 000 S
68899... ...... C Tear duct system surgery................................. 0.00 0.00 0.00 0.00 YYY S
69000... ...... A Drain external ear lesion................................ 1.40 0.35 0.03 1.78 010 S
69005... ...... A Drain external ear lesion................................ 2.06 1.16 0.13 3.35 010 S
69020... ...... A Drain outer ear canal lesion............................. 1.43 0.45 0.04 1.92 010 S
69090... ...... N Pierce earlobes.......................................... 0.00 0.00 0.00 0.00 XXX O
69100... ...... A Biopsy of external ear................................... 0.76 0.66 0.07 1.49 000 S
69105... ...... A Biopsy of external ear canal............................. 0.85 0.80 0.09 1.74 000 S
69110... ...... A Partial removal external ear............................. 3.34 2.63 0.37 6.34 090 S
69120... ...... A Removal of external ear.................................. 3.95 0.78 0.07 4.80 090 S
69140... ...... A Remove ear canal lesion(s)............................... 7.68 8.00 0.88 16.56 090 S
69145... ...... A Remove ear canal lesion(s)............................... 2.54 2.51 0.28 5.33 090 S
69150... ...... A Extensive ear canal surgery.............................. 13.01 10.46 1.25 24.72 090 S
69155... ...... A Extensive ear/neck surgery............................... 17.03 15.92 1.61 34.56 090 S
69200... ...... A Clear outer ear canal.................................... 0.77 0.42 0.04 1.23 000 N
69205... ...... A Clear outer ear canal.................................... 1.15 1.07 0.11 2.33 010 S
69210... ...... A Remove impacted ear wax.................................. 0.61 0.23 0.02 0.86 000 N
69220... ...... A Clean out mastoid cavity................................. 0.83 0.50 0.05 1.38 000 S
69222... ...... A Clean out mastoid cavity................................. 1.35 0.74 0.08 2.17 010 S
69300... ...... R Revise external ear...................................... 6.36 5.30 0.28 11.94 YYY S
69310... ...... A Rebuild outer ear canal.................................. 10.59 9.84 1.08 21.51 090 S
69320... ...... A Rebuild outer ear canal.................................. 16.60 14.65 1.66 32.91 090 S
69399... ...... C Outer ear surgery procedure.............................. 0.00 0.00 0.00 0.00 YYY S
69400... ...... A Inflate middle ear canal................................. 0.83 0.45 0.05 1.33 000 S
69401... ...... A Inflate middle ear canal................................. 0.63 0.25 0.03 0.91 000 S
69405... ...... A Catheterize middle ear canal............................. 2.58 0.48 0.04 3.10 010 S
69410... ...... A Inset middle ear baffle.................................. 0.33 0.60 0.07 1.00 000 S
69420... ...... A Incision of eardrum...................................... 1.28 0.69 0.08 2.05 010 S
69421... ...... A Incision of eardrum...................................... 1.68 1.14 0.13 2.95 010 S
69424... ...... A Remove ventilating tube.................................. 0.85 0.60 0.06 1.51 000 S
69433... ...... A Create eardrum opening................................... 1.47 1.33 0.15 2.95 010 S
69436... ...... A Create eardrum opening................................... 1.91 2.13 0.23 4.27 010 S
69440... ...... A Exploration of middle ear................................ 7.31 8.69 0.93 16.93 090 S
69450... ...... A Eardrum revision......................................... 5.44 *8.08 1.15 14.67 090 S
69501... ...... A Mastoidectomy............................................ 8.81 10.90 1.17 20.88 090 S
69502... ...... A Mastoidectomy............................................ 11.96 13.36 1.45 26.77 090 S
69505... ...... A Remove mastoid structures................................ 12.57 *16.09 1.79 30.45 090 S
69511... ...... A Extensive mastoid surgery................................ 13.10 *16.77 1.84 31.71 090 S
69530... ...... A Extensive mastoid surgery................................ 18.04 16.71 1.72 36.47 090 S
69535... ...... A Remove part of temporal bone............................. 34.50 25.27 2.85 62.62 090 S
69540... ...... A Remove ear lesion........................................ 1.15 1.27 0.14 2.56 010 S
69550... ...... A Remove ear lesion........................................ 10.70 *14.51 2.00 27.21 090 S
69552... ...... A Remove ear lesion........................................ 18.84 16.73 1.86 37.43 090 S
69554... ...... A Remove ear lesion........................................ 25.78 22.87 2.63 51.28 090 S
69601... ...... A Mastoid surgery revision................................. 12.79 14.02 1.55 28.36 090 S
69602... ...... A Mastoid surgery revision................................. 13.16 16.27 1.75 31.18 090 S
69603... ...... A Mastoid surgery revision................................. 13.60 17.34 1.88 32.82 090 S
69604... ...... A Mastoid surgery revision................................. 13.60 *19.70 2.70 36.00 090 S
69605... ...... A Mastoid surgery revision................................. 18.04 14.95 1.86 34.85 090 S
69610... ...... A Repair of eardrum........................................ 4.38 0.93 0.10 5.41 010 S
69620... ...... A Repair of eardrum........................................ 5.74 *8.33 1.16 15.23 090 S
69631... ...... A Repair eardrum structures................................ 9.55 *12.32 1.61 23.48 090 S
69632... ...... A Rebuild eardrum structures............................... 12.41 *15.88 1.73 30.02 090 S
69633... ...... A Rebuild eardrum structures............................... 11.76 *15.05 1.78 28.59 090 S
69635... ...... A Repair eardrum structures................................ 13.02 *16.65 1.91 31.58 090 S
69636... ...... A Rebuild eardrum structures............................... 14.88 *19.05 2.11 36.04 090 S
69637... ...... A Rebuild eardrum structures............................... 14.77 *18.90 2.22 35.89 090 S
69641... ...... A Revise middle ear & mastoid.............................. 12.29 *15.73 1.87 29.89 090 S
69642... ...... A Revise middle ear & mastoid.............................. 16.37 20.62 2.21 39.20 090 S
69643... ...... A Revise middle ear & mastoid.............................. 14.81 *18.95 2.51 36.27 090 S
69644... ...... A Revise middle ear & mastoid.............................. 16.46 *21.07 2.70 40.23 090 S
69645... ...... A Revise middle ear & mastoid.............................. 15.80 *20.23 2.51 38.54 090 S
69646... ...... A Revise middle ear & mastoid.............................. 17.35 21.97 2.40 41.72 090 S
69650... ...... A Release middle ear bone.................................. 9.40 *12.03 1.33 22.76 090 S
69660... ...... A Revise middle ear bone................................... 11.64 *14.90 1.82 28.36 090 S
69661... ...... A Revise middle ear bone................................... 15.32 18.44 1.93 35.69 090 S
69662... ...... A Revise middle ear bone................................... 15.04 18.02 1.94 35.00 090 S
69666... ...... A Repair middle ear structures............................. 9.38 *12.71 1.77 23.86 090 S
69667... ...... A Repair middle ear structures............................. 9.39 *12.55 1.66 23.60 090 S
69670... ...... A Remove mastoid air cells................................. 11.05 10.18 1.08 22.31 090 S
69676... ...... A Remove middle ear nerve.................................. 9.23 8.53 0.86 18.62 090 S
69700... ...... A Close mastoid fistula.................................... 7.97 7.86 0.84 16.67 090 S
69710... ...... N Implant/replace hearing aid.............................. 0.00 0.00 0.00 0.00 XXX O
69711... ...... A Remove/repair hearing aid................................ 10.13 8.44 0.44 19.01 090 S
69720... ...... A Release facial nerve..................................... 13.80 *17.66 2.27 33.73 090 S
69725... ...... A Release facial nerve..................................... 18.98 14.65 1.51 35.14 090 S
69740... ...... A Repair facial nerve...................................... 15.39 11.83 1.69 28.91 090 S
69745... ...... A Repair facial nerve...................................... 16.10 15.95 1.53 33.58 090 S
69799... ...... C Middle ear surgery procedure............................. 0.00 0.00 0.00 0.00 YYY S
69801... ...... A Incise inner ear......................................... 8.19 *12.38 1.84 22.41 090 S
69802... ...... A Incise inner ear......................................... 12.44 11.24 1.22 24.90 090 S
69805... ...... A Explore inner ear........................................ 10.27 *14.53 2.00 26.80 090 S
69806... ...... A Explore inner ear........................................ 11.82 *17.45 2.54 31.81 090 S
69820... ...... A Establish inner ear window............................... 10.14 8.85 1.00 19.99 090 S
69840... ...... A Revise inner ear window.................................. 10.06 8.49 0.51 19.06 090 S
69905... ...... A Remove inner ear......................................... 10.70 *14.55 2.07 27.32 090 S
69910... ...... A Remove inner ear & mastoid............................... 13.10 *18.00 2.34 33.44 090 S
69915... ...... A Incise inner ear nerve................................... 19.89 17.71 2.02 39.62 090 S
69930... ...... A Implant cochlear device.................................. 14.00 *23.12 3.34 40.46 090 S
69949... ...... C Inner ear surgery procedure.............................. 0.00 0.00 0.00 0.00 YYY S
69950... ...... A Incise inner ear nerve................................... 21.15 17.99 2.31 41.45 090 S
69955... ...... A Release facial nerve..................................... 22.12 20.28 2.25 44.65 090 S
69960... ...... A Release inner ear canal.................................. 19.75 17.85 1.93 39.53 090 S
69970... ...... A Remove inner ear lesion.................................. 22.30 19.69 2.26 44.25 090 S
69979... ...... C Temporal bone surgery.................................... 0.00 0.00 0.00 0.00 YYY S
70010... ...... A Contrast x-ray of brain.................................. 1.19 4.65 0.34 6.18 XXX N
70010... 26 A Contrast x-ray of brain.................................. 1.19 0.52 0.08 1.79 XXX N
70010... TC A Contrast x-ray of brain.................................. 0.00 4.13 0.26 4.39 XXX N
70015... ...... A Contrast x-ray of brain.................................. 1.19 1.81 0.17 3.17 XXX N
70015... 26 A Contrast x-ray of brain.................................. 1.19 0.52 0.08 1.79 XXX N
70015... TC A Contrast x-ray of brain.................................. 0.00 1.29 0.09 1.38 XXX N
70030... ...... A X-ray eye for foreign body............................... 0.17 0.48 0.04 0.69 XXX N
70030... 26 A X-ray eye for foreign body............................... 0.17 0.08 0.01 0.26 XXX N
70030... TC A X-ray eye for foreign body............................... 0.00 0.40 0.03 0.43 XXX N
70100... ...... A X-ray exam of jaw........................................ 0.18 0.59 0.04 0.81 XXX N
70100... 26 A X-ray exam of jaw........................................ 0.18 0.09 0.01 0.28 XXX N
70100... TC A X-ray exam of jaw........................................ 0.00 0.50 0.03 0.53 XXX N
70110... ...... A X-ray exam of jaw........................................ 0.25 0.71 0.06 1.02 XXX N
70110... 26 A X-ray exam of jaw........................................ 0.25 0.12 0.02 0.39 XXX N
70110... TC A X-ray exam of jaw........................................ 0.00 0.59 0.04 0.63 XXX N
70120... ...... A X-ray exam of mastoids................................... 0.18 0.68 0.05 0.91 XXX N
70120... 26 A X-ray exam of mastoids................................... 0.18 0.09 0.01 0.28 XXX N
70120... TC A X-ray exam of mastoids................................... 0.00 0.59 0.04 0.63 XXX N
70130... ...... A X-ray exam of mastoids................................... 0.34 0.91 0.07 1.32 XXX N
70130... 26 A X-ray exam of mastoids................................... 0.34 0.16 0.02 0.52 XXX N
70130... TC A X-ray exam of mastoids................................... 0.00 0.75 0.05 0.80 XXX N
70134... ...... A X-ray exam of middle ear................................. 0.34 0.86 0.07 1.27 XXX N
70134... 26 A X-ray exam of middle ear................................. 0.34 0.16 0.02 0.52 XXX N
70134... TC A X-ray exam of middle ear................................. 0.00 0.70 0.05 0.75 XXX N
70140... ...... A X-ray exam of facial bones............................... 0.19 0.68 0.05 0.92 XXX N
70140... 26 A X-ray exam of facial bones............................... 0.19 0.09 0.01 0.29 XXX N
70140... TC A X-ray exam of facial bones............................... 0.00 0.59 0.04 0.63 XXX N
70150... ...... A X-ray exam of facial bones............................... 0.26 0.87 0.07 1.20 XXX N
70150... 26 A X-ray exam of facial bones............................... 0.26 0.12 0.02 0.40 XXX N
70150... TC A X-ray exam of facial bones............................... 0.00 0.75 0.05 0.80 XXX N
70160... ...... A X-ray exam of nasal bones................................ 0.17 0.58 0.04 0.79 XXX N
70160... 26 A X-ray exam of nasal bones................................ 0.17 0.08 0.01 0.26 XXX N
70160... TC A X-ray exam of nasal bones................................ 0.00 0.50 0.03 0.53 XXX N
70170... ...... A X-ray exam of tear duct.................................. 0.30 1.04 0.08 1.42 XXX N
70170... 26 A X-ray exam of tear duct.................................. 0.30 0.14 0.02 0.46 XXX N
70170... TC A X-ray exam of tear duct.................................. 0.00 0.90 0.06 0.96 XXX N
70190... ...... A X-ray exam of eye sockets................................ 0.21 0.69 0.05 0.95 XXX N
70190... 26 A X-ray exam of eye sockets................................ 0.21 0.10 0.01 0.32 XXX N
70190... TC A X-ray exam of eye sockets................................ 0.00 0.59 0.04 0.63 XXX N
70200... ...... A X-ray exam of eye sockets................................ 0.28 0.88 0.07 1.23 XXX N
70200... 26 A X-ray exam of eye sockets................................ 0.28 0.13 0.02 0.43 XXX N
70200... TC A X-ray exam of eye sockets................................ 0.00 0.75 0.05 0.80 XXX N
70210... ...... A X-ray exam of sinuses.................................... 0.17 0.67 0.05 0.89 XXX N
70210... 26 A X-ray exam of sinuses.................................... 0.17 0.08 0.01 0.26 XXX N
70210... TC A X-ray exam of sinuses.................................... 0.00 0.59 0.04 0.63 XXX N
70220... ...... A X-ray exam of sinuses.................................... 0.25 0.87 0.07 1.19 XXX N
70220... 26 A X-ray exam of sinuses.................................... 0.25 0.12 0.02 0.39 XXX N
70220... TC A X-ray exam of sinuses.................................... 0.00 0.75 0.05 0.80 XXX N
70240... ...... A X-ray exam pituitary saddle.............................. 0.19 0.49 0.04 0.72 XXX N
70240... 26 A X-ray exam pituitary saddle.............................. 0.19 0.09 0.01 0.29 XXX N
70240... TC A X-ray exam pituitary saddle.............................. 0.00 0.40 0.03 0.43 XXX N
70250... ...... A X-ray exam of skull...................................... 0.24 0.70 0.06 1.00 XXX N
70250... 26 A X-ray exam of skull...................................... 0.24 0.11 0.02 0.37 XXX N
70250... TC A X-ray exam of skull...................................... 0.00 0.59 0.04 0.63 XXX N
70260... ...... A X-ray exam of skull...................................... 0.34 1.01 0.08 1.43 XXX N
70260... 26 A X-ray exam of skull...................................... 0.34 0.16 0.02 0.52 XXX N
70260... TC A X-ray exam of skull...................................... 0.00 0.85 0.06 0.91 XXX N
70300... ...... A X-ray exam of teeth...................................... 0.10 0.30 0.03 0.43 XXX N
70300... 26 A X-ray exam of teeth...................................... 0.10 0.05 0.01 0.16 XXX N
70300... TC A X-ray exam of teeth...................................... 0.00 0.25 0.02 0.27 XXX N
70310... ...... A X-ray exam of teeth...................................... 0.16 0.47 0.04 0.67 XXX N
70310... 26 A X-ray exam of teeth...................................... 0.16 0.07 0.01 0.24 XXX N
70310... TC A X-ray exam of teeth...................................... 0.00 0.40 0.03 0.43 XXX N
70320... ...... A Full mouth x-ray of teeth................................ 0.22 0.85 0.07 1.14 XXX N
70320... 26 A Full mouth x-ray of teeth................................ 0.22 0.10 0.02 0.34 XXX N
70320... TC A Full mouth x-ray of teeth................................ 0.00 0.75 0.05 0.80 XXX N
70328... ...... A X-ray exam of jaw joint.................................. 0.18 0.56 0.04 0.78 XXX N
70328... 26 A X-ray exam of jaw joint.................................. 0.18 0.09 0.01 0.28 XXX N
70328... TC A X-ray exam of jaw joint.................................. 0.00 0.47 0.03 0.50 XXX N
70330... ...... A X-ray exam of jaw joints................................. 0.24 0.91 0.07 1.22 XXX N
70330... 26 A X-ray exam of jaw joints................................. 0.24 0.11 0.02 0.37 XXX N
70330... TC A X-ray exam of jaw joints................................. 0.00 0.80 0.05 0.85 XXX N
70332... ...... A X-ray exam of jaw joint.................................. 0.54 2.25 0.17 2.96 XXX N
70332... 26 A X-ray exam of jaw joint.................................. 0.54 0.25 0.04 0.83 XXX N
70332... TC A X-ray exam of jaw joint.................................. 0.00 2.00 0.13 2.13 XXX N
70336... ...... A Magnetic image jaw joint................................. 0.95 11.11 0.73 12.79 XXX N
70336... 26 A Magnetic image jaw joint................................. 0.95 0.43 0.06 1.44 XXX N
70336... TC A Magnetic image jaw joint................................. 0.00 10.68 0.67 11.35 XXX N
70350... ...... A X-ray head for orthodontia............................... 0.17 0.44 0.03 0.64 XXX N
70350... 26 A X-ray head for orthodontia............................... 0.17 0.08 0.01 0.26 XXX N
70350... TC A X-ray head for orthodontia............................... 0.00 0.36 0.02 0.38 XXX N
70355... ...... A Panoramic x-ray of jaws.................................. 0.20 0.63 0.05 0.88 XXX N
70355... 26 A Panoramic x-ray of jaws.................................. 0.20 0.09 0.01 0.30 XXX N
70355... TC A Panoramic x-ray of jaws.................................. 0.00 0.54 0.04 0.58 XXX N
70360... ...... A X-ray exam of neck....................................... 0.17 0.48 0.04 0.69 XXX N
70360... 26 A X-ray exam of neck....................................... 0.17 0.08 0.01 0.26 XXX N
70360... TC A X-ray exam of neck....................................... 0.00 0.40 0.03 0.43 XXX N
70370... ...... A Throat x-ray & fluoroscopy............................... 0.32 1.39 0.10 1.81 XXX N
70370... 26 A Throat x-ray & fluoroscopy............................... 0.32 0.15 0.02 0.49 XXX N
70370... TC A Throat x-ray & fluoroscopy............................... 0.00 1.24 0.08 1.32 XXX N
70371... ...... A Speech evaluation, complex............................... 0.84 2.38 0.19 3.41 XXX N
70371... 26 A Speech evaluation, complex............................... 0.84 0.38 0.06 1.28 XXX N
70371... TC A Speech evaluation, complex............................... 0.00 2.00 0.13 2.13 XXX N
70373... ...... A Contrast x-ray of larynx................................. 0.44 1.90 0.14 2.48 XXX N
70373... 26 A Contrast x-ray of larynx................................. 0.44 0.20 0.03 0.67 XXX N
70373... TC A Contrast x-ray of larynx................................. 0.00 1.70 0.11 1.81 XXX N
70380... ...... A X-ray exam of salivary gland............................. 0.17 0.72 0.05 0.94 XXX N
70380... 26 A X-ray exam of salivary gland............................. 0.17 0.08 0.01 0.26 XXX N
70380... TC A X-ray exam of salivary gland............................. 0.00 0.64 0.04 0.68 XXX N
70390... ...... A X-ray exam of salivary duct.............................. 0.38 1.87 0.14 2.39 XXX N
70390... 26 A X-ray exam of salivary duct.............................. 0.38 0.17 0.03 0.58 XXX N
70390... TC A X-ray exam of salivary duct.............................. 0.00 1.70 0.11 1.81 XXX N
70450... ...... A CAT scan of head or brain................................ 0.85 4.88 0.35 6.08 XXX N
70450... 26 A CAT scan of head or brain................................ 0.85 0.38 0.06 1.29 XXX N
70450... TC A CAT scan of head or brain................................ 0.00 4.50 0.29 4.79 XXX N
70460... ...... A Contrast CAT scan of head................................ 1.13 5.89 0.43 7.45 XXX N
70460... 26 A Contrast CAT scan of head................................ 1.13 0.50 0.08 1.71 XXX N
70460... TC A Contrast CAT scan of head................................ 0.00 5.39 0.35 5.74 XXX N
70470... ...... A Contrast CAT scans of head............................... 1.27 7.30 0.52 9.09 XXX N
70470... 26 A Contrast CAT scans of head............................... 1.27 0.56 0.09 1.92 XXX N
70470... TC A Contrast CAT scans of head............................... 0.00 6.74 0.43 7.17 XXX N
70480... ...... A CAT scan of skull........................................ 1.28 5.07 0.38 6.73 XXX N
70480... 26 A CAT scan of skull........................................ 1.28 0.57 0.09 1.94 XXX N
70480... TC A CAT scan of skull........................................ 0.00 4.50 0.29 4.79 XXX N
70481... ...... A Contrast CAT scan of skull............................... 1.38 6.00 0.44 7.82 XXX N
70481... 26 A Contrast CAT scan of skull............................... 1.38 0.61 0.09 2.08 XXX N
70481... TC A Contrast CAT scan of skull............................... 0.00 5.39 0.35 5.74 XXX N
70482... ...... A Contrast CAT scans of skull.............................. 1.45 7.38 0.53 9.36 XXX N
70482... 26 A Contrast CAT scans of skull.............................. 1.45 0.64 0.10 2.19 XXX N
70482... TC A Contrast CAT scans of skull.............................. 0.00 6.74 0.43 7.17 XXX N
70486... ...... A CAT scan of face, jaw.................................... 1.14 5.00 0.37 6.51 XXX N
70486... 26 A CAT scan of face, jaw.................................... 1.14 0.50 0.08 1.72 XXX N
70486... TC A CAT scan of face, jaw.................................... 0.00 4.50 0.29 4.79 XXX N
70487... ...... A Contrast CAT scan, face/jaw.............................. 1.30 5.96 0.44 7.70 XXX N
70487... 26 A Contrast CAT scan, face/jaw.............................. 1.30 0.57 0.09 1.96 XXX N
70487... TC A Contrast CAT scan, face/jaw.............................. 0.00 5.39 0.35 5.74 XXX N
70488... ...... A Contrast CAT scans face/jaw.............................. 1.42 7.37 0.53 9.32 XXX N
70488... 26 A Contrast CAT scans face/jaw.............................. 1.42 0.63 0.10 2.15 XXX N
70488... TC A Contrast CAT scans face/jaw.............................. 0.00 6.74 0.43 7.17 XXX N
70490... ...... A CAT scan of neck tissue.................................. 1.28 5.07 0.38 6.73 XXX N
70490... 26 A CAT scan of neck tissue.................................. 1.28 0.57 0.09 1.94 XXX N
70490... TC A CAT scan of neck tissue.................................. 0.00 4.50 0.29 4.79 XXX N
70491... ...... A Contrast CAT of neck tissue.............................. 1.38 6.00 0.44 7.82 XXX N
70491... 26 A Contrast CAT of neck tissue.............................. 1.38 0.61 0.09 2.08 XXX N
70491... TC A Contrast CAT of neck tissue.............................. 0.00 5.39 0.35 5.74 XXX N
70492... ...... A Contrast CAT of neck tissue.............................. 1.45 7.38 0.53 9.36 XXX N
70492... 26 A Contrast CAT of neck tissue.............................. 1.45 0.64 0.10 2.19 XXX N
70492... TC A Contrast CAT of neck tissue.............................. 0.00 6.74 0.43 7.17 XXX N
70540... ...... A Magnetic image, face, neck............................... 1.48 11.34 0.77 13.59 XXX N
70540... 26 A Magnetic image, face, neck............................... 1.48 0.66 0.10 2.24 XXX N
70540... TC A Magnetic image, face, neck............................... 0.00 10.68 0.67 11.35 XXX N
70541... ...... A Magnetic image, head (MRA)............................... 1.81 11.34 0.77 13.92 XXX N
70541... 26 A Magnetic image, head (MRA)............................... 1.81 0.66 0.10 2.57 XXX N
70541... TC A Magnetic image, head (MRA)............................... 0.00 10.68 0.67 11.35 XXX N
70551... ...... A Magnetic image, brain (MRI).............................. 1.48 11.34 0.77 13.59 XXX N
70551... 26 A Magnetic image, brain (MRI).............................. 1.48 0.66 0.10 2.24 XXX N
70551... TC A Magnetic image, brain (MRI).............................. 0.00 10.68 0.67 11.35 XXX N
70552... ...... A Magnetic image, brain (MRI).............................. 1.78 13.61 0.93 16.32 XXX N
70552... 26 A Magnetic image, brain (MRI).............................. 1.78 0.80 0.12 2.70 XXX N
70552... TC A Magnetic image, brain (MRI).............................. 0.00 12.81 0.81 13.62 XXX N
70553... ...... A Magnetic image, brain.................................... 2.36 24.79 1.65 28.80 XXX N
70553... 26 A Magnetic image, brain.................................... 2.36 1.07 0.16 3.59 XXX N
70553... TC A Magnetic image, brain.................................... 0.00 23.72 1.49 25.21 XXX N
71010... ...... A Chest x-ray.............................................. 0.18 0.53 0.04 0.75 XXX N
71010... 26 A Chest x-ray.............................................. 0.18 0.08 0.01 0.27 XXX N
71010... TC A Chest x-ray.............................................. 0.00 0.45 0.03 0.48 XXX N
71015... ...... A X-ray exam of chest...................................... 0.21 0.60 0.04 0.85 XXX N
71015... 26 A X-ray exam of chest...................................... 0.21 0.10 0.01 0.32 XXX N
71015... TC A X-ray exam of chest...................................... 0.00 0.50 0.03 0.53 XXX N
71020... ...... A Chest x-ray.............................................. 0.22 0.69 0.05 0.96 XXX N
71020... 26 A Chest x-ray.............................................. 0.22 0.10 0.01 0.33 XXX N
71020... TC A Chest x-ray.............................................. 0.00 0.59 0.04 0.63 XXX N
71021... ...... A Chest x-ray.............................................. 0.27 0.82 0.07 1.16 XXX N
71021... 26 A Chest x-ray.............................................. 0.27 0.12 0.02 0.41 XXX N
71021... TC A Chest x-ray.............................................. 0.00 0.70 0.05 0.75 XXX N
71022... ...... A Chest x-ray.............................................. 0.31 0.84 0.07 1.22 XXX N
71022... 26 A Chest x-ray.............................................. 0.31 0.14 0.02 0.47 XXX N
71022... TC A Chest x-ray.............................................. 0.00 0.70 0.05 0.75 XXX N
71023... ...... A Chest x-ray and fluoroscopy.............................. 0.38 0.92 0.08 1.38 XXX N
71023... 26 A Chest x-ray and fluoroscopy.............................. 0.38 0.17 0.03 0.58 XXX N
71023... TC A Chest x-ray and fluoroscopy.............................. 0.00 0.75 0.05 0.80 XXX N
71030... ...... A Chest x-ray.............................................. 0.31 0.89 0.07 1.27 XXX N
71030... 26 A Chest x-ray.............................................. 0.31 0.14 0.02 0.47 XXX N
71030... TC A Chest x-ray.............................................. 0.00 0.75 0.05 0.80 XXX N
71034... ...... A Chest x-ray & fluoroscopy................................ 0.46 1.58 0.12 2.16 XXX N
71034... 26 A Chest x-ray & fluoroscopy................................ 0.46 0.21 0.03 0.70 XXX N
71034... TC A Chest x-ray & fluoroscopy................................ 0.00 1.37 0.09 1.46 XXX N
71035... ...... A Chest x-ray.............................................. 0.18 0.58 0.04 0.80 XXX N
71035... 26 A Chest x-ray.............................................. 0.18 0.08 0.01 0.27 XXX N
71035... TC A Chest x-ray.............................................. 0.00 0.50 0.03 0.53 XXX N
71036... ...... A X-ray guidance for biopsy................................ 0.54 1.75 0.14 2.43 XXX N
71036... 26 A X-ray guidance for biopsy................................ 0.54 0.25 0.04 0.83 XXX N
71036... TC A X-ray guidance for biopsy................................ 0.00 1.50 0.10 1.60 XXX N
71038... ...... A X-ray guidance for biopsy................................ 0.54 1.85 0.15 2.54 XXX N
71038... 26 A X-ray guidance for biopsy................................ 0.54 0.25 0.04 0.83 XXX N
71038... TC A X-ray guidance for biopsy................................ 0.00 1.60 0.11 1.71 XXX N
71040... ...... A Contrast x-ray of bronchi................................ 0.58 1.66 0.13 2.37 XXX N
71040... 26 A Contrast x-ray of bronchi................................ 0.58 0.27 0.04 0.89 XXX N
71040... TC A Contrast x-ray of bronchi................................ 0.00 1.39 0.09 1.48 XXX N
71060... ...... A Contrast x-ray of bronchi................................ 0.74 2.44 0.19 3.37 XXX N
71060... 26 A Contrast x-ray of bronchi................................ 0.74 0.34 0.05 1.13 XXX N
71060... TC A Contrast x-ray of bronchi................................ 0.00 2.10 0.14 2.24 XXX N
71090... ...... A X-ray & pacemaker insertion.............................. 0.54 1.85 0.15 2.54 XXX N
71090... 26 A X-ray & pacemaker insertion.............................. 0.54 0.25 0.04 0.83 XXX N
71090... TC A X-ray & pacemaker insertion.............................. 0.00 1.60 0.11 1.71 XXX N
71100... ...... A X-ray exam of ribs....................................... 0.22 0.64 0.06 0.92 XXX N
71100... 26 A X-ray exam of ribs....................................... 0.22 0.10 0.02 0.34 XXX N
71100... TC A X-ray exam of ribs....................................... 0.00 0.54 0.04 0.58 XXX N
71101... ...... A X-ray exam of ribs, chest................................ 0.27 0.77 0.06 1.10 XXX N
71101... 26 A X-ray exam of ribs, chest................................ 0.27 0.13 0.02 0.42 XXX N
71101... TC A X-ray exam of ribs, chest................................ 0.00 0.64 0.04 0.68 XXX N
71110... ...... A X-ray exam of ribs....................................... 0.27 0.88 0.07 1.22 XXX N
71110... 26 A X-ray exam of ribs....................................... 0.27 0.13 0.02 0.42 XXX N
71110... TC A X-ray exam of ribs....................................... 0.00 0.75 0.05 0.80 XXX N
71111... ...... A X-ray exam of ribs, chest................................ 0.32 1.00 0.08 1.40 XXX N
71111... 26 A X-ray exam of ribs, chest................................ 0.32 0.15 0.02 0.49 XXX N
71111... TC A X-ray exam of ribs, chest................................ 0.00 0.85 0.06 0.91 XXX N
71120... ...... A X-ray exam of breastbone................................. 0.20 0.71 0.05 0.96 XXX N
71120... 26 A X-ray exam of breastbone................................. 0.20 0.09 0.01 0.30 XXX N
71120... TC A X-ray exam of breastbone................................. 0.00 0.62 0.04 0.66 XXX N
71130... ...... A X-ray exam of breastbone................................. 0.22 0.77 0.05 1.04 XXX N
71130... 26 A X-ray exam of breastbone................................. 0.22 0.10 0.01 0.33 XXX N
71130... TC A X-ray exam of breastbone................................. 0.00 0.67 0.04 0.71 XXX N
71250... ...... A Cat scan of chest........................................ 1.16 6.14 0.44 7.74 XXX N
71250... 26 A Cat scan of chest........................................ 1.16 0.51 0.08 1.75 XXX N
71250... TC A Cat scan of chest........................................ 0.00 5.63 0.36 5.99 XXX N
71260... ...... A Contrast CAT scan of chest............................... 1.24 7.29 0.51 9.04 XXX N
71260... 26 A Contrast CAT scan of chest............................... 1.24 0.55 0.08 1.87 XXX N
71260... TC A Contrast CAT scan of chest............................... 0.00 6.74 0.43 7.17 XXX N
71270... ...... A Contrast CAT scans of chest.............................. 1.38 9.04 0.61 11.03 XXX N
71270... 26 A Contrast CAT scans of chest.............................. 1.38 0.61 0.09 2.08 XXX N
71270... TC A Contrast CAT scans of chest.............................. 0.00 8.43 0.52 8.95 XXX N
71550... ...... A Magnetic image, chest.................................... 1.60 11.40 0.78 13.78 XXX N
71550... 26 A Magnetic image, chest.................................... 1.60 0.72 0.11 2.43 XXX N
71550... TC A Magnetic image, chest.................................... 0.00 10.68 0.67 11.35 XXX N
71555... ...... A Magnetic imaging/chest (MRA)............................. 1.81 11.40 0.78 13.99 XXX N
71555... 26 A Magnetic imaging/chest (MRA)............................. 1.81 0.72 0.11 2.64 XXX N
71555... TC A Magnetic imaging/chest (MRA)............................. 0.00 10.68 0.67 11.35 XXX N
72010... ...... A X-ray exam of spine...................................... 0.45 1.18 0.09 1.72 XXX N
72010... 26 A X-ray exam of spine...................................... 0.45 0.20 0.03 0.68 XXX N
72010... TC A X-ray exam of spine...................................... 0.00 0.98 0.06 1.04 XXX N
72020... ...... A X-ray exam of spine...................................... 0.15 0.47 0.04 0.66 XXX N
72020... 26 A X-ray exam of spine...................................... 0.15 0.07 0.01 0.23 XXX N
72020... TC A X-ray exam of spine...................................... 0.00 0.40 0.03 0.43 XXX N
72040... ...... A X-ray exam of neck spine................................. 0.22 0.67 0.05 0.94 XXX N
72040... 26 A X-ray exam of neck spine................................. 0.22 0.10 0.01 0.33 XXX N
72040... TC A X-ray exam of neck spine................................. 0.00 0.57 0.04 0.61 XXX N
72050... ...... A X-ray exam of neck spine................................. 0.31 0.99 0.08 1.38 XXX N
72050... 26 A X-ray exam of neck spine................................. 0.31 0.14 0.02 0.47 XXX N
72050... TC A X-ray exam of neck spine................................. 0.00 0.85 0.06 0.91 XXX N
72052... ...... A X-ray exam of neck spine................................. 0.36 1.25 0.09 1.70 XXX N
72052... 26 A X-ray exam of neck spine................................. 0.36 0.17 0.02 0.55 XXX N
72052... TC A X-ray exam of neck spine................................. 0.00 1.08 0.07 1.15 XXX N
72069... ...... A X-ray exam of trunk spine................................ 0.22 0.57 0.04 0.83 XXX N
72069... 26 A X-ray exam of trunk spine................................ 0.22 0.10 0.01 0.33 XXX N
72069... TC A X-ray exam of trunk spine................................ 0.00 0.47 0.03 0.50 XXX N
72070... ...... A X-ray exam of thorax spine............................... 0.22 0.72 0.05 0.99 XXX N
72070... 26 A X-ray exam of thorax spine............................... 0.22 0.10 0.01 0.33 XXX N
72070... TC A X-ray exam of thorax spine............................... 0.00 0.62 0.04 0.66 XXX N
72072... ...... A X-ray exam of thoracic spine............................. 0.22 0.80 0.06 1.08 XXX N
72072... 26 A X-ray exam of thoracic spine............................. 0.22 0.10 0.01 0.33 XXX N
72072... TC A X-ray exam of thoracic spine............................. 0.00 0.70 0.05 0.75 XXX N
72074... ...... A X-ray exam of thoracic spine............................. 0.22 0.97 0.07 1.26 XXX N
72074... 26 A X-ray exam of thoracic spine............................. 0.22 0.10 0.01 0.33 XXX N
72074... TC A X-ray exam of thoracic spine............................. 0.00 0.87 0.06 0.93 XXX N
72080... ...... A X-ray exam of trunk spine................................ 0.22 0.74 0.05 1.01 XXX N
72080... 26 A X-ray exam of trunk spine................................ 0.22 0.10 0.01 0.33 XXX N
72080... TC A X-ray exam of trunk spine................................ 0.00 0.64 0.04 0.68 XXX N
72090... ...... A X-ray exam of trunk spine................................ 0.28 0.77 0.06 1.11 XXX N
72090... 26 A X-ray exam of trunk spine................................ 0.28 0.13 0.02 0.43 XXX N
72090... TC A X-ray exam of trunk spine................................ 0.00 0.64 0.04 0.68 XXX N
72100... ...... A X-ray exam of lower spine................................ 0.22 0.74 0.05 1.01 XXX N
72100... 26 A X-ray exam of lower spine................................ 0.22 0.10 0.01 0.33 XXX N
72100... TC A X-ray exam of lower spine................................ 0.00 0.64 0.04 0.68 XXX N
72110... ...... A X-ray exam of lower spine................................ 0.31 1.01 0.08 1.40 XXX N
72110... 26 A X-ray exam of lower spine................................ 0.31 0.14 0.02 0.47 XXX N
72110... TC A X-ray exam of lower spine................................ 0.00 0.87 0.06 0.93 XXX N
72114... ...... A X-ray exam of lower spine................................ 0.36 1.30 0.09 1.75 XXX N
72114... 26 A X-ray exam of lower spine................................ 0.36 0.17 0.02 0.55 XXX N
72114... TC A X-ray exam of lower spine................................ 0.00 1.13 0.07 1.20 XXX N
72120... ...... A X-ray exam of lower spine................................ 0.22 0.95 0.07 1.24 XXX N
72120... 26 A X-ray exam of lower spine................................ 0.22 0.10 0.01 0.33 XXX N
72120... TC A X-ray exam of lower spine................................ 0.00 0.85 0.06 0.91 XXX N
72125... ...... A CAT scan of neck spine................................... 1.16 6.14 0.44 7.74 XXX N
72125... 26 A CAT scan of neck spine................................... 1.16 0.51 0.08 1.75 XXX N
72125... TC A CAT scan of neck spine................................... 0.00 5.63 0.36 5.99 XXX N
72126... ...... A Contrast CAT scan of neck................................ 1.22 7.27 0.51 9.00 XXX N
72126... 26 A Contrast CAT scan of neck................................ 1.22 0.53 0.08 1.83 XXX N
72126... TC A Contrast CAT scan of neck................................ 0.00 6.74 0.43 7.17 XXX N
72127... ...... A Contrast CAT scans of neck............................... 1.27 8.99 0.61 10.87 XXX N
72127... 26 A Contrast CAT scans of neck............................... 1.27 0.56 0.09 1.92 XXX N
72127... TC A Contrast CAT scans of neck............................... 0.00 8.43 0.52 8.95 XXX N
72128... ...... A CAT scan of thorax spine................................. 1.16 6.14 0.44 7.74 XXX N
72128... 26 A CAT scan of thorax spine................................. 1.16 0.51 0.08 1.75 XXX N
72128... TC A CAT scan of thorax spine................................. 0.00 5.63 0.36 5.99 XXX N
72129... ...... A Contrast CAT scan of thorax.............................. 1.22 7.27 0.51 9.00 XXX N
72129... 26 A Contrast CAT scan of thorax.............................. 1.22 0.53 0.08 1.83 XXX N
72129... TC A Contrast CAT scan of thorax.............................. 0.00 6.74 0.43 7.17 XXX N
72130... ...... A Contrast CAT scans of thorax............................. 1.27 8.99 0.61 10.87 XXX N
72130... 26 A Contrast CAT scans of thorax............................. 1.27 0.56 0.09 1.92 XXX N
72130... TC A Contrast CAT scans of thorax............................. 0.00 8.43 0.52 8.95 XXX N
72131... ...... A CAT scan of lower spine.................................. 1.16 6.14 0.44 7.74 XXX N
72131... 26 A CAT scan of lower spine.................................. 1.16 0.51 0.08 1.75 XXX N
72131... TC A CAT scan of lower spine.................................. 0.00 5.63 0.36 5.99 XXX N
72132... ...... A Contrast CAT of lower spine.............................. 1.22 7.27 0.51 9.00 XXX N
72132... 26 A Contrast CAT of lower spine.............................. 1.22 0.53 0.08 1.83 XXX N
72132... TC A Contrast CAT of lower spine.............................. 0.00 6.74 0.43 7.17 XXX N
72133... ...... A Contrast CAT scans, low spine............................ 1.27 8.99 0.61 10.87 XXX N
72133... 26 A Contrast CAT scans, low spine............................ 1.27 0.56 0.09 1.92 XXX N
72133... TC A Contrast CAT scans, low spine............................ 0.00 8.43 0.52 8.95 XXX N
72141... ...... A Magnetic image, neck spine............................... 1.60 11.40 0.78 13.78 XXX N
72141... 26 A Magnetic image, neck spine............................... 1.60 0.72 0.11 2.43 XXX N
72141... TC A Magnetic image, neck spine............................... 0.00 10.68 0.67 11.35 XXX N
72142... ...... A Magnetic image, neck spine............................... 1.92 13.67 0.94 16.53 XXX N
72142... 26 A Magnetic image, neck spine............................... 1.92 0.86 0.13 2.91 XXX N
72142... TC A Magnetic image, neck spine............................... 0.00 12.81 0.81 13.62 XXX N
72146... ...... A Magnetic image, chest spine.............................. 1.60 12.58 0.85 15.03 XXX N
72146... 26 A Magnetic image, chest spine.............................. 1.60 0.72 0.11 2.43 XXX N
72146... TC A Magnetic image, chest spine.............................. 0.00 11.86 0.74 12.60 XXX N
72147... ...... A Magnetic image, chest spine.............................. 1.92 13.67 0.94 16.53 XXX N
72147... 26 A Magnetic image, chest spine.............................. 1.92 0.86 0.13 2.91 XXX N
72147... TC A Magnetic image, chest spine.............................. 0.00 12.81 0.81 13.62 XXX N
72148... ...... A Magnetic image, lumbar spine............................. 1.48 12.52 0.84 14.84 XXX N
72148... 26 A Magnetic image, lumbar spine............................. 1.48 0.66 0.10 2.24 XXX N
72148... TC A Magnetic image, lumbar spine............................. 0.00 11.86 0.74 12.60 XXX N
72149... ...... A Magnetic image, lumbar spine............................. 1.78 13.61 0.93 16.32 XXX N
72149... 26 A Magnetic image, lumbar spine............................. 1.78 0.80 0.12 2.70 XXX N
72149... TC A Magnetic image, lumbar spine............................. 0.00 12.81 0.81 13.62 XXX N
72156... ...... A Magnetic image, neck spine............................... 2.57 24.87 1.66 29.10 XXX N
72156... 26 A Magnetic image, neck spine............................... 2.57 1.15 0.17 3.89 XXX N
72156... TC A Magnetic image, neck spine............................... 0.00 23.72 1.49 25.21 XXX N
72157... ...... A Magnetic image, chest spine.............................. 2.57 24.87 1.66 29.10 XXX N
72157... 26 A Magnetic image, chest spine.............................. 2.57 1.15 0.17 3.89 XXX N
72157... TC A Magnetic image, chest spine.............................. 0.00 23.72 1.49 25.21 XXX N
72158... ...... A Magnetic image, lumbar spine............................. 2.36 24.79 1.65 28.80 XXX N
72158... 26 A Magnetic image, lumbar spine............................. 2.36 1.07 0.16 3.59 XXX N
72158... TC A Magnetic image, lumbar spine............................. 0.00 23.72 1.49 25.21 XXX N
72159... ...... A Magnetic imaging/spine (MRA)............................. 1.80 12.52 0.84 15.16 XXX N
72159... 26 A Magnetic imaging/spine (MRA)............................. 1.80 0.66 0.10 2.56 XXX N
72159... TC A Magnetic imaging/spine (MRA)............................. 0.00 11.86 0.74 12.60 XXX N
72170... ...... A X-ray exam of pelvis..................................... 0.17 0.57 0.04 0.78 XXX N
72170... 26 A X-ray exam of pelvis..................................... 0.17 0.07 0.01 0.25 XXX N
72170... TC A X-ray exam of pelvis..................................... 0.00 0.50 0.03 0.53 XXX N
72190... ...... A X-ray exam of pelvis..................................... 0.21 0.74 0.05 1.00 XXX N
72190... 26 A X-ray exam of pelvis..................................... 0.21 0.10 0.01 0.32 XXX N
72190... TC A X-ray exam of pelvis..................................... 0.00 0.64 0.04 0.68 XXX N
72192... ...... A CAT scan of pelvis....................................... 1.09 6.11 0.43 7.63 XXX N
72192... 26 A CAT scan of pelvis....................................... 1.09 0.48 0.07 1.64 XXX N
72192... TC A CAT scan of pelvis....................................... 0.00 5.63 0.36 5.99 XXX N
72193... ...... A Contrast CAT scan of pelvis.............................. 1.16 7.03 0.49 8.68 XXX N
72193... 26 A Contrast CAT scan of pelvis.............................. 1.16 0.51 0.08 1.75 XXX N
72193... TC A Contrast CAT scan of pelvis.............................. 0.00 6.52 0.41 6.93 XXX N
72194... ...... A Contrast CAT scans of pelvis............................. 1.22 8.62 0.58 10.42 XXX N
72194... 26 A Contrast CAT scans of pelvis............................. 1.22 0.53 0.08 1.83 XXX N
72194... TC A Contrast CAT scans of pelvis............................. 0.00 8.09 0.50 8.59 XXX N
72196... ...... A Magnetic image, pelvis................................... 1.60 11.40 0.78 13.78 XXX N
72196... 26 A Magnetic image, pelvis................................... 1.60 0.72 0.11 2.43 XXX N
72196... TC A Magnetic image, pelvis................................... 0.00 10.68 0.67 11.35 XXX N
72198... ...... A Magnetic imaging/pelvis(MRA)............................. 1.80 11.40 0.78 13.98 XXX N
72198... 26 A Magnetic imaging/pelvis(MRA)............................. 1.80 0.72 0.11 2.63 XXX N
72198... TC A Magnetic imaging/pelvis(MRA)............................. 0.00 10.68 0.67 11.35 XXX N
72200... ...... A X-ray exam sacroiliac joints............................. 0.17 0.58 0.04 0.79 XXX N
72200... 26 A X-ray exam sacroiliac joints............................. 0.17 0.08 0.01 0.26 XXX N
72200... TC A X-ray exam sacroiliac joints............................. 0.00 0.50 0.03 0.53 XXX N
72202... ...... A X-ray exam sacroiliac joints............................. 0.19 0.68 0.05 0.92 XXX N
72202... 26 A X-ray exam sacroiliac joints............................. 0.19 0.09 0.01 0.29 XXX N
72202... TC A X-ray exam sacroiliac joints............................. 0.00 0.59 0.04 0.63 XXX N
72220... ...... A X-ray exam of tailbone................................... 0.17 0.62 0.05 0.84 XXX N
72220... 26 A X-ray exam of tailbone................................... 0.17 0.08 0.01 0.26 XXX N
72220... TC A X-ray exam of tailbone................................... 0.00 0.54 0.04 0.58 XXX N
72240... ...... A Contrast x-ray of neck spine............................. 0.91 4.93 0.35 6.19 XXX N
72240... 26 A Contrast x-ray of neck spine............................. 0.91 0.41 0.06 1.38 XXX N
72240... TC A Contrast x-ray of neck spine............................. 0.00 4.52 0.29 4.81 XXX N
72255... ...... A Contrast x-ray thorax spine.............................. 0.91 4.54 0.32 5.77 XXX N
72255... 26 A Contrast x-ray thorax spine.............................. 0.91 0.41 0.06 1.38 XXX N
72255... TC A Contrast x-ray thorax spine.............................. 0.00 4.13 0.26 4.39 XXX N
72265... ...... A Contrast x-ray lower spine............................... 0.83 4.26 0.31 5.40 XXX N
72265... 26 A Contrast x-ray lower spine............................... 0.83 0.38 0.06 1.27 XXX N
72265... TC A Contrast x-ray lower spine............................... 0.00 3.88 0.25 4.13 XXX N
72270... ...... A Contrast x-ray of spine.................................. 1.33 6.40 0.46 8.19 XXX N
72270... 26 A Contrast x-ray of spine.................................. 1.33 0.59 0.09 2.01 XXX N
72270... TC A Contrast x-ray of spine.................................. 0.00 5.81 0.37 6.18 XXX N
72285... ...... A X-ray of neck spine disk................................. 0.83 8.37 0.56 9.76 XXX N
72285... 26 A X-ray of neck spine disk................................. 0.83 0.38 0.06 1.27 XXX N
72285... TC A X-ray of neck spine disk................................. 0.00 7.99 0.50 8.49 XXX N
72295... ...... A X-ray of lower spine disk................................ 0.83 7.87 0.52 9.22 XXX N
72295... 26 A X-ray of lower spine disk................................ 0.83 0.38 0.06 1.27 XXX N
72295... TC A X-ray of lower spine disk................................ 0.00 7.49 0.46 7.95 XXX N
73000... ...... A X-ray exam of collarbone................................. 0.16 0.57 0.04 0.77 XXX N
73000... 26 A X-ray exam of collarbone................................. 0.16 0.07 0.01 0.24 XXX N
73000... TC A X-ray exam of collarbone................................. 0.00 0.50 0.03 0.53 XXX N
73010... ...... A X-ray exam of shoulder blade............................. 0.17 0.58 0.04 0.79 XXX N
73010... 26 A X-ray exam of shoulder blade............................. 0.17 0.08 0.01 0.26 XXX N
73010... TC A X-ray exam of shoulder blade............................. 0.00 0.50 0.03 0.53 XXX N
73020... ...... A X-ray exam of shoulder................................... 0.15 0.52 0.04 0.71 XXX N
73020... 26 A X-ray exam of shoulder................................... 0.15 0.07 0.01 0.23 XXX N
73020... TC A X-ray exam of shoulder................................... 0.00 0.45 0.03 0.48 XXX N
73030... ...... A X-ray exam of shoulder................................... 0.18 0.62 0.05 0.85 XXX N
73030... 26 A X-ray exam of shoulder................................... 0.18 0.08 0.01 0.27 XXX N
73030... TC A X-ray exam of shoulder................................... 0.00 0.54 0.04 0.58 XXX N
73040... ...... A Contrast x-ray of shoulder............................... 0.54 2.25 0.17 2.96 XXX N
73040... 26 A Contrast x-ray of shoulder............................... 0.54 0.25 0.04 0.83 XXX N
73040... TC A Contrast x-ray of shoulder............................... 0.00 2.00 0.13 2.13 XXX N
73050... ...... A X-ray exam of shoulders.................................. 0.20 0.73 0.05 0.98 XXX N
73050... 26 A X-ray exam of shoulders.................................. 0.20 0.09 0.01 0.30 XXX N
73050... TC A X-ray exam of shoulders.................................. 0.00 0.64 0.04 0.68 XXX N
73060... ...... A X-ray exam of humerus.................................... 0.17 0.62 0.05 0.84 XXX N
73060... 26 A X-ray exam of humerus.................................... 0.17 0.08 0.01 0.26 XXX N
73060... TC A X-ray exam of humerus.................................... 0.00 0.54 0.04 0.58 XXX N
73070... ...... A X-ray exam of elbow...................................... 0.15 0.57 0.04 0.76 XXX N
73070... 26 A X-ray exam of elbow...................................... 0.15 0.07 0.01 0.23 XXX N
73070... TC A X-ray exam of elbow...................................... 0.00 0.50 0.03 0.53 XXX N
73080... ...... A X-ray exam of elbow...................................... 0.17 0.62 0.05 0.84 XXX N
73080... 26 A X-ray exam of elbow...................................... 0.17 0.08 0.01 0.26 XXX N
73080... TC A X-ray exam of elbow...................................... 0.00 0.54 0.04 0.58 XXX N
73085... ...... A Contrast x-ray of elbow.................................. 0.54 2.25 0.17 2.96 XXX N
73085... 26 A Contrast x-ray of elbow.................................. 0.54 0.25 0.04 0.83 XXX N
73085... TC A Contrast x-ray of elbow.................................. 0.00 2.00 0.13 2.13 XXX N
73090... ...... A X-ray exam of forearm.................................... 0.16 0.57 0.04 0.77 XXX N
73090... 26 A X-ray exam of forearm.................................... 0.16 0.07 0.01 0.24 XXX N
73090... TC A X-ray exam of forearm.................................... 0.00 0.50 0.03 0.53 XXX N
73092... ...... A X-ray exam of arm, infant................................ 0.16 0.54 0.04 0.74 XXX N
73092... 26 A X-ray exam of arm, infant................................ 0.16 0.07 0.01 0.24 XXX N
73092... TC A X-ray exam of arm, infant................................ 0.00 0.47 0.03 0.50 XXX N
73100... ...... A X-ray exam of wrist...................................... 0.16 0.54 0.04 0.74 XXX N
73100... 26 A X-ray exam of wrist...................................... 0.16 0.07 0.01 0.24 XXX N
73100... TC A X-ray exam of wrist...................................... 0.00 0.47 0.03 0.50 XXX N
73110... ...... A X-ray exam of wrist...................................... 0.17 0.59 0.04 0.80 XXX N
73110... 26 A X-ray exam of wrist...................................... 0.17 0.08 0.01 0.26 XXX N
73110... TC A X-ray exam of wrist...................................... 0.00 0.51 0.03 0.54 XXX N
73115... ...... A Contrast x-ray of wrist.................................. 0.54 1.75 0.14 2.43 XXX N
73115... 26 A Contrast x-ray of wrist.................................. 0.54 0.25 0.04 0.83 XXX N
73115... TC A Contrast x-ray of wrist.................................. 0.00 1.50 0.10 1.60 XXX N
73120... ...... A X-ray exam of hand....................................... 0.16 0.54 0.04 0.74 XXX N
73120... 26 A X-ray exam of hand....................................... 0.16 0.07 0.01 0.24 XXX N
73120... TC A X-ray exam of hand....................................... 0.00 0.47 0.03 0.50 XXX N
73130... ...... A X-ray exam of hand....................................... 0.17 0.59 0.04 0.80 XXX N
73130... 26 A X-ray exam of hand....................................... 0.17 0.08 0.01 0.26 XXX N
73130... TC A X-ray exam of hand....................................... 0.00 0.51 0.03 0.54 XXX N
73140... ...... A X-ray exam of finger(s).................................. 0.13 0.46 0.04 0.63 XXX N
73140... 26 A X-ray exam of finger(s).................................. 0.13 0.06 0.01 0.20 XXX N
73140... TC A X-ray exam of finger(s).................................. 0.00 0.40 0.03 0.43 XXX N
73200... ...... A CAT scan of arm.......................................... 1.09 5.21 0.37 6.67 XXX N
73200... 26 A CAT scan of arm.......................................... 1.09 0.48 0.07 1.64 XXX N
73200... TC A CAT scan of arm.......................................... 0.00 4.73 0.30 5.03 XXX N
73201... ...... A Contrast CAT scan of arm................................. 1.16 6.14 0.44 7.74 XXX N
73201... 26 A Contrast CAT scan of arm................................. 1.16 0.51 0.08 1.75 XXX N
73201... TC A Contrast CAT scan of arm................................. 0.00 5.63 0.36 5.99 XXX N
73202... ...... A Contrast CAT scans of arm................................ 1.22 7.61 0.53 9.36 XXX N
73202... 26 A Contrast CAT scans of arm................................ 1.22 0.53 0.08 1.83 XXX N
73202... TC A Contrast CAT scans of arm................................ 0.00 7.08 0.45 7.53 XXX N
73220... ...... A Magnetic image, arm, hand................................ 1.48 11.34 0.77 13.59 XXX N
73220... 26 A Magnetic image, arm, hand................................ 1.48 0.66 0.10 2.24 XXX N
73220... TC A Magnetic image, arm, hand................................ 0.00 10.68 0.67 11.35 XXX N
73221... ...... A Magnetic image, joint of arm............................. 0.95 11.11 0.73 12.79 XXX N
73221... 26 A Magnetic image, joint of arm............................. 0.95 0.43 0.06 1.44 XXX N
73221... TC A Magnetic image, joint of arm............................. 0.00 10.68 0.67 11.35 XXX N
73225... ...... A Magnetic imaging/upper (MRA)............................. 1.73 11.34 0.77 13.84 XXX N
73225... 26 A Magnetic imaging/upper (MRA)............................. 1.73 0.66 0.10 2.49 XXX N
73225... TC A Magnetic imaging/upper (MRA)............................. 0.00 10.68 0.67 11.35 XXX N
73500... ...... A X-ray exam of hip........................................ 0.17 0.53 0.04 0.74 XXX N
73500... 26 A X-ray exam of hip........................................ 0.17 0.08 0.01 0.26 XXX N
73500... TC A X-ray exam of hip........................................ 0.00 0.45 0.03 0.48 XXX N
73510... ...... A X-ray exam of hip........................................ 0.21 0.64 0.05 0.90 XXX N
73510... 26 A X-ray exam of hip........................................ 0.21 0.10 0.01 0.32 XXX N
73510... TC A X-ray exam of hip........................................ 0.00 0.54 0.04 0.58 XXX N
73520... ...... A X-ray exam of hips....................................... 0.26 0.76 0.06 1.08 XXX N
73520... 26 A X-ray exam of hips....................................... 0.26 0.12 0.02 0.40 XXX N
73520... TC A X-ray exam of hips....................................... 0.00 0.64 0.04 0.68 XXX N
73525... ...... A Contrast x-ray of hip.................................... 0.54 2.25 0.17 2.96 XXX N
73525... 26 A Contrast x-ray of hip.................................... 0.54 0.25 0.04 0.83 XXX N
73525... TC A Contrast x-ray of hip.................................... 0.00 2.00 0.13 2.13 XXX N
73530... ...... A X-ray exam of hip........................................ 0.29 0.63 0.05 0.97 XXX N
73530... 26 A X-ray exam of hip........................................ 0.29 0.13 0.02 0.44 XXX N
73530... TC A X-ray exam of hip........................................ 0.00 0.50 0.03 0.53 XXX N
73540... ...... A X-ray exam of pelvis & hips.............................. 0.20 0.64 0.05 0.89 XXX N
73540... 26 A X-ray exam of pelvis & hips.............................. 0.20 0.10 0.01 0.31 XXX N
73540... TC A X-ray exam of pelvis & hips.............................. 0.00 0.54 0.04 0.58 XXX N
73550... ...... A X-ray exam of thigh...................................... 0.17 0.62 0.05 0.84 XXX N
73550... 26 A X-ray exam of thigh...................................... 0.17 0.08 0.01 0.26 XXX N
73550... TC A X-ray exam of thigh...................................... 0.00 0.54 0.04 0.58 XXX N
73560... ...... A X-ray exam of knee....................................... 0.17 0.57 0.04 0.78 XXX N
73560... 26 A X-ray exam of knee....................................... 0.17 0.07 0.01 0.25 XXX N
73560... TC A X-ray exam of knee....................................... 0.00 0.50 0.03 0.53 XXX N
73562... ...... A X-ray exam of knee....................................... 0.18 0.63 0.05 0.86 XXX N
73562... 26 A X-ray exam of knee....................................... 0.18 0.09 0.01 0.28 XXX N
73562... TC A X-ray exam of knee....................................... 0.00 0.54 0.04 0.58 XXX N
73564... ...... A X-ray exam of knee....................................... 0.22 0.69 0.06 0.97 XXX N
73564... 26 A X-ray exam of knee....................................... 0.22 0.10 0.02 0.34 XXX N
73564... TC A X-ray exam of knee....................................... 0.00 0.59 0.04 0.63 XXX N
73565... ...... A X-ray exam of knee....................................... 0.17 0.54 0.04 0.75 XXX N
73565... 26 A X-ray exam of knee....................................... 0.17 0.07 0.01 0.25 XXX N
73565... TC A X-ray exam of knee....................................... 0.00 0.47 0.03 0.50 XXX N
73580... ...... A Contrast x-ray of knee joint............................. 0.54 2.75 0.21 3.50 XXX N
73580... 26 A Contrast x-ray of knee joint............................. 0.54 0.25 0.04 0.83 XXX N
73580... TC A Contrast x-ray of knee joint............................. 0.00 2.50 0.17 2.67 XXX N
73590... ...... A X-ray exam of lower leg.................................. 0.17 0.57 0.04 0.78 XXX N
73590... 26 A X-ray exam of lower leg.................................. 0.17 0.07 0.01 0.25 XXX N
73590... TC A X-ray exam of lower leg.................................. 0.00 0.50 0.03 0.53 XXX N
73592... ...... A X-ray exam of leg, infant................................ 0.16 0.54 0.04 0.74 XXX N
73592... 26 A X-ray exam of leg, infant................................ 0.16 0.07 0.01 0.24 XXX N
73592... TC A X-ray exam of leg, infant................................ 0.00 0.47 0.03 0.50 XXX N
73600... ...... A X-ray exam of ankle...................................... 0.16 0.54 0.04 0.74 XXX N
73600... 26 A X-ray exam of ankle...................................... 0.16 0.07 0.01 0.24 XXX N
73600... TC A X-ray exam of ankle...................................... 0.00 0.47 0.03 0.50 XXX N
73610... ...... A X-ray exam of ankle...................................... 0.17 0.59 0.04 0.80 XXX N
73610... 26 A X-ray exam of ankle...................................... 0.17 0.08 0.01 0.26 XXX N
73610... TC A X-ray exam of ankle...................................... 0.00 0.51 0.03 0.54 XXX N
73615... ...... A Contrast x-ray of ankle.................................. 0.54 2.25 0.17 2.96 XXX N
73615... 26 A Contrast x-ray of ankle.................................. 0.54 0.25 0.04 0.83 XXX N
73615... TC A Contrast x-ray of ankle.................................. 0.00 2.00 0.13 2.13 XXX N
73620... ...... A X-ray exam of foot....................................... 0.16 0.54 0.04 0.74 XXX N
73620... 26 A X-ray exam of foot....................................... 0.16 0.07 0.01 0.24 XXX N
73620... TC A X-ray exam of foot....................................... 0.00 0.47 0.03 0.50 XXX N
73630... ...... A X-ray exam of foot....................................... 0.17 0.59 0.04 0.80 XXX N
73630... 26 A X-ray exam of foot....................................... 0.17 0.08 0.01 0.26 XXX N
73630... TC A X-ray exam of foot....................................... 0.00 0.51 0.03 0.54 XXX N
73650... ...... A X-ray exam of heel....................................... 0.16 0.52 0.04 0.72 XXX N
73650... 26 A X-ray exam of heel....................................... 0.16 0.07 0.01 0.24 XXX N
73650... TC A X-ray exam of heel....................................... 0.00 0.45 0.03 0.48 XXX N
73660... ...... A X-ray exam of toe(s)..................................... 0.13 0.46 0.04 0.63 XXX N
73660... 26 A X-ray exam of toe(s)..................................... 0.13 0.06 0.01 0.20 XXX N
73660... TC A X-ray exam of toe(s)..................................... 0.00 0.40 0.03 0.43 XXX N
73700... ...... A CAT scan of leg.......................................... 1.09 5.21 0.37 6.67 XXX N
73700... 26 A CAT scan of leg.......................................... 1.09 0.48 0.07 1.64 XXX N
73700... TC A CAT scan of leg.......................................... 0.00 4.73 0.30 5.03 XXX N
73701... ...... A Contrast CAT scan of leg................................. 1.16 6.14 0.44 7.74 XXX N
73701... 26 A Contrast CAT scan of leg................................. 1.16 0.51 0.08 1.75 XXX N
73701... TC A Contrast CAT scan of leg................................. 0.00 5.63 0.36 5.99 XXX N
73702... ...... A Contrast CAT scans of leg................................ 1.22 7.61 0.53 9.36 XXX N
73702... 26 A Contrast CAT scans of leg................................ 1.22 0.53 0.08 1.83 XXX N
73702... TC A Contrast CAT scans of leg................................ 0.00 7.08 0.45 7.53 XXX N
73720... ...... A Magnetic image, leg, foot................................ 1.48 11.34 0.77 13.59 XXX N
73720... 26 A Magnetic image, leg, foot................................ 1.48 0.66 0.10 2.24 XXX N
73720... TC A Magnetic image, leg, foot................................ 0.00 10.68 0.67 11.35 XXX N
73721... ...... A Magnetic image, joint of leg............................. 0.95 11.11 0.73 12.79 XXX N
73721... 26 A Magnetic image, joint of leg............................. 0.95 0.43 0.06 1.44 XXX N
73721... TC A Magnetic image, joint of leg............................. 0.00 10.68 0.67 11.35 XXX N
73725... ...... A Magnetic imaging/lower (MRA)............................. 1.82 11.34 0.77 13.93 XXX N
73725... 26 A Magnetic imaging/lower (MRA)............................. 1.82 0.66 0.10 2.58 XXX N
73725... TC A Magnetic imaging/lower (MRA)............................. 0.00 10.68 0.67 11.35 XXX N
74000... ...... A X-ray exam of abdomen.................................... 0.18 0.58 0.04 0.80 XXX N
74000... 26 A X-ray exam of abdomen.................................... 0.18 0.08 0.01 0.27 XXX N
74000... TC A X-ray exam of abdomen.................................... 0.00 0.50 0.03 0.53 XXX N
74010... ...... A X-ray exam of abdomen.................................... 0.23 0.65 0.06 0.94 XXX N
74010... 26 A X-ray exam of abdomen.................................... 0.23 0.11 0.02 0.36 XXX N
74010... TC A X-ray exam of abdomen.................................... 0.00 0.54 0.04 0.58 XXX N
74020... ...... A X-ray exam of abdomen.................................... 0.27 0.72 0.06 1.05 XXX N
74020... 26 A X-ray exam of abdomen.................................... 0.27 0.13 0.02 0.42 XXX N
74020... TC A X-ray exam of abdomen.................................... 0.00 0.59 0.04 0.63 XXX N
74022... ...... A X-ray exam series, abdomen............................... 0.32 0.85 0.07 1.24 XXX N
74022... 26 A X-ray exam series, abdomen............................... 0.32 0.15 0.02 0.49 XXX N
74022... TC A X-ray exam series, abdomen............................... 0.00 0.70 0.05 0.75 XXX N
74150... ...... A CAT scan of abdomen...................................... 1.19 5.91 0.43 7.53 XXX N
74150... 26 A CAT scan of abdomen...................................... 1.19 0.52 0.08 1.79 XXX N
74150... TC A CAT scan of abdomen...................................... 0.00 5.39 0.35 5.74 XXX N
74160... ...... A Contrast CAT scan of abdomen............................. 1.27 7.08 0.50 8.85 XXX N
74160... 26 A Contrast CAT scan of abdomen............................. 1.27 0.56 0.09 1.92 XXX N
74160... TC A Contrast CAT scan of abdomen............................. 0.00 6.52 0.41 6.93 XXX N
74170... ...... A Contrast CAT scans, abdomen.............................. 1.40 8.71 0.60 10.71 XXX N
74170... 26 A Contrast CAT scans, abdomen.............................. 1.40 0.62 0.10 2.12 XXX N
74170... TC A Contrast CAT scans, abdomen.............................. 0.00 8.09 0.50 8.59 XXX N
74181... ...... A Magnetic image, abdomen (MRI)............................ 1.60 11.40 0.78 13.78 XXX N
74181... 26 A Magnetic image, abdomen (MRI)............................ 1.60 0.72 0.11 2.43 XXX N
74181... TC A Magnetic image, abdomen (MRI)............................ 0.00 10.68 0.67 11.35 XXX N
74185... ...... A Magnetic image/abdomen (MRA)............................. 1.80 11.40 0.78 13.98 XXX N
74185... 26 A Magnetic image/abdomen (MRA)............................. 1.80 0.72 0.11 2.63 XXX N
74185... TC A Magnetic image/abdomen (MRA)............................. 0.00 10.68 0.67 11.35 XXX N
74190... ...... A X-ray exam of peritoneum................................. 0.48 1.37 0.10 1.95 XXX N
74190... 26 A X-ray exam of peritoneum................................. 0.48 0.13 0.02 0.63 XXX N
74190... TC A X-ray exam of peritoneum................................. 0.00 1.24 0.08 1.32 XXX N
74210... ...... A Contrast x-ray exam of throat............................ 0.36 1.29 0.09 1.74 XXX N
74210... 26 A Contrast x-ray exam of throat............................ 0.36 0.16 0.02 0.54 XXX N
74210... TC A Contrast x-ray exam of throat............................ 0.00 1.13 0.07 1.20 XXX N
74220... ...... A Contrast x-ray exam, esophagus........................... 0.46 1.34 0.10 1.90 XXX N
74220... 26 A Contrast x-ray exam, esophagus........................... 0.46 0.21 0.03 0.70 XXX N
74220... TC A Contrast x-ray exam, esophagus........................... 0.00 1.13 0.07 1.20 XXX N
74230... ...... A Cinema x-ray throat/esophagus............................ 0.53 1.49 0.12 2.14 XXX N
74230... 26 A Cinema x-ray throat/esophagus............................ 0.53 0.25 0.04 0.82 XXX N
74230... TC A Cinema x-ray throat/esophagus............................ 0.00 1.24 0.08 1.32 XXX N
74235... ...... A Remove esophagus obstruction............................. 1.19 3.02 0.25 4.46 XXX N
74235... 26 A Remove esophagus obstruction............................. 1.19 0.52 0.08 1.79 XXX N
74235... TC A Remove esophagus obstruction............................. 0.00 2.50 0.17 2.67 XXX N
74240... ...... A X-ray exam upper GI tract................................ 0.69 1.71 0.14 2.54 XXX N
74240... 26 A X-ray exam upper GI tract................................ 0.69 0.32 0.05 1.06 XXX N
74240... TC A X-ray exam upper GI tract................................ 0.00 1.39 0.09 1.48 XXX N
74241... ...... A X-ray exam upper GI tract................................ 0.69 1.74 0.14 2.57 XXX N
74241... 26 A X-ray exam upper GI tract................................ 0.69 0.32 0.05 1.06 XXX N
74241... TC A X-ray exam upper GI tract................................ 0.00 1.42 0.09 1.51 XXX N
74245... ...... A X-ray exam upper GI tract................................ 0.91 2.68 0.21 3.80 XXX N
74245... 26 A X-ray exam upper GI tract................................ 0.91 0.41 0.06 1.38 XXX N
74245... TC A X-ray exam upper GI tract................................ 0.00 2.27 0.15 2.42 XXX N
74246... ...... A Contrast x-ray upper GI tract............................ 0.69 1.89 0.15 2.73 XXX N
74246... 26 A Contrast x-ray upper GI tract............................ 0.69 0.32 0.05 1.06 XXX N
74246... TC A Contrast x-ray upper GI tract............................ 0.00 1.57 0.10 1.67 XXX N
74247... ...... A Contrast x-ray upper GI tract............................ 0.69 1.92 0.16 2.77 XXX N
74247... 26 A Contrast x-ray upper GI tract............................ 0.69 0.32 0.05 1.06 XXX N
74247... TC A Contrast x-ray upper GI tract............................ 0.00 1.60 0.11 1.71 XXX N
74249... ...... A Contrast x-ray upper GI tract............................ 0.91 2.86 0.22 3.99 XXX N
74249... 26 A Contrast x-ray upper GI tract............................ 0.91 0.41 0.06 1.38 XXX N
74249... TC A Contrast x-ray upper GI tract............................ 0.00 2.45 0.16 2.61 XXX N
74250... ...... A X-ray exam of small bowel................................ 0.47 1.45 0.11 2.03 XXX N
74250... 26 A X-ray exam of small bowel................................ 0.47 0.21 0.03 0.71 XXX N
74250... TC A X-ray exam of small bowel................................ 0.00 1.24 0.08 1.32 XXX N
74251... ...... A X-ray exam of small bowel................................ 0.69 1.45 0.11 2.25 XXX N
74251... 26 A X-ray exam of small bowel................................ 0.69 0.21 0.03 0.93 XXX N
74251... TC A X-ray exam of small bowel................................ 0.00 1.24 0.08 1.32 XXX N
74260... ...... A X-ray exam of small bowel................................ 0.50 1.65 0.12 2.27 XXX N
74260... 26 A X-ray exam of small bowel................................ 0.50 0.23 0.03 0.76 XXX N
74260... TC A X-ray exam of small bowel................................ 0.00 1.42 0.09 1.51 XXX N
74270... ...... A Contrast x-ray exam of colon............................. 0.69 1.94 0.16 2.79 XXX N
74270... 26 A Contrast x-ray exam of colon............................. 0.69 0.32 0.05 1.06 XXX N
74270... TC A Contrast x-ray exam of colon............................. 0.00 1.62 0.11 1.73 XXX N
74280... ...... A Contrast x-ray exam of colon............................. 0.99 2.58 0.21 3.78 XXX N
74280... 26 A Contrast x-ray exam of colon............................. 0.99 0.45 0.07 1.51 XXX N
74280... TC A Contrast x-ray exam of colon............................. 0.00 2.13 0.14 2.27 XXX N
74283... ...... A Contrast x-ray exam of colon............................. 2.02 3.34 0.30 5.66 XXX N
74283... 26 A Contrast x-ray exam of colon............................. 2.02 0.90 0.14 3.06 XXX N
74283... TC A Contrast x-ray exam of colon............................. 0.00 2.44 0.16 2.60 XXX N
74290... ...... A Contrast x-ray, gallbladder.............................. 0.32 0.85 0.07 1.24 XXX N
74290... 26 A Contrast x-ray, gallbladder.............................. 0.32 0.15 0.02 0.49 XXX N
74290... TC A Contrast x-ray, gallbladder.............................. 0.00 0.70 0.05 0.75 XXX N
74291... ...... A Contrast x-rays, gallbladder............................. 0.20 0.49 0.04 0.73 XXX N
74291... 26 A Contrast x-rays, gallbladder............................. 0.20 0.09 0.01 0.30 XXX N
74291... TC A Contrast x-rays, gallbladder............................. 0.00 0.40 0.03 0.43 XXX N
74300... ...... C X-ray bile ducts, pancreas............................... 0.00 0.00 0.00 0.00 XXX N
74300... 26 A X-ray bile ducts, pancreas............................... 0.36 0.17 0.02 0.55 XXX N
74300... TC C X-ray bile ducts, pancreas............................... 0.00 0.00 0.00 0.00 XXX N
74301... ...... C Additional x-rays at surgery............................. 0.00 0.00 0.00 0.00 XXX N
74301... 26 A Additional x-rays at surgery............................. 0.21 0.10 0.01 0.32 XXX N
74301... TC C Additional x-rays at surgery............................. 0.00 0.00 0.00 0.00 XXX N
74305... ...... A X-ray bile ducts, pancreas............................... 0.42 0.94 0.08 1.44 XXX N
74305... 26 A X-ray bile ducts, pancreas............................... 0.42 0.19 0.03 0.64 XXX N
74305... TC A X-ray bile ducts, pancreas............................... 0.00 0.75 0.05 0.80 XXX N
74320... ...... A Contrast x-ray of bile ducts............................. 0.54 3.25 0.23 4.02 XXX N
74320... 26 A Contrast x-ray of bile ducts............................. 0.54 0.25 0.04 0.83 XXX N
74320... TC A Contrast x-ray of bile ducts............................. 0.00 3.00 0.19 3.19 XXX N
74327... ...... A X-ray for bile stone removal............................. 0.70 2.00 0.16 2.86 XXX N
74327... 26 A X-ray for bile stone removal............................. 0.70 0.32 0.05 1.07 XXX N
74327... TC A X-ray for bile stone removal............................. 0.00 1.68 0.11 1.79 XXX N
74328... ...... A X-ray for bile duct endoscopy............................ 0.70 3.32 0.24 4.26 XXX N
74328... 26 A X-ray for bile duct endoscopy............................ 0.70 0.32 0.05 1.07 XXX N
74328... TC A X-ray for bile duct endoscopy............................ 0.00 3.00 0.19 3.19 XXX N
74329... ...... A X-ray for pancreas endoscopy............................. 0.70 3.32 0.24 4.26 XXX N
74329... 26 A X-ray for pancreas endoscopy............................. 0.70 0.32 0.05 1.07 XXX N
74329... TC A X-ray for pancreas endoscopy............................. 0.00 3.00 0.19 3.19 XXX N
74330... ...... A X-ray, bile/pancreas endoscopy........................... 0.70 3.32 0.24 4.26 XXX N
74330... 26 A X-ray, bile/pancreas endoscopy........................... 0.70 0.32 0.05 1.07 XXX N
74330... TC A X-ray, bile/pancreas endoscopy........................... 0.00 3.00 0.19 3.19 XXX N
74340... ...... A X-ray guide for GI tube.................................. 0.54 2.75 0.21 3.50 XXX N
74340... 26 A X-ray guide for GI tube.................................. 0.54 0.25 0.04 0.83 XXX N
74340... TC A X-ray guide for GI tube.................................. 0.00 2.50 0.17 2.67 XXX N
74350... ...... A X-ray guide, stomach tube................................ 0.76 3.35 0.24 4.35 XXX N
74350... 26 A X-ray guide, stomach tube................................ 0.76 0.35 0.05 1.16 XXX N
74350... TC A X-ray guide, stomach tube................................ 0.00 3.00 0.19 3.19 XXX N
74355... ...... A X-ray guide, intestinal tube............................. 0.76 2.85 0.22 3.83 XXX N
74355... 26 A X-ray guide, intestinal tube............................. 0.76 0.35 0.05 1.16 XXX N
74355... TC A X-ray guide, intestinal tube............................. 0.00 2.50 0.17 2.67 XXX N
74360... ...... A X-ray guide, GI dilation................................. 0.54 3.25 0.23 4.02 XXX N
74360... 26 A X-ray guide, GI dilation................................. 0.54 0.25 0.04 0.83 XXX N
74360... TC A X-ray guide, GI dilation................................. 0.00 3.00 0.19 3.19 XXX N
74363... ...... A X-ray, bile duct dilation................................ 0.88 6.21 0.43 7.52 XXX N
74363... 26 A X-ray, bile duct dilation................................ 0.88 0.40 0.06 1.34 XXX N
74363... TC A X-ray, bile duct dilation................................ 0.00 5.81 0.37 6.18 XXX N
74400... ...... A Contrast x-ray urinary tract............................. 0.49 1.82 0.14 2.45 XXX N
74400... 26 A Contrast x-ray urinary tract............................. 0.49 0.22 0.03 0.74 XXX N
74400... TC A Contrast x-ray urinary tract............................. 0.00 1.60 0.11 1.71 XXX N
74405... ...... A Contrast x-ray urinary tract............................. 0.49 2.11 0.16 2.76 XXX N
74405... 26 A Contrast x-ray urinary tract............................. 0.49 0.22 0.03 0.74 XXX N
74405... TC A Contrast x-ray urinary tract............................. 0.00 1.89 0.13 2.02 XXX N
74410... ...... A Contrast x-ray urinary tract............................. 0.49 2.08 0.15 2.72 XXX N
74410... 26 A Contrast x-ray urinary tract............................. 0.49 0.22 0.03 0.74 XXX N
74410... TC A Contrast x-ray urinary tract............................. 0.00 1.86 0.12 1.98 XXX N
74415... ...... A Contrast x-ray urinary tract............................. 0.49 2.24 0.16 2.89 XXX N
74415... 26 A Contrast x-ray urinary tract............................. 0.49 0.22 0.03 0.74 XXX N
74415... TC A Contrast x-ray urinary tract............................. 0.00 2.02 0.13 2.15 XXX N
74420... ...... A Contrast x-ray urinary tract............................. 0.36 2.66 0.19 3.21 XXX N
74420... 26 A Contrast x-ray urinary tract............................. 0.36 0.16 0.02 0.54 XXX N
74420... TC A Contrast x-ray urinary tract............................. 0.00 2.50 0.17 2.67 XXX N
74425... ...... A Contrast x-ray urinary tract............................. 0.36 1.40 0.10 1.86 XXX N
74425... 26 A Contrast x-ray urinary tract............................. 0.36 0.16 0.02 0.54 XXX N
74425... TC A Contrast x-ray urinary tract............................. 0.00 1.24 0.08 1.32 XXX N
74430... ...... A Contrast x-ray of bladder................................ 0.32 1.15 0.09 1.56 XXX N
74430... 26 A Contrast x-ray of bladder................................ 0.32 0.15 0.02 0.49 XXX N
74430... TC A Contrast x-ray of bladder................................ 0.00 1.00 0.07 1.07 XXX N
74440... ...... A X-ray exam male genital tract............................ 0.38 1.25 0.10 1.73 XXX N
74440... 26 A X-ray exam male genital tract............................ 0.38 0.17 0.03 0.58 XXX N
74440... TC A X-ray exam male genital tract............................ 0.00 1.08 0.07 1.15 XXX N
74445... ...... A X-ray exam of penis...................................... 1.14 1.58 0.15 2.87 XXX N
74445... 26 A X-ray exam of penis...................................... 1.14 0.50 0.08 1.72 XXX N
74445... TC A X-ray exam of penis...................................... 0.00 1.08 0.07 1.15 XXX N
74450... ...... A X-ray exam urethra/bladder............................... 0.33 1.54 0.11 1.98 XXX N
74450... 26 A X-ray exam urethra/bladder............................... 0.33 0.15 0.02 0.50 XXX N
74450... TC A X-ray exam urethra/bladder............................... 0.00 1.39 0.09 1.48 XXX N
74455... ...... A X-ray exam urethra/bladder............................... 0.33 1.65 0.12 2.10 XXX N
74455... 26 A X-ray exam urethra/bladder............................... 0.33 0.15 0.02 0.50 XXX N
74455... TC A X-ray exam urethra/bladder............................... 0.00 1.50 0.10 1.60 XXX N
74470... ...... A X-ray exam of kidney lesion.............................. 0.54 1.44 0.12 2.10 XXX N
74470... 26 A X-ray exam of kidney lesion.............................. 0.54 0.25 0.04 0.83 XXX N
74470... TC A X-ray exam of kidney lesion.............................. 0.00 1.19 0.08 1.27 XXX N
74475... ...... A X-ray control catheter insert............................ 0.54 4.13 0.29 4.96 XXX N
74475... 26 A X-ray control catheter insert............................ 0.54 0.25 0.04 0.83 XXX N
74475... TC A X-ray control catheter insert............................ 0.00 3.88 0.25 4.13 XXX N
74480... ...... A X-ray control catheter insert............................ 0.54 4.13 0.29 4.96 XXX N
74480... 26 A X-ray control catheter insert............................ 0.54 0.25 0.04 0.83 XXX N
74480... TC A X-ray control catheter insert............................ 0.00 3.88 0.25 4.13 XXX N
74485... ...... A X-ray guide, GU dilation................................. 0.54 3.25 0.23 4.02 XXX N
74485... 26 A X-ray guide, GU dilation................................. 0.54 0.25 0.04 0.83 XXX N
74485... TC A X-ray guide, GU dilation................................. 0.00 3.00 0.19 3.19 XXX N
74710... ...... A X-ray measurement of pelvis.............................. 0.34 1.16 0.09 1.59 XXX N
74710... 26 A X-ray measurement of pelvis.............................. 0.34 0.16 0.02 0.52 XXX N
74710... TC A X-ray measurement of pelvis.............................. 0.00 1.00 0.07 1.07 XXX N
74740... ...... A X-ray female genital tract............................... 0.38 1.41 0.11 1.90 XXX N
74740... 26 A X-ray female genital tract............................... 0.38 0.17 0.03 0.58 XXX N
74740... TC A X-ray female genital tract............................... 0.00 1.24 0.08 1.32 XXX N
74742... ...... A X-ray fallopian tube..................................... 0.61 3.25 0.23 4.09 XXX N
74742... 26 A X-ray fallopian tube..................................... 0.61 0.25 0.04 0.90 XXX N
74742... TC A X-ray fallopian tube..................................... 0.00 3.00 0.19 3.19 XXX N
74775... ...... A X-ray exam of perineum................................... 0.62 1.68 0.13 2.43 XXX N
74775... 26 A X-ray exam of perineum................................... 0.62 0.29 0.04 0.95 XXX N
74775... TC A X-ray exam of perineum................................... 0.00 1.39 0.09 1.48 XXX N
75552... ...... A Magnetic image, myocardium............................... 1.60 11.40 0.78 13.78 XXX N
75552... 26 A Magnetic image, myocardium............................... 1.60 0.72 0.11 2.43 XXX N
75552... TC A Magnetic image, myocardium............................... 0.00 10.68 0.67 11.35 XXX N
75553... ...... A Magnetic image, myocardium............................... 2.00 11.40 0.78 14.18 XXX N
75553... 26 A Magnetic image, myocardium............................... 2.00 0.72 0.11 2.83 XXX N
75553... TC A Magnetic image, myocardium............................... 0.00 10.68 0.67 11.35 XXX N
75554... ...... A Cardiac MRI/function..................................... 1.83 11.40 0.78 14.01 XXX N
75554... 26 A Cardiac MRI/function..................................... 1.83 0.72 0.11 2.66 XXX N
75554... TC A Cardiac MRI/function..................................... 0.00 10.68 0.67 11.35 XXX N
75555... ...... A Cardiac MRI/limited study................................ 1.74 11.40 0.78 13.92 XXX N
75555... 26 A Cardiac MRI/limited study................................ 1.74 0.72 0.11 2.57 XXX N
75555... TC A Cardiac MRI/limited study................................ 0.00 10.68 0.67 11.35 XXX N
75556... ...... N Cardiac MRI/flow mapping................................. 0.00 0.00 0.00 0.00 XXX 0
75600... ...... A Contrast x-ray exam of aorta............................. 0.49 12.23 0.78 13.50 XXX N
75600... 26 A Contrast x-ray exam of aorta............................. 0.49 0.22 0.03 0.74 XXX N
75600... TC A Contrast x-ray exam of aorta............................. 0.00 12.01 0.75 12.76 XXX N
75605... ...... A Contrast x-ray exam of aorta............................. 1.14 12.51 0.83 14.48 XXX N
75605... 26 A Contrast x-ray exam of aorta............................. 1.14 0.50 0.08 1.72 XXX N
75605... TC A Contrast x-ray exam of aorta............................. 0.00 12.01 0.75 12.76 XXX N
75625... ...... A Contrast x-ray exam of aorta............................. 1.14 12.51 0.83 14.48 XXX N
75625... 26 A Contrast x-ray exam of aorta............................. 1.14 0.50 0.08 1.72 XXX N
75625... TC A Contrast x-ray exam of aorta............................. 0.00 12.01 0.75 12.76 XXX N
75630... ...... A X-ray aorta, leg arteries................................ 1.31 13.09 0.88 15.28 XXX N
75630... 26 A X-ray aorta, leg arteries................................ 1.31 0.58 0.09 1.98 XXX N
75630... TC A X-ray aorta, leg arteries................................ 0.00 12.51 0.79 13.30 XXX N
75650... ...... A Artery x-rays, head & neck............................... 1.49 12.67 0.85 15.01 XXX N
75650... 26 A Artery x-rays, head & neck............................... 1.49 0.66 0.10 2.25 XXX N
75650... TC A Artery x-rays, head & neck............................... 0.00 12.01 0.75 12.76 XXX N
75658... ...... A X-ray exam of arm arteries............................... 1.31 12.59 0.84 14.74 XXX N
75658... 26 A X-ray exam of arm arteries............................... 1.31 0.58 0.09 1.98 XXX N
75658... TC A X-ray exam of arm arteries............................... 0.00 12.01 0.75 12.76 XXX N
75660... ...... A Artery x-rays, head & neck............................... 1.31 12.59 0.84 14.74 XXX N
75660... 26 A Artery x-rays, head & neck............................... 1.31 0.58 0.09 1.98 XXX N
75660... TC A Artery x-rays, head & neck............................... 0.00 12.01 0.75 12.76 XXX N
75662... ...... A Artery x-rays, head & neck............................... 1.66 12.75 0.86 15.27 XXX N
75662... 26 A Artery x-rays, head & neck............................... 1.66 0.74 0.11 2.51 XXX N
75662... TC A Artery x-rays, head & neck............................... 0.00 12.01 0.75 12.76 XXX N
75665... ...... A Artery x-rays, head & neck............................... 1.31 12.59 0.84 14.74 XXX N
75665... 26 A Artery x-rays, head & neck............................... 1.31 0.58 0.09 1.98 XXX N
75665... TC A Artery x-rays, head & neck............................... 0.00 12.01 0.75 12.76 XXX N
75671... ...... A Artery x-rays, head & neck............................... 1.66 12.75 0.86 15.27 XXX N
75671... 26 A Artery x-rays, head & neck............................... 1.66 0.74 0.11 2.51 XXX N
75671... TC A Artery x-rays, head & neck............................... 0.00 12.01 0.75 12.76 XXX N
75676... ...... A Artery x-rays, neck...................................... 1.31 12.59 0.84 14.74 XXX N
75676... 26 A Artery x-rays, neck...................................... 1.31 0.58 0.09 1.98 XXX N
75676... TC A Artery x-rays, neck...................................... 0.00 12.01 0.75 12.76 XXX N
75680... ...... A Artery x-rays, neck...................................... 1.66 12.75 0.86 15.27 XXX N
75680... 26 A Artery x-rays, neck...................................... 1.66 0.74 0.11 2.51 XXX N
75680... TC A Artery x-rays, neck...................................... 0.00 12.01 0.75 12.76 XXX N
75685... ...... A Artery x-rays, spine..................................... 1.31 12.59 0.84 14.74 XXX N
75685... 26 A Artery x-rays, spine..................................... 1.31 0.58 0.09 1.98 XXX N
75685... TC A Artery x-rays, spine..................................... 0.00 12.01 0.75 12.76 XXX N
75705... ...... A Artery x-rays, spine..................................... 2.18 12.99 0.90 16.07 XXX N
75705... 26 A Artery x-rays, spine..................................... 2.18 0.98 0.15 3.31 XXX N
75705... TC A Artery x-rays, spine..................................... 0.00 12.01 0.75 12.76 XXX N
75710... ...... A Artery x-rays, arm/leg................................... 1.14 12.51 0.83 14.48 XXX N
75710... 26 A Artery x-rays, arm/leg................................... 1.14 0.50 0.08 1.72 XXX N
75710... TC A Artery x-rays, arm/leg................................... 0.00 12.01 0.75 12.76 XXX N
75716... ...... A Artery x-rays, arms/legs................................. 1.31 12.59 0.84 14.74 XXX N
75716... 26 A Artery x-rays, arms/legs................................. 1.31 0.58 0.09 1.98 XXX N
75716... TC A Artery x-rays, arms/legs................................. 0.00 12.01 0.75 12.76 XXX N
75722... ...... A Artery x-rays, kidney.................................... 1.14 12.51 0.83 14.48 XXX N
75722... 26 A Artery x-rays, kidney.................................... 1.14 0.50 0.08 1.72 XXX N
75722... TC A Artery x-rays, kidney.................................... 0.00 12.01 0.75 12.76 XXX N
75724... ...... A Artery x-rays, kidneys................................... 1.49 12.67 0.85 15.01 XXX N
75724... 26 A Artery x-rays, kidneys................................... 1.49 0.66 0.10 2.25 XXX N
75724... TC A Artery x-rays, kidneys................................... 0.00 12.01 0.75 12.76 XXX N
75726... ...... A Artery x-rays, abdomen................................... 1.14 12.51 0.83 14.48 XXX N
75726... 26 A Artery x-rays, abdomen................................... 1.14 0.50 0.08 1.72 XXX N
75726... TC A Artery x-rays, abdomen................................... 0.00 12.01 0.75 12.76 XXX N
75731... ...... A Artery x-rays, adrenal gland............................. 1.14 12.51 0.83 14.48 XXX N
75731... 26 A Artery x-rays, adrenal gland............................. 1.14 0.50 0.08 1.72 XXX N
75731... TC A Artery x-rays, adrenal gland............................. 0.00 12.01 0.75 12.76 XXX N
75733... ...... A Artery x-rays, adrenal glands............................ 1.31 12.59 0.84 14.74 XXX N
75733... 26 A Artery x-rays, adrenal glands............................ 1.31 0.58 0.09 1.98 XXX N
75733... TC A Artery x-rays, adrenal glands............................ 0.00 12.01 0.75 12.76 XXX N
75736... ...... A Artery x-rays, pelvis.................................... 1.14 12.51 0.83 14.48 XXX N
75736... 26 A Artery x-rays, pelvis.................................... 1.14 0.50 0.08 1.72 XXX N
75736... TC A Artery x-rays, pelvis.................................... 0.00 12.01 0.75 12.76 XXX N
75741... ...... A Artery x-rays, lung...................................... 1.31 12.59 0.84 14.74 XXX N
75741... 26 A Artery x-rays, lung...................................... 1.31 0.58 0.09 1.98 XXX N
75741... TC A Artery x-rays, lung...................................... 0.00 12.01 0.75 12.76 XXX N
75743... ...... A Artery x-rays, lungs..................................... 1.66 12.75 0.86 15.27 XXX N
75743... 26 A Artery x-rays, lungs..................................... 1.66 0.74 0.11 2.51 XXX N
75743... TC A Artery x-rays, lungs..................................... 0.00 12.01 0.75 12.76 XXX N
75746... ...... A Artery x-rays, lung...................................... 1.14 12.51 0.83 14.48 XXX N
75746... 26 A Artery x-rays, lung...................................... 1.14 0.50 0.08 1.72 XXX N
75746... TC A Artery x-rays, lung...................................... 0.00 12.01 0.75 12.76 XXX N
75756... ...... A Artery x-rays, chest..................................... 1.14 12.51 0.83 14.48 XXX N
75756... 26 A Artery x-rays, chest..................................... 1.14 0.50 0.08 1.72 XXX N
75756... TC A Artery x-rays, chest..................................... 0.00 12.01 0.75 12.76 XXX N
75774... ...... A Artery x-ray, each vessel................................ 0.36 12.17 0.77 13.30 XXX N
75774... 26 A Artery x-ray, each vessel................................ 0.36 0.16 0.02 0.54 XXX N
75774... TC A Artery x-ray, each vessel................................ 0.00 12.01 0.75 12.76 XXX N
75790... ...... A Visualize A-V shunt...................................... 1.84 2.12 0.21 4.17 XXX N
75790... 26 A Visualize A-V shunt...................................... 1.84 0.83 0.12 2.79 XXX N
75790... TC A Visualize A-V shunt...................................... 0.00 1.29 0.09 1.38 XXX N
75801... ...... A Lymph vessel x-ray, arm/leg.............................. 0.81 5.53 0.38 6.72 XXX N
75801... 26 A Lymph vessel x-ray, arm/leg.............................. 0.81 0.37 0.05 1.23 XXX N
75801... TC A Lymph vessel x-ray, arm/leg.............................. 0.00 5.16 0.33 5.49 XXX N
75803... ...... A Lymph vessel x-ray, arms/legs............................ 1.17 5.67 0.41 7.25 XXX N
75803... 26 A Lymph vessel x-ray, arms/legs............................ 1.17 0.51 0.08 1.76 XXX N
75803... TC A Lymph vessel x-ray, arms/legs............................ 0.00 5.16 0.33 5.49 XXX N
75805... ...... A Lymph vessel x-ray, trunk................................ 0.81 6.18 0.42 7.41 XXX N
75805... 26 A Lymph vessel x-ray, trunk................................ 0.81 0.37 0.05 1.23 XXX N
75805... TC A Lymph vessel x-ray, trunk................................ 0.00 5.81 0.37 6.18 XXX N
75807... ...... A Lymph vessel x-ray, trunk................................ 1.17 6.32 0.45 7.94 XXX N
75807... 26 A Lymph vessel x-ray, trunk................................ 1.17 0.51 0.08 1.76 XXX N
75807... TC A Lymph vessel x-ray, trunk................................ 0.00 5.81 0.37 6.18 XXX N
75809... ...... A Nonvascular shunt, x-ray................................. 0.47 0.94 0.08 1.49 XXX N
75809... 26 A Nonvascular shunt, x-ray................................. 0.47 0.19 0.03 0.69 XXX N
75809... TC A Nonvascular shunt, x-ray................................. 0.00 0.75 0.05 0.80 XXX N
75810... ...... A Vein x-ray, spleen/liver................................. 1.14 12.51 0.83 14.48 XXX N
75810... 26 A Vein x-ray, spleen/liver................................. 1.14 0.50 0.08 1.72 XXX N
75810... TC A Vein x-ray, spleen/liver................................. 0.00 12.01 0.75 12.76 XXX N
75820... ...... A Vein x-ray, arm/leg...................................... 0.70 1.22 0.11 2.03 XXX N
75820... 26 A Vein x-ray, arm/leg...................................... 0.70 0.32 0.05 1.07 XXX N
75820... TC A Vein x-ray, arm/leg...................................... 0.00 0.90 0.06 0.96 XXX N
75822... ...... A Vein x-ray, arms/legs.................................... 1.06 1.88 0.16 3.10 XXX N
75822... 26 A Vein x-ray, arms/legs.................................... 1.06 0.47 0.07 1.60 XXX N
75822... TC A Vein x-ray, arms/legs.................................... 0.00 1.41 0.09 1.50 XXX N
75825... ...... A Vein x-ray, trunk........................................ 1.14 12.51 0.83 14.48 XXX N
75825... 26 A Vein x-ray, trunk........................................ 1.14 0.50 0.08 1.72 XXX N
75825... TC A Vein x-ray, trunk........................................ 0.00 12.01 0.75 12.76 XXX N
75827... ...... A Vein x-ray, chest........................................ 1.14 12.51 0.83 14.48 XXX N
75827... 26 A Vein x-ray, chest........................................ 1.14 0.50 0.08 1.72 XXX N
75827... TC A Vein x-ray, chest........................................ 0.00 12.01 0.75 12.76 XXX N
75831... ...... A Vein x-ray, kidney....................................... 1.14 12.51 0.83 14.48 XXX N
75831... 26 A Vein x-ray, kidney....................................... 1.14 0.50 0.08 1.72 XXX N
75831... TC A Vein x-ray, kidney....................................... 0.00 12.01 0.75 12.76 XXX N
75833... ...... A Vein x-ray, kidneys...................................... 1.49 12.67 0.85 15.01 XXX N
75833... 26 A Vein x-ray, kidneys...................................... 1.49 0.66 0.10 2.25 XXX N
75833... TC A Vein x-ray, kidneys...................................... 0.00 12.01 0.75 12.76 XXX N
75840... ...... A Vein x-ray, adrenal gland................................ 1.14 12.51 0.83 14.48 XXX N
75840... 26 A Vein x-ray, adrenal gland................................ 1.14 0.50 0.08 1.72 XXX N
75840... TC A Vein x-ray, adrenal gland................................ 0.00 12.01 0.75 12.76 XXX N
75842... ...... A Vein x-ray, adrenal glands............................... 1.49 12.67 0.85 15.01 XXX N
75842... 26 A Vein x-ray, adrenal glands............................... 1.49 0.66 0.10 2.25 XXX N
75842... TC A Vein x-ray, adrenal glands............................... 0.00 12.01 0.75 12.76 XXX N
75860... ...... A Vein x-ray, neck......................................... 1.14 12.51 0.83 14.48 XXX N
75860... 26 A Vein x-ray, neck......................................... 1.14 0.50 0.08 1.72 XXX N
75860... TC A Vein x-ray, neck......................................... 0.00 12.01 0.75 12.76 XXX N
75870... ...... A Vein x-ray, skull........................................ 1.14 12.51 0.83 14.48 XXX N
75870... 26 A Vein x-ray, skull........................................ 1.14 0.50 0.08 1.72 XXX N
75870... TC A Vein x-ray, skull........................................ 0.00 12.01 0.75 12.76 XXX N
75872... ...... A Vein x-ray, skull........................................ 1.14 12.51 0.83 14.48 XXX N
75872... 26 A Vein x-ray, skull........................................ 1.14 0.50 0.08 1.72 XXX N
75872... TC A Vein x-ray, skull........................................ 0.00 12.01 0.75 12.76 XXX N
75880... ...... A Vein x-ray, eye socket................................... 0.70 1.22 0.11 2.03 XXX N
75880... 26 A Vein x-ray, eye socket................................... 0.70 0.32 0.05 1.07 XXX N
75880... TC A Vein x-ray, eye socket................................... 0.00 0.90 0.06 0.96 XXX N
75885... ...... A Vein x-ray, liver........................................ 1.44 12.65 0.85 14.94 XXX N
75885... 26 A Vein x-ray, liver........................................ 1.44 0.64 0.10 2.18 XXX N
75885... TC A Vein x-ray, liver........................................ 0.00 12.01 0.75 12.76 XXX N
75887... ...... A Vein x-ray, liver........................................ 1.44 12.65 0.85 14.94 XXX N
75887... 26 A Vein x-ray, liver........................................ 1.44 0.64 0.10 2.18 XXX N
75887... TC A Vein x-ray, liver........................................ 0.00 12.01 0.75 12.76 XXX N
75889... ...... A Vein x-ray, liver........................................ 1.14 12.51 0.83 14.48 XXX N
75889... 26 A Vein x-ray, liver........................................ 1.14 0.50 0.08 1.72 XXX N
75889... TC A Vein x-ray, liver........................................ 0.00 12.01 0.75 12.76 XXX N
75891... ...... A Vein x-ray, liver........................................ 1.14 12.51 0.83 14.48 XXX N
75891... 26 A Vein x-ray, liver........................................ 1.14 0.50 0.08 1.72 XXX N
75891... TC A Vein x-ray, liver........................................ 0.00 12.01 0.75 12.76 XXX N
75893... ...... A Venous sampling by catheter.............................. 0.54 12.26 0.79 13.59 XXX N
75893... 26 A Venous sampling by catheter.............................. 0.54 0.25 0.04 0.83 XXX N
75893... TC A Venous sampling by catheter.............................. 0.00 12.01 0.75 12.76 XXX N
75894... ...... A X-rays, transcatheter therapy............................ 1.31 23.58 1.53 26.42 XXX N
75894... 26 A X-rays, transcatheter therapy............................ 1.31 0.58 0.09 1.98 XXX N
75894... TC A X-rays, transcatheter therapy............................ 0.00 23.00 1.44 24.44 XXX N
75896... ...... A X-rays, transcatheter therapy............................ 1.31 20.58 1.34 23.23 XXX N
75896... 26 A X-rays, transcatheter therapy............................ 1.31 0.58 0.09 1.98 XXX N
75896... TC A X-rays, transcatheter therapy............................ 0.00 20.00 1.25 21.25 XXX N
75898... ...... A Follow-up angiogram...................................... 1.65 1.74 0.18 3.57 XXX N
75898... 26 A Follow-up angiogram...................................... 1.65 0.74 0.11 2.50 XXX N
75898... TC A Follow-up angiogram...................................... 0.00 1.00 0.07 1.07 XXX N
75900... ...... A Arterial catheter exchange............................... 0.49 20.22 1.29 22.00 XXX N
75900... 26 A Arterial catheter exchange............................... 0.49 0.23 0.03 0.75 XXX N
75900... TC A Arterial catheter exchange............................... 0.00 19.99 1.26 21.25 XXX N
75940... ...... A X-ray placement, vein filter............................. 0.54 12.26 0.79 13.59 XXX N
75940... 26 A X-ray placement, vein filter............................. 0.54 0.25 0.04 0.83 XXX N
75940... TC A X-ray placement, vein filter............................. 0.00 12.01 0.75 12.76 XXX N
75960... ...... A Transcatheter intro, stent............................... 0.82 14.57 0.94 16.33 XXX N
75960... 26 A Transcatheter intro, stent............................... 0.82 0.37 0.06 1.25 XXX N
75960... TC A Transcatheter intro, stent............................... 0.00 14.20 0.88 15.08 XXX N
75961... ...... A Retrieval, broken catheter............................... 4.25 11.91 0.90 17.06 XXX N
75961... 26 A Retrieval, broken catheter............................... 4.25 1.90 0.28 6.43 XXX N
75961... TC A Retrieval, broken catheter............................... 0.00 10.01 0.62 10.63 XXX N
75962... ...... A Repair arterial blockage................................. 0.54 15.25 0.98 16.77 XXX N
75962... 26 A Repair arterial blockage................................. 0.54 0.25 0.04 0.83 XXX N
75962... TC A Repair arterial blockage................................. 0.00 15.00 0.94 15.94 XXX N
75964... ...... A Repair artery blockage, each............................. 0.36 8.16 0.52 9.04 XXX N
75964... 26 A Repair artery blockage, each............................. 0.36 0.16 0.02 0.54 XXX N
75964... TC A Repair artery blockage, each............................. 0.00 8.00 0.50 8.50 XXX N
75966... ...... A Repair arterial blockage................................. 1.31 15.58 1.03 17.92 XXX N
75966... 26 A Repair arterial blockage................................. 1.31 0.58 0.09 1.98 XXX N
75966... TC A Repair arterial blockage................................. 0.00 15.00 0.94 15.94 XXX N
75968... ...... A Repair artery blockage, each............................. 0.36 8.16 0.52 9.04 XXX N
75968... 26 A Repair artery blockage, each............................. 0.36 0.16 0.02 0.54 XXX N
75968... TC A Repair artery blockage, each............................. 0.00 8.00 0.50 8.50 XXX N
75970... ...... A Vascular biopsy.......................................... 0.83 11.38 0.75 12.96 XXX N
75970... 26 A Vascular biopsy.......................................... 0.83 0.38 0.06 1.27 XXX N
75970... TC A Vascular biopsy.......................................... 0.00 11.00 0.69 11.69 XXX N
75978... ...... A Repair venous blockage................................... 0.54 15.48 0.98 17.00 XXX N
75978... 26 A Repair venous blockage................................... 0.54 0.48 0.04 1.06 XXX N
75978... TC A Repair venous blockage................................... 0.00 15.00 0.94 15.94 XXX N
75980... ...... A Contrast x-ray exam bile duct............................ 1.44 5.80 0.43 7.67 XXX N
75980... 26 A Contrast x-ray exam bile duct............................ 1.44 0.64 0.10 2.18 XXX N
75980... TC A Contrast x-ray exam bile duct............................ 0.00 5.16 0.33 5.49 XXX N
75982... ...... A Contrast x-ray exam bile duct............................ 1.44 6.45 0.47 8.36 XXX N
75982... 26 A Contrast x-ray exam bile duct............................ 1.44 0.64 0.10 2.18 XXX N
75982... TC A Contrast x-ray exam bile duct............................ 0.00 5.81 0.37 6.18 XXX N
75984... ...... A X-ray control catheter change............................ 0.72 2.19 0.17 3.08 XXX N
75984... 26 A X-ray control catheter change............................ 0.72 0.33 0.05 1.10 XXX N
75984... TC A X-ray control catheter change............................ 0.00 1.86 0.12 1.98 XXX N
75989... ...... A Abscess drainage under x-ray............................. 1.19 3.52 0.27 4.98 XXX N
75989... 26 A Abscess drainage under x-ray............................. 1.19 0.52 0.08 1.79 XXX N
75989... TC A Abscess drainage under x-ray............................. 0.00 3.00 0.19 3.19 XXX N
75992... ...... A Atherectomy, x-ray exam.................................. 0.54 15.25 0.98 16.77 XXX N
75992... 26 A Atherectomy, x-ray exam.................................. 0.54 0.25 0.04 0.83 XXX N
75992... TC A Atherectomy, x-ray exam.................................. 0.00 15.00 0.94 15.94 XXX N
75993... ...... A Atherectomy, x-ray exam.................................. 0.36 8.16 0.52 9.04 XXX N
75993... 26 A Atherectomy, x-ray exam.................................. 0.36 0.16 0.02 0.54 XXX N
75993... TC A Atherectomy, x-ray exam.................................. 0.00 8.00 0.50 8.50 XXX N
75994... ...... A Atherectomy, x-ray exam.................................. 1.31 15.58 1.03 17.92 XXX N
75994... 26 A Atherectomy, x-ray exam.................................. 1.31 0.58 0.09 1.98 XXX N
75994... TC A Atherectomy, x-ray exam.................................. 0.00 15.00 0.94 15.94 XXX N
75995... ...... A Atherectomy, x-ray exam.................................. 1.31 15.58 1.03 17.92 XXX N
75995... 26 A Atherectomy, x-ray exam.................................. 1.31 0.58 0.09 1.98 XXX N
75995... TC A Atherectomy, x-ray exam.................................. 0.00 15.00 0.94 15.94 XXX N
75996... ...... A Atherectomy, x-ray exam.................................. 0.36 8.16 0.52 9.04 XXX N
75996... 26 A Atherectomy, x-ray exam.................................. 0.36 0.16 0.02 0.54 XXX N
75996... TC A Atherectomy, x-ray exam.................................. 0.00 8.00 0.50 8.50 XXX N
76000... ...... A Fluoroscope examination.................................. 0.17 1.31 0.09 1.57 XXX N
76000... 26 A Fluoroscope examination.................................. 0.17 0.07 0.01 0.25 XXX N
76000... TC A Fluoroscope examination.................................. 0.00 1.24 0.08 1.32 XXX N
76001... ...... A Fluoroscope exam, extensive.............................. 0.67 2.81 0.22 3.70 XXX N
76001... 26 A Fluoroscope exam, extensive.............................. 0.67 0.31 0.05 1.03 XXX N
76001... TC A Fluoroscope exam, extensive.............................. 0.00 2.50 0.17 2.67 XXX N
76003... ...... A Needle localization by x-ray............................. 0.54 1.49 0.12 2.15 XXX N
76003... 26 A Needle localization by x-ray............................. 0.54 0.25 0.04 0.83 XXX N
76003... TC A Needle localization by x-ray............................. 0.00 1.24 0.08 1.32 XXX N
76010... ...... A X-ray, nose to rectum.................................... 0.18 0.58 0.04 0.80 XXX N
76010... 26 A X-ray, nose to rectum.................................... 0.18 0.08 0.01 0.27 XXX N
76010... TC A X-ray, nose to rectum.................................... 0.00 0.50 0.03 0.53 XXX N
76020... ...... A X-rays for bone age...................................... 0.19 0.59 0.04 0.82 XXX N
76020... 26 A X-rays for bone age...................................... 0.19 0.09 0.01 0.29 XXX N
76020... TC A X-rays for bone age...................................... 0.00 0.50 0.03 0.53 XXX N
76040... ...... A X-rays, bone evaluation.................................. 0.27 0.88 0.07 1.22 XXX N
76040... 26 A X-rays, bone evaluation.................................. 0.27 0.13 0.02 0.42 XXX N
76040... TC A X-rays, bone evaluation.................................. 0.00 0.75 0.05 0.80 XXX N
76061... ...... A X-rays, bone survey...................................... 0.45 1.15 0.09 1.69 XXX N
76061... 26 A X-rays, bone survey...................................... 0.45 0.20 0.03 0.68 XXX N
76061... TC A X-rays, bone survey...................................... 0.00 0.95 0.06 1.01 XXX N
76062... ...... A X-rays, bone survey...................................... 0.54 1.62 0.13 2.29 XXX N
76062... 26 A X-rays, bone survey...................................... 0.54 0.25 0.04 0.83 XXX N
76062... TC A X-rays, bone survey...................................... 0.00 1.37 0.09 1.46 XXX N
76065... ...... A X-rays, bone evaluation.................................. 0.28 0.83 0.07 1.18 XXX N
76065... 26 A X-rays, bone evaluation.................................. 0.28 0.13 0.02 0.43 XXX N
76065... TC A X-rays, bone evaluation.................................. 0.00 0.70 0.05 0.75 XXX N
76066... ...... A Joint(s) survey, single film............................. 0.31 1.20 0.09 1.60 XXX N
76066... 26 A Joint(s) survey, single film............................. 0.31 0.14 0.02 0.47 XXX N
76066... TC A Joint(s) survey, single film............................. 0.00 1.06 0.07 1.13 XXX N
76070... ...... A CT scan, bone density study.............................. 0.25 2.93 0.20 3.38 XXX N
76070... 26 A CT scan, bone density study.............................. 0.25 0.12 0.02 0.39 XXX N
76070... TC A CT scan, bone density study.............................. 0.00 2.81 0.18 2.99 XXX N
76075... ...... A Dual energy x-ray study.................................. 0.30 3.07 0.21 3.58 XXX N
76075... 26 A Dual energy x-ray study.................................. 0.30 0.12 0.02 0.44 XXX N
76075... TC A Dual energy x-ray study.................................. 0.00 2.95 0.19 3.14 XXX N
76080... ...... A X-ray exam of fistula.................................... 0.54 1.25 0.11 1.90 XXX N
76080... 26 A X-ray exam of fistula.................................... 0.54 0.25 0.04 0.83 XXX N
76080... TC A X-ray exam of fistula.................................... 0.00 1.00 0.07 1.07 XXX N
76086... ...... A X-ray of mammary duct.................................... 0.36 2.67 0.19 3.22 XXX N
76086... 26 A X-ray of mammary duct.................................... 0.36 0.17 0.02 0.55 XXX N
76086... TC A X-ray of mammary duct.................................... 0.00 2.50 0.17 2.67 XXX N
76088... ...... A X-ray of mammary ducts................................... 0.45 3.69 0.25 4.39 XXX N
76088... 26 A X-ray of mammary ducts................................... 0.45 0.20 0.03 0.68 XXX N
76088... TC A X-ray of mammary ducts................................... 0.00 3.49 0.22 3.71 XXX N
76090... ...... A Mammogram, one breast.................................... 0.25 1.12 0.09 1.46 XXX N
76090... 26 A Mammogram, one breast.................................... 0.25 0.12 0.02 0.39 XXX N
76090... TC A Mammogram, one breast.................................... 0.00 1.00 0.07 1.07 XXX N
76091... ...... A Mammogram, both breasts.................................. 0.41 1.42 0.11 1.94 XXX N
76091... 26 A Mammogram, both breasts.................................. 0.41 0.18 0.03 0.62 XXX N
76091... TC A Mammogram, both breasts.................................. 0.00 1.24 0.08 1.32 XXX N
76092... ...... X Mammogram, screening..................................... 0.00 0.00 0.00 0.00 XXX O
76093... ...... A Magnetic image, breast................................... 1.63 17.52 1.16 20.31 XXX N
76093... 26 A Magnetic image, breast................................... 1.63 0.72 0.11 2.46 XXX N
76093... TC A Magnetic image, breast................................... 0.00 16.80 1.05 17.85 XXX N
76094... ...... A Magnetic image, both breasts............................. 1.63 23.51 1.53 26.67 XXX N
76094... 26 A Magnetic image, both breasts............................. 1.63 0.72 0.11 2.46 XXX N
76094... TC A Magnetic image, both breasts............................. 0.00 22.79 1.42 24.21 XXX N
76095... ...... A Stereotactic breast biopsy............................... 1.59 7.54 0.54 9.67 XXX N
76095... 26 A Stereotactic breast biopsy............................... 1.59 0.71 0.11 2.41 XXX N
76095... TC A Stereotactic breast biopsy............................... 0.00 6.83 0.43 7.26 XXX N
76096... ...... A X-ray of needle wire, breast............................. 0.56 1.50 0.12 2.18 XXX N
76096... 26 A X-ray of needle wire, breast............................. 0.56 0.26 0.04 0.86 XXX N
76096... TC A X-ray of needle wire, breast............................. 0.00 1.24 0.08 1.32 XXX N
76098... ...... A X-ray exam, breast specimen.............................. 0.16 0.47 0.04 0.67 XXX N
76098... 26 A X-ray exam, breast specimen.............................. 0.16 0.07 0.01 0.24 XXX N
76098... TC A X-ray exam, breast specimen.............................. 0.00 0.40 0.03 0.43 XXX N
76100... ...... A X-ray exam of body section............................... 0.58 1.46 0.12 2.16 XXX N
76100... 26 A X-ray exam of body section............................... 0.58 0.27 0.04 0.89 XXX N
76100... TC A X-ray exam of body section............................... 0.00 1.19 0.08 1.27 XXX N
76101... ...... A Complex body section x-ray............................... 0.58 1.62 0.13 2.33 XXX N
76101... 26 A Complex body section x-ray............................... 0.58 0.27 0.04 0.89 XXX N
76101... TC A Complex body section x-ray............................... 0.00 1.35 0.09 1.44 XXX N
76102... ...... A Complex body section x-rays.............................. 0.58 1.92 0.15 2.65 XXX N
76102... 26 A Complex body section x-rays.............................. 0.58 0.27 0.04 0.89 XXX N
76102... TC A Complex body section x-rays.............................. 0.00 1.65 0.11 1.76 XXX N
76120... ...... A Cinematic x-rays......................................... 0.38 1.17 0.10 1.65 XXX N
76120... 26 A Cinematic x-rays......................................... 0.38 0.17 0.03 0.58 XXX N
76120... TC A Cinematic x-rays......................................... 0.00 1.00 0.07 1.07 XXX N
76125... ...... A Cinematic x-rays......................................... 0.27 0.87 0.07 1.21 XXX N
76125... 26 A Cinematic x-rays......................................... 0.27 0.12 0.02 0.41 XXX N
76125... TC A Cinematic x-rays......................................... 0.00 0.75 0.05 0.80 XXX N
76140... ...... G X-ray consultation....................................... 0.00 0.00 0.00 0.00 XXX O
76150... ...... A X-ray exam, dry process.................................. 0.00 0.40 0.03 0.43 XXX N
76350... ...... C Special x-ray contrast study............................. 0.00 0.00 0.00 0.00 XXX N
76355... ...... A CAT scan for localization................................ 1.21 8.40 0.57 10.18 XXX N
76355... 26 A CAT scan for localization................................ 1.21 0.53 0.08 1.82 XXX N
76355... TC A CAT scan for localization................................ 0.00 7.87 0.49 8.36 XXX N
76360... ...... A CAT scan for needle biopsy............................... 1.16 8.37 0.57 10.10 XXX N
76360... 26 A CAT scan for needle biopsy............................... 1.16 0.50 0.08 1.74 XXX N
76360... TC A CAT scan for needle biopsy............................... 0.00 7.87 0.49 8.36 XXX N
76365... ...... A CAT scan for cyst aspiration............................. 1.16 8.37 0.57 10.10 XXX N
76365... 26 A CAT scan for cyst aspiration............................. 1.16 0.50 0.08 1.74 XXX N
76365... TC A CAT scan for cyst aspiration............................. 0.00 7.87 0.49 8.36 XXX N
76370... ...... A CAT scan for therapy guide............................... 0.85 3.19 0.24 4.28 XXX N
76370... 26 A CAT scan for therapy guide............................... 0.85 0.38 0.06 1.29 XXX N
76370... TC A CAT scan for therapy guide............................... 0.00 2.81 0.18 2.99 XXX N
76375... ...... A CAT scans, other planes.................................. 0.16 3.44 0.22 3.82 XXX N
76375... 26 A CAT scans, other planes.................................. 0.16 0.07 0.01 0.24 XXX N
76375... TC A CAT scans, other planes.................................. 0.00 3.37 0.21 3.58 XXX N
76380... ...... A CAT scan follow-up study................................. 0.98 3.78 0.28 5.04 XXX N
76380... 26 A CAT scan follow-up study................................. 0.98 0.44 0.07 1.49 XXX N
76380... TC A CAT scan follow-up study................................. 0.00 3.34 0.21 3.55 XXX N
76400... ...... A Magnetic image, bone marrow.............................. 1.60 11.40 0.78 13.78 XXX N
76400... 26 A Magnetic image, bone marrow.............................. 1.60 0.72 0.11 2.43 XXX N
76400... TC A Magnetic image, bone marrow.............................. 0.00 10.68 0.67 11.35 XXX N
76499... ...... C Radiographic procedure................................... 0.00 0.00 0.00 0.00 XXX N
76499... 26 C Radiographic procedure................................... 0.00 0.00 0.00 0.00 XXX N
76499... TC C Radiographic procedure................................... 0.00 0.00 0.00 0.00 XXX N
76506... ...... A Echo exam of head........................................ 0.63 1.64 0.13 2.40 XXX N
76506... 26 A Echo exam of head........................................ 0.63 0.29 0.04 0.96 XXX N
76506... TC A Echo exam of head........................................ 0.00 1.35 0.09 1.44 XXX N
76511... ...... A Echo exam of eye......................................... 0.94 1.44 0.12 2.50 XXX N
76511... 26 A Echo exam of eye......................................... 0.94 0.25 0.04 1.23 XXX N
76511... TC A Echo exam of eye......................................... 0.00 1.19 0.08 1.27 XXX N
76512... ...... A Echo exam of eye......................................... 0.66 1.75 0.15 2.56 XXX N
76512... 26 A Echo exam of eye......................................... 0.66 0.30 0.05 1.01 XXX N
76512... TC A Echo exam of eye......................................... 0.00 1.45 0.10 1.55 XXX N
76513... ...... A Echo exam of eye, water bath............................. 0.66 1.75 0.15 2.56 XXX N
76513... 26 A Echo exam of eye, water bath............................. 0.66 0.30 0.05 1.01 XXX N
76513... TC A Echo exam of eye, water bath............................. 0.00 1.45 0.10 1.55 XXX N
76516... ...... A Echo exam of eye......................................... 0.54 1.44 0.12 2.10 XXX N
76516... 26 A Echo exam of eye......................................... 0.54 0.25 0.04 0.83 XXX N
76516... TC A Echo exam of eye......................................... 0.00 1.19 0.08 1.27 XXX N
76519... ...... A Echo exam of eye......................................... 0.54 1.44 0.12 2.10 XXX N
76519... 26 A Echo exam of eye......................................... 0.54 0.25 0.04 0.83 XXX N
76519... TC A Echo exam of eye......................................... 0.00 1.19 0.08 1.27 XXX N
76529... ...... A Echo exam of eye......................................... 0.57 1.56 0.13 2.26 XXX N
76529... 26 A Echo exam of eye......................................... 0.57 0.26 0.04 0.87 XXX N
76529... TC A Echo exam of eye......................................... 0.00 1.30 0.09 1.39 XXX N
76536... ...... A Echo exam of head and neck............................... 0.56 1.61 0.13 2.30 XXX N
76536... 26 A Echo exam of head and neck............................... 0.56 0.26 0.04 0.86 XXX N
76536... TC A Echo exam of head and neck............................... 0.00 1.35 0.09 1.44 XXX N
76604... ...... A Echo exam of chest....................................... 0.55 1.50 0.12 2.17 XXX N
76604... 26 A Echo exam of chest....................................... 0.55 0.26 0.04 0.85 XXX N
76604... TC A Echo exam of chest....................................... 0.00 1.24 0.08 1.32 XXX N
76645... ...... A Echo exam of breast...................................... 0.54 1.25 0.11 1.90 XXX N
76645... 26 A Echo exam of breast...................................... 0.54 0.25 0.04 0.83 XXX N
76645... TC A Echo exam of breast...................................... 0.00 1.00 0.07 1.07 XXX N
76700... ...... A Echo exam of abdomen..................................... 0.81 2.25 0.17 3.23 XXX N
76700... 26 A Echo exam of abdomen..................................... 0.81 0.37 0.05 1.23 XXX N
76700... TC A Echo exam of abdomen..................................... 0.00 1.88 0.12 2.00 XXX N
76705... ...... A Echo exam of abdomen..................................... 0.59 1.62 0.13 2.34 XXX N
76705... 26 A Echo exam of abdomen..................................... 0.59 0.27 0.04 0.90 XXX N
76705... TC A Echo exam of abdomen..................................... 0.00 1.35 0.09 1.44 XXX N
76770... ...... A Echo exam abdomen back wall.............................. 0.74 2.22 0.17 3.13 XXX N
76770... 26 A Echo exam abdomen back wall.............................. 0.74 0.34 0.05 1.13 XXX N
76770... TC A Echo exam abdomen back wall.............................. 0.00 1.88 0.12 2.00 XXX N
76775... ...... A Echo exam abdomen back wall.............................. 0.58 1.62 0.13 2.33 XXX N
76775... 26 A Echo exam abdomen back wall.............................. 0.58 0.27 0.04 0.89 XXX N
76775... TC A Echo exam abdomen back wall.............................. 0.00 1.35 0.09 1.44 XXX N
76778... ...... A Echo exam kidney transplant.............................. 0.74 2.22 0.17 3.13 XXX N
76778... 26 A Echo exam kidney transplant.............................. 0.74 0.34 0.05 1.13 XXX N
76778... TC A Echo exam kidney transplant.............................. 0.00 1.88 0.12 2.00 XXX N
76800... ...... A Echo exam spinal canal................................... 1.13 1.85 0.17 3.15 XXX N
76800... 26 A Echo exam spinal canal................................... 1.13 0.50 0.08 1.71 XXX N
76800... TC A Echo exam spinal canal................................... 0.00 1.35 0.09 1.44 XXX N
76805... ...... A Echo exam of pregnant uterus............................. 0.99 2.45 0.20 3.64 XXX N
76805... 26 A Echo exam of pregnant uterus............................. 0.99 0.45 0.07 1.51 XXX N
76805... TC A Echo exam of pregnant uterus............................. 0.00 2.00 0.13 2.13 XXX N
76810... ...... A Echo exam of pregnant uterus............................. 1.97 4.88 0.38 7.23 XXX N
76810... 26 A Echo exam of pregnant uterus............................. 1.97 0.88 0.13 2.98 XXX N
76810... TC A Echo exam of pregnant uterus............................. 0.00 4.00 0.25 4.25 XXX N
76815... ...... A Echo exam of pregnant uterus............................. 0.65 1.65 0.13 2.43 XXX N
76815... 26 A Echo exam of pregnant uterus............................. 0.65 0.30 0.04 0.99 XXX N
76815... TC A Echo exam of pregnant uterus............................. 0.00 1.35 0.09 1.44 XXX N
76816... ...... A Echo exam followup or repeat............................. 0.57 1.32 0.11 2.00 XXX N
76816... 26 A Echo exam followup or repeat............................. 0.57 0.26 0.04 0.87 XXX N
76816... TC A Echo exam followup or repeat............................. 0.00 1.06 0.07 1.13 XXX N
76818... ...... A Fetal biophysical profile................................ 0.77 1.89 0.15 2.81 XXX N
76818... 26 A Fetal biophysical profile................................ 0.77 0.35 0.05 1.17 XXX N
76818... TC A Fetal biophysical profile................................ 0.00 1.54 0.10 1.64 XXX N
76825... ...... A Echo exam of fetal heart................................. 0.98 2.23 0.17 3.38 XXX N
76825... 26 A Echo exam of fetal heart................................. 0.98 0.35 0.05 1.38 XXX N
76825... TC A Echo exam of fetal heart................................. 0.00 1.88 0.12 2.00 XXX N
76826... ...... A Echo exam of fetal heart................................. 0.83 1.35 0.10 2.28 XXX N
76826... 26 A Echo exam of fetal heart................................. 0.83 0.68 0.05 1.56 XXX N
76826... TC A Echo exam of fetal heart................................. 0.00 0.67 0.05 0.72 XXX N
76827... ...... A Echo exam of fetal heart................................. 0.58 2.33 0.18 3.09 XXX N
76827... 26 A Echo exam of fetal heart................................. 0.58 0.69 0.05 1.32 XXX N
76827... TC A Echo exam of fetal heart................................. 0.00 1.64 0.13 1.77 XXX N
76828... ...... A Echo exam of fetal heart................................. 0.56 1.34 0.11 2.01 XXX N
76828... 26 A Echo exam of fetal heart................................. 0.56 0.28 0.02 0.86 XXX N
76828... TC A Echo exam of fetal heart................................. 0.00 1.06 0.09 1.15 XXX N
76830... ...... A Echo exam, transvaginal.................................. 0.69 1.77 0.15 2.61 XXX N
76830... 26 A Echo exam, transvaginal.................................. 0.69 0.32 0.05 1.06 XXX N
76830... TC A Echo exam, transvaginal.................................. 0.00 1.45 0.10 1.55 XXX N
76856... ...... A Echo exam of pelvis...................................... 0.69 1.77 0.15 2.61 XXX N
76856... 26 A Echo exam of pelvis...................................... 0.69 0.32 0.05 1.06 XXX N
76856... TC A Echo exam of pelvis...................................... 0.00 1.45 0.10 1.55 XXX N
76857... ...... A Echo exam of pelvis...................................... 0.38 1.17 0.10 1.65 XXX N
76857... 26 A Echo exam of pelvis...................................... 0.38 0.17 0.03 0.58 XXX N
76857... TC A Echo exam of pelvis...................................... 0.00 1.00 0.07 1.07 XXX N
76870... ...... A Echo exam of scrotum..................................... 0.64 1.74 0.14 2.52 XXX N
76870... 26 A Echo exam of scrotum..................................... 0.64 0.29 0.04 0.97 XXX N
76870... TC A Echo exam of scrotum..................................... 0.00 1.45 0.10 1.55 XXX N
76872... ...... A Echo exam, transrectal................................... 0.69 1.77 0.15 2.61 XXX N
76872... 26 A Echo exam, transrectal................................... 0.69 0.32 0.05 1.06 XXX N
76872... TC A Echo exam, transrectal................................... 0.00 1.45 0.10 1.55 XXX N
76880... ...... A Echo exam of extremity................................... 0.59 1.62 0.13 2.34 XXX N
76880... 26 A Echo exam of extremity................................... 0.59 0.27 0.04 0.90 XXX N
76880... TC A Echo exam of extremity................................... 0.00 1.35 0.09 1.44 XXX N
76930... ...... A Echo guide for heart sac tap............................. 0.67 1.76 0.15 2.58 XXX N
76930... 26 A Echo guide for heart sac tap............................. 0.67 0.31 0.05 1.03 XXX N
76930... TC A Echo guide for heart sac tap............................. 0.00 1.45 0.10 1.55 XXX N
76932... ...... A Echo guide for heart biopsy.............................. 0.67 1.76 0.15 2.58 XXX N
76932... 26 A Echo guide for heart biopsy.............................. 0.67 0.31 0.05 1.03 XXX N
76932... TC A Echo guide for heart biopsy.............................. 0.00 1.45 0.10 1.55 XXX N
76934... ...... A Echo guide for chest tap................................. 0.67 1.76 0.15 2.58 XXX N
76934... 26 A Echo guide for chest tap................................. 0.67 0.31 0.05 1.03 XXX N
76934... TC A Echo guide for chest tap................................. 0.00 1.45 0.10 1.55 XXX N
76936... ...... A Echo guide for artery repair............................. 1.31 6.81 0.45 8.57 XXX N
76936... 26 A Echo guide for artery repair............................. 1.31 0.81 0.07 2.19 XXX N
76936... TC A Echo guide for artery repair............................. 0.00 6.00 0.38 6.38 XXX N
76938... ...... A Echo exam for drainage................................... 0.67 1.76 0.15 2.58 XXX N
76938... 26 A Echo exam for drainage................................... 0.67 0.31 0.05 1.03 XXX N
76938... TC A Echo exam for drainage................................... 0.00 1.45 0.10 1.55 XXX N
76941... ...... A Echo guide for transfusion............................... 1.34 2.07 0.19 3.60 XXX N
76941... 26 A Echo guide for transfusion............................... 1.34 0.61 0.10 2.05 XXX N
76941... TC A Echo guide for transfusion............................... 0.00 1.46 0.09 1.55 XXX N
76942... ...... A Echo guide for biopsy.................................... 0.67 1.76 0.15 2.58 XXX N
76942... 26 A Echo guide for biopsy.................................... 0.67 0.31 0.05 1.03 XXX N
76942... TC A Echo guide for biopsy.................................... 0.00 1.45 0.10 1.55 XXX N
76945... ...... A Echo guide, villus sampling.............................. 0.67 2.07 0.19 2.93 XXX N
76945... 26 A Echo guide, villus sampling.............................. 0.67 0.61 0.10 1.38 XXX N
76945... TC A Echo guide, villus sampling.............................. 0.00 1.46 0.09 1.55 XXX N
76946... ...... A Echo guide for amniocentesis............................. 0.38 1.62 0.13 2.13 XXX N
76946... 26 A Echo guide for amniocentesis............................. 0.38 0.17 0.03 0.58 XXX N
76946... TC A Echo guide for amniocentesis............................. 0.00 1.45 0.10 1.55 XXX N
76948... ...... A Echo guide, ova aspiration............................... 0.38 1.62 0.13 2.13 XXX N
76948... 26 A Echo guide, ova aspiration............................... 0.38 0.17 0.03 0.58 XXX N
76948... TC A Echo guide, ova aspiration............................... 0.00 1.45 0.10 1.55 XXX N
76950... ...... A Echo guidance radiotherapy............................... 0.58 1.51 0.12 2.21 XXX N
76950... 26 A Echo guidance radiotherapy............................... 0.58 0.27 0.04 0.89 XXX N
76950... TC A Echo guidance radiotherapy............................... 0.00 1.24 0.08 1.32 XXX N
76960... ...... A Echo guidance radiotherapy............................... 0.58 1.51 0.12 2.21 XXX N
76960... 26 A Echo guidance radiotherapy............................... 0.58 0.27 0.04 0.89 XXX N
76960... TC A Echo guidance radiotherapy............................... 0.00 1.24 0.08 1.32 XXX N
76970... ...... A Ultrasound exam follow-up................................ 0.40 1.18 0.10 1.68 XXX N
76970... 26 A Ultrasound exam follow-up................................ 0.40 0.18 0.03 0.61 XXX N
76970... TC A Ultrasound exam follow-up................................ 0.00 1.00 0.07 1.07 XXX N
76975... ...... A GI endoscopic ultrasound................................. 0.81 1.79 0.15 2.75 XXX N
76975... 26 A GI endoscopic ultrasound................................. 0.81 0.34 0.05 1.20 XXX N
76975... TC A GI endoscopic ultrasound................................. 0.00 1.45 0.10 1.55 XXX N
76986... ...... A Echo exam at surgery..................................... 1.20 3.03 0.25 4.48 XXX N
76986... 26 A Echo exam at surgery..................................... 1.20 0.53 0.08 1.81 XXX N
76986... TC A Echo exam at surgery..................................... 0.00 2.50 0.17 2.67 XXX N
76999... ...... C Echo examination procedure............................... 0.00 0.00 0.00 0.00 XXX N
76999... 26 C Echo examination procedure............................... 0.00 0.00 0.00 0.00 XXX N
76999... TC C Echo examination procedure............................... 0.00 0.00 0.00 0.00 XXX N
77261... ...... A Radiation therapy planning............................... 1.39 0.62 0.09 2.10 XXX N
77262... ...... A Radiation therapy planning............................... 2.11 0.94 0.14 3.19 XXX N
77263... ...... A Radiation therapy planning............................... 3.14 1.40 0.20 4.74 XXX N
77280... ...... A Set radiation therapy field.............................. 0.70 3.63 0.26 4.59 XXX N
77280... 26 A Set radiation therapy field.............................. 0.70 0.32 0.05 1.07 XXX N
77280... TC A Set radiation therapy field.............................. 0.00 3.31 0.21 3.52 XXX N
77285... ...... A Set radiation therapy field.............................. 1.05 5.77 0.41 7.23 XXX N
77285... 26 A Set radiation therapy field.............................. 1.05 0.46 0.07 1.58 XXX N
77285... TC A Set radiation therapy field.............................. 0.00 5.31 0.34 5.65 XXX N
77290... ...... A Set radiation therapy field.............................. 1.56 6.90 0.50 8.96 XXX N
77290... 26 A Set radiation therapy field.............................. 1.56 0.70 0.11 2.37 XXX N
77290... TC A Set radiation therapy field.............................. 0.00 6.20 0.39 6.59 XXX N
77295... ...... A Set radiation therapy field.............................. 4.57 28.68 1.93 35.18 XXX N
77295... 26 A Set radiation therapy field.............................. 4.57 2.06 0.23 6.86 XXX N
77295... TC A Set radiation therapy field.............................. 0.00 26.62 1.70 28.32 XXX N
77299... ...... C Radiation therapy planning............................... 0.00 0.00 0.00 0.00 XXX N
77299... 26 C Radiation therapy planning............................... 0.00 0.00 0.00 0.00 XXX N
77299... TC C Radiation therapy planning............................... 0.00 0.00 0.00 0.00 XXX N
77300... ...... A Radiation therapy dose plan.............................. 0.62 1.56 0.12 2.30 XXX N
77300... 26 A Radiation therapy dose plan.............................. 0.62 0.28 0.04 0.94 XXX N
77300... TC A Radiation therapy dose plan.............................. 0.00 1.28 0.08 1.36 XXX N
77305... ...... A Radiation therapy dose plan.............................. 0.70 2.09 0.17 2.96 XXX N
77305... 26 A Radiation therapy dose plan.............................. 0.70 0.32 0.05 1.07 XXX N
77305... TC A Radiation therapy dose plan.............................. 0.00 1.77 0.12 1.89 XXX N
77310... ...... A Radiation therapy dose plan.............................. 1.05 2.68 0.22 3.95 XXX N
77310... 26 A Radiation therapy dose plan.............................. 1.05 0.46 0.07 1.58 XXX N
77310... TC A Radiation therapy dose plan.............................. 0.00 2.22 0.15 2.37 XXX N
77315... ...... A Radiation therapy dose plan.............................. 1.56 3.23 0.28 5.07 XXX N
77315... 26 A Radiation therapy dose plan.............................. 1.56 0.70 0.11 2.37 XXX N
77315... TC A Radiation therapy dose plan.............................. 0.00 2.53 0.17 2.70 XXX N
77321... ...... A Radiation therapy port plan.............................. 0.95 4.28 0.30 5.53 XXX N
77321... 26 A Radiation therapy port plan.............................. 0.95 0.43 0.06 1.44 XXX N
77321... TC A Radiation therapy port plan.............................. 0.00 3.85 0.24 4.09 XXX N
77326... ...... A Radiation therapy dose plan.............................. 0.93 2.67 0.21 3.81 XXX N
77326... 26 A Radiation therapy dose plan.............................. 0.93 0.42 0.06 1.41 XXX N
77326... TC A Radiation therapy dose plan.............................. 0.00 2.25 0.15 2.40 XXX N
77327... ...... A Radiation therapy dose plan.............................. 1.39 3.93 0.30 5.62 XXX N
77327... 26 A Radiation therapy dose plan.............................. 1.39 0.62 0.09 2.10 XXX N
77327... TC A Radiation therapy dose plan.............................. 0.00 3.31 0.21 3.52 XXX N
77328... ...... A Radiation therapy dose plan.............................. 2.09 5.66 0.44 8.19 XXX N
77328... 26 A Radiation therapy dose plan.............................. 2.09 0.93 0.14 3.16 XXX N
77328... TC A Radiation therapy dose plan.............................. 0.00 4.73 0.30 5.03 XXX N
77331... ...... A Special radiation dosimetry.............................. 0.87 0.87 0.09 1.83 XXX N
77331... 26 A Special radiation dosimetry.............................. 0.87 0.39 0.06 1.32 XXX N
77331... TC A Special radiation dosimetry.............................. 0.00 0.48 0.03 0.51 XXX N
77332... ...... A Radiation treatment aid(s)............................... 0.54 1.53 0.12 2.19 XXX N
77332... 26 A Radiation treatment aid(s)............................... 0.54 0.25 0.04 0.83 XXX N
77332... TC A Radiation treatment aid(s)............................... 0.00 1.28 0.08 1.36 XXX N
77333... ...... A Radiation treatment aid(s)............................... 0.84 2.19 0.18 3.21 XXX N
77333... 26 A Radiation treatment aid(s)............................... 0.84 0.38 0.06 1.28 XXX N
77333... TC A Radiation treatment aid(s)............................... 0.00 1.81 0.12 1.93 XXX N
77334... ...... A Radiation treatment aid(s)............................... 1.24 3.64 0.27 5.15 XXX N
77334... 26 A Radiation treatment aid(s)............................... 1.24 0.54 0.08 1.86 XXX N
77334... TC A Radiation treatment aid(s)............................... 0.00 3.10 0.19 3.29 XXX N
77336... ...... A Radiation physics consult................................ 0.00 2.84 0.18 3.02 XXX N
77370... ...... A Radiation physics consult................................ 0.00 3.33 0.21 3.54 XXX N
77399... ...... C External radiation dosimetry............................. 0.00 0.00 0.00 0.00 XXX N
77399... 26 C External radiation dosimetry............................. 0.00 0.00 0.00 0.00 XXX N
77399... TC C External radiation dosimetry............................. 0.00 0.00 0.00 0.00 XXX N
77401... ...... A Radiation treatment delivery............................. 0.00 1.69 0.11 1.80 XXX N
77402... ...... A Radiation treatment delivery............................. 0.00 1.69 0.11 1.80 XXX N
77403... ...... A Radiation treatment delivery............................. 0.00 1.69 0.11 1.80 XXX N
77404... ...... A Radiation treatment delivery............................. 0.00 1.69 0.11 1.80 XXX N
77406... ...... A Radiation treatment delivery............................. 0.00 1.69 0.11 1.80 XXX N
77407... ...... A Radiation treatment delivery............................. 0.00 1.99 0.13 2.12 XXX N
77408... ...... A Radiation treatment delivery............................. 0.00 1.99 0.13 2.12 XXX N
77409... ...... A Radiation treatment delivery............................. 0.00 1.99 0.13 2.12 XXX N
77411... ...... A Radiation treatment delivery............................. 0.00 1.99 0.13 2.12 XXX N
77412... ...... A Radiation treatment delivery............................. 0.00 2.22 0.15 2.37 XXX N
77413... ...... A Radiation treatment delivery............................. 0.00 2.22 0.15 2.37 XXX N
77414... ...... A Radiation treatment delivery............................. 0.00 2.22 0.15 2.37 XXX N
77416... ...... A Radiation treatment delivery............................. 0.00 2.22 0.15 2.37 XXX N
77417... ...... A Radiology port film(s)................................... 0.00 0.56 0.04 0.60 XXX N
77419... ...... A Weekly radiation therapy................................. 3.60 1.61 0.23 5.44 XXX N
77420... ...... A Weekly radiation therapy................................. 1.61 0.72 0.11 2.44 XXX N
77425... ...... A Weekly radiation therapy................................. 2.44 1.10 0.17 3.71 XXX N
77430... ...... A Weekly radiation therapy................................. 3.60 1.61 0.23 5.44 XXX N
77431... ...... A Radiation therapy management............................. 1.81 0.81 0.12 2.74 XXX N
77432... ...... A Stereotactic radiation trmt.............................. 7.93 4.94 0.40 13.27 XXX N
77470... ...... A Special radiation treatment.............................. 2.09 11.55 0.80 14.44 XXX N
77470... 26 A Special radiation treatment.............................. 2.09 0.93 0.14 3.16 XXX N
77470... TC A Special radiation treatment.............................. 0.00 10.62 0.66 11.28 XXX N
77499... ...... C Radiation therapy management............................. 0.00 0.00 0.00 0.00 XXX N
77499... 26 C Radiation therapy management............................. 0.00 0.00 0.00 0.00 XXX N
77499... TC C Radiation therapy management............................. 0.00 0.00 0.00 0.00 XXX N
77600... ...... A Hyperthermia treatment................................... 1.56 3.60 0.29 5.45 ZZZ N
77600... 26 A Hyperthermia treatment................................... 1.56 0.70 0.11 2.37 ZZZ N
77600... TC A Hyperthermia treatment................................... 0.00 2.90 0.18 3.08 ZZZ N
77605... ...... A Hyperthermia treatment................................... 2.09 4.80 0.39 7.28 ZZZ N
77605... 26 A Hyperthermia treatment................................... 2.09 0.93 0.14 3.16 ZZZ N
77605... TC A Hyperthermia treatment................................... 0.00 3.87 0.25 4.12 ZZZ N
77610... ...... A Hyperthermia treatment................................... 1.56 3.60 0.29 5.45 ZZZ N
77610... 26 A Hyperthermia treatment................................... 1.56 0.70 0.11 2.37 ZZZ N
77610... TC A Hyperthermia treatment................................... 0.00 2.90 0.18 3.08 ZZZ N
77615... ...... A Hyperthermia treatment................................... 2.09 4.80 0.39 7.28 ZZZ N
77615... 26 A Hyperthermia treatment................................... 2.09 0.93 0.14 3.16 ZZZ N
77615... TC A Hyperthermia treatment................................... 0.00 3.87 0.25 4.12 ZZZ N
77620... ...... A Hyperthermia treatment................................... 1.56 3.60 0.29 5.45 ZZZ N
77620... 26 A Hyperthermia treatment................................... 1.56 0.70 0.11 2.37 ZZZ N
77620... TC A Hyperthermia treatment................................... 0.00 2.90 0.18 3.08 ZZZ N
77750... ...... A Infuse radioactive materials............................. 4.59 3.32 0.38 8.29 090 N
77750... 26 A Infuse radioactive materials............................. 4.59 2.05 0.30 6.94 090 N
77750... TC A Infuse radioactive materials............................. 0.00 1.27 0.08 1.35 090 N
77761... ...... A Radioelement application................................. 3.56 3.98 0.39 7.93 090 N
77761... 26 A Radioelement application................................. 3.56 1.59 0.23 5.38 090 N
77761... TC A Radioelement application................................. 0.00 2.39 0.16 2.55 090 N
77762... ...... A Radioelement application................................. 5.35 5.83 0.57 11.75 090 N
77762... 26 A Radioelement application................................. 5.35 2.39 0.35 8.09 090 N
77762... TC A Radioelement application................................. 0.00 3.44 0.22 3.66 090 N
77763... ...... A Radioelement application................................. 8.01 7.86 0.77 16.64 090 N
77763... 26 A Radioelement application................................. 8.01 3.58 0.50 12.09 090 N
77763... TC A Radioelement application................................. 0.00 4.28 0.27 4.55 090 N
77776... ...... A Radioelement application................................. 4.66 4.16 0.45 9.27 XXX N
77776... 26 A Radioelement application................................. 4.66 2.09 0.31 7.06 XXX N
77776... TC A Radioelement application................................. 0.00 2.07 0.14 2.21 XXX N
77777... ...... A Radioelement application................................. 6.99 7.17 0.71 14.87 090 N
77777... 26 A Radioelement application................................. 6.99 3.13 0.45 10.57 090 N
77777... TC A Radioelement application................................. 0.00 4.04 0.26 4.30 090 N
77778... ...... A Radioelement application................................. 10.46 9.58 0.98 21.02 090 N
77778... 26 A Radioelement application................................. 10.46 4.69 0.67 15.82 090 N
77778... TC A Radioelement application................................. 0.00 4.89 0.31 5.20 090 N
77781... ...... A High intensity brachytherapy............................. 1.55 20.04 1.32 22.91 090 N
77781... 26 A High intensity brachytherapy............................. 1.55 0.69 0.11 2.35 090 N
77781... TC A High intensity brachytherapy............................. 0.00 19.35 1.21 20.56 090 N
77782... ...... A High intensity brachytherapy............................. 2.33 20.40 1.37 24.10 090 N
77782... 26 A High intensity brachytherapy............................. 2.33 1.05 0.16 3.54 090 N
77782... TC A High intensity brachytherapy............................. 0.00 19.35 1.21 20.56 090 N
77783... ...... A High intensity brachytherapy............................. 3.49 20.90 1.44 25.83 090 N
77783... 26 A High intensity brachytherapy............................. 3.49 1.55 0.23 5.27 090 N
77783... TC A High intensity brachytherapy............................. 0.00 19.35 1.21 20.56 090 N
77784... ...... A High intensity brachytherapy............................. 5.24 21.69 1.56 28.49 090 N
77784... 26 A High intensity brachytherapy............................. 5.24 2.34 0.35 7.93 090 N
77784... TC A High intensity brachytherapy............................. 0.00 19.35 1.21 20.56 090 N
77789... ...... A Radioelement application................................. 1.05 0.89 0.10 2.04 090 N
77789... 26 A Radioelement application................................. 1.05 0.46 0.07 1.58 090 N
77789... TC A Radioelement application................................. 0.00 0.43 0.03 0.46 090 N
77790... ...... A Radioelement handling.................................... 1.05 0.94 0.10 2.09 XXX N
77790... 26 A Radioelement handling.................................... 1.05 0.46 0.07 1.58 XXX N
77790... TC A Radioelement handling.................................... 0.00 0.48 0.03 0.51 XXX N
77799... ...... C Radium/radioisotope therapy.............................. 0.00 0.00 0.00 0.00 XXX N
77799... 26 C Radium/radioisotope therapy.............................. 0.00 0.00 0.00 0.00 XXX N
77799... TC C Radium/radioisotope therapy.............................. 0.00 0.00 0.00 0.00 XXX N
78000... ...... A Thyroid, single uptake................................... 0.19 1.01 0.07 1.27 XXX N
78000... 26 A Thyroid, single uptake................................... 0.19 0.09 0.01 0.29 XXX N
78000... TC A Thyroid, single uptake................................... 0.00 0.92 0.06 0.98 XXX N
78001... ...... A Thyroid, multiple uptakes................................ 0.26 1.36 0.10 1.72 XXX N
78001... 26 A Thyroid, multiple uptakes................................ 0.26 0.12 0.02 0.40 XXX N
78001... TC A Thyroid, multiple uptakes................................ 0.00 1.24 0.08 1.32 XXX N
78003... ...... A Thyroid suppress/stimul.................................. 0.33 1.07 0.08 1.48 XXX N
78003... 26 A Thyroid suppress/stimul.................................. 0.33 0.15 0.02 0.50 XXX N
78003... TC A Thyroid suppress/stimul.................................. 0.00 0.92 0.06 0.98 XXX N
78006... ...... A Thyroid, imaging with uptake............................. 0.49 2.49 0.18 3.16 XXX N
78006... 26 A Thyroid, imaging with uptake............................. 0.49 0.22 0.03 0.74 XXX N
78006... TC A Thyroid, imaging with uptake............................. 0.00 2.27 0.15 2.42 XXX N
78007... ...... A Thyroid, image, mult uptakes............................. 0.50 2.68 0.19 3.37 XXX N
78007... 26 A Thyroid, image, mult uptakes............................. 0.50 0.23 0.03 0.76 XXX N
78007... TC A Thyroid, image, mult uptakes............................. 0.00 2.45 0.16 2.61 XXX N
78010... ...... A Thyroid imaging.......................................... 0.39 1.90 0.14 2.43 XXX N
78010... 26 A Thyroid imaging.......................................... 0.39 0.17 0.03 0.59 XXX N
78010... TC A Thyroid imaging.......................................... 0.00 1.73 0.11 1.84 XXX N
78011... ...... A Thyroid imaging with flow................................ 0.45 2.50 0.18 3.13 XXX N
78011... 26 A Thyroid imaging with flow................................ 0.45 0.21 0.03 0.69 XXX N
78011... TC A Thyroid imaging with flow................................ 0.00 2.29 0.15 2.44 XXX N
78015... ...... A Thyroid met imaging...................................... 0.67 2.76 0.21 3.64 XXX N
78015... 26 A Thyroid met imaging...................................... 0.67 0.31 0.05 1.03 XXX N
78015... TC A Thyroid met imaging...................................... 0.00 2.45 0.16 2.61 XXX N
78016... ...... A Thyroid met imaging/studies.............................. 0.82 3.70 0.27 4.79 XXX N
78016... 26 A Thyroid met imaging/studies.............................. 0.82 0.38 0.06 1.26 XXX N
78016... TC A Thyroid met imaging/studies.............................. 0.00 3.32 0.21 3.53 XXX N
78017... ...... A Throid met imaging, mult................................. 0.87 3.94 0.28 5.09 XXX N
78017... 26 A Throid met imaging, mult................................. 0.87 0.39 0.06 1.32 XXX N
78017... TC A Throid met imaging, mult................................. 0.00 3.55 0.22 3.77 XXX N
78018... ...... A Thyroid, met imaging, body............................... 0.95 5.60 0.39 6.94 XXX N
78018... 26 A Thyroid, met imaging, body............................... 0.95 0.43 0.06 1.44 XXX N
78018... TC A Thyroid, met imaging, body............................... 0.00 5.17 0.33 5.50 XXX N
78070... ...... A Parathyroid nuclear imaging.............................. 0.51 1.96 0.15 2.62 XXX N
78070... 26 A Parathyroid nuclear imaging.............................. 0.51 0.23 0.04 0.78 XXX N
78070... TC A Parathyroid nuclear imaging.............................. 0.00 1.73 0.11 1.84 XXX N
78075... ...... A Adrenal nuclear imaging.................................. 0.74 5.51 0.38 6.63 XXX N
78075... 26 A Adrenal nuclear imaging.................................. 0.74 0.34 0.05 1.13 XXX N
78075... TC A Adrenal nuclear imaging.................................. 0.00 5.17 0.33 5.50 XXX N
78099... ...... C Endocrine nuclear procedure.............................. 0.00 0.00 0.00 0.00 XXX N
78099... 26 C Endocrine nuclear procedure.............................. 0.00 0.00 0.00 0.00 XXX N
78099... TC C Endocrine nuclear procedure.............................. 0.00 0.00 0.00 0.00 XXX N
78102... ...... A Bone marrow imaging, ltd................................. 0.55 2.19 0.17 2.91 XXX N
78102... 26 A Bone marrow imaging, ltd................................. 0.55 0.25 0.04 0.84 XXX N
78102... TC A Bone marrow imaging, ltd................................. 0.00 1.94 0.13 2.07 XXX N
78103... ...... A Bone marrow imaging, mult................................ 0.75 3.36 0.24 4.35 XXX N
78103... 26 A Bone marrow imaging, mult................................ 0.75 0.34 0.05 1.14 XXX N
78103... TC A Bone marrow imaging, mult................................ 0.00 3.02 0.19 3.21 XXX N
78104... ...... A Bone marrow imaging, body................................ 0.80 4.25 0.30 5.35 XXX N
78104... 26 A Bone marrow imaging, body................................ 0.80 0.37 0.05 1.22 XXX N
78104... TC A Bone marrow imaging, body................................ 0.00 3.88 0.25 4.13 XXX N
78110... ...... A Plasma volume, single.................................... 0.19 0.99 0.07 1.25 XXX N
78110... 26 A Plasma volume, single.................................... 0.19 0.09 0.01 0.29 XXX N
78110... TC A Plasma volume, single.................................... 0.00 0.90 0.06 0.96 XXX N
78111... ...... A Plasma volume, multiple.................................. 0.22 2.55 0.18 2.95 XXX N
78111... 26 A Plasma volume, multiple.................................. 0.22 0.10 0.02 0.34 XXX N
78111... TC A Plasma volume, multiple.................................. 0.00 2.45 0.16 2.61 XXX N
78120... ...... A Red cell mass, single.................................... 0.23 1.76 0.13 2.12 XXX N
78120... 26 A Red cell mass, single.................................... 0.23 0.11 0.02 0.36 XXX N
78120... TC A Red cell mass, single.................................... 0.00 1.65 0.11 1.76 XXX N
78121... ...... A Red cell mass, multiple.................................. 0.32 2.92 0.19 3.43 XXX N
78121... 26 A Red cell mass, multiple.................................. 0.32 0.15 0.02 0.49 XXX N
78121... TC A Red cell mass, multiple.................................. 0.00 2.77 0.17 2.94 XXX N
78122... ...... A Blood volume............................................. 0.45 4.59 0.31 5.35 XXX N
78122... 26 A Blood volume............................................. 0.45 0.20 0.03 0.68 XXX N
78122... TC A Blood volume............................................. 0.00 4.39 0.28 4.67 XXX N
78130... ...... A Red cell survival study.................................. 0.61 3.00 0.21 3.82 XXX N
78130... 26 A Red cell survival study.................................. 0.61 0.28 0.04 0.93 XXX N
78130... TC A Red cell survival study.................................. 0.00 2.72 0.17 2.89 XXX N
78135... ...... A Red cell survival kinetics............................... 0.64 4.93 0.34 5.91 XXX N
78135... 26 A Red cell survival kinetics............................... 0.64 0.29 0.04 0.97 XXX N
78135... TC A Red cell survival kinetics............................... 0.00 4.64 0.30 4.94 XXX N
78140... ...... A Red cell sequestration................................... 0.61 4.03 0.28 4.92 XXX N
78140... 26 A Red cell sequestration................................... 0.61 0.28 0.04 0.93 XXX N
78140... TC A Red cell sequestration................................... 0.00 3.75 0.24 3.99 XXX N
78160... ...... A Plasma iron turnover..................................... 0.33 3.64 0.24 4.21 XXX N
78160... 26 A Plasma iron turnover..................................... 0.33 0.15 0.02 0.50 XXX N
78160... TC A Plasma iron turnover..................................... 0.00 3.49 0.22 3.71 XXX N
78162... ...... A Iron absorption exam..................................... 0.45 3.25 0.22 3.92 XXX N
78162... 26 A Iron absorption exam..................................... 0.45 0.20 0.03 0.68 XXX N
78162... TC A Iron absorption exam..................................... 0.00 3.05 0.19 3.24 XXX N
78170... ...... A Red cell iron utilization................................ 0.41 5.24 0.35 6.00 XXX N
78170... 26 A Red cell iron utilization................................ 0.41 0.18 0.03 0.62 XXX N
78170... TC A Red cell iron utilization................................ 0.00 5.06 0.32 5.38 XXX N
78172... ...... C Total body iron estimation............................... 0.00 0.00 0.00 0.00 XXX N
78172... 26 A Total body iron estimation............................... 0.53 0.25 0.04 0.82 XXX N
78172... TC C Total body iron estimation............................... 0.00 0.00 0.00 0.00 XXX N
78185... ...... A Spleen imaging........................................... 0.40 2.43 0.18 3.01 XXX N
78185... 26 A Spleen imaging........................................... 0.40 0.18 0.03 0.61 XXX N
78185... TC A Spleen imaging........................................... 0.00 2.25 0.15 2.40 XXX N
78190... ...... A Platelet survival, kinetics.............................. 1.09 5.93 0.42 7.44 XXX N
78190... 26 A Platelet survival, kinetics.............................. 1.09 0.48 0.07 1.64 XXX N
78190... TC A Platelet survival, kinetics.............................. 0.00 5.45 0.35 5.80 XXX N
78191... ...... A Platelet survival........................................ 0.61 7.27 0.48 8.36 XXX N
78191... 26 A Platelet survival........................................ 0.61 0.28 0.04 0.93 XXX N
78191... TC A Platelet survival........................................ 0.00 6.99 0.44 7.43 XXX N
78195... ...... A Lymph system imaging..................................... 0.70 4.20 0.30 5.20 XXX N
78195... 26 A Lymph system imaging..................................... 0.70 0.32 0.05 1.07 XXX N
78195... TC A Lymph system imaging..................................... 0.00 3.88 0.25 4.13 XXX N
78199... ...... C Blood/lymph nuclear exam................................. 0.00 0.00 0.00 0.00 XXX N
78199... 26 C Blood/lymph nuclear exam................................. 0.00 0.00 0.00 0.00 XXX N
78199... TC C Blood/lymph nuclear exam................................. 0.00 0.00 0.00 0.00 XXX N
78201... ...... A Liver imaging............................................ 0.44 2.44 0.18 3.06 XXX N
78201... 26 A Liver imaging............................................ 0.44 0.19 0.03 0.66 XXX N
78201... TC A Liver imaging............................................ 0.00 2.25 0.15 2.40 XXX N
78202... ...... A Liver imaging with flow.................................. 0.51 2.98 0.21 3.70 XXX N
78202... 26 A Liver imaging with flow.................................. 0.51 0.23 0.04 0.78 XXX N
78202... TC A Liver imaging with flow.................................. 0.00 2.75 0.17 2.92 XXX N
78205... ...... A Liver imaging (3D)....................................... 0.71 5.96 0.41 7.08 XXX N
78205... 26 A Liver imaging (3D)....................................... 0.71 0.33 0.05 1.09 XXX N
78205... TC A Liver imaging (3D)....................................... 0.00 5.63 0.36 5.99 XXX N
78215... ...... A Liver and spleen imaging................................. 0.49 3.02 0.20 3.71 XXX N
78215... 26 A Liver and spleen imaging................................. 0.49 0.22 0.03 0.74 XXX N
78215... TC A Liver and spleen imaging................................. 0.00 2.80 0.17 2.97 XXX N
78216... ...... A Liver & spleen image, flow............................... 0.57 3.58 0.25 4.40 XXX N
78216... 26 A Liver & spleen image, flow............................... 0.57 0.26 0.04 0.87 XXX N
78216... TC A Liver & spleen image, flow............................... 0.00 3.32 0.21 3.53 XXX N
78220... ...... A Liver function study..................................... 0.49 3.77 0.25 4.51 XXX N
78220... 26 A Liver function study..................................... 0.49 0.22 0.03 0.74 XXX N
78220... TC A Liver function study..................................... 0.00 3.55 0.22 3.77 XXX N
78223... ...... A Hepatobiliary imaging.................................... 0.84 3.87 0.28 4.99 XXX N
78223... 26 A Hepatobiliary imaging.................................... 0.84 0.38 0.06 1.28 XXX N
78223... TC A Hepatobiliary imaging.................................... 0.00 3.49 0.22 3.71 XXX N
78230... ...... A Salivary gland imaging................................... 0.45 2.28 0.17 2.90 XXX N
78230... 26 A Salivary gland imaging................................... 0.45 0.21 0.03 0.69 XXX N
78230... TC A Salivary gland imaging................................... 0.00 2.07 0.14 2.21 XXX N
78231... ...... A Serial salivary imaging.................................. 0.52 3.26 0.23 4.01 XXX N
78231... 26 A Serial salivary imaging.................................. 0.52 0.24 0.04 0.80 XXX N
78231... TC A Serial salivary imaging.................................. 0.00 3.02 0.19 3.21 XXX N
78232... ...... A Salivary gland function exam............................. 0.47 3.59 0.24 4.30 XXX N
78232... 26 A Salivary gland function exam............................. 0.47 0.22 0.03 0.72 XXX N
78232... TC A Salivary gland function exam............................. 0.00 3.37 0.21 3.58 XXX N
78258... ...... A Esophageal motility study................................ 0.74 3.09 0.22 4.05 XXX N
78258... 26 A Esophageal motility study................................ 0.74 0.34 0.05 1.13 XXX N
78258... TC A Esophageal motility study................................ 0.00 2.75 0.17 2.92 XXX N
78261... ...... A Gastric mucosa imaging................................... 0.69 4.23 0.30 5.22 XXX N
78261... 26 A Gastric mucosa imaging................................... 0.69 0.32 0.05 1.06 XXX N
78261... TC A Gastric mucosa imaging................................... 0.00 3.91 0.25 4.16 XXX N
78262... ...... A Gastroesophageal reflux exam............................. 0.68 4.36 0.31 5.35 XXX N
78262... 26 A Gastroesophageal reflux exam............................. 0.68 0.31 0.05 1.04 XXX N
78262... TC A Gastroesophageal reflux exam............................. 0.00 4.05 0.26 4.31 XXX N
78264... ...... A Gastric emptying study................................... 0.78 4.29 0.30 5.37 XXX N
78264... 26 A Gastric emptying study................................... 0.78 0.36 0.05 1.19 XXX N
78264... TC A Gastric emptying study................................... 0.00 3.93 0.25 4.18 XXX N
78270... ...... A Vit B-12 absorption exam................................. 0.20 1.57 0.11 1.88 XXX N
78270... 26 A Vit B-12 absorption exam................................. 0.20 0.10 0.01 0.31 XXX N
78270... TC A Vit B-12 absorption exam................................. 0.00 1.47 0.10 1.57 XXX N
78271... ...... A Vit B-12 absorp exam, IF................................. 0.20 1.67 0.11 1.98 XXX N
78271... 26 A Vit B-12 absorp exam, IF................................. 0.20 0.10 0.01 0.31 XXX N
78271... TC A Vit B-12 absorp exam, IF................................. 0.00 1.57 0.10 1.67 XXX N
78272... ...... A Vit B-12 absorp, combined................................ 0.27 2.34 0.17 2.78 XXX N
78272... 26 A Vit B-12 absorp, combined................................ 0.27 0.13 0.02 0.42 XXX N
78272... TC A Vit B-12 absorp, combined................................ 0.00 2.21 0.15 2.36 XXX N
78278... ...... A Acute GI blood loss imaging.............................. 0.99 5.09 0.37 6.45 XXX N
78278... 26 A Acute GI blood loss imaging.............................. 0.99 0.45 0.07 1.51 XXX N
78278... TC A Acute GI blood loss imaging.............................. 0.00 4.64 0.30 4.94 XXX N
78282... ...... C GI protein loss exam..................................... 0.00 0.00 0.00 0.00 XXX N
78282... 26 A GI protein loss exam..................................... 0.38 0.17 0.03 0.58 XXX N
78282... TC C GI protein loss exam..................................... 0.00 0.00 0.00 0.00 XXX N
78290... ...... A Meckel's divert exam..................................... 0.68 3.21 0.23 4.12 XXX N
78290... 26 A Meckel's divert exam..................................... 0.68 0.31 0.05 1.04 XXX N
78290... TC A Meckel's divert exam..................................... 0.00 2.90 0.18 3.08 XXX N
78291... ...... A Leveen/shunt patency exam................................ 0.88 3.31 0.24 4.43 XXX N
78291... 26 A Leveen/shunt patency exam................................ 0.88 0.39 0.06 1.33 XXX N
78291... TC A Leveen/shunt patency exam................................ 0.00 2.92 0.18 3.10 XXX N
78299... ...... C GI nuclear procedure..................................... 0.00 0.00 0.00 0.00 XXX N
78299... 26 C GI nuclear procedure..................................... 0.00 0.00 0.00 0.00 XXX N
78299... TC C GI nuclear procedure..................................... 0.00 0.00 0.00 0.00 XXX N
78300... ...... A Bone imaging, limited area............................... 0.62 2.66 0.20 3.48 XXX N
78300... 26 A Bone imaging, limited area............................... 0.62 0.29 0.04 0.95 XXX N
78300... TC A Bone imaging, limited area............................... 0.00 2.37 0.16 2.53 XXX N
78305... ...... A Bone imaging, multiple areas............................. 0.83 3.87 0.28 4.98 XXX N
78305... 26 A Bone imaging, multiple areas............................. 0.83 0.38 0.06 1.27 XXX N
78305... TC A Bone imaging, multiple areas............................. 0.00 3.49 0.22 3.71 XXX N
78306... ...... A Bone imaging, whole body................................. 0.86 4.46 0.32 5.64 XXX N
78306... 26 A Bone imaging, whole body................................. 0.86 0.39 0.06 1.31 XXX N
78306... TC A Bone imaging, whole body................................. 0.00 4.07 0.26 4.33 XXX N
78315... ...... A Bone imaging, 3 phase.................................... 1.02 5.00 0.36 6.38 XXX N
78315... 26 A Bone imaging, 3 phase.................................... 1.02 0.45 0.07 1.54 XXX N
78315... TC A Bone imaging, 3 phase.................................... 0.00 4.55 0.29 4.84 XXX N
78320... ...... A Bone imaging (3D)........................................ 1.04 6.09 0.43 7.56 XXX N
78320... 26 A Bone imaging (3D)........................................ 1.04 0.46 0.07 1.57 XXX N
78320... TC A Bone imaging (3D)........................................ 0.00 5.63 0.36 5.99 XXX N
78350... ...... A Bone mineral, single photon.............................. 0.22 0.82 0.07 1.11 XXX N
78350... 26 A Bone mineral, single photon.............................. 0.22 0.10 0.02 0.34 XXX N
78350... TC A Bone mineral, single photon.............................. 0.00 0.72 0.05 0.77 XXX N
78351... ...... N Bone mineral, dual photon................................ #0.30 0.19 0.02 0.51 XXX O
78399... ...... C Musculoskeletal nuclear exam............................. 0.00 0.00 0.00 0.00 XXX N
78399... 26 C Musculoskeletal nuclear exam............................. 0.00 0.00 0.00 0.00 XXX N
78399... TC C Musculoskeletal nuclear exam............................. 0.00 0.00 0.00 0.00 XXX N
78414... ...... C Non-imaging heart function............................... 0.00 0.00 0.00 0.00 XXX N
78414... 26 A Non-imaging heart function............................... 0.45 0.20 0.03 0.68 XXX N
78414... TC C Non-imaging heart function............................... 0.00 0.00 0.00 0.00 XXX N
78428... ...... A Cardiac shunt imaging.................................... 0.78 2.51 0.19 3.48 XXX N
78428... 26 A Cardiac shunt imaging.................................... 0.78 0.36 0.05 1.19 XXX N
78428... TC A Cardiac shunt imaging.................................... 0.00 2.15 0.14 2.29 XXX N
78445... ...... A Vascular flow imaging.................................... 0.49 2.01 0.15 2.65 XXX N
78445... 26 A Vascular flow imaging.................................... 0.49 0.24 0.04 0.77 XXX N
78445... TC A Vascular flow imaging.................................... 0.00 1.77 0.11 1.88 XXX N
78455... ...... A Venous thrombosis study.................................. 0.73 4.13 0.29 5.15 XXX N
78455... 26 A Venous thrombosis study.................................. 0.73 0.33 0.05 1.11 XXX N
78455... TC A Venous thrombosis study.................................. 0.00 3.80 0.24 4.04 XXX N
78457... ...... A Venous thrombosis imaging................................ 0.77 2.88 0.22 3.87 XXX N
78457... 26 A Venous thrombosis imaging................................ 0.77 0.35 0.05 1.17 XXX N
78457... TC A Venous thrombosis imaging................................ 0.00 2.53 0.17 2.70 XXX N
78458... ...... A Ven thrombosis images, bilat............................. 0.90 4.23 0.30 5.43 XXX N
78458... 26 A Ven thrombosis images, bilat............................. 0.90 0.40 0.06 1.36 XXX N
78458... TC A Ven thrombosis images, bilat............................. 0.00 3.83 0.24 4.07 XXX N
78460... ...... A Heart muscle blood single................................ 0.86 2.64 0.21 3.71 XXX N
78460... 26 A Heart muscle blood single................................ 0.86 0.39 0.06 1.31 XXX N
78460... TC A Heart muscle blood single................................ 0.00 2.25 0.15 2.40 XXX N
78461... ...... A Heart muscle blood multiple.............................. 1.23 5.04 0.37 6.64 XXX N
78461... 26 A Heart muscle blood multiple.............................. 1.23 0.54 0.08 1.85 XXX N
78461... TC A Heart muscle blood multiple.............................. 0.00 4.50 0.29 4.79 XXX N
78464... ...... A Heart image (3D) single.................................. 1.09 7.22 0.50 8.81 XXX N
78464... 26 A Heart image (3D) single.................................. 1.09 0.48 0.07 1.64 XXX N
78464... TC A Heart image (3D) single.................................. 0.00 6.74 0.43 7.17 XXX N
78465... ...... A Heart image (3D) multiple................................ 1.46 11.89 0.80 14.15 XXX N
78465... 26 A Heart image (3D) multiple................................ 1.46 0.65 0.10 2.21 XXX N
78465... TC A Heart image (3D) multiple................................ 0.00 11.24 0.70 11.94 XXX N
78466... ...... A Heart infarct image...................................... 0.69 2.82 0.22 3.73 XXX N
78466... 26 A Heart infarct image...................................... 0.69 0.32 0.05 1.06 XXX N
78466... TC A Heart infarct image...................................... 0.00 2.50 0.17 2.67 XXX N
78468... ...... A Heart infarct image, EF.................................. 0.80 3.85 0.27 4.92 XXX N
78468... 26 A Heart infarct image, EF.................................. 0.80 0.36 0.05 1.21 XXX N
78468... TC A Heart infarct image, EF.................................. 0.00 3.49 0.22 3.71 XXX N
78469... ...... A Heart infarct image (3D)................................. 0.92 5.39 0.38 6.69 XXX N
78469... 26 A Heart infarct image (3D)................................. 0.92 0.41 0.06 1.39 XXX N
78469... TC A Heart infarct image (3D)................................. 0.00 4.98 0.32 5.30 XXX N
78472... ...... A Gated heart, resting..................................... 0.98 5.69 0.41 7.08 XXX N
78472... 26 A Gated heart, resting..................................... 0.98 0.44 0.07 1.49 XXX N
78472... TC A Gated heart, resting..................................... 0.00 5.25 0.34 5.59 XXX N
78473... ...... A Gated heart, multiple.................................... 1.47 8.52 0.59 10.58 XXX N
78473... 26 A Gated heart, multiple.................................... 1.47 0.65 0.10 2.22 XXX N
78473... TC A Gated heart, multiple.................................... 0.00 7.87 0.49 8.36 XXX N
78478... ...... A Heart wall motion (add-on)............................... 0.62 1.76 0.14 2.52 XXX N
78478... 26 A Heart wall motion (add-on)............................... 0.62 0.28 0.04 0.94 XXX N
78478... TC A Heart wall motion (add-on)............................... 0.00 1.48 0.10 1.58 XXX N
78480... ...... A Heart function, (add-on)................................. 0.62 1.76 0.14 2.52 XXX N
78480... 26 A Heart function, (add-on)................................. 0.62 0.28 0.04 0.94 XXX N
78480... TC A Heart function, (add-on)................................. 0.00 1.48 0.10 1.58 XXX N
78481... ...... A Heart first pass single.................................. 0.98 5.42 0.39 6.79 XXX N
78481... 26 A Heart first pass single.................................. 0.98 0.44 0.07 1.49 XXX N
78481... TC A Heart first pass single.................................. 0.00 4.98 0.32 5.30 XXX N
78483... ...... A Heart first pass multiple................................ 1.47 8.15 0.57 10.19 XXX N
78483... 26 A Heart first pass multiple................................ 1.47 0.65 0.10 2.22 XXX N
78483... TC A Heart first pass multiple................................ 0.00 7.50 0.47 7.97 XXX N
78499... ...... C Cardiovascular nuclear exam.............................. 0.00 0.00 0.00 0.00 XXX N
78499... 26 C Cardiovascular nuclear exam.............................. 0.00 0.00 0.00 0.00 XXX N
78499... TC C Cardiovascular nuclear exam.............................. 0.00 0.00 0.00 0.00 XXX N
78580... ...... A Lung perfusion imaging................................... 0.74 3.61 0.26 4.61 XXX N
78580... 26 A Lung perfusion imaging................................... 0.74 0.34 0.05 1.13 XXX N
78580... TC A Lung perfusion imaging................................... 0.00 3.27 0.21 3.48 XXX N
78584... ...... A Lung V/Q image single breath............................. 0.99 3.50 0.26 4.75 XXX N
78584... 26 A Lung V/Q image single breath............................. 0.99 0.45 0.07 1.51 XXX N
78584... TC A Lung V/Q image single breath............................. 0.00 3.05 0.19 3.24 XXX N
78585... ...... A Lung V/Q imaging......................................... 1.09 5.85 0.41 7.35 XXX N
78585... 26 A Lung V/Q imaging......................................... 1.09 0.48 0.07 1.64 XXX N
78585... TC A Lung V/Q imaging......................................... 0.00 5.37 0.34 5.71 XXX N
78586... ...... A Aerosol lung image, single............................... 0.40 2.65 0.19 3.24 XXX N
78586... 26 A Aerosol lung image, single............................... 0.40 0.18 0.03 0.61 XXX N
78586... TC A Aerosol lung image, single............................... 0.00 2.47 0.16 2.63 XXX N
78587... ...... A Aerosol lung image, multiple............................. 0.49 2.89 0.20 3.58 XXX N
78587... 26 A Aerosol lung image, multiple............................. 0.49 0.22 0.03 0.74 XXX N
78587... TC A Aerosol lung image, multiple............................. 0.00 2.67 0.17 2.84 XXX N
78591... ...... A Vent image, 1 breath, 1 proj............................. 0.40 2.90 0.20 3.50 XXX N
78591... 26 A Vent image, 1 breath, 1 proj............................. 0.40 0.18 0.03 0.61 XXX N
78591... TC A Vent image, 1 breath, 1 proj............................. 0.00 2.72 0.17 2.89 XXX N
78593... ...... A Vent image, 1 proj, gas.................................. 0.49 3.51 0.24 4.24 XXX N
78593... 26 A Vent image, 1 proj, gas.................................. 0.49 0.22 0.03 0.74 XXX N
78593... TC A Vent image, 1 proj, gas.................................. 0.00 3.29 0.21 3.50 XXX N
78594... ...... A Vent image, mult proj, gas............................... 0.53 5.00 0.34 5.87 XXX N
78594... 26 A Vent image, mult proj, gas............................... 0.53 0.25 0.04 0.82 XXX N
78594... TC A Vent image, mult proj, gas............................... 0.00 4.75 0.30 5.05 XXX N
78596... ...... A Lung differential function............................... 1.27 7.30 0.52 9.09 XXX N
78596... 26 A Lung differential function............................... 1.27 0.56 0.09 1.92 XXX N
78596... TC A Lung differential function............................... 0.00 6.74 0.43 7.17 XXX N
78599... ...... C Respiratory nuclear exam................................. 0.00 0.00 0.00 0.00 XXX N
78599... 26 C Respiratory nuclear exam................................. 0.00 0.00 0.00 0.00 XXX N
78599... TC C Respiratory nuclear exam................................. 0.00 0.00 0.00 0.00 XXX N
78600... ...... A Brain imaging, ltd static................................ 0.44 2.95 0.20 3.59 XXX N
78600... 26 A Brain imaging, ltd static................................ 0.44 0.20 0.03 0.67 XXX N
78600... TC A Brain imaging, ltd static................................ 0.00 2.75 0.17 2.92 XXX N
78601... ...... A Brain ltd imaging & flow................................. 0.51 3.48 0.24 4.23 XXX N
78601... 26 A Brain ltd imaging & flow................................. 0.51 0.24 0.04 0.79 XXX N
78601... TC A Brain ltd imaging & flow................................. 0.00 3.24 0.20 3.44 XXX N
78605... ...... A Brain imaging, complete.................................. 0.53 3.49 0.24 4.26 XXX N
78605... 26 A Brain imaging, complete.................................. 0.53 0.25 0.04 0.82 XXX N
78605... TC A Brain imaging, complete.................................. 0.00 3.24 0.20 3.44 XXX N
78606... ...... A Brain imaging comp & flow................................ 0.64 3.98 0.27 4.89 XXX N
78606... 26 A Brain imaging comp & flow................................ 0.64 0.29 0.04 0.97 XXX N
78606... TC A Brain imaging comp & flow................................ 0.00 3.69 0.23 3.92 XXX N
78607... ...... A Brain imaging (3D)....................................... 1.23 6.79 0.47 8.49 XXX N
78607... 26 A Brain imaging (3D)....................................... 1.23 0.54 0.08 1.85 XXX N
78607... TC A Brain imaging (3D)....................................... 0.00 6.25 0.39 6.64 XXX N
78608... ...... N Brain imaging (PET)...................................... 0.00 0.00 0.00 0.00 XXX O
78609... ...... N Brain imaging (PET)...................................... 0.00 0.00 0.00 0.00 XXX O
78610... ...... A Brain flow imaging only.................................. 0.30 1.64 0.12 2.06 XXX N
78610... 26 A Brain flow imaging only.................................. 0.30 0.14 0.02 0.46 XXX N
78610... TC A Brain flow imaging only.................................. 0.00 1.50 0.10 1.60 XXX N
78615... ...... A Cerebral blood flow imaging.............................. 0.42 3.86 0.26 4.54 XXX N
78615... 26 A Cerebral blood flow imaging.............................. 0.42 0.19 0.03 0.64 XXX N
78615... TC A Cerebral blood flow imaging.............................. 0.00 3.67 0.23 3.90 XXX N
78630... ...... A Cerebrospinal fluid scan................................. 0.68 5.11 0.36 6.15 XXX N
78630... 26 A Cerebrospinal fluid scan................................. 0.68 0.31 0.05 1.04 XXX N
78630... TC A Cerebrospinal fluid scan................................. 0.00 4.80 0.31 5.11 XXX N
78635... ...... A CSF ventriculography..................................... 0.61 2.70 0.20 3.51 XXX N
78635... 26 A CSF ventriculography..................................... 0.61 0.28 0.04 0.93 XXX N
78635... TC A CSF ventriculography..................................... 0.00 2.42 0.16 2.58 XXX N
78645... ...... A CSF shunt evaluation..................................... 0.57 3.53 0.25 4.35 XXX N
78645... 26 A CSF shunt evaluation..................................... 0.57 0.26 0.04 0.87 XXX N
78645... TC A CSF shunt evaluation..................................... 0.00 3.27 0.21 3.48 XXX N
78647... ...... A Cerebrospinal fluid scan................................. 0.90 6.04 0.42 7.36 XXX N
78647... 26 A Cerebrospinal fluid scan................................. 0.90 0.41 0.06 1.37 XXX N
78647... TC A Cerebrospinal fluid scan................................. 0.00 5.63 0.36 5.99 XXX N
78650... ...... A CSF leakage imaging...................................... 0.61 4.70 0.32 5.63 XXX N
78650... 26 A CSF leakage imaging...................................... 0.61 0.28 0.04 0.93 XXX N
78650... TC A CSF leakage imaging...................................... 0.00 4.42 0.28 4.70 XXX N
78652... ...... D Cerebrospinal fluid scan (3D)............................ 0.00 0.00 0.00 0.00 XXX N
78652... 26 D Cerebrospinal fluid scan (3D)............................ 0.00 0.00 0.00 0.00 XXX N
78652... TC D Cerebrospinal fluid scan (3D)............................ 0.00 0.00 0.00 0.00 XXX N
78655... ...... A Nuclear exam of eye lesion............................... 0.56 5.01 0.34 5.91 XXX N
78655... 26 A Nuclear exam of eye lesion............................... 0.56 0.26 0.04 0.86 XXX N
78655... TC A Nuclear exam of eye lesion............................... 0.00 4.75 0.30 5.05 XXX N
78660... ...... A Nuclear exam of tear flow................................ 0.53 2.27 0.17 2.97 XXX N
78660... 26 A Nuclear exam of tear flow................................ 0.53 0.25 0.04 0.82 XXX N
78660... TC A Nuclear exam of tear flow................................ 0.00 2.02 0.13 2.15 XXX N
78699... ...... C Nervous system nuclear exam.............................. 0.00 0.00 0.00 0.00 XXX N
78699... 26 C Nervous system nuclear exam.............................. 0.00 0.00 0.00 0.00 XXX N
78699... TC C Nervous system nuclear exam.............................. 0.00 0.00 0.00 0.00 XXX N
78700... ...... A Kidney imaging, static................................... 0.45 3.10 0.21 3.76 XXX N
78700... 26 A Kidney imaging, static................................... 0.45 0.20 0.03 0.68 XXX N
78700... TC A Kidney imaging, static................................... 0.00 2.90 0.18 3.08 XXX N
78701... ...... A Kidney imaging with flow................................. 0.49 3.61 0.24 4.34 XXX N
78701... 26 A Kidney imaging with flow................................. 0.49 0.22 0.03 0.74 XXX N
78701... TC A Kidney imaging with flow................................. 0.00 3.39 0.21 3.60 XXX N
78704... ...... A Imaging renogram......................................... 0.74 4.11 0.29 5.14 XXX N
78704... 26 A Imaging renogram......................................... 0.74 0.34 0.05 1.13 XXX N
78704... TC A Imaging renogram......................................... 0.00 3.77 0.24 4.01 XXX N
78707... ...... A Kidney flow & function image............................. 0.94 4.68 0.33 5.95 XXX N
78707... 26 A Kidney flow & function image............................. 0.94 0.42 0.06 1.42 XXX N
78707... TC A Kidney flow & function image............................. 0.00 4.26 0.27 4.53 XXX N
78710... ...... A Kidney imaging (3D)...................................... 0.66 5.93 0.41 7.00 XXX N
78710... 26 A Kidney imaging (3D)...................................... 0.66 0.30 0.05 1.01 XXX N
78710... TC A Kidney imaging (3D)...................................... 0.00 5.63 0.36 5.99 XXX N
78715... ...... A Renal vascular flow exam................................. 0.30 1.64 0.12 2.06 XXX N
78715... 26 A Renal vascular flow exam................................. 0.30 0.14 0.02 0.46 XXX N
78715... TC A Renal vascular flow exam................................. 0.00 1.50 0.10 1.60 XXX N
78725... ...... A Kidney function study.................................... 0.38 1.87 0.14 2.39 XXX N
78725... 26 A Kidney function study.................................... 0.38 0.17 0.03 0.58 XXX N
78725... TC A Kidney function study.................................... 0.00 1.70 0.11 1.81 XXX N
78726... ...... A Kidney function w/intervent.............................. 0.87 3.21 0.24 4.32 XXX N
78726... 26 A Kidney function w/intervent.............................. 0.87 0.39 0.06 1.32 XXX N
78726... TC A Kidney function w/intervent.............................. 0.00 2.82 0.18 3.00 XXX N
78727... ...... A Kidney transplant evaluation............................. 0.99 4.25 0.31 5.55 XXX N
78727... 26 A Kidney transplant evaluation............................. 0.99 0.45 0.07 1.51 XXX N
78727... TC A Kidney transplant evaluation............................. 0.00 3.80 0.24 4.04 XXX N
78730... ...... A Urinary bladder retention................................ 0.36 1.55 0.11 2.02 XXX N
78730... 26 A Urinary bladder retention................................ 0.36 0.16 0.02 0.54 XXX N
78730... TC A Urinary bladder retention................................ 0.00 1.39 0.09 1.48 XXX N
78740... ...... A Ureteral reflux study.................................... 0.57 2.28 0.17 3.02 XXX N
78740... 26 A Ureteral reflux study.................................... 0.57 0.26 0.04 0.87 XXX N
78740... TC A Ureteral reflux study.................................... 0.00 2.02 0.13 2.15 XXX N
78760... ...... A Testicular imaging....................................... 0.66 2.85 0.21 3.72 XXX N
78760... 26 A Testicular imaging....................................... 0.66 0.30 0.04 1.00 XXX N
78760... TC A Testicular imaging....................................... 0.00 2.55 0.17 2.72 XXX N
78761... ...... A Testicular imaging & flow................................ 0.71 3.38 0.24 4.33 XXX N
78761... 26 A Testicular imaging & flow................................ 0.71 0.33 0.05 1.09 XXX N
78761... TC A Testicular imaging & flow................................ 0.00 3.05 0.19 3.24 XXX N
78799... ...... C Genitourinary nuclear exam............................... 0.00 0.00 0.00 0.00 XXX N
78799... 26 C Genitourinary nuclear exam............................... 0.00 0.00 0.00 0.00 XXX N
78799... TC C Genitourinary nuclear exam............................... 0.00 0.00 0.00 0.00 XXX N
78800... ...... A Tumor imaging, limited area.............................. 0.65 3.54 0.24 4.43 XXX N
78800... 26 A Tumor imaging, limited area.............................. 0.65 0.30 0.04 0.99 XXX N
78800... TC A Tumor imaging, limited area.............................. 0.00 3.24 0.20 3.44 XXX N
78801... ...... A Tumor imaging, mult areas................................ 0.79 4.39 0.31 5.49 XXX N
78801... 26 A Tumor imaging, mult areas................................ 0.79 0.36 0.05 1.20 XXX N
78801... TC A Tumor imaging, mult areas................................ 0.00 4.03 0.26 4.29 XXX N
78802... ...... A Tumor imaging, whole body................................ 0.86 5.66 0.40 6.92 XXX N
78802... 26 A Tumor imaging, whole body................................ 0.86 0.39 0.06 1.31 XXX N
78802... TC A Tumor imaging, whole body................................ 0.00 5.27 0.34 5.61 XXX N
78803... ...... A Tumor imaging (3D)....................................... 1.09 6.73 0.46 8.28 XXX N
78803... 26 A Tumor imaging (3D)....................................... 1.09 0.48 0.07 1.64 XXX N
78803... TC A Tumor imaging (3D)....................................... 0.00 6.25 0.39 6.64 XXX N
78805... ...... A Abscess imaging, ltd area................................ 0.73 3.57 0.25 4.55 XXX N
78805... 26 A Abscess imaging, ltd area................................ 0.73 0.33 0.05 1.11 XXX N
78805... TC A Abscess imaging, ltd area................................ 0.00 3.24 0.20 3.44 XXX N
78806... ...... A Abscess imaging, whole body.............................. 0.73 6.51 0.45 7.69 XXX N
78806... 26 A Abscess imaging, whole body.............................. 0.73 0.38 0.06 1.17 XXX N
78806... TC A Abscess imaging, whole body.............................. 0.00 6.13 0.39 6.52 XXX N
78807... ...... A Nuclear localization/abscess............................. 1.09 6.73 0.46 8.28 XXX N
78807... 26 A Nuclear localization/abscess............................. 1.09 0.48 0.07 1.64 XXX N
78807... TC A Nuclear localization/abscess............................. 0.00 6.25 0.39 6.64 XXX N
78890... ...... B Nuclear medicine data proc............................... #0.05 1.26 0.08 1.39 XXX O
78890... 26 B Nuclear medicine data proc............................... #0.05 0.02 0.00 0.07 XXX O
78890... TC B Nuclear medicine data proc............................... 0.00 1.24 0.08 1.32 XXX O
78891... ...... B Nuclear med data proc.................................... #0.10 2.55 0.18 2.83 XXX O
78891... 26 B Nuclear med data proc.................................... #0.10 0.05 0.01 0.16 XXX O
78891... TC B Nuclear med data proc.................................... 0.00 2.50 0.17 2.67 XXX O
78990... ...... G Provide diag radionuclide(s)............................. 0.00 0.00 0.00 0.00 XXX O
78999... ...... C Nuclear diagnostic exam.................................. 0.00 0.00 0.00 0.00 XXX N
78999... 26 C Nuclear diagnostic exam.................................. 0.00 0.00 0.00 0.00 XXX N
78999... TC C Nuclear diagnostic exam.................................. 0.00 0.00 0.00 0.00 XXX N
79000... ...... A Intial hyperthyroid therapy.............................. 1.80 3.31 0.29 5.40 XXX N
79000... 26 A Intial hyperthyroid therapy.............................. 1.80 0.81 0.12 2.73 XXX N
79000... TC A Intial hyperthyroid therapy.............................. 0.00 2.50 0.17 2.67 XXX N
79001... ...... A Repeat hyperthyroid therapy.............................. 1.05 1.70 0.15 2.90 XXX N
79001... 26 A Repeat hyperthyroid therapy.............................. 1.05 0.46 0.07 1.58 XXX N
79001... TC A Repeat hyperthyroid therapy.............................. 0.00 1.24 0.08 1.32 XXX N
79020... ...... A Thyroid ablation......................................... 1.81 3.31 0.29 5.41 XXX N
79020... 26 A Thyroid ablation......................................... 1.81 0.81 0.12 2.74 XXX N
79020... TC A Thyroid ablation......................................... 0.00 2.50 0.17 2.67 XXX N
79030... ...... A Thyroid ablation, carcinoma.............................. 2.10 3.44 0.31 5.85 XXX N
79030... 26 A Thyroid ablation, carcinoma.............................. 2.10 0.94 0.14 3.18 XXX N
79030... TC A Thyroid ablation, carcinoma.............................. 0.00 2.50 0.17 2.67 XXX N
79035... ...... A Thyroid metastatic therapy............................... 2.52 3.63 0.34 6.49 XXX N
79035... 26 A Thyroid metastatic therapy............................... 2.52 1.13 0.17 3.82 XXX N
79035... TC A Thyroid metastatic therapy............................... 0.00 2.50 0.17 2.67 XXX N
79100... ...... A Hematopoetic nuclear therapy............................. 1.32 3.08 0.26 4.66 XXX N
79100... 26 A Hematopoetic nuclear therapy............................. 1.32 0.58 0.09 1.99 XXX N
79100... TC A Hematopoetic nuclear therapy............................. 0.00 2.50 0.17 2.67 XXX N
79200... ...... A Intracavitary nuc treatment.............................. 1.99 3.39 0.31 5.69 XXX N
79200... 26 A Intracavitary nuc treatment.............................. 1.99 0.89 0.14 3.02 XXX N
79200... TC A Intracavitary nuc treatment.............................. 0.00 2.50 0.17 2.67 XXX N
79300... ...... C Interstitial nuclear therapy............................. 0.00 0.00 0.00 0.00 XXX N
79300... 26 A Interstitial nuclear therapy............................. 1.60 0.71 0.11 2.42 XXX N
79300... TC C Interstitial nuclear therapy............................. 0.00 0.00 0.00 0.00 XXX N
79400... ...... A Nonhemato nuclear therapy................................ 1.96 3.37 0.30 5.63 XXX N
79400... 26 A Nonhemato nuclear therapy................................ 1.96 0.87 0.13 2.96 XXX N
79400... TC A Nonhemato nuclear therapy................................ 0.00 2.50 0.17 2.67 XXX N
79420... ...... C Intravascular nuc therapy................................ 0.00 0.00 0.00 0.00 XXX N
79420... 26 A Intravascular nuc therapy................................ 1.51 0.67 0.10 2.28 XXX N
79420... TC C Intravascular nuc therapy................................ 0.00 0.00 0.00 0.00 XXX N
79440... ...... A Nuclear joint therapy.................................... 1.99 3.39 0.31 5.69 XXX N
79440... 26 A Nuclear joint therapy.................................... 1.99 0.89 0.14 3.02 XXX N
79440... TC A Nuclear joint therapy.................................... 0.00 2.50 0.17 2.67 XXX N
79900... ...... C Provide ther radiopharm(s)............................... 0.00 0.00 0.00 0.00 XXX N
79999... ...... C Nuclear medicine therapy................................. 0.00 0.00 0.00 0.00 XXX N
79999... 26 C Nuclear medicine therapy................................. 0.00 0.00 0.00 0.00 XXX N
79999... TC C Nuclear medicine therapy................................. 0.00 0.00 0.00 0.00 XXX N
80002... ...... X 1-2 clinical chem tests.................................. 0.00 0.00 0.00 0.00 XXX O
80003... ...... X 3 clinical chemistry tests............................... 0.00 0.00 0.00 0.00 XXX O
80004... ...... X 4 clinical chemistry tests............................... 0.00 0.00 0.00 0.00 XXX O
80005... ...... X 5 clinical chemistry tests............................... 0.00 0.00 0.00 0.00 XXX O
80006... ...... X 6 clinical chemistry tests............................... 0.00 0.00 0.00 0.00 XXX O
80007... ...... X 7 clinical chemistry tests............................... 0.00 0.00 0.00 0.00 XXX O
80008... ...... X 8 clinical chemistry tests............................... 0.00 0.00 0.00 0.00 XXX O
80009... ...... X 9 clinical chemistry tests............................... 0.00 0.00 0.00 0.00 XXX O
80010... ...... X 10 clinical chemistry tests.............................. 0.00 0.00 0.00 0.00 XXX O
80011... ...... X 11 clinical chemistry tests.............................. 0.00 0.00 0.00 0.00 XXX O
80012... ...... X 12 clinical chemistry tests.............................. 0.00 0.00 0.00 0.00 XXX 0
80016... ...... X 13-16 blood/urine tests.................................. 0.00 0.00 0.00 0.00 XXX O
80018... ...... X 17-18 blood/urine tests.................................. 0.00 0.00 0.00 0.00 XXX O
80019... ...... X 19 or more blood/urine tests............................. 0.00 0.00 0.00 0.00 XXX O
80050... ...... X General health panel..................................... 0.00 0.00 0.00 0.00 XXX O
80055... ...... X Obstetric panel.......................................... 0.00 0.00 0.00 0.00 XXX O
80058... ...... X Hepatic function panel................................... 0.00 0.00 0.00 0.00 XXX O
80059... ...... X Hepatitis panel.......................................... 0.00 0.00 0.00 0.00 XXX O
80061... ...... X Lipid panel.............................................. 0.00 0.00 0.00 0.00 XXX O
80072... ...... X Arthritis panel.......................................... 0.00 0.00 0.00 0.00 XXX O
80090... ...... X Torch antibody panel..................................... 0.00 0.00 0.00 0.00 XXX O
80091... ...... X Thyroid panel............................................ 0.00 0.00 0.00 0.00 XXX O
80092... ...... X Thyroid panel w/TSH...................................... 0.00 0.00 0.00 0.00 XXX O
80100... ...... X Drug screen.............................................. 0.00 0.00 0.00 0.00 XXX O
80101... ...... X Drug screen.............................................. 0.00 0.00 0.00 0.00 XXX O
80102... ...... X Drug confirmation........................................ 0.00 0.00 0.00 0.00 XXX O
80103... ...... X Drug analysis, tissue prep............................... 0.00 0.00 0.00 0.00 XXX O
80150... ...... X Assay of amikacin........................................ 0.00 0.00 0.00 0.00 XXX O
80152... ...... X Assay of amitriptyline................................... 0.00 0.00 0.00 0.00 XXX O
80154... ...... X Assay of benzodiazepines................................. 0.00 0.00 0.00 0.00 XXX O
80156... ...... X Assay of carbamazepine................................... 0.00 0.00 0.00 0.00 XXX O
80158... ...... X Assay of cyclosporine.................................... 0.00 0.00 0.00 0.00 XXX O
80160... ...... X Assay of desipramine..................................... 0.00 0.00 0.00 0.00 XXX O
80162... ...... X Assay for digoxin........................................ 0.00 0.00 0.00 0.00 XXX O
80164... ...... X Assay, dipropylacetic acid............................... 0.00 0.00 0.00 0.00 XXX O
80166... ...... X Assay of doxepin......................................... 0.00 0.00 0.00 0.00 XXX O
80168... ...... X Assay of ethosuximide.................................... 0.00 0.00 0.00 0.00 XXX O
80170... ...... X Gentamicin............................................... 0.00 0.00 0.00 0.00 XXX O
80172... ...... X Assay for gold........................................... 0.00 0.00 0.00 0.00 XXX O
80174... ...... X Assay of imipramine...................................... 0.00 0.00 0.00 0.00 XXX O
80176... ...... X Assay for lidocaine...................................... 0.00 0.00 0.00 0.00 XXX O
80178... ...... X Assay for lithium........................................ 0.00 0.00 0.00 0.00 XXX O
80182... ...... X Assay for nortriptyline.................................. 0.00 0.00 0.00 0.00 XXX O
80184... ...... X Assay for phenobarbital.................................. 0.00 0.00 0.00 0.00 XXX O
80185... ...... X Assay for phenytoin...................................... 0.00 0.00 0.00 0.00 XXX O
80186... ...... X Assay for phenytoin, free................................ 0.00 0.00 0.00 0.00 XXX O
80188... ...... X Assay for primidone...................................... 0.00 0.00 0.00 0.00 XXX O
80190... ...... X Assay for procainamide................................... 0.00 0.00 0.00 0.00 XXX O
80192... ...... X Assay for procainamide................................... 0.00 0.00 0.00 0.00 XXX O
80194... ...... X Assay for quinidine...................................... 0.00 0.00 0.00 0.00 XXX O
80196... ...... X Assay for salicylate..................................... 0.00 0.00 0.00 0.00 XXX O
80198... ...... X Assay for theophylline................................... 0.00 0.00 0.00 0.00 XXX O
80200... ...... X Assay for tobramycin..................................... 0.00 0.00 0.00 0.00 XXX O
80202... ...... X Assay for vancomycin..................................... 0.00 0.00 0.00 0.00 XXX O
80299... ...... X Quantitative assay, drug................................. 0.00 0.00 0.00 0.00 XXX O
80400... ...... X Acth stimulation panel................................... 0.00 0.00 0.00 0.00 XXX O
80402... ...... X Acth stimulation panel................................... 0.00 0.00 0.00 0.00 XXX O
80406... ...... X Acth stimulation panel................................... 0.00 0.00 0.00 0.00 XXX O
80408... ...... X Aldosterone suppression eval............................. 0.00 0.00 0.00 0.00 XXX O
80410... ...... X Calcium-pentagastrin stimul.............................. 0.00 0.00 0.00 0.00 XXX O
80412... ...... X CRH stimulation panel.................................... 0.00 0.00 0.00 0.00 XXX O
80414... ...... X Testosterone response.................................... 0.00 0.00 0.00 0.00 XXX O
80415... ...... X Estradiol response panel................................. 0.00 0.00 0.00 0.00 XXX O
80418... ...... X Pituitary evaluation panel............................... 0.00 0.00 0.00 0.00 XXX O
80420... ...... X Dexamethasone panel...................................... 0.00 0.00 0.00 0.00 XXX O
80422... ...... X Glucagon tolerance panel................................. 0.00 0.00 0.00 0.00 XXX O
80424... ...... X Glucagon tolerance panel................................. 0.00 0.00 0.00 0.00 XXX O
80426... ...... X Gonadotropin hormone panel............................... 0.00 0.00 0.00 0.00 XXX O
80428... ...... X Growth hormone panel..................................... 0.00 0.00 0.00 0.00 XXX O
80430... ...... X Growth hormone panel..................................... 0.00 0.00 0.00 0.00 XXX O
80432... ...... X Insulin suppression panel................................ 0.00 0.00 0.00 0.00 XXX O
80434... ...... X Insulin tolerance panel.................................. 0.00 0.00 0.00 0.00 XXX O
80435... ...... X Insulin tolerance panel.................................. 0.00 0.00 0.00 0.00 XXX O
80436... ...... X Metyrapone panel......................................... 0.00 0.00 0.00 0.00 XXX O
80438... ...... X TRH stimulation panel.................................... 0.00 0.00 0.00 0.00 XXX O
80439... ...... X TRH stimulation panel.................................... 0.00 0.00 0.00 0.00 XXX O
80440... ...... X TRH stimulation panel.................................... 0.00 0.00 0.00 0.00 XXX O
80500... ...... A Lab pathology consultation............................... 0.37 0.20 0.01 0.58 XXX N
80502... ...... A Lab pathology consultation............................... 1.33 0.33 0.02 1.68 XXX N
81000... ...... X Urinalysis with microscopy............................... 0.00 0.00 0.00 0.00 XXX O
81002... ...... X Urinalysis, nonauto, w/o scope........................... 0.00 0.00 0.00 0.00 XXX O
81003... ...... X Urinalysis, auto, w/o scope.............................. 0.00 0.00 0.00 0.00 XXX O
81005... ...... X Urinalysis............................................... 0.00 0.00 0.00 0.00 XXX O
81007... ...... X Urine screen for bacteria................................ 0.00 0.00 0.00 0.00 XXX O
81015... ...... X Microscopic exam of urine................................ 0.00 0.00 0.00 0.00 XXX O
81020... ...... X Urinalysis, glass test................................... 0.00 0.00 0.00 0.00 XXX O
81025... ...... X Urine pregnancy test..................................... 0.00 0.00 0.00 0.00 XXX O
81050... ...... X Urinalysis, volume measure............................... 0.00 0.00 0.00 0.00 XXX O
81099... ...... X Urinalysis test procedure................................ 0.00 0.00 0.00 0.00 XXX O
82000... ...... X Assay blood acetaldehyde................................. 0.00 0.00 0.00 0.00 XXX O
82003... ...... X Assay acetaminophen...................................... 0.00 0.00 0.00 0.00 XXX O
82009... ...... X Test for acetone/ketones................................. 0.00 0.00 0.00 0.00 XXX O
82010... ...... X Acetone assay............................................ 0.00 0.00 0.00 0.00 XXX O
82013... ...... X Acetylcholinesterase assay............................... 0.00 0.00 0.00 0.00 XXX O
82024... ...... X ACTH..................................................... 0.00 0.00 0.00 0.00 XXX O
82030... ...... X ADP & AMP................................................ 0.00 0.00 0.00 0.00 XXX O
82040... ...... X Assay serum albumin...................................... 0.00 0.00 0.00 0.00 XXX O
82042... ...... X Assay urine albumin...................................... 0.00 0.00 0.00 0.00 XXX O
82043... ...... X Microalbumin, quantitative............................... 0.00 0.00 0.00 0.00 XXX O
82044... ...... X Microalbumin, semiquant.................................. 0.00 0.00 0.00 0.00 XXX O
82055... ...... X Assay ethanol............................................ 0.00 0.00 0.00 0.00 XXX O
82075... ...... X Assay breath ethanol..................................... 0.00 0.00 0.00 0.00 XXX O
82085... ...... X Assay of aldolase........................................ 0.00 0.00 0.00 0.00 XXX O
82088... ...... X Aldosterone.............................................. 0.00 0.00 0.00 0.00 XXX O
82101... ...... X Assay of urine alkaloids................................. 0.00 0.00 0.00 0.00 XXX O
82103... ...... X Alpha-1-antitrypsin, total............................... 0.00 0.00 0.00 0.00 XXX O
82104... ...... X Alpha-1-antitrypsin, pheno............................... 0.00 0.00 0.00 0.00 XXX O
82105... ...... X Alpha-fetoprotein, serum................................. 0.00 0.00 0.00 0.00 XXX O
82106... ...... X Alpha-fetoprotein, amniotic.............................. 0.00 0.00 0.00 0.00 XXX O
82108... ...... X Assay, aluminum.......................................... 0.00 0.00 0.00 0.00 XXX O
82128... ...... X Test for amino acids..................................... 0.00 0.00 0.00 0.00 XXX O
82130... ...... X Amino acids analysis..................................... 0.00 0.00 0.00 0.00 XXX O
82131... ...... X Amino acids.............................................. 0.00 0.00 0.00 0.00 XXX O
82135... ...... X Assay, aminolevulinic acid............................... 0.00 0.00 0.00 0.00 XXX O
82140... ...... X Assay of ammonia......................................... 0.00 0.00 0.00 0.00 XXX O
82143... ...... X Amniotic fluid scan...................................... 0.00 0.00 0.00 0.00 XXX O
82145... ...... X Assay of amphetamines.................................... 0.00 0.00 0.00 0.00 XXX O
82150... ...... X Assay of amylase......................................... 0.00 0.00 0.00 0.00 XXX O
82154... ...... X Androstanediol glucuronide............................... 0.00 0.00 0.00 0.00 XXX O
82157... ...... X Assay of androstenedione................................. 0.00 0.00 0.00 0.00 XXX O
82160... ...... X Androsterone assay....................................... 0.00 0.00 0.00 0.00 XXX O
82163... ...... X Assay of angiotensin II.................................. 0.00 0.00 0.00 0.00 XXX O
82164... ...... X Angiotensin I enzyme test................................ 0.00 0.00 0.00 0.00 XXX O
82172... ...... X Apolipoprotein........................................... 0.00 0.00 0.00 0.00 XXX O
82175... ...... X Assay of arsenic......................................... 0.00 0.00 0.00 0.00 XXX O
82180... ...... X Assay of ascorbic acid................................... 0.00 0.00 0.00 0.00 XXX O
82190... ...... X Atomic absorption........................................ 0.00 0.00 0.00 0.00 XXX O
82205... ...... X Assay of barbiturates.................................... 0.00 0.00 0.00 0.00 XXX O
82232... ...... X Beta-2 protein........................................... 0.00 0.00 0.00 0.00 XXX O
82239... ...... X Bile acids, total........................................ 0.00 0.00 0.00 0.00 XXX O
82240... ...... X Bile acids, cholylglycine................................ 0.00 0.00 0.00 0.00 XXX O
82250... ...... X Assay bilirubin.......................................... 0.00 0.00 0.00 0.00 XXX O
82251... ...... X Assay bilirubin.......................................... 0.00 0.00 0.00 0.00 XXX O
82252... ...... X Fecal bilirubin test..................................... 0.00 0.00 0.00 0.00 XXX O
82270... ...... X Test feces for blood..................................... 0.00 0.00 0.00 0.00 XXX O
82273... ...... X Test for blood, other source............................. 0.00 0.00 0.00 0.00 XXX O
82286... ...... X Assay of bradykinin...................................... 0.00 0.00 0.00 0.00 XXX O
82300... ...... X Assay cadmium............................................ 0.00 0.00 0.00 0.00 XXX O
82306... ...... X Assay of vitamin D....................................... 0.00 0.00 0.00 0.00 XXX O
82307... ...... X Assay of vitamin D....................................... 0.00 0.00 0.00 0.00 XXX O
82308... ...... X Assay of calcitonin...................................... 0.00 0.00 0.00 0.00 XXX O
82310... ...... X Assay calcium............................................ 0.00 0.00 0.00 0.00 XXX O
82330... ...... X Assay calcium............................................ 0.00 0.00 0.00 0.00 XXX O
82331... ...... X Calcium infusion test.................................... 0.00 0.00 0.00 0.00 XXX O
82340... ...... X Assay calcium in urine................................... 0.00 0.00 0.00 0.00 XXX O
82355... ...... X Calculus (stone) analysis................................ 0.00 0.00 0.00 0.00 XXX O
82360... ...... X Calculus (stone) assay................................... 0.00 0.00 0.00 0.00 XXX O
82365... ...... X Calculus (stone) assay................................... 0.00 0.00 0.00 0.00 XXX O
82370... ...... X X-ray assay, calculus (stone)............................ 0.00 0.00 0.00 0.00 XXX O
82374... ...... X Assay blood carbon dioxide............................... 0.00 0.00 0.00 0.00 XXX O
82375... ...... X Assay blood carbon monoxide.............................. 0.00 0.00 0.00 0.00 XXX O
82376... ...... X Test for carbon monoxide................................. 0.00 0.00 0.00 0.00 XXX O
82378... ...... X Carcinoembryonic antigen................................. 0.00 0.00 0.00 0.00 XXX O
82380... ...... X Assay carotene........................................... 0.00 0.00 0.00 0.00 XXX O
82382... ...... X Assay urine catecholamines............................... 0.00 0.00 0.00 0.00 XXX O
82383... ...... X Assay blood catecholamines............................... 0.00 0.00 0.00 0.00 XXX O
82384... ...... X Assay three catecholamines............................... 0.00 0.00 0.00 0.00 XXX O
82387... ...... X Cathepsin-D.............................................. 0.00 0.00 0.00 0.00 XXX O
82390... ...... X Assay ceruloplasmin...................................... 0.00 0.00 0.00 0.00 XXX O
82397... ...... X Chemiluminescent assay................................... 0.00 0.00 0.00 0.00 XXX O
82415... ...... X Assay chloramphenicol.................................... 0.00 0.00 0.00 0.00 XXX O
82435... ...... X Assay blood chloride..................................... 0.00 0.00 0.00 0.00 XXX O
82436... ...... X Assay urine chloride..................................... 0.00 0.00 0.00 0.00 XXX O
82438... ...... X Assay other fluid chlorides.............................. 0.00 0.00 0.00 0.00 XXX O
82441... ...... X Test for chlorohydrocarbons.............................. 0.00 0.00 0.00 0.00 XXX O
82465... ...... X Assay serum cholesterol.................................. 0.00 0.00 0.00 0.00 XXX O
82480... ...... X Assay serum cholinesterase............................... 0.00 0.00 0.00 0.00 XXX O
82482... ...... X Assay rbc cholinesterase................................. 0.00 0.00 0.00 0.00 XXX O
82485... ...... X Assay chondroitin sulfate................................ 0.00 0.00 0.00 0.00 XXX O
82486... ...... X Gas/liquid chromatography................................ 0.00 0.00 0.00 0.00 XXX O
82487... ...... X Paper chromatography..................................... 0.00 0.00 0.00 0.00 XXX O
82488... ...... X Paper chromatography..................................... 0.00 0.00 0.00 0.00 XXX O
82489... ...... X Thin layer chromatography................................ 0.00 0.00 0.00 0.00 XXX O
82491... ...... X Chromotography, quantitative............................. 0.00 0.00 0.00 0.00 XXX O
82495... ...... X Assay chromium........................................... 0.00 0.00 0.00 0.00 XXX O
82507... ...... X Assay citrate............................................ 0.00 0.00 0.00 0.00 XXX O
82520... ...... X Assay for cocaine........................................ 0.00 0.00 0.00 0.00 XXX O
82525... ...... X Assay copper............................................. 0.00 0.00 0.00 0.00 XXX O
82528... ...... X Assay corticosterone..................................... 0.00 0.00 0.00 0.00 XXX O
82530... ...... X Cortisol, free........................................... 0.00 0.00 0.00 0.00 XXX O
82533... ...... X Total cortisol........................................... 0.00 0.00 0.00 0.00 XXX O
82540... ...... X Assay creatine........................................... 0.00 0.00 0.00 0.00 XXX O
82550... ...... X Assay CK (CPK)........................................... 0.00 0.00 0.00 0.00 XXX O
82552... ...... X Assay CPK in blood....................................... 0.00 0.00 0.00 0.00 XXX O
82553... ...... X Creatine, MB fraction.................................... 0.00 0.00 0.00 0.00 XXX O
82554... ...... X Creatine, isoforms....................................... 0.00 0.00 0.00 0.00 XXX O
82565... ...... X Assay creatinine......................................... 0.00 0.00 0.00 0.00 XXX O
82570... ...... X Assay urine creatinine................................... 0.00 0.00 0.00 0.00 XXX O
82575... ...... X Creatinine clearance test................................ 0.00 0.00 0.00 0.00 XXX O
82585... ...... X Assay cryofibrinogen..................................... 0.00 0.00 0.00 0.00 XXX O
82595... ...... X Assay cryoglobulin....................................... 0.00 0.00 0.00 0.00 XXX O
82600... ...... X Assay cyanide............................................ 0.00 0.00 0.00 0.00 XXX O
82607... ...... X Vitamin B-12............................................. 0.00 0.00 0.00 0.00 XXX O
82608... ...... X B-12 binding capacity.................................... 0.00 0.00 0.00 0.00 XXX O
82615... ...... X Test for urine cystines.................................. 0.00 0.00 0.00 0.00 XXX O
82626... ...... X Dehydroepiandrosterone................................... 0.00 0.00 0.00 0.00 XXX O
82627... ...... X Dehydroepiandrosterone................................... 0.00 0.00 0.00 0.00 XXX O
82633... ...... X Desoxycorticosterone..................................... 0.00 0.00 0.00 0.00 XXX O
82634... ...... X Deoxycortisol............................................ 0.00 0.00 0.00 0.00 XXX O
82638... ...... X Assay dibucaine number................................... 0.00 0.00 0.00 0.00 XXX O
82646... ...... X Assay of dihydrocodeinone................................ 0.00 0.00 0.00 0.00 XXX O
82649... ...... X Assay of dihydromorphinone............................... 0.00 0.00 0.00 0.00 XXX O
82651... ...... X Dihydrotestosterone assay................................ 0.00 0.00 0.00 0.00 XXX O
82652... ...... X Assay, dihydroxyvitamin D................................ 0.00 0.00 0.00 0.00 XXX O
82654... ...... X Assay of dimethadione.................................... 0.00 0.00 0.00 0.00 XXX O
82664... ...... X Electrophoretic test..................................... 0.00 0.00 0.00 0.00 XXX O
82666... ...... X Epiandrosterone assay.................................... 0.00 0.00 0.00 0.00 XXX O
82668... ...... X Erythropoietin........................................... 0.00 0.00 0.00 0.00 XXX O
82670... ...... X Estradiol................................................ 0.00 0.00 0.00 0.00 XXX O
82671... ...... X Estrogens assay.......................................... 0.00 0.00 0.00 0.00 XXX O
82672... ...... X Estrogen assay........................................... 0.00 0.00 0.00 0.00 XXX O
82677... ...... X Estriol.................................................. 0.00 0.00 0.00 0.00 XXX O
82679... ...... X Estrone.................................................. 0.00 0.00 0.00 0.00 XXX O
82690... ...... X Ethchlorvynol............................................ 0.00 0.00 0.00 0.00 XXX O
82693... ...... X Ethylene glycol.......................................... 0.00 0.00 0.00 0.00 XXX O
82696... ...... X Etiocholanolone.......................................... 0.00 0.00 0.00 0.00 XXX O
82705... ...... X Fats/lipids, feces, qualitativ........................... 0.00 0.00 0.00 0.00 XXX O
82710... ...... X Fats/lipids, feces, quantitati........................... 0.00 0.00 0.00 0.00 XXX O
82715... ...... X Fecal fat assay.......................................... 0.00 0.00 0.00 0.00 XXX O
82725... ...... X Assay blood fatty acids.................................. 0.00 0.00 0.00 0.00 XXX O
82728... ...... X Assay ferritin........................................... 0.00 0.00 0.00 0.00 XXX O
82735... ...... X Assay fluoride........................................... 0.00 0.00 0.00 0.00 XXX O
82742... ...... X Assay of flurazepam...................................... 0.00 0.00 0.00 0.00 XXX O
82746... ...... X Blood folic acid serum................................... 0.00 0.00 0.00 0.00 XXX O
82747... ...... X Folic acid, RBC.......................................... 0.00 0.00 0.00 0.00 XXX O
82757... ...... X Assay semen fructose..................................... 0.00 0.00 0.00 0.00 XXX O
82759... ...... X RBC galactokinase assay.................................. 0.00 0.00 0.00 0.00 XXX O
82760... ...... X Assay galactose.......................................... 0.00 0.00 0.00 0.00 XXX O
82775... ...... X Assay galactose transferase.............................. 0.00 0.00 0.00 0.00 XXX O
82776... ...... X Galactose transferase test............................... 0.00 0.00 0.00 0.00 XXX O
82784... ...... X Assay gammaglobulin IgM.................................. 0.00 0.00 0.00 0.00 XXX O
82785... ...... X Assay, gammaglobulin IgE................................. 0.00 0.00 0.00 0.00 XXX O
82787... ...... X IgG1, 2, 3 and 4......................................... 0.00 0.00 0.00 0.00 XXX O
82800... ...... X Blood pH................................................. 0.00 0.00 0.00 0.00 XXX O
82803... ...... X Blood gases: pH, pO2 & pCO2.............................. 0.00 0.00 0.00 0.00 XXX O
82805... ...... X Blood gases w/O2 saturation.............................. 0.00 0.00 0.00 0.00 XXX O
82810... ...... X Blood gases, O2 sat only................................. 0.00 0.00 0.00 0.00 XXX O
82820... ...... X Hemoglobin-oxygen affinity............................... 0.00 0.00 0.00 0.00 XXX O
82926... ...... X Assay gastric acid....................................... 0.00 0.00 0.00 0.00 XXX O
82928... ...... X Assay gastric acid....................................... 0.00 0.00 0.00 0.00 XXX O
82938... ...... X Gastrin test............................................. 0.00 0.00 0.00 0.00 XXX O
82941... ...... X Assay of gastrin......................................... 0.00 0.00 0.00 0.00 XXX O
82943... ...... X Assay of glucagon........................................ 0.00 0.00 0.00 0.00 XXX O
82946... ...... X Glucagon tolerance test.................................. 0.00 0.00 0.00 0.00 XXX O
82947... ...... X Assay quantitative, glucose.............................. 0.00 0.00 0.00 0.00 XXX O
82948... ...... X Reagent strip/blood glucose.............................. 0.00 0.00 0.00 0.00 XXX O
82950... ...... X Glucose test............................................. 0.00 0.00 0.00 0.00 XXX O
82951... ...... X Glucose tolerance test (GTT)............................. 0.00 0.00 0.00 0.00 XXX O
82952... ...... X GTT-added samples........................................ 0.00 0.00 0.00 0.00 XXX O
82953... ...... X Glucose-tolbutamide test................................. 0.00 0.00 0.00 0.00 XXX O
82955... ...... X Assay G6PD enzyme........................................ 0.00 0.00 0.00 0.00 XXX O
82960... ...... X Test for G6PD enzyme..................................... 0.00 0.00 0.00 0.00 XXX O
82962... ...... X Glucose blood test....................................... 0.00 0.00 0.00 0.00 XXX O
82963... ...... X Glucosidase assay........................................ 0.00 0.00 0.00 0.00 XXX O
82965... ...... X Assay GDH enzyme......................................... 0.00 0.00 0.00 0.00 XXX O
82975... ...... X Assay glutamine.......................................... 0.00 0.00 0.00 0.00 XXX O
82977... ...... X Assay of GGT............................................. 0.00 0.00 0.00 0.00 XXX O
82978... ...... X Glutathione assay........................................ 0.00 0.00 0.00 0.00 XXX O
82979... ...... X Assay RBC glutathione enzyme............................. 0.00 0.00 0.00 0.00 XXX O
82980... ...... X Assay of glutethimide.................................... 0.00 0.00 0.00 0.00 XXX O
82985... ...... X Glycated protein......................................... 0.00 0.00 0.00 0.00 XXX O
83001... ...... X Gonadotropin (FSH)....................................... 0.00 0.00 0.00 0.00 XXX O
83002... ...... X Gonadotropin (LH)........................................ 0.00 0.00 0.00 0.00 XXX O
83003... ...... X Assay growth hormone (HGH)............................... 0.00 0.00 0.00 0.00 XXX O
83008... ...... X Assay guanosine.......................................... 0.00 0.00 0.00 0.00 XXX O
83010... ...... X Quant assay haptoglobin.................................. 0.00 0.00 0.00 0.00 XXX O
83012... ...... X Assay haptoglobins....................................... 0.00 0.00 0.00 0.00 XXX O
83015... ...... X Heavy metal screen....................................... 0.00 0.00 0.00 0.00 XXX O
83018... ...... X Quantitative screen, metals.............................. 0.00 0.00 0.00 0.00 XXX O
83020... ...... X Assay hemoglobin......................................... 0.00 0.00 0.00 0.00 XXX O
83020... 26 A Assay hemoglobin......................................... 0.37 0.20 0.01 0.58 XXX N
83026... ...... X Hemoglobin, copper sulfate............................... 0.00 0.00 0.00 0.00 XXX O
83030... ...... X Fetal hemoglobin assay................................... 0.00 0.00 0.00 0.00 XXX O
83033... ...... X Fetal fecal hemoglobin assay............................. 0.00 0.00 0.00 0.00 XXX O
83036... ...... X Glycated hemoglobin test................................. 0.00 0.00 0.00 0.00 XXX O
83045... ...... X Blood methemoglobin test................................. 0.00 0.00 0.00 0.00 XXX O
83050... ...... X Blood methemoglobin assay................................ 0.00 0.00 0.00 0.00 XXX O
83051... ...... X Assay plasma hemoglobin.................................. 0.00 0.00 0.00 0.00 XXX O
83055... ...... X Blood sulfhemoglobin test................................ 0.00 0.00 0.00 0.00 XXX O
83060... ...... X Blood sulfhemoglobin assay............................... 0.00 0.00 0.00 0.00 XXX O
83065... ...... X Hemoglobin heat assay.................................... 0.00 0.00 0.00 0.00 XXX O
83068... ...... X Hemoglobin stability screen.............................. 0.00 0.00 0.00 0.00 XXX O
83069... ...... X Assay urine hemoglobin................................... 0.00 0.00 0.00 0.00 XXX O
83070... ...... X Qualt assay hemosiderin.................................. 0.00 0.00 0.00 0.00 XXX O
83071... ...... X Quant assay of hemosiderin............................... 0.00 0.00 0.00 0.00 XXX O
83088... ...... X Assay histamine.......................................... 0.00 0.00 0.00 0.00 XXX O
83150... ...... X Assay for HVA............................................ 0.00 0.00 0.00 0.00 XXX O
83491... ...... X Assay of corticosteroids................................. 0.00 0.00 0.00 0.00 XXX O
83497... ...... X Assay 5-HIAA............................................. 0.00 0.00 0.00 0.00 XXX O
83498... ...... X Assay of progesterone.................................... 0.00 0.00 0.00 0.00 XXX O
83499... ...... X Assay of progesterone.................................... 0.00 0.00 0.00 0.00 XXX O
83500... ...... X Assay free hydroxyproline................................ 0.00 0.00 0.00 0.00 XXX O
83505... ...... X Assay total hydroxyproline............................... 0.00 0.00 0.00 0.00 XXX O
83516... ...... X Immunoassay, non antibody................................ 0.00 0.00 0.00 0.00 XXX O
83518... ...... X Immunoassay, dipstick.................................... 0.00 0.00 0.00 0.00 XXX O
83519... ...... X Immunoassay nonantibody.................................. 0.00 0.00 0.00 0.00 XXX O
83520... ...... X Immunoassay, RIA......................................... 0.00 0.00 0.00 0.00 XXX O
83525... ...... X Assay of insulin......................................... 0.00 0.00 0.00 0.00 XXX O
83527... ...... X Assay of insulin......................................... 0.00 0.00 0.00 0.00 XXX O
83528... ...... X Assay intrinsic factor................................... 0.00 0.00 0.00 0.00 XXX O
83540... ...... X Assay iron............................................... 0.00 0.00 0.00 0.00 XXX O
83550... ...... X Iron binding test........................................ 0.00 0.00 0.00 0.00 XXX O
83570... ...... X Assay IDH enzyme......................................... 0.00 0.00 0.00 0.00 XXX O
83582... ...... X Assay ketogenic steroids................................. 0.00 0.00 0.00 0.00 XXX O
83586... ...... X Assay 17-(17-KS)ketosteroids............................. 0.00 0.00 0.00 0.00 XXX O
83593... ...... X Fractionation ketosteroids............................... 0.00 0.00 0.00 0.00 XXX O
83605... ...... X Lactic acid assay........................................ 0.00 0.00 0.00 0.00 XXX O
83615... ...... X Lactate (LD) (LDH) enzyme................................ 0.00 0.00 0.00 0.00 XXX O
83625... ...... X Assay LDH enzymes........................................ 0.00 0.00 0.00 0.00 XXX O
83632... ...... X Placental lactogen....................................... 0.00 0.00 0.00 0.00 XXX O
83633... ...... X Test urine for lactose................................... 0.00 0.00 0.00 0.00 XXX O
83634... ...... X Assay urine for lactose.................................. 0.00 0.00 0.00 0.00 XXX O
83655... ...... X Assay for lead........................................... 0.00 0.00 0.00 0.00 XXX O
83661... ...... X Assay L/S ratio.......................................... 0.00 0.00 0.00 0.00 XXX O
83662... ...... X L/S ratio, foam stability................................ 0.00 0.00 0.00 0.00 XXX O
83670... ...... X Assay LAP enzyme......................................... 0.00 0.00 0.00 0.00 XXX O
83690... ...... X Assay lipase............................................. 0.00 0.00 0.00 0.00 XXX O
83715... ...... X Assay blood lipoproteins................................. 0.00 0.00 0.00 0.00 XXX O
83717... ...... X Assay blood lipoproteins................................. 0.00 0.00 0.00 0.00 XXX O
83718... ...... X Blood lipoprotein assay.................................. 0.00 0.00 0.00 0.00 XXX O
83719... ...... X Blood lipoprotein assay.................................. 0.00 0.00 0.00 0.00 XXX O
83721... ...... X Blood lipoprotein assay.................................. 0.00 0.00 0.00 0.00 XXX O
83727... ...... X LRH hormone assay........................................ 0.00 0.00 0.00 0.00 XXX O
83735... ...... X Assay magnesium.......................................... 0.00 0.00 0.00 0.00 XXX O
83775... ...... X Assay of md enzyme....................................... 0.00 0.00 0.00 0.00 XXX O
83785... ...... X Assay of manganese....................................... 0.00 0.00 0.00 0.00 XXX O
83805... ...... X Assay of meprobamate..................................... 0.00 0.00 0.00 0.00 XXX O
83825... ...... X Assay mercury............................................ 0.00 0.00 0.00 0.00 XXX O
83835... ...... X Assay metanephrines...................................... 0.00 0.00 0.00 0.00 XXX O
83840... ...... X Assay methadone.......................................... 0.00 0.00 0.00 0.00 XXX O
83857... ...... X Assay methemalbumin...................................... 0.00 0.00 0.00 0.00 XXX O
83858... ...... X Assay methsuximide....................................... 0.00 0.00 0.00 0.00 XXX O
83864... ...... X Mucopolysaccharides...................................... 0.00 0.00 0.00 0.00 XXX O
83866... ...... X Mucopolysaccharides screen............................... 0.00 0.00 0.00 0.00 XXX O
83872... ...... X Assay synovial fluid mucin............................... 0.00 0.00 0.00 0.00 XXX O
83873... ...... X Assay, CSF protein....................................... 0.00 0.00 0.00 0.00 XXX O
83874... ...... X Myoglobin................................................ 0.00 0.00 0.00 0.00 XXX O
83883... ...... X Nephelometry, not specified.............................. 0.00 0.00 0.00 0.00 XXX O
83885... ...... X Assay for nickel......................................... 0.00 0.00 0.00 0.00 XXX O
83887... ...... X Assay nicotine........................................... 0.00 0.00 0.00 0.00 XXX O
83890... ...... X Molecular diagnostics.................................... 0.00 0.00 0.00 0.00 XXX O
83892... ...... X Molecular diagnostics.................................... 0.00 0.00 0.00 0.00 XXX O
83894... ...... X Molecular diagnostics.................................... 0.00 0.00 0.00 0.00 XXX O
83896... ...... X Molecular diagnostics.................................... 0.00 0.00 0.00 0.00 XXX O
83898... ...... X Molecular diagnostics.................................... 0.00 0.00 0.00 0.00 XXX O
83912... ...... X Genetic examination...................................... 0.00 0.00 0.00 0.00 XXX O
83912... 26 A Genetic examination...................................... 0.37 0.20 0.01 0.58 XXX N
83915... ...... X Assay nucleotidase....................................... 0.00 0.00 0.00 0.00 XXX O
83916... ...... X Oligoclonal bands........................................ 0.00 0.00 0.00 0.00 XXX O
83918... ...... X Assay organic acids...................................... 0.00 0.00 0.00 0.00 XXX O
83925... ...... X Opiates.................................................. 0.00 0.00 0.00 0.00 XXX O
83930... ...... X Assay blood osmolality................................... 0.00 0.00 0.00 0.00 XXX O
83935... ...... X Assay urine osmolality................................... 0.00 0.00 0.00 0.00 XXX O
83937... ...... X Assay for osteocalcin.................................... 0.00 0.00 0.00 0.00 XXX O
83945... ...... X Assay oxalate............................................ 0.00 0.00 0.00 0.00 XXX O
83970... ...... X Assay of parathormone.................................... 0.00 0.00 0.00 0.00 XXX O
83986... ...... X Assay body fluid acidity................................. 0.00 0.00 0.00 0.00 XXX O
83992... ...... X Assay for phencyclidine.................................. 0.00 0.00 0.00 0.00 XXX O
84022... ...... X Assay of phenothiazine................................... 0.00 0.00 0.00 0.00 XXX O
84030... ...... X Assay blood PKU.......................................... 0.00 0.00 0.00 0.00 XXX O
84035... ...... X Assay phenylketones...................................... 0.00 0.00 0.00 0.00 XXX O
84060... ...... X Assay acid phosphatase................................... 0.00 0.00 0.00 0.00 XXX O
84061... ...... X Phosphatase, forensic exam............................... 0.00 0.00 0.00 0.00 XXX O
84066... ...... X Assay prostate phosphatase............................... 0.00 0.00 0.00 0.00 XXX O
84075... ...... X Assay alkaline phosphatase............................... 0.00 0.00 0.00 0.00 XXX O
84078... ...... X Assay alkaline phosphatase............................... 0.00 0.00 0.00 0.00 XXX O
84080... ...... X Assay alkaline phosphatases.............................. 0.00 0.00 0.00 0.00 XXX O
84081... ...... X Amniotic fluid enzyme test............................... 0.00 0.00 0.00 0.00 XXX O
84085... ...... X Assay RBC PG6D enzyme.................................... 0.00 0.00 0.00 0.00 XXX O
84087... ...... X Assay phosphohexose enzymes.............................. 0.00 0.00 0.00 0.00 XXX O
84100... ...... X Assay phosphorus......................................... 0.00 0.00 0.00 0.00 XXX O
84105... ...... X Assay urine phosphorus................................... 0.00 0.00 0.00 0.00 XXX O
84106... ...... X Test for porphobilinogen................................. 0.00 0.00 0.00 0.00 XXX O
84110... ...... X Assay porphobilinogen.................................... 0.00 0.00 0.00 0.00 XXX O
84119... ...... X Test urine for porphyrins................................ 0.00 0.00 0.00 0.00 XXX O
84120... ...... X Assay urine porphyrins................................... 0.00 0.00 0.00 0.00 XXX O
84126... ...... X Assay feces porphyrins................................... 0.00 0.00 0.00 0.00 XXX O
84127... ...... X Porphyrins, feces........................................ 0.00 0.00 0.00 0.00 XXX O
84132... ...... X Assay serum potassium.................................... 0.00 0.00 0.00 0.00 XXX O
84133... ...... X Assay urine potassium.................................... 0.00 0.00 0.00 0.00 XXX O
84134... ...... X Prealbumin............................................... 0.00 0.00 0.00 0.00 XXX O
84135... ...... X Assay pregnanediol....................................... 0.00 0.00 0.00 0.00 XXX O
84138... ...... X Assay pregnanetriol...................................... 0.00 0.00 0.00 0.00 XXX O
84140... ...... X Assay for pregnenolone................................... 0.00 0.00 0.00 0.00 XXX O
84143... ...... X Assay/17-hydroxypregnenolone............................. 0.00 0.00 0.00 0.00 XXX O
84144... ...... X Assay progesterone....................................... 0.00 0.00 0.00 0.00 XXX O
84146... ...... X Assay for prolactin...................................... 0.00 0.00 0.00 0.00 XXX O
84150... ...... X Assay of prostaglandin................................... 0.00 0.00 0.00 0.00 XXX O
84153... ...... X Prostate specific antigen................................ 0.00 0.00 0.00 0.00 XXX O
84155... ...... X Assay protein............................................ 0.00 0.00 0.00 0.00 XXX O
84160... ...... X Assay serum protein...................................... 0.00 0.00 0.00 0.00 XXX O
84165... ...... X Assay serum proteins..................................... 0.00 0.00 0.00 0.00 XXX O
84165... 26 A Assay serum proteins..................................... 0.37 0.20 0.01 0.58 XXX N
84181... ...... X Western blot test........................................ 0.00 0.00 0.00 0.00 XXX O
84181... 26 A Western blot test........................................ 0.37 0.20 0.01 0.58 XXX N
84182... ...... X Protein, western blot test............................... 0.00 0.00 0.00 0.00 XXX O
84182... 26 A Protein, western blot test............................... 0.37 0.20 0.01 0.58 XXX N
84202... ...... X Assay RBC protoporphyrin................................. 0.00 0.00 0.00 0.00 XXX O
84203... ...... X Test RBC protoporphyrin.................................. 0.00 0.00 0.00 0.00 XXX O
84206... ...... X Assay of proinsulin...................................... 0.00 0.00 0.00 0.00 XXX O
84207... ...... X Assay vitamin B-6........................................ 0.00 0.00 0.00 0.00 XXX O
84210... ...... X Assay pyruvate........................................... 0.00 0.00 0.00 0.00 XXX O
84220... ...... X Assay pyruvate kinase.................................... 0.00 0.00 0.00 0.00 XXX O
84228... ...... X Assay quinine............................................ 0.00 0.00 0.00 0.00 XXX O
84233... ...... X Assay estrogen........................................... 0.00 0.00 0.00 0.00 XXX O
84234... ...... X Assay progesterone....................................... 0.00 0.00 0.00 0.00 XXX O
84235... ...... X Assay endocrine hormone.................................. 0.00 0.00 0.00 0.00 XXX O
84238... ...... X Assay non-endocrine receptor............................. 0.00 0.00 0.00 0.00 XXX O
84244... ...... X Assay of renin........................................... 0.00 0.00 0.00 0.00 XXX O
84252... ...... X Assay vitamin B-2........................................ 0.00 0.00 0.00 0.00 XXX O
84255... ...... X Assay selenium........................................... 0.00 0.00 0.00 0.00 XXX O
84260... ...... X Assay serotonin.......................................... 0.00 0.00 0.00 0.00 XXX O
84270... ...... X Sex hormone globulin (SHBG).............................. 0.00 0.00 0.00 0.00 XXX O
84275... ...... X Assay sialic acid........................................ 0.00 0.00 0.00 0.00 XXX O
84285... ...... X Assay silica............................................. 0.00 0.00 0.00 0.00 XXX O
84295... ...... X Assay serum sodium....................................... 0.00 0.00 0.00 0.00 XXX O
84300... ...... X Assay urine sodium....................................... 0.00 0.00 0.00 0.00 XXX O
84305... ...... X Somatomedin.............................................. 0.00 0.00 0.00 0.00 XXX O
84307... ...... X Somatostatin............................................. 0.00 0.00 0.00 0.00 XXX O
84311... ...... X Spectrophotometry........................................ 0.00 0.00 0.00 0.00 XXX O
84315... ...... X Body fluid specific gravity.............................. 0.00 0.00 0.00 0.00 XXX O
84375... ...... X Chromatogram assay, sugars............................... 0.00 0.00 0.00 0.00 XXX O
84392... ...... X Assay urine sulfate...................................... 0.00 0.00 0.00 0.00 XXX O
84402... ...... X Testosterone............................................. 0.00 0.00 0.00 0.00 XXX O
84403... ...... X Assay total testosterone................................. 0.00 0.00 0.00 0.00 XXX O
84425... ...... X Assay vitamin B-1........................................ 0.00 0.00 0.00 0.00 XXX O
84430... ...... X Assay thiocyanate........................................ 0.00 0.00 0.00 0.00 XXX O
84432... ...... X Thyroglobulin............................................ 0.00 0.00 0.00 0.00 XXX O
84436... ...... X Assay, total thyroxine................................... 0.00 0.00 0.00 0.00 XXX O
84437... ...... X Assay neonatal thyroxine................................. 0.00 0.00 0.00 0.00 XXX O
84439... ...... X Assay, free thyroxine.................................... 0.00 0.00 0.00 0.00 XXX O
84442... ...... X Thyroid activity (TBG) assay............................. 0.00 0.00 0.00 0.00 XXX O
84443... ...... X Assay thyroid stim hormone............................... 0.00 0.00 0.00 0.00 XXX O
84445... ...... X Thyroid immunoglobulins TSI.............................. 0.00 0.00 0.00 0.00 XXX O
84446... ...... X Assay vitamin E.......................................... 0.00 0.00 0.00 0.00 XXX O
84449... ...... X Assay for transcortin.................................... 0.00 0.00 0.00 0.00 XXX O
84450... ...... X Transferase (AST) (SGOT)................................. 0.00 0.00 0.00 0.00 XXX O
84460... ...... X Alanine amino (ALT) (SGPT)............................... 0.00 0.00 0.00 0.00 XXX O
84466... ...... X Transferrin.............................................. 0.00 0.00 0.00 0.00 XXX O
84478... ...... X Assay triglycerides...................................... 0.00 0.00 0.00 0.00 XXX O
84479... ...... X Assay triiodothyronine (T-3)............................. 0.00 0.00 0.00 0.00 XXX O
84480... ...... X Total assay, TT-3........................................ 0.00 0.00 0.00 0.00 XXX O
84481... ...... X Free assay (FT-3)........................................ 0.00 0.00 0.00 0.00 XXX O
84482... ...... X T3 reverse............................................... 0.00 0.00 0.00 0.00 XXX O
84485... ...... X Assay duodenal fluid trypsin............................. 0.00 0.00 0.00 0.00 XXX O
84488... ...... X Test feces for trypsin................................... 0.00 0.00 0.00 0.00 XXX O
84490... ...... X Assay feces for trypsin.................................. 0.00 0.00 0.00 0.00 XXX O
84510... ...... X Assay tyrosine........................................... 0.00 0.00 0.00 0.00 XXX O
84520... ...... X Assay urea nitrogen...................................... 0.00 0.00 0.00 0.00 XXX O
84525... ...... X Urea nitrogen semi-quant................................. 0.00 0.00 0.00 0.00 XXX O
84540... ...... X Assay urine urea-N....................................... 0.00 0.00 0.00 0.00 XXX O
84545... ...... X Urea-N clearance test.................................... 0.00 0.00 0.00 0.00 XXX O
84550... ...... X Assay blood uric acid.................................... 0.00 0.00 0.00 0.00 XXX O
84560... ...... X Assay urine uric acid.................................... 0.00 0.00 0.00 0.00 XXX O
84577... ...... X Assay feces urobilinogen................................. 0.00 0.00 0.00 0.00 XXX O
84578... ...... X Test urine urobilinogen.................................. 0.00 0.00 0.00 0.00 XXX O
84580... ...... X Assay urine urobilinogen................................. 0.00 0.00 0.00 0.00 XXX O
84583... ...... X Assay urine urobilinogen................................. 0.00 0.00 0.00 0.00 XXX O
84585... ...... X Assay urine VMA.......................................... 0.00 0.00 0.00 0.00 XXX O
84586... ...... X VIP assay................................................ 0.00 0.00 0.00 0.00 XXX O
84588... ...... X Assay vasopressin........................................ 0.00 0.00 0.00 0.00 XXX O
84590... ...... X Assay vitamin-A.......................................... 0.00 0.00 0.00 0.00 XXX O
84597... ...... X Assay vitamin-K.......................................... 0.00 0.00 0.00 0.00 XXX O
84600... ...... X Assay for volatiles...................................... 0.00 0.00 0.00 0.00 XXX O
84620... ...... X Xylose tolerance test.................................... 0.00 0.00 0.00 0.00 XXX O
84630... ...... X Assay zinc............................................... 0.00 0.00 0.00 0.00 XXX O
84681... ...... X Assay C-peptide.......................................... 0.00 0.00 0.00 0.00 XXX O
84702... ...... X Chorionic gonadotropin test.............................. 0.00 0.00 0.00 0.00 XXX O
84703... ...... X Chorionic gonadotropin assay............................. 0.00 0.00 0.00 0.00 XXX O
84830... ...... X Ovulation tests.......................................... 0.00 0.00 0.00 0.00 XXX O
84999... ...... X Clinical chemistry test.................................. 0.00 0.00 0.00 0.00 XXX O
85002... ...... X Bleeding time test....................................... 0.00 0.00 0.00 0.00 XXX O
85007... ...... X Differential WBC count................................... 0.00 0.00 0.00 0.00 XXX O
85008... ...... X Nondifferential WBC count................................ 0.00 0.00 0.00 0.00 XXX O
85009... ...... X Differential WBC count................................... 0.00 0.00 0.00 0.00 XXX O
85013... ...... X Hematocrit............................................... 0.00 0.00 0.00 0.00 XXX O
85014... ...... X Hematocrit............................................... 0.00 0.00 0.00 0.00 XXX O
85018... ...... X Hemoglobin............................................... 0.00 0.00 0.00 0.00 XXX O
85021... ...... X Automated hemogram....................................... 0.00 0.00 0.00 0.00 XXX O
85022... ...... X Automated hemogram....................................... 0.00 0.00 0.00 0.00 XXX O
85023... ...... X Automated hemogram....................................... 0.00 0.00 0.00 0.00 XXX O
85024... ...... X Automated hemogram....................................... 0.00 0.00 0.00 0.00 XXX O
85025... ...... X Automated hemogram....................................... 0.00 0.00 0.00 0.00 XXX O
85027... ...... X Automated hemogram....................................... 0.00 0.00 0.00 0.00 XXX O
85029... ...... X Automated hemogram....................................... 0.00 0.00 0.00 0.00 XXX O
85030... ...... X Automated hemogram....................................... 0.00 0.00 0.00 0.00 XXX O
85031... ...... X Manual hemogram, complete CBC............................ 0.00 0.00 0.00 0.00 XXX O
85041... ...... X Red blood cell (RBC) count............................... 0.00 0.00 0.00 0.00 XXX O
85044... ...... X Reticulocyte count....................................... 0.00 0.00 0.00 0.00 XXX O
85045... ...... X Reticulocyte count....................................... 0.00 0.00 0.00 0.00 XXX O
85048... ...... X White blood cell (WBC) count............................. 0.00 0.00 0.00 0.00 XXX O
85060... ...... A Blood smear interpretation............................... 0.45 0.22 0.02 0.69 XXX N
85095... ...... A Bone marrow aspiration................................... 1.08 0.67 0.05 1.80 XXX N
85097... ...... A Bone marrow interpretation............................... 0.94 0.48 0.04 1.46 XXX N
85102... ...... A Bone marrow biopsy....................................... 1.37 0.80 0.05 2.22 XXX N
85130... ...... X Chromogenic substrate assay.............................. 0.00 0.00 0.00 0.00 XXX O
85170... ...... X Blood clot retraction.................................... 0.00 0.00 0.00 0.00 XXX O
85175... ...... X Blood clot lysis time.................................... 0.00 0.00 0.00 0.00 XXX O
85210... ...... X Blood clot factor II test................................ 0.00 0.00 0.00 0.00 XXX O
85220... ...... X Blood clot factor V test................................. 0.00 0.00 0.00 0.00 XXX O
85230... ...... X Blood clot factor VII test............................... 0.00 0.00 0.00 0.00 XXX O
85240... ...... X Blood clot factor VIII test.............................. 0.00 0.00 0.00 0.00 XXX O
85244... ...... X Blood clot factor VIII test.............................. 0.00 0.00 0.00 0.00 XXX O
85245... ...... X Blood clot factor VIII test.............................. 0.00 0.00 0.00 0.00 XXX O
85246... ...... X Blood clot factor VIII test.............................. 0.00 0.00 0.00 0.00 XXX O
85247... ...... X Blood clot factor VIII test.............................. 0.00 0.00 0.00 0.00 XXX O
85250... ...... X Blood clot factor IX test................................ 0.00 0.00 0.00 0.00 XXX O
85260... ...... X Blood clot factor X test................................. 0.00 0.00 0.00 0.00 XXX O
85270... ...... X Blood clot factor XI test................................ 0.00 0.00 0.00 0.00 XXX O
85280... ...... X Blood clot factor XII test............................... 0.00 0.00 0.00 0.00 XXX O
85290... ...... X Blood clot factor XIII test.............................. 0.00 0.00 0.00 0.00 XXX O
85291... ...... X Blood clot factor XIII test.............................. 0.00 0.00 0.00 0.00 XXX O
85292... ...... X Blood clot factor assay.................................. 0.00 0.00 0.00 0.00 XXX O
85293... ...... X Blood clot factor assay.................................. 0.00 0.00 0.00 0.00 XXX O
85300... ...... X Antithrombin III test.................................... 0.00 0.00 0.00 0.00 XXX O
85301... ...... X Antithrombin III test.................................... 0.00 0.00 0.00 0.00 XXX O
85302... ...... X Blood clot inhibitor antigen............................. 0.00 0.00 0.00 0.00 XXX O
85303... ...... X Blood clot inhibitor test................................ 0.00 0.00 0.00 0.00 XXX O
85305... ...... X Blood clot inhibitor assay............................... 0.00 0.00 0.00 0.00 XXX O
85306... ...... X Blood clot inhibitor test................................ 0.00 0.00 0.00 0.00 XXX O
85335... ...... X Factor inhibitor test.................................... 0.00 0.00 0.00 0.00 XXX O
85337... ...... X Thrombomodulin........................................... 0.00 0.00 0.00 0.00 XXX O
85345... ...... X Coagulation time......................................... 0.00 0.00 0.00 0.00 XXX O
85347... ...... X Coagulation time......................................... 0.00 0.00 0.00 0.00 XXX O
85348... ...... X Coagulation time......................................... 0.00 0.00 0.00 0.00 XXX O
85360... ...... X Euglobulin lysis......................................... 0.00 0.00 0.00 0.00 XXX O
85362... ...... X Fibrin degradation products.............................. 0.00 0.00 0.00 0.00 XXX O
85366... ...... X Fibrinogen test.......................................... 0.00 0.00 0.00 0.00 XXX O
85370... ...... X Fibrinogen test.......................................... 0.00 0.00 0.00 0.00 XXX O
85378... ...... X Fibrin degradation....................................... 0.00 0.00 0.00 0.00 XXX O
85379... ...... X Fibrin degradation....................................... 0.00 0.00 0.00 0.00 XXX O
85384... ...... X Fibrinogen............................................... 0.00 0.00 0.00 0.00 XXX O
85385... ...... X Fibrinogen............................................... 0.00 0.00 0.00 0.00 XXX O
85390... ...... X Fibrinolysins screen..................................... 0.00 0.00 0.00 0.00 XXX O
85390... 26 A Fibrinolysins screen..................................... 0.37 0.20 0.01 0.58 XXX N
85400... ...... X Fibrinolytic plasmin..................................... 0.00 0.00 0.00 0.00 XXX O
85410... ...... X Fibrinolytic antiplasmin................................. 0.00 0.00 0.00 0.00 XXX O
85415... ...... X Fibrinolytic plasminogen................................. 0.00 0.00 0.00 0.00 XXX O
85420... ...... X Fibrinolytic plasminogen................................. 0.00 0.00 0.00 0.00 XXX O
85421... ...... X Fibrinolytic plasminogen................................. 0.00 0.00 0.00 0.00 XXX O
85441... ...... X Heinz bodies; direct..................................... 0.00 0.00 0.00 0.00 XXX O
85445... ...... X Heinz bodies; induced.................................... 0.00 0.00 0.00 0.00 XXX O
85460... ...... X Hemoglobin, fetal........................................ 0.00 0.00 0.00 0.00 XXX O
85461... ...... X Hemoglobin, fetal........................................ 0.00 0.00 0.00 0.00 XXX O
85475... ...... X Hemolysin................................................ 0.00 0.00 0.00 0.00 XXX O
85520... ...... X Heparin assay............................................ 0.00 0.00 0.00 0.00 XXX O
85525... ...... X Heparin.................................................. 0.00 0.00 0.00 0.00 XXX O
85530... ...... X Heparin-protamine tolerance.............................. 0.00 0.00 0.00 0.00 XXX O
85535... ...... X Iron stain, blood cells.................................. 0.00 0.00 0.00 0.00 XXX O
85540... ...... X Wbc alkaline phosphatase................................. 0.00 0.00 0.00 0.00 XXX O
85547... ...... X RBC mechanical fragility................................. 0.00 0.00 0.00 0.00 XXX O
85549... ...... X Muramidase............................................... 0.00 0.00 0.00 0.00 XXX O
85555... ...... X RBC osmotic fragility.................................... 0.00 0.00 0.00 0.00 XXX O
85557... ...... X RBC osmotic fragility.................................... 0.00 0.00 0.00 0.00 XXX O
85576... ...... X Blood platelet aggregation............................... 0.00 0.00 0.00 0.00 XXX O
85576... 26 A Blood platelet aggregation............................... 0.37 0.20 0.01 0.58 XXX N
85585... ...... X Blood platelet estimation................................ 0.00 0.00 0.00 0.00 XXX O
85590... ...... X Platelet manual count.................................... 0.00 0.00 0.00 0.00 XXX O
85595... ...... X Platelet count, automated................................ 0.00 0.00 0.00 0.00 XXX O
85597... ...... X Platelet neutralization.................................. 0.00 0.00 0.00 0.00 XXX O
85610... ...... X Prothrombin time......................................... 0.00 0.00 0.00 0.00 XXX O
85611... ...... X Prothrombin test......................................... 0.00 0.00 0.00 0.00 XXX O
85612... ...... X Viper venom prothrombin time............................. 0.00 0.00 0.00 0.00 XXX O
85613... ...... X Russell viper venom, diluted............................. 0.00 0.00 0.00 0.00 XXX O
85635... ...... X Reptilase test........................................... 0.00 0.00 0.00 0.00 XXX O
85651... ...... X RBC sedimentation rate................................... 0.00 0.00 0.00 0.00 XXX O
85660... ...... X RBC sickle cell test..................................... 0.00 0.00 0.00 0.00 XXX O
85670... ...... X Thrombin time, plasma.................................... 0.00 0.00 0.00 0.00 XXX O
85675... ...... X Thrombin time, titer..................................... 0.00 0.00 0.00 0.00 XXX O
85705... ...... X Thromboplastin inhibition................................ 0.00 0.00 0.00 0.00 XXX O
85730... ...... X Thromboplastin time, partial............................. 0.00 0.00 0.00 0.00 XXX O
85732... ...... X Thromboplastin time, partial............................. 0.00 0.00 0.00 0.00 XXX O
85810... ...... X Blood viscosity examination.............................. 0.00 0.00 0.00 0.00 XXX O
85999... ...... X Hematology procedure..................................... 0.00 0.00 0.00 0.00 XXX O
86000... ...... X Agglutinins; febrile..................................... 0.00 0.00 0.00 0.00 XXX O
86003... ...... X Allergen specific IgE.................................... 0.00 0.00 0.00 0.00 XXX O
86005... ...... X Allergen specific IgE.................................... 0.00 0.00 0.00 0.00 XXX O
86021... ...... X WBC antibody identification.............................. 0.00 0.00 0.00 0.00 XXX O
86022... ...... X Platelet antibodies...................................... 0.00 0.00 0.00 0.00 XXX O
86023... ...... X Immunoglobulin assay..................................... 0.00 0.00 0.00 0.00 XXX O
86038... ...... X Antinuclear antibodies................................... 0.00 0.00 0.00 0.00 XXX O
86039... ...... X Antinuclear antibodies (ANA)............................. 0.00 0.00 0.00 0.00 XXX O
86060... ...... X Antistreptolysin O titer................................. 0.00 0.00 0.00 0.00 XXX O
86063... ...... X Antistreptolysin O screen................................ 0.00 0.00 0.00 0.00 XXX O
86077... ...... A Physician blood bank service............................. 0.37 0.30 0.02 0.69 XXX N
86078... ...... A Physician blood bank service............................. 0.94 0.34 0.02 1.30 XXX N
86079... ...... A Physician blood bank service............................. 0.37 0.33 0.02 0.72 XXX N
86140... ...... X C-reactive protein....................................... 0.00 0.00 0.00 0.00 XXX O
86147... ...... X Cardiolipin antibody..................................... 0.00 0.00 0.00 0.00 XXX O
86155... ...... X Chemotaxis assay......................................... 0.00 0.00 0.00 0.00 XXX O
86156... ...... X Cold agglutinin screen................................... 0.00 0.00 0.00 0.00 XXX O
86157... ...... X Cold agglutinin, titer................................... 0.00 0.00 0.00 0.00 XXX O
86160... ...... X Complement, antigen...................................... 0.00 0.00 0.00 0.00 XXX O
86161... ...... X Complement/function activity............................. 0.00 0.00 0.00 0.00 XXX O
86162... ...... X Complement, total (CH50)................................. 0.00 0.00 0.00 0.00 XXX O
86171... ...... X Complement fixation, each................................ 0.00 0.00 0.00 0.00 XXX O
86185... ...... X Counterimmunoelectrophoresis............................. 0.00 0.00 0.00 0.00 XXX O
86215... ...... X Deoxyribonuclease, antibody.............................. 0.00 0.00 0.00 0.00 XXX O
86225... ...... X DNA antibody............................................. 0.00 0.00 0.00 0.00 XXX O
86226... ...... X DNA antibody, single strand.............................. 0.00 0.00 0.00 0.00 XXX O
86235... ...... X Nuclear antigen antibody................................. 0.00 0.00 0.00 0.00 XXX O
86243... ...... X Fc receptor.............................................. 0.00 0.00 0.00 0.00 XXX O
86255... ...... X Fluorescent antibody; screen............................. 0.00 0.00 0.00 0.00 XXX O
86255... 26 A Fluorescent antibody; screen............................. 0.37 0.20 0.01 0.58 XXX N
86256... ...... X Fluorescent antibody; titer.............................. 0.00 0.00 0.00 0.00 XXX O
86256... 26 A Fluorescent antibody; titer.............................. 0.37 0.20 0.01 0.58 XXX N
86277... ...... X Growth hormone antibody.................................. 0.00 0.00 0.00 0.00 XXX O
86280... ...... X Hemagglutination inhibition.............................. 0.00 0.00 0.00 0.00 XXX O
86287... ...... X Hepatitis B (HBsAg)...................................... 0.00 0.00 0.00 0.00 XXX O
86289... ...... X Hepatitis BC antibody test............................... 0.00 0.00 0.00 0.00 XXX O
86290... ...... X Hepatitis BC antibody test............................... 0.00 0.00 0.00 0.00 XXX O
86291... ...... X Hepatitis BS antibody test............................... 0.00 0.00 0.00 0.00 XXX O
86293... ...... X Hepatitis Be antibody test............................... 0.00 0.00 0.00 0.00 XXX O
86295... ...... X Hepatitis Be antibody test............................... 0.00 0.00 0.00 0.00 XXX O
86296... ...... X Hepatitis A antibody test................................ 0.00 0.00 0.00 0.00 XXX O
86299... ...... X Hepatitis A antibody test................................ 0.00 0.00 0.00 0.00 XXX O
86302... ...... X Hepatitis C antibody..................................... 0.00 0.00 0.00 0.00 XXX O
86303... ...... X Hepatitis C antibody..................................... 0.00 0.00 0.00 0.00 XXX O
86306... ...... X Hepatitis, delta agent................................... 0.00 0.00 0.00 0.00 XXX O
86308... ...... X Heterophile antibodies................................... 0.00 0.00 0.00 0.00 XXX O
86309... ...... X Heterophile antibodies................................... 0.00 0.00 0.00 0.00 XXX O
86310... ...... X Heterophile antibodies................................... 0.00 0.00 0.00 0.00 XXX O
86311... ...... X HIV antigen test......................................... 0.00 0.00 0.00 0.00 XXX O
86313... ...... X Immunoassay, infectious agent............................ 0.00 0.00 0.00 0.00 XXX O
86315... ...... X Immunoassay, infectious agent............................ 0.00 0.00 0.00 0.00 XXX O
86316... ...... X Immunoassay, tumor antigen............................... 0.00 0.00 0.00 0.00 XXX O
86317... ...... X Immunoassay, infectious agent............................ 0.00 0.00 0.00 0.00 XXX O
86318... ...... X Immunoassay, infectious agent............................ 0.00 0.00 0.00 0.00 XXX O
86320... ...... X Serum immunoelectrophoresis.............................. 0.00 0.00 0.00 0.00 XXX O
86320... 26 A Serum immunoelectrophoresis.............................. 0.37 0.20 0.01 0.58 XXX N
86325... ...... X Other immunoelectrophoresis.............................. 0.00 0.00 0.00 0.00 XXX O
86325... 26 A Other immunoelectrophoresis.............................. 0.37 0.20 0.01 0.58 XXX N
86327... ...... X Immunoelectrophoresis assay.............................. 0.00 0.00 0.00 0.00 XXX O
86327... 26 A Immunoelectrophoresis assay.............................. 0.37 0.20 0.01 0.58 XXX N
86329... ...... X Immunodiffusion.......................................... 0.00 0.00 0.00 0.00 XXX O
86331... ...... X Immunodiffusion ouchterlony.............................. 0.00 0.00 0.00 0.00 XXX O
86332... ...... X Immune complex assay..................................... 0.00 0.00 0.00 0.00 XXX O
86334... ...... X Immunofixation procedure................................. 0.00 0.00 0.00 0.00 XXX O
86334... 26 A Immunofixation procedure................................. 0.37 0.20 0.01 0.58 XXX N
86337... ...... X Insulin antibodies....................................... 0.00 0.00 0.00 0.00 XXX O
86340... ...... X Intrinsic factor antibody................................ 0.00 0.00 0.00 0.00 XXX O
86341... ...... X Islet cell antibody...................................... 0.00 0.00 0.00 0.00 XXX O
86343... ...... X Leukocyte histamine release.............................. 0.00 0.00 0.00 0.00 XXX O
86344... ...... X Leukocyte phagocytosis................................... 0.00 0.00 0.00 0.00 XXX O
86353... ...... X Lymphocyte transformation................................ 0.00 0.00 0.00 0.00 XXX O
86359... ...... X T cells, total count..................................... 0.00 0.00 0.00 0.00 XXX O
86360... ...... X T cell ratio............................................. 0.00 0.00 0.00 0.00 XXX O
86376... ...... X Microsomal antibody...................................... 0.00 0.00 0.00 0.00 XXX O
86378... ...... X Migration inhibitory factor.............................. 0.00 0.00 0.00 0.00 XXX O
86382... ...... X Neutralization test, viral............................... 0.00 0.00 0.00 0.00 XXX O
86384... ...... X Nitroblue tetrazolium dye................................ 0.00 0.00 0.00 0.00 XXX O
86403... ...... X Particle agglutination test.............................. 0.00 0.00 0.00 0.00 XXX O
86406... ...... X Particle agglutination test.............................. 0.00 0.00 0.00 0.00 XXX O
86430... ...... X Rheumatoid factor test................................... 0.00 0.00 0.00 0.00 XXX O
86431... ...... X Rheumatoid factor, quant................................. 0.00 0.00 0.00 0.00 XXX O
86485... ...... C Skin test, candida....................................... 0.00 0.00 0.00 0.00 XXX N
86490... ...... A Coccidioidomycosis skin test............................. 0.00 0.28 0.02 0.30 XXX N
86510... ...... A Histoplasmosis skin test................................. 0.00 0.30 0.02 0.32 XXX N
86580... ...... A TB intradermal test...................................... 0.00 0.24 0.02 0.26 XXX N
86585... ...... A TB tine test............................................. 0.00 0.19 0.01 0.20 XXX N
86586... ...... C Skin test, unlisted...................................... 0.00 0.00 0.00 0.00 XXX N
86588... ...... X Streptocollus, direct screen............................. 0.00 0.00 0.00 0.00 XXX O
86590... ...... X Streptokinase, antibody.................................. 0.00 0.00 0.00 0.00 XXX O
86592... ...... X Blood serology, qualitative.............................. 0.00 0.00 0.00 0.00 XXX O
86593... ...... X Blood serology, quantitative............................. 0.00 0.00 0.00 0.00 XXX O
86602... ...... X Antinomyces antibody..................................... 0.00 0.00 0.00 0.00 XXX O
86603... ...... X Adenovirus, antibody..................................... 0.00 0.00 0.00 0.00 XXX O
86606... ...... X Aspergillus antibody..................................... 0.00 0.00 0.00 0.00 XXX O
86609... ...... X Bacterium, antibody...................................... 0.00 0.00 0.00 0.00 XXX O
86612... ...... X Blastomyces, antibody.................................... 0.00 0.00 0.00 0.00 XXX O
86615... ...... X Bordetella antibody...................................... 0.00 0.00 0.00 0.00 XXX O
86617... ...... X Lyme disease antibody.................................... 0.00 0.00 0.00 0.00 XXX O
86618... ...... X Lyme disease antibody.................................... 0.00 0.00 0.00 0.00 XXX O
86619... ...... X Borrelia antibody........................................ 0.00 0.00 0.00 0.00 XXX O
86622... ...... X Brucella, antibody....................................... 0.00 0.00 0.00 0.00 XXX O
86625... ...... X Campylobacter, antibody.................................. 0.00 0.00 0.00 0.00 XXX O
86628... ...... X Candida, antibody........................................ 0.00 0.00 0.00 0.00 XXX O
86631... ...... X Chlamydia, antibody...................................... 0.00 0.00 0.00 0.00 XXX O
86632... ...... X Chlamydia, IgM, antibody................................. 0.00 0.00 0.00 0.00 XXX O
86635... ...... X Coccidioides, antibody................................... 0.00 0.00 0.00 0.00 XXX O
86638... ...... X Q fever antibody......................................... 0.00 0.00 0.00 0.00 XXX O
86641... ...... X Cryptococcus antibody.................................... 0.00 0.00 0.00 0.00 XXX O
86644... ...... X CMV antibody............................................. 0.00 0.00 0.00 0.00 XXX O
86645... ...... X CMV antibody, IgM........................................ 0.00 0.00 0.00 0.00 XXX O
86648... ...... X Diphtheria antibody...................................... 0.00 0.00 0.00 0.00 XXX O
86651... ...... X Encephalitis antibody.................................... 0.00 0.00 0.00 0.00 XXX O
86652... ...... X Encephalitis antibody.................................... 0.00 0.00 0.00 0.00 XXX O
86653... ...... X Encephalitis, antibody................................... 0.00 0.00 0.00 0.00 XXX O
86654... ...... X Encephalitis, antibody................................... 0.00 0.00 0.00 0.00 XXX O
86658... ...... X Enterovirus, antibody.................................... 0.00 0.00 0.00 0.00 XXX O
86663... ...... X Epstein-barr antibody.................................... 0.00 0.00 0.00 0.00 XXX O
86664... ...... X Epstein-barr antibody.................................... 0.00 0.00 0.00 0.00 XXX O
86665... ...... X Epstein-barr, antibody................................... 0.00 0.00 0.00 0.00 XXX O
86668... ...... X Francisella tularensis................................... 0.00 0.00 0.00 0.00 XXX O
86671... ...... X Fungus, antibody......................................... 0.00 0.00 0.00 0.00 XXX O
86674... ...... X Giardia lamblia.......................................... 0.00 0.00 0.00 0.00 XXX O
86677... ...... X Helicobacter pylori...................................... 0.00 0.00 0.00 0.00 XXX O
86682... ...... X Helminth, antibody....................................... 0.00 0.00 0.00 0.00 XXX O
86684... ...... X Hemophilus influenza..................................... 0.00 0.00 0.00 0.00 XXX O
86687... ...... X HTLV I................................................... 0.00 0.00 0.00 0.00 XXX O
86688... ...... X HTLV-II.................................................. 0.00 0.00 0.00 0.00 XXX O
86689... ...... X HTLV/HIV confirmatory test............................... 0.00 0.00 0.00 0.00 XXX O
86692... ...... X Hepatitis, delta agent................................... 0.00 0.00 0.00 0.00 XXX O
86694... ...... X Herpes simplex test...................................... 0.00 0.00 0.00 0.00 XXX O
86695... ...... X Herpes simplex test...................................... 0.00 0.00 0.00 0.00 XXX O
86698... ...... X Histoplasma.............................................. 0.00 0.00 0.00 0.00 XXX O
86701... ...... X HIV-1.................................................... 0.00 0.00 0.00 0.00 XXX O
86702... ...... X HIV-2.................................................... 0.00 0.00 0.00 0.00 XXX O
86703... ...... X HIV-1/HIV-2, single assay................................ 0.00 0.00 0.00 0.00 XXX O
86710... ...... X Influenza virus.......................................... 0.00 0.00 0.00 0.00 XXX O
86713... ...... X Legionella............................................... 0.00 0.00 0.00 0.00 XXX O
86717... ...... X Leishmania............................................... 0.00 0.00 0.00 0.00 XXX O
86720... ...... X Leptospira............................................... 0.00 0.00 0.00 0.00 XXX O
86723... ...... X Listeria monocytogenes................................... 0.00 0.00 0.00 0.00 XXX O
86727... ...... X Lymph choriomeningitis................................... 0.00 0.00 0.00 0.00 XXX O
86729... ...... X Lympho venereum.......................................... 0.00 0.00 0.00 0.00 XXX O
86732... ...... X Mucormycosis............................................. 0.00 0.00 0.00 0.00 XXX O
86735... ...... X Mumps.................................................... 0.00 0.00 0.00 0.00 XXX O
86738... ...... X Mycoplasma............................................... 0.00 0.00 0.00 0.00 XXX O
86741... ...... X Neisseria meningitidis................................... 0.00 0.00 0.00 0.00 XXX O
86744... ...... X Nocardia................................................. 0.00 0.00 0.00 0.00 XXX O
86747... ...... X Parvovirus............................................... 0.00 0.00 0.00 0.00 XXX O
86750... ...... X Malaria.................................................. 0.00 0.00 0.00 0.00 XXX O
86753... ...... X Protozoa, not elsewhere.................................. 0.00 0.00 0.00 0.00 XXX O
86756... ...... X Respiratory virus........................................ 0.00 0.00 0.00 0.00 XXX O
86759... ...... X Rotavirus................................................ 0.00 0.00 0.00 0.00 XXX O
86762... ...... X Rubella.................................................. 0.00 0.00 0.00 0.00 XXX O
86765... ...... X Rubeola.................................................. 0.00 0.00 0.00 0.00 XXX O
86768... ...... X Salmonella............................................... 0.00 0.00 0.00 0.00 XXX O
86771... ...... X Shigella................................................. 0.00 0.00 0.00 0.00 XXX O
86774... ...... X Tetanus.................................................. 0.00 0.00 0.00 0.00 XXX O
86777... ...... X Toxoplasma............................................... 0.00 0.00 0.00 0.00 XXX O
86778... ...... X Toxoplasma, IgM.......................................... 0.00 0.00 0.00 0.00 XXX O
86781... ...... X Treponema pallidum confirm............................... 0.00 0.00 0.00 0.00 XXX O
86784... ...... X Trichinella.............................................. 0.00 0.00 0.00 0.00 XXX O
86787... ...... X Varicella-zoster......................................... 0.00 0.00 0.00 0.00 XXX O
86790... ...... X Virus, not specified..................................... 0.00 0.00 0.00 0.00 XXX O
86793... ...... X Yersinia................................................. 0.00 0.00 0.00 0.00 XXX O
86800... ...... X Thyroglobulin antibody................................... 0.00 0.00 0.00 0.00 XXX O
86805... ...... X Lymphocytotoxicity assay................................. 0.00 0.00 0.00 0.00 XXX O
86806... ...... X Lymphocytotoxicity assay................................. 0.00 0.00 0.00 0.00 XXX O
86807... ...... X Cytotoxic antibody screening............................. 0.00 0.00 0.00 0.00 XXX O
86808... ...... X Cytotoxic antibody screening............................. 0.00 0.00 0.00 0.00 XXX O
86812... ...... X HLA typing, A, B, or C................................... 0.00 0.00 0.00 0.00 XXX O
86813... ...... X HLA typing, A, B, or C................................... 0.00 0.00 0.00 0.00 XXX O
86816... ...... X HLA typing, DR/DQ........................................ 0.00 0.00 0.00 0.00 XXX O
86817... ...... X HLA typing, DR/DQ........................................ 0.00 0.00 0.00 0.00 XXX O
86821... ...... X Lymphocyte culture, mixed................................ 0.00 0.00 0.00 0.00 XXX O
86822... ...... X Lymphocyte culture, primed............................... 0.00 0.00 0.00 0.00 XXX O
86849... ...... X Immunology procedure..................................... 0.00 0.00 0.00 0.00 XXX O
86850... ...... X RBC antibody screen...................................... 0.00 0.00 0.00 0.00 XXX O
86860... ...... X RBC antibody elution..................................... 0.00 0.00 0.00 0.00 XXX O
86870... ...... X RBC antibody identification.............................. 0.00 0.00 0.00 0.00 XXX O
86880... ...... X Coombs test.............................................. 0.00 0.00 0.00 0.00 XXX O
86885... ...... X Coombs test.............................................. 0.00 0.00 0.00 0.00 XXX O
86886... ...... X Coombs test.............................................. 0.00 0.00 0.00 0.00 XXX O
86890... ...... X Autologous blood process................................. 0.00 0.00 0.00 0.00 XXX O
86891... ...... X Autologous blood, op salvage............................. 0.00 0.00 0.00 0.00 XXX O
86900... ...... X Blood typing, ABO........................................ 0.00 0.00 0.00 0.00 XXX O
86901... ...... X Blood typing, Rh (D)..................................... 0.00 0.00 0.00 0.00 XXX O
86903... ...... X Blood typing, antigen screen............................. 0.00 0.00 0.00 0.00 XXX O
86904... ...... X Blood typing, patient serum.............................. 0.00 0.00 0.00 0.00 XXX O
86905... ...... X Blood typing, RBC antigens............................... 0.00 0.00 0.00 0.00 XXX O
86906... ...... X Blood typing, Rh phenotype............................... 0.00 0.00 0.00 0.00 XXX O
86910... ...... X Blood typing, paternity test............................. 0.00 0.00 0.00 0.00 XXX O
86911... ...... X Blood typing, antigen system............................. 0.00 0.00 0.00 0.00 XXX O
86915... ...... X Bone marrow.............................................. 0.00 0.00 0.00 0.00 XXX O
86920... ...... X Compatibility test....................................... 0.00 0.00 0.00 0.00 XXX O
86921... ...... X Compatibility test....................................... 0.00 0.00 0.00 0.00 XXX O
86922... ...... X Compatibility test....................................... 0.00 0.00 0.00 0.00 XXX O
86927... ...... X Plasma, fresh frozen..................................... 0.00 0.00 0.00 0.00 XXX O
86930... ...... X Frozen blood prep........................................ 0.00 0.00 0.00 0.00 XXX O
86931... ...... X Frozen blood thaw........................................ 0.00 0.00 0.00 0.00 XXX O
86932... ...... X Frozen blood, freeze/thaw................................ 0.00 0.00 0.00 0.00 XXX O
86940... ...... X Hemolysins/agglutinins auto.............................. 0.00 0.00 0.00 0.00 XXX O
86941... ...... X Hemolysins/agglutinins................................... 0.00 0.00 0.00 0.00 XXX O
86945... ...... X Blood product/irradiation................................ 0.00 0.00 0.00 0.00 XXX O
86950... ...... X Leukacyte transfusion.................................... 0.00 0.00 0.00 0.00 XXX O
86965... ...... X Pooling blood platelets.................................. 0.00 0.00 0.00 0.00 XXX O
86970... ...... X RBC pretreatment......................................... 0.00 0.00 0.00 0.00 XXX O
86971... ...... X RBC pretreatment......................................... 0.00 0.00 0.00 0.00 XXX O
86972... ...... X RBC pretreatment......................................... 0.00 0.00 0.00 0.00 XXX O
86975... ...... X RBC pretreatment, serum.................................. 0.00 0.00 0.00 0.00 XXX O
86976... ...... X RBC pretreatment, serum.................................. 0.00 0.00 0.00 0.00 XXX O
86977... ...... X RBC pretreatment, serum.................................. 0.00 0.00 0.00 0.00 XXX O
86978... ...... X RBC pretreatment, serum.................................. 0.00 0.00 0.00 0.00 XXX O
86985... ...... X Split blood or products.................................. 0.00 0.00 0.00 0.00 XXX O
86999... ...... X Transfusion procedure.................................... 0.00 0.00 0.00 0.00 XXX O
87001... ...... X Small animal inoculation................................. 0.00 0.00 0.00 0.00 XXX O
87003... ...... X Small animal inoculation................................. 0.00 0.00 0.00 0.00 XXX O
87015... ...... X Specimen concentration................................... 0.00 0.00 0.00 0.00 XXX O
87040... ...... X Blood culture for bacteria............................... 0.00 0.00 0.00 0.00 XXX O
87045... ...... X Stool culture for bacteria............................... 0.00 0.00 0.00 0.00 XXX O
87060... ...... X Nose/throat culture, bacteria............................ 0.00 0.00 0.00 0.00 XXX O
87070... ...... X Culture specimen, bacteria............................... 0.00 0.00 0.00 0.00 XXX O
87072... ...... X Culture of specimen by kit............................... 0.00 0.00 0.00 0.00 XXX O
87075... ...... X Culture specimen, bacteria............................... 0.00 0.00 0.00 0.00 XXX O
87076... ...... X Bacteria identification.................................. 0.00 0.00 0.00 0.00 XXX O
87081... ...... X Bacteria culture screen.................................. 0.00 0.00 0.00 0.00 XXX O
87082... ...... X Culture of specimen by kit............................... 0.00 0.00 0.00 0.00 XXX O
87083... ...... X Culture of specimen by kit............................... 0.00 0.00 0.00 0.00 XXX O
87084... ...... X Culture of specimen by kit............................... 0.00 0.00 0.00 0.00 XXX O
87085... ...... X Culture of specimen by kit............................... 0.00 0.00 0.00 0.00 XXX O
87086... ...... X Urine culture, colony count.............................. 0.00 0.00 0.00 0.00 XXX O
87087... ...... X Urine bacteria culture................................... 0.00 0.00 0.00 0.00 XXX O
87088... ...... X Urine bacteria culture................................... 0.00 0.00 0.00 0.00 XXX O
87101... ...... X Skin fungus culture...................................... 0.00 0.00 0.00 0.00 XXX O
87102... ...... X Fungus isolation culture................................. 0.00 0.00 0.00 0.00 XXX O
87103... ...... X Blood fungus culture..................................... 0.00 0.00 0.00 0.00 XXX O
87106... ...... X Fungus identification.................................... 0.00 0.00 0.00 0.00 XXX O
87109... ...... X Mycoplasma culture....................................... 0.00 0.00 0.00 0.00 XXX O
87110... ...... X Culture, chlamydia....................................... 0.00 0.00 0.00 0.00 XXX O
87116... ...... X Mycobacteria culture..................................... 0.00 0.00 0.00 0.00 XXX O
87117... ...... X Mycobacteria culture..................................... 0.00 0.00 0.00 0.00 XXX O
87118... ...... X Mycobacteria identification.............................. 0.00 0.00 0.00 0.00 XXX O
87140... ...... X Culture typing, fluorescent.............................. 0.00 0.00 0.00 0.00 XXX O
87143... ...... X Culture typing, GLC method............................... 0.00 0.00 0.00 0.00 XXX O
87145... ...... X Culture typing, phage method............................. 0.00 0.00 0.00 0.00 XXX O
87147... ...... X Culture typing, serologic................................ 0.00 0.00 0.00 0.00 XXX O
87151... ...... X Culture typing, serologic................................ 0.00 0.00 0.00 0.00 XXX O
87155... ...... X Culture typing, precipitin............................... 0.00 0.00 0.00 0.00 XXX O
87158... ...... X Culture typing, added method............................. 0.00 0.00 0.00 0.00 XXX O
87163... ...... X Special microbiology culture............................. 0.00 0.00 0.00 0.00 XXX O
87164... ...... X Dark field examination................................... 0.00 0.00 0.00 0.00 XXX O
87164... 26 A Dark field examination................................... 0.37 0.20 0.01 0.58 XXX N
87166... ...... X Dark field examination................................... 0.00 0.00 0.00 0.00 XXX O
87174... ...... X Endotoxin, bacterial..................................... 0.00 0.00 0.00 0.00 XXX O
87175... ...... X Assay, endotoxin, bacterial.............................. 0.00 0.00 0.00 0.00 XXX O
87176... ...... X Endotoxin, bacterial..................................... 0.00 0.00 0.00 0.00 XXX O
87177... ...... X Ova and parasites smears................................. 0.00 0.00 0.00 0.00 XXX O
87178... ...... X Microbe identification................................... 0.00 0.00 0.00 0.00 XXX O
87179... ...... X Microbe identification................................... 0.00 0.00 0.00 0.00 XXX O
87181... ...... X Antibiotic sensitivity, each............................. 0.00 0.00 0.00 0.00 XXX O
87184... ...... X Antibiotic sensitivity, each............................. 0.00 0.00 0.00 0.00 XXX O
87186... ...... X Antibiotic sensitivity, MIC.............................. 0.00 0.00 0.00 0.00 XXX O
87187... ...... X Antibiotic sensitivity, MBC.............................. 0.00 0.00 0.00 0.00 XXX O
87188... ...... X Antibiotic sensitivity, each............................. 0.00 0.00 0.00 0.00 XXX O
87190... ...... X TB antibiotic sensitivity................................ 0.00 0.00 0.00 0.00 XXX O
87192... ...... X Antibiotic sensitivity, each............................. 0.00 0.00 0.00 0.00 XXX O
87197... ...... X Bactericidal level, serum................................ 0.00 0.00 0.00 0.00 XXX O
87205... ...... X Smear, stain & interpret................................. 0.00 0.00 0.00 0.00 XXX O
87206... ...... X Smear, stain & interpret................................. 0.00 0.00 0.00 0.00 XXX O
87207... ...... X Smear, stain & interpret................................. 0.00 0.00 0.00 0.00 XXX O
87207... 26 A Smear, stain & interpret................................. 0.37 0.20 0.01 0.58 XXX N
87208... ...... X Smear, stain & interpret................................. 0.00 0.00 0.00 0.00 XXX O
87210... ...... X Smear, stain & interpret................................. 0.00 0.00 0.00 0.00 XXX O
87211... ...... X Smear, stain & interpret................................. 0.00 0.00 0.00 0.00 XXX O
87220... ...... X Tissue exam for fungi.................................... 0.00 0.00 0.00 0.00 XXX O
87230... ...... X Assay, toxin or antitoxin................................ 0.00 0.00 0.00 0.00 XXX O
87250... ...... X Virus inoculation for test............................... 0.00 0.00 0.00 0.00 XXX O
87252... ...... X Virus inoculation for test............................... 0.00 0.00 0.00 0.00 XXX O
87253... ...... X Virus inoculation for test............................... 0.00 0.00 0.00 0.00 XXX O
87999... ...... X Microbiology procedure................................... 0.00 0.00 0.00 0.00 XXX O
88000... ...... N Autopsy (necropsy), gross................................ 0.00 0.00 0.00 0.00 XXX O
88005... ...... N Autopsy (necropsy), gross................................ 0.00 0.00 0.00 0.00 XXX O
88007... ...... N Autopsy (necropsy), gross................................ 0.00 0.00 0.00 0.00 XXX O
88012... ...... N Autopsy (necropsy), gross................................ 0.00 0.00 0.00 0.00 XXX O
88014... ...... N Autopsy (necropsy), gross................................ 0.00 0.00 0.00 0.00 XXX O
88016... ...... N Autopsy (necropsy), gross................................ 0.00 0.00 0.00 0.00 XXX O
88020... ...... N Autopsy (necropsy), complete............................. 0.00 0.00 0.00 0.00 XXX O
88025... ...... N Autopsy (necropsy), complete............................. 0.00 0.00 0.00 0.00 XXX O
88027... ...... N Autopsy (necropsy), complete............................. 0.00 0.00 0.00 0.00 XXX O
88028... ...... N Autopsy (necropsy), complete............................. 0.00 0.00 0.00 0.00 XXX O
88029... ...... N Autopsy (necropsy), complete............................. 0.00 0.00 0.00 0.00 XXX O
88036... ...... N Limited autopsy.......................................... 0.00 0.00 0.00 0.00 XXX O
88037... ...... N Limited autopsy.......................................... 0.00 0.00 0.00 0.00 XXX O
88040... ...... N Forensic autopsy (necropsy).............................. 0.00 0.00 0.00 0.00 XXX O
88045... ...... N Coroner's autopsy (necropsy)............................. 0.00 0.00 0.00 0.00 XXX O
88099... ...... N Necropsy (autopsy) procedure............................. 0.00 0.00 0.00 0.00 XXX O
88104... ...... A Microscopic exam of cells................................ 0.56 0.44 0.04 1.04 XXX N
88104... 26 A Microscopic exam of cells................................ 0.56 0.23 0.02 0.81 XXX N
88104... TC A Microscopic exam of cells................................ 0.00 0.21 0.02 0.23 XXX N
88106... ...... A Microscopic exam of cells................................ 0.56 0.37 0.03 0.96 XXX N
88106... 26 A Microscopic exam of cells................................ 0.56 0.20 0.01 0.77 XXX N
88106... TC A Microscopic exam of cells................................ 0.00 0.17 0.02 0.19 XXX N
88107... ...... A Microscopic exam of cells................................ 0.76 0.47 0.04 1.27 XXX N
88107... 26 A Microscopic exam of cells................................ 0.76 0.24 0.02 1.02 XXX N
88107... TC A Microscopic exam of cells................................ 0.00 0.23 0.02 0.25 XXX N
88108... ...... A Cytopathology............................................ 0.56 0.47 0.04 1.07 XXX N
88108... 26 A Cytopathology............................................ 0.56 0.24 0.02 0.82 XXX N
88108... TC A Cytopathology............................................ 0.00 0.23 0.02 0.25 XXX N
88125... ...... A Forensic cytopathology................................... 0.26 0.11 0.00 0.37 XXX N
88125... 26 A Forensic cytopathology................................... 0.26 0.07 0.00 0.33 XXX N
88125... TC A Forensic cytopathology................................... 0.00 0.04 0.00 0.04 XXX N
88130... ...... X Sex chromatin identification............................. 0.00 0.00 0.00 0.00 XXX O
88140... ...... X Sex chromatin identification............................. 0.00 0.00 0.00 0.00 XXX O
88150... ...... X Cytopathology, pap smear................................. 0.00 0.00 0.00 0.00 XXX O
88151... ...... X Cytopathology interpretation............................. 0.00 0.00 0.00 0.00 XXX O
88151... 26 A Cytopathology interpretation............................. 0.42 0.32 0.04 0.78 XXX N
88155... ...... X Cytopathology, pap smear................................. 0.00 0.00 0.00 0.00 XXX O
88156... ...... X TBS smear (bethesda system).............................. 0.00 0.00 0.00 0.00 XXX O
88157... ...... X TBS smear (bethesda system).............................. 0.00 0.00 0.00 0.00 XXX O
88157... 26 A TBS smear (bethesda system).............................. 0.42 0.32 0.04 0.78 XXX N
88160... ...... A Cytopathology............................................ 0.50 0.33 0.03 0.86 XXX N
88160... 26 A Cytopathology............................................ 0.50 0.17 0.01 0.68 XXX N
88160... TC A Cytopathology............................................ 0.00 0.16 0.02 0.18 XXX N
88161... ...... A Cytopathology............................................ 0.50 0.39 0.03 0.92 XXX N
88161... 26 A Cytopathology............................................ 0.50 0.20 0.01 0.71 XXX N
88161... TC A Cytopathology............................................ 0.00 0.19 0.02 0.21 XXX N
88162... ...... A Cytopathology, extensive................................. 0.76 0.79 0.05 1.60 XXX N
88162... 26 A Cytopathology, extensive................................. 0.76 0.41 0.03 1.20 XXX N
88162... TC A Cytopathology, extensive................................. 0.00 0.38 0.02 0.40 XXX N
88170... ...... A Fine needle aspiration................................... 0.50 0.99 0.09 1.58 XXX N
88170... 26 A Fine needle aspiration................................... 0.50 0.52 0.05 1.07 XXX N
88170... TC A Fine needle aspiration................................... 0.00 0.47 0.04 0.51 XXX N
88171... ...... A Fine needle aspiration................................... 1.05 1.35 0.09 2.49 XXX N
88171... 26 A Fine needle aspiration................................... 1.05 0.71 0.05 1.81 XXX N
88171... TC A Fine needle aspiration................................... 0.00 0.64 0.04 0.68 XXX N
88172... ...... A Evaluation of smear...................................... 0.60 0.71 0.05 1.36 XXX N
88172... 26 A Evaluation of smear...................................... 0.60 0.36 0.03 0.99 XXX N
88172... TC A Evaluation of smear...................................... 0.00 0.35 0.02 0.37 XXX N
88173... ...... A Interpretation of smear.................................. 1.08 0.87 0.05 2.00 XXX N
88173... 26 A Interpretation of smear.................................. 1.08 0.45 0.03 1.56 XXX N
88173... TC A Interpretation of smear.................................. 0.00 0.42 0.02 0.44 XXX N
88180... ...... A Cell marker study........................................ 0.36 0.33 0.03 0.72 XXX N
88180... 26 A Cell marker study........................................ 0.36 0.17 0.01 0.54 XXX N
88180... TC A Cell marker study........................................ 0.00 0.16 0.02 0.18 XXX N
88182... ...... A Cell marker study........................................ 0.77 0.89 0.07 1.73 XXX N
88182... 26 A Cell marker study........................................ 0.77 0.45 0.03 1.25 XXX N
88182... TC A Cell marker study........................................ 0.00 0.44 0.04 0.48 XXX N
88199... ...... C Cytopathology procedure.................................. 0.00 0.00 0.00 0.00 XXX N
88199... 26 C Cytopathology procedure.................................. 0.00 0.00 0.00 0.00 XXX N
88199... TC C Cytopathology procedure.................................. 0.00 0.00 0.00 0.00 XXX N
88230... ...... X Tissue culture, lymphocyte............................... 0.00 0.00 0.00 0.00 XXX O
88233... ...... X Tissue culture, skin/biopsy.............................. 0.00 0.00 0.00 0.00 XXX O
88235... ...... X Tissue culture, placenta................................. 0.00 0.00 0.00 0.00 XXX O
88237... ...... X Tissue culture, bone marrow.............................. 0.00 0.00 0.00 0.00 XXX O
88239... ...... X Tissue culture, other.................................... 0.00 0.00 0.00 0.00 XXX O
88245... ...... X Chromosome analysis...................................... 0.00 0.00 0.00 0.00 XXX O
88248... ...... X Chromosome analysis...................................... 0.00 0.00 0.00 0.00 XXX O
88250... ...... X Chromosome analysis...................................... 0.00 0.00 0.00 0.00 XXX O
88260... ...... X Chromosome analysis: 5 cells............................. 0.00 0.00 0.00 0.00 XXX O
88261... ...... X Chromosome analysis: 5 cells............................. 0.00 0.00 0.00 0.00 XXX O
88262... ...... X Chromosome count: 15-20 cells............................ 0.00 0.00 0.00 0.00 XXX O
88263... ...... X Chromosome analysis: 45 cells............................ 0.00 0.00 0.00 0.00 XXX O
88267... ...... X Chromosome analysis: placenta............................ 0.00 0.00 0.00 0.00 XXX O
88269... ...... X Chromosome analysis: amniotic............................ 0.00 0.00 0.00 0.00 XXX O
88280... ...... X Chromosome karyotype study............................... 0.00 0.00 0.00 0.00 XXX O
88283... ...... X Chromosome banding study................................. 0.00 0.00 0.00 0.00 XXX O
88285... ...... X Chromosome count: additional............................. 0.00 0.00 0.00 0.00 XXX O
88289... ...... X Chromosome study: additional............................. 0.00 0.00 0.00 0.00 XXX O
88299... ...... C Cytogenetic study........................................ 0.00 0.00 0.00 0.00 XXX N
88300... ...... A Surg path, gross......................................... 0.08 *0.20 0.01 0.29 XXX N
88300... 26 A Surg path, gross......................................... 0.08 *0.10 0.01 0.19 XXX N
88300... TC A Surg path, gross......................................... 0.00 0.10 0.00 0.10 XXX N
88302... ...... A Tissue exam by pathologist............................... 0.13 *0.43 0.04 0.60 XXX N
88302... 26 A Tissue exam by pathologist............................... 0.13 *0.20 0.02 0.35 XXX N
88302... TC A Tissue exam by pathologist............................... 0.00 0.23 0.02 0.25 XXX N
88304... ...... A Tissue exam by pathologist............................... 0.22 *0.62 0.04 0.88 XXX N
88304... 26 A Tissue exam by pathologist............................... 0.22 *0.29 0.02 0.53 XXX N
88304... TC A Tissue exam by pathologist............................... 0.00 0.33 0.02 0.35 XXX N
88305... ...... A Tissue exam by pathologist............................... 0.75 1.03 0.08 1.86 XXX N
88305... 26 A Tissue exam by pathologist............................... 0.75 0.53 0.04 1.32 XXX N
88305... TC A Tissue exam by pathologist............................... 0.00 0.50 0.04 0.54 XXX N
88307... ...... A Tissue exam by pathologist............................... 1.59 1.52 0.12 3.23 XXX N
88307... 26 A Tissue exam by pathologist............................... 1.59 0.78 0.06 2.43 XXX N
88307... TC A Tissue exam by pathologist............................... 0.00 0.74 0.06 0.80 XXX N
88309... ...... A Tissue exam by pathologist............................... 2.28 1.92 0.13 4.33 XXX N
88309... 26 A Tissue exam by pathologist............................... 2.28 0.99 0.07 3.34 XXX N
88309... TC A Tissue exam by pathologist............................... 0.00 0.93 0.06 0.99 XXX N
88311... ...... A Decalcify tissue......................................... 0.24 0.21 0.01 0.46 XXX N
88311... 26 A Decalcify tissue......................................... 0.24 0.11 0.01 0.36 XXX N
88311... TC A Decalcify tissue......................................... 0.00 0.10 0.00 0.10 XXX N
88312... ...... A Special stains........................................... 0.54 0.26 0.01 0.81 XXX N
88312... 26 A Special stains........................................... 0.54 0.14 0.01 0.69 XXX N
88312... TC A Special stains........................................... 0.00 0.12 0.00 0.12 XXX N
88313... ...... A Special stains........................................... 0.24 0.21 0.01 0.46 XXX N
88313... 26 A Special stains........................................... 0.24 0.11 0.01 0.36 XXX N
88313... TC A Special stains........................................... 0.00 0.10 0.00 0.10 XXX N
88314... ...... A Histochemical stain...................................... 0.45 0.62 0.04 1.11 XXX N
88314... 26 A Histochemical stain...................................... 0.45 0.35 0.02 0.82 XXX N
88314... TC A Histochemical stain...................................... 0.00 0.27 0.02 0.29 XXX N
88318... ...... A Chemical histochemistry.................................. 0.42 0.24 0.01 0.67 XXX N
88318... 26 A Chemical histochemistry.................................. 0.42 0.12 0.01 0.55 XXX N
88318... TC A Chemical histochemistry.................................. 0.00 0.12 0.00 0.12 XXX N
88319... ...... A Enzyme histochemistry.................................... 0.53 0.49 0.04 1.06 XXX N
88319... 26 A Enzyme histochemistry.................................... 0.53 0.26 0.02 0.81 XXX N
88319... TC A Enzyme histochemistry.................................... 0.00 0.23 0.02 0.25 XXX N
88321... ...... A Microslide consultation.................................. 1.30 0.41 0.03 1.74 XXX N
88323... ...... A Microslide consultation.................................. 1.35 0.72 0.05 2.12 XXX N
88323... 26 A Microslide consultation.................................. 1.35 0.39 0.03 1.77 XXX N
88323... TC A Microslide consultation.................................. 0.00 0.33 0.02 0.35 XXX N
88325... ...... A Comprehensive review of data............................. 2.22 0.47 0.04 2.73 XXX N
88329... ...... A Pathology consult in surgery............................. 0.67 0.37 0.03 1.07 XXX N
88331... ...... A Pathology consult in surgery............................. 1.19 1.10 0.08 2.37 XXX N
88331... 26 A Pathology consult in surgery............................. 1.19 0.56 0.04 1.79 XXX N
88331... TC A Pathology consult in surgery............................. 0.00 0.54 0.04 0.58 XXX N
88332... ...... A Pathology consult in surgery............................. 0.59 0.56 0.04 1.19 XXX N
88332... 26 A Pathology consult in surgery............................. 0.59 0.29 0.02 0.90 XXX N
88332... TC A Pathology consult in surgery............................. 0.00 0.27 0.02 0.29 XXX N
88342... ...... A Immunocytochemistry...................................... 0.85 0.64 0.04 1.53 XXX N
88342... 26 A Immunocytochemistry...................................... 0.85 0.33 0.02 1.20 XXX N
88342... TC A Immunocytochemistry...................................... 0.00 0.31 0.02 0.33 XXX N
88346... ...... A Immunofluorescent study.................................. 0.86 0.58 0.04 1.48 XXX N
88346... 26 A Immunofluorescent study.................................. 0.86 0.31 0.02 1.19 XXX N
88346... TC A Immunofluorescent study.................................. 0.00 0.27 0.02 0.29 XXX N
88347... ...... A Immunofluorescent study.................................. 0.86 0.42 0.04 1.32 XXX N
88347... 26 A Immunofluorescent study.................................. 0.86 0.15 0.02 1.03 XXX N
88347... TC A Immunofluorescent study.................................. 0.00 0.27 0.02 0.29 XXX N
88348... ...... A Electron microscopy...................................... 1.51 2.28 0.16 3.95 XXX N
88348... 26 A Electron microscopy...................................... 1.51 1.19 0.08 2.78 XXX N
88348... TC A Electron microscopy...................................... 0.00 1.09 0.08 1.17 XXX N
88349... ...... A Scanning electron microscopy............................. 0.76 1.55 0.12 2.43 XXX N
88349... 26 A Scanning electron microscopy............................. 0.76 0.79 0.06 1.61 XXX N
88349... TC A Scanning electron microscopy............................. 0.00 0.76 0.06 0.82 XXX N
88355... ...... A Analysis, skeletal muscle................................ 1.85 1.74 0.13 3.72 XXX N
88355... 26 A Analysis, skeletal muscle................................ 1.85 0.92 0.07 2.84 XXX N
88355... TC A Analysis, skeletal muscle................................ 0.00 0.82 0.06 0.88 XXX N
88356... ...... A Analysis, nerve.......................................... 3.02 2.66 0.18 5.86 XXX N
88356... 26 A Analysis, nerve.......................................... 3.02 1.39 0.10 4.51 XXX N
88356... TC A Analysis, nerve.......................................... 0.00 1.27 0.08 1.35 XXX N
88358... ...... A Analysis, tumor.......................................... 2.82 2.32 0.16 5.30 XXX N
88358... 26 A Analysis, tumor.......................................... 2.82 1.16 0.08 4.06 XXX N
88358... TC A Analysis, tumor.......................................... 0.00 1.16 0.08 1.24 XXX N
88362... ...... A Nerve teasing preparations............................... 2.17 1.97 0.13 4.27 XXX N
88362... 26 A Nerve teasing preparations............................... 2.17 1.00 0.07 3.24 XXX N
88362... TC A Nerve teasing preparations............................... 0.00 0.97 0.06 1.03 XXX N
88365... ...... A Tissue hybridization..................................... 0.93 0.75 0.05 1.73 XXX N
88365... 26 A Tissue hybridization..................................... 0.93 0.38 0.03 1.34 XXX N
88365... TC A Tissue hybridization..................................... 0.00 0.37 0.02 0.39 XXX N
88371... ...... X Protein, western blot tissue............................. 0.00 0.00 0.00 0.00 XXX O
88371... 26 A Protein, western blot tissue............................. 0.37 0.20 0.01 0.58 XXX N
88372... ...... X Protein analysis w/probe................................. 0.00 0.00 0.00 0.00 XXX O
88372... 26 A Protein analysis w/probe................................. 0.37 0.20 0.01 0.58 XXX N
88399... ...... C Surgical pathology procedure............................. 0.00 0.00 0.00 0.00 XXX N
88399... 26 C Surgical pathology procedure............................. 0.00 0.00 0.00 0.00 XXX N
88399... TC C Surgical pathology procedure............................. 0.00 0.00 0.00 0.00 XXX N
89050... ...... X Body fluid cell count.................................... 0.00 0.00 0.00 0.00 XXX O
89051... ...... X Body fluid cell count.................................... 0.00 0.00 0.00 0.00 XXX O
89060... ...... X Exam, synovial fluid crystals............................ 0.00 0.00 0.00 0.00 XXX O
89060... 26 A Exam, synovial fluid crystals............................ 0.37 0.20 0.01 0.58 XXX N
89100... ...... A Sample intestinal contents............................... 0.60 0.42 0.03 1.05 XXX N
89105... ...... A Sample intestinal contents............................... 0.50 0.39 0.03 0.92 XXX N
89125... ...... X Specimen fat stain....................................... 0.00 0.00 0.00 0.00 XXX O
89130... ...... A Sample stomach contents.................................. 0.45 0.41 0.03 0.89 XXX N
89132... ...... A Sample stomach contents.................................. 0.19 0.19 0.02 0.40 XXX N
89135... ...... A Sample stomach contents.................................. 0.79 0.58 0.04 1.41 XXX N
89136... ...... A Sample stomach contents.................................. 0.21 0.22 0.02 0.45 XXX N
89140... ...... A Sample stomach contents.................................. 0.94 0.81 0.07 1.82 XXX N
89141... ...... A Sample stomach contents.................................. 0.85 0.73 0.06 1.64 XXX N
89160... ...... X Exam feces for meat fibers............................... 0.00 0.00 0.00 0.00 XXX O
89190... ...... X Nasal smear for eosinophils.............................. 0.00 0.00 0.00 0.00 XXX O
89300... ...... X Semen analysis........................................... 0.00 0.00 0.00 0.00 XXX O
89310... ...... X Semen analysis........................................... 0.00 0.00 0.00 0.00 XXX O
89320... ...... X Semen analysis........................................... 0.00 0.00 0.00 0.00 XXX O
89325... ...... X Sperm antibody test...................................... 0.00 0.00 0.00 0.00 XXX O
89329... ...... X Sperm evaluation test.................................... 0.00 0.00 0.00 0.00 XXX O
89330... ...... X Evaluation, cervical mucus............................... 0.00 0.00 0.00 0.00 XXX O
89350... ...... A Sputum specimen collection............................... 0.00 0.39 0.03 0.42 XXX N
89355... ...... X Exam feces for starch.................................... 0.00 0.00 0.00 0.00 XXX O
89360... ...... A Collect sweat for test................................... 0.00 0.43 0.03 0.46 XXX N
89365... ...... X Water load test.......................................... 0.00 0.00 0.00 0.00 XXX O
89399... ...... C Pathology lab procedure.................................. 0.00 0.00 0.00 0.00 XXX N
89399... 26 C Pathology lab procedure.................................. 0.00 0.00 0.00 0.00 XXX N
89399... TC C Pathology lab procedure.................................. 0.00 0.00 0.00 0.00 XXX N
90700... ...... E DTaP immunization........................................ 0.00 0.00 0.00 0.00 XXX O
90701... ...... E DTP immunization......................................... 0.00 0.00 0.00 0.00 XXX O
90702... ...... E Tt immunization.......................................... 0.00 0.00 0.00 0.00 XXX O
90703... ...... E Tetanus immunization..................................... 0.00 0.00 0.00 0.00 XXX O
90704... ...... E Mumps immunization....................................... 0.00 0.00 0.00 0.00 XXX O
90705... ...... E Measles immunization..................................... 0.00 0.00 0.00 0.00 XXX O
90706... ...... E Rubella immunization..................................... 0.00 0.00 0.00 0.00 XXX O
90707... ...... E MMR virus immunization................................... 0.00 0.00 0.00 0.00 XXX O
90708... ...... E Measles-rubella immunization............................. 0.00 0.00 0.00 0.00 XXX O
90709... ...... E Rubella & mumps immunization............................. 0.00 0.00 0.00 0.00 XXX O
90710... ...... E Combined vaccine......................................... 0.00 0.00 0.00 0.00 XXX O
90711... ...... E Combined vaccine......................................... 0.00 0.00 0.00 0.00 XXX O
90712... ...... E Oral poliovirus immunization............................. 0.00 0.00 0.00 0.00 XXX O
90713... ...... E Poliomyelitis immunization............................... 0.00 0.00 0.00 0.00 XXX O
90714... ...... E Typhoid immunization..................................... 0.00 0.00 0.00 0.00 XXX O
90716... ...... E Chicken pox vaccine...................................... 0.00 0.00 0.00 0.00 XXX O
90717... ...... E Yellow fever immunization................................ 0.00 0.00 0.00 0.00 XXX O
90718... ...... E Td immunization.......................................... 0.00 0.00 0.00 0.00 XXX O
90719... ...... E Diphtheria immunization.................................. 0.00 0.00 0.00 0.00 XXX O
90720... ...... E DTP/HIB vaccine.......................................... 0.00 0.00 0.00 0.00 XXX O
90724... ...... X Influenza immunization................................... 0.00 0.00 0.00 0.00 XXX O
90725... ...... N Cholera immunization..................................... 0.00 0.00 0.00 0.00 XXX O
90726... ...... E Rabies immunization...................................... 0.00 0.00 0.00 0.00 XXX O
90727... ...... E Plague immunization...................................... 0.00 0.00 0.00 0.00 XXX O
90728... ...... E BCG immunization......................................... 0.00 0.00 0.00 0.00 XXX O
90730... ...... E Hepatitis A vaccine...................................... 0.00 0.00 0.00 0.00 XXX O
90731... ...... X Hepatitis B immunization................................. 0.00 0.00 0.00 0.00 XXX O
90732... ...... X Pneumococcal immunization................................ 0.00 0.00 0.00 0.00 XXX O
90733... ...... E Meningococcal immunization............................... 0.00 0.00 0.00 0.00 XXX O
90735... ...... E Encephalitis virus vaccine............................... 0.00 0.00 0.00 0.00 XXX O
90737... ...... E Influenza B immunization................................. 0.00 0.00 0.00 0.00 XXX O
90741... ...... E Passive immunization, ISG................................ 0.00 0.00 0.00 0.00 XXX O
90742... ...... E Special passive immunization............................. 0.00 0.00 0.00 0.00 XXX O
90749... ...... C Immunization procedure................................... 0.00 0.00 0.00 0.00 XXX N
90780... ...... A IV infusion therapy, 1 hour.............................. 0.00 1.06 0.08 1.14 XXX N
90781... ...... A IV infusion, additional hour............................. 0.00 0.53 0.04 0.57 XXX N
90782... ...... T Injection (SC)/(IM)...................................... 0.00 0.10 0.01 0.11 XXX N
90783... ...... T Injection (IA)........................................... 0.00 0.39 0.03 0.42 XXX N
90784... ...... T Injection (IV)........................................... 0.00 0.45 0.04 0.49 XXX N
90788... ...... T Injection of antibiotic.................................. 0.00 0.11 0.01 0.12 XXX N
90799... ...... C Therapeutic/diag injection............................... 0.00 0.00 0.00 0.00 XXX N
90801... ...... A Psychiatric interview.................................... 2.19 0.67 0.09 2.95 XXX N
90820... ...... A Diagnostic interview..................................... 2.25 0.38 0.05 2.68 XXX N
90825... ...... A Evaluation of tests/records.............................. 0.97 0.31 0.04 1.32 XXX N
90830... ...... A Psychological testing.................................... 0.00 1.68 0.20 1.88 XXX N
90835... ...... A Special interview........................................ 2.82 0.50 0.07 3.39 XXX N
90841... ...... G Psychotherapy............................................ 0.00 0.00 0.00 0.00 XXX O
90842... ...... A Psychotherapy, 75-80 min................................. 2.74 1.04 0.15 3.93 XXX N
90843... ...... A Psychotherapy 20-30 min.................................. 1.10 0.35 0.05 1.50 XXX N
90844... ...... A Psychotherapy 45-50 min.................................. 1.72 0.54 0.08 2.34 XXX N
90845... ...... A Medical psychoanalysis................................... 1.78 0.41 0.05 2.24 XXX N
90846... ...... A Special family therapy................................... 1.82 0.62 0.08 2.52 XXX N
90847... ...... A Special family therapy................................... 2.19 0.58 0.08 2.85 XXX N
90849... ...... R Special family therapy................................... 0.59 0.26 0.03 0.88 XXX N
90853... ...... A Special group therapy.................................... 0.43 0.26 0.03 0.72 XXX N
90855... ...... A Individual psychotherapy................................. 1.81 0.59 0.09 2.49 XXX N
90857... ...... A Special group therapy.................................... 0.43 0.15 0.02 0.60 XXX N
90862... ...... A Medication management.................................... 0.95 0.37 0.05 1.37 XXX N
90870... ...... A Electroconvulsive therapy................................ 1.88 0.55 0.08 2.51 000 N
90871... ...... A Electroconvulsive therapy................................ 2.72 0.83 0.13 3.68 000 N
90880... ...... A Medical hypnotherapy..................................... 2.19 0.64 0.07 2.90 XXX N
90882... ...... N Environmental manipulation............................... 0.00 0.00 0.00 0.00 XXX O
90887... ...... A Consultation with family................................. 1.48 0.33 0.04 1.85 XXX N
90889... ...... B Preparation of report.................................... 0.00 0.00 0.00 0.00 XXX O
90899... ...... C Psychiatric service/therapy.............................. 0.00 0.00 0.00 0.00 XXX N
90900... ...... A Biofeedback, electromyogram.............................. 0.89 0.90 0.08 1.87 000 N
90902... ...... A Biofeedback, nerve impulse............................... 0.89 0.63 0.05 1.57 000 N
90904... ...... A Biofeedback, blood pressure.............................. 0.89 0.35 0.03 1.27 000 N
90906... ...... A Biofeedback, blood flow.................................. 0.89 1.60 0.11 2.60 000 N
90908... ...... A Biofeedback, brain waves................................. 0.89 0.86 0.06 1.81 000 N
90910... ...... A Biofeedback, oculogram................................... 0.89 0.67 0.10 1.66 000 N
90911... ...... A Anorectal biofeedback.................................... 2.15 1.13 0.27 3.55 000 N
90915... ...... A Biofeedback, unspecified................................. 0.89 0.76 0.06 1.71 000 N
90918... ...... A ESRD related services, month............................. 9.77 2.18 0.14 12.09 XXX N
90919... ...... A ESRD related services, month............................. 7.13 2.18 0.14 9.45 XXX N
90920... ...... A ESRD related services, month............................. 5.86 2.18 0.14 8.18 XXX N
90921... ...... A ESRD related services, month............................. 3.06 2.18 0.14 5.38 XXX N
90922... ...... A ESRD related services, day............................... 0.10 0.07 0.01 0.18 XXX N
90935... ...... A Hemodialysis, one evaluation............................. 1.22 1.49 0.10 2.81 000 N
90937... ...... A Hemodialysis, repeated eval.............................. 2.11 *2.65 0.18 4.94 000 N
90945... ...... A Dialysis, one evaluation................................. 1.28 1.27 0.08 2.63 000 N
90947... ...... A Dialysis, repeated eval.................................. 2.16 2.09 0.14 4.39 000 N
90989... ...... X Dialysis training/complete............................... 0.00 0.00 0.00 0.00 XXX O
90993... ...... X Dialysis training/incomplete............................. 0.00 0.00 0.00 0.00 XXX O
90997... ...... A Hemoperfusion............................................ 1.84 *2.35 0.16 4.35 000 N
90999... ...... C Dialysis procedure....................................... 0.00 0.00 0.00 0.00 XXX N
91000... ...... A Esophageal intubation.................................... 0.99 0.66 0.06 1.71 000 N
91000... 26 A Esophageal intubation.................................... 0.99 0.59 0.05 1.63 000 N
91000... TC A Esophageal intubation.................................... 0.00 0.07 0.01 0.08 000 N
91010... ...... A Esophagus motility study................................. 1.65 2.28 0.17 4.10 000 N
91010... 26 A Esophagus motility study................................. 1.65 1.50 0.11 3.26 000 N
91010... TC A Esophagus motility study................................. 0.00 0.78 0.06 0.84 000 N
91011... ...... A Esophagus motility study................................. 1.98 2.66 0.18 4.82 000 N
91011... 26 A Esophagus motility study................................. 1.98 1.68 0.11 3.77 000 N
91011... TC A Esophagus motility study................................. 0.00 0.98 0.07 1.05 000 N
91012... ...... A Esophagus motility study................................. 1.92 3.12 0.23 5.27 000 N
91012... 26 A Esophagus motility study................................. 1.92 2.02 0.15 4.09 000 N
91012... TC A Esophagus motility study................................. 0.00 1.10 0.08 1.18 000 N
91020... ...... A Esophagogastric study.................................... 1.89 2.50 0.18 4.57 000 N
91020... 26 A Esophagogastric study.................................... 1.89 1.77 0.12 3.78 000 N
91020... TC A Esophagogastric study.................................... 0.00 0.73 0.06 0.79 000 N
91030... ...... A Acid perfusion of esophagus.............................. 1.20 0.56 0.05 1.81 000 N
91030... 26 A Acid perfusion of esophagus.............................. 1.20 0.35 0.03 1.58 000 N
91030... TC A Acid perfusion of esophagus.............................. 0.00 0.21 0.02 0.23 000 N
91032... ...... A Esophagus, acid reflux test.............................. 1.59 1.96 0.16 3.71 000 N
91032... 26 A Esophagus, acid reflux test.............................. 1.59 1.25 0.10 2.94 000 N
91032... TC A Esophagus, acid reflux test.............................. 0.00 0.71 0.06 0.77 000 N
91033... ...... A Prolonged acid reflux test............................... 1.71 2.97 0.25 4.93 000 N
91033... 26 A Prolonged acid reflux test............................... 1.71 1.69 0.14 3.54 000 N
91033... TC A Prolonged acid reflux test............................... 0.00 1.28 0.11 1.39 000 N
91052... ...... A Gastric analysis test.................................... 1.71 0.82 0.07 2.60 000 N
91052... 26 A Gastric analysis test.................................... 1.71 0.50 0.04 2.25 000 N
91052... TC A Gastric analysis test.................................... 0.00 0.32 0.03 0.35 000 N
91055... ...... A Gastric intubation for smear............................. 1.28 0.80 0.06 2.14 000 N
91055... 26 A Gastric intubation for smear............................. 1.28 0.51 0.04 1.83 000 N
91055... TC A Gastric intubation for smear............................. 0.00 0.29 0.02 0.31 000 N
91060... ...... A Gastric saline load test................................. 0.45 0.71 0.06 1.22 000 N
91060... 26 A Gastric saline load test................................. 0.45 0.50 0.04 0.99 000 N
91060... TC A Gastric saline load test................................. 0.00 0.21 0.02 0.23 000 N
91065... ...... A Breath hydrogen test..................................... 0.45 0.83 0.05 1.33 000 N
91065... 26 A Breath hydrogen test..................................... 0.45 0.49 0.03 0.97 000 N
91065... TC A Breath hydrogen test..................................... 0.00 0.34 0.02 0.36 000 N
91100... ...... A Pass intestine bleeding tube............................. 1.08 0.56 0.05 1.69 000 N
91105... ...... A Gastric intubation treatment............................. 0.37 *0.46 0.04 0.87 000 N
91122... ...... A Anal pressure record..................................... 1.77 1.73 0.22 3.72 000 S
91122... 26 A Anal pressure record..................................... 1.77 1.06 0.13 2.96 000 S
91122... TC A Anal pressure record..................................... 0.00 0.67 0.09 0.76 000 S
91299... ...... C Gastroenterology procedure............................... 0.00 0.00 0.00 0.00 XXX N
91299... 26 C Gastroenterology procedure............................... 0.00 0.00 0.00 0.00 XXX N
91299... TC C Gastroenterology procedure............................... 0.00 0.00 0.00 0.00 XXX N
92002... ...... A Eye exam, new patient.................................... 1.01 0.49 0.02 1.52 XXX P
92004... ...... A Eye exam, new patient.................................... 1.61 0.57 0.02 2.20 XXX P
92012... ...... A Eye exam established pt.................................. 0.82 0.44 0.02 1.28 XXX N
92014... ...... A Eye exam & treatment..................................... 1.06 0.54 0.02 1.62 XXX N
92015... ...... N Refraction............................................... #0.38 0.32 0.02 0.72 XXX O
92018... ...... A New eye exam & treatment................................. 1.51 0.47 0.03 2.01 XXX N
92019... ...... A Eye exam & treatment..................................... 1.31 0.47 0.03 1.81 XXX N
92020... ...... A Special eye evaluation................................... 0.37 0.29 0.01 0.67 XXX N
92060... ...... A Special eye evaluation................................... 0.50 0.39 0.02 0.91 XXX N
92060... 26 A Special eye evaluation................................... 0.50 0.21 0.01 0.72 XXX N
92060... TC A Special eye evaluation................................... 0.00 0.18 0.01 0.19 XXX N
92065... ...... A Orthoptic/pleoptic training.............................. 0.37 0.36 0.01 0.74 XXX N
92065... 26 A Orthoptic/pleoptic training.............................. 0.37 0.20 0.01 0.58 XXX N
92065... TC A Orthoptic/pleoptic training.............................. 0.00 0.16 0.00 0.16 XXX N
92070... ...... A Fitting of contact lens.................................. 0.70 1.20 0.06 1.96 XXX N
92081... ...... A Visual field examination(s).............................. 0.36 0.32 0.01 0.69 XXX N
92081... 26 A Visual field examination(s).............................. 0.36 0.17 0.01 0.54 XXX N
92081... TC A Visual field examination(s).............................. 0.00 0.15 0.00 0.15 XXX N
92082... ...... A Visual field examination(s).............................. 0.44 0.49 0.02 0.95 XXX N
92082... 26 A Visual field examination(s).............................. 0.44 0.30 0.01 0.75 XXX N
92082... TC A Visual field examination(s).............................. 0.00 0.19 0.01 0.20 XXX N
92083... ...... A Visual field examination(s).............................. 0.50 0.83 0.04 1.37 XXX N
92083... 26 A Visual field examination(s).............................. 0.50 0.55 0.03 1.08 XXX N
92083... TC A Visual field examination(s).............................. 0.00 0.28 0.01 0.29 XXX N
92100... ...... A Serial tonometry exam(s)................................. 0.92 0.25 0.01 1.18 XXX N
92120... ...... A Tonography & eye evaluation.............................. 0.81 0.31 0.02 1.14 XXX N
92130... ...... A Water provocation tonography............................. 0.81 0.49 0.02 1.32 XXX N
92140... ...... A Glaucoma provocative tests............................... 0.50 0.30 0.01 0.81 XXX N
92225... ...... A Special eye exam, initial................................ 0.58 0.45 0.02 1.05 XXX N
92226... ...... A Special eye exam, subsequent............................. 0.50 0.40 0.02 0.92 XXX N
92230... ...... A Eye exam with photos..................................... 0.60 0.69 0.04 1.33 XXX N
92235... ...... A Eye exam with photos..................................... 0.81 1.58 0.09 2.48 XXX N
92235... 26 A Eye exam with photos..................................... 0.81 0.59 0.03 1.43 XXX N
92235... TC A Eye exam with photos..................................... 0.00 0.99 0.06 1.05 XXX N
92250... ...... A Eye exam with photos..................................... 0.44 0.42 0.02 0.88 XXX N
92250... 26 A Eye exam with photos..................................... 0.44 0.25 0.01 0.70 XXX N
92250... TC A Eye exam with photos..................................... 0.00 0.17 0.01 0.18 XXX N
92260... ...... A Ophthalmoscopy/dynamometry............................... 0.50 0.54 0.03 1.07 XXX N
92265... ...... A Eye muscle evaluation.................................... 0.81 0.29 0.02 1.12 XXX N
92265... 26 A Eye muscle evaluation.................................... 0.81 0.07 0.00 0.88 XXX N
92265... TC A Eye muscle evaluation.................................... 0.00 0.22 0.02 0.24 XXX N
92270... ...... A Electro-oculography...................................... 0.81 0.67 0.05 1.53 XXX N
92270... 26 A Electro-oculography...................................... 0.81 0.37 0.03 1.21 XXX N
92270... TC A Electro-oculography...................................... 0.00 0.30 0.02 0.32 XXX N
92275... ...... A Electroretinography...................................... 1.01 0.90 0.05 1.96 XXX N
92275... 26 A Electroretinography...................................... 1.01 0.51 0.03 1.55 XXX N
92275... TC A Electroretinography...................................... 0.00 0.39 0.02 0.41 XXX N
92280... ...... A Special eye evaluation................................... 0.35 0.83 0.05 1.23 XXX N
92280... 26 A Special eye evaluation................................... 0.35 0.58 0.04 0.97 XXX N
92280... TC A Special eye evaluation................................... 0.00 0.25 0.01 0.26 XXX N
92283... ...... A Color vision examination................................. 0.26 0.29 0.01 0.56 XXX N
92283... 26 A Color vision examination................................. 0.26 0.17 0.01 0.44 XXX N
92283... TC A Color vision examination................................. 0.00 0.12 0.00 0.12 XXX N
92284... ...... A Dark adaptation eye exam................................. 0.37 0.45 0.02 0.84 XXX N
92284... 26 A Dark adaptation eye exam................................. 0.37 0.28 0.01 0.66 XXX N
92284... TC A Dark adaptation eye exam................................. 0.00 0.17 0.01 0.18 XXX N
92285... ...... A Eye photography.......................................... 0.20 0.29 0.01 0.50 XXX N
92285... 26 A Eye photography.......................................... 0.20 0.18 0.01 0.39 XXX N
92285... TC A Eye photography.......................................... 0.00 0.11 0.00 0.11 XXX N
92286... ...... A Internal eye photography................................. 0.66 1.22 0.07 1.95 XXX N
92286... 26 A Internal eye photography................................. 0.66 0.83 0.05 1.54 XXX N
92286... TC A Internal eye photography................................. 0.00 0.39 0.02 0.41 XXX N
92287... ...... A Internal eye photography................................. 0.81 1.52 0.08 2.41 XXX N
92310... ...... N Contact lens fitting..................................... #1.17 1.32 0.00 2.49 XXX O
92311... ...... A Contact lens fitting..................................... 1.08 0.90 0.03 2.01 XXX N
92312... ...... A Contact lens fitting..................................... 1.26 1.16 0.03 2.45 XXX N
92313... ...... A Contact lens fitting..................................... 0.92 0.88 0.03 1.83 XXX N
92314... ...... N Prescription of contact lens............................. #0.69 0.78 0.00 1.47 XXX O
92315... ...... A Prescription of contact lens............................. 0.45 0.66 0.03 1.14 XXX N
92316... ...... A Prescription of contact lens............................. 0.68 0.95 0.04 1.67 XXX N
92317... ...... A Prescription of contact lens............................. 0.45 0.39 0.02 0.86 XXX N
92325... ...... A Modification of contact lens............................. 0.00 0.38 0.01 0.39 XXX N
92326... ...... A Replacement of contact lens.............................. 0.00 1.56 0.06 1.62 XXX N
92330... ...... A Fitting of artificial eye................................ 1.08 1.13 0.09 2.30 XXX N
92335... ...... A Fitting of artificial eye................................ 0.45 1.97 0.11 2.53 XXX N
92340... ...... N Fitting of spectacles.................................... #0.37 0.42 0.00 0.79 XXX O
92341... ...... N Fitting of spectacles.................................... #0.47 0.53 0.00 1.00 XXX O
92342... ...... N Fitting of spectacles.................................... #0.53 0.60 0.00 1.13 XXX O
92352... ...... A Special spectacles fitting............................... 0.37 0.30 0.01 0.68 XXX N
92353... ...... A Special spectacles fitting............................... 0.50 0.40 0.01 0.91 XXX N
92354... ...... A Special spectacles fitting............................... 0.00 8.44 0.10 8.54 XXX N
92355... ...... A Special spectacles fitting............................... 0.00 4.13 0.01 4.14 XXX N
92358... ...... A Eye prosthesis service................................... 0.00 0.92 0.05 0.97 XXX N
92370... ...... N Repair & adjust spectacles............................... #0.32 0.36 0.00 0.68 XXX O
92371... ...... A Repair & adjust spectacles............................... 0.00 0.59 0.02 0.61 XXX N
92390... ...... N Supply of spectacles..................................... 0.00 0.00 0.00 0.00 XXX O
92391... ...... N Supply of contact lenses................................. 0.00 0.00 0.00 0.00 XXX O
92392... ...... G Supply of low vision aids................................ 0.00 3.85 0.02 3.87 XXX O
92393... ...... G Supply of artificial eye................................. 0.00 11.96 0.67 12.63 XXX O
92395... ...... G Supply of spectacles..................................... 0.00 1.31 0.10 1.41 XXX O
92396... ...... G Supply of contact lenses................................. 0.00 2.19 0.08 2.27 XXX O
92499... ...... C Eye service or procedure................................. 0.00 0.00 0.00 0.00 XXX N
92499... 26 C Eye service or procedure................................. 0.00 0.00 0.00 0.00 XXX N
92499... TC C Eye service or procedure................................. 0.00 0.00 0.00 0.00 XXX N
92502... ...... A Ear and throat examination............................... 1.51 1.12 0.12 2.75 000 N
92504... ...... A Ear microscopy examination............................... 0.18 0.26 0.02 0.46 XXX N
92506... ...... A Speech & hearing evaluation.............................. 0.86 0.52 0.05 1.43 XXX N
92507... ...... A Speech/hearing therapy................................... 0.52 0.33 0.03 0.88 XXX N
92508... ...... A Speech/hearing therapy................................... 0.26 0.18 0.02 0.46 XXX N
92511... ...... A Nasopharyngoscopy........................................ 0.84 0.85 0.09 1.78 000 S
92512... ...... A Nasal function studies................................... 0.55 0.47 0.05 1.07 XXX N
92516... ...... A Facial nerve function test............................... 0.43 0.39 0.04 0.86 XXX N
92520... ...... A Laryngeal function studies............................... 0.76 0.53 0.05 1.34 XXX N
92531... ...... B Spontaneous nystagmus study.............................. 0.00 0.00 0.00 0.00 XXX O
92532... ...... B Positional nystagmus study............................... 0.00 0.00 0.00 0.00 XXX O
92533... ...... B Caloric vestibular test.................................. 0.00 0.00 0.00 0.00 XXX O
92534... ...... B Optokinetic nystagmus.................................... 0.00 0.00 0.00 0.00 XXX O
92541... ...... A Spontaneous nystagmus test............................... 0.40 0.67 0.07 1.14 XXX N
92541... 26 A Spontaneous nystagmus test............................... 0.40 0.45 0.05 0.90 XXX N
92541... TC A Spontaneous nystagmus test............................... 0.00 0.22 0.02 0.24 XXX N
92542... ...... A Positional nystagmus test................................ 0.33 0.61 0.07 1.01 XXX N
92542... 26 A Positional nystagmus test................................ 0.33 0.36 0.04 0.73 XXX N
92542... TC A Positional nystagmus test................................ 0.00 0.25 0.03 0.28 XXX N
92543... ...... A Caloric vestibular test.................................. 0.38 0.82 0.09 1.29 XXX N
92543... 26 A Caloric vestibular test.................................. 0.38 0.42 0.05 0.85 XXX N
92543... TC A Caloric vestibular test.................................. 0.00 0.40 0.04 0.44 XXX N
92544... ...... A Optokinetic nystagmus test............................... 0.26 0.47 0.05 0.78 XXX N
92544... 26 A Optokinetic nystagmus test............................... 0.26 0.27 0.03 0.56 XXX N
92544... TC A Optokinetic nystagmus test............................... 0.00 0.20 0.02 0.22 XXX N
92545... ...... A Oscillating tracking test................................ 0.23 0.40 0.04 0.67 XXX N
92545... 26 A Oscillating tracking test................................ 0.23 0.20 0.02 0.45 XXX N
92545... TC A Oscillating tracking test................................ 0.00 0.20 0.02 0.22 XXX N
92546... ...... A Torsion swing recording.................................. 0.29 0.53 0.05 0.87 XXX N
92546... 26 A Torsion swing recording.................................. 0.29 0.30 0.03 0.62 XXX N
92546... TC A Torsion swing recording.................................. 0.00 0.23 0.02 0.25 XXX N
92547... ...... A Supplemental electrical test............................. 0.00 0.53 0.06 0.59 XXX N
92551... ...... N Pure tone hearing test, air.............................. 0.00 0.00 0.00 0.00 XXX O
92552... ...... A Pure tone audiometry, air................................ 0.00 0.42 0.04 0.46 XXX N
92553... ...... A Audiometry, air & bone................................... 0.00 0.63 0.07 0.70 XXX N
92555... ...... A Speech threshold audiometry.............................. 0.00 0.36 0.04 0.40 XXX N
92556... ...... A Speech audiometry, complete.............................. 0.00 0.54 0.06 0.60 XXX N
92557... ...... A Comprehensive hearing test............................... 0.00 1.13 0.13 1.26 XXX N
92559... ...... N Group audiometric testing................................ 0.00 0.00 0.00 0.00 XXX O
92560... ...... N Bekesy audiometry, screen................................ 0.00 0.00 0.00 0.00 XXX O
92561... ...... A Bekesy audiometry, diagnosis............................. 0.00 0.68 0.07 0.75 XXX N
92562... ...... A Loudness balance test.................................... 0.00 0.39 0.04 0.43 XXX N
92563... ...... A Tone decay hearing test.................................. 0.00 0.36 0.04 0.40 XXX N
92564... ...... A Sisi hearing test........................................ 0.00 0.45 0.05 0.50 XXX N
92565... ...... A Stenger test, pure tone.................................. 0.00 0.38 0.04 0.42 XXX N
92567... ...... A Tympanometry............................................. 0.00 0.50 0.06 0.56 XXX N
92568... ...... A Acoustic reflex testing.................................. 0.00 0.36 0.04 0.40 XXX N
92569... ...... A Acoustic reflex decay test............................... 0.00 0.39 0.04 0.43 XXX N
92571... ...... A Filtered speech hearing test............................. 0.00 0.37 0.04 0.41 XXX N
92572... ...... A Staggered spondaic word test............................. 0.00 0.08 0.01 0.09 XXX N
92573... ...... A Lombard test............................................. 0.00 0.33 0.04 0.37 XXX N
92574... ...... A Swinging story test...................................... 0.00 1.16 0.09 1.25 XXX N
92575... ...... A Sensorineural acuity test................................ 0.00 0.29 0.03 0.32 XXX N
92576... ...... A Synthetic sentence test.................................. 0.00 0.42 0.05 0.47 XXX N
92577... ...... A Stenger test, speech..................................... 0.00 0.68 0.08 0.76 XXX N
92578... ...... A Delayed auditory feedback................................ 0.00 0.52 0.05 0.57 XXX N
92580... ...... A Electrodermal audiometry................................. 0.00 0.64 0.07 0.71 XXX N
92582... ...... A Conditioning play audiometry............................. 0.00 0.69 0.07 0.76 XXX N
92583... ...... A Select picture audiometry................................ 0.00 0.85 0.09 0.94 XXX N
92584... ...... A Electrocochleography..................................... 0.00 2.36 0.25 2.61 XXX N
92585... ...... A Brainstem evoked audiometry.............................. 0.50 3.25 0.31 4.06 XXX N
92585... 26 A Brainstem evoked audiometry.............................. 0.50 1.49 0.14 2.13 XXX N
92585... TC A Brainstem evoked audiometry.............................. 0.00 1.76 0.17 1.93 XXX N
92587... ...... A Evoked auditory test..................................... 0.13 1.35 0.13 1.61 XXX N
92587... 26 A Evoked auditory test..................................... 0.13 0.11 0.01 0.25 XXX N
92587... TC A Evoked auditory test..................................... 0.00 1.24 0.12 1.36 XXX N
92588... ...... A Evoked auditory test..................................... 0.36 1.70 0.16 2.22 XXX N
92588... 26 A Evoked auditory test..................................... 0.36 0.30 0.02 0.68 XXX N
92588... TC A Evoked auditory test..................................... 0.00 1.40 0.14 1.54 XXX N
92589... ...... A Auditory function test(s)................................ 0.00 0.51 0.06 0.57 XXX N
92590... ...... N Hearing aid exam, one ear................................ 0.00 0.00 0.00 0.00 XXX O
92591... ...... N Hearing aid exam, both ears.............................. 0.00 0.00 0.00 0.00 XXX O
92592... ...... N Hearing aid check, one ear............................... 0.00 0.00 0.00 0.00 XXX O
92593... ...... N Hearing aid check, both ears............................. 0.00 0.00 0.00 0.00 XXX O
92594... ...... N Electro hearing aid test, one............................ 0.00 0.00 0.00 0.00 XXX O
92595... ...... N Electro hearing aid test, both........................... 0.00 0.00 0.00 0.00 XXX O
92596... ...... A Ear protector evaluation................................. 0.00 0.56 0.06 0.62 XXX N
92599... ...... C ENT procedure/service.................................... 0.00 0.00 0.00 0.00 XXX N
92599... 26 C ENT procedure/service.................................... 0.00 0.00 0.00 0.00 XXX N
92599... TC C ENT procedure/service.................................... 0.00 0.00 0.00 0.00 XXX N
92950... ...... A Heart/lung resuscitation (cpr)........................... 3.80 2.27 0.17 6.24 000 N
92953... ...... A Temporary external pacing................................ 0.23 *1.11 0.15 1.49 000 N
92960... ...... A Heart electroconversion.................................. 2.25 1.88 0.16 4.29 000 N
92970... ...... A Cardioassist, internal................................... 3.52 3.47 0.41 7.40 000 N
92971... ...... A Cardioassist, external................................... 1.77 1.11 0.08 2.96 000 N
92975... ...... A Dissolve clot, heart vessel.............................. 7.25 5.71 0.42 13.38 000 N
92977... ...... A Dissolve clot, heart vessel.............................. 0.00 7.68 0.54 8.22 XXX N
92980... ...... A Insert intracoronary stent............................... 14.84 16.41 1.22 32.47 000 N
92981... ...... A Insert intracoronary stent............................... 4.17 *5.51 0.44 10.12 ZZZ N
92982... ...... A Coronary artery dilation................................. 10.98 *14.05 1.22 26.25 000 N
92984... ...... A Coronary artery dilation................................. 2.97 *4.32 0.44 7.73 ZZZ N
92986... ...... A Revision of aortic valve................................. 20.34 12.04 0.90 33.28 090 N
92990... ...... A Revision of pulmonary valve.............................. 16.22 9.59 0.71 26.52 090 N
92992... ...... C Revision of heart chamber................................ 0.00 0.00 0.00 0.00 090 S
92993... ...... C Revision of heart chamber................................ 0.00 0.00 0.00 0.00 090 S
92995... ...... A Coronary atherectomy..................................... 12.09 *15.47 1.22 28.78 000 N
92996... ...... A Coronary atherectomy..................................... 3.26 *4.48 0.44 8.18 ZZZ N
93000... ...... A Electrocardiogram, complete.............................. 0.17 0.59 0.04 0.80 XXX N
93005... ...... A Electrocardiogram, tracing............................... 0.00 0.43 0.03 0.46 XXX N
93010... ...... A Electrocardiogram report................................. 0.17 0.16 0.01 0.34 XXX N
93012... ...... A Transmission of ecg...................................... 0.00 2.25 0.22 2.47 XXX N
93014... ...... A Report on transmitted ecg................................ 0.52 0.40 0.05 0.97 XXX N
93015... ...... A Cardiovascular stress test............................... 0.75 2.37 0.18 3.30 XXX N
93016... ...... A Cardiovascular stress test............................... 0.45 0.39 0.03 0.87 XXX N
93017... ...... A Cardiovascular stress test............................... 0.00 1.60 0.12 1.72 XXX N
93018... ...... A Cardiovascular stress test............................... 0.30 0.38 0.03 0.71 XXX N
93024... ...... A Cardiac drug stress test................................. 1.17 *2.56 0.23 3.96 XXX N
93024... 26 A Cardiac drug stress test................................. 1.17 *1.49 0.14 2.80 XXX N
93024... TC A Cardiac drug stress test................................. 0.00 1.07 0.09 1.16 XXX N
93040... ...... A Rhythm ECG with report................................... 0.16 0.26 0.02 0.44 XXX N
93041... ...... A Rhythm ECG, tracing...................................... 0.00 0.14 0.01 0.15 XXX N
93042... ...... A Rhythm ECG, report....................................... 0.16 0.12 0.01 0.29 XXX N
93201... ...... A Phonocardiogram & ECG lead............................... 0.42 1.03 0.09 1.54 XXX N
93202... ...... A Phonocardiogram & ECG lead............................... 0.00 0.75 0.07 0.82 XXX N
93204... ...... A Phonocardiogram & ECG lead............................... 0.42 0.28 0.02 0.72 XXX N
93205... ...... A Special phonocardiogram.................................. 0.46 0.88 0.07 1.41 XXX N
93208... ...... A Special phonocardiogram.................................. 0.00 0.33 0.03 0.36 XXX N
93209... ...... A Special phonocardiogram.................................. 0.46 0.55 0.04 1.05 XXX N
93210... ...... A Intracardiac phonocardiogram............................. 0.92 1.73 0.13 2.78 XXX N
93210... 26 A Intracardiac phonocardiogram............................. 0.92 0.82 0.06 1.80 XXX N
93210... TC A Intracardiac phonocardiogram............................. 0.00 0.91 0.07 0.98 XXX N
93220... ...... A Vectorcardiogram......................................... 0.26 *0.93 0.07 1.26 XXX N
93221... ...... A Vectorcardiogram tracing................................. 0.00 0.58 0.04 0.62 XXX N
93222... ...... A Vectorcardiogram report.................................. 0.26 *0.35 0.03 0.64 XXX N
93224... ...... A ECG monitor/report, 24 hrs............................... 0.52 *3.95 0.31 4.78 XXX N
93225... ...... A ECG monitor/record, 24 hrs............................... 0.00 1.18 0.09 1.27 XXX N
93226... ...... A ECG monitor/report, 24 hrs............................... 0.00 2.08 0.16 2.24 XXX N
93227... ...... A ECG monitor/review, 24 hrs............................... 0.52 *0.69 0.06 1.27 XXX N
93230... ...... A ECG monitor/report, 24 hrs............................... 0.52 *4.32 0.34 5.18 XXX N
93231... ...... A EXG monitor/record, 24 hrs............................... 0.00 1.45 0.11 1.56 XXX N
93232... ...... A ECG monitor/report, 24 hrs............................... 0.00 2.07 0.15 2.22 XXX N
93233... ...... A ECG monitor/review, 24 hrs............................... 0.52 *0.80 0.08 1.40 XXX N
93235... ...... A ECG monitor/report, 24 hrs............................... 0.45 *3.17 0.23 3.85 XXX N
93236... ...... A ECG monitor/report, 24 hrs............................... 0.00 2.50 0.17 2.67 XXX N
93237... ...... A ECG monitor/review, 24 hrs............................... 0.45 *0.67 0.06 1.18 XXX N
93255... ...... D Apexcardiography......................................... 0.00 0.00 0.00 0.00 XXX N
93255... 26 D Apexcardiography......................................... 0.00 0.00 0.00 0.00 XXX N
93255... TC D Apexcardiography......................................... 0.00 0.00 0.00 0.00 XXX N
93268... ...... A ECG record/review........................................ 0.52 3.83 0.36 4.71 XXX N
93268... 26 H ECG record/review........................................ 0.00 0.00 0.00 0.00 XXX N
93268... TC H ECG record/review........................................ 0.00 0.00 0.00 0.00 XXX N
93270... ...... A ECG recording............................................ 0.00 1.18 0.09 1.27 XXX N
93271... ...... A ECG/monitoring and analysis.............................. 0.00 2.25 0.22 2.47 XXX N
93272... ...... A ECG/review, interpret only............................... 0.52 0.40 0.05 0.97 XXX N
93278... ...... A ECG/signal-averaged...................................... 0.35 *1.65 0.18 2.18 XXX N
93278... 26 A ECG/signal-averaged...................................... 0.35 *0.55 0.06 0.96 XXX N
93278... TC A ECG/signal-averaged...................................... 0.00 1.10 0.12 1.22 XXX N
93307... ...... A Echo exam of heart....................................... 0.78 *4.68 0.36 5.82 XXX N
93307... 26 A Echo exam of heart....................................... 0.78 *1.00 0.09 1.87 XXX N
93307... TC A Echo exam of heart....................................... 0.00 3.68 0.27 3.95 XXX N
93308... ...... A Echo exam of heart....................................... 0.53 2.53 0.19 3.25 XXX N
93308... 26 A Echo exam of heart....................................... 0.53 0.68 0.05 1.26 XXX N
93308... TC A Echo exam of heart....................................... 0.00 1.85 0.14 1.99 XXX N
93312... ...... A Echo exam of heart....................................... 1.57 4.95 0.45 6.97 XXX N
93312... 26 A Echo exam of heart....................................... 1.57 1.35 0.12 3.04 XXX N
93312... TC A Echo exam of heart....................................... 0.00 3.60 0.33 3.93 XXX N
93313... ...... A Echo exam of heart....................................... 0.95 0.67 0.06 1.68 XXX N
93314... ...... A Echo exam of heart....................................... 0.95 4.27 0.39 5.61 XXX N
93314... 26 A Echo exam of heart....................................... 0.95 0.67 0.06 1.68 XXX N
93314... TC A Echo exam of heart....................................... 0.00 3.60 0.33 3.93 XXX N
93320... ...... A Doppler echo exam, heart................................. 0.38 *2.16 0.18 2.72 XXX N
93320... 26 A Doppler echo exam, heart................................. 0.38 *0.53 0.05 0.96 XXX N
93320... TC A Doppler echo exam, heart................................. 0.00 1.63 0.13 1.76 XXX N
93321... ...... A Doppler echo exam, heart................................. 0.15 *1.28 0.11 1.54 XXX N
93321... 26 A Doppler echo exam, heart................................. 0.15 *0.22 0.02 0.39 XXX N
93321... TC A Doppler echo exam, heart................................. 0.00 1.06 0.09 1.15 XXX N
93325... ...... A Doppler color flow....................................... 0.07 2.80 0.25 3.12 XXX N
93325... 26 A Doppler color flow....................................... 0.07 0.04 0.01 0.12 XXX N
93325... TC A Doppler color flow....................................... 0.00 2.76 0.24 3.00 XXX N
93350... ...... A Echo exam of heart....................................... 0.78 *3.63 0.24 4.65 XXX N
93350... 26 A Echo exam of heart....................................... 0.78 *1.95 0.10 2.83 XXX N
93350... TC A Echo exam of heart....................................... 0.00 1.68 0.14 1.82 XXX N
93501... ...... A Right heart catheterization.............................. 3.02 19.72 1.54 24.28 000 N
93501... 26 A Right heart catheterization.............................. 3.02 3.61 0.34 6.97 000 N
93501... TC A Right heart catheterization.............................. 0.00 16.11 1.20 17.31 000 N
93503... ...... A Insert/place heart catheter.............................. 2.43 2.37 0.36 5.16 000 N
93505... ...... A Biopsy of heart lining................................... 4.56 4.92 0.46 9.94 000 N
93505... 26 A Biopsy of heart lining................................... 4.56 3.03 0.28 7.87 000 N
93505... TC A Biopsy of heart lining................................... 0.00 1.89 0.18 2.07 000 N
93510... ...... A Left heart catheterization............................... 4.33 38.28 2.86 45.47 000 N
93510... 26 A Left heart catheterization............................... 4.33 3.06 0.23 7.62 000 N
93510... TC A Left heart catheterization............................... 0.00 35.22 2.63 37.85 000 N
93511... ...... A Left heart catheterization............................... 5.03 36.91 2.76 44.70 000 N
93511... 26 A Left heart catheterization............................... 5.03 2.62 0.20 7.85 000 N
93511... TC A Left heart catheterization............................... 0.00 34.29 2.56 36.85 000 N
93514... ...... A Left heart catheterization............................... 7.05 38.84 2.94 48.83 000 S
93514... 26 A Left heart catheterization............................... 7.05 4.55 0.38 11.98 000 S
93514... TC A Left heart catheterization............................... 0.00 34.29 2.56 36.85 000 S
93524... ...... A Left heart catheterization............................... 6.95 49.45 3.69 60.09 000 N
93524... 26 A Left heart catheterization............................... 6.95 4.65 0.34 11.94 000 N
93524... TC A Left heart catheterization............................... 0.00 44.80 3.35 48.15 000 N
93526... ...... A Rt & Lt heart catheters.................................. 5.99 51.48 3.83 61.30 000 N
93526... 26 A Rt & Lt heart catheters.................................. 5.99 5.45 0.39 11.83 000 N
93526... TC A Rt & Lt heart catheters.................................. 0.00 46.03 3.44 49.47 000 N
93527... ...... A Rt & Lt heart catheters.................................. 7.28 51.94 3.85 63.07 000 N
93527... 26 A Rt & Lt heart catheters.................................. 7.28 7.14 0.50 14.92 000 N
93527... TC A Rt & Lt heart catheters.................................. 0.00 44.80 3.35 48.15 000 N
93528... ...... A Rt & Lt heart catheters.................................. 9.00 49.23 3.68 61.91 000 N
93528... 26 A Rt & Lt heart catheters.................................. 9.00 4.43 0.33 13.76 000 N
93528... TC A Rt & Lt heart catheters.................................. 0.00 44.80 3.35 48.15 000 N
93529... ...... A Rt, Lt heart catheterization............................. 4.80 47.73 3.57 56.10 000 N
93529... 26 A Rt, Lt heart catheterization............................. 4.80 2.93 0.22 7.95 000 N
93529... TC A Rt, Lt heart catheterization............................. 0.00 44.80 3.35 48.15 000 N
93536... ...... A Insert circulation assist................................ 4.85 *6.38 0.71 11.94 000 N
93539... ...... A Injection, cardiac cath.................................. 0.29 *1.46 0.20 1.95 000 N
93540... ...... A Injection, cardiac cath.................................. 0.43 *1.46 0.20 2.09 000 N
93541... ...... A Injection for lung angiogram............................. 0.29 *1.18 0.16 1.63 000 N
93542... ...... A Injection for heart x-rays............................... 0.29 *1.18 0.16 1.63 000 N
93543... ...... A Injection for heart x-rays............................... 0.29 *0.88 0.11 1.28 000 N
93544... ...... A Injection for aortography................................ 0.29 *0.87 0.11 1.27 000 N
93545... ...... A Injection for coronary xrays............................. 0.29 *1.77 0.24 2.30 000 N
93555... ...... A Imaging, cardiac cath.................................... 0.81 6.25 0.42 7.48 XXX N
93555... 26 A Imaging, cardiac cath.................................... 0.81 0.27 0.04 1.12 XXX N
93555... TC A Imaging, cardiac cath.................................... 0.00 5.98 0.38 6.36 XXX N
93556... ...... A Imaging, cardiac cath.................................... 0.83 9.88 0.65 11.36 XXX N
93556... 26 A Imaging, cardiac cath.................................... 0.83 0.45 0.07 1.35 XXX N
93556... TC A Imaging, cardiac cath.................................... 0.00 9.43 0.58 10.01 XXX N
93561... ...... A Cardiac output measurement............................... 1.15 1.25 0.16 2.56 000 N
93561... 26 A Cardiac output measurement............................... 1.15 0.75 0.09 1.99 000 N
93561... TC A Cardiac output measurement............................... 0.00 0.50 0.07 0.57 000 N
93562... ...... A Cardiac output measurement............................... 0.37 *0.76 0.10 1.23 000 N
93562... 26 A Cardiac output measurement............................... 0.37 *0.46 0.06 0.89 000 N
93562... TC A Cardiac output measurement............................... 0.00 0.30 0.04 0.34 000 N
93600... ...... A Bundle of His recording.................................. 2.12 *4.57 0.38 7.07 000 N
93600... 26 A Bundle of His recording.................................. 2.12 *2.71 0.24 5.07 000 N
93600... TC A Bundle of His recording.................................. 0.00 1.86 0.14 2.00 000 N
93602... ...... A Intra-atrial recording................................... 2.12 2.83 0.22 5.17 000 N
93602... 26 A Intra-atrial recording................................... 2.12 1.77 0.14 4.03 000 N
93602... TC A Intra-atrial recording................................... 0.00 1.06 0.08 1.14 000 N
93603... ...... A Right ventricular recording.............................. 2.12 3.79 0.28 6.19 000 N
93603... 26 A Right ventricular recording.............................. 2.12 2.19 0.16 4.47 000 N
93603... TC A Right ventricular recording.............................. 0.00 1.60 0.12 1.72 000 N
93607... ...... A Right ventricular recording.............................. 3.26 3.63 0.28 7.17 000 N
93607... 26 A Right ventricular recording.............................. 3.26 2.21 0.17 5.64 000 N
93607... TC A Right ventricular recording.............................. 0.00 1.42 0.11 1.53 000 N
93609... ...... A Mapping of tachycardia................................... 10.07 6.43 0.47 16.97 000 N
93609... 26 A Mapping of tachycardia................................... 10.07 3.84 0.28 14.19 000 N
93609... TC A Mapping of tachycardia................................... 0.00 2.59 0.19 2.78 000 N
93610... ...... A Intra-atrial pacing...................................... 3.02 3.60 0.27 6.89 000 N
93610... 26 A Intra-atrial pacing...................................... 3.02 2.31 0.17 5.50 000 N
93610... TC A Intra-atrial pacing...................................... 0.00 1.29 0.10 1.39 000 N
93612... ...... A Intraventricular pacing.................................. 3.02 3.88 0.29 7.19 000 N
93612... 26 A Intraventricular pacing.................................. 3.02 2.34 0.17 5.53 000 N
93612... TC A Intraventricular pacing.................................. 0.00 1.54 0.12 1.66 000 N
93615... ...... A Esophageal recording..................................... 0.99 0.65 0.04 1.68 000 N
93615... 26 A Esophageal recording..................................... 0.99 0.35 0.02 1.36 000 N
93615... TC A Esophageal recording..................................... 0.00 0.30 0.02 0.32 000 N
93616... ...... A Esophageal recording..................................... 1.49 1.66 0.10 3.25 000 N
93616... 26 A Esophageal recording..................................... 1.49 1.36 0.08 2.93 000 N
93616... TC A Esophageal recording..................................... 0.00 0.30 0.02 0.32 000 N
93618... ...... A Heart rhythm pacing...................................... 4.26 *9.24 0.72 14.22 000 N
93618... 26 A Heart rhythm pacing...................................... 4.26 *5.46 0.44 10.16 000 N
93618... TC A Heart rhythm pacing...................................... 0.00 3.78 0.28 4.06 000 N
93619... ...... A Electrophysiology evaluation............................. 7.32 *16.92 1.40 25.64 000 N
93619... 26 A Electrophysiology evaluation............................. 7.32 *9.58 0.86 17.76 000 N
93619... TC A Electrophysiology evaluation............................. 0.00 7.34 0.54 7.88 000 N
93620... ...... A Electrophysiology evaluation............................. 11.59 22.07 1.55 35.21 000 N
93620... 26 A Electrophysiology evaluation............................. 11.59 13.53 0.95 26.07 000 N
93620... TC A Electrophysiology evaluation............................. 0.00 8.54 0.60 9.14 000 N
93621... ...... C Electrophysiology evaluation............................. 0.00 0.00 0.00 0.00 000 N
93621... 26 A Electrophysiology evaluation............................. 12.66 14.94 1.11 28.71 000 N
93621... TC C Electrophysiology evaluation............................. 0.00 0.00 0.00 0.00 000 N
93622... ...... C Electrophysiology evaluation............................. 0.00 0.00 0.00 0.00 000 N
93622... 26 A Electrophysiology evaluation............................. 12.74 14.74 1.07 28.55 000 N
93622... TC C Electrophysiology evaluation............................. 0.00 0.00 0.00 0.00 000 N
93623... ...... C Stimulation, pacing heart................................ 0.00 0.00 0.00 0.00 000 N
93623... 26 A Stimulation, pacing heart................................ 2.85 2.78 0.20 5.83 000 N
93623... TC C Stimulation, pacing heart................................ 0.00 0.00 0.00 0.00 000 N
93624... ...... A Electrophysiologic study................................. 4.81 4.88 0.35 10.04 000 N
93624... 26 A Electrophysiologic study................................. 4.81 2.99 0.21 8.01 000 N
93624... TC A Electrophysiologic study................................. 0.00 1.89 0.14 2.03 000 N
93631... ...... A Heart pacing, mapping.................................... 7.60 11.62 1.37 20.59 000 N
93631... 26 A Heart pacing, mapping.................................... 7.60 5.76 0.67 14.03 000 N
93631... TC A Heart pacing, mapping.................................... 0.00 5.86 0.70 6.56 000 N
93640... ...... A Evaluation heart device.................................. 3.52 *12.66 1.09 17.27 000 N
93640... 26 A Evaluation heart device.................................. 3.52 *5.82 0.61 9.95 000 N
93640... TC A Evaluation heart device.................................. 0.00 6.84 0.48 7.32 000 N
93641... ...... A Electrophysiology evaluation............................. 5.93 *13.85 1.09 20.87 000 N
93641... 26 A Electrophysiology evaluation............................. 5.93 *7.01 0.61 13.55 000 N
93641... TC A Electrophysiology evaluation............................. 0.00 6.84 0.48 7.32 000 N
93642... ...... A Electrophysiology evaluation............................. 4.89 *13.33 1.09 19.31 000 N
93642... 26 A Electrophysiology evaluation............................. 4.89 *6.49 0.61 11.99 000 N
93642... TC A Electrophysiology evaluation............................. 0.00 6.84 0.48 7.32 000 N
93650... ...... A Ablate heart dysrhythm focus............................. 10.51 *14.17 1.34 26.02 000 N
93651... ...... A Ablate heart dysrhythm focus............................. 16.25 17.83 1.34 35.42 000 N
93652... ...... A Ablate heart dysrhythm focus............................. 17.68 17.83 1.34 36.85 000 N
93660... ...... C Tilt table evaluation.................................... 0.00 0.00 0.00 0.00 000 N
93660... 26 A Tilt table evaluation.................................... 1.89 1.44 0.17 3.50 000 N
93660... TC C Tilt table evaluation.................................... 0.00 0.00 0.00 0.00 000 N
93720... ...... A Total body plethysmography............................... 0.17 *0.91 0.10 1.18 XXX N
93721... ...... A Plethysmography tracing.................................. 0.00 0.67 0.07 0.74 XXX N
93722... ...... A Plethysmography report................................... 0.17 *0.24 0.03 0.44 XXX N
93724... ...... A Analyze pacemaker system................................. 4.89 6.66 0.50 12.05 000 N
93724... 26 A Analyze pacemaker system................................. 4.89 2.88 0.22 7.99 000 N
93724... TC A Analyze pacemaker system................................. 0.00 3.78 0.28 4.06 000 N
93731... ...... A Analyze pacemaker system................................. 0.45 0.79 0.07 1.31 XXX N
93731... 26 A Analyze pacemaker system................................. 0.45 0.32 0.03 0.80 XXX N
93731... TC A Analyze pacemaker system................................. 0.00 0.47 0.04 0.51 XXX N
93732... ...... A Analyze pacemaker system................................. 0.92 0.91 0.08 1.91 XXX N
93732... 26 A Analyze pacemaker system................................. 0.92 0.42 0.04 1.38 XXX N
93732... TC A Analyze pacemaker system................................. 0.00 0.49 0.04 0.53 XXX N
93733... ...... A Telephone analysis, pacemaker............................ 0.17 *0.91 0.08 1.16 XXX N
93733... 26 A Telephone analysis, pacemaker............................ 0.17 *0.22 0.02 0.41 XXX N
93733... TC A Telephone analysis, pacemaker............................ 0.00 0.69 0.06 0.75 XXX N
93734... ...... A Analyze pacemaker system................................. 0.38 0.64 0.06 1.08 XXX N
93734... 26 A Analyze pacemaker system................................. 0.38 0.31 0.03 0.72 XXX N
93734... TC A Analyze pacemaker system................................. 0.00 0.33 0.03 0.36 XXX N
93735... ...... A Analyze pacemaker system................................. 0.74 0.85 0.08 1.67 XXX N
93735... 26 A Analyze pacemaker system................................. 0.74 0.43 0.04 1.21 XXX N
93735... TC A Analyze pacemaker system................................. 0.00 0.42 0.04 0.46 XXX N
93736... ...... A Telephone analysis, pacemaker............................ 0.15 *0.82 0.09 1.06 XXX N
93736... 26 A Telephone analysis, pacemaker............................ 0.15 *0.22 0.03 0.40 XXX N
93736... TC A Telephone analysis, pacemaker............................ 0.00 0.60 0.06 0.66 XXX N
93737... ...... A Analyze cardio/defibrillator............................. 0.45 0.74 0.06 1.25 XXX N
93737... 26 A Analyze cardio/defibrillator............................. 0.45 0.27 0.02 0.74 XXX N
93737... TC A Analyze cardio/defibrillator............................. 0.00 0.47 0.04 0.51 XXX N
93738... ...... A Analyze cardio/defibrillator............................. 0.92 0.88 0.07 1.87 XXX N
93738... 26 A Analyze cardio/defibrillator............................. 0.92 0.39 0.03 1.34 XXX N
93738... TC A Analyze cardio/defibrillator............................. 0.00 0.49 0.04 0.53 XXX N
93740... ...... A Temperature gradient studies............................. 0.16 0.45 0.04 0.65 XXX N
93740... 26 A Temperature gradient studies............................. 0.16 0.30 0.03 0.49 XXX N
93740... TC A Temperature gradient studies............................. 0.00 0.15 0.01 0.16 XXX N
93760... ...... N Cephalic thermogram...................................... 0.00 0.00 0.00 0.00 XXX O
93762... ...... N Peripheral thermogram.................................... 0.00 0.00 0.00 0.00 XXX O
93770... ...... A Measure venous pressure.................................. 0.16 0.20 0.02 0.38 XXX N
93770... 26 A Measure venous pressure.................................. 0.16 0.17 0.02 0.35 XXX N
93770... TC A Measure venous pressure.................................. 0.00 0.03 0.00 0.03 XXX N
93784... ...... N Ambulatory BP monitoring................................. 0.00 0.00 0.00 0.00 XXX O
93786... ...... N Ambulatory BP recording.................................. 0.00 0.00 0.00 0.00 XXX O
93788... ...... N Ambulatory BP analysis................................... 0.00 0.00 0.00 0.00 XXX O
93790... ...... N Review/report BP recording............................... 0.00 0.00 0.00 0.00 XXX O
93797... ...... A Cardiac rehab............................................ 0.18 0.30 0.02 0.50 000 N
93798... ...... A Cardiac rehab/monitor.................................... 0.28 0.47 0.04 0.79 000 N
93799... ...... C Cardiovascular procedure................................. 0.00 0.00 0.00 0.00 XXX N
93799... 26 C Cardiovascular procedure................................. 0.00 0.00 0.00 0.00 XXX N
93799... TC C Cardiovascular procedure................................. 0.00 0.00 0.00 0.00 XXX N
93875... ...... A Extracranial study....................................... 0.22 *1.44 0.18 1.84 XXX N
93875... 26 A Extracranial study....................................... 0.22 *0.39 0.06 0.67 XXX N
93875... TC A Extracranial study....................................... 0.00 1.05 0.12 1.17 XXX N
93880... ...... A Extracranial study....................................... 0.60 3.94 0.44 4.98 XXX N
93880... 26 A Extracranial study....................................... 0.60 0.39 0.04 1.03 XXX N
93880... TC A Extracranial study....................................... 0.00 3.55 0.40 3.95 XXX N
93882... ...... A Extracranial study....................................... 0.40 2.62 0.29 3.31 XXX N
93882... 26 A Extracranial study....................................... 0.40 0.26 0.03 0.69 XXX N
93882... TC A Extracranial study....................................... 0.00 2.36 0.26 2.62 XXX N
93886... ...... A Intracranial study....................................... 0.94 4.44 0.50 5.88 XXX N
93886... 26 A Intracranial study....................................... 0.94 0.42 0.05 1.41 XXX N
93886... TC A Intracranial study....................................... 0.00 4.02 0.45 4.47 XXX N
93888... ...... A Intracranial study....................................... 0.62 2.96 0.34 3.92 XXX N
93888... 26 A Intracranial study....................................... 0.62 0.28 0.03 0.93 XXX N
93888... TC A Intracranial study....................................... 0.00 2.68 0.31 2.99 XXX N
93922... ...... A Extremity study.......................................... 0.25 *1.39 0.19 1.83 XXX N
93922... 26 A Extremity study.......................................... 0.25 *0.29 0.05 0.59 XXX N
93922... TC A Extremity study.......................................... 0.00 1.10 0.14 1.24 XXX N
93923... ...... A Extremity study.......................................... 0.45 *2.63 0.35 3.43 XXX N
93923... 26 A Extremity study.......................................... 0.45 *0.55 0.09 1.09 XXX N
93923... TC A Extremity study.......................................... 0.00 2.08 0.26 2.34 XXX N
93924... ...... A Extremity study.......................................... 0.50 *2.85 0.39 3.74 XXX N
93924... 26 A Extremity study.......................................... 0.50 *0.59 0.10 1.19 XXX N
93924... TC A Extremity study.......................................... 0.00 2.26 0.29 2.55 XXX N
93925... ...... A Lower extremity study.................................... 0.58 3.96 0.44 4.98 XXX N
93925... 26 A Lower extremity study.................................... 0.58 0.39 0.04 1.01 XXX N
93925... TC A Lower extremity study.................................... 0.00 3.57 0.40 3.97 XXX N
93926... ...... A Lower extremity study.................................... 0.39 2.64 0.30 3.33 XXX N
93926... 26 A Lower extremity study.................................... 0.39 0.26 0.03 0.68 XXX N
93926... TC A Lower extremity study.................................... 0.00 2.38 0.27 2.65 XXX N
93930... ...... A Upper extremity study.................................... 0.46 4.18 0.47 5.11 XXX N
93930... 26 A Upper extremity study.................................... 0.46 0.39 0.05 0.90 XXX N
93930... TC A Upper extremity study.................................... 0.00 3.79 0.42 4.21 XXX N
93931... ...... A Upper extremity study.................................... 0.31 2.78 0.31 3.40 XXX N
93931... 26 A Upper extremity study.................................... 0.31 0.26 0.03 0.60 XXX N
93931... TC A Upper extremity study.................................... 0.00 2.52 0.28 2.80 XXX N
93965... ...... A Extremity study.......................................... 0.35 *1.49 0.19 2.03 XXX N
93965... 26 A Extremity study.......................................... 0.35 *0.45 0.06 0.86 XXX N
93965... TC A Extremity study.......................................... 0.00 1.04 0.13 1.17 XXX N
93970... ...... A Extremity study.......................................... 0.68 4.33 0.51 5.52 XXX N
93970... 26 A Extremity study.......................................... 0.68 0.40 0.05 1.13 XXX N
93970... TC A Extremity study.......................................... 0.00 3.93 0.46 4.39 XXX N
93971... ...... A Extremity study.......................................... 0.45 2.89 0.34 3.68 XXX N
93971... 26 A Extremity study.......................................... 0.45 0.27 0.03 0.75 XXX N
93971... TC A Extremity study.......................................... 0.00 2.62 0.31 2.93 XXX N
93975... ...... A Vascular study........................................... 1.80 4.90 0.55 7.25 XXX N
93975... 26 A Vascular study........................................... 1.80 0.42 0.05 2.27 XXX N
93975... TC A Vascular study........................................... 0.00 4.48 0.50 4.98 XXX N
93976... ...... A Vascular study........................................... 1.21 3.27 0.37 4.85 XXX N
93976... 26 A Vascular study........................................... 1.21 0.28 0.03 1.52 XXX N
93976... TC A Vascular study........................................... 0.00 2.99 0.34 3.33 XXX N
93978... ...... A Vascular study........................................... 0.65 4.06 0.47 5.18 XXX N
93978... 26 A Vascular study........................................... 0.65 0.39 0.05 1.09 XXX N
93978... TC A Vascular study........................................... 0.00 3.67 0.42 4.09 XXX N
93979... ...... A Vascular study........................................... 0.44 2.70 0.31 3.45 XXX N
93979... 26 A Vascular study........................................... 0.44 0.26 0.03 0.73 XXX N
93979... TC A Vascular study........................................... 0.00 2.44 0.28 2.72 XXX N
93980... ...... A Penile vascular study.................................... 1.82 4.15 0.45 6.42 XXX N
93980... 26 A Penile vascular study.................................... 1.82 0.82 0.07 2.71 XXX N
93980... TC A Penile vascular study.................................... 0.00 3.33 0.38 3.71 XXX N
93981... ...... A Penile vascular study.................................... 0.64 3.47 0.39 4.50 XXX N
93981... 26 A Penile vascular study.................................... 0.64 0.40 0.03 1.07 XXX N
93981... TC A Penile vascular study.................................... 0.00 3.07 0.36 3.43 XXX N
93990... ...... A Doppler flow testing..................................... 0.25 2.57 0.29 3.11 XXX N
93990... 26 A Doppler flow testing..................................... 0.25 0.19 0.02 0.46 XXX N
93990... TC A Doppler flow testing..................................... 0.00 2.38 0.27 2.65 XXX N
94010... ...... A Breathing capacity test.................................. 0.17 0.68 0.05 0.90 XXX N
94010... 26 A Breathing capacity test.................................. 0.17 0.28 0.02 0.47 XXX N
94010... TC A Breathing capacity test.................................. 0.00 0.40 0.03 0.43 XXX N
94060... ...... A Evaluation of wheezing................................... 0.31 1.27 0.09 1.67 XXX N
94060... 26 A Evaluation of wheezing................................... 0.31 0.38 0.03 0.72 XXX N
94060... TC A Evaluation of wheezing................................... 0.00 0.89 0.06 0.95 XXX N
94070... ...... A Evaluation of wheezing................................... 0.60 1.77 0.13 2.50 XXX N
94070... 26 A Evaluation of wheezing................................... 0.60 0.38 0.03 1.01 XXX N
94070... TC A Evaluation of wheezing................................... 0.00 1.39 0.10 1.49 XXX N
94150... ...... A Vital capacity test...................................... 0.11 0.20 0.02 0.33 XXX N
94150... 26 A Vital capacity test...................................... 0.11 0.12 0.01 0.24 XXX N
94150... TC A Vital capacity test...................................... 0.00 0.08 0.01 0.09 XXX N
94160... ...... A Vital capacity screening................................. 0.18 0.37 0.02 0.57 XXX N
94160... 26 A Vital capacity screening................................. 0.18 0.19 0.01 0.38 XXX N
94160... TC A Vital capacity screening................................. 0.00 0.18 0.01 0.19 XXX N
94200... ...... A Lung function test (MBC/MVV)............................. 0.11 *0.38 0.03 0.52 XXX N
94200... 26 A Lung function test (MBC/MVV)............................. 0.11 *0.14 0.01 0.26 XXX N
94200... TC A Lung function test (MBC/MVV)............................. 0.00 0.24 0.02 0.26 XXX N
94240... ...... A Residual lung capacity................................... 0.26 0.88 0.07 1.21 XXX N
94240... 26 A Residual lung capacity................................... 0.26 0.23 0.02 0.51 XXX N
94240... TC A Residual lung capacity................................... 0.00 0.65 0.05 0.70 XXX N
94250... ...... A Expired gas collection................................... 0.11 *0.27 0.02 0.40 XXX N
94250... 26 A Expired gas collection................................... 0.11 *0.14 0.01 0.26 XXX N
94250... TC A Expired gas collection................................... 0.00 0.13 0.01 0.14 XXX N
94260... ...... A Thoracic gas volume...................................... 0.13 *0.72 0.06 0.91 XXX N
94260... 26 A Thoracic gas volume...................................... 0.13 *0.20 0.02 0.35 XXX N
94260... TC A Thoracic gas volume...................................... 0.00 0.52 0.04 0.56 XXX N
94350... ...... A Lung nitrogen washout curve.............................. 0.26 0.73 0.05 1.04 XXX N
94350... 26 A Lung nitrogen washout curve.............................. 0.26 0.21 0.01 0.48 XXX N
94350... TC A Lung nitrogen washout curve.............................. 0.00 0.52 0.04 0.56 XXX N
94360... ...... A Measure airflow resistance............................... 0.26 1.11 0.07 1.44 XXX N
94360... 26 A Measure airflow resistance............................... 0.26 0.19 0.01 0.46 XXX N
94360... TC A Measure airflow resistance............................... 0.00 0.92 0.06 0.98 XXX N
94370... ...... A Breath airway closing volume............................. 0.26 0.40 0.03 0.69 XXX N
94370... 26 A Breath airway closing volume............................. 0.26 0.14 0.01 0.41 XXX N
94370... TC A Breath airway closing volume............................. 0.00 0.26 0.02 0.28 XXX N
94375... ...... A Respiratory flow volume loop............................. 0.31 0.67 0.04 1.02 XXX N
94375... 26 A Respiratory flow volume loop............................. 0.31 0.21 0.01 0.53 XXX N
94375... TC A Respiratory flow volume loop............................. 0.00 0.46 0.03 0.49 XXX N
94400... ...... A CO2 breathing response curve............................. 0.40 0.77 0.19 1.36 XXX N
94400... 26 A CO2 breathing response curve............................. 0.40 0.47 0.13 1.00 XXX N
94400... TC A CO2 breathing response curve............................. 0.00 0.30 0.06 0.36 XXX N
94450... ...... A Hypoxia response curve................................... 0.40 0.61 0.05 1.06 XXX N
94450... 26 A Hypoxia response curve................................... 0.40 0.24 0.02 0.66 XXX N
94450... TC A Hypoxia response curve................................... 0.00 0.37 0.03 0.40 XXX N
94620... ...... A Pulmonary stress testing................................. 0.88 2.05 0.15 3.08 XXX N
94620... 26 A Pulmonary stress testing................................. 0.88 0.70 0.05 1.63 XXX N
94620... TC A Pulmonary stress testing................................. 0.00 1.35 0.10 1.45 XXX N
94640... ...... A Airway inhalation treatment.............................. 0.00 0.39 0.03 0.42 XXX N
94642... ...... C Aerosol inhalation treatment............................. 0.00 0.00 0.00 0.00 XXX N
94650... ...... A Pressure breathing (IPPB)................................ 0.00 0.37 0.03 0.40 XXX N
94651... ...... A Pressure breathing (IPPB)................................ 0.00 0.36 0.03 0.39 XXX N
94652... ...... A Pressure breathing (IPPB)................................ 0.00 0.41 0.08 0.49 XXX N
94656... ...... A Initial ventilator mgmt.................................. 1.22 1.13 0.12 2.47 XXX N
94657... ...... A Cont. ventilator......................................... 0.83 0.62 0.05 1.50 XXX N
94660... ...... A Pos airway pressure, CPAP................................ 0.76 0.71 0.06 1.53 XXX N
94662... ...... A Neg pressure ventilation, CNP............................ 0.76 0.30 0.02 1.08 XXX N
94664... ...... A Aerosol or vapor inhalations............................. 0.00 0.50 0.04 0.54 XXX N
94665... ...... A Aerosol or vapor inhalations............................. 0.00 0.46 0.05 0.51 XXX N
94667... ...... A Chest wall manipulation.................................. 0.00 0.55 0.05 0.60 XXX N
94668... ...... A Chest wall manipulation.................................. 0.00 0.34 0.03 0.37 XXX N
94680... ...... A Exhaled air analysis: O2................................. 0.26 0.82 0.10 1.18 XXX N
94680... 26 A Exhaled air analysis: O2................................. 0.26 0.33 0.03 0.62 XXX N
94680... TC A Exhaled air analysis: O2................................. 0.00 0.49 0.07 0.56 XXX N
94681... ...... A Exhaled air analysis: O2, CO2............................ 0.20 *1.64 0.17 2.01 XXX N
94681... 26 A Exhaled air analysis: O2, CO2............................ 0.20 *0.32 0.04 0.56 XXX N
94681... TC A Exhaled air analysis: O2, CO2............................ 0.00 1.32 0.13 1.45 XXX N
94690... ...... A Exhaled air analysis..................................... 0.07 0.56 0.04 0.67 XXX N
94690... 26 A Exhaled air analysis..................................... 0.07 0.05 0.00 0.12 XXX N
94690... TC A Exhaled air analysis..................................... 0.00 0.51 0.04 0.55 XXX N
94720... ...... A Monoxide diffusing capacity.............................. 0.26 1.03 0.08 1.37 XXX N
94720... 26 A Monoxide diffusing capacity.............................. 0.26 0.23 0.02 0.51 XXX N
94720... TC A Monoxide diffusing capacity.............................. 0.00 0.80 0.06 0.86 XXX N
94725... ...... A Membrane diffusion capacity.............................. 0.26 1.84 0.14 2.24 XXX N
94725... 26 A Membrane diffusion capacity.............................. 0.26 0.18 0.01 0.45 XXX N
94725... TC A Membrane diffusion capacity.............................. 0.00 1.66 0.13 1.79 XXX N
94750... ...... A Pulmonary compliance study............................... 0.23 0.83 0.06 1.12 XXX N
94750... 26 A Pulmonary compliance study............................... 0.23 0.28 0.02 0.53 XXX N
94750... TC A Pulmonary compliance study............................... 0.00 0.55 0.04 0.59 XXX N
94760... ...... A Measure blood oxygen level............................... 0.00 0.25 0.02 0.27 XXX N
94761... ...... A Measure blood oxygen level............................... 0.00 0.64 0.06 0.70 XXX N
94762... ...... A Measure blood oxygen level............................... 0.00 1.08 0.10 1.18 XXX N
94770... ...... A Exhaled carbon dioxide test.............................. 0.20 0.40 0.11 0.71 XXX N
94770... 26 A Exhaled carbon dioxide test.............................. 0.20 0.11 0.03 0.34 XXX N
94770... TC A Exhaled carbon dioxide test.............................. 0.00 0.29 0.08 0.37 XXX N
94772... ...... C Breath recording, infant................................. 0.00 0.00 0.00 0.00 XXX N
94772... 26 C Breath recording, infant................................. 0.00 0.00 0.00 0.00 XXX N
94772... TC C Breath recording, infant................................. 0.00 0.00 0.00 0.00 XXX N
94799... ...... C Pulmonary service/procedure.............................. 0.00 0.00 0.00 0.00 XXX N
94799... 26 C Pulmonary service/procedure.............................. 0.00 0.00 0.00 0.00 XXX N
94799... TC C Pulmonary service/procedure.............................. 0.00 0.00 0.00 0.00 XXX N
95004... ...... A Allergy skin tests....................................... 0.00 0.09 0.01 0.10 XXX N
95010... ...... A Sensitivity skin tests................................... 0.15 0.11 0.01 0.27 XXX N
95015... ...... A Sensitivity skin tests................................... 0.15 0.11 0.01 0.27 XXX N
95024... ...... A Allergy skin tests....................................... 0.00 0.14 0.01 0.15 XXX N
95027... ...... A Skin end point titration................................. 0.00 0.14 0.01 0.15 XXX N
95028... ...... A Allergy skin tests....................................... 0.00 0.22 0.01 0.23 XXX N
95044... ...... A Allergy patch tests...................................... 0.00 0.19 0.01 0.20 XXX N
95052... ...... A Photo patch test......................................... 0.00 0.24 0.01 0.25 XXX N
95056... ...... A Photosensitivity tests................................... 0.00 0.17 0.01 0.18 XXX N
95060... ...... A Eye allergy tests........................................ 0.00 0.33 0.02 0.35 XXX N
95065... ...... A Nose allergy test........................................ 0.00 0.19 0.01 0.20 XXX N
95070... ...... A Bronchial allergy tests.................................. 0.00 2.17 0.02 2.19 XXX N
95071... ...... A Bronchial allergy tests.................................. 0.00 2.78 0.02 2.80 XXX N
95075... ...... A Ingestion challenge test................................. 0.95 1.97 0.02 2.94 XXX N
95078... ...... A Provocative testing...................................... 0.00 0.24 0.02 0.26 XXX N
95115... ...... A Immunotherapy, one injection............................. 0.00 0.37 0.02 0.39 XXX N
95117... ...... A Immunotherapy injections................................. 0.00 0.48 0.02 0.50 XXX N
95120... ...... G Immunotherapy, one injection............................. 0.00 0.00 0.00 0.00 XXX O
95125... ...... G Immunotherapy, many antigens............................. 0.00 0.00 0.00 0.00 XXX O
95130... ...... G Immunotherapy, insect venom.............................. 0.00 0.00 0.00 0.00 XXX O
95131... ...... G Immunotherapy, insect venoms............................. 0.00 0.00 0.00 0.00 XXX O
95132... ...... G Immunotherapy, insect venoms............................. 0.00 0.00 0.00 0.00 XXX O
95133... ...... G Immunotherapy, insect venoms............................. 0.00 0.00 0.00 0.00 XXX O
95134... ...... G Immunotherapy, insect venoms............................. 0.00 0.00 0.00 0.00 XXX O
95144... ...... A Antigen therapy services................................. 0.06 0.13 0.01 0.20 XXX N
95145... ...... A Antigen therapy services................................. 0.06 0.34 0.03 0.43 XXX N
95146... ...... A Antigen therapy services................................. 0.06 0.61 0.03 0.70 XXX N
95147... ...... A Antigen therapy services................................. 0.06 0.91 0.03 1.00 XXX N
95148... ...... A Antigen therapy services................................. 0.06 0.91 0.03 1.00 XXX N
95149... ...... A Antigen therapy services................................. 0.06 1.14 0.03 1.23 XXX N
95165... ...... A Antigen therapy services................................. 0.06 0.10 0.01 0.17 XXX N
95170... ...... A Antigen therapy services................................. 0.06 0.35 0.03 0.44 XXX N
95180... ...... A Rapid desensitization.................................... 2.01 0.14 0.01 2.16 XXX N
95199... ...... C Allergy immunology services.............................. 0.00 0.00 0.00 0.00 XXX N
95805... ...... A Multiple sleep latency test.............................. 1.88 5.51 0.45 7.84 XXX N
95805... 26 A Multiple sleep latency test.............................. 1.88 0.56 0.07 2.51 XXX N
95805... TC A Multiple sleep latency test.............................. 0.00 4.95 0.38 5.33 XXX N
95807... ...... A Sleep study.............................................. 1.66 6.77 0.52 8.95 XXX N
95807... 26 A Sleep study.............................................. 1.66 1.82 0.14 3.62 XXX N
95807... TC A Sleep study.............................................. 0.00 4.95 0.38 5.33 XXX N
95808... ...... A Polysomnography, 1-3..................................... 2.65 6.77 0.52 9.94 XXX N
95808... 26 A Polysomnography, 1-3..................................... 2.65 1.82 0.14 4.61 XXX N
95808... TC A Polysomnography, 1-3..................................... 0.00 4.95 0.38 5.33 XXX N
95810... ...... A Polysomnography, 4 or more............................... 3.53 6.77 0.52 10.82 XXX N
95810... 26 A Polysomnography, 4 or more............................... 3.53 1.82 0.14 5.49 XXX N
95810... TC A Polysomnography, 4 or more............................... 0.00 4.95 0.38 5.33 XXX N
95812... ...... A Electroencephalogram (EEG)............................... 1.08 1.85 0.15 3.08 XXX N
95812... 26 A Electroencephalogram (EEG)............................... 1.08 0.50 0.04 1.62 XXX N
95812... TC A Electroencephalogram (EEG)............................... 0.00 1.35 0.11 1.46 XXX N
95813... ...... A Electroencephalogram (EEG)............................... 1.73 1.85 0.15 3.73 XXX N
95813... 26 A Electroencephalogram (EEG)............................... 1.73 0.50 0.04 2.27 XXX N
95813... TC A Electroencephalogram (EEG)............................... 0.00 1.35 0.11 1.46 XXX N
95816... ...... A Electroencephalogram (EEG)............................... 1.08 1.54 0.13 2.75 XXX N
95816... 26 A Electroencephalogram (EEG)............................... 1.08 0.28 0.03 1.39 XXX N
95816... TC A Electroencephalogram (EEG)............................... 0.00 1.26 0.10 1.36 XXX N
95817... ...... D Electroencephalogram (EEG)............................... 0.00 0.00 0.00 0.00 XXX N
95817... 26 D Electroencephalogram (EEG)............................... 0.00 0.00 0.00 0.00 XXX N
95817... TC D Electroencephalogram (EEG)............................... 0.00 0.00 0.00 0.00 XXX N
95819... ...... A Electroencephalogram (EEG)............................... 1.08 1.80 0.14 3.02 XXX N
95819... 26 A Electroencephalogram (EEG)............................... 1.08 0.50 0.04 1.62 XXX N
95819... TC A Electroencephalogram (EEG)............................... 0.00 1.30 0.10 1.40 XXX N
95821... ...... D Portable EEG............................................. 0.00 0.00 0.00 0.00 XXX N
95821... 26 D Portable EEG............................................. 0.00 0.00 0.00 0.00 XXX N
95821... TC D Portable EEG............................................. 0.00 0.00 0.00 0.00 XXX N
95822... ...... A Sleep electroencephalogram............................... 1.08 2.28 0.18 3.54 XXX N
95822... 26 A Sleep electroencephalogram............................... 1.08 0.56 0.04 1.68 XXX N
95822... TC A Sleep electroencephalogram............................... 0.00 1.72 0.14 1.86 XXX N
95823... ...... D Activation EEG........................................... 0.00 0.00 0.00 0.00 XXX N
95823... 26 D Activation EEG........................................... 0.00 0.00 0.00 0.00 XXX N
95823... TC D Activation EEG........................................... 0.00 0.00 0.00 0.00 XXX N
95824... ...... A Electroencephalography................................... 0.74 0.98 0.07 1.79 XXX N
95824... 26 A Electroencephalography................................... 0.74 0.58 0.04 1.36 XXX N
95824... TC A Electroencephalography................................... 0.00 0.40 0.03 0.43 XXX N
95826... ...... D Depth electroencephalogram............................... 0.00 0.00 0.00 0.00 XXX N
95826... 26 D Depth electroencephalogram............................... 0.00 0.00 0.00 0.00 XXX N
95826... TC D Depth electroencephalogram............................... 0.00 0.00 0.00 0.00 XXX N
95827... ...... A Night electroencephalogram............................... 1.08 3.06 0.24 4.38 XXX N
95827... 26 A Night electroencephalogram............................... 1.08 0.88 0.07 2.03 XXX N
95827... TC A Night electroencephalogram............................... 0.00 2.18 0.17 2.35 XXX N
95829... ...... A Surgery electrocorticogram............................... 6.21 0.59 0.05 6.85 XXX N
95829... 26 A Surgery electrocorticogram............................... 6.21 0.45 0.03 6.69 XXX N
95829... TC A Surgery electrocorticogram............................... 0.00 0.14 0.02 0.16 XXX N
95830... ...... A Insert electrodes for EEG................................ 1.70 0.78 0.07 2.55 XXX N
95831... ...... A Limb muscle testing, manual.............................. 0.28 0.29 0.03 0.60 XXX N
95832... ...... A Hand muscle testing, manual.............................. 0.29 0.25 0.02 0.56 XXX N
95833... ...... A Body muscle testing, manual.............................. 0.47 0.38 0.05 0.90 XXX N
95834... ...... A Body muscle testing, manual.............................. 0.60 0.61 0.06 1.27 XXX N
95842... ...... D Muscle testing, electrical............................... 0.00 0.00 0.00 0.00 XXX N
95842... 26 D Muscle testing, electrical............................... 0.00 0.00 0.00 0.00 XXX N
95842... TC D Muscle testing, electrical............................... 0.00 0.00 0.00 0.00 XXX N
95851... ...... A Range of motion measurements............................. 0.28 0.24 0.02 0.54 XXX N
95852... ...... A Range of motion measurements............................. 0.19 0.15 0.02 0.36 XXX N
95857... ...... A Tensilon test............................................ 0.53 0.50 0.04 1.07 XXX N
95858... ...... A Tensilon test & myogram.................................. 1.56 1.02 0.09 2.67 XXX N
95858... 26 A Tensilon test & myogram.................................. 1.56 0.64 0.05 2.25 XXX N
95858... TC A Tensilon test & myogram.................................. 0.00 0.38 0.04 0.42 XXX N
95860... ...... A Muscle test, one limb.................................... 0.96 1.09 0.09 2.14 XXX N
95860... 26 A Muscle test, one limb.................................... 0.96 0.73 0.06 1.75 XXX N
95860... TC A Muscle test, one limb.................................... 0.00 0.36 0.03 0.39 XXX N
95861... ...... A Muscle test, two limbs................................... 1.54 1.97 0.16 3.67 XXX N
95861... 26 A Muscle test, two limbs................................... 1.54 1.27 0.10 2.91 XXX N
95861... TC A Muscle test, two limbs................................... 0.00 0.70 0.06 0.76 XXX N
95863... ...... A Muscle test, 3 limbs..................................... 1.87 2.30 0.18 4.35 XXX N
95863... 26 A Muscle test, 3 limbs..................................... 1.87 1.41 0.11 3.39 XXX N
95863... TC A Muscle test, 3 limbs..................................... 0.00 0.89 0.07 0.96 XXX N
95864... ...... A Muscle test, 4 limbs..................................... 1.99 3.45 0.27 5.71 XXX N
95864... 26 A Muscle test, 4 limbs..................................... 1.99 1.75 0.14 3.88 XXX N
95864... TC A Muscle test, 4 limbs..................................... 0.00 1.70 0.13 1.83 XXX N
95867... ...... A Muscle test, head or neck................................ 0.62 1.13 0.09 1.84 XXX N
95867... 26 A Muscle test, head or neck................................ 0.62 0.58 0.05 1.25 XXX N
95867... TC A Muscle test, head or neck................................ 0.00 0.55 0.04 0.59 XXX N
95868... ...... A Muscle test, head or neck................................ 1.50 1.92 0.15 3.57 XXX N
95868... 26 A Muscle test, head or neck................................ 1.50 1.26 0.10 2.86 XXX N
95868... TC A Muscle test, head or neck................................ 0.00 0.66 0.05 0.71 XXX N
95869... ...... A Muscle test, limited..................................... 0.37 0.53 0.05 0.95 XXX N
95869... 26 A Muscle test, limited..................................... 0.37 0.33 0.03 0.73 XXX N
95869... TC A Muscle test, limited..................................... 0.00 0.20 0.02 0.22 XXX N
95872... ...... A Muscle test, one fiber................................... 1.50 1.25 0.11 2.86 XXX N
95872... 26 A Muscle test, one fiber................................... 1.50 0.68 0.06 2.24 XXX N
95872... TC A Muscle test, one fiber................................... 0.00 0.57 0.05 0.62 XXX N
95875... ...... A Limb exercise test....................................... 1.34 0.60 0.10 2.04 XXX N
95875... 26 A Limb exercise test....................................... 1.34 0.22 0.04 1.60 XXX N
95875... TC A Limb exercise test....................................... 0.00 0.38 0.06 0.44 XXX N
95880... ...... A Cerebral aphasia testing................................. 0.00 1.68 0.20 1.88 XXX N
95881... ...... A Cerebral developmental test.............................. 0.00 1.68 0.20 1.88 XXX N
95882... ...... A Cognitive function testing............................... 0.00 1.68 0.20 1.88 XXX N
95883... ...... A Neuropsychological testing............................... 0.00 1.68 0.20 1.88 XXX N
95900... ...... A Motor nerve conduction test.............................. 0.42 0.62 0.05 1.09 XXX N
95900... 26 A Motor nerve conduction test.............................. 0.42 0.35 0.03 0.80 XXX N
95900... TC A Motor nerve conduction test.............................. 0.00 0.27 0.02 0.29 XXX N
95904... ...... A Sense nerve conduction test.............................. 0.34 0.55 0.05 0.94 XXX N
95904... 26 A Sense nerve conduction test.............................. 0.34 0.34 0.03 0.71 XXX N
95904... TC A Sense nerve conduction test.............................. 0.00 0.21 0.02 0.23 XXX N
95920... ...... A Intraoperative nerve testing............................. 2.11 2.67 0.20 4.98 XXX N
95920... 26 A Intraoperative nerve testing............................. 2.11 1.43 0.12 3.66 XXX N
95920... TC A Intraoperative nerve testing............................. 0.00 1.24 0.08 1.32 XXX N
95925... ...... A Somatosensory testing.................................... 0.81 2.28 0.19 3.28 XXX N
95925... 26 A Somatosensory testing.................................... 0.81 0.96 0.08 1.85 XXX N
95925... TC A Somatosensory testing.................................... 0.00 1.32 0.11 1.43 XXX N
95933... ...... A Blink reflex test........................................ 0.59 1.25 0.10 1.94 XXX N
95933... 26 A Blink reflex test........................................ 0.59 0.50 0.04 1.13 XXX N
95933... TC A Blink reflex test........................................ 0.00 0.75 0.06 0.81 XXX N
95935... ...... A ''H'' or ``F'' reflex study.............................. 0.59 0.54 0.05 1.18 XXX N
95935... 26 A ''H'' or ``F'' reflex study.............................. 0.59 0.34 0.03 0.96 XXX N
95935... TC A ''H'' or ``F'' reflex study.............................. 0.00 0.20 0.02 0.22 XXX N
95937... ...... A Neuromuscular junction test.............................. 0.60 0.77 0.07 1.44 XXX N
95937... 26 A Neuromuscular junction test.............................. 0.60 0.45 0.04 1.09 XXX N
95937... TC A Neuromuscular junction test.............................. 0.00 0.32 0.03 0.35 XXX N
95950... ...... A Ambulatory eeg monitoring................................ 1.51 7.25 0.60 9.36 XXX N
95950... 26 A Ambulatory eeg monitoring................................ 1.51 1.21 0.10 2.82 XXX N
95950... TC A Ambulatory eeg monitoring................................ 0.00 6.04 0.50 6.54 XXX N
95951... ...... A EEG monitoring/videorecord............................... 3.80 8.83 0.64 13.27 XXX N
95951... 26 A EEG monitoring/videorecord............................... 3.80 1.50 0.11 5.41 XXX N
95951... TC A EEG monitoring/videorecord............................... 0.00 7.33 0.53 7.86 XXX N
95953... ...... A EEG monitoring/computer.................................. 3.08 7.25 0.60 10.93 XXX N
95953... 26 A EEG monitoring/computer.................................. 3.08 1.21 0.10 4.39 XXX N
95953... TC A EEG monitoring/computer.................................. 0.00 6.04 0.50 6.54 XXX N
95954... ...... A EEG monitoring/giving drugs.............................. 2.45 2.32 0.28 5.05 XXX N
95954... 26 A EEG monitoring/giving drugs.............................. 2.45 1.87 0.22 4.54 XXX N
95954... TC A EEG monitoring/giving drugs.............................. 0.00 0.45 0.06 0.51 XXX N
95955... ...... A EEG during surgery....................................... 1.01 2.90 0.30 4.21 XXX N
95955... 26 A EEG during surgery....................................... 1.01 1.03 0.11 2.15 XXX N
95955... TC A EEG during surgery....................................... 0.00 1.87 0.19 2.06 XXX N
95956... ...... A EEG monitoring/cable/radio............................... 3.08 7.54 0.61 11.23 XXX N
95956... 26 A EEG monitoring/cable/radio............................... 3.08 1.50 0.11 4.69 XXX N
95956... TC A EEG monitoring/cable/radio............................... 0.00 6.04 0.50 6.54 XXX N
95957... ...... A EEG digital analysis..................................... 1.98 2.25 0.18 4.41 XXX N
95957... 26 A EEG digital analysis..................................... 1.98 0.63 0.05 2.66 XXX N
95957... TC A EEG digital analysis..................................... 0.00 1.62 0.13 1.75 XXX N
95958... ...... A EEG monitoring/function test............................. 4.25 4.89 0.52 9.66 XXX N
95958... 26 A EEG monitoring/function test............................. 4.25 3.23 0.38 7.86 XXX N
95958... TC A EEG monitoring/function test............................. 0.00 1.66 0.14 1.80 XXX N
95961... ...... A Electrode stimulation, brain............................. 2.97 2.67 0.20 5.84 XXX N
95961... 26 A Electrode stimulation, brain............................. 2.97 1.43 0.12 4.52 XXX N
95961... TC A Electrode stimulation, brain............................. 0.00 1.24 0.08 1.32 XXX N
95962... ...... A Electrode stimulation, brain............................. 3.21 2.67 0.20 6.08 XXX N
95962... 26 A Electrode stimulation, brain............................. 3.21 1.43 0.12 4.76 XXX N
95962... TC A Electrode stimulation, brain............................. 0.00 1.24 0.08 1.32 XXX N
95999... ...... C Neurological procedure................................... 0.00 0.00 0.00 0.00 XXX N
96400... ...... A Chemotherapy, (SC)/(IM).................................. 0.00 0.13 0.01 0.14 XXX N
96405... ...... A Intralesional chemo admin................................ 0.52 0.38 0.03 0.93 000 S
96406... ...... A Intralesional chemo admin................................ 0.80 0.56 0.04 1.40 000 S
96408... ...... A Chemotherapy, push technique............................. 0.00 0.92 0.06 0.98 XXX N
96410... ...... A Chemotherapy, infusion method............................ 0.00 1.47 0.09 1.56 XXX N
96412... ...... A Chemotherapy, infusion method............................ 0.00 1.10 0.08 1.18 XXX N
96414... ...... A Chemotherapy, infusion method............................ 0.00 1.27 0.09 1.36 XXX N
96420... ...... A Chemotherapy, push technique............................. 0.00 1.19 0.09 1.28 XXX N
96422... ...... A Chemotherapy, infusion method............................ 0.00 1.17 0.09 1.26 XXX N
96423... ...... A Chemotherapy, infusion method............................ 0.00 0.46 0.03 0.49 XXX N
96425... ...... A Chemotherapy, infusion method............................ 0.00 1.36 0.09 1.45 XXX N
96440... ...... A Chemotherapy, intracavitary.............................. 2.37 0.81 0.06 3.24 000 N
96445... ...... A Chemotherapy, intracavitary.............................. 2.20 0.98 0.09 3.27 000 N
96450... ...... A Chemotherapy, into CNS................................... 1.89 0.87 0.06 2.82 000 N
96520... ...... A Pump refilling, maintenance.............................. 0.00 0.85 0.06 0.91 XXX N
96530... ...... A Pump refilling, maintenance.............................. 0.00 1.01 0.07 1.08 XXX N
96542... ...... A Chemotherapy injection................................... 1.42 1.09 0.13 2.64 XXX N
96545... ...... B Provide chemotherapy agent............................... 0.00 0.00 0.00 0.00 XXX O
96549... ...... C Chemotherapy, unspecified................................ 0.00 0.00 0.00 0.00 XXX N
96900... ...... A Ultraviolet light therapy................................ 0.00 0.38 0.03 0.41 XXX N
96910... ...... A Photochemotherapy with UV-B.............................. 0.00 0.55 0.04 0.59 XXX N
96912... ...... A Photochemotherapy with UV-A.............................. 0.00 0.63 0.05 0.68 XXX N
96913... ...... A Photochemotherapy, UV-A or B............................. 0.00 1.29 0.10 1.39 XXX N
96999... ...... C Dermatological procedure................................. 0.00 0.00 0.00 0.00 XXX N
97010... ...... A Hot or cold packs therapy................................ 0.11 0.21 0.02 0.34 XXX N
97012... ...... A Mechanical traction therapy.............................. 0.25 0.19 0.02 0.46 XXX N
97014... ...... A Electric stimulation therapy............................. 0.18 0.20 0.02 0.40 XXX N
97016... ...... A Vasopneumatic device therapy............................. 0.18 0.25 0.02 0.45 XXX N
97018... ...... A Paraffin bath therapy.................................... 0.11 0.24 0.03 0.38 XXX N
97020... ...... A Microwave therapy........................................ 0.11 0.20 0.02 0.33 XXX N
97022... ...... A Whirlpool therapy........................................ 0.25 0.19 0.02 0.46 XXX N
97024... ...... A Diathermy treatment...................................... 0.11 0.21 0.02 0.34 XXX N
97026... ...... A Infrared therapy......................................... 0.11 0.19 0.02 0.32 XXX N
97028... ...... A Ultraviolet therapy...................................... 0.20 0.19 0.01 0.40 XXX N
97032... ...... A Electrical stimulation................................... 0.25 0.14 0.01 0.40 XXX N
97033... ...... A Electric current therapy................................. 0.26 0.14 0.02 0.42 XXX N
97034... ...... A Contrast bath therapy.................................... 0.21 0.10 0.01 0.32 XXX N
97035... ...... A Ultrasound therapy....................................... 0.21 0.11 0.01 0.33 XXX N
97036... ...... A Hydrotherapy............................................. 0.38 0.21 0.02 0.61 XXX N
97039... ...... A Physical therapy treatment............................... 0.29 0.24 0.03 0.56 XXX N
97110... ...... A Therapeutic exercises.................................... 0.45 0.13 0.02 0.60 XXX N
97112... ...... A Neuromuscular reeducation................................ 0.45 0.13 0.01 0.59 XXX N
97113... ...... A Aquatic therapy/exercises................................ 0.44 0.20 0.02 0.66 XXX N
97114... ...... D Functional activity therapy.............................. 0.00 0.00 0.00 0.00 XXX N
97116... ...... A Gait training therapy.................................... 0.40 0.11 0.01 0.52 XXX N
97118... ...... D Manual electric stimulation.............................. 0.00 0.00 0.00 0.00 XXX N
97120... ...... D Electric current therapy................................. 0.00 0.00 0.00 0.00 XXX N
97122... ...... A Manual traction therapy.................................. 0.45 0.11 0.01 0.57 XXX N
97124... ...... A Massage therapy.......................................... 0.35 0.11 0.01 0.47 XXX N
97126... ...... D Contrast baths therapy................................... 0.00 0.00 0.00 0.00 XXX N
97128... ...... D Ultrasound therapy....................................... 0.00 0.00 0.00 0.00 XXX N
97139... ...... A Physical medicine procedure.............................. 0.21 0.16 0.02 0.39 XXX N
97145... ...... D Extended physiotherapy................................... 0.00 0.00 0.00 0.00 XXX N
97150... ...... A Group therapeutic procedures............................. 0.27 0.20 0.02 0.49 XXX N
97220... ...... D Hydrotherapy............................................. 0.00 0.00 0.00 0.00 XXX N
97221... ...... D Extended hydrotherapy.................................... 0.00 0.00 0.00 0.00 XXX N
97240... ...... D Hydrotherapy............................................. 0.00 0.00 0.00 0.00 XXX N
97241... ...... D Extended hydrotherapy.................................... 0.00 0.00 0.00 0.00 XXX N
97250... ...... A Myofascial release....................................... 0.45 0.35 0.04 0.84 000 N
97260... ...... A Regional manipulation.................................... 0.19 0.20 0.02 0.41 000 N
97261... ...... A Supplemental manipulations............................... 0.12 0.11 0.01 0.24 000 N
97265... ...... A Joint mobilization....................................... 0.45 0.35 0.04 0.84 XXX N
97500... ...... A Orthotics training....................................... 0.31 0.27 0.04 0.62 XXX N
97501... ...... A Supplemental training.................................... 0.17 0.15 0.02 0.34 XXX N
97520... ...... A Prosthetic training...................................... 0.37 0.30 0.04 0.71 XXX N
97521... ...... A Supplemental training.................................... 0.22 0.17 0.02 0.41 XXX N
97530... ...... A Therapeutic activities................................... 0.44 0.17 0.02 0.63 XXX N
97531... ...... D Added kinetic therapy.................................... 0.00 0.00 0.00 0.00 XXX N
97540... ...... A Training for daily living................................ 0.44 0.37 0.03 0.84 XXX N
97541... ...... A Supplemental training.................................... 0.21 0.16 0.01 0.38 XXX N
97545... ...... R Work hardening........................................... 0.00 0.00 0.00 0.00 XXX N
97546... ...... R Work hardening........................................... 0.00 0.00 0.00 0.00 XXX N
97700... ...... A Training checkout........................................ 0.39 0.35 0.04 0.78 XXX N
97701... ...... A Supplemental checkout.................................... 0.19 0.17 0.02 0.38 XXX N
97720... ...... D Extremity testing........................................ 0.00 0.00 0.00 0.00 XXX N
97721... ...... D Supplemental limb testing................................ 0.00 0.00 0.00 0.00 XXX N
97750... ...... A Physical performance test................................ 0.45 0.24 0.03 0.72 XXX N
97752... ...... D Muscle testing with exercise............................. 0.00 0.00 0.00 0.00 XXX N
97752... 26 D Muscle testing with exercise............................. 0.00 0.00 0.00 0.00 XXX N
97752... TC D Muscle testing with exercise............................. 0.00 0.00 0.00 0.00 XXX N
97770... ...... R Cognitive skills development............................. 0.44 0.28 0.03 0.75 XXX N
97799... ...... C Physical medicine procedure.............................. 0.00 0.00 0.00 0.00 XXX N
98925... ...... A Osteopathic manipulation................................. 0.45 0.25 0.02 0.72 000 N
98926... ...... A Osteopathic manipulation................................. 0.65 0.40 0.03 1.08 000 N
98927... ...... A Osteopathic manipulation................................. 0.87 0.38 0.03 1.28 000 N
98928... ...... A Osteopathic manipulation................................. 1.03 0.42 0.04 1.49 000 N
98929... ...... A Osteopathic manipulation................................. 1.19 0.39 0.03 1.61 000 N
99000... ...... B Specimen handling........................................ 0.00 0.00 0.00 0.00 XXX O
99001... ...... B Specimen handling........................................ 0.00 0.00 0.00 0.00 XXX O
99002... ...... B Device handling.......................................... 0.00 0.00 0.00 0.00 XXX O
99024... ...... B Post-op follow-up visit.................................. 0.00 0.00 0.00 0.00 XXX O
99025... ...... B Initial surgical evaluation.............................. 0.00 0.00 0.00 0.00 XXX O
99050... ...... B Medical services after hrs............................... 0.00 0.00 0.00 0.00 XXX O
99052... ...... B Medical services at night................................ 0.00 0.00 0.00 0.00 XXX O
99054... ...... B Medical services, unusual hrs............................ 0.00 0.00 0.00 0.00 XXX O
99056... ...... B Non-office medical services.............................. 0.00 0.00 0.00 0.00 XXX O
99058... ...... B Office emergency care.................................... 0.00 0.00 0.00 0.00 XXX O
99070... ...... B Special supplies......................................... 0.00 0.00 0.00 0.00 XXX O
99071... ...... B Patient education materials.............................. 0.00 0.00 0.00 0.00 XXX O
99075... ...... N Medical testimony........................................ 0.00 0.00 0.00 0.00 XXX O
99078... ...... B Group health education................................... 0.00 0.00 0.00 0.00 XXX O
99080... ...... B Special reports or forms................................. 0.00 0.00 0.00 0.00 XXX O
99082... ...... C Unusual physician travel................................. 0.00 0.00 0.00 0.00 XXX N
99090... ...... B Computer data analysis................................... 0.00 0.00 0.00 0.00 XXX O
99100... ...... B Special anesthesia service............................... 0.00 0.00 0.00 0.00 XXX O
99116... ...... B Anesthesia with hypothermia.............................. 0.00 0.00 0.00 0.00 XXX O
99135... ...... B Special anesthesia procedure............................. 0.00 0.00 0.00 0.00 XXX O
99140... ...... B Emergency anesthesia..................................... 0.00 0.00 0.00 0.00 XXX O
99175... ...... A Induction of vomiting.................................... 0.00 1.33 0.10 1.43 XXX N
99178... ...... C Development evaluation tests............................. 0.00 0.00 0.00 0.00 XXX N
99183... ...... A Hyperbaric oxygen therapy................................ 2.34 1.67 0.11 4.12 XXX N
99185... ...... A Regional hypothermia..................................... 0.00 0.61 0.04 0.65 XXX N
99186... ...... A Total body hypothermia................................... 0.00 1.70 0.52 2.22 XXX N
99190... ...... X Special pump services.................................... 0.00 0.00 0.00 0.00 XXX O
99191... ...... X Special pump services.................................... 0.00 0.00 0.00 0.00 XXX O
99192... ...... X Special pump services.................................... 0.00 0.00 0.00 0.00 XXX O
99195... ...... A Phlebotomy............................................... 0.00 0.42 0.03 0.45 XXX N
99199... ...... C Special service or report................................ 0.00 0.00 0.00 0.00 XXX N
99201... ...... A Office/outpatient visit, new............................. 0.38 0.37 0.04 0.79 XXX P
99202... ...... A Office/outpatient visit, new............................. 0.75 0.45 0.05 1.25 XXX P
99203... ...... A Office/outpatient visit, new............................. 1.14 0.52 0.06 1.72 XXX P
99204... ...... A Office/outpatient visit, new............................. 1.71 0.78 0.08 2.57 XXX P
99205... ...... A Office/outpatient visit, new............................. 2.28 0.85 0.09 3.22 XXX P
99211... ...... A Office/outpatient visit, est............................. 0.17 0.19 0.02 0.38 XXX P
99212... ...... A Office/outpatient visit, est............................. 0.38 0.28 0.02 0.68 XXX P
99213... ...... A Office/outpatient visit, est............................. 0.55 0.38 0.03 0.96 XXX P
99214... ...... A Office/outpatient visit, est............................. 0.94 0.50 0.04 1.48 XXX P
99215... ...... A Office/outpatient visit, est............................. 1.51 0.76 0.07 2.34 XXX P
99217... ...... A Observation care discharge............................... 1.09 0.52 0.04 1.65 XXX N
99218... ...... A Observation care......................................... 1.08 0.68 0.06 1.82 XXX N
99219... ...... A Observation care......................................... 1.75 1.05 0.09 2.89 XXX N
99220... ...... A Observation care......................................... 2.41 1.14 0.09 3.64 XXX N
99221... ...... A Initial hospital care.................................... 1.06 0.67 0.06 1.79 XXX N
99222... ...... A Initial hospital care.................................... 1.84 1.04 0.09 2.97 XXX N
99223... ...... A Initial hospital care.................................... 2.57 1.13 0.08 3.78 XXX N
99231... ...... A Subsequent hospital care................................. 0.51 0.38 0.03 0.92 XXX N
99232... ...... A Subsequent hospital care................................. 0.88 0.45 0.04 1.37 XXX N
99233... ...... A Subsequent hospital care................................. 1.25 0.60 0.05 1.90 XXX N
99238... ...... A Hospital discharge day................................... 1.06 0.51 0.04 1.61 XXX N
99241... ...... A Office consultation...................................... 0.54 0.64 0.08 1.26 XXX N
99242... ...... A Office consultation...................................... 1.11 0.77 0.09 1.97 XXX N
99243... ...... A Office consultation...................................... 1.47 0.97 0.10 2.54 XXX N
99244... ...... A Office consultation...................................... 2.23 1.23 0.11 3.57 XXX N
99245... ...... A Office consultation...................................... 2.96 1.69 0.16 4.81 XXX N
99251... ...... A Initial inpatient consult................................ 0.54 0.67 0.08 1.29 XXX N
99252... ...... A Initial inpatient consult................................ 1.13 0.76 0.09 1.98 XXX N
99253... ...... A Initial inpatient consult................................ 1.56 0.95 0.10 2.61 XXX N
99254... ...... A Initial inpatient consult................................ 2.27 1.20 0.11 3.58 XXX N
99255... ...... A Initial inpatient consult................................ 3.14 1.57 0.14 4.85 XXX N
99261... ...... A Follow-up inpatient consult.............................. 0.36 0.33 0.03 0.72 XXX N
99262... ...... A Follow-up inpatient consult.............................. 0.74 0.46 0.04 1.24 XXX N
99263... ...... A Follow-up inpatient consult.............................. 1.16 0.67 0.04 1.87 XXX N
99271... ...... A Confirmatory consultation................................ 0.45 *0.58 0.07 1.10 XXX N
99272... ...... A Confirmatory consultation................................ 0.84 0.71 0.09 1.64 XXX N
99273... ...... A Confirmatory consultation................................ 1.19 1.02 0.11 2.32 XXX N
99274... ...... A Confirmatory consultation................................ 1.73 1.22 0.11 3.06 XXX N
99275... ...... A Confirmatory consultation................................ 2.31 1.74 0.17 4.22 XXX N
99281... ...... A Emergency dept visit..................................... 0.28 0.28 0.01 0.57 XXX P
99282... ...... A Emergency dept visit..................................... 0.47 0.38 0.03 0.88 XXX P
99283... ...... A Emergency dept visit..................................... 1.07 0.49 0.04 1.60 XXX P
99284... ...... A Emergency dept visit..................................... 1.68 0.70 0.06 2.44 XXX P
99285... ...... A Emergency dept visit..................................... 2.63 1.13 0.08 3.84 XXX P
99288... ...... B Direct advanced life support............................. 0.00 0.00 0.00 0.00 XXX O
99291... ...... A Critical care, first hour................................ 3.64 1.43 0.11 5.18 XXX N
99292... ...... A Critical care, addl 30 min............................... 1.84 0.63 0.04 2.51 XXX N
99295... ...... A Neonatal critical care................................... 16.03 5.08 1.55 22.66 XXX N
99296... ...... A Neonatal critical care................................... 7.40 2.46 0.77 10.63 XXX N
99297... ...... A Neonatal critical care................................... 3.84 1.23 0.38 5.45 XXX N
99301... ...... A Nursing facility care.................................... 1.07 0.45 0.03 1.55 XXX P
99302... ...... A Nursing facility care.................................... 1.67 0.50 0.04 2.21 XXX P
99303... ...... A Nursing facility care.................................... 2.29 0.95 0.07 3.31 XXX P
99311... ...... A Nursing facility care, subseq............................ 0.54 0.34 0.03 0.91 XXX P
99312... ...... A Nursing facility care, subseq............................ 0.89 0.41 0.03 1.33 XXX P
99313... ...... A Nursing facility care, subseq............................ 1.19 0.46 0.04 1.69 XXX P
99321... ...... A Rest home visit, new patient............................. 0.71 0.37 0.03 1.11 XXX P
99322... ...... A Rest home visit, new patient............................. 1.01 0.51 0.05 1.57 XXX P
99323... ...... A Rest home visit, new patient............................. 1.28 0.73 0.06 2.07 XXX P
99331... ...... A Rest home visit, estab pat............................... 0.60 0.28 0.02 0.90 XXX P
99332... ...... A Rest home visit, estab pat............................... 0.80 0.36 0.03 1.19 XXX P
99333... ...... A Rest home visit, estab pat............................... 1.00 0.44 0.02 1.46 XXX P
99341... ...... A Home visit, new patient.................................. 1.12 0.53 0.05 1.70 XXX P
99342... ...... A Home visit, new patient.................................. 1.58 0.60 0.05 2.23 XXX P
99343... ...... A Home visit, new patient.................................. 2.09 0.77 0.06 2.92 XXX P
99351... ...... A Home visit, estab patient................................ 0.83 0.45 0.04 1.32 XXX P
99352... ...... A Home visit, estab patient................................ 1.12 0.53 0.04 1.69 XXX P
99353... ...... A Home visit, estab patient................................ 1.48 0.61 0.05 2.14 XXX P
99354... ...... A Prolonged service, office................................ 1.51 0.76 0.07 2.34 XXX P
99355... ...... A Prolonged service, office................................ 1.51 0.76 0.07 2.34 XXX P
99356... ...... A Prolonged service, inpatient............................. 1.44 0.85 0.08 2.37 XXX N
99357... ...... A Prolonged service, inpatient............................. 1.44 0.85 0.08 2.37 XXX N
99358... ...... B Prolonged serv, w/o contact.............................. 0.00 0.00 0.00 0.00 XXX O
99359... ...... B Prolonged serv, w/o contact.............................. 0.00 0.00 0.00 0.00 XXX O
99360... ...... X Physician standby services............................... 0.00 0.00 0.00 0.00 XXX O
99361... ...... B Physician/team conference................................ 0.00 0.00 0.00 0.00 XXX O
99362... ...... B Physician/team conference................................ 0.00 0.00 0.00 0.00 XXX O
99371... ...... B Physician phone consultation............................. 0.00 0.00 0.00 0.00 XXX O
99372... ...... B Physician phone consultation............................. 0.00 0.00 0.00 0.00 XXX O
99373... ...... B Physician phone consultation............................. 0.00 0.00 0.00 0.00 XXX O
99375... ...... A Care plan oversight/30-60................................ 1.06 0.51 0.04 1.61 XXX P
99376... ...... B Care plan oversight/over 60.............................. 0.00 0.00 0.00 0.00 XXX O
99381... ...... N Preventive visit, new, infant............................ #1.19 1.23 0.08 2.50 XXX O
99382... ...... N Preventive visit, new, age 1-4........................... #1.36 1.41 0.09 2.86 XXX O
99383... ...... N Preventive visit, new, age 5-11.......................... #1.36 1.41 0.09 2.86 XXX O
99384... ...... N Preventive visit, new, 12-17............................. #1.53 1.59 0.10 3.22 XXX O
99385... ...... N Preventive visit, new, 18-39............................. #1.53 1.40 0.09 3.02 XXX O
99386... ...... N Preventive visit, new, 40-64............................. #1.88 1.72 0.10 3.70 XXX O
99387... ...... N Preventive visit, new, 65 & over......................... #2.06 1.88 0.11 4.05 XXX O
99391... ...... N Preventive visit, est, infant............................ #1.02 1.06 0.07 2.15 XXX O
99392... ...... N Preventive visit, est, age 1-4........................... #1.19 1.23 0.08 2.50 XXX O
99393... ...... N Preventive visit, est, age 5-11.......................... #1.19 1.23 0.08 2.50 XXX O
99394... ...... N Preventive visit, est, 12-17............................. #1.36 1.41 0.09 2.86 XXX O
99395... ...... N Preventive visit, est, 18-39............................. #1.36 1.25 0.08 2.69 XXX O
99396... ...... N Preventive visit, est, 40-64............................. #1.53 1.40 0.09 3.02 XXX O
99397... ...... N Preventive visit, est, 65 & over......................... #1.71 1.56 0.10 3.37 XXX O
99401... ...... N Preventive counseling, indiv............................. #0.48 0.45 0.03 0.96 XXX O
99402... ...... N Preventive counseling, indiv............................. #0.98 0.89 0.05 1.92 XXX O
99403... ...... N Preventive counseling, indiv............................. #1.46 1.34 0.08 2.88 XXX O
99404... ...... N Preventive counseling, indiv............................. #1.95 1.78 0.11 3.84 XXX O
99411... ...... N Preventive counseling, group............................. 0.00 0.00 0.00 0.00 XXX O
99412... ...... N Preventive counseling, group............................. 0.00 0.00 0.00 0.00 XXX O
99420... ...... N Health risk assessment test.............................. 0.00 0.00 0.00 0.00 XXX O
99429... ...... N Unlisted preventive service.............................. 0.00 0.00 0.00 0.00 XXX O
99431... ...... A Initial care, normal newborn............................. 1.17 1.21 0.08 2.46 XXX N
99432... ...... A Newborn care not in hospital............................. 1.26 1.31 0.08 2.65 XXX N
99433... ...... A Normal newborn care, hospital............................ 0.62 0.64 0.04 1.30 XXX N
99440... ...... A Newborn resuscitation.................................... 2.93 3.04 0.19 6.16 XXX N
99450... ...... N Life/disability evaluation............................... 0.00 0.00 0.00 0.00 XXX O
99455... ...... R Disability examination................................... 0.00 0.00 0.00 0.00 XXX N
99456... ...... R Disability examination................................... 0.00 0.00 0.00 0.00 XXX N
99499... ...... C Unlisted E/M service..................................... 0.00 0.00 0.00 0.00 XXX N
A0010... ...... D Ambsvc bls bas rte em tr 1 wy............................ 0.00 0.00 0.00 0.00 XXX O
A0020... ...... D Basic support amb one way................................ 0.00 0.00 0.00 0.00 XXX O
A0021... ...... G Outside state ambulance serv............................. 0.00 0.00 0.00 0.00 XXX O
A0030... ...... X Air ambulance service.................................... 0.00 0.00 0.00 0.00 XXX O
A0040... ...... X Helicopter ambulance service............................. 0.00 0.00 0.00 0.00 XXX O
A0050... ...... X Water amb service emergency.............................. 0.00 0.00 0.00 0.00 XXX O
A0060... ...... D Ambulance waiting time................................... 0.00 0.00 0.00 0.00 XXX O
A0070... ...... D Amb 02 & suppls life sustain............................. 0.00 0.00 0.00 0.00 XXX O
A0080... ...... G Noninterest escort in non er............................. 0.00 0.00 0.00 0.00 XXX O
A0090... ...... G Interest escort in non er................................ 0.00 0.00 0.00 0.00 XXX O
A0100... ...... G Nonemergency transport taxi.............................. 0.00 0.00 0.00 0.00 XXX O
A0110... ...... G Nonemergency transport bus............................... 0.00 0.00 0.00 0.00 XXX O
A0120... ...... G Noner transport mini-bus................................. 0.00 0.00 0.00 0.00 XXX O
A0130... ...... G Noner transport wheelch van.............................. 0.00 0.00 0.00 0.00 XXX O
A0140... ...... G Nonemergency transport air............................... 0.00 0.00 0.00 0.00 XXX O
A0150... ...... D Noner transport ambulance................................ 0.00 0.00 0.00 0.00 XXX O
A0160... ...... G Noner transport case worker.............................. 0.00 0.00 0.00 0.00 XXX O
A0170... ...... G Noner transport parking fees............................. 0.00 0.00 0.00 0.00 XXX O
A0180... ...... G Noner transport lodgng recip............................. 0.00 0.00 0.00 0.00 XXX O
A0190... ...... G Noner transport meals recip.............................. 0.00 0.00 0.00 0.00 XXX O
A0200... ...... G Noner transport lodgng escrt............................. 0.00 0.00 0.00 0.00 XXX O
A0210... ...... G Noner transport meals escort............................. 0.00 0.00 0.00 0.00 XXX O
A0215... ...... D Ambulance service & supplies............................. 0.00 0.00 0.00 0.00 XXX O
A0220... ...... D Amb adv support incl service............................. 0.00 0.00 0.00 0.00 XXX O
A0221... ...... D Amb adv support one way.................................. 0.00 0.00 0.00 0.00 XXX O
A0222... ...... D Return trip ambulance.................................... 0.00 0.00 0.00 0.00 XXX O
A0223... ...... D Amb adv support sep supplies............................. 0.00 0.00 0.00 0.00 XXX O
A0225... ...... X Neonatal emergency transport............................. 0.00 0.00 0.00 0.00 XXX O
A0300... ...... X Ambulance basic non-emer all............................. 0.00 0.00 0.00 0.00 XXX O
A0302... ...... X Ambulance basic emergeny all............................. 0.00 0.00 0.00 0.00 XXX O
A0304... ...... X Amb adv non-er no serv all............................... 0.00 0.00 0.00 0.00 XXX O
A0306... ...... X Amb adv non-er spec serv all............................. 0.00 0.00 0.00 0.00 XXX O
A0308... ...... X Amb adv er no spec serv all.............................. 0.00 0.00 0.00 0.00 XXX O
A0310... ...... X Amb adv er spec serv all................................. 0.00 0.00 0.00 0.00 XXX O
A0320... ...... X Amb basic non-er + supplies.............................. 0.00 0.00 0.00 0.00 XXX O
A0322... ...... X Amb basic emerg + supplies............................... 0.00 0.00 0.00 0.00 XXX O
A0324... ...... X Adv non-er serv sep mileage.............................. 0.00 0.00 0.00 0.00 XXX O
A0326... ...... X Adv non-er no serv sep mile.............................. 0.00 0.00 0.00 0.00 XXX O
A0328... ...... X Adv er no serv sep mileage............................... 0.00 0.00 0.00 0.00 XXX O
A0330... ...... X Adv er spec serv sep mile................................ 0.00 0.00 0.00 0.00 XXX O
A0340... ...... X Amb basic non-er + mileage............................... 0.00 0.00 0.00 0.00 XXX O
A0342... ...... X Ambul basic emer + mileage............................... 0.00 0.00 0.00 0.00 XXX O
A0344... ...... X Amb adv non-er no serv +mile............................. 0.00 0.00 0.00 0.00 XXX O
A0346... ...... X Amb adv non-er serv + mile............................... 0.00 0.00 0.00 0.00 XXX O
A0348... ...... X Adv emer no spec serv + mile............................. 0.00 0.00 0.00 0.00 XXX O
A0350... ...... X Adv emer spec serv + mileage............................. 0.00 0.00 0.00 0.00 XXX O
A0360... ...... X Basic non-er sep mile & supp............................. 0.00 0.00 0.00 0.00 XXX O
A0362... ...... X Basic emer sep mile & supply............................. 0.00 0.00 0.00 0.00 XXX O
A0364... ...... X Adv non-er no serv sep mi & su........................... 0.00 0.00 0.00 0.00 XXX O
A0366... ...... X Adv non-er serv sep mil & supp........................... 0.00 0.00 0.00 0.00 XXX O
A0368... ...... X Adv er no serv sep mile & supp........................... 0.00 0.00 0.00 0.00 XXX O
A0370... ...... X Adv er spec serv sep mi & supp........................... 0.00 0.00 0.00 0.00 XXX O
A0380... ...... X Basic life support mileage............................... 0.00 0.00 0.00 0.00 XXX O
A0382... ...... X Basic support routine suppls............................. 0.00 0.00 0.00 0.00 XXX O
A0384... ...... X Bls defibrillation supplies.............................. 0.00 0.00 0.00 0.00 XXX O
A0390... ...... X Advanced life support mileag............................. 0.00 0.00 0.00 0.00 XXX O
A0392... ...... X Als defibrillation supplies.............................. 0.00 0.00 0.00 0.00 XXX O
A0394... ...... X Als IV drug therapy supplies............................. 0.00 0.00 0.00 0.00 XXX O
A0396... ...... X Als esophageal intub suppls.............................. 0.00 0.00 0.00 0.00 XXX O
A0398... ...... X Als routine disposble suppls............................. 0.00 0.00 0.00 0.00 XXX O
A0420... ...... X Ambulance waiting 1/2 hr................................. 0.00 0.00 0.00 0.00 XXX O
A0422... ...... X Ambulance 02 life sustaining............................. 0.00 0.00 0.00 0.00 XXX O
A0424... ...... X Extra ambulance attendant................................ 0.00 0.00 0.00 0.00 XXX O
A0888... ...... N Noncovered ambulance mileage............................. 0.00 0.00 0.00 0.00 XXX O
A0999... ...... X Unlisted ambulance service............................... 0.00 0.00 0.00 0.00 XXX O
A2000... ...... A Chiropractor manip of spine.............................. 0.45 0.29 0.01 0.75 XXX N
A4190... ...... P Transparent film each.................................... 0.00 0.00 0.00 0.00 XXX O
A4200... ...... P Gauze pad medicated/non-med.............................. 0.00 0.00 0.00 0.00 XXX O
A4202... ...... P Elastic gauze roll....................................... 0.00 0.00 0.00 0.00 XXX O
A4203... ...... P Non-elastic gauze roll................................... 0.00 0.00 0.00 0.00 XXX O
A4204... ...... P Absorptve dressing....................................... 0.00 0.00 0.00 0.00 XXX O
A4205... ...... P Nonabsorptive dressing................................... 0.00 0.00 0.00 0.00 XXX O
A4206... ...... P 1 CC sterile syringe & needle............................ 0.00 0.00 0.00 0.00 XXX O
A4207... ...... P 2 CC sterile syringe & needle............................ 0.00 0.00 0.00 0.00 XXX O
A4208... ...... P 3 CC sterile syringe & needle............................ 0.00 0.00 0.00 0.00 XXX O
A4209... ...... P 5+ CC sterile syringe & needle........................... 0.00 0.00 0.00 0.00 XXX O
A4210... ...... N Nonneedle injection device............................... 0.00 0.00 0.00 0.00 XXX O
A4211... ...... P Supp for self-adm injections............................. 0.00 0.00 0.00 0.00 XXX O
A4212... ...... P Non coring needle or stylet.............................. 0.00 0.00 0.00 0.00 XXX O
A4213... ...... P 20+ CC syringe only...................................... 0.00 0.00 0.00 0.00 XXX O
A4214... ...... P 30 CC sterile water/saline............................... 0.00 0.00 0.00 0.00 XXX O
A4215... ...... P Sterile needle........................................... 0.00 0.00 0.00 0.00 XXX O
A4220... ...... P Infusion pump refill kit................................. 0.00 0.00 0.00 0.00 XXX O
A4244... ...... P Alcohol or peroxide per pint............................. 0.00 0.00 0.00 0.00 XXX O
A4245... ...... P Alcohol wipes per box.................................... 0.00 0.00 0.00 0.00 XXX O
A4246... ...... P Betadine/phisohex solution............................... 0.00 0.00 0.00 0.00 XXX O
A4247... ...... P Betadine/iodine swabs/wipes.............................. 0.00 0.00 0.00 0.00 XXX O
A4250... ...... R Urine reagent strips/tablets............................. 0.00 0.00 0.00 0.00 XXX N
A4253... ...... P Blood glucose/reagent strips............................. 0.00 0.00 0.00 0.00 XXX O
A4256... ...... P Calibrator solution/chips................................ 0.00 0.00 0.00 0.00 XXX O
A4259... ...... P Lancets per box.......................................... 0.00 0.00 0.00 0.00 XXX O
A4260... ...... N Levonorgestrel implant................................... 0.00 0.00 0.00 0.00 XXX O
A4262... ...... B Temporary tear duct plug................................. 0.00 0.00 0.00 0.00 XXX O
A4263... ...... A Permanent tear duct plug................................. 0.00 0.95 0.00 0.95 XXX N
A4265... ...... P Paraffin................................................. 0.00 0.00 0.00 0.00 XXX O
A4270... ...... B Disposable endoscope sheath.............................. 0.00 0.00 0.00 0.00 XXX O
A4300... ...... A Cath impl vasc access portal............................. 0.00 0.95 0.00 0.95 XXX N
A4305... ...... P Drug delivery system >=50 ML............................. 0.00 0.00 0.00 0.00 XXX O
A4306... ...... P Drug delivery system <=5 ml..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4310...="" ......="" p="" insert="" tray="" w/o="" bag/cath.................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4311...="" ......="" p="" catheter="" w/o="" bag="" 2-way="" latex.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4312...="" ......="" p="" cath="" w/o="" bag="" 2-way="" silicone..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4313...="" ......="" p="" catheter="" w/bag="" 3-way.....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4314...="" ......="" p="" cath="" w/drainage="" 2-way="" latex..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4315...="" ......="" p="" cath="" w/drainage="" 2-way="" silcne.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4316...="" ......="" p="" cath="" w/drainage="" 3-way....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4320...="" ......="" p="" irrigation="" tray..........................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4322...="" ......="" p="" irrigation="" syringe.......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4323...="" ......="" p="" saline="" irrigation="" solution...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4326...="" ......="" p="" male="" external="" catheter...................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4327...="" ......="" p="" fem="" urinary="" collect="" dev="" cup..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4328...="" ......="" p="" fem="" urinary="" collect="" pouch................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4329...="" ......="" p="" external="" catheter="" start="" set..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4330...="" ......="" p="" stool="" collection="" pouch...................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4335...="" ......="" p="" incontinence="" supply......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4338...="" ......="" p="" indwelling="" catheter="" latex................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4340...="" ......="" p="" indwelling="" catheter="" special..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4344...="" ......="" p="" cath="" indw="" foley="" 2="" way="" silicn.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4346...="" ......="" p="" cath="" indw="" foley="" 3="" way....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4347...="" ......="" p="" male="" external="" catheter...................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4351...="" ......="" p="" straight="" tip="" urine="" catheter..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4352...="" ......="" p="" coude="" tip="" urinary="" catheter...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4354...="" ......="" p="" cath="" insertion="" tray="" w/bag................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4355...="" ......="" p="" bladder="" irrigation="" tubing................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4356...="" ......="" p="" ext="" ureth="" clmp="" or="" compr="" dvc..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4357...="" ......="" p="" bedside="" drainage="" bag.....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4358...="" ......="" p="" urinary="" leg="" bag..........................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4359...="" ......="" p="" urinary="" suspensory="" w/o="" leg="" b.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4361...="" ......="" p="" ostomy="" face="" plate........................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4362...="" ......="" p="" solid="" skin="" barrier.......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4363...="" ......="" p="" liquid="" skin="" barrier......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4364...="" ......="" p="" ostomy/cath="" adhesive.....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4367...="" ......="" p="" ostomy="" belt..............................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4397...="" ......="" p="" irrigation="" supply="" sleeve.................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4398...="" ......="" p="" irrigation="" supply="" bags...................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4399...="" ......="" p="" irrigation="" supply="" cone/cathe.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4400...="" ......="" p="" ostomy="" irrigation="" set....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4402...="" ......="" p="" lubricant="" per="" ounce......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4404...="" ......="" p="" ostomy="" ring="" each.........................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4421...="" ......="" p="" ostomy="" supply="" misc.......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4454...="" ......="" p="" tape="" all="" types="" all="" sizes.................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4455...="" ......="" p="" adhesive="" remover="" per="" ounce...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4460...="" ......="" p="" elastic="" compression="" bandage..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4465...="" ......="" p="" non-elastic="" extremity="" binder.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4470...="" ......="" p="" gravlee="" jet="" washer.......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4480...="" ......="" p="" vabra="" aspirator..........................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4490...="" ......="" n="" above="" knee="" surgical="" stocking.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4495...="" ......="" n="" thigh="" length="" surg="" stocking...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4500...="" ......="" n="" below="" knee="" surgical="" stocking.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4510...="" ......="" n="" full="" length="" surg="" stocking................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4550...="" ......="" a="" surgical="" trays...........................................="" 0.00="" 0.95="" 0.00="" 0.95="" xxx="" n="" a4554...="" ......="" n="" disposable="" underpads.....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4556...="" ......="" p="" electrodes...............................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4557...="" ......="" p="" lead="" wires...............................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4558...="" ......="" p="" conductive="" paste="" or="" gel..................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4560...="" ......="" x="" pessary..................................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4565...="" ......="" x="" slings...................................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4570...="" ......="" x="" splint...................................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4572...="" ......="" x="" rib="" belt.................................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4580...="" ......="" x="" cast="" supplies="" (plaster)..................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4581...="" ......="" x="" risser="" jacket="" supplies...................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4590...="" ......="" x="" special="" casting="" material.................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4610...="" ......="" x="" med="" supplies="" for="" use="" in="" dme..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4611...="" ......="" x="" heavy="" duty="" battery.......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4612...="" ......="" x="" battery="" cables...........................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4613...="" ......="" x="" battery="" charger..........................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4615...="" ......="" x="" cannula="" nasal............................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4616...="" ......="" x="" tubing="" (oxygen)="" per="" foot.................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4617...="" ......="" x="" mouth="" piece..............................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4618...="" ......="" x="" breathing="" circuits.......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4619...="" ......="" x="" face="" tent................................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4620...="" ......="" x="" variable="" concentration="" mask..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4621...="" ......="" x="" tracheotomy="" mask="" or="" collar...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4622...="" ......="" x="" tracheostomy="" or="" larngectomy..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4623...="" ......="" x="" tracheostomy="" inner="" cannula...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4624...="" ......="" x="" tracheal="" suction="" tube....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4625...="" ......="" x="" tracheostomy="" care="" kit....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4626...="" ......="" x="" tracheostomy="" cleaning="" brush..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4627...="" ......="" x="" spacer="" bag/reservoir.....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4630...="" ......="" x="" repl="" bat="" t.e.n.s.="" own="" by="" pt..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4631...="" ......="" x="" wheelchair="" battery.......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4635...="" ......="" x="" underarm="" crutch="" pad......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4636...="" ......="" x="" handgrip="" for="" cane="" etc....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4637...="" ......="" x="" repl="" tip="" cane/crutch/walker..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4640...="" ......="" x="" alternating="" pressure="" pad.................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4641...="" ......="" e="" diagnostic="" imaging="" agent.................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4642...="" ......="" x="" satumomab="" pendetide="" per="" dose.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4643...="" ......="" x="" high="" dose="" contrast="" mri...................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4644...="" ......="" e="" contrast="" 100-199="" mgs="" iodine..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4645...="" ......="" e="" contrast="" 200-299="" mgs="" iodine..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4646...="" ......="" e="" contrast="" 300-399="" mgs="" iodine..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4647...="" ......="" b="" supp-paramagnetic="" contr="" mat..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4649...="" ......="" b="" surgical="" supplies........................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4650...="" ......="" x="" supp="" esrd="" centrifuge.....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4655...="" ......="" x="" esrd="" syringe/needle......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4660...="" ......="" x="" esrd="" blood="" pressure="" device...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4663...="" ......="" x="" esrd="" blood="" pressure="" cuff.................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4670...="" ......="" n="" auto="" blood="" pressure="" monitor..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4680...="" ......="" x="" activated="" carbon="" filters.................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4690...="" ......="" x="" dialyzers................................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4700...="" ......="" x="" standard="" dialysate="" solution..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4705...="" ......="" x="" bicarb="" dialysate="" solution................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4712...="" ......="" x="" sterile="" water............................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4714...="" ......="" x="" treated="" water="" for="" dialysis...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4730...="" ......="" x="" fistula="" cannulation="" set="" dial.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4735...="" ......="" x="" local/topical="" anesthetics................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4740...="" ......="" x="" esrd="" shunt="" accessory.....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4750...="" ......="" x="" arterial="" or="" venous="" tubing................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4755...="" ......="" x="" arterial="" and="" venous="" tubing...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4760...="" ......="" x="" standard="" testing="" solution................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4765...="" ......="" x="" dialysate="" concentrate....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4770...="" ......="" x="" blood="" testing="" supplies...................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4771...="" ......="" x="" blood="" clotting="" time="" tube.................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4772...="" ......="" x="" dextrostick/glucose="" strips...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4773...="" ......="" x="" hemostix.................................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4774...="" ......="" x="" ammonia="" test="" paper.......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4780...="" ......="" x="" esrd="" sterilizing="" agent...................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4790...="" ......="" x="" esrd="" cleansing="" agents....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4800...="" ......="" x="" heparin/antidote="" dialysis................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4820...="" ......="" x="" supplies="" hemodialysis="" kit................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4850...="" ......="" x="" rubber="" tipped="" hemostats..................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4860...="" ......="" x="" disposable="" catheter="" caps.................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4870...="" ......="" x="" plumbing/electrical="" work.................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4880...="" ......="" x="" water="" storage="" tanks......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4890...="" ......="" n="" contracts/repair/maintenance.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4900...="" ......="" x="" capd="" supply="" kit..........................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4901...="" ......="" x="" ccpd="" supply="" kit..........................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4905...="" ......="" x="" ipd="" supply="" kit...........................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4910...="" ......="" x="" esrd="" nonmedical="" supplies.................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4912...="" ......="" x="" gomco="" drain="" bottle.......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4913...="" ......="" x="" esrd="" supply..............................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4914...="" ......="" x="" preparation="" kit..........................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4918...="" ......="" x="" venous="" pressure="" clamp....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4919...="" ......="" x="" supp="" dialysis="" dialyzer="" holde.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4920...="" ......="" x="" harvard="" pressure="" clamp...................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4921...="" ......="" x="" measuring="" cylinder.......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a4927...="" ......="" x="" gloves...................................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5051...="" ......="" p="" pouch="" clsd="" w="" barr="" attached...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5052...="" ......="" p="" clsd="" ostomy="" pouch="" w/o="" barr...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5053...="" ......="" p="" clsd="" ostomy="" pouch="" faceplate..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5054...="" ......="" p="" clsd="" ostomy="" pouch="" w/flange...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5055...="" ......="" p="" stoma="" cap................................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5061...="" ......="" p="" pouch="" drainable="" w="" barrier="" at.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5062...="" ......="" p="" drnble="" ostomy="" pouch="" w/o="" barr.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5063...="" ......="" p="" drain="" ostomy="" pouch="" w/flange..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5064...="" ......="" p="" drain="" ostomy="" pouch="" w/fceplte.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5065...="" ......="" p="" drain="" ostomy="" pouch="" on="" fcplte.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5071...="" ......="" p="" urinary="" pouch="" w/barrier..................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5072...="" ......="" p="" urinary="" pouch="" w/o="" barrier................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5073...="" ......="" p="" urinary="" pouch="" on="" barr="" w/flng.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5074...="" ......="" p="" urinary="" pouch="" w/faceplate................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5075...="" ......="" p="" urinary="" pouch="" on="" faceplate...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5081...="" ......="" p="" continent="" stoma="" plug.....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5082...="" ......="" p="" continent="" stoma="" catheter.................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5093...="" ......="" p="" ostomy="" accessory="" convex="" inse.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5102...="" ......="" p="" bedside="" btle="" rigid/expanable.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5105...="" ......="" p="" urinary="" suspensory.......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5112...="" ......="" p="" urinary="" leg="" bag..........................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5113...="" ......="" p="" latex="" leg="" strap..........................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5114...="" ......="" p="" foam/fabric="" leg="" strap....................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5119...="" ......="" p="" skin="" barrier="" wipes="" box="" pr="" 50.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5121...="" ......="" p="" solid="" skin="" barrier="" 6x6...................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5122...="" ......="" p="" solid="" skin="" barrier="" 8x8...................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5123...="" ......="" p="" skin="" barrier="" with="" flange.................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5126...="" ......="" p="" adhesive="" disc/foam="" pad...................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5131...="" ......="" p="" appliance="" cleaner........................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5149...="" ......="" p="" incontinence/ostomy="" supply...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5500...="" ......="" x="" diab="" shoe="" for="" density="" insert.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5501...="" ......="" x="" diabetic="" custom="" molded="" shoe..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5502...="" ......="" x="" diabetic="" shoe="" density="" insert.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5503...="" ......="" x="" diabetic="" shoe="" w/roller/rockr.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5504...="" ......="" x="" diabetic="" shoe="" with="" wedge.................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5505...="" ......="" x="" diab="" shoe="" w/metatarsal="" bar...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5506...="" ......="" x="" diabetic="" shoe="" w/off="" set="" heel.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a5507...="" ......="" x="" modification="" diabetic="" shoe...............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a9150...="" ......="" e="" misc/exper="" non-prescript="" dru.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a9160...="" ......="" n="" podiatrist="" non-covered="" servi.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a9170...="" ......="" n="" chiropractor="" non-covered="" ser.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a9180...="" ......="" d="" naturopaths..............................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a9190...="" ......="" n="" misc/expe="" personal="" comfort="" i.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a9270...="" ......="" n="" non-covered="" item="" or="" service..............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a9290...="" ......="" d="" descrip="" not="" indicat="" hosp="" vis.............................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" a9300...="" ......="" n="" exercise="" equipment.......................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" d0110...="" ......="" r="" initial="" oral="" examination.................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0120...="" ......="" r="" periodic="" oral="" examination................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0130...="" ......="" r="" emergency="" oral="" examination...............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0210...="" ......="" r="" intraor="" complete="" film="" series.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0220...="" ......="" r="" intraoral="" periapical="" first="" f.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0230...="" ......="" r="" intraoral="" periapical="" ea="" add..............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0240...="" ......="" r="" intraoral="" occlusal="" film..................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0250...="" ......="" r="" extraoral="" first="" film.....................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0260...="" ......="" r="" extraoral="" ea="" additional="" film.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0270...="" ......="" r="" dental="" bitewing="" single="" film..............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0272...="" ......="" r="" dental="" bitewings="" two="" films...............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0274...="" ......="" r="" dental="" bitewings="" four="" films..............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0290...="" ......="" r="" dental="" film="" skull/facial="" bon.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0310...="" ......="" r="" dental="" saliography.......................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0320...="" ......="" r="" dental="" tmj="" arthrogram="" incl="" i.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0321...="" ......="" r="" dental="" other="" tmj="" films...................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0322...="" ......="" r="" dental="" tomographic="" survey................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0330...="" ......="" r="" dental="" panoramic="" film....................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0340...="" ......="" r="" dental="" cephalometric="" film................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0415...="" ......="" r="" bacteriologic="" study......................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0425...="" ......="" r="" caries="" susceptibility="" test...............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0460...="" ......="" r="" pulp="" vitality="" test.......................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0470...="" ......="" r="" diagnostic="" casts.........................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0471...="" ......="" r="" diagnostic="" photographs...................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0501...="" ......="" r="" histopathologic="" examinations.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0502...="" ......="" r="" other="" oral="" pathology="" procedu.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0999...="" ......="" r="" unspecified="" diagnostic="" proce.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1110...="" ......="" r="" dental="" prophylaxis="" adult.................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1120...="" ......="" r="" dental="" prophylaxis="" child.................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1201...="" ......="" r="" topical="" fluor="" w="" prophy="" child.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1203...="" ......="" r="" topical="" fluor="" w/o="" prophy="" chi.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1204...="" ......="" r="" topical="" fluor="" w/o="" prophy="" adu.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1205...="" ......="" r="" topical="" fluoride="" w/="" prophy="" a.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1310...="" ......="" r="" nutri="" counsel-control="" caries.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1330...="" ......="" r="" oral="" hygiene="" instruction.................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1351...="" ......="" r="" dental="" sealant="" per="" tooth.................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1510...="" ......="" r="" space="" maintainer="" fxd="" unilat..............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1515...="" ......="" r="" fixed="" bilat="" space="" maintainer.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1520...="" ......="" r="" remove="" unilat="" space="" maintain.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1525...="" ......="" r="" remove="" bilat="" space="" maintain..............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1550...="" ......="" r="" recement="" space="" maintainer................................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d2110...="" ......="" r="" amalgam="" one="" surface="" primary..............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d2120...="" ......="" r="" amalgam="" two="" surfaces="" primary.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d2130...="" ......="" r="" amalgam="" three="" surfaces="" prima.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d2131...="" ......="" r="" amalgam="" four/more="" surf="" prima.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d2140...="" ......="" r="" amalgam="" one="" surface="" permanen.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d2150...="" ......="" r="" amalgam="" two="" surfaces="" permane.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d2160...="" ......="" r="" amalgam="" three="" surfaces="" perma.............................="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d2161...="" ......="" r="" amalgam="" 4="" or=""> surfaces perm............................. 0.00 0.00 0.00 0.00 YYY N
D2210... ...... R Silcate cement per restorat.............................. 0.00 0.00 0.00 0.00 YYY N
D2330... ...... R Resin one surface-anterior............................... 0.00 0.00 0.00 0.00 YYY N
D2331... ...... R Resin two surfaces-anterior.............................. 0.00 0.00 0.00 0.00 YYY N
D2332... ...... R Resin three surfaces-anterio............................. 0.00 0.00 0.00 0.00 YYY N
D2335... ...... R Resin 4/> surf or w incis an............................. 0.00 0.00 0.00 0.00 YYY N
D2336... ...... R Composite resin crown.................................... 0.00 0.00 0.00 0.00 YYY N
D2380... ...... R Resin one surf poster primar............................. 0.00 0.00 0.00 0.00 YYY N
D2381... ...... R Resin two surf poster primar............................. 0.00 0.00 0.00 0.00 YYY N
D2382... ...... R Resin three/more surf post p............................. 0.00 0.00 0.00 0.00 YYY N
D2385... ...... R Resin one surf poster perman............................. 0.00 0.00 0.00 0.00 YYY N
D2386... ...... R Resin two surf poster perman............................. 0.00 0.00 0.00 0.00 YYY N
D2387... ...... R Resin three/more surf post p............................. 0.00 0.00 0.00 0.00 YYY N
D2410... ...... R Dental gold foil one surface............................. 0.00 0.00 0.00 0.00 YYY N
D2420... ...... R Dental gold foil two surface............................. 0.00 0.00 0.00 0.00 YYY N
D2430... ...... R Dental gold foil three surfa............................. 0.00 0.00 0.00 0.00 YYY N
D2510... ...... R Dental inlay metallic 1 surf............................. 0.00 0.00 0.00 0.00 YYY N
D2520... ...... R Dental inlay metallic 2 surf............................. 0.00 0.00 0.00 0.00 YYY N
D2530... ...... R Dental inlay metallic 3 surf............................. 0.00 0.00 0.00 0.00 YYY N
D2540... ...... R Dental onlay metallic.................................... 0.00 0.00 0.00 0.00 YYY N
D2610... ...... R Inlay porcelain/ceramic 1 su............................. 0.00 0.00 0.00 0.00 YYY N
D2620... ...... R Inlay porcelain/ceramic 2 su............................. 0.00 0.00 0.00 0.00 YYY N
D2630... ...... R Inlay porcelain/ceramic 3 su............................. 0.00 0.00 0.00 0.00 YYY N
D2640... ...... R Onlay w inlay porcelain/cera............................. 0.00 0.00 0.00 0.00 YYY N
D2650... ...... R Inlay composite/resin one su............................. 0.00 0.00 0.00 0.00 YYY N
D2651... ...... R Inlay composite/resin two su............................. 0.00 0.00 0.00 0.00 YYY N
D2652... ...... R Inlay composite/resin 3 surf............................. 0.00 0.00 0.00 0.00 YYY N
D2660... ...... R Onlay w inlay composite/resi............................. 0.00 0.00 0.00 0.00 YYY N
D2710... ...... R Crown resin laboratory................................... 0.00 0.00 0.00 0.00 YYY N
D2720... ...... R Crown resin w/ high noble me............................. 0.00 0.00 0.00 0.00 YYY N
D2721... ...... R Crown resin w/ base metal................................ 0.00 0.00 0.00 0.00 YYY N
D2722... ...... R Crown resin w/ noble metal............................... 0.00 0.00 0.00 0.00 YYY N
D2740... ...... R Crown porcelain/ceramic subs............................. 0.00 0.00 0.00 0.00 YYY N
D2750... ...... R Crown porcelain w/ h noble m............................. 0.00 0.00 0.00 0.00 YYY N
D2751... ...... R Crown porcelain fused base m............................. 0.00 0.00 0.00 0.00 YYY N
D2752... ...... R Crown porcelain w/ noble met............................. 0.00 0.00 0.00 0.00 YYY N
D2790... ...... R Crown full cast high noble m............................. 0.00 0.00 0.00 0.00 YYY N
D2791... ...... R Crown full cast base metal............................... 0.00 0.00 0.00 0.00 YYY N
D2792... ...... R Crown full cast noble metal.............................. 0.00 0.00 0.00 0.00 YYY N
D2810... ...... R Crown 3/4 cast metallic.................................. 0.00 0.00 0.00 0.00 YYY N
D2910... ...... R Dental recement inlay.................................... 0.00 0.00 0.00 0.00 YYY N
D2920... ...... R Dental recement crown.................................... 0.00 0.00 0.00 0.00 YYY N
D2930... ...... R Prefab stnlss steel crwn pri............................. 0.00 0.00 0.00 0.00 YYY N
D2931... ...... R Prefab stnlss steel crown pe............................. 0.00 0.00 0.00 0.00 YYY N
D2932... ...... R Prefabricated resin crown................................ 0.00 0.00 0.00 0.00 YYY N
D2933... ...... R Prefab stainless steel crown............................. 0.00 0.00 0.00 0.00 YYY N
D2940... ...... R Dental sedative filling.................................. 0.00 0.00 0.00 0.00 YYY N
D2950... ...... R Core build-up incl any pins.............................. 0.00 0.00 0.00 0.00 YYY N
D2951... ...... R Tooth pin retention...................................... 0.00 0.00 0.00 0.00 YYY N
D2952... ...... R Post and core cast + crown............................... 0.00 0.00 0.00 0.00 YYY N
D2954... ...... R Prefab post/core + crown................................. 0.00 0.00 0.00 0.00 YYY N
D2960... ...... R Laminate labial veneer................................... 0.00 0.00 0.00 0.00 YYY N
D2961... ...... R Lab labial veneer resin.................................. 0.00 0.00 0.00 0.00 YYY N
D2962... ...... R Lab labial veneer porcelain.............................. 0.00 0.00 0.00 0.00 YYY N
D2970... ...... R Temporary- fractured tooth............................... 0.00 0.00 0.00 0.00 YYY N
D2980... ...... R Crown repair............................................. 0.00 0.00 0.00 0.00 YYY N
D2999... ...... R Dental unspec restorative pr............................. 0.00 0.00 0.00 0.00 YYY N
D3110... ...... R Pulp cap direct.......................................... 0.00 0.00 0.00 0.00 YYY N
D3120... ...... R Pulp cap indirect........................................ 0.00 0.00 0.00 0.00 YYY N
D3220... ...... R Therapeutic pulpotomy.................................... 0.00 0.00 0.00 0.00 YYY N
D3310... ...... R Anterior................................................. 0.00 0.00 0.00 0.00 YYY N
D3320... ...... R Root canal therapy 2 canals.............................. 0.00 0.00 0.00 0.00 YYY N
D3330... ...... R Root canal therapy 3 canals.............................. 0.00 0.00 0.00 0.00 YYY N
D3346... ...... R Repeat root canal thrapy ant............................. 0.00 0.00 0.00 0.00 YYY N
D3347... ...... R Repeat root canal bicuspid............................... 0.00 0.00 0.00 0.00 YYY N
D3348... ...... R Repeat root canal molar.................................. 0.00 0.00 0.00 0.00 YYY N
D3351... ...... R Apexification/recalc initial............................. 0.00 0.00 0.00 0.00 YYY N
D3352... ...... R Apexification/recalc interim............................. 0.00 0.00 0.00 0.00 YYY N
D3353... ...... R Apexification/recalc final............................... 0.00 0.00 0.00 0.00 YYY N
D3410... ...... R Apicoect/perirad surg anter.............................. 0.00 0.00 0.00 0.00 YYY N
D3421... ...... R Root surgery bicuspid.................................... 0.00 0.00 0.00 0.00 YYY N
D3425... ...... R Root surgery molar....................................... 0.00 0.00 0.00 0.00 YYY N
D3426... ...... R Root surgery ea add root................................. 0.00 0.00 0.00 0.00 YYY N
D3430... ...... R Retrograde filling....................................... 0.00 0.00 0.00 0.00 YYY N
D3450... ...... R Root amputation.......................................... 0.00 0.00 0.00 0.00 YYY N
D3460... ...... R Endodontic endosseous implan............................. 0.00 0.00 0.00 0.00 YYY N
D3470... ...... R Intentional replantation................................. 0.00 0.00 0.00 0.00 YYY N
D3910... ...... R Isolation-tooth w rubb dam............................... 0.00 0.00 0.00 0.00 YYY N
D3920... ...... R Tooth splitting.......................................... 0.00 0.00 0.00 0.00 YYY N
D3950... ...... R Canal prep/fitting of dowel.............................. 0.00 0.00 0.00 0.00 YYY N
D3960... ...... R Bleaching of discolored toot............................. 0.00 0.00 0.00 0.00 YYY N
D3999... ...... R Endodontic procedure..................................... 0.00 0.00 0.00 0.00 YYY N
D4210... ...... R Gingivectomy/plasty per quad............................. 0.00 0.00 0.00 0.00 YYY S
D4211... ...... R Gingivectomy/plasty per toot............................. 0.00 0.00 0.00 0.00 YYY N
D4220... ...... R Gingival curettage per quadr............................. 0.00 0.00 0.00 0.00 YYY N
D4240... ...... R Gingival flap proc w/ planin............................. 0.00 0.00 0.00 0.00 YYY S
D4249... ...... R Crown lengthening........................................ 0.00 0.00 0.00 0.00 YYY N
D4250... ...... R Mucogingival surg per quadra............................. 0.00 0.00 0.00 0.00 YYY N
D4260... ...... R Osseous surgery per quadrant............................. 0.00 0.00 0.00 0.00 YYY S
D4261... ...... R Bone replace graft single si............................. 0.00 0.00 0.00 0.00 YYY S
D4262... ...... R Bone replace graft mult site............................. 0.00 0.00 0.00 0.00 YYY N
D4268... ...... R Guided tissue regeneration............................... 0.00 0.00 0.00 0.00 YYY N
D4270... ...... R Pedicle soft tissue graft pr............................. 0.00 0.00 0.00 0.00 YYY S
D4271... ...... R Free soft tissue graft proc.............................. 0.00 0.00 0.00 0.00 YYY S
D4320... ...... R Provision splnt intracoronal............................. 0.00 0.00 0.00 0.00 YYY N
D4321... ...... R Provisional splint extracoro............................. 0.00 0.00 0.00 0.00 YYY N
D4341... ...... R Periodontal scaling & root............................... 0.00 0.00 0.00 0.00 YYY N
D4345... ...... R Periodontal scaling w/inflam............................. 0.00 0.00 0.00 0.00 YYY N
D4910... ...... R Periodontal maint procedures............................. 0.00 0.00 0.00 0.00 YYY N
D4920... ...... R Unscheduled dressing change.............................. 0.00 0.00 0.00 0.00 YYY N
D4999... ...... R Unspecified periodontal proc............................. 0.00 0.00 0.00 0.00 YYY N
D5110... ...... R Dentures complete upper.................................. 0.00 0.00 0.00 0.00 YYY N
D5120... ...... R Dentures complete lower.................................. 0.00 0.00 0.00 0.00 YYY N
D5130... ...... R Dentures immediate upper................................. 0.00 0.00 0.00 0.00 YYY N
D5140... ...... R Dentures immediate lower................................. 0.00 0.00 0.00 0.00 YYY N
D5211... ...... R Dentures upp part resin base............................. 0.00 0.00 0.00 0.00 YYY N
D5212... ...... R Lower part denture acrylic............................... 0.00 0.00 0.00 0.00 YYY N
D5213... ...... R Upper part denture base cast............................. 0.00 0.00 0.00 0.00 YYY N
D5214... ...... R Lower part denture base cast............................. 0.00 0.00 0.00 0.00 YYY N
D5281... ...... R Removable partial denture................................ 0.00 0.00 0.00 0.00 YYY N
D5410... ...... R Dentur adjust complete upper............................. 0.00 0.00 0.00 0.00 YYY N
D5411... ...... R Denture adjust complete lowr............................. 0.00 0.00 0.00 0.00 YYY N
D5421... ...... R Dentures adjust part upper............................... 0.00 0.00 0.00 0.00 YYY N
D5422... ...... R Dentures adjust part lower............................... 0.00 0.00 0.00 0.00 YYY N
D5510... ...... R Dentur repr broken compl bas............................. 0.00 0.00 0.00 0.00 YYY N
D5520... ...... R Replace denture teeth complt............................. 0.00 0.00 0.00 0.00 YYY N
D5610... ...... R Repair resin saddle or base.............................. 0.00 0.00 0.00 0.00 YYY N
D5620... ...... R Rep part denture cast frame.............................. 0.00 0.00 0.00 0.00 YYY N
D5630... ...... R Rep partial denture clasp................................ 0.00 0.00 0.00 0.00 YYY N
D5640... ...... R Replace part denture teeth............................... 0.00 0.00 0.00 0.00 YYY N
D5650... ...... R Add tooth to partial denture............................. 0.00 0.00 0.00 0.00 YYY N
D5660... ...... R Add clasp to partial denture............................. 0.00 0.00 0.00 0.00 YYY N
D5710... ...... R Dentur rebase complete upper............................. 0.00 0.00 0.00 0.00 YYY N
D5711... ...... R Repl base comp lower denture............................. 0.00 0.00 0.00 0.00 YYY N
D5720... ...... R Repl base part upper denture............................. 0.00 0.00 0.00 0.00 YYY N
D5721... ...... R Repl base part lower denture............................. 0.00 0.00 0.00 0.00 YYY N
D5730... ...... R Dentur relin upp compl chrsd............................. 0.00 0.00 0.00 0.00 YYY N
D5731... ...... R Resurface l comp denture chr............................. 0.00 0.00 0.00 0.00 YYY N
D5740... ...... R Resurface u part denture chr............................. 0.00 0.00 0.00 0.00 YYY N
D5741... ...... R Resurface l part denture chr............................. 0.00 0.00 0.00 0.00 YYY N
D5750... ...... R Resurface u comp denture lab............................. 0.00 0.00 0.00 0.00 YYY N
D5751... ...... R Resurface l comp denture lab............................. 0.00 0.00 0.00 0.00 YYY N
D5760... ...... R Resurface u part denture lab............................. 0.00 0.00 0.00 0.00 YYY N
D5761... ...... R Resurface l part denture lab............................. 0.00 0.00 0.00 0.00 YYY N
D5810... ...... R Denturs interim complete upp............................. 0.00 0.00 0.00 0.00 YYY N
D5811... ...... R Temp complete denture lower.............................. 0.00 0.00 0.00 0.00 YYY N
D5820... ...... R Temp partial denture upper............................... 0.00 0.00 0.00 0.00 YYY N
D5821... ...... R Temp partial denture lower............................... 0.00 0.00 0.00 0.00 YYY N
D5850... ...... R Tissue conditioning...................................... 0.00 0.00 0.00 0.00 YYY N
D5851... ...... R Tissue conditioning lower................................ 0.00 0.00 0.00 0.00 YYY N
D5860... ...... R Overdenture complete..................................... 0.00 0.00 0.00 0.00 YYY N
D5861... ...... R Overdenture partial...................................... 0.00 0.00 0.00 0.00 YYY N
D5862... ...... R Precision attachment..................................... 0.00 0.00 0.00 0.00 YYY N
D5899... ...... R Removable prosthodontic proc............................. 0.00 0.00 0.00 0.00 YYY N
D5911... ...... R Facial moulage sectional................................. 0.00 0.00 0.00 0.00 YYY N
D5912... ...... R Facial moulage complete.................................. 0.00 0.00 0.00 0.00 YYY N
D5913... ...... R Nasal prosthesis......................................... 0.00 0.00 0.00 0.00 YYY N
D5914... ...... R Auricular prosthesis..................................... 0.00 0.00 0.00 0.00 YYY N
D5915... ...... R Orbital prosthesis....................................... 0.00 0.00 0.00 0.00 YYY N
D5916... ...... R Ocular prosthesis........................................ 0.00 0.00 0.00 0.00 YYY N
D5919... ...... R Facial prosthesis........................................ 0.00 0.00 0.00 0.00 YYY N
D5922... ...... R Nasal septal prosthesis.................................. 0.00 0.00 0.00 0.00 YYY N
D5923... ...... R Ocular prosthesis interim................................ 0.00 0.00 0.00 0.00 YYY N
D5924... ...... R Cranial prosthesis....................................... 0.00 0.00 0.00 0.00 YYY N
D5925... ...... R Facial augmentation implant.............................. 0.00 0.00 0.00 0.00 YYY N
D5926... ...... R Replacement nasal prosthesis............................. 0.00 0.00 0.00 0.00 YYY N
D5927... ...... R Auricular replacement.................................... 0.00 0.00 0.00 0.00 YYY N
D5928... ...... R Orbital replacement...................................... 0.00 0.00 0.00 0.00 YYY N
D5929... ...... R Facial replacement....................................... 0.00 0.00 0.00 0.00 YYY N
D5931... ...... R Surgical obturator....................................... 0.00 0.00 0.00 0.00 YYY N
D5932... ...... R Postsurgical obturator................................... 0.00 0.00 0.00 0.00 YYY N
D5933... ...... R Refitting of obturator................................... 0.00 0.00 0.00 0.00 YYY N
D5934... ...... R Mandibular flange prosthesis............................. 0.00 0.00 0.00 0.00 YYY N
D5935... ...... R Mandibular denture prosth................................ 0.00 0.00 0.00 0.00 YYY N
D5936... ...... R Temp obturator prosthesis................................ 0.00 0.00 0.00 0.00 YYY N
D5937... ...... R Trismus appliance........................................ 0.00 0.00 0.00 0.00 YYY N
D5951... ...... R Feeding aid.............................................. 0.00 0.00 0.00 0.00 YYY N
D5952... ...... R Pediatric speech aid..................................... 0.00 0.00 0.00 0.00 YYY N
D5953... ...... R Adult speech aid......................................... 0.00 0.00 0.00 0.00 YYY N
D5954... ...... R Superimposed prosthesis.................................. 0.00 0.00 0.00 0.00 YYY N
D5955... ...... R Palatal lift prosthesis.................................. 0.00 0.00 0.00 0.00 YYY N
D5958... ...... R Intraoral con def inter plt.............................. 0.00 0.00 0.00 0.00 YYY N
D5959... ...... R Intraoral con def mod palat.............................. 0.00 0.00 0.00 0.00 YYY N
D5960... ...... R Modify speech aid prosthesis............................. 0.00 0.00 0.00 0.00 YYY N
D5982... ...... R Surgical stent........................................... 0.00 0.00 0.00 0.00 YYY N
D5983... ...... R Radiation applicator..................................... 0.00 0.00 0.00 0.00 YYY N
D5984... ...... R Radiation shield......................................... 0.00 0.00 0.00 0.00 YYY N
D5985... ...... R Radiation cone locator................................... 0.00 0.00 0.00 0.00 YYY N
D5986... ...... R Fluoride applicator...................................... 0.00 0.00 0.00 0.00 YYY N
D5987... ...... R Commissure splint........................................ 0.00 0.00 0.00 0.00 YYY N
D5988... ...... R Surgical splint.......................................... 0.00 0.00 0.00 0.00 YYY N
D5999... ...... R Maxillofacial prosthesis................................. 0.00 0.00 0.00 0.00 YYY N
D6030... ...... R Prosthodont endosseous impl.............................. 0.00 0.00 0.00 0.00 YYY N
D6040... ...... R Subperiosteal implant.................................... 0.00 0.00 0.00 0.00 YYY N
D6050... ...... R Transosseous implant..................................... 0.00 0.00 0.00 0.00 YYY N
D6055... ...... R Implant connecting bar................................... 0.00 0.00 0.00 0.00 YYY N
D6080... ...... R Implant maintenance...................................... 0.00 0.00 0.00 0.00 YYY N
D6090... ...... R Repair implant........................................... 0.00 0.00 0.00 0.00 YYY N
D6100... ...... R Removal of implant....................................... 0.00 0.00 0.00 0.00 YYY N
D6199... ...... R Implant procedure........................................ 0.00 0.00 0.00 0.00 YYY N
D6210... ...... R Prosthodont high noble metal............................. 0.00 0.00 0.00 0.00 YYY N
D6211... ...... R Bridge base metal cast................................... 0.00 0.00 0.00 0.00 YYY N
D6212... ...... R Bridge noble metal cast.................................. 0.00 0.00 0.00 0.00 YYY N
D6240... ...... R Bridge porcelain high noble.............................. 0.00 0.00 0.00 0.00 YYY N
D6241... ...... R Bridge porcelain base metal.............................. 0.00 0.00 0.00 0.00 YYY N
D6242... ...... R Bridge porcelain nobel metal............................. 0.00 0.00 0.00 0.00 YYY N
D6250... ...... R Bridge resin w/high noble................................ 0.00 0.00 0.00 0.00 YYY N
D6251... ...... R Bridge resin base metal.................................. 0.00 0.00 0.00 0.00 YYY N
D6252... ...... R Bridge resin w/noble metal............................... 0.00 0.00 0.00 0.00 YYY N
D6520... ...... R Dental retainer two surfaces............................. 0.00 0.00 0.00 0.00 YYY N
D6530... ...... R Retainer metallic 3+ surface............................. 0.00 0.00 0.00 0.00 YYY N
D6540... ...... R Retainer metallic cusps.................................. 0.00 0.00 0.00 0.00 YYY N
D6545... ...... R Retainer acid etch bridge................................ 0.00 0.00 0.00 0.00 YYY N
D6720... ...... R Retain crown resin w hi nble............................. 0.00 0.00 0.00 0.00 YYY N
D6721... ...... R Crown resin w/base metal................................. 0.00 0.00 0.00 0.00 YYY N
D6722... ...... R Crown resin w/noble metal................................ 0.00 0.00 0.00 0.00 YYY N
D6750... ...... R Crown porcelain high noble............................... 0.00 0.00 0.00 0.00 YYY N
D6751... ...... R Crown porcelain base metal............................... 0.00 0.00 0.00 0.00 YYY N
D6752... ...... R Crown porcelain noble metal.............................. 0.00 0.00 0.00 0.00 YYY N
D6780... ...... R Crown 3/4 high noble metal............................... 0.00 0.00 0.00 0.00 YYY N
D6790... ...... R Crown full high noble metal.............................. 0.00 0.00 0.00 0.00 YYY N
D6791... ...... R Crown full base metal cast............................... 0.00 0.00 0.00 0.00 YYY N
D6792... ...... R Crown full noble metal cast.............................. 0.00 0.00 0.00 0.00 YYY N
D6930... ...... R Dental recement bridge................................... 0.00 0.00 0.00 0.00 YYY N
D6940... ...... R Stress breaker........................................... 0.00 0.00 0.00 0.00 YYY N
D6950... ...... R Precision attachment..................................... 0.00 0.00 0.00 0.00 YYY N
D6970... ...... R Post & core plus retainer................................ 0.00 0.00 0.00 0.00 YYY N
D6971... ...... R Cast post bridge retainer................................ 0.00 0.00 0.00 0.00 YYY N
D6972... ...... R Prefab post & core plus reta............................. 0.00 0.00 0.00 0.00 YYY N
D6973... ...... R Core build up for retainer............................... 0.00 0.00 0.00 0.00 YYY N
D6975... ...... R Coping metal............................................. 0.00 0.00 0.00 0.00 YYY N
D6980... ...... R Bridge repair............................................ 0.00 0.00 0.00 0.00 YYY N
D6999... ...... R Fixed prosthodontic proc................................. 0.00 0.00 0.00 0.00 YYY N
D7110... ...... R Oral surgery single tooth................................ 0.00 0.00 0.00 0.00 YYY S
D7120... ...... R Each add tooth extraction................................ 0.00 0.00 0.00 0.00 YYY S
D7130... ...... R Tooth root removal....................................... 0.00 0.00 0.00 0.00 YYY S
D7210... ...... R Rem imp tooth w mucoper flp.............................. 0.00 0.00 0.00 0.00 YYY S
D7220... ...... R Impact tooth remov soft tiss............................. 0.00 0.00 0.00 0.00 YYY S
D7230... ...... R Impact tooth remov part bony............................. 0.00 0.00 0.00 0.00 YYY S
D7240... ...... R Impact tooth remov comp bony............................. 0.00 0.00 0.00 0.00 YYY S
D7241... ...... R Impact tooth rem bony w/comp............................. 0.00 0.00 0.00 0.00 YYY S
D7250... ...... R Tooth root removal....................................... 0.00 0.00 0.00 0.00 YYY S
D7260... ...... R Oral antral fistula closure.............................. 0.00 0.00 0.00 0.00 YYY S
D7270... ...... R Tooth reimplantation..................................... 0.00 0.00 0.00 0.00 YYY S
D7271... ...... R Tooth implantation....................................... 0.00 0.00 0.00 0.00 YYY N
D7272... ...... R Tooth transplantation.................................... 0.00 0.00 0.00 0.00 YYY N
D7280... ...... R Exposure impact tooth orthod............................. 0.00 0.00 0.00 0.00 YYY N
D7281... ...... R Exposure tooth aid eruption.............................. 0.00 0.00 0.00 0.00 YYY N
D7285... ...... R Biopsy of oral tissue hard............................... 0.00 0.00 0.00 0.00 YYY S
D7286... ...... R Biopsy of oral tissue soft............................... 0.00 0.00 0.00 0.00 YYY S
D7290... ...... R Repositioning of teeth................................... 0.00 0.00 0.00 0.00 YYY S
D7291... ...... R Transseptal fiberotomy................................... 0.00 0.00 0.00 0.00 YYY N
D7310... ...... R Alveoplasty w/extraction................................. 0.00 0.00 0.00 0.00 YYY S
D7320... ...... R Alveoplasty w/o extraction............................... 0.00 0.00 0.00 0.00 YYY S
D7340... ...... R Vestibuloplasty ridge extens............................. 0.00 0.00 0.00 0.00 YYY S
D7350... ...... R Vestibuloplasty exten graft.............................. 0.00 0.00 0.00 0.00 YYY S
D7410... ...... R Rad exc lesion up to 1.25 cm............................. 0.00 0.00 0.00 0.00 YYY S
D7420... ...... R Lesion > 1.25 cm......................................... 0.00 0.00 0.00 0.00 YYY S
D7430... ...... R Exc benign tumor to 1.25 cm.............................. 0.00 0.00 0.00 0.00 YYY S
D7431... ...... R Benign tumor exc > 1.25 cm............................... 0.00 0.00 0.00 0.00 YYY S
D7440... ...... R Malig tumor exc to 1.25 cm............................... 0.00 0.00 0.00 0.00 YYY N
D7441... ...... R Malig tumor > 1.25 cm.................................... 0.00 0.00 0.00 0.00 YYY S
D7450... ...... R Rem odontogen cyst to 1.25 cm............................ 0.00 0.00 0.00 0.00 YYY S
D7451... ...... R Rem odontogen cyst > 1.25 cm............................. 0.00 0.00 0.00 0.00 YYY S
D7460... ...... R Rem nonodonto cyst to 1.25 cm............................ 0.00 0.00 0.00 0.00 YYY S
D7461... ...... R Rem nonodonto cyst > 1.25 cm............................. 0.00 0.00 0.00 0.00 YYY S
D7465... ...... R Lesion destruction....................................... 0.00 0.00 0.00 0.00 YYY N
D7470... ...... R Rem exostosis maxilla/mandib............................. 0.00 0.00 0.00 0.00 YYY S
D7480... ...... R Partial ostectomy........................................ 0.00 0.00 0.00 0.00 YYY S
D7490... ...... R Mandible resection....................................... 0.00 0.00 0.00 0.00 YYY S
D7510... ...... R I&d absc intraoral soft tiss............................. 0.00 0.00 0.00 0.00 YYY S
D7520... ...... R I&d abscess extraoral.................................... 0.00 0.00 0.00 0.00 YYY S
D7530... ...... R Removal fb skin/areolar tiss............................. 0.00 0.00 0.00 0.00 YYY S
D7540... ...... R Removal of fb reaction................................... 0.00 0.00 0.00 0.00 YYY S
D7550... ...... R Removal of sloughed off bone............................. 0.00 0.00 0.00 0.00 YYY S
D7560... ...... R Maxillary sinusotomy..................................... 0.00 0.00 0.00 0.00 YYY S
D7610... ...... R Maxilla open reduct simple............................... 0.00 0.00 0.00 0.00 YYY S
D7620... ...... R Clsd reduct simpl maxilla fx............................. 0.00 0.00 0.00 0.00 YYY S
D7630... ...... R Open red simpl mandible fx............................... 0.00 0.00 0.00 0.00 YYY S
D7640... ...... R Clsd red simpl mandible fx............................... 0.00 0.00 0.00 0.00 YYY S
D7650... ...... R Open red simp malar/zygom fx............................. 0.00 0.00 0.00 0.00 YYY S
D7660... ...... R Clsd red simp malar/zygom fx............................. 0.00 0.00 0.00 0.00 YYY S
D7670... ...... R Open red simple alveolus fx.............................. 0.00 0.00 0.00 0.00 YYY S
D7680... ...... R Reduct simple facial bone fx............................. 0.00 0.00 0.00 0.00 YYY S
D7710... ...... R Maxilla open reduct compound............................. 0.00 0.00 0.00 0.00 YYY S
D7720... ...... R Clsd reduct compd maxilla fx............................. 0.00 0.00 0.00 0.00 YYY S
D7730... ...... R Open reduct compd mandble fx............................. 0.00 0.00 0.00 0.00 YYY S
D7740... ...... R Clsd reduct compd mandble fx............................. 0.00 0.00 0.00 0.00 YYY S
D7750... ...... R Open red comp malar/zygma fx............................. 0.00 0.00 0.00 0.00 YYY S
D7760... ...... R Clsd red comp malar/zygma fx............................. 0.00 0.00 0.00 0.00 YYY N
D7770... ...... R Open reduc compd alveolus fx............................. 0.00 0.00 0.00 0.00 YYY N
D7780... ...... R Reduct compnd facial bone fx............................. 0.00 0.00 0.00 0.00 YYY S
D7810... ...... R Tmj open reduct-dislocation.............................. 0.00 0.00 0.00 0.00 YYY S
D7820... ...... R Closed tmp manipulation.................................. 0.00 0.00 0.00 0.00 YYY S
D7830... ...... R Tmj manipulation under anest............................. 0.00 0.00 0.00 0.00 YYY N
D7840... ...... R Removal of tmj condyle................................... 0.00 0.00 0.00 0.00 YYY S
D7850... ...... R Tmj meniscectomy......................................... 0.00 0.00 0.00 0.00 YYY N
D7852... ...... R Tmj repair of joint disc................................. 0.00 0.00 0.00 0.00 YYY N
D7854... ...... R Tmj excisn of joint membrane............................. 0.00 0.00 0.00 0.00 YYY N
D7856... ...... R Tmj cutting of a muscle.................................. 0.00 0.00 0.00 0.00 YYY N
D7858... ...... R Tmj reconstruction....................................... 0.00 0.00 0.00 0.00 YYY N
D7860... ...... R Tmj cutting into joint................................... 0.00 0.00 0.00 0.00 YYY S
D7865... ...... R Tmj reshaping components................................. 0.00 0.00 0.00 0.00 YYY N
D7870... ...... R Tmj aspiration joint fluid............................... 0.00 0.00 0.00 0.00 YYY N
D7872... ...... R Tmj diagnostic arthroscopy............................... 0.00 0.00 0.00 0.00 YYY N
D7873... ...... R Tmj arthroscopy lysis adhesn............................. 0.00 0.00 0.00 0.00 YYY N
D7874... ...... R Tmj arthroscopy disc reposit............................. 0.00 0.00 0.00 0.00 YYY N
D7875... ...... R Tmj arthroscopy synovectomy.............................. 0.00 0.00 0.00 0.00 YYY N
D7876... ...... R Tmj arthroscopy discectomy............................... 0.00 0.00 0.00 0.00 YYY N
D7877... ...... R Tmj arthroscopy debridement.............................. 0.00 0.00 0.00 0.00 YYY N
D7880... ...... R Occlusal orthotic appliance.............................. 0.00 0.00 0.00 0.00 YYY S
D7899... ...... R Tmj unspecified therapy.................................. 0.00 0.00 0.00 0.00 YYY N
D7910... ...... R Dent sutur recent wnd to 5 cm............................ 0.00 0.00 0.00 0.00 YYY N
D7911... ...... R Dental suture wound to 5 cm.............................. 0.00 0.00 0.00 0.00 YYY S
D7912... ...... R Suture complicate wnd > 5 cm............................. 0.00 0.00 0.00 0.00 YYY S
D7920... ...... R Dental skin graft........................................ 0.00 0.00 0.00 0.00 YYY S
D7940... ...... R Reshaping bone orthognathic.............................. 0.00 0.00 0.00 0.00 YYY S
D7941... ...... R Bone cutting ramus closed................................ 0.00 0.00 0.00 0.00 YYY N
D7942... ...... R Bone cutting ramus open.................................. 0.00 0.00 0.00 0.00 YYY N
D7943... ...... R Cutting ramus open w/graft............................... 0.00 0.00 0.00 0.00 YYY S
D7944... ...... R Bone cutting segmented................................... 0.00 0.00 0.00 0.00 YYY N
D7945... ...... R Bone cutting body mandible............................... 0.00 0.00 0.00 0.00 YYY S
D7946... ...... R Reconstruction maxilla total............................. 0.00 0.00 0.00 0.00 YYY S
D7947... ...... R Reconstruct maxilla segment.............................. 0.00 0.00 0.00 0.00 YYY N
D7948... ...... R Reconstruct midface no graft............................. 0.00 0.00 0.00 0.00 YYY S
D7949... ...... R Reconstruct midface w/graft.............................. 0.00 0.00 0.00 0.00 YYY N
D7950... ...... R Mandible graft........................................... 0.00 0.00 0.00 0.00 YYY S
D7955... ...... R Repair maxillofacial defects............................. 0.00 0.00 0.00 0.00 YYY S
D7960... ...... R Frenulectomy/frenulotomy................................. 0.00 0.00 0.00 0.00 YYY S
D7970... ...... R Excision hyperplastic tissue............................. 0.00 0.00 0.00 0.00 YYY N
D7971... ...... R Excision pericoronal gingiva............................. 0.00 0.00 0.00 0.00 YYY N
D7980... ...... R Sialolithotomy........................................... 0.00 0.00 0.00 0.00 YYY S
D7981... ...... R Excision of salivary gland............................... 0.00 0.00 0.00 0.00 YYY S
D7982... ...... R Sialodochoplasty......................................... 0.00 0.00 0.00 0.00 YYY S
D7983... ...... R Closure of salivary fistula.............................. 0.00 0.00 0.00 0.00 YYY N
D7990... ...... R Emergency tracheotomy.................................... 0.00 0.00 0.00 0.00 YYY S
D7991... ...... R Dental coronoidectomy.................................... 0.00 0.00 0.00 0.00 YYY S
D7993... ...... R Implant facial bones..................................... 0.00 0.00 0.00 0.00 YYY N
D7994... ...... R Implant chin............................................. 0.00 0.00 0.00 0.00 YYY N
D7999... ...... R Oral surgery procedure................................... 0.00 0.00 0.00 0.00 YYY S
D8110... ...... R Orthodontic rem appliance tx............................. 0.00 0.00 0.00 0.00 YYY N
D8120... ...... R Fixed appliance therapy guid............................. 0.00 0.00 0.00 0.00 YYY N
D8210... ...... R Orthodontic rem appliance tx............................. 0.00 0.00 0.00 0.00 YYY N
D8220... ...... R Fixed appliance therapy habt............................. 0.00 0.00 0.00 0.00 YYY N
D8360... ...... R Orthodontic rem appliance tx............................. 0.00 0.00 0.00 0.00 YYY N
D8370... ...... R Fixed appliance interceptive............................. 0.00 0.00 0.00 0.00 YYY N
D8460... ...... R Trans dentit class 1 maloccl............................. 0.00 0.00 0.00 0.00 YYY N
D8470... ...... R Class ii malocclusion trnstn............................. 0.00 0.00 0.00 0.00 YYY N
D8480... ...... R Class iii malocclusion trnst............................. 0.00 0.00 0.00 0.00 YYY N
D8560... ...... R Class i tx atyp/ext skel cas............................. 0.00 0.00 0.00 0.00 YYY N
D8570... ...... R Class ii malocclusion perman............................. 0.00 0.00 0.00 0.00 YYY N
D8580... ...... R Class iii malocclusion permn............................. 0.00 0.00 0.00 0.00 YYY N
D8650... ...... R Tx atypical/extend skel case............................. 0.00 0.00 0.00 0.00 YYY N
D8750... ...... R Post-treatment stabilization............................. 0.00 0.00 0.00 0.00 YYY N
D8999... ...... R Orthodontic procedure.................................... 0.00 0.00 0.00 0.00 YYY N
D9110... ...... R Dent procedure general minor............................. 0.00 0.00 0.00 0.00 YYY N
D9210... ...... R Dent anesthesia w/o surgery.............................. 0.00 0.00 0.00 0.00 YYY N
D9211... ...... R Regional block anesthesia................................ 0.00 0.00 0.00 0.00 YYY N
D9212... ...... R Trigeminal block anesthesia.............................. 0.00 0.00 0.00 0.00 YYY N
D9215... ...... R Local anesthesia......................................... 0.00 0.00 0.00 0.00 YYY N
D9220... ...... R General anesthesia....................................... 0.00 0.00 0.00 0.00 YYY N
D9221... ...... R General anesthesia ea ad 15m............................. 0.00 0.00 0.00 0.00 YYY N
D9230... ...... R Analgesia................................................ 0.00 0.00 0.00 0.00 YYY N
D9240... ...... R Intravenous sedation..................................... 0.00 0.00 0.00 0.00 YYY N
D9310... ...... R Dental consultation...................................... 0.00 0.00 0.00 0.00 YYY N
D9410... ...... R Dental house call........................................ 0.00 0.00 0.00 0.00 YYY N
D9420... ...... R Hospital call............................................ 0.00 0.00 0.00 0.00 YYY N
D9430... ...... R Office visit during hours................................ 0.00 0.00 0.00 0.00 YYY N
D9440... ...... R Office visit after hours................................. 0.00 0.00 0.00 0.00 YYY N
D9610... ...... R Dent therapeutic drug inject............................. 0.00 0.00 0.00 0.00 YYY N
D9630... ...... R Other drugs/medicaments.................................. 0.00 0.00 0.00 0.00 YYY N
D9910... ...... R Dent appl desensitizing med.............................. 0.00 0.00 0.00 0.00 YYY N
D9920... ...... R Behavior management...................................... 0.00 0.00 0.00 0.00 YYY N
D9930... ...... R Treatment of complications............................... 0.00 0.00 0.00 0.00 YYY N
D9940... ...... R Occlusal guards.......................................... 0.00 0.00 0.00 0.00 YYY N
D9941... ...... R Fabrication of mouthguards............................... 0.00 0.00 0.00 0.00 YYY N
D9950... ...... R Occlusion analysis....................................... 0.00 0.00 0.00 0.00 YYY N
D9951... ...... R Limited occlusal adjustment.............................. 0.00 0.00 0.00 0.00 YYY N
D9952... ...... R Complete occlusal adjustment............................. 0.00 0.00 0.00 0.00 YYY N
D9999... ...... R Adjunctive procedure..................................... 0.00 0.00 0.00 0.00 YYY N
G0001... ...... X Drawing blood for specimen............................... 0.00 0.00 0.00 0.00 XXX O
G0002... ...... A Temporary urinary catheter............................... 0.50 0.70 0.02 1.22 000 S
G0003... ...... D ECG 24hr attended monitoring............................. 0.00 0.00 0.00 0.00 XXX N
G0003... 26 D ECG 24hr attended monitoring............................. 0.00 0.00 0.00 0.00 XXX N
G0003... TC D ECG 24hr attended monitoring............................. 0.00 0.00 0.00 0.00 XXX N
G0004... ...... A ECG transm phys review & int............................. 0.52 7.31 0.65 8.48 XXX N
G0005... ...... A ECG 24 hour recording.................................... 0.00 1.18 0.09 1.27 XXX N
G0006... ...... A ECG transmission & analysis.............................. 0.00 5.73 0.51 6.24 XXX N
G0007... ...... A ECG phy review & interpret............................... 0.52 0.40 0.05 0.97 XXX N
G0008... ...... X Admin influenza virus vac................................ 0.00 0.00 0.00 0.00 XXX O
G0009... ...... X Admin pneumococcal vaccine............................... 0.00 0.00 0.00 0.00 XXX O
G0010... ...... X Admin hepatitis b vaccine................................ 0.00 0.00 0.00 0.00 XXX O
G0015... ...... A Post symptom ECG tracing................................. 0.00 5.73 0.51 6.24 XXX N
G0016... ...... A Post symptom ECG md review............................... 0.52 0.40 0.05 0.97 XXX N
G0020... ...... C Prepare face/oral prosthesis............................. 0.00 0.00 0.00 0.00 010 S
G0021... ...... C Prepare orbital prosthesis............................... 0.00 0.00 0.00 0.00 090 S
G0025... ...... A Collagen skin test kit................................... 0.00 0.95 0.00 0.95 XXX N
H5300... ...... A Occupational therapy..................................... 0.32 0.24 0.03 0.59 XXX N
J0110... ...... E Administration injection................................. 0.00 0.00 0.00 0.00 XXX O
J0120... ...... E Tetracyclin injection.................................... 0.00 0.00 0.00 0.00 XXX O
J0150... ...... E Injection adenosine 6 MG................................. 0.00 0.00 0.00 0.00 XXX O
J0170... ...... E Adrenalin epinephrin inject.............................. 0.00 0.00 0.00 0.00 XXX O
J0190... ...... E Biperiden 2 MG injection................................. 0.00 0.00 0.00 0.00 XXX O
J0205... ...... E Alglucerase injection.................................... 0.00 0.00 0.00 0.00 XXX O
J0210... ...... E Methyldopate hcl injection............................... 0.00 0.00 0.00 0.00 XXX O
J0220... ...... D Allergy desensitization aqeo............................. 0.00 0.00 0.00 0.00 XXX O
J0230... ...... D Allergy desensitization allp............................. 0.00 0.00 0.00 0.00 XXX O
J0240... ...... D Allergy desensitiz emulsific............................. 0.00 0.00 0.00 0.00 XXX O
J0256... ...... E Alpha 1-proteinase 500 MG................................ 0.00 0.00 0.00 0.00 XXX O
J0280... ...... E Aminophyllin 250 MG inj.................................. 0.00 0.00 0.00 0.00 XXX O
J0290... ...... E Ampicillin 500 MG inj.................................... 0.00 0.00 0.00 0.00 XXX O
J0295... ...... E Ampicillin sodium per 1.5 gm............................. 0.00 0.00 0.00 0.00 XXX O
J0300... ...... E Amobarbital 125 MG inj................................... 0.00 0.00 0.00 0.00 XXX O
J0330... ...... E Succinycholine chloride inj.............................. 0.00 0.00 0.00 0.00 XXX O
J0340... ...... E Nandrolon phenpropionate inj............................. 0.00 0.00 0.00 0.00 XXX O
J0350... ...... E Injection anistreplase 30 u.............................. 0.00 0.00 0.00 0.00 XXX O
J0360... ...... E Hydralazine hcl injection................................ 0.00 0.00 0.00 0.00 XXX O
J0380... ...... E Metaraminol injection.................................... 0.00 0.00 0.00 0.00 XXX O
J0390... ...... E Chloroquine injection.................................... 0.00 0.00 0.00 0.00 XXX O
J0400... ...... E Trimethaphan injection................................... 0.00 0.00 0.00 0.00 XXX O
J0460... ...... E Atropine sulfate injection............................... 0.00 0.00 0.00 0.00 XXX O
J0470... ...... E Dimecaprol injection..................................... 0.00 0.00 0.00 0.00 XXX O
J0475... ...... E Baclofen 10 MG injection................................. 0.00 0.00 0.00 0.00 XXX O
J0500... ...... E Dicyclomine injection.................................... 0.00 0.00 0.00 0.00 XXX O
J0510... ...... E Benzquinamide injection.................................. 0.00 0.00 0.00 0.00 XXX O
J0515... ...... E Benztropine injection.................................... 0.00 0.00 0.00 0.00 XXX O
J0520... ...... E Bethanechol chloride inject.............................. 0.00 0.00 0.00 0.00 XXX O
J0530... ...... E Penicillin g benzathine inj.............................. 0.00 0.00 0.00 0.00 XXX O
J0540... ...... E Penicillin g benzathine inj.............................. 0.00 0.00 0.00 0.00 XXX O
J0550... ...... E Penicillin g benzathine inj.............................. 0.00 0.00 0.00 0.00 XXX O
J0560... ...... E Penicillin g benzathine inj.............................. 0.00 0.00 0.00 0.00 XXX O
J0570... ...... E Penicillin g benzathine inj.............................. 0.00 0.00 0.00 0.00 XXX O
J0580... ...... E Penicillin g benzathine inj.............................. 0.00 0.00 0.00 0.00 XXX O
J0585... ...... E Botulinum toxin a per 100 u.............................. 0.00 0.00 0.00 0.00 XXX O
J0590... ...... E Ethylnorepinephrine hcl inj.............................. 0.00 0.00 0.00 0.00 XXX O
J0600... ...... E Edetate calcium disodium inj............................. 0.00 0.00 0.00 0.00 XXX O
J0610... ...... E Calcium gluconate injection.............................. 0.00 0.00 0.00 0.00 XXX O
J0620... ...... E Calcium glycer & lact/10 ML.............................. 0.00 0.00 0.00 0.00 XXX O
J0630... ...... E Calcitonin salmon injection.............................. 0.00 0.00 0.00 0.00 XXX O
J0635... ...... E Calcitriol injection..................................... 0.00 0.00 0.00 0.00 XXX O
J0640... ...... E Leucovorin calcium injection............................. 0.00 0.00 0.00 0.00 XXX O
J0670... ...... E Mepivacaine injection.................................... 0.00 0.00 0.00 0.00 XXX O
J0680... ...... E Deslanoside injection.................................... 0.00 0.00 0.00 0.00 XXX O
J0690... ...... E Cefazolin sodium injection............................... 0.00 0.00 0.00 0.00 XXX O
J0694... ...... E Cefoxitin sodium injection............................... 0.00 0.00 0.00 0.00 XXX O
J0695... ...... E Cefonocid sodium injection............................... 0.00 0.00 0.00 0.00 XXX O
J0696... ...... E Ceftriaxone sodium injection............................. 0.00 0.00 0.00 0.00 XXX O
J0697... ...... E Sterile cefuroxime injection............................. 0.00 0.00 0.00 0.00 XXX O
J0698... ...... E Cefotaxime sodium injection.............................. 0.00 0.00 0.00 0.00 XXX O
J0700... ...... D Betamethasone injection.................................. 0.00 0.00 0.00 0.00 XXX O
J0702... ...... E Betamethasone acet&sod phosp............................. 0.00 0.00 0.00 0.00 XXX O
J0704... ...... E Betamethasone sod phosp/4 MG............................. 0.00 0.00 0.00 0.00 XXX O
J0710... ...... E Cephapirin sodium injection.............................. 0.00 0.00 0.00 0.00 XXX O
J0715... ...... E Ceftizoxime sodium / 500 MG.............................. 0.00 0.00 0.00 0.00 XXX O
J0720... ...... E Chloramphenicol sodium injec............................. 0.00 0.00 0.00 0.00 XXX O
J0725... ...... E Chorionic gonadotropin/1000u............................. 0.00 0.00 0.00 0.00 XXX O
J0730... ...... E Chlorpheniramin maleate inj.............................. 0.00 0.00 0.00 0.00 XXX O
J0743... ...... E Cilastatin sodium injection.............................. 0.00 0.00 0.00 0.00 XXX O
J0745... ...... E Inj codeine phosphate /30 MG............................. 0.00 0.00 0.00 0.00 XXX O
J0760... ...... E Colchicine injection..................................... 0.00 0.00 0.00 0.00 XXX O
J0770... ...... E Colistimethate sodium inj................................ 0.00 0.00 0.00 0.00 XXX O
J0780... ...... E Prochlorperazine injection............................... 0.00 0.00 0.00 0.00 XXX O
J0790... ...... D Nikethamide injection.................................... 0.00 0.00 0.00 0.00 XXX O
J0800... ...... E Corticotropin injection.................................. 0.00 0.00 0.00 0.00 XXX O
J0810... ...... E Cortisone injection...................................... 0.00 0.00 0.00 0.00 XXX O
J0820... ...... E Cortigel 40 injection.................................... 0.00 0.00 0.00 0.00 XXX O
J0830... ...... D Cotrophin zinc hydroxid inj.............................. 0.00 0.00 0.00 0.00 XXX O
J0835... ...... E Inj cosyntropin per 0.25 MG.............................. 0.00 0.00 0.00 0.00 XXX O
J0840... ...... D Warfarin sodium injection................................ 0.00 0.00 0.00 0.00 XXX O
J0850... ...... E Cytomegalovirus imm IV /vial............................. 0.00 0.00 0.00 0.00 XXX O
J0895... ...... E Deferoxamine mesylate inj................................ 0.00 0.00 0.00 0.00 XXX O
J0900... ...... E Testosterone enanthate inj............................... 0.00 0.00 0.00 0.00 XXX O
J0945... ...... E Brompheniramine maleate inj.............................. 0.00 0.00 0.00 0.00 XXX O
J0970... ...... E Estradiol valerate injection............................. 0.00 0.00 0.00 0.00 XXX O
J1000... ...... E Depo-estradiol cypionate inj............................. 0.00 0.00 0.00 0.00 XXX O
J1020... ...... E Methylprednisolone 20 MG inj............................. 0.00 0.00 0.00 0.00 XXX O
J1030... ...... E Methylprednisolone 40 MG inj............................. 0.00 0.00 0.00 0.00 XXX O
J1040... ...... E Methylprednisolone 80 MG inj............................. 0.00 0.00 0.00 0.00 XXX O
J1050... ...... E Medroxyprogesterone inj.................................. 0.00 0.00 0.00 0.00 XXX O
J1055... ...... E Medrxyprogester acetate inj.............................. 0.00 0.00 0.00 0.00 XXX O
J1060... ...... E Testosterone cypionate 1 ML.............................. 0.00 0.00 0.00 0.00 XXX O
J1070... ...... E Testosterone cypionat 100 MG............................. 0.00 0.00 0.00 0.00 XXX O
J1080... ...... E Testosterone cypionat 200 MG............................. 0.00 0.00 0.00 0.00 XXX O
J1090... ...... E Testosterone cypionate 50 MG............................. 0.00 0.00 0.00 0.00 XXX O
J1100... ...... E Dexamethosone sodium phos................................ 0.00 0.00 0.00 0.00 XXX O
J1110... ...... E Dehydroergotamine injection.............................. 0.00 0.00 0.00 0.00 XXX O
J1120... ...... E Acetazolamid sodium injectio............................. 0.00 0.00 0.00 0.00 XXX O
J1155... ...... D Digitoxin injection...................................... 0.00 0.00 0.00 0.00 XXX O
J1160... ...... E Digoxin injection........................................ 0.00 0.00 0.00 0.00 XXX O
J1165... ...... E Phenytoin sodium injection............................... 0.00 0.00 0.00 0.00 XXX O
J1170... ...... E Hydromorphone injection.................................. 0.00 0.00 0.00 0.00 XXX O
J1180... ...... E Dyphylline injection..................................... 0.00 0.00 0.00 0.00 XXX O
J1200... ...... E Diphenhydramine hcl injectio............................. 0.00 0.00 0.00 0.00 XXX O
J1205... ...... E Chlorothiazide sodium inj................................ 0.00 0.00 0.00 0.00 XXX O
J1212... ...... E Dimethyl sulfoxide 50% 50 ML............................. 0.00 0.00 0.00 0.00 XXX O
J1230... ...... E Methadone injection...................................... 0.00 0.00 0.00 0.00 XXX O
J1240... ...... E Dimenhydrinate injection................................. 0.00 0.00 0.00 0.00 XXX O
J1245... ...... E Dipyridamole injection................................... 0.00 0.00 0.00 0.00 XXX O
J1320... ...... E Amitriptyline injection.................................. 0.00 0.00 0.00 0.00 XXX O
J1330... ...... E Ergonovine maleate injection............................. 0.00 0.00 0.00 0.00 XXX O
J1340... ...... E Aqueous/saline placebo inj............................... 0.00 0.00 0.00 0.00 XXX O
J1350... ...... D Erythromycin-im inj...................................... 0.00 0.00 0.00 0.00 XXX O
J1360... ...... D Erythromycin-iv inj...................................... 0.00 0.00 0.00 0.00 XXX O
J1362... ...... E Erythromycin glucep / 250 MG............................. 0.00 0.00 0.00 0.00 XXX O
J1364... ...... E Erythro lactobionate /500 MG............................. 0.00 0.00 0.00 0.00 XXX O
J1380... ...... E Estradiol valerate 10 MG inj............................. 0.00 0.00 0.00 0.00 XXX O
J1390... ...... E Estradiol valerate 20 MG inj............................. 0.00 0.00 0.00 0.00 XXX O
J1410... ...... E Inj estrogen conjugate 25 MG............................. 0.00 0.00 0.00 0.00 XXX O
J1435... ...... E Injection estrone per 1 MG............................... 0.00 0.00 0.00 0.00 XXX O
J1436... ...... E Etidronate disodium inj.................................. 0.00 0.00 0.00 0.00 XXX O
J1440... ...... E Filgrastim 300 mcg injection............................. 0.00 0.00 0.00 0.00 XXX O
J1441... ...... E Filgrastim 480 mcg injection............................. 0.00 0.00 0.00 0.00 XXX O
J1455... ...... E Foscarnet sodium injection............................... 0.00 0.00 0.00 0.00 XXX O
J1460... ...... E Gamma globulin 1 CC inj.................................. 0.00 0.00 0.00 0.00 XXX O
J1470... ...... E Gamma globulin 2 CC inj.................................. 0.00 0.00 0.00 0.00 XXX O
J1480... ...... E Gamma globulin 3 CC inj.................................. 0.00 0.00 0.00 0.00 XXX O
J1490... ...... E Gamma globulin 4 CC inj.................................. 0.00 0.00 0.00 0.00 XXX O
J1500... ...... E Gamma globulin 5 CC inj.................................. 0.00 0.00 0.00 0.00 XXX O
J1510... ...... E Gamma globulin 6 CC inj.................................. 0.00 0.00 0.00 0.00 XXX O
J1520... ...... E Gamma globulin 7 CC inj.................................. 0.00 0.00 0.00 0.00 XXX O
J1530... ...... E Gamma globulin 8 CC inj.................................. 0.00 0.00 0.00 0.00 XXX O
J1540... ...... E Gamma globulin 9 CC inj.................................. 0.00 0.00 0.00 0.00 XXX O
J1550... ...... E Gamma globulin 10 CC inj................................. 0.00 0.00 0.00 0.00 XXX O
J1560... ...... E Gamma globulin > 10 CC inj............................... 0.00 0.00 0.00 0.00 XXX O
J1561... ...... E Immune globulin injection................................ 0.00 0.00 0.00 0.00 XXX O
J1562... ...... E Immune globulin 10% /5 grams............................. 0.00 0.00 0.00 0.00 XXX O
J1570... ...... E Ganciclovir sodium injection............................. 0.00 0.00 0.00 0.00 XXX O
J1580... ...... E Garamycin gentamicin inj................................. 0.00 0.00 0.00 0.00 XXX O
J1600... ...... E Gold sodium thiomaleate inj.............................. 0.00 0.00 0.00 0.00 XXX O
J1610... ...... E Glucagon hydrochloride/1 MG.............................. 0.00 0.00 0.00 0.00 XXX O
J1620... ...... E Gonadorelin hydroch/ 100 mcg............................. 0.00 0.00 0.00 0.00 XXX O
J1625... ...... E Granisetron hydrochlor/1 MG.............................. 0.00 0.00 0.00 0.00 XXX O
J1630... ...... E Haloperidol injection.................................... 0.00 0.00 0.00 0.00 XXX O
J1631... ...... E Haloperidol decanoate inj................................ 0.00 0.00 0.00 0.00 XXX O
J1640... ...... D Heparin sodium injection................................. 0.00 0.00 0.00 0.00 XXX O
J1642... ...... E Inj heparin sodium per 10 u.............................. 0.00 0.00 0.00 0.00 XXX O
J1644... ...... E Inj heparin sodium per 1000u............................. 0.00 0.00 0.00 0.00 XXX O
J1660... ...... E Histamine injection...................................... 0.00 0.00 0.00 0.00 XXX O
J1670... ...... E Tetanus immune globulin inj.............................. 0.00 0.00 0.00 0.00 XXX O
J1690... ...... E Prednisolone tebutate inj................................ 0.00 0.00 0.00 0.00 XXX O
J1700... ...... E Hydrocortisone acetate inj............................... 0.00 0.00 0.00 0.00 XXX O
J1710... ...... E Hydrocortisone sodium ph inj............................. 0.00 0.00 0.00 0.00 XXX O
J1720... ...... E Hydrocortisone sodium succ i............................. 0.00 0.00 0.00 0.00 XXX O
J1730... ...... E Diazoxide injection...................................... 0.00 0.00 0.00 0.00 XXX O
J1739... ...... E Hydroxyprogesterone cap 125.............................. 0.00 0.00 0.00 0.00 XXX O
J1741... ...... E Hydroxyprogesterone cap 250.............................. 0.00 0.00 0.00 0.00 XXX O
J1760... ...... E Iron dextran 2 CC inj.................................... 0.00 0.00 0.00 0.00 XXX O
J1770... ...... E Iron dextran 5 CC inj.................................... 0.00 0.00 0.00 0.00 XXX O
J1780... ...... E Iron dextran 10 CC inj................................... 0.00 0.00 0.00 0.00 XXX O
J1785... ...... E Injection imiglucerase/unit.............................. 0.00 0.00 0.00 0.00 XXX O
J1790... ...... E Droperidol injection..................................... 0.00 0.00 0.00 0.00 XXX O
J1800... ...... E Propranolol injection.................................... 0.00 0.00 0.00 0.00 XXX O
J1810... ...... E Droperidol/fentanyl inj.................................. 0.00 0.00 0.00 0.00 XXX O
J1820... ...... E Insulin injection........................................ 0.00 0.00 0.00 0.00 XXX O
J1830... ...... E Interferon beta-1b/.25 MG................................ 0.00 0.00 0.00 0.00 XXX O
J1840... ...... E Kanamycin sulfate 500 MG inj............................. 0.00 0.00 0.00 0.00 XXX O
J1850... ...... E Kanamycin sulfate 75 MG inj.............................. 0.00 0.00 0.00 0.00 XXX O
J1885... ...... E Ketorolac tromethamine inj............................... 0.00 0.00 0.00 0.00 XXX O
J1890... ...... E Cephalothin sodium injection............................. 0.00 0.00 0.00 0.00 XXX O
J1910... ...... E Kutapressin injection.................................... 0.00 0.00 0.00 0.00 XXX O
J1930... ...... E Propiomazine injection................................... 0.00 0.00 0.00 0.00 XXX O
J1940... ...... E Furosemide injection..................................... 0.00 0.00 0.00 0.00 XXX O
J1950... ...... E Leuprolide acetate/3.75 MG............................... 0.00 0.00 0.00 0.00 XXX O
J1960... ...... E Levorphanol tartrate inj................................. 0.00 0.00 0.00 0.00 XXX O
J1970... ...... E Methotrimeprazine injection.............................. 0.00 0.00 0.00 0.00 XXX O
J1980... ...... E Hyoscyamine sulfate inj.................................. 0.00 0.00 0.00 0.00 XXX O
J1990... ...... E Chlordiazepoxide injection............................... 0.00 0.00 0.00 0.00 XXX O
J2000... ...... E Lidocaine injection...................................... 0.00 0.00 0.00 0.00 XXX O
J2010... ...... E Lincomycin injection..................................... 0.00 0.00 0.00 0.00 XXX O
J2050... ...... E Liver injection.......................................... 0.00 0.00 0.00 0.00 XXX O
J2060... ...... E Lorazepam injection...................................... 0.00 0.00 0.00 0.00 XXX O
J2100... ...... E Luminal sodium injection................................. 0.00 0.00 0.00 0.00 XXX O
J2150... ...... E Mannitol injection....................................... 0.00 0.00 0.00 0.00 XXX O
J2160... ...... D Cyclizine lactate injection.............................. 0.00 0.00 0.00 0.00 XXX O
J2175... ...... E Meperidine hydrochl/100 MG............................... 0.00 0.00 0.00 0.00 XXX O
J2180... ...... E Meperidine/promethazine inj.............................. 0.00 0.00 0.00 0.00 XXX O
J2190... ...... E Mersalyl & theophylline inj.............................. 0.00 0.00 0.00 0.00 XXX O
J2210... ...... E Methylergonovin maleate inj.............................. 0.00 0.00 0.00 0.00 XXX O
J2240... ...... E Metocurine iodide injection.............................. 0.00 0.00 0.00 0.00 XXX O
J2260... ...... E Inj milrinone lactate/5 ML............................... 0.00 0.00 0.00 0.00 XXX O
J2270... ...... E Morphine sulfate injection............................... 0.00 0.00 0.00 0.00 XXX O
J2275... ...... E Morphine sulfate injection............................... 0.00 0.00 0.00 0.00 XXX O
J2320... ...... E Nandrolone decanoate 50 MG............................... 0.00 0.00 0.00 0.00 XXX O
J2321... ...... E Nandrolone decanoate 100 MG.............................. 0.00 0.00 0.00 0.00 XXX O
J2322... ...... E Nandrolone decanoate 200 MG.............................. 0.00 0.00 0.00 0.00 XXX O
J2330... ...... E Thiothixene injection.................................... 0.00 0.00 0.00 0.00 XXX O
J2350... ...... E Niacinamide/niacin injection............................. 0.00 0.00 0.00 0.00 XXX O
J2360... ...... E Orphenadrine injection................................... 0.00 0.00 0.00 0.00 XXX O
J2370... ...... E Phenylephrine hcl injection.............................. 0.00 0.00 0.00 0.00 XXX O
J2400... ...... E Chloroprocaine hcl injection............................. 0.00 0.00 0.00 0.00 XXX O
J2405... ...... E Ondansetron hcl injection................................ 0.00 0.00 0.00 0.00 XXX O
J2410... ...... E Oxymorphone hcl injection................................ 0.00 0.00 0.00 0.00 XXX O
J2430... ...... E Pamidronate disodium/30 MG............................... 0.00 0.00 0.00 0.00 XXX O
J2440... ...... E Papaverin hcl injection.................................. 0.00 0.00 0.00 0.00 XXX O
J2460... ...... E Oxytetracycline injection................................ 0.00 0.00 0.00 0.00 XXX O
J2480... ...... E Hydrochlorides of opium inj.............................. 0.00 0.00 0.00 0.00 XXX O
J2490... ...... D Paraldehyde injection.................................... 0.00 0.00 0.00 0.00 XXX O
J2495... ...... E Tridihexethyl chloride inj............................... 0.00 0.00 0.00 0.00 XXX O
J2510... ...... E Penicillin g procaine inj................................ 0.00 0.00 0.00 0.00 XXX O
J2512... ...... E Inj pentagastrin per 2 ML................................ 0.00 0.00 0.00 0.00 XXX O
J2515... ...... E Pentobarbital sodium inj................................. 0.00 0.00 0.00 0.00 XXX O
J2520... ...... D Thiopental sodium injection.............................. 0.00 0.00 0.00 0.00 XXX O
J2540... ...... E Penicillin g potassium inj............................... 0.00 0.00 0.00 0.00 XXX O
J2545... ...... E Pentamidine isethionte/300mg............................. 0.00 0.00 0.00 0.00 XXX O
J2550... ...... E Promethazine hcl injection............................... 0.00 0.00 0.00 0.00 XXX O
J2560... ...... E Phenobarbital sodium inj................................. 0.00 0.00 0.00 0.00 XXX O
J2590... ...... E Oxytocin injection....................................... 0.00 0.00 0.00 0.00 XXX O
J2595... ...... D Vasopressin tannate inj.................................. 0.00 0.00 0.00 0.00 XXX O
J2600... ...... D Posterior pituitary inj.................................. 0.00 0.00 0.00 0.00 XXX O
J2640... ...... E Prednisolone sodium ph inj............................... 0.00 0.00 0.00 0.00 XXX O
J2650... ...... E Prednisolone acetate inj................................. 0.00 0.00 0.00 0.00 XXX O
J2670... ...... E Totazoline hcl injection................................. 0.00 0.00 0.00 0.00 XXX O
J2672... ...... D Propantheline bromide inj................................ 0.00 0.00 0.00 0.00 XXX O
J2675... ...... E Inj progesterone per 50 MG............................... 0.00 0.00 0.00 0.00 XXX O
J2680... ...... E Fluphenazine decanoate 25 MG............................. 0.00 0.00 0.00 0.00 XXX O
J2690... ...... E Procainamide hcl injection............................... 0.00 0.00 0.00 0.00 XXX O
J2700... ...... E Oxacillin sodium injection............................... 0.00 0.00 0.00 0.00 XXX O
J2710... ...... E Neostigmine methylslfte inj.............................. 0.00 0.00 0.00 0.00 XXX O
J2720... ...... E Inj protamine sulfate/10 MG.............................. 0.00 0.00 0.00 0.00 XXX O
J2725... ...... E Inj protirelin per 250 mcg............................... 0.00 0.00 0.00 0.00 XXX O
J2730... ...... E Pralidoxime chloride inj................................. 0.00 0.00 0.00 0.00 XXX O
J2760... ...... E Phentolaine mesylate inj................................. 0.00 0.00 0.00 0.00 XXX O
J2765... ...... E Metoclopramide hcl injection............................. 0.00 0.00 0.00 0.00 XXX O
J2790... ...... E Rho d immune globulin inj................................ 0.00 0.00 0.00 0.00 XXX O
J2800... ...... E Methocarbamol injection.................................. 0.00 0.00 0.00 0.00 XXX O
J2810... ...... E Inj theophylline per 40 MG............................... 0.00 0.00 0.00 0.00 XXX O
J2820... ...... E Sargramostim injection................................... 0.00 0.00 0.00 0.00 XXX O
J2825... ...... D Sarracenia purpurea injection............................ 0.00 0.00 0.00 0.00 XXX O
J2860... ...... E Secobarbital sodium inj.................................. 0.00 0.00 0.00 0.00 XXX O
J2910... ...... E Aurothioglucose injection................................ 0.00 0.00 0.00 0.00 XXX O
J2912... ...... E Sodium chloride injection................................ 0.00 0.00 0.00 0.00 XXX O
J2914... ...... E Sodium salicylate injection.............................. 0.00 0.00 0.00 0.00 XXX O
J2920... ...... E Methylprednisolone injection............................. 0.00 0.00 0.00 0.00 XXX O
J2930... ...... E Methylprednisolone injection............................. 0.00 0.00 0.00 0.00 XXX O
J2950... ...... E Promazine hcl injection.................................. 0.00 0.00 0.00 0.00 XXX O
J2970... ...... E Methicillin sodium injection............................. 0.00 0.00 0.00 0.00 XXX O
J2995... ...... E Inj streptokinase/250000 IU.............................. 0.00 0.00 0.00 0.00 XXX O
J2996... ...... E Alteplase recombinant inj................................ 0.00 0.00 0.00 0.00 XXX O
J3000... ...... E Streptomycin injection................................... 0.00 0.00 0.00 0.00 XXX O
J3005... ...... E Strontium-89 chloride/10 ML.............................. 0.00 0.00 0.00 0.00 XXX O
J3010... ...... E Fentanyl citrate injection............................... 0.00 0.00 0.00 0.00 XXX O
J3030... ...... E Sumatriptan succinate/6 MG............................... 0.00 0.00 0.00 0.00 XXX O
J3050... ...... D Decamethonium bromide inj................................ 0.00 0.00 0.00 0.00 XXX O
J3070... ...... E Pentazocine hcl injection................................ 0.00 0.00 0.00 0.00 XXX O
J3080... ...... E Chlorprothixene injection................................ 0.00 0.00 0.00 0.00 XXX O
J3105... ...... E Terbutaline sulfate inj.................................. 0.00 0.00 0.00 0.00 XXX O
J3120... ...... E Testosterone enanthate inj............................... 0.00 0.00 0.00 0.00 XXX O
J3130... ...... E Testosterone enanthate inj............................... 0.00 0.00 0.00 0.00 XXX O
J3140... ...... E Testosterone suspension inj.............................. 0.00 0.00 0.00 0.00 XXX O
J3150... ...... E Testosteron propionate inj............................... 0.00 0.00 0.00 0.00 XXX O
J3180... ...... D Tetanus toxoid injection................................. 0.00 0.00 0.00 0.00 XXX O
J3230... ...... E Chlorpromazine hcl injection............................. 0.00 0.00 0.00 0.00 XXX O
J3240... ...... E Thyrotropin injection.................................... 0.00 0.00 0.00 0.00 XXX O
J3250... ...... E Trimethobenzamide hcl inj................................ 0.00 0.00 0.00 0.00 XXX O
J3260... ...... E Tobramycin sulfate injection............................. 0.00 0.00 0.00 0.00 XXX O
J3270... ...... E Imipramine hcl injection................................. 0.00 0.00 0.00 0.00 XXX O
J3280... ...... E Thiethylperazine maleate inj............................. 0.00 0.00 0.00 0.00 XXX O
J3301... ...... E Triamcinolone acetonide inj.............................. 0.00 0.00 0.00 0.00 XXX O
J3302... ...... E Triamcinolone diacetate inj.............................. 0.00 0.00 0.00 0.00 XXX O
J3303... ...... E Triamcinolone hexacetonl inj............................. 0.00 0.00 0.00 0.00 XXX O
J3310... ...... E Perphenazine injection................................... 0.00 0.00 0.00 0.00 XXX O
J3320... ...... E Spectinomycn di-hcl inj.................................. 0.00 0.00 0.00 0.00 XXX O
J3340... ...... E Cryptenamine acetate inj................................. 0.00 0.00 0.00 0.00 XXX O
J3350... ...... E Urea injection........................................... 0.00 0.00 0.00 0.00 XXX O
J3360... ...... E Diazepam injection....................................... 0.00 0.00 0.00 0.00 XXX O
J3364... ...... E Urokinase 5000 IU injection.............................. 0.00 0.00 0.00 0.00 XXX O
J3365... ...... E Urokinase 250,000 IU inj................................. 0.00 0.00 0.00 0.00 XXX O
J3370... ...... E Vancomycin hcl injection................................. 0.00 0.00 0.00 0.00 XXX O
J3380... ...... E Isoxsuprine hcl injection................................ 0.00 0.00 0.00 0.00 XXX O
J3390... ...... E Methoxamine injection.................................... 0.00 0.00 0.00 0.00 XXX O
J3400... ...... E Triflupromazine hcl inj.................................. 0.00 0.00 0.00 0.00 XXX O
J3410... ...... E Hydroxyzine hcl injection................................ 0.00 0.00 0.00 0.00 XXX O
J3420... ...... E Vitamin b12 injection.................................... 0.00 0.00 0.00 0.00 XXX O
J3430... ...... E Vitamin k phytonadione inj............................... 0.00 0.00 0.00 0.00 XXX O
J3450... ...... E Mephentermine sulfate inj................................ 0.00 0.00 0.00 0.00 XXX O
J3470... ...... E Hyaluronidase injection.................................. 0.00 0.00 0.00 0.00 XXX O
J3490... ...... E Drugs unclassified injection............................. 0.00 0.00 0.00 0.00 XXX O
J3500... ...... E Vitamin therapy.......................................... 0.00 0.00 0.00 0.00 XXX O
J3520... ...... N Endrate ethyl-tetra-acet inj............................. 0.00 0.00 0.00 0.00 XXX O
J3530... ...... E Nasal vaccine inhalation................................. 0.00 0.00 0.00 0.00 XXX O
J3535... ...... E Metered dose inhaler drug................................ 0.00 0.00 0.00 0.00 XXX O
J3540... ...... E Autogenous blood extract................................. 0.00 0.00 0.00 0.00 XXX O
J3550... ...... E Intra-arterial oxygen inj................................ 0.00 0.00 0.00 0.00 XXX O
J3560... ...... E Adrenal cortex extract................................... 0.00 0.00 0.00 0.00 XXX O
J3570... ...... N Laetrile amygdalin vit b17............................... 0.00 0.00 0.00 0.00 XXX O
J6015... ...... N Typhus immun/injection................................... 0.00 0.00 0.00 0.00 XXX O
J7010... ...... D Vl allergy vac sing dos inj.............................. 0.00 0.00 0.00 0.00 XXX O
J7020... ...... D Multiple dose vial allergy va............................ 0.00 0.00 0.00 0.00 XXX O
J7030... ...... E Normal saline solution infus............................. 0.00 0.00 0.00 0.00 XXX O
J7040... ...... E Normal saline solution infus............................. 0.00 0.00 0.00 0.00 XXX O
J7042... ...... E 5% dextrose/normal saline................................ 0.00 0.00 0.00 0.00 XXX O
J7050... ...... E Normal saline solution infus............................. 0.00 0.00 0.00 0.00 XXX O
J7051... ...... E Sterile saline/water..................................... 0.00 0.00 0.00 0.00 XXX O
J7060... ...... E 5% dextrose/water........................................ 0.00 0.00 0.00 0.00 XXX O
J7070... ...... E D5w infusion............................................. 0.00 0.00 0.00 0.00 XXX O
J7080... ...... E 5% albumisol infusion.................................... 0.00 0.00 0.00 0.00 XXX O
J7090... ...... E 25% albumisol infusion................................... 0.00 0.00 0.00 0.00 XXX O
J7100... ...... E Dextran 40 infusion...................................... 0.00 0.00 0.00 0.00 XXX O
J7110... ...... E Dextran 75 infusion...................................... 0.00 0.00 0.00 0.00 XXX O
J7120... ...... E Ringers lactate infusion................................. 0.00 0.00 0.00 0.00 XXX O
J7130... ...... E Hypertonic saline solution............................... 0.00 0.00 0.00 0.00 XXX O
J7140... ...... N Prescription oral drug................................... 0.00 0.00 0.00 0.00 XXX O
J7150... ...... N Prescription oral chemo drug............................. 0.00 0.00 0.00 0.00 XXX O
J7190... ...... X Factor viii.............................................. 0.00 0.00 0.00 0.00 XXX O
J7192... ...... X Factor viii recombinant.................................. 0.00 0.00 0.00 0.00 XXX O
J7194... ...... X Factor ix complex........................................ 0.00 0.00 0.00 0.00 XXX O
J7196... ...... X Othr hemophilia clot factors............................. 0.00 0.00 0.00 0.00 XXX O
J7197... ...... X Antithrombin iii injection............................... 0.00 0.00 0.00 0.00 XXX O
J7300... ...... E Intraut copper contraceptive............................. 0.00 0.00 0.00 0.00 XXX O
J7500... ...... X Azathiop po tab 50mg 100s ea............................. 0.00 0.00 0.00 0.00 XXX O
J7501... ...... X Azathioprine parenteral.................................. 0.00 0.00 0.00 0.00 XXX O
J7502... ...... X Cyclosporine oral solution............................... 0.00 0.00 0.00 0.00 XXX O
J7503... ...... X Cyclosporine parenteral.................................. 0.00 0.00 0.00 0.00 XXX O
J7504... ...... X Lymphocyte immune globulin............................... 0.00 0.00 0.00 0.00 XXX O
J7505... ...... X Monoclonal antibodies.................................... 0.00 0.00 0.00 0.00 XXX O
J7506... ...... X Prednisone............................................... 0.00 0.00 0.00 0.00 XXX O
J7507... ...... E Tacrolimus oral per 1 MG................................. 0.00 0.00 0.00 0.00 XXX O
J7508... ...... E Tacrolimus oral per 5 MG................................. 0.00 0.00 0.00 0.00 XXX O
J7610... ...... E Acetylcysteine 10% injection............................. 0.00 0.00 0.00 0.00 XXX O
J7615... ...... E Acetylcysteine 20% injection............................. 0.00 0.00 0.00 0.00 XXX O
J7620... ...... E Albuterol sulfate .083% inj.............................. 0.00 0.00 0.00 0.00 XXX O
J7625... ...... E Albuterol sulfate .5% inj................................ 0.00 0.00 0.00 0.00 XXX O
J7627... ...... E Bitolterolmesylate inhal sol............................. 0.00 0.00 0.00 0.00 XXX O
J7630... ...... E Cromolyn sodium injection................................ 0.00 0.00 0.00 0.00 XXX O
J7640... ...... E Epinephrine injection.................................... 0.00 0.00 0.00 0.00 XXX O
J7645... ...... E Ipratropium bromide .02% ml.............................. 0.00 0.00 0.00 0.00 XXX O
J7650... ...... E Isoetharine hcl .1% inj.................................. 0.00 0.00 0.00 0.00 XXX O
J7651... ...... E Isoetharine hcl .125% inj................................ 0.00 0.00 0.00 0.00 XXX O
J7652... ...... E Isoetharine hcl .167% inj................................ 0.00 0.00 0.00 0.00 XXX O
J7653... ...... E Isoetharine hcl .2% inj.................................. 0.00 0.00 0.00 0.00 XXX O
J7654... ...... E Isoetharine hcl .25% inj................................. 0.00 0.00 0.00 0.00 XXX O
J7655... ...... E Isoetharine hcl 1% inj................................... 0.00 0.00 0.00 0.00 XXX O
J7660... ...... E Isoproterenol hcl .5% inj................................ 0.00 0.00 0.00 0.00 XXX O
J7665... ...... E Isoproterenol hcl 1% inj................................. 0.00 0.00 0.00 0.00 XXX O
J7670... ...... E Metaproterenol sulfate .4%............................... 0.00 0.00 0.00 0.00 XXX O
J7672... ...... E Metaproterenol sulfate .6%............................... 0.00 0.00 0.00 0.00 XXX O
J7675... ...... E Metaproterenol sulfate 5%................................ 0.00 0.00 0.00 0.00 XXX O
J7699... ...... E Inhalation solution for DME.............................. 0.00 0.00 0.00 0.00 XXX O
J7799... ...... E Non-inhalation drug for DME.............................. 0.00 0.00 0.00 0.00 XXX O
J8499... ...... E Oral prescrip drug non chemo............................. 0.00 0.00 0.00 0.00 XXX O
J8530... ...... E Cyclophosphamide oral 25 MG.............................. 0.00 0.00 0.00 0.00 XXX O
J8560... ...... E Etoposide oral 50 MG..................................... 0.00 0.00 0.00 0.00 XXX O
J8600... ...... E Melphalan oral 2 MG...................................... 0.00 0.00 0.00 0.00 XXX O
J8610... ...... E Methotrexate oral 2.5 MG................................. 0.00 0.00 0.00 0.00 XXX O
J8999... ...... E Oral prescription drug chemo............................. 0.00 0.00 0.00 0.00 XXX O
J9000... ...... E Doxorubic hcl 10 MG vl chemo............................. 0.00 0.00 0.00 0.00 XXX O
J9010... ...... E Doxorubicin hcl 50 MG inj................................ 0.00 0.00 0.00 0.00 XXX O
J9020... ...... E Asparaginase injection................................... 0.00 0.00 0.00 0.00 XXX O
J9031... ...... E Bcg live intravesical vac................................ 0.00 0.00 0.00 0.00 XXX O
J9040... ...... E Bleomycin sulfate injection.............................. 0.00 0.00 0.00 0.00 XXX O
J9045... ...... E Carboplatin injection.................................... 0.00 0.00 0.00 0.00 XXX O
J9050... ...... E Carmus bischl nitro inj.................................. 0.00 0.00 0.00 0.00 XXX O
J9060... ...... E Cisplatin 10 MG injeciton................................ 0.00 0.00 0.00 0.00 XXX O
J9062... ...... E Cisplatin 50 MG injeciton................................ 0.00 0.00 0.00 0.00 XXX O
J9065... ...... E Inj cladribine per 1 MG.................................. 0.00 0.00 0.00 0.00 XXX O
J9070... ...... E Cyclophosphamide 100 MG inj.............................. 0.00 0.00 0.00 0.00 XXX O
J9080... ...... E Cyclophosphamide 200 MG inj.............................. 0.00 0.00 0.00 0.00 XXX O
J9090... ...... E Cyclophosphamide 500 MG inj.............................. 0.00 0.00 0.00 0.00 XXX O
J9091... ...... E Cyclophosphamide 1.0 grm inj............................. 0.00 0.00 0.00 0.00 XXX O
J9092... ...... E Cyclophosphamide 2.0 grm inj............................. 0.00 0.00 0.00 0.00 XXX O
J9093... ...... E Cyclophosphamide lyophilized............................. 0.00 0.00 0.00 0.00 XXX O
J9094... ...... E Cyclophosphamide lyophilized............................. 0.00 0.00 0.00 0.00 XXX O
J9095... ...... E Cyclophosphamide lyophilized............................. 0.00 0.00 0.00 0.00 XXX O
J9096... ...... E Cyclophosphamide lyophilized............................. 0.00 0.00 0.00 0.00 XXX O
J9097... ...... E Cyclophosphamide lyophilized............................. 0.00 0.00 0.00 0.00 XXX O
J9100... ...... E Cytarabine hcl 100 MG inj................................ 0.00 0.00 0.00 0.00 XXX O
J9110... ...... E Cytarabine hcl 500 MG inj................................ 0.00 0.00 0.00 0.00 XXX O
J9120... ...... E Dactinomycin actinomycin d............................... 0.00 0.00 0.00 0.00 XXX O
J9130... ...... E Dacarbazine 10 MG inj.................................... 0.00 0.00 0.00 0.00 XXX O
J9140... ...... E Dacarbazine 200 MG inj................................... 0.00 0.00 0.00 0.00 XXX O
J9150... ...... E Daunorubicin hcl injection............................... 0.00 0.00 0.00 0.00 XXX O
J9165... ...... E Diethylstilbestrol injection............................. 0.00 0.00 0.00 0.00 XXX O
J9181... ...... E Etoposide 10 MG inj...................................... 0.00 0.00 0.00 0.00 XXX O
J9182... ...... E Etoposide 100 MG inj..................................... 0.00 0.00 0.00 0.00 XXX O
J9185... ...... E Fludarabine phosphate inj................................ 0.00 0.00 0.00 0.00 XXX O
J9190... ...... E Fluorouracil injection................................... 0.00 0.00 0.00 0.00 XXX O
J9200... ...... E Floxuridine injection.................................... 0.00 0.00 0.00 0.00 XXX O
J9202... ...... E Goserelin acetate implant................................ 0.00 0.00 0.00 0.00 XXX O
J9208... ...... E Ifosfomide injection..................................... 0.00 0.00 0.00 0.00 XXX O
J9209... ...... E Mesna injection.......................................... 0.00 0.00 0.00 0.00 XXX O
J9211... ...... E Idarubicin hcl injeciton................................. 0.00 0.00 0.00 0.00 XXX O
J9213... ...... E Interferon alfa-2a inj................................... 0.00 0.00 0.00 0.00 XXX O
J9214... ...... E Interferon alfa-2b inj................................... 0.00 0.00 0.00 0.00 XXX O
J9215... ...... E Interferon alfa-n3 inj................................... 0.00 0.00 0.00 0.00 XXX O
J9216... ...... E Interferon gamma 1-b inj................................. 0.00 0.00 0.00 0.00 XXX O
J9217... ...... E Leuprolide acetate suspnsion............................. 0.00 0.00 0.00 0.00 XXX O
J9218... ...... E Leuprolide acetate injeciton............................. 0.00 0.00 0.00 0.00 XXX O
J9230... ...... E Mechlorethamine hcl inj.................................. 0.00 0.00 0.00 0.00 XXX O
J9245... ...... E Inj melphalan hydrochl 50 MG............................. 0.00 0.00 0.00 0.00 XXX O
J9250... ...... E Methotrexate sodium inj.................................. 0.00 0.00 0.00 0.00 XXX O
J9260... ...... E Methotrexate sodium inj.................................. 0.00 0.00 0.00 0.00 XXX O
J9265... ...... E Paclitaxel injection..................................... 0.00 0.00 0.00 0.00 XXX O
J9268... ...... E Pentostatin injection.................................... 0.00 0.00 0.00 0.00 XXX O
J9270... ...... E Plicamycin (mithramycin) inj............................. 0.00 0.00 0.00 0.00 XXX O
J9280... ...... E Mitomycin 5 MG inj....................................... 0.00 0.00 0.00 0.00 XXX O
J9290... ...... E Mitomycin 20 MG inj...................................... 0.00 0.00 0.00 0.00 XXX O
J9291... ...... E Mitomycin 40 MG inj...................................... 0.00 0.00 0.00 0.00 XXX O
J9293... ...... E Mitoxantrone hydrochl / 5 MG............................. 0.00 0.00 0.00 0.00 XXX O
J9295... ...... E Polyestradiol phosphate inj.............................. 0.00 0.00 0.00 0.00 XXX O
J9320... ...... E Streptozocin injection................................... 0.00 0.00 0.00 0.00 XXX O
J9340... ...... E Thiotepa injection....................................... 0.00 0.00 0.00 0.00 XXX O
J9360... ...... E Vinblastine sulfate inj.................................. 0.00 0.00 0.00 0.00 XXX O
J9370... ...... E Vincristine sulfate 1 MG inj............................. 0.00 0.00 0.00 0.00 XXX O
J9375... ...... E Vincristine sulfate 2 MG inj............................. 0.00 0.00 0.00 0.00 XXX O
J9380... ...... E Vincristine sulfate 5 MG inj............................. 0.00 0.00 0.00 0.00 XXX O
J9999... ...... E Chemotherapy drug........................................ 0.00 0.00 0.00 0.00 XXX O
M0005... ...... A Off visit 2/more modalities.............................. 0.76 0.31 0.03 1.10 XXX N
M0006... ...... A One phys therapy modality................................ 0.50 0.15 0.02 0.67 XXX N
M0007... ...... A Combined phys ther mod & tx.............................. 1.01 0.35 0.04 1.40 XXX N
M0008... ...... A Combined phys ther mod & tx.............................. 0.50 0.11 0.01 0.62 XXX N
M0064... ...... A Visit for drug monitoring................................ 0.37 0.19 0.03 0.59 XXX N
M0075... ...... N Cellular therapy......................................... 0.00 0.00 0.00 0.00 XXX O
M0076... ...... N Prolotherapy............................................. 0.00 0.00 0.00 0.00 XXX O
M0100... ...... N Intragastric hypothermia................................. 0.00 0.00 0.00 0.00 XXX O
M0101... ...... A Cutting or removal of corns.............................. 0.37 0.35 0.03 0.75 XXX S
M0300... ...... N Iv chelationtherapy...................................... 0.00 0.00 0.00 0.00 XXX O
M0301... ...... N Fabric wrapping of aneurysm.............................. 0.00 0.00 0.00 0.00 XXX O
M0302... ...... N Assessment of cardiac output............................. 0.00 0.00 0.00 0.00 XXX O
M0900... ...... D Excision/rev a-v shunt anast............................. 0.00 0.00 0.00 0.00 XXX O
P2028... ...... X Cephalin floculation test................................ 0.00 0.00 0.00 0.00 XXX O
P2029... ...... X Congo red blood test..................................... 0.00 0.00 0.00 0.00 XXX O
P2031... ...... N Hair analysis............................................ 0.00 0.00 0.00 0.00 XXX O
P2033... ...... X Blood thymol turbidity................................... 0.00 0.00 0.00 0.00 XXX O
P2038... ...... X Blood mucoprotein........................................ 0.00 0.00 0.00 0.00 XXX O
P3000... ...... X Screen pap by tech w md supv............................. 0.00 0.00 0.00 0.00 XXX O
P3001... ...... X Screening pap smear by phys.............................. 0.00 0.00 0.00 0.00 XXX O
P3001... 26 A Screening pap smear by phys.............................. 0.42 0.32 0.04 0.78 XXX N
P7001... ...... X Culture bacterial urine.................................. 0.00 0.00 0.00 0.00 XXX O
P9010... ...... E Whole blood for transfusion.............................. 0.00 0.00 0.00 0.00 XXX O
P9011... ...... E Blood split unit......................................... 0.00 0.00 0.00 0.00 XXX O
P9012... ...... E Cryoprecipitate each unit................................ 0.00 0.00 0.00 0.00 XXX O
P9013... ...... E Unit/s blood fibrinogen.................................. 0.00 0.00 0.00 0.00 XXX O
P9014... ...... E Gamma globulin 1 ML...................................... 0.00 0.00 0.00 0.00 XXX O
P9015... ...... E Rh immune globulin 1 ML.................................. 0.00 0.00 0.00 0.00 XXX O
P9016... ...... E Leukocyte poor blood, unit............................... 0.00 0.00 0.00 0.00 XXX O
P9017... ...... E One donor fresh frozn plasma............................. 0.00 0.00 0.00 0.00 XXX O
P9018... ...... E Plasma protein fract, unit............................... 0.00 0.00 0.00 0.00 XXX O
P9019... ...... E Platelet concentrate unit................................ 0.00 0.00 0.00 0.00 XXX O
P9020... ...... E Plaelet rich plasma unit................................. 0.00 0.00 0.00 0.00 XXX O
P9021... ...... E Red blood cells unit..................................... 0.00 0.00 0.00 0.00 XXX O
P9022... ...... E Washed red blood cells unit.............................. 0.00 0.00 0.00 0.00 XXX O
P9603... ...... X One-way allow prorated miles............................. 0.00 0.00 0.00 0.00 XXX O
P9604... ...... X One-way allow prorated trip.............................. 0.00 0.00 0.00 0.00 XXX O
P9605... ...... X Routine venipuncture..................................... 0.00 0.00 0.00 0.00 XXX O
P9610... ...... X Urine specimen collect singl............................. 0.00 0.00 0.00 0.00 XXX O
P9615... ...... X Urine specimen collect mult.............................. 0.00 0.00 0.00 0.00 XXX O
Q0034... ...... X Admin of influenza vaccine............................... 0.00 0.00 0.00 0.00 XXX O
Q0035... ...... A Cardiokymography......................................... 0.17 0.49 0.04 0.70 XXX N
Q0035... 26 A Cardiokymography......................................... 0.17 0.12 0.01 0.30 XXX N
Q0035... TC A Cardiokymography......................................... 0.00 0.37 0.03 0.40 XXX N
Q0068... ...... A Extracorpeal plasmapheresis.............................. 1.67 1.27 0.16 3.10 000 N
Q0091... ...... A Obtaining screen pap smear............................... 0.37 0.28 0.03 0.68 XXX N
Q0092... ...... A Set up port xray equipment............................... 0.00 0.30 0.01 0.31 XXX N
Q0103... ...... A Physical therapy evaluation.............................. 1.01 0.35 0.11 1.47 XXX N
Q0104... ...... A Phys therapy re-evaluation............................... 0.50 0.04 0.01 0.55 XXX N
Q0109... ...... A Occupational therapy eval................................ 1.01 0.35 0.11 1.47 XXX N
Q0110... ...... A Occupational therap re-eval.............................. 0.50 0.04 0.01 0.55 XXX N
Q0111... ...... X Wet mounts/ w preparations............................... 0.00 0.00 0.00 0.00 XXX O
Q0112... ...... X Potassium hydroxide preps................................ 0.00 0.00 0.00 0.00 XXX O
Q0113... ...... X Pinworm examinations..................................... 0.00 0.00 0.00 0.00 XXX O
Q0114... ...... X Fern test................................................ 0.00 0.00 0.00 0.00 XXX O
Q0115... ...... X Post-coital mucous exam.................................. 0.00 0.00 0.00 0.00 XXX O
Q0116... ...... X Hemoglbn sngle analyte exam.............................. 0.00 0.00 0.00 0.00 XXX O
Q0117... ...... D Diabetic shoe, depth-inlay............................... 0.00 0.00 0.00 0.00 XXX O
Q0118... ...... D Diabetic shoe, custom moled.............................. 0.00 0.00 0.00 0.00 XXX O
Q0119... ...... D Diabetic shoe density insert............................. 0.00 0.00 0.00 0.00 XXX O
Q0120... ...... D Diabetic shoe roller/rocker.............................. 0.00 0.00 0.00 0.00 XXX O
Q0121... ...... D Diabetic shoe with wedge................................. 0.00 0.00 0.00 0.00 XXX O
Q0122... ...... D Diabetic shoe metatarsal bar............................. 0.00 0.00 0.00 0.00 XXX O
Q0123... ...... D Diabetic shoe off-set heel............................... 0.00 0.00 0.00 0.00 XXX O
Q0124... ...... D Admin/pneumococcal, flu vac.............................. 0.00 0.00 0.00 0.00 XXX O
Q0126... ...... X Immunoassay inf agnt antigen............................. 0.00 0.00 0.00 0.00 XXX O
Q0132... ...... X Dispensing fee DME neb drug.............................. 0.00 0.00 0.00 0.00 XXX O
Q0134... ...... D Collagen implant 2.5 CC syrg............................. 0.00 0.00 0.00 0.00 XXX O
Q0135... ...... D High dose inj contrast MRI............................... 0.00 0.00 0.00 0.00 XXX O
Q0136... ...... X Non esrd epoetin alpha inj............................... 0.00 0.00 0.00 0.00 XXX O
Q9920... ...... E Epoetin with hct <= 20...................................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9921...="" ......="" e="" epoetin="" with="" hct="21...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9922...="" ......="" e="" epoetin="" with="" hct="22...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9923...="" ......="" e="" epoetin="" with="" hct="23...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9924...="" ......="" e="" epoetin="" with="" hct="24...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9925...="" ......="" e="" epoetin="" with="" hct="25...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9926...="" ......="" e="" epoetin="" with="" hct="26...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9927...="" ......="" e="" epoetin="" with="" hct="27...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9928...="" ......="" e="" epoetin="" with="" hct="28...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9929...="" ......="" e="" epoetin="" with="" hct="29...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9930...="" ......="" e="" epoetin="" with="" hct="30...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9931...="" ......="" e="" epoetin="" with="" hct="31...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9932...="" ......="" e="" epoetin="" with="" hct="32...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9933...="" ......="" e="" epoetin="" with="" hct="33...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9934...="" ......="" e="" epoetin="" with="" hct="34...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9935...="" ......="" e="" epoetin="" with="" hct="35...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9936...="" ......="" e="" epoetin="" with="" hct="36...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9937...="" ......="" e="" epoetin="" with="" hct="37...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9938...="" ......="" e="" epoetin="" with="" hct="38...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9939...="" ......="" e="" epoetin="" with="" hct="39...................................." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" o="" q9940...="" ......="" e="" epoetin="" with="" hct="">= 40................................... 0.00 0.00 0.00 0.00 XXX O
R0070... ...... C Transport portable x-ray................................. 0.00 0.00 0.00 0.00 XXX N
R0075... ...... C Transport port x-ray multipl............................. 0.00 0.00 0.00 0.00 XXX N
R0076... ...... C Transport portable EKG................................... 0.00 0.00 0.00 0.00 XXX N
V2020... ...... X Vision svcs frames purchases............................. 0.00 0.00 0.00 0.00 XXX O
V2025... ...... N Eyeglasses delux frames.................................. 0.00 0.00 0.00 0.00 XXX O
V2100... ...... X Lens spher single plano 4.00............................. 0.00 0.00 0.00 0.00 XXX O
V2101... ...... X Single visn sphere 4.12-7.00............................. 0.00 0.00 0.00 0.00 XXX O
V2102... ...... X Singl visn sphere 7.12-20.00............................. 0.00 0.00 0.00 0.00 XXX O
V2103... ...... X Spherocylindr 4.00d/12-2.00d............................. 0.00 0.00 0.00 0.00 XXX O
V2104... ...... X Spherocylindr 4.00d/2.12-4d.............................. 0.00 0.00 0.00 0.00 XXX O
V2105... ...... X Spherocylinder 4.00d/4.25-6d............................. 0.00 0.00 0.00 0.00 XXX O
V2106... ...... X Spherocylinder 4.00d/>6.00d.............................. 0.00 0.00 0.00 0.00 XXX O
V2107... ...... X Spherocylinder 4.25d/12-2d............................... 0.00 0.00 0.00 0.00 XXX O
V2108... ...... X Spherocylinder 4.25d/2.12-4d............................. 0.00 0.00 0.00 0.00 XXX O
V2109... ...... X Spherocylinder 4.25d/4.25-6d............................. 0.00 0.00 0.00 0.00 XXX O
V2110... ...... X Spherocylinder 4.25d/over 6d............................. 0.00 0.00 0.00 0.00 XXX O
V2111... ...... X Spherocylindr 7.25d/.25-2.25............................. 0.00 0.00 0.00 0.00 XXX O
V2112... ...... X Spherocylindr 7.25d/2.25-4d.............................. 0.00 0.00 0.00 0.00 XXX O
V2113... ...... X Spherocylindr 7.25d/4.25-6d.............................. 0.00 0.00 0.00 0.00 XXX O
V2114... ...... X Spherocylinder over 12.00d............................... 0.00 0.00 0.00 0.00 XXX O
V2115... ...... X Lens lenticular bifocal.................................. 0.00 0.00 0.00 0.00 XXX O
V2116... ...... X Nonaspheric lens bifocal................................. 0.00 0.00 0.00 0.00 XXX O
V2117... ...... X Aspheric lens bifocal.................................... 0.00 0.00 0.00 0.00 XXX O
V2118... ...... X Lens aniseikonic single.................................. 0.00 0.00 0.00 0.00 XXX O
V2199... ...... X Lens single vision not oth c............................. 0.00 0.00 0.00 0.00 XXX O
V2200... ...... X Lens spher bifoc plano 4.00d............................. 0.00 0.00 0.00 0.00 XXX O
V2201... ...... X Lens sphere bifocal 4.12-7.0............................. 0.00 0.00 0.00 0.00 XXX O
V2202... ...... X Lens sphere bifocal 7.12-20.............................. 0.00 0.00 0.00 0.00 XXX O
V2203... ...... X Lens sphcyl bifocal 4.00d/.1............................. 0.00 0.00 0.00 0.00 XXX O
V2204... ...... X Lens sphcy bifocal 4.00d/2.1............................. 0.00 0.00 0.00 0.00 XXX O
V2205... ...... X Lens sphcy bifocal 4.00d/4.2............................. 0.00 0.00 0.00 0.00 XXX O
V2206... ...... X Lens sphcy bifocal 4.00d/ove............................. 0.00 0.00 0.00 0.00 XXX O
V2207... ...... X Lens sphcy bifocal 4.25-7d/.............................. 0.00 0.00 0.00 0.00 XXX O
V2208... ...... X Lens sphcy bifocal 4.25-7/2.............................. 0.00 0.00 0.00 0.00 XXX O
V2209... ...... X Lens sphcy bifocal 4.25-7/4.............................. 0.00 0.00 0.00 0.00 XXX O
V2210... ...... X Lens sphcy bifocal 4.25-7/ov............................. 0.00 0.00 0.00 0.00 XXX O
V2211... ...... X Lens sphcy bifo 7.25-12/.25-............................. 0.00 0.00 0.00 0.00 XXX O
V2212... ...... X Lens sphcyl bifo 7.25-12/2.2............................. 0.00 0.00 0.00 0.00 XXX O
V2213... ...... X Lens sphcyl bifo 7.25-12/4.2............................. 0.00 0.00 0.00 0.00 XXX O
V2214... ...... X Lens sphcyl bifocal over 12.............................. 0.00 0.00 0.00 0.00 XXX O
V2215... ...... X Lens lenticular bifocal.................................. 0.00 0.00 0.00 0.00 XXX O
V2216... ...... X Lens lenticular nonaspheric.............................. 0.00 0.00 0.00 0.00 XXX O
V2217... ...... X Lens lenticular aspheric bif............................. 0.00 0.00 0.00 0.00 XXX O
V2218... ...... X Lens aniseikonic bifocal................................. 0.00 0.00 0.00 0.00 XXX O
V2219... ...... X Lens bifocal seg width over.............................. 0.00 0.00 0.00 0.00 XXX O
V2220... ...... X Lens bifocal add over 3.25d.............................. 0.00 0.00 0.00 0.00 XXX O
V2299... ...... X Lens bifocal speciality.................................. 0.00 0.00 0.00 0.00 XXX O
V2300... ...... X Lens sphere trifocal 4.00d............................... 0.00 0.00 0.00 0.00 XXX O
V2301... ...... X Lens sphere trifocal 4.12-7.............................. 0.00 0.00 0.00 0.00 XXX O
V2302... ...... X Lens sphere trifocal 7.12-20............................. 0.00 0.00 0.00 0.00 XXX O
V2303... ...... X Lens sphcy trifocal 4.0/.12-............................. 0.00 0.00 0.00 0.00 XXX O
V2304... ...... X Lens sphcy trifocal 4.0/2.25............................. 0.00 0.00 0.00 0.00 XXX O
V2305... ...... X Lens sphcy trifocal 4.0/4.25............................. 0.00 0.00 0.00 0.00 XXX O
V2306... ...... X Lens sphcyl trifocal 4.00/>6............................. 0.00 0.00 0.00 0.00 XXX O
V2307... ...... X Lens sphcy trifocal 4.25-7/.............................. 0.00 0.00 0.00 0.00 XXX O
V2308... ...... X Lens sphc trifocal 4.25-7/2.............................. 0.00 0.00 0.00 0.00 XXX O
V2309... ...... X Lens sphc trifocal 4.25-7/4.............................. 0.00 0.00 0.00 0.00 XXX O
V2310... ...... X Lens sphc trifocal 4.25-7/>6............................. 0.00 0.00 0.00 0.00 XXX O
V2311... ...... X Lens sphc trifo 7.25-12/.25-............................. 0.00 0.00 0.00 0.00 XXX O
V2312... ...... X Lens sphc trifo 7.25-12/2.25............................. 0.00 0.00 0.00 0.00 XXX O
V2313... ...... X Lens sphc trifo 7.25-12/4.25............................. 0.00 0.00 0.00 0.00 XXX O
V2314... ...... X Lens sphcyl trifocal over 12............................. 0.00 0.00 0.00 0.00 XXX O
V2315... ...... X Lens lenticular trifocal................................. 0.00 0.00 0.00 0.00 XXX O
V2316... ...... X Lens lenticular nonaspheric.............................. 0.00 0.00 0.00 0.00 XXX O
V2317... ...... X Lens lenticular aspheric tri............................. 0.00 0.00 0.00 0.00 XXX O
V2318... ...... X Lens aniseikonic trifocal................................ 0.00 0.00 0.00 0.00 XXX O
V2319... ...... X Lens trifocal seg width > 28............................. 0.00 0.00 0.00 0.00 XXX O
V2320... ...... X Lens trifocal add over 3.25d............................. 0.00 0.00 0.00 0.00 XXX O
V2399... ...... X Lens trifocal speciality................................. 0.00 0.00 0.00 0.00 XXX O
V2410... ...... X Lens variab asphericity sing............................. 0.00 0.00 0.00 0.00 XXX O
V2430... ...... X Lens variable asphericity bi............................. 0.00 0.00 0.00 0.00 XXX O
V2499... ...... X Variable asphericity lens................................ 0.00 0.00 0.00 0.00 XXX O
V2500... ...... X Contact lens pmma spherical.............................. 0.00 0.00 0.00 0.00 XXX O
V2501... ...... X Cntct lens pmma-toric/prism.............................. 0.00 0.00 0.00 0.00 XXX O
V2502... ...... X Contact lens pmma bifocal................................ 0.00 0.00 0.00 0.00 XXX O
V2503... ...... X Cntct lens pmma color vision............................. 0.00 0.00 0.00 0.00 XXX O
V2510... ...... X Cntct gas permeable sphericl............................. 0.00 0.00 0.00 0.00 XXX O
V2511... ...... X Cntct toric prism ballast................................ 0.00 0.00 0.00 0.00 XXX O
V2512... ...... X Cntct lens gas permbl bifocl............................. 0.00 0.00 0.00 0.00 XXX O
V2513... ...... X Contact lens extended wear............................... 0.00 0.00 0.00 0.00 XXX O
V2520... ...... P Contact lens hydrophilic................................. 0.00 0.00 0.00 0.00 XXX O
V2521... ...... X Cntct lens hydrophilic toric............................. 0.00 0.00 0.00 0.00 XXX O
V2522... ...... X Cntct lens hydrophil bifocl.............................. 0.00 0.00 0.00 0.00 XXX O
V2523... ...... X Cntct lens hydrophil extend.............................. 0.00 0.00 0.00 0.00 XXX O
V2530... ...... X Contact lens/es scleral.................................. 0.00 0.00 0.00 0.00 XXX O
V2599... ...... X Contact lens/es other type............................... 0.00 0.00 0.00 0.00 XXX O
V2600... ...... X Hand held low vision aids................................ 0.00 0.00 0.00 0.00 XXX O
V2610... ...... X Single lens spectacle mount.............................. 0.00 0.00 0.00 0.00 XXX O
V2615... ...... X Telescop/othr compound lens.............................. 0.00 0.00 0.00 0.00 XXX O
V2623... ...... X Plastic eye prosth custom................................ 0.00 0.00 0.00 0.00 XXX O
V2624... ...... X Polishing artifical eye.................................. 0.00 0.00 0.00 0.00 XXX O
V2625... ...... X Enlargemnt of eye prosthesis............................. 0.00 0.00 0.00 0.00 XXX O
V2626... ...... X Reduction of eye prosthesis.............................. 0.00 0.00 0.00 0.00 XXX O
V2627... ...... X Scleral cover shell...................................... 0.00 0.00 0.00 0.00 XXX O
V2628... ...... X Fabrication & fitting.................................... 0.00 0.00 0.00 0.00 XXX O
V2629... ...... X Prosthetic eye other type................................ 0.00 0.00 0.00 0.00 XXX O
V2630... ...... X Anter chamber intraocul lens............................. 0.00 0.00 0.00 0.00 XXX O
V2631... ...... X Iris support intraoclr lens.............................. 0.00 0.00 0.00 0.00 XXX O
V2632... ...... X Post chmbr intraocular lens.............................. 0.00 0.00 0.00 0.00 XXX O
V2700... ...... X Balance lens............................................. 0.00 0.00 0.00 0.00 XXX O
V2710... ...... X Glass/plastic slab off prism............................. 0.00 0.00 0.00 0.00 XXX O
V2715... ...... X Prism lens/es............................................ 0.00 0.00 0.00 0.00 XXX O
V2718... ...... X Fresnell prism press-on lens............................. 0.00 0.00 0.00 0.00 XXX O
V2730... ...... X Special base curve....................................... 0.00 0.00 0.00 0.00 XXX O
V2740... ...... X Rose tint plastic........................................ 0.00 0.00 0.00 0.00 XXX O
V2741... ...... X Non-rose tint plastic.................................... 0.00 0.00 0.00 0.00 XXX O
V2742... ...... X Rose tint glass.......................................... 0.00 0.00 0.00 0.00 XXX O
V2743... ...... X Non-rose tint glass...................................... 0.00 0.00 0.00 0.00 XXX O
V2744... ...... X Tint photochromatic lens/es.............................. 0.00 0.00 0.00 0.00 XXX O
V2750... ...... X Anti-reflective coating.................................. 0.00 0.00 0.00 0.00 XXX O
V2755... ...... X U-v lens/es.............................................. 0.00 0.00 0.00 0.00 XXX O
V2760... ...... X Scratch resistant coating................................ 0.00 0.00 0.00 0.00 XXX O
V2770... ...... X Occluder lens/es......................................... 0.00 0.00 0.00 0.00 XXX O
V2780... ...... X Oversize lens/es......................................... 0.00 0.00 0.00 0.00 XXX O
V2785... ...... X Corneal tissue processing................................ 0.00 0.00 0.00 0.00 XXX O
V2799... ...... X Miscellaneous vision service............................. 0.00 0.00 0.00 0.00 XXX O
V5008... ...... N Hearing screening........................................ 0.00 0.00 0.00 0.00 XXX O
V5010... ...... N Assessment for hearing aid............................... 0.00 0.00 0.00 0.00 XXX O
V5011... ...... N Hearing aid fitting/checking............................. 0.00 0.00 0.00 0.00 XXX O
V5014... ...... N Hearing aid repair/modifying............................. 0.00 0.00 0.00 0.00 XXX O
V5020... ...... N Conformity evaluation.................................... 0.00 0.00 0.00 0.00 XXX O
V5030... ...... N Body-worn hearing aid air................................ 0.00 0.00 0.00 0.00 XXX O
V5040... ...... N Body-worn hearing aid bone............................... 0.00 0.00 0.00 0.00 XXX O
V5050... ...... N Body-worn hearing aid in ear............................. 0.00 0.00 0.00 0.00 XXX O
V5060... ...... N Behind ear hearing aid................................... 0.00 0.00 0.00 0.00 XXX O
V5070... ...... N Glasses air conduction................................... 0.00 0.00 0.00 0.00 XXX O
V5080... ...... N Glasses bone conduction.................................. 0.00 0.00 0.00 0.00 XXX O
V5090... ...... N Hearing aid dispensing fee............................... 0.00 0.00 0.00 0.00 XXX O
V5100... ...... N Body-worn bilat hearing aid.............................. 0.00 0.00 0.00 0.00 XXX O
V5110... ...... N Hearing aid dispensing fee............................... 0.00 0.00 0.00 0.00 XXX O
V5120... ...... N Body-worn binaur hearing aid............................. 0.00 0.00 0.00 0.00 XXX O
V5130... ...... N In ear binaural hearing aid.............................. 0.00 0.00 0.00 0.00 XXX O
V5140... ...... N Behind ear binaur hearing ai............................. 0.00 0.00 0.00 0.00 XXX O
V5150... ...... N Glasses binaural hearing aid............................. 0.00 0.00 0.00 0.00 XXX O
V5160... ...... N Dispensing fee binaural.................................. 0.00 0.00 0.00 0.00 XXX O
V5170... ...... N Within ear cros hearing aid.............................. 0.00 0.00 0.00 0.00 XXX O
V5180... ...... N Behind ear cros hearing aid.............................. 0.00 0.00 0.00 0.00 XXX O
V5190... ...... N Glasses cros hearing aid................................. 0.00 0.00 0.00 0.00 XXX O
V5200... ...... N Cros hearing aid dispens fee............................. 0.00 0.00 0.00 0.00 XXX O
V5210... ...... N In ear bicros hearing aid................................ 0.00 0.00 0.00 0.00 XXX O
V5220... ...... N Behind ear bicros hearing ai............................. 0.00 0.00 0.00 0.00 XXX O
V5230... ...... N Glasses bicros hearing aid............................... 0.00 0.00 0.00 0.00 XXX O
V5240... ...... N Dispensing fee bicros.................................... 0.00 0.00 0.00 0.00 XXX O
V5299... ...... R Hearing service.......................................... 0.00 0.00 0.00 0.00 XXX N
V5336... ...... N Repair communication device.............................. 0.00 0.00 0.00 0.00 XXX O
V5362... ...... R Speech screening......................................... 0.00 0.00 0.00 0.00 XXX N
V5363... ...... R Language screening....................................... 0.00 0.00 0.00 0.00 XXX N
V5364... ...... R Dysphagia screening...................................... 0.00 0.00 0.00 0.00 XXX N
--------------------------------------------------------------------------------------------------------------------------------------------------------
Addendum C--Codes With Interim RVUs
Addendum C lists the codes for which interim RVUs have been
established. Because these RVUs are interim, public comments on these
codes will be considered if they are received by 5 p.m. [February 6,
1995]. Any revisions to the interim RVUs will be announced in a
document to be published in 1995 that provides our analysis of and
responses to public comments. These revisions will apply to services
furnished beginning January 1, 1996.
Addendum C contains the following information.
1. HCPCS code. This is either a CPT or level 2 HCPCS code for the
service in question. CPT codes are listed first, followed by level 2
HCPCS codes.
2. Modifier. A modifier is shown if there is a TC (modifier TC) and
a PC (modifier-26) for the service. If there is a PC and a TC for the
service, Addendum C 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 PCs and the TCs of the service.
3. Status indicator. This indicator shows whether the HCPCS code is
in the fee schedule and whether it is separately payable if the service
is covered. See Addendum B for a description of the status indicators.
4. Description of code. This is an abbreviated version of the
narrative description of the code.
5. Work RVUs. These are the interim RVUs for the physician work for
this service.
6. Practice expense RVUs. These are the interim RVUs for the
practice expense for the service.
7. Malpractice expense RVUs. These are the interim RVUs for the
malpractice expense for the service.
8. Total RVUs. This is the sum of the work, practice expense, and
malpractice expense RVUs.
9. Global period. This indicator shows the number of days in the
global period for the code (0, 10, or 90 days). See Addendum B for
explanations of the alpha codes.
10. Update. This column indicates whether the update for surgical
procedures, primary care services, or other nonsurgical services
applies to the HCPCS code in column 1. A ``0'' appears in this field
for codes that are deleted in 1995 or are not paid under the physician
fee schedule. A ``P'' in this column indicates that the update and CF
for primary care services applies to this code. An ``N'' in this column
indicates that the update and CF for other nonsurgical services applies
to this code. An ``S'' in this column indicates that the separate
update and CF for surgical procedures applies.
Addendum C.--Codes With Interim RVUs
--------------------------------------------------------------------------------------------------------------------------------------------------------
Practice
HCPCS\1\ MOD Proc Short description Work expense Malpractice Total Global Update
status RVUs\2\ RVUs\3\ RVUs RVUs period
--------------------------------------------------------------------------------------------------------------------------------------------------------
11920... ...... R Correct skin color defects............................... 1.61 1.18 0.23 3.02 000 S
11921... ...... R Correct skin color defects............................... 1.93 1.40 0.28 3.61 000 S
11922... ...... R Correct skin color defects............................... 0.49 0.36 0.07 0.92 ZZZ S
11975... ...... N Insert contraceptive cap................................. #1.48 1.06 0.25 2.79 XXX O
11976... ...... R Removal of contraceptive cap............................. 1.78 1.28 0.30 3.36 XXX N
11977... ...... N Remove/reinsert contra cap............................... #2.52 1.80 0.42 4.74 XXX O
19367... ...... A Breast reconstruction.................................... 24.73 20.13 3.88 48.74 090 S
19368... ...... A Breast reconstruction.................................... 31.15 20.13 3.88 55.16 090 S
19369... ...... A Breast reconstruction.................................... 28.68 20.13 3.88 52.69 090 S
20802... ...... A Replantation, arm, complete.............................. 39.56 37.72 6.17 83.45 090 S
20805... ...... A Replant forearm, complete................................ 48.41 46.17 7.56 102.14 090 S
20808... ...... A Replantation, hand, complete............................. 60.19 57.40 9.40 126.99 090 S
20816... ...... A Replantation digit, complete............................. 29.67 28.30 4.63 62.60 090 S
20822... ...... A Replantation digit, complete............................. 24.53 23.39 3.83 51.75 090 S
20824... ...... A Replantation thumb, complete............................. 29.67 28.30 4.63 62.60 090 S
20827... ...... A Replantation thumb, complete............................. 25.22 24.05 3.94 53.21 090 S
20838... ...... A Replantation, foot, complete............................. 39.56 37.72 6.17 83.45 090 S
20955... ...... A Microvascular fibula graft............................... 37.58 35.84 5.86 79.28 090 S
20969... ...... A Bone-skin graft.......................................... 42.08 40.13 6.57 88.78 090 S
20970... ...... A Bone-skin graft, pelvis.................................. 41.22 39.31 6.44 86.97 090 S
20972... ...... A Bone-skin graft, metatarsal.............................. 41.54 39.61 6.49 87.64 090 S
20973... ...... A Bone-skin graft, great toe............................... 44.31 42.25 6.91 93.47 090 S
21630... ...... A Extensive sternum surgery................................ 15.77 12.89 2.40 31.06 090 S
25000... ...... A Incision of tendon sheath................................ 3.20 3.94 0.62 7.76 090 S
25315... ...... A Revise palsy hand tendon(s).............................. 9.45 8.06 1.34 18.85 090 S
25316... ...... A Revise palsy hand tendon(s).............................. 11.49 10.58 1.78 23.85 090 S
25320... ...... A Repair/revise wrist joint................................ 9.89 8.60 1.45 19.94 090 S
25337... ...... A Reconstruct ulna/radioulnar.............................. 9.10 8.60 1.45 19.15 090 S
25447... ...... A Repair wrist joint(s).................................... 9.86 9.65 1.56 21.07 090 S
25830... ...... A Fusion radioulnar jnt/ulna............................... 9.10 8.60 1.45 19.15 090 S
25915... ...... A Amputation of forearm.................................... 16.61 15.83 2.59 35.03 090 S
26550... ...... A Construct thumb replacement.............................. 20.77 19.81 3.24 43.82 090 S
26555... ...... A Positional change of finger.............................. 16.16 15.41 2.52 34.09 090 S
26580... ...... A Repair hand deformity.................................... 15.81 15.08 2.47 33.36 090 S
26585... ...... A Repair finger deformity.................................. 13.58 12.95 2.12 28.65 090 S
26590... ...... A Repair finger deformity.................................. 17.44 16.63 2.72 36.79 090 S
28360... ...... A Reconstruct cleft foot................................... 12.49 11.91 1.95 26.35 090 S
29445... ...... A Apply rigid leg cast..................................... 1.78 1.70 0.28 3.76 000 S
30450... ...... R Revision of nose......................................... 18.06 11.24 0.91 30.21 090 S
31267... ...... A Endoscopy, maxillary sinus............................... 5.46 5.23 0.81 11.50 000 S
31276... ...... A Sinus surgical endoscopy................................. 7.42 6.72 0.73 14.87 000 S
32310... ...... A Removal of chest lining.................................. 12.05 11.64 2.10 25.79 090 S
32820... ...... A Reconstruct injured chest................................ 19.78 19.01 3.24 42.03 090 S
32851... ...... A Lung transplant, single.................................. 35.14 25.55 4.99 65.68 090 S
32852... ...... A Lung transplant w/bypass................................. 38.11 27.71 5.41 71.23 090 S
32853... ...... A Lung transplant, double.................................. 43.93 31.94 6.24 82.11 090 S
32854... ...... A Lung transplant w/bypass................................. 46.90 34.10 6.67 87.67 090 S
33321... ...... A Repair major vessel...................................... 18.74 21.75 3.61 44.10 090 S
33332... ...... A Insert major vessel graft................................ 22.50 15.07 2.39 39.96 090 S
33401... ...... A Valvuloplasty, open...................................... 22.45 26.21 2.83 51.49 090 S
33403... ...... A Valvuloplasty, w/cp bypass............................... 23.43 26.21 2.83 52.47 090 S
33406... ...... A Replacement, aortic valve................................ 31.23 38.65 7.45 77.33 090 S
33413... ...... A Replacement, aortic valve................................ 34.17 41.09 7.23 82.49 090 S
33414... ...... A Repair, aortic valve..................................... 29.28 38.65 7.45 75.38 090 S
33417... ...... A Repair of aortic valve................................... 27.34 34.71 6.18 68.23 090 S
33470... ...... A Revision of pulmonary valve.............................. 19.52 19.82 2.45 41.79 090 S
33471... ...... A Valvotomy, pulmonary valve............................... 21.13 26.21 2.83 50.17 090 S
33472... ...... A Revision of pulmonary valve.............................. 20.91 *30.64 2.83 54.38 090 S
33475... ...... A Replacement, pulmonary valve............................. 27.34 34.85 6.11 68.30 090 S
33476... ...... A Revision of heart chamber................................ 24.41 28.14 4.99 57.54 090 S
33478... ...... A Revision of heart chamber................................ 25.38 31.27 5.42 62.07 090 S
33505... ...... A Repair artery w/tunnel................................... 25.38 34.24 6.03 65.65 090 S
33506... ...... A Repair artery, translocation............................. 25.38 34.24 6.03 65.65 090 S
33572... ...... A Open coronary endarterectomy............................. 4.45 3.23 0.63 8.31 ZZZ S
33600... ...... A Closure of valve......................................... 28.31 34.85 6.11 69.27 090 S
33602... ...... A Closure of valve......................................... 27.34 30.48 5.33 63.15 090 S
33606... ...... A Anastomosis/artery-aorta................................. 29.28 38.65 7.45 75.38 090 S
33608... ...... A Repair anomaly w/conduit................................. 30.02 38.65 7.45 76.12 090 S
33610... ...... A Repair by enlargement.................................... 29.28 38.65 7.45 75.38 090 S
33611... ...... A Repair double ventricle.................................. 31.23 38.65 7.45 77.33 090 S
33612... ...... A Repair double ventricle.................................. 32.06 38.65 7.45 78.16 090 S
33615... ...... A Repair (simple fontan)................................... 30.50 38.65 7.45 76.60 090 S
33617... ...... A Repair by modified fontan................................ 32.21 38.65 7.45 78.31 090 S
33619... ...... A Repair single ventricle.................................. 35.39 44.30 8.04 87.73 090 S
33647... ...... A Repair heart septum defects.............................. 27.44 34.92 6.28 68.64 090 S
33660... ...... A Repair of heart defects.................................. 24.41 31.27 5.42 61.10 090 S
33665... ...... A Repair of heart defects.................................. 27.34 31.27 5.42 64.03 090 S
33670... ...... A Repair of heart chambers................................. 31.23 38.65 7.45 77.33 090 S
33681... ...... A Repair heart septum defect............................... 26.36 34.92 6.28 67.56 090 S
33684... ...... A Repair heart septum defect............................... 28.31 34.92 6.28 69.51 090 S
33688... ...... A Repair heart septum defect............................... 29.28 34.92 6.28 70.48 090 S
33690... ...... A Reinforce pulmonary artery............................... 18.31 22.10 4.29 44.70 090 S
33692... ...... A Repair of heart defects.................................. 29.28 38.65 7.45 75.38 090 S
33694... ...... A Repair of heart defects.................................. 30.26 38.65 7.45 76.36 090 S
33696... ...... A Repair of heart defects.................................. 30.12 38.65 7.45 76.22 090 S
33697... ...... A Repair of heart defects.................................. 32.21 38.65 7.45 78.31 090 S
33698... ...... A Repair of heart defects.................................. 33.19 38.65 7.45 79.29 090 S
33702... ...... A Repair of heart defects.................................. 25.38 30.48 5.33 61.19 090 S
33710... ...... A Repair of heart defects.................................. 28.35 34.92 6.28 69.55 090 S
33720... ...... A Repair of heart defect................................... 25.38 30.48 5.33 61.19 090 S
33722... ...... A Repair of heart defect................................... 27.34 30.48 5.33 63.15 090 S
33730... ...... A Repair heart-vein defect(s).............................. 29.89 38.65 7.45 75.99 090 S
33732... ...... A Repair heart-vein defect................................. 27.09 31.27 5.42 63.78 090 S
33735... ...... A Revision of heart chamber................................ 19.97 25.69 4.87 50.53 090 S
33736... ...... A Revision of heart chamber................................ 22.45 25.69 4.87 53.01 090 S
33737... ...... A Revision of heart chamber................................ 20.50 25.69 4.87 51.06 090 S
33750... ...... A Major vessel shunt....................................... 20.15 22.10 4.29 46.54 090 S
33755... ...... A Major vessel shunt....................................... 20.50 22.10 4.29 46.89 090 S
33762... ...... A Major vessel shunt....................................... 20.50 22.10 4.29 46.89 090 S
33764... ...... A Major vessel shunt & graft............................... 20.50 22.10 4.29 46.89 090 S
33766... ...... A Major vessel shunt....................................... 21.47 22.10 4.29 47.86 090 S
33767... ...... A Atrial septectomy/septostomy............................. 23.43 25.69 4.87 53.99 090 S
33770... ...... A Repair great vessels defect.............................. 31.96 38.65 7.45 78.06 090 S
33771... ...... A Repair great vessels defect.............................. 33.19 38.65 7.45 79.29 090 S
33774... ...... A Repair great vessels defect.............................. 29.28 31.27 5.42 65.97 090 S
33775... ...... A Repair great vessels defect.............................. 30.50 31.27 5.42 67.19 090 S
33776... ...... A Repair great vessels defect.............................. 32.21 34.92 6.28 73.41 090 S
33777... ...... A Repair great vessels defect.............................. 31.73 31.27 5.42 68.42 090 S
33778... ...... A Repair great vessels defect.............................. 34.17 41.82 7.37 83.36 090 S
33779... ...... A Repair great vessels defect.............................. 34.41 41.82 7.37 83.60 090 S
33780... ...... A Repair great vessels defect.............................. 35.14 41.82 7.37 84.33 090 S
33781... ...... A Repair great vessels defect.............................. 34.65 41.82 7.37 83.84 090 S
33786... ...... A Repair arterial trunk.................................... 33.19 38.65 7.45 79.29 090 S
33788... ...... A Revision of pulmonary artery............................. 25.38 29.55 5.20 60.13 090 S
33802... ...... A Repair vessel defect..................................... 16.60 22.10 4.29 42.99 090 S
33803... ...... A Repair vessel defect..................................... 18.54 22.10 4.29 44.93 090 S
33813... ...... A Repair septal defect..................................... 19.52 22.10 4.29 45.91 090 S
33814... ...... A Repair septal defect..................................... 24.41 30.48 5.33 60.22 090 S
33820... ...... A Revise major vessel...................................... 15.62 22.10 4.29 42.01 090 S
33822... ...... A Revise major vessel...................................... 16.60 22.10 4.29 42.99 090 S
33824... ...... A Revise major vessel...................................... 18.54 22.10 4.29 44.93 090 S
33840... ...... A Remove aorta constriction................................ 19.52 31.25 5.59 56.36 090 S
33845... ...... A Remove aorta constriction................................ 20.99 31.25 5.59 57.83 090 S
33851... ...... A Remove aorta constriction................................ 20.01 31.25 5.59 56.85 090 S
33852... ...... A Repair septal defect..................................... 22.45 31.25 5.59 59.29 090 S
33853... ...... A Repair septal defect..................................... 30.26 38.65 7.45 76.36 090 S
33917... ...... A Repair pulmonary artery.................................. 23.43 34.71 6.30 64.44 090 S
33918... ...... A Repair pulmonary atresia................................. 25.38 29.55 5.20 60.13 090 S
33919... ...... A Repair pulmonary atresia................................. 31.11 38.65 7.45 77.21 090 S
33920... ...... A Repair pulmonary atresia................................. 30.75 38.65 7.45 76.85 090 S
33922... ...... A Transect pulmonary artery................................ 22.45 26.21 2.83 51.49 090 S
33935... ...... R Transplantation, heart/lung.............................. 56.87 64.80 11.05 132.72 090 S
33945... ...... R Transplantation of heart................................. 39.56 64.80 11.05 115.41 090 S
34501... ...... A Repair valve, femoral vein............................... 9.71 7.35 0.86 17.92 090 S
34510... ...... A Transposition of vein valve.............................. 11.75 8.89 1.04 21.68 090 S
34520... ...... A Cross-over vein graft.................................... 12.33 9.33 1.09 22.75 090 S
34530... ...... A Leg vein fusion.......................................... 16.33 12.35 1.44 30.12 090 S
35161... ...... A Repair defect of artery.................................. 17.45 15.88 3.15 36.48 090 S
35162... ...... A Repair artery rupture.................................... 18.45 18.68 3.58 40.71 090 S
35548... ...... A Artery bypass graft...................................... 20.13 19.55 3.65 43.33 090 S
35549... ...... A Artery bypass graft...................................... 21.91 21.39 4.26 47.56 090 S
35870... ...... A Repair vessel graft defect............................... 20.35 10.64 2.47 33.46 090 S
36532... ...... R Removal of infusion pump................................. 3.23 1.77 0.37 5.37 010 S
36835... ...... A Artery to vein shunt..................................... 6.54 3.42 0.79 10.75 090 S
37209... ...... A Exchange arterial catheter............................... 1.48 0.92 0.08 2.48 000 N
39010... ...... A Exploration of chest..................................... 10.78 11.46 2.08 24.32 090 S
41822... ...... R Excision of gum lesion................................... 2.26 3.03 0.25 5.54 010 S
41823... ...... R Excision of gum lesion................................... 3.15 4.20 0.34 7.69 090 S
41828... ...... R Excision of gum lesion................................... 1.26 1.68 0.14 3.08 010 S
41830... ...... R Removal of gum tissue.................................... 1.12 1.49 0.12 2.73 010 S
41872... ...... R Repair gum............................................... 2.44 3.26 0.27 5.97 090 S
41874... ...... R Repair tooth socket...................................... 2.94 3.93 0.32 7.19 090 S
43107... ...... A Removal of esophagus..................................... 27.20 22.50 4.42 54.12 090 S
43108... ...... A Removal of esophagus..................................... 32.64 25.27 4.77 62.68 090 S
43112... ...... A Removal of esophagus..................................... 29.67 21.65 4.22 55.54 090 S
43113... ...... A Removal of esophagus..................................... 33.63 25.27 4.77 63.67 090 S
43116... ...... A Partial removal of esophagus............................. 29.67 25.27 4.77 59.71 090 S
43117... ...... A Partial removal of esophagus............................. 28.47 25.27 4.77 58.51 090 S
43118... ...... A Partial removal of esophagus............................. 31.65 25.27 4.77 61.69 090 S
43121... ...... A Partial removal of esophagus............................. 27.69 21.36 4.19 53.24 090 S
43122... ...... A Partial removal of esophagus............................. 27.69 21.36 4.19 53.24 090 S
43123... ...... A Partial removal of esophagus............................. 31.65 25.27 4.77 61.69 090 S
43124... ...... A Removal of esophagus..................................... 24.73 22.50 4.42 51.65 090 S
43249... ...... A Esophagus endoscopy, dilation............................ 2.90 3.73 0.30 6.93 000 N
43320... ...... A Fuse esophagus & stomach................................. 14.49 11.68 2.05 28.22 090 S
43360... ...... A Gastrointestinal repair.................................. 26.06 21.36 4.19 51.61 090 S
43361... ...... A Gastrointestinal repair.................................. 29.67 25.27 4.77 59.71 090 S
43405... ...... A Ligate/staple esophagus.................................. 14.84 14.33 2.64 31.81 090 S
43501... ...... A Surgical repair of stomach............................... 13.85 8.58 1.83 24.26 090 S
43502... ...... A Surgical repair of stomach............................... 15.82 8.58 1.83 26.23 090 S
43510... ...... A Surgical opening of stomach.............................. 9.27 8.29 0.94 18.50 090 N
43842... ...... A Gastroplasty for obesity................................. 13.76 13.72 2.93 30.41 090 S
43843... ...... A Gastroplasty for obesity................................. 13.76 13.72 2.93 30.41 090 S
43846... ...... A Gastric bypass for obesity............................... 17.84 14.80 3.30 35.94 090 S
43847... ...... A Gastric bypass for obesity............................... 19.87 9.67 1.13 30.67 090 S
43848... ...... A Revision gastroplasty.................................... 22.10 14.80 3.30 40.20 090 S
44120... ...... A Removal of small intestine............................... 13.15 9.46 2.02 24.63 090 S
44121... ...... A Removal of small intestine............................... 4.45 2.32 0.54 7.31 ZZZ S
44125... ...... A Removal of small intestine............................... 13.15 10.75 2.28 26.18 090 S
44139... ...... A Mobilization of colon.................................... 2.23 1.17 0.27 3.67 ZZZ S
44140... ...... A Partial removal of colon................................. 16.97 11.37 2.40 30.74 090 S
44141... ...... A Partial removal of colon................................. 17.36 11.86 2.55 31.77 090 S
44143... ...... A Partial removal of colon................................. 15.00 12.26 2.62 29.88 090 S
44144... ...... A Partial removal of colon................................. 15.00 12.06 2.53 29.59 090 S
44145... ...... A Partial removal of colon................................. 21.29 13.25 2.78 37.32 090 S
44146... ...... A Partial removal of colon................................. 22.22 14.98 3.14 40.34 090 S
44147... ...... A Partial removal of colon................................. 16.23 15.34 3.30 34.87 090 S
45113... ...... A Partial proctectomy...................................... 24.69 16.06 3.36 44.11 090 S
45123... ...... A Partial proctectomy...................................... 13.27 11.77 2.49 27.53 090 S
45190... ...... A Destruction rectal tumor................................. 7.91 5.09 1.06 14.06 090 S
45562... ...... A Exploration/repair of rectum............................. 11.13 8.09 1.58 20.80 090 S
45563... ...... A Exploration/repair of rectum............................. 17.55 12.77 2.49 32.81 090 S
46288... ...... A Repair anal fistula...................................... 6.83 3.57 0.83 11.23 090 S
47015... ...... A Inject/aspirate liver cyst............................... 8.78 6.75 1.13 16.66 090 S
47134... ...... R Partial removal, donor liver............................. 39.15 20.48 4.77 64.40 XXX S
47135... ...... R Transplantation of liver................................. 77.61 54.48 8.49 140.58 090 S
47136... ...... R Transplantation of liver................................. 64.04 33.50 7.79 105.33 090 S
47711... ...... A Excision of bile duct tumor.............................. 18.16 12.06 2.46 32.68 090 S
47712... ...... A Excision of bile duct tumor.............................. 23.74 12.06 2.46 38.26 090 S
47741... ...... A Fuse gallbladder & bowel................................. 16.23 14.35 3.02 33.60 090 S
47785... ...... A Fuse bile ducts and bowel................................ 24.41 13.07 2.73 40.21 090 S
47900... ...... A Suture bile duct injury.................................. 15.63 13.22 2.43 31.28 090 S
48554... ...... N Transplantallograft pancreas............................. #34.17 17.87 4.16 56.20 XXX O
48556... ...... A Removal, allograft pancreas.............................. 13.89 7.26 1.69 22.84 090 S
49422... ...... A Remove perm cannula/catheter............................. 5.85 4.14 0.81 10.80 010 S
49428... ...... A Ligation of shunt........................................ 1.98 1.04 0.24 3.26 010 S
49429... ...... A Removal of shunt......................................... 6.35 3.32 0.77 10.44 010 S
51784... ...... A Anal/urinary muscle study................................ 1.53 1.04 0.11 2.68 000 S
52327... ...... A Cystoscopy, inject material.............................. 5.19 3.69 0.36 9.24 000 S
52647... ...... A Laser surgery of prostate................................ 7.42 11.87 1.16 20.45 090 S
52648... ...... A Laser surgery of prostate................................ 8.65 11.87 1.16 21.68 090 S
57520... ...... A Conization of cervix..................................... 3.96 3.45 0.73 8.14 090 S
57522... ...... A Conization of cervix..................................... 3.26 3.45 0.73 7.44 090 S
58970... ...... A Retrieval of oocyte...................................... 3.53 2.52 0.58 6.63 000 N
58976... ...... A Transfer of embryo....................................... 3.83 2.73 0.63 7.19 000 N
59050... ...... A Fetal monitor w/report................................... 0.89 0.81 0.15 1.85 XXX S
59051... ...... A Fetal monitor/interpret onl.............................. 0.74 0.81 0.15 1.70 XXX N
59855... ...... A Abortion................................................. 4.75 3.39 0.78 8.92 090 S
59856... ...... A Abortion................................................. 7.16 5.11 1.19 13.46 090 S
59857... ...... A Abortion................................................. 8.71 6.22 1.44 16.37 090 S
60001... ...... A Aspirate/inject thyroid cyst............................. 0.97 1.05 0.12 2.14 000 N
60210... ...... A Partial excision thyroid................................. 10.51 8.68 1.65 20.84 090 S
60212... ...... A Partial thyroid excision................................. 15.48 9.04 1.74 26.26 090 S
60271... ...... A Removal of thyroid....................................... 14.16 12.14 2.25 28.55 090 S
60512... ...... A Autotransplant, parathyroid.............................. 4.45 2.32 0.54 7.31 ZZZ S
60520... ...... A Removal of thymus gland.................................. 15.82 13.54 2.46 31.82 090 S
60521... ...... A Removal thymus gland..................................... 17.80 13.54 2.46 33.80 090 S
60522... ...... A Removal of thymus gland.................................. 21.76 13.54 2.46 37.76 090 S
61530... ...... A Removal of brain lesion.................................. 42.35 34.01 4.79 81.15 090 S
61559... ...... A Excision of skull/sutures................................ 31.65 23.01 4.50 59.16 090 S
61564... ...... A Excision of skull tumor.................................. 32.64 23.73 4.64 61.01 090 S
64820... ...... A Remove sympathetic nerves................................ 9.10 6.62 1.30 17.02 090 S
64872... ...... A Subsequent repair of nerve............................... 1.99 1.44 0.29 3.72 ZZZ S
64874... ...... A Repair & revise nerve.................................... 2.98 2.17 0.43 5.58 ZZZ S
64876... ...... A Repair nerve; shorten bone............................... 3.38 2.46 0.48 6.32 ZZZ N
65125... ...... A Revise ocular implant.................................... 2.97 2.47 0.13 5.57 090 S
75900... ...... A Arterial catheter exchange............................... 0.49 20.22 1.29 22.00 XXX N
75900... 26 A Arterial catheter exchange............................... 0.49 0.23 0.03 0.75 XXX N
75900... TC A Arterial catheter exchange............................... 0.00 19.99 1.26 21.25 XXX N
76093... ...... A Magnetic image, breast................................... 1.63 17.52 1.16 20.31 XXX N
76093... 26 A Magnetic image, breast................................... 1.63 0.72 0.11 2.46 XXX N
76093... TC A Magnetic image, breast................................... 0.00 16.80 1.05 17.85 XXX N
76094... ...... A Magnetic image, both breasts............................. 1.63 23.51 1.53 26.67 XXX N
76094... 26 A Magnetic image, both breasts............................. 1.63 0.72 0.11 2.46 XXX N
76094... TC A Magnetic image, both breasts............................. 0.00 22.79 1.42 24.21 XXX N
76936... ...... A Echo guide for artery repair............................. 1.31 6.81 0.45 8.57 XXX N
76936... 26 A Echo guide for artery repair............................. 1.31 0.81 0.07 2.19 XXX N
76936... TC A Echo guide for artery repair............................. 0.00 6.00 0.38 6.38 XXX N
76941... ...... A Echo guide for transfusion............................... 1.34 2.07 0.19 3.60 XXX N
76941... 26 A Echo guide for transfusion............................... 1.34 0.61 0.10 2.05 XXX N
76941... TC A Echo guide for transfusion............................... 0.00 1.46 0.09 1.55 XXX N
76945... ...... A Echo guide, villus sampling.............................. 0.67 2.07 0.19 2.93 XXX N
76945... 26 A Echo guide, villus sampling.............................. 0.67 0.61 0.10 1.38 XXX N
76945... TC A Echo guide, villus sampling.............................. 0.00 1.46 0.09 1.55 XXX N
90849... ...... R Special family therapy................................... 0.59 0.26 0.03 0.88 XXX N
90918... ...... A ESRD related services, month............................. 9.77 2.18 0.14 12.09 XXX N
90919... ...... A ESRD related services, month............................. 7.13 2.18 0.14 9.45 XXX N
90920... ...... A ESRD related services, month............................. 5.86 2.18 0.14 8.18 XXX N
90921... ...... A ESRD related services, month............................. 3.06 2.18 0.14 5.38 XXX N
90922... ...... A ESRD related services, day............................... 0.10 0.07 0.01 0.18 XXX N
92587... ...... A Evoked auditory test..................................... 0.13 1.35 0.13 1.61 XXX N
92587... 26 A Evoked auditory test..................................... 0.13 0.11 0.01 0.25 XXX N
92587... TC A Evoked auditory test..................................... 0.00 1.24 0.12 1.36 XXX N
92588... ...... A Evoked auditory test..................................... 0.36 1.70 0.16 2.22 XXX N
92588... 26 A Evoked auditory test..................................... 0.36 0.30 0.02 0.68 XXX N
92588... TC A Evoked auditory test..................................... 0.00 1.40 0.14 1.54 XXX N
92980... ...... A Insert intracoronary stent............................... 14.84 16.41 1.22 32.47 000 N
92981... ...... A Insert intracoronary stent............................... 4.17 *5.51 0.44 10.12 ZZZ N
93012... ...... A Transmission of ecg...................................... 0.00 2.25 0.22 2.47 XXX N
93014... ...... A Report on transmitted ecg................................ 0.52 0.40 0.05 0.97 XXX N
93268... ...... A ECG record/review........................................ 0.52 3.83 0.36 4.71 XXX N
93270... ...... A ECG recording............................................ 0.00 1.18 0.09 1.27 XXX N
93271... ...... A ECG/monitoring and analysis.............................. 0.00 2.25 0.22 2.47 XXX N
93272... ...... A ECG/review, interpret only............................... 0.52 0.40 0.05 0.97 XXX N
93350... ...... A Echo exam of heart....................................... 0.78 *3.63 0.24 4.65 XXX N
93350... 26 A Echo exam of heart....................................... 0.78 *1.95 0.10 2.83 XXX N
93350... TC A Echo exam of heart....................................... 0.00 1.68 0.14 1.82 XXX N
93882... ...... A Extracranial study....................................... 0.40 2.62 0.29 3.31 XXX N
93882... 26 A Extracranial study....................................... 0.40 0.26 0.03 0.69 XXX N
93882... TC A Extracranial study....................................... 0.00 2.36 0.26 2.62 XXX N
93886... ...... A Intracranial study....................................... 0.94 4.44 0.50 5.88 XXX N
93886... 26 A Intracranial study....................................... 0.94 0.42 0.05 1.41 XXX N
93886... TC A Intracranial study....................................... 0.00 4.02 0.45 4.47 XXX N
93888... ...... A Intracranial study....................................... 0.62 2.96 0.34 3.92 XXX N
93888... 26 A Intracranial study....................................... 0.62 0.28 0.03 0.93 XXX N
93888... TC A Intracranial study....................................... 0.00 2.68 0.31 2.99 XXX N
93925... ...... A Lower extremity study.................................... 0.58 3.96 0.44 4.98 XXX N
93925... 26 A Lower extremity study.................................... 0.58 0.39 0.04 1.01 XXX N
93925... TC A Lower extremity study.................................... 0.00 3.57 0.40 3.97 XXX N
93926... ...... A Lower extremity study.................................... 0.39 2.64 0.30 3.33 XXX N
93926... 26 A Lower extremity study.................................... 0.39 0.26 0.03 0.68 XXX N
93926... TC A Lower extremity study.................................... 0.00 2.38 0.27 2.65 XXX N
93930... ...... A Upper extremity study.................................... 0.46 4.18 0.47 5.11 XXX N
93930... 26 A Upper extremity study.................................... 0.46 0.39 0.05 0.90 XXX N
93930... TC A Upper extremity study.................................... 0.00 3.79 0.42 4.21 XXX N
93931... ...... A Upper extremity study.................................... 0.31 2.78 0.31 3.40 XXX N
93931... 26 A Upper extremity study.................................... 0.31 0.26 0.03 0.60 XXX N
93931... TC A Upper extremity study.................................... 0.00 2.52 0.28 2.80 XXX N
93970... ...... A Extremity study.......................................... 0.68 4.33 0.51 5.52 XXX N
93970... 26 A Extremity study.......................................... 0.68 0.40 0.05 1.13 XXX N
93970... TC A Extremity study.......................................... 0.00 3.93 0.46 4.39 XXX N
93971... ...... A Extremity study.......................................... 0.45 2.89 0.34 3.68 XXX N
93971... 26 A Extremity study.......................................... 0.45 0.27 0.03 0.75 XXX N
93971... TC A Extremity study.......................................... 0.00 2.62 0.31 2.93 XXX N
93975... ...... A Vascular study........................................... 1.80 4.90 0.55 7.25 XXX N
93975... 26 A Vascular study........................................... 1.80 0.42 0.05 2.27 XXX N
93975... TC A Vascular study........................................... 0.00 4.48 0.50 4.98 XXX N
93976... ...... A Vascular study........................................... 1.21 3.27 0.37 4.85 XXX N
93976... 26 A Vascular study........................................... 1.21 0.28 0.03 1.52 XXX N
93976... TC A Vascular study........................................... 0.00 2.99 0.34 3.33 XXX N
93978... ...... A Vascular study........................................... 0.65 4.06 0.47 5.18 XXX N
93978... 26 A Vascular study........................................... 0.65 0.39 0.05 1.09 XXX N
93978... TC A Vascular study........................................... 0.00 3.67 0.42 4.09 XXX N
93979... ...... A Vascular study........................................... 0.44 2.70 0.31 3.45 XXX N
93979... 26 A Vascular study........................................... 0.44 0.26 0.03 0.73 XXX N
93979... TC A Vascular study........................................... 0.00 2.44 0.28 2.72 XXX N
93990... ...... A Doppler flow testing..................................... 0.25 2.57 0.29 3.11 XXX N
93990... 26 A Doppler flow testing..................................... 0.25 0.19 0.02 0.46 XXX N
93990... TC A Doppler flow testing..................................... 0.00 2.38 0.27 2.65 XXX N
95812... ...... A Electroencephalogram (EEG)............................... 1.08 1.85 0.15 3.08 XXX N
95812... 26 A Electroencephalogram (EEG)............................... 1.08 0.50 0.04 1.62 XXX N
95812... TC A Electroencephalogram (EEG)............................... 0.00 1.35 0.11 1.46 XXX N
95813... ...... A Electroencephalogram (EEG)............................... 1.73 1.85 0.15 3.73 XXX N
95813... 26 A Electroencephalogram (EEG)............................... 1.73 0.50 0.04 2.27 XXX N
95813... TC A Electroencephalogram (EEG)............................... 0.00 1.35 0.11 1.46 XXX N
95957... ...... A EEG digital analysis..................................... 1.98 2.25 0.18 4.41 XXX N
95957... 26 A EEG digital analysis..................................... 1.98 0.63 0.05 2.66 XXX N
95957... TC A EEG digital analysis..................................... 0.00 1.62 0.13 1.75 XXX N
96913... ...... A Photochemotherapy, UV-A or B............................. 0.00 1.29 0.10 1.39 XXX N
97010... ...... A Hot or cold packs therapy................................ 0.11 0.21 0.02 0.34 XXX N
97012... ...... A Mechanical traction therapy.............................. 0.25 0.19 0.02 0.46 XXX N
97014... ...... A Electric stimulation therapy............................. 0.18 0.20 0.02 0.40 XXX N
97016... ...... A Vasopneumatic device therapy............................. 0.18 0.25 0.02 0.45 XXX N
97018... ...... A Paraffin bath therapy.................................... 0.11 0.24 0.03 0.38 XXX N
97020... ...... A Microwave therapy........................................ 0.11 0.20 0.02 0.33 XXX N
97022... ...... A Whirlpool therapy........................................ 0.25 0.19 0.02 0.46 XXX N
97024... ...... A Diathermy treatment...................................... 0.11 0.21 0.02 0.34 XXX N
97026... ...... A Infrared therapy......................................... 0.11 0.19 0.02 0.32 XXX N
97028... ...... A Ultraviolet therapy...................................... 0.20 0.19 0.01 0.40 XXX N
97032... ...... A Electrical stimulation................................... 0.25 0.14 0.01 0.40 XXX N
97033... ...... A Electric current therapy................................. 0.26 0.14 0.02 0.42 XXX N
97034... ...... A Contrast bath therapy.................................... 0.21 0.10 0.01 0.32 XXX N
97035... ...... A Ultrasound therapy....................................... 0.21 0.11 0.01 0.33 XXX N
97036... ...... A Hydrotherapy............................................. 0.38 0.21 0.02 0.61 XXX N
97110... ...... A Therapeutic exercises.................................... 0.45 0.13 0.02 0.60 XXX N
97112... ...... A Neuromuscular reeducation................................ 0.45 0.13 0.01 0.59 XXX N
97113... ...... A Aquatic therapy/exercises................................ 0.44 0.20 0.02 0.66 XXX N
97116... ...... A Gait training therapy.................................... 0.40 0.11 0.01 0.52 XXX N
97122... ...... A Manual traction therapy.................................. 0.45 0.11 0.01 0.57 XXX N
97124... ...... A Massage therapy.......................................... 0.35 0.11 0.01 0.47 XXX N
97139... ...... A Physical medicine procedure.............................. 0.21 0.16 0.02 0.39 XXX N
97150... ...... A Group therapeutic procedures............................. 0.27 0.20 0.02 0.49 XXX N
97265... ...... A Joint mobilization....................................... 0.45 0.35 0.04 0.84 XXX N
97530... ...... A Therapeutic activities................................... 0.44 0.17 0.02 0.63 XXX N
97545... ...... R Work hardening........................................... 0.00 0.00 0.00 0.00 XXX N
97546... ...... R Work hardening........................................... 0.00 0.00 0.00 0.00 XXX N
97750... ...... A Physical performance test................................ 0.45 0.24 0.03 0.72 XXX N
97770... ...... R Cognitive skills development............................. 0.44 0.28 0.03 0.75 XXX N
99354... ...... A Prolonged service, office................................ 1.51 0.76 0.07 2.34 XXX P
99355... ...... A Prolonged service, office................................ 1.51 0.76 0.07 2.34 XXX P
99356... ...... A Prolonged service, inpatient............................. 1.44 0.85 0.08 2.37 XXX N
99357... ...... A Prolonged service, inpatient............................. 1.44 0.85 0.08 2.37 XXX N
99375... ...... A Care plan oversight/30-60................................ 1.06 0.51 0.04 1.61 XXX P
99381... ...... N Preventive visit,new,infant.............................. #1.19 1.23 0.08 2.50 XXX O
99382... ...... N Preventive visit,new,age 1-4............................. #1.36 1.41 0.09 2.86 XXX O
99383... ...... N Preventive visit,new,age5-11............................. #1.36 1.41 0.09 2.86 XXX O
99384... ...... N Preventive visit,new,12-17............................... #1.53 1.59 0.10 3.22 XXX O
99385... ...... N Preventive visit,new,18-39............................... #1.53 1.40 0.09 3.02 XXX O
99386... ...... N Preventive visit,new,40-64............................... #1.88 1.72 0.10 3.70 XXX O
99387... ...... N Preventive visit,new,65&over............................. #2.06 1.88 0.11 4.05 XXX O
99391... ...... N Preventive visit,est,infant.............................. #1.02 1.06 0.07 2.15 XXX O
99392... ...... N Preventive visit,est,age 1-4............................. #1.19 1.23 0.08 2.50 XXX O
99393... ...... N Preventive visit,est,age5-11............................. #1.19 1.23 0.08 2.50 XXX O
99394... ...... N Preventive visit,est,12-17............................... #1.36 1.41 0.09 2.86 XXX O
99395... ...... N Preventive visit,est,18-39............................... #1.36 1.25 0.08 2.69 XXX O
99396... ...... N Preventive visit,est,40-64............................... #1.53 1.40 0.09 3.02 XXX O
99397... ...... N Preventive visit,est,65&over............................. #1.71 1.56 0.10 3.37 XXX O
99401... ...... N Preventive counseling, indiv............................. #0.48 0.45 0.03 0.96 XXX O
99402... ...... N Preventive counseling, indiv............................. #0.98 0.89 0.05 1.92 XXX O
99403... ...... N Preventive counseling, indiv............................. #1.46 1.34 0.08 2.88 XXX O
99404... ...... N Preventive counseling, indiv............................. #1.95 1.78 0.11 3.84 XXX O
G0004... ...... A ECG transm phys review & int............................. 0.52 7.31 0.65 8.48 XXX N
G0005... ...... A ECG 24 hour recording.................................... 0.00 1.18 0.09 1.27 XXX N
G0006... ...... A ECG transmission & analysis.............................. 0.00 5.73 0.51 6.24 XXX N
G0007... ...... A ECG phy review & interpret............................... 0.52 0.40 0.05 0.97 XXX N
G0015... ...... A Post symptom ECG tracing................................. 0.00 5.73 0.51 6.24 XXX N
G0016... ...... A Post symptom ECG md review............................... 0.52 0.40 0.05 0.97 XXX N
--------------------------------------------------------------------------------------------------------------------------------------------------------
*
\1\All numeric CPT HCPCS Copyright 1994 American Medical Association.
\2\#Indicates RVUs are not used for Medicare payment.
\3\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.
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 to assure budget neutrality: Work
=1.00073; Practice expense=1.00125; Malpractice=1.02307.
Addendum D.--1995 Geographic Practice Cost Indices by Medicare Carrier and Locality
----------------------------------------------------------------------------------------------------------------
Carrier Locality Practice
number number Locality name Work expense Malpractice
----------------------------------------------------------------------------------------------------------------
00510.. 05 Birmingham, AL............................................. 0.988 0.912 0.876
00510.. 04 Mobile, AL................................................. 0.970 0.884 0.876
00510.. 02 North Central AL........................................... 0.972 0.858 0.876
00510.. 01 Northwest AL............................................... 0.988 0.871 0.876
00510.. 06 Rest Of AL................................................. 0.970 0.834 0.876
00510.. 03 Southeast AL............................................... 0.971 0.864 0.876
01020.. 01 Alaska..................................................... 1.085 1.205 1.330
01030.. 05 Flagstaff, AZ.............................................. 0.977 0.924 1.288
01030.. 01 Phoenix, AZ................................................ 1.004 0.990 1.288
01030.. 07 Prescott, AZ............................................... 0.977 0.912 1.288
01030.. 99 Rest Of AZ................................................. 0.988 0.946 1.288
01030.. 02 Tucson, AZ................................................. 0.982 0.966 1.288
01030.. 08 Yuma, AZ................................................... 0.984 0.918 1.288
00520.. 13 Arkansas................................................... 0.957 0.854 0.364
02050.. 26 Anaheim/Santa Ana, CA...................................... 1.042 1.212 1.061
00542.. 14 Bakersfield, CA............................................ 1.026 1.021 1.028
00542.. 11 Fresno/Madera, CA.......................................... 1.003 0.993 0.983
00542.. 13 Kings/Tulare, CA........................................... 0.993 0.978 0.983
02050.. 18 Los Angeles (1st Of 8)..................................... 1.058 1.202 1.061
02050.. 19 Los Angeles (2nd Of 8)..................................... 1.058 1.202 1.061
02050.. 20 Los Angeles (3rd Of 8)..................................... 1.058 1.202 1.061
02050.. 21 Los Angeles (4th Of 8)..................................... 1.058 1.202 1.061
02050.. 22 Los Angeles (5th Of 8)..................................... 1.058 1.202 1.061
02050.. 23 Los Angeles (6th Of 8)..................................... 1.058 1.202 1.061
02050.. 24 Los Angeles (7th Of 8)..................................... 1.058 1.202 1.061
02050.. 25 Los Angeles (8th Of 8)..................................... 1.058 1.202 1.061
00542.. 03 Marin/Napa/Solano, CA...................................... 1.014 1.189 0.983
00542.. 10 Merced/Surr. Cntys, CA..................................... 1.010 0.998 0.983
00542.. 12 Monterey/Santa Cruz, CA.................................... 1.016 1.126 0.983
00542.. 01 N. Coastal Cntys, CA....................................... 1.003 1.081 0.983
00542.. 02 Ne Rural, CA............................................... 0.992 0.972 0.983
00542.. 07 Oakland/Berkley, CA........................................ 1.035 1.236 0.983
00542.. 27 Riverside, CA.............................................. 1.018 1.070 1.018
00542.. 04 Sacramento/Surr. Cntys, CA................................. 1.023 1.078 0.983
00542.. 15 San Bernadino/E.Ctrl Cntys CA.............................. 1.020 1.066 1.060
02050.. 28 San Diego/Imperial, CA..................................... 1.022 1.084 0.994
00542.. 05 San Francisco, CA.......................................... 1.053 1.316 0.983
00542.. 06 San Mateo, CA.............................................. 1.044 1.302 0.983
02050.. 16 Santa Barbara, CA.......................................... 1.014 1.096 1.028
00542.. 09 Santa Clara, CA............................................ 1.056 1.288 0.983
00542.. 08 Stockton/Surr. Cntys, CA................................... 1.010 1.034 0.983
02050.. 17 Ventura, CA................................................ 1.031 1.162 1.028
00824.. 01 Colorado................................................... 0.994 0.970 0.755
10230.. 04 Eastern CT................................................. 1.016 1.092 1.018
10230.. 01 Nw And N. Cntrl CT......................................... 1.026 1.115 1.013
10230.. 03 S. Cntrl CT................................................ 1.037 1.164 1.094
10230.. 02 Sw CT...................................................... 1.054 1.207 1.116
00570.. 01 Delaware................................................... 1.024 1.025 0.728
00580.. 01 DC + MD/VA Suburbs......................................... 1.055 1.180 0.964
00590.. 03 Fort Lauderdale, FL........................................ 0.996 1.008 1.622
00590.. 04 Miami, FL.................................................. 1.025 1.056 2.049
00590.. 02 N/Nc FL Cities............................................. 0.976 0.942 1.262
00590.. 01 Rest Of Florida............................................ 0.968 0.892 1.262
01040.. 01 Atlanta, GA................................................ 0.991 1.026 0.827
01040.. 04 Rest Of GA................................................. 0.960 0.848 0.827
01040.. 02 Small GA Cities 02......................................... 0.972 0.906 0.827
01040.. 03 Small GA Cities 03......................................... 0.964 0.876 0.827
01120.. 01 Hawaii/Guam................................................ 1.001 1.157 0.973
05130.. 12 North Idaho................................................ 0.961 0.890 0.738
05130.. 11 South Idaho................................................ 0.965 0.912 0.738
00621.. 10 Champaign-Urbana, IL....................................... 0.958 0.902 1.072
00621.. 16 Chicago, IL................................................ 1.036 1.097 1.578
00621.. 03 De Kalb, IL................................................ 0.966 0.899 0.958
00621.. 11 Decatur, IL................................................ 0.972 0.896 1.008
00621.. 12 East St. Louis, IL......................................... 0.988 0.944 1.390
00621.. 06 Kankakee, IL............................................... 0.966 0.903 1.019
00621.. 08 Normal, IL................................................. 0.983 0.930 0.934
00621.. 01 Northwest, IL.............................................. 0.962 0.869 0.934
00621.. 05 Peoria, IL................................................. 0.994 0.968 0.934
00621.. 07 Quincy, IL................................................. 0.960 0.860 0.934
00621.. 04 Rock Island, IL............................................ 0.984 0.908 0.934
00621.. 02 Rockford, IL............................................... 0.994 0.980 0.975
00621.. 13 Southeast IL............................................... 0.960 0.855 0.934
00621.. 14 Southern IL................................................ 0.960 0.859 0.980
00621.. 09 Springfield, IL............................................ 0.988 0.951 1.042
00621.. 15 Suburban Chicago, IL....................................... 1.014 1.095 1.148
00630.. 01 Metropolitan IN............................................ 0.994 0.950 0.455
00630.. 03 Rest Of IN................................................. 0.976 0.884 0.431
00630.. 02 Urban IN................................................... 0.977 0.900 0.431
00640.. 00 Iowa....................................................... 0.968 0.898 0.672
00740.. 05 Kansas City, Kansas........................................ 0.984 0.956 1.162
00650.. 01 Rest Of Kansas............................................. 0.956 0.885 1.162
00740.. 04 Suburban Kansas City, Kansas............................... 0.984 0.956 1.162
00660.. 01 Lexington & Louisville, KY................................. 0.986 0.910 0.743
00660.. 03 Rest Of Kentucky........................................... 0.966 0.848 0.743
00660.. 02 Sm Cities (City Limits) KY................................. 0.968 0.874 0.743
00528.. 07 Alexandria, LA............................................. 0.972 0.876 0.860
00528.. 03 Baton Rouge, LA............................................ 0.988 0.930 0.860
00528.. 06 Lafayette, LA.............................................. 0.976 0.892 0.860
00528.. 04 Lake Charles, LA........................................... 0.974 0.904 0.860
00528.. 05 Monroe, LA................................................. 0.968 0.874 0.860
00528.. 01 New Orleans, LA............................................ 0.996 0.974 1.091
00528.. 50 Rest Of LA................................................. 0.968 0.865 0.868
00528.. 02 Shreveport, LA............................................. 0.987 0.914 0.860
21200.. 02 Central Maine.............................................. 0.952 0.916 0.738
21200.. 01 Northern Maine............................................. 0.956 0.916 0.738
21200.. 03 Southern Maine............................................. 0.968 1.007 0.738
00901.. 01 Baltimore/Surr. Cntys, MD.................................. 1.024 1.038 1.021
00901.. 03 South & E. Shore MD........................................ 0.998 0.991 0.841
00901.. 02 Western MD................................................. 0.994 0.972 0.852
00700.. 02 MA Suburbs/Rural Cities.................................... 1.006 1.086 0.916
00700.. 01 Urban MA................................................... 1.016 1.149 0.916
00623.. 01 Detroit, MI................................................ 1.051 1.064 2.394
00623.. 02 Michigan, Not Detroit...................................... 1.004 0.953 1.520
00720.. 00 Minnesota (Blue Shield).................................... 0.994 0.968 0.671
10240.. 00 Minnesota (Travelers)...................................... 0.994 0.968 0.671
10250.. 01 Rest Of Mississippi........................................ 0.955 0.826 0.688
10250.. 02 Urban Mississippi.......................................... 0.965 0.885 0.688
00740.. 03 K.C. (Jackson Cnty), MO.................................... 0.984 0.956 1.193
00740.. 02 N K.C. (Clay/Platte), MO................................... 0.984 0.956 1.192
11260.. 03 Rest Of MO................................................. 0.947 0.828 1.169
00740.. 06 Rural Nw Counties, MO...................................... 0.952 0.850 1.169
11260.. 02 Sm E. Cities, MO........................................... 0.947 0.824 1.169
00740.. 01 St Joseph, MO.............................................. 0.951 0.858 1.169
11260.. 01 St. Louis/Lg E. Cities, MO................................. 0.986 0.942 1.272
00751.. 01 Montana.................................................... 0.960 0.895 0.737
00655.. 00 Nebraska................................................... 0.956 0.878 0.440
01290.. 03 Elko & Ely (Cities), NV.................................... 0.984 1.006 1.016
01290.. 01 Las Vegas, Et Al. (Cities), NV............................. 1.024 1.052 1.016
01290.. 02 Reno, Et Al. (Cities), NV.................................. 1.002 1.095 1.016
01290.. 99 Rest Of Nevada............................................. 1.008 1.046 1.016
00780.. 40 New Hampshire.............................................. 0.975 1.022 0.759
00860.. 02 Middle NJ.................................................. 1.033 1.104 0.958
00860.. 01 Northern NJ................................................ 1.050 1.173 0.958
00860.. 03 Southern NJ................................................ 1.020 1.056 0.958
01360.. 05 New Mexico................................................. 0.978 0.914 0.780
00801.. 01 Buffalo/Surr. Cntys, NY.................................... 1.004 0.939 0.892
00803.. 01 Manhattan, NY.............................................. 1.077 1.307 1.596
00801.. 03 N. Central Cities, NY...................................... 1.001 0.960 0.892
00803.. 02 Nyc Suburbs/Long I., NY.................................... 1.064 1.232 1.844
00803.. 03 Poughkpsie/N Nyc Suburbs, NY............................... 1.008 1.050 1.272
14330.. 04 Queens, NY................................................. 1.058 1.248 1.774
00801.. 04 Rest Of New York........................................... 0.988 0.936 0.892
00801.. 02 Rochester/Surr. Cntys, NY.................................. 1.016 1.004 0.892
05535.. 00 North Carolina............................................. 0.970 0.910 0.406
00820.. 01 North Dakota............................................... 0.958 0.878 0.652
16360.. 00 Ohio....................................................... 0.992 0.946 0.984
01370.. 00 Oklahoma................................................... 0.970 0.896 0.498
01380.. 02 Eugene, Et Al. (Cities), OR................................ 0.964 0.973 0.794
01380.. 01 Portland, Et Al. (Cities), OR.............................. 0.995 1.016 0.794
01380.. 99 Rest Of Oregon............................................. 0.970 0.952 0.794
01380.. 03 Salem, Et Al. (Cities), OR................................. 0.970 0.960 0.794
01380.. 12 Sw OR Cities (City Limits)................................. 0.970 0.971 0.794
00865.. 02 Lg PA Cities............................................... 1.007 1.002 1.188
00865.. 01 Philly/Pitt Med Shcls/Hosps, PA............................ 1.020 1.027 1.382
00865.. 04 Rest Of PA................................................. 0.974 0.914 0.852
00865.. 03 Sm PA Cities............................................... 0.984 0.931 0.861
00973.. 20 Puerto Rico................................................ 0.882 0.751 0.367
00870.. 01 Rhode Island............................................... 1.014 1.036 1.152
00880.. 01 South Carolina............................................. 0.974 0.886 0.404
00820.. 02 South Dakota............................................... 0.944 0.856 0.566
05440.. 35 Tennessee.................................................. 0.972 0.898 0.466
00900.. 29 Abilene, TX................................................ 0.966 0.870 0.666
00900.. 26 Amarillo, TX............................................... 0.974 0.892 0.666
00900.. 31 Austin, TX................................................. 0.978 0.977 0.666
00900.. 20 Beaumont, TX............................................... 0.996 0.924 0.966
00900.. 09 Brazoria, TX............................................... 1.009 0.960 0.966
00900.. 10 Brownsville, TX............................................ 0.968 0.868 0.666
00900.. 24 Corpus Christi, TX......................................... 0.980 0.921 0.666
00900.. 11 Dallas, TX................................................. 1.004 0.992 0.698
00900.. 12 Denton, TX................................................. 0.982 0.962 0.666
00900.. 14 El Paso, TX................................................ 0.984 0.894 0.698
00900.. 28 Fort Worth, TX............................................. 0.981 0.954 0.698
00900.. 15 Galveston, TX.............................................. 0.986 0.967 0.966
00900.. 16 Grayson, TX................................................ 0.962 0.888 0.666
00900.. 18 Houston, TX................................................ 1.018 0.994 1.042
00900.. 33 Laredo, TX................................................. 0.962 0.854 0.666
00900.. 17 Longview, TX............................................... 0.970 0.896 0.666
00900.. 21 Lubbock, TX................................................ 0.952 0.888 0.666
00900.. 19 Mc Allen, TX............................................... 0.953 0.855 0.666
00900.. 23 Midland, TX................................................ 1.007 0.949 0.666
00900.. 02 Northeast Rural TX......................................... 0.964 0.870 0.666
00900.. 13 Odessa, TX................................................. 1.000 0.936 0.666
00900.. 25 Orange, TX................................................. 0.996 0.924 0.666
00900.. 30 San Angelo, TX............................................. 0.951 0.873 0.666
00900.. 07 San Antonio, TX............................................ 0.976 0.928 0.666
00900.. 03 Southeast Rural TX......................................... 0.968 0.884 0.696
00900.. 06 Temple, TX................................................. 0.968 0.885 0.666
00900.. 08 Texarkana, TX.............................................. 0.954 0.878 0.666
00900.. 27 Tyler, TX.................................................. 0.978 0.912 0.666
00900.. 32 Victoria, TX............................................... 0.980 0.920 0.666
00900.. 22 Waco, TX................................................... 0.974 0.874 0.666
00900.. 04 Western TX................................................. 0.958 0.835 0.666
00900.. 34 Wichita Falls, TX.......................................... 0.960 0.876 0.666
00910.. 09 Utah....................................................... 0.986 0.922 0.692
00780.. 50 Vermont.................................................... 0.958 0.964 0.492
00973.. 50 Virgin Islands............................................. 0.983 0.989 1.012
10490.. 04 Rest Of VA................................................. 0.972 0.882 0.513
10490.. 01 Richmond & Charlottesville, VA............................. 0.990 0.972 0.486
10490.. 03 Sm Town/Industrial VA...................................... 0.972 0.894 0.524
10490.. 02 Tidewater & N VA Cntys..................................... 0.990 0.980 0.616
01390.. 03 E Cntrl & Ne WA............................................ 0.990 0.969 0.906
01390.. 02 Seattle (King Cnty), WA.................................... 1.012 1.063 0.906
01390.. 01 W & Se WA (Excl Seattle)................................... 0.995 0.980 0.906
16510.. 16 Charleston, WV............................................. 0.984 0.922 0.846
16510.. 18 Eastern Valley, WV......................................... 0.961 0.890 0.846
16510.. 19 Ohio River Valley, WV...................................... 0.960 0.857 0.846
16510.. 20 Southern Valley, WV........................................ 0.956 0.846 0.846
16510.. 17 Wheeling, WV............................................... 0.966 0.870 0.846
00951.. 13 Central WI................................................. 0.960 0.868 0.961
00951.. 40 Green Bay (Northeast), WI.................................. 0.978 0.904 0.961
00951.. 54 Janesville (S Cntrl), WI................................... 0.968 0.900 0.961
00951.. 19 La Crosse (W Cntrl), WI.................................... 0.974 0.899 0.961
00951.. 15 Madison (Dane Cnty), WI.................................... 0.984 0.990 0.961
00951.. 46 Milwaukee Surburbs (Se), WI................................ 1.000 0.984 0.961
00951.. 04 Milwaukee, WI.............................................. 1.004 0.994 0.961
00951.. 12 Northwest WI............................................... 0.964 0.874 0.961
00951.. 60 Oshkosh (E Cntrl), WI...................................... 0.974 0.898 0.961
00951.. 14 Southwest WI............................................... 0.960 0.869 0.961
00951.. 36 Wausau (N Cntrl), WI....................................... 0.966 0.882 0.961
00825.. 21 Wyoming.................................................... 0.978 0.910 0.726
----------------------------------------------------------------------------------------------------------------
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 to assure budget neutrality: Work
=1.00073; Practice expense=1.00125; Malpractice=1.02307.
Addendum E.--1996 Geographic Practice Cost Indices by Medicare Carrier and Locality
----------------------------------------------------------------------------------------------------------------
Carrier Locality Practice
number number Locality name Work expense Malpractice
----------------------------------------------------------------------------------------------------------------
00510.. 05 Birmingham, AL.............................................. 0.994 0.912 0.927
00510.. 04 Mobile, AL.................................................. 0.975 0.858 0.927
00510.. 02 North Central AL............................................ 0.973 0.850 0.927
00510.. 01 Northwest AL................................................ 0.990 0.873 0.927
00510.. 06 Rest Of AL.................................................. 0.964 0.818 0.927
00510.. 03 Southeast AL................................................ 0.970 0.858 0.927
01020.. 01 Alaska...................................................... 1.064 1.155 1.617
01030.. 05 Flagstaff, AZ............................................... 0.971 0.936 1.321
01030.. 01 Phoenix, AZ................................................. 1.004 0.963 1.321
01030.. 07 Prescott, AZ................................................ 0.971 0.912 1.321
01030.. 99 Rest Of AZ.................................................. 0.989 0.948 1.321
01030.. 02 Tucson, AZ.................................................. 0.978 0.942 1.321
01030.. 08 Yuma, AZ.................................................... 0.984 0.925 1.321
00520.. 13 Arkansas.................................................... 0.954 0.853 0.427
02050.. 26 Anaheim/Santa Ana, CA....................................... 1.037 1.205 0.752
00542.. 14 Bakersfield, CA............................................. 1.023 0.992 0.686
00542.. 11 Fresno/Madera, CA........................................... 1.000 0.977 0.596
00542.. 13 Kings/Tulare, CA............................................ 0.987 0.954 0.596
02050.. 18 Los Angeles (1St Of 8)...................................... 1.056 1.207 0.752
02050.. 19 Los Angeles (2Nd Of 8)...................................... 1.056 1.207 0.752
02050.. 20 Los Angeles (3Rd Of 8)...................................... 1.056 1.207 0.752
02050.. 21 Los Angeles (4Th Of 8)...................................... 1.056 1.207 0.752
02050.. 22 Los Angeles (5Th Of 8)...................................... 1.056 1.207 0.752
02050.. 23 Los Angeles (6Th Of 8)...................................... 1.056 1.207 0.752
02050.. 24 Los Angeles (7Th Of 8)...................................... 1.056 1.207 0.752
02050.. 25 Los Angeles (8Th Of 8)...................................... 1.056 1.207 0.752
00542.. 03 Marin/Napa/Solano, Ca....................................... 1.015 1.180 0.596
00542.. 10 Merced/Surr.Cntys, CA....................................... 1.002 0.988 0.596
00542.. 12 Monterey/Santa Cruz, CA..................................... 1.008 1.143 0.596
00542.. 01 N. Coastal Cntys, CA........................................ 1.003 1.090 0.596
00542.. 02 Ne Rural, CA................................................ 0.982 0.953 0.596
00542.. 07 Oakland/Berkeley, CA........................................ 1.042 1.215 0.596
00542.. 27 Riverside, CA............................................... 1.011 1.059 0.667
00542.. 04 Sacramento/Surr. Cntys, CA.................................. 1.020 1.069 0.596
00542.. 15 San Bernadino/E.Ctrl Cntys CA............................... 1.015 1.056 0.749
02050.. 28 San Diego/Imperial, CA...................................... 1.017 1.077 0.618
00542.. 05 San Francisco, CA........................................... 1.068 1.330 0.596
00542.. 06 San Mateo, CA............................................... 1.049 1.300 0.596
02050.. 16 Santa Barbara, CA........................................... 1.016 1.119 0.686
00542.. 09 Santa Clara, CA............................................. 1.064 1.289 0.596
00542.. 08 Stockton/Surr. Cntys, CA.................................... 1.001 1.041 0.596
02050.. 17 Ventura, CA................................................. 1.028 1.192 0.686
00824.. 01 Colorado.................................................... 0.989 0.951 0.827
10230.. 04 Eastern CT.................................................. 1.033 1.132 1.001
10230.. 01 Nw And N. Cntrl CT.......................................... 1.049 1.159 1.001
10230.. 03 S. Cntrl CT................................................. 1.056 1.226 1.001
10230.. 02 Sw CT....................................................... 1.055 1.275 1.001
00570.. 01 Delaware.................................................... 1.021 1.032 0.792
00580.. 01 DC +MD/VA Suburbs........................................... 1.051 1.192 0.980
00590.. 03 Fort Lauderdale, FL......................................... 0.998 1.036 1.867
00590.. 04 Miami, FL................................................... 1.016 1.087 2.456
00590.. 02 N/Nc FL Cities.............................................. 0.978 0.952 1.417
00590.. 01 Rest Of Florida............................................. 0.971 0.914 1.417
01040.. 01 Atlanta, GA................................................. 1.007 1.030 0.902
01040.. 04 Rest Of GA.................................................. 0.965 0.856 0.902
01040.. 02 Small GA Cities 02.......................................... 0.981 0.917 0.902
01040.. 03 Small GA Cities 03.......................................... 0.966 0.884 0.902
01120.. 01 Hawaii/Guam................................................. 0.999 1.220 0.921
05130.. 12 North Idaho................................................. 0.957 0.864 0.588
05130.. 11 South Idaho................................................. 0.963 0.887 0.588
00621.. 10 Champaign-Urbana, IL........................................ 0.952 0.884 1.008
00621.. 16 Chicago, IL................................................. 1.028 1.080 1.382
00621.. 03 De Kalb, IL................................................. 0.953 0.873 0.780
00621.. 11 Decatur, IL................................................. 0.962 0.864 0.880
00621.. 12 East St. Louis, IL.......................................... 0.988 0.929 1.202
00621.. 06 Kankakee, IL................................................ 0.959 0.881 0.901
00621.. 08 Normal, IL.................................................. 0.969 0.893 0.731
00621.. 01 Northwest, IL............................................... 0.951 0.842 0.731
00621.. 05 Peoria, IL.................................................. 0.980 0.906 0.731
00621.. 07 Quincy, IL.................................................. 0.946 0.824 0.731
00621.. 04 Rock Island, IL............................................. 0.972 0.858 0.731
00621.. 02 Rockford, IL................................................ 0.978 0.941 0.813
00621.. 13 Southeast IL................................................ 0.946 0.814 0.731
00621.. 14 Southern IL................................................. 0.946 0.822 0.822
00621.. 09 Springfield, IL............................................. 0.981 0.936 0.946
00621.. 15 Suburban Chicago, IL........................................ 1.007 1.093 1.159
00630.. 01 Metropolitan IN............................................. 0.989 0.937 0.363
00630.. 03 Rest Of IN.................................................. 0.973 0.872 0.346
00630.. 02 Urban IN.................................................... 0.974 0.896 0.346
00640.. 00 Iowa........................................................ 0.960 0.877 0.679
00740.. 05 Kansas City, Kansas......................................... 0.989 0.949 1.191
00650.. 01 Rest Of Kansas.............................................. 0.958 0.877 1.191
00740.. 04 Suburban Kansas City, Kansas................................ 0.989 0.949 1.191
00660.. 01 Lexington & Louisville, KY.................................. 0.989 0.904 0.819
00660.. 03 Rest Of Kentucky............................................ 0.957 0.821 0.819
00660.. 02 Sm Cities (City Limits) KY.................................. 0.960 0.850 0.819
00528.. 07 Alexandria, LA.............................................. 0.958 0.864 0.911
00528.. 03 Baton Rouge, LA............................................. 0.984 0.894 0.911
00528.. 06 Lafayette, LA............................................... 0.971 0.857 0.911
00528.. 04 Lake Charles, LA............................................ 0.974 0.901 0.911
00528.. 05 Monroe, LA.................................................. 0.958 0.867 0.911
00528.. 01 New Orleans, LA............................................. 0.999 0.946 0.997
00528.. 50 Rest Of LA.................................................. 0.965 0.850 0.913
00528.. 02 Shreveport, LA.............................................. 0.971 0.889 0.911
21200.. 02 Central Maine............................................... 0.961 0.929 0.759
21200.. 01 Northern Maine.............................................. 0.964 0.920 0.759
21200.. 03 Southern Maine.............................................. 0.980 1.034 0.759
00901.. 01 Baltimore/Surr. Cntys, MD................................... 1.021 1.036 1.115
00901.. 03 South & E. Shore MD......................................... 0.985 0.972 0.862
00901.. 02 Western MD.................................................. 0.982 0.930 0.862
00700.. 02 MA Suburbs/Rural Cities..................................... 1.015 1.101 0.978
00700.. 01 Urban MA.................................................... 1.030 1.167 0.978
00623.. 01 Detroit, MI................................................. 1.043 1.038 3.051
00623.. 02 Michigan, Not Detroit....................................... 0.998 0.935 1.844
00720.. 00 Minnesota (Blue Shield)..................................... 0.990 0.965 0.594
10240.. 00 Minnesota (Travelers)....................................... 0.990 0.965 0.594
10250.. 01 Rest Of Mississippi......................................... 0.950 0.813 0.726
10250.. 02 Urban Mississippi........................................... 0.964 0.868 0.726
00740.. 03 K.C. (Jackson Cnty), MO..................................... 0.989 0.949 1.207
00740.. 02 N K.C. (Clay/Platte), MO.................................... 0.989 0.949 1.204
11260.. 03 Rest Of MO.................................................. 0.944 0.810 1.159
00740.. 06 Rural Nw Counties, MO....................................... 0.950 0.835 1.159
11260.. 02 Sm E. Cities, MO............................................ 0.940 0.809 1.159
00740.. 01 St Joseph, MO............................................... 0.952 0.850 1.159
11260.. 01 St. Louis/Lg E. Cities, MO.................................. 0.983 0.921 1.193
00751.. 01 Montana..................................................... 0.952 0.864 0.756
00655.. 00 Nebraska.................................................... 0.951 0.872 0.444
01290.. 03 Elko & Ely (Cities), NV..................................... 0.984 0.986 0.887
01290.. 01 Las Vegas, Et Al. (Cities), NV.............................. 1.012 1.022 0.887
01290.. 02 Reno, Et Al. (Cities), NV................................... 0.997 1.049 0.887
01290.. 99 Rest Of Nevada.............................................. 0.997 1.013 0.887
00780.. 40 New Hampshire............................................... 0.988 1.034 0.916
00860.. 02 Middle NJ................................................... 1.032 1.137 0.762
00860.. 01 Northern NJ................................................. 1.059 1.215 0.762
00860.. 03 Southern NJ................................................. 1.024 1.082 0.762
01360.. 05 New Mexico.................................................. 0.975 0.903 0.792
00801.. 01 Buffalo/Surr. Cntys, NY..................................... 1.003 0.936 0.821
00803.. 01 Manhattan, NY............................................... 1.095 1.359 1.546
00801.. 03 N. Central Cities, NY....................................... 1.005 0.967 0.821
00803.. 02 Nyc Suburbs/Long I., NY..................................... 1.068 1.235 1.759
00803.. 03 Poughkpsie/N Nyc Suburbs, NY................................ 1.011 1.081 1.218
14330.. 04 Queens, NY.................................................. 1.058 1.240 1.686
00801.. 04 Rest Of New York............................................ 0.989 0.937 0.821
00801.. 02 Rochester/Surr. Cntys, NY................................... 1.012 0.992 0.821
05535.. 00 North Carolina.............................................. 0.971 0.918 0.435
00820.. 01 North Dakota................................................ 0.951 0.860 0.617
16360.. 00 Ohio........................................................ 0.991 0.940 1.049
01370.. 00 Oklahoma.................................................... 0.970 0.882 0.481
01380.. 02 Eugene, Et Al. (Cities), OR................................. 0.959 0.938 0.637
01380.. 01 Portland, Et Al. (Cities), OR............................... 0.997 1.000 0.637
01380.. 99 Rest Of Oregon.............................................. 0.962 0.907 0.637
01380.. 03 Salem, Et Al. (Cities), OR.................................. 0.965 0.929 0.637
01380.. 12 Sw OR Cities (City Limits).................................. 0.967 0.954 0.637
00865.. 02 Lg PA Cities................................................ 1.006 1.002 0.936
00865.. 01 Philly/Pitt Med Shcls/Hosps, PA............................. 1.027 1.040 1.213
00865.. 04 Rest Of PA.................................................. 0.973 0.899 0.719
00865.. 03 Sm PA Cities................................................ 0.983 0.917 0.736
00973.. 20 Puerto Rico................................................. 0.883 0.739 0.268
00870.. 01 Rhode Island................................................ 1.019 1.074 1.569
00880.. 01 South Carolina.............................................. 0.976 0.899 0.361
00820.. 02 South Dakota................................................ 0.936 0.856 0.443
05440.. 35 Tennessee................................................... 0.976 0.899 0.524
00900.. 29 Abilene, TX................................................. 0.960 0.851 0.827
00900.. 26 Amarillo, TX................................................ 0.975 0.883 0.827
00900.. 31 Austin, TX.................................................. 0.987 0.986 0.827
00900.. 20 Beaumont, TX................................................ 0.993 0.893 1.428
00900.. 09 Brazoria, TX................................................ 0.993 0.966 1.428
00900.. 10 Brownsville, TX............................................. 0.955 0.848 0.827
00900.. 24 Corpus Christi, TX.......................................... 0.983 0.898 0.827
00900.. 11 Dallas, TX.................................................. 1.012 1.012 0.893
00900.. 12 Denton, TX.................................................. 0.968 0.952 0.827
00900.. 14 El Paso, TX................................................. 0.973 0.893 0.893
00900.. 28 Fort Worth, TX.............................................. 0.989 0.972 0.893
00900.. 15 Galveston, TX............................................... 0.989 0.966 1.428
00900.. 16 Grayson, TX................................................. 0.959 0.874 0.827
00900.. 18 Houston, TX................................................. 1.021 1.005 1.428
00900.. 33 Laredo, TX.................................................. 0.957 0.851 0.827
00900.. 17 Longview, TX................................................ 0.973 0.863 0.827
00900.. 21 Lubbock, TX................................................. 0.955 0.894 0.827
00900.. 19 McAllen, TX................................................. 0.961 0.837 0.827
00900.. 23 Midland, TX................................................. 0.991 0.900 0.827
00900.. 02 Northeast Rural TX.......................................... 0.960 0.857 0.827
00900.. 13 Odessa, TX.................................................. 0.991 0.900 0.827
00900.. 25 Orange, TX.................................................. 0.993 0.893 0.827
00900.. 30 San Angelo, TX.............................................. 0.948 0.844 0.827
00900.. 07 San Antonio, TX............................................. 0.978 0.926 0.827
00900.. 03 Southeast Rural TX.......................................... 0.963 0.872 0.889
00900.. 06 Temple, TX.................................................. 0.968 0.884 0.827
00900.. 08 Texarkana, TX............................................... 0.955 0.872 0.827
00900.. 27 Tyler, TX................................................... 0.971 0.894 0.827
00900.. 32 Victoria, TX................................................ 0.983 0.868 0.827
00900.. 22 Waco, TX.................................................... 0.966 0.877 0.827
00900.. 04 Western TX.................................................. 0.956 0.818 0.827
00900.. 34 Wichita Falls, TX........................................... 0.950 0.857 0.827
00910.. 09 Utah........................................................ 0.978 0.891 0.644
00780.. 50 Vermont..................................................... 0.974 0.988 0.452
00973.. 50 Virgin Islands.............................................. 0.966 0.978 1.023
10490.. 04 Rest Of VA.................................................. 0.976 0.876 0.504
10490.. 01 Richmond & Charlottesville, VA.............................. 1.004 0.991 0.511
10490.. 03 Sm Town/Industrial VA....................................... 0.974 0.897 0.517
10490.. 02 Tidewater & N VA Cntys...................................... 0.990 0.965 0.530
01390.. 03 E Cntrl & Ne WA............................................. 0.985 0.943 0.748
01390.. 02 Seattle (King Cnty), WA..................................... 1.006 1.077 0.748
01390.. 01 W & Se WA (Excl Seattle).................................... 0.982 0.968 0.748
16510.. 16 Charleston, WV.............................................. 0.980 0.881 1.004
16510.. 18 Eastern Valley, WV.......................................... 0.960 0.899 1.004
16510.. 19 Ohio River Valley, WV....................................... 0.959 0.833 1.004
16510.. 20 Southern Valley, WV......................................... 0.952 0.815 1.004
16510.. 17 Wheeling, WV................................................ 0.957 0.840 1.004
00951.. 13 Central WI.................................................. 0.959 0.849 1.160
00951.. 40 Green Bay (Northeast), WI................................... 0.976 0.894 1.160
00951.. 54 Janesville (S Cntrl), WI.................................... 0.966 0.895 1.160
00951.. 19 La Crosse (W Cntrl), WI..................................... 0.972 0.879 1.160
00951.. 15 Madison (Dane Cnty), WI..................................... 0.990 1.000 1.160
00951.. 46 Milwaukee Surburbs (Se), WI................................. 0.990 0.959 1.160
00951.. 04 Milwaukee, WI............................................... 1.001 0.978 1.160
00951.. 12 Northwest WI................................................ 0.961 0.850 1.160
00951.. 60 Oshkosh (E Cntrl), WI....................................... 0.973 0.886 1.160
00951.. 14 Southwest WI................................................ 0.959 0.850 1.160
00951.. 36 Wausau (N Cntrl), WI........................................ 0.962 0.866 1.160
00825.. 21 Wyoming..................................................... 0.968 0.881 0.811
----------------------------------------------------------------------------------------------------------------
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 to assure budget neutrality: Work =1.00073; Practice expense=1.00125;
Malpractice=1.02307.
Addendum F.--Procedure Codes Subject to the Site-of-Service Differential
------------------------------------------------------------------------
HCPCS# Description
------------------------------------------------------------------------
10040... Acne surgery
10060... Drainage of skin abscess
10061... Drainage of skin abscess
10080... Drainage of pilonidal cyst
*10081.. Drainage of pilonidal cyst
10120... Remove foreign body
10121... Remove foreign body
10140... Drainage of hematoma/fluid
10160... Puncture drainage of lesion
11000... Surgical cleansing of skin
11001... Additional cleansing of skin
11040... Surgical cleansing, abrasion
11041... Surgical cleansing of skin
11050... Trim skin lesion
11051... Trim 2 to 4 skin lesions
11052... Trim over 4 skin lesions
11100... Biopsy of skin lesion
11101... Biopsy, each added lesion
11200... Removal of skin tags
11201... Removal of added skin tags
11300... Shave skin lesion
11301... Shave skin lesion
11302... Shave skin lesion
*11303.. Shave skin lesion
11305... Shave skin lesion
11306... Shave skin lesion
11307... Shave skin lesion
*11308.. Shave skin lesion
11310... Shave skin lesion
11311... Shave skin lesion
11312... Shave skin lesion
*11313.. Shave skin lesion
11400... Removal of skin lesion
11401... Removal of skin lesion
11402... Removal of skin lesion
11403... Removal of skin lesion
11420... Removal of skin lesion
11421... Removal of skin lesion
11422... Removal of skin lesion
11423... Removal of skin lesion
11440... Removal of skin lesion
11441... Removal of skin lesion
11442... Removal of skin lesion
11443... Removal of skin lesion
11600... Removal of skin lesion
11601... Removal of skin lesion
11602... Removal of skin lesion
11603... Removal of skin lesion
11620... Removal of skin lesion
11621... Removal of skin lesion
11622... Removal of skin lesion
11623... Removal of skin lesion
11640... Removal of skin lesion
11641... Removal of skin lesion
11642... Removal of skin lesion
11643... Removal of skin lesion
11700... Scraping of 1-5 nails
11701... Scraping of additional nails
11710... Scraping of 1-5 nails
11711... Scraping of additional nails
11730... Removal of nail plate
11731... Removal of second nail plate
11732... Remove additional nail plate
11740... Drain blood from under nail
11750... Removal of nail bed
*11752.. Remove nail bed/finger tip
11760... Reconstruction of nail bed
11762... Reconstruction of nail bed
11765... Excision of nail fold, toe
11900... Injection into skin lesions
11901... Added skin lesion injections
*12031.. Layer closure of wound(s)
*12032.. Layer closure of wound(s)
*12041.. Layer closure of wound(s)
*12042.. Layer closure of wound(s)
*12051.. Layer closure of wound(s)
*12052.. Layer closure of wound(s)
*15780.. Abrasion treatment of skin
*15781.. Abrasion treatment of skin
*15782.. Abrasion treatment of skin
*15783.. Abrasion treatment of skin
*15786.. Abrasion treatment of lesion
*15787.. Abrasion, added skin lesions
15851... Removal of sutures
*15852.. Dressing change, not for burn
16000... Initial treatment of burn(s)
16010... Treatment of burn(s)
16020... Treatment of burn(s)
16025... Treatment of burn(s)
17000... Destroy benign/premal lesion
17001... Destruction of add'l lesions
17002... Destruction of add'l lesions
17010... Destruction skin lesion(s)
17100... Destruction of skin lesion
17101... Destruction of 2nd lesion
17102... Destruction of add'l lesions
17104... Destruction of skin lesions
17105... Destruction of skin lesions
*17106.. Destruction of skin lesions
*17107.. Destruction of skin lesions
*17110.. Destruction of skin lesions
17200... Electrocautery of skin tags
17201... Electrocautery added lesions
17250... Chemical cautery, tissue
*17260.. Destruction of skin lesions
*17261.. Destruction of skin lesions
*17262.. Destruction of skin lesions
*17263.. Destruction of skin lesions
*17264.. Destruction of skin lesions
*17266.. Destruction of skin lesions
*17270.. Destruction of skin lesions
*17271.. Destruction of skin lesions
*17272.. Destruction of skin lesions
*17273.. Destruction of skin lesions
*17274.. Destruction of skin lesions
*17276.. Destruction of skin lesions
*17280.. Destruction of skin lesions
*17281.. Destruction of skin lesions
*17282.. Destruction of skin lesions
*17283.. Destruction of skin lesions
*17284.. Destruction of skin lesions
*17286.. Destruction of skin lesions
17304... Chemosurgery of skin lesion
17305... 2nd stage chemosurgery
17306... 3rd stage chemosurgery
17307... Followup skin lesion therapy
17310... Extensive skin chemosurgery
17340... Cryotherapy of skin
17360... Skin peel therapy
19000... Drainage of breast lesion
*19001.. Drain added breast lesion
20000... Incision of abscess
20500... Injection of sinus tract
20520... Removal of foreign body
20550... Inj tendon/ligament/cyst
20600... Drain/inject joint/bursa
20605... Drain/inject joint/bursa
20610... Drain/inject joint/bursa
20615... Treatment of bone cyst
*20974.. Electrical bone stimulation
*21029.. Contour of face bone lesion
21030... Removal of face bone lesion
*21031.. Remove exostosis, mandible
*21032.. Remove exostosis, maxilla
*21079.. Prepare face/oral prosthesis
*21080.. Prepare face/oral prosthesis
*21081.. Prepare face/oral prosthesis
*21082.. Prepare face/oral prosthesis
*21083.. Prepare face/oral prosthesis
*21084.. Prepare face/oral prosthesis
*21085.. Prepare face/oral prosthesis
*21086.. Prepare face/oral prosthesis
*21087.. Prepare face/oral prosthesis
*21088.. Prepare face/oral prosthesis
*21089.. Prepare face/oral prosthesis
*21110.. Interdental fixation
*23031.. Drain shoulder bursa
*24200.. Removal of arm foreign body
24650... Treat radius fracture
25500... Treat fracture of radius
*25530.. Treat fracture of ulna
*25600.. Treat fracture radius/ulna
*25622.. Treat wrist bone fracture
*25630.. Treat wrist bone fracture
*25650.. Repair wrist bone fracture
26010... Drainage of finger abscess
26600... Treat metacarpal fracture
26720... Treat finger fracture, each
*26725.. Treat finger fracture, each
*26740.. Treat finger fracture, each
28001... Drainage of bursa of foot
28010... Incision of toe tendon
*28011.. Incision of toe tendons
*28022.. Exploration of a foot joint
*28024.. Exploration of a toe joint
*28052.. Biopsy of foot joint lining
28108... Removal of toe lesions
28124... Partial removal of toe
28126... Partial removal of toe
28153... Partial removal of toe
28160... Partial removal of toe
28190... Removal of foot foreign body
*28220.. Release of foot tendon
28230... Incision of foot tendon(s)
28232... Incision of toe tendon
28234... Incision of foot tendon
28270... Release of foot contracture
28272... Release of toe joint, each
*28430.. Treatment of ankle fracture
*28450.. Treat midfoot fracture, each
*28455.. Treat midfoot fracture, each
28470... Treat metatarsal fracture
28475... Treat metatarsal fracture
28490... Treat big toe fracture
*28495.. Treat big toe fracture
28510... Treatment of toe fracture
28515... Treatment of toe fracture
*28530.. Treat sesamoid bone fracture
*28540.. Treat foot dislocation
*28570.. Treat foot dislocation
*28600.. Treat foot dislocation
*28630.. Treat toe dislocation
*29015.. Application of body cast
*29020.. Application of body cast
*29025.. Application of body cast
*29035.. Application of body cast
*29049.. Application of shoulder cast
29065... Application of long arm cast
29075... Application of forearm cast
29085... Apply hand/wrist cast
29105... Apply long arm splint
29125... Apply forearm splint
29126... Apply forearm splint
29130... Application of finger splint
*29131.. Application of finger splint
29200... Strapping of chest
*29220.. Strapping of low back
29260... Strapping of elbow or wrist
*29280.. Strapping of hand or finger
29345... Application of long leg cast
29355... Application of long leg cast
*29358.. Apply long leg cast brace
29365... Application of long leg cast
29405... Apply short leg cast
29425... Apply short leg cast
29435... Apply short leg cast
29440... Addition of walker to cast
*29450.. Application of leg cast
29515... Application lower leg splint
29520... Strapping of hip
*29530.. Strapping of knee
29540... Strapping of ankle
29550... Strapping of toes
29580... Application of paste boot
*29590.. Application of foot splint
29700... Removal/revision of cast
29705... Removal/revision of cast
*29710.. Removal/revision of cast
*29715.. Removal/revision of cast
*29720.. Repair of body cast
*29730.. Windowing of cast
*29740.. Wedging of cast
*29750.. Wedging of clubfoot cast
*29850.. Knee arthroscopy/surgery
*30000.. Drainage of nose lesion
*30020.. Drainage of nose lesion
30100... Intranasal biopsy
30110... Removal of nose polyp(s)
30200... Injection treatment of nose
30210... Nasal sinus therapy
*30220.. Insert nasal septal button
*30300.. Remove nasal foreign body
30901... Control of nosebleed
31000... Irrigation maxillary sinus
*31002.. Irrigation sphenoid sinus
31505... Diagnostic laryngoscopy
31575... Diagnostic laryngoscopy
*31579.. Diagnostic laryngoscopy
*36000.. Place needle in vein
36400... Drawing blood
*36405.. Drawing blood
*36406.. Drawing blood
*36410.. Drawing blood
*36430.. Blood transfusion service
*36450.. Exchange transfusion service
36470... Injection therapy of vein
36471... Injection therapy of veins
*36510.. Insertion of catheter, vein
40490... Biopsy of lip
*40800.. Drainage of mouth lesion
*40804.. Removal foreign body, mouth
40808... Biopsy of mouth lesion
40810... Excision of mouth lesion
40812... Excise/repair mouth lesion
41100... Biopsy of tongue
41108... Biopsy of floor of mouth
*41825.. Excision of gum lesion
*41826.. Excision of gum lesion
42100... Biopsy roof of mouth
42330... Removal of salivary stone
*42400.. Biopsy of salivary gland
42650... Dilation of salivary duct
*42660.. Dilation of salivary duct
42800... Biopsy of throat
45300... Proctosigmoidoscopy
45303... Proctosigmoidoscopy
45330... Sigmoidoscopy, diagnostic
*45520.. Treatment of rectal prolapse
46083... Incise external hemorrhoid
46221... Ligation of hemorrhoid(s)
46230... Removal of anal tabs
46320... Removal of hemorrhoid clot
46500... Injection into hemorrhoids
46600... Diagnostic anoscopy
46604... Anoscopy and dilation
*46606.. Anoscopy and biopsy
46614... Anoscopy; control bleeding
46615... Anoscopy
46900... Destruction, anal lesion(s)
*46910.. Destruction, anal lesion(s)
*46916.. Cryosurgery, anal lesion(s)
*46917.. Laser surgery, anal lesion(s)
46934... Destruction of hemorrhoids
*46935.. Destruction of hemorrhoids
46936... Destruction of hemorrhoids
*46940.. Treatment of anal fissure
*46942.. Treatment of anal fissure
46945... Ligation of hemorrhoids
*46946.. Ligation of hemorrhoids
51700... Irrigation of bladder
51705... Change of bladder tube
51720... Treatment of bladder lesion
*52265.. Cystoscopy & treatment
*53270.. Removal of urethra gland
53600... Dilate urethra stricture
53601... Dilate urethra stricture
53620... Dilate urethra stricture
53621... Dilate urethra stricture
53660... Dilation of urethra
53661... Dilation of urethra
53670... Insert urinary catheter
*54050.. Destruction, penis lesion(s)
*54055.. Destruction, penis lesion(s)
*54056.. Cryosurgery, penis lesion(s)
*54200.. Treatment of penis lesion
*54230.. Prepare penis study
54235... Penile injection
55000... Drainage of hydrocele
*55250.. Removal of sperm duct(s)
*56420.. Drainage of gland abscess
56501... Destruction, vulva lesion(s)
*56606.. Biopsy of vulva/perineum
*57061.. Destruction vagina lesion(s)
57100... Biopsy of vagina
57150... Treat vagina infection
57160... Insertion of pessary
*57170.. Fitting of diaphragm/cap
57452... Examination of vagina
57454... Vagina examination & biopsy
*57460.. Leep procedure
57500... Biopsy of cervix
57505... Endocervical curettage
57510... Cauterization of cervix
57511... Cryocautery of cervix
58100... Biopsy of uterus lining
*58301.. Remove intrauterine device
*59200.. Insert cervical dilator
*59300.. Episiotomy or vaginal repair
59425... Antepartum care only
59426... Antepartum care only
*59430.. Care after delivery
60100... Biopsy of thyroid
*61001.. Remove cranial cavity fluid
*63690.. Analysis of neuroreceiver
*63691.. Analysis of neuroreceiver
64400... Injection for nerve block
64405... Injection for nerve block
*64408.. Injection for nerve block
*64412.. Injection for nerve block
64413... Injection for nerve block
64418... Injection for nerve block
*64435.. Injection for nerve block
64440... Injection for nerve block
64441... Injection for nerve block
64445... Injection for nerve block
64450... Injection for nerve block
64505... Injection for nerve block
*64508.. Injection for nerve block
64550... Apply neurostimulator
*64553.. Implant neuroelectrodes
*64555.. Implant neuroelectrodes
*64560.. Implant neuroelectrodes
64565... Implant neuroelectrodes
*64612.. Destroy nerve, face muscle
*64613.. Destroy nerve, spine muscle
65205... Remove foreign body from eye
65210... Remove foreign body from eye
65220... Remove foreign body from eye
65222... Remove foreign body from eye
*65286.. Repair of eye wound
65430... Corneal smear
65435... Curette/treat cornea
*65436.. Curette/treat cornea
*65600.. Revision of cornea
*65772.. Correction of astigmatism
*65855.. Laser surgery of eye
*65860.. Incise inner eye adhesions
66761... Revision of iris
*66770.. Removal of inner eye lesion
67145... Treatment of retina
67210... Treatment of retinal lesion
67228... Treatment of retinal lesion
*67345.. Destroy nerve of eye muscle
67505... Inject/treat eye socket
67515... Inject/treat eye socket
67700... Drainage of eyelid abscess
*67710.. Incision of eyelid
67800... Remove eyelid lesion
67801... Remove eyelid lesions
*67805.. Remove eyelid lesions
67810... Biopsy of eyelid
67820... Revise eyelashes
67825... Revise eyelashes
67840... Remove eyelid lesion
67850... Treat eyelid lesion
*67915.. Repair eyelid defect
*67922.. Repair eyelid defect
*67930.. Repair eyelid wound
*67938.. Remove eyelid foreign body
68020... Incise/drain eyelid lining
*68040.. Treatment of eyelid lesions
*68100.. Biopsy of eyelid lining
68110... Remove eyelid lining lesion
*68135.. Remove eyelid lining lesion
68200... Treat eyelid by injection
*68400.. Incise/drain tear gland
*68420.. Incise/drain tear sac
68440... Incise tear duct opening
*68530.. Clearance of tear duct
*68705.. Revise tear duct opening
68760... Close tear duct opening
68761... Close tear duct opening
*68770.. Close tear system fistula
68800... Dilate tear duct opening(s)
68820... Explore tear duct system
68830... Reopen tear duct channel
68840... Explore/irrigate tear ducts
69000... Drain external ear lesion
*69005.. Drain external ear lesion
69020... Drain outer ear canal lesion
69100... Biopsy of external ear
*69105.. Biopsy of external ear canal
69200... Clear outer ear canal
69210... Remove impacted ear wax
69220... Clean out mastoid cavity
69222... Clean out mastoid cavity
69400... Inflate middle ear canal
69401... Inflate middle ear canal
*69405.. Catheterize middle ear canal
*69410.. Inset middle ear baffle
69420... Incision of eardrum
69433... Create eardrum opening
*69540.. Remove ear lesion
69610... Repair of eardrum
92002... Eye exam, new patient
92004... Eye exam, new patient
92012... Eye exam established pt
92014... Eye exam & treatment
*92019.. Eye exam & treatment
92020... Special eye evaluation
92070... Fitting of contact lens
92100... Serial tonometry exam(s)
92120... Tonography & eye evaluation
92130... Water provocation tonography
92140... Glaucoma provocative tests
92225... Special eye exam, initial
92226... Special eye exam, subsequent
92230... Eye exam with photos
*92260.. Ophthalmoscopy/dynamometry
*92287.. Internal eye photography
92311... Contact lens fitting
92312... Contact lens fitting
*92313.. Contact lens fitting
*92315.. Prescription of contact lens
*92316.. Prescription of contact lens
*92317.. Prescription of contact lens
*92330.. Fitting of artificial eye
*92335.. Fitting of artificial eye
92352... Special spectacles fitting
92353... Special spectacles fitting
*92354.. Special spectacles fitting
*92371.. Repair & adjust spectacles
92504... Ear microscopy examination
92506... Speech & hearing evaluation
92507... Speech/hearing therapy
*92508.. Speech/hearing therapy
92511... Nasopharyngoscopy
*92512.. Nasal function studies
92516... Facial nerve function test
*92520.. Laryngeal function studies
*92565.. Stenger test, pure tone
*92571.. Filtered speech hearing test
*92575.. Sensorineural acuity test
*92576.. Synthetic sentence test
*92577.. Stenger test, speech
*92582.. Conditioning play audiometry
*93205.. Special phonocardiogram
*93221.. Vectorcardiogram tracing
*93721.. Plethysmography tracing
93797... Cardiac rehab
93798... Cardiac rehab/monitor
*95010.. Sensitivity skin tests
*95015.. Sensitivity skin tests
*95056.. Photosensitivity tests
*95065.. Nose allergy test
*95075.. Ingestion challenge test
*95144.. Antigen therapy services
*95145.. Antigen therapy services
*95146.. Antigen therapy services
*95147.. Antigen therapy services
*95148.. Antigen therapy services
*95149.. Antigen therapy services
*95165.. Antigen therapy services
*95170.. Antigen therapy services
*95180.. Rapid desensitization
95831... Limb muscle testing, manual
95832... Hand muscle testing, manual
95833... Body muscle testing, manual
95834... Body muscle testing, manual
95851... Range of motion measurements
95852... Range of motion measurements
95857... Tensilon test
*95880.. Cerebral aphasia testing
*95881.. Cerebral developmental test
96405... Intralesional chemo admin
96406... Intralesional chemo admin
*96445.. Chemotherapy, intracavitary
*96450.. Chemotherapy, into cns
*96542.. Chemotherapy injection
99201... Office/outpatient visit, new
99202... Office/outpatient visit, new
99203... Office/outpatient visit, new
99204... Office/outpatient visit, new
99205... Office/outpatient visit, new
99211... Office/outpatient visit, est
99212... Office/outpatient visit, est
99213... Office/outpatient visit, est
99214... Office/outpatient visit, est
99215... Office/outpatient visit, est
99241... Office consultation
99242... Office consultation
99243... Office consultation
99244... Office consultation
99245... Office consultation
99271... Confirmatory consultation
99272... Confirmatory consultation
99273... Confirmatory consultation
99274... Confirmatory consultation
99354... Prolonged service, office
99355... Prolonged service, office
A2000... Chiropractor manip of spine
*G0020.. Prepare face/oral prosthesis
*G0021.. Prepare face/oral prosthesis
H5300... Occupational therapy
M0101... Cutting/remov corns/calluses
------------------------------------------------------------------------
#All numeric CPT HCPCS Copyright American Medical Association 1994
*Added to the list as of 1/1/95.
Addendum G.--Reference Set With 1995 Work RVUs
------------------------------------------------------------------------
HCPCS* Description Work RVU
------------------------------------------------------------------------
10040.. Acne surgery......................................... 1.34
10080.. Drainage of pilonidal cyst........................... 1.62
10120.. Remove foreign body.................................. 1.19
11040.. Surgical cleansing, abrasion......................... 0.50
11042.. Cleansing of skin/tissue............................. 1.12
11050.. Trim skin lesion..................................... 0.43
11051.. Trim 2 to 4 skin lesions............................. 0.66
11400.. Removal of skin lesion............................... 0.86
11406.. Removal of skin lesion............................... 2.71
11441.. Removal of skin lesion............................... 1.56
11603.. Removal of skin lesion............................... 2.30
11642.. Removal of skin lesion............................... 2.88
11762.. Reconstruction of nail bed........................... 2.84
12002.. Repair superficial wound(s).......................... 1.81
14041.. Skin tissue rearrangement............................ 10.74
14061.. Skin tissue rearrangement............................ 11.42
15100.. Skin split graft procedure........................... 8.05
15240.. Skin full graft procedure............................ 8.30
15732.. Muscle-skin graft, head/neck......................... 12.10
15734.. Muscle-skin graft, trunk............................. 16.52
15755.. Microvascular flap graft............................. 28.33
15822.. Revision of upper eyelid............................. 4.27
15851.. Removal of sutures................................... 0.86
15937.. Remove sacrum pressure sore.......................... 12.98
16000.. Initial treatment of burn(s)......................... 0.89
16025.. Treatment of burn(s)................................. 1.85
17100.. Destruction of skin lesion........................... 0.53
19318.. Reduction of large breast............................ 11.08
19364.. Breast reconstruction................................ 27.60
19367.. Breast reconstruction................................ 24.73
20610.. Drain/inject joint/bursa............................. 0.79
21267.. Revise eye sockets................................... 17.66
21395.. Repair eye socket fracture........................... 11.85
21433.. Repair craniofacial fracture......................... 23.69
22505.. Manipulation of spine................................ 1.77
22595.. Neck spinal fusion................................... 19.24
23412.. Repair of tendon(s).................................. 12.69
25611.. Repair fracture radius/ulna.......................... 7.11
26040.. Release palm contracture............................. 3.09
26045.. Release palm contracture............................. 5.27
26055.. Incise finger tendon sheath.......................... 2.56
26123.. Release palm contracture............................. 8.64
26356.. Repair finger/hand tendon............................ 7.05
26615.. Repair metacarpal fracture........................... 5.18
26990.. Drainage of pelvis lesion............................ 6.76
27125.. Partial hip replacement.............................. 13.21
27165.. Incision/fixation of femur........................... 16.20
27170.. Repair/graft femur head/neck......................... 14.90
27418.. Repair degenerated kneecap........................... 9.82
27635.. Remove lower leg bone lesion......................... 7.29
27792.. Repair of ankle fracture............................. 7.04
28285.. Repair of hammertoe.................................. 4.41
28450.. Treat midfoot fracture, each......................... 1.77
28515.. Treatment of toe fracture............................ 1.36
29881.. Knee arthroscopy/surgery............................. 7.46
30520.. Repair of nasal septum............................... 5.55
31575.. Diagnostic laryngoscopy.............................. 1.10
31579.. Diagnostic laryngoscopy.............................. 2.26
31600.. Incision of windpipe................................. 3.62
31622.. Diagnostic bronchoscopy.............................. 2.80
32000.. Drainage of chest.................................... 1.54
32005.. Treat lung lining chemically......................... 2.19
32095.. Biopsy through chest wall............................ 7.13
32100.. Exploration/biopsy of chest.......................... 10.07
32440.. Removal of lung...................................... 19.15
32480.. Partial removal of lung.............................. 16.84
32500.. Partial removal of lung.............................. 13.10
32602.. Thoracoscopy, diagnostic............................. 5.96
33208.. Insertion of heart pacemaker......................... 7.28
33249.. Insert/replace leads/gener........................... 12.83
33426.. Repair of mitral valve............................... 26.07
33510.. Cabg, vein, single................................... 23.29
33512.. Cabg, vein, three.................................... 27.84
33513.. Cabg, vein, four..................................... 30.12
33533.. Cabg, arterial, single............................... 24.00
33870.. Transverse aortic arch graft......................... 37.74
34201.. Removal of artery clot............................... 8.04
35081.. Repair defect of artery.............................. 22.15
35082.. Repair artery rupture, aorta......................... 28.82
35091.. Repair defect of artery.............................. 28.10
35207.. Repair blood vessel lesion........................... 9.06
35221.. Repair blood vessel lesion........................... 15.11
35301.. Rechanneling of artery............................... 15.95
35381.. Rechanneling of artery............................... 14.50
35473.. Repair arterial blockage............................. 6.04
35474.. Repair arterial blockage............................. 7.36
35556.. Artery bypass graft.................................. 15.47
35646.. Artery bypass graft.................................. 24.00
35654.. Artery bypass graft.................................. 17.62
35656.. Artery bypass graft.................................. 13.86
36140.. Establish access to artery........................... 2.01
36200.. Place catheter in aorta.............................. 3.02
36215.. Place catheter in artery............................. 4.47
36216.. Place catheter in artery............................. 5.28
36245.. Place catheter in artery............................. 5.07
36471.. Injection therapy of veins........................... 1.49
36489.. Insertion of catheter, vein.......................... 1.22
36533.. Insertion of access port............................. 3.82
36620.. Insertion catheter, artery........................... 1.15
37140.. Revision of circulation.............................. 22.15
38720.. Removal of lymph nodes, neck......................... 12.29
39400.. Visualization of chest............................... 5.11
40701.. Repair cleft lip/nasal............................... 15.10
42200.. Reconstruct cleft palate............................. 9.48
42415.. Excise parotid gland/lesion.......................... 16.12
42440.. Excision submaxillary gland.......................... 6.61
42809.. Remove pharynx foreign body.......................... 1.76
42820.. Remove tonsils and adenoids.......................... 3.59
43226.. Esophagus endoscopy, dilation........................ 2.34
43239.. Upper gi endoscopy, biopsy........................... 2.69
43260.. Endoscopy, bile duct/pancreas........................ 5.96
43268.. Endoscopy, bile duct/pancreas........................ 7.39
43312.. Repair esophagus and fistula......................... 27.26
43331.. Repair of esophagus.................................. 14.73
43420.. Repair esophagus opening............................. 10.19
43610.. Excision of stomach lesion........................... 10.11
43640.. Vagotomy & pylorus repair............................ 13.28
43820.. Fusion of stomach and bowel.......................... 10.43
44110.. Excision of bowel lesion(s).......................... 9.01
44130.. Bowel to bowel fusion................................ 11.09
44141.. Partial removal of colon............................. 17.36
44152.. Removal of colon/ileostomy........................... 22.98
44160.. Removal of colon..................................... 14.09
44950.. Appendectomy......................................... 6.06
45110.. Removal of rectum.................................... 21.68
45300.. Proctosigmoidoscopy.................................. 0.70
45330.. Sigmoidoscopy, diagnostic............................ 0.96
45331.. Sigmoidoscopy and biopsy............................. 1.26
45378.. Diagnostic colonoscopy............................... 3.70
45380.. Colonoscopy and biopsy............................... 4.01
45383.. Colonoscopy, lesion removal.......................... 5.87
45915.. Remove rectal obstruction............................ 2.09
46080.. Incision of anal sphincter........................... 2.35
46221.. Ligation of hemorrhoid(s)............................ 1.38
46255.. Hemorrhoidectomy..................................... 4.95
46260.. Hemorrhoidectomy..................................... 6.70
46500.. Injection into hemorrhoids........................... 1.53
47000.. Needle biopsy of liver............................... 1.90
47100.. Wedge biopsy of liver................................ 6.75
47510.. Insert catheter, bile duct........................... 7.39
47556.. Biliary endoscopy, thru skin......................... 8.56
47605.. Removal of gallbladder............................... 11.53
48100.. Biopsy of pancreas................................... 10.19
49002.. Reopening of abdomen................................. 9.40
49421.. Insert abdominal drain............................... 4.89
50080.. Removal of kidney stone.............................. 13.98
50230.. Removal of kidney.................................... 20.56
50360.. Transplantation of kidney............................ 27.05
50398.. Change kidney tube................................... 1.46
51050.. Removal of bladder stone............................. 6.04
51596.. Remove bladder, create pouch......................... 36.27
51845.. Repair bladder neck.................................. 9.06
52005.. Cystoscopy & ureter catheter......................... 2.37
52320.. Cystoscopy and treatment............................. 4.70
52330.. Cystoscopy and treatment............................. 5.04
52340.. Cystoscopy and treatment............................. 7.76
52630.. Remove prostate regrowth............................. 6.55
54001.. Slitting of prepuce.................................. 2.14
54161.. Circumcision......................................... 3.22
54520.. Removal of testis.................................... 4.93
54640.. Suspension of testis................................. 6.55
55040.. Removal of hydrocele................................. 5.15
55520.. Removal of sperm cord lesion......................... 5.72
55530.. Revise spermatic cord veins.......................... 5.45
55700.. Biopsy of prostate................................... 1.57
55845.. Extensive prostate surgery........................... 26.73
56340.. Laparoscopic cholecystectomy......................... 10.68
56360.. Peritoneoscopy....................................... 4.04
57100.. Biopsy of vagina..................................... 0.97
57300.. Repair rectum-vagina fistula......................... 6.81
57511.. Cryocautery of cervix................................ 1.85
57800.. Dilation of cervical canal........................... 0.77
58100.. Biopsy of uterus lining.............................. 0.71
58150.. Total hysterectomy................................... 13.00
58210.. Extensive hysterectomy............................... 23.97
58720.. Removal of ovary/tube(s)............................. 6.20
58950.. Resect ovarian malignancy............................ 14.10
59160.. D&c after delivery................................... 2.66
60220.. Partial removal of thyroid........................... 9.86
60240.. Removal of thyroid................................... 15.66
61154.. Pierce skull, remove clot............................ 13.67
61312.. Open skull for drainage.............................. 20.54
61510.. Removal of brain lesion.............................. 23.39
61518.. Removal of brain lesion.............................. 32.27
61520.. Removal of brain lesion.............................. 38.35
61526.. Removal of brain lesion.............................. 29.71
61530.. Removal of brain lesion.............................. 42.35
61700.. Inner skull vessel surgery........................... 34.83
62223.. Establish brain cavity shunt......................... 12.81
62272.. Drain spinal fluid................................... 1.35
62279.. Inject spinal anesthetic............................. 1.58
62284.. Injection for myelogram.............................. 1.54
62289.. Injection into spinal canal.......................... 1.64
63012.. Removal of spinal lamina............................. 14.21
63017.. Removal of spinal lamina............................. 15.85
63030.. Low back disk surgery................................ 12.11
63047.. Removal of spinal lamina............................. 12.76
63650.. Implant neuroelectrodes.............................. 5.99
63660.. Revise/remove neuroelectrode......................... 5.54
63685.. Implant neuroreceiver................................ 6.29
63688.. Revise/remove neuroreceiver.......................... 4.77
63750.. Insert spinal canal catheter......................... 7.23
63780.. Insert spinal canal catheter......................... 6.22
64442.. Injection for nerve block............................ 1.41
64590.. Implant neuroreceiver................................ 2.35
64640.. Injection treatment of nerve......................... 2.49
64721.. Carpal tunnel surgery................................ 3.99
66984.. Remove cataract, insert lens......................... 9.89
67010.. Partial removal of eye fluid......................... 6.67
67107.. Repair detached retina............................... 13.99
67145.. Treatment of retina.................................. 5.07
67311.. Revise eye muscle.................................... 6.30
67903.. Repair eyelid defect................................. 6.22
67908.. Repair eyelid defect................................. 4.95
69631.. Repair eardrum structures............................ 9.55
70220.. X-ray exam of sinuses................................ 0.25
70450.. Cat scan of head or brain............................ 0.85
70470.. Contrast cat scans of head........................... 1.27
70541.. Magnetic image, head (mra)........................... 1.81
70553.. Magnetic image, brain................................ 2.36
71020.. Chest x-ray.......................................... 0.22
72050.. X-ray exam of neck spine............................. 0.31
72100.. X-ray exam of lower spine............................ 0.22
72131.. Cat scan of lower spine.............................. 1.16
72148.. Magnetic image, lumbar spine......................... 1.48
72170.. X-ray exam of pelvis................................. 0.17
73560.. X-ray exam of knee................................... 0.17
74000.. X-ray exam of abdomen................................ 0.18
74020.. X-ray exam of abdomen................................ 0.27
74160.. Contrast cat scan of abdomen......................... 1.27
74280.. Contrast x-ray exam of colon......................... 0.99
74400.. Contrast x-ray urinary tract......................... 0.49
74455.. X-ray exam urethra/bladder........................... 0.33
75650.. Artery x-rays, head & neck........................... 1.49
75962.. Repair arterial blockage............................. 0.54
76091.. Mammogram, both breasts.............................. 0.41
76519.. Echo exam of eye..................................... 0.54
76645.. Echo exam of breast.................................. 0.54
76700.. Echo exam of abdomen................................. 0.81
76805.. Echo exam of pregnant uterus......................... 0.99
76872.. Echo exam, transrectal............................... 0.69
77263.. Radiation therapy planning........................... 3.14
77290.. Set radiation therapy field.......................... 1.56
77430.. Weekly radiation therapy............................. 3.60
77762.. Radioelement application............................. 5.35
77777.. Radioelement application............................. 6.99
78006.. Thyroid, imaging with uptake......................... 0.49
78223.. Hepatobiliary imaging................................ 0.84
78306.. Bone imaging, whole body............................. 0.86
78461.. Heart muscle blood multiple.......................... 1.23
78465.. Heart image (3d) multiple............................ 1.46
78472.. Gated heart, resting................................. 0.98
78585.. Lung v/q imaging..................................... 1.09
79000.. Intial hyperthyroid therapy.......................... 1.80
80500.. Lab pathology consultation........................... 0.37
85060.. Blood smear interpretation........................... 0.45
85095.. Bone marrow aspiration............................... 1.08
85102.. Bone marrow biopsy................................... 1.37
86078.. Physician blood bank service......................... 0.94
88104.. Microscopic exam of cells............................ 0.56
88302.. Tissue exam by pathologist........................... 0.13
88304.. Tissue exam by pathologist........................... 0.22
88305.. Tissue exam by pathologist........................... 0.75
88307.. Tissue exam by pathologist........................... 1.59
88309.. Tissue exam by pathologist........................... 2.28
88325.. Comprehensive review of data......................... 2.22
88331.. Pathology consult in surgery......................... 1.19
90801.. Psychiatric interview................................ 2.19
90843.. Psychotherapy 20-30 min.............................. 1.10
90844.. Psychotherapy 45-50 min.............................. 1.72
90853.. Special group therapy................................ 0.43
90862.. Medication management................................ 0.95
90870.. Electroconvulsive therapy............................ 1.88
90911.. Anorectal biofeedback................................ 2.15
90935.. Hemodialysis, one evaluation......................... 1.22
90937.. Hemodialysis, repeated eval.......................... 2.11
90945.. Dialysis, one evaluation............................. 1.28
92004.. Eye exam, new patient................................ 1.61
92012.. Eye exam established pt.............................. 0.82
92014.. Eye exam & treatment................................. 1.06
92083.. Visual field examination(s).......................... 0.50
92250.. Eye exam with photos................................. 0.44
92960.. Heart electroconversion.............................. 2.25
92975.. Dissolve clot, heart vessel.......................... 7.25
93010.. Electrocardiogram report............................. 0.17
93015.. Cardiovascular stress test........................... 0.75
93224.. ECG monitor/report, 24 hrs........................... 0.52
93307.. Echo exam of heart................................... 0.78
93320.. Doppler echo exam, heart............................. 0.38
93501.. Right heart catheterization.......................... 3.02
93505.. Biopsy of heart lining............................... 4.56
93511.. Left heart catheterization........................... 5.03
93536.. Insert circulation assist............................ 4.85
93619.. Electrophysiology evaluation......................... 7.32
93624.. Electrophysiologic study............................. 4.81
93651.. Ablate heart dysrhythm focus......................... 16.25
93732.. Analyze pacemaker system............................. 0.92
93736.. Telephone analysis, pacemaker........................ 0.15
93880.. Extracranial study................................... 0.60
94010.. Breathing capacity test.............................. 0.17
94060.. Evaluation of wheezing............................... 0.31
94160.. Vital capacity screening............................. 0.18
94656.. Initial ventilator mgmt.............................. 1.22
94657.. Cont. ventilator..................................... 0.83
95819.. Electroencephalogram (EEG)........................... 1.08
95860.. Muscle test, one limb................................ 0.96
95861.. Muscle test, two limbs............................... 1.54
95900.. Motor nerve conduction test.......................... 0.42
95904.. Sense nerve conduction test.......................... 0.34
95935.. ``h'' or ``f'' reflex study.......................... 0.59
97110.. Therapeutic exercises................................ 0.45
99201.. Office/outpatient visit, new......................... 0.38
99202.. Office/outpatient visit, new......................... 0.75
99203.. Office/outpatient visit, new......................... 1.14
99204.. Office/outpatient visit, new......................... 1.71
99205.. Office/outpatient visit, new......................... 2.28
99211.. Office/outpatient visit, est......................... 0.17
99212.. Office/outpatient visit, est......................... 0.38
99213.. Office/outpatient visit, est......................... 0.55
99214.. Office/outpatient visit, est......................... 0.94
99215.. Office/outpatient visit, est......................... 1.51
99217.. Observation care discharge........................... 1.09
99222.. Initial hospital care................................ 1.84
99223.. Initial hospital care................................ 2.57
99231.. Subsequent hospital care............................. 0.51
99232.. Subsequent hospital care............................. 0.88
99233.. Subsequent hospital care............................. 1.25
99238.. Hospital discharge day............................... 1.06
99241.. Office consultation.................................. 0.54
99242.. Office consultation.................................. 1.11
99243.. Office consultation.................................. 1.47
99244.. Office consultation.................................. 2.23
99245.. Office consultation.................................. 2.96
99252.. Initial inpatient consult............................ 1.13
99253.. Initial inpatient consult............................ 1.56
99254.. Initial inpatient consult............................ 2.27
99255.. Initial inpatient consult............................ 3.14
99263.. Follow-up inpatient consult.......................... 1.16
99282.. Emergency dept visit................................. 0.47
99283.. Emergency dept visit................................. 1.07
99284.. Emergency dept visit................................. 1.68
99285.. Emergency dept visit................................. 2.63
99291.. Critical care, first hour............................ 3.64
99292.. Critical care, addl 30 min........................... 1.84
99296.. Neonatal critical care............................... 7.40
99297.. Neonatal critical care............................... 3.84
99302.. Nursing facility care................................ 1.67
99311.. Nursing facility care, subseq........................ 0.54
99353.. Home visit, estab patient............................ 1.48
99381.. Preventive visit, new, infant........................ 1.19
99382.. Preventive visit, new, age 1-4....................... 1.36
99383.. Preventive visit, new, age 5-11...................... 1.36
99384.. Preventive visit, new, 12-17......................... 1.53
99385.. Preventive visit, new, 18-39......................... 1.53
99386.. Preventive visit, new, 40-64......................... 1.88
99387.. Preventive visit, new, 65 & over..................... 2.06
99391.. Preventive visit, est, infant........................ 1.02
99392.. Preventive visit, est, age 1-4....................... 1.19
99393.. Preventive visit, est, age 5-11...................... 1.19
99394.. Preventive visit, est, 12-17......................... 1.36
99431.. Initial care, normal newborn......................... 1.17
99433.. Normal newborn care, hospital........................ 0.62
99440.. Newborn resuscitation................................ 2.93
------------------------------------------------------------------------
*All numeric CPT HCPCS Copyright 1994 American Medical Association.
[FR Doc. 94-29916 Filed 12-1-94; 8:45 am]
BILLING CODE 4120-01-P
