02-16146. Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2003  

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    AGENCY:

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

    ACTION:

    Proposed rule.

    SUMMARY:

    The proposed rule would refine the resource-based practice expense relative value units (RVUs) and make other changes to Medicare Part B payment policy. The policy changes concern: Medicare Economic Index, pricing of the technical component for positron emission tomography (PET) scans, Medicare qualifications for clinical nurse specialists, a process to add or delete services to the definition of telehealth, definition for ZZZ global periods, global period for surface radiation, and an endoscopic base for urology codes. We also discuss the refinement of anesthesia work values, clinical social worker services, and how drugs are accounted for in the sustainable growth rate.

    We are proposing these changes to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We solicit comments on the proposed policy changes.

    This proposed rule also clarifies the enrollment of physical and occupational therapists as therapists in private practice. In addition, this proposed rule discusses physical and occupational therapy payment caps and makes technical changes to outpatient rehabilitation services.

    DATES:

    We will consider comments if we receive them at the appropriate address, as provided below, no later than 5 p.m. on August 27, 2002.

    ADDRESSES:

    In commenting, please refer to file code CMS-1204-P. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. Mail written comments (one original and two copies) to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1204-P, P.O. Box 8013, Baltimore, MD 21244-8013.

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

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

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

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

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

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    FOR FURTHER INFORMATION CONTACT:

    Carolyn Mullen, (410) 786-4589, Marc Hartstein, (410) 786-4539, or Stephanie Monroe (410) 786-6864 (for issues related to resource-based practice expense relative value units).

    Jim Menas, (410) 786-4507 (for issues related to anesthesia).

    Marc Hartstein, (410) 786-4539 (for issues related to sustainable growth rate).

    Gail Addis, (410) 786-4522 (for issues related to PET scans and HCPCS codes).

    Craig Dobyski, (410) 786-4584 (for issues related to telehealth).

    Terri Harris, (410) 786-6830 (for issues related to physical and occupational therapy).

    Latesha Walker, (410) 786-1101 (for all other issues).

    End Further Info End Preamble Start Supplemental Information

    SUPPLEMENTARY INFORMATION:

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

    Copies: To order copies of the Federal Register containing this document, send your request to: New Orders, Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify the date of the issue requested and enclose a check or money order payable to the Superintendent of Documents, or enclose your Visa or Master Card number and expiration date. Credit card orders can also be placed by calling the order desk at (202) 512-1800 (or toll-free at 1-888-293-6498) or by faxing to (202) 512-2250. The cost for each copy is $9. As an alternative, you can view and photocopy the Federal Register document at most libraries designated as Federal Depository Libraries and at many other public and academic libraries throughout the country that receive the Federal Register.

    This Federal Register document is also available from the Federal Register online database through GPO Access, a service of the U.S. Government Printing Office. The web site address is: http://www.access.gpo.gov/​nara/​index.html.

    Information on the physician fee schedule can be found on our homepage. You can access this data by using the following directions:

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

    2. Click on “Medicare.”

    3. Click on “Professional/Technical Information.”

    4. Select Medicare Payment Systems.

    5. Select Physician Fee Schedule.

    Or, you can go directly to the Physician Fee Schedule page by typing the following: http://www.cms.hhs.gov/​medicare/​pfsmain.htm.

    To assist readers in referencing sections contained in this preamble, we are providing the following table of contents. Some of the issues discussed in this preamble affect the payment policies but do not require changes to the regulations in the Code of Federal Regulations. Information on the regulation's impact appears throughout the preamble and is not exclusively in section V.

    Table of Contents

    I. Background

    A. Legislative History

    B. Published Changes to the Fee Schedule

    II. Provisions of the Proposed Regulations

    A. Resource-Based Practice Expense Relative Value Units

    B. Anesthesia Issues

    C. Changes to the Physician Fee Schedule Update Calculation and the Sustainable Growth Rate (SGR)

    D. Pricing of Technical Components (TC) for Positron Emissions Tomography (PET) Scans

    E. Enrollment of Physical and Occupational Therapists as Therapists in Private Practice

    F. Clinical Social Worker Services

    G. Medicare Qualifications for Clinical Nurse Specialists Start Printed Page 43847

    H. Process to Add or Delete Services to the Definition of Telehealth

    I. Definition for ZZZ Global Periods

    J. Change in Global Period for CPT Code 77789 (Surface Application of Radiation Source)

    K. Technical Change: § 410.61(d)(iii) Outpatient Rehabilitation Services

    L. New HCPCS G-Codes

    M. Endoscopic Base for Urology Codes

    N. Physical Therapy and Occupational Therapy Caps

    III. Collection of Information Requirements

    IV. Response to Comments

    V. Regulatory Impact Analysis

    Addendum A—Explanation and Use of Addendum B

    Addendum B—2003 Relative Value Units and Related Information Used in Determining Medicare Payments for 2003.

    In addition, because of the many organizations and terms to which we refer by acronym in this proposed rule, we are listing these acronyms and their corresponding terms in alphabetical order below:

    AMA—American Medical Association

    BBA—Balanced Budget Act of 1997

    BBRA—Balanced Budget Refinement Act of 1999

    CF—Conversion factor

    CFR—Code of Federal Regulations

    CMS—Centers for Medicare & Medicaid Services

    CNS—Clinical Nurse Specialist

    CPT—(Physicians') Current Procedural Terminology (4th Edition, 2002, copyrighted by the American Medical Association)

    CPEP—Clinical Practice Expert Panel

    CRNA—Certified Registered Nurse Anesthetist

    E/M—Evaluation and management

    FMR—Fair market rental

    GAF—Geographic adjustment factor

    GPCI—Geographic practice cost index

    HCPCS—Healthcare Common Procedure Coding System

    HHA—Home health agency

    HHS—(Department of) Health and Human Services

    IDTFs—Independent Diagnostic Testing Facilities

    MCM—Medicare Carrier Manual

    MedPAC—Medicare Payment Advisory Commission

    MEI—Medicare Economic Index

    MGMA—Medical Group Management Association

    MSA—Metropolitan Statistical Area

    NAMCS—National Ambulatory Medical Care Survey

    PC—Professional component

    PEAC—Practice Expense Advisory Committee

    PET—Positron Emission Tomography

    PPS—Prospective payment system

    RUC—(AMA's Specialty Society) Relative (Value) Update Committee

    RVU—Relative value unit

    SGR—Sustainable growth rate

    SMS—(AMA's) Socioeconomic Monitoring System

    SNF—Skilled Nursing Facility

    TC—Technical component

    I. Background

    A. Legislative History

    Since January 1, 1992, Medicare has paid for physicians' services under section 1848 of the Social Security Act (the Act), “Payment for Physicians” Services.” This section provides for three major elements: (1) A fee schedule for the payment of physicians' services; (2) limits on the amounts that nonparticipating physicians can charge beneficiaries; and (3) a sustainable growth rate for the rates of increase in Medicare expenditures for physicians' services. The Act requires that payments under the fee schedule be based on national uniform relative value units (RVUs) based on the resources used in furnishing a service. Section 1848(c) of the Act requires that national RVUs be established for physician work, practice expense, and malpractice expense. Section 1848(c)(2)(B)(ii)(II) of the Act provides that adjustments in RVUs may not cause total physician fee schedule payments to differ by more than $20 million from what they would have been had the adjustments not been made. If adjustments to RVUs cause expenditures to change by more than $20 million, we must make adjustments to preserve budget neutrality.

    B. Published Changes to the Fee Schedule

    In the July 2000 proposed rule (65 FR 44177), we listed all of the final rules published through November 1999. In the August 2001 proposed rule (66 FR 40372) we discussed the November 2000 final rule relating to the updates to the RVUs and revisions to payment policies under the physician fee schedule.

    In the November 2001 final rule with comment period (66 FR 55246), we revised the policy for resource-based practice expense RVUs; services and supplies incident to a physician's professional service; anesthesia base unit variations; recognition of CPT tracking codes; and nurse practitioners, physician assistants, and clinical nurse specialists performing screening sigmoidoscopies. We also addressed comments received on the June 8, 2001 proposed notice (66 FR 31028) for the 5-year review of work RVUs and finalized these work RVUs. In addition, we acknowledged comments received in response to a discussion of modifier-62, which is used to report the work of co-surgeons. The November 2001 final rule also updated the list of services that are subject to the physician self-referral prohibitions in order to reflect CPT and Healthcare Common Procedure Coding System (HCPCS) code changes that were effective January 1, 2002. All these revisions ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services.

    The Medicare, Medicaid, and State Child Health Insurance Program (SCHIP) Benefits Improvement and Protection Act of 2000 (Pub. L. 106-554) (BIPA) modernized the mammography screening benefit and authorized payment under the physician fee schedule effective January 1, 2002. It provided for biennial screening pelvic examinations for certain beneficiaries and expanded coverage for screening colonoscopies to all beneficiaries effective July 1, 2001. It provided for annual glaucoma screenings for high-risk beneficiaries and established coverage for medical nutrition therapy services for certain beneficiaries effective January 1, 2002. It expanded payment for telehealth services effective October 1, 2001; required certain Indian Health Service providers to be paid for some services under the physician fee schedule effective July 1, 2001; and revised the payment for certain physician pathology services effective January 1, 2001. This final rule conformed our regulations to reflect these statutory provisions.

    The final rule also announced the calendar year 2002 physician fee schedule conversion factor of $36.1992.

    II. Provisions of the Proposed Regulations

    This proposed rule would affect the regulations set forth at part 410, Supplementary medical insurance (SMI) benefits and part 414, Payment for Part B medical and other health services.

    A. Resource-Based Practice Expense Relative Value Units

    1. Resource-Based Practice Expense Legislation

    Section 121 of the Social Security Act Amendments of 1994 (Pub. L. 103-432), enacted on October 31, 1994, required us to develop a methodology for a resource-based system for determining practice expense RVUs for each physician's service beginning in 1998. In developing the methodology, we were to consider the staff, equipment, and supplies used in providing medical and surgical services in various settings. The legislation specifically required that, in implementing the new system of Start Printed Page 43848practice expense RVUs, we apply the same budget-neutrality provisions that we apply to other adjustments under the physician fee schedule.

    Section 4505(a) of the Balanced Budget Act of 1997 (BBA) (Pub. L. 105-33), enacted on August 5, 1997, amended section 1848(c)(2)(ii) of the Act and delayed the effective date of the resource-based practice expense RVU system until January 1, 1999. In addition, section 4505(b) of the BBA provided for a 4-year transition period from charge-based practice expense RVUs to resource-based RVUs.

    Further legislation affecting resource-based practice expense RVUs was included in the Medicare, Medicaid and State Child Health Insurance Program (SCHIP) Balanced Budget Refinement Act of 1999 (BBRA) (Pub. L. 106-113), enacted on November 29, 1999. Section 212 of the BBRA amended section 1848(c)(2)(ii) of the Act by directing us to establish a process under which we accept and use, to the maximum extent practicable and consistent with sound data practices, data collected or developed by entities and organizations. These data would supplement the data we normally collect in determining the practice expense component of the physician fee schedule for payments in CY 2001 and CY 2002. (In the 1999 final rule (64 FR 59380), we extended, for an additional 2 years, the period during which we would accept supplementary data.)

    2. Current Methodology for Computing the Practice Expense Relative Value Unit System

    Effective with services furnished on or after January 1, 1999, we established a new methodology for computing resource-based practice expense RVUs that used the two significant sources of actual practice expense data we have available—the Clinical Practice Expert Panel (CPEP) data and the American Medical Association's (AMA) Socioeconomic Monitoring System (SMS) data. The methodology was based on an assumption that current aggregate specialty practice costs are a reasonable way to establish initial estimates of relative resource costs for physicians' services across specialties. The methodology allocated these aggregate specialty practice costs to specific procedures and, thus, can be seen as a “top-down” approach.

    a. Major Steps

    A brief discussion of the major steps involved in the determination of the practice expense RVUs follows. (Please see the November 1, 2001 final rule (66 FR 55249) for a more detailed explanation of the top-down methodology.)

    • Step 1—Determine the specialty specific practice expense per hour of physician direct patient care. We used the AMA's SMS survey of actual aggregate cost data by specialty to determine the practice expenses per hour for each specialty. We calculated the practice expenses per hour for the specialty by dividing the aggregate practice expenses for the specialty by the total number of hours spent in patient care activities.
    • Step 2—Create a specialty specific practice expense pool of practice expense costs for treating Medicare patients. To calculate the total number of hours spent treating Medicare patients for each specialty, we used the physician time assigned to each procedure code and the Medicare utilization data. We then calculated the specialty specific practice expense pools by multiplying the specialty practice expenses per hour by the total physician hours.
    • Step 3—Allocate the specialty specific practice expense pool to the specific services performed by each specialty. For each specialty, we divided the practice expense pool into two groups based on whether direct or indirect costs were involved and used a different allocation basis for each group.

    (i) Direct costs—For direct costs (which include clinical labor, medical supplies, and medical equipment), we used the procedure specific CPEP data on the staff time, supplies, and equipment as the allocation basis.

    (ii) Indirect costs—To allocate the cost pools for indirect costs, including administrative labor, office expenses, and all other expenses, we used the total direct costs combined with the physician fee schedule work RVUs. We converted the work RVUs to dollars using the Medicare CF (expressed in 1995 dollars for consistency with the SMS survey years).

    • Step 4—For procedures performed by more than one specialty, the final procedure code allocation was a weighted average of allocations for the specialties that perform the procedure, with the weights being the frequency with which each specialty performs the procedure on Medicare patients.

    b. Other Methodological Issues

    (i) Zero Physician Work Pool—For services with physician work RVUs equal to zero (including those services with a technical and professional component), we created a separate practice expense pool using the average clinical staff time from the CPEP data and the “all physicians” practice expense per hour.

    We then used the adjusted 1998 practice expense RVUs to allocate this pool to each service. Also, for all radiology services that are assigned physician work RVUs, we used the adjusted 1998 practice expense RVUs for radiology services as an interim measure to allocate the direct practice expense cost pool for radiology.

    (ii) Crosswalks for Specialties without Practice Expense Survey Data

    Since many specialties identified in our claims data did not correspond exactly to the specialties included in the SMS survey data, it was necessary to crosswalk these specialties to the most appropriate SMS specialty.

    (iii) Because we believe that most physical therapy services furnished in physicians' offices are performed by physical therapists, we crosswalked all utilization for therapy services in the CPT 97000 series to the physical and occupational therapy practice expense pool.

    B. Practice Expense Proposals for Calendar Year 2003

    1. CPEP Data

    a. Ophthalmology Services—Rank Order Anomalies

    Rank order anomalies were created in three ophthalmology families of codes because only certain services in each family were brought to the Practice Expense Advisory Committee (PEAC) for refinement, while CPEP data for the other codes were left unchanged. The American Academy of Ophthalmology has requested that we make the following changes in the CPEP data to ensure that the more complex services in a family of codes are not paid less than the simpler services and we are proposing to do so.

    CPT code 67820, Revise eyelashes—remove ophthane from the supply list.

    CPT code 67825, Revise eyelashes—remove the bipolar handpiece from the supply list.

    CPT code 65220, Removal foreign body from eye—use the supply list and clinical staff time assigned to CPT code 65222. The exam lane should be the only equipment assigned.

    CPT codes 92081 and 92083, Visual field examination(s)—Assign the same supplies and equipment as CPT code 92082; assign 35 minutes of clinical staff time to 92081 and 70 minutes to 92083.

    b. Practice Expense Inputs for Thermotherapy Procedures

    There are three CPT codes for transurethral destruction of prostate tissue: CPT 53850, by microwave Start Printed Page 43849therapy, CPT 53852, by radiofrequency thermotherapy, and CPT 53853, by water-induced thermotherapy (WIT). A manufacturer of WIT equipment has expressed concern that the practice expense inputs currently assigned to CPT 53853 underestimate the costs associated with that procedure relative to the other two codes. We have compared the inputs of the three codes and agree that the WIT procedure has not been assigned many of the basic supply and equipment inputs that are included in the CPEP inputs for the other two procedures. Therefore, we are proposing to add, on an interim basis, the following inputs: Power table, ultrasound unit, mayo stand, endoscopy stretcher, light source, chux, sani-wipe, patient education book, sterile towel, sterile gloves, specimen cup, alcohol swab, gauze, tape, lidocaine, betadine, 10 cc syringe, 30 cc syringe, sterile water, leg bag. These inputs would be in addition to the thermotherapy unit, treatment catheter, drainage bag, cystopak (which contains drapes, syringe, irrigation tubing, surgical lubricant, sterile cup, gauze pad and cysto tubing) and minimum visit package for each visit (which contains patient gown, unsterile gloves, exam table paper, pillow case and thermometer probe cover) that are currently assigned as practice expense inputs for this procedure.

    We are also proposing to change on an interim basis the staff type for CPT code 53853 from the RN/LPN/MTA blend to RN in order to make the staff type consistent among these three similar procedures. In addition, we have corrected for all three procedures the minutes assigned to each piece of equipment to reflect the intra- and post-clinical staff times only, rather than the total clinical staff times as we do for all services.

    We will request that these three procedures be reexamined by the PEAC at the same time in order to ensure that there is a consistent approach to the assignment of direct cost inputs.

    We have also received questions regarding the large disparity in prices that we have used for the three different thermotherapy machines. Currently, the thermotherapy equipment for CPT code 53850 is priced at $180,000, code 53852 at $42,995 and code 53853 at $18,500. The first two prices were given to us in 1999 and we have been sent documentation that indicates that the prices have fallen dramatically since that time. This documentation indicates that the current price for the thermotherapy equipment for CPT 53580 is somewhere between $55,000 and $100,000 and for code 53852 between $25,000 and $30,000. We are proposing to set the prices at $60,000 and $30,000, respectively and are also requesting that commenters furnish any additional available price documentation, particularly invoices for recently purchased equipment, so that we can ensure that any differences in assigned prices accurately reflect actual differences in costs.

    c. Revision to Inputs for Iontophoresis

    It has been brought to our attention that the electrodes assigned to the supply list for CPT code 97033, Iontophoresis, are not the type of electrodes required for this procedure. We are proposing to substitute two electrodes with a medication vesicle as the appropriate supply for iontophoresis.

    d. Correction to Price for Sterile Water

    The current price of $40.00 for 1000 ml of sterile water that is listed in our CPEP supply database is incorrect. We are proposing to change this to $3.00.

    2. Zero Physician Work Pool for Practice Expense

    a. Discussion of Alternatives to the Zero Physician Work Pool

    Within the last year, there have been two reports that have addressed the zero physician work pool. The GAO released a report in October 2001 that recommended eliminating the zero physician work pool (GAO-02-53, page 25). The Lewin Group, under contract with us, provided a draft report on June 5, 2001 analyzing the zero physician work pool and provided several ideas that we could study as alternatives. As we indicated in the November 2, 1998 final rule (63 FR 58821), we created the zero physician work pool as an interim measure until we could further analyze the effect of the top-down methodology on the Medicare payment for services that do not have physician work RVUs. Given our interest in finding alternatives to the zero physician work pool, we have analyzed the following possible ideas:

    • Eliminate the Zero Physician Work Pool.

    The Lewin Group indicated that one idea could be to eliminate the zero physician work pool, as recommended by the GAO (the Lewin Group, page 19). We do not believe that the zero physician work pool should be eliminated at this time. In the absence of a change to the methodology or additional data, eliminating the zero physician work pool would result in large reductions in payments for some of the specialties whose services are included in the pool. The Lewin Group also indicated that this idea is not a “viable alternative to the current zero (physician) work pool approach.” (The Lewin Group, pages 19-20).

    • Develop Specialty-Specific Zero Physician Work Pools.

    Under this approach, the Lewin Group report described an idea for maintaining the general zero physician work pool approach with specialty-specific zero physician work pools (the Lewin Group, page 20). Since the zero physician work pool is an exception to the basic methodology, we are not currently interested in developing another exception to replace it. We are interested in finding a single methodology that would apply to all physicians' services. While we are not adopting this suggestion, we do appreciate the Lewin Group's work in developing this and many other ideas for consideration as we make refinements to the practice expense methodology.

    • Make Technical Component Equal Global Less Professional Component RVUs.

    Many of the services that are affected by the zero physician work pool are services that have both professional and technical components. Under current policy, the technical component practice expense RVU is determined in the zero physician work pool. It is added to the practice expense RVUs for the professional component determined under the basic methodology to determine payment for the global service. This Lewin Group idea would change this to make the technical component RVUs equal the difference between the global and the professional component RVUs while other zero physician work services would be returned to the basic methodology (The Lewin Group, page 21).

    If we were to adopt this approach, the zero physician work pool would no longer have any effect. The zero physician work pool would not have any effect on the professional and technical component services since the global service from the basic methodology would be used to derive the technical component value. The practice expense RVUs for other zero physician work services would be priced under the basic methodology. In the absence of a change to the methodology or additional data, this idea would result in large reductions in payments for some of the specialties whose services are included in the pool.

    As we have indicated above, we are concerned about adopting this idea at this time. While we are not currently proposing to adopt this idea as an alternative to the zero physician work Start Printed Page 43850pool, we do believe there is merit in making the technical component value equal the difference between the global and professional component RVU for services that are unaffected by the zero physician work pool. We receive many more bills for the global than the technical component only. Since it is far more common to receive a global than a technical component only bill, it is far more likely that using the global to value the technical component service will result in a payment that is more typical of the relative actual practice expense associated with the service.

    For this reason, we are proposing to make the technical component value equal to the difference between the global and the professional component for procedure codes that are not included in the zero physician work pool. We will continue to make the global value equal to the sum of the professional and the technical component values for procedure codes that remain in the zero physician work pool. However, we may revisit this decision in the future if we can address issues related to the zero physician work pool. We have provided more detail on the redistributive impact of this proposal among all physician specialties in the impact section of this proposed rule.

    • Develop Proxy Physician Work RVUs for Zero Physician Work Services.

    Finally, the Lewin Group described an idea that would retain work and direct expenses as the basic allocators of indirect costs but create proxy physician work values for services that have no physician work (the Lewin Group, pages 22-23). The GAO suggests that the basic method for allocating indirect expenses does not adequately account for the indirect costs associated with services that do not have physician work RVUs (GAO-02-53, page 22). We do not believe that the large payment reductions that would occur if some zero physician work services were priced under the basic methodology are necessarily associated with the indirect cost allocation methodology. While the zero physician work pool is of benefit to many of the services that were originally included, some specialties commented that this methodological change negatively affected the particular services they provide. As a result, we allowed specialties to request that their services be removed from the zero physician work pool (see July 22, 1999 proposed rule (64 FR 39620)). If there are shortcomings in the indirect cost allocation for services that have zero physician work, it seems likely that the values for all zero physician work services would be adversely affected. However, since many zero physician work services are not adversely affected under the top down methodology, it seems unlikely that the indirect cost allocation explains the adverse payment impact that would result for some services from elimination of the zero physician work pool. For this reason, we do not anticipate modifying the indirect cost allocation for zero physician work services.

    Based on our analysis of the Lewin suggestions, we do not believe that allocation of either direct or indirect expenses explains the effect of the top down methodology on zero physician work services. Rather, we believe it is likely that a relatively low practice expense per hour for some of the specialties included in the zero physician work pool explains why their payments are adversely affected by its elimination.

    The specialties whose services are affected by the zero physician work pool may want to conduct supplemental practice expense surveys if they believe there are shortcomings in the practice expense per hour information that we use as part of the basic methodology. We have published in this issue of the Federal Register, an interim final rule with comment that will modify the criteria for acceptance of supplemental data. This should make it easier for specialties to incorporate new practice expense survey information into the methodology. Further, as we indicated previously in the November 1, 2000 Federal Register (65 FR 65384), we believe that there are significant advantages to receiving practice cost information through multi-specialty surveys. For this reason, we would welcome a multi-specialty practice expense survey from all of the specialties that have payments affected by the zero physician work pool.

    b. Other Proposals for Changes to the Zero Physician Work Pool

    (i) Adjustment to Oncology Supplies Practice Expense Per Hour

    In the June 5, 1998 proposed rule (63 FR 30832), we proposed an adjustment to the medical supplies practice expense per hour for oncology as a result of a concern that their inordinately high practice expense per hour included expenses associated with separately payable cancer drugs. We proposed to substitute the “all physician” average for the oncology-specific medical supplies practice expense per hour. We received public comments indicating that, even after excluding the effect of higher drug expenses, oncologists have higher medical supply expenses than the average physician because of high supply costs associated with the administration of chemotherapy. These commenters suggested alternatives to using the average physician rate. In our November 2, 1998 (63 FR 58825) final rule, we made an adjustment to the medical supplies practice expense per hour for oncology and indicated our belief that oncology medical supply expenses would not necessarily exceed those of the average physician. However, the adjustment has largely had no effect since the practice expense RVUs for chemotherapy administration services are determined in the zero physician work pool.

    In its October 2001 report, the GAO recommended that we examine the effect of the adjustment made to oncologists' reported medical supplies expenses per hour. GAO did not suggest a specific alternative to the adjustment we made (GAO-02-53, pages 24-25). Consistent with the GAO recommendation, we have examined this adjustment and its impact on Medicare payments to oncologists. Upon further review, we believe that there is merit in reconsidering the adjustment that we made to the medical supply expenses for oncologists in combination with removing chemotherapy administration services from the zero physician work pool.

    At this time, we have no specific information on oncology medical supply expenses net of separately payable drugs. However, we have established a process that would allow specialties to submit supplemental practice expense survey data to us. While the criteria for performing a survey require consistency with the SMS, we are amenable to modifications to the survey instrument so that it can address questions that are of concern to a specific medical specialty. For instance, we would allow an oncology survey to request that respondents distinguish between drug and other medical supply related expenses. We believe that using specific data on this question from a survey would be preferable to developing an alternative adjustment that requires us to make assumptions about oncology medical supply expenses. However, if further survey information is unavailable to us, we are considering information that could be used as a reasonable proxy to determine the portion of the supplies practice expense per hour that is attributable to medical supplies that are not separately payable. Such an idea was suggested in the public comments on the June 5, 1998 proposed rule. We are considering other alternatives as well. These approaches to the supplies Start Printed Page 43851practice expense per hour would apply if chemotherapy administration services were removed from the zero physician work pool.

    (ii) Change to Staff Time Used To Create the Pool

    In the November 2, 1998 final rule (63 FR 58841), we indicated that average clinical staff time was used in the creation of the zero physician work pool. Since the cost pools are created based on physician time and, by definition, zero physician work services have no physician time, we need to use staff time to create the cost pool. If our database indicates that multiple staff types are typically involved in the service, we have used an average of the different clinical staff times. We are proposing to create the cost pool using the highest staff time in place of average staff time. The impact of this proposal is shown in the impact section of this proposed rule.

    (iii) Removal of Non-Invasive Vascular Diagnostic Study Codes From the Zero Physician Work Pool

    We are proposing to remove the non-invasive vascular diagnostic study codes (CPT codes 93875-93990) from the zero physician work pool based on a request from the American Association for Vascular Surgery and the Society for Vascular Surgery. The impact of this proposal is also described further in the impact section.

    (iv) Removal of Immunization CPT Codes 90471 and 90472 From the Zero Physician Work Pool

    As discussed above, in the November 2, 1998 final rule (63 FR 58841), in response to the many commenters who were concerned about the proposed reductions for services with zero physician work RVUs, we created a separate practice expense pool for all services with zero physician work RVUs. The assignment of services to this zero physician work pool was of benefit to most services in this expense pool. However, some specialties were negatively affected by this methodology, and we have allowed specialties to indicate whether their services should be priced in this pool.

    Immunization administration services do not have physician work RVUs and have been included in the zero physician work pool. So that the direct practice expense resource costs associated with the immunization administration services are recognized, we propose removing these services from the zero physician work pool methodology and treating them like the vast majority of services on the physician fee schedule. Using the direct cost practice expense inputs as recommended by the AMA's RUC, the proposed practice expense relative value units will be 0.22 for CPT code 90471 and 0.09 for CPT code 90472. This change will nearly double payment for CPT code 90471 and slightly reduce payment for CPT code 90472. Procedure CPT code 90471 is used for immunization administration and CPT code 90472 is used for each additional vaccine. Since CPT code 90472 must be billed in conjunction with CPT code 90471, the total payment for these procedures will increase when billed together.

    We have not assigned immunization administration physician work RVUs because this service does not typically involve a physician. The nurse that administers the vaccine typically provides the necessary counseling to the patient and this time is accounted for in the practice expense RVU.

    In addition, we would note that not all services represented by CPT codes 90471 and 90472 are covered by Medicare. For example, medically necessary administrations of tetanus toxoid (such as following a severe injury) would be covered whereas preventive administration of this vaccine would not be covered. Also, we will consider whether the amount of counseling of the patient and/or family may be different for childhood immunizations than for the typical Medicare service. Therefore, we are considering whether coding changes to reflect these differences would be appropriate.

    3. Utilization Data

    As indicated earlier, Medicare utilization is an important data source used in determining the practice expense RVUs. In our final rule published on November 2, 1998 (63 FR 58815), we used 1997 Medicare utilization data to create the original resource-based practice expense RVUs. Based on a public comment, we indicated in our November 2, 1999 final rule (64 FR 59405) that we would use 1998 Medicare utilization to develop the fully implemented RVUs that appear in that final rule. Because these data were unavailable to us for the proposed rule, the first time we could act on this public comment was in the final rule. We have continued our policy of using the latest utilization data to develop each successive year's fully implemented practice expense RVUs during each year of the transition (see 65 FR 65436, published on November 1, 2000, and 66 FR 55322, published on November 1, 2001).

    While substituting the latest year's utilization data into the practice expense methodology generally made little difference on total Medicare payments per specialty, it had a larger impact on services that have values affected by the zero physician work pool. The practice expense values for the technical component and other services included in the zero physician work pool declined 4 percent in 2002 as a result of using the most recent Medicare utilization data. Since the technical component is used to derive the global practice expense RVUs for professional and technical component services, there was also a reduction in the practice expense RVU for the global service.

    The specialties that provide many of the services that are included in the zero physician work pool have expressed concern about the impact of the most recent data on utilization on values for their services. They recently suggested that we use combined utilization data from 1997 to 2000 to determine the practice expense values. Alternatively, these commenters suggested using either the 1997 or 1999 utilization as a “base year” until an alternative to the zero physician work pool can be developed. These commenters further indicated that, once an option is chosen, we should not use more recent utilization data until comprehensive reform of the zero physician work methodology is adopted.

    We believe the suggestion of using multiple years of utilization data in the practice expense methodology has merit. Using multiple years of data has the potential to minimize the effect of year to year case mix changes on practice expense RVUs and improves the stability of our payment systems. We are proposing to develop the practice expense RVUs using Medicare utilization data from 1997-2000. More information on the impact of this proposal can be found in the regulatory impact statement of this proposed rule.

    We also agree with the suggestion that the utilization data not change annually until the zero physician work pool is eliminated. In fact, we are reconsidering whether to continue the practice of using the most recent utilization to develop each successive year's practice expense RVUs. As we have indicated elsewhere in this and earlier rules, we are continuing the refinement process beyond the 1998-2002 transition period mandated by the BBA. Once the refinement process is complete, we believe that the physician community has a reasonable expectation that the practice expense RVUs will not change from year to year unless further Start Printed Page 43852refinement is undertaken. Once the initial refinement of practice expense RVUs is complete, we expect to make additional refinements at least every 5 years as provided for in section 1848(c)(2)(B) of the Act. As the refinement process continues, there have been fewer widespread changes to Medicare payments and there has been increased year-to-year consistency in the practice expense RVUs. We believe this stability would improve if we incorpoated the most recent utilization data into the practice expense methodology only when we undertake substantial refinement as part of a 5-year review. For this reason, we are proposing to use the 1997-2000 utilization data to develop the CY 2003 practice expense RVUs and not further update the utilization data to incorporate the 2001 utilization data in this year's final rule. Further, we are proposing to continue using the 1997-2000 utilization data in the practice expense methodology until we undertake the 5-year review of practice expense RVUs. We invite comments on these issues.

    4. Site of Service

    As part of our resource-based practice expense methodology, we make a distinction between the practice expense RVUs for the non-facility and the facility setting.

    This distinction is needed because of the higher resource costs to the physician in the non-facility setting when the practitioner typically bears the cost of the resources associated with the service. In addition, the distinction ensures that we do not make a duplicate payment for any of the practice expenses incurred in performing a service for a Medicare beneficiary. When the beneficiary is a facility patient, we pay the facility for the clinical staff, supplies, and equipment needed to care for the patient. A generally lower facility practice expense rate is paid to the practitioner. Currently, we have designated only hospitals, skilled nursing facilities (SNFs), and community mental health centers (CMHCs) as facilities for purposes of calculating practice expense. An ambulatory surgical center (ASC) is designated as a facility if it is the place of service for a procedure on the ASC list. All other places of service are currently considered non-facility.

    Several new places of service are now in use for which we need to assign a site-of-service designation. Also, we are proposing revisions to the site-of-service designation for several existing places of service. We are proposing to assign a facility site of service where a facility or other payment will be made, in addition to the physician fee schedule payment to the practitioner, to reflect the practice expenses incurred in providing a service to a Medicare patient. We are proposing to designate all other places of service as non-facilities.

    The following is a list of the new places of service, along with their place of service numerical codes and their proposed site of service designations using the above criteria:

    04—Homeless Shelter—

    We are proposing that this be considered a nonfacility setting.

    05—Indian Health Service Free-Standing Facility—

    We are proposing that this be considered a nonfacility setting.

    06—Indian Health Service Provider-Based Facility—

    We are proposing that this be considered a facility setting.

    07—Tribal 638—Free-Standing Facility—

    We are proposing that this be considered a nonfacility setting.

    08—Tribal 638—Provider-Based Facility—

    We are proposing that this be considered a facility setting.

    15—Mobile Unit

    We are proposing that this be considered a nonfacility setting.

    If a mobile unit provides a service to a facility patient, the appropriate place-of-service code for the facility should be used. For instance, if a portable X-ray service is provided to a patient in a Part A skilled nursing facility stay, the place of service is 31, Skilled Nursing Facility. No payment is made under Part B for the technical component of a diagnostic test, portable x-ray transportation or portable x-ray set up. Payment is made to the SNF for Part A services and includes payment for diagnostic services that may be needed by the patient. This policy is consistent with recommendations made by the Inspector General in a recent report, Review of Improper Payments Made by Medicare Part B for Covered Services under the Part A Skilled Nursing Facility Prospective Payment System (A-01-00-00538).

    20—Urgent Care Facility—

    We are proposing that this be considered a nonfacility setting.

    We are proposing changes in site of service to the following current designations:

    26—Military Treatment Facility—

    Currently this is designated as a nonfacility. We are proposing that this be considered a facility setting.

    41—Ambulance-Land

    42—Ambulance Air or Water—

    Currently codes 41 and 42 are designated as nonfacility. We would propose to designate them as facilities because we make payments for ambulance services using the ambulance fee schedule that covers the direct practice expense.

    52—Psychiatric Facility Partial Hospitalization—

    Currently, this is designated as a nonfacility. We are proposing that this be considered a facility setting.

    56—Psychiatric Residential Treatment Facility—

    Currently, this is designated as a nonfacility. We are proposing that this be considered a facility setting.

    In the chart below is a complete list of all the existing place-of-service codes along with the appropriate site-of-service designation and the descriptor for each. These codes are used on all professional claims to specify the entity where services are furnished.

    Place of Service Codes for Professional Claims; Database as of 1/11/2002

    Facility vs nonfacility designationPlace of service code(s)Place of service namePlace of service description
    01-02UnassignedN/A.
    NF03SchoolA facility whose primary purpose is education.
    NF04Homeless ShelterA facility or location whose primary purpose is to provide temporary housing to homeless individuals (for example, emergency shelters, individual or family shelters).
    Start Printed Page 43853
    NF05Indian Health Service Free-standing FacilityA facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to American Indians and Alaska Natives who do not require hospitalization.
    F06Indian Health Service Provider-based FacilityA facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services rendered by, or under the supervision of, physicians to American Indians and Alaska Natives admitted as inpatients or outpatients.
    NF07Tribal 638 Free-standing FacilityA facility or location owned and operated by a Federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and non- surgical), and rehabilitation services to tribal members who do not require hospitalization.
    F08Tribal 638 Provider-based FacilityA facility or location owned and operated by a Federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and non- surgical), and rehabilitation services to tribal members admitted as inpatients or outpatients.
    09-10UnassignedN/A.
    NF11OfficeLocation, other than a hospital, skilled nursing facility (SNF), military treatment facility, community health center, State or local public health clinic, or intermediate care facility (ICF), where the health professional routinely provides health examinations, diagnosis, and treatment of illness or injury on an ambulatory basis.
    NF12HomeLocation, other than a hospital or other facility, where the patient receives care in a private residence.
    13-14UnassignedN/A.
    NF (*See above explanation)15Mobile UnitA facility/unit that moves from place-to-place equipped to provide preventive, screening, diagnostic, and/or treatment services.
    16-19UnassignedN/A.
    NF20Urgent Care FacilityLocation, distinct from a hospital emergency room, an office, or a clinic, whose purpose is to diagnose and treat illness or injury for unscheduled, ambulatory patients seeking immediate medical attention.
    F21Inpatient HospitalA facility, other than psychiatric, which primarily provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services by, or under, the supervision of physicians to patients admitted for a variety of medical conditions.
    F22Outpatient HospitalA portion of a hospital which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization.
    F23Emergency Room—HospitalA portion of a hospital where emergency diagnosis and treatment of illness or injury is provided.
    F when performing a service on the Medicare ASC list, otherwise a NF.24Ambulatory Surgical CenterA freestanding facility, other than a physician's office, where surgical and diagnostic services are provided on an ambulatory basis.
    NF25Birthing CenterA facility, other than a hospital's maternity facilities or a physician's office, which provides a setting for labor, delivery, and immediate post-partum care as well as immediate care of newborn infants.
    F26Military Treatment FacilityA medical facility operated by one or more of the Uniformed Services. Military Treatment Facility (MTF) also refers to certain former U.S. Public Health Service (USPHS) facilities now designated as Uniformed Service Treatment Facilities (USTF).
    27-30UnassignedN/A.
    F31Skilled Nursing FacilityA facility which primarily provides inpatient skilled nursing care and related services to patients who require medical, nursing, or rehabilitative services but does not provide the level of care or treatment available in a hospital.
    Start Printed Page 43854
    NF32Nursing FacilityA facility which primarily provides to residents skilled nursing care and related services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care services above the level of custodial care to other than mentally retarded individuals.
    NF33Custodial Care FacilityA facility which provides room, board and other personal assistance services, generally on a long-term basis, and which does not include a medical component.
    F34HospiceA facility, other than a patient's home, in which palliative and supportive care for terminally ill patients and their families is provided.
    35-40UnassignedN/A.
    F41Ambulance—LandA land vehicle specifically designed, equipped and staffed for lifesaving and transporting the sick or injured.
    F42Ambulance—Air or WaterAn air or water vehicle specifically designed, equipped and staffed for lifesaving and transporting the sick or injured.
    43-49UnassignedN/A.
    NF50Federally Qualified Health CenterA facility located in a medically underserved area that provides Medicare beneficiaries preventive primary medical care under the general direction of a physician.
    F51Inpatient Psychiatric FacilityA facility that provides inpatient psychiatric services for the diagnosis and treatment of mental illness on a 24-hour basis, by or under the supervision of a physician.
    F52Psychiatric Facility-Partial HospitalizationA facility for the diagnosis and treatment of mental illness that provides a planned therapeutic program for patients who do not require full time hospitalization, but who need broader programs than are possible from outpatient visits to a hospital-based or hospital-affiliated facility.
    F53Community Mental Health CenterA facility that provides the following services: outpatient services, including specialized outpatient services for children, the elderly, individuals who are chronically ill, and residents of the CMHC's mental health services area who have been discharged from inpatient treatment at a mental health facility; 24-hour a day emergency care services; day treatment, other partial hospitalization services, or psychosocial rehabilitation services; screening for patients being considered for admission to State mental health facilities to determine the appropriateness of that admission; and consultation and education services.
    NF54Intermediate Care Facility/Mentally RetardedA facility which primarily provides health-related care and services above the level of custodial care to mentally retarded individuals but does not provide the level of care or treatment available in a hospital or SNF.
    NF55Residential Substance-Abuse Treatment FacilityA facility which provides treatment for substance (alcohol and drug) abuse to live-in residents who do not require acute medical care. Services include individual and group therapy and counseling, family counseling, laboratory tests, drugs and supplies, psychological testing, and room and board.
    NF56Psychiatric Residential Treatment CenterA facility or distinct part of a facility for psychiatric care which provides a total 24-hour therapeutically planned and professionally staffed group living and learning environment.
    57-59UnassignedN/A.
    NF60Mass Immunization CenterA location where providers administer pneumococcal pneumonia and influenza virus vaccinations and submit these services as electronic media claims, paper claims, or using the roster billing method. This generally takes place in a mass immunization setting, such as a public health center, pharmacy, or mall, but may include a physician office setting.
    NF61Comprehensive Inpatient Rehabilitation FacilityA facility that provides comprehensive rehabilitation services under the supervision of a physician to inpatients with physical disabilities. Services include physical therapy, occupational therapy, speech pathology, social or psychological services, and orthotics and prosthetics services.
    NF62Comprehensive Outpatient Rehabilitation FacilityA facility that provides comprehensive rehabilitation services under the supervision of a physician to outpatients with physical disabilities. Services include physical therapy, occupational therapy, and speech pathology services.
    63-64UnassignedN/A.
    Start Printed Page 43855
    NF65End-Stage Renal Disease Treatment FacilityA facility other than a hospital, which provides dialysis treatment, maintenance, and/or training to patients or caregivers on an ambulatory or home-care basis.
    66-70UnassignedN/A.
    NF71State or Local Public Health ClinicA facility maintained by either State or local health departments which provides ambulatory primary medical care under the general direction of a physician.
    NF72Rural Health ClinicA certified facility which is located in a rural medically-underserved area that provides ambulatory primary medical care under the general direction of a physician.
    73-80UnassignedN/A.
    NF81Independent LaboratoryA laboratory certified to perform diagnostic and/or clinical tests independent of an institution or a physician's office.
    82-98UnassignedN/A.
    99Other Place of ServiceOther place of service not identified above.

    B. Anesthesia Issues

    1. Five-Year Review of Anesthesia Work

    Medical and surgical services paid under the physician fee schedule have three separate relative value components, a work RVU, a practice expense RVU and a malpractice RVU. Physician anesthesia services are paid under the physician fee schedule, but the payment method is different than the payment method for physician medical and surgical services. Payment for anesthesia services is based on the sum of base units and anesthesia time units multiplied by an anesthesia CF that is different from the physician fee schedule CF for medical and surgical services.

    The law requires that we review RVUs no less than every 5 years. The first 5-year review of work RVUs was completed and the revised work RVUs were implemented in 1997. The second 5-year review (with the exception of anesthesia services) was completed and the revised work RVUs implemented in CY 2002.

    In the first 5-year review of work RVUs, we accepted the American Medical Association's (AMA's) Relative Value Update Committee's (RUC's) recommendation that the work of anesthesia services was undervalued by approximately 23 percent. Since anesthesia services do not have individual work RVUs per code, the adjustment in anesthesia work was made to the anesthesia CF and not to the anesthesia codes themselves. This resulted in a 16-percent increase in the anesthesia CF. Budget neutrality was maintained by making an adjustment to the general physician fee schedule.

    For the second 5-year review, the American Society of Anesthesiologists (ASA) submitted comments to us contending that the work of anesthesia services is still undervalued by almost 31 percent. The Society subsequently reduced this to a request for a 26-percent increase in work based on additional discussions with the RUC.

    We can impute an anesthesia work value from the current allowed charge for an anesthesia service. This work value can be compared to the work value for anesthesia services that is derived from a building block approach. Under the building block approach, uniform individual components of the anesthesia service are identified and the work value of each component is estimated on the basis of a comparable physician medical or surgical service. The ASA derived a work value for an anesthesia code by dividing the anesthesia service into five uniform components and compared the work of each component to a comparable medical or surgical service. The five components are—preoperative evaluation, equipment and supply preparation, induction period, postinduction period, and postoperative care and visits. Using this method, the ASA proposed work values for 19 high volume anesthesia codes. The 19 codes represent a reasonable variety of surgical procedure types, including general surgery, vascular surgery, neurosurgery, urology, orthopedics, cardiac surgery, and ophthalmology. The base units of the 19 anesthesia codes reviewed range from three to twenty units.

    During this second 5-year review of work, four RUC workgroups have reviewed the ASA comments and received supplemental information through presentations from the ASA. Most of these workgroups have expressed concerns about some of the intensity values that ASA assigned to the individual anesthesia components, most notably, the induction and postinduction time periods. Each of these workgroups expressed serious concern about extrapolating the imputed work undervaluation from the 19 survey codes to all anesthesia service codes, even though these 19 codes account for more than 40 percent of all anesthesia associated with surgical services.

    Despite the efforts of its workgroups, the RUC furnished no recommendation to us on whether the work of anesthesia services is over-or undervalued. In the November 1, 2001 physician fee schedule final rule, we stated that:

    The RUC has informed us that it will continue to look at anesthesia work beginning at its first meeting in CY 2002. We will review the RUC recommendation and address anesthesia work in next year's proposed physician fee schedule rule.

    The RUC recently presented us with the analysis and findings of its April 2002 anesthesia workgroup. Despite its detailed analysis and laborious discussions of this issue, the RUC concluded that it was unable to make a recommendation regarding modification to the physician work valuation of anesthesia codes. Specifically, the RUC indicated the following:

    “The RUC, having carefully considered the information presented, and having a reasonable level of confidence in the data which was presented and developed by the RUC, is unable to make a recommendation to CMS regarding modification to the physician work valuation of anesthesia codes.”

    At the April 2002 meeting, the RUC anesthesia workgroup reviewed the postinduction intensity values for the 19 anesthesia codes. The group also Start Printed Page 43856reviewed each anesthesia code, the benchmark surgical code, and the five codes mapped to that anesthesia code that accounted for the largest percentage of total volume. The group considered the extent to which the anesthesia work of the benchmark surgical code is representative of other surgical codes that would be covered by the anesthesia code.

    We will review the information forwarded by the RUC and all comments we receive during the comment period to determine if an appropriate adjustment can be made to anesthesia work. We would note that any such adjustment would also require an adjustment to the conversion factor for all physicians' services, as required by section 1848(c)(2)(B)(ii) of the Act. For example, a 26 percent increase in anesthesia work, an amount which was requested last year, would require a reduction of about 0.4 percent in the conversion factor for all services. We welcome comments on these issues.

    2. Add-on Anesthesia Codes

    Current Policy

    As we discuss above, payment for anesthesia services is based on the sum of an anesthesia code-specific base unit value plus anesthesia time units multiplied by an anesthesia CF. If the physician is involved in multiple anesthesia services for the same patient during the same operative session, payment is based on the base unit assigned to the anesthesia service having the highest base unit value and anesthesia time that encompasses the multiple services. This policy was adopted at the start of the physician fee schedule in 1992 and is incorporated in § 414.48(g).

    Claims processing manuals instruct the carrier on the method for handling anesthesia associated with multiple or bilateral surgical procedures. Under Medicare Carrier Manual (MCM) 4830 D, the carrier instructs the physician to report the anesthesia procedure with the highest base unit value with the multiple procedures modifier, “51”, and to report total time across all surgical procedures. Thus, the carrier is recognizing payment for one anesthesia code, despite the billing of multiple surgical codes by a surgeon.

    Proposed Policy for Add-on Codes

    In 2001 and 2002, the CPT has added new anesthesia codes, some of which are add-on codes. The objective is that the add-on code would be billed with a primary code and the base unit of each code would be allowed.

    In the burn area, CPT code 01953 (1 base unit) is used in conjunction with CPT code 01952 (5 base units). In the obstetrical area, CPT code 01968 (2 base units) is used in conjunction with CPT code 01967 (5 base units) and CPT code 01969 (5 base units) is used in conjunction with CPT code 01967 (5 base units).

    The application of the multiple anesthesia service policy means that the base units of the add-on codes would never be recognized. Only the base units of the primary code would be allowed. We believe that anesthesia add-on codes should be priced differently than other multiple anesthesia codes. As a result, we are proposing to revise the regulations in § 414.46(g) to include an exception to the usual multiple anesthesia services policy for add-on codes.

    C. Changes to the Physician Fee Schedule Update Calculation and the Sustainable Growth Rate (SGR)

    1. Medicare Economic Index Productivity Adjustment

    In its March 2002 Report to Congress, MedPAC recommended that “The Secretary should revise the productivity adjustment for physicians' services and make it a multifactor instead of labor-only adjustment.” In this section, we review the history of the Medicare Economic Index (MEI) productivity adjustment, describe the current MEI productivity adjustment, and identify and evaluate possible alternative MEI productivity adjustments based on the individual contributions we solicited from experts on this topic. We conclude by proposing that the MEI productivity adjustment be changed to reflect an economy-wide multifactor productivity adjustment.

    a. History of MEI Productivity Adjustment

    The MEI is based on the fourth sentence of section 1842(b)(3) of the Act that states that prevailing charge levels beginning after June 30, 1973 may not exceed the level from the previous year except to the extent that the Secretary finds, on the basis of appropriate economic index data, that such higher level is justified by year-to-year economic changes. S. Rept. No. 92-1230 at 191 (1972) provides slightly more detail on that index, stating that:

    Initially, the Secretary would be expected to base the proposed economic indexes on presently available information on changes in expenses of practice and general earnings levels combined in a matter consistent with available data on the ratio of the expenses of practice to income from practice occurring among self-employed physicians as a group.

    Based on this legislative intent, in 1975, we determined that the MEI would be based on a broad wage measure reflecting overall earnings growth, rather than direct inclusion of physicians' net income. We used average weekly earnings of nonagricultural production (nonsupervisory) workers, net of worker's productivity, as the wage proxy in the initial MEI. We included the productivity adjustment because it avoided double counting of gains in earnings resulting from growth in productivity and produced a MEI that approximated an economy-wide output price index like the Consumer Price Index (CPI). The productivity adjustment we used was the annual change in economy-wide private nonfarm business labor productivity, applied only to the physicians' earnings portion of the MEI (then 60 percent).

    As noted, the productivity adjustment in the MEI serves to avoid the double counting of productivity gains. Absent the adjustment, productivity gains from producing additional outputs (procedures) with a given amount of inputs would be included in both the earnings component of the MEI (reflecting growth in overall economy-wide productivity) and in the additional procedures that are billed (reflecting physicians' own productivity gains). Therefore, general economic labor productivity growth is removed from the labor portion of the price update.

    The basic structure of the MEI remained relatively unchanged from its effective date (July 1, 1975) to 1992, although its weights were updated periodically and a component was added for professional liability insurance. Section 9331 of the Omnibus Budget Reconciliation Act of 1986 (Pub. L. 99-509) (OBRA) mandated a study of the MEI and a notice and opportunity for public comment before revision of the methodology for calculating the MEI. Based on this requirement, we held a workshop with experts on the MEI in March 1987 to discuss topics ranging from the specific type of index to use (Laspeyres versus Paasche) to revising the method of reflecting productivity changes. Participants in the meeting included the Federal government, the Physician Payment Review Commission (PPRC), the Congressional Budget Office, the American Medical Association (AMA), and several consulting firms. The meeting participants concluded that a productivity adjustment was appropriate and that an acceptable measure of physician-specific productivity did not exist. Many alternative approaches were discussed, Start Printed Page 43857including the use of a policy-based “target” measure and several existing economic productivity measures.

    Using recommendations from the meeting participants, we revised the MEI and the productivity adjustment with the implementation of the physician fee schedule as discussed in the November 1992 final rule (57 FR 55896). While we retained an adjustment for economy-wide labor productivity, it was applied to all of the direct labor categories of the MEI (70.448 percent), not just physicians' earnings, and was based on the 10-year moving average percent change (instead of annual percent changes). This form of the index has been used since that time, and was most recently discussed in the November 1998 final rule (63 FR 58845) when the MEI weights were rebased to a 1996 base year.

    The Balanced Budget Act replaced the Medicare Volume Performance Standard (MVPS) with a Sustainable Growth Rate (SGR). Section 1848(f) of the Act specifies the formula for establishing yearly SGR target for physicians' services under Medicare. The use of SGR targets is intended to control the actual growth in aggregate Medicare expenditures for physicians' services. The SGR targets are not limits on expenditures. Payments for services are not withheld if the SGR target is exceeded by actual expenditures. Rather, the appropriate fee schedule update, as specified in section 1848(d)(3) of the Act, is adjusted to reflect the success or failure in meeting the SGR target. If expenditures are less than the target, the update is increased. If expenditures exceed the target, the update is reduced. Specifically, expenditures are allowed to increase by fee-for-service Medicare enrollment growth, physician fee increases, increases in real per capita Gross Domestic Product (GDP), and changes in laws or regulations. Consequently, the statute links allowable increases in the volume of services resulting from physician productivity gains—together with volume and intensity increases due to technology and other factors—to the real per capita GDP.

    When the SGR was enacted, the Congress specified continued use of the MEI. By 1997, this index, including its productivity adjustment, had been used in updating Medicare payments to physicians for over twenty years. We did not propose any changes to the productivity adjustment used in the MEI because its continued use was consistent with the newly mandated SGR. If we did not make the adjustment in the MEI, general economic productivity gains would be reflected in two of the SGR factors, the MEI and real per-capita GDP (which reflects real GDP per hour worked, or labor productivity, and hours worked per person). We believe it is reasonable to remove the effect of general economic productivity from one of these factors (the MEI) to avoid double counting.

    b. Current MEI Productivity Adjustment

    The current MEI productivity adjustment is based on the 10-year moving average percent change in private nonfarm business (referred to hereafter as “economy-wide”) labor productivity, published by the Bureau of Labor Statistics (BLS) on a quarterly basis. A 10-year moving average is used to limit the impact of cyclical fluctuations in productivity. The productivity adjustment is applied only to the direct labor portions of the MEI (currently estimated at 71.272 percent). Therefore, the MEI is not reduced by the full change in labor productivity, but instead by only a portion of the change.

    In addition, the most recently available historical data are used for the update for the upcoming calendar year (for example, data available through the second quarter of CY 2001 was used for the CY 2002 update).

    Under this method, the current estimate of the existing MEI for the CY 2003 fee schedule update would be 2.3 percent. The 10-year moving average percent change in economy-wide labor productivity for the CY 2003 update is estimated to be 2.1 percent. However, since this adjustment is applied only to the direct labor portion of the MEI, the actual adjustment would be 1.5 percent. By comparison, the most recent forecast by DRI-WEFA, a Global Insight Company, of the CPI for all items for this same period is 1.6 percent.

    As noted previously, since its original development, the MEI productivity adjustment has been based on economy-wide productivity changes. This practice arose from the fact that the physicians' compensation portion of the MEI is proxied to grow at the same rate as general earnings in the overall economy, which reflect growth in overall economy-wide productivity. Removing labor productivity growth reflected in general earnings from the labor portion of the MEI produces an index that is consistent with other economy-wide output price indexes, like the CPI. Although some commenters have argued that use of a physician-specific productivity measure would be more appropriate, no such published measure existed at the time of the MEI's development; nor does one exist today.

    c. Research on Alternative MEI Productivity Adjustments

    We conducted a number of research activities to evaluate whether the current productivity adjustment is still the most appropriate adjustment to use in the MEI. First, we evaluated the currently available productivity estimates that are produced by the BLS to develop a better understanding of the strengths and weaknesses of these measures. We also reviewed the theoretical foundation of the MEI to understand how labor and multifactor productivity relate to the current physician payment system. Then we studied the limited publicly available data to begin to develop preliminary estimates of trends in physician-specific productivity to better understand the current market conditions facing physicians. Finally, we solicited the individual contributions of academic and other professional economic experts on prices and productivity. They included experts from MedPAC, AMA, OMB, Dr. Uwe Reinhardt from Princeton University, Dr. Joe Newhouse from Harvard University, Dr. Ernst Berndt from MIT, and Dr. Joel Popkin from Joel Popkin and Company (former Assistant Commissioner of Prices at BLS). Based on the information we gathered during these research efforts, we evaluated six possible options for a productivity adjustment to the MEI. Our findings on each of the options we investigated are summarized below:

    • Option 1—Using a physician-specific productivity adjustment.

    This option would entail using an estimate of physician-specific productivity to adjust the MEI. This option may have some theoretical attractiveness, but there are major problems obtaining accurate measures of physician-specific productivity. First, no published measure of physician-specific productivity is available. The Federal agency that produces the official government statistics on productivity, BLS, does not calculate or publish productivity measures for any health sector. Nor are there alternative measures of physician-specific productivity that incorporate the BLS methodology of measuring productivity and that would meet the BLS standard of publication. Second, it is not clear that using physician-specific productivity within the current structure of the MEI would be appropriate. Because we believe the MEI appropriately uses an economy-wide wage measure as the proxy for physician wages, using physician specific productivity could overstate or Start Printed Page 43858understate the appropriate wage increase in the MEI.

    We do believe, however, that it is important to understand the rate of change in physician-specific productivity. Toward this end, we have performed our own preliminary analysis of physician-specific productivity, using the limited publicly available data on physician outputs and inputs. Our analysis attempted to simulate the methodology the BLS would use to measure productivity. While this information cannot be interpreted as an official measure of productivity, we do believe it is a rough indication of the current market conditions facing physicians. We used this information to help form our determination of the most appropriate productivity adjustment to incorporate in the MEI, fully recognizing its preliminary nature and other limitations. The results of our preliminary analysis suggest that long-run physician-specific productivity growth is currently at approximately the same level as economy-wide multifactor productivity growth. Prior to the recent period, however, our preliminary estimates suggested that physician productivity gains were generally significantly greater than general economy-wide multifactor productivity gains.

    As we have emphasized, our rough estimates are inadequate for establishing a formal basis for the productivity adjustment to the MEI. Nor is the underlying economic theory sufficiently compelling, at this time, to adopt a physician-specific productivity measure, even if a suitable one were available. We conclude, however, that economy-wide multifactor productivity growth appears to be roughly comparable to current physician-specific productivity growth.

    • Option 2—Retaining the current productivity adjustment.

    We investigated retaining the current productivity adjustment, that is, applying the 10-year moving average percent change in economy-wide labor productivity to the labor portion of the MEI. We have applied economy-wide labor productivity to a portion of the index in some form since the inception of the MEI in 1975. This current form has been used since the last major revision to the index in 1992 and was developed from the contributions of the 1987 expert panel. That panel concluded that using labor productivity applied to the labor portion of the index was a technically sound way to account for productivity in the physician update. This method makes optimal use of the available data since labor productivity data were, and are, available on a more timely basis than economy-wide multifactor productivity. By applying this measure to the labor portion of the index, the mix of physician-specific labor and nonlabor inputs is reflected. Also, the use of a 10-year moving average percentage change reduces the volatility of annual labor productivity changes.

    Our research, however, has indicated that using multifactor productivity applied to the entire index is superior to using an economy-wide labor productivity measure applied only to the labor portion of the index. The experts with whom we consulted believed it was more appropriate to reflect the explicit contribution to output from all inputs. The current measure explicitly reflects the changes in economy-wide labor inputs but does not reflect the actual change in nonlabor inputs. Instead, it implicitly assumes that nonlabor inputs would grow at the rate necessary to produce an economy-wide multifactor measure that is equivalent to the current MEI productivity adjustment. That implicit assumption is less precise than a direct, explicit calculation.

    In addition, while the implicit approach produced an MEI productivity adjustment in most years that was reasonably consistent with overall multifactor productivity growth, it now appears less consistent with the actual change in nonlabor inputs in the economy. In recent years, economy-wide labor productivity has grown very rapidly. This acceleration is partly the result of major investments in computers (a nonlabor input) that have helped create a more productive work force. Also, the Bureau of Economic Analysis (BEA) has adopted methodological changes in accounting for computer software purchases in measuring GDP. These changes have significantly increased the measured historical growth rates in real GDP and labor productivity. As a result of these developments, the MEI productivity adjustment based on labor productivity applied only to the labor portion of the MEI has increased very rapidly. Since the multifactor definition is an explicit calculation of the change in economic output relative to the change in both labor and nonlabor inputs, it better reflects the trend changes.

    Finally, as noted previously, our preliminary estimates of physician-specific productivity suggest a current growth pattern that is similar to growth in multifactor productivity in the economy overall. In consideration of the economic theory underlying productivity measurement, especially in view of the recent developments in labor versus nonlabor economic input growth trends, we concluded that using a multifactor productivity adjustment is superior to the current methodology for adjustment for productivity in the MEI.

    • Option 3—Changing to using economy-wide multifactor productivity.

    One option for adjusting for productivity gains in the MEI would be to continue to use an economy-wide productivity measure, but to use multifactor productivity applied to the entire index, instead of labor productivity applied to the labor portion of the MEI. As noted previously, this approach was recommended by MedPAC in its March 2002 Report to the Congress. This option would better satisfy the theoretical requirements of an output price, in this case the MEI, by explicitly reflecting the productivity gains from all inputs. In addition, the use of economy-wide multifactor productivity would still be consistent with the MEI's use of economy-wide wages as a proxy for physician earnings. While annual multifactor productivity can fluctuate considerably, though usually less than labor productivity, using a moving-average would produce a relatively stable and predictable adjustment.

    Each expert with whom we consulted believed that using a multifactor productivity measure was theoretically superior to the existing method because it reflected the actual changes in nonlabor inputs instead of reflecting an implicit assumption. They also believed that the lack of timely data on multifactor productivity was not as important as would have appeared initially. Instead, the experts believed it was more appropriate that the adjustment be based on a long-run average that was stable and predictable rather than on annual changes in productivity. Thus, if a long-run average were used, the increased lag time associated with the availability of published data on multifactor productivity would become less significant. Finally, one expert believed that changing to economy-wide multifactor productivity applied to the entire MEI would make it easier to understand the magnitude of the productivity adjustment.

    Use of multifactor productivity to adjust the MEI poses two concerns. First, multifactor productivity is much harder to measure than labor productivity. Economic inputs other than labor hours can be very difficult to identify and calculate properly. The experts at BLS, however, have adequately overcome these difficulties, and we are satisfied that their official published measurements are sound for Start Printed Page 43859the purpose at hand. Moreover, use of a 10-year moving average increase helps to mitigate any remaining measurement variation from year to year.

    The second concern relates to the timeliness of the data. BLS publishes multifactor productivity levels and changes only annually (as opposed to the quarterly release of labor productivity data) and with an extended time lag (about 11/2 years). These timeframes arise unavoidably from the difficulties of measurement mentioned above, but imply that the timeframe of data used to adjust the MEI would not match that of the historical data on wages and prices underlying the MEI. For the CY 2003 physician payment update, for example, we would use data on wages and prices through the second quarter of CY 2002, but would have to use multifactor productivity data only through CY 2000. Although the misalignment of data periods is a concern, we believe it is a reasonable trade-off in view of the improvement offered by the explicit measurement of nonlabor inputs. Also, since use of a 10-year moving average is intended to reduce fluctuations and provide a more stable level of the productivity adjustment, availability of the most recent data is of less importance.

    The 10-year moving average percent change in economy-wide multifactor productivity that would be used for the CY 2003 update (historical data through CY 2000) is currently estimated at 0.8 percent. Our preliminary internal analysis of physician-specific productivity gains suggests that these economy-wide multifactor measures are somewhat consistent with those trends. Thus, using economy-wide multifactor productivity for MEI productivity adjustment theoretically would be superior to using labor productivity growth applied to the labor portion of the MEI. In addition, the use of a 10-year moving average would help alleviate the lag in the availability of the data. Lastly, the current 10-year moving average growth in economy-wide multifactor productivity appears to be within the range we have estimated for physician-specific multifactor productivity. One possible weakness of using economy-wide multifactor productivity is that it does not reflect physician-specific measures, whereas the existing methodology reflects the distribution of labor and nonlabor inputs used in the production of physician services. In practice, however, the balance between these factors of production is not substantially different for physician practices versus the overall economy.

    • Option 4—Changing to using economy-wide multifactor productivity with physician-specific input weights.

    Another option we explored was using economy-wide labor and capital productivity measures (which, when weighted together, produce multifactor productivity), but with physician-specific input weights. This method would better reflect the proportion of labor and capital inputs used by physicians, yet still reflect the explicit contribution to productivity of labor and nonlabor inputs. The experts with whom we discussed this option thought it was theoretically consistent with a measure of multifactor productivity, even though different productivity measures would be applied to different components of the MEI.

    As noted above, the labor and capital shares for the overall economy do not appear to vary enough from the physician-specific shares in the MEI to result in a significantly different measure. A weakness of this method is that the BLS capital productivity series is not widely used or cited; therefore, we are unsure of the accuracy and reliability of this measure. This method also adds another layer of complexity to the formula, however, making it more difficult to understand the adjustment. We would prefer that any method we choose be straightforward so that everyone can readily understand the adjustment. Overall, we believe that this method does not provide enough of a technical improvement to justify the added complexity that would be required to implement it.

    • Option 5—Adjusting productivity using a “Policy Standard”.

    In its March 2002 Report to the Congress, MedPAC suggested establishing a policy target for the productivity adjustment. Under this methodology, the level of the policy target would be based on the productivity gains that we believe physicians could attain. This level would be set through policy and would likely be based on a long-run average of either economy-wide labor or multifactor productivity (but could reflect other, possibly judgmental, factors). Generally, the level of the policy standard would remain constant for several years; periodically, the policy target would be reviewed, and possibly adjusted.

    Some of the experts we consulted believed that a policy target would lessen the volatility of the adjustment since the target would not be changed often. Conversely, others noted the large, abrupt changes that could result if actual economic performance deviated from the policy standard requiring subsequent adjustments to the standard. Some believed that this method adjusts for the problem of precisely measuring productivity. If we used a policy standard we could avoid having to develop an exact measure. Using a policy target, however, may appear arbitrary without a theoretical basis to support its use.

    The policy target recommended by MedPAC was 0.5 percentage points per year. Its justification for this number was the fact that the long-run average of economy-wide multifactor productivity was close to 0.5 percent (the most recent 10-year average is now 0.8 percent). We do not believe this is a preferred option for adjusting the MEI for productivity improvements. Our preference is to use a long-term data-based approach that will produce results that are not inconsistent with a policy standard and that will automatically reflect changes in actual economic performance over time, and not through abrupt periodic large adjustments. Thus, we conclude that a policy target does not provide an improvement over any of the data-based methodologies.

    • Option 6—Eliminate Productivity Adjustment from the MEI.

    Questions are raised occasionally as to the possibility of eliminating the productivity adjustment from the MEI. We did not consider this to be a viable option. Our research concluded that adjusting for productivity in the MEI is necessary to have a technically correct measure of an output price increase, free of double-counting the impact of productivity. Every expert with whom we consulted agreed that a productivity adjustment was appropriate. They believed that the important question is which adjustment is the most appropriate. Therefore, we conclude, again, that it is not acceptable for the productivity adjustment to be removed from the MEI.

    d. Use of a Forecasted MEI and Productivity Adjustment

    MedPAC, in its March 2002 Report to the Congress, recommended the use of a forecasted MEI value, rather than the current historical increase. However, implementation of this option raises several legal as well as practical issues. The 1972 Senate Finance Committee report language reflects Congress' intent that the MEI should “follow rather than lead” overall inflation. Because of this, updates to the physician fee schedule have always been based on historical, rather than forecasted, MEI data. In this way, increases in the MEI do not lead the current measures of inflation but follow them based on historical trends. Furthermore, at the time of Start Printed Page 43860implementation of the SGR system, the Congress specified that the SGR system should use the MEI that existed at that time, which was based on historical data measures. The law did not recommend or specify a change in the MEI methodology; the assumption is that the Congress was satisfied that the MEI was functioning as designed.

    If we were to change to a forecasted MEI and productivity adjustment, there are also several practical issues that would need to be addressed. One is that changing from a historical-based MEI to a projected MEI would cause transitional problems because there would be a period of data that would not be accounted for in the year of implementation. For example, the CY 2002 MEI update was based on historical data through the second quarter of 2001. If we were to use a forecasted MEI in the update for CY 2003, the changes between the second quarter of 2001 and the first quarter of 2003 would not be accounted for in the update. Finally, changing to a forecasted MEI and productivity adjustment raises additional questions about correcting for forecast errors. Based on these problems, we will continue to use historical data to make updates under the physician fee schedule.

    e. Proposed Productivity Adjustment to the MEI

    Based on the research we conducted on this issue, we are proposing to change the methodology for adjusting for productivity in the MEI. We propose that the MEI used for the CY 2003 physician payment update reflect changes in the 10-year moving average of private nonfarm business (economy-wide) multifactor productivity applied to the entire index. The current method accounts for productivity by adjusting the labor portion of the MEI by the 10-year moving average change in private nonfarm business (economy-wide) labor productivity.

    We propose to make this change because: (1) It is theoretically more appropriate to explicitly reflect the productivity gains associated with all inputs (both labor and nonlabor); (2) the recent growth rate in economy-wide multifactor productivity appears more consistent with the current market conditions facing physicians; and (3) the MEI still uses economy-wide wage changes as a proxy for physician wage changes. We believe that using a 10-year moving average change in economy-wide multifactor productivity produces a stable and predictable adjustment and is consistent with the moving-average methodology used in the existing MEI. We propose that the adjustment be based on the latest available actual historical economy-wide multifactor productivity data, as measured by BLS. Based on these proposed changes, we currently estimate the MEI to increase 3.0 percent for CY 2003. This is the result of a 3.8-percent increase in the price portion of the MEI, adjusted downward by a 0.8-percent increase in the 10-year moving average change in economy-wide multifactor productivity. Table 1 shows the detailed cost categories of the proposed MEI update for CY 2003. Since the current estimate of the MEI increase for CY 2003 is based on incomplete historical data, it may change slightly before we announce the final MEI no later than November 1, 2002.

    Table 1.—Increase in the Medicare Economic Index Update for Calendar Year 2003 1

    Cost categories and price measures1996 weights 2CY 2003 percent changes
    Medicare Economic Index Total, productivity adjustedn/a3.0
    Productivity: 10-year moving average of Multifactor productivity, private nonfarm business sectorn/a0.8
    Medicare Economic Index Total, without productivity adjustment100.03.8
    1. Physician's Own Time 354.54.1
    a. Wages and Salaries: Average hourly earnings Private nonfarm44.23.9
    b. Fringe Benefits: Employment Cost Index, benefits, private nonfarm10.34.8
    2. Physician's Practice Expense 345.53.6
    a. Nonphysician Employee Compensation16.84.1
    1. Wages and Salaries: Employment Cost Index, wages and salaries, weighted by occupation12.43.7
    2. Fringe Benefits: Employment Cost Index, fringe benefits, white collar4.45.4
    b. Office Expense: Consumer Price Index for Urban Consumers (CPI-U), housing11.62.6
    c. Medical Materials and Supplies: Producer Price Index (PPI), ethical drugs/PPI, surgical appliances and supplies/CPI-U, medical equipment and supplies (equally weighted)4.52.1
    d. Professional Liability Insurance: CMS professional liability insurance survey 43.211.3
    e. Medical Equipment: PPI, medical instruments and equipment1.91.6
    f. Other Professional Expense7.61.6
    1. Professional Car: CPI-U, private transportation1.3−2.9
    2. Other: CPI-U, all items less food and energy6.32.5
    1 The rates of historical change are estimated for the 12-month period ending June 30, 2002, which is the period used for computing the calendar year 2003 update. The price proxy values are based upon the latest available Bureau of Labor Statistics data as of April 2002.
    2 The weights shown for the MEI components are the 1996 base-year weights, which may not sum to subtotals or totals because of rounding. The MEI is a fixed-weight, Laspeyres-type input price index whose category weights indicate the distribution of expenditures among the inputs to physicians' services for calendar year 1996. To determine the MEI level for a given year, the price proxy level for each component is multiplied by its 1996 weight. The sum of these products (weights multiplied by the price index levels) over all cost categories yields the composite MEI level for a given year. The annual percent change in the MEI levels is an estimate of price change over time for a fixed market basket of inputs to physicians' services.
    3 The measures of productivity, average hourly earnings, Employment Cost Indexes, as well as the various Producer and Consumer Price Indexes can be found on the Bureau of Labor Statistics website—http://stats.bls.gov.
    4 Derived from a CMS survey of several major insurers (the latest available historical percent change data are for the period ending second quarter of 2002).
    n/a Productivity is factored into the MEI compensation categories as an adjustment to the price variables; therefore, no explicit weight exists for productivity in the MEI.
    Start Printed Page 43861

    2. Sustainable Growth Rate (SGR)

    Section 1848(f)(2) of the Act specifies a formula for calculating annual SGR targets for Medicare physicians' services. The formula includes four factors. Section 1848(f)(2)(A) of the Act specifies that the first factor is the Secretary's estimate of weighted average percentage increase in fees for all physicians' services. We have calculated this factor as a weighted average of the CY 2002 fee increases that apply for the different types of services included in the definition of physicians' services for the SGR. (For a complete list of these services see the November 1, 2001 Federal Register (66 FR 55316).) Drugs furnished in a physician's office that are not usually self-administered are generally covered “incident to” a physician's service under section 1861(s)(2)(A) of the Act and included in the SGR. In the past, we have used the MEI as an approximation of the drug price increase. In the final revisions we make to the CY 2001 SGR later this year, we will account for drug price growth using a refined methodology that uses growth in drug prices instead of the MEI as a proxy. In addition, we will account for drug price growth using this refined methodology in the SGRs for CY 2002 and subsequent years.

    Under section 1848(d) of the Act, the update for any year is equal to the MEI increased or decreased by an update adjustment factor determined using a statutory formula. The statute limits the update adjustment factor to +3.0 and −7.0 percentage points. On March 1, 2002, we provided our estimate of the CY 2003 physician fee schedule update to the Medicare Payment Advisory Committee (MedPAC) and made this information available to the public. We estimated the update adjustment factor would be −13.1 percent. If the only change to our March 2002 estimate was accounting for drug price growth in the SGR, we estimate the update adjustment factor would be −12.8 percent. Since the statute limits the update adjustment factor to −7.0 percent, we expect the CY 2002 physician fee schedule update to equal the MEI reduced by 7.0 percentage points.

    D. Pricing of Technical Components (TC) for Positron Emission Tomography (PET) Scans

    Currently all components of HCPCS code G0125, Lung image PET scan, are nationally priced. However, the technical component (TC) and global value for all other PET scans are carrier priced. To keep pricing consistent with other PET scans, we propose to have the carriers price the TC and global values of HCPCS code G0125.

    E. Enrollment of Physical and Occupational Therapists as Therapists in Private Practice

    In the November 2, 1998 final rule (63 FR 58814), we defined private practice for physical therapists (PTs) or occupational therapists (OTs) to include a therapist whose practice is in an—

    • Unincorporated solo practice;
    • Unincorporated partnership; or
    • Unincorporated group practice.

    Private practice also includes an individual who is furnishing therapy as an employee of one of the above, a professional corporation, or other incorporated therapy practice. Some carriers and fiscal intermediaries have interpreted the regulation to mean that occupational and physical therapists employed by physicians cannot be enrolled as therapists in private practice. In these carrier areas, therapy services provided in a physician's office must instead be billed as incident to a physician's service.

    A specialty society representing occupational therapists has requested that carriers be able to enroll OTs in physician-directed groups as occupational therapists in private practice. A group representing PTs believes that provider numbers should be issued only to PTs working as employees in practices owned and operated by therapists.

    We are proposing to clarify national policy—we would allow carriers to enroll therapists as physical or occupational therapists in private practice when they are employed by physician groups. We believe that this would reflect actual practice patterns and would permit more flexible employment opportunities for therapists. We also believe that this would increase beneficiaries' access to therapy services, particularly in rural areas. Therefore, we would revise §§ 410.59 and 410.60 to reflect this change.

    F. Clinical Social Worker Services

    Currently, § 410.73(b)(2)(ii) states that, for purposes of billing Medicare Part B, clinical social worker (CSW) services do not include services furnished by a CSW to an inpatient of a Medicare-participating skilled nursing facility (SNF). Under this rule, CSWs cannot receive Medicare Part B payment for diagnostic and therapeutic mental health services when the services are furnished to patients in participating SNFs, but they can receive payment for these same mental health services when furnished in most other settings. Additionally, clinical psychologists (CPs) may receive Medicare Part B payment for these same diagnostic and therapeutic mental health services when furnished to patients in participating SNFs. The effective date of the rule that precluded Medicare Part B payment to CSWs for services furnished to patients in participating SNFs was June 22, 1998. However, the provisions under this rule were suspended for two years beyond the effective date. Accordingly, these provisions that terminated payment for CSW services in the SNF setting were delayed until June 22, 2000. Announcement of the two-year suspension of the provisions was made in a letter signed by the Administrator to the National Association of Social Workers rather than publishing it in the Federal Register.

    In order to redress this issue, on October 19, 2000, we published a notice of proposed rulemaking in the Federal Register (65 FR 62681), in which we proposed to pay CSWs for CPT psychiatry codes 90801, 90802, 90816, 90818, 90821, 90823, 90826, 90828, 90846, 90847, 90853, and 90857 when furnished to patients in participating SNFs who are not in a covered Part A stay. At this time, we are reprinting our proposal to allow CSWs to bill for the listed CPT psychiatry codes when furnished to patients in participating SNFs who are not under a covered Part A stay. Since we have already received comments on our previously published proposed rule both supporting and opposing our proposal, we are not now seeking comments in this proposed rule. However, we will respond to the comments already received on the issue of CSW services provided to beneficiaries in SNFs when we publish this year's physician fee schedule final rule.

    G. Medicare Qualifications For Clinical Nurse Specialists

    Section 4511(d)(3)(B) of the Balanced Budget Act of 1997 (Pub. L. 105-33) (BBA) defined a clinical nurse specialist as an individual who—

    (i) Is a registered nurse and is licensed to practice nursing in the State in which the clinical nurse specialist services are performed; and

    (ii) Holds a master's degree in a defined clinical area of nursing from an accredited educational institution.

    When implementing the regulation for this benefit, we added a provision requiring that a CNS must be certified by the American Nurses Credentialing Center (ANCC). It has recently been pointed out to us that the ANCC does not provide certification for CNSs who Start Printed Page 43862specialize in fields such as oncology, critical care, or rehabilitation.

    We are proposing to revise § 410.76(b)(3) to read as follows: “Be certified as a clinical nurse specialist by a national certifying body that has established standards for clinical nurse specialists and that is approved by the Secretary.” This revision would be consistent with certification criteria for nurse practitioners.

    H. Process to Add or Delete Services to the Definition of Telehealth

    1. Background

    Effective October 1, 2001, section 1834(m) of the Act provides for an expansion of the definition of a Medicare telehealth service. The law defines telehealth services as professional consultations, office and other outpatient visits, and office psychiatry services (identified as of July 1, 2000, by HCPCS codes 99241-99275, 99201-99215, 90804-90809 and 90862) and any additional service specified by the Secretary. In addition, the law requires the Secretary to establish a process for adding or deleting services to the list of telehealth services on an annual basis.

    In this proposed rule, we are proposing (1) to establish a process for adding or deleting services from the list of telehealth services, and (2) to add specific services to the list of telehealth services for CY 2003.

    To evaluate services that may be appropriate for Medicare telehealth, we would accept requests for adding services to, or deleting services from, the list of Medicare telehealth services. We would accept proposals from any interested individuals or organizations from either the public or the private sectors, for example, from medical specialty societies, individual physicians or practitioners, hospitals, and State or Federal agencies. (We may also generate additions or deletions of services internally.) We would post instructions on our website outlining the steps necessary to submit a proposal. Information on applying for a new HCPCS code may be found on our website at www.hcfa.gov/​Medicare/​hcpcs.htm,, then select “HCPCS Coding Request Information.”

    Each proposal would have to address the items outlined below.

    • Name(s), address(es) and contact information of the requestor.
    • The HCPCS code(s) that describes the service(s) proposed for addition or deletion to the list of Medicare telehealth services. If the requestor does not know the applicable HCPCS code, the request should include a description of services furnished during the telehealth session.
    • A description of the type(s) of medical professional(s) providing the telehealth service at the distant site.
    • A detailed discussion of the reasons the proposed service should be added to the definition of Medicare telehealth.
    • An explanation as to why the requested service cannot be billed under the current scope of telehealth services, for example, the reason why the HCPCS codes currently on the list of Medicare telehealth services would not be appropriate for billing the service requested.
    • An application for a new HCPCS code if the requestor believes that neither the HCPCS codes currently on the list of telehealth services nor any other HCPCS code would be adequate for describing the service requested.
    • If available, data showing that the use of a telecommunications system does not change the diagnosis or treatment plan as compared to the face-to-face delivery of the service.
    • If available, data showing that patients who receive this service via a telecommunications system are satisfied with the service that is delivered.

    2. Categories for Additions

    We would assign any request to add a service to the definition of Medicare telehealth services to one of the following categories:

    • Category #1: Services similar to office and other outpatient visits, consultation, and office psychiatry services. We would review these requests to ensure that the services proposed for addition to the list of Medicare telehealth services are similar to the current telehealth services. For example, we would look for similarities between the proposed and existing telehealth services in terms of the roles of, and interactions among, the beneficiary, the physician (or other practitioner) at the distant site and, if necessary, the telepresenter. We would also look for similarities in the telecommunications system used to deliver the proposed service, for example, the use of interactive audio and video equipment. If a proposed service meets the criteria set forth above, we would add it to the list of Medicare telehealth services.
    • Category #2: Services that are not similar to the current list of telehealth services, for example, physical therapy services, endoscopy services, and distant monitoring of patients in intensive care units. Our review of these requests would include an assessment of whether the use of a telecommunications system to deliver the service produces similar diagnostic findings or therapeutic interventions as compared with a face-to-face “hands on” delivery of the same service. In other words, the discrete outcome of the interaction between the clinician and patient facilitated by a telecommunications system should correlate well with the discrete outcome of the clinician-patient interaction when performed face-to-face.

    Requestors should submit evidence indicating that the use of a telecommunications system does not affect the diagnosis or treatment plan as compared to a face-to-face delivery of the service. If the evidence shows that the proposed telehealth service is equivalent to the face-to-face delivery of the service, we would add it to the list of telehealth services. However, if we determine that the use of a telecommunications system changes the nature or outcome of the service, for example, the nature of clinical intervention, as compared with the face-to-face delivery of the service, we would view the request as a request for a new service, rather than a different method of delivering an existing Medicare service. Under Medicare, new services: (1) Must fall into a benefit category; (2) must be reasonable and necessary in accordance with section 1862(a)(1)(A) of the Act; and (3) must not be specifically excluded from coverage. The requestor would have the option of applying for a national coverage determination. Information on applying for a national coverage determination may be found on our website at http://www.hcfa.gov;​; then select “Coverage Policies,” then “Process.”

    3. Our Review of Requests to Add Services

    Our review of submitted requests to add services may result in the following outcomes:

    • Adding an existing HCPCS code to the list of Medicare telehealth services.
    • Determining that the requested service is already described by an existing telehealth service.
    • Creating a new HCPCS code to describe the requested service and adding it to the list of Medicare telehealth services.
    • Requesting further information.
    • Notifying the requestor that a national coverage determination is necessary before a decision to accept or reject a proposal can be made.
    • Rejecting the request.

    4. Deletion of Services

    We may choose to remove a service currently on the list of Medicare telehealth services. We would remove a Start Printed Page 43863service from that list if, upon review of the available evidence, we determine that a Medicare telehealth service is not safe, effective, or medically beneficial.

    5. Implementation

    We propose to make additions or deletions to the list of Medicare telehealth services effective on a CY basis. We would use the annual physician fee schedule proposed rule published in the summer and the final rule published by November 1 each year as the vehicle for making these changes.

    We will accept requests for adding services to the list of Medicare telehealth services on an ongoing basis; requests must be received no later than December 31 of each CY to be considered for the next proposed rule.

    We are requesting specific comments on this approach to adding or deleting services and HCPCS codes to the definition of telehealth services.

    6. Proposed Addition to the Definition of Medicare Telehealth for Calendar Year 2003

    Section 1834(m) of the Act defines Medicare telehealth services as office and other outpatient visits, consultation, and office psychiatry services as described by the following HCPCS codes: 99201-99215; 99241-99275; 90804-90809; and 90862. We stated in the CY 2002 final rule (66 FR 55283) that we believed it would be inappropriate to expand the definition of Medicare telehealth services beyond the services explicitly listed in the Act until we have developed a process for adding or deleting services.

    However, after further review of the comments submitted in response to the proposed rule for CY 2002, we believe that the psychiatric diagnostic interview is similar to the Medicare telehealth services listed in the statute. Specifically, we believe this service would meet the criteria set forth in Category 1 of the proposed process for adding services.

    As defined by CPT 2002, a psychiatric diagnostic interview includes “a history, mental status, and a disposition, and may include communication with family or other sources, ordering and medical interpretation of laboratory or other medical diagnostic studies.” These components would be comparable to an initial office visit, or consultation services, which are currently Medicare telehealth services. Additionally, an initial psychiatric diagnostic interview is typically the first step in treating mental illness and is required before psychotherapy can begin. Therefore, we propose to add psychiatric diagnostic interview examination as represented by HCPCS code 90801 to the list of Medicare telehealth services.

    We would revise § 410.78 and § 414.65 to reflect this proposed addition to the list of Medicare telehealth services.

    I. Definition for ZZZ Global Periods

    Services with ZZZ global periods are add-on services, which can only be billed along with another service. The current policy associated with a code with a global indicator of ZZZ recognizes only the incremental intra-service work and practice expense associated with the add-on service. Any pre-service or post-service work associated with a service with a global indicator of ZZZ is considered accounted for in the base procedure with which these add-on services must be billed.

    Several specialties, as well as the RUC, have stated that some add-on services contain separately identifiable postservice work and practice expense. The RUC has recommended that we revise our current definition of the global indicator ZZZ to clarify that there may be postservice work associated with a limited number of ZZZ global services.

    Consistent with this recommendation, we propose to revise the current definition of a ZZZ global period. “ZZZ = Code related to another service and is always included in the global period of the other service (Note: Physician work is associated with intra-service time and in some instances the post-service time).”

    We plan to work with the RUC to identify those services with a global period of ZZZ that also have separately identifiable postservice work.

    J. Change in Global Period for CPT code 77789 (Surface Application of Radiation Source)

    The RUC has suggested a change in the global period for CPT code 77789 (surface application of radiation source) from a 90-day global period to a 000-day global period. We agree that all work is provided on the day of the procedure and no other visits for pre- and post-care are necessary. Therefore, we are proposing to assign a 000-day global period to this service. We have examined this code and believe that the current work value accurately reflects a 000-day global period and, therefore, needs no adjustment. We would adjust the clinical staff practice expense inputs to reflect that there is no post-procedure visit. The supplies and equipment inputs are appropriate for a 000-day global and need no revision.

    K. Technical Change for § 410.61(d)(1)(iii) Outpatient Rehabilitation Services

    The occupational therapists have pointed out that § 410.61(d)(1)(iii) incorrectly references “physical” therapy when it should reference “occupational” therapy. Therefore, we are proposing to revise § 410.61(d)(1)(iii) to correct this error.

    L. New HCPCS G-Codes

    1. Codes for Treatment of Peripheral Neuropathy

    Effective for services furnished on or after July 1, 2002, Medicare will cover an evaluation (examination and treatment) of the feet every six months for individuals with a documented diagnosis.

    G0245: Initial physician evaluation of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) which must include the procedure used to diagnose LOPS; a patient history; and a physical examination that consists of at least the following elements—

    (a) Visual inspection of the forefoot, hindfoot and toeweb spaces;

    (b) Evaluation of protective sensation;

    (c) Evaluation of foot structure and biomechanics;

    (d) Evaluation of vascular status and skin integrity;

    (e) Evaluation and recommendation of footwear; and

    (f) Patient education.

    We are proposing to crosswalk the work, practice expense, and malpractice RVUs from CPT code 99202, a level two, new patient office visit code. We are proposing to crosswalk the practice expense inputs from CPT code 99202 and revalue the practice expense RVU using the practice expense methodology once we have utilization for these codes.

    G0246: Follow-up evaluation of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) to include at least the following, a patient history and physical examination that includes—

    (a) Visual inspection of the forefoot, hindfoot and toeweb spaces;

    (b) Evaluation of protective sensation;

    (c) Evaluation of foot structure and biomechanics;

    (d) Evaluation of vascular status and skin integrity;

    (e) Evaluation and recommendation of footwear; and

    (f) Patient education.

    We are proposing to crosswalk the work, practice expense, and malpractice RVUs from CPT code 99212, a level two, established patient office visit code. We Start Printed Page 43864are proposing to crosswalk the practice expense inputs from CPT code 99212 and revalue the practice expense RVU using the practice expense methodology once we have utilization for these codes.

    G0247: Routine foot care of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) to include if present, at least the following—

    (a) Local care of superficial wounds;

    (b) Debridement of corns and calluses; and

    (c) Trimming and debridement of nails.

    We are proposing to crosswalk the work, practice expense, and malpractice RVUs from CPT code 11040, Debridement; skin; partial thickness. We are proposing to crosswalk the practice expense inputs from CPT code 11040 and will revalue the practice expense RVUs using the practice expense methodology once we have utilization for this code.

    2. Current Perception Sensory Nerve Conduction Threshold Test (SNCT)

    G0255: Current Perception Threshold/Sensory Nerve Conduction Test, (SNCT) per limb, any nerve.

    We have created a G-code that represents SNCT as a diagnostic test used to diagnose sensory neuropathies. The test is noninvasive and uses a transcutaeous electrical stimulus to evoke a sensation. We have determined that there is insufficient scientific or clinical evidence to consider the use of this device as reasonable and necessary within the meaning of section 1862(a)(1)(A) of the Act, and, therefore, Medicare will not pay for this type of test.

    3. Positron Emission Tomography (PET) Codes for Breast Imaging

    Medicare has expanded the coverage indications for PET scanning to include imaging for breast cancer. We have created codes that describe staging and restaging after or prior to the course of treatment of breast cancer. We have also created a PET scan code to evaluate the response to treatment of breast cancer.

    PET imaging for initial diagnosis of breast cancer and/or surgical planning for breast cancer are described by a CPT code, but Medicare will not cover this diagnosis.

    G0252: PET imaging for initial diagnosis of breast cancer and/or surgical planning for breast cancer (for example, initial staging of axillary lymph nodes), not covered by Medicare. This code is not covered by Medicare because there is a national non-coverage determination for initial diagnosis of breast cancer and initial staging of axillary lymph nodes.

    G0253: PET imaging for breast cancer, full and partial-ring PET scanners only, staging/restaging after or prior to course of treatment.

    G0254: PET imaging for breast cancer, full and partial-ring PET scanners only, evaluation of response to treatment, performed during course of treatment.

    We are proposing that the TC and global for both of these codes be carrier priced.

    For both procedure codes G0253 and G0254, we propose to make the PC work RVU equal to 1.87. There are no direct inputs for PC services. We propose to use practice expense RVUs of 0.58 and malpractice RVUs of 0.07 for these services.

    4. Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management

    For services furnished on or after July 1, 2002, Medicare will cover the use of home prothrombin time or INR monitoring in a patient's home for anticoagulation management for patients with mechanical heart valves. A physician must prescribe the testing. The patient must have been anticoagulated for at least three months prior to use of the home INR device; and the patient must undergo an education program. The testing with the device is limited to a frequency of once per week.

    G0248: Demonstration, at initial use, of home INR monitoring for a patient with mechanical heart valve(s) who meets Medicare coverage criteria, under the direction of a physician; includes: demonstration use and care of the INR monitor, obtaining at least one blood sample provision of instructions for reporting home INR test results and documentation of a patient's ability to perform testing.

    We are proposing that this code be assigned no work RVUs and .01 malpractice RVUs. For the practice expense inputs, we are proposing 75 minutes of RN/LPN/MTA staff time; a supply list, including four test strips, lancets and alcohol pads, a patient education booklet, and batteries for the monitor; and equipment, consisting of a home INR monitor. Using these proposed inputs in the practice expense methodology will produce an estimated practice expense RVU of 2.92.

    G0249: Provision of test materials and equipment for home INR monitoring to patient with mechanical heart valve(s) who meets Medicare coverage criteria. Includes provision of materials for use in the home and reporting of test results to physician; per 4 tests.

    We are proposing that this code be assigned no work RVUs and .01 malpractice RVUs. For the practice expense inputs, we are proposing 13 minutes of RN/LPN/MTA staff time, a supply list, including four test strips, lancets and alcohol pads, and equipment, consisting of a home INR monitor. Using these proposed inputs in the practice expense methodology will produce an estimated practice expense RVU of 2.08.

    G0250: Physician review/ interpretation and patient management of home INR test for a patient with mechanical heart valve(s) who meets other coverage criteria; per 4 tests (does not require face-to-face service)

    We are proposing that this code be assigned 0.18 work RVUs and .01 malpractice RVUs. There would be no direct practice expense inputs for this code. We will use practice expense methodology to develop a practice expense RVU that will reflect indirect costs of the physicians performing this service. The estimated practice expense RVU will equal 0.07.

    5. Bone Marrow Aspiration and Biopsy on the Same Date of Service

    We are proposing to create a new G-code that reflects a bone marrow biopsy and aspiration procedure that is performed on the same date, at the same encounter, through the same incision. Because it is our understanding that the typical case involves an aspiration and biopsy through the same incision, we are creating a G-code to reflect this service. If the two procedures, aspiration and biopsy, are performed at different sites (for example, contralateral illiac crests, sternum/illiac crest, two separate incisions on the same iliac crest or two patient encounters on the same date of service), the -59 modifier would be appropriate to use. In this instance, the CPT codes for aspiration and biopsy would each be used.

    GXXXX: Bone marrow aspiration and biopsy performed on the same day.

    We are proposing physician work RVUs of 1.56 and malpractice RVUs of 0.04. We propose to crosswalk the practice expense inputs from CPT code 38220, Bone marrow aspiration, with the assignment of an additional five minutes of clinical staff time. Using these proposed inputs in the practice expense methodology will produce an estimated practice expense RVU of 3.32 in the nonfacility setting. The practice expense RVU in the facility setting is estimated at 0.60.

    M. Endoscopic Base for Urology Codes

    Cystoscopy and treatment CPT codes 52234, 52235, and 52240 were Start Printed Page 43865inadvertently identified in the Medicare Physician Fee Schedule Database as services subject to multiple procedural reductions as opposed to the procedural reduction rules specific to endoscopic services. Multiple procedural reduction rules allow full payment for the primary services with a 50 percent reduction to the RVUs for each additional service. The endoscopic reduction rules establish payment using the full value of the highest valued endoscopic service plus the difference between the next highest valued service and the base endoscopic service. The inadvertent application of the multiple procedural reduction as opposed to the endoscopic procedural reduction has resulted in our overpaying for these services. We propose applying the endoscopic reduction rules to these services and have identified CPT code 52000 as the endoscopic base code for these services.

    N. Physical Therapy and Occupational Therapy Caps

    Section 4541(c) of the Balanced Budget Act of 1997 required application of a payment limitation to all rehabilitation services provided on or after January 1, 1999. The limitation was an annual per beneficiary limit of $1500 on all outpatient physical therapy services (including speech-language pathology services). A separate $1500 limit was applied to all occupational therapy services. (The limitation amounts were to be increased to reflect medical inflation.) The annual limitation did not apply to services furnished directly or under arrangement by a hospital to an outpatient or to an inpatient who is not in a covered Part A stay.

    Section 221 of the Balanced Budget Refinement Act of 1999 (Pub. L. 106-113, enacted on November 29, 1999) (BBRA) placed a moratorium on the application of the payment limitation for two years from January 1, 2000 through December 31, 2001. Section 421 of the Medicare, Medicaid, and SCHIP Beneficiary Improvement and Protection Act of 2000 (Pub. L. 106-554, enacted on December 21, 2000) (BIPA), extended the moratorium on application of the limitation to claims for outpatient rehabilitation services with dates of service January 1, 2002 through December 31, 2002. Therefore, the moratorium applies to outpatient rehabilitation claims with dates of service January 1, 2001 through December 31, 2002. Outpatient rehabilitation claims for services rendered on or after January 1, 2003 will be subject to the payment limitation unless Congress acts to extend the moratorium.

    III. Collection of Information Requirements

    This document does not impose information collection and recordkeeping requirements. Consequently, it need not be reviewed by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995.

    IV. Response to Comments

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

    V. Regulatory Impact Analysis

    We have examined the impact of this rule as required by Executive Order 12866 (September 1993, Regulatory Planning and Review), the Regulatory Flexibility Act (RFA) (September 16, 1980 Pub. L. 96-354), section 1102(b) of the Social Security Act, the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4), and Executive Order 13132.

    Executive Order 12866 directs agencies to assess all costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis must be prepared for proposed rules with economically significant effects (that is, a proposed rule that would have an annual effect on the economy of $100 million or more in any one year, or would adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities). We have simulated the effect of the proposed changes to practice expense RVUs described earlier. The net effect of the changes we are proposing will not materially increase or decrease Medicare expenditures for physicians' services because the statute requires that changes to RVUs cannot increase or decrease expenditures more than $20 million. Since increases in payments resulting from RVU changes must be offset by decreases in payments for other services, the proposed practice expense changes will result in a redistribution of payments among physician specialties. The proposed changes to the MEI would result in increases in Medicare expenditures for physicians' services of $150 million in fiscal year (FY) 2003, $340 million in FY 2004, and $550 million in FY 2005. Therefore, this proposed rule is considered to be a major rule because it is economically significant, and, thus, we have prepared a regulatory impact analysis.

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

    Section 1102(b) of the Act requires us to prepare a regulatory impact analysis for any proposed rule that may have a significant impact on the operations of a substantial number of small rural hospitals. This analysis must conform to the provisions of section 603 of the RFA. For purposes of section 1102(b) of the Act, we define a small rural hospital as a hospital that is located outside a Metropolitan Statistical Area and has fewer than 100 beds.

    For purposes of the RFA, physicians, nonphysicians, and suppliers are considered small businesses if they generate revenues of $6 million or less. Approximately 95 percent of physicians (except mental health specialists) are considered to be small entities. There are about 700,000 physicians, other practitioners and medical suppliers that receive Medicare payment under the physician fee schedule.

    Section 202 of the Unfunded Mandates Reform Act of 1995 also requires that agencies assess anticipated costs and benefits before issuing any rule that may result in expenditure in any one year by State, local, or tribal governments, in the aggregate, or by the private sector, of $110 million. We have determined that this proposed rule will have no consequential effect on State, local, or tribal governments.

    We have examined this proposed rule in accordance with Executive Order 13132 and have determined that this regulation would not have any negative impact on the rights, roles, or responsibilities of State, local, or tribal governments. Start Printed Page 43866

    We have prepared the following analysis, which together with the rest of this preamble, meets all assessment requirements. It explains the rationale for, and purposes of, the rule, details the costs and benefits of the rule, analyzes alternatives, and presents the measures we propose to use to minimize the burden on small entities. As indicated elsewhere in this proposed rule, we propose to make changes to the Medicare Economic Index, refine resource-based practice based practice expense RVUs and make a variety of other minor changes to our regulations, payments or payment policy to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We provide information for each of the proposed policy changes in the relevant sections in this proposed rule. As discussed elsewhere in this proposed rule, the provisions of this proposed rule, if adopted, would only change Medicare payment rates for physician fee schedule services. While this rule would allow physical and occupational therapists that are employed by physicians to separately enroll in the Medicare program, it does not impose reporting, recordkeeping and other compliance requirements. We are unaware of any relevant Federal rules that duplicate, overlap or conflict with this proposed rule. The relevant sections of this proposed rule contain a description of significant alternatives.

    A. Resource-Based Practice Expense Relative Value Units

    Under section 1848(c)(2) of the Act, adjustments to RVUs may not cause the amount of expenditures to differ by more than $20 million from the amount of expenditures that would have resulted without such adjustments. We are proposing several changes that would result in a change of expenditures that would exceed $20 million if we made no offsetting adjustments to either the conversion factor or RVUs.

    With respect to practice expense, our policy has been to meet the budget neutrality requirements in the statute by incorporating a rescaling adjustment in the practice expense methodology. That is, we estimate the aggregate number of practice expense relative values that will be paid under current and proposed policy in CY 2003. We apply a uniform adjustment factor to make the aggregate number of proposed practice expense relative values equal the number estimated that would be paid under current policy.

    Table 2 shows the specialty level impact on payment of changes being proposed for CY 2003. In past years, we have shown the Medicare payment impact of redistributive changes in RVUs for all specialties that can bill for Medicare physician fee schedule services. We included some of the smaller specialty categories in closely related larger ones and have shown payment impacts for 35 different specialty categories. For this proposed rule, we are showing separate impacts for 49 different specialty categories. We are separately showing specialties that have more than $50 million in total Medicare allowed charges for physician fee schedule services. We are changing the way we illustrate impacts based on comments and suggestions that have come to us from the physician community. The payment impacts reflect averages for each specialty based on Medicare utilization. The payment impact for an individual physician would be different from the average, based on the mix of services the physician provides. The average change in total revenues would be less than the impact displayed here since physicians furnish services to both Medicare and non-Medicare patients and specialties may receive substantial Medicare revenues for services that are not paid under the physician fee schedule. For instance, independent laboratories receive more than 80 percent of their Medicare revenues from clinical laboratory services that are not paid under the physician fee schedules. This table shows only the payment impact on physician fee schedule services.

    We modeled the impact of five changes to the practice expense methodology. The column labeled “Input Changes” shows the effect of proposed changes described in section II. A. As indicated in that section, we are making several changes to the inputs that are used to value several ophthalmology and thermotherapy procedures and lontophoresis. We also revised the price we are using for sterile water. These changes will result in very little specialty impact with a small reduction in payment to optometry.

    The column labeled “Staff Time” shows the impact of our proposal to use staff time in place of average staff time in creation of the zero physician work pool. This proposal would result in increases in payment for services that are included in the zero physician work pool while broadly distributing reductions in payments to all other physician fee schedule services.

    The column labeled “Professional Technical Changes” refers to our proposal to change the calculation of the practice expense RVUs for codes with professional and technical components. As indicated earlier, we are proposing to make the technical component value equal the difference between the global and the professional component for procedure codes that are not included in the zero physician work pool. For procedure codes that would remain in the zero physician work pool, we would continue to make the global equal the sum of the professional and the technical component values.

    The column labeled “Zero Physician Work Pool” refers to our proposal to remove several services from the zero physician work pool based on requests from the physician specialties that perform the predominant number of services for a given family of codes. The practice expense RVUs for these codes would no longer be determined under the zero physician work methodology. If the services have professional and technical components, the professional component practice expense RVU would be subtracted from the global practice expense RVU to determine the technical component practice value.

    The column labeled “Multi-Year Utilization” refers to our proposal to use multiple years of utilization data in the practice expense methodology. The figures shown in Table 2 may change if we make any changes to the zero physician work pool following the consideration of public comments.

    Several physician specialties (Allergy/Immunology, Cardiology, Hematology/Oncology, Interventional Radiology, Radiation Oncology, Radiology) that derive a significant portion of their Medicare revenues from services affected by the zero physician work pool calculations would see an increase in payment from the proposed changes. Other physician specialties would see an increase in payment from the change to the practice expense RVUs for professional and technical component services and/or from removing services from the zero physician work pool (neurology, physical medicine, vascular surgery).

    Payments to pathology would be reduced by approximately 2 percent. This is largely attributable to the change in the practice expense RVU calculations for professional and technical component services. While payments for pathology would decline, as we noted earlier, since it is far more common for our carriers to receive a global than a technical-component-only bill, we believe it is far more likely that using the global to value the technical component service would result in a payment that is more typical of the practice expense associated with the service. We reviewed the Medicare utilization and found 42.8 million Start Printed Page 43867allowed services associated with a global pathology service and 4.3 million for the technical component only. Several other specialties may also experience small reductions in aggregate payments from these proposed changes.

    As a result of changing the practice expense RVU calculation for professional and technical component services, payments for physician fee schedule services to independent laboratories would decline by approximately 8 percent. However, physician fee schedule services account for approximately 17 percent of total Medicare revenues for independent laboratories. The impact on total Medicare revenues from this reduction would be approximately −1 percent. The figures in Table 2 may change if we if we make any changes to the zero physician work pool following the consideration of public comments.

    The net effect of these proposals would also increase payments for several types of suppliers that provide services that are affected by the zero physician work pool methodology. Payments to Independent Diagnostic and Treatment Facilities would increase by approximately 9 percent. Portable X-ray suppliers would receive an approximate increase of 8 percent in payments for services paid under the physician fee schedule. However, we would note that only about 47 percent of Medicare revenues received by portable X-ray suppliers are attributable to physician fee schedule services. The other Medicare revenues received by portable X-ray suppliers are attributed to the transportation of X-ray equipment paid at rates determined by the Medicare carrier. Any change to the rates for carrier priced services would be made at local carrier discretion. The total change in payments (before application of the estimated 4.4 percent reduction to the physician fee schedule conversion factor discussed next) will be about 3 percent.

    Table 2 shows the estimated change in payment rates based on provisions of this proposed rule. If we change any of these proposals following our consideration of comments, these figures may change.

    Table 2.—Impact of Practice Expense Changes on Total Medicare Allowed Charges by Physician, Practitioner and Supplier Subcategory

    CategoryMedicare allowed charges ($ in billions)Input changes (percent)Maximum staff time (percent)Professional technical changes (percent)Zero physician work pool (percent)Multi-year utilizationTotal (percent)
    Physicians:
    ALLERGY/IMMUNOLOGY$0.14010002
    ANESTHESIOLOGY1.1700000−1
    CARDIAC SURGERY0.27000000
    CARDIOLOGY4.28010011
    CLINICS1.81000000
    DERMATOLOGY1.430−1000−2
    EMERGENCY MEDICINE1.04000000
    ENDOCRINOLOGY0.20000000
    FAMILY PRACTICE3.27000000
    GASTROENTEROLOGY1.250000−1−1
    GENERAL PRACTICE0.87000000
    GENERAL SURGERY1.9400000−1
    GERIATRICS0.08000000
    HEMATOLOGY/ONCOLOGY0.90010011
    INFECTIOUS DISEASE0.2500000−1
    INTERNAL MEDICINE6.42000000
    INTERVENTIONAL RADIOLOGY0.13000001
    NEPHROLOGY1.0300000−1
    NEUROLOGY0.8501300−1
    NEUROSURGERY0.3500000−1
    OBSTETRICS/GYNECOLOGY0.45000000
    OPHTHALMOLOGY3.690−100−1−1
    ORTHOPEDIC SURGERY2.22000000
    OTOLARNGOLOGY0.63000000
    PATHOLOGY0.6300−200−2
    PEDIATRICS0.05000000
    PHYSICAL MEDICINE0.48001001
    PLASTIC SURGERY0.230000−1−1
    PSYCHIATRY1.00000000
    PULMONARY DISEASE1.07001000
    RADIATION ONCOLOGY0.72020023
    RADIOLOGY3.12010012
    RHEUMATOLOGY0.30000000
    THORACIC SURGERY0.44000000
    UROLOGY0.440000−1−1
    VASCULAR SURGERY0.34000202
    Other Practitioners:
    CHIROPRACTOR0.440000−1−1
    CLINICAL PSYCHOLOGIST0.38000011
    CLINICAL SOCIAL WORKER0.21000010
    NURSE ANESTHETIST0.3500000−1
    NURSE PRACTITIONER0.21000000
    OPTOMETRY0.50−1−100−1−2
    PHYSICAL/OCCUPATIONAL THERAPY0.47000000
    Start Printed Page 43868
    PHYSICIAN ASSISTANTS0.17000000
    PODIATRY1.1000000−1
    Suppliers:
    DIAGNOSTIC TREATMENT FACILITY0.35031139
    INDEPENDENT LABORATORY0.380−1−902−8
    PORTABLE XRAY SUPPLIER0.06040038
    ALL OTHER0.29000000
    TOTAL49.21000000

    In previous years, we have not included the effect of the physician fee schedule update in our impact tables. The statutory methodology for updating physician rates for CY 2001 and subsequent years is specified in section 1848(d)(4) of the Act. Section 1848(d)(4) of the Act indicates that physician fee schedule rates are updated by the MEI increased or decreased by an “update adjustment factor.” The update adjustment factor reflects a comparison of actual and target expenditures under the sustainable growth rate system (SGR) under section 1848(f) of the Act. If actual expenditures exceed target expenditures, the update adjustment factor is negative. If actual expenditures are less than target expenditures, the update adjustment factor is positive. The update adjustment factor is limited to +3.0 and −7.0 percentage points. We do not have authority to change physician fee schedule update formula specified in statute. Since the application of the update cannot be changed through the rulemaking process, we have not shown the effect of the physician fee schedule update in our impact tables. However, public comment indicates an interest in our illustrating the effect of the update on payments to physicians in the impact section of our regulation.

    Consistent with the requirements of section 1848(d)(1)(E) of the Act, we made an estimate of the physician fee schedule update for CY 2003 available to the Medicare Payment Advisory Commission (MedPAC) and the public on March 1, 2002. At that time, we provided our latest estimate of the MEI for CY 2003 and indicated that the update adjustment factor would likely equal the −7.0 percentage point limit established in statute. That is, the CY 2003 update would equal the MEI reduced by 7.0 percentage points. Section 1848(d)(4)(F) of the Act requires the update to be reduced by an additional −0.2 percentage points.

    We currently estimate that the CY 2003 MEI will equal 2.3 percent using an adjustment based on a 10-year average economy-wide labor productivity. If we substitute a 10-year average economy-wide multifactor productivity as proposed in this proposed rule, the CY 2003 MEI is estimated to be 3.0 percent. Substituting multifactor for labor productivity increases the MEI by 0.7 percentage points. We believe that it remains likely that the update adjustment factor will equal the statutory limit of −7.0 percentage points specified in section 1848(d)(4) of the Act. Taking the following factors into account, we estimate that the CY 2003 physician fee schedule update will equal the product of the following 3 factors:

    MEI 3.0% (1.030)

    Update Adjustment Factor −7.0% (0.930)

    Legislative Factor −0.2% (0.998)

    Update −4.4% (0.956)

    The MEI is based on the 3 complete quarters and 1 projected quarter of information and may change slightly before we announce the final MEI no later than November 1, 2002. Incorporating the estimated update with the practice expense impacts shown above will produce the following estimated impact on payments for physician fee schedule services. Table 3 shows the estimated change in average payments by specialty based on provisions of this proposed rule and the estimated physician fee schedule update. If we change any of these provisions based on public comment or if the actual MEI is different than our estimate, these figures may change.

    Table 3.—Estimated Impact Practice Expense and Update on Total Medicare Allowed Charges by Specialty

    SpecialtyMedicare allowed charges ($ in billions)Combined practice expense changes (percent)Estimated update (percent)Total (percent)
    Physicians:
    ALLERGY/IMMUNOLOGY$0.142−4.4−3
    ANESTHESIOLOGY1.17−1−4.4−5
    CARDIAC SURGERY0.270−5.5−5
    CARDIOLOGY4.281−4.4−4
    CLINICS1.810−4.4−5
    DERMATOLOGY1.43−2−4.4−6
    EMERGENCY MEDICINE1.040−4.4−4
    ENDOCRINOLOGY0.200−4.4−5
    FAMILY PRACTICE3.270−4.4−5
    GASTROENTEROLOGY1.25−1−4.4−5
    GENERAL PRACTICE0.870−4.4−4
    Start Printed Page 43869
    GENERAL SURGERY1.94−1−4.4−5
    GERIATRICS0.080−4.4−5
    HEMATOLOGY/ONCOLOGY0.901−4.4−3
    INFECTIOUS DISEASE0.25−1−4.4−5
    INTERNAL MEDICINE6.420−4.4−5
    INTERVENTIONAL RADIOLOGY0.131−4.4−4
    NEPHROLOGY1.03−1−4.4−5
    NEUROLOGY0.852−4.4−1
    NEUROSURGERY0.35−1−4.4−5
    OBSTETRICS/GYNECOLOGY0.450−4.4−5
    OPHTHALMOLOGY3.69−1−4.4−5
    ORTHOPEDIC SURGERY2.220−4.4−5
    OTOLARNGOLOGY0.630−4.4−5
    PATHOLOGY0.63−2−4.4−6
    PEDIATRICS0.050−4.4−4
    PHYSICAL MEDICINE0.481−4.4−3
    PLASTIC SURGERY0.23−1−4.4−5
    PSYCHIATRY1.000−4.4−5
    PULMONARY DISEASE1.070−4.4−4
    RADIATION ONCOLOGY0.723−4.4−3
    RADIOLOGY3.122−4.4−3
    RHEUMATOLOGY0.300−4.4−4
    THORACIC SURGERY0.440−4.4−4
    UROLOGY1.28−1−4.4−4
    VASCULAR SURGERY0.342−4.4−3
    Other Practitioners:
    CHIROPRACTOR0.44−1−4.4−5
    CLINICAL PSYCHOLOGIST0.381−4.4−4
    CLINICAL SOCIAL WORKER0.210−4.4−4
    NURSE ANESTHETIST0.35−1−4.4−5
    NURSE PRACTITIONER0.210−4.4−5
    OPTOMETRY0.50−2−4.4−4
    PHYSICAL/OCCUPATIONAL THERAPY0.470−4.4−5
    PHYSICIANS ASSISTANT0.170−4.4−5
    PODIATRY1.10−1−4.4−5
    Suppliers:
    DIAGNOSTIC TREATMENT FACILITY0.359−4.41
    INDEPENDENT LABORATORY0.38−8−4.4−9
    PORTABLE X-RAY SUPPLIER0.068−4.4−1
    ALL OTHER0.290−4.4−5
    TOTAL49.210−4.4−4.4

    Table 4 shows the impact on payments for selected high volume procedures of all of the changes previously discussed. This table shows the combined impact of the change in the practice expense RVUs and the estimated physician fee schedule update on total payment for the procedure. There are separate columns that show the change in the facility rates and the nonfacility rates. For an explanation of facility and non-facility practice expense refer to § 414.22(b)(5)(i). The table shows the estimated change in payment rates based on provisions of this proposed rule and the estimated physician fee schedule update. If we change any of the provisions following the consideration of public comments or if the actual MEI is different than our estimate, these figures may change.

    Table 4.—Impact of Proposed Rule and Physician Fee Schedule Update on Medicare Payment for Selected Procedures

    HCPCSMODDESCFacility paymentNonfacility payment
    OldNew% ChangeOldNew% Change
    11721Debride nail, 6 or more$28.96$27.34−6$36.92$34.95−5
    17000Detroy benign/premal lesion32.9431.15−562.6258.48−7
    27130Total hip arthroplasty1,452.311,376.62−5N/AN/AN/A
    27236Treat thigh fracture1,113.851,053.40−5N/AN/AN/A
    27244Treat thigh fracture1,137.381,074.86−5N/AN/AN/A
    Start Printed Page 43870
    27447Total knee arthroplasty1,514.211,433.72−5N/AN/AN/A
    33533CABG, arterial, single1,827.341,742.75−5N/AN/AN/A
    35301Rechanneling of artery1,061.361,011.18−5N/AN/AN/A
    43239Upper GI endoscopy, biopsy154.93146.73−5354.75316.30−11
    45385Lesion removal colonoscopy287.78273.04−5571.22511.82−10
    66821After cataract laser surgery213.94203.83−5229.50219.40−4
    66984Cataract surg w/iol, i stage669.32636.06−5N/AN/AN/A
    67210Treatment of retinal lesion546.61519.095603.08575.15−5
    7101026Chest x-ray9.058.65−49.058.65−4
    7102026Chest x-ray11.2210.38−711.2210.38−7
    76091Mammogram, both breastsN/AN/AN/A90.5090.320
    7609126Mammogram, both breasts43.4441.53−443.4441.53−4
    76092Mammogram, screeningN/AN/AN/A81.8178.21−4
    7609226Mammogram, screening35.4833.91−435.4833.91−4
    77427Radiation tx management, x5167.96159.88−5167.96159.88−5
    7846526Heart image (3d), multiple74.9370.94−574.9370.94−5
    8830526Tissue exam by pathologist40.5438.41−540.5438.41−5
    90801Psy dx interview137.19130.81−5144.80138.08−5
    90806Psytx, off, 45-50 min91.2287.55−495.9392.05−4
    90807Psytx, off, 45-50 min w/e&m98.8294.13−5103.5398.28−5
    90862Medication management46.3343.95−551.0448.45−5
    90921ESRD related services, month273.30258.16−6273.30258.16−6
    90935Hemodialysis, one evaluation76.3871.98−6N/AN/AN/A
    92004Eye exam, new patient87.9683.05−6123.44117.66−5
    92012Eye exam established pat35.8433.91−561.1858.48−4
    92014Eye exam & treatment58.6455.37−691.2286.86−5
    92980Insert itracoronary stent790.59748.18−5N/AN/AN/A
    92982Coronary artery dilation584.26553.00−5N/AN/AN/A
    93000Electrocardiogram, completeN/AN/AN/A25.3425.260
    93010Electrocardiogram report9.058.31−89.058.31−8
    93015Cardiovascular stress testN/AN/AN/A99.91100.010
    9330726Echo exam of heart48.1445.33−648.1445.33−6
    9351026Left heart catheterization230.59218.02−5230.59218.02−5
    98941Chiropractic manipulation31.1329.42−535.4833.57−5
    99202Office/outpatient visit, new45.6143.26−561.5458.14−6
    99203Office/outpatient visit, new69.5066.10−591.9586.86−6
    99204Office/outpatient visit, new102.8197.93−5130.68123.89−5
    99205Office/outpatient visit, new136.47129.43−5166.15157.46−5
    99211Office/outpatient visit, est8.698.31−420.2719.03−6
    99212Office/outpatient visit, est23.1721.80−636.2033.91−6
    99213Office/outpatient visit, est34.0332.53−450.3247.76−5
    99214Office/outpatient visit, est56.1153.29−578.9174.75−5
    99215Office/outpatient visit, est90.5085.82−5115.84109.35−6
    99221Initial hospital care65.1661.94−5N/AN/AN/A
    99222Initial hospital care108.24102.78−5N/AN/AN/A
    99223Initial hospital care150.95143.27−5N/AN/AN/A
    99231Subsequent hospital care32.5830.80−5N/AN/AN/A
    99232Subsequent hospital care53.5750.87−5N/AN/AN/A
    99233Subsequent hospital care76.3872.33−5N/AN/AN/A
    99236Observ/hosp same date214.66204.87−5N/AN/AN/A
    99238Hospital discharge day66.2462.98−5N/AN/AN/A
    99239Hospital discharge day90.8686.17−5N/AN/AN/A
    99241Office consultation33.3031.15−647.0644.64−5
    99242Office consultation68.0564.02−687.2482.36−6
    99243Office consultation90.1485.48−5115.84109.35−6
    99244Office consultation133.58126.66−5164.34155.38−5
    99245Office consultation177.01167.84−5212.85201.41−5
    99251Initial inpatient consult34.7532.88−5N/AN/AN/A
    99252Initial inpatient consult69.8666.10−5N/AN/AN/A
    99253Initial inpatient consult95.2090.32−5N/AN/AN/A
    99254Initial inpatient consult136.83129.77−5N/AN/AN/A
    99255Initial inpatient consult188.60178.57−5N/AN/AN/A
    99261Follow-up inpatient consult21.7220.76−4N/AN/AN/A
    99262Follow-up inpatient consult43.4441.18−5N/AN/AN/A
    99263Follow-up inpatient consult64.8061.25−5N/AN/AN/A
    99282Emergency dept visit26.4325.26−4N/AN/AN/A
    99283Emergency dept visit59.3756.75−4N/AN/AN/A
    99284Emergency dept visit92.6788.59−4N/AN/AN/A
    Start Printed Page 43871
    99285Emergency dept visit144.80138.08−5N/AN/AN/A
    99291Critical care, first hour198.37188.60−5208.87197.60−5
    99292Critical care, addl 30 min98.8294.13−5108.24101.05−7
    99301Nursing facility care60.0957.45−470.2366.79−5
    99302Nursing facility care80.7276.83−595.5791.01−5
    99303Nursing facility care100.2795.51−5118.73112.82−5
    99311Nursing fac care, subseq30.0528.72−440.1838.41−4
    99312Nursing fac care, subseq49.9547.41−561.9058.83−5
    99313Nursing fac care, subseq70.9567.48−584.3480.29−5
    99348Home visit, est patientN/AN/AN/A73.8569.90−5
    99350Home visit, est patientN/AN/AN/A166.52157.46−5

    B. Proposed Productivity Adjustment to the MEI

    As indicated in section II.D of this proposed rule, we are proposing to change the methodology for adjusting for productivity in the MEI. We propose that the MEI used for the CY 2003 physician payment update reflect changes in the 10-year moving average of private nonfarm business (economy-wide) multifactor productivity applied to the entire index. The prior method accounted for productivity by adjusting the labor portion of the MEI by the 10-year moving average change in private nonfarm business (economy-wide) labor productivity. Our reasons for proposing this change and the alternatives we considered are discussed in detail in section II.D.

    We believe that we have developed a revised MEI methodology that is technically superior to the current MEI and more adequately reflects annual changes in the cost of furnishing services in efficient physicians' practices. We estimate that the proposed changes to the MEI would raise the index by 0.7 percentage points from 2.3 percent to 3.0 percent for CY 2003 based on 3 complete quarters and 1 projected quarter of information. This figure may change based on complete data. We estimate that this proposed change would increase Federal expenditures by $150 million in FY 2003. The outyear impact is a function of numerous economic variables that fluctuate unpredictably. Our estimate of the impact beyond FY 2003 is based on projections of both the current and proposed revised index. We estimate the proposed change would increase Federal expenditures by $340 million in FY 2004 and $550 million in FY 2005.

    C. Site of Service

    Relative values for practice expense are determined for both “facility” and “nonfacility” settings. (See Addendum B.) We propose to clarify which place of service codes are assigned to facility relative values and which place of service codes are assigned to nonfacility relative values. This clarification should benefit physicians, providers, and Medicare contractors by making the payment rules clearer. We are proposing to update facility and nonfacility designations for several new place of service codes and change the designations for several place of service codes already in existence. The update for the new place of service codes will have no effect on Medicare spending. The place of service codes in which we are changing the designation are infrequently used for physician fee schedule services. Any effect of this proposal would result in very minor redistribution in payment among physician fee schedule services through the practice expense budget-neutrality adjustments.

    D. Pricing of Technical Components (TC) for Positron Emission Tomography (PET) Scans

    As stated earlier, to keep pricing consistent with the manner in which other PET scan services are paid, we are proposing a change from national pricing to having the carriers price the TC and global value for HCPCS code G0125 Lung Image PET scans. The budgetary impact on the Medicare program and providers would be uncertain since we do not know the payment amounts that carriers would use for this service.

    E. Medicare Qualifications for Clinical Nurse Specialists (CNSs)

    As previously stated, we are proposing to revise regulations regarding qualifications for CNSs by allowing flexibility as to certifying bodies. We believe this change would make the Medicare requirements more consistent with criteria for other practitioners. We also believe there would be additional enrollment of CNSs that would qualify for Medicare enrollment. We expect that this proposal would have little effect on Medicare expenditures.

    F. Process To Add or Delete Services to the Definition of Telehealth

    We are proposing a process for adding or deleting services from the list of telehealth services, as well as for adding specific services to the list for CY 2003. There are no costs or savings to the Medicare program associated with this proposal. In addition, we are proposing to add psychiatric diagnostic interview examination, as represented by HCPCS code 90801, to the list of Medicare telehealth services. We believe this would have little effect on Medicare expenditures.

    G. Change in Global Period for CPT Code 77789 (Surface Application of Radiation Source

    We are proposing a change in the global period for CPT code 77789 (surface application of radiation source) from a 90-day global period to a 000-day global period. We believe physicians that furnish these services would benefit from this change because it would simplify their billing processes. We do not expect it would have a significant impact on the Medicare program because the change would reflect current practices.

    H. New HCPCS G-Codes

    We are proposing to add new G-codes to describe evaluation (examination and treatment) of the feet no more often than every 6 months for individuals with a documented diagnosis of diabetic peripheral neuropathy with loss of protective sensation. We established Start Printed Page 43872payment for these codes in CY 2002 to allow for payment consistent with a national coverage decision clarifying coverage for routine foot exams. This provision would have no impact on the program because the codes will be implemented through a program memorandum to reflect new national policy effective July 1, 2002.

    I. Endoscopic Base for Urology Codes

    We are proposing to correct the pricing of certain endoscopic services. As we indicated in section II.N., we propose to use CPT procedure code 52000 as the endoscopic base code for CPT procedure codes 52234, 52235, and 52240. This proposed change would result in a reduction in payment in instances when these codes are billed in conjunction with either CPT procedure code 52000 or other codes that have CPT procedure code 52000 as the endscopic base code. We expect the savings would be negligible.

    J. Physical Therapy and Occupational Therapy Caps

    There were no proposals made in this area. The imposition of the physical and occupational therapy caps will occur as a result of application of section 4541(c) of the BBA. While section 221 of the BBRA and section 421 of BIPA placed a moratorium on application of these caps, the moratorium expires for physical and occupational therapy services rendered after December 31, 2002. We estimate that application of the caps will reduce Medicare expenditures for physical and occupational therapy services by $240 million in 2003.

    K. Enrollment of Physical and Occupational Therapists as Therapists in Private Practice

    This proposal would clarify Medicare enrollment criteria for therapists and provide consistency among Medicare contractors. This would allow flexibility for therapists in how they choose to practice by allowing all therapists that met the enrollment criteria to enroll in Medicare.

    L. Alternatives Considered

    This proposed rule contains a range of policies. The preamble identifies those policies when discretion has been exercised and presents rationale for our decisions, including a presentation of nonselected options.

    M. Impact on Beneficiaries

    Although changes in physicians' payments were large when the physician fee schedule was implemented in 1992, we detected no problems with beneficiary access to care. We do not believe that there would be any problem with access to care as a result of the proposed changes in this rule. While it has been suggested that the negative update for 2003 may affect beneficiary access to care, we note that the formula to determine this update is set by statute and this regulation cannot, and does not, change it. Furthermore, since beginning our transition to a resource-based practice expense system in CY 1999, we have not found that there are problems with beneficiary access to care.

    As indicated above, the imposition of the physical and occupational therapy caps will occur as a result of application of section 4541(c) of the BBA. It is possible that application of physical and occupational therapy caps will have an impact on Medicare beneficiaries either through increased liability for services exceeding the cap or fewer services being provided. We contracted with the Urban Institute to perform analyses related to the implementation of the therapy caps, based on an analysis of a sample of therapy services provided from 1998 through 2000. The draft reports are available on the CMS website. The contractor report indicated that in 2000, about 12 percent of patients who received therapy services would have exceeded the caps. More than 50 percent of those who exceeded the caps did so by $500 or more. The caps are more likely to be exceeded in skilled nursing facilities, comprehensive outpatient rehabilitation facilities, and other rehabilitation facility settings. The caps do not apply to outpatient therapy services provided in an outpatient hospital. The report does not make assumptions about changes in behavior in response to the caps. Without more experience with the caps, it is difficult to predict the precise impact on beneficiaries.

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

    Start List of Subjects

    List of Subjects

    42 CFR Part 410

    • Health facilities
    • Health professions
    • Kidney diseases
    • Laboratories
    • Medicare
    • Rural areas
    • X-rays

    42 CFR Part 414

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

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

    Start Part

    PART 410—SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS

    1. The authority citation for Part 410 continues to read as follows:

    Start Authority

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

    End Authority

    2. Section 410.59 is amended as follows:

    A. Paragraph (c)(1)(ii)(C) is revised.

    B. A new paragraph (c)(1)(ii)(D) is added.

    The revision and addition read as follows:

    Outpatient occupational therapy services: conditions.
    * * * * *

    (c) * * *

    (1) * * *

    (ii) * * *

    (C) An unincorporated solo practice, partnership, or group practice, or a professional corporation or other incorporated occupational therapy practice.

    (D) A physician group.

    * * * * *

    3. Section 410.60 is amended as follows:

    A. Paragraph (c)(1)(ii)(C) is revised.

    B. A new paragraph (c)(1)(ii)(D) is added.

    The revision and addition read as follows:

    Outpatient physical therapy services: conditions.
    * * * * *

    (c) * * *

    (1) * * *

    (ii) * * *

    (C) An unincorporated solo practice, partnership, or group practice, or a professional corporation or other incorporated physical therapy practice.

    (D) An employee of a physician group.

    * * * * *

    4. Section 410.61 is amended by revising paragraph (d)(1)(iii) to read as follows:

    Outpatient rehabilitation services.
    * * * * *

    (d) * * *

    (1) * * *

    (iii) The occupational therapist that furnishes the occupational therapy services.

    * * * * *

    5. Section 410.76 is amended by revising paragraph (b)(3) to read as follows:

    Start Printed Page 43873
    Clinical nurse specialists' services.
    * * * * *

    (b) * * *

    (3) Be certified as a clinical nurse specialist by a national certifying body that has established standards for clinical nurse specialists and that is approved by the Secretary.

    * * * * *

    6. Section 410.78 is amended as follows:

    a. Revise the heading of the section.

    b. Revise paragraph (b) introductory text.

    c. Revise paragraph (b)(1).

    The revisions read as follows:

    Telehealth services.
    * * * * *

    (b) General rule. Medicare Part B pays for office and other outpatient visits, professional consultation, psychiatric diagnostic interview examination, individual psychotherapy, and pharmacologic management furnished by an interactive telecommunications system if the following conditions are met:

    (1) The physician or practitioner at the distant site must be licensed to furnish the service under State law. The physician or practitioner at the distant site who is licensed under State law to furnish a covered telehealth service described in this section may bill, and receive payment for, the service when it is delivered via a telecommunications system.

    * * * * *
    End Part Start Part

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

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

    Start Authority

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

    End Authority

    2. Section 414.46is amended by revising paragraph (g) to read as follows:

    Additional rules for payment of anesthesia services.
    * * * * *

    (g) Physician involved in multiple anesthesia services. If the physician is involved in multiple anesthesia services for the same patient during the same operative session, the carrier makes payment according to the base unit associated with the anesthesia service having the highest base unit value and anesthesia time that encompasses the multiple services. If the multiple anesthesia services involve add-on anesthesia codes, as described in program operating instructions, the carrier makes payment for the add-on codes according to the usual anesthesia payment rules in paragraph (b) of this section.

    3. Section 414.65, is amended as follows:

    a. Revise the heading of the section.

    b. Revise paragraph (a)(1).

    c. Revise paragraph (b) introductory text.

    The revisions read as follows:

    Payment for telehealth services.

    (a) * * *

    (1) The Medicare payment amount for office or other outpatient visits, consultation, individual psychotherapy, psychiatric diagnostic interview examination, and pharmacologic management furnished via an interactive telecommunications system is equal to the current fee schedule amount applicable for the service of the physician or practitioner.

    * * * * *

    (b) Originating site facility fee. For telehealth services furnished on or after October 1, 2001:

    * * * * *
    Start Signature

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

    Dated: May 21, 2002.

    Thomas A. Scully,

    Administrator, Centers for Medicare & Medicaid Services.

    End Signature Start Signature

    Approved: June 5, 2002.

    Tommy G. Thompson,

    Secretary.

    End Signature

    Note:

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

    Addendum A—Explanation and Use of Addenda B

    The addenda on the following pages provide various data pertaining to the Medicare fee schedule for physicians' services furnished in 2003. Addendum B contains the RVUs for work, non-facility practice expense, facility practice expense, and malpractice expense, and other information for all services included in the physician fee schedule. Addendum B will no longer publish alpha numeric codes for which there is no physician fee schedule coverage or payment or services paid on the clinical lab fee schedule.

    Addendum B—2003 Relative Value Units and Related Information Used in Determining Medicare Payments for 2003

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

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

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

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

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

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

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

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

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

    E = Excluded from physician fee schedule by regulation. These codes are for items or services that we chose to exclude from the physician fee schedule payment by regulation. No RVUs are shown, and no payment may be made under the physician fee schedule for Start Printed Page 43874these codes. Payment for them, if they are covered, continues under reasonable charge or other payment procedures.

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

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

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

    End Part

    —If the item or service is covered as incident to a physician's service and is furnished on the same day as a physician's service, payment for it is bundled into the payment for the physician's service to which it is incident (an example is an elastic bandage furnished by a physician incident to a physician's service).

    —If the item or service is covered as other than incident to a physician's service, it is excluded from the physician fee schedule (for example, colostomy supplies) and is paid under the other payment provisions of the Act.

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

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

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

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

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

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

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

    8. Malpractice expense RVUs. These are the RVUs for the malpractice expense for the service for 2003.

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

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

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

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

    XXX = The global concept does not apply.

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

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

    —————————— 1 CPT codes and descriptions only are copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 Copyright 1994 American Dental Association. All rights reserved (D0110-D9999). 3 +Indicates RVUs are not use for Medicate payments. 4 PE RVUs = Practice Expense Relative Value Units. Start Printed Page 43874

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

    CPT 1/ HCPCS 2MODStatusDescriptionPhysician Work RVUs 3Facility PE RVUsNon- Facility PE RVUsMal- Practice RVUsGlobal
    0001TCEndovas repr abdo ao aneurys0.000.000.000.00XXX
    0002TCEndovas repr abdo ao aneurys0.000.000.000.00XXX
    0003TCCervicography0.000.000.000.00XXX
    0005TCPerc cath stent/brain cv art0.000.000.000.00XXX
    0006TCPerc cath stent/brain cv art0.000.000.000.00XXX
    0007TCPerc cath stent/brain cv art0.000.000.000.00XXX
    0008TCUpper gi endoscopy w/suture0.000.000.000.00XXX
    0009TCEndometrial cryoablation0.000.000.000.00XXX
    0010TCTb test, gamma interferon0.000.000.000.00XXX
    0012TCOsteochondral knee autograft0.000.000.000.00XXX
    0013TCOsteochondral knee allograft0.000.000.000.00XXX
    0014TCMeniscal transplant, knee0.000.000.000.00XXX
    0016TCThermotx choroid vasc lesion0.000.000.000.00XXX
    0017TCPhotocoagulat macular drusen0.000.000.000.00XXX
    0018TCTranscranial magnetic stimul0.000.000.000.00XXX
    0019TCExtracorp shock wave tx, ms0.000.000.000.00XXX
    0020TCExtracorp shock wave tx, ft0.000.000.000.00XXX
    0021TCFetal oximetry, trnsvag/cerv0.000.000.000.00XXX
    0023TCPhenotype drug test, hiv 10.000.000.000.00XXX
    0024TCTranscath cardiac reduction0.000.000.000.00XXX
    0025TCUltrasonic pachymetry0.000.000.000.00XXX
    0026TCMeasure remnant lipoproteins0.000.000.000.00XXX
    10021AFna w/o image1.27NA1.000.10XXX
    10022AFna w/image1.27NA1.260.08XXX
    Start Printed Page 43875
    10040AAcne surgery1.180.530.930.05010
    10060ADrainage of skin abscess1.170.671.470.08010
    10061ADrainage of skin abscess2.401.421.830.17010
    10080ADrainage of pilonidal cyst1.170.732.120.09010
    10081ADrainage of pilonidal cyst2.451.542.880.19010
    10120ARemove foreign body1.220.361.480.10010
    10121ARemove foreign body2.691.782.930.25010
    10140ADrainage of hematoma/fluid1.530.871.490.15010
    10160APuncture drainage of lesion1.200.420.720.11010
    10180AComplex drainage, wound2.251.261.470.25010
    11000ADebride infected skin0.600.240.630.05000
    11001ADebride infected skin add-on0.300.110.370.02ZZZ
    11010ADebride skin, fx4.201.982.390.45010
    11011ADebride skin/muscle, fx4.952.593.820.53000
    11012ADebride skin/muscle/bone, fx6.884.215.470.89000
    11040ADebride skin, partial0.500.210.540.05000
    11041ADebride skin, full0.820.330.690.08000
    11042ADebride skin/tissue1.120.461.040.11000
    11043ADebride tissue/muscle2.381.382.650.24010
    11044ADebride tissue/muscle/bone3.061.823.260.34010
    11055RTrim skin lesion0.430.180.510.02000
    11056RTrim skin lesions, 2 to 40.610.260.570.03000
    11057RTrim skin lesions, over 40.790.330.640.04000
    11100ABiopsy of skin lesion0.810.371.460.04000
    11101ABiopsy, skin add-on0.410.190.690.02ZZZ
    11200ARemoval of skin tags0.770.311.160.04010
    11201ARemove skin tags add-on0.290.120.510.02ZZZ
    11300AShave skin lesion0.510.221.010.03000
    11301AShave skin lesion0.850.391.090.04000
    11302AShave skin lesion1.050.471.180.05000
    11303AShave skin lesion1.240.541.310.06000
    11305AShave skin lesion0.670.280.740.04000
    11306AShave skin lesion0.990.431.000.05000
    11307AShave skin lesion1.140.501.120.05000
    11308AShave skin lesion1.410.611.260.07000
    11310AShave skin lesion0.730.331.110.04000
    11311AShave skin lesion1.050.501.200.05000
    11312AShave skin lesion1.200.571.270.06000
    11313AShave skin lesion1.620.741.550.09000
    11400ARemoval of skin lesion0.910.351.630.06010
    11401ARemoval of skin lesion1.320.511.760.09010
    11402ARemoval of skin lesion1.610.952.510.12010
    11403ARemoval of skin lesion1.921.072.750.16010
    11404ARemoval of skin lesion2.201.152.910.18010
    11406ARemoval of skin lesion2.761.363.210.25010
    11420ARemoval of skin lesion1.060.431.460.08010
    11421ARemoval of skin lesion1.530.621.770.11010
    11422ARemoval of skin lesion1.761.042.530.14010
    11423ARemoval of skin lesion2.171.222.920.17010
    11424ARemoval of skin lesion2.621.383.040.21010
    11426ARemoval of skin lesion3.781.823.700.34010
    11440ARemoval of skin lesion1.150.512.180.08010
    11441ARemoval of skin lesion1.610.722.380.11010
    11442ARemoval of skin lesion1.871.252.790.14010
    11443ARemoval of skin lesion2.491.573.300.18010
    11444ARemoval of skin lesion3.421.983.750.25010
    11446ARemoval of skin lesion4.492.454.200.30010
    11450ARemoval, sweat gland lesion2.730.974.110.26090
    11451ARemoval, sweat gland lesion3.951.444.910.39090
    11462ARemoval, sweat gland lesion2.510.954.080.23090
    11463ARemoval, sweat gland lesion3.951.575.550.40090
    11470ARemoval, sweat gland lesion3.251.244.660.30090
    11471ARemoval, sweat gland lesion4.411.725.690.40090
    11600ARemoval of skin lesion1.411.022.410.09010
    11601ARemoval of skin lesion1.931.302.460.12010
    11602ARemoval of skin lesion2.091.352.580.13010
    Start Printed Page 43876
    11603ARemoval of skin lesion2.351.422.830.16010
    11604ARemoval of skin lesion2.581.493.150.18010
    11606ARemoval of skin lesion3.431.773.760.28010
    11620ARemoval of skin lesion1.341.032.390.09010
    11621ARemoval of skin lesion1.971.372.500.12010
    11622ARemoval of skin lesion2.341.542.780.15010
    11623ARemoval of skin lesion2.931.763.180.20010
    11624ARemoval of skin lesion3.431.983.590.25010
    11626ARemoval of skin lesion4.302.464.360.35010
    11640ARemoval of skin lesion1.531.232.450.10010
    11641ARemoval of skin lesion2.441.712.850.15010
    11642ARemoval of skin lesion2.931.943.260.18010
    11643ARemoval of skin lesion3.502.213.690.24010
    11644ARemoval of skin lesion4.552.814.650.33010
    11646ARemoval of skin lesion5.953.625.520.46010
    11719RTrim nail(s)0.170.070.250.01000
    11720ADebride nail, 1-50.320.130.340.02000
    11721ADebride nail, 6 or more0.540.210.430.04000
    11730ARemoval of nail plate1.130.440.810.09000
    11732ARemove nail plate, add-on0.570.230.300.05ZZZ
    11740ADrain blood from under nail0.370.140.810.03000
    11750ARemoval of nail bed1.860.771.710.16010
    11752ARemove nail bed/finger tip2.671.742.100.33010
    11755ABiopsy, nail unit1.310.561.070.06000
    11760ARepair of nail bed1.581.241.780.17010
    11762AReconstruction of nail bed2.891.862.230.32010
    11765AExcision of nail fold, toe0.690.491.130.05010
    11770ARemoval of pilonidal lesion2.611.232.930.24010
    11771ARemoval of pilonidal lesion5.743.915.500.56090
    11772ARemoval of pilonidal lesion6.984.366.350.68090
    11900AInjection into skin lesions0.520.220.750.02000
    11901AAdded skin lesions injection0.800.360.870.03000
    11920RCorrect skin color defects1.610.802.210.17000
    11921RCorrect skin color defects1.931.002.600.21000
    11922RCorrect skin color defects0.490.250.390.05ZZZ
    11950RTherapy for contour defects0.840.421.200.06000
    11951RTherapy for contour defects1.190.521.570.10000
    11952RTherapy for contour defects1.690.702.010.17000
    11954RTherapy for contour defects1.850.932.620.19000
    11960AInsert tissue expander(s)9.0811.15NA0.88090
    11970AReplace tissue expander7.065.01NA0.77090
    11971ARemove tissue expander(s)2.133.886.270.21090
    11975NInsert contraceptive cap1.480.571.560.14XXX
    11976RRemoval of contraceptive cap1.780.701.670.17000
    11977NRemoval/reinsert contra cap3.301.282.270.31XXX
    11980AImplant hormone pellet(s)1.480.561.120.10000
    11981AInsert drug implant device1.480.571.560.14XXX
    11982ARemove drug implant device1.780.691.680.17XXX
    11983ARemove/insert drug implant3.301.282.270.31XXX
    12001ARepair superficial wound(s)1.700.442.090.13010
    12002ARepair superficial wound(s)1.860.932.150.15010
    12004ARepair superficial wound(s)2.241.042.410.17010
    12005ARepair superficial wound(s)2.861.232.960.23010
    12006ARepair superficial wound(s)3.671.543.610.31010
    12007ARepair superficial wound(s)4.121.834.050.37010
    12011ARepair superficial wound(s)1.760.452.250.14010
    12013ARepair superficial wound(s)1.990.962.390.16010
    12014ARepair superficial wound(s)2.461.092.680.18010
    12015ARepair superficial wound(s)3.191.283.280.24010
    12016ARepair superficial wound(s)3.931.563.760.32010
    12017ARepair superficial wound(s)4.711.90NA0.39010
    12018ARepair superficial wound(s)5.532.27NA0.46010
    12020AClosure of split wound2.621.422.480.24010
    12021AClosure of split wound1.841.021.610.19010
    12031ALayer closure of wound(s)2.150.772.150.15010
    12032ALayer closure of wound(s)2.471.282.770.15010
    Start Printed Page 43877
    12034ALayer closure of wound(s)2.921.453.040.21010
    12035ALayer closure of wound(s)3.431.673.080.30010
    12036ALayer closure of wound(s)4.052.455.200.41010
    12037ALayer closure of wound(s)4.672.795.490.49010
    12041ALayer closure of wound(s)2.370.832.340.17010
    12042ALayer closure of wound(s)2.741.422.980.17010
    12044ALayer closure of wound(s)3.141.613.150.24010
    12045ALayer closure of wound(s)3.641.863.530.34010
    12046ALayer closure of wound(s)4.252.525.480.40010
    12047ALayer closure of wound(s)4.652.885.920.41010
    12051ALayer closure of wound(s)2.471.413.000.16010
    12052ALayer closure of wound(s)2.771.382.920.17010
    12053ALayer closure of wound(s)3.121.543.090.20010
    12054ALayer closure of wound(s)3.461.653.440.25010
    12055ALayer closure of wound(s)4.432.184.490.35010
    12056ALayer closure of wound(s)5.243.056.550.43010
    12057ALayer closure of wound(s)5.963.756.070.50010
    13100ARepair of wound or lesion3.121.823.340.21010
    13101ARepair of wound or lesion3.922.293.540.22010
    13102ARepair wound/lesion add-on1.240.570.730.10ZZZ
    13120ARepair of wound or lesion3.301.873.450.23010
    13121ARepair of wound or lesion4.332.393.760.25010
    13122ARepair wound/lesion add-on1.440.650.860.12ZZZ
    13131ARepair of wound or lesion3.792.213.700.25010
    13132ARepair of wound or lesion5.953.254.480.32010
    13133ARepair wound/lesion add-on2.191.011.190.17ZZZ
    13150ARepair of wound or lesion3.812.665.170.29010
    13151ARepair of wound or lesion4.453.105.040.28010
    13152ARepair of wound or lesion6.334.005.710.38010
    13153ARepair wound/lesion add-on2.381.091.320.18ZZZ
    13160ALate closure of wound10.486.28NA1.19090
    14000ASkin tissue rearrangement5.894.687.310.46090
    14001ASkin tissue rearrangement8.475.998.550.65090
    14020ASkin tissue rearrangement6.595.397.780.50090
    14021ASkin tissue rearrangement10.067.159.050.69090
    14040ASkin tissue rearrangement7.876.108.030.53090
    14041ASkin tissue rearrangement11.497.939.730.68090
    14060ASkin tissue rearrangement8.506.958.540.59090
    14061ASkin tissue rearrangement12.298.7910.700.75090
    14300ASkin tissue rearrangement11.768.449.900.88090
    14350ASkin tissue rearrangement9.616.37NA1.09090
    15000ASkin graft4.001.882.440.37000
    15001ASkin graft add-on1.000.430.580.11ZZZ
    15050ASkin pinch graft4.303.965.050.46090
    15100ASkin split graft9.056.166.250.94090
    15101ASkin split graft add-on1.720.741.200.18ZZZ
    15120ASkin split graft9.836.758.400.87090
    15121ASkin split graft add-on2.671.221.600.27ZZZ
    15200ASkin full graft8.035.579.300.73090
    15201ASkin full graft add-on1.320.641.070.14ZZZ
    15220ASkin full graft7.876.239.260.68090
    15221ASkin full graft add-on1.190.580.920.12ZZZ
    15240ASkin full graft9.047.068.900.77090
    15241ASkin full graft add-on1.860.941.460.17ZZZ
    15260ASkin full graft10.067.538.860.63090
    15261ASkin full graft add-on2.231.141.560.17ZZZ
    15342ACultured skin graft, 25 cm1.001.032.140.09010
    15343ACulture skn graft addl 25 cm0.250.100.410.02ZZZ
    15350ASkin homograft4.004.408.430.42090
    15351ASkin homograft add-on1.000.410.920.11ZZZ
    15400ASkin heterograft4.004.794.790.40090
    15401ASkin heterograft add-on1.000.461.110.11ZZZ
    15570AForm skin pedicle flap9.216.118.170.96090
    15572AForm skin pedicle flap9.275.837.680.93090
    15574AForm skin pedicle flap9.886.858.310.92090
    15576AForm skin pedicle flap8.696.348.800.72090
    Start Printed Page 43878
    15600ASkin graft1.912.396.220.19090
    15610ASkin graft2.422.673.380.25090
    15620ASkin graft2.943.426.820.28090
    15630ASkin graft3.273.716.100.28090
    15650ATransfer skin pedicle flap3.973.776.110.36090
    15732AMuscle-skin graft, head/neck17.8411.31NA1.50090
    15734AMuscle-skin graft, trunk17.7911.18NA1.91090
    15736AMuscle-skin graft, arm16.2710.73NA1.78090
    15738AMuscle-skin graft, leg17.9211.17NA1.95090
    15740AIsland pedicle flap graft10.257.058.550.62090
    15750ANeurovascular pedicle graft11.418.17NA1.12090
    15756AFree muscle flap, microvasc35.2320.87NA3.11090
    15757AFree skin flap, microvasc35.2322.03NA3.37090
    15758AFree fascial flap, microvasc35.1022.06NA3.52090
    15760AComposite skin graft8.746.668.880.72090
    15770ADerma-fat-fascia graft7.526.03NA0.78090
    15775RHair transplant punch grafts3.961.553.070.43000
    15776RHair transplant punch grafts5.542.883.900.60000
    15780AAbrasion treatment of skin7.296.416.410.41090
    15781AAbrasion treatment of skin4.854.744.840.27090
    15782AAbrasion treatment of skin4.324.134.210.21090
    15783AAbrasion treatment of skin4.293.474.550.26090
    15786AAbrasion, lesion, single2.031.271.730.11010
    15787AAbrasion, lesions, add-on0.330.160.310.02ZZZ
    15788RChemical peel, face, epiderm2.091.032.900.11090
    15789RChemical peel, face, dermal4.923.465.920.27090
    15792RChemical peel, nonfacial1.862.082.780.10090
    15793AChemical peel, nonfacial3.743.33NA0.17090
    15810ASalabrasion4.743.833.830.42090
    15811ASalabrasion5.394.756.100.52090
    15819APlastic surgery, neck9.386.69NA0.77090
    15820ARevision of lower eyelid5.157.0811.630.30090
    15821ARevision of lower eyelid5.727.2212.140.31090
    15822ARevision of upper eyelid4.456.4710.500.22090
    15823ARevision of upper eyelid7.057.5511.570.32090
    15824RRemoval of forehead wrinkles0.000.000.000.00000
    15825RRemoval of neck wrinkles0.000.000.000.00000
    15826RRemoval of brow wrinkles0.000.000.000.00000
    15828RRemoval of face wrinkles0.000.000.000.00000
    15829RRemoval of skin wrinkles0.000.000.000.00000
    15831AExcise excessive skin tissue12.407.66NA1.30090
    15832AExcise excessive skin tissue11.597.75NA1.21090
    15833AExcise excessive skin tissue10.647.04NA1.17090
    15834AExcise excessive skin tissue10.856.98NA1.18090
    15835AExcise excessive skin tissue11.676.80NA1.13090
    15836AExcise excessive skin tissue9.346.19NA0.95090
    15837AExcise excessive skin tissue8.436.347.480.78090
    15838AExcise excessive skin tissue7.135.68NA0.58090
    15839AExcise excessive skin tissue9.385.777.290.88090
    15840AGraft for face nerve palsy13.269.80NA1.15090
    15841AGraft for face nerve palsy23.2614.52NA2.65090
    15842AFlap for face nerve palsy37.9622.95NA3.99090
    15845ASkin and muscle repair, face12.578.54NA0.80090
    15850BRemoval of sutures0.780.301.430.04XXX
    15851ARemoval of sutures0.860.341.610.05000
    15852ADressing change,not for burn0.860.361.770.07000
    15860ATest for blood flow in graft1.950.801.310.13000
    15876RSuction assisted lipectomy0.000.000.000.00000
    15877RSuction assisted lipectomy0.000.000.000.00000
    15878RSuction assisted lipectomy0.000.000.000.00000
    15879RSuction assisted lipectomy0.000.000.000.00000
    15920ARemoval of tail bone ulcer7.955.50NA0.83090
    15922ARemoval of tail bone ulcer9.907.35NA1.06090
    15931ARemove sacrum pressure sore9.245.56NA0.95090
    15933ARemove sacrum pressure sore10.858.00NA1.14090
    15934ARemove sacrum pressure sore12.698.34NA1.35090
    Start Printed Page 43879
    15935ARemove sacrum pressure sore14.5710.04NA1.56090
    15936ARemove sacrum pressure sore12.388.86NA1.32090
    15937ARemove sacrum pressure sore14.2110.36NA1.51090
    15940ARemove hip pressure sore9.345.94NA0.98090
    15941ARemove hip pressure sore11.439.87NA1.23090
    15944ARemove hip pressure sore11.468.67NA1.21090
    15945ARemove hip pressure sore12.699.63NA1.38090
    15946ARemove hip pressure sore21.5714.05NA2.32090
    15950ARemove thigh pressure sore7.545.16NA0.80090
    15951ARemove thigh pressure sore10.728.02NA1.14090
    15952ARemove thigh pressure sore11.397.43NA1.19090
    15953ARemove thigh pressure sore12.638.87NA1.38090
    15956ARemove thigh pressure sore15.5210.48NA1.64090
    15958ARemove thigh pressure sore15.4810.79NA1.66090
    15999CRemoval of pressure sore0.000.000.000.00YYY
    16000AInitial treatment of burn(s)0.890.271.070.06000
    16010ATreatment of burn(s)0.870.361.180.07000
    16015ATreatment of burn(s)2.350.941.880.22000
    16020ATreatment of burn(s)0.800.261.210.06000
    16025ATreatment of burn(s)1.850.671.870.16000
    16030ATreatment of burn(s)2.080.903.030.18000
    16035AIncision of burn scab, initi3.751.50NA0.36090
    16036AIncise burn scab, addl incis1.500.60NA0.11ZZZ
    17000ADetroy benign/premal lesion0.600.271.060.03010
    17003ADestroy lesions, 2-140.150.070.230.01ZZZ
    17004ADestroy lesions, 15 or more2.791.282.510.12010
    17106ADestruction of skin lesions4.592.764.580.28090
    17107ADestruction of skin lesions9.164.946.880.53090
    17108ADestruction of skin lesions13.207.188.800.89090
    17110ADestruct lesion, 1-140.650.261.090.04010
    17111ADestruct lesion, 15 or more0.920.381.160.04010
    17250AChemical cautery, tissue0.500.210.740.04000
    17260ADestruction of skin lesions0.910.401.340.04010
    17261ADestruction of skin lesions1.170.551.450.05010
    17262ADestruction of skin lesions1.580.741.650.07010
    17263ADestruction of skin lesions1.790.821.760.08010
    17264ADestruction of skin lesions1.940.851.830.08010
    17266ADestruction of skin lesions2.340.962.040.11010
    17270ADestruction of skin lesions1.320.601.540.06010
    17271ADestruction of skin lesions1.490.711.610.06010
    17272ADestruction of skin lesions1.770.841.750.07010
    17273ADestruction of skin lesions2.050.951.890.09010
    17274ADestruction of skin lesions2.591.182.150.11010
    17276ADestruction of skin lesions3.201.682.470.15010
    17280ADestruction of skin lesions1.170.531.370.05010
    17281ADestruction of skin lesions1.720.821.720.07010
    17282ADestruction of skin lesions2.040.971.880.09010
    17283ADestruction of skin lesions2.641.232.180.11010
    17284ADestruction of skin lesions3.211.492.470.14010
    17286ADestruction of skin lesions4.442.483.120.22010
    17304AChemosurgery of skin lesion7.603.657.570.31000
    17305A2nd stage chemosurgery2.851.373.510.12000
    17306A3rd stage chemosurgery2.851.383.510.12000
    17307AFollowup skin lesion therapy2.851.403.520.12000
    17310AExtensive skin chemosurgery0.950.471.500.05000
    17340ACryotherapy of skin0.760.260.370.04010
    17360ASkin peel therapy1.430.711.450.06010
    17380RHair removal by electrolysis0.000.000.000.00000
    17999CSkin tissue procedure0.000.000.000.00YYY
    19000ADrainage of breast lesion0.840.291.230.07000
    19001ADrain breast lesion add-on0.420.140.840.03ZZZ
    19020AIncision of breast lesion3.573.386.840.35090
    19030AInjection for breast x-ray1.530.523.740.07000
    19100ABx breast percut w/o image1.270.441.460.10000
    19101ABiopsy of breast, open3.181.935.240.20010
    19102ABx breast percut w/image2.000.695.110.13000
    Start Printed Page 43880
    19103ABx breast percut w/device3.701.2712.710.16000
    19110ANipple exploration4.304.408.560.44090
    19112AExcise breast duct fistula3.673.079.110.38090
    19120ARemoval of breast lesion5.563.094.920.56090
    19125AExcision, breast lesion6.063.255.030.61090
    19126AExcision, addl breast lesion2.931.03NA0.30ZZZ
    19140ARemoval of breast tissue5.143.659.290.52090
    19160ARemoval of breast tissue5.994.48NA0.61090
    19162ARemove breast tissue, nodes13.537.93NA1.38090
    19180ARemoval of breast8.805.97NA0.88090
    19182ARemoval of breast7.735.01NA0.79090
    19200ARemoval of breast15.499.09NA1.51090
    19220ARemoval of breast15.729.14NA1.56090
    19240ARemoval of breast16.008.78NA1.62090
    19260ARemoval of chest wall lesion15.449.02NA1.64090
    19271ARevision of chest wall18.9011.09NA2.27090
    19272AExtensive chest wall surgery21.5511.93NA2.54090
    19290APlace needle wire, breast1.270.433.000.06000
    19291APlace needle wire, breast0.630.221.760.03ZZZ
    19295APlace breast clip, percut0.00NA2.880.01ZZZ
    19316ASuspension of breast10.697.64NA1.15090
    19318AReduction of large breast15.6210.30NA1.69090
    19324AEnlarge breast5.854.29NA0.63090
    19325AEnlarge breast with implant8.456.29NA0.90090
    19328ARemoval of breast implant5.684.59NA0.61090
    19330ARemoval of implant material7.595.27NA0.81090
    19340AImmediate breast prosthesis6.333.19NA0.68ZZZ
    19342ADelayed breast prosthesis11.207.92NA1.21090
    19350ABreast reconstruction8.926.8713.930.95090
    19355ACorrect inverted nipple(s)7.575.4713.390.80090
    19357ABreast reconstruction18.1613.88NA1.96090
    19361ABreast reconstruction19.2611.98NA2.08090
    19364ABreast reconstruction41.0023.88NA3.91090
    19366ABreast reconstruction21.2811.71NA2.27090
    19367ABreast reconstruction25.7315.24NA2.78090
    19368ABreast reconstruction32.4218.77NA3.51090
    19369ABreast reconstruction29.8218.13NA3.24090
    19370ASurgery of breast capsule8.056.15NA0.86090
    19371ARemoval of breast capsule9.357.24NA1.01090
    19380ARevise breast reconstruction9.147.13NA0.98090
    19396ADesign custom breast implant2.170.926.660.23000
    19499CBreast surgery procedure0.000.000.000.00YYY
    20000AIncision of abscess2.121.192.150.17010
    20005AIncision of deep abscess3.422.192.990.34010
    20100AExplore wound, neck10.084.375.830.99010
    20101AExplore wound, chest3.221.482.820.24010
    20102AExplore wound, abdomen3.941.763.390.35010
    20103AExplore wound, extremity5.303.004.250.57010
    20150AExcise epiphyseal bar13.698.96NA0.96090
    20200AMuscle biopsy1.460.601.690.17000
    20205ADeep muscle biopsy2.350.953.860.23000
    20206ANeedle biopsy, muscle0.990.353.180.06000
    20220ABone biopsy, trocar/needle1.273.025.050.06000
    20225ABone biopsy, trocar/needle1.873.064.460.11000
    20240ABone biopsy, excisional3.234.12NA0.33010
    20245ABone biopsy, excisional7.786.74NA0.44010
    20250AOpen bone biopsy5.034.25NA0.50010
    20251AOpen bone biopsy5.564.78NA0.79010
    20500AInjection of sinus tract1.233.885.680.10010
    20501AInject sinus tract for x-ray0.760.263.220.03000
    20520ARemoval of foreign body1.853.465.490.17010
    20525ARemoval of foreign body3.504.266.930.40010
    20526ATher injection carpal tunnel0.860.380.770.06000
    20550AInject tendon/ligament/cyst0.860.260.840.06000
    20551AInject tendon origin/insert0.860.380.770.06000
    20552AInject trigger point, 1 or 20.860.380.770.06000
    Start Printed Page 43881
    20553AInject trigger points, > 30.860.380.770.06000
    20600ADrain/inject, joint/bursa0.660.350.640.06000
    20605ADrain/inject, joint/bursa0.680.360.750.06000
    20610ADrain/inject, joint/bursa0.790.410.930.08000
    20615ATreatment of bone cyst2.282.634.680.19010
    20650AInsert and remove bone pin2.233.184.940.28010
    20660AApply, remove fixation device2.511.46NA0.48000
    20661AApplication of head brace4.896.61NA0.92090
    20662AApplication of pelvis brace6.075.27NA0.81090
    20663AApplication of thigh brace5.434.70NA0.77090
    20664AHalo brace application8.068.30NA1.49090
    20665ARemoval of fixation device1.311.242.300.17010
    20670ARemoval of support implant1.743.305.630.23010
    20680ARemoval of support implant3.355.105.100.46090
    20690AApply bone fixation device3.521.84NA0.47090
    20692AApply bone fixation device6.413.07NA0.60090
    20693AAdjust bone fixation device5.8612.41NA0.85090
    20694ARemove bone fixation device4.166.128.770.57090
    20802AReplantation, arm, complete41.1529.57NA5.81090
    20805AReplant, forearm, complete50.0044.44NA3.95090
    20808AReplantation hand, complete61.6548.81NA6.49090
    20816AReplantation digit, complete30.9446.19NA3.01090
    20822AReplantation digit, complete25.5942.70NA3.07090
    20824AReplantation thumb, complete30.9444.93NA3.48090
    20827AReplantation thumb, complete26.4144.52NA3.21090
    20838AReplantation foot, complete41.4128.98NA5.85090
    20900ARemoval of bone for graft5.586.146.310.77090
    20902ARemoval of bone for graft7.558.77NA1.06090
    20910ARemove cartilage for graft5.346.698.560.50090
    20912ARemove cartilage for graft6.357.57NA0.55090
    20920ARemoval of fascia for graft5.315.57NA0.54090
    20922ARemoval of fascia for graft6.616.329.030.88090
    20924ARemoval of tendon for graft6.486.98NA0.82090
    20926ARemoval of tissue for graft5.536.22NA0.73090
    20930BSpinal bone allograft0.000.000.000.00XXX
    20931ASpinal bone allograft1.810.95NA0.34ZZZ
    20936BSpinal bone autograft0.000.000.000.00XXX
    20937ASpinal bone autograft2.791.47NA0.43ZZZ
    20938ASpinal bone autograft3.021.58NA0.52ZZZ
    20950AFluid pressure, muscle1.262.08NA0.16000
    20955AFibula bone graft, microvasc39.2129.77NA4.35090
    20956AIliac bone graft, microvasc39.2728.02NA5.77090
    20957AMt bone graft, microvasc40.6520.15NA5.74090
    20962AOther bone graft, microvasc39.2727.75NA5.19090
    20969ABone/skin graft, microvasc43.9232.44NA4.34090
    20970ABone/skin graft, iliac crest43.0629.88NA4.64090
    20972ABone/skin graft, metatarsal42.9918.59NA6.07090
    20973ABone/skin graft, great toe45.7627.95NA4.65090
    20974AElectrical bone stimulation0.620.330.410.09000
    20975AElectrical bone stimulation2.601.37NA0.42000
    20979AUs bone stimulation0.620.240.570.04000
    20999CMusculoskeletal surgery0.000.000.000.00YYY
    21010AIncision of jaw joint10.147.22NA0.54090
    21015AResection of facial tumor5.297.27NA0.52090
    21025AExcision of bone, lower jaw10.066.807.270.79090
    21026AExcision of facial bone(s)4.855.055.300.40090
    21029AContour of face bone lesion7.716.146.850.74090
    21030ARemoval of face bone lesion6.464.765.330.60090
    21031ARemove exostosis, mandible3.242.123.310.28090
    21032ARemove exostosis, maxilla3.242.243.280.27090
    21034ARemoval of face bone lesion16.1710.5810.581.37090
    21040ARemoval of jaw bone lesion2.111.802.980.19090
    21041ARemoval of jaw bone lesion6.714.335.550.56090
    21044ARemoval of jaw bone lesion11.867.93NA0.87090
    21045AExtensive jaw surgery16.1710.23NA1.20090
    21050ARemoval of jaw joint10.7711.68NA0.84090
    Start Printed Page 43882
    21060ARemove jaw joint cartilage10.2310.19NA1.16090
    21070ARemove coronoid process8.205.97NA0.67090
    21076APrepare face/oral prosthesis13.427.179.541.36010
    21077APrepare face/oral prosthesis33.7518.0323.993.43090
    21079APrepare face/oral prosthesis22.3412.4716.961.59090
    21080APrepare face/oral prosthesis25.1014.0119.052.55090
    21081APrepare face/oral prosthesis22.8812.7717.361.87090
    21082APrepare face/oral prosthesis20.8711.1514.831.46090
    21083APrepare face/oral prosthesis19.3010.7714.651.96090
    21084APrepare face/oral prosthesis22.5112.5617.081.57090
    21085APrepare face/oral prosthesis9.004.816.400.65010
    21086APrepare face/oral prosthesis24.9213.9118.911.86090
    21087APrepare face/oral prosthesis24.9213.3117.712.22090
    21088CPrepare face/oral prosthesis0.000.000.000.00090
    21089CPrepare face/oral prosthesis0.000.000.000.00090
    21100AMaxillofacial fixation4.223.955.670.18090
    21110AInterdental fixation5.214.255.180.28090
    21116AInjection, jaw joint x-ray0.810.297.900.05000
    21120AReconstruction of chin4.936.069.690.29090
    21121AReconstruction of chin7.646.187.710.56090
    21122AReconstruction of chin8.527.53NA0.59090
    21123AReconstruction of chin11.168.13NA1.16090
    21125AAugmentation, lower jaw bone10.628.019.320.72090
    21127AAugmentation, lower jaw bone11.127.389.510.76090
    21137AReduction of forehead9.828.13NA0.53090
    21138AReduction of forehead12.199.40NA1.47090
    21139AReduction of forehead14.618.88NA1.02090
    21141AReconstruct midface, lefort18.1010.71NA1.63090
    21142AReconstruct midface, lefort18.8112.16NA1.16090
    21143AReconstruct midface, lefort19.5810.98NA0.90090
    21145AReconstruct midface, lefort19.9411.18NA2.09090
    21146AReconstruct midface, lefort20.7111.91NA2.13090
    21147AReconstruct midface, lefort21.7712.00NA1.52090
    21150AReconstruct midface, lefort25.2416.28NA1.09090
    21151AReconstruct midface, lefort28.3020.03NA1.98090
    21154AReconstruct midface, lefort30.5219.05NA4.86090
    21155AReconstruct midface, lefort34.4520.69NA5.48090
    21159AReconstruct midface, lefort42.3827.58NA6.74090
    21160AReconstruct midface, lefort46.4426.69NA4.39090
    21172AReconstruct orbit/forehead27.8015.81NA1.91090
    21175AReconstruct orbit/forehead33.1720.14NA5.16090
    21179AReconstruct entire forehead22.2517.94NA2.48090
    21180AReconstruct entire forehead25.1918.89NA2.15090
    21181AContour cranial bone lesion9.908.49NA0.97090
    21182AReconstruct cranial bone32.1921.96NA2.53090
    21183AReconstruct cranial bone35.3123.64NA2.75090
    21184AReconstruct cranial bone38.2424.65NA4.12090
    21188AReconstruction of midface22.4615.57NA1.85090
    21193AReconst lwr jaw w/o graft17.1510.69NA1.53090
    21194AReconst lwr jaw w/graft19.8412.65NA1.39090
    21195AReconst lwr jaw w/o fixation17.2412.28NA1.20090
    21196AReconst lwr jaw w/fixation18.9112.87NA1.62090
    21198AReconstr lwr jaw segment14.1611.59NA1.05090
    21199AReconstr lwr jaw w/advance16.0010.19NA1.26090
    21206AReconstruct upper jaw bone14.109.66NA1.01090
    21208AAugmentation of facial bones10.238.449.460.92090
    21209AReduction of facial bones6.725.817.840.60090
    21210AFace bone graft10.238.148.780.88090
    21215ALower jaw bone graft10.777.018.711.04090
    21230ARib cartilage graft10.7710.20NA0.96090
    21235AEar cartilage graft6.728.1212.040.52090
    21240AReconstruction of jaw joint14.0511.42NA1.15090
    21242AReconstruction of jaw joint12.9511.21NA1.40090
    21243AReconstruction of jaw joint20.7913.90NA1.85090
    21244AReconstruction of lower jaw11.869.13NA0.95090
    21245AReconstruction of jaw11.8610.1713.170.88090
    Start Printed Page 43883
    21246AReconstruction of jaw12.4710.0410.041.21090
    21247AReconstruct lower jaw bone22.6316.47NA2.21090
    21248AReconstruction of jaw11.487.758.791.01090
    21249AReconstruction of jaw17.5210.1111.331.39090
    21255AReconstruct lower jaw bone16.7211.37NA1.13090
    21256AReconstruction of orbit16.1913.42NA1.04090
    21260ARevise eye sockets16.5211.01NA1.25090
    21261ARevise eye sockets31.4919.83NA2.20090
    21263ARevise eye sockets28.4214.74NA2.16090
    21267ARevise eye sockets18.9014.58NA1.35090
    21268ARevise eye sockets24.4816.16NA0.79090
    21270AAugmentation, cheek bone10.239.489.480.73090
    21275ARevision, orbitofacial bones11.2411.04NA1.03090
    21280ARevision of eyelid6.036.19NA0.27090
    21282ARevision of eyelid3.495.30NA0.21090
    21295ARevision of jaw muscle/bone1.534.33NA0.13090
    21296ARevision of jaw muscle/bone4.254.65NA0.30090
    21299CCranio/maxillofacial surgery0.000.000.000.00YYY
    21300ATreatment of skull fracture0.720.272.760.09000
    21310ATreatment of nose fracture0.580.152.660.05000
    21315ATreatment of nose fracture1.511.283.410.12010
    21320ATreatment of nose fracture1.852.034.810.15010
    21325ATreatment of nose fracture3.773.69NA0.31090
    21330ATreatment of nose fracture5.385.55NA0.48090
    21335ATreatment of nose fracture8.617.14NA0.64090
    21336ATreat nasal septal fracture5.725.55NA0.45090
    21337ATreat nasal septal fracture2.703.275.220.22090
    21338ATreat nasoethmoid fracture6.466.07NA0.53090
    21339ATreat nasoethmoid fracture8.096.73NA0.76090
    21340ATreatment of nose fracture10.779.18NA0.85090
    21343ATreatment of sinus fracture12.959.77NA1.06090
    21344ATreatment of sinus fracture19.7213.45NA1.72090
    21345ATreat nose/jaw fracture8.167.929.460.60090
    21346ATreat nose/jaw fracture10.6110.05NA0.85090
    21347ATreat nose/jaw fracture12.699.56NA1.14090
    21348ATreat nose/jaw fracture16.6911.03NA1.50090
    21355ATreat cheek bone fracture3.772.284.370.29010
    21356ATreat cheek bone fracture4.153.25NA0.36010
    21360ATreat cheek bone fracture6.465.65NA0.52090
    21365ATreat cheek bone fracture14.9511.39NA1.30090
    21366ATreat cheek bone fracture17.7711.96NA1.41090
    21385ATreat eye socket fracture9.167.53NA0.64090
    21386ATreat eye socket fracture9.168.06NA0.76090
    21387ATreat eye socket fracture9.708.27NA0.78090
    21390ATreat eye socket fracture10.138.57NA0.70090
    21395ATreat eye socket fracture12.689.83NA1.09090
    21400ATreat eye socket fracture1.401.063.160.12090
    21401ATreat eye socket fracture3.263.194.700.34090
    21406ATreat eye socket fracture7.016.80NA0.59090
    21407ATreat eye socket fracture8.617.84NA0.67090
    21408ATreat eye socket fracture12.3810.11NA1.24090
    21421ATreat mouth roof fracture5.146.037.170.42090
    21422ATreat mouth roof fracture8.327.52NA0.69090
    21423ATreat mouth roof fracture10.408.07NA0.95090
    21431ATreat craniofacial fracture7.056.81NA0.58090
    21432ATreat craniofacial fracture8.617.67NA0.55090
    21433ATreat craniofacial fracture25.3517.13NA2.46090
    21435ATreat craniofacial fracture17.2512.51NA1.66090
    21436ATreat craniofacial fracture28.0417.24NA2.32090
    21440ATreat dental ridge fracture2.703.555.460.22090
    21445ATreat dental ridge fracture5.385.156.850.55090
    21450ATreat lower jaw fracture2.972.716.490.23090
    21451ATreat lower jaw fracture4.875.556.440.39090
    21452ATreat lower jaw fracture1.984.109.170.14090
    21453ATreat lower jaw fracture5.546.367.310.49090
    21454ATreat lower jaw fracture6.465.64NA0.55090
    Start Printed Page 43884
    21461ATreat lower jaw fracture8.097.939.060.73090
    21462ATreat lower jaw fracture9.798.0310.310.80090
    21465ATreat lower jaw fracture11.917.79NA0.84090
    21470ATreat lower jaw fracture15.349.88NA1.36090
    21480AReset dislocated jaw0.610.181.580.05000
    21485AReset dislocated jaw3.993.323.760.31090
    21490ARepair dislocated jaw11.867.46NA1.31090
    21493ATreat hyoid bone fracture1.273.58NA0.10090
    21494ATreat hyoid bone fracture6.284.85NA0.44090
    21495ATreat hyoid bone fracture5.695.02NA0.41090
    21497AInterdental wiring3.863.914.640.31090
    21499CHead surgery procedure0.000.000.000.00YYY
    21501ADrain neck/chest lesion3.813.534.350.36090
    21502ADrain chest lesion7.127.29NA0.79090
    21510ADrainage of bone lesion5.746.92NA0.67090
    21550ABiopsy of neck/chest2.061.232.200.13010
    21555ARemove lesion, neck/chest4.352.434.180.41090
    21556ARemove lesion, neck/chest5.573.21NA0.51090
    21557ARemove tumor, neck/chest8.887.58NA0.85090
    21600APartial removal of rib6.897.47NA0.81090
    21610APartial removal of rib14.6110.91NA1.85090
    21615ARemoval of rib9.877.85NA1.20090
    21616ARemoval of rib and nerves12.049.08NA1.31090
    21620APartial removal of sternum6.797.96NA0.77090
    21627ASternal debridement6.8112.18NA0.82090
    21630AExtensive sternum surgery17.3813.60NA1.95090
    21632AExtensive sternum surgery18.1411.81NA2.16090
    21700ARevision of neck muscle6.196.978.430.31090
    21705ARevision of neck muscle/rib9.607.55NA0.92090
    21720ARevision of neck muscle5.686.728.250.80090
    21725ARevision of neck muscle6.997.43NA0.90090
    21740AReconstruction of sternum16.5012.21NA2.03090
    21750ARepair of sternum separation10.779.44NA1.35090
    21800ATreatment of rib fracture0.961.062.270.09090
    21805ATreatment of rib fracture2.754.46NA0.29090
    21810ATreatment of rib fracture(s)6.866.73NA0.60090
    21820ATreat sternum fracture1.281.502.720.15090
    21825ATreat sternum fracture7.419.85NA0.84090
    21899CNeck/chest surgery procedure0.000.000.000.00YYY
    21920ABiopsy soft tissue of back2.060.752.270.12010
    21925ABiopsy soft tissue of back4.494.6111.730.44090
    21930ARemove lesion, back or flank5.002.614.500.49090
    21935ARemove tumor, back17.9613.13NA1.87090
    22100ARemove part of neck vertebra9.738.62NA1.55090
    22101ARemove part, thorax vertebra9.818.86NA1.51090
    22102ARemove part, lumbar vertebra9.818.93NA1.46090
    22103ARemove extra spine segment2.341.24NA0.37ZZZ
    22110ARemove part of neck vertebra12.7410.73NA2.20090
    22112ARemove part, thorax vertebra12.8110.64NA1.96090
    22114ARemove part, lumbar vertebra12.8110.88NA1.98090
    22116ARemove extra spine segment2.321.19NA0.40ZZZ
    22210ARevision of neck spine23.8216.92NA4.23090
    22212ARevision of thorax spine19.4214.62NA2.78090
    22214ARevision of lumbar spine19.4515.07NA2.78090
    22216ARevise, extra spine segment6.043.14NA0.98ZZZ
    22220ARevision of neck spine21.3715.34NA3.65090
    22222ARevision of thorax spine21.5212.81NA3.08090
    22224ARevision of lumbar spine21.5215.67NA3.20090
    22226ARevise, extra spine segment6.043.15NA1.01ZZZ
    22305ATreat spine process fracture2.051.933.170.29090
    22310ATreat spine fracture2.613.454.650.37090
    22315ATreat spine fracture8.849.14NA1.37090
    22318ATreat odontoid fx w/o graft21.5014.70NA4.26090
    22319ATreat odontoid fx w/graft24.0017.01NA4.76090
    22325ATreat spine fracture18.3014.66NA2.61090
    22326ATreat neck spine fracture19.5915.40NA3.54090
    Start Printed Page 43885
    22327ATreat thorax spine fracture19.2015.11NA2.75090
    22328ATreat each add spine fx4.612.31NA0.66ZZZ
    22505AManipulation of spine1.872.984.570.27010
    22520APercut vertebroplasty thor8.914.13NA0.99010
    22521APercut vertebroplasty lumb8.343.90NA0.93010
    22522APercut vertebroplasty addl4.311.74NA0.33ZZZ
    22548ANeck spine fusion25.8217.74NA4.98090
    22554ANeck spine fusion18.6213.67NA3.51090
    22556AThorax spine fusion23.4616.51NA3.78090
    22558ALumbar spine fusion22.2814.98NA3.18090
    22585AAdditional spinal fusion5.532.82NA0.98ZZZ
    22590ASpine & skull spinal fusion20.5115.32NA3.81090
    22595ANeck spinal fusion19.3914.31NA3.62090
    22600ANeck spine fusion16.1412.63NA2.89090
    22610AThorax spine fusion16.0212.73NA2.66090
    22612ALumbar spine fusion21.0015.47NA3.28090
    22614ASpine fusion, extra segment6.443.39NA1.04ZZZ
    22630ALumbar spine fusion20.8415.73NA3.79090
    22632ASpine fusion, extra segment5.232.68NA0.90ZZZ
    22800AFusion of spine18.2513.89NA2.71090
    22802AFusion of spine30.8821.32NA4.42090
    22804AFusion of spine36.2723.91NA5.23090
    22808AFusion of spine26.2718.18NA4.36090
    22810AFusion of spine30.2719.74NA4.49090
    22812AFusion of spine32.7021.34NA4.67090
    22818AKyphectomy, 1-2 segments31.8320.75NA5.01090
    22819AKyphectomy, 3 or more36.4421.64NA5.20090
    22830AExploration of spinal fusion10.859.91NA1.73090
    22840AInsert spine fixation device12.546.50NA2.03ZZZ
    22841BInsert spine fixation device0.000.000.000.00XXX
    22842AInsert spine fixation device12.586.57NA2.04ZZZ
    22843AInsert spine fixation device13.466.74NA2.10ZZZ
    22844AInsert spine fixation device16.448.94NA2.42ZZZ
    22845AInsert spine fixation device11.966.13NA2.22ZZZ
    22846AInsert spine fixation device12.426.38NA2.26ZZZ
    22847AInsert spine fixation device13.807.19NA2.36ZZZ
    22848AInsert pelv fixation device6.003.26NA0.88ZZZ
    22849AReinsert spinal fixation18.5113.89NA2.87090
    22850ARemove spine fixation device9.528.72NA1.51090
    22851AApply spine prosth device6.713.39NA1.11ZZZ
    22852ARemove spine fixation device9.018.51NA1.40090
    22855ARemove spine fixation device15.1311.41NA2.74090
    22899CSpine surgery procedure0.000.000.000.00YYY
    22900ARemove abdominal wall lesion5.804.30NA0.58090
    22999CAbdomen surgery procedure0.000.000.000.00YYY
    23000ARemoval of calcium deposits4.367.108.920.50090
    23020ARelease shoulder joint8.9310.37NA1.23090
    23030ADrain shoulder lesion3.434.306.000.42010
    23031ADrain shoulder bursa2.744.065.820.33010
    23035ADrain shoulder bone lesion8.6115.80NA1.19090
    23040AExploratory shoulder surgery9.2011.54NA1.28090
    23044AExploratory shoulder surgery7.1210.28NA0.97090
    23065ABiopsy shoulder tissues2.271.332.520.14010
    23066ABiopsy shoulder tissues4.166.177.650.50090
    23075ARemoval of shoulder lesion2.393.135.270.25010
    23076ARemoval of shoulder lesion7.638.17NA0.87090
    23077ARemove tumor of shoulder16.0914.36NA1.81090
    23100ABiopsy of shoulder joint6.038.64NA0.81090
    23101AShoulder joint surgery5.588.53NA0.77090
    23105ARemove shoulder joint lining8.2310.09NA1.13090
    23106AIncision of collarbone joint5.968.75NA0.82090
    23107AExplore treat shoulder joint8.6210.28NA1.19090
    23120APartial removal, collar bone7.119.58NA0.99090
    23125ARemoval of collar bone9.3910.54NA1.27090
    23130ARemove shoulder bone, part7.559.62NA1.06090
    23140ARemoval of bone lesion6.898.23NA0.82090
    Start Printed Page 43886
    23145ARemoval of bone lesion9.0911.43NA1.24090
    23146ARemoval of bone lesion7.8310.60NA1.11090
    23150ARemoval of humerus lesion8.489.84NA1.14090
    23155ARemoval of humerus lesion10.3511.93NA1.20090
    23156ARemoval of humerus lesion8.6810.27NA1.18090
    23170ARemove collar bone lesion6.8610.65NA0.84090
    23172ARemove shoulder blade lesion6.9010.05NA0.95090
    23174ARemove humerus lesion9.5111.76NA1.30090
    23180ARemove collar bone lesion8.5315.70NA1.18090
    23182ARemove shoulder blade lesion8.1516.31NA1.08090
    23184ARemove humerus lesion9.3816.25NA1.24090
    23190APartial removal of scapula7.248.36NA0.97090
    23195ARemoval of head of humerus9.8110.62NA1.38090
    23200ARemoval of collar bone12.0813.91NA1.48090
    23210ARemoval of shoulder blade12.4913.95NA1.61090
    23220APartial removal of humerus14.5615.15NA2.03090
    23221APartial removal of humerus17.7416.33NA2.51090
    23222APartial removal of humerus23.9220.37NA3.37090
    23330ARemove shoulder foreign body1.853.575.690.18010
    23331ARemove shoulder foreign body7.389.51NA1.02090
    23332ARemove shoulder foreign body11.6211.93NA1.62090
    23350AInjection for shoulder x-ray1.000.347.630.05000
    23395AMuscle transfer, shoulder/arm16.8513.82NA2.29090
    23397AMuscle transfers16.1314.11NA2.24090
    23400AFixation of shoulder blade13.5413.98NA1.91090
    23405AIncision of tendon & muscle8.379.37NA1.12090
    23406AIncise tendon(s) & muscle(s)10.7911.52NA1.48090
    23410ARepair of tendon(s)12.4512.33NA1.72090
    23412ARepair of tendon(s)13.3112.90NA1.86090
    23415ARelease of shoulder ligament9.979.97NA1.39090
    23420ARepair of shoulder13.3013.81NA1.86090
    23430ARepair biceps tendon9.9811.10NA1.40090
    23440ARemove/transplant tendon10.4811.33NA1.47090
    23450ARepair shoulder capsule13.4012.82NA1.86090
    23455ARepair shoulder capsule14.3713.39NA2.01090
    23460ARepair shoulder capsule15.3713.99NA2.17090
    23462ARepair shoulder capsule15.3013.69NA2.16090
    23465ARepair shoulder capsule15.8513.73NA1.61090
    23466ARepair shoulder capsule14.2213.36NA2.00090
    23470AReconstruct shoulder joint17.1514.91NA2.40090
    23472AReconstruct shoulder joint21.1017.03NA2.37090
    23480ARevision of collar bone11.1811.52NA1.56090
    23485ARevision of collar bone13.4312.95NA1.84090
    23490AReinforce clavicle11.8611.82NA1.11090
    23491AReinforce shoulder bones14.2113.26NA2.00090
    23500ATreat clavicle fracture2.082.503.770.26090
    23505ATreat clavicle fracture3.693.915.790.50090
    23515ATreat clavicle fracture7.418.12NA1.03090
    23520ATreat clavicle dislocation2.162.553.830.26090
    23525ATreat clavicle dislocation3.603.825.950.44090
    23530ATreat clavicle dislocation7.317.83NA0.85090
    23532ATreat clavicle dislocation8.018.17NA1.13090
    23540ATreat clavicle dislocation2.232.504.400.24090
    23545ATreat clavicle dislocation3.253.564.890.39090
    23550ATreat clavicle dislocation7.248.12NA0.94090
    23552ATreat clavicle dislocation8.458.73NA1.18090
    23570ATreat shoulder blade fx2.232.623.760.29090
    23575ATreat shoulder blade fx4.064.166.010.53090
    23585ATreat scapula fracture8.969.26NA1.25090
    23600ATreat humerus fracture2.933.585.500.39090
    23605ATreat humerus fracture4.876.368.100.67090
    23615ATreat humerus fracture9.3510.05NA1.31090
    23616ATreat humerus fracture21.2715.83NA2.98090
    23620ATreat humerus fracture2.403.325.210.32090
    23625ATreat humerus fracture3.935.417.180.53090
    23630ATreat humerus fracture7.358.12NA1.03090
    Start Printed Page 43887
    23650ATreat shoulder dislocation3.393.505.460.31090
    23655ATreat shoulder dislocation4.574.21NA0.52090
    23660ATreat shoulder dislocation7.497.91NA1.01090
    23665ATreat dislocation/fracture4.475.667.410.60090
    23670ATreat dislocation/fracture7.908.56NA1.10090
    23675ATreat dislocation/fracture6.056.538.150.83090
    23680ATreat dislocation/fracture10.069.65NA1.39090
    23700AFixation of shoulder2.523.39NA0.35010
    23800AFusion of shoulder joint14.1614.08NA1.97090
    23802AFusion of shoulder joint16.6013.40NA2.34090
    23900AAmputation of arm & girdle19.7215.42NA2.47090
    23920AAmputation at shoulder joint14.6113.65NA1.92090
    23921AAmputation follow-up surgery5.496.51NA0.78090
    23929CShoulder surgery procedure0.000.000.000.00YYY
    23930ADrainage of arm lesion2.943.895.980.32010
    23931ADrainage of arm bursa1.793.615.670.21010
    23935ADrain arm/elbow bone lesion6.0912.53NA0.84090
    24000AExploratory elbow surgery5.825.91NA0.77090
    24006ARelease elbow joint9.318.43NA1.27090
    24065ABiopsy arm/elbow soft tissue2.083.255.340.14010
    24066ABiopsy arm/elbow soft tissue5.216.538.660.61090
    24075ARemove arm/elbow lesion3.925.967.990.43090
    24076ARemove arm/elbow lesion6.307.14NA0.70090
    24077ARemove tumor of arm/elbow11.7614.01NA1.32090
    24100ABiopsy elbow joint lining4.935.85NA0.62090
    24101AExplore/treat elbow joint6.136.70NA0.84090
    24102ARemove elbow joint lining8.037.72NA1.09090
    24105ARemoval of elbow bursa3.615.08NA0.49090
    24110ARemove humerus lesion7.399.51NA0.99090
    24115ARemove/graft bone lesion9.6310.31NA1.15090
    24116ARemove/graft bone lesion11.8112.01NA1.66090
    24120ARemove elbow lesion6.656.67NA0.87090
    24125ARemove/graft bone lesion7.897.07NA0.88090
    24126ARemove/graft bone lesion8.317.77NA0.90090
    24130ARemoval of head of radius6.256.73NA0.87090
    24134ARemoval of arm bone lesion9.7315.85NA1.31090
    24136ARemove radius bone lesion7.996.40NA0.85090
    24138ARemove elbow bone lesion8.057.76NA1.12090
    24140APartial removal of arm bone9.1816.80NA1.23090
    24145APartial removal of radius7.5811.15NA1.01090
    24147APartial removal of elbow7.5411.09NA1.04090
    24149ARadical resection of elbow14.2010.98NA1.90090
    24150AExtensive humerus surgery13.2714.58NA1.81090
    24151AExtensive humerus surgery15.5816.06NA2.19090
    24152AExtensive radius surgery10.069.58NA1.19090
    24153AExtensive radius surgery11.547.21NA0.64090
    24155ARemoval of elbow joint11.739.34NA1.42090
    24160ARemove elbow joint implant7.837.59NA1.07090
    24164ARemove radius head implant6.236.71NA0.84090
    24200ARemoval of arm foreign body1.763.295.660.15010
    24201ARemoval of arm foreign body4.566.688.700.56090
    24220AInjection for elbow x-ray1.310.4611.200.07000
    24300AManipulate elbow w/anesth3.755.26NA0.52090
    24301AMuscle/tendon transfer10.209.03NA1.30090
    24305AArm tendon lengthening7.457.49NA0.98090
    24310ARevision of arm tendon5.988.14NA0.74090
    24320ARepair of arm tendon10.5610.72NA1.00090
    24330ARevision of arm muscles9.608.62NA1.21090
    24331ARevision of arm muscles10.659.19NA1.41090
    24332ATenolysis, triceps7.455.13NA0.77090
    24340ARepair of biceps tendon7.897.61NA1.08090
    24341ARepair arm tendon/muscle7.907.61NA1.08090
    24342ARepair of ruptured tendon10.629.17NA1.48090
    24343ARepr elbow lat ligmnt w/tiss8.657.60NA1.21090
    24344AReconstruct elbow lat ligmnt14.0010.42NA1.95090
    24345ARepr elbw med ligmnt w/tiss8.657.60NA1.21090
    Start Printed Page 43888
    24346AReconstruct elbow med ligmnt14.0010.42NA1.95090
    24350ARepair of tennis elbow5.256.11NA0.72090
    24351ARepair of tennis elbow5.916.59NA0.82090
    24352ARepair of tennis elbow6.436.90NA0.90090
    24354ARepair of tennis elbow6.486.84NA0.88090
    24356ARevision of tennis elbow6.687.02NA0.90090
    24360AReconstruct elbow joint12.349.93NA1.69090
    24361AReconstruct elbow joint14.0810.92NA1.95090
    24362AReconstruct elbow joint14.9910.88NA1.92090
    24363AReplace elbow joint18.4913.42NA2.52090
    24365AReconstruct head of radius8.397.93NA1.11090
    24366AReconstruct head of radius9.138.34NA1.28090
    24400ARevision of humerus11.0612.49NA1.53090
    24410ARevision of humerus14.8213.83NA1.89090
    24420ARevision of humerus13.4416.46NA1.82090
    24430ARepair of humerus12.8112.66NA1.80090
    24435ARepair humerus with graft13.1713.78NA1.84090
    24470ARevision of elbow joint8.746.47NA1.23090
    24495ADecompression of forearm8.1210.00NA0.92090
    24498AReinforce humerus11.9212.18NA1.67090
    24500ATreat humerus fracture3.213.244.960.41090
    24505ATreat humerus fracture5.176.638.630.72090
    24515ATreat humerus fracture11.6511.15NA1.63090
    24516ATreat humerus fracture11.6511.68NA1.63090
    24530ATreat humerus fracture3.504.686.020.47090
    24535ATreat humerus fracture6.876.568.590.96090
    24538ATreat humerus fracture9.4310.31NA1.25090
    24545ATreat humerus fracture10.469.97NA1.47090
    24546ATreat humerus fracture15.6913.38NA2.18090
    24560ATreat humerus fracture2.803.044.740.35090
    24565ATreat humerus fracture5.565.737.730.74090
    24566ATreat humerus fracture7.799.79NA1.10090
    24575ATreat humerus fracture10.668.21NA1.44090
    24576ATreat humerus fracture2.863.144.520.38090
    24577ATreat humerus fracture5.795.987.940.81090
    24579ATreat humerus fracture11.6010.66NA1.62090
    24582ATreat humerus fracture8.5510.24NA1.20090
    24586ATreat elbow fracture15.2110.83NA2.12090
    24587ATreat elbow fracture15.1610.68NA2.14090
    24600ATreat elbow dislocation4.234.906.630.49090
    24605ATreat elbow dislocation5.424.87NA0.72090
    24615ATreat elbow dislocation9.427.76NA1.31090
    24620ATreat elbow fracture6.986.42NA0.90090
    24635ATreat elbow fracture13.1916.18NA1.84090
    24640ATreat elbow dislocation1.201.783.350.11010
    24650ATreat radius fracture2.162.794.440.28090
    24655ATreat radius fracture4.405.107.130.58090
    24665ATreat radius fracture8.149.27NA1.13090
    24666ATreat radius fracture9.4910.03NA1.32090
    24670ATreat ulnar fracture2.542.994.370.33090
    24675ATreat ulnar fracture4.725.367.320.65090
    24685ATreat ulnar fracture8.809.64NA1.23090
    24800AFusion of elbow joint11.209.64NA1.41090
    24802AFusion/graft of elbow joint13.6911.21NA1.89090
    24900AAmputation of upper arm9.6010.94NA1.18090
    24920AAmputation of upper arm9.5412.50NA1.22090
    24925AAmputation follow-up surgery7.079.22NA0.95090
    24930AAmputation follow-up surgery10.2511.52NA1.23090
    24931AAmputate upper arm & implant12.7211.44NA1.56090
    24935ARevision of amputation15.5612.31NA1.58090
    24940CRevision of upper arm0.000.000.000.00090
    24999CUpper arm/elbow surgery0.000.000.000.00YYY
    25000AIncision of tendon sheath3.387.25NA0.45090
    25001AIncise flexor carpi radialis3.384.22NA0.45090
    25020ADecompress forearm 1 space5.9211.04NA0.75090
    25023ADecompress forearm 1 space12.9616.91NA1.50090
    Start Printed Page 43889
    25024ADecompress forearm 2 spaces9.507.91NA1.20090
    25025ADecompress forearm 2 spaces16.5411.74NA1.91090
    25028ADrainage of forearm lesion5.259.85NA0.61090
    25031ADrainage of forearm bursa4.149.83NA0.50090
    25035ATreat forearm bone lesion7.3616.18NA0.98090
    25040AExplore/treat wrist joint7.189.13NA0.96090
    25065ABiopsy forearm soft tissues1.992.382.380.12010
    25066ABiopsy forearm soft tissues4.138.15NA0.49090
    25075ARemove forearm lesion subcut3.747.22NA0.40090
    25076ARemove forearm lesion deep4.9212.49NA0.59090
    25077ARemove tumor, forearm/wrist9.7615.45NA1.10090
    25085AIncision of wrist capsule5.5010.81NA0.71090
    25100ABiopsy of wrist joint3.907.28NA0.50090
    25101AExplore/treat wrist joint4.697.67NA0.60090
    25105ARemove wrist joint lining5.8510.73NA0.77090
    25107ARemove wrist joint cartilage6.4311.20NA0.82090
    25110ARemove wrist tendon lesion3.928.38NA0.48090
    25111ARemove wrist tendon lesion3.396.44NA0.42090
    25112AReremove wrist tendon lesion4.537.30NA0.54090
    25115ARemove wrist/forearm lesion8.8216.72NA1.11090
    25116ARemove wrist/forearm lesion7.1115.66NA0.90090
    25118AExcise wrist tendon sheath4.377.78NA0.55090
    25119APartial removal of ulna6.0411.06NA0.80090
    25120ARemoval of forearm lesion6.1014.75NA0.81090
    25125ARemove/graft forearm lesion7.4815.74NA1.02090
    25126ARemove/graft forearm lesion7.5515.44NA1.00090
    25130ARemoval of wrist lesion5.268.12NA0.66090
    25135ARemove & graft wrist lesion6.898.89NA0.89090
    25136ARemove & graft wrist lesion5.978.13NA0.58090
    25145ARemove forearm bone lesion6.3715.22NA0.82090
    25150APartial removal of ulna7.0911.83NA0.96090
    25151APartial removal of radius7.3915.63NA0.93090
    25170AExtensive forearm surgery11.0917.44NA1.52090
    25210ARemoval of wrist bone5.958.47NA0.73090
    25215ARemoval of wrist bones7.8912.05NA1.02090
    25230APartial removal of radius5.237.95NA0.66090
    25240APartial removal of ulna5.1710.49NA0.69090
    25246AInjection for wrist x-ray1.450.5010.630.07000
    25248ARemove forearm foreign body5.1410.05NA0.54090
    25250ARemoval of wrist prosthesis6.608.76NA0.84090
    25251ARemoval of wrist prosthesis9.5712.73NA1.15090
    25259AManipulate wrist w/anesthes3.755.23NA0.52090
    25260ARepair forearm tendon/muscle7.8016.77NA0.97090
    25263ARepair forearm tendon/muscle7.8216.43NA0.94090
    25265ARepair forearm tendon/muscle9.8817.18NA1.19090
    25270ARepair forearm tendon/muscle6.0015.70NA0.76090
    25272ARepair forearm tendon/muscle7.0416.21NA0.89090
    25274ARepair forearm tendon/muscle8.7516.53NA1.11090
    25275ARepair forearm tendon sheath8.507.32NA1.11090
    25280ARevise wrist/forearm tendon7.2215.52NA0.91090
    25290AIncise wrist/forearm tendon5.2917.77NA0.66090
    25295ARelease wrist/forearm tendon6.5515.16NA0.84090
    25300AFusion of tendons at wrist8.8010.05NA1.07090
    25301AFusion of tendons at wrist8.409.74NA1.08090
    25310ATransplant forearm tendon8.1416.12NA1.01090
    25312ATransplant forearm tendon9.5717.04NA1.22090
    25315ARevise palsy hand tendon(s)10.2017.68NA1.26090
    25316ARevise palsy hand tendon(s)12.3319.36NA1.74090
    25320ARepair/revise wrist joint10.7711.21NA1.32090
    25332ARevise wrist joint11.4111.65NA1.46090
    25335ARealignment of hand12.8814.66NA1.66090
    25337AReconstruct ulna/radioulnar10.1713.29NA1.31090
    25350ARevision of radius8.7816.51NA1.17090
    25355ARevision of radius10.1717.17NA1.44090
    25360ARevision of ulna8.4316.47NA1.17090
    25365ARevise radius & ulna12.4018.00NA1.67090
    Start Printed Page 43890
    25370ARevise radius or ulna13.3617.37NA1.88090
    25375ARevise radius & ulna13.0418.01NA1.84090
    25390AShorten radius or ulna10.4017.23NA1.38090
    25391ALengthen radius or ulna13.6518.62NA1.73090
    25392AShorten radius & ulna13.9517.19NA1.73090
    25393ALengthen radius & ulna15.8719.88NA1.87090
    25394ARepair carpal bone, shorten10.408.24NA1.15090
    25400ARepair radius or ulna10.9217.53NA1.50090
    25405ARepair/graft radius or ulna14.3820.00NA1.95090
    25415ARepair radius & ulna13.3519.08NA1.87090
    25420ARepair/graft radius & ulna16.3320.93NA2.20090
    25425ARepair/graft radius or ulna13.2126.13NA1.61090
    25426ARepair/graft radius & ulna15.8219.87NA2.23090
    25430AVasc graft into carpal bone9.257.60NA0.56090
    25431ARepair nonunion carpal bone10.446.28NA0.56090
    25440ARepair/graft wrist bone10.4410.99NA1.41090
    25441AReconstruct wrist joint12.9012.22NA1.83090
    25442AReconstruct wrist joint10.8511.22NA1.24090
    25443AReconstruct wrist joint10.3913.58NA1.30090
    25444AReconstruct wrist joint11.1513.83NA1.43090
    25445AReconstruct wrist joint9.6913.12NA1.26090
    25446AWrist replacement16.5514.38NA2.20090
    25447ARepair wrist joint(s)10.3711.02NA1.34090
    25449ARemove wrist joint implant14.4917.69NA1.77090
    25450ARevision of wrist joint7.8712.63NA0.88090
    25455ARevision of wrist joint9.4914.17NA1.07090
    25490AReinforce radius9.5416.27NA1.19090
    25491AReinforce ulna9.9617.52NA1.41090
    25492AReinforce radius and ulna12.3316.91NA1.62090
    25500ATreat fracture of radius2.452.824.140.28090
    25505ATreat fracture of radius5.215.507.550.69090
    25515ATreat fracture of radius9.189.59NA1.22090
    25520ATreat fracture of radius6.266.127.720.85090
    25525ATreat fracture of radius12.2411.46NA1.68090
    25526ATreat fracture of radius12.9814.97NA1.80090
    25530ATreat fracture of ulna2.092.774.100.27090
    25535ATreat fracture of ulna5.145.547.360.68090
    25545ATreat fracture of ulna8.909.70NA1.23090
    25560ATreat fracture radius & ulna2.442.814.150.27090
    25565ATreat fracture radius & ulna5.635.717.770.76090
    25574ATreat fracture radius & ulna7.018.63NA0.96090
    25575ATreat fracture radius/ulna10.4510.51NA1.46090
    25600ATreat fracture radius/ulna2.632.984.410.34090
    25605ATreat fracture radius/ulna5.815.947.970.81090
    25611ATreat fracture radius/ulna7.779.77NA1.08090
    25620ATreat fracture radius/ulna8.559.47NA1.17090
    25622ATreat wrist bone fracture2.612.974.380.33090
    25624ATreat wrist bone fracture4.535.207.190.61090
    25628ATreat wrist bone fracture8.439.54NA1.14090
    25630ATreat wrist bone fracture2.883.034.530.37090
    25635ATreat wrist bone fracture4.394.527.160.39090
    25645ATreat wrist bone fracture7.259.13NA0.93090
    25650ATreat wrist bone fracture3.053.124.610.37090
    25651APin ulnar styloid fracture5.364.32NA0.73090
    25652ATreat fracture ulnar styloid7.606.74NA0.97090
    25660ATreat wrist dislocation4.765.24NA0.59090
    25670ATreat wrist dislocation7.929.34NA1.07090
    25671APin radioulnar dislocation6.005.89NA0.75090
    25675ATreat wrist dislocation4.675.177.080.57090
    25676ATreat wrist dislocation8.049.33NA1.10090
    25680ATreat wrist fracture5.996.29NA0.61090
    25685ATreat wrist fracture9.7810.12NA1.25090
    25690ATreat wrist dislocation5.506.77NA0.78090
    25695ATreat wrist dislocation8.349.43NA1.07090
    25800AFusion of wrist joint9.7610.62NA1.30090
    25805AFusion/graft of wrist joint11.2811.48NA1.51090
    Start Printed Page 43891
    25810AFusion/graft of wrist joint10.5711.05NA1.37090
    25820AFusion of hand bones7.459.43NA0.96090
    25825AFuse hand bones with graft9.2710.37NA1.20090
    25830AFusion, radioulnar jnt/ulna10.0616.56NA1.27090
    25900AAmputation of forearm9.0114.17NA1.08090
    25905AAmputation of forearm9.1215.42NA1.06090
    25907AAmputation follow-up surgery7.8014.95NA1.01090
    25909AAmputation follow-up surgery8.9614.98NA1.07090
    25915AAmputation of forearm17.0818.26NA2.41090
    25920AAmputate hand at wrist8.689.69NA1.06090
    25922AAmputate hand at wrist7.428.88NA0.93090
    25924AAmputation follow-up surgery8.469.99NA1.07090
    25927AAmputation of hand8.8013.97NA1.02090
    25929AAmputation follow-up surgery7.597.68NA0.89090
    25931AAmputation follow-up surgery7.8115.33NA0.88090
    25999CForearm or wrist surgery0.000.000.000.00YYY
    26010ADrainage of finger abscess1.543.825.060.14010
    26011ADrainage of finger abscess2.196.237.160.25010
    26020ADrain hand tendon sheath4.6712.63NA0.59090
    26025ADrainage of palm bursa4.8212.62NA0.60090
    26030ADrainage of palm bursa(s)5.9313.31NA0.72090
    26034ATreat hand bone lesion6.2314.59NA0.79090
    26035ADecompress fingers/hand9.5115.91NA1.12090
    26037ADecompress fingers/hand7.2512.45NA0.87090
    26040ARelease palm contracture3.3312.35NA0.45090
    26045ARelease palm contracture5.5613.61NA0.74090
    26055AIncise finger tendon sheath2.697.497.830.36090
    26060AIncision of finger tendon2.817.56NA0.35090
    26070AExplore/treat hand joint3.6910.87NA0.35090
    26075AExplore/treat finger joint3.7911.81NA0.40090
    26080AExplore/treat finger joint4.2412.65NA0.52090
    26100ABiopsy hand joint lining3.678.19NA0.45090
    26105ABiopsy finger joint lining3.7112.40NA0.45090
    26110ABiopsy finger joint lining3.5311.82NA0.44090
    26115ARemove hand lesion subcut3.867.537.530.48090
    26116ARemove hand lesion, deep5.5313.37NA0.69090
    26117ARemove tumor, hand/finger8.5515.03NA1.01090
    26121ARelease palm contracture7.5415.37NA0.94090
    26123ARelease palm contracture9.2916.33NA1.17090
    26125ARelease palm contracture4.612.53NA0.57ZZZ
    26130ARemove wrist joint lining5.4215.51NA0.65090
    26135ARevise finger joint, each6.9616.70NA0.87090
    26140ARevise finger joint, each6.1715.80NA0.76090
    26145ATendon excision, palm/finger6.3216.06NA0.77090
    26160ARemove tendon sheath lesion3.157.627.630.39090
    26170ARemoval of palm tendon, each4.778.46NA0.60090
    26180ARemoval of finger tendon5.188.79NA0.64090
    26185ARemove finger bone5.258.79NA0.67090
    26200ARemove hand bone lesion5.5113.62NA0.71090
    26205ARemove/graft bone lesion7.7015.10NA0.95090
    26210ARemoval of finger lesion5.1513.97NA0.64090
    26215ARemove/graft finger lesion7.1014.34NA0.77090
    26230APartial removal of hand bone6.3312.72NA0.84090
    26235APartial removal, finger bone6.1912.25NA0.78090
    26236APartial removal, finger bone5.3212.30NA0.66090
    26250AExtensive hand surgery7.5516.60NA0.92090
    26255AExtensive hand surgery12.4319.40NA1.05090
    26260AExtensive finger surgery7.0316.45NA0.83090
    26261AExtensive finger surgery9.0912.97NA0.84090
    26262APartial removal of finger5.6714.23NA0.70090
    26320ARemoval of implant from hand3.9812.78NA0.49090
    26340AManipulate finger w/anesth2.504.48NA0.32090
    26350ARepair finger/hand tendon5.9919.56NA0.73090
    26352ARepair/graft hand tendon7.6819.76NA0.93090
    26356ARepair finger/hand tendon8.0720.93NA0.99090
    26357ARepair finger/hand tendon8.5820.73NA1.02090
    Start Printed Page 43892
    26358ARepair/graft hand tendon9.1420.89NA1.07090
    26370ARepair finger/hand tendon7.1120.10NA0.90090
    26372ARepair/graft hand tendon8.7621.36NA1.06090
    26373ARepair finger/hand tendon8.1621.27NA0.98090
    26390ARevise hand/finger tendon9.1916.47NA1.09090
    26392ARepair/graft hand tendon10.2622.37NA1.26090
    26410ARepair hand tendon4.6315.82NA0.57090
    26412ARepair/graft hand tendon6.3116.90NA0.80090
    26415AExcision, hand/finger tendon8.3415.74NA0.77090
    26416AGraft hand or finger tendon9.3718.18NA1.20090
    26418ARepair finger tendon4.2515.67NA0.50090
    26420ARepair/graft finger tendon6.7717.31NA0.83090
    26426ARepair finger/hand tendon6.1516.47NA0.77090
    26428ARepair/graft finger tendon7.2117.52NA0.84090
    26432ARepair finger tendon4.0212.82NA0.48090
    26433ARepair finger tendon4.5613.74NA0.56090
    26434ARepair/graft finger tendon6.0914.25NA0.71090
    26437ARealignment of tendons5.8213.75NA0.74090
    26440ARelease palm/finger tendon5.0217.99NA0.62090
    26442ARelease palm & finger tendon8.1619.45NA0.94090
    26445ARelease hand/finger tendon4.3117.85NA0.54090
    26449ARelease forearm/hand tendon7.0019.18NA0.84090
    26450AIncision of palm tendon3.678.30NA0.46090
    26455AIncision of finger tendon3.648.16NA0.47090
    26460AIncise hand/finger tendon3.467.79NA0.44090
    26471AFusion of finger tendons5.7313.37NA0.73090
    26474AFusion of finger tendons5.3213.83NA0.69090
    26476ATendon lengthening5.1813.19NA0.62090
    26477ATendon shortening5.1513.34NA0.60090
    26478ALengthening of hand tendon5.8014.10NA0.77090
    26479AShortening of hand tendon5.7414.56NA0.76090
    26480ATransplant hand tendon6.6919.03NA0.84090
    26483ATransplant/graft hand tendon8.2919.62NA1.03090
    26485ATransplant palm tendon7.7019.60NA0.94090
    26489ATransplant/graft palm tendon9.5516.48NA0.98090
    26490ARevise thumb tendon8.4114.89NA1.05090
    26492ATendon transfer with graft9.6215.61NA1.19090
    26494AHand tendon/muscle transfer8.4715.87NA1.13090
    26496ARevise thumb tendon9.5915.10NA1.17090
    26497AFinger tendon transfer9.5715.87NA1.17090
    26498AFinger tendon transfer14.0018.34NA1.74090
    26499ARevision of finger8.9816.54NA0.94090
    26500AHand tendon reconstruction5.9614.55NA0.66090
    26502AHand tendon reconstruction7.1414.85NA0.87090
    26504AHand tendon reconstruction7.4714.56NA0.84090
    26508ARelease thumb contracture6.0114.04NA0.76090
    26510AThumb tendon transfer5.4313.79NA0.71090
    26516AFusion of knuckle joint7.1514.41NA0.90090
    26517AFusion of knuckle joints8.8315.76NA0.96090
    26518AFusion of knuckle joints9.0215.46NA1.13090
    26520ARelease knuckle contracture5.3018.02NA0.65090
    26525ARelease finger contracture5.3318.22NA0.66090
    26530ARevise knuckle joint6.6918.75NA0.86090
    26531ARevise knuckle with implant7.9119.26NA1.01090
    26535ARevise finger joint5.2410.66NA0.66090
    26536ARevise/implant finger joint6.3717.39NA0.80090
    26540ARepair hand joint6.4314.40NA0.81090
    26541ARepair hand joint with graft8.6215.99NA1.12090
    26542ARepair hand joint with graft6.7814.13NA0.87090
    26545AReconstruct finger joint6.9215.10NA0.79090
    26546ARepair nonunion hand8.9215.75NA1.14090
    26548AReconstruct finger joint8.0315.67NA0.98090
    26550AConstruct thumb replacement21.2423.51NA1.80090
    26551AGreat toe-hand transfer46.5826.34NA6.57090
    26553ASingle transfer, toe-hand46.2728.71NA1.99090
    26554ADouble transfer, toe-hand54.9533.50NA7.76090
    Start Printed Page 43893
    26555APositional change of finger16.6320.49NA2.13090
    26556AToe joint transfer47.2629.09NA6.67090
    26560ARepair of web finger5.3812.75NA0.60090
    26561ARepair of web finger10.9217.37NA0.69090
    26562ARepair of web finger15.0019.74NA0.98090
    26565ACorrect metacarpal flaw6.7414.45NA0.84090
    26567ACorrect finger deformity6.8214.29NA0.84090
    26568ALengthen metacarpal/finger9.0819.51NA1.10090
    26580ARepair hand deformity18.1816.16NA1.46090
    26585DRepair finger deformity14.0512.93NA1.08090
    26587AReconstruct extra finger14.05NA5.981.08090
    26590ARepair finger deformity17.9616.68NA1.32090
    26591ARepair muscles of hand3.2513.51NA0.37090
    26593ARelease muscles of hand5.3113.02NA0.64090
    26596AExcision constricting tissue8.959.78NA0.87090
    26597DRelease of scar contracture9.8211.29NA1.20090
    26600ATreat metacarpal fracture1.962.714.040.25090
    26605ATreat metacarpal fracture2.854.185.880.38090
    26607ATreat metacarpal fracture5.368.18NA0.70090
    26608ATreat metacarpal fracture5.368.54NA0.73090
    26615ATreat metacarpal fracture5.338.14NA0.70090
    26641ATreat thumb dislocation3.944.716.400.42090
    26645ATreat thumb fracture4.415.137.100.54090
    26650ATreat thumb fracture5.728.72NA0.77090
    26665ATreat thumb fracture7.609.17NA0.97090
    26670ATreat hand dislocation3.694.636.180.36090
    26675ATreat hand dislocation4.644.426.350.56090
    26676APin hand dislocation5.528.82NA0.76090
    26685ATreat hand dislocation6.988.77NA0.95090
    26686ATreat hand dislocation7.949.30NA1.05090
    26700ATreat knuckle dislocation3.692.924.990.35090
    26705ATreat knuckle dislocation4.194.266.200.50090
    26706APin knuckle dislocation5.125.80NA0.64090
    26715ATreat knuckle dislocation5.748.29NA0.75090
    26720ATreat finger fracture, each1.661.662.990.20090
    26725ATreat finger fracture, each3.333.175.140.43090
    26727ATreat finger fracture, each5.238.73NA0.69090
    26735ATreat finger fracture, each5.988.65NA0.77090
    26740ATreat finger fracture, each1.942.553.740.24090
    26742ATreat finger fracture, each3.855.116.980.49090
    26746ATreat finger fracture, each5.818.77NA0.74090
    26750ATreat finger fracture, each1.702.363.560.19090
    26755ATreat finger fracture, each3.103.054.970.37090
    26756APin finger fracture, each4.398.61NA0.56090
    26765ATreat finger fracture, each4.177.78NA0.51090
    26770ATreat finger dislocation3.022.684.740.27090
    26775ATreat finger dislocation3.713.945.900.43090
    26776APin finger dislocation4.808.58NA0.63090
    26785ATreat finger dislocation4.217.62NA0.54090
    26820AThumb fusion with graft8.2615.82NA1.11090
    26841AFusion of thumb7.1314.94NA0.97090
    26842AThumb fusion with graft8.2415.72NA1.10090
    26843AFusion of hand joint7.6114.38NA0.99090
    26844AFusion/graft of hand joint8.7315.70NA1.12090
    26850AFusion of knuckle6.9714.21NA0.89090
    26852AFusion of knuckle with graft8.4615.08NA1.05090
    26860AFusion of finger joint4.6913.11NA0.60090
    26861AFusion of finger jnt, add-on1.740.96NA0.22ZZZ
    26862AFusion/graft of finger joint7.3714.75NA0.92090
    26863AFuse/graft added joint3.902.16NA0.51ZZZ
    26910AAmputate metacarpal bone7.6013.76NA0.90090
    26951AAmputation of finger/thumb4.5912.67NA0.56090
    26952AAmputation of finger/thumb6.3113.99NA0.74090
    26989CHand/finger surgery0.000.000.000.00YYY
    26990ADrainage of pelvis lesion7.4815.56NA0.92090
    26991ADrainage of pelvis bursa6.689.3811.530.85090
    Start Printed Page 43894
    26992ADrainage of bone lesion13.0219.43NA1.75090
    27000AIncision of hip tendon5.627.33NA0.76090
    27001AIncision of hip tendon6.948.22NA0.95090
    27003AIncision of hip tendon7.349.11NA0.93090
    27005AIncision of hip tendon9.6610.42NA1.36090
    27006AIncision of hip tendons9.6810.43NA1.33090
    27025AIncision of hip/thigh fascia11.1610.31NA1.38090
    27030ADrainage of hip joint13.0112.23NA1.81090
    27033AExploration of hip joint13.3912.33NA1.87090
    27035ADenervation of hip joint16.6918.01NA1.70090
    27036AExcision of hip joint/muscle12.8813.67NA1.80090
    27040ABiopsy of soft tissues2.874.015.900.21010
    27041ABiopsy of soft tissues9.898.47NA1.01090
    27047ARemove hip/pelvis lesion7.457.019.270.79090
    27048ARemove hip/pelvis lesion6.257.86NA0.73090
    27049ARemove tumor, hip/pelvis13.6613.36NA1.60090
    27050ABiopsy of sacroiliac joint4.366.97NA0.53090
    27052ABiopsy of hip joint6.238.29NA0.85090
    27054ARemoval of hip joint lining8.5410.53NA1.17090
    27060ARemoval of ischial bursa5.437.70NA0.60090
    27062ARemove femur lesion/bursa5.377.17NA0.74090
    27065ARemoval of hip bone lesion5.908.66NA0.76090
    27066ARemoval of hip bone lesion10.3312.36NA1.42090
    27067ARemove/graft hip bone lesion13.8314.25NA1.95090
    27070APartial removal of hip bone10.7217.92NA1.36090
    27071APartial removal of hip bone11.4618.86NA1.51090
    27075AExtensive hip surgery35.0025.41NA2.22090
    27076AExtensive hip surgery22.1219.90NA2.86090
    27077AExtensive hip surgery40.0028.73NA3.18090
    27078AExtensive hip surgery13.4415.54NA1.67090
    27079AExtensive hip surgery13.7515.04NA1.86090
    27080ARemoval of tail bone6.397.56NA0.80090
    27086ARemove hip foreign body1.873.815.530.17010
    27087ARemove hip foreign body8.548.85NA1.09090
    27090ARemoval of hip prosthesis11.1511.14NA1.55090
    27091ARemoval of hip prosthesis22.1416.20NA3.11090
    27093AInjection for hip x-ray1.300.5012.790.09000
    27095AInjection for hip x-ray1.500.5411.770.10000
    27096AInject sacroiliac joint1.400.389.840.08000
    27097ARevision of hip tendon8.808.91NA1.22090
    27098ATransfer tendon to pelvis8.839.53NA1.24090
    27100ATransfer of abdominal muscle11.0812.54NA1.57090
    27105ATransfer of spinal muscle11.7712.21NA1.66090
    27110ATransfer of iliopsoas muscle13.2613.43NA1.38090
    27111ATransfer of iliopsoas muscle12.1511.85NA1.48090
    27120AReconstruction of hip socket18.0114.46NA2.45090
    27122AReconstruction of hip socket14.9814.13NA2.08090
    27125APartial hip replacement14.6913.66NA2.05090
    27130ATotal hip arthroplasty20.1216.84NA2.82090
    27132ATotal hip arthroplasty23.3018.59NA3.26090
    27134ARevise hip joint replacement28.5221.23NA3.97090
    27137ARevise hip joint replacement21.1717.42NA2.97090
    27138ARevise hip joint replacement22.1717.87NA3.11090
    27140ATransplant femur ridge12.2411.79NA1.67090
    27146AIncision of hip bone17.4316.11NA2.27090
    27147ARevision of hip bone20.5817.18NA2.61090
    27151AIncision of hip bones22.5112.41NA3.12090
    27156ARevision of hip bones24.6319.70NA3.48090
    27158ARevision of pelvis19.7415.55NA2.60090
    27161AIncision of neck of femur16.7114.13NA2.32090
    27165AIncision/fixation of femur17.9114.67NA2.51090
    27170ARepair/graft femur head/neck16.0713.84NA2.20090
    27175ATreat slipped epiphysis8.467.08NA1.19090
    27176ATreat slipped epiphysis12.059.88NA1.68090
    27177ATreat slipped epiphysis15.0811.61NA2.11090
    27178ATreat slipped epiphysis11.999.30NA1.68090
    Start Printed Page 43895
    27179ARevise head/neck of femur12.9810.70NA1.84090
    27181ATreat slipped epiphysis14.6811.04NA1.74090
    27185ARevision of femur epiphysis9.1810.34NA1.29090
    27187AReinforce hip bones13.5413.30NA1.89090
    27193ATreat pelvic ring fracture5.565.226.950.77090
    27194ATreat pelvic ring fracture9.657.489.001.32090
    27200ATreat tail bone fracture1.841.773.030.22090
    27202ATreat tail bone fracture7.0419.94NA0.69090
    27215ATreat pelvic fracture(s)10.0510.20NA1.37090
    27216ATreat pelvic ring fracture15.1913.55NA2.15090
    27217ATreat pelvic ring fracture14.1112.60NA1.95090
    27218ATreat pelvic ring fracture20.1514.13NA2.85090
    27220ATreat hip socket fracture6.185.567.280.85090
    27222ATreat hip socket fracture12.7010.12NA1.77090
    27226ATreat hip wall fracture14.9110.60NA2.07090
    27227ATreat hip fracture(s)23.4517.00NA3.24090
    27228ATreat hip fracture(s)27.1619.25NA3.77090
    27230ATreat thigh fracture5.506.097.440.73090
    27232ATreat thigh fracture10.689.09NA1.45090
    27235ATreat thigh fracture12.1610.94NA1.71090
    27236ATreat thigh fracture15.6012.66NA2.18090
    27238ATreat thigh fracture5.526.16NA0.76090
    27240ATreat thigh fracture12.5010.13NA1.69090
    27244ATreat thigh fracture15.9412.89NA2.23090
    27245ATreat thigh fracture20.3115.27NA2.85090
    27246ATreat thigh fracture4.715.777.140.66090
    27248ATreat thigh fracture10.459.93NA1.45090
    27250ATreat hip dislocation6.956.30NA0.68090
    27252ATreat hip dislocation10.398.14NA1.37090
    27253ATreat hip dislocation12.9210.81NA1.81090
    27254ATreat hip dislocation18.2613.65NA2.52090
    27256ATreat hip dislocation4.124.33NA0.49010
    27257ATreat hip dislocation5.224.58NA0.56010
    27258ATreat hip dislocation15.4313.78NA2.06090
    27259ATreat hip dislocation21.5516.69NA2.99090
    27265ATreat hip dislocation5.055.90NA0.65090
    27266ATreat hip dislocation7.497.29NA1.04090
    27275AManipulation of hip joint2.273.46NA0.31010
    27280AFusion of sacroiliac joint13.3914.04NA1.98090
    27282AFusion of pubic bones11.3412.33NA1.14090
    27284AFusion of hip joint23.4518.07NA2.36090
    27286AFusion of hip joint23.4518.77NA2.37090
    27290AAmputation of leg at hip23.2816.75NA2.94090
    27295AAmputation of leg at hip18.6514.23NA2.35090
    27299CPelvis/hip joint surgery0.000.000.000.00YYY
    27301ADrain thigh/knee lesion6.4913.5915.740.80090
    27303ADrainage of bone lesion8.2814.64NA1.14090
    27305AIncise thigh tendon & fascia5.929.10NA0.77090
    27306AIncision of thigh tendon4.627.51NA0.62090
    27307AIncision of thigh tendons5.808.12NA0.78090
    27310AExploration of knee joint9.279.97NA1.29090
    27315APartial removal, thigh nerve6.974.45NA0.79090
    27320APartial removal, thigh nerve6.304.57NA0.78090
    27323ABiopsy, thigh soft tissues2.283.435.520.17010
    27324ABiopsy, thigh soft tissues4.906.82NA0.59090
    27327ARemoval of thigh lesion4.476.288.360.50090
    27328ARemoval of thigh lesion5.577.01NA0.66090
    27329ARemove tumor, thigh/knee14.1414.57NA1.68090
    27330ABiopsy, knee joint lining4.976.29NA0.66090
    27331AExplore/treat knee joint5.887.47NA0.81090
    27332ARemoval of knee cartilage8.278.63NA1.15090
    27333ARemoval of knee cartilage7.308.25NA1.03090
    27334ARemove knee joint lining8.709.58NA1.21090
    27335ARemove knee joint lining10.0010.43NA1.41090
    27340ARemoval of kneecap bursa4.185.87NA0.58090
    27345ARemoval of knee cyst5.927.38NA0.81090
    Start Printed Page 43896
    27347ARemove knee cyst5.782.652.650.76090
    27350ARemoval of kneecap8.178.84NA1.15090
    27355ARemove femur lesion7.6510.26NA1.07090
    27356ARemove femur lesion/graft9.4811.28NA1.29090
    27357ARemove femur lesion/graft10.5311.62NA1.48090
    27358ARemove femur lesion/fixation4.742.55NA0.67ZZZ
    27360APartial removal, leg bone(s)10.5018.21NA1.42090
    27365AExtensive leg surgery16.2714.25NA2.26090
    27370AInjection for knee x-ray0.960.3312.130.06000
    27372ARemoval of foreign body5.076.338.370.62090
    27380ARepair of kneecap tendon7.168.40NA1.00090
    27381ARepair/graft kneecap tendon10.3410.13NA1.44090
    27385ARepair of thigh muscle7.768.76NA1.09090
    27386ARepair/graft of thigh muscle10.5610.89NA1.49090
    27390AIncision of thigh tendon5.337.89NA0.69090
    27391AIncision of thigh tendons7.208.88NA0.99090
    27392AIncision of thigh tendons9.2010.88NA1.23090
    27393ALengthening of thigh tendon6.398.39NA0.90090
    27394ALengthening of thigh tendons8.5010.50NA1.17090
    27395ALengthening of thigh tendons11.7313.35NA1.63090
    27396ATransplant of thigh tendon7.8610.33NA1.11090
    27397ATransplants of thigh tendons11.2811.71NA1.58090
    27400ARevise thigh muscles/tendons9.0210.75NA1.18090
    27403ARepair of knee cartilage8.338.81NA1.16090
    27405ARepair of knee ligament8.659.64NA1.21090
    27407ARepair of knee ligament10.2810.36NA1.38090
    27409ARepair of knee ligaments12.9011.93NA1.75090
    27418ARepair degenerated kneecap10.8510.88NA1.51090
    27420ARevision of unstable kneecap9.839.73NA1.38090
    27422ARevision of unstable kneecap9.789.71NA1.37090
    27424ARevision/removal of kneecap9.819.66NA1.38090
    27425ALateral retinacular release5.227.13NA0.73090
    27427AReconstruction, knee9.369.40NA1.29090
    27428AReconstruction, knee14.0012.56NA1.95090
    27429AReconstruction, knee15.5213.22NA2.18090
    27430ARevision of thigh muscles9.679.71NA1.35090
    27435AIncision of knee joint9.499.52NA1.33090
    27437ARevise kneecap8.469.76NA1.18090
    27438ARevise kneecap with implant11.2311.14NA1.56090
    27440ARevision of knee joint10.439.07NA1.42090
    27441ARevision of knee joint10.829.58NA1.49090
    27442ARevision of knee joint11.8911.59NA1.68090
    27443ARevision of knee joint10.9311.27NA1.52090
    27445ARevision of knee joint17.6814.74NA2.49090
    27446ARevision of knee joint15.8414.06NA2.22090
    27447ATotal knee arthroplasty21.4816.95NA3.00090
    27448AIncision of thigh11.0611.97NA1.51090
    27450AIncision of thigh13.9813.71NA1.96090
    27454ARealignment of thigh bone17.5615.48NA2.46090
    27455ARealignment of knee12.8212.31NA1.78090
    27457ARealignment of knee13.4511.51NA1.88090
    27465AShortening of thigh bone13.8713.66NA1.86090
    27466ALengthening of thigh bone16.3315.70NA1.92090
    27468AShorten/lengthen thighs18.9716.21NA2.68090
    27470ARepair of thigh16.0715.83NA2.24090
    27472ARepair/graft of thigh17.7216.70NA2.49090
    27475ASurgery to stop leg growth8.649.16NA1.13090
    27477ASurgery to stop leg growth9.859.76NA1.31090
    27479ASurgery to stop leg growth12.8012.01NA1.81090
    27485ASurgery to stop leg growth8.849.33NA1.24090
    27486ARevise/replace knee joint19.2715.83NA2.70090
    27487ARevise/replace knee joint25.2718.94NA3.54090
    27488ARemoval of knee prosthesis15.7414.01NA2.21090
    27495AReinforce thigh15.5515.59NA2.18090
    27496ADecompression of thigh/knee6.117.83NA0.77090
    27497ADecompression of thigh/knee7.178.07NA0.84090
    Start Printed Page 43897
    27498ADecompression of thigh/knee7.998.43NA0.97090
    27499ADecompression of thigh/knee9.009.03NA1.18090
    27500ATreatment of thigh fracture5.927.349.600.80090
    27501ATreatment of thigh fracture5.928.4010.650.83090
    27502ATreatment of thigh fracture10.5810.93NA1.49090
    27503ATreatment of thigh fracture10.5810.97NA1.49090
    27506ATreatment of thigh fracture17.4514.12NA2.33090
    27507ATreatment of thigh fracture13.9912.32NA1.95090
    27508ATreatment of thigh fracture5.835.286.970.80090
    27509ATreatment of thigh fracture7.719.15NA1.08090
    27510ATreatment of thigh fracture9.137.15NA1.26090
    27511ATreatment of thigh fracture13.6413.04NA1.91090
    27513ATreatment of thigh fracture17.9215.34NA2.51090
    27514ATreatment of thigh fracture17.3014.48NA2.41090
    27516ATreat thigh fx growth plate5.375.687.670.74090
    27517ATreat thigh fx growth plate8.787.649.371.22090
    27519ATreat thigh fx growth plate15.0213.50NA2.09090
    27520ATreat kneecap fracture2.863.705.340.38090
    27524ATreat kneecap fracture10.008.77NA1.40090
    27530ATreat knee fracture3.784.205.850.51090
    27532ATreat knee fracture7.305.687.411.02090
    27535ATreat knee fracture11.5011.92NA1.61090
    27536ATreat knee fracture15.6511.79NA2.19090
    27538ATreat knee fracture(s)4.875.417.430.67090
    27540ATreat knee fracture13.1010.30NA1.80090
    27550ATreat knee dislocation5.765.597.200.68090
    27552ATreat knee dislocation7.907.80NA1.10090
    27556ATreat knee dislocation14.4114.23NA2.01090
    27557ATreat knee dislocation16.7715.52NA2.37090
    27558ATreat knee dislocation17.7215.72NA2.51090
    27560ATreat kneecap dislocation3.823.905.780.40090
    27562ATreat kneecap dislocation5.795.60NA0.69090
    27566ATreat kneecap dislocation12.239.93NA1.73090
    27570AFixation of knee joint1.743.15NA0.24010
    27580AFusion of knee19.3716.29NA2.70090
    27590AAmputate leg at thigh12.0312.42NA1.35090
    27591AAmputate leg at thigh12.6814.02NA1.63090
    27592AAmputate leg at thigh10.0211.95NA1.17090
    27594AAmputation follow-up surgery6.928.79NA0.82090
    27596AAmputation follow-up surgery10.6012.24NA1.24090
    27598AAmputate lower leg at knee10.5311.25NA1.24090
    27599CLeg surgery procedure0.000.000.000.00YYY
    27600ADecompression of lower leg5.657.55NA0.68090
    27601ADecompression of lower leg5.647.50NA0.69090
    27602ADecompression of lower leg7.357.92NA0.85090
    27603ADrain lower leg lesion4.9410.2115.730.56090
    27604ADrain lower leg bursa4.478.1911.590.54090
    27605AIncision of achilles tendon2.873.8810.520.38010
    27606AIncision of achilles tendon4.145.0112.660.57010
    27607ATreat lower leg bone lesion7.9713.93NA1.08090
    27610AExplore/treat ankle joint8.3410.27NA1.15090
    27612AExploration of ankle joint7.338.30NA1.01090
    27613ABiopsy lower leg soft tissue2.173.135.510.16010
    27614ABiopsy lower leg soft tissue5.667.1311.190.62090
    27615ARemove tumor, lower leg12.5617.11NA1.39090
    27618ARemove lower leg lesion5.096.6611.520.54090
    27619ARemove lower leg lesion8.409.1713.191.01090
    27620AExplore/treat ankle joint5.988.06NA0.83090
    27625ARemove ankle joint lining8.309.69NA1.16090
    27626ARemove ankle joint lining8.9110.34NA1.23090
    27630ARemoval of tendon lesion4.806.8511.350.60090
    27635ARemove lower leg bone lesion7.7810.87NA1.06090
    27637ARemove/graft leg bone lesion9.8512.27NA1.38090
    27638ARemove/graft leg bone lesion10.5712.76NA1.47090
    27640APartial removal of tibia11.3718.07NA1.54090
    27641APartial removal of fibula9.2416.20NA1.22090
    Start Printed Page 43898
    27645AExtensive lower leg surgery14.1718.02NA1.98090
    27646AExtensive lower leg surgery12.6617.14NA1.55090
    27647AExtensive ankle/heel surgery12.2411.24NA1.64090
    27648AInjection for ankle x-ray0.960.349.990.05000
    27650ARepair achilles tendon9.699.45NA1.35090
    27652ARepair/graft achilles tendon10.339.61NA1.45090
    27654ARepair of achilles tendon10.0210.19NA1.41090
    27656ARepair leg fascia defect4.576.6512.720.48090
    27658ARepair of leg tendon, each4.989.1713.220.68090
    27659ARepair of leg tendon, each6.819.8414.060.96090
    27664ARepair of leg tendon, each4.599.0614.170.63090
    27665ARepair of leg tendon, each5.409.6214.210.75090
    27675ARepair lower leg tendons7.188.42NA1.01090
    27676ARepair lower leg tendons8.429.31NA1.15090
    27680ARelease of lower leg tendon5.747.98NA0.80090
    27681ARelease of lower leg tendons6.828.49NA0.92090
    27685ARevision of lower leg tendon6.508.4910.340.91090
    27686ARevise lower leg tendons7.469.7012.521.05090
    27687ARevision of calf tendon6.248.62NA0.88090
    27690ARevise lower leg tendon8.719.45NA1.22090
    27691ARevise lower leg tendon9.9611.05NA1.40090
    27692ARevise additional leg tendon1.870.94NA0.26ZZZ
    27695ARepair of ankle ligament6.519.07NA0.90090
    27696ARepair of ankle ligaments8.279.49NA1.16090
    27698ARepair of ankle ligament9.369.44NA1.31090
    27700ARevision of ankle joint9.297.85NA1.24090
    27702AReconstruct ankle joint13.6712.80NA1.92090
    27703AReconstruction, ankle joint15.8713.41NA2.24090
    27704ARemoval of ankle implant7.628.34NA0.61090
    27705AIncision of tibia10.3811.46NA1.44090
    27707AIncision of fibula4.378.23NA0.60090
    27709AIncision of tibia & fibula9.9511.41NA1.39090
    27712ARealignment of lower leg14.2513.50NA2.00090
    27715ARevision of lower leg14.3914.80NA2.00090
    27720ARepair of tibia11.7913.47NA1.66090
    27722ARepair/graft of tibia11.8213.33NA1.65090
    27724ARepair/graft of tibia18.2016.95NA2.10090
    27725ARepair of lower leg15.5915.37NA2.20090
    27727ARepair of lower leg14.0113.92NA1.84090
    27730ARepair of tibia epiphysis7.419.8420.380.75090
    27732ARepair of fibula epiphysis5.327.9211.300.63090
    27734ARepair lower leg epiphyses8.489.68NA0.85090
    27740ARepair of leg epiphyses9.3010.5421.911.31090
    27742ARepair of leg epiphyses10.3010.4316.331.55090
    27745AReinforce tibia10.0711.54NA1.38090
    27750ATreatment of tibia fracture3.193.875.500.43090
    27752ATreatment of tibia fracture5.846.007.980.82090
    27756ATreatment of tibia fracture6.7810.70NA0.94090
    27758ATreatment of tibia fracture11.6711.92NA1.52090
    27759ATreatment of tibia fracture13.7613.23NA1.93090
    27760ATreatment of ankle fracture3.013.735.290.39090
    27762ATreatment of ankle fracture5.255.577.480.71090
    27766ATreatment of ankle fracture8.368.27NA1.17090
    27780ATreatment of fibula fracture2.653.545.240.33090
    27781ATreatment of fibula fracture4.404.476.410.57090
    27784ATreatment of fibula fracture7.118.41NA0.98090
    27786ATreatment of ankle fracture2.843.655.250.37090
    27788ATreatment of ankle fracture4.454.516.470.61090
    27792ATreatment of ankle fracture7.667.98NA1.07090
    27808ATreatment of ankle fracture2.834.346.280.38090
    27810ATreatment of ankle fracture5.135.567.540.71090
    27814ATreatment of ankle fracture10.6810.75NA1.50090
    27816ATreatment of ankle fracture2.894.385.810.37090
    27818ATreatment of ankle fracture5.505.717.710.74090
    27822ATreatment of ankle fracture11.0012.99NA1.29090
    27823ATreatment of ankle fracture13.0014.09NA1.65090
    Start Printed Page 43899
    27824ATreat lower leg fracture2.894.356.260.39090
    27825ATreat lower leg fracture6.196.178.150.85090
    27826ATreat lower leg fracture8.5411.67NA1.19090
    27827ATreat lower leg fracture14.0614.76NA1.96090
    27828ATreat lower leg fracture16.2315.51NA2.27090
    27829ATreat lower leg joint5.498.58NA0.77090
    27830ATreat lower leg dislocation3.794.115.450.44090
    27831ATreat lower leg dislocation4.565.21NA0.61090
    27832ATreat lower leg dislocation6.498.11NA0.91090
    27840ATreat ankle dislocation4.585.88NA0.47090
    27842ATreat ankle dislocation6.215.07NA0.76090
    27846ATreat ankle dislocation9.7910.12NA1.36090
    27848ATreat ankle dislocation11.2011.52NA1.55090
    27860AFixation of ankle joint2.343.57NA0.31010
    27870AFusion of ankle joint13.9113.61NA1.95090
    27871AFusion of tibiofibular joint9.1710.91NA1.29090
    27880AAmputation of lower leg11.8511.68NA1.38090
    27881AAmputation of lower leg12.3413.13NA1.59090
    27882AAmputation of lower leg8.9412.63NA1.03090
    27884AAmputation follow-up surgery8.2110.43NA0.95090
    27886AAmputation follow-up surgery9.3210.98NA1.13090
    27888AAmputation of foot at ankle9.6710.81NA1.26090
    27889AAmputation of foot at ankle9.9810.29NA1.19090
    27892ADecompression of leg7.398.09NA0.86090
    27893ADecompression of leg7.357.99NA0.90090
    27894ADecompression of leg10.499.41NA1.25090
    27899CLeg/ankle surgery procedure0.000.000.000.00YYY
    28001ADrainage of bursa of foot2.733.135.590.31010
    28002ATreatment of foot infection4.624.216.850.56010
    28003ATreatment of foot infection8.4110.5111.231.03090
    28005ATreat foot bone lesion8.6810.34NA1.14090
    28008AIncision of foot fascia4.456.178.060.56090
    28010AIncision of toe tendon2.845.037.450.39090
    28011AIncision of toe tendons4.146.619.170.58090
    28020AExploration of foot joint5.016.469.170.64090
    28022AExploration of foot joint4.676.048.040.62090
    28024AExploration of toe joint4.386.238.200.50090
    28030ARemoval of foot nerve6.153.45NA0.85090
    28035ADecompression of tibia nerve5.095.339.170.71090
    28043AExcision of foot lesion3.544.987.440.45090
    28045AExcision of foot lesion4.725.718.070.62090
    28046AResection of tumor, foot10.1811.0612.371.13090
    28050ABiopsy of foot joint lining4.255.757.720.55090
    28052ABiopsy of foot joint lining3.945.857.970.51090
    28054ABiopsy of toe joint lining3.455.687.940.45090
    28060APartial removal, foot fascia5.236.448.700.69090
    28062ARemoval of foot fascia6.526.459.540.85090
    28070ARemoval of foot joint lining5.105.947.890.68090
    28072ARemoval of foot joint lining4.586.658.400.64090
    28080ARemoval of foot lesion3.585.477.820.50090
    28086AExcise foot tendon sheath4.787.4011.140.66090
    28088AExcise foot tendon sheath3.866.559.360.52090
    28090ARemoval of foot lesion4.415.537.990.57090
    28092ARemoval of toe lesions3.645.858.370.46090
    28100ARemoval of ankle/heel lesion5.667.5911.690.76090
    28102ARemove/graft foot lesion7.739.10NA0.97090
    28103ARemove/graft foot lesion6.507.229.870.89090
    28104ARemoval of foot lesion5.126.778.680.69090
    28106ARemove/graft foot lesion7.166.83NA1.01090
    28107ARemove/graft foot lesion5.567.109.510.74090
    28108ARemoval of toe lesions4.165.257.370.52090
    28110APart removal of metatarsal4.086.848.850.49090
    28111APart removal of metatarsal5.017.6510.390.63090
    28112APart removal of metatarsal4.497.389.530.60090
    28113APart removal of metatarsal4.797.119.180.63090
    28114ARemoval of metatarsal heads9.7910.8414.021.36090
    Start Printed Page 43900
    28116ARevision of foot7.756.718.841.03090
    28118ARemoval of heel bone5.967.159.440.79090
    28119ARemoval of heel spur5.396.078.490.74090
    28120APart removal of ankle/heel5.409.6612.500.69090
    28122APartial removal of foot bone7.299.4411.200.96090
    28124APartial removal of toe4.817.629.470.65090
    28126APartial removal of toe3.526.808.210.49090
    28130ARemoval of ankle bone8.118.77NA1.11090
    28140ARemoval of metatarsal6.917.8310.560.84090
    28150ARemoval of toe4.097.098.840.52090
    28153APartial removal of toe3.665.848.220.49090
    28160APartial removal of toe3.747.148.490.51090
    28171AExtensive foot surgery9.608.39NA1.13090
    28173AExtensive foot surgery8.808.6911.021.04090
    28175AExtensive foot surgery6.056.809.510.75090
    28190ARemoval of foot foreign body1.963.376.360.16010
    28192ARemoval of foot foreign body4.645.398.120.52090
    28193ARemoval of foot foreign body5.736.528.720.63090
    28200ARepair of foot tendon4.606.348.350.59090
    28202ARepair/graft of foot tendon6.847.2911.700.86090
    28208ARepair of foot tendon4.375.958.090.59090
    28210ARepair/graft of foot tendon6.356.539.530.77090
    28220ARelease of foot tendon4.536.077.900.63090
    28222ARelease of foot tendons5.626.848.300.77090
    28225ARelease of foot tendon3.665.607.660.50090
    28226ARelease of foot tendons4.536.527.940.62090
    28230AIncision of foot tendon(s)4.246.688.030.59090
    28232AIncision of toe tendon3.396.378.040.48090
    28234AIncision of foot tendon3.375.928.100.46090
    28238ARevision of foot tendon7.737.5110.101.08090
    28240ARelease of big toe4.366.327.990.61090
    28250ARevision of foot fascia5.926.939.010.81090
    28260ARelease of midfoot joint7.967.649.431.08090
    28261ARevision of foot tendon11.739.4210.971.66090
    28262ARevision of foot and ankle15.8314.9517.102.22090
    28264ARelease of midfoot joint10.3511.2711.271.46090
    28270ARelease of foot contracture4.767.178.640.67090
    28272ARelease of toe joint, each3.805.467.550.52090
    28280AFusion of toes5.196.779.140.72090
    28285ARepair of hammertoe4.596.658.700.64090
    28286ARepair of hammertoe4.566.568.550.64090
    28288APartial removal of foot bone4.748.039.040.65090
    28289ARepair hallux rigidus7.049.0210.870.96090
    28290ACorrection of bunion5.668.739.770.79090
    28292ACorrection of bunion7.047.659.800.98090
    28293ACorrection of bunion9.157.9510.841.28090
    28294ACorrection of bunion8.567.8710.521.16090
    28296ACorrection of bunion9.188.6110.901.28090
    28297ACorrection of bunion9.1810.2811.821.31090
    28298ACorrection of bunion7.948.2310.021.12090
    28299ACorrection of bunion10.589.0211.301.24090
    28300AIncision of heel bone9.549.3814.911.31090
    28302AIncision of ankle bone9.559.2214.291.15090
    28304AIncision of midfoot bones9.167.7810.101.00090
    28305AIncise/graft midfoot bones10.509.7014.460.55090
    28306AIncision of metatarsal5.866.349.140.81090
    28307AIncision of metatarsal6.337.8812.890.71090
    28308AIncision of metatarsal5.295.397.840.74090
    28309AIncision of metatarsals12.7810.41NA1.64090
    28310ARevision of big toe5.436.849.060.76090
    28312ARevision of toe4.557.418.790.62090
    28313ARepair deformity of toe5.019.259.250.68090
    28315ARemoval of sesamoid bone4.865.657.860.66090
    28320ARepair of foot bones9.188.93NA1.27090
    28322ARepair of metatarsals8.348.4011.641.17090
    28340AResect enlarged toe tissue6.986.749.370.98090
    Start Printed Page 43901
    28341AResect enlarged toe8.417.059.461.18090
    28344ARepair extra toe(s)4.265.708.370.60090
    28345ARepair webbed toe(s)5.927.319.240.84090
    28360AReconstruct cleft foot13.3413.35NA1.88090
    28400ATreatment of heel fracture2.164.565.660.29090
    28405ATreatment of heel fracture4.575.716.660.63090
    28406ATreatment of heel fracture6.318.57NA0.87090
    28415ATreat heel fracture15.9715.27NA2.24090
    28420ATreat/graft heel fracture16.6415.62NA2.29090
    28430ATreatment of ankle fracture2.094.065.160.27090
    28435ATreatment of ankle fracture3.404.575.530.47090
    28436ATreatment of ankle fracture4.717.60NA0.66090
    28445ATreat ankle fracture15.6213.65NA1.29090
    28450ATreat midfoot fracture, each1.903.955.140.25090
    28455ATreat midfoot fracture, each3.094.725.210.43090
    28456ATreat midfoot fracture2.686.06NA0.36090
    28465ATreat midfoot fracture, each7.018.12NA0.87090
    28470ATreat metatarsal fracture1.993.284.420.26090
    28475ATreat metatarsal fracture2.974.285.080.41090
    28476ATreat metatarsal fracture3.386.53NA0.46090
    28485ATreat metatarsal fracture5.717.87NA0.80090
    28490ATreat big toe fracture1.092.122.690.13090
    28495ATreat big toe fracture1.582.202.850.19090
    28496ATreat big toe fracture2.334.9410.180.32090
    28505ATreat big toe fracture3.816.6711.300.50090
    28510ATreatment of toe fracture1.092.132.440.13090
    28515ATreatment of toe fracture1.462.192.720.17090
    28525ATreat toe fracture3.326.3210.850.44090
    28530ATreat sesamoid bone fracture1.062.742.960.13090
    28531ATreat sesamoid bone fracture2.354.2915.260.33090
    28540ATreat foot dislocation2.043.703.700.24090
    28545ATreat foot dislocation2.454.054.050.33090
    28546ATreat foot dislocation3.205.818.920.46090
    28555ARepair foot dislocation6.308.5711.820.88090
    28570ATreat foot dislocation1.663.713.980.22090
    28575ATreat foot dislocation3.315.275.600.45090
    28576ATreat foot dislocation4.176.4312.020.56090
    28585ARepair foot dislocation7.998.409.661.13090
    28600ATreat foot dislocation1.893.844.310.24090
    28605ATreat foot dislocation2.714.795.050.35090
    28606ATreat foot dislocation4.906.9515.780.68090
    28615ARepair foot dislocation7.779.38NA1.09090
    28630ATreat toe dislocation1.702.352.350.17010
    28635ATreat toe dislocation1.912.542.540.24010
    28636ATreat toe dislocation2.773.116.260.39010
    28645ARepair toe dislocation4.224.326.660.58090
    28660ATreat toe dislocation1.232.433.080.11010
    28665ATreat toe dislocation1.922.592.590.24010
    28666ATreat toe dislocation2.662.858.070.38010
    28675ARepair of toe dislocation2.924.879.350.41090
    28705AFusion of foot bones18.8015.04NA2.13090
    28715AFusion of foot bones13.1012.48NA1.84090
    28725AFusion of foot bones11.6111.34NA1.63090
    28730AFusion of foot bones10.7610.79NA1.51090
    28735AFusion of foot bones10.8510.53NA1.51090
    28737ARevision of foot bones9.649.44NA1.36090
    28740AFusion of foot bones8.028.9813.371.13090
    28750AFusion of big toe joint7.309.0614.471.03090
    28755AFusion of big toe joint4.746.509.080.66090
    28760AFusion of big toe joint7.757.7210.111.07090
    28800AAmputation of midfoot8.218.97NA0.98090
    28805AAmputation thru metatarsal8.398.82NA0.97090
    28810AAmputation toe & metatarsal6.217.77NA0.70090
    28820AAmputation of toe4.417.0210.960.51090
    28825APartial amputation of toe3.596.8810.360.43090
    28899CFoot/toes surgery procedure0.000.000.000.00YYY
    Start Printed Page 43902
    29000AApplication of body cast2.251.673.070.30000
    29010AApplication of body cast2.061.652.770.27000
    29015AApplication of body cast2.411.572.910.21000
    29020AApplication of body cast2.111.393.330.16000
    29025AApplication of body cast2.401.783.050.26000
    29035AApplication of body cast1.771.482.870.24000
    29040AApplication of body cast2.221.562.430.35000
    29044AApplication of body cast2.121.773.150.29000
    29046AApplication of body cast2.411.953.240.34000
    29049AApplication of figure eight0.890.551.040.12000
    29055AApplication of shoulder cast1.781.402.350.24000
    29058AApplication of shoulder cast1.310.741.280.14000
    29065AApplication of long arm cast0.870.681.080.12000
    29075AApplication of forearm cast0.770.621.020.11000
    29085AApply hand/wrist cast0.870.611.070.11000
    29086AApply finger cast0.620.430.770.07000
    29105AApply long arm splint0.870.511.020.11000
    29125AApply forearm splint0.590.400.860.06000
    29126AApply forearm splint0.770.471.100.06000
    29130AApplication of finger splint0.500.170.430.05000
    29131AApplication of finger splint0.550.250.700.03000
    29200AStrapping of chest0.650.360.780.04000
    29220AStrapping of low back0.640.390.720.07000
    29240AStrapping of shoulder0.710.380.860.05000
    29260AStrapping of elbow or wrist0.550.340.750.04000
    29280AStrapping of hand or finger0.510.340.790.04000
    29305AApplication of hip cast2.031.592.710.29000
    29325AApplication of hip casts2.321.772.880.31000
    29345AApplication of long leg cast1.400.991.470.19000
    29355AApplication of long leg cast1.531.051.460.20000
    29358AApply long leg cast brace1.431.021.690.19000
    29365AApplication of long leg cast1.180.871.350.17000
    29405AApply short leg cast0.860.651.010.12000
    29425AApply short leg cast1.010.681.040.14000
    29435AApply short leg cast1.180.861.290.17000
    29440AAddition of walker to cast0.570.270.590.07000
    29445AApply rigid leg cast1.780.941.570.24000
    29450AApplication of leg cast2.081.071.370.13000
    29505AApplication, long leg splint0.690.471.020.06000
    29515AApplication lower leg splint0.730.470.770.07000
    29520AStrapping of hip0.540.430.880.02000
    29530AStrapping of knee0.570.350.780.04000
    29540AStrapping of ankle0.510.320.390.04000
    29550AStrapping of toes0.470.270.400.05000
    29580AApplication of paste boot0.570.350.590.05000
    29590AApplication of foot splint0.760.300.480.06000
    29700ARemoval/revision of cast0.570.280.770.07000
    29705ARemoval/revision of cast0.760.390.700.10000
    29710ARemoval/revision of cast1.340.711.360.17000
    29715ARemoval/revision of cast0.940.411.040.08000
    29720ARepair of body cast0.680.380.930.10000
    29730AWindowing of cast0.750.350.690.10000
    29740AWedging of cast1.120.491.000.15000
    29750AWedging of clubfoot cast1.260.590.970.16000
    29799CCasting/strapping procedure0.000.000.000.00YYY
    29800AJaw arthroscopy/surgery6.438.88NA0.84090
    29804AJaw arthroscopy/surgery8.148.65NA0.66090
    29805AShoulder arthroscopy, dx5.893.223.220.83090
    29806AShoulder arthroscopy/surgery14.3710.95NA2.01090
    29807AShoulder arthroscopy/surgery13.9010.69NA2.01090
    29815DShoulder arthroscopy5.896.75NA0.83090
    29819AShoulder arthroscopy/surgery7.629.64NA1.07090
    29820AShoulder arthroscopy/surgery7.079.48NA0.99090
    29821AShoulder arthroscopy/surgery7.729.85NA1.08090
    29822AShoulder arthroscopy/surgery7.439.78NA1.04090
    29823AShoulder arthroscopy/surgery8.1710.10NA1.15090
    Start Printed Page 43903
    29824AShoulder arthroscopy/surgery8.257.24NA1.16090
    29825AShoulder arthroscopy/surgery7.629.77NA1.06090
    29826AShoulder arthroscopy/surgery8.9910.58NA1.26090
    29830AElbow arthroscopy5.766.00NA0.79090
    29834AElbow arthroscopy/surgery6.286.85NA0.86090
    29835AElbow arthroscopy/surgery6.486.87NA0.88090
    29836AElbow arthroscopy/surgery7.557.54NA1.06090
    29837AElbow arthroscopy/surgery6.877.13NA0.96090
    29838AElbow arthroscopy/surgery7.717.58NA1.07090
    29840AWrist arthroscopy5.548.38NA0.69090
    29843AWrist arthroscopy/surgery6.018.56NA0.82090
    29844AWrist arthroscopy/surgery6.378.75NA0.86090
    29845AWrist arthroscopy/surgery7.529.25NA0.84090
    29846AWrist arthroscopy/surgery6.7511.39NA0.89090
    29847AWrist arthroscopy/surgery7.0811.66NA0.91090
    29848AWrist endoscopy/surgery5.448.27NA0.72090
    29850AKnee arthroscopy/surgery8.197.27NA0.74090
    29851AKnee arthroscopy/surgery13.1011.68NA1.81090
    29855ATibial arthroscopy/surgery10.6210.39NA1.50090
    29856ATibial arthroscopy/surgery14.1412.37NA2.00090
    29860AHip arthroscopy, dx8.057.83NA1.14090
    29861AHip arthroscopy/surgery9.158.91NA1.29090
    29862AHip arthroscopy/surgery9.909.46NA1.39090
    29863AHip arthroscopy/surgery9.909.95NA1.40090
    29870AKnee arthroscopy, dx5.076.13NA0.67090
    29871AKnee arthroscopy/drainage6.558.11NA0.88090
    29874AKnee arthroscopy/surgery7.057.86NA0.87090
    29875AKnee arthroscopy/surgery6.317.51NA0.88090
    29876AKnee arthroscopy/surgery7.928.95NA1.11090
    29877AKnee arthroscopy/surgery7.358.09NA1.03090
    29879AKnee arthroscopy/surgery8.048.46NA1.13090
    29880AKnee arthroscopy/surgery8.508.73NA1.19090
    29881AKnee arthroscopy/surgery7.768.31NA1.09090
    29882AKnee arthroscopy/surgery8.658.63NA1.09090
    29883AKnee arthroscopy/surgery11.0510.12NA1.33090
    29884AKnee arthroscopy/surgery7.338.72NA1.03090
    29885AKnee arthroscopy/surgery9.099.69NA1.27090
    29886AKnee arthroscopy/surgery7.548.75NA1.06090
    29887AKnee arthroscopy/surgery9.049.64NA1.27090
    29888AKnee arthroscopy/surgery13.9012.28NA1.95090
    29889AKnee arthroscopy/surgery16.0013.45NA2.11090
    29891AAnkle arthroscopy/surgery8.409.02NA1.17090
    29892AAnkle arthroscopy/surgery9.009.27NA1.26090
    29893AScope, plantar fasciotomy5.225.64NA0.74090
    29894AAnkle arthroscopy/surgery7.218.17NA1.01090
    29895AAnkle arthroscopy/surgery6.998.15NA0.97090
    29897AAnkle arthroscopy/surgery7.188.74NA1.01090
    29898AAnkle arthroscopy/surgery8.328.66NA1.14090
    29900AMcp joint arthroscopy, dx5.425.70NA0.69090
    29901AMcp joint arthroscopy, surg6.136.09NA0.81090
    29902AMcp joint arthroscopy, surg6.706.40NA0.89090
    29909DArthroscopy of joint0.000.000.000.00YYY
    29999CArthroscopy of joint0.000.000.000.00YYY
    30000ADrainage of nose lesion1.431.462.480.10010
    30020ADrainage of nose lesion1.431.542.690.08010
    30100AIntranasal biopsy0.940.521.300.06000
    30110ARemoval of nose polyp(s)1.630.872.730.12010
    30115ARemoval of nose polyp(s)4.354.43NA0.31090
    30117ARemoval of intranasal lesion3.163.124.820.22090
    30118ARemoval of intranasal lesion9.698.10NA0.66090
    30120ARevision of nose5.275.815.810.41090
    30124ARemoval of nose lesion3.103.26NA0.20090
    30125ARemoval of nose lesion7.166.43NA0.54090
    30130ARemoval of turbinate bones3.383.90NA0.22090
    30140ARemoval of turbinate bones3.434.50NA0.24090
    30150APartial removal of nose9.148.59NA0.76090
    Start Printed Page 43904
    30160ARemoval of nose9.588.48NA0.78090
    30200AInjection treatment of nose0.780.441.200.06000
    30210ANasal sinus therapy1.080.592.100.08010
    30220AInsert nasal septal button1.540.842.460.11010
    30300ARemove nasal foreign body1.040.382.570.07010
    30310ARemove nasal foreign body1.961.86NA0.14010
    30320ARemove nasal foreign body4.525.20NA0.36090
    30400RReconstruction of nose9.838.82NA0.80090
    30410RReconstruction of nose12.9810.53NA1.08090
    30420RReconstruction of nose15.8812.19NA1.24090
    30430RRevision of nose7.217.19NA0.62090
    30435RRevision of nose11.7110.32NA1.10090
    30450RRevision of nose18.6513.96NA1.53090
    30460ARevision of nose9.969.25NA0.85090
    30462ARevision of nose19.5714.42NA1.92090
    30465ARepair nasal stenosis11.649.33NA0.97090
    30520ARepair of nasal septum5.705.78NA0.41090
    30540ARepair nasal defect7.756.43NA0.53090
    30545ARepair nasal defect11.389.36NA0.80090
    30560ARelease of nasal adhesions1.261.482.290.09010
    30580ARepair upper jaw fistula6.694.874.870.50090
    30600ARepair mouth/nose fistula6.024.824.820.70090
    30620AIntranasal reconstruction5.976.49NA0.45090
    30630ARepair nasal septum defect7.127.02NA0.51090
    30801ACauterization, inner nose1.092.272.510.08010
    30802ACauterization, inner nose2.032.793.060.15010
    30901AControl of nosebleed1.210.331.390.09000
    30903AControl of nosebleed1.540.513.140.12000
    30905AControl of nosebleed1.970.783.770.15000
    30906ARepeat control of nosebleed2.451.244.170.17000
    30915ALigation, nasal sinus artery7.206.93NA0.50090
    30920ALigation, upper jaw artery9.838.40NA0.69090
    30930ATherapy, fracture of nose1.262.12NA0.09010
    30999CNasal surgery procedure0.000.000.000.00YYY
    31000AIrrigation, maxillary sinus1.150.642.380.08010
    31002AIrrigation, sphenoid sinus1.912.06NA0.14010
    31020AExploration, maxillary sinus2.943.604.220.20090
    31030AExploration, maxillary sinus5.924.574.690.42090
    31032AExplore sinus,remove polyps6.575.99NA0.47090
    31040AExploration behind upper jaw9.426.94NA0.71090
    31050AExploration, sphenoid sinus5.284.98NA0.39090
    31051ASphenoid sinus surgery7.116.42NA0.55090
    31070AExploration of frontal sinus4.284.93NA0.30090
    31075AExploration of frontal sinus9.168.09NA0.64090
    31080ARemoval of frontal sinus11.428.90NA0.78090
    31081ARemoval of frontal sinus12.759.57NA1.84090
    31084ARemoval of frontal sinus13.5110.43NA0.96090
    31085ARemoval of frontal sinus14.2010.63NA1.18090
    31086ARemoval of frontal sinus12.8610.30NA0.90090
    31087ARemoval of frontal sinus13.1010.30NA1.15090
    31090AExploration of sinuses9.538.79NA0.66090
    31200ARemoval of ethmoid sinus4.975.75NA0.25090
    31201ARemoval of ethmoid sinus8.377.67NA0.58090
    31205ARemoval of ethmoid sinus10.248.43NA0.58090
    31225ARemoval of upper jaw19.2314.91NA1.38090
    31230ARemoval of upper jaw21.9416.55NA1.57090
    31231ANasal endoscopy, dx1.100.591.970.08000
    31233ANasal/sinus endoscopy, dx2.181.202.600.16000
    31235ANasal/sinus endoscopy, dx2.641.452.860.18000
    31237ANasal/sinus endoscopy, surg2.981.623.150.21000
    31238ANasal/sinus endoscopy, surg3.261.833.660.23000
    31239ANasal/sinus endoscopy, surg8.706.58NA0.46010
    31240ANasal/sinus endoscopy, surg2.611.56NA0.18000
    31254ARevision of ethmoid sinus4.652.72NA0.32000
    31255ARemoval of ethmoid sinus6.964.01NA0.49000
    31256AExploration maxillary sinus3.291.95NA0.23000
    Start Printed Page 43905
    31267AEndoscopy, maxillary sinus5.463.17NA0.38000
    31276ASinus endoscopy, surgical8.855.06NA0.62000
    31287ANasal/sinus endoscopy, surg3.922.30NA0.27000
    31288ANasal/sinus endoscopy, surg4.582.68NA0.32000
    31290ANasal/sinus endoscopy, surg17.2411.55NA1.20010
    31291ANasal/sinus endoscopy, surg18.1911.87NA1.73010
    31292ANasal/sinus endoscopy, surg14.7610.04NA0.99010
    31293ANasal/sinus endoscopy, surg16.2110.77NA0.97010
    31294ANasal/sinus endoscopy, surg19.0612.26NA1.04010
    31299CSinus surgery procedure0.000.000.000.00YYY
    31300ARemoval of larynx lesion14.2917.11NA0.99090
    31320ADiagnostic incision, larynx5.2612.72NA0.40090
    31360ARemoval of larynx17.0818.87NA1.20090
    31365ARemoval of larynx24.1622.60NA1.72090
    31367APartial removal of larynx21.8623.52NA1.57090
    31368APartial removal of larynx27.0928.09NA1.90090
    31370APartial removal of larynx21.3823.01NA1.51090
    31375APartial removal of larynx20.2120.67NA1.43090
    31380APartial removal of larynx20.2120.83NA1.40090
    31382APartial removal of larynx20.5222.68NA1.44090
    31390ARemoval of larynx & pharynx27.5328.31NA1.95090
    31395AReconstruct larynx & pharynx31.0933.94NA2.27090
    31400ARevision of larynx10.3115.45NA0.72090
    31420ARemoval of epiglottis10.2215.10NA0.71090
    31500AInsert emergency airway2.330.66NA0.15000
    31502AChange of windpipe airway0.650.261.920.04000
    31505ADiagnostic laryngoscopy0.610.341.800.04000
    31510ALaryngoscopy with biopsy1.920.982.770.15000
    31511ARemove foreign body, larynx2.160.753.060.16000
    31512ARemoval of larynx lesion2.071.082.970.16000
    31513AInjection into vocal cord2.101.28NA0.15000
    31515ALaryngoscopy for aspiration1.800.852.390.12000
    31520ADiagnostic laryngoscopy2.561.39NA0.17000
    31525ADiagnostic laryngoscopy2.631.482.870.18000
    31526ADiagnostic laryngoscopy2.571.54NA0.18000
    31527ALaryngoscopy for treatment3.271.72NA0.21000
    31528ALaryngoscopy and dilation2.371.27NA0.16000
    31529ALaryngoscopy and dilation2.681.55NA0.18000
    31530AOperative laryngoscopy3.391.76NA0.24000
    31531AOperative laryngoscopy3.592.12NA0.25000
    31535AOperative laryngoscopy3.161.82NA0.22000
    31536AOperative laryngoscopy3.562.10NA0.25000
    31540AOperative laryngoscopy4.132.40NA0.29000
    31541AOperative laryngoscopy4.532.64NA0.32000
    31560AOperative laryngoscopy5.463.06NA0.38000
    31561AOperative laryngoscopy6.003.28NA0.42000
    31570ALaryngoscopy with injection3.872.234.130.24000
    31571ALaryngoscopy with injection4.272.45NA0.30000
    31575ADiagnostic laryngoscopy1.100.572.040.08000
    31576ALaryngoscopy with biopsy1.971.012.370.13000
    31577ARemove foreign body, larynx2.471.262.830.17000
    31578ARemoval of larynx lesion2.841.253.090.20000
    31579ADiagnostic laryngoscopy2.261.212.900.16000
    31580ARevision of larynx12.3816.15NA0.87090
    31582ARevision of larynx21.6221.48NA1.52090
    31584ATreat larynx fracture19.6418.54NA1.42090
    31585ATreat larynx fracture4.648.81NA0.30090
    31586ATreat larynx fracture8.0312.58NA0.56090
    31587ARevision of larynx11.9914.03NA0.88090
    31588ARevision of larynx13.1116.92NA0.92090
    31590AReinnervate larynx6.9712.31NA0.50090
    31595ALarynx nerve surgery8.3411.19NA0.62090
    31599CLarynx surgery procedure0.000.000.000.00YYY
    31600AIncision of windpipe7.183.05NA0.34000
    31601AIncision of windpipe4.452.17NA0.39000
    31603AIncision of windpipe4.151.76NA0.35000
    Start Printed Page 43906
    31605AIncision of windpipe3.581.22NA0.33000
    31610AIncision of windpipe8.7610.69NA0.69090
    31611ASurgery/speech prosthesis5.6410.08NA0.40090
    31612APuncture/clear windpipe0.910.421.490.06000
    31613ARepair windpipe opening4.598.74NA0.37090
    31614ARepair windpipe opening7.1212.11NA0.51090
    31615AVisualization of windpipe2.091.173.670.14000
    31622ADx bronchoscope/wash2.781.163.370.14000
    31623ADx bronchoscope/brush2.881.163.210.14000
    31624ADx bronchoscope/lavage2.881.172.900.13000
    31625ABronchoscopy with biopsy3.371.302.910.16000
    31628ABronchoscopy with biopsy3.811.413.330.14000
    31629ABronchoscopy with biopsy3.371.28NA0.13000
    31630ABronchoscopy with repair3.821.95NA0.30000
    31631ABronchoscopy with dilation4.372.00NA0.31000
    31635ARemove foreign body, airway3.681.67NA0.21000
    31640ABronchoscopy & remove lesion4.942.33NA0.37000
    31641ABronchoscopy, treat blockage5.032.12NA0.30000
    31643ADiag bronchoscope/catheter3.501.221.220.15000
    31645ABronchoscopy, clear airways3.161.22NA0.13000
    31646ABronchoscopy, reclear airway2.721.09NA0.12000
    31656ABronchoscopy, inj for xray2.170.93NA0.10000
    31700AInsertion of airway catheter1.340.682.380.07000
    31708AInstill airway contrast dye1.410.61NA0.06000
    31710AInsertion of airway catheter1.300.72NA0.06000
    31715AInjection for bronchus x-ray1.110.61NA0.06000
    31717ABronchial brush biopsy2.120.883.330.09000
    31720AClearance of airways1.060.331.860.06000
    31725AClearance of airways1.960.61NA0.10000
    31730AIntro, windpipe wire/tube2.851.102.420.15000
    31750ARepair of windpipe13.0215.78NA1.02090
    31755ARepair of windpipe15.9318.93NA1.15090
    31760ARepair of windpipe22.3512.23NA1.48090
    31766AReconstruction of windpipe30.4316.01NA3.16090
    31770ARepair/graft of bronchus22.5114.02NA2.27090
    31775AReconstruct bronchus23.5414.88NA2.91090
    31780AReconstruct windpipe17.7212.63NA1.55090
    31781AReconstruct windpipe23.5314.35NA2.04090
    31785ARemove windpipe lesion17.2312.58NA1.36090
    31786ARemove windpipe lesion23.9815.43NA2.20090
    31800ARepair of windpipe injury7.436.66NA0.67090
    31805ARepair of windpipe injury13.1310.42NA1.45090
    31820AClosure of windpipe lesion4.497.878.000.35090
    31825ARepair of windpipe defect6.8111.1111.110.50090
    31830ARevise windpipe scar4.507.917.910.36090
    31899CAirways surgical procedure0.000.000.000.00YYY
    32000ADrainage of chest1.540.503.070.07000
    32002ATreatment of collapsed lung2.190.85NA0.11000
    32005ATreat lung lining chemically2.190.86NA0.17000
    32020AInsertion of chest tube3.981.44NA0.36000
    32035AExploration of chest8.677.73NA1.02090
    32036AExploration of chest9.688.39NA1.20090
    32095ABiopsy through chest wall8.367.87NA0.99090
    32100AExploration/biopsy of chest15.2410.15NA1.45090
    32110AExplore/repair chest23.0012.62NA1.63090
    32120ARe-exploration of chest11.549.17NA1.42090
    32124AExplore chest free adhesions12.729.11NA1.51090
    32140ARemoval of lung lesion(s)13.939.71NA1.68090
    32141ARemove/treat lung lesions14.009.61NA1.72090
    32150ARemoval of lung lesion(s)14.159.58NA1.60090
    32151ARemove lung foreign body14.2110.13NA1.49090
    32160AOpen chest heart massage9.306.18NA1.01090
    32200ADrain, open, lung lesion15.299.98NA1.46090
    32201ADrain, percut, lung lesion4.005.67NA0.18000
    32215ATreat chest lining11.339.13NA1.34090
    32220ARelease of lung24.0013.15NA2.39090
    Start Printed Page 43907
    32225APartial release of lung13.969.87NA1.70090
    32310ARemoval of chest lining13.449.52NA1.65090
    32320AFree/remove chest lining24.0012.93NA2.50090
    32400ANeedle biopsy chest lining1.760.571.870.07000
    32402AOpen biopsy chest lining7.567.68NA0.91090
    32405ABiopsy, lung or mediastinum1.930.652.460.09000
    32420APuncture/clear lung2.180.85NA0.11000
    32440ARemoval of lung25.0013.40NA2.56090
    32442ASleeve pneumonectomy26.2414.15NA3.12090
    32445ARemoval of lung25.0913.38NA3.11090
    32480APartial removal of lung23.7512.61NA2.24090
    32482ABilobectomy25.0013.24NA2.35090
    32484ASegmentectomy20.6911.76NA2.54090
    32486ASleeve lobectomy23.9213.13NA3.00090
    32488ACompletion pneumonectomy25.7113.77NA3.18090
    32491RLung volume reduction21.2512.46NA2.66090
    32500APartial removal of lung22.0012.54NA1.77090
    32501ARepair bronchus add-on4.691.55NA0.56ZZZ
    32520ARemove lung & revise chest21.6812.41NA2.71090
    32522ARemove lung & revise chest24.2013.26NA2.84090
    32525ARemove lung & revise chest26.5013.90NA3.25090
    32540ARemoval of lung lesion14.6410.01NA1.84090
    32601AThoracoscopy, diagnostic5.463.47NA0.63000
    32602AThoracoscopy, diagnostic5.963.62NA0.70000
    32603AThoracoscopy, diagnostic7.814.13NA0.76000
    32604AThoracoscopy, diagnostic8.784.63NA0.97000
    32605AThoracoscopy, diagnostic6.934.10NA0.86000
    32606AThoracoscopy, diagnostic8.404.44NA0.99000
    32650AThoracoscopy, surgical10.758.30NA1.25090
    32651AThoracoscopy, surgical12.918.69NA1.50090
    32652AThoracoscopy, surgical18.6611.00NA2.30090
    32653AThoracoscopy, surgical12.878.91NA1.55090
    32654AThoracoscopy, surgical12.447.35NA1.51090
    32655AThoracoscopy, surgical13.108.71NA1.53090
    32656AThoracoscopy, surgical12.919.22NA1.61090
    32657AThoracoscopy, surgical13.659.20NA1.64090
    32658AThoracoscopy, surgical11.638.98NA1.47090
    32659AThoracoscopy, surgical11.598.80NA1.39090
    32660AThoracoscopy, surgical17.4310.93NA2.09090
    32661AThoracoscopy, surgical13.259.44NA1.66090
    32662AThoracoscopy, surgical16.4410.34NA2.01090
    32663AThoracoscopy, surgical18.4710.92NA2.28090
    32664AThoracoscopy, surgical14.209.07NA1.70090
    32665AThoracoscopy, surgical15.549.09NA1.79090
    32800ARepair lung hernia13.699.61NA1.51090
    32810AClose chest after drainage13.059.68NA1.55090
    32815AClose bronchial fistula23.1513.20NA2.84090
    32820AReconstruct injured chest21.4813.93NA2.31090
    32850XDonor pneumonectomy0.000.000.000.00XXX
    32851ALung transplant, single38.6319.63NA4.90090
    32852ALung transplant with bypass41.8021.03NA5.17090
    32853ALung transplant, double47.8123.01NA6.13090
    32854ALung transplant with bypass50.9823.77NA6.41090
    32900ARemoval of rib(s)20.2711.97NA2.42090
    32905ARevise & repair chest wall20.7512.31NA2.54090
    32906ARevise & repair chest wall26.7714.33NA3.30090
    32940ARevision of lung19.4311.50NA2.47090
    32960ATherapeutic pneumothorax1.840.572.030.12000
    32997ATotal lung lavage6.002.03NA0.55000
    32999CChest surgery procedure0.000.000.000.00YYY
    33010ADrainage of heart sac2.240.97NA0.13000
    33011ARepeat drainage of heart sac2.241.01NA0.13000
    33015AIncision of heart sac6.804.33NA0.64090
    33020AIncision of heart sac12.617.84NA1.50090
    33025AIncision of heart sac12.097.74NA1.50090
    33030APartial removal of heart sac18.7111.91NA2.40090
    Start Printed Page 43908
    33031APartial removal of heart sac21.7913.21NA2.78090
    33050ARemoval of heart sac lesion14.369.99NA1.73090
    33120ARemoval of heart lesion24.5615.54NA3.06090
    33130ARemoval of heart lesion21.3912.49NA2.51090
    33140AHeart revascularize (tmr)20.0010.40NA2.27090
    33141AHeart tmr w/other procedure4.841.62NA0.55ZZZ
    33200AInsertion of heart pacemaker12.489.22NA1.17090
    33201AInsertion of heart pacemaker10.189.14NA1.21090
    33206AInsertion of heart pacemaker6.675.34NA0.50090
    33207AInsertion of heart pacemaker8.045.87NA0.57090
    33208AInsertion of heart pacemaker8.136.04NA0.54090
    33210AInsertion of heart electrode3.301.29NA0.17000
    33211AInsertion of heart electrode3.401.35NA0.17000
    33212AInsertion of pulse generator5.524.34NA0.44090
    33213AInsertion of pulse generator6.374.74NA0.46090
    33214AUpgrade of pacemaker system7.755.83NA0.52090
    33216ARevise eltrd pacing-defib5.394.85NA0.36090
    33217ARevise eltrd pacing-defib5.755.17NA0.36090
    33218ARevise eltrd pacing-defib5.444.41NA0.40090
    33220ARevise eltrd pacing-defib5.524.45NA0.39090
    33222ARevise pocket, pacemaker4.963.82NA0.39090
    33223ARevise pocket, pacing-defib6.465.03NA0.44090
    33233ARemoval of pacemaker system3.293.76NA0.22090
    33234ARemoval of pacemaker system7.825.32NA0.56090
    33235ARemoval pacemaker electrode9.406.14NA0.68090
    33236ARemove electrode/thoracotomy12.608.94NA1.49090
    33237ARemove electrode/thoracotomy13.719.35NA1.57090
    33238ARemove electrode/thoracotomy15.228.99NA1.56090
    33240AInsert pulse generator7.605.42NA0.53090
    33241ARemove pulse generator3.243.38NA0.21090
    33243ARemove eltrd/thoracotomy22.6410.65NA2.53090
    33244ARemove eltrd, transven13.768.04NA1.05090
    33245AInsert epic eltrd pace-defib14.3010.61NA1.28090
    33246AInsert epic eltrd/generator20.7113.72NA2.22090
    33249AEltrd/insert pace-defib14.238.80NA0.80090
    33250AAblate heart dysrhythm focus21.8513.66NA1.01090
    33251AAblate heart dysrhythm focus24.8814.23NA2.41090
    33253AReconstruct atria31.0616.40NA3.68090
    33261AAblate heart dysrhythm focus24.8814.43NA2.82090
    33282AImplant pat-active ht record4.174.44NA0.39090
    33284ARemove pat-active ht record2.504.02NA0.23090
    33300ARepair of heart wound17.9211.66NA1.91090
    33305ARepair of heart wound21.4413.12NA2.68090
    33310AExploratory heart surgery18.5111.93NA2.26090
    33315AExploratory heart surgery22.3713.31NA2.90090
    33320ARepair major blood vessel(s)16.7911.00NA1.66090
    33321ARepair major vessel20.2012.34NA2.70090
    33322ARepair major blood vessel(s)20.6212.90NA2.51090
    33330AInsert major vessel graft21.4312.65NA2.49090
    33332AInsert major vessel graft23.9612.98NA2.45090
    33335AInsert major vessel graft30.0115.88NA3.79090
    33400ARepair of aortic valve28.5016.77NA3.09090
    33401AValvuloplasty, open23.9115.10NA2.71090
    33403AValvuloplasty, w/cp bypass24.8915.68NA2.48090
    33404APrepare heart-aorta conduit28.5416.72NA3.31090
    33405AReplacement of aortic valve35.0017.61NA3.86090
    33406AReplacement of aortic valve37.5018.36NA4.07090
    33410AReplacement of aortic valve32.4616.82NA4.11090
    33411AReplacement of aortic valve36.2518.02NA4.16090
    33412AReplacement of aortic valve42.0021.33NA4.66090
    33413AReplacement of aortic valve43.5022.90NA4.26090
    33414ARepair of aortic valve30.3517.43NA3.79090
    33415ARevision, subvalvular tissue27.1515.67NA3.25090
    33416ARevise ventricle muscle30.3516.09NA3.85090
    33417ARepair of aortic valve28.5316.95NA3.58090
    33420ARevision of mitral valve22.7011.39NA1.48090
    Start Printed Page 43909
    33422ARevision of mitral valve25.9414.55NA3.30090
    33425ARepair of mitral valve27.0014.75NA3.00090
    33426ARepair of mitral valve33.0017.04NA3.87090
    33427ARepair of mitral valve40.0019.22NA4.30090
    33430AReplacement of mitral valve33.5017.14NA3.95090
    33460ARevision of tricuspid valve23.6013.82NA3.02090
    33463AValvuloplasty, tricuspid25.6214.54NA3.17090
    33464AValvuloplasty, tricuspid27.3315.17NA3.47090
    33465AReplace tricuspid valve28.7915.51NA3.61090
    33468ARevision of tricuspid valve30.1219.16NA4.00090
    33470ARevision of pulmonary valve20.8113.53NA2.81090
    33471AValvotomy, pulmonary valve22.2513.79NA3.00090
    33472ARevision of pulmonary valve22.2513.74NA2.92090
    33474ARevision of pulmonary valve23.0413.16NA2.84090
    33475AReplacement, pulmonary valve33.0018.35NA2.64090
    33476ARevision of heart chamber25.7713.99NA2.40090
    33478ARevision of heart chamber26.7414.56NA3.56090
    33496ARepair, prosth valve clot27.2516.52NA3.44090
    33500ARepair heart vessel fistula25.5513.59NA2.80090
    33501ARepair heart vessel fistula17.7810.56NA2.05090
    33502ACoronary artery correction21.0416.23NA2.51090
    33503ACoronary artery graft21.7813.58NA1.42090
    33504ACoronary artery graft24.6616.54NA3.04090
    33505ARepair artery w/tunnel26.8417.93NA1.52090
    33506ARepair artery, translocation35.5019.53NA3.19090
    33510ACABG, vein, single29.0015.59NA3.13090
    33511ACABG, vein, two30.0015.92NA3.34090
    33512ACABG, vein, three31.8016.48NA3.70090
    33513ACABG, vein, four32.0016.63NA3.99090
    33514ACABG, vein, five32.7516.91NA4.37090
    33516ACabg, vein, six or more35.0017.67NA4.62090
    33517ACABG, artery-vein, single2.570.85NA0.32ZZZ
    33518ACABG, artery-vein, two4.851.61NA0.61ZZZ
    33519ACABG, artery-vein, three7.122.36NA0.89ZZZ
    33521ACABG, artery-vein, four9.403.12NA1.18ZZZ
    33522ACABG, artery-vein, five11.673.86NA1.48ZZZ
    33523ACabg, art-vein, six or more13.954.59NA1.78ZZZ
    33530ACoronary artery, bypass/reop5.861.93NA0.73ZZZ
    33533ACABG, arterial, single30.0017.12NA3.24090
    33534ACABG, arterial, two32.2017.36NA3.63090
    33535ACABG, arterial, three34.5017.88NA3.97090
    33536ACabg, arterial, four or more37.5018.31NA3.29090
    33542ARemoval of heart lesion28.8516.97NA3.61090
    33545ARepair of heart damage36.7819.54NA4.40090
    33572AOpen coronary endarterectomy4.451.47NA0.55ZZZ
    33600AClosure of valve29.5116.47NA2.30090
    33602AClosure of valve28.5415.96NA2.90090
    33606AAnastomosis/artery-aorta30.7417.95NA3.59090
    33608ARepair anomaly w/conduit31.0917.05NA4.17090
    33610ARepair by enlargement30.6118.43NA4.02090
    33611ARepair double ventricle34.0018.53NA3.28090
    33612ARepair double ventricle35.0019.36NA4.44090
    33615ARepair, modified fontan34.0020.22NA3.15090
    33617ARepair single ventricle37.0021.31NA4.09090
    33619ARepair single ventricle45.0026.38NA4.71090
    33641ARepair heart septum defect21.3911.71NA2.67090
    33645ARevision of heart veins24.8213.89NA3.27090
    33647ARepair heart septum defects28.7317.04NA3.37090
    33660ARepair of heart defects30.0017.04NA2.82090
    33665ARepair of heart defects28.6016.92NA3.81090
    33670ARepair of heart chambers35.0016.29NA2.18090
    33681ARepair heart septum defect30.6117.52NA3.53090
    33684ARepair heart septum defect29.6516.58NA3.77090
    33688ARepair heart septum defect30.6214.18NA3.89090
    33690AReinforce pulmonary artery19.5513.26NA2.56090
    33692ARepair of heart defects30.7516.77NA3.77090
    Start Printed Page 43910
    33694ARepair of heart defects34.0018.42NA4.27090
    33697ARepair of heart defects36.0018.65NA4.54090
    33702ARepair of heart defects26.5416.25NA3.45090
    33710ARepair of heart defects29.7117.07NA3.85090
    33720ARepair of heart defect26.5615.88NA3.21090
    33722ARepair of heart defect28.4117.22NA3.80090
    33730ARepair heart-vein defect(s)34.2517.63NA2.85090
    33732ARepair heart-vein defect28.1616.46NA2.78090
    33735ARevision of heart chamber21.3912.93NA1.12090
    33736ARevision of heart chamber23.5215.03NA2.70090
    33737ARevision of heart chamber21.7613.98NA2.93090
    33750AMajor vessel shunt21.4112.99NA1.74090
    33755AMajor vessel shunt21.7913.29NA2.93090
    33762AMajor vessel shunt21.7912.96NA1.59090
    33764AMajor vessel shunt & graft21.7912.76NA1.93090
    33766AMajor vessel shunt22.7614.68NA3.04090
    33767AMajor vessel shunt24.5014.71NA3.14090
    33770ARepair great vessels defect37.0018.64NA4.49090
    33771ARepair great vessels defect34.6517.61NA4.67090
    33774ARepair great vessels defect30.9816.19NA4.18090
    33775ARepair great vessels defect32.2016.66NA4.34090
    33776ARepair great vessels defect34.0417.37NA4.58090
    33777ARepair great vessels defect33.4617.15NA4.51090
    33778ARepair great vessels defect40.0019.94NA4.83090
    33779ARepair great vessels defect36.2118.42NA2.40090
    33780ARepair great vessels defect41.7522.00NA5.21090
    33781ARepair great vessels defect36.4518.30NA4.91090
    33786ARepair arterial trunk39.0019.29NA4.69090
    33788ARevision of pulmonary artery26.6215.05NA3.32090
    33800AAortic suspension16.2412.12NA1.11090
    33802ARepair vessel defect17.6612.50NA1.56090
    33803ARepair vessel defect19.6012.94NA2.63090
    33813ARepair septal defect20.6514.23NA2.78090
    33814ARepair septal defect25.7715.91NA2.52090
    33820ARevise major vessel16.2911.02NA2.10090
    33822ARevise major vessel17.3210.91NA2.33090
    33824ARevise major vessel19.5212.28NA2.61090
    33840ARemove aorta constriction20.6313.62NA2.36090
    33845ARemove aorta constriction22.1214.50NA2.90090
    33851ARemove aorta constriction21.2714.06NA2.86090
    33852ARepair septal defect23.7115.22NA3.19090
    33853ARepair septal defect31.7218.12NA4.23090
    33860AAscending aortic graft38.0018.58NA4.30090
    33861AAscending aortic graft42.0019.90NA4.24090
    33863AAscending aortic graft45.0020.85NA4.60090
    33870ATransverse aortic arch graft44.0020.48NA5.09090
    33875AThoracic aortic graft33.0616.78NA4.08090
    33877AThoracoabdominal graft42.6021.40NA5.07090
    33910ARemove lung artery emboli24.5913.95NA3.06090
    33915ARemove lung artery emboli21.0212.25NA1.20090
    33916ASurgery of great vessel25.8314.51NA3.04090
    33917ARepair pulmonary artery24.5015.30NA3.17090
    33918ARepair pulmonary atresia26.4515.17NA3.42090
    33919ARepair pulmonary atresia40.0020.96NA3.48090
    33920ARepair pulmonary atresia31.9516.64NA3.61090
    33922ATransect pulmonary artery23.5214.03NA2.30090
    33924ARemove pulmonary shunt5.501.86NA0.74ZZZ
    33930XRemoval of donor heart/lung0.000.000.000.00XXX
    33935RTransplantation, heart/lung60.9627.45NA8.15090
    33940XRemoval of donor heart0.000.000.000.00XXX
    33945RTransplantation of heart42.1021.20NA5.42090
    33960AExternal circulation assist19.365.10NA2.14000
    33961AExternal circulation assist10.933.66NA1.47ZZZ
    33967AInsert ia percut device4.851.901.900.27000
    33968ARemove aortic assist device0.640.23NA0.07000
    33970AAortic circulation assist6.752.30NA0.70000
    Start Printed Page 43911
    33971AAortic circulation assist9.697.71NA0.97090
    33973AInsert balloon device9.763.34NA1.01000
    33974ARemove intra-aortic balloon14.4110.41NA1.48090
    33975AImplant ventricular device21.006.40NA1.72XXX
    33976AImplant ventricular device23.007.60NA2.82XXX
    33977ARemove ventricular device19.2910.25NA2.44090
    33978ARemove ventricular device21.7311.11NA2.66090
    33979CInsert intracorporeal device0.000.000.000.00XXX
    33980CRemove intracorporeal device0.000.000.000.00090
    33999CCardiac surgery procedure0.000.000.000.00YYY
    34001ARemoval of artery clot12.915.88NA1.46090
    34051ARemoval of artery clot15.216.83NA1.90090
    34101ARemoval of artery clot10.004.69NA1.11090
    34111ARemoval of arm artery clot10.004.78NA0.85090
    34151ARemoval of artery clot25.0010.26NA1.84090
    34201ARemoval of artery clot10.035.02NA1.02090
    34203ARemoval of leg artery clot16.507.46NA1.37090
    34401ARemoval of vein clot25.0010.14NA1.20090
    34421ARemoval of vein clot12.005.88NA0.95090
    34451ARemoval of vein clot27.0010.74NA1.59090
    34471ARemoval of vein clot10.184.86NA0.90090
    34490ARemoval of vein clot9.866.04NA0.73090
    34501ARepair valve, femoral vein16.009.06NA1.37090
    34502AReconstruct vena cava26.9511.01NA2.99090
    34510ATransposition of vein valve18.9510.02NA1.60090
    34520ACross-over vein graft17.959.30NA1.41090
    34530ALeg vein fusion16.648.67NA2.06090
    34800AEndovasc abdo repair w/tube20.759.53NA1.49090
    34802AEndovasc abdo repr w/device23.0010.40NA1.65090
    34804AEndovasc abdo repr w/device23.0010.40NA1.65090
    34808AEndovasc abdo occlud device4.131.60NA0.29ZZZ
    34812AXpose for endoprosth, aortic6.752.61NA0.49000
    34813AXpose for endoprosth, femorl4.801.86NA0.34ZZZ
    34820AXpose for endoprosth, iliac9.753.77NA0.70000
    34825AEndovasc extend prosth, init12.006.15NA0.86090
    34826AEndovasc exten prosth, addl4.131.60NA0.29ZZZ
    34830AOpen aortic tube prosth repr32.5914.47NA2.34090
    34831AOpen aortoiliac prosth repr35.3415.53NA2.53090
    34832AOpen aortofemor prosth repr35.3415.53NA2.53090
    35001ARepair defect of artery19.648.39NA2.44090
    35002ARepair artery rupture, neck21.009.08NA1.82090
    35005ARepair defect of artery18.127.79NA1.35090
    35011ARepair defect of artery18.007.40NA1.30090
    35013ARepair artery rupture, arm22.008.71NA1.91090
    35021ARepair defect of artery19.658.55NA1.93090
    35022ARepair artery rupture, chest23.189.41NA1.99090
    35045ARepair defect of arm artery17.578.53NA1.25090
    35081ARepair defect of artery28.0111.65NA3.20090
    35082ARepair artery rupture, aorta38.5014.62NA4.07090
    35091ARepair defect of artery35.4013.95NA4.09090
    35092ARepair artery rupture, aorta45.0016.95NA4.31090
    35102ARepair defect of artery30.7612.36NA3.44090
    35103ARepair artery rupture, groin40.5015.43NA3.79090
    35111ARepair defect of artery25.0010.21NA1.81090
    35112ARepair artery rupture,spleen30.0011.66NA1.95090
    35121ARepair defect of artery30.0012.07NA2.93090
    35122ARepair artery rupture, belly35.0013.45NA3.54090
    35131ARepair defect of artery25.0010.39NA2.11090
    35132ARepair artery rupture, groin30.0011.82NA2.48090
    35141ARepair defect of artery20.008.53NA1.65090
    35142ARepair artery rupture, thigh23.309.57NA1.75090
    35151ARepair defect of artery22.649.56NA1.93090
    35152ARepair artery rupture, knee25.6210.43NA1.93090
    35161ARepair defect of artery18.768.66NA2.21090
    35162ARepair artery rupture19.788.82NA2.21090
    35180ARepair blood vessel lesion13.626.34NA1.44090
    Start Printed Page 43912
    35182ARepair blood vessel lesion30.0012.33NA1.88090
    35184ARepair blood vessel lesion18.007.81NA1.34090
    35188ARepair blood vessel lesion14.286.55NA1.53090
    35189ARepair blood vessel lesion28.0011.42NA2.12090
    35190ARepair blood vessel lesion12.755.87NA1.33090
    35201ARepair blood vessel lesion16.146.99NA1.17090
    35206ARepair blood vessel lesion13.257.43NA1.04090
    35207ARepair blood vessel lesion10.159.69NA1.15090
    35211ARepair blood vessel lesion22.1213.43NA2.83090
    35216ARepair blood vessel lesion18.7511.41NA2.17090
    35221ARepair blood vessel lesion24.3910.09NA1.79090
    35226ARepair blood vessel lesion14.508.68NA0.84090
    35231ARepair blood vessel lesion20.009.24NA1.32090
    35236ARepair blood vessel lesion17.118.85NA1.19090
    35241ARepair blood vessel lesion23.1214.08NA2.90090
    35246ARepair blood vessel lesion26.4514.10NA2.22090
    35251ARepair blood vessel lesion30.2012.03NA1.87090
    35256ARepair blood vessel lesion18.369.37NA1.32090
    35261ARepair blood vessel lesion17.807.44NA1.34090
    35266ARepair blood vessel lesion14.917.88NA1.16090
    35271ARepair blood vessel lesion22.1213.22NA2.77090
    35276ARepair blood vessel lesion24.2513.50NA2.37090
    35281ARepair blood vessel lesion28.0011.42NA1.82090
    35286ARepair blood vessel lesion16.168.65NA1.36090
    35301ARechanneling of artery18.708.29NA2.23090
    35311ARechanneling of artery27.0010.92NA2.75090
    35321ARechanneling of artery16.006.70NA1.36090
    35331ARechanneling of artery26.2010.81NA2.71090
    35341ARechanneling of artery25.1110.41NA2.87090
    35351ARechanneling of artery23.009.64NA2.29090
    35355ARechanneling of artery18.508.13NA1.80090
    35361ARechanneling of artery28.2011.37NA2.66090
    35363ARechanneling of artery30.2012.11NA2.77090
    35371ARechanneling of artery14.726.63NA1.32090
    35372ARechanneling of artery18.007.74NA1.53090
    35381ARechanneling of artery15.817.21NA1.80090
    35390AReoperation, carotid add-on3.191.08NA0.38ZZZ
    35400AAngioscopy3.001.07NA0.34ZZZ
    35450ARepair arterial blockage10.074.04NA0.84000
    35452ARepair arterial blockage6.913.07NA0.76000
    35454ARepair arterial blockage6.042.75NA0.67000
    35456ARepair arterial blockage7.353.20NA0.82000
    35458ARepair arterial blockage9.493.90NA1.09000
    35459ARepair arterial blockage8.633.58NA0.96000
    35460ARepair venous blockage6.042.61NA0.66000
    35470ARepair arterial blockage8.633.89NA0.50000
    35471ARepair arterial blockage10.074.53NA0.50000
    35472ARepair arterial blockage6.913.27NA0.39000
    35473ARepair arterial blockage6.042.95NA0.34000
    35474ARepair arterial blockage7.363.43NA0.40000
    35475RRepair arterial blockage9.494.12NA0.47000
    35476ARepair venous blockage6.042.89NA0.27000
    35480AAtherectomy, open11.084.50NA1.13000
    35481AAtherectomy, open7.613.35NA0.84000
    35482AAtherectomy, open6.653.01NA0.75000
    35483AAtherectomy, open8.103.46NA0.81000
    35484AAtherectomy, open10.444.17NA1.13000
    35485AAtherectomy, open9.494.00NA1.06000
    35490AAtherectomy, percutaneous11.084.80NA0.55000
    35491AAtherectomy, percutaneous7.613.34NA0.49000
    35492AAtherectomy, percutaneous6.653.18NA0.43000
    35493AAtherectomy, percutaneous8.103.83NA0.47000
    35494AAtherectomy, percutaneous10.444.47NA0.48000
    35495AAtherectomy, percutaneous9.494.43NA0.51000
    35500AHarvest vein for bypass6.452.10NA0.63ZZZ
    35501AArtery bypass graft19.197.40NA2.33090
    Start Printed Page 43913
    35506AArtery bypass graft19.678.13NA2.33090
    35507AArtery bypass graft19.678.11NA2.27090
    35508AArtery bypass graft18.657.79NA2.34090
    35509AArtery bypass graft18.077.56NA2.12090
    35511AArtery bypass graft21.208.67NA1.74090
    35515AArtery bypass graft18.657.91NA2.26090
    35516AArtery bypass graft16.325.78NA1.88090
    35518AArtery bypass graft21.208.48NA1.78090
    35521AArtery bypass graft22.209.34NA1.82090
    35526AArtery bypass graft29.9511.90NA2.18090
    35531AArtery bypass graft36.2014.13NA2.91090
    35533AArtery bypass graft28.0011.41NA2.35090
    35536AArtery bypass graft31.7012.64NA2.62090
    35541AArtery bypass graft25.8010.72NA2.74090
    35546AArtery bypass graft25.5410.49NA2.84090
    35548AArtery bypass graft21.579.14NA2.45090
    35549AArtery bypass graft23.359.77NA2.77090
    35551AArtery bypass graft26.6710.92NA3.19090
    35556AArtery bypass graft21.769.26NA2.48090
    35558AArtery bypass graft21.209.00NA1.58090
    35560AArtery bypass graft32.0012.82NA2.73090
    35563AArtery bypass graft24.2010.04NA1.68090
    35565AArtery bypass graft23.209.72NA1.71090
    35566AArtery bypass graft26.9211.71NA3.02090
    35571AArtery bypass graft24.0611.90NA2.14090
    35582AVein bypass graft27.1311.14NA3.11090
    35583AVein bypass graft22.3710.46NA2.53090
    35585AVein bypass graft28.3914.26NA3.21090
    35587AVein bypass graft24.7512.62NA2.17090
    35600AHarvest artery for cabg4.951.91NA0.60ZZZ
    35601AArtery bypass graft17.507.33NA2.08090
    35606AArtery bypass graft18.717.77NA2.17090
    35612AArtery bypass graft15.766.73NA1.72090
    35616AArtery bypass graft15.706.78NA1.84090
    35621AArtery bypass graft20.008.66NA1.68090
    35623ABypass graft, not vein24.0010.02NA1.91090
    35626AArtery bypass graft27.7510.95NA2.89090
    35631AArtery bypass graft34.0013.44NA2.83090
    35636AArtery bypass graft29.5012.09NA2.37090
    35641AArtery bypass graft24.5710.29NA2.83090
    35642AArtery bypass graft17.987.87NA1.84090
    35645AArtery bypass graft17.477.71NA1.91090
    35646AArtery bypass graft31.0013.01NA2.98090
    35647AArtery bypass graft28.0011.74NA2.98090
    35650AArtery bypass graft19.007.78NA1.64090
    35651AArtery bypass graft25.0410.47NA2.53090
    35654AArtery bypass graft25.0010.36NA2.10090
    35656AArtery bypass graft19.538.28NA2.21090
    35661AArtery bypass graft19.008.10NA1.50090
    35663AArtery bypass graft22.009.41NA1.55090
    35665AArtery bypass graft21.008.99NA1.76090
    35666AArtery bypass graft22.1911.74NA2.19090
    35671AArtery bypass graft19.3310.32NA1.68090
    35681AComposite bypass graft1.600.54NA0.18ZZZ
    35682AComposite bypass graft7.202.45NA0.83ZZZ
    35683AComposite bypass graft8.502.90NA0.98ZZZ
    35685ABypass graft patency/patch4.051.47NA0.41ZZZ
    35686ABypass graft/av fist patency3.351.22NA0.34ZZZ
    35691AArterial transposition18.057.55NA2.06090
    35693AArterial transposition15.366.55NA1.80090
    35694AArterial transposition19.167.86NA2.13090
    35695AArterial transposition19.167.82NA2.19090
    35700AReoperation, bypass graft3.081.04NA0.36ZZZ
    35701AExploration, carotid artery8.504.57NA0.64090
    35721AExploration, femoral artery7.185.04NA0.59090
    35741AExploration popliteal artery8.005.28NA0.60090
    Start Printed Page 43914
    35761AExploration of artery/vein5.374.36NA0.60090
    35800AExplore neck vessels7.023.89NA0.79090
    35820AExplore chest vessels12.884.26NA1.61090
    35840AExplore abdominal vessels9.775.10NA1.06090
    35860AExplore limb vessels5.553.53NA0.63090
    35870ARepair vessel graft defect22.179.92NA2.47090
    35875ARemoval of clot in graft10.136.24NA0.97090
    35876ARemoval of clot in graft17.008.78NA1.88090
    35879ARevise graft w/vein16.007.74NA1.35090
    35881ARevise graft w/vein18.008.55NA1.44090
    35901AExcision, graft, neck8.195.74NA0.90090
    35903AExcision, graft, extremity9.398.01NA1.03090
    35905AExcision, graft, thorax31.2514.95NA2.15090
    35907AExcision, graft, abdomen35.0014.55NA2.17090
    36000APlace needle in vein0.180.050.640.01XXX
    36002APseudoaneurysm injection trt1.961.012.910.08000
    36005AInjection ext venography0.950.338.260.04000
    36010APlace catheter in vein2.430.81NA0.16XXX
    36011APlace catheter in vein3.141.06NA0.17XXX
    36012APlace catheter in vein3.521.19NA0.17XXX
    36013APlace catheter in artery2.520.67NA0.17XXX
    36014APlace catheter in artery3.021.03NA0.14XXX
    36015APlace catheter in artery3.521.20NA0.16XXX
    36100AEstablish access to artery3.021.13NA0.18XXX
    36120AEstablish access to artery2.010.67NA0.11XXX
    36140AEstablish access to artery2.010.66NA0.12XXX
    36145AArtery to vein shunt2.010.68NA0.10XXX
    36160AEstablish access to aorta2.520.86NA0.20XXX
    36200APlace catheter in aorta3.021.05NA0.15XXX
    36215APlace catheter in artery4.681.63NA0.22XXX
    36216APlace catheter in artery5.281.82NA0.24XXX
    36217APlace catheter in artery6.302.22NA0.32XXX
    36218APlace catheter in artery1.010.36NA0.05ZZZ
    36245APlace catheter in artery4.681.71NA0.23XXX
    36246APlace catheter in artery5.281.85NA0.26XXX
    36247APlace catheter in artery6.302.18NA0.32XXX
    36248APlace catheter in artery1.010.36NA0.06ZZZ
    36260AInsertion of infusion pump9.715.46NA1.00090
    36261ARevision of infusion pump5.453.30NA0.50090
    36262ARemoval of infusion pump4.022.47NA0.43090
    36299CVessel injection procedure0.000.000.000.00YYY
    36400ADrawing blood0.380.100.720.01XXX
    36405ADrawing blood0.310.080.560.01XXX
    36406ADrawing blood0.180.050.720.01XXX
    36410ADrawing blood0.180.050.490.01XXX
    36415IDrawing blood0.000.000.000.00XXX
    36420AEstablish access to vein1.010.30NA0.09XXX
    36425AEstablish access to vein0.760.173.320.05XXX
    36430ABlood transfusion service0.00NA1.040.05XXX
    36440ABlood transfusion service1.030.29NA0.08XXX
    36450AExchange transfusion service2.230.72NA0.16XXX
    36455AExchange transfusion service2.430.85NA0.10XXX
    36460ATransfusion service, fetal6.592.28NA0.56XXX
    36468RInjection(s), spider veins0.000.000.000.00000
    36469RInjection(s), spider veins0.000.000.000.00000
    36470AInjection therapy of vein1.090.392.280.10010
    36471AInjection therapy of veins1.570.552.620.15010
    36481AInsertion of catheter, vein6.992.81NA0.40000
    36488AInsertion of catheter, vein1.350.71NA0.09000
    36489AInsertion of catheter, vein2.501.034.090.08000
    36490AInsertion of catheter, vein1.670.78NA0.17000
    36491AInsertion of catheter, vein1.430.73NA0.13000
    36493ARepositioning of cvc1.210.86NA0.06000
    36500AInsertion of catheter, vein3.521.27NA0.14000
    36510AInsertion of catheter, vein1.090.71NA0.06000
    36520APlasma and/or cell exchange1.741.04NA0.06000
    Start Printed Page 43915
    36521AApheresis w/ adsorp/reinfuse1.741.04NA0.06000
    36522APhotopheresis1.671.126.820.07000
    36530RInsertion of infusion pump6.203.71NA0.56010
    36531RRevision of infusion pump4.873.21NA0.44010
    36532RRemoval of infusion pump3.301.51NA0.34010
    36533AInsertion of access device5.323.3613.860.49010
    36534ARevision of access device2.801.47NA0.19010
    36535ARemoval of access device2.271.812.810.21010
    36540BCollect blood venous device0.000.000.000.00XXX
    36550ADeclot vascular device0.00NA0.370.31XXX
    36600AWithdrawal of arterial blood0.320.090.410.02XXX
    36620AInsertion catheter, artery1.150.25NA0.06000
    36625AInsertion catheter, artery2.110.54NA0.16000
    36640AInsertion catheter, artery2.100.72NA0.18000
    36660AInsertion catheter, artery1.400.45NA0.08000
    36680AInsert needle, bone cavity1.200.62NA0.08000
    36800AInsertion of cannula2.431.54NA0.17000
    36810AInsertion of cannula3.972.19NA0.40000
    36815AInsertion of cannula2.621.24NA0.26000
    36819AAv fusion/uppr arm vein14.006.40NA1.53090
    36820AAv fusion/forearm vein14.006.41NA1.53090
    36821AAv fusion direct any site8.934.93NA0.97090
    36822AInsertion of cannula(s)5.426.73NA0.63090
    36823AInsertion of cannula(s)21.0010.32NA2.18090
    36825AArtery-vein graft9.845.45NA1.09090
    36830AArtery-vein graft12.006.02NA1.32090
    36831AOpen thrombect av fistula8.003.93NA0.79090
    36832AAv fistula revision, open10.505.50NA1.13090
    36833AAv fistula revision11.956.01NA1.29090
    36834ARepair A-V aneurysm9.933.79NA1.06090
    36835AArtery to vein shunt7.154.41NA0.80090
    36860AExternal cannula declotting2.011.302.260.10000
    36861ACannula declotting2.521.47NA0.14000
    36870APercut thrombect av fistula5.162.4142.130.23090
    37140ARevision of circulation23.6010.40NA1.21090
    37145ARevision of circulation24.6110.96NA2.48090
    37160ARevision of circulation21.609.11NA2.16090
    37180ARevision of circulation24.6110.29NA2.63090
    37181ASplice spleen/kidney veins26.6810.86NA2.67090
    37195AThrombolytic therapy, stroke0.00NA8.320.38XXX
    37200ATranscatheter biopsy4.561.56NA0.19000
    37201ATranscatheter therapy infuse5.002.55NA0.24000
    37202ATranscatheter therapy infuse5.683.07NA0.38000
    37203ATranscatheter retrieval5.032.57NA0.23000
    37204ATranscatheter occlusion18.146.15NA0.85000
    37205ATranscatheter stent8.283.80NA0.43000
    37206ATranscatheter stent add-on4.131.49NA0.22ZZZ
    37207ATranscatheter stent8.283.52NA0.89000
    37208ATranscatheter stent add-on4.131.42NA0.44ZZZ
    37209AExchange arterial catheter2.270.77NA0.11000
    37250AIv us first vessel add-on2.100.77NA0.17ZZZ
    37251AIv us each add vessel add-on1.600.57NA0.14ZZZ
    37565ALigation of neck vein10.885.08NA0.45090
    37600ALigation of neck artery11.256.28NA0.40090
    37605ALigation of neck artery13.116.46NA0.77090
    37606ALigation of neck artery6.283.95NA0.79090
    37607ALigation of a-v fistula6.163.61NA0.67090
    37609ATemporal artery procedure3.002.507.030.21010
    37615ALigation of neck artery5.733.61NA0.57090
    37616ALigation of chest artery16.4910.47NA1.93090
    37617ALigation of abdomen artery22.069.45NA1.69090
    37618ALigation of extremity artery4.843.46NA0.54090
    37620ARevision of major vein10.565.41NA0.75090
    37650ARevision of major vein7.804.57NA0.56090
    37660ARevision of major vein21.009.30NA1.17090
    37700ARevise leg vein3.733.08NA0.40090
    Start Printed Page 43916
    37720ARemoval of leg vein5.663.60NA0.61090
    37730ARemoval of leg veins7.334.44NA0.77090
    37735ARemoval of leg veins/lesion10.535.77NA1.17090
    37760ARevision of leg veins10.475.61NA1.11090
    37780ARevision of leg vein3.842.91NA0.41090
    37785ARevise secondary varicosity3.842.826.830.41090
    37788ARevascularization, penis22.0112.45NA1.35090
    37790APenile venous occlusion8.346.96NA0.63090
    37799CVascular surgery procedure0.000.000.000.00YYY
    38100ARemoval of spleen, total14.506.57NA1.30090
    38101ARemoval of spleen, partial15.316.98NA1.38090
    38102ARemoval of spleen, total4.801.68NA0.49ZZZ
    38115ARepair of ruptured spleen15.827.04NA1.40090
    38120ALaparoscopy, splenectomy17.007.42NA1.73090
    38129CLaparoscope proc, spleen0.000.000.000.00YYY
    38200AInjection for spleen x-ray2.640.92NA0.12000
    38220ABone marrow aspiration1.080.434.590.03XXX
    38221ABone marrow biopsy1.370.544.700.04XXX
    38230RBone marrow collection4.542.44NA0.25010
    38231RStem cell collection1.500.59NA0.05000
    38240RBone marrow/stem transplant2.240.84NA0.08XXX
    38241RBone marrow/stem transplant2.240.84NA0.08XXX
    38300ADrainage, lymph node lesion1.992.574.600.15010
    38305ADrainage, lymph node lesion6.006.228.500.36090
    38308AIncision of lymph channels6.455.62NA0.51090
    38380AThoracic duct procedure7.467.40NA0.68090
    38381AThoracic duct procedure12.889.51NA1.58090
    38382AThoracic duct procedure10.089.00NA1.08090
    38500ABiopsy/removal, lymph nodes3.752.543.020.28010
    38505ANeedle biopsy, lymph nodes1.141.113.150.09000
    38510ABiopsy/removal, lymph nodes6.435.36NA0.38010
    38520ABiopsy/removal, lymph nodes6.675.44NA0.52090
    38525ABiopsy/removal, lymph nodes6.074.38NA0.48090
    38530ABiopsy/removal, lymph nodes7.985.82NA0.63090
    38542AExplore deep node(s), neck5.915.91NA0.50090
    38550ARemoval, neck/armpit lesion6.924.76NA0.69090
    38555ARemoval, neck/armpit lesion14.1410.08NA1.46090
    38562ARemoval, pelvic lymph nodes10.496.59NA0.97090
    38564ARemoval, abdomen lymph nodes10.836.31NA1.06090
    38570ALaparoscopy, lymph node biop9.254.53NA0.89010
    38571ALaparoscopy, lymphadenectomy14.686.29NA0.80010
    38572ALaparoscopy, lymphadenectomy16.597.39NA1.32010
    38589CLaparoscope proc, lymphatic0.000.000.000.00YYY
    38700ARemoval of lymph nodes, neck8.2413.45NA0.60090
    38720ARemoval of lymph nodes, neck13.6116.01NA1.03090
    38724ARemoval of lymph nodes, neck14.5416.49NA1.10090
    38740ARemove armpit lymph nodes10.035.80NA0.69090
    38745ARemove armpit lymph nodes13.108.29NA0.90090
    38746ARemove thoracic lymph nodes4.891.62NA0.55ZZZ
    38747ARemove abdominal lymph nodes4.891.71NA0.50ZZZ
    38760ARemove groin lymph nodes12.957.18NA0.88090
    38765ARemove groin lymph nodes19.9811.40NA1.50090
    38770ARemove pelvis lymph nodes13.236.95NA0.94090
    38780ARemove abdomen lymph nodes16.599.36NA1.60090
    38790AInject for lymphatic x-ray1.290.4531.710.09000
    38792AIdentify sentinel node0.520.18NA0.04000
    38794AAccess thoracic lymph duct4.451.56NA0.17090
    38999CBlood/lymph system procedure0.000.000.000.00YYY
    39000AExploration of chest6.107.21NA0.73090
    39010AExploration of chest11.799.38NA1.46090
    39200ARemoval chest lesion13.629.88NA1.65090
    39220ARemoval chest lesion17.4211.13NA2.10090
    39400AVisualization of chest5.616.84NA0.69010
    39499CChest procedure0.000.000.000.00YYY
    39501ARepair diaphragm laceration13.197.70NA1.38090
    39502ARepair paraesophageal hernia16.338.24NA1.68090
    Start Printed Page 43917
    39503ARepair of diaphragm hernia95.0034.58NA3.52090
    39520ARepair of diaphragm hernia16.109.54NA1.83090
    39530ARepair of diaphragm hernia15.418.49NA1.66090
    39531ARepair of diaphragm hernia16.428.73NA1.83090
    39540ARepair of diaphragm hernia13.327.75NA1.38090
    39541ARepair of diaphragm hernia14.417.83NA1.52090
    39545ARevision of diaphragm13.378.96NA1.55090
    39560AResect diaphragm, simple12.007.55NA1.35090
    39561AResect diaphragm, complex17.509.58NA1.97090
    39599CDiaphragm surgery procedure0.000.000.000.00YYY
    40490ABiopsy of lip1.220.611.590.06000
    40500APartial excision of lip4.285.645.640.31090
    40510APartial excision of lip4.706.556.620.38090
    40520APartial excision of lip4.676.997.740.42090
    40525AReconstruct lip with flap7.558.45NA0.68090
    40527AReconstruct lip with flap9.139.33NA0.82090
    40530APartial removal of lip5.406.306.530.47090
    40650ARepair lip3.644.835.450.31090
    40652ARepair lip4.266.806.800.39090
    40654ARepair lip5.317.677.670.48090
    40700ARepair cleft lip/nasal12.7910.40NA0.93090
    40701ARepair cleft lip/nasal15.8512.85NA1.36090
    40702ARepair cleft lip/nasal13.049.44NA1.01090
    40720ARepair cleft lip/nasal13.5512.14NA1.31090
    40761ARepair cleft lip/nasal14.7212.51NA1.41090
    40799CLip surgery procedure0.000.000.000.00YYY
    40800ADrainage of mouth lesion1.170.461.930.09010
    40801ADrainage of mouth lesion2.531.862.430.18010
    40804ARemoval, foreign body, mouth1.242.162.620.09010
    40805ARemoval, foreign body, mouth2.692.803.130.17010
    40806AIncision of lip fold0.310.810.910.02000
    40808ABiopsy of mouth lesion0.962.072.070.07010
    40810AExcision of mouth lesion1.312.382.660.09010
    40812AExcise/repair mouth lesion2.312.882.880.17010
    40814AExcise/repair mouth lesion3.424.014.010.26090
    40816AExcision of mouth lesion3.674.314.310.27090
    40818AExcise oral mucosa for graft2.414.044.040.14090
    40819AExcise lip or cheek fold2.413.513.530.17090
    40820ATreatment of mouth lesion1.282.242.360.08010
    40830ARepair mouth laceration1.762.482.480.14010
    40831ARepair mouth laceration2.462.722.720.21010
    40840RReconstruction of mouth8.736.066.060.79090
    40842RReconstruction of mouth8.735.955.950.65090
    40843RReconstruction of mouth12.107.197.190.84090
    40844RReconstruction of mouth16.018.898.891.63090
    40845RReconstruction of mouth18.5810.8110.811.47090
    40899CMouth surgery procedure0.000.000.000.00YYY
    41000ADrainage of mouth lesion1.301.482.350.09010
    41005ADrainage of mouth lesion1.261.452.200.09010
    41006ADrainage of mouth lesion3.243.353.660.25090
    41007ADrainage of mouth lesion3.103.153.650.22090
    41008ADrainage of mouth lesion3.373.253.490.24090
    41009ADrainage of mouth lesion3.593.233.570.25090
    41010AIncision of tongue fold1.063.193.190.06010
    41015ADrainage of mouth lesion3.963.184.110.29090
    41016ADrainage of mouth lesion4.073.344.060.28090
    41017ADrainage of mouth lesion4.073.284.070.32090
    41018ADrainage of mouth lesion5.103.744.440.35090
    41100ABiopsy of tongue1.632.582.640.12010
    41105ABiopsy of tongue1.422.432.430.10010
    41108ABiopsy of floor of mouth1.052.292.350.08010
    41110AExcision of tongue lesion1.512.573.090.11010
    41112AExcision of tongue lesion2.733.493.490.20090
    41113AExcision of tongue lesion3.193.433.430.23090
    41114AExcision of tongue lesion8.476.35NA0.64090
    41115AExcision of tongue fold1.742.472.570.13010
    Start Printed Page 43918
    41116AExcision of mouth lesion2.443.353.350.17090
    41120APartial removal of tongue9.778.78NA0.70090
    41130APartial removal of tongue11.159.57NA0.81090
    41135ATongue and neck surgery23.0915.91NA1.66090
    41140ARemoval of tongue25.5017.29NA1.85090
    41145ATongue removal, neck surgery30.0621.16NA2.11090
    41150ATongue, mouth, jaw surgery23.0417.06NA1.67090
    41153ATongue, mouth, neck surgery23.7717.65NA1.71090
    41155ATongue, jaw, & neck surgery27.7219.86NA2.02090
    41250ARepair tongue laceration1.911.702.790.15010
    41251ARepair tongue laceration2.271.992.640.18010
    41252ARepair tongue laceration2.972.343.450.23010
    41500AFixation of tongue3.714.27NA0.26090
    41510ATongue to lip surgery3.424.76NA0.24090
    41520AReconstruction, tongue fold2.732.952.950.19090
    41599CTongue and mouth surgery0.000.000.000.00YYY
    41800ADrainage of gum lesion1.171.361.910.09010
    41805ARemoval foreign body, gum1.241.881.880.09010
    41806ARemoval foreign body,jawbone2.692.442.500.22010
    41820RExcision, gum, each quadrant0.000.000.000.00000
    41821RExcision of gum flap0.000.000.000.00000
    41822RExcision of gum lesion2.310.962.780.24010
    41823RExcision of gum lesion3.302.933.520.29090
    41825AExcision of gum lesion1.312.302.350.10010
    41826AExcision of gum lesion2.312.602.600.17010
    41827AExcision of gum lesion3.423.513.510.25090
    41828RExcision of gum lesion3.092.332.980.22010
    41830RRemoval of gum tissue3.352.883.230.23010
    41850RTreatment of gum lesion0.000.000.000.00000
    41870RGum graft0.000.000.000.00000
    41872RRepair gum2.592.802.810.18090
    41874RRepair tooth socket3.092.342.820.23090
    41899CDental surgery procedure0.000.000.000.00YYY
    42000ADrainage mouth roof lesion1.231.532.450.10010
    42100ABiopsy roof of mouth1.312.432.430.10010
    42104AExcision lesion, mouth roof1.642.492.490.12010
    42106AExcision lesion, mouth roof2.102.602.600.16010
    42107AExcision lesion, mouth roof4.444.044.040.32090
    42120ARemove palate/lesion6.176.03NA0.44090
    42140AExcision of uvula1.623.283.810.12090
    42145ARepair palate, pharynx/uvula8.057.41NA0.56090
    42160ATreatment mouth roof lesion1.802.643.150.13010
    42180ARepair palate2.502.102.900.19010
    42182ARepair palate3.833.063.430.27010
    42200AReconstruct cleft palate12.0010.14NA0.97090
    42205AReconstruct cleft palate13.299.32NA0.82090
    42210AReconstruct cleft palate14.509.50NA1.24090
    42215AReconstruct cleft palate8.828.81NA0.96090
    42220AReconstruct cleft palate7.026.63NA0.41090
    42225AReconstruct cleft palate9.549.20NA0.75090
    42226ALengthening of palate10.019.49NA0.73090
    42227ALengthening of palate9.528.14NA0.70090
    42235ARepair palate7.876.20NA0.49090
    42260ARepair nose to lip fistula9.806.946.940.85090
    42280APreparation, palate mold1.540.751.400.12010
    42281AInsertion, palate prosthesis1.930.961.780.14010
    42299CPalate/uvula surgery0.000.000.000.00YYY
    42300ADrainage of salivary gland1.931.872.610.15010
    42305ADrainage of salivary gland6.075.25NA0.46090
    42310ADrainage of salivary gland1.561.642.310.11010
    42320ADrainage of salivary gland2.352.112.730.17010
    42325ACreate salivary cyst drain2.751.163.310.17090
    42326ACreate salivary cyst drain3.781.793.280.34090
    42330ARemoval of salivary stone2.211.062.740.16010
    42335ARemoval of salivary stone3.313.613.610.23090
    42340ARemoval of salivary stone4.604.734.730.34090
    Start Printed Page 43919
    42400ABiopsy of salivary gland0.780.392.450.06000
    42405ABiopsy of salivary gland3.293.313.380.24010
    42408AExcision of salivary cyst4.544.464.460.34090
    42409ADrainage of salivary cyst2.813.353.350.20090
    42410AExcise parotid gland/lesion9.347.83NA0.77090
    42415AExcise parotid gland/lesion16.8912.41NA1.26090
    42420AExcise parotid gland/lesion19.5913.97NA1.45090
    42425AExcise parotid gland/lesion13.0210.38NA0.98090
    42426AExcise parotid gland/lesion21.2614.76NA1.57090
    42440AExcise submaxillary gland6.975.92NA0.51090
    42450AExcise sublingual gland4.624.734.730.34090
    42500ARepair salivary duct4.304.804.800.30090
    42505ARepair salivary duct6.185.395.390.44090
    42507AParotid duct diversion6.115.89NA0.66090
    42508AParotid duct diversion9.107.89NA0.64090
    42509AParotid duct diversion11.549.60NA1.24090
    42510AParotid duct diversion8.156.93NA0.57090
    42550AInjection for salivary x-ray1.250.4313.270.06000
    42600AClosure of salivary fistula4.825.646.240.34090
    42650ADilation of salivary duct0.770.401.080.06000
    42660ADilation of salivary duct1.131.171.170.07000
    42665ALigation of salivary duct2.533.483.480.17090
    42699CSalivary surgery procedure0.000.000.000.00YYY
    42700ADrainage of tonsil abscess1.621.853.190.12010
    42720ADrainage of throat abscess5.424.694.820.39010
    42725ADrainage of throat abscess10.728.42NA0.80090
    42800ABiopsy of throat1.392.553.010.10010
    42802ABiopsy of throat1.542.643.100.11010
    42804ABiopsy of upper nose/throat1.242.502.960.09010
    42806ABiopsy of upper nose/throat1.582.693.430.12010
    42808AExcise pharynx lesion2.303.094.880.17010
    42809ARemove pharynx foreign body1.811.733.420.13010
    42810AExcision of neck cyst3.254.445.460.25090
    42815AExcision of neck cyst7.076.50NA0.53090
    42820ARemove tonsils and adenoids3.913.24NA0.28090
    42821ARemove tonsils and adenoids4.294.17NA0.30090
    42825ARemoval of tonsils3.423.64NA0.24090
    42826ARemoval of tonsils3.383.69NA0.23090
    42830ARemoval of adenoids2.572.39NA0.18090
    42831ARemoval of adenoids2.712.52NA0.19090
    42835ARemoval of adenoids2.303.09NA0.17090
    42836ARemoval of adenoids3.183.62NA0.22090
    42842AExtensive surgery of throat8.767.73NA0.61090
    42844AExtensive surgery of throat14.3111.29NA1.04090
    42845AExtensive surgery of throat24.2917.33NA1.76090
    42860AExcision of tonsil tags2.223.01NA0.16090
    42870AExcision of lingual tonsil5.406.00NA0.38090
    42890APartial removal of pharynx12.9410.72NA0.91090
    42892ARevision of pharyngeal walls15.8312.23NA1.14090
    42894ARevision of pharyngeal walls22.8816.84NA1.64090
    42900ARepair throat wound5.253.76NA0.39010
    42950AReconstruction of throat8.107.46NA0.58090
    42953ARepair throat, esophagus8.968.98NA0.73090
    42955ASurgical opening of throat7.396.44NA0.63090
    42960AControl throat bleeding2.332.08NA0.17010
    42961AControl throat bleeding5.595.20NA0.40090
    42962AControl throat bleeding7.146.13NA0.51090
    42970AControl nose/throat bleeding5.433.75NA0.37090
    42971AControl nose/throat bleeding6.215.75NA0.45090
    42972AControl nose/throat bleeding7.205.48NA0.54090
    42999CThroat surgery procedure0.000.000.000.00YYY
    43020AIncision of esophagus8.096.34NA0.70090
    43030AThroat muscle surgery7.696.85NA0.60090
    43045AIncision of esophagus20.1210.97NA2.15090
    43100AExcision of esophagus lesion9.197.13NA0.79090
    43101AExcision of esophagus lesion16.248.58NA1.81090
    Start Printed Page 43920
    43107ARemoval of esophagus40.0018.10NA3.29090
    43108ARemoval of esophagus34.1915.66NA3.78090
    43112ARemoval of esophagus43.5019.60NA3.67090
    43113ARemoval of esophagus35.2716.29NA4.33090
    43116APartial removal of esophagus31.2218.69NA2.62090
    43117APartial removal of esophagus40.0018.09NA3.51090
    43118APartial removal of esophagus33.2015.34NA3.56090
    43121APartial removal of esophagus29.1914.61NA3.44090
    43122AParital removal of esophagus40.0017.59NA3.27090
    43123APartial removal of esophagus33.2015.66NA3.96090
    43124ARemoval of esophagus27.3214.72NA2.95090
    43130ARemoval of esophagus pouch11.758.78NA1.06090
    43135ARemoval of esophagus pouch16.109.75NA1.85090
    43200AEsophagus endoscopy1.591.177.540.11000
    43202AEsophagus endoscopy, biopsy1.891.126.100.12000
    43204AEsophagus endoscopy & inject3.771.66NA0.18000
    43205AEsophagus endoscopy/ligation3.791.67NA0.17000
    43215AEsophagus endoscopy2.601.23NA0.17000
    43216AEsophagus endoscopy/lesion2.401.17NA0.15000
    43217AEsophagus endoscopy2.901.33NA0.17000
    43219AEsophagus endoscopy2.801.39NA0.16000
    43220AEsoph endoscopy, dilation2.101.10NA0.12000
    43226AEsoph endoscopy, dilation2.341.17NA0.12000
    43227AEsoph endoscopy, repair3.601.59NA0.18000
    43228AEsoph endoscopy, ablation3.771.71NA0.25000
    43231AEsoph endoscopy w/us exam3.191.55NA0.20000
    43232AEsoph endoscopy w/us fn bx4.482.11NA0.26000
    43234AUpper GI endoscopy, exam2.011.034.210.13000
    43235AUppr gi endoscopy, diagnosis2.391.195.800.13000
    43239AUpper GI endoscopy, biopsy2.871.236.130.14000
    43240AEsoph endoscope w/drain cyst6.862.89NA0.36000
    43241AUpper GI endoscopy with tube2.591.23NA0.14000
    43242AUppr gi endoscopy w/us fn bx7.312.582.580.29000
    43243AUpper gi endoscopy & inject4.571.94NA0.21000
    43244AUpper GI endoscopy/ligation5.052.12NA0.21000
    43245AOperative upper GI endoscopy3.391.51NA0.18000
    43246APlace gastrostomy tube4.331.79NA0.24000
    43247AOperative upper GI endoscopy3.391.51NA0.17000
    43248AUppr gi endoscopy/guide wire3.151.44NA0.15000
    43249AEsoph endoscopy, dilation2.901.35NA0.15000
    43250AUpper GI endoscopy/tumor3.201.44NA0.17000
    43251AOperative upper GI endoscopy3.701.62NA0.19000
    43255AOperative upper GI endoscopy4.821.92NA0.20000
    43256AUppr gi endoscopy w stent4.601.621.620.23000
    43258AOperative upper GI endoscopy4.551.93NA0.22000
    43259AEndoscopic ultrasound exam4.892.16NA0.22000
    43260AEndo cholangiopancreatograph5.962.43NA0.27000
    43261AEndo cholangiopancreatograph6.272.54NA0.29000
    43262AEndo cholangiopancreatograph7.392.95NA0.34000
    43263AEndo cholangiopancreatograph7.292.92NA0.28000
    43264AEndo cholangiopancreatograph8.903.49NA0.41000
    43265AEndo cholangiopancreatograph10.023.88NA0.42000
    43267AEndo cholangiopancreatograph7.392.95NA0.34000
    43268AEndo cholangiopancreatograph7.392.95NA0.34000
    43269AEndo cholangiopancreatograph8.213.24NA0.28000
    43271AEndo cholangiopancreatograph7.392.94NA0.34000
    43272AEndo cholangiopancreatograph7.392.95NA0.34000
    43280ALaparoscopy, fundoplasty17.258.29NA1.76090
    43289CLaparoscope proc, esoph0.000.000.000.00YYY
    43300ARepair of esophagus9.147.19NA0.85090
    43305ARepair esophagus and fistula17.3912.59NA1.36090
    43310ARepair of esophagus25.3914.33NA3.18090
    43312ARepair esophagus and fistula28.4217.71NA3.38090
    43313AEsophagoplasty congential45.2821.41NA5.43090
    43314ATracheo-esophagoplasty cong50.2723.41NA5.53090
    43320AFuse esophagus & stomach19.9310.33NA1.59090
    Start Printed Page 43921
    43324ARevise esophagus & stomach20.579.51NA1.72090
    43325ARevise esophagus & stomach20.069.81NA1.65090
    43326ARevise esophagus & stomach19.7410.35NA1.84090
    43330ARepair of esophagus19.779.60NA1.52090
    43331ARepair of esophagus20.1310.98NA1.93090
    43340AFuse esophagus & intestine19.6110.52NA1.53090
    43341AFuse esophagus & intestine20.8511.90NA2.14090
    43350ASurgical opening, esophagus15.7810.05NA1.15090
    43351ASurgical opening, esophagus18.3510.38NA1.51090
    43352ASurgical opening, esophagus15.269.59NA1.28090
    43360AGastrointestinal repair35.7016.40NA3.00090
    43361AGastrointestinal repair40.5018.21NA3.52090
    43400ALigate esophagus veins21.2010.32NA0.99090
    43401AEsophagus surgery for veins22.0910.28NA1.73090
    43405ALigate/staple esophagus20.019.44NA1.63090
    43410ARepair esophagus wound13.478.78NA1.15090
    43415ARepair esophagus wound25.0012.19NA1.92090
    43420ARepair esophagus opening14.358.85NA0.86090
    43425ARepair esophagus opening21.0311.04NA2.03090
    43450ADilate esophagus1.380.611.390.07000
    43453ADilate esophagus1.510.66NA0.08000
    43456ADilate esophagus2.571.04NA0.14000
    43458ADilate esophagus3.061.23NA0.17000
    43460APressure treatment esophagus3.801.50NA0.21000
    43496CFree jejunum flap, microvasc0.000.000.000.00090
    43499CEsophagus surgery procedure0.000.000.000.00YYY
    43500ASurgical opening of stomach11.055.08NA0.84090
    43501ASurgical repair of stomach20.048.61NA1.55090
    43502ASurgical repair of stomach23.139.79NA1.83090
    43510ASurgical opening of stomach13.087.50NA0.90090
    43520AIncision of pyloric muscle9.995.75NA0.84090
    43600ABiopsy of stomach1.911.00NA0.11000
    43605ABiopsy of stomach11.985.40NA0.93090
    43610AExcision of stomach lesion14.606.71NA1.14090
    43611AExcision of stomach lesion17.847.95NA1.38090
    43620ARemoval of stomach30.0412.71NA2.29090
    43621ARemoval of stomach30.7312.88NA2.36090
    43622ARemoval of stomach32.5313.49NA2.48090
    43631ARemoval of stomach, partial22.599.46NA1.99090
    43632ARemoval of stomach, partial22.599.48NA2.00090
    43633ARemoval of stomach, partial23.109.66NA2.05090
    43634ARemoval of stomach, partial25.1210.47NA2.18090
    43635ARemoval of stomach, partial2.060.72NA0.21ZZZ
    43638ARemoval of stomach, partial29.0011.76NA2.24090
    43639ARemoval of stomach, partial29.6512.02NA2.31090
    43640AVagotomy & pylorus repair17.027.54NA1.51090
    43641AVagotomy & pylorus repair17.277.65NA1.53090
    43651ALaparoscopy, vagus nerve10.154.58NA1.03090
    43652ALaparoscopy, vagus nerve12.155.41NA1.25090
    43653ALaparoscopy, gastrostomy7.734.31NA0.78090
    43659CLaparoscope proc, stom0.000.000.000.00YYY
    43750APlace gastrostomy tube4.492.62NA0.33010
    43752BNasal/orogastric w/stent0.000.000.000.00XXX
    43760AChange gastrostomy tube1.100.451.430.07000
    43761AReposition gastrostomy tube2.010.81NA0.10000
    43800AReconstruction of pylorus13.696.45NA1.07090
    43810AFusion of stomach and bowel14.656.75NA1.10090
    43820AFusion of stomach and bowel15.376.97NA1.18090
    43825AFusion of stomach and bowel19.228.31NA1.50090
    43830APlace gastrostomy tube9.534.94NA0.69090
    43831APlace gastrostomy tube7.844.28NA0.81090
    43832APlace gastrostomy tube15.607.47NA1.13090
    43840ARepair of stomach lesion15.567.02NA1.20090
    43842AGastroplasty for obesity18.4711.14NA1.51090
    43843AGastroplasty for obesity18.6510.77NA1.53090
    43846AGastric bypass for obesity24.0513.28NA1.96090
    Start Printed Page 43922
    43847AGastric bypass for obesity26.9215.00NA2.14090
    43848ARevision gastroplasty29.3915.96NA2.39090
    43850ARevise stomach-bowel fusion24.7210.15NA1.97090
    43855ARevise stomach-bowel fusion26.1610.77NA2.01090
    43860ARevise stomach-bowel fusion25.0010.32NA2.03090
    43865ARevise stomach-bowel fusion26.5210.92NA2.15090
    43870ARepair stomach opening9.695.04NA0.71090
    43880ARepair stomach-bowel fistula24.6510.67NA1.94090
    43999CStomach surgery procedure0.000.000.000.00YYY
    44005AFreeing of bowel adhesion16.237.23NA1.39090
    44010AIncision of small bowel12.526.32NA1.05090
    44015AInsert needle cath bowel2.620.91NA0.25ZZZ
    44020AExplore small intestine13.996.41NA1.20090
    44021ADecompress small bowel14.086.85NA1.18090
    44025AIncision of large bowel14.286.51NA1.21090
    44050AReduce bowel obstruction14.036.43NA1.15090
    44055ACorrect malrotation of bowel22.009.23NA1.32090
    44100ABiopsy of bowel2.011.06NA0.12000
    44110AExcise intestine lesion(s)11.815.72NA1.00090
    44111AExcision of bowel lesion(s)14.297.08NA1.22090
    44120ARemoval of small intestine17.007.47NA1.46090
    44121ARemoval of small intestine4.451.56NA0.45ZZZ
    44125ARemoval of small intestine17.547.65NA1.49090
    44126AEnterectomy w/taper, cong35.5017.56NA0.36090
    44127AEnterectomy w/o taper, cong41.0020.01NA0.41090
    44128AEnterectomy cong, add-on4.451.72NA0.45ZZZ
    44130ABowel to bowel fusion14.496.59NA1.23090
    44132REnterectomy, cadaver donor0.000.000.000.00XXX
    44133REnterectomy, live donor0.000.000.000.00XXX
    44135RIntestine transplnt, cadaver0.000.000.000.00XXX
    44136RIntestine transplant, live0.000.000.000.00XXX
    44139AMobilization of colon2.230.78NA0.21ZZZ
    44140APartial removal of colon21.009.32NA1.83090
    44141APartial removal of colon19.5111.64NA1.95090
    44143APartial removal of colon22.9912.83NA2.02090
    44144APartial removal of colon21.5311.48NA1.89090
    44145APartial removal of colon26.4211.62NA2.22090
    44146APartial removal of colon27.5414.95NA2.20090
    44147APartial removal of colon20.719.94NA1.74090
    44150ARemoval of colon23.9513.76NA2.05090
    44151ARemoval of colon/ileostomy26.8814.99NA1.97090
    44152ARemoval of colon/ileostomy27.8316.51NA2.36090
    44153ARemoval of colon/ileostomy30.5916.36NA2.33090
    44155ARemoval of colon/ileostomy27.8614.99NA2.26090
    44156ARemoval of colon/ileostomy30.7916.97NA2.19090
    44160ARemoval of colon18.628.45NA1.55090
    44200ALaparoscopy, enterolysis14.446.63NA1.46090
    44201ALaparoscopy, jejunostomy9.785.11NA0.97090
    44202ALap resect s/intestine singl22.049.63NA2.16090
    44203ALap resect s/intestine, addl4.451.56NA0.45ZZZ
    44204ALaparo partial colectomy25.0810.22NA1.83090
    44205ALap colectomy part w/ileum22.239.08NA1.55090
    44209CLaparoscope proc, intestine0.000.000.000.00YYY
    44300AOpen bowel to skin12.116.59NA0.88090
    44310AIleostomy/jejunostomy15.9510.27NA1.13090
    44312ARevision of ileostomy8.025.13NA0.54090
    44314ARevision of ileostomy15.0510.27NA0.99090
    44316ADevise bowel pouch21.0913.78NA1.41090
    44320AColostomy17.6411.82NA1.28090
    44322AColostomy with biopsies11.9810.08NA1.18090
    44340ARevision of colostomy7.724.70NA0.56090
    44345ARevision of colostomy15.438.17NA1.11090
    44346ARevision of colostomy16.998.68NA1.20090
    44360ASmall bowel endoscopy2.591.35NA0.14000
    44361ASmall bowel endoscopy/biopsy2.871.45NA0.15000
    44363ASmall bowel endoscopy3.501.63NA0.19000
    Start Printed Page 43923
    44364ASmall bowel endoscopy3.741.75NA0.21000
    44365ASmall bowel endoscopy3.311.62NA0.18000
    44366ASmall bowel endoscopy4.412.00NA0.22000
    44369ASmall bowel endoscopy4.522.00NA0.23000
    44370ASmall bowel endoscopy/stent4.801.721.720.21000
    44372ASmall bowel endoscopy4.412.00NA0.27000
    44373ASmall bowel endoscopy3.501.72NA0.19000
    44376ASmall bowel endoscopy5.262.29NA0.29000
    44377ASmall bowel endoscopy/biopsy5.532.41NA0.28000
    44378ASmall bowel endoscopy7.132.98NA0.37000
    44379AS bowel endoscope w/stent7.472.632.630.38000
    44380ASmall bowel endoscopy1.050.77NA0.08000
    44382ASmall bowel endoscopy1.270.86NA0.09000
    44383AIleoscopy w/stent3.261.131.130.13000
    44385AEndoscopy of bowel pouch1.820.944.840.12000
    44386AEndoscopy, bowel pouch/biop2.121.086.120.15000
    44388AColon endoscopy2.821.376.450.18000
    44389AColonoscopy with biopsy3.131.517.160.18000
    44390AColonoscopy for foreign body3.831.726.970.22000
    44391AColonoscopy for bleeding4.321.735.950.23000
    44392AColonoscopy & polypectomy3.821.737.430.23000
    44393AColonoscopy, lesion removal4.842.117.660.27000
    44394AColonoscopy w/snare4.431.977.900.26000
    44397AColonoscopy w stent4.712.04NA0.28000
    44500AIntro, gastrointestinal tube0.490.37NA0.02000
    44602ASuture, small intestine16.037.14NA1.07090
    44603ASuture, small intestine18.668.05NA1.39090
    44604ASuture, large intestine16.037.13NA1.42090
    44605ARepair of bowel lesion19.538.75NA1.54090
    44615AIntestinal stricturoplasty15.937.13NA1.39090
    44620ARepair bowel opening12.205.73NA1.05090
    44625ARepair bowel opening15.056.72NA1.30090
    44626ARepair bowel opening25.3610.29NA2.19090
    44640ARepair bowel-skin fistula21.659.46NA1.46090
    44650ARepair bowel fistula22.579.77NA1.49090
    44660ARepair bowel-bladder fistula21.369.27NA1.14090
    44661ARepair bowel-bladder fistula24.8110.46NA1.53090
    44680ASurgical revision, intestine15.407.29NA1.37090
    44700ASuspend bowel w/prosthesis16.117.57NA1.21090
    44799CIntestine surgery procedure0.000.000.000.00YYY
    44800AExcision of bowel pouch11.235.46NA1.11090
    44820AExcision of mesentery lesion12.095.81NA1.03090
    44850ARepair of mesentery10.745.37NA0.99090
    44899CBowel surgery procedure0.000.000.000.00YYY
    44900ADrain app abscess, open10.145.82NA0.84090
    44901ADrain app abscess, percut3.384.43NA0.17000
    44950AAppendectomy10.005.19NA0.88090
    44955AAppendectomy add-on1.530.55NA0.16ZZZ
    44960AAppendectomy12.346.34NA1.09090
    44970ALaparoscopy, appendectomy8.704.12NA0.88090
    44979CLaparoscope proc, app0.000.000.000.00YYY
    45000ADrainage of pelvic abscess4.523.84NA0.37090
    45005ADrainage of rectal abscess1.991.564.570.18010
    45020ADrainage of rectal abscess4.723.82NA0.41090
    45100ABiopsy of rectum3.682.044.820.33090
    45108ARemoval of anorectal lesion4.762.966.230.46090
    45110ARemoval of rectum28.0012.91NA2.26090
    45111APartial removal of rectum16.488.59NA1.60090
    45112ARemoval of rectum30.5413.34NA2.35090
    45113APartial proctectomy30.5812.80NA2.13090
    45114APartial removal of rectum27.3212.22NA2.28090
    45116APartial removal of rectum24.5811.02NA2.00090
    45119ARemove rectum w/reservoir30.8413.02NA2.13090
    45120ARemoval of rectum24.6011.33NA2.28090
    45121ARemoval of rectum and colon27.0412.49NA2.66090
    45123APartial proctectomy16.717.82NA1.04090
    Start Printed Page 43924
    45126APelvic exenteration45.1619.67NA3.23090
    45130AExcision of rectal prolapse16.447.59NA1.12090
    45135AExcision of rectal prolapse19.288.98NA1.52090
    45136AExcise ileoanal reservoir27.3012.34NA2.19090
    45150AExcision of rectal stricture5.673.095.380.46090
    45160AExcision of rectal lesion15.327.00NA1.07090
    45170AExcision of rectal lesion11.495.74NA0.89090
    45190ADestruction, rectal tumor9.745.13NA0.76090
    45300AProctosigmoidoscopy dx0.380.221.330.05000
    45303AProctosigmoidoscopy dilate0.440.261.570.06000
    45305AProtosigmoidoscopy w/bx1.010.441.590.09000
    45307AProtosigmoidoscopy fb0.940.422.500.15000
    45308AProtosigmoidoscopy removal0.830.381.550.13000
    45309AProtosigmoidoscopy removal2.010.792.400.17000
    45315AProtosigmoidoscopy removal1.400.582.580.20000
    45317AProtosigmoidoscopy bleed1.500.611.870.20000
    45320AProtosigmoidoscopy ablate1.580.651.820.20000
    45321AProtosigmoidoscopy volvul1.170.51NA0.17000
    45327AProctosigmoidoscopy w/stent1.650.87NA0.10000
    45330ADiagnostic sigmoidoscopy0.960.511.820.05000
    45331ASigmoidoscopy and biopsy1.150.522.230.07000
    45332ASigmoidoscopy w/fb removal1.790.743.910.11000
    45333ASigmoidoscopy & polypectomy1.790.743.570.12000
    45334ASigmoidoscopy for bleeding2.731.09NA0.16000
    45337ASigmoidoscopy & decompress2.360.95NA0.15000
    45338ASigmoidoscpy w/tumr remove2.340.944.290.15000
    45339ASigmoidoscopy w/ablate tumr3.141.233.340.17000
    45341ASigmoidoscopy w/ultrasound2.601.36NA0.20000
    45342ASigmoidoscopy w/us guide bx4.061.79NA0.23000
    45345ASigmodoscopy w/stent2.921.39NA0.15000
    45355ASurgical colonoscopy3.521.24NA0.26000
    45378ADiagnostic colonoscopy3.701.717.970.20000
    4537853ADiagnostic colonoscopy0.960.511.820.05000
    45379AColonoscopy w/fb removal4.692.078.180.25000
    45380AColonoscopy and biopsy4.441.998.400.21000
    45382AColonoscopy/control bleeding5.692.239.670.27000
    45383ALesion removal colonoscopy5.872.489.280.32000
    45384ALesion remove colonoscopy4.702.089.020.24000
    45385ALesion removal colonoscopy5.312.309.200.28000
    45387AColonoscopy w/stent5.912.50NA0.33000
    45500ARepair of rectum7.294.13NA0.56090
    45505ARepair of rectum7.583.69NA0.50090
    45520ATreatment of rectal prolapse0.550.190.760.04000
    45540ACorrect rectal prolapse16.277.91NA1.17090
    45541ACorrect rectal prolapse13.406.79NA0.88090
    45550ARepair rectum/remove sigmoid23.0010.17NA1.58090
    45560ARepair of rectocele10.585.96NA0.73090
    45562AExploration/repair of rectum15.387.31NA1.15090
    45563AExploration/repair of rectum23.4710.99NA1.84090
    45800ARepair rect/bladder fistula17.777.98NA1.14090
    45805ARepair fistula w/colostomy20.7810.00NA1.47090
    45820ARepair rectourethral fistula18.488.22NA1.17090
    45825ARepair fistula w/colostomy21.2510.30NA0.97090
    45900AReduction of rectal prolapse2.611.02NA0.17010
    45905ADilation of anal sphincter2.300.9311.950.14010
    45910ADilation of rectal narrowing2.801.1216.250.14010
    45915ARemove rectal obstruction3.141.114.720.17010
    45999CRectum surgery procedure0.000.000.000.00YYY
    46020APlacement of seton2.902.323.040.22010
    46030ARemoval of rectal marker1.231.192.990.11010
    46040AIncision of rectal abscess4.963.045.350.48090
    46045AIncision of rectal abscess4.322.76NA0.40090
    46050AIncision of anal abscess1.191.323.550.11010
    46060AIncision of rectal abscess5.693.69NA0.52090
    46070AIncision of anal septum2.712.36NA0.27090
    46080AIncision of anal sphincter2.491.603.630.23010
    Start Printed Page 43925
    46083AIncise external hemorrhoid1.401.524.660.12010
    46200ARemoval of anal fissure3.422.333.910.30090
    46210ARemoval of anal crypt2.672.165.040.26090
    46211ARemoval of anal crypts4.252.845.240.37090
    46220ARemoval of anal tab1.560.541.270.14010
    46221ALigation of hemorrhoid(s)2.041.071.710.12010
    46230ARemoval of anal tabs2.571.654.270.22010
    46250AHemorrhoidectomy3.892.645.330.43090
    46255AHemorrhoidectomy4.602.856.010.51090
    46257ARemove hemorrhoids & fissure5.403.05NA0.59090
    46258ARemove hemorrhoids & fistula5.733.19NA0.64090
    46260AHemorrhoidectomy6.373.90NA0.68090
    46261ARemove hemorrhoids & fissure7.084.03NA0.70090
    46262ARemove hemorrhoids & fistula7.504.24NA0.76090
    46270ARemoval of anal fistula3.722.555.000.36090
    46275ARemoval of anal fistula4.562.744.760.40090
    46280ARemoval of anal fistula5.983.68NA0.50090
    46285ARemoval of anal fistula4.092.584.110.34090
    46288ARepair anal fistula7.134.16NA0.60090
    46320ARemoval of hemorrhoid clot1.611.543.880.14010
    46500AInjection into hemorrhoid(s)1.610.572.790.12010
    46600ADiagnostic anoscopy0.500.150.790.04000
    46604AAnoscopy and dilation1.310.460.960.09000
    46606AAnoscopy and biopsy0.810.280.860.07000
    46608AAnoscopy/ remove for body1.510.471.830.13000
    46610AAnoscopy/remove lesion1.320.471.460.12000
    46611AAnoscopy1.810.631.990.15000
    46612AAnoscopy/ remove lesions2.340.832.460.18000
    46614AAnoscopy/control bleeding2.010.691.810.14000
    46615AAnoscopy2.680.941.730.23000
    46700ARepair of anal stricture9.134.63NA0.56090
    46705ARepair of anal stricture6.904.17NA0.73090
    46715ARepair of anovaginal fistula7.204.28NA0.76090
    46716ARepair of anovaginal fistula15.077.34NA1.30090
    46730AConstruction of absent anus26.7511.99NA2.03090
    46735AConstruction of absent anus32.1714.02NA2.64090
    46740AConstruction of absent anus30.0012.84NA1.99090
    46742ARepair of imperforated anus35.8017.81NA2.63090
    46744ARepair of cloacal anomaly52.6321.91NA2.27090
    46746ARepair of cloacal anomaly58.2226.99NA2.51090
    46748ARepair of cloacal anomaly64.2127.32NA2.77090
    46750ARepair of anal sphincter10.255.66NA0.69090
    46751ARepair of anal sphincter8.776.01NA0.78090
    46753AReconstruction of anus8.294.00NA0.58090
    46754ARemoval of suture from anus2.201.365.330.12010
    46760ARepair of anal sphincter14.437.06NA0.86090
    46761ARepair of anal sphincter13.846.58NA0.84090
    46762AImplant artificial sphincter12.715.77NA0.71090
    46900ADestruction, anal lesion(s)1.910.743.480.13010
    46910ADestruction, anal lesion(s)1.861.453.640.14010
    46916ACryosurgery, anal lesion(s)1.861.583.280.09010
    46917ALaser surgery, anal lesions1.861.534.720.16010
    46922AExcision of anal lesion(s)1.861.433.860.17010
    46924ADestruction, anal lesion(s)2.761.694.940.20010
    46934ADestruction of hemorrhoids3.513.576.270.26090
    46935ADestruction of hemorrhoids2.430.854.270.17010
    46936ADestruction of hemorrhoids3.693.405.950.30090
    46937ACryotherapy of rectal lesion2.691.763.990.12010
    46938ACryotherapy of rectal lesion4.663.244.960.40090
    46940ATreatment of anal fissure2.320.803.210.17010
    46942ATreatment of anal fissure2.040.692.950.14010
    46945ALigation of hemorrhoids1.842.143.980.17090
    46946ALigation of hemorrhoids2.582.435.000.22090
    46999CAnus surgery procedure0.000.000.000.00YYY
    47000ANeedle biopsy of liver1.900.658.600.09000
    47001ANeedle biopsy, liver add-on1.900.66NA0.18ZZZ
    Start Printed Page 43926
    47010AOpen drainage, liver lesion16.019.66NA0.65090
    47011APercut drain, liver lesion3.704.43NA0.17000
    47015AInject/aspirate liver cyst15.117.94NA0.86090
    47100AWedge biopsy of liver11.676.33NA0.75090
    47120APartial removal of liver35.5016.59NA2.29090
    47122AExtensive removal of liver55.1323.47NA3.60090
    47125APartial removal of liver49.1921.48NA3.18090
    47130APartial removal of liver53.3522.88NA3.47090
    47133XRemoval of donor liver0.000.000.000.00XXX
    47134RPartial removal, donor liver39.1513.56NA3.98XXX
    47135RTransplantation of liver81.5242.51NA8.13090
    47136RTransplantation of liver68.6045.98NA6.93090
    47300ASurgery for liver lesion15.087.59NA0.97090
    47350ARepair liver wound19.569.24NA1.25090
    47360ARepair liver wound26.9212.54NA1.71090
    47361ARepair liver wound47.1219.12NA3.11090
    47362ARepair liver wound18.519.54NA1.22090
    47370ALaparo ablate liver tumor rf18.006.966.960.85090
    47371ALaparo ablate liver cryosug16.946.556.550.85090
    47379CLaparoscope procedure, liver0.000.000.000.00YYY
    47380AOpen ablate liver tumor rf21.258.218.210.85090
    47381AOpen ablate liver tumor cryo21.008.128.120.85090
    47382APercut ablate liver rf12.005.22NA0.85010
    47399CLiver surgery procedure0.000.000.000.00YYY
    47400AIncision of liver duct32.4914.60NA1.82090
    47420AIncision of bile duct19.889.18NA1.70090
    47425AIncision of bile duct19.839.25NA1.60090
    47460AIncise bile duct sphincter18.048.99NA1.24090
    47480AIncision of gallbladder10.826.60NA0.85090
    47490AIncision of gallbladder7.237.67NA0.33090
    47500AInjection for liver x-rays1.960.66NA0.09000
    47505AInjection for liver x-rays0.760.262.680.03000
    47510AInsert catheter, bile duct7.839.40NA0.36090
    47511AInsert bile duct drain10.5010.55NA0.47090
    47525AChange bile duct catheter5.553.31NA0.24010
    47530ARevise/reinsert bile tube5.855.00NA0.29090
    47550ABile duct endoscopy add-on3.021.05NA0.30ZZZ
    47552ABiliary endoscopy thru skin6.042.45NA0.42000
    47553ABiliary endoscopy thru skin6.352.65NA0.30000
    47554ABiliary endoscopy thru skin9.063.45NA0.74000
    47555ABiliary endoscopy thru skin7.563.08NA0.35000
    47556ABiliary endoscopy thru skin8.563.42NA0.38000
    47560ALaparoscopy w/cholangio4.891.83NA0.49000
    47561ALaparo w/cholangio/biopsy5.182.15NA0.49000
    47562ALaparoscopic cholecystectomy11.095.03NA1.13090
    47563ALaparo cholecystectomy/graph11.945.32NA1.21090
    47564ALaparo cholecystectomy/explr14.236.11NA1.44090
    47570ALaparo cholecystoenterostomy12.585.56NA1.28090
    47579CLaparoscope proc, biliary0.000.000.000.00YYY
    47600ARemoval of gallbladder13.586.70NA1.16090
    47605ARemoval of gallbladder14.697.06NA1.25090
    47610ARemoval of gallbladder18.828.61NA1.61090
    47612ARemoval of gallbladder18.788.49NA1.60090
    47620ARemoval of gallbladder20.649.15NA1.77090
    47630ARemove bile duct stone9.113.10NA0.46090
    47700AExploration of bile ducts15.628.50NA1.40090
    47701ABile duct revision27.8112.93NA3.00090
    47711AExcision of bile duct tumor23.0311.02NA1.98090
    47712AExcision of bile duct tumor30.2413.68NA2.67090
    47715AExcision of bile duct cyst18.808.90NA1.59090
    47716AFusion of bile duct cyst16.448.01NA1.41090
    47720AFuse gallbladder & bowel15.918.51NA1.37090
    47721AFuse upper gi structures19.129.66NA1.63090
    47740AFuse gallbladder & bowel18.489.44NA1.59090
    47741AFuse gallbladder & bowel21.3410.43NA1.82090
    47760AFuse bile ducts and bowel25.8511.95NA2.21090
    Start Printed Page 43927
    47765AFuse liver ducts & bowel24.8812.51NA2.18090
    47780AFuse bile ducts and bowel26.5012.20NA2.27090
    47785AFuse bile ducts and bowel31.1814.52NA2.69090
    47800AReconstruction of bile ducts23.3011.13NA1.95090
    47801APlacement, bile duct support15.1710.14NA0.69090
    47802AFuse liver duct & intestine21.5511.18NA1.84090
    47900ASuture bile duct injury19.909.97NA1.65090
    47999CBile tract surgery procedure0.000.000.000.00YYY
    48000ADrainage of abdomen28.0712.48NA1.32090
    48001APlacement of drain, pancreas35.4514.75NA1.90090
    48005AResect/debride pancreas42.1717.00NA2.26090
    48020ARemoval of pancreatic stone15.707.43NA1.36090
    48100ABiopsy of pancreas, open12.236.85NA1.08090
    48102ANeedle biopsy, pancreas4.682.429.140.20010
    48120ARemoval of pancreas lesion15.857.39NA1.35090
    48140APartial removal of pancreas22.9410.51NA2.12090
    48145APartial removal of pancreas24.0211.23NA2.25090
    48146APancreatectomy26.4013.36NA2.43090
    48148ARemoval of pancreatic duct17.349.00NA1.61090
    48150APartial removal of pancreas48.0021.41NA4.43090
    48152APancreatectomy43.7520.45NA4.07090
    48153APancreatectomy47.8921.63NA4.40090
    48154APancreatectomy44.1020.38NA4.10090
    48155ARemoval of pancreas24.6413.60NA2.30090
    48160NPancreas removal/transplant0.000.000.000.00XXX
    48180AFuse pancreas and bowel24.7210.89NA2.24090
    48400AInjection, intraop add-on1.950.67NA0.10ZZZ
    48500ASurgery of pancreatic cyst15.287.28NA1.35090
    48510ADrain pancreatic pseudocyst14.317.49NA1.07090
    48511ADrain pancreatic pseudocyst4.003.71NA0.17000
    48520AFuse pancreas cyst and bowel15.597.23NA1.41090
    48540AFuse pancreas cyst and bowel19.728.63NA1.82090
    48545APancreatorrhaphy18.188.71NA1.61090
    48547ADuodenal exclusion25.8310.77NA2.30090
    48550XDonor pancreatectomy0.000.000.000.00XXX
    48554RTranspl allograft pancreas34.1711.94NA3.30090
    48556ARemoval, allograft pancreas15.718.46NA1.52090
    48999CPancreas surgery procedure0.000.000.000.00YYY
    49000AExploration of abdomen11.686.07NA1.17090
    49002AReopening of abdomen10.495.96NA1.06090
    49010AExploration behind abdomen12.286.93NA1.22090
    49020ADrain abdominal abscess22.8411.43NA1.31090
    49021ADrain abdominal abscess3.385.31NA0.16000
    49040ADrain, open, abdom abscess13.528.15NA0.84090
    49041ADrain, percut, abdom abscess4.005.59NA0.18000
    49060ADrain, open, retrop abscess15.869.57NA0.77090
    49061ADrain, percut, retroper absc3.705.64NA0.17000
    49062ADrain to peritoneal cavity11.367.04NA1.08090
    49080APuncture, peritoneal cavity1.350.474.450.07000
    49081ARemoval of abdominal fluid1.260.583.100.06000
    49085ARemove abdomen foreign body12.146.44NA0.88090
    49180ABiopsy, abdominal mass1.730.598.560.08000
    49200ARemoval of abdominal lesion10.256.32NA0.89090
    49201ARemoval of abdominal lesion14.848.63NA1.44090
    49215AExcise sacral spine tumor33.5014.71NA2.48090
    49220AMultiple surgery, abdomen14.887.65NA1.51090
    49250AExcision of umbilicus8.355.09NA0.84090
    49255ARemoval of omentum11.146.50NA1.12090
    49320ADiag laparo separate proc5.103.00NA0.50010
    49321ALaparoscopy, biopsy5.403.03NA0.53010
    49322ALaparoscopy, aspiration5.703.46NA0.57010
    49323ALaparo drain lymphocele9.484.15NA0.88090
    49329CLaparo proc, abdm/per/oment0.000.000.000.00YYY
    49400AAir injection into abdomen1.880.80NA0.11000
    49420AInsert abdominal drain2.220.96NA0.13000
    49421AInsert abdominal drain5.543.96NA0.55090
    Start Printed Page 43928
    49422ARemove perm cannula/catheter6.252.91NA0.63010
    49423AExchange drainage catheter1.460.68NA0.07000
    49424AAssess cyst, contrast inject0.760.45NA0.03000
    49425AInsert abdomen-venous drain11.376.62NA1.21090
    49426ARevise abdomen-venous shunt9.635.86NA0.93090
    49427AInjection, abdominal shunt0.890.49NA0.05000
    49428ALigation of shunt6.063.14NA0.31010
    49429ARemoval of shunt7.403.43NA0.81010
    49491ARepairing hern premie reduc11.135.44NA1.00090
    49492ARpr ing hern premie, blocked14.036.38NA1.42090
    49495ARpr ing hernia baby, reduc5.893.56NA0.55090
    49496ARpr ing hernia baby, blocked8.796.15NA0.89090
    49500ARpr ing hernia, init, reduce5.483.36NA0.46090
    49501ARpr ing hernia, init blocked8.884.47NA0.76090
    49505ARpr i/hern init reduc>5 yr7.604.034.500.65090
    49507ARpr i/hern init block>5 yr9.576.03NA0.83090
    49520ARerepair ing hernia, reduce9.635.37NA0.84090
    49521ARerepair ing hernia, blocked11.975.70NA1.04090
    49525ARepair ing hernia, sliding8.574.85NA0.74090
    49540ARepair lumbar hernia10.395.56NA0.90090
    49550ARpr fem hernia, init, reduce8.634.43NA0.75090
    49553ARpr fem hernia, init blocked9.444.85NA0.83090
    49555ARerepair fem hernia, reduce9.035.18NA0.79090
    49557ARerepair fem hernia, blocked11.155.43NA0.97090
    49560ARpr ventral hern init, reduc11.575.98NA1.00090
    49561ARpr ventral hern init, block14.256.55NA1.23090
    49565ARerepair ventrl hern, reduce11.576.14NA1.00090
    49566ARerepair ventrl hern, block14.406.62NA1.24090
    49568AHernia repair w/mesh4.891.71NA0.50ZZZ
    49570ARpr epigastric hern, reduce5.693.45NA0.50090
    49572ARpr epigastric hern, blocked6.733.93NA0.58090
    49580ARpr umbil hern, reduc <5 yr4.112.98NA0.34090
    49582ARpr umbil hern, block < 5 yr6.654.85NA0.57090
    49585ARpr umbil hern, reduc > 5 yr6.234.06NA0.53090
    49587ARpr umbil hern, block > 5 yr7.564.17NA0.65090
    49590ARepair spigelian hernia8.544.87NA0.74090
    49600ARepair umbilical lesion10.966.09NA1.13090
    49605ARepair umbilical lesion76.0029.96NA2.57090
    49606ARepair umbilical lesion18.609.06NA2.22090
    49610ARepair umbilical lesion10.506.85NA0.77090
    49611ARepair umbilical lesion8.926.43NA0.65090
    49650ALaparo hernia repair initial6.273.26NA0.64090
    49651ALaparo hernia repair recur8.244.32NA0.84090
    49659CLaparo proc, hernia repair0.000.000.000.00YYY
    49900ARepair of abdominal wall12.286.64NA1.23090
    49905AOmental flap6.552.35NA0.61ZZZ
    49906CFree omental flap, microvasc0.000.000.000.00090
    49999CAbdomen surgery procedure0.000.000.000.00YYY
    50010AExploration of kidney10.986.94NA0.79090
    50020ARenal abscess, open drain14.6613.99NA0.80090
    50021ARenal abscess, percut drain3.3810.10NA0.15000
    50040ADrainage of kidney14.9411.72NA0.82090
    50045AExploration of kidney15.468.34NA1.06090
    50060ARemoval of kidney stone19.309.74NA1.14090
    50065AIncision of kidney20.797.87NA1.13090
    50070AIncision of kidney20.3210.14NA1.20090
    50075ARemoval of kidney stone25.3412.28NA1.5190
    50080ARemoval of kidney stone14.7110.81NA0.8690
    50081ARemoval of kidney stone21.8012.93NA1.3090
    50100ARevise kidney blood vessels16.099.79NA1.6490
    50120AExploration of kidney15.918.66NA1.0490
    50125AExplore and drain kidney16.528.76NA1.0790
    50130ARemoval of kidney stone17.299.00NA1.0490
    50135AExploration of kidney19.189.65NA1.1890
    50200ABiopsy of kidney2.630.93NA0.12000
    50205ABiopsy of kidney11.316.41NA0.94090
    Start Printed Page 43929
    50220ARemove kidney, open17.159.07NA1.16090
    50225ARemoval kidney open, complex20.2310.03NA1.26090
    50230ARemoval kidney open, radical22.0710.63NA1.35090
    50234ARemoval of kidney & ureter22.4010.73NA1.37090
    50236ARemoval of kidney & ureter24.8613.88NA1.50090
    50240APartial removal of kidney22.0013.00NA1.36090
    50280ARemoval of kidney lesion15.678.51NA0.99090
    50290ARemoval of kidney lesion14.738.12NA1.11090
    50300XRemoval of donor kidney0.000.000.000.00XXX
    50320ARemoval of donor kidney22.2110.50NA1.78090
    50340ARemoval of kidney12.159.21NA1.15090
    50360ATransplantation of kidney31.5317.47NA2.97090
    50365ATransplantation of kidney36.8120.98NA3.51090
    50370ARemove transplanted kidney13.729.73NA1.26090
    50380AReimplantation of kidney20.7613.71NA1.80090
    50390ADrainage of kidney lesion1.960.66NA0.09000
    50392AInsert kidney drain3.381.14NA0.15000
    50393AInsert ureteral tube4.161.40NA0.18000
    50394AInjection for kidney x-ray0.760.262.560.04000
    50395ACreate passage to kidney3.381.14NA0.16000
    50396AMeasure kidney pressure2.090.88NA0.10000
    50398AChange kidney tube1.460.491.160.07000
    50400ARevision of kidney/ureter19.509.78NA1.21090
    50405ARevision of kidney/ureter23.9312.43NA1.45090
    50500ARepair of kidney wound19.5711.28NA1.45090
    50520AClose kidney-skin fistula17.2310.89NA1.26090
    50525ARepair renal-abdomen fistula22.2712.57NA1.51090
    50526ARepair renal-abdomen fistula24.0213.52NA1.62090
    50540ARevision of horseshoe kidney19.9310.21NA1.28090
    50541ALaparo ablate renal cyst16.006.62NA0.99090
    50544ALaparoscopy, pyeloplasty22.408.78NA1.41090
    50545ALaparo radical nephrectomy24.009.38NA1.53090
    50546ALaparoscopic nephrectomy20.488.20NA1.37090
    50547ALaparo removal donor kidney25.5010.89NA2.04090
    50548ALaparo remove k/ureter24.409.43NA1.49090
    50549CLaparoscope proc, renal0.000.000.000.00YYY
    50551AKidney endoscopy5.601.844.780.33000
    50553AKidney endoscopy5.992.0118.210.35000
    50555AKidney endoscopy & biopsy6.532.1718.940.38000
    50557AKidney endoscopy & treatment6.622.1819.700.39000
    50559ARenal endoscopy/radiotracer6.782.39NA0.27000
    50561AKidney endoscopy & treatment7.592.5117.360.44000
    50570AKidney endoscopy9.543.14NA0.56000
    50572AKidney endoscopy10.353.43NA0.64000
    50574AKidney endoscopy & biopsy11.023.66NA0.65000
    50575AKidney endoscopy13.984.60NA0.84000
    50576AKidney endoscopy & treatment10.993.61NA0.66000
    50578ARenal endoscopy/radiotracer11.353.80NA0.67000
    50580AKidney endoscopy & treatment11.863.91NA0.70000
    50590AFragmenting of kidney stone9.095.1810.340.54090
    50600AExploration of ureter15.848.68NA0.99090
    50605AInsert ureteral support15.468.69NA1.13090
    50610ARemoval of ureter stone15.928.92NA1.08090
    50620ARemoval of ureter stone15.168.28NA0.91090
    50630ARemoval of ureter stone14.948.23NA0.90090
    50650ARemoval of ureter17.419.44NA1.07090
    50660ARemoval of ureter19.5510.16NA1.19090
    50684AInjection for ureter x-ray0.760.2514.870.04000
    50686AMeasure ureter pressure1.510.675.020.09000
    50688AChange of ureter tube1.171.75NA0.06010
    50690AInjection for ureter x-ray1.160.3915.230.06000
    50700ARevision of ureter15.219.16NA0.86090
    50715ARelease of ureter18.9012.01NA1.68090
    50722ARelease of ureter16.359.79NA1.41090
    50725ARelease/revise ureter18.4910.35NA1.44090
    50727ARevise ureter8.186.48NA0.51090
    Start Printed Page 43930
    50728ARevise ureter12.028.04NA0.88090
    50740AFusion of ureter & kidney18.429.43NA1.49090
    50750AFusion of ureter & kidney19.5110.22NA1.24090
    50760AFusion of ureters18.429.85NA1.25090
    50770ASplicing of ureters19.5110.15NA1.25090
    50780AReimplant ureter in bladder18.369.76NA1.20090
    50782AReimplant ureter in bladder19.5411.19NA1.13090
    50783AReimplant ureter in bladder20.5510.83NA1.35090
    50785AReimplant ureter in bladder20.5210.53NA1.30090
    50800AImplant ureter in bowel14.529.66NA0.92090
    50810AFusion of ureter & bowel20.0512.42NA1.78090
    50815AUrine shunt to intestine19.9311.56NA1.31090
    50820AConstruct bowel bladder21.8911.84NA1.38090
    50825AConstruct bowel bladder28.1814.82NA1.81090
    50830ARevise urine flow31.2815.47NA2.20090
    50840AReplace ureter by bowel20.0011.61NA1.26090
    50845AAppendico-vesicostomy20.899.92NA1.26090
    50860ATransplant ureter to skin15.368.75NA1.01090
    50900ARepair of ureter13.627.82NA0.98090
    50920AClosure ureter/skin fistula14.338.38NA0.84090
    50930AClosure ureter/bowel fistula18.729.84NA1.57090
    50940ARelease of ureter14.518.26NA1.04090
    50945ALaparoscopy ureterolithotomy17.007.27NA1.15090
    50947ALaparo new ureter/bladder24.5011.42NA1.99090
    50948ALaparo new ureter/bladder22.5010.32NA1.83090
    50949CLaparoscope proc, ureter0.000.000.000.00YYY
    50951AEndoscopy of ureter5.841.925.170.35000
    50953AEndoscopy of ureter6.242.0618.110.37000
    50955AUreter endoscopy & biopsy6.752.2619.810.38000
    50957AUreter endoscopy & treatment6.792.2417.800.40000
    50959AUreter endoscopy & tracer4.401.51NA0.18000
    50961AUreter endoscopy & treatment6.051.9923.560.35000
    50970AUreter endoscopy7.142.36NA0.43000
    50972AUreter endoscopy & catheter6.892.33NA0.39000
    50974AUreter endoscopy & biopsy9.173.02NA0.53000
    50976AUreter endoscopy & treatment9.042.99NA0.53000
    50978AUreter endoscopy & tracer5.101.74NA0.30000
    50980AUreter endoscopy & treatment6.852.24NA0.41000
    51000ADrainage of bladder0.780.252.020.05000
    51005ADrainage of bladder1.020.353.300.08000
    51010ADrainage of bladder3.532.314.290.23010
    51020AIncise & treat bladder6.715.63NA0.42090
    51030AIncise & treat bladder6.775.75NA0.42090
    51040AIncise & drain bladder4.404.35NA0.27090
    51045AIncise bladder/drain ureter6.775.83NA0.47090
    51050ARemoval of bladder stone6.925.14NA0.42090
    51060ARemoval of ureter stone8.856.25NA0.54090
    51065ARemove ureter calculus8.856.10NA0.53090
    51080ADrainage of bladder abscess5.965.61NA0.35090
    51500ARemoval of bladder cyst10.146.02NA0.88090
    51520ARemoval of bladder lesion9.296.46NA0.58090
    51525ARemoval of bladder lesion13.977.90NA0.85090
    51530ARemoval of bladder lesion12.387.53NA0.82090
    51535ARepair of ureter lesion12.578.02NA0.90090
    51550APartial removal of bladder15.668.47NA1.05090
    51555APartial removal of bladder21.2310.71NA1.37090
    51565ARevise bladder & ureter(s)21.6211.27NA1.40090
    51570ARemoval of bladder24.2412.37NA1.59090
    51575ARemoval of bladder & nodes30.4515.00NA1.88090
    51580ARemove bladder/revise tract31.0815.60NA1.94090
    51585ARemoval of bladder & nodes35.2316.88NA2.18090
    51590ARemove bladder/revise tract32.6615.61NA2.01090
    51595ARemove bladder/revise tract37.1417.08NA2.23090
    51596ARemove bladder/create pouch39.5218.38NA2.39090
    51597ARemoval of pelvic structures38.3517.94NA2.49090
    51600AInjection for bladder x-ray0.880.305.440.04000
    Start Printed Page 43931
    51605APreparation for bladder xray0.640.2216.060.04000
    51610AInjection for bladder x-ray1.050.3515.780.05000
    51700AIrrigation of bladder0.880.291.290.05000
    51705AChange of bladder tube1.020.642.100.06010
    51710AChange of bladder tube1.491.444.970.09010
    51715AEndoscopic injection/implant3.741.254.340.24000
    51720ATreatment of bladder lesion1.960.721.640.12000
    51725ASimple cystometrogram1.51NA5.760.13000
    5172526ASimple cystometrogram1.510.510.510.10000
    51725TCASimple cystometrogram0.00NA5.250.03000
    51726AComplex cystometrogram1.71NA4.540.15000
    5172626AComplex cystometrogram1.710.570.570.11000
    51726TCAComplex cystometrogram0.00NA3.960.04000
    51736AUrine flow measurement0.61NA1.090.05000
    5173626AUrine flow measurement0.610.200.200.04000
    51736TCAUrine flow measurement0.00NA0.880.01000
    51741AElectro-uroflowmetry, first1.14NA1.880.09000
    5174126AElectro-uroflowmetry, first1.140.380.380.07000
    51741TCAElectro-uroflowmetry, first0.00NA1.500.02000
    51772AUrethra pressure profile1.61NA4.690.16000
    5177226AUrethra pressure profile1.610.570.570.12000
    51772TCAUrethra pressure profile0.00NA4.120.04000
    51784AAnal/urinary muscle study1.53NA3.470.13000
    5178426AAnal/urinary muscle study1.530.520.520.10000
    51784TCAAnal/urinary muscle study0.00NA2.950.03000
    51785AAnal/urinary muscle study1.53NA3.380.12000
    5178526AAnal/urinary muscle study1.530.520.520.09000
    51785TCAAnal/urinary muscle study0.00NA2.860.03000
    51792AUrinary reflex study1.10NA3.320.20000
    5179226AUrinary reflex study1.100.430.430.09000
    51792TCAUrinary reflex study0.00NA2.890.11000
    51795AUrine voiding pressure study1.53NA4.670.18000
    5179526AUrine voiding pressure study1.530.520.520.10000
    51795TCAUrine voiding pressure study0.00NA4.150.08000
    51797AIntraabdominal pressure test1.60NA4.740.14000
    5179726AIntraabdominal pressure test1.600.540.540.10000
    51797TCAIntraabdominal pressure test0.00NA4.200.04000
    51800ARevision of bladder/urethra17.429.33NA1.17090
    51820ARevision of urinary tract17.8910.80NA1.45090
    51840AAttach bladder/urethra10.716.69NA0.87090
    51841AAttach bladder/urethra13.038.36NA1.04090
    51845ARepair bladder neck9.736.71NA0.62090
    51860ARepair of bladder wound12.027.73NA0.89090
    51865ARepair of bladder wound15.048.69NA1.01090
    51880ARepair of bladder opening7.665.68NA0.54090
    51900ARepair bladder/vagina lesion12.978.12NA0.87090
    51920AClose bladder-uterus fistula11.817.28NA0.86090
    51925AHysterectomy/bladder repair15.589.47NA1.48090
    51940ACorrection of bladder defect28.4316.03NA1.97090
    51960ARevision of bladder & bowel23.0112.95NA1.41090
    51980AConstruct bladder opening11.367.17NA0.74090
    51990ALaparo urethral suspension12.506.51NA1.02090
    51992ALaparo sling operation14.016.58NA0.93090
    52000ACystoscopy2.010.673.350.12000
    52001ACystoscopy, removal of clots2.370.95NA0.32000
    52005ACystoscopy & ureter catheter2.370.8813.070.15000
    52007ACystoscopy and biopsy3.021.00NA0.18000
    52010ACystoscopy & duct catheter3.021.005.550.18000
    52204ACystoscopy2.370.786.000.15000
    52214ACystoscopy and treatment3.711.226.340.22000
    52224ACystoscopy and treatment3.141.046.220.18000
    52234ACystoscopy and treatment4.631.63NA0.27000
    52235ACystoscopy and treatment5.451.91NA0.32000
    52240ACystoscopy and treatment9.723.34NA0.58000
    52250ACystoscopy and radiotracer4.501.48NA0.27000
    52260ACystoscopy and treatment3.921.29NA0.23000
    Start Printed Page 43932
    52265ACystoscopy and treatment2.940.973.670.18000
    52270ACystoscopy & revise urethra3.371.116.700.20000
    52275ACystoscopy & revise urethra4.701.557.220.28000
    52276ACystoscopy and treatment5.001.657.330.30000
    52277ACystoscopy and treatment6.172.05NA0.38000
    52281ACystoscopy and treatment2.801.0414.170.17000
    52282ACystoscopy, implant stent6.402.1115.050.38000
    52283ACystoscopy and treatment3.741.246.620.22000
    52285ACystoscopy and treatment3.611.196.870.22000
    52290ACystoscopy and treatment4.591.51NA0.27000
    52300ACystoscopy and treatment5.311.75NA0.32000
    52301ACystoscopy and treatment5.511.76NA0.39000
    52305ACystoscopy and treatment5.311.75NA0.31000
    52310ACystoscopy and treatment2.810.993.740.17000
    52315ACystoscopy and treatment5.211.7216.020.31000
    52317ARemove bladder stone6.722.2124.560.40000
    52318ARemove bladder stone9.193.03NA0.54000
    52320ACystoscopy and treatment4.701.54NA0.28000
    52325ACystoscopy, stone removal6.162.02NA0.37000
    52327ACystoscopy, inject material5.191.73NA0.32000
    52330ACystoscopy and treatment5.041.6620.270.30000
    52332ACystoscopy and treatment2.831.0418.450.17000
    52334ACreate passage to kidney4.831.59NA0.28000
    52341ACysto w/ureter stricture tx6.002.32NA0.37000
    52342ACysto w/up stricture tx6.502.51NA0.40000
    52343ACysto w/renal stricture tx7.202.78NA0.44000
    52344ACysto/uretero, stone remove7.702.98NA0.47000
    52345ACysto/uretero w/up stricture8.203.17NA0.50000
    52346ACystouretero w/renal strict9.233.57NA0.57000
    52347ACystoscopy, resect ducts5.282.08NA0.33000
    52351ACystouretro & or pyeloscope5.861.93NA0.36000
    52352ACystouretro w/stone remove6.882.26NA0.42000
    52353ACystouretero w/lithotripsy7.972.61NA0.49000
    52354ACystouretero w/biopsy7.342.42NA0.45000
    52355ACystouretero w/excise tumor8.822.90NA0.55000
    52400ACystouretero w/congen repr9.685.60NA0.60090
    52450AIncision of prostate7.645.01NA0.46090
    52500ARevision of bladder neck8.475.26NA0.50090
    52510ADilation prostatic urethra6.724.30NA0.40090
    52601AProstatectomy (TURP)12.376.55NA0.74090
    52606AControl postop bleeding8.134.69NA0.49090
    52612AProstatectomy, first stage7.985.14NA0.48090
    52614AProstatectomy, second stage6.844.73NA0.41090
    52620ARemove residual prostate6.614.66NA0.39090
    52630ARemove prostate regrowth7.264.88NA0.43090
    52640ARelieve bladder contracture6.624.19NA0.39090
    52647ALaser surgery of prostate10.364.7257.640.61090
    52648ALaser surgery of prostate11.216.16NA0.66090
    52700ADrainage of prostate abscess6.804.78NA0.41090
    53000AIncision of urethra2.282.577.300.13010
    53010AIncision of urethra3.644.11NA0.20090
    53020AIncision of urethra1.770.654.240.11000
    53025AIncision of urethra1.130.444.670.07000
    53040ADrainage of urethra abscess6.408.1613.490.41090
    53060ADrainage of urethra abscess2.632.816.410.23010
    53080ADrainage of urinary leakage6.298.42NA0.42090
    53085ADrainage of urinary leakage10.279.71NA0.67090
    53200ABiopsy of urethra2.590.945.530.17000
    53210ARemoval of urethra12.577.96NA0.81090
    53215ARemoval of urethra15.588.59NA0.93090
    53220ATreatment of urethra lesion7.005.50NA0.44090
    53230ARemoval of urethra lesion9.586.27NA0.60090
    53235ARemoval of urethra lesion10.146.41NA0.60090
    53240ASurgery for urethra pouch6.455.22NA0.42090
    53250ARemoval of urethra gland5.894.52NA0.35090
    53260ATreatment of urethra lesion2.982.386.160.23010
    Start Printed Page 43933
    53265ATreatment of urethra lesion3.122.356.510.20010
    53270ARemoval of urethra gland3.092.576.500.21010
    53275ARepair of urethra defect4.533.32NA0.28010
    53400ARevise urethra, stage 112.777.88NA0.85090
    53405ARevise urethra, stage 214.488.18NA0.91090
    53410AReconstruction of urethra16.448.95NA0.99090
    53415AReconstruction of urethra19.419.29NA1.16090
    53420AReconstruct urethra, stage 114.088.69NA0.90090
    53425AReconstruct urethra, stage 215.989.02NA0.97090
    53430AReconstruction of urethra16.349.09NA1.01090
    53431AReconstruct urethra/bladder19.896.776.771.25090
    53440ACorrect bladder function12.347.99NA0.73090
    53442ARemove perineal prosthesis8.275.96NA0.55090
    53443DReconstruction of urethra19.8911.28NA1.25090
    53444AInsert tandem cuff13.406.47NA0.79090
    53445AInsert uro/ves nck sphincter14.068.52NA0.84090
    53446ARemove uro sphincter10.238.33NA0.61090
    53447ARemove/replace ur sphincter13.497.71NA0.79090
    53448ARemov/replc ur sphinctr comp21.1512.09NA1.27090
    53449ARepair uro sphincter9.706.55NA0.57090
    53450ARevision of urethra6.144.99NA0.37090
    53460ARevision of urethra7.125.35NA0.43090
    53502ARepair of urethra injury7.635.72NA0.50090
    53505ARepair of urethra injury7.635.48NA0.46090
    53510ARepair of urethra injury10.116.72NA0.60090
    53515ARepair of urethra injury13.317.44NA0.83090
    53520ARepair of urethra defect8.685.95NA0.53090
    53600ADilate urethra stricture1.210.441.150.07000
    53601ADilate urethra stricture0.980.391.280.06000
    53605ADilate urethra stricture1.280.42NA0.08000
    53620ADilate urethra stricture1.620.611.860.10000
    53621ADilate urethra stricture1.350.511.940.08000
    53660ADilation of urethra0.710.321.190.04000
    53661ADilation of urethra0.720.301.180.04000
    53665ADilation of urethra0.760.26NA0.05000
    53670AInsert urinary catheter0.500.171.710.03000
    53675AInsert urinary catheter1.470.562.570.09000
    53850AProstatic microwave thermotx9.454.3580.160.56090
    53852AProstatic rf thermotx9.884.5271.410.58090
    53853AProstatic water thermother4.143.0252.920.38090
    53899CUrology surgery procedure0.000.000.000.00YYY
    54000ASlitting of prepuce1.541.475.710.10010
    54001ASlitting of prepuce2.192.096.340.14010
    54015ADrain penis lesion5.323.157.410.33010
    54050ADestruction, penis lesion(s)1.240.492.660.07010
    54055ADestruction, penis lesion(s)1.221.416.460.07010
    54056ACryosurgery, penis lesion(s)1.240.542.880.06010
    54057ALaser surg, penis lesion(s)1.241.372.940.08010
    54060AExcision of penis lesion(s)1.931.615.470.12010
    54065ADestruction, penis lesion(s)2.422.165.350.13010
    54100ABiopsy of penis1.900.743.540.10000
    54105ABiopsy of penis3.502.136.530.21010
    54110ATreatment of penis lesion10.137.97NA0.60090
    54111ATreat penis lesion, graft13.579.09NA0.79090
    54112ATreat penis lesion, graft15.869.98NA0.94090
    54115ATreatment of penis lesion6.156.7011.150.39090
    54120APartial removal of penis9.977.93NA0.60090
    54125ARemoval of penis13.539.12NA0.81090
    54130ARemove penis & nodes20.1411.59NA1.19090
    54135ARemove penis & nodes26.3613.71NA1.58090
    54150ACircumcision1.811.916.790.17010
    54152ACircumcision2.311.73NA0.16010
    54160ACircumcision2.481.805.760.16010
    54161ACircumcision3.272.04NA0.20010
    54162ALysis penil circumcis lesion3.002.86NA0.18010
    54163ARepair of circumcision3.002.48NA0.18010
    Start Printed Page 43934
    54164AFrenulotomy of penis2.502.31NA0.15010
    54200ATreatment of penis lesion1.060.372.790.06010
    54205ATreatment of penis lesion7.937.15NA0.47090
    54220ATreatment of penis lesion2.421.002.040.15000
    54230APrepare penis study1.340.44NA0.08000
    54231ADynamic cavernosometry2.040.812.220.14000
    54235APenile injection1.190.401.180.07000
    54240APenis study1.31NA1.810.13000
    5424026APenis study1.310.440.440.08000
    54240TCAPenis study0.00NA1.370.05000
    54250APenis study2.22NA2.980.16000
    5425026APenis study2.220.730.730.14000
    54250TCAPenis study0.00NA2.250.02000
    54300ARevision of penis10.418.80NA0.64090
    54304ARevision of penis12.499.94NA0.74090
    54308AReconstruction of urethra11.839.73NA0.70090
    54312AReconstruction of urethra13.5710.21NA0.81090
    54316AReconstruction of urethra16.8211.88NA1.00090
    54318AReconstruction of urethra11.259.24NA1.15090
    54322AReconstruction of urethra13.019.22NA0.77090
    54324AReconstruction of urethra16.3111.70NA1.03090
    54326AReconstruction of urethra15.7211.09NA0.93090
    54328ARevise penis/urethra15.6511.10NA0.92090
    54332ARevise penis/urethra17.0811.23NA1.01090
    54336ARevise penis/urethra20.0414.98NA1.90090
    54340ASecondary urethral surgery8.918.11NA0.72090
    54344ASecondary urethral surgery15.9410.79NA1.10090
    54348ASecondary urethral surgery17.1512.23NA1.02090
    54352AReconstruct urethra/penis24.7415.37NA1.62090
    54360APenis plastic surgery11.938.57NA0.72090
    54380ARepair penis13.1810.08NA1.16090
    54385ARepair penis15.3912.00NA0.71090
    54390ARepair penis and bladder21.6114.40NA1.28090
    54400AInsert semi-rigid prosthesis8.996.37NA0.53090
    54401AInsert self-contd prosthesis10.287.18NA0.61090
    54402DRemove penis prosthesis9.217.43NA0.55090
    54405AInsert multi-comp penis pros13.438.27NA0.80090
    54406ARemove multi-comp penis pros12.106.02NA0.80090
    54407DRemove multi-comp prosthesis13.349.03NA0.80090
    54408ARepair multi-comp penis pros12.756.37NA0.80090
    54409DRevise penis prosthesis12.208.59NA0.73090
    54410ARemove/replace penis prosth15.507.27NA0.80090
    54411ARemv/replc penis pros, comp16.008.77NA0.80090
    54415ARemove self-contd penis pros8.205.24NA0.55090
    54416ARemv/repl penis contain pros10.876.79NA0.55090
    54417ARemv/replc penis pros, compl14.197.71NA0.55090
    54420ARevision of penis11.428.47NA0.72090
    54430ARevision of penis10.157.94NA0.60090
    54435ARevision of penis6.126.09NA0.36090
    54440CRepair of penis0.000.000.000.00090
    54450APreputial stretching1.120.471.060.07000
    54500ABiopsy of testis1.310.446.320.08000
    54505ABiopsy of testis3.462.66NA0.21010
    54510DRemoval of testis lesion5.453.90NA0.35090
    54512AExcise lesion testis8.585.01NA0.56090
    54520ARemoval of testis5.233.64NA0.33090
    54522AOrchiectomy, partial9.506.00NA0.62090
    54530ARemoval of testis8.585.30NA0.53090
    54535AExtensive testis surgery12.167.26NA0.83090
    54550AExploration for testis7.784.77NA0.49090
    54560AExploration for testis11.136.79NA0.79090
    54600AReduce testis torsion7.014.26NA0.45090
    54620ASuspension of testis4.903.17NA0.31010
    54640ASuspension of testis6.904.26NA0.49090
    54650AOrchiopexy (Fowler-Stephens)11.457.08NA0.81090
    54660ARevision of testis5.113.51NA0.35090
    Start Printed Page 43935
    54670ARepair testis injury6.414.19NA0.41090
    54680ARelocation of testis(es)12.657.40NA0.94090
    54690ALaparoscopy, orchiectomy10.966.76NA0.99090
    54692ALaparoscopy, orchiopexy12.885.66NA0.87090
    54699CLaparoscope proc, testis0.000.000.000.00YYY
    54700ADrainage of scrotum3.433.428.490.23010
    54800ABiopsy of epididymis2.330.796.020.14000
    54820AExploration of epididymis5.143.61NA0.33090
    54830ARemove epididymis lesion5.383.73NA0.34090
    54840ARemove epididymis lesion5.203.67NA0.31090
    54860ARemoval of epididymis6.324.27NA0.38090
    54861ARemoval of epididymis8.905.12NA0.52090
    54900AFusion of spermatic ducts13.206.63NA1.34090
    54901AFusion of spermatic ducts17.948.70NA1.83090
    55000ADrainage of hydrocele1.430.482.180.10000
    55040ARemoval of hydrocele5.363.45NA0.35090
    55041ARemoval of hydroceles7.744.50NA0.50090
    55060ARepair of hydrocele5.523.51NA0.37090
    55100ADrainage of scrotum abscess2.133.689.840.15010
    55110AExplore scrotum5.703.61NA0.36090
    55120ARemoval of scrotum lesion5.093.41NA0.33090
    55150ARemoval of scrotum7.224.62NA0.47090
    55175ARevision of scrotum5.243.73NA0.33090
    55180ARevision of scrotum10.726.41NA0.72090
    55200AIncision of sperm duct4.243.15NA0.25090
    55250ARemoval of sperm duct(s)3.293.139.450.21090
    55300APrepare, sperm duct x-ray3.511.54NA0.20000
    55400ARepair of sperm duct8.495.30NA0.50090
    55450ALigation of sperm duct4.122.507.330.24010
    55500ARemoval of hydrocele5.593.67NA0.43090
    55520ARemoval of sperm cord lesion6.033.70NA0.56090
    55530ARevise spermatic cord veins5.663.81NA0.36090
    55535ARevise spermatic cord veins6.564.16NA0.42090
    55540ARevise hernia & sperm veins7.674.26NA0.74090
    55550ALaparo ligate spermatic vein6.573.42NA0.47090
    55559CLaparo proc, spermatic cord0.000.000.000.00YYY
    55600AIncise sperm duct pouch6.384.30NA0.38090
    55605AIncise sperm duct pouch7.965.20NA0.54090
    55650ARemove sperm duct pouch11.806.27NA0.72090
    55680ARemove sperm pouch lesion5.193.89NA0.31090
    55700ABiopsy of prostate1.570.724.560.10000
    55705ABiopsy of prostate4.573.84NA0.26010
    55720ADrainage of prostate abscess7.645.95NA0.44090
    55725ADrainage of prostate abscess8.686.39NA0.51090
    55801ARemoval of prostate17.809.51NA1.08090
    55810AExtensive prostate surgery22.5811.51NA1.35090
    55812AExtensive prostate surgery27.5113.67NA1.69090
    55815AExtensive prostate surgery30.4614.64NA1.84090
    55821ARemoval of prostate14.257.99NA0.85090
    55831ARemoval of prostate15.628.46NA0.94090
    55840AExtensive prostate surgery22.6912.05NA1.37090
    55842AExtensive prostate surgery24.3812.69NA1.48090
    55845AExtensive prostate surgery28.5513.91NA1.71090
    55859APercut/needle insert, pros12.527.54NA0.74090
    55860ASurgical exposure, prostate14.458.27NA0.82090
    55862AExtensive prostate surgery18.399.58NA1.14090
    55865AExtensive prostate surgery22.8711.14NA1.37090
    55870AElectroejaculation2.581.021.970.14000
    55873ACryoablate prostate19.4710.37NA1.02090
    55899CGenital surgery procedure0.000.000.000.00YYY
    55970NSex transformation, M to F0.000.000.000.00XXX
    55980NSex transformation, F to M0.000.000.000.00XXX
    56405AI & D of vulva/perineum1.441.302.480.14010
    56420ADrainage of gland abscess1.391.292.460.13010
    56440ASurgery for vulva lesion2.842.363.750.28010
    56441ALysis of labial lesion(s)1.972.092.680.17010
    Start Printed Page 43936
    56501ADestroy, vulva lesions, simp1.531.402.420.15010
    56515ADestroy vulva lesion/s compl2.762.383.200.18010
    56605ABiopsy of vulva/perineum1.100.491.890.11000
    56606ABiopsy of vulva/perineum0.550.221.670.06ZZZ
    56620APartial removal of vulva7.475.00NA0.76090
    56625AComplete removal of vulva8.405.95NA0.84090
    56630AExtensive vulva surgery12.367.75NA1.23090
    56631AExtensive vulva surgery16.2010.49NA1.63090
    56632AExtensive vulva surgery20.2910.33NA2.03090
    56633AExtensive vulva surgery16.479.42NA1.66090
    56634AExtensive vulva surgery17.8811.17NA1.78090
    56637AExtensive vulva surgery21.9712.85NA2.18090
    56640AExtensive vulva surgery22.1712.38NA2.26090
    56700APartial removal of hymen2.522.133.100.24010
    56720AIncision of hymen0.680.571.810.07000
    56740ARemove vagina gland lesion4.572.963.920.37010
    56800ARepair of vagina3.892.80NA0.37010
    56805ARepair clitoris18.869.36NA1.82090
    56810ARepair of perineum4.132.86NA0.41010
    57000AExploration of vagina2.972.42NA0.28010
    57010ADrainage of pelvic abscess6.033.92NA0.57090
    57020ADrainage of pelvic fluid1.500.631.630.15000
    57022AI & d vaginal hematoma, pp2.562.13NA0.24010
    57023AI & d vag hematoma, non-ob4.752.98NA0.24010
    57061ADestroy vag lesions, simple1.251.302.360.13010
    57065ADestroy vag lesions, complex2.612.363.060.26010
    57100ABiopsy of vagina1.200.511.610.10000
    57105ABiopsy of vagina1.692.302.330.17010
    57106ARemove vagina wall, partial6.362.522.520.58090
    57107ARemove vagina tissue, part23.0010.53NA2.17090
    57109AVaginectomy partial w/nodes27.0012.03NA1.97090
    57110ARemove vagina wall, complete14.297.39NA1.43090
    57111ARemove vagina tissue, compl27.0012.47NA2.71090
    57112AVaginectomy w/nodes, compl29.0012.71NA2.19090
    57120AClosure of vagina7.414.77NA0.75090
    57130ARemove vagina lesion2.432.18NA0.23010
    57135ARemove vagina lesion2.672.293.050.26010
    57150ATreat vagina infection0.550.221.050.06000
    57155AInsert uteri tandems/ovoids6.273.67NA0.63090
    57160AInsert pessary/other device0.890.401.130.09000
    57170AFitting of diaphragm/cap0.910.341.460.09000
    57180ATreat vaginal bleeding1.581.512.370.16010
    57200ARepair of vagina3.943.08NA0.38090
    57210ARepair vagina/perineum5.173.60NA0.50090
    57220ARevision of urethra4.313.48NA0.42090
    57230ARepair of urethral lesion5.644.33NA0.50090
    57240ARepair bladder & vagina6.074.55NA0.53090
    57250ARepair rectum & vagina5.533.95NA0.54090
    57260ARepair of vagina8.275.07NA0.83090
    57265AExtensive repair of vagina11.347.09NA1.14090
    57268ARepair of bowel bulge6.764.43NA0.66090
    57270ARepair of bowel pouch12.116.41NA1.17090
    57280ASuspension of vagina15.047.56NA1.44090
    57282ARepair of vaginal prolapse8.865.32NA0.86090
    57284ARepair paravaginal defect12.707.28NA1.17090
    57287ARevise/remove sling repair10.717.29NA0.74090
    57288ARepair bladder defect13.027.03NA0.86090
    57289ARepair bladder & vagina11.586.87NA0.95090
    57291AConstruction of vagina7.955.82NA0.78090
    57292AConstruct vagina with graft13.097.23NA1.29090
    57300ARepair rectum-vagina fistula7.614.73NA0.70090
    57305ARepair rectum-vagina fistula13.776.83NA1.33090
    57307AFistula repair & colostomy15.937.56NA1.59090
    57308AFistula repair, transperine9.945.94NA0.91090
    57310ARepair urethrovaginal lesion6.784.82NA0.45090
    57311ARepair urethrovaginal lesion7.985.44NA0.51090
    Start Printed Page 43937
    57320ARepair bladder-vagina lesion8.015.44NA0.60090
    57330ARepair bladder-vagina lesion12.356.89NA0.86090
    57335ARepair vagina18.739.30NA1.66090
    57400ADilation of vagina2.271.15NA0.22000
    57410APelvic examination1.751.092.670.14000
    57415ARemove vaginal foreign body2.172.133.640.19010
    57452AExamination of vagina0.990.451.680.10000
    57454AVagina examination & biopsy1.270.601.870.13000
    57460ACervix excision2.831.162.140.28000
    57500ABiopsy of cervix0.970.482.270.10000
    57505AEndocervical curettage1.141.332.040.12010
    57510ACauterization of cervix1.901.613.260.18010
    57511ACryocautery of cervix1.900.752.520.18010
    57513ALaser surgery of cervix1.901.622.730.19010
    57520AConization of cervix4.042.904.430.41090
    57522AConization of cervix3.362.633.980.34090
    57530ARemoval of cervix4.793.69NA0.48090
    57531ARemoval of cervix, radical28.0013.79NA2.46090
    57540ARemoval of residual cervix12.226.28NA1.21090
    57545ARemove cervix/repair pelvis13.036.76NA1.30090
    57550ARemoval of residual cervix5.533.95NA0.55090
    57555ARemove cervix/repair vagina8.955.76NA0.89090
    57556ARemove cervix, repair bowel8.375.03NA0.80090
    57700ARevision of cervix3.552.64NA0.33090
    57720ARevision of cervix4.133.39NA0.41090
    57800ADilation of cervical canal0.770.351.220.08000
    57820AD & c of residual cervix1.672.342.700.17010
    58100ABiopsy of uterus lining1.530.741.550.07000
    58120ADilation and curettage3.272.503.990.33010
    58140ARemoval of uterus lesion14.607.13NA1.46090
    58145ARemoval of uterus lesion8.045.02NA0.80090
    58150ATotal hysterectomy15.247.69NA1.53090
    58152ATotal hysterectomy20.609.88NA1.52090
    58180APartial hysterectomy15.297.64NA1.54090
    58200AExtensive hysterectomy21.5911.32NA2.15090
    58210AExtensive hysterectomy28.8514.24NA2.91090
    58240ARemoval of pelvis contents38.3919.04NA3.76090
    58260AVaginal hysterectomy12.986.73NA1.23090
    58262AVaginal hysterectomy14.777.48NA1.42090
    58263AVaginal hysterectomy16.068.00NA1.55090
    58267AHysterectomy & vagina repair17.048.59NA1.51090
    58270AHysterectomy & vagina repair14.267.25NA1.37090
    58275AHysterectomy/revise vagina15.767.76NA1.51090
    58280AHysterectomy/revise vagina17.018.26NA1.54090
    58285AExtensive hysterectomy22.2610.93NA1.88090
    58300NInsert intrauterine device1.010.391.410.10XXX
    58301ARemove intrauterine device1.270.501.610.13000
    58321AArtificial insemination0.920.360.990.10000
    58322AArtificial insemination1.100.431.050.11000
    58323ASperm washing0.230.100.550.02000
    58340ACatheter for hysterography0.880.3312.820.08000
    58345AReopen fallopian tube4.661.74NA0.36010
    58346AInsert heyman uteri capsule6.753.85NA0.68090
    58350AReopen fallopian tube1.011.172.110.10010
    58353AEndometr ablate, thermal3.562.25NA0.37010
    58400ASuspension of uterus6.364.11NA0.62090
    58410ASuspension of uterus12.736.68NA1.09090
    58520ARepair of ruptured uterus11.926.01NA1.17090
    58540ARevision of uterus14.647.06NA1.28090
    58550ALaparo-asst vag hysterectomy14.196.91NA1.44010
    58551ALaparoscopy, remove myoma14.216.81NA1.45010
    58555AHysteroscopy, dx, sep proc3.331.472.930.34000
    58558AHysteroscopy, biopsy4.752.073.520.49000
    58559AHysteroscopy, lysis6.172.522.520.62000
    58560AHysteroscopy, resect septum7.002.922.920.71000
    58561AHysteroscopy, remove myoma10.004.024.021.02000
    Start Printed Page 43938
    58562AHysteroscopy, remove fb5.212.23NA0.52000
    58563AHysteroscopy, ablation6.172.542.540.62000
    58578CLaparo proc, uterus0.000.000.000.00YYY
    58579CHysteroscope procedure0.000.000.000.00YYY
    58600ADivision of fallopian tube5.603.43NA0.39090
    58605ADivision of fallopian tube5.003.24NA0.33090
    58611ALigate oviduct(s) add-on1.450.59NA0.07ZZZ
    58615AOcclude fallopian tube(s)3.903.17NA0.40010
    58660ALaparoscopy, lysis11.295.37NA1.14090
    58661ALaparoscopy, remove adnexa11.055.32NA1.12010
    58662ALaparoscopy, excise lesions11.795.44NA1.18090
    58670ALaparoscopy, tubal cautery5.603.66NA0.55090
    58671ALaparoscopy, tubal block5.603.69NA0.56090
    58672ALaparoscopy, fimbrioplasty12.886.36NA1.22090
    58673ALaparoscopy, salpingostomy13.746.94NA1.40090
    58679CLaparo proc, oviduct-ovary0.000.000.000.00YYY
    58700ARemoval of fallopian tube12.055.90NA0.64090
    58720ARemoval of ovary/tube(s)11.365.87NA1.14090
    58740ARevise fallopian tube(s)14.007.14NA0.59090
    58750ARepair oviduct14.847.50NA1.52090
    58752ARevise ovarian tube(s)14.847.15NA1.51090
    58760ARemove tubal obstruction13.136.88NA1.34090
    58770ACreate new tubal opening13.977.11NA1.42090
    58800ADrainage of ovarian cyst(s)4.144.494.490.36090
    58805ADrainage of ovarian cyst(s)5.883.54NA0.56090
    58820ADrain ovary abscess, open4.223.43NA0.29090
    58822ADrain ovary abscess, percut10.135.10NA0.92090
    58823ADrain pelvic abscess, percut3.382.35NA0.18000
    58825ATransposition, ovary(s)10.985.87NA0.62090
    58900ABiopsy of ovary(s)5.993.63NA0.56090
    58920APartial removal of ovary(s)11.365.67NA0.68090
    58925ARemoval of ovarian cyst(s)11.365.63NA1.14090
    58940ARemoval of ovary(s)7.294.03NA0.73090
    58943ARemoval of ovary(s)18.439.59NA1.86090
    58950AResect ovarian malignancy16.939.15NA1.55090
    58951AResect ovarian malignancy22.3811.49NA2.20090
    58952AResect ovarian malignancy25.0112.59NA2.50090
    58953ATah, rad dissect for debulk32.0015.15NA3.20090
    58954ATah rad debulk/lymph remove35.0016.23NA3.50090
    58960AExploration of abdomen14.658.27NA1.47090
    58970ARetrieval of oocyte3.531.668.700.36000
    58974CTransfer of embryo0.000.000.000.00000
    58976ATransfer of embryo3.831.482.250.39000
    58999CGenital surgery procedure0.000.000.000.00YYY
    59000AAmniocentesis, diagnostic1.300.702.050.23000
    59001AAmniocentesis, therapeutic3.001.33NA0.23000
    59012AFetal cord puncture,prenatal3.451.59NA0.62000
    59015AChorion biopsy2.201.091.610.40000
    59020AFetal contract stress test0.66NA0.810.20000
    5902026AFetal contract stress test0.660.270.270.12000
    59020TCAFetal contract stress test0.00NA0.540.08000
    59025AFetal non-stress test0.53NA0.460.12000
    5902526AFetal non-stress test0.530.220.220.10000
    59025TCAFetal non-stress test0.00NA0.240.02000
    59030AFetal scalp blood sample1.991.07NA0.36000
    59050AFetal monitor w/report0.890.36NA0.16XXX
    59051AFetal monitor/interpret only0.740.30NA0.14XXX
    59100ARemove uterus lesion12.356.42NA2.21090
    59120ATreat ectopic pregnancy11.496.23NA2.06090
    59121ATreat ectopic pregnancy11.676.35NA2.09090
    59130ATreat ectopic pregnancy14.226.99NA2.54090
    59135ATreat ectopic pregnancy13.887.10NA2.49090
    59136ATreat ectopic pregnancy13.186.70NA2.36090
    59140ATreat ectopic pregnancy5.463.46NA0.98090
    59150ATreat ectopic pregnancy11.676.48NA1.23090
    59151ATreat ectopic pregnancy11.495.94NA1.41090
    Start Printed Page 43939
    59160AD & c after delivery2.712.293.730.49010
    59200AInsert cervical dilator0.790.311.410.15000
    59300AEpisiotomy or vaginal repair2.410.982.000.43000
    59320ARevision of cervix2.481.30NA0.45000
    59325ARevision of cervix4.071.96NA0.73000
    59350ARepair of uterus4.951.99NA0.88000
    59400AObstetrical care23.0615.17NA4.14MMM
    59409AObstetrical care13.505.41NA2.42MMM
    59410AObstetrical care14.786.25NA2.65MMM
    59412AAntepartum manipulation1.710.701.340.31MMM
    59414ADeliver placenta1.611.32NA0.29MMM
    59425AAntepartum care only4.815.345.340.86MMM
    59426AAntepartum care only8.289.119.111.49MMM
    59430ACare after delivery2.131.261.260.38MMM
    59510ACesarean delivery26.2217.35NA4.70MMM
    59514ACesarean delivery only15.976.33NA2.86MMM
    59515ACesarean delivery17.378.23NA3.12MMM
    59525ARemove uterus after cesarean8.543.34NA1.53ZZZ
    59610AVbac delivery24.6215.89NA4.41MMM
    59612AVbac delivery only15.066.18NA2.70MMM
    59614AVbac care after delivery16.347.52NA2.93MMM
    59618AAttempted vbac delivery27.7818.22NA4.98MMM
    59620AAttempted vbac delivery only17.536.89NA3.15MMM
    59622AAttempted vbac after care18.938.80NA3.39MMM
    59812ATreatment of miscarriage4.012.633.710.58090
    59820ACare of miscarriage4.012.793.750.72090
    59821ATreatment of miscarriage4.472.983.740.80090
    59830ATreat uterus infection6.114.05NA1.10090
    59840RAbortion3.012.374.070.54010
    59841RAbortion5.243.715.710.94010
    59850RAbortion5.912.79NA1.06090
    59851RAbortion5.933.18NA1.06090
    59852RAbortion8.244.65NA1.48090
    59855RAbortion6.123.34NA1.10090
    59856RAbortion7.483.65NA1.34090
    59857RAbortion9.294.35NA1.66090
    59866RAbortion (mpr)4.001.55NA0.72000
    59870AEvacuate mole of uterus6.013.85NA0.77090
    59871ARemove cerclage suture2.130.892.120.38000
    59898CLaparo proc, ob care/deliver0.000.000.000.00YYY
    59899CMaternity care procedure0.000.000.000.00YYY
    60000ADrain thyroid/tongue cyst1.762.122.330.14010
    60001AAspirate/inject thyriod cyst0.970.351.640.06000
    60100ABiopsy of thyroid1.560.552.610.05000
    60200ARemove thyroid lesion9.556.53NA0.84090
    60210APartial thyroid excision10.886.43NA1.01090
    60212AParital thyroid excision16.038.24NA1.51090
    60220APartial removal of thyroid11.906.99NA0.97090
    60225APartial removal of thyroid14.197.82NA1.31090
    60240ARemoval of thyroid16.069.18NA1.50090
    60252ARemoval of thyroid20.5711.38NA1.63090
    60254AExtensive thyroid surgery26.9915.76NA1.96090
    60260ARepeat thyroid surgery17.4710.27NA1.39090
    60270ARemoval of thyroid20.2711.40NA1.78090
    60271ARemoval of thyroid16.839.77NA1.35090
    60280ARemove thyroid duct lesion5.875.11NA0.45090
    60281ARemove thyroid duct lesion8.536.32NA0.67090
    60500AExplore parathyroid glands16.237.77NA1.61090
    60502ARe-explore parathyroids20.359.58NA2.00090
    60505AExplore parathyroid glands21.4911.33NA2.14090
    60512AAutotransplant parathyroid4.451.66NA0.44ZZZ
    60520ARemoval of thymus gland16.819.71NA1.84090
    60521ARemoval of thymus gland18.8711.48NA2.34090
    60522ARemoval of thymus gland23.0912.76NA2.83090
    60540AExplore adrenal gland17.037.84NA1.42090
    60545AExplore adrenal gland19.889.48NA1.75090
    Start Printed Page 43940
    60600ARemove carotid body lesion17.9313.29NA1.87090
    60605ARemove carotid body lesion20.2418.29NA2.28090
    60650ALaparoscopy adrenalectomy20.008.11NA1.98090
    60659CLaparo proc, endocrine0.000.000.000.00YYY
    60699CEndocrine surgery procedure0.000.000.000.00YYY
    61000ARemove cranial cavity fluid1.581.491.730.13000
    61001ARemove cranial cavity fluid1.491.411.910.15000
    61020ARemove brain cavity fluid1.511.482.350.26000
    61026AInjection into brain canal1.691.672.280.21000
    61050ARemove brain canal fluid1.511.52NA0.13000
    61055AInjection into brain canal2.101.70NA0.13000
    61070ABrain canal shunt procedure0.891.186.860.09000
    61105ATwist drill hole5.143.60NA1.05090
    61107ADrill skull for implantation5.003.06NA1.02000
    61108ADrill skull for drainage10.196.94NA2.04090
    61120ABurr hole for puncture8.765.77NA1.81090
    61140APierce skull for biopsy15.909.73NA3.15090
    61150APierce skull for drainage17.5710.52NA3.52090
    61151APierce skull for drainage12.428.07NA2.45090
    61154APierce skull & remove clot14.999.33NA3.05090
    61156APierce skull for drainage16.3210.12NA3.42090
    61210APierce skull, implant device5.843.46NA1.16000
    61215AInsert brain-fluid device4.894.16NA0.99090
    61250APierce skull & explore10.426.64NA2.02090
    61253APierce skull & explore12.367.48NA2.26090
    61304AOpen skull for exploration21.9612.40NA4.33090
    61305AOpen skull for exploration26.6114.78NA5.25090
    61312AOpen skull for drainage24.5714.18NA4.99090
    61313AOpen skull for drainage24.9314.37NA5.07090
    61314AOpen skull for drainage24.2312.82NA4.00090
    61315AOpen skull for drainage27.6815.79NA5.62090
    61320AOpen skull for drainage25.6214.72NA5.20090
    61321AOpen skull for drainage28.5015.83NA5.35090
    61330ADecompress eye socket23.3218.10NA2.58090
    61332AExplore/biopsy eye socket27.2819.79NA4.15090
    61333AExplore orbit/remove lesion27.9516.19NA2.24090
    61334AExplore orbit/remove object18.2711.00NA3.02090
    61340ARelieve cranial pressure18.6611.41NA3.66090
    61343AIncise skull (press relief)29.7717.51NA6.04090
    61345ARelieve cranial pressure27.2016.07NA5.23090
    61440AIncise skull for surgery26.6315.30NA5.57090
    61450AIncise skull for surgery25.9514.46NA5.11090
    61458AIncise skull for brain wound27.2915.54NA5.28090
    61460AIncise skull for surgery28.3916.54NA5.13090
    61470AIncise skull for surgery26.0614.26NA4.65090
    61480AIncise skull for surgery26.4912.00NA5.54090
    61490AIncise skull for surgery25.6614.57NA5.37090
    61500ARemoval of skull lesion17.9210.82NA3.26090
    61501ARemove infected skull bone14.849.23NA2.63090
    61510ARemoval of brain lesion28.4516.15NA5.77090
    61512ARemove brain lining lesion35.0919.64NA7.14090
    61514ARemoval of brain abscess25.2614.48NA5.12090
    61516ARemoval of brain lesion24.6114.55NA4.94090
    61518ARemoval of brain lesion37.3221.68NA7.53090
    61519ARemove brain lining lesion41.3923.67NA8.15090
    61520ARemoval of brain lesion54.8431.29NA10.10090
    61521ARemoval of brain lesion44.4825.20NA8.85090
    61522ARemoval of brain abscess29.4517.12NA5.30090
    61524ARemoval of brain lesion27.8616.38NA5.01090
    61526ARemoval of brain lesion52.1730.55NA6.72090
    61530ARemoval of brain lesion43.8626.68NA6.17090
    61531AImplant brain electrodes14.639.36NA2.84090
    61533AImplant brain electrodes19.7112.01NA3.80090
    61534ARemoval of brain lesion20.9712.74NA4.15090
    61535ARemove brain electrodes11.637.81NA2.29090
    61536ARemoval of brain lesion35.5220.56NA6.68090
    Start Printed Page 43941
    61538ARemoval of brain tissue26.8115.92NA5.38090
    61539ARemoval of brain tissue32.0818.48NA6.62090
    61541AIncision of brain tissue28.8516.57NA5.50090
    61542ARemoval of brain tissue31.0218.39NA6.49090
    61543ARemoval of brain tissue29.2216.98NA6.11090
    61544ARemove & treat brain lesion25.5014.30NA4.91090
    61545AExcision of brain tumor43.8024.37NA8.88090
    61546ARemoval of pituitary gland31.3018.25NA6.06090
    61548ARemoval of pituitary gland21.5313.40NA3.63090
    61550ARelease of skull seams14.657.19NA1.14090
    61552ARelease of skull seams19.569.61NA0.88090
    61556AIncise skull/sutures22.2611.83NA3.57090
    61557AIncise skull/sutures22.3813.43NA4.68090
    61558AExcision of skull/sutures25.5812.33NA2.61090
    61559AExcision of skull/sutures32.7919.31NA6.86090
    61563AExcision of skull tumor26.8315.82NA4.46090
    61564AExcision of skull tumor33.8318.61NA7.08090
    61570ARemove foreign body, brain24.6013.44NA4.60090
    61571AIncise skull for brain wound26.3914.67NA5.23090
    61575ASkull base/brainstem surgery34.3620.90NA5.02090
    61576ASkull base/brainstem surgery52.4330.54NA4.68090
    61580ACraniofacial approach, skull30.3519.03NA2.75090
    61581ACraniofacial approach, skull34.6015.21NA3.37090
    61582ACraniofacial approach, skull31.6618.86NA6.30090
    61583ACraniofacial approach, skull36.2122.08NA6.94090
    61584AOrbitocranial approach/skull34.6520.47NA6.53090
    61585AOrbitocranial approach/skull38.6122.17NA6.19090
    61586AResect nasopharynx, skull25.1015.93NA3.52090
    61590AInfratemporal approach/skull41.7825.32NA4.28090
    61591AInfratemporal approach/skull43.6826.00NA5.26090
    61592AOrbitocranial approach/skull39.6423.16NA7.55090
    61595ATranstemporal approach/skull29.5719.15NA3.05090
    61596ATranscochlear approach/skull35.6321.87NA4.25090
    61597ATranscondylar approach/skull37.9620.80NA6.65090
    61598ATranspetrosal approach/skull33.4120.38NA4.60090
    61600AResect/excise cranial lesion25.8515.77NA3.12090
    61601AResect/excise cranial lesion27.8916.92NA5.29090
    61605AResect/excise cranial lesion29.3318.37NA2.51090
    61606AResect/excise cranial lesion38.8322.93NA6.81090
    61607AResect/excise cranial lesion36.2721.66NA5.69090
    61608AResect/excise cranial lesion42.1024.23NA8.31090
    61609ATransect artery, sinus9.894.91NA2.07ZZZ
    61610ATransect artery, sinus29.6713.53NA3.52ZZZ
    61611ATransect artery, sinus7.422.87NA1.55ZZZ
    61612ATransect artery, sinus27.8813.72NA3.55ZZZ
    61613ARemove aneurysm, sinus40.8623.57NA8.32090
    61615AResect/excise lesion, skull32.0720.27NA4.64090
    61616AResect/excise lesion, skull43.3326.44NA7.02090
    61618ARepair dura16.9911.17NA2.92090
    61619ARepair dura20.7113.11NA3.42090
    61624AOcclusion/embolization cath20.157.18NA1.15000
    61626AOcclusion/embolization cath16.625.74NA0.84000
    61680AIntracranial vessel surgery30.7117.96NA6.04090
    61682AIntracranial vessel surgery61.5733.42NA12.69090
    61684AIntracranial vessel surgery39.8122.49NA7.87090
    61686AIntracranial vessel surgery64.4935.40NA13.20090
    61690AIntracranial vessel surgery29.3117.26NA5.51090
    61692AIntracranial vessel surgery51.8728.35NA10.17090
    61697ABrain aneurysm repr, complx50.5227.58NA10.31090
    61698ABrain aneurysm repr, complx48.4126.60NA9.99090
    61700ABrain aneurysm repr , simple50.5227.58NA10.18090
    61702AInner skull vessel surgery48.4126.60NA9.75090
    61703AClamp neck artery17.4710.91NA3.62090
    61705ARevise circulation to head36.2019.80NA6.67090
    61708ARevise circulation to head35.3015.99NA2.18090
    61710ARevise circulation to head29.6714.51NA2.42090
    Start Printed Page 43942
    61711AFusion of skull arteries36.3320.32NA7.39090
    61720AIncise skull/brain surgery16.7710.59NA3.51090
    61735AIncise skull/brain surgery20.4312.62NA4.16090
    61750AIncise skull/brain biopsy18.2010.86NA3.71090
    61751ABrain biopsy w/ ct/mr guide17.6210.67NA3.57090
    61760AImplant brain electrodes22.278.87NA4.59090
    61770AIncise skull for treatment21.4412.92NA4.09090
    61790ATreat trigeminal nerve10.865.86NA1.82090
    61791ATreat trigeminal tract14.619.18NA3.03090
    61793AFocus radiation beam17.2410.80NA3.51090
    61795ABrain surgery using computer4.042.09NA0.81ZZZ
    61850AImplant neuroelectrodes12.397.95NA2.23090
    61860AImplant neuroelectrodes20.8712.73NA4.04090
    61862AImplant neurostimul, subcort19.3411.90NA3.97090
    61870AImplant neuroelectrodes14.9410.48NA1.70090
    61875AImplant neuroelectrodes15.069.02NA2.42090
    61880ARevise/remove neuroelectrode6.295.19NA1.31090
    61885AImplant neurostim one array5.854.27NA1.22090
    61886AImplant neurostim arrays8.006.03NA1.64090
    61888ARevise/remove neuroreceiver5.073.85NA1.04010
    62000ATreat skull fracture12.535.52NA0.87090
    62005ATreat skull fracture16.178.93NA2.33090
    62010ATreatment of head injury19.8111.53NA4.05090
    62100ARepair brain fluid leakage22.0313.66NA4.07090
    62115AReduction of skull defect21.6611.72NA4.53090
    62116AReduction of skull defect23.5913.67NA4.85090
    62117AReduction of skull defect26.6015.32NA5.56090
    62120ARepair skull cavity lesion23.3514.28NA3.07090
    62121AIncise skull repair21.5813.43NA2.47090
    62140ARepair of skull defect13.518.50NA2.60090
    62141ARepair of skull defect14.919.64NA2.85090
    62142ARemove skull plate/flap10.797.17NA2.10090
    62143AReplace skull plate/flap13.058.61NA2.55090
    62145ARepair of skull & brain18.8211.50NA3.81090
    62146ARepair of skull with graft16.1210.29NA2.94090
    62147ARepair of skull with graft19.3412.03NA3.64090
    62180AEstablish brain cavity shunt21.0612.65NA4.32090
    62190AEstablish brain cavity shunt11.077.60NA2.18090
    62192AEstablish brain cavity shunt12.258.13NA2.46090
    62194AReplace/irrigate catheter5.032.18NA0.50010
    62200AEstablish brain cavity shunt18.3211.44NA3.70090
    62201AEstablish brain cavity shunt14.869.45NA2.52090
    62220AEstablish brain cavity shunt13.008.50NA2.53090
    62223AEstablish brain cavity shunt12.878.37NA2.58090
    62225AReplace/irrigate catheter5.414.04NA1.09090
    62230AReplace/revise brain shunt10.546.50NA2.10090
    62252ACsf shunt reprogram0.74NA1.430.18XXX
    6225226ACsf shunt reprogram0.740.290.290.16XXX
    62252TCACsf shunt reprogram0.00NA1.140.02XXX
    62256ARemove brain cavity shunt6.605.31NA1.3490
    62258AReplace brain cavity shunt14.548.59NA2.91090
    62263ALysis epidural adhesions6.142.125.520.42010
    62268ADrain spinal cord cyst4.742.71NA0.29000
    62269ANeedle biopsy, spinal cord5.022.39NA0.29000
    62270ASpinal fluid tap, diagnostic1.130.474.000.06000
    62272ADrain cerebro spinal fluid1.350.623.380.13000
    62273ATreat epidural spine lesion2.151.201.460.14000
    62280ATreat spinal cord lesion2.630.684.290.17010
    62281ATreat spinal cord lesion2.660.594.000.16010
    62282ATreat spinal canal lesion2.330.595.800.14010
    62284AInjection for myelogram1.540.506.090.10000
    62287APercutaneous diskectomy8.085.00NA0.66090
    62290AInject for spine disk x-ray3.001.295.670.20000
    62291AInject for spine disk x-ray2.911.155.870.17000
    62292AInjection into disk lesion7.864.87NA0.65090
    62294AInjection into spinal artery11.836.66NA0.85090
    Start Printed Page 43943
    62310AInject spine c/t1.910.423.710.11000
    62311AInject spine l/s (cd)1.540.354.180.09000
    62318AInject spine w/cath, c/t2.040.443.850.12000
    62319AInject spine w/cath l/s (cd)1.870.393.430.11000
    62350AImplant spinal canal cath6.873.62NA0.64090
    62351AImplant spinal canal cath10.006.65NA1.79090
    62355ARemove spinal canal catheter5.452.83NA0.47090
    62360AInsert spine infusion device2.622.24NA0.21090
    62361AImplant spine infusion pump5.423.47NA0.50090
    62362AImplant spine infusion pump7.044.02NA0.86090
    62365ARemove spine infusion device5.423.88NA0.58090
    62367CAnalyze spine infusion pump0.000.000.000.00XXX
    6236726AAnalyze spine infusion pump0.480.130.130.03XXX
    62367TCCAnalyze spine infusion pump0.000.000.000.00XXX
    62368CAnalyze spine infusion pump0.000.000.000.00XXX
    6236826AAnalyze spine infusion pump0.750.200.200.05XXX
    62368TCCAnalyze spine infusion pump0.000.000.000.00XXX
    63001ARemoval of spinal lamina15.8211.41NA3.03090
    63003ARemoval of spinal lamina15.9511.72NA2.98090
    63005ARemoval of spinal lamina14.9211.28NA2.62090
    63011ARemoval of spinal lamina14.529.87NA1.43090
    63012ARemoval of spinal lamina15.4010.09NA2.71090
    63015ARemoval of spinal lamina19.3513.38NA3.84090
    63016ARemoval of spinal lamina19.2013.41NA3.62090
    63017ARemoval of spinal lamina15.9411.75NA2.91090
    63020ANeck spine disk surgery14.8111.11NA2.89090
    63030ALow back disk surgery12.009.79NA2.21090
    63035ASpinal disk surgery add-on3.151.60NA0.57ZZZ
    63040ALaminotomy, single cervical18.8113.09NA3.36090
    63042ALaminotomy, single lumbar17.4712.67NA3.11090
    63043CLaminotomy, addl cervical0.000.000.000.00ZZZ
    63044CLaminotomy, addl lumbar0.000.000.000.00ZZZ
    63045ARemoval of spinal lamina16.5011.98NA3.19090
    63046ARemoval of spinal lamina15.8011.74NA2.89090
    63047ARemoval of spinal lamina14.6111.20NA2.61090
    63048ARemove spinal lamina add-on3.261.68NA0.58ZZZ
    63055ADecompress spinal cord21.9914.81NA4.09090
    63056ADecompress spinal cord20.3614.14NA3.34090
    63057ADecompress spine cord add-on5.262.66NA0.81ZZZ
    63064ADecompress spinal cord24.6116.61NA4.72090
    63066ADecompress spine cord add-on3.261.69NA0.63ZZZ
    63075ANeck spine disk surgery19.4113.53NA3.73090
    63076ANeck spine disk surgery4.052.07NA0.78ZZZ
    63077ASpine disk surgery, thorax21.4415.02NA3.44090
    63078ASpine disk surgery, thorax3.281.68NA0.50ZZZ
    63081ARemoval of vertebral body23.7316.32NA4.46090
    63082ARemove vertebral body add-on4.372.26NA0.82ZZZ
    63085ARemoval of vertebral body26.9217.77NA4.70090
    63086ARemove vertebral body add-on3.191.62NA0.55ZZZ
    63087ARemoval of vertebral body35.5721.55NA5.87090
    63088ARemove vertebral body add-on4.332.23NA0.77ZZZ
    63090ARemoval of vertebral body28.1617.98NA4.27090
    63091ARemove vertebral body add-on3.031.49NA0.45ZZZ
    63170AIncise spinal cord tract(s)19.8313.67NA3.89090
    63172ADrainage of spinal cyst17.6613.13NA3.46090
    63173ADrainage of spinal cyst21.9915.14NA4.14090
    63180ARevise spinal cord ligaments18.2713.46NA3.83090
    63182ARevise spinal cord ligaments20.5012.98NA3.48090
    63185AIncise spinal column/nerves15.049.94NA2.08090
    63190AIncise spinal column/nerves17.4512.03NA2.88090
    63191AIncise spinal column/nerves17.5411.93NA3.50090
    63194AIncise spinal column & cord19.1913.30NA4.01090
    63195AIncise spinal column & cord18.8412.99NA3.44090
    63196AIncise spinal column & cord22.3013.73NA4.66090
    63197AIncise spinal column & cord21.1113.89NA4.42090
    63198AIncise spinal column & cord25.3811.10NA5.31090
    Start Printed Page 43944
    63199AIncise spinal column & cord26.8916.61NA5.62090
    63200ARelease of spinal cord19.1813.04NA3.61090
    63250ARevise spinal cord vessels40.7620.63NA7.65090
    63251ARevise spinal cord vessels41.2022.94NA7.98090
    63252ARevise spinal cord vessels41.1922.46NA7.75090
    63265AExcise intraspinal lesion21.5612.96NA4.29090
    63266AExcise intraspinal lesion22.3013.40NA4.47090
    63267AExcise intraspinal lesion17.9511.21NA3.50090
    63268AExcise intraspinal lesion18.5210.62NA3.18090
    63270AExcise intraspinal lesion26.8015.75NA5.41090
    63271AExcise intraspinal lesion26.9215.82NA5.56090
    63272AExcise intraspinal lesion25.3214.93NA5.07090
    63273AExcise intraspinal lesion24.2914.57NA5.08090
    63275ABiopsy/excise spinal tumor23.6814.01NA4.68090
    63276ABiopsy/excise spinal tumor23.4513.90NA4.63090
    63277ABiopsy/excise spinal tumor20.8312.68NA4.03090
    63278ABiopsy/excise spinal tumor20.5612.55NA4.02090
    63280ABiopsy/excise spinal tumor28.3516.43NA5.80090
    63281ABiopsy/excise spinal tumor28.0516.28NA5.67090
    63282ABiopsy/excise spinal tumor26.3915.38NA5.33090
    63283ABiopsy/excise spinal tumor25.0014.75NA5.12090
    63285ABiopsy/excise spinal tumor36.0020.14NA7.31090
    63286ABiopsy/excise spinal tumor35.6320.04NA7.07090
    63287ABiopsy/excise spinal tumor36.7020.64NA7.48090
    63290ABiopsy/excise spinal tumor37.3820.84NA7.65090
    63300ARemoval of vertebral body24.4314.50NA4.78090
    63301ARemoval of vertebral body27.6015.58NA5.03090
    63302ARemoval of vertebral body27.8115.82NA5.25090
    63303ARemoval of vertebral body30.5017.19NA5.21090
    63304ARemoval of vertebral body30.3317.50NA4.72090
    63305ARemoval of vertebral body32.0317.96NA5.39090
    63306ARemoval of vertebral body32.2217.54NA2.39090
    63307ARemoval of vertebral body31.6317.15NA4.23090
    63308ARemove vertebral body add-on5.252.66NA1.01ZZZ
    63600ARemove spinal cord lesion14.026.14NA1.22090
    63610AStimulation of spinal cord8.734.12NA0.43000
    63615ARemove lesion of spinal cord16.2810.20NA2.85090
    63650AImplant neuroelectrodes6.742.98NA0.48090
    63655AImplant neuroelectrodes10.297.12NA1.85090
    63660ARevise/remove neuroelectrode6.163.71NA0.65090
    63685AImplant neuroreceiver7.044.27NA0.96090
    63688ARevise/remove neuroreceiver5.393.63NA0.70090
    63700ARepair of spinal herniation16.5310.33NA2.69090
    63702ARepair of spinal herniation18.4810.98NA1.36090
    63704ARepair of spinal herniation21.1812.54NA3.84090
    63706ARepair of spinal herniation24.1113.63NA4.73090
    63707ARepair spinal fluid leakage11.267.88NA1.96090
    63709ARepair spinal fluid leakage14.329.56NA2.49090
    63710AGraft repair of spine defect14.079.28NA2.61090
    63740AInstall spinal shunt11.367.62NA2.15090
    63741AInstall spinal shunt8.254.85NA1.05090
    63744ARevision of spinal shunt8.105.53NA1.51090
    63746ARemoval of spinal shunt6.434.01NA1.15090
    64400AInjection for nerve block1.110.272.460.06000
    64402AInjection for nerve block1.250.444.370.07000
    64405AInjection for nerve block1.320.351.300.08000
    64408AInjection for nerve block1.410.572.810.09000
    64410AInjection for nerve block1.430.312.770.08000
    64412AInjection for nerve block1.180.272.710.08000
    64413AInjection for nerve block1.400.352.820.09000
    64415AInjection for nerve block1.480.312.800.08000
    64417AInjection for nerve block1.440.342.780.09000
    64418AInjection for nerve block1.320.282.440.07000
    64420AInjection for nerve block1.180.262.370.07000
    64421AInjection for nerve block1.680.372.780.10000
    64425AInjection for nerve block1.750.392.300.11000
    Start Printed Page 43945
    64430AInjection for nerve block1.460.432.850.11000
    64435AInjection for nerve block1.450.563.070.15000
    64445AInjection for nerve block1.480.392.480.08000
    64450AInjection for nerve block1.270.321.780.08000
    64470AInj paravertebral c/t1.850.484.030.12000
    64472AInj paravertebral c/t add-on1.290.333.860.09ZZZ
    64475AInj paravertebral l/s1.410.383.920.09000
    64476AInj paravertebral l/s add-on0.980.254.090.06ZZZ
    64479AInj foramen epidural c/t2.200.624.250.14000
    64480AInj foramen epidural add-on1.540.424.170.09ZZZ
    64483AInj foramen epidural l/s1.900.544.120.12000
    64484AInj foramen epidural add-on1.330.364.100.08ZZZ
    64505AInjection for nerve block1.360.352.340.08000
    64508AInjection for nerve block1.120.342.440.06000
    64510AInjection for nerve block1.220.252.520.07000
    64520AInjection for nerve block1.350.293.650.08000
    64530AInjection for nerve block1.580.353.450.09000
    64550AApply neurostimulator0.180.060.540.01000
    64553AImplant neuroelectrodes2.311.271.740.17010
    64555AImplant neuroelectrodes2.270.652.390.11010
    64560AImplant neuroelectrodes2.360.722.420.17010
    64561AImplant neuroelectrodes6.743.7415.360.11010
    64565AImplant neuroelectrodes1.760.663.160.08010
    64573AImplant neuroelectrodes7.505.33NA1.48090
    64575AImplant neuroelectrodes4.353.16NA0.37090
    64577AImplant neuroelectrodes4.623.63NA0.50090
    64580AImplant neuroelectrodes4.123.91NA0.21090
    64581AImplant neuroelectrodes13.506.55NA0.37090
    64585ARevise/remove neuroelectrode2.062.133.180.29010
    64590AImplant neuroreceiver2.402.31NA0.40010
    64595ARevise/remove neuroreceiver1.731.94NA0.22010
    64600AInjection treatment of nerve3.452.013.100.28010
    64605AInjection treatment of nerve5.612.513.640.53010
    64610AInjection treatment of nerve7.164.05NA1.12010
    64612ADestroy nerve, face muscle1.961.602.980.09010
    64613ADestroy nerve, spine muscle1.961.441.760.10010
    64614ADestroy nerve, extrem musc2.200.763.480.09010
    64620AInjection treatment of nerve2.840.652.980.17010
    64622ADestr paravertebrl nerve l/s3.000.724.590.17010
    64623ADestr paravertebral n add-on0.990.233.590.06ZZZ
    64626ADestr paravertebrl nerve c/t3.280.794.320.22010
    64627ADestr paravertebral n add-on1.160.293.640.08ZZZ
    64630AInjection treatment of nerve3.000.773.500.16010
    64640AInjection treatment of nerve2.761.625.040.11010
    64680AInjection treatment of nerve2.620.682.980.15010
    64702ARevise finger/toe nerve4.233.90NA0.51090
    64704ARevise hand/foot nerve4.573.19NA0.59090
    64708ARevise arm/leg nerve6.125.01NA0.82090
    64712ARevision of sciatic nerve7.755.14NA0.54090
    64713ARevision of arm nerve(s)11.005.68NA1.01090
    64714ARevise low back nerve(s)10.334.11NA0.64090
    64716ARevision of cranial nerve6.314.92NA0.59090
    64718ARevise ulnar nerve at elbow5.995.14NA0.87090
    64719ARevise ulnar nerve at wrist4.854.64NA0.63090
    64721ACarpal tunnel surgery4.295.966.320.59090
    64722ARelieve pressure on nerve(s)4.703.22NA0.32090
    64726ARelease foot/toe nerve4.183.02NA0.57090
    64727AInternal nerve revision3.101.55NA0.40ZZZ
    64732AIncision of brow nerve4.413.51NA0.77090
    64734AIncision of cheek nerve4.923.55NA0.83090
    64736AIncision of chin nerve4.602.88NA0.71090
    64738AIncision of jaw nerve5.733.58NA0.84090
    64740AIncision of tongue nerve5.593.78NA0.43090
    64742AIncision of facial nerve6.224.71NA0.69090
    64744AIncise nerve, back of head5.243.83NA0.98090
    64746AIncise diaphragm nerve5.934.41NA0.75090
    Start Printed Page 43946
    64752AIncision of vagus nerve7.064.67NA0.83090
    64755AIncision of stomach nerves13.526.23NA1.16090
    64760AIncision of vagus nerve6.964.03NA0.51090
    64761AIncision of pelvis nerve6.413.56NA0.26090
    64763AIncise hip/thigh nerve6.936.12NA0.77090
    64766AIncise hip/thigh nerve8.675.65NA0.99090
    64771ASever cranial nerve7.355.51NA1.32090
    64772AIncision of spinal nerve7.214.79NA1.20090
    64774ARemove skin nerve lesion5.173.73NA0.60090
    64776ARemove digit nerve lesion5.123.80NA0.63090
    64778ADigit nerve surgery add-on3.111.55NA0.38ZZZ
    64782ARemove limb nerve lesion6.233.70NA0.79090
    64783ALimb nerve surgery add-on3.721.90NA0.48ZZZ
    64784ARemove nerve lesion9.826.60NA1.17090
    64786ARemove sciatic nerve lesion15.4610.09NA2.22090
    64787AImplant nerve end4.302.19NA0.56ZZZ
    64788ARemove skin nerve lesion4.613.46NA0.54090
    64790ARemoval of nerve lesion11.317.18NA1.68090
    64792ARemoval of nerve lesion14.928.77NA1.88090
    64795ABiopsy of nerve3.011.76NA0.40000
    64802ARemove sympathetic nerves9.155.31NA0.87090
    64804ARemove sympathetic nerves14.647.26NA1.79090
    64809ARemove sympathetic nerves13.676.23NA0.96090
    64818ARemove sympathetic nerves10.305.72NA1.08090
    64820ARemove sympathetic nerves10.377.35NA1.17090
    64821ARemove sympathetic nerves8.756.60NA0.99090
    64822ARemove sympathetic nerves8.756.60NA0.99090
    64823ARemove sympathetic nerves10.377.35NA1.17090
    64831ARepair of digit nerve9.447.20NA1.14090
    64832ARepair nerve add-on5.663.03NA0.68ZZZ
    64834ARepair of hand or foot nerve10.197.16NA1.23090
    64835ARepair of hand or foot nerve10.947.81NA1.36090
    64836ARepair of hand or foot nerve10.947.79NA1.32090
    64837ARepair nerve add-on6.263.34NA0.80ZZZ
    64840ARepair of leg nerve13.028.44NA0.86090
    64856ARepair/transpose nerve13.809.36NA1.71090
    64857ARepair arm/leg nerve14.499.83NA1.76090
    64858ARepair sciatic nerve16.4910.69NA2.78090
    64859ANerve surgery4.262.23NA0.50ZZZ
    64861ARepair of arm nerves19.2412.60NA2.45090
    64862ARepair of low back nerves19.4412.10NA2.47090
    64864ARepair of facial nerve12.558.55NA1.13090
    64865ARepair of facial nerve15.2410.03NA1.37090
    64866AFusion of facial/other nerve15.749.94NA1.06090
    64868AFusion of facial/other nerve14.049.26NA1.40090
    64870AFusion of facial/other nerve15.9910.24NA1.08090
    64872ASubsequent repair of nerve1.991.08NA0.24ZZZ
    64874ARepair & revise nerve add-on2.981.54NA0.34ZZZ
    64876ARepair nerve/shorten bone3.381.31NA0.39ZZZ
    64885ANerve graft, head or neck17.5311.12NA1.51090
    64886ANerve graft, head or neck20.7513.08NA1.73090
    64890ANerve graft, hand or foot15.1510.21NA1.74090
    64891ANerve graft, hand or foot16.147.62NA1.38090
    64892ANerve graft, arm or leg14.658.95NA1.65090
    64893ANerve graft, arm or leg15.609.94NA1.77090
    64895ANerve graft, hand or foot19.259.74NA2.04090
    64896ANerve graft, hand or foot20.4911.17NA1.85090
    64897ANerve graft, arm or leg18.2410.85NA2.64090
    64898ANerve graft, arm or leg19.5011.80NA2.71090
    64901ANerve graft add-on10.225.41NA0.99ZZZ
    64902ANerve graft add-on11.836.05NA1.10ZZZ
    64905ANerve pedicle transfer14.029.10NA1.52090
    64907ANerve pedicle transfer18.8312.43NA1.79090
    64999CNervous system surgery0.000.000.000.00YYY
    65091ARevise eye6.4611.88NA0.26090
    65093ARevise eye with implant6.8711.93NA0.28090
    Start Printed Page 43947
    65101ARemoval of eye7.0312.17NA0.28090
    65103ARemove eye/insert implant7.5712.36NA0.30090
    65105ARemove eye/attach implant8.4912.86NA0.34090
    65110ARemoval of eye13.9515.87NA0.68090
    65112ARemove eye/revise socket16.3818.08NA0.96090
    65114ARemove eye/revise socket17.5318.13NA0.94090
    65125ARevise ocular implant3.121.466.310.15090
    65130AInsert ocular implant7.1511.79NA0.28090
    65135AInsert ocular implant7.3312.01NA0.29090
    65140AAttach ocular implant8.0212.27NA0.31090
    65150ARevise ocular implant6.2611.22NA0.25090
    65155AReinsert ocular implant8.6613.17NA0.40090
    65175ARemoval of ocular implant6.2811.37NA0.26090
    65205ARemove foreign body from eye0.710.200.620.03000
    65210ARemove foreign body from eye0.840.300.780.03000
    65220ARemove foreign body from eye0.710.190.620.05000
    65222ARemove foreign body from eye0.930.280.790.04000
    65235ARemove foreign body from eye7.576.99NA0.30090
    65260ARemove foreign body from eye10.9612.76NA0.43090
    65265ARemove foreign body from eye12.5914.32NA0.50090
    65270ARepair of eye wound1.902.414.100.08010
    65272ARepair of eye wound3.824.855.820.16090
    65273ARepair of eye wound4.365.19NA0.17090
    65275ARepair of eye wound5.345.245.740.27090
    65280ARepair of eye wound7.667.88NA0.30090
    65285ARepair of eye wound12.9013.88NA0.51090
    65286ARepair of eye wound5.517.949.200.21090
    65290ARepair of eye socket wound5.416.47NA0.26090
    65400ARemoval of eye lesion6.067.158.690.24090
    65410ABiopsy of cornea1.470.671.760.06000
    65420ARemoval of eye lesion4.177.318.470.17090
    65426ARemoval of eye lesion5.256.788.100.20090
    65430ACorneal smear1.470.689.010.06000
    65435ACurette/treat cornea0.920.401.380.04000
    65436ACurette/treat cornea4.195.066.060.17090
    65450ATreatment of corneal lesion3.276.908.190.13090
    65600ARevision of cornea3.401.445.650.14090
    65710ACorneal transplant12.3513.14NA0.49090
    65730ACorneal transplant14.2512.01NA0.56090
    65750ACorneal transplant15.0014.53NA0.59090
    65755ACorneal transplant14.8914.44NA0.58090
    65760NRevision of cornea0.000.000.000.00XXX
    65765NRevision of cornea0.000.000.000.00XXX
    65767NCorneal tissue transplant0.000.000.000.00XXX
    65770ARevise cornea with implant17.5615.44NA0.69090
    65771NRadial keratotomy0.000.000.000.00XXX
    65772ACorrection of astigmatism4.296.567.610.17090
    65775ACorrection of astigmatism5.798.66NA0.22090
    65800ADrainage of eye1.911.442.330.08000
    65805ADrainage of eye1.911.442.330.08000
    65810ADrainage of eye4.879.09NA0.19090
    65815ADrainage of eye5.058.249.490.20090
    65820ARelieve inner eye pressure8.1311.15NA0.32090
    65850AIncision of eye10.5210.30NA0.41090
    65855ALaser surgery of eye3.853.615.130.17010
    65860AIncise inner eye adhesions3.553.154.150.14090
    65865AIncise inner eye adhesions5.606.93NA0.22090
    65870AIncise inner eye adhesions6.277.26NA0.24090
    65875AIncise inner eye adhesions6.547.38NA0.25090
    65880AIncise inner eye adhesions7.097.63NA0.28090
    65900ARemove eye lesion10.9312.87NA0.46090
    65920ARemove implant of eye8.408.24NA0.33090
    65930ARemove blood clot from eye7.448.85NA0.29090
    66020AInjection treatment of eye1.591.562.440.07010
    66030AInjection treatment of eye1.251.392.270.05010
    66130ARemove eye lesion7.696.717.650.31090
    Start Printed Page 43948
    66150AGlaucoma surgery8.3010.90NA0.33090
    66155AGlaucoma surgery8.2910.83NA0.32090
    66160AGlaucoma surgery10.1711.71NA0.41090
    66165AGlaucoma surgery8.0110.70NA0.31090
    66170AGlaucoma surgery12.1617.20NA0.48090
    66172AIncision of eye15.0415.44NA0.59090
    66180AImplant eye shunt14.5512.30NA0.57090
    66185ARevise eye shunt8.148.45NA0.32090
    66220ARepair eye lesion7.7710.10NA0.32090
    66225ARepair/graft eye lesion11.059.53NA0.44090
    66250AFollow-up surgery of eye5.986.508.040.23090
    66500AIncision of iris3.714.87NA0.15090
    66505AIncision of iris4.085.00NA0.17090
    66600ARemove iris and lesion8.688.90NA0.34090
    66605ARemoval of iris12.7912.47NA0.61090
    66625ARemoval of iris5.136.837.910.20090
    66630ARemoval of iris6.167.80NA0.24090
    66635ARemoval of iris6.256.65NA0.24090
    66680ARepair iris & ciliary body5.446.25NA0.21090
    66682ARepair iris & ciliary body6.217.81NA0.24090
    66700ADestruction, ciliary body4.787.167.160.19090
    66710ADestruction, ciliary body4.787.619.060.18090
    66720ADestruction, ciliary body4.787.588.620.19090
    66740ADestruction, ciliary body4.786.56NA0.18090
    66761ARevision of iris4.074.345.640.16090
    66762ARevision of iris4.584.405.600.18090
    66770ARemoval of inner eye lesion5.184.655.870.20090
    66820AIncision, secondary cataract3.898.62NA0.16090
    66821AAfter cataract laser surgery2.353.443.890.10090
    66825AReposition intraocular lens8.2310.65NA0.32090
    66830ARemoval of lens lesion8.206.98NA0.32090
    66840ARemoval of lens material7.916.87NA0.31090
    66850ARemoval of lens material9.117.41NA0.36090
    66852ARemoval of lens material9.977.87NA0.39090
    66920AExtraction of lens8.867.34NA0.35090
    66930AExtraction of lens10.188.86NA0.41090
    66940AExtraction of lens8.938.28NA0.35090
    66982ACataract surgery, complex13.509.17NA0.56090
    66983ACataract surg w/iol, 1 stage8.996.02NA0.37090
    66984ACataract surg w/iol, i stage10.237.74NA0.41090
    66985AInsert lens prosthesis8.396.96NA0.33090
    66986AExchange lens prosthesis12.288.71NA0.49090
    66999CEye surgery procedure0.000.000.000.00YYY
    67005APartial removal of eye fluid5.702.66NA0.22090
    67010APartial removal of eye fluid6.873.23NA0.27090
    67015ARelease of eye fluid6.928.37NA0.27090
    67025AReplace eye fluid6.847.7017.770.27090
    67027AImplant eye drug system10.858.9414.730.46090
    67028AInjection eye drug2.521.1711.220.11000
    67030AIncise inner eye strands4.846.97NA0.19090
    67031ALaser surgery, eye strands3.673.214.220.15090
    67036ARemoval of inner eye fluid11.899.17NA0.47090
    67038AStrip retinal membrane21.2415.78NA0.84090
    67039ALaser treatment of retina14.5212.62NA0.57090
    67040ALaser treatment of retina17.2313.91NA0.68090
    67101ARepair detached retina7.539.1211.280.29090
    67105ARepair detached retina7.415.647.790.29090
    67107ARepair detached retina14.8413.51NA0.58090
    67108ARepair detached retina20.8218.17NA0.82090
    67110ARepair detached retina8.8110.5721.280.35090
    67112ARerepair detached retina16.8616.13NA0.66090
    67115ARelease encircling material4.997.05NA0.19090
    67120ARemove eye implant material5.987.3417.000.23090
    67121ARemove eye implant material10.6712.48NA0.42090
    67141ATreatment of retina5.207.188.310.20090
    67145ATreatment of retina5.374.235.420.21090
    Start Printed Page 43949
    67208ATreatment of retinal lesion6.707.358.640.26090
    67210ATreatment of retinal lesion8.825.837.450.35090
    67218ATreatment of retinal lesion18.5316.22NA0.53090
    67220ATreatment of choroid lesion13.139.8211.060.51090
    67221AOcular photodynamic ther4.011.894.800.16000
    67225AEye photodynamic ther add-on0.470.180.240.50ZZZ
    67227ATreatment of retinal lesion6.587.399.320.26090
    67228ATreatment of retinal lesion12.747.3010.070.50090
    67250AReinforce eye wall8.6612.35NA0.36090
    67255AReinforce/graft eye wall8.9012.40NA0.35090
    67299CEye surgery procedure0.000.000.000.00YYY
    67311ARevise eye muscle6.656.29NA0.27090
    67312ARevise two eye muscles8.547.36NA0.35090
    67314ARevise eye muscle7.526.87NA0.30090
    67316ARevise two eye muscles9.667.86NA0.40090
    67318ARevise eye muscle(s)7.857.26NA0.31090
    67320ARevise eye muscle(s) add-on4.332.02NA0.17ZZZ
    67331AEye surgery follow-up add-on4.061.95NA0.17ZZZ
    67332ARerevise eye muscles add-on4.492.09NA0.18ZZZ
    67334ARevise eye muscle w/suture3.981.86NA0.16ZZZ
    67335AEye suture during surgery2.491.16NA0.10ZZZ
    67340ARevise eye muscle add-on4.932.29NA0.19ZZZ
    67343ARelease eye tissue7.357.17NA0.30090
    67345ADestroy nerve of eye muscle2.961.354.340.13010
    67350ABiopsy eye muscle2.871.94NA0.13000
    67399CEye muscle surgery procedure0.000.000.000.00YYY
    67400AExplore/biopsy eye socket9.7614.03NA0.43090
    67405AExplore/drain eye socket7.9312.74NA0.36090
    67412AExplore/treat eye socket9.5016.27NA0.41090
    67413AExplore/treat eye socket10.0013.96NA0.43090
    67414AExplr/decompress eye socket11.1317.10NA0.48090
    67415AAspiration, orbital contents1.760.79NA0.09000
    67420AExplore/treat eye socket20.0620.88NA0.84090
    67430AExplore/treat eye socket13.3917.96NA0.97090
    67440AExplore/drain eye socket13.0917.25NA0.58090
    67445AExplr/decompress eye socket14.4218.42NA0.63090
    67450AExplore/biopsy eye socket13.5117.42NA0.56090
    67500AInject/treat eye socket0.790.170.830.04000
    67505AInject/treat eye socket0.820.210.950.04000
    67515AInject/treat eye socket0.610.290.860.02000
    67550AInsert eye socket implant10.1913.66NA0.50090
    67560ARevise eye socket implant10.6013.56NA0.47090
    67570ADecompress optic nerve13.5817.87NA0.69090
    67599COrbit surgery procedure0.000.000.000.00YYY
    67700ADrainage of eyelid abscess1.350.588.030.06010
    67710AIncision of eyelid1.020.488.190.04010
    67715AIncision of eyelid fold1.220.58NA0.05010
    67800ARemove eyelid lesion1.380.642.700.06010
    67801ARemove eyelid lesions1.880.888.520.08010
    67805ARemove eyelid lesions2.221.048.680.09010
    67808ARemove eyelid lesion(s)3.804.31NA0.17090
    67810ABiopsy of eyelid1.480.705.420.06000
    67820ARevise eyelashes0.890.381.160.04000
    67825ARevise eyelashes1.381.041.640.06010
    67830ARevise eyelashes1.702.2011.860.07010
    67835ARevise eyelashes5.564.77NA0.22090
    67840ARemove eyelid lesion2.040.968.420.08010
    67850ATreat eyelid lesion1.692.149.210.07010
    67875AClosure of eyelid by suture1.352.1712.030.06000
    67880ARevision of eyelid3.803.2413.100.16090
    67882ARevision of eyelid5.074.7614.990.21090
    67900ARepair brow defect6.146.6611.420.30090
    67901ARepair eyelid defect6.977.00NA0.32090
    67902ARepair eyelid defect7.037.07NA0.34090
    67903ARepair eyelid defect6.377.4712.960.39090
    67904ARepair eyelid defect6.268.4315.130.26090
    Start Printed Page 43950
    67906ARepair eyelid defect6.796.559.990.42090
    67908ARepair eyelid defect5.136.309.760.20090
    67909ARevise eyelid defect5.406.8110.410.25090
    67911ARevise eyelid defect5.276.89NA0.23090
    67914ARepair eyelid defect3.683.6913.570.16090
    67915ARepair eyelid defect3.181.4912.060.13090
    67916ARepair eyelid defect5.315.5116.810.22090
    67917ARepair eyelid defect6.026.8110.730.25090
    67921ARepair eyelid defect3.403.4613.320.14090
    67922ARepair eyelid defect3.063.2912.030.13090
    67923ARepair eyelid defect5.885.5915.840.24090
    67924ARepair eyelid defect5.796.1510.030.23090
    67930ARepair eyelid wound3.613.1512.940.17010
    67935ARepair eyelid wound6.225.5915.850.29090
    67938ARemove eyelid foreign body1.330.5210.180.06010
    67950ARevision of eyelid5.827.539.150.30090
    67961ARevision of eyelid5.695.949.500.26090
    67966ARevision of eyelid6.576.079.170.33090
    67971AReconstruction of eyelid9.797.66NA0.42090
    67973AReconstruction of eyelid12.879.73NA0.59090
    67974AReconstruction of eyelid12.849.64NA0.54090
    67975AReconstruction of eyelid9.137.32NA0.38090
    67999CRevision of eyelid0.000.000.000.00YYY
    68020AIncise/drain eyelid lining1.370.638.120.06010
    68040ATreatment of eyelid lesions0.850.397.990.03000
    68100ABiopsy of eyelid lining1.350.628.200.06000
    68110ARemove eyelid lining lesion1.771.389.270.07010
    68115ARemove eyelid lining lesion2.361.108.750.10010
    68130ARemove eyelid lining lesion4.932.31NA0.19090
    68135ARemove eyelid lining lesion1.840.868.500.07010
    68200ATreat eyelid by injection0.490.230.760.02000
    68320ARevise/graft eyelid lining5.375.255.750.21090
    68325ARevise/graft eyelid lining7.366.28NA0.30090
    68326ARevise/graft eyelid lining7.156.15NA0.30090
    68328ARevise/graft eyelid lining8.186.96NA0.40090
    68330ARevise eyelid lining4.835.757.350.19090
    68335ARevise/graft eyelid lining7.195.63NA0.29090
    68340ASeparate eyelid adhesions4.174.3115.520.17090
    68360ARevise eyelid lining4.375.446.840.17090
    68362ARevise eyelid lining7.348.05NA0.29090
    68399CEyelid lining surgery0.000.000.000.00YYY
    68400AIncise/drain tear gland1.692.2211.990.07010
    68420AIncise/drain tear sac2.302.5312.330.10010
    68440AIncise tear duct opening0.940.448.120.04010
    68500ARemoval of tear gland11.029.89NA0.60090
    68505APartial removal, tear gland10.9411.12NA0.57090
    68510ABiopsy of tear gland4.612.1613.130.19000
    68520ARemoval of tear sac7.517.41NA0.33090
    68525ABiopsy of tear sac4.432.08NA0.18000
    68530AClearance of tear duct3.663.0914.740.16010
    68540ARemove tear gland lesion10.609.42NA0.46090
    68550ARemove tear gland lesion13.2611.32NA0.66090
    68700ARepair tear ducts6.606.88NA0.27090
    68705ARevise tear duct opening2.060.978.670.08010
    68720ACreate tear sac drain8.968.01NA0.38090
    68745ACreate tear duct drain8.637.83NA0.38090
    68750ACreate tear duct drain8.668.45NA0.37090
    68760AClose tear duct opening1.731.216.980.07010
    68761AClose tear duct opening1.360.963.210.06010
    68770AClose tear system fistula7.026.1317.230.28090
    68801ADilate tear duct opening0.940.560.860.04010
    68810AProbe nasolacrimal duct1.900.882.470.08010
    68811AProbe nasolacrimal duct2.352.49NA0.10010
    68815AProbe nasolacrimal duct3.202.9213.260.14010
    68840AExplore/irrigate tear ducts1.250.931.590.05010
    68850AInjection for tear sac x-ray0.800.3115.790.03000
    Start Printed Page 43951
    68899CTear duct system surgery0.000.000.000.00YYY
    69000ADrain external ear lesion1.450.552.060.10010
    69005ADrain external ear lesion2.111.992.500.16010
    69020ADrain outer ear canal lesion1.480.712.180.11010
    69090NPierce earlobes0.000.000.000.00XXX
    69100ABiopsy of external ear0.810.401.410.04000
    69105ABiopsy of external ear canal0.850.991.470.06000
    69110ARemove external ear, partial3.442.793.420.24090
    69120ARemoval of external ear4.054.45NA0.31090
    69140ARemove ear canal lesion(s)7.977.95NA0.56090
    69145ARemove ear canal lesion(s)2.622.473.330.18090
    69150AExtensive ear canal surgery13.4311.15NA1.07090
    69155AExtensive ear/neck surgery20.8015.23NA1.51090
    69200AClear outer ear canal0.770.741.410.05000
    69205AClear outer ear canal1.201.52NA0.09010
    69210ARemove impacted ear wax0.610.240.570.04000
    69220AClean out mastoid cavity0.830.431.490.06000
    69222AClean out mastoid cavity1.401.672.180.10010
    69300RRevise external ear6.364.37NA0.43YYY
    69310ARebuild outer ear canal10.799.61NA0.77090
    69320ARebuild outer ear canal16.9613.66NA1.17090
    69399COuter ear surgery procedure0.000.000.000.00YYY
    69400AInflate middle ear canal0.830.401.480.06000
    69401AInflate middle ear canal0.630.351.380.04000
    69405ACatheterize middle ear canal2.631.463.030.18010
    69410AInset middle ear (baffle)0.330.161.380.02000
    69420AIncision of eardrum1.330.712.300.10010
    69421AIncision of eardrum1.731.862.520.13010
    69424ARemove ventilating tube0.850.871.650.06000
    69433ACreate eardrum opening1.520.852.260.11010
    69436ACreate eardrum opening1.961.99NA0.14010
    69440AExploration of middle ear7.577.20NA0.53090
    69450AEardrum revision5.576.00NA0.39090
    69501AMastoidectomy9.077.98NA0.65090
    69502AMastoidectomy12.3810.52NA0.86090
    69505ARemove mastoid structures12.9910.77NA0.92090
    69511AExtensive mastoid surgery13.5211.12NA0.96090
    69530AExtensive mastoid surgery19.1914.64NA1.32090
    69535ARemove part of temporal bone36.1424.07NA2.59090
    69540ARemove ear lesion1.201.552.210.09010
    69550ARemove ear lesion10.999.63NA0.80090
    69552ARemove ear lesion19.4614.21NA1.36090
    69554ARemove ear lesion33.1621.75NA2.32090
    69601AMastoid surgery revision13.2411.69NA0.92090
    69602AMastoid surgery revision13.5811.25NA0.94090
    69603AMastoid surgery revision14.0211.46NA1.00090
    69604AMastoid surgery revision14.0211.38NA0.98090
    69605AMastoid surgery revision18.4914.28NA1.29090
    69610ARepair of eardrum4.433.374.150.31010
    69620ARepair of eardrum5.893.206.730.40090
    69631ARepair eardrum structures9.869.07NA0.69090
    69632ARebuild eardrum structures12.7511.40NA0.89090
    69633ARebuild eardrum structures12.1011.05NA0.84090
    69635ARepair eardrum structures13.3310.61NA0.87090
    69636ARebuild eardrum structures15.2212.87NA1.07090
    69637ARebuild eardrum structures15.1112.79NA1.06090
    69641ARevise middle ear & mastoid12.7110.75NA0.89090
    69642ARevise middle ear & mastoid16.8413.73NA1.18090
    69643ARevise middle ear & mastoid15.3212.87NA1.08090
    69644ARevise middle ear & mastoid16.9713.81NA1.19090
    69645ARevise middle ear & mastoid16.3813.44NA1.16090
    69646ARevise middle ear & mastoid17.9914.39NA1.26090
    69650ARelease middle ear bone9.668.34NA0.68090
    69660ARevise middle ear bone11.909.56NA0.84090
    69661ARevise middle ear bone15.7412.33NA1.10090
    69662ARevise middle ear bone15.4412.20NA1.08090
    Start Printed Page 43952
    69666ARepair middle ear structures9.758.42NA0.68090
    69667ARepair middle ear structures9.768.40NA0.72090
    69670ARemove mastoid air cells11.519.99NA0.78090
    69676ARemove middle ear nerve9.528.88NA0.69090
    69700AClose mastoid fistula8.235.52NA0.55090
    69710NImplant/replace hearing aid0.000.000.000.00XXX
    69711ARemove/repair hearing aid10.449.26NA0.62090
    69714AImplant temple bone w/stimul14.0011.18NA1.01090
    69715ATemple bne implnt w/stimulat18.2513.64NA1.32090
    69717ATemple bone implant revision14.9811.13NA1.08090
    69718ARevise temple bone implant18.5013.78NA1.34090
    69720ARelease facial nerve14.3812.31NA1.03090
    69725ARelease facial nerve25.3817.77NA1.78090
    69740ARepair facial nerve15.9611.20NA1.13090
    69745ARepair facial nerve16.6912.61NA1.00090
    69799CMiddle ear surgery procedure0.000.000.000.00YYY
    69801AIncise inner ear8.567.75NA0.60090
    69802AIncise inner ear13.1011.01NA0.91090
    69805AExplore inner ear13.8210.69NA0.97090
    69806AExplore inner ear12.3510.57NA0.86090
    69820AEstablish inner ear window10.348.95NA0.66090
    69840ARevise inner ear window10.269.13NA0.64090
    69905ARemove inner ear11.109.61NA0.77090
    69910ARemove inner ear & mastoid13.6311.08NA0.94090
    69915AIncise inner ear nerve21.2315.52NA1.54090
    69930AImplant cochlear device16.8112.61NA1.19090
    69949CInner ear surgery procedure0.000.000.000.00YYY
    69950AIncise inner ear nerve25.6416.38NA2.90090
    69955ARelease facial nerve27.0418.41NA1.89090
    69960ARelease inner ear canal27.0418.02NA2.43090
    69970ARemove inner ear lesion30.0418.86NA2.34090
    69979CTemporal bone surgery0.000.000.000.00YYY
    69990RMicrosurgery add-on3.471.82NA0.56ZZZ
    70010AContrast x-ray of brain1.19NA4.890.24XXX
    7001026AContrast x-ray of brain1.190.410.410.06XXX
    70010TCAContrast x-ray of brain0.00NA4.480.18XXX
    70015AContrast x-ray of brain1.19NA1.810.12XXX
    7001526AContrast x-ray of brain1.190.410.410.05XXX
    70015TCAContrast x-ray of brain0.00NA1.400.07XXX
    70030AX-ray eye for foreign body0.17NA0.490.03XXX
    7003026AX-ray eye for foreign body0.170.060.060.01XXX
    70030TCAX-ray eye for foreign body0.00NA0.430.02XXX
    70100AX-ray exam of jaw0.18NA0.600.03XXX
    7010026AX-ray exam of jaw0.180.060.060.01XXX
    70100TCAX-ray exam of jaw0.00NA0.540.02XXX
    70110AX-ray exam of jaw0.25NA0.720.04XXX
    7011026AX-ray exam of jaw0.250.090.090.01XXX
    70110TCAX-ray exam of jaw0.00NA0.640.03XXX
    70120AX-ray exam of mastoids0.18NA0.700.04XXX
    7012026AX-ray exam of mastoids0.180.060.060.01XXX
    70120TCAX-ray exam of mastoids0.00NA0.640.03XXX
    70130AX-ray exam of mastoids0.34NA0.930.05XXX
    7013026AX-ray exam of mastoids0.340.120.120.01XXX
    70130TCAX-ray exam of mastoids0.00NA0.810.04XXX
    70134AX-ray exam of middle ear0.34NA0.880.05XXX
    7013426AX-ray exam of middle ear0.340.120.120.01XXX
    70134TCAX-ray exam of middle ear0.00NA0.760.04XXX
    70140AX-ray exam of facial bones0.19NA0.700.04XXX
    7014026AX-ray exam of facial bones0.190.060.060.01XXX
    70140TCAX-ray exam of facial bones0.00NA0.640.03XXX
    70150AX-ray exam of facial bones0.26NA0.900.05XXX
    7015026AX-ray exam of facial bones0.260.090.090.01XXX
    70150TCAX-ray exam of facial bones0.00NA0.810.04XXX
    70160AX-ray exam of nasal bones0.17NA0.600.03XXX
    7016026AX-ray exam of nasal bones0.170.060.060.01XXX
    70160TCAX-ray exam of nasal bones0.00NA0.540.02XXX
    Start Printed Page 43953
    70170AX-ray exam of tear duct0.30NA1.080.06XXX
    7017026AX-ray exam of tear duct0.300.100.100.01XXX
    70170TCAX-ray exam of tear duct0.00NA0.980.05XXX
    70190AX-ray exam of eye sockets0.21NA0.710.04XXX
    7019026AX-ray exam of eye sockets0.210.070.070.01XXX
    70190TCAX-ray exam of eye sockets0.00NA0.640.03XXX
    70200AX-ray exam of eye sockets0.28NA0.900.05XXX
    7020026AX-ray exam of eye sockets0.280.100.100.01XXX
    70200TCAX-ray exam of eye sockets0.00NA0.810.04XXX
    70210AX-ray exam of sinuses0.17NA0.700.04XXX
    7021026AX-ray exam of sinuses0.170.060.060.01XXX
    70210TCAX-ray exam of sinuses0.00NA0.640.03XXX
    70220AX-ray exam of sinuses0.25NA0.890.05XXX
    7022026AX-ray exam of sinuses0.250.090.090.01XXX
    70220TCAX-ray exam of sinuses0.00NA0.810.04XXX
    70240AX-ray exam, pituitary saddle0.19NA0.490.03XXX
    7024026AX-ray exam, pituitary saddle0.190.070.070.01XXX
    70240TCAX-ray exam, pituitary saddle0.00NA0.430.02XXX
    70250AX-ray exam of skull0.24NA0.720.04XXX
    7025026AX-ray exam of skull0.240.080.080.01XXX
    70250TCAX-ray exam of skull0.00NA0.640.03XXX
    70260AX-ray exam of skull0.34NA1.040.06XXX
    7026026AX-ray exam of skull0.340.120.120.01XXX
    70260TCAX-ray exam of skull0.00NA0.920.05XXX
    70300AX-ray exam of teeth0.10NA0.310.03XXX
    7030026AX-ray exam of teeth0.100.040.040.01XXX
    70300TCAX-ray exam of teeth0.00NA0.270.02XXX
    70310AX-ray exam of teeth0.16NA0.490.03XXX
    7031026AX-ray exam of teeth0.160.060.060.01XXX
    70310TCAX-ray exam of teeth0.00NA0.430.02XXX
    70320AFull mouth x-ray of teeth0.22NA0.890.05XXX
    7032026AFull mouth x-ray of teeth0.220.080.080.01XXX
    70320TCAFull mouth x-ray of teeth0.00NA0.810.04XXX
    70328AX-ray exam of jaw joint0.18NA0.570.03XXX
    7032826AX-ray exam of jaw joint0.180.060.060.01XXX
    70328TCAX-ray exam of jaw joint0.00NA0.510.02XXX
    70330AX-ray exam of jaw joints0.24NA0.950.05XXX
    7033026AX-ray exam of jaw joints0.240.080.080.01XXX
    70330TCAX-ray exam of jaw joints0.00NA0.870.04XXX
    70332AX-ray exam of jaw joint0.54NA2.360.12XXX
    7033226AX-ray exam of jaw joint0.540.190.190.02XXX
    70332TCAX-ray exam of jaw joint0.00NA2.170.10XXX
    70336AMagnetic image, jaw joint1.48NA12.090.56XXX
    7033626AMagnetic image, jaw joint1.480.510.510.07XXX
    70336TCAMagnetic image, jaw joint0.00NA11.580.49XXX
    70350AX-ray head for orthodontia0.17NA0.450.03XXX
    7035026AX-ray head for orthodontia0.170.060.060.01XXX
    70350TCAX-ray head for orthodontia0.00NA0.390.02XXX
    70355APanoramic x-ray of jaws0.20NA0.660.04XXX
    7035526APanoramic x-ray of jaws0.200.070.070.01XXX
    70355TCAPanoramic x-ray of jaws0.00NA0.590.03XXX
    70360AX-ray exam of neck0.17NA0.490.03XXX
    7036026AX-ray exam of neck0.170.060.060.01XXX
    70360TCAX-ray exam of neck0.00NA0.430.02XXX
    70370AThroat x-ray & fluoroscopy0.32NA1.460.07XXX
    7037026AThroat x-ray & fluoroscopy0.320.110.110.01XXX
    70370TCAThroat x-ray & fluoroscopy0.00NA1.350.06XXX
    70371ASpeech evaluation, complex0.84NA2.460.14XXX
    7037126ASpeech evaluation, complex0.840.290.290.04XXX
    70371TCASpeech evaluation, complex0.00NA2.170.10XXX
    70373AContrast x-ray of larynx0.44NA1.990.11XXX
    7037326AContrast x-ray of larynx0.440.150.150.02XXX
    70373TCAContrast x-ray of larynx0.00NA1.840.09XXX
    70380AX-ray exam of salivary gland0.17NA0.750.04XXX
    7038026AX-ray exam of salivary gland0.170.060.060.01XXX
    70380TCAX-ray exam of salivary gland0.00NA0.690.03XXX
    Start Printed Page 43954
    70390AX-ray exam of salivary duct0.38NA1.970.11XXX
    7039026AX-ray exam of salivary duct0.380.130.130.02XXX
    70390TCAX-ray exam of salivary duct0.00NA1.840.09XXX
    70450ACt head/brain w/o dye0.85NA5.170.25XXX
    7045026ACt head/brain w/o dye0.850.290.290.04XXX
    70450TCACt head/brain w/o dye0.00NA4.880.21XXX
    70460ACt head/brain w/dye1.13NA6.230.30XXX
    7046026ACt head/brain w/dye1.130.390.390.05XXX
    70460TCACt head/brain w/dye0.00NA5.850.25XXX
    70470ACt head/brain w/o&w dye1.27NA7.740.37XXX
    7047026ACt head/brain w/o&w dye1.270.430.430.06XXX
    70470TCACt head/brain w/o&w dye0.00NA7.300.31XXX
    70480ACt orbit/ear/fossa w/o dye1.28NA5.310.27XXX
    7048026ACt orbit/ear/fossa w/o dye1.280.440.440.06XXX
    70480TCACt orbit/ear/fossa w/o dye0.00NA4.880.21XXX
    70481ACt orbit/ear/fossa w/dye1.38NA6.320.31XXX
    7048126ACt orbit/ear/fossa w/dye1.380.470.470.06XXX
    70481TCACt orbit/ear/fossa w/dye0.00NA5.850.25XXX
    70482ACt orbit/ear/fossa w/o&w dye1.45NA7.800.37XXX
    7048226ACt orbit/ear/fossa w/o&w dye1.450.500.500.06XXX
    70482TCACt orbit/ear/fossa w/o&w dye0.00NA7.300.31XXX
    70486ACt maxillofacial w/o dye1.14NA5.270.26XXX
    7048626ACt maxillofacial w/o dye1.140.390.390.05XXX
    70486TCACt maxillofacial w/o dye0.00NA4.880.21XXX
    70487ACt maxillofacial w/dye1.30NA6.290.31XXX
    7048726ACt maxillofacial w/dye1.300.440.440.06XXX
    70487TCACt maxillofacial w/dye0.00NA5.850.25XXX
    70488ACt maxillofacial w/o&w dye1.42NA7.790.37XXX
    7048826ACt maxillofacial w/o&w dye1.420.480.480.06XXX
    70488TCACt maxillofacial w/o&w dye0.00NA7.300.31XXX
    70490ACt soft tissue neck w/o dye1.28NA5.310.27XXX
    7049026ACt soft tissue neck w/o dye1.280.440.440.06XXX
    70490TCACt soft tissue neck w/o dye0.00NA4.880.21XXX
    70491ACt soft tissue neck w/dye1.38NA6.320.31XXX
    7049126ACt soft tissue neck w/dye1.380.470.470.06XXX
    70491TCACt soft tissue neck w/dye0.00NA5.850.25XXX
    70492ACt sft tsue nck w/o & w/dye1.45NA7.800.37XXX
    7049226ACt sft tsue nck w/o & w/dye1.450.500.500.06XXX
    70492TCACt sft tsue nck w/o & w/dye0.00NA7.300.31XXX
    70496ACt angiography, head1.75NA7.980.56XXX
    7049626ACt angiography, head1.750.680.680.08XXX
    70496TCACt angiography, head0.00NA7.300.48XXX
    70498ACt angiography, neck1.75NA7.980.56XXX
    7049826ACt angiography, neck1.750.680.680.08XXX
    70498TCACt angiography, neck0.00NA7.300.48XXX
    70540AMri orbit/face/neck w/o dye1.35NA12.040.36XXX
    7054026AMri orbit/face/neck w/o dye1.350.460.460.04XXX
    70540TCAMri orbit/face/neck w/o dye0.00NA11.580.32XXX
    70542AMri orbit/face/neck w/dye1.62NA14.440.44XXX
    7054226AMri orbit/face/neck w/dye1.620.550.550.05XXX
    70542TCAMri orbit/face/neck w/dye0.00NA13.890.39XXX
    70543AMri orbt/fac/nck w/o&w dye2.15NA26.460.77XXX
    7054326AMri orbt/fac/nck w/o&w dye2.150.740.740.07XXX
    70543TCAMri orbt/fac/nck w/o&w dye0.00NA25.720.70XXX
    70544AMr angiography head w/o dye1.20NA11.990.54XXX
    7054426AMr angiography head w/o dye1.200.410.410.05XXX
    70544TCAMr angiography head w/o dye0.00NA11.580.49XXX
    70545AMr angiography head w/dye1.20NA11.990.54XXX
    7054526AMr angiography head w/dye1.200.410.410.05XXX
    70545TCAMr angiography head w/dye0.00NA11.580.49XXX
    70546AMr angiograph head w/o&w dye1.80NA23.780.57XXX
    7054626AMr angiograph head w/o&w dye1.800.620.620.08XXX
    70546TCAMr angiograph head w/o&w dye0.00NA23.160.49XXX
    70547AMr angiography neck w/o dye1.20NA11.990.54XXX
    7054726AMr angiography neck w/o dye1.200.410.410.05XXX
    70547TCAMr angiography neck w/o dye0.00NA11.580.49XXX
    Start Printed Page 43955
    70548AMr angiography neck w/dye1.20NA11.990.54XXX
    7054826AMr angiography neck w/dye1.200.410.410.05XXX
    70548TCAMr angiography neck w/dye0.00NA11.580.49XXX
    70549AMr angiograph neck w/o&w dye1.80NA23.780.57XXX
    7054926AMr angiograph neck w/o&w dye1.800.620.620.08XXX
    70549TCAMr angiograph neck w/o&w dye0.00NA23.160.49XXX
    70551AMri brain w/o dye1.48NA12.090.56XXX
    7055126AMri brain w/o dye1.480.510.510.07XXX
    70551TCAMri brain w/o dye0.00NA11.580.49XXX
    70552AMri brain w/dye1.78NA14.510.66XXX
    7055226AMri brain w/dye1.780.620.620.08XXX
    70552TCAMri brain w/dye0.00NA13.890.58XXX
    70553AMri brain w/o&w dye2.36NA26.531.19XXX
    7055326AMri brain w/o&w dye2.360.810.810.10XXX
    70553TCAMri brain w/o&w dye0.00NA25.721.09XXX
    71010AChest x-ray0.18NA0.550.03XXX
    7101026AChest x-ray0.180.060.060.01XXX
    71010TCAChest x-ray0.00NA0.490.02XXX
    71015AChest x-ray0.21NA0.610.03XXX
    7101526AChest x-ray0.210.070.070.01XXX
    71015TCAChest x-ray0.00NA0.540.02XXX
    71020AChest x-ray0.22NA0.710.04XXX
    7102026AChest x-ray0.220.070.070.01XXX
    71020TCAChest x-ray0.00NA0.640.03XXX
    71021AChest x-ray0.27NA0.850.05XXX
    7102126AChest x-ray0.270.090.090.01XXX
    71021TCAChest x-ray0.00NA0.760.04XXX
    71022AChest x-ray0.31NA0.870.06XXX
    7102226AChest x-ray0.310.110.110.02XXX
    71022TCAChest x-ray0.00NA0.760.04XXX
    71023AChest x-ray and fluoroscopy0.38NA0.950.06XXX
    7102326AChest x-ray and fluoroscopy0.380.140.140.02XXX
    71023TCAChest x-ray and fluoroscopy0.00NA0.810.04XXX
    71030AChest x-ray0.31NA0.910.05XXX
    7103026AChest x-ray0.310.110.110.01XXX
    71030TCAChest x-ray0.00NA0.810.04XXX
    71034AChest x-ray and fluoroscopy0.46NA1.660.09XXX
    7103426AChest x-ray and fluoroscopy0.460.170.170.02XXX
    71034TCAChest x-ray and fluoroscopy0.00NA1.490.07XXX
    71035AChest x-ray0.18NA0.600.03XXX
    7103526AChest x-ray0.180.060.060.01XXX
    71035TCAChest x-ray0.00NA0.540.02XXX
    71040AContrast x-ray of bronchi0.58NA1.710.10XXX
    7104026AContrast x-ray of bronchi0.580.200.200.03XXX
    71040TCAContrast x-ray of bronchi0.00NA1.510.07XXX
    71060AContrast x-ray of bronchi0.74NA2.530.14XXX
    7106026AContrast x-ray of bronchi0.740.250.250.03XXX
    71060TCAContrast x-ray of bronchi0.00NA2.280.11XXX
    71090AX-ray & pacemaker insertion0.54NA1.950.11XXX
    7109026AX-ray & pacemaker insertion0.540.210.210.02XXX
    71090TCAX-ray & pacemaker insertion0.00NA1.740.09XXX
    71100AX-ray exam of ribs0.22NA0.660.04XXX
    7110026AX-ray exam of ribs0.220.070.070.01XXX
    71100TCAX-ray exam of ribs0.00NA0.590.03XXX
    71101AX-ray exam of ribs/chest0.27NA0.780.04XXX
    7110126AX-ray exam of ribs/chest0.270.090.090.01XXX
    71101TCAX-ray exam of ribs/chest0.00NA0.690.03XXX
    71110AX-ray exam of ribs0.27NA0.900.05XXX
    7111026AX-ray exam of ribs0.270.090.090.01XXX
    71110TCAX-ray exam of ribs0.00NA0.810.04XXX
    71111AX-ray exam of ribs/ chest0.32NA1.030.06XXX
    7111126AX-ray exam of ribs/ chest0.320.110.110.01XXX
    71111TCAX-ray exam of ribs/ chest0.00NA0.920.05XXX
    71120AX-ray exam of breastbone0.20NA0.740.04XXX
    7112026AX-ray exam of breastbone0.200.070.070.01XXX
    71120TCAX-ray exam of breastbone0.00NA0.670.03XXX
    Start Printed Page 43956
    71130AX-ray exam of breastbone0.22NA0.800.04XXX
    7113026AX-ray exam of breastbone0.220.080.080.01XXX
    71130TCAX-ray exam of breastbone0.00NA0.730.03XXX
    71250ACt thorax w/o dye1.16NA6.500.31XXX
    7125026ACt thorax w/o dye1.160.400.400.05XXX
    71250TCACt thorax w/o dye0.00NA6.110.26XXX
    71260ACt thorax w/dye1.24NA7.730.36XXX
    7126026ACt thorax w/dye1.240.420.420.05XXX
    71260TCACt thorax w/dye0.00NA7.300.31XXX
    71270ACt thorax w/o&w dye1.38NA9.610.44XXX
    7127026ACt thorax w/o&w dye1.380.470.470.06XXX
    71270TCACt thorax w/o&w dye0.00NA9.140.38XXX
    71275ACt angiography, chest1.92NA9.880.38XXX
    7127526ACt angiography, chest1.920.740.740.06XXX
    71275TCACt angiography, chest0.00NA9.140.32XXX
    71550AMri chest w/o dye1.46NA12.080.41XXX
    7155026AMri chest w/o dye1.460.500.500.04XXX
    71550TCAMri chest w/o dye0.00NA11.580.37XXX
    71551AMri chest w/dye1.73NA14.480.49XXX
    7155126AMri chest w/dye1.730.590.590.06XXX
    71551TCAMri chest w/dye0.00NA13.890.43XXX
    71552AMri chest w/o&w dye2.26NA26.490.64XXX
    7155226AMri chest w/o&w dye2.260.770.770.08XXX
    71552TCAMri chest w/o&w dye0.00NA25.720.56XXX
    71555RMri angio chest w or w/o dye1.81NA12.200.57XXX
    7155526RMri angio chest w or w/o dye1.810.620.620.08XXX
    71555TCRMri angio chest w or w/o dye0.00NA11.580.49XXX
    72010AX-ray exam of spine0.45NA1.210.08XXX
    7201026AX-ray exam of spine0.450.150.150.03XXX
    72010TCAX-ray exam of spine0.00NA1.060.05XXX
    72020AX-ray exam of spine0.15NA0.480.03XXX
    7202026AX-ray exam of spine0.150.050.050.01XXX
    72020TCAX-ray exam of spine0.00NA0.430.02XXX
    72040AX-ray exam of neck spine0.22NA0.690.04XXX
    7204026AX-ray exam of neck spine0.220.080.080.01XXX
    72040TCAX-ray exam of neck spine0.00NA0.620.03XXX
    72050AX-ray exam of neck spine0.31NA1.030.07XXX
    7205026AX-ray exam of neck spine0.310.110.110.02XXX
    72050TCAX-ray exam of neck spine0.00NA0.920.05XXX
    72052AX-ray exam of neck spine0.36NA1.290.07XXX
    7205226AX-ray exam of neck spine0.360.120.120.02XXX
    72052TCAX-ray exam of neck spine0.00NA1.170.05XXX
    72069AX-ray exam of trunk spine0.22NA0.590.04XXX
    7206926AX-ray exam of trunk spine0.220.080.080.02XXX
    72069TCAX-ray exam of trunk spine0.00NA0.510.02XXX
    72070AX-ray exam of thoracic spine0.22NA0.740.04XXX
    7207026AX-ray exam of thoracic spine0.220.080.080.01XXX
    72070TCAX-ray exam of thoracic spine0.00NA0.670.03XXX
    72072AX-ray exam of thoracic spine0.22NA0.830.05XXX
    7207226AX-ray exam of thoracic spine0.220.080.080.01XXX
    72072TCAX-ray exam of thoracic spine0.00NA0.760.04XXX
    72074AX-ray exam of thoracic spine0.22NA1.010.06XXX
    7207426AX-ray exam of thoracic spine0.220.080.080.01XXX
    72074TCAX-ray exam of thoracic spine0.00NA0.940.05XXX
    72080AX-ray exam of trunk spine0.22NA0.770.05XXX
    7208026AX-ray exam of trunk spine0.220.080.080.02XXX
    72080TCAX-ray exam of trunk spine0.00NA0.690.03XXX
    72090AX-ray exam of trunk spine0.28NA0.790.05XXX
    7209026AX-ray exam of trunk spine0.280.100.100.02XXX
    72090TCAX-ray exam of trunk spine0.00NA0.690.03XXX
    72100AX-ray exam of lower spine0.22NA0.770.05XXX
    7210026AX-ray exam of lower spine0.220.080.080.02XXX
    72100TCAX-ray exam of lower spine0.00NA0.690.03XXX
    72110AX-ray exam of lower spine0.31NA1.050.07XXX
    7211026AX-ray exam of lower spine0.310.110.110.02XXX
    72110TCAX-ray exam of lower spine0.00NA0.940.05XXX
    Start Printed Page 43957
    72114AX-ray exam of lower spine0.36NA1.350.08XXX
    7211426AX-ray exam of lower spine0.360.120.120.03XXX
    72114TCAX-ray exam of lower spine0.00NA1.230.05XXX
    72120AX-ray exam of lower spine0.22NA0.990.07XXX
    7212026AX-ray exam of lower spine0.220.080.080.02XXX
    72120TCAX-ray exam of lower spine0.00NA0.920.05XXX
    72125ACt neck spine w/o dye1.16NA6.500.31XXX
    7212526ACt neck spine w/o dye1.160.400.400.05XXX
    72125TCACt neck spine w/o dye0.00NA6.110.26XXX
    72126ACt neck spine w/dye1.22NA7.720.36XXX
    7212626ACt neck spine w/dye1.220.420.420.05XXX
    72126TCACt neck spine w/dye0.00NA7.300.31XXX
    72127ACt neck spine w/o&w dye1.27NA9.580.44XXX
    7212726ACt neck spine w/o&w dye1.270.430.430.06XXX
    72127TCACt neck spine w/o&w dye0.00NA9.140.38XXX
    72128ACt chest spine w/o dye1.16NA6.500.31XXX
    7212826ACt chest spine w/o dye1.160.400.400.05XXX
    72128TCACt chest spine w/o dye0.00NA6.110.26XXX
    72129ACt chest spine w/dye1.22NA7.720.36XXX
    7212926ACt chest spine w/dye1.220.420.420.05XXX
    72129TCACt chest spine w/dye0.00NA7.300.31XXX
    72130ACt chest spine w/o&w dye1.27NA9.580.44XXX
    7213026ACt chest spine w/o&w dye1.270.430.430.06XXX
    72130TCACt chest spine w/o&w dye0.00NA9.140.38XXX
    72131ACt lumbar spine w/o dye1.16NA6.500.31XXX
    7213126ACt lumbar spine w/o dye1.160.400.400.05XXX
    72131TCACt lumbar spine w/o dye0.00NA6.110.26XXX
    72132ACt lumbar spine w/dye1.22NA7.720.37XXX
    7213226ACt lumbar spine w/dye1.220.420.420.06XXX
    72132TCACt lumbar spine w/dye0.00NA7.300.31XXX
    72133ACt lumbar spine w/o&w dye1.27NA9.580.44XXX
    213326ACt lumbar spine w/o&w dye1.270.440.440.06XXX
    72133TCACt lumbar spine w/o&w dye0.00NA9.140.38XXX
    72141AMri neck spine w/o dye1.60NA12.130.56XXX
    7214126AMri neck spine w/o dye1.600.550.550.07XXX
    72141TCAMri neck spine w/o dye0.00NA11.580.49XXX
    72142AMri neck spine w/dye1.92NA14.560.67XXX
    7214226AMri neck spine w/dye1.920.670.670.09XXX
    72142TCAMri neck spine w/dye0.00NA13.890.58XXX
    72146AMri chest spine w/o dye1.60NA13.410.60XXX
    7214626AMri chest spine w/o dye1.600.550.550.07XXX
    72146TCAMri chest spine w/o dye0.00NA12.860.53XXX
    72147AMri chest spine w/dye1.92NA14.550.67XXX
    7214726AMri chest spine w/dye1.920.660.660.09XXX
    72147TCAMri chest spine w/dye0.00NA13.890.58XXX
    72148AMri lumbar spine w/o dye1.48NA13.370.60XXX
    7214826AMri lumbar spine w/o dye1.480.510.510.07XXX
    72148TCAMri lumbar spine w/o dye0.00NA12.860.53XXX
    72149AMri lumbar spine w/dye1.78NA14.510.67XXX
    7214926AMri lumbar spine w/dye1.780.620.620.09XXX
    72149TCAMri lumbar spine w/dye0.00NA13.890.58XXX
    72156AMri neck spine w/o&w dye2.57NA26.601.20XXX
    7215626AMri neck spine w/o&w dye2.570.880.880.11XXX
    72156TCAMri neck spine w/o&w dye0.00NA25.721.09XXX
    72157AMri chest spine w/o&w dye2.57NA26.601.20XXX
    7215726AMri chest spine w/o&w dye2.570.880.880.11XXX
    72157TCAMri chest spine w/o&w dye0.00NA25.721.09XXX
    72158AMri lumbar spine w/o&w dye2.36NA26.531.20XXX
    7215826AMri lumbar spine w/o&w dye2.360.810.810.11XXX
    72158TCAMri lumbar spine w/o&w dye0.00NA25.721.09XXX
    72159NMr angio spine w/o&w dye1.80NA13.560.61XXX
    7215926NMr angio spine w/o&w dye1.800.700.700.08XXX
    72159TCNMr angio spine w/o&w dye0.00NA12.860.53XXX
    72170AX-ray exam of pelvis0.17NA0.600.03XXX
    7217026AX-ray exam of pelvis0.170.060.060.01XXX
    72170TCAX-ray exam of pelvis0.00NA0.540.02XXX
    Start Printed Page 43958
    72190AX-ray exam of pelvis0.21NA0.760.04XXX
    7219026AX-ray exam of pelvis0.210.070.070.01XXX
    72190TCAX-ray exam of pelvis0.00NA0.690.03XXX
    72191ACt angiograph pelv w/o&w dye1.81NA9.470.38XXX
    7219126ACt angiograph pelv w/o&w dye1.810.700.700.06XXX
    72191TCACt angiograph pelv w/o&w dye0.00NA8.770.32XXX
    72192ACt pelvis w/o dye1.09NA6.480.31XXX
    7219226ACt pelvis w/o dye1.090.370.370.05XXX
    72192TCACt pelvis w/o dye0.00NA6.110.26XXX
    72193ACt pelvis w/dye1.16NA7.470.35XXX
    7219326ACt pelvis w/dye1.160.400.400.05XXX
    72193TCACt pelvis w/dye0.00NA7.070.30XXX
    72194ACt pelvis w/o&w dye1.22NA9.190.41XXX
    7219426ACt pelvis w/o&w dye1.220.420.420.05XXX
    72194TCACt pelvis w/o&w dye0.00NA8.770.36XXX
    72195AMri pelvis w/o dye1.46NA12.080.42XXX
    7219526AMri pelvis w/o dye1.460.500.500.05XXX
    72195TCAMri pelvis w/o dye0.00NA11.580.37XXX
    72196AMri pelvis w/dye1.73NA14.480.48XXX
    7219626AMri pelvis w/dye1.730.590.590.05XXX
    72196TCAMri pelvis w/dye0.00NA13.890.43XXX
    72197AMri pelvis w/o & w dye2.26NA26.490.84XXX
    7219726AMri pelvis w/o & w dye2.260.770.770.08XXX
    72197TCAMri pelvis w/o & w dye0.00NA25.720.76XXX
    72198NMr angio pelvis w/o&w dye1.80NA12.280.57XXX
    7219826NMr angio pelvis w/o&w dye1.800.700.700.08XXX
    72198TCNMr angio pelvis w/o&w dye0.00NA11.580.49XXX
    72200AX-ray exam sacroiliac joints0.17NA0.600.03XXX
    7220026AX-ray exam sacroiliac joints0.170.060.060.01XXX
    72200TCAX-ray exam sacroiliac joints0.00NA0.540.02XXX
    72202AX-ray exam sacroiliac joints0.19NA0.700.04XXX
    7220226AX-ray exam sacroiliac joints0.190.060.060.01XXX
    72202TCAX-ray exam sacroiliac joints0.00NA0.640.03XXX
    72220AX-ray exam of tailbone0.17NA0.650.04XXX
    7222026AX-ray exam of tailbone0.170.060.060.01XXX
    72220TCAX-ray exam of tailbone0.00NA0.590.03XXX
    72240AContrast x-ray of neck spine0.91NA5.210.25XXX
    7224026AContrast x-ray of neck spine0.910.300.300.04XXX
    72240TCAContrast x-ray of neck spine0.00NA4.910.21XXX
    72255AContrast x-ray, thorax spine0.91NA4.760.22XXX
    7225526AContrast x-ray, thorax spine0.910.280.280.04XXX
    72255TCAContrast x-ray, thorax spine0.00NA4.480.18XXX
    72265AContrast x-ray, lower spine0.83NA4.470.22XXX
    7226526AContrast x-ray, lower spine0.830.260.260.04XXX
    72265TCAContrast x-ray, lower spine0.00NA4.210.18XXX
    72270AContrast x-ray of spine1.33NA6.740.34XXX
    7227026AContrast x-ray of spine1.330.440.440.07XXX
    72270TCAContrast x-ray of spine0.00NA6.310.27XXX
    72275AEpidurography0.76NA2.380.21XXX
    7227526AEpidurography0.760.210.210.03XXX
    72275TCAEpidurography0.00NA2.170.18XXX
    72285AX-ray c/t spine disk1.16NA9.030.42XXX
    7228526AX-ray c/t spine disk1.160.370.370.06XXX
    72285TCAX-ray c/t spine disk0.00NA8.660.36XXX
    72295AX-ray of lower spine disk0.83NA8.400.37XXX
    7229526AX-ray of lower spine disk0.830.280.280.04XXX
    72295TCAX-ray of lower spine disk0.00NA8.120.33XXX
    73000AX-ray exam of collar bone0.16NA0.590.03XXX
    7300026AX-ray exam of collar bone0.160.060.060.01XXX
    73000TCAX-ray exam of collar bone0.00NA0.540.02XXX
    73010AX-ray exam of shoulder blade0.17NA0.600.03XXX
    7301026AX-ray exam of shoulder blade0.170.060.060.01XXX
    73010TCAX-ray exam of shoulder blade0.00NA0.540.02XXX
    73020AX-ray exam of shoulder0.15NA0.540.03XXX
    7302026AX-ray exam of shoulder0.150.050.050.01XXX
    73020TCAX-ray exam of shoulder0.00NA0.490.02XXX
    Start Printed Page 43959
    73030AX-ray exam of shoulder0.18NA0.650.04XXX
    7303026AX-ray exam of shoulder0.180.060.060.01XXX
    73030TCAX-ray exam of shoulder0.00NA0.590.03XXX
    73040AContrast x-ray of shoulder0.54NA2.350.13XXX
    7304026AContrast x-ray of shoulder0.540.180.180.03XXX
    73040TCAContrast x-ray of shoulder0.00NA2.170.10XXX
    73050AX-ray exam of shoulders0.20NA0.760.05XXX
    7305026AX-ray exam of shoulders0.200.070.070.02XXX
    73050TCAX-ray exam of shoulders0.00NA0.690.03XXX
    73060AX-ray exam of humerus0.17NA0.650.04XXX
    7306026AX-ray exam of humerus0.170.060.060.01XXX
    73060TCAX-ray exam of humerus0.00NA0.590.03XXX
    73070AX-ray exam of elbow0.15NA0.590.03XXX
    7307026AX-ray exam of elbow0.150.050.050.01XXX
    73070TCAX-ray exam of elbow0.00NA0.540.02XXX
    73080AX-ray exam of elbow0.17NA0.650.04XXX
    7308026AX-ray exam of elbow0.170.060.060.01XXX
    73080TCAX-ray exam of elbow0.00NA0.590.03XXX
    73085AContrast x-ray of elbow0.54NA2.360.13XXX
    7308526AContrast x-ray of elbow0.540.190.190.03XXX
    73085TCAContrast x-ray of elbow0.00NA2.170.10XXX
    73090AX-ray exam of forearm0.16NA0.590.03XXX
    7309026AX-ray exam of forearm0.160.050.050.01XXX
    73090TCAX-ray exam of forearm0.00NA0.540.02XXX
    73092AX-ray exam of arm, infant0.16NA0.560.03XXX
    7309226AX-ray exam of arm, infant0.160.050.050.01XXX
    73092TCAX-ray exam of arm, infant0.00NA0.510.02XXX
    73100AX-ray exam of wrist0.16NA0.570.04XXX
    7310026AX-ray exam of wrist0.160.060.060.02XXX
    73100TCAX-ray exam of wrist0.00NA0.510.02XXX
    73110AX-ray exam of wrist0.17NA0.610.03XXX
    7311026AX-ray exam of wrist0.170.060.060.01XXX
    73110TCAX-ray exam of wrist0.00NA0.550.02XXX
    73115AContrast x-ray of wrist0.54NA1.820.11XXX
    7311526AContrast x-ray of wrist0.540.190.190.03XXX
    73115TCAContrast x-ray of wrist0.00NA1.630.08XXX
    73120AX-ray exam of hand0.16NA0.570.03XXX
    7312026AX-ray exam of hand0.160.060.060.01XXX
    73120TCAX-ray exam of hand0.00NA0.510.02XXX
    73130AX-ray exam of hand0.17NA0.610.03XXX
    7313026AX-ray exam of hand0.170.060.060.01XXX
    73130TCAX-ray exam of hand0.00NA0.550.02XXX
    73140AX-ray exam of finger(s)0.13NA0.470.03XXX
    7314026AX-ray exam of finger(s)0.130.040.040.01XXX
    73140TCAX-ray exam of finger(s)0.00NA0.430.02XXX
    73200ACt upper extremity w/o dye1.09NA5.500.26XXX
    7320026ACt upper extremity w/o dye1.090.370.370.05XXX
    73200TCACt upper extremity w/o dye0.00NA5.130.21XXX
    73201ACt upper extremity w/dye1.16NA6.500.31XXX
    7320126ACt upper extremity w/dye1.160.400.400.05XXX
    73201TCACt upper extremity w/dye0.00NA6.110.26XXX
    73202ACt uppr extremity w/o&w dye1.22NA8.090.38XXX
    7320226ACt uppr extremity w/o&w dye1.220.420.420.06XXX
    73202TCACt uppr extremity w/o&w dye0.00NA7.670.32XXX
    73206ACt angio upr extrm w/o&w dye1.81NA8.370.38XXX
    7320626ACt angio upr extrm w/o&w dye1.810.700.700.06XXX
    73206TCACt angio upr extrm w/o&w dye0.00NA7.670.32XXX
    73218AMri upper extremity w/o dye1.35NA12.050.36XXX
    7321826AMri upper extremity w/o dye1.350.460.460.04XXX
    73218TCAMri upper extremity w/o dye0.00NA11.580.32XXX
    73219AMri upper extremity w/dye1.62NA14.450.44XXX
    7321926AMri upper extremity w/dye1.620.560.560.05XXX
    73219TCAMri upper extremity w/dye0.00NA13.890.39XXX
    73220AMri uppr extremity w/o&w dye2.15NA26.460.78XXX
    7322026AMri uppr extremity w/o&w dye2.150.740.740.08XXX
    73220TCAMri uppr extremity w/o&w dye0.00NA25.720.70XXX
    Start Printed Page 43960
    73221AMri joint upr extrem w/o dye1.35NA12.040.36XXX
    7322126AMri joint upr extrem w/o dye1.350.460.460.04XXX
    73221TCAMri joint upr extrem w/o dye0.00NA11.580.32XXX
    73222AMri joint upr extrem w/ dye1.62NA14.450.44XXX
    7322226AMri joint upr extrem w/ dye1.620.560.560.05XXX
    73222TCAMri joint upr extrem w/ dye0.00NA13.890.39XXX
    73223AMri joint upr extr w/o&w dye2.15NA26.460.77XXX
    7322326AMri joint upr extr w/o&w dye2.150.740.740.07XXX
    73223TCAMri joint upr extr w/o&w dye0.00NA25.720.70XXX
    73225NMr angio upr extr w/o&w dye1.73NA12.250.57XXX
    7322526NMr angio upr extr w/o&w dye1.730.670.670.08XXX
    73225TCNMr angio upr extr w/o&w dye0.00NA11.580.49XXX
    73500AX-ray exam of hip0.17NA0.550.03XXX
    7350026AX-ray exam of hip0.170.060.060.01XXX
    73500TCAX-ray exam of hip0.00NA0.490.02XXX
    73510AX-ray exam of hip0.21NA0.660.05XXX
    7351026AX-ray exam of hip0.210.070.070.02XXX
    73510TCAX-ray exam of hip0.00NA0.590.03XXX
    73520AX-ray exam of hips0.26NA0.780.05XXX
    7352026AX-ray exam of hips0.260.090.090.02XXX
    73520TCAX-ray exam of hips0.00NA0.690.03XXX
    73525AContrast x-ray of hip0.54NA2.350.13XXX
    7352526AContrast x-ray of hip0.540.190.190.03XXX
    73525TCAContrast x-ray of hip0.00NA2.170.10XXX
    73530AX-ray exam of hip0.29NA0.640.03XXX
    7353026AX-ray exam of hip0.290.100.100.01XXX
    73530TCAX-ray exam of hip0.00NA0.540.02XXX
    73540AX-ray exam of pelvis & hips0.20NA0.660.05XXX
    7354026AX-ray exam of pelvis & hips0.200.070.070.02XXX
    73540TCAX-ray exam of pelvis & hips0.00NA0.590.03XXX
    73542AX-ray exam, sacroiliac joint0.59NA2.350.13XXX
    7354226AX-ray exam, sacroiliac joint0.590.180.180.03XXX
    73542TCAX-ray exam, sacroiliac joint0.00NA2.170.10XXX
    73550AX-ray exam of thigh0.17NA0.650.04XXX
    7355026AX-ray exam of thigh0.170.060.060.01XXX
    73550TCAX-ray exam of thigh0.00NA0.590.03XXX
    73560AX-ray exam of knee, 1 or 20.17NA0.600.04XXX
    7356026AX-ray exam of knee, 1 or 20.170.060.060.02XXX
    73560TCAX-ray exam of knee, 1 or 20.00NA0.540.02XXX
    73562AX-ray exam of knee, 30.18NA0.650.05XXX
    7356226AX-ray exam of knee, 30.180.060.060.02XXX
    73562TCAX-ray exam of knee, 30.00NA0.590.03XXX
    73564AX-ray exam, knee, 4 or more0.22NA0.720.05XXX
    7356426AX-ray exam, knee, 4 or more0.220.080.080.02XXX
    73564TCAX-ray exam, knee, 4 or more0.00NA0.640.03XXX
    73565AX-ray exam of knees0.17NA0.570.04XXX
    7356526AX-ray exam of knees0.170.060.060.02XXX
    73565TCAX-ray exam of knees0.00NA0.510.02XXX
    73580AContrast x-ray of knee joint0.54NA2.890.15XXX
    7358026AContrast x-ray of knee joint0.540.180.180.03XXX
    73580TCAContrast x-ray of knee joint0.00NA2.710.12XXX
    73590AX-ray exam of lower leg0.17NA0.600.03XXX
    7359026AX-ray exam of lower leg0.170.060.060.01XXX
    73590TCAX-ray exam of lower leg0.00NA0.540.02XXX
    73592AX-ray exam of leg, infant0.16NA0.570.03XXX
    7359226AX-ray exam of leg, infant0.160.060.060.01XXX
    73592TCAX-ray exam of leg, infant0.00NA0.510.02XXX
    73600AX-ray exam of ankle0.16NA0.570.03XXX
    7360026AX-ray exam of ankle0.160.060.060.01XXX
    73600TCAX-ray exam of ankle0.00NA0.510.02XXX
    73610AX-ray exam of ankle0.17NA0.610.03XXX
    7361026AX-ray exam of ankle0.170.060.060.01XXX
    73610TCAX-ray exam of ankle0.00NA0.550.02XXX
    73615AContrast x-ray of ankle0.54NA2.360.13XXX
    7361526AContrast x-ray of ankle0.540.190.190.03XXX
    73615TCAContrast x-ray of ankle0.00NA2.170.10XXX
    Start Printed Page 43961
    73620AX-ray exam of foot0.16NA0.570.03XXX
    7362026AX-ray exam of foot0.160.060.060.01XXX
    73620TCAX-ray exam of foot0.00NA0.510.02XXX
    73630AX-ray exam of foot0.17NA0.610.03XXX
    7363026AX-ray exam of foot0.170.060.060.01XXX
    73630TCAX-ray exam of foot0.00NA0.550.02XXX
    73650AX-ray exam of heel0.16NA0.550.03XXX
    7365026AX-ray exam of heel0.160.060.060.01XXX
    73650TCAX-ray exam of heel0.00NA0.490.02XXX
    73660AX-ray exam of toe(s)0.13NA0.470.03XXX
    7366026AX-ray exam of toe(s)0.130.040.040.01XXX
    73660TCAX-ray exam of toe(s)0.00NA0.430.02XXX
    73700ACt lower extremity w/o dye1.09NA5.500.26XXX
    7370026ACt lower extremity w/o dye1.090.370.370.05XXX
    73700TCACt lower extremity w/o dye0.00NA5.130.21XXX
    73701ACt lower extremity w/dye1.16NA6.500.31XXX
    7370126ACt lower extremity w/dye1.160.400.400.05XXX
    73701TCACt lower extremity w/dye0.00NA6.110.26XXX
    73702ACt lwr extremity w/o&w dye1.22NA8.090.37XXX
    7370226ACt lwr extremity w/o&w dye1.220.420.420.05XXX
    73702TCACt lwr extremity w/o&w dye0.00NA7.670.32XXX
    73706ACt angio lwr extr w/o&w dye1.90NA8.410.38XXX
    7370626ACt angio lwr extr w/o&w dye1.900.730.730.06XXX
    73706TCACt angio lwr extr w/o&w dye0.00NA7.670.32XXX
    73718AMri lower extremity w/o dye1.35NA12.040.36XXX
    7371826AMri lower extremity w/o dye1.350.460.460.04XXX
    73718TCAMri lower extremity w/o dye0.00NA11.580.32XXX
    73719AMri lower extremity w/dye1.62NA14.440.44XXX
    7371926AMri lower extremity w/dye1.620.550.550.05XXX
    73719TCAMri lower extremity w/dye0.00NA13.890.39XXX
    73720AMri lwr extremity w/o&w dye2.15NA26.450.78XXX
    7372026AMri lwr extremity w/o&w dye2.150.740.740.08XXX
    73720TCAMri lwr extremity w/o&w dye0.00NA25.720.70XXX
    73721AMri joint of lwr extre w/o d1.35NA12.050.36XXX
    7372126AMri joint of lwr extre w/o d1.350.460.460.04XXX
    73721TCAMri joint of lwr extre w/o d0.00NA11.580.32XXX
    73722AMri joint of lwr extr w/dye1.62NA14.450.45XXX
    7372226AMri joint of lwr extr w/dye1.620.560.560.06XXX
    73722TCAMri joint of lwr extr w/dye0.00NA13.890.39XXX
    73723AMri joint lwr extr w/o&w dye2.15NA26.460.77XXX
    7372326AMri joint lwr extr w/o&w dye2.150.740.740.07XXX
    73723TCAMri joint lwr extr w/o&w dye0.00NA25.720.70XXX
    73725RMr ang lwr ext w or w/o dye1.82NA12.200.57XXX
    7372526RMr ang lwr ext w or w/o dye1.820.620.620.08XXX
    73725TCRMr ang lwr ext w or w/o dye0.00NA11.580.49XXX
    74000AX-ray exam of abdomen0.18NA0.600.03XXX
    7400026AX-ray exam of abdomen0.180.060.060.01XXX
    74000TCAX-ray exam of abdomen0.00NA0.540.02XXX
    74010AX-ray exam of abdomen0.23NA0.670.04XXX
    7401026AX-ray exam of abdomen0.230.080.080.01XXX
    74010TCAX-ray exam of abdomen0.00NA0.590.03XXX
    74020AX-ray exam of abdomen0.27NA0.730.04XXX
    7402026AX-ray exam of abdomen0.270.090.090.01XXX
    74020TCAX-ray exam of abdomen0.00NA0.640.03XXX
    74022AX-ray exam series, abdomen0.32NA0.870.05XXX
    7402226AX-ray exam series, abdomen0.320.110.110.01XXX
    74022TCAX-ray exam series, abdomen0.00NA0.760.04XXX
    74150ACt abdomen w/o dye1.19NA6.250.30XXX
    7415026ACt abdomen w/o dye1.190.410.410.05XXX
    74150TCACt abdomen w/o dye0.00NA5.850.25XXX
    74160ACt abdomen w/dye1.27NA7.510.36XXX
    7416026ACt abdomen w/dye1.270.430.430.06XXX
    74160TCACt abdomen w/dye0.00NA7.070.30XXX
    74170ACt abdomen w/o&w dye1.40NA9.250.42XXX
    7417026ACt abdomen w/o&w dye1.400.480.480.06XXX
    74170TCACt abdomen w/o&w dye0.00NA8.770.36XXX
    Start Printed Page 43962
    74175ACt angio abdom w/o&w dye1.90NA9.510.38XXX
    7417526ACt angio abdom w/o&w dye1.900.730.730.06XXX
    74175TCACt angio abdom w/o&w dye0.00NA8.770.32XXX
    74181AMri abdomen w/o dye1.46NA12.080.41XXX
    7418126AMri abdomen w/o dye1.460.500.500.04XXX
    74181TCAMri abdomen w/o dye0.00NA11.580.37XXX
    74182AMri abdomen w/dye1.73NA14.480.49XXX
    7418226AMri abdomen w/dye1.730.590.590.06XXX
    74182TCAMri abdomen w/dye0.00NA13.890.43XXX
    74183AMri abdomen w/o&w dye2.26NA26.490.84XXX
    7418326AMri abdomen w/o&w dye2.260.770.770.08XXX
    74183TCAMri abdomen w/o&w dye0.00NA25.720.76XXX
    74185RMri angio, abdom w or w/o dy1.80NA12.200.57XXX
    7418526RMri angio, abdom w or w/o dy1.800.620.620.08XXX
    74185TCRMri angio, abdom w or w/o dy0.00NA11.580.49XXX
    74190AX-ray exam of peritoneum0.48NA1.510.08XXX
    7419026AX-ray exam of peritoneum0.480.160.160.02XXX
    74190TCAX-ray exam of peritoneum0.00NA1.350.06XXX
    74210AContrst x-ray exam of throat0.36NA1.350.07XXX
    7421026AContrst x-ray exam of throat0.360.120.120.02XXX
    74210TCAContrst x-ray exam of throat0.00NA1.230.05XXX
    74220AContrast x-ray, esophagus0.46NA1.390.07XXX
    7422026AContrast x-ray, esophagus0.460.160.160.02XXX
    74220TCAContrast x-ray, esophagus0.00NA1.230.05XXX
    74230ACine/video x-ray, throat/eso0.53NA1.530.08XXX
    7423026ACine/video x-ray, throat/eso0.530.180.180.02XXX
    74230TCACine/video x-ray, throat/eso0.00NA1.350.06XXX
    74235ARemove esophagus obstruction1.19NA3.110.17XXX
    7423526ARemove esophagus obstruction1.190.410.410.05XXX
    74235TCARemove esophagus obstruction0.00NA2.710.12XXX
    74240AX-ray exam, upper gi tract0.69NA1.740.10XXX
    7424026AX-ray exam, upper gi tract0.690.240.240.03XXX
    74240TCAX-ray exam, upper gi tract0.00NA1.510.07XXX
    74241AX-ray exam, upper gi tract0.69NA1.770.10XXX
    7424126AX-ray exam, upper gi tract0.690.230.230.03XXX
    74241TCAX-ray exam, upper gi tract0.00NA1.540.07XXX
    74245AX-ray exam, upper gi tract0.91NA2.770.15XXX
    7424526AX-ray exam, upper gi tract0.910.310.310.04XXX
    74245TCAX-ray exam, upper gi tract0.00NA2.460.11XXX
    74246AContrst x-ray uppr gi tract0.69NA1.930.11XXX
    7424626AContrst x-ray uppr gi tract0.690.240.240.03XXX
    74246TCAContrst x-ray uppr gi tract0.00NA1.700.08XXX
    74247AContrst x-ray uppr gi tract0.69NA1.970.12XXX
    7424726AContrst x-ray uppr gi tract0.690.240.240.03XXX
    74247TCAContrst x-ray uppr gi tract0.00NA1.740.09XXX
    74249AContrst x-ray uppr gi tract0.91NA2.970.16XXX
    7424926AContrst x-ray uppr gi tract0.910.310.310.04XXX
    74249TCAContrst x-ray uppr gi tract0.00NA2.660.12XXX
    74250AX-ray exam of small bowel0.47NA1.510.08XXX
    7425026AX-ray exam of small bowel0.470.160.160.02XXX
    74250TCAX-ray exam of small bowel0.00NA1.350.06XXX
    74251AX-ray exam of small bowel0.69NA1.580.09XXX
    7425126AX-ray exam of small bowel0.690.240.240.03XXX
    74251TCAX-ray exam of small bowel0.00NA1.350.06XXX
    74260AX-ray exam of small bowel0.50NA1.710.09XXX
    7426026AX-ray exam of small bowel0.500.170.170.02XXX
    74260TCAX-ray exam of small bowel0.00NA1.540.07XXX
    74270AContrast x-ray exam of colon0.69NA1.990.12XXX
    7427026AContrast x-ray exam of colon0.690.240.240.03XXX
    74270TCAContrast x-ray exam of colon0.00NA1.760.09XXX
    74280AContrast x-ray exam of colon0.99NA2.650.15XXX
    7428026AContrast x-ray exam of colon0.990.340.340.04XXX
    74280TCAContrast x-ray exam of colon0.00NA2.310.11XXX
    74283AContrast x-ray exam of colon2.02NA3.340.21XXX
    7428326AContrast x-ray exam of colon2.020.690.690.09XXX
    74283TCAContrast x-ray exam of colon0.00NA2.650.12XXX
    Start Printed Page 43963
    74290AContrast x-ray, gallbladder0.32NA0.870.05XXX
    7429026AContrast x-ray, gallbladder0.320.110.110.01XXX
    74290TCAContrast x-ray, gallbladder0.00NA0.760.04XXX
    74291AContrast x-rays, gallbladder0.20NA0.500.03XXX
    7429126AContrast x-rays, gallbladder0.200.070.070.01XXX
    74291TCAContrast x-rays, gallbladder0.00NA0.430.02XXX
    74300CX-ray bile ducts/pancreas0.000.000.000.00XXX
    7430026AX-ray bile ducts/pancreas0.360.120.120.02XXX
    74300TCCX-ray bile ducts/pancreas0.000.000.000.00XXX
    74301CX-rays at surgery add-on0.000.000.000.00ZZZ
    7430126AX-rays at surgery add-on0.210.070.070.01ZZZ
    74301TCCX-rays at surgery add-on0.000.000.000.00ZZZ
    74305AX-ray bile ducts/pancreas0.42NA0.950.06XXX
    7430526AX-ray bile ducts/pancreas0.420.140.140.02XXX
    74305TCAX-ray bile ducts/pancreas0.00NA0.810.04XXX
    74320AContrast x-ray of bile ducts0.54NA3.440.16XXX
    7432026AContrast x-ray of bile ducts0.540.180.180.02XXX
    74320TCAContrast x-ray of bile ducts0.00NA3.260.14XXX
    74327AX-ray bile stone removal0.70NA2.060.12XXX
    7432726AX-ray bile stone removal0.700.240.240.03XXX
    74327TCAX-ray bile stone removal0.00NA1.820.09XXX
    74328AXray bile duct endoscopy0.70NA3.500.17XXX
    7432826AXray bile duct endoscopy0.700.240.240.03XXX
    74328TCAXray bile duct endoscopy0.00NA3.260.14XXX
    74329AX-ray for pancreas endoscopy0.70NA3.500.17XXX
    7432926AX-ray for pancreas endoscopy0.700.240.240.03XXX
    74329TCAX-ray for pancreas endoscopy0.00NA3.260.14XXX
    74330AX-ray bile/panc endoscopy0.90NA3.560.18XXX
    7433026AX-ray bile/panc endoscopy0.900.310.310.04XXX
    74330TCAX-ray bile/panc endoscopy0.00NA3.260.14XXX
    74340AX-ray guide for GI tube0.54NA2.890.14XXX
    7434026AX-ray guide for GI tube0.540.180.180.02XXX
    74340TCAX-ray guide for GI tube0.00NA2.710.12XXX
    74350AX-ray guide, stomach tube0.76NA3.520.17XXX
    7435026AX-ray guide, stomach tube0.760.260.260.03XXX
    74350TCAX-ray guide, stomach tube0.00NA3.260.14XXX
    74355AX-ray guide, intestinal tube0.76NA2.960.15XXX
    7435526AX-ray guide, intestinal tube0.760.260.260.03XXX
    74355TCAX-ray guide, intestinal tube0.00NA2.710.12XXX
    74360AX-ray guide, GI dilation0.54NA3.450.16XXX
    7436026AX-ray guide, GI dilation0.540.190.190.02XXX
    74360TCAX-ray guide, GI dilation0.00NA3.260.14XXX
    74363AX-ray, bile duct dilation0.88NA6.600.31XXX
    7436326AX-ray, bile duct dilation0.880.300.300.04XXX
    74363TCAX-ray, bile duct dilation0.00NA6.310.27XXX
    74400AContrst x-ray, urinary tract0.49NA1.910.11XXX
    7440026AContrst x-ray, urinary tract0.490.170.170.02XXX
    74400TCAContrst x-ray, urinary tract0.00NA1.740.09XXX
    74410AContrst x-ray, urinary tract0.49NA2.190.11XXX
    7441026AContrst x-ray, urinary tract0.490.170.170.02XXX
    74410TCAContrst x-ray, urinary tract0.00NA2.020.09XXX
    74415AContrst x-ray, urinary tract0.49NA2.360.12XXX
    7441526AContrst x-ray, urinary tract0.490.170.170.02XXX
    74415TCAContrst x-ray, urinary tract0.00NA2.190.10XXX
    74420AContrst x-ray, urinary tract0.36NA2.830.14XXX
    7442026AContrst x-ray, urinary tract0.360.120.120.02XXX
    74420TCAContrst x-ray, urinary tract0.00NA2.710.12XXX
    74425AContrst x-ray, urinary tract0.36NA1.470.08XXX
    7442526AContrst x-ray, urinary tract0.360.120.120.02XXX
    74425TCAContrst x-ray, urinary tract0.00NA1.350.06XXX
    74430AContrast x-ray, bladder0.32NA1.200.07XXX
    7443026AContrast x-ray, bladder0.320.110.110.02XXX
    74430TCAContrast x-ray, bladder0.00NA1.090.05XXX
    74440AX-ray, male genital tract0.38NA1.300.07XXX
    7444026AX-ray, male genital tract0.380.130.130.02XXX
    74440TCAX-ray, male genital tract0.00NA1.170.05XXX
    Start Printed Page 43964
    74445AX-ray exam of penis1.14NA1.550.10XXX
    7444526AX-ray exam of penis1.140.380.380.05XXX
    74445TCAX-ray exam of penis0.00NA1.170.05XXX
    74450AX-ray, urethra/bladder0.33NA1.620.09XXX
    7445026AX-ray, urethra/bladder0.330.110.110.02XXX
    74450TCAX-ray, urethra/bladder0.00NA1.510.07XXX
    74455AX-ray, urethra/bladder0.33NA1.740.10XXX
    7445526AX-ray, urethra/bladder0.330.110.110.02XXX
    74455TCAX-ray, urethra/bladder0.00NA1.630.08XXX
    74470AX-ray exam of kidney lesion0.54NA1.470.08XXX
    7447026AX-ray exam of kidney lesion0.540.180.180.02XXX
    74470TCAX-ray exam of kidney lesion0.00NA1.290.06XXX
    74475AX-ray control, cath insert0.54NA4.390.20XXX
    7447526AX-ray control, cath insert0.540.180.180.02XXX
    74475TCAX-ray control, cath insert0.00NA4.210.18XXX
    74480AX-ray control, cath insert0.54NA4.390.20XXX
    7448026AX-ray control, cath insert0.540.180.180.02XXX
    74480TCAX-ray control, cath insert0.00NA4.210.18XXX
    74485AX-ray guide, GU dilation0.54NA3.440.17XXX
    7448526AX-ray guide, GU dilation0.540.180.180.03XXX
    74485TCAX-ray guide, GU dilation0.00NA3.260.14XXX
    74710AX-ray measurement of pelvis0.34NA1.210.07XXX
    7471026AX-ray measurement of pelvis0.340.120.120.02XXX
    74710TCAX-ray measurement of pelvis0.00NA1.090.05XXX
    74740AX-ray, female genital tract0.38NA1.480.08XXX
    7474026AX-ray, female genital tract0.380.130.130.02XXX
    74740TCAX-ray, female genital tract0.00NA1.350.06XXX
    74742AX-ray, fallopian tube0.61NA3.470.16XXX
    7474226AX-ray, fallopian tube0.610.210.210.02XXX
    74742TCAX-ray, fallopian tube0.00NA3.260.14XXX
    74775AX-ray exam of perineum0.62NA1.720.10XXX
    7477526AX-ray exam of perineum0.620.220.220.03XXX
    74775TCAX-ray exam of perineum0.00NA1.510.07XXX
    75552AHeart mri for morph w/o dye1.60NA12.130.56XXX
    7555226AHeart mri for morph w/o dye1.600.550.550.07XXX
    75552TCAHeart mri for morph w/o dye0.00NA11.580.49XXX
    75553AHeart mri for morph w/dye2.00NA12.260.58XXX
    7555326AHeart mri for morph w/dye2.000.680.680.09XXX
    75553TCAHeart mri for morph w/dye0.00NA11.580.49XXX
    75554ACardiac MRI/function1.83NA12.250.56XXX
    7555426ACardiac MRI/function1.830.670.670.07XXX
    75554TCACardiac MRI/function0.00NA11.580.49XXX
    75555ACardiac MRI/limited study1.74NA12.240.56XXX
    7555526ACardiac MRI/limited study1.740.660.660.07XXX
    75555TCACardiac MRI/limited study0.00NA11.580.49XXX
    75556NCardiac MRI/flow mapping0.000.000.000.00XXX
    75600AContrast x-ray exam of aorta0.49NA13.210.56XXX
    7560026AContrast x-ray exam of aorta0.490.190.190.02XXX
    75600TCAContrast x-ray exam of aorta0.00NA13.020.54XXX
    75605AContrast x-ray exam of aorta1.14NA13.430.59XXX
    7560526AContrast x-ray exam of aorta1.140.410.410.05XXX
    75605TCAContrast x-ray exam of aorta0.00NA13.020.54XXX
    75625AContrast x-ray exam of aorta1.14NA13.410.59XXX
    7562526AContrast x-ray exam of aorta1.140.390.390.05XXX
    75625TCAContrast x-ray exam of aorta0.00NA13.020.54XXX
    75630AX-ray aorta, leg arteries1.79NA14.210.65XXX
    7563026AX-ray aorta, leg arteries1.790.640.640.08XXX
    75630TCAX-ray aorta, leg arteries0.00NA13.570.57XXX
    75635ACt angio abdominal arteries2.40NA9.700.41XXX
    7563526ACt angio abdominal arteries2.400.930.930.09XXX
    75635TCACt angio abdominal arteries0.00NA8.770.32XXX
    75650AArtery x-rays, head & neck1.49NA13.530.61XXX
    7565026AArtery x-rays, head & neck1.490.510.510.07XXX
    75650TCAArtery x-rays, head & neck0.00NA13.020.54XXX
    75658AArtery x-rays, arm1.31NA13.510.60XXX
    7565826AArtery x-rays, arm1.310.490.490.06XXX
    Start Printed Page 43965
    75658TCAArtery x-rays, arm0.00NA13.020.54XXX
    75660AArtery x-rays, head & neck1.31NA13.480.60XXX
    7566026AArtery x-rays, head & neck1.310.460.460.06XXX
    75660TCAArtery x-rays, head & neck0.00NA13.020.54XXX
    75662AArtery x-rays, head & neck1.66NA13.630.62XXX
    7566226AArtery x-rays, head & neck1.660.610.610.08XXX
    75662TCAArtery x-rays, head & neck0.00NA13.020.54XXX
    75665AArtery x-rays, head & neck1.31NA13.470.61XXX
    7566526AArtery x-rays, head & neck1.310.460.460.07XXX
    75665TCAArtery x-rays, head & neck0.00NA13.020.54XXX
    75671AArtery x-rays, head & neck1.66NA13.590.62XXX
    7567126AArtery x-rays, head & neck1.660.570.570.08XXX
    75671TCAArtery x-rays, head & neck0.00NA13.020.54XXX
    75676AArtery x-rays, neck1.31NA13.480.61XXX
    7567626AArtery x-rays, neck1.310.460.460.07XXX
    75676TCAArtery x-rays, neck0.00NA13.020.54XXX
    75680AArtery x-rays, neck1.66NA13.590.62XXX
    7568026AArtery x-rays, neck1.660.570.570.08XXX
    75680TCAArtery x-rays, neck0.00NA13.020.54XXX
    75685AArtery x-rays, spine1.31NA13.470.60XXX
    7568526AArtery x-rays, spine1.310.450.450.06XXX
    75685TCAArtery x-rays, spine0.00NA13.020.54XXX
    75705AArtery x-rays, spine2.18NA13.780.65XXX
    7570526AArtery x-rays, spine2.180.760.760.11XXX
    75705TCAArtery x-rays, spine0.00NA13.020.54XXX
    75710AArtery x-rays, arm/leg1.14NA13.420.60XXX
    7571026AArtery x-rays, arm/leg1.140.400.400.06XXX
    75710TCAArtery x-rays, arm/leg0.00NA13.020.54XXX
    75716AArtery x-rays, arms/legs1.31NA13.470.60XXX
    7571626AArtery x-rays, arms/legs1.310.450.450.06XXX
    75716TCAArtery x-rays, arms/legs0.00NA13.020.54XXX
    75722AArtery x-rays, kidney1.14NA13.430.59XXX
    7572226AArtery x-rays, kidney1.140.410.410.05XXX
    75722TCAArtery x-rays, kidney0.00NA13.020.54XXX
    75724AArtery x-rays, kidneys1.49NA13.600.59XXX
    7572426AArtery x-rays, kidneys1.490.580.580.05XXX
    75724TCAArtery x-rays, kidneys0.00NA13.020.54XXX
    75726AArtery x-rays, abdomen1.14NA13.410.59XXX
    7572626AArtery x-rays, abdomen1.140.390.390.05XXX
    75726TCAArtery x-rays, abdomen0.00NA13.020.54XXX
    75731AArtery x-rays, adrenal gland1.14NA13.410.59XXX
    7573126AArtery x-rays, adrenal gland1.140.390.390.05XXX
    75731TCAArtery x-rays, adrenal gland0.00NA13.020.54XXX
    75733AArtery x-rays, adrenals1.31NA13.480.60XXX
    7573326AArtery x-rays, adrenals1.310.460.460.06XXX
    75733TCAArtery x-rays, adrenals0.00NA13.020.54XXX
    75736AArtery x-rays, pelvis1.14NA13.410.59XXX
    7573626AArtery x-rays, pelvis1.140.390.390.05XXX
    75736TCAArtery x-rays, pelvis0.00NA13.020.54XXX
    75741AArtery x-rays, lung1.31NA13.470.60XXX
    7574126AArtery x-rays, lung1.310.450.450.06XXX
    75741TCAArtery x-rays, lung0.00NA13.020.54XXX
    75743AArtery x-rays, lungs1.66NA13.580.61XXX
    7574326AArtery x-rays, lungs1.660.570.570.07XXX
    75743TCAArtery x-rays, lungs0.00NA13.020.54XXX
    75746AArtery x-rays, lung1.14NA13.410.59XXX
    7574626AArtery x-rays, lung1.140.390.390.05XXX
    75746TCAArtery x-rays, lung0.00NA13.020.54XXX
    75756AArtery x-rays, chest1.14NA13.480.58XXX
    7575626AArtery x-rays, chest1.140.460.460.04XXX
    75756TCAArtery x-rays, chest0.00NA13.020.54XXX
    75774AArtery x-ray, each vessel0.36NA13.150.56ZZZ
    7577426AArtery x-ray, each vessel0.360.130.130.02ZZZ
    75774TCAArtery x-ray, each vessel0.00NA13.020.54ZZZ
    75790AVisualize A-V shunt1.84NA2.020.16XXX
    7579026AVisualize A-V shunt1.840.630.630.09XXX
    Start Printed Page 43966
    75790TCAVisualize A-V shunt0.00NA1.400.07XXX
    75801ALymph vessel x-ray, arm/leg0.81NA5.870.29XXX
    7580126ALymph vessel x-ray, arm/leg0.810.280.280.05XXX
    75801TCALymph vessel x-ray, arm/leg0.00NA5.600.24XXX
    75803ALymph vessel x-ray, arms/legs1.17NA5.990.29XXX
    7580326ALymph vessel x-ray, arms/legs1.170.400.400.05XXX
    75803TCALymph vessel x-ray, arms/legs0.00NA5.600.24XXX
    75805ALymph vessel x-ray, trunk0.81NA6.580.31XXX
    7580526ALymph vessel x-ray, trunk0.810.280.280.04XXX
    75805TCALymph vessel x-ray, trunk0.00NA6.310.27XXX
    75807ALymph vessel x-ray, trunk1.17NA6.700.32XXX
    7580726ALymph vessel x-ray, trunk1.170.400.400.05XXX
    75807TCALymph vessel x-ray, trunk0.00NA6.310.27XXX
    75809ANonvascular shunt, x-ray0.47NA0.970.06XXX
    7580926ANonvascular shunt, x-ray0.470.160.160.02XXX
    75809TCANonvascular shunt, x-ray0.00NA0.810.04XXX
    75810AVein x-ray, spleen/liver1.14NA13.410.60XXX
    7581026AVein x-ray, spleen/liver1.140.390.390.06XXX
    75810TCAVein x-ray, spleen/liver0.00NA13.020.54XXX
    75820AVein x-ray, arm/leg0.70NA1.220.08XXX
    7582026AVein x-ray, arm/leg0.700.240.240.03XXX
    75820TCAVein x-ray, arm/leg0.00NA0.980.05XXX
    75822AVein x-ray, arms/legs1.06NA1.890.12XXX
    7582226AVein x-ray, arms/legs1.060.360.360.05XXX
    75822TCAVein x-ray, arms/legs0.00NA1.530.07XXX
    75825AVein x-ray, trunk1.14NA13.410.60XXX
    7582526AVein x-ray, trunk1.140.390.390.06XXX
    75825TCAVein x-ray, trunk0.00NA13.020.54XXX
    75827AVein x-ray, chest1.14NA13.410.59XXX
    7582726AVein x-ray, chest1.140.390.390.05XXX
    75827TCAVein x-ray, chest0.00NA13.020.54XXX
    75831AVein x-ray, kidney1.14NA13.400.59XXX
    7583126AVein x-ray, kidney1.140.380.380.05XXX
    75831TCAVein x-ray, kidney0.00NA13.020.54XXX
    75833AVein x-ray, kidneys1.49NA13.530.61XXX
    7583326AVein x-ray, kidneys1.490.510.510.07XXX
    75833TCAVein x-ray, kidneys0.00NA13.020.54XXX
    75840AVein x-ray, adrenal gland1.14NA13.410.61XXX
    7584026AVein x-ray, adrenal gland1.140.390.390.07XXX
    75840TCAVein x-ray, adrenal gland0.00NA13.020.54XXX
    75842AVein x-ray, adrenal glands1.49NA13.520.61XXX
    7584226AVein x-ray, adrenal glands1.490.500.500.07XXX
    75842TCAVein x-ray, adrenal glands0.00NA13.020.54XXX
    75860AVein x-ray, neck1.14NA13.420.60XXX
    7586026AVein x-ray, neck1.140.400.400.06XXX
    75860TCAVein x-ray, neck0.00NA13.020.54XXX
    75870AVein x-ray, skull1.14NA13.420.60XXX
    7587026AVein x-ray, skull1.140.400.400.06XXX
    75870TCAVein x-ray, skull0.00NA13.020.54XXX
    75872AVein x-ray, skull1.14NA13.410.59XXX
    7587226AVein x-ray, skull1.140.390.390.05XXX
    75872TCAVein x-ray, skull0.00NA13.020.54XXX
    75880AVein x-ray, eye socket0.70NA1.220.08XXX
    7588026AVein x-ray, eye socket0.700.240.240.03XXX
    75880TCAVein x-ray, eye socket0.00NA0.980.05XXX
    75885AVein x-ray, liver1.44NA13.510.60XXX
    7588526AVein x-ray, liver1.440.490.490.06XXX
    75885TCAVein x-ray, liver0.00NA13.020.54XXX
    75887AVein x-ray, liver1.44NA13.510.60XXX
    7588726AVein x-ray, liver1.440.490.490.06XXX
    75887TCAVein x-ray, liver0.00NA13.020.54XXX
    75889AVein x-ray, liver1.14NA13.410.59XXX
    7588926AVein x-ray, liver1.140.390.390.05XXX
    75889TCAVein x-ray, liver0.00NA13.020.54XXX
    75891AVein x-ray, liver1.14NA13.410.59XXX
    7589126AVein x-ray, liver1.140.390.390.05XXX
    Start Printed Page 43967
    75891TCAVein x-ray, liver0.00NA13.020.54XXX
    75893AVenous sampling by catheter0.54NA13.210.56XXX
    7589326AVenous sampling by catheter0.540.190.190.02XXX
    75893TCAVenous sampling by catheter0.00NA13.020.54XXX
    75894AX-rays, transcath therapy1.31NA25.391.12XXX
    7589426AX-rays, transcath therapy1.310.450.450.07XXX
    75894TCAX-rays, transcath therapy0.00NA24.941.05XXX
    75896AX-rays, transcath therapy1.31NA22.160.97XXX
    7589626AX-rays, transcath therapy1.310.470.470.06XXX
    75896TCAX-rays, transcath therapy0.00NA21.690.91XXX
    75898AFollow-up angiography1.65NA1.660.12XXX
    7589826AFollow-up angiography1.650.570.570.07XXX
    75898TCAFollow-up angiography0.00NA1.090.05XXX
    75900AArterial catheter exchange0.49NA21.840.94XXX
    7590026AArterial catheter exchange0.490.170.170.02XXX
    75900TCAArterial catheter exchange0.00NA21.670.92XXX
    75940AX-ray placement, vein filter0.54NA13.200.57XXX
    7594026AX-ray placement, vein filter0.540.180.180.03XXX
    75940TCAX-ray placement, vein filter0.00NA13.020.54XXX
    75945AIntravascular us0.40NA4.860.23XXX
    7594526AIntravascular us0.400.150.150.03XXX
    75945TCAIntravascular us0.00NA4.720.20XXX
    75946AIntravascular us add-on0.40NA2.510.14ZZZ
    7594626AIntravascular us add-on0.400.140.140.03ZZZ
    75946TCAIntravascular us add-on0.00NA2.370.11ZZZ
    75952CEndovasc repair abdom aorta0.000.000.000.00XXX
    7595226AEndovasc repair abdom aorta4.501.741.740.68XXX
    75952TCCEndovasc repair abdom aorta0.000.000.000.00XXX
    75953CAbdom aneurysm endovas rpr0.000.000.000.00XXX
    7595326AAbdom aneurysm endovas rpr1.360.530.530.68XXX
    75953TCCAbdom aneurysm endovas rpr0.000.000.000.00XXX
    75960ATranscatheter intro, stent0.82NA15.690.68XXX
    7596026ATranscatheter intro, stent0.820.290.290.04XXX
    75960TCATranscatheter intro, stent0.00NA15.400.64XXX
    75961ARetrieval, broken catheter4.25NA12.300.64XXX
    7596126ARetrieval, broken catheter4.251.451.450.18XXX
    75961TCARetrieval, broken catheter0.00NA10.850.46XXX
    75962ARepair arterial blockage0.54NA16.460.72XXX
    7596226ARepair arterial blockage0.540.190.190.03XXX
    75962TCARepair arterial blockage0.00NA16.270.69XXX
    75964ARepair artery blockage, each0.36NA8.800.38ZZZ
    7596426ARepair artery blockage, each0.360.130.130.02ZZZ
    75964TCARepair artery blockage, each0.00NA8.670.36ZZZ
    75966ARepair arterial blockage1.31NA16.750.75XXX
    7596626ARepair arterial blockage1.310.480.480.06XXX
    75966TCARepair arterial blockage0.00NA16.270.69XXX
    75968ARepair artery blockage, each0.36NA8.810.37ZZZ
    7596826ARepair artery blockage, each0.360.130.130.01ZZZ
    75968TCARepair artery blockage, each0.00NA8.670.36ZZZ
    75970AVascular biopsy0.83NA12.220.54XXX
    7597026AVascular biopsy0.830.290.290.04XXX
    75970TCAVascular biopsy0.00NA11.930.50XXX
    75978ARepair venous blockage0.54NA16.450.71XXX
    7597826ARepair venous blockage0.540.180.180.02XXX
    75978TCARepair venous blockage0.00NA16.270.69XXX
    75980AContrast xray exam bile duct1.44NA6.080.30XXX
    7598026AContrast xray exam bile duct1.440.490.490.06XXX
    75980TCAContrast xray exam bile duct0.00NA5.600.24XXX
    75982AContrast xray exam bile duct1.44NA6.790.33XXX
    7598226AContrast xray exam bile duct1.440.490.490.06XXX
    75982TCAContrast xray exam bile duct0.00NA6.310.27XXX
    75984AXray control catheter change0.72NA2.260.12XXX
    7598426AXray control catheter change0.720.240.240.03XXX
    75984TCAXray control catheter change0.00NA2.020.09XXX
    75989AAbscess drainage under x-ray1.19NA3.660.19XXX
    7598926AAbscess drainage under x-ray1.190.400.400.05XXX
    Start Printed Page 43968
    75989TCAAbscess drainage under x-ray0.00NA3.260.14XXX
    75992AAtherectomy, x-ray exam0.54NA16.460.71XXX
    7599226AAtherectomy, x-ray exam0.540.200.200.02XXX
    75992TCAAtherectomy, x-ray exam0.00NA16.270.69XXX
    75993AAtherectomy, x-ray exam0.36NA8.810.37ZZZ
    7599326AAtherectomy, x-ray exam0.360.140.140.01ZZZ
    75993TCAAtherectomy, x-ray exam0.00NA8.670.36ZZZ
    75994AAtherectomy, x-ray exam1.31NA16.750.75XXX
    7599426AAtherectomy, x-ray exam1.310.480.480.06XXX
    75994TCAAtherectomy, x-ray exam0.00NA16.270.69XXX
    75995AAtherectomy, x-ray exam1.31NA16.750.75XXX
    7599526AAtherectomy, x-ray exam1.310.490.490.06XXX
    75995TCAAtherectomy, x-ray exam0.00NA16.270.69XXX
    75996AAtherectomy, x-ray exam0.36NA8.800.37ZZZ
    7599626AAtherectomy, x-ray exam0.360.120.120.01ZZZ
    75996TCAAtherectomy, x-ray exam0.00NA8.670.36ZZZ
    76000AFluoroscope examination0.17NA1.400.07XXX
    7600026AFluoroscope examination0.170.050.050.01XXX
    76000TCAFluoroscope examination0.00NA1.350.06XXX
    76001AFluoroscope exam, extensive0.67NA2.940.15XXX
    7600126AFluoroscope exam, extensive0.670.230.230.03XXX
    76001TCAFluoroscope exam, extensive0.00NA2.710.12XXX
    76003ANeedle localization by x-ray0.54NA1.530.09XXX
    7600326ANeedle localization by x-ray0.540.180.180.03XXX
    76003TCANeedle localization by x-ray0.00NA1.350.06XXX
    76005AFluoroguide for spine inject0.60NA1.520.09XXX
    7600526AFluoroguide for spine inject0.600.170.170.03XXX
    76005TCAFluoroguide for spine inject0.00NA1.350.06XXX
    76006AX-ray stress view0.410.180.180.04XXX
    76010AX-ray, nose to rectum0.18NA0.600.03XXX
    7601026AX-ray, nose to rectum0.180.060.060.01XXX
    76010TCAX-ray, nose to rectum0.00NA0.540.02XXX
    76012CPercut vertebroplasty fluor0.000.000.000.00XXX
    7601226APercut vertebroplasty fluor1.310.510.510.23XXX
    76012TCCPercut vertebroplasty fluor0.000.000.000.00XXX
    76013CPercut vertebroplasty, ct0.000.000.000.00XXX
    7601326APercut vertebroplasty, ct1.380.530.530.48XXX
    76013TCCPercut vertebroplasty, ct0.000.000.000.00XXX
    76020AX-rays for bone age0.19NA0.600.03XXX
    7602026AX-rays for bone age0.190.070.070.01XXX
    76020TCAX-rays for bone age0.00NA0.540.02XXX
    76040AX-rays, bone evaluation0.27NA0.900.07XXX
    7604026AX-rays, bone evaluation0.270.090.090.03XXX
    76040TCAX-rays, bone evaluation0.00NA0.810.04XXX
    76061AX-rays, bone survey0.45NA1.180.07XXX
    7606126AX-rays, bone survey0.450.150.150.02XXX
    76061TCAX-rays, bone survey0.00NA1.030.05XXX
    76062AX-rays, bone survey0.54NA1.670.09XXX
    7606226AX-rays, bone survey0.540.180.180.02XXX
    76062TCAX-rays, bone survey0.00NA1.490.07XXX
    76065AX-rays, bone evaluation0.70NA1.000.05XXX
    7606526AX-rays, bone evaluation0.700.240.240.01XXX
    76065TCAX-rays, bone evaluation0.00NA0.760.04XXX
    76066AJoint survey, single view0.31NA1.260.07XXX
    7606626AJoint survey, single view0.310.110.110.02XXX
    76066TCAJoint survey, single view0.00NA1.150.05XXX
    76070ICT scan, bone density study0.25NA3.140.14XXX
    7607026ICT scan, bone density study0.250.100.100.01XXX
    76070TCICT scan, bone density study0.00NA3.050.13XXX
    76075AUs exam, abdom, limited0.30NA3.300.15XXX
    7607526AUs exam, abdom, limited0.300.110.110.01XXX
    76075TCAUs exam, abdom, limited0.00NA3.200.14XXX
    76076ADual energy x-ray study0.22NA0.860.05XXX
    7607626ADual energy x-ray study0.220.080.080.01XXX
    76076TCADual energy x-ray study0.00NA0.780.04XXX
    76078ARadiographic absorptiometry0.20NA0.860.05XXX
    Start Printed Page 43969
    7607826ARadiographic absorptiometry0.200.080.080.01XXX
    76078TCARadiographic absorptiometry0.00NA0.780.04XXX
    76080AX-ray exam of fistula0.54NA1.270.07XXX
    7608026AX-ray exam of fistula0.540.180.180.02XXX
    76080TCAX-ray exam of fistula0.00NA1.090.05XXX
    76085AComputer mammogram add-on0.06NA0.450.02ZZZ
    7608526AComputer mammogram add-on0.060.020.020.01ZZZ
    76085TCAComputer mammogram add-on0.00NA0.430.01ZZZ
    76086AX-ray of mammary duct0.36NA2.830.14XXX
    7608626AX-ray of mammary duct0.360.120.120.02XXX
    76086TCAX-ray of mammary duct0.00NA2.710.12XXX
    76088AX-ray of mammary ducts0.45NA3.940.18XXX
    7608826AX-ray of mammary ducts0.450.150.150.02XXX
    76088TCAX-ray of mammary ducts0.00NA3.790.16XXX
    76090AMammogram, one breast0.70NA1.330.08XXX
    7609026AMammogram, one breast0.700.240.240.03XXX
    76090TCAMammogram, one breast0.00NA1.090.05XXX
    76091AMammogram, both breasts0.87NA1.650.09XXX
    7609126AMammogram, both breasts0.870.300.300.03XXX
    76091TCAMammogram, both breasts0.00NA1.350.06XXX
    76092AMammogram, screening0.70NA1.470.09XXX
    7609226AMammogram, screening0.700.250.250.03XXX
    76092TCAMammogram, screening0.00NA1.220.06XXX
    76093AMagnetic image, breast1.63NA18.770.83XXX
    7609326AMagnetic image, breast1.630.560.560.07XXX
    76093TCAMagnetic image, breast0.00NA18.220.76XXX
    76094AMagnetic image, both breasts1.63NA25.271.10XXX
    7609426AMagnetic image, both breasts1.630.560.560.07XXX
    76094TCAMagnetic image, both breasts0.00NA24.711.03XXX
    76095AStereotactic breast biopsy1.59NA7.950.40XXX
    7609526AStereotactic breast biopsy1.590.540.540.09XXX
    76095TCAStereotactic breast biopsy0.00NA7.400.31XXX
    76096AX-ray of needle wire, breast0.56NA1.540.09XXX
    7609626AX-ray of needle wire, breast0.560.190.190.03XXX
    76096TCAX-ray of needle wire, breast0.00NA1.350.06XXX
    76098AX-ray exam, breast specimen0.16NA0.490.03XXX
    7609826AX-ray exam, breast specimen0.160.060.060.01XXX
    76098TCAX-ray exam, breast specimen0.00NA0.430.02XXX
    76100AX-ray exam of body section0.58NA1.490.09XXX
    7610026AX-ray exam of body section0.580.200.200.03XXX
    76100TCAX-ray exam of body section0.00NA1.290.06XXX
    76101AComplex body section x-ray0.58NA1.670.10XXX
    7610126AComplex body section x-ray0.580.200.200.03XXX
    76101TCAComplex body section x-ray0.00NA1.470.07XXX
    76102AComplex body section x-rays0.58NA1.990.12XXX
    7610226AComplex body section x-rays0.580.200.200.03XXX
    76102TCAComplex body section x-rays0.00NA1.790.09XXX
    76120ACine/video x-rays0.38NA1.220.07XXX
    7612026ACine/video x-rays0.380.130.130.02XXX
    76120TCACine/video x-rays0.00NA1.090.05XXX
    76125ACine/video x-rays add-on0.27NA0.910.05ZZZ
    7612526ACine/video x-rays add-on0.270.100.100.01ZZZ
    76125TCACine/video x-rays add-on0.00NA0.810.04ZZZ
    76140IX-ray consultation0.000.000.000.00XXX
    76150AX-ray exam, dry process0.00NA0.430.02XXX
    76350CSpecial x-ray contrast study0.000.000.000.00XXX
    76355ACAT scan for localization1.21NA8.950.41XXX
    7635526ACAT scan for localization1.210.420.420.06XXX
    76355TCACAT scan for localization0.00NA8.530.35XXX
    76360ACAT scan for needle biopsy1.16NA8.930.40XXX
    7636026ACAT scan for needle biopsy1.160.390.390.05XXX
    76360TCACAT scan for needle biopsy0.00NA8.530.35XXX
    76362ACat scan for tissue ablation4.00NA9.891.38XXX
    7636226ACat scan for tissue ablation4.001.361.360.17XXX
    76362TCACat scan for tissue ablation0.00NA8.531.21XXX
    76370ACAT scan for therapy guide0.85NA3.340.17XXX
    Start Printed Page 43970
    7637026ACAT scan for therapy guide0.850.290.290.04XXX
    76370TCACAT scan for therapy guide0.00NA3.050.13XXX
    76375A3d/holograph reconstr add-on0.16NA3.710.16XXX
    7637526A3d/holograph reconstr add-on0.160.050.050.01XXX
    76375TCA3d/holograph reconstr add-on0.00NA3.660.15XXX
    76380ACAT scan follow-up study0.98NA3.950.19XXX
    7638026ACAT scan follow-up study0.980.330.330.04XXX
    76380TCACAT scan follow-up study0.00NA3.620.15XXX
    76390NMr spectroscopy1.40NA12.060.55XXX
    7639026NMr spectroscopy1.400.480.480.06XXX
    76390TCNMr spectroscopy0.00NA11.580.49XXX
    76393AMr guidance for needle place1.50NA12.090.53XXX
    7639326AMr guidance for needle place1.500.510.510.07XXX
    76393TCAMr guidance for needle place0.00NA11.580.46XXX
    76394AMri for tissue ablation4.25NA13.031.43XXX
    7639426AMri for tissue ablation4.251.451.450.14XXX
    76394TCAMri for tissue ablation0.00NA11.581.29XXX
    76400AMagnetic image, bone marrow1.60NA12.130.56XXX
    7640026AMagnetic image, bone marrow1.600.550.550.07XXX
    76400TCAMagnetic image, bone marrow0.00NA11.580.49XXX
    76490AUs for tissue ablation2.00NA2.240.36XXX
    7649026AUs for tissue ablation2.000.680.680.12XXX
    76490TCAUs for tissue ablation0.00NA1.570.24XXX
    76499CRadiographic procedure0.000.000.000.00XXX
    7649926CRadiographic procedure0.000.000.000.00XXX
    76499TCCRadiographic procedure0.000.000.000.00XXX
    76506AEcho exam of head0.63NA1.720.10XXX
    7650626AEcho exam of head0.630.250.250.03XXX
    76506TCAEcho exam of head0.00NA1.470.07XXX
    76511AEcho exam of eye0.94NA2.750.08XXX
    7651126AEcho exam of eye0.940.410.410.02XXX
    76511TCAEcho exam of eye0.00NA2.330.06XXX
    76512AEcho exam of eye0.66NA2.710.09XXX
    7651226AEcho exam of eye0.660.300.300.01XXX
    76512TCAEcho exam of eye0.00NA2.410.08XXX
    76513AEcho exam of eye, water bath0.66NA2.960.09XXX
    7651326AEcho exam of eye, water bath0.660.300.300.01XXX
    76513TCAEcho exam of eye, water bath0.00NA2.660.08XXX
    76516AEcho exam of eye0.54NA2.270.07XXX
    7651626AEcho exam of eye0.540.250.250.01XXX
    76516TCAEcho exam of eye0.00NA2.020.06XXX
    76519AEcho exam of eye0.54NA1.980.07XXX
    7651926AEcho exam of eye0.540.250.250.01XXX
    76519TCAEcho exam of eye0.00NA1.730.06XXX
    76529AEcho exam of eye0.57NA2.570.08XXX
    7652926AEcho exam of eye0.570.250.250.01XXX
    76529TCAEcho exam of eye0.00NA2.310.07XXX
    76536AUs exam of head and neck0.56NA1.660.09XXX
    7653626AUs exam of head and neck0.560.190.190.02XXX
    76536TCAUs exam of head and neck0.00NA1.470.07XXX
    76604AUs exam, chest, b-scan0.55NA1.540.08XXX
    7660426AUs exam, chest, b-scan0.550.190.190.02XXX
    76604TCAUs exam, chest, b-scan0.00NA1.350.06XXX
    76645AUs exam, breast(s)0.54NA1.270.08XXX
    7664526AUs exam, breast(s)0.540.180.180.03XXX
    76645TCAUs exam, breast(s)0.00NA1.090.05XXX
    76700AUs exam, abdom, complete0.81NA2.310.13XXX
    7670026AUs exam, abdom, complete0.810.280.280.04XXX
    76700TCAUs exam, abdom, complete0.00NA2.040.09XXX
    76705AUs exam, abdom, limited0.59NA1.670.10XXX
    7670526AUs exam, abdom, limited0.590.200.200.03XXX
    76705TCAUs exam, abdom, limited0.00NA1.470.07XXX
    76770AUs exam abdo back wall, comp0.74NA2.290.12XXX
    7677026AUs exam abdo back wall, comp0.740.250.250.03XXX
    76770TCAUs exam abdo back wall, comp0.00NA2.040.09XXX
    76775AUs exam abdo back wall, lim0.58NA1.670.10XXX
    Start Printed Page 43971
    7677526AUs exam abdo back wall, lim0.580.200.200.03XXX
    76775TCAUs exam abdo back wall, lim0.00NA1.470.07XXX
    76778AUs exam kidney transplant0.74NA2.290.12XXX
    7677826AUs exam kidney transplant0.740.250.250.03XXX
    76778TCAUs exam kidney transplant0.00NA2.040.09XXX
    76800AUs exam, spinal canal1.13NA1.820.11XXX
    7680026AUs exam, spinal canal1.130.350.350.04XXX
    76800TCAUs exam, spinal canal0.00NA1.470.07XXX
    76805AUs exam, pg uterus, compl0.99NA2.520.14XXX
    7680526AUs exam, pg uterus, compl0.990.350.350.04XXX
    76805TCAUs exam, pg uterus, compl0.00NA2.170.10XXX
    76810AUs exam, pg uterus, mult1.97NA5.050.25XXX
    7681026AUs exam, pg uterus, mult1.970.720.720.07XXX
    76810TCAUs exam, pg uterus, mult0.00NA4.340.18XXX
    76815AUs exam, pg uterus limit0.65NA1.710.09XXX
    7681526AUs exam, pg uterus limit0.650.240.240.02XXX
    76815TCAUs exam, pg uterus limit0.00NA1.470.07XXX
    76816AUs exam pg uterus repeat0.57NA1.370.07XXX
    7681626AUs exam pg uterus repeat0.570.220.220.02XXX
    76816TCAUs exam pg uterus repeat0.00NA1.150.05XXX
    76818AFetal biophy profile w/nst1.05NA2.070.12XXX
    7681826AFetal biophy profile w/nst1.050.400.400.04XXX
    76818TCAFetal biophy profile w/nst0.00NA1.670.08XXX
    76819AFetal biophys profil w/o nst0.77NA1.960.10XXX
    7681926AFetal biophys profil w/o nst0.770.290.290.02XXX
    76819TCAFetal biophys profil w/o nst0.00NA1.670.08XXX
    76825AEcho exam of fetal heart1.67NA2.660.15XXX
    7682526AEcho exam of fetal heart1.670.620.620.06XXX
    76825TCAEcho exam of fetal heart0.00NA2.040.09XXX
    76826AEcho exam of fetal heart0.83NA1.030.07XXX
    7682626AEcho exam of fetal heart0.830.300.300.03XXX
    76826TCAEcho exam of fetal heart0.00NA0.730.04XXX
    76827AEcho exam of fetal heart0.58NA2.000.12XXX
    7682726AEcho exam of fetal heart0.580.220.220.02XXX
    76827TCAEcho exam of fetal heart0.00NA1.780.10XXX
    76828AEcho exam of fetal heart0.56NA1.370.09XXX
    7682826AEcho exam of fetal heart0.560.220.220.02XXX
    76828TCAEcho exam of fetal heart0.00NA1.150.07XXX
    76830AUs exam, transvaginal0.69NA1.810.11XXX
    7683026AUs exam, transvaginal0.690.240.240.03XXX
    76830TCAUs exam, transvaginal0.00NA1.570.08XXX
    76831AEcho exam, uterus0.72NA1.830.10XXX
    7683126AEcho exam, uterus0.720.260.260.02XXX
    76831TCAEcho exam, uterus0.00NA1.570.08XXX
    76856AUs exam, pelvic, complete0.69NA1.810.11XXX
    7685626AUs exam, pelvic, complete0.690.240.240.03XXX
    76856TCAUs exam, pelvic, complete0.00NA1.570.08XXX
    76857AUs exam, pelvic, limited0.38NA1.220.07XXX
    7685726AUs exam, pelvic, limited0.380.130.130.02XXX
    76857TCAUs exam, pelvic, limited0.00NA1.090.05XXX
    76870AUs exam, scrotum0.64NA1.790.11XXX
    7687026AUs exam, scrotum0.640.220.220.03XXX
    76870TCAUs exam, scrotum0.00NA1.570.08XXX
    76872AEcho exam, transrectal0.69NA1.800.12XXX
    7687226AEcho exam, transrectal0.690.230.230.04XXX
    76872TCAEcho exam, transrectal0.00NA1.570.08XXX
    76873AEchograp trans r, pros study1.55NA2.690.21XXX
    7687326AEchograp trans r, pros study1.550.530.530.08XXX
    76873TCAEchograp trans r, pros study0.00NA2.170.13XXX
    76880AUs exam, extremity0.59NA1.670.10XXX
    7688026AUs exam, extremity0.590.200.200.03XXX
    76880TCAUs exam, extremity0.00NA1.470.07XXX
    76885AUs exam infant hips, dynamic0.74NA1.820.11XXX
    7688526AUs exam infant hips, dynamic0.740.250.250.03XXX
    76885TCAUs exam infant hips, dynamic0.00NA1.570.08XXX
    76886AUs exam infant hips, static0.62NA1.680.10XXX
    Start Printed Page 43972
    7688626AUs exam infant hips, static0.620.210.210.03XXX
    76886TCAUs exam infant hips, static0.00NA1.470.07XXX
    76930AEcho guide, cardiocentesis0.67NA1.830.10XXX
    7693026AEcho guide, cardiocentesis0.670.260.260.02XXX
    76930TCAEcho guide, cardiocentesis0.00NA1.570.08XXX
    76932AEcho guide for heart biopsy0.67NA1.830.10XXX
    7693226AEcho guide for heart biopsy0.670.260.260.02XXX
    76932TCAEcho guide for heart biopsy0.00NA1.570.08XXX
    76936AEcho guide for artery repair1.99NA7.190.39XXX
    7693626AEcho guide for artery repair1.990.690.690.11XXX
    76936TCAEcho guide for artery repair0.00NA6.500.28XXX
    76941AEcho guide for transfusion1.34NA2.070.13XXX
    7694126AEcho guide for transfusion1.340.500.500.06XXX
    76941TCAEcho guide for transfusion0.00NA1.580.07XXX
    76942AEcho guide for biopsy0.67NA1.800.12XXX
    7694226AEcho guide for biopsy0.670.230.230.04XXX
    76942TCAEcho guide for biopsy0.00NA1.570.08XXX
    76945AEcho guide, villus sampling0.67NA1.810.10XXX
    7694526AEcho guide, villus sampling0.670.230.230.03XXX
    76945TCAEcho guide, villus sampling0.00NA1.580.07XXX
    76946AEcho guide for amniocentesis0.38NA1.710.09XXX
    7694626AEcho guide for amniocentesis0.380.140.140.01XXX
    76946TCAEcho guide for amniocentesis0.00NA1.570.08XXX
    76948AEcho guide, ova aspiration0.38NA1.700.10XXX
    7694826AEcho guide, ova aspiration0.380.130.130.02XXX
    76948TCAEcho guide, ova aspiration0.00NA1.570.08XXX
    76950AEcho guidance radiotherapy0.58NA1.550.09XXX
    7695026AEcho guidance radiotherapy0.580.200.200.03XXX
    76950TCAEcho guidance radiotherapy0.00NA1.350.06XXX
    76965AEcho guidance radiotherapy1.34NA6.210.31XXX
    7696526AEcho guidance radiotherapy1.340.450.450.07XXX
    76965TCAEcho guidance radiotherapy0.00NA5.760.24XXX
    76970AUltrasound exam follow-up0.40NA1.230.07XXX
    7697026AUltrasound exam follow-up0.400.140.140.02XXX
    76970TCAUltrasound exam follow-up0.00NA1.090.05XXX
    76975AGI endoscopic ultrasound0.81NA1.850.11XXX
    7697526AGI endoscopic ultrasound0.810.290.290.03XXX
    76975TCAGI endoscopic ultrasound0.00NA1.570.08XXX
    76977AUs bone density measure0.05NA0.870.05XXX
    7697726AUs bone density measure0.050.020.020.01XXX
    76977TCAUs bone density measure0.00NA0.850.04XXX
    76986AUltrasound guide intraoper1.20NA3.120.19XXX
    7698626AUltrasound guide intraoper1.200.410.410.07XXX
    76986TCAUltrasound guide intraoper0.00NA2.710.12XXX
    76999CEcho examination procedure0.000.000.000.00XXX
    7699926CEcho examination procedure0.000.000.000.00XXX
    76999TCCEcho examination procedure0.000.000.000.00XXX
    77261ARadiation therapy planning1.390.560.560.06XXX
    77262ARadiation therapy planning2.110.830.830.09XXX
    77263ARadiation therapy planning3.141.231.230.13XXX
    77280ASet radiation therapy field0.70NA3.830.18XXX
    7728026ASet radiation therapy field0.700.250.250.03XXX
    77280TCASet radiation therapy field0.00NA3.590.15XXX
    77285ASet radiation therapy field1.05NA6.120.29XXX
    7728526ASet radiation therapy field1.050.370.370.04XXX
    77285TCASet radiation therapy field0.00NA5.760.25XXX
    77290ASet radiation therapy field1.56NA7.270.35XXX
    7729026ASet radiation therapy field1.560.550.550.06XXX
    77290TCASet radiation therapy field0.00NA6.720.29XXX
    77295ASet radiation therapy field4.57NA30.481.41XXX
    7729526ASet radiation therapy field4.571.611.610.18XXX
    77295TCASet radiation therapy field0.00NA28.871.23XXX
    77299CRadiation therapy planning0.000.000.000.00XXX
    7729926CRadiation therapy planning0.000.000.000.00XXX
    77299TCCRadiation therapy planning0.000.000.000.00XXX
    77300ARadiation therapy dose plan0.62NA1.610.09XXX
    Start Printed Page 43973
    7730026ARadiation therapy dose plan0.620.220.220.03XXX
    77300TCARadiation therapy dose plan0.00NA1.390.06XXX
    77301ARadioltherapy dos plan, imrt8.00NA31.961.41XXX
    7730126ARadioltherapy dos plan, imrt8.003.093.090.18XXX
    77301TCARadioltherapy dos plan, imrt0.00NA28.871.23XXX
    77305ARadiation therapy dose plan0.70NA2.170.12XXX
    7730526ARadiation therapy dose plan0.700.250.250.03XXX
    77305TCARadiation therapy dose plan0.00NA1.920.09XXX
    77310ARadiation therapy dose plan1.05NA2.780.15XXX
    7731026ARadiation therapy dose plan1.050.370.370.04XXX
    77310TCARadiation therapy dose plan0.00NA2.410.11XXX
    77315ARadiation therapy dose plan1.56NA3.300.18XXX
    7731526ARadiation therapy dose plan1.560.550.550.06XXX
    77315TCARadiation therapy dose plan0.00NA2.750.12XXX
    77321ARadiation therapy port plan0.95NA4.510.21XXX
    7732126ARadiation therapy port plan0.950.330.330.04XXX
    77321TCARadiation therapy port plan0.00NA4.180.17XXX
    77326ARadiation therapy dose plan0.93NA2.760.15XXX
    7732626ARadiation therapy dose plan0.930.330.330.04XXX
    77326TCARadiation therapy dose plan0.00NA2.440.11XXX
    77327ARadiation therapy dose plan1.39NA4.080.21XXX
    7732726ARadiation therapy dose plan1.390.490.490.06XXX
    77327TCARadiation therapy dose plan0.00NA3.590.15XXX
    77328ARadiation therapy dose plan2.09NA5.860.30XXX
    7732826ARadiation therapy dose plan2.090.730.730.09XXX
    77328TCARadiation therapy dose plan0.00NA5.130.21XXX
    77331ASpecial radiation dosimetry0.87NA0.830.06XXX
    7733126ASpecial radiation dosimetry0.870.310.310.04XXX
    77331TCASpecial radiation dosimetry0.00NA0.520.02XXX
    77332ARadiation treatment aid(s)0.54NA1.580.08XXX
    7733226ARadiation treatment aid(s)0.540.190.190.02XXX
    77332TCARadiation treatment aid(s)0.00NA1.390.06XXX
    77333ARadiation treatment aid(s)0.84NA2.250.13XXX
    7733326ARadiation treatment aid(s)0.840.300.300.04XXX
    77333TCARadiation treatment aid(s)0.00NA1.960.09XXX
    77334ARadiation treatment aid(s)1.24NA3.790.19XXX
    7733426ARadiation treatment aid(s)1.240.440.440.05XXX
    77334TCARadiation treatment aid(s)0.00NA3.360.14XXX
    77336ARadiation physics consult0.00NA3.080.13XXX
    77370ARadiation physics consult0.00NA3.610.15XXX
    77399CExternal radiation dosimetry0.000.000.000.00XXX
    7739926CExternal radiation dosimetry0.000.000.000.00XXX
    77399TCCExternal radiation dosimetry0.000.000.000.00XXX
    77401ARadiation treatment delivery0.00NA1.830.09XXX
    77402ARadiation treatment delivery0.00NA1.830.09XXX
    77403ARadiation treatment delivery0.00NA1.830.09XXX
    77404ARadiation treatment delivery0.00NA1.830.09XXX
    77406ARadiation treatment delivery0.00NA1.830.09XXX
    77407ARadiation treatment delivery0.00NA2.160.10XXX
    77408ARadiation treatment delivery0.00NA2.160.10XXX
    77409ARadiation treatment delivery0.00NA2.160.10XXX
    77411ARadiation treatment delivery0.00NA2.160.10XXX
    77412ARadiation treatment delivery0.00NA2.410.11XXX
    77413ARadiation treatment delivery0.00NA2.410.11XXX
    77414ARadiation treatment delivery0.00NA2.410.11XXX
    77416ARadiation treatment delivery0.00NA2.410.11XXX
    77417ARadiology port film(s)0.00NA0.610.03XXX
    77418ARadiation tx delivery, imrt0.00NA17.150.11XXX
    77427ARadiation tx management, x53.311.171.170.14XXX
    77431ARadiation therapy management1.810.740.740.07XXX
    77432AStereotactic radiation trmt7.933.203.200.33XXX
    77470ASpecial radiation treatment2.09NA12.260.58XXX
    7747026ASpecial radiation treatment2.090.740.740.09XXX
    77470TCASpecial radiation treatment0.00NA11.520.49XXX
    77499CRadiation therapy management0.000.000.000.00XXX
    7749926CRadiation therapy management0.000.000.000.00XXX
    Start Printed Page 43974
    77499TCCRadiation therapy management0.000.000.000.00XXX
    77520CProton trmt, simple w/o comp0.000.000.000.00XXX
    77522CProton trmt, simple w/comp0.000.000.000.00XXX
    77523CProton trmt, intermediate0.000.000.000.00XXX
    77525CProton treatment, complex0.000.000.000.00XXX
    77600RHyperthermia treatment1.56NA3.690.21XXX
    7760026RHyperthermia treatment1.560.540.540.08XXX
    77600TCRHyperthermia treatment0.00NA3.150.13XXX
    77605RHyperthermia treatment2.09NA4.940.31XXX
    7760526RHyperthermia treatment2.090.740.740.13XXX
    77605TCRHyperthermia treatment0.00NA4.200.18XXX
    77610RHyperthermia treatment1.56NA3.690.20XXX
    7761026RHyperthermia treatment1.560.550.550.07XXX
    77610TCRHyperthermia treatment0.00NA3.150.13XXX
    77615RHyperthermia treatment2.09NA4.930.27XXX
    7761526RHyperthermia treatment2.090.730.730.09XXX
    77615TCRHyperthermia treatment0.00NA4.200.18XXX
    77620RHyperthermia treatment1.56NA3.700.19XXX
    7762026RHyperthermia treatment1.560.550.550.06XXX
    77620TCRHyperthermia treatment0.00NA3.150.13XXX
    77750AInfuse radioactive materials4.91NA3.110.23090
    7775026AInfuse radioactive materials4.911.731.730.17090
    77750TCAInfuse radioactive materials0.00NA1.380.06090
    77761AApply intrcav radiat simple3.81NA3.760.28090
    7776126AApply intrcav radiat simple3.811.171.170.16090
    77761TCAApply intrcav radiat simple0.00NA2.590.12090
    77762AApply intrcav radiat interm5.72NA5.710.38090
    7776226AApply intrcav radiat interm5.721.981.980.22090
    77762TCAApply intrcav radiat interm0.00NA3.730.16090
    77763AApply intrcav radiat compl8.57NA7.610.53090
    7776326AApply intrcav radiat compl8.572.972.970.34090
    77763TCAApply intrcav radiat compl0.00NA4.640.19090
    77776AApply interstit radiat simpl4.66NA3.220.35090
    7777626AApply interstit radiat simpl4.660.970.970.24090
    77776TCAApply interstit radiat simpl0.00NA2.250.11090
    77777AApply interstit radiat inter7.48NA6.930.50090
    7777726AApply interstit radiat inter7.482.552.550.32090
    77777TCAApply interstit radiat inter0.00NA4.380.18090
    77778AApply iterstit radiat compl11.19NA9.220.69090
    7777826AApply iterstit radiat compl11.193.923.920.47090
    77778TCAApply iterstit radiat compl0.00NA5.310.22090
    77781AHigh intensity brachytherapy1.66NA21.570.95090
    7778126AHigh intensity brachytherapy1.660.590.590.07090
    77781TCAHigh intensity brachytherapy0.00NA20.980.88090
    77782AHigh intensity brachytherapy2.49NA21.860.98090
    7778226AHigh intensity brachytherapy2.490.880.880.10090
    77782TCAHigh intensity brachytherapy0.00NA20.980.88090
    77783AHigh intensity brachytherapy3.73NA22.301.03090
    7778326AHigh intensity brachytherapy3.731.311.310.15090
    77783TCAHigh intensity brachytherapy0.00NA20.980.88090
    77784AHigh intensity brachytherapy5.61NA22.961.10090
    7778426AHigh intensity brachytherapy5.611.981.980.22090
    77784TCAHigh intensity brachytherapy0.00NA20.980.88090
    77789AApply surface radiation1.12NA0.870.05000
    7778926AApply surface radiation1.120.400.400.03000
    77789TCAApply surface radiation0.00NA0.470.02000
    77790ARadiation handling1.05NA0.890.06XXX
    7779026ARadiation handling1.050.370.370.04XXX
    77790TCARadiation handling0.00NA0.520.02XXX
    77799CRadium/radioisotope therapy0.000.000.000.00XXX
    7779926CRadium/radioisotope therapy0.000.000.000.00XXX
    77799TCCRadium/radioisotope therapy0.000.000.000.00XXX
    78000AThyroid, single uptake0.19NA1.070.06XXX
    7800026AThyroid, single uptake0.190.070.070.01XXX
    78000TCAThyroid, single uptake0.00NA1.000.05XXX
    78001AThyroid, multiple uptakes0.26NA1.440.07XXX
    Start Printed Page 43975
    7800126AThyroid, multiple uptakes0.260.090.090.01XXX
    78001TCAThyroid, multiple uptakes0.00NA1.350.06XXX
    78003AThyroid suppress/stimul0.33NA1.110.06XXX
    7800326AThyroid suppress/stimul0.330.110.110.01XXX
    78003TCAThyroid suppress/stimul0.00NA1.000.05XXX
    78006AThyroid imaging with uptake0.49NA2.630.13XXX
    7800626AThyroid imaging with uptake0.490.170.170.02XXX
    78006TCAThyroid imaging with uptake0.00NA2.460.11XXX
    78007AThyroid image, mult uptakes0.50NA2.830.14XXX
    7800726AThyroid image, mult uptakes0.500.170.170.02XXX
    78007TCAThyroid image, mult uptakes0.00NA2.660.12XXX
    78010AThyroid imaging0.39NA2.010.11XXX
    7801026AThyroid imaging0.390.140.140.02XXX
    78010TCAThyroid imaging0.00NA1.880.09XXX
    78011AThyroid imaging with flow0.45NA2.650.13XXX
    7801126AThyroid imaging with flow0.450.160.160.02XXX
    78011TCAThyroid imaging with flow0.00NA2.490.11XXX
    78015AThyroid met imaging0.67NA2.890.15XXX
    7801526AThyroid met imaging0.670.230.230.03XXX
    78015TCAThyroid met imaging0.00NA2.660.12XXX
    78016AThyroid met imaging/studies0.82NA3.890.18XXX
    7801626AThyroid met imaging/studies0.820.300.300.03XXX
    78016TCAThyroid met imaging/studies0.00NA3.600.15XXX
    78018AThyroid met imaging, body0.86NA5.910.27XXX
    7801826AThyroid met imaging, body0.860.310.310.03XXX
    78018TCAThyroid met imaging, body0.00NA5.610.24XXX
    78020AThyroid met uptake0.60NA1.570.14ZZZ
    7802026AThyroid met uptake0.600.220.220.02ZZZ
    78020TCAThyroid met uptake0.00NA1.350.12ZZZ
    78070AParathyroid nuclear imaging0.82NA2.170.12XXX
    7807026AParathyroid nuclear imaging0.820.290.290.03XXX
    78070TCAParathyroid nuclear imaging0.00NA1.880.09XXX
    78075AAdrenal nuclear imaging0.74NA5.880.27XXX
    7807526AAdrenal nuclear imaging0.740.270.270.03XXX
    78075TCAAdrenal nuclear imaging0.00NA5.610.24XXX
    78099CEndocrine nuclear procedure0.000.000.000.00XXX
    7809926CEndocrine nuclear procedure0.000.000.000.00XXX
    78099TCCEndocrine nuclear procedure0.000.000.000.00XXX
    78102ABone marrow imaging, ltd0.55NA2.310.12XXX
    7810226ABone marrow imaging, ltd0.550.200.200.02XXX
    78102TCABone marrow imaging, ltd0.00NA2.110.10XXX
    78103ABone marrow imaging, mult0.75NA3.540.17XXX
    7810326ABone marrow imaging, mult0.750.270.270.03XXX
    78103TCABone marrow imaging, mult0.00NA3.280.14XXX
    78104ABone marrow imaging, body0.80NA4.490.21XXX
    7810426ABone marrow imaging, body0.800.280.280.03XXX
    78104TCABone marrow imaging, body0.00NA4.210.18XXX
    78110APlasma volume, single0.19NA1.050.06XXX
    7811026APlasma volume, single0.190.070.070.01XXX
    78110TCAPlasma volume, single0.00NA0.980.05XXX
    78111APlasma volume, multiple0.22NA2.740.13XXX
    7811126APlasma volume, multiple0.220.080.080.01XXX
    78111TCAPlasma volume, multiple0.00NA2.660.12XXX
    78120ARed cell mass, single0.23NA1.870.10XXX
    7812026ARed cell mass, single0.230.080.080.01XXX
    78120TCARed cell mass, single0.00NA1.790.09XXX
    78121ARed cell mass, multiple0.32NA3.120.13XXX
    7812126ARed cell mass, multiple0.320.120.120.01XXX
    78121TCARed cell mass, multiple0.00NA3.010.12XXX
    78122ABlood volume0.45NA4.920.22XXX
    7812226ABlood volume0.450.160.160.02XXX
    78122TCABlood volume0.00NA4.760.20XXX
    78130ARed cell survival study0.61NA3.170.15XXX
    7813026ARed cell survival study0.610.220.220.03XXX
    78130TCARed cell survival study0.00NA2.950.12XXX
    78135ARed cell survival kinetics0.64NA5.260.24XXX
    Start Printed Page 43976
    7813526ARed cell survival kinetics0.640.230.230.03XXX
    78135TCARed cell survival kinetics0.00NA5.040.21XXX
    78140ARed cell sequestration0.61NA4.280.20XXX
    7814026ARed cell sequestration0.610.210.210.03XXX
    78140TCARed cell sequestration0.00NA4.070.17XXX
    78160APlasma iron turnover0.33NA3.910.19XXX
    7816026APlasma iron turnover0.330.120.120.03XXX
    78160TCAPlasma iron turnover0.00NA3.790.16XXX
    78162AIron absorption exam0.45NA3.480.15XXX
    7816226AIron absorption exam0.450.170.170.01XXX
    78162TCAIron absorption exam0.00NA3.310.14XXX
    78170ARed cell iron utilization0.41NA5.630.27XXX
    7817026ARed cell iron utilization0.410.140.140.04XXX
    78170TCARed cell iron utilization0.00NA5.490.23XXX
    78172CTotal body iron estimation0.000.000.000.00XXX
    7817226ATotal body iron estimation0.530.180.180.02XXX
    78172TCCTotal body iron estimation0.000.000.000.00XXX
    78185ASpleen imaging0.40NA2.580.13XXX
    7818526ASpleen imaging0.400.140.140.02XXX
    78185TCASpleen imaging0.00NA2.440.11XXX
    78190APlatelet survival, kinetics1.09NA6.300.31XXX
    7819026APlatelet survival, kinetics1.090.400.400.06XXX
    78190TCAPlatelet survival, kinetics0.00NA5.910.25XXX
    78191APlatelet survival0.61NA7.800.34XXX
    7819126APlatelet survival0.610.210.210.03XXX
    78191TCAPlatelet survival0.00NA7.580.31XXX
    78195ALymph system imaging1.20NA4.640.23XXX
    7819526ALymph system imaging1.200.430.430.05XXX
    78195TCALymph system imaging0.00NA4.210.18XXX
    78199CBlood/lymph nuclear exam0.000.000.000.00XXX
    7819926CBlood/lymph nuclear exam0.000.000.000.00XXX
    78199TCCBlood/lymph nuclear exam0.000.000.000.00XXX
    78201ALiver imaging0.44NA2.590.13XXX
    7820126ALiver imaging0.440.150.150.02XXX
    78201TCALiver imaging0.00NA2.440.11XXX
    78202ALiver imaging with flow0.51NA3.160.14XXX
    7820226ALiver imaging with flow0.510.180.180.02XXX
    78202TCALiver imaging with flow0.00NA2.980.12XXX
    78205ALiver imaging (3D)0.71NA6.360.29XXX
    7820526ALiver imaging (3D)0.710.250.250.03XXX
    78205TCALiver imaging (3D)0.00NA6.110.26XXX
    78206ALiver image (3d) w/flow0.96NA6.450.13XXX
    7820626ALiver image (3d) w/flow0.960.340.340.04XXX
    78206TCALiver image (3d) w/flow0.00NA6.110.09XXX
    78215ALiver and spleen imaging0.49NA3.210.14XXX
    7821526ALiver and spleen imaging0.490.170.170.02XXX
    78215TCALiver and spleen imaging0.00NA3.040.12XXX
    78216ALiver & spleen image/flow0.57NA3.800.17XXX
    7821626ALiver & spleen image/flow0.570.200.200.02XXX
    78216TCALiver & spleen image/flow0.00NA3.600.15XXX
    78220ALiver function study0.49NA4.020.18XXX
    7822026ALiver function study0.490.170.170.02XXX
    78220TCALiver function study0.00NA3.850.16XXX
    78223AHepatobiliary imaging0.84NA4.080.20XXX
    7822326AHepatobiliary imaging0.840.290.290.04XXX
    78223TCAHepatobiliary imaging0.00NA3.790.16XXX
    78230ASalivary gland imaging0.45NA2.400.13XXX
    7823026ASalivary gland imaging0.450.150.150.02XXX
    78230TCASalivary gland imaging0.00NA2.250.11XXX
    78231ASerial salivary imaging0.52NA3.470.16XXX
    7823126ASerial salivary imaging0.520.190.190.02XXX
    78231TCASerial salivary imaging0.00NA3.280.14XXX
    78232ASalivary gland function exam0.47NA3.830.16XXX
    7823226ASalivary gland function exam0.470.170.170.01XXX
    78232TCASalivary gland function exam0.00NA3.660.15XXX
    78258AEsophageal motility study0.74NA3.240.15XXX
    Start Printed Page 43977
    7825826AEsophageal motility study0.740.260.260.03XXX
    78258TCAEsophageal motility study0.00NA2.980.12XXX
    78261AGastric mucosa imaging0.69NA4.490.21XXX
    7826126AGastric mucosa imaging0.690.250.250.03XXX
    78261TCAGastric mucosa imaging0.00NA4.240.18XXX
    78262AGastroesophageal reflux exam0.68NA4.640.21XXX
    7826226AGastroesophageal reflux exam0.680.240.240.03XXX
    78262TCAGastroesophageal reflux exam0.00NA4.400.18XXX
    78264AGastric emptying study0.78NA4.540.21XXX
    7826426AGastric emptying study0.780.270.270.03XXX
    78264TCAGastric emptying study0.00NA4.270.18XXX
    78267XBreath tst attain/anal c-140.000.000.000.00XXX
    78268XBreath test analysis, c-140.000.000.000.00XXX
    78270AVit B-12 absorption exam0.20NA1.670.09XXX
    7827026AVit B-12 absorption exam0.200.070.070.01XXX
    78270TCAVit B-12 absorption exam0.00NA1.600.08XXX
    78271AVit B-12 absorp exam, IF0.20NA1.770.09XXX
    7827126AVit B-12 absorp exam, IF0.200.070.070.01XXX
    78271TCAVit B-12 absorp exam, IF0.00NA1.700.08XXX
    78272AVit B-12 absorp, combined0.27NA2.500.12XXX
    7827226AVit B-12 absorp, combined0.270.100.100.01XXX
    78272TCAVit B-12 absorp, combined0.00NA2.400.11XXX
    78278AAcute GI blood loss imaging0.99NA5.380.25XXX
    7827826AAcute GI blood loss imaging0.990.340.340.04XXX
    78278TCAAcute GI blood loss imaging0.00NA5.040.21XXX
    78282CGI protein loss exam0.000.000.000.00XXX
    7828226AGI protein loss exam0.380.140.140.02XXX
    78282TCCGI protein loss exam0.000.000.000.00XXX
    78290AMeckel's divert exam0.68NA3.380.16XXX
    7829026AMeckel's divert exam0.680.240.240.03XXX
    78290TCAMeckel's divert exam0.00NA3.150.13XXX
    78291ALeveen/shunt patency exam0.88NA3.480.17XXX
    7829126ALeveen/shunt patency exam0.880.310.310.04XXX
    78291TCALeveen/shunt patency exam0.00NA3.170.13XXX
    78299CGI nuclear procedure0.000.000.000.00XXX
    7829926CGI nuclear procedure0.000.000.000.00XXX
    78299TCCGI nuclear procedure0.000.000.000.00XXX
    78300ABone imaging, limited area0.62NA2.780.15XXX
    7830026ABone imaging, limited area0.620.210.210.03XXX
    78300TCABone imaging, limited area0.00NA2.570.12XXX
    78305ABone imaging, multiple areas0.83NA4.080.19XXX
    7830526ABone imaging, multiple areas0.830.290.290.03XXX
    78305TCABone imaging, multiple areas0.00NA3.790.16XXX
    78306ABone imaging, whole body0.86NA4.720.22XXX
    7830626ABone imaging, whole body0.860.300.300.04XXX
    78306TCABone imaging, whole body0.00NA4.420.18XXX
    78315ABone imaging, 3 phase1.02NA5.290.25XXX
    7831526ABone imaging, 3 phase1.020.360.360.04XXX
    78315TCABone imaging, 3 phase0.00NA4.940.21XXX
    78320ABone imaging (3D)1.04NA6.480.30XXX
    7832026ABone imaging (3D)1.040.370.370.04XXX
    78320TCABone imaging (3D)0.00NA6.110.26XXX
    78350ABone mineral, single photon0.22NA0.860.05XXX
    7835026ABone mineral, single photon0.220.080.080.01XXX
    78350TCABone mineral, single photon0.00NA0.780.04XXX
    78351NBone mineral, dual photon0.300.121.670.01XXX
    78399CMusculoskeletal nuclear exam0.000.000.000.00XXX
    7839926CMusculoskeletal nuclear exam0.000.000.000.00XXX
    78399TCCMusculoskeletal nuclear exam0.000.000.000.00XXX
    78414CNon-imaging heart function0.000.000.000.00XXX
    7841426ANon-imaging heart function0.450.160.160.02XXX
    78414TCCNon-imaging heart function0.000.000.000.00XXX
    78428ACardiac shunt imaging0.78NA2.630.14XXX
    7842826ACardiac shunt imaging0.780.300.300.03XXX
    78428TCACardiac shunt imaging0.00NA2.330.11XXX
    78445AVascular flow imaging0.49NA2.090.11XXX
    Start Printed Page 43978
    7844526AVascular flow imaging0.490.180.180.02XXX
    78445TCAVascular flow imaging0.00NA1.920.09XXX
    78455AVenous thrombosis study0.73NA4.370.20XXX
    7845526AVenous thrombosis study0.730.260.260.03XXX
    78455TCAVenous thrombosis study0.00NA4.120.17XXX
    78456AAcute venous thrombus image1.00NA4.480.28XXX
    7845626AAcute venous thrombus image1.000.360.360.04XXX
    78456TCAAcute venous thrombus image0.00NA4.120.24XXX
    78457AVenous thrombosis imaging0.77NA3.020.15XXX
    7845726AVenous thrombosis imaging0.770.270.270.03XXX
    78457TCAVenous thrombosis imaging0.00NA2.750.12XXX
    78458AVen thrombosis images, bilat0.90NA4.490.20XXX
    7845826AVen thrombosis images, bilat0.900.330.330.03XXX
    78458TCAVen thrombosis images, bilat0.00NA4.160.17XXX
    78459IHeart muscle imaging (PET)0.000.000.000.00XXX
    7845926IHeart muscle imaging (PET)1.880.730.730.08XXX
    78459TCIHeart muscle imaging (PET)0.000.000.000.00XXX
    78460AHeart muscle blood, single0.86NA2.740.14XXX
    7846026AHeart muscle blood, single0.860.300.300.03XXX
    78460TCAHeart muscle blood, single0.00NA2.440.11XXX
    78461AHeart muscle blood, multiple1.23NA5.330.26XXX
    7846126AHeart muscle blood, multiple1.230.450.450.05XXX
    78461TCAHeart muscle blood, multiple0.00NA4.880.21XXX
    78464AHeart image (3d), single1.09NA7.700.35XXX
    7846426AHeart image (3d), single1.090.400.400.04XXX
    78464TCAHeart image (3d), single0.00NA7.300.31XXX
    78465AHeart image (3d), multiple1.46NA12.730.56XXX
    7846526AHeart image (3d), multiple1.460.540.540.05XXX
    78465TCAHeart image (3d), multiple0.00NA12.190.51XXX
    78466AHeart infarct image0.69NA2.960.15XXX
    7846626AHeart infarct image0.690.250.250.03XXX
    78466TCAHeart infarct image0.00NA2.710.12XXX
    78468AHeart infarct image (ef)0.80NA4.070.19XXX
    7846826AHeart infarct image (ef)0.800.290.290.03XXX
    78468TCAHeart infarct image (ef)0.00NA3.790.16XXX
    78469AHeart infarct image (3D)0.92NA5.720.26XXX
    7846926AHeart infarct image (3D)0.920.320.320.03XXX
    78469TCAHeart infarct image (3D)0.00NA5.400.23XXX
    78472AGated heart, planar, single0.98NA6.050.29XXX
    7847226AGated heart, planar, single0.980.360.360.04XXX
    78472TCAGated heart, planar, single0.00NA5.700.25XXX
    78473AGated heart, multiple1.47NA9.070.40XXX
    7847326AGated heart, multiple1.470.530.530.05XXX
    78473TCAGated heart, multiple0.00NA8.530.35XXX
    78478AHeart wall motion add-on0.62NA1.840.10ZZZ
    7847826AHeart wall motion add-on0.620.230.230.02ZZZ
    78478TCAHeart wall motion add-on0.00NA1.610.08ZZZ
    78480AHeart function add-on0.62NA1.840.10ZZZ
    7848026AHeart function add-on0.620.230.230.02ZZZ
    78480TCAHeart function add-on0.00NA1.610.08ZZZ
    78481AHeart first pass, single0.98NA5.770.26XXX
    7848126AHeart first pass, single0.980.370.370.03XXX
    78481TCAHeart first pass, single0.00NA5.400.23XXX
    78483AHeart first pass, multiple1.47NA8.690.39XXX
    7848326AHeart first pass, multiple1.470.560.560.05XXX
    78483TCAHeart first pass, multiple0.00NA8.130.34XXX
    78491IHeart image (pet), single0.000.000.000.00XXX
    7849126IHeart image (pet), single1.500.580.580.05XXX
    78491TCIHeart image (pet), single0.000.000.000.00XXX
    78492IHeart image (pet), multiple0.000.000.000.00XXX
    7849226IHeart image (pet), multiple1.870.720.720.06XXX
    78492TCIHeart image (pet), multiple0.000.000.000.00XXX
    78494AHeart image, spect1.19NA7.740.29XXX
    7849426AHeart image, spect1.190.430.430.04XXX
    78494TCAHeart image, spect0.00NA7.300.25XXX
    78496AHeart first pass add-on0.50NA7.490.27ZZZ
    Start Printed Page 43979
    7849626AHeart first pass add-on0.500.190.190.02ZZZ
    78496TCAHeart first pass add-on0.00NA7.300.25ZZZ
    78499CCardiovascular nuclear exam0.000.000.000.00XXX
    7849926CCardiovascular nuclear exam0.000.000.000.00XXX
    78499TCCCardiovascular nuclear exam0.000.000.000.00XXX
    78580ALung perfusion imaging0.74NA3.810.18XXX
    7858026ALung perfusion imaging0.740.260.260.03XXX
    78580TCALung perfusion imaging0.00NA3.550.15XXX
    78584ALung V/Q image single breath0.99NA3.650.18XXX
    7858426ALung V/Q image single breath0.990.340.340.04XXX
    78584TCALung V/Q image single breath0.00NA3.310.14XXX
    78585ALung V/Q imaging1.09NA6.200.30XXX
    7858526ALung V/Q imaging1.090.380.380.05XXX
    78585TCALung V/Q imaging0.00NA5.830.25XXX
    78586AAerosol lung image, single0.40NA2.820.14XXX
    7858626AAerosol lung image, single0.400.140.140.02XXX
    78586TCAAerosol lung image, single0.00NA2.680.12XXX
    78587AAerosol lung image, multiple0.49NA3.070.14XXX
    7858726AAerosol lung image, multiple0.490.170.170.02XXX
    78587TCAAerosol lung image, multiple0.00NA2.900.12XXX
    78588APerfusion lung image1.09NA3.690.20XXX
    7858826APerfusion lung image1.090.380.380.05XXX
    78588TCAPerfusion lung image0.00NA3.310.15XXX
    78591AVent image, 1 breath, 1 proj0.40NA3.090.14XXX
    7859126AVent image, 1 breath, 1 proj0.400.140.140.02XXX
    78591TCAVent image, 1 breath, 1 proj0.00NA2.950.12XXX
    78593AVent image, 1 proj, gas0.49NA3.740.17XXX
    7859326AVent image, 1 proj, gas0.490.170.170.02XXX
    78593TCAVent image, 1 proj, gas0.00NA3.570.15XXX
    78594AVent image, mult proj, gas0.53NA5.330.23XXX
    7859426AVent image, mult proj, gas0.530.190.190.02XXX
    78594TCAVent image, mult proj, gas0.00NA5.150.21XXX
    78596ALung differential function1.27NA7.750.36XXX
    7859626ALung differential function1.270.440.440.05XXX
    78596TCALung differential function0.00NA7.300.31XXX
    78599CRespiratory nuclear exam0.000.000.000.00XXX
    7859926CRespiratory nuclear exam0.000.000.000.00XXX
    78599TCCRespiratory nuclear exam0.000.000.000.00XXX
    78600ABrain imaging, ltd static0.44NA3.140.14XXX
    7860026ABrain imaging, ltd static0.440.160.160.02XXX
    78600TCABrain imaging, ltd static0.00NA2.980.12XXX
    78601ABrain imaging, ltd w/ flow0.51NA3.700.17XXX
    7860126ABrain imaging, ltd w/ flow0.510.180.180.02XXX
    78601TCABrain imaging, ltd w/ flow0.00NA3.520.15XXX
    78605ABrain imaging, complete0.53NA3.710.17XXX
    7860526ABrain imaging, complete0.530.190.190.02XXX
    78605TCABrain imaging, complete0.00NA3.520.15XXX
    78606ABrain imaging, compl w/flow0.64NA4.220.20XXX
    7860626ABrain imaging, compl w/flow0.640.220.220.03XXX
    78606TCABrain imaging, compl w/flow0.00NA4.000.17XXX
    78607ABrain imaging (3D)1.23NA7.220.34XXX
    7860726ABrain imaging (3D)1.230.450.450.05XXX
    78607TCABrain imaging (3D)0.00NA6.770.29XXX
    78608NBrain imaging (PET)0.000.000.000.00XXX
    78609NBrain imaging (PET)0.000.000.000.00XXX
    78610ABrain flow imaging only0.30NA1.740.09XXX
    7861026ABrain flow imaging only0.300.110.110.01XXX
    78610TCABrain flow imaging only0.00NA1.630.08XXX
    78615ACerebral vascular flow image0.42NA4.140.19XXX
    7861526ACerebral vascular flow image0.420.160.160.02XXX
    78615TCACerebral vascular flow image0.00NA3.980.17XXX
    78630ACerebrospinal fluid scan0.68NA5.440.25XXX
    7863026ACerebrospinal fluid scan0.680.240.240.03XXX
    78630TCACerebrospinal fluid scan0.00NA5.210.22XXX
    78635ACSF ventriculography0.61NA2.870.14XXX
    7863526ACSF ventriculography0.610.240.240.02XXX
    Start Printed Page 43980
    78635TCACSF ventriculography0.00NA2.630.12XXX
    78645ACSF shunt evaluation0.57NA3.750.17XXX
    7864526ACSF shunt evaluation0.570.200.200.02XXX
    78645TCACSF shunt evaluation0.00NA3.550.15XXX
    78647ACerebrospinal fluid scan0.90NA6.430.29XXX
    7864726ACerebrospinal fluid scan0.900.330.330.03XXX
    78647TCACerebrospinal fluid scan0.00NA6.110.26XXX
    78650ACSF leakage imaging0.61NA5.010.22XXX
    7865026ACSF leakage imaging0.610.220.220.02XXX
    78650TCACSF leakage imaging0.00NA4.800.20XXX
    78660ANuclear exam of tear flow0.53NA2.370.12XXX
    7866026ANuclear exam of tear flow0.530.190.190.02XXX
    78660TCANuclear exam of tear flow0.00NA2.190.10XXX
    78699CNervous system nuclear exam0.000.000.000.00XXX
    7869926CNervous system nuclear exam0.000.000.000.00XXX
    78699TCCNervous system nuclear exam0.000.000.000.00XXX
    78700AKidney imaging, static0.45NA3.300.15XXX
    7870026AKidney imaging, static0.450.160.160.02XXX
    78700TCAKidney imaging, static0.00NA3.150.13XXX
    78701AKidney imaging with flow0.49NA3.850.17XXX
    7870126AKidney imaging with flow0.490.170.170.02XXX
    78701TCAKidney imaging with flow0.00NA3.680.15XXX
    78704AImaging renogram0.74NA4.350.20XXX
    7870426AImaging renogram0.740.260.260.03XXX
    78704TCAImaging renogram0.00NA4.090.17XXX
    78707AKidney flow/function image0.96NA4.950.23XXX
    7870726AKidney flow/function image0.960.340.340.04XXX
    78707TCAKidney flow/function image0.00NA4.620.19XXX
    78708AKidney flow/function image1.21NA5.040.24XXX
    7870826AKidney flow/function image1.210.430.430.05XXX
    78708TCAKidney flow/function image0.00NA4.620.19XXX
    78709AKidney flow/function image1.41NA5.110.25XXX
    7870926AKidney flow/function image1.410.490.490.06XXX
    78709TCAKidney flow/function image0.00NA4.620.19XXX
    78710AKidney imaging (3D)0.66NA6.340.29XXX
    7871026AKidney imaging (3D)0.660.230.230.03XXX
    78710TCAKidney imaging (3D)0.00NA6.110.26XXX
    78715ARenal vascular flow exam0.30NA1.740.09XXX
    7871526ARenal vascular flow exam0.300.110.110.01XXX
    78715TCARenal vascular flow exam0.00NA1.630.08XXX
    78725AKidney function study0.38NA1.970.10XXX
    7872526AKidney function study0.380.130.130.01XXX
    78725TCAKidney function study0.00NA1.840.09XXX
    78730AUrinary bladder retention0.36NA1.640.09XXX
    7873026AUrinary bladder retention0.360.130.130.02XXX
    78730TCAUrinary bladder retention0.00NA1.510.07XXX
    78740AUreteral reflux study0.57NA2.380.12XXX
    7874026AUreteral reflux study0.570.200.200.02XXX
    78740TCAUreteral reflux study0.00NA2.190.10XXX
    78760ATesticular imaging0.66NA2.990.15XXX
    7876026ATesticular imaging0.660.230.230.03XXX
    78760TCATesticular imaging0.00NA2.770.12XXX
    78761ATesticular imaging/flow0.71NA3.560.17XXX
    7876126ATesticular imaging/flow0.710.250.250.03XXX
    78761TCATesticular imaging/flow0.00NA3.310.14XXX
    78799CGenitourinary nuclear exam0.000.000.000.00XXX
    7879926CGenitourinary nuclear exam0.000.000.000.00XXX
    78799TCCGenitourinary nuclear exam0.000.000.000.00XXX
    78800ATumor imaging, limited area0.66NA3.750.18XXX
    7880026ATumor imaging, limited area0.660.230.230.03XXX
    78800TCATumor imaging, limited area0.00NA3.520.15XXX
    78801ATumor imaging, mult areas0.79NA4.640.21XXX
    7880126ATumor imaging, mult areas0.790.280.280.03XXX
    78801TCATumor imaging, mult areas0.00NA4.370.18XXX
    78802ATumor imaging, whole body0.86NA6.020.28XXX
    7880226ATumor imaging, whole body0.860.310.310.03XXX
    Start Printed Page 43981
    78802TCATumor imaging, whole body0.00NA5.720.25XXX
    78803ATumor imaging (3D)1.09NA7.170.33XXX
    7880326ATumor imaging (3D)1.090.400.400.04XXX
    78803TCATumor imaging (3D)0.00NA6.770.29XXX
    78805AAbscess imaging, ltd area0.73NA3.780.18XXX
    7880526AAbscess imaging, ltd area0.730.260.260.03XXX
    78805TCAAbscess imaging, ltd area0.00NA3.520.15XXX
    78806AAbscess imaging, whole body0.86NA6.950.32XXX
    7880626AAbscess imaging, whole body0.860.310.310.03XXX
    78806TCAAbscess imaging, whole body0.00NA6.640.29XXX
    78807ANuclear localization/abscess1.09NA7.180.33XXX
    7880726ANuclear localization/abscess1.090.410.410.04XXX
    78807TCANuclear localization/abscess0.00NA6.770.29XXX
    78810NTumor imaging (PET)0.000.000.000.00XXX
    7881026NTumor imaging (PET)1.930.750.750.09XXX
    78810TCNTumor imaging (PET)0.000.000.000.00XXX
    78890BNuclear medicine data proc0.05NA1.370.06XXX
    7889026BNuclear medicine data proc0.050.020.020.01XXX
    78890TCBNuclear medicine data proc0.00NA1.350.05XXX
    78891BNuclear med data proc0.10NA2.750.12XXX
    7889126BNuclear med data proc0.100.040.040.01XXX
    78891TCBNuclear med data proc0.00NA2.710.11XXX
    78990IProvide diag radionuclide(s)0.000.000.000.00XXX
    78999CNuclear diagnostic exam0.000.000.000.00XXX
    7899926CNuclear diagnostic exam0.000.000.000.00XXX
    78999TCCNuclear diagnostic exam0.000.000.000.00XXX
    79000AInit hyperthyroid therapy1.80NA3.340.19XXX
    7900026AInit hyperthyroid therapy1.800.630.630.07XXX
    79000TCAInit hyperthyroid therapy0.00NA2.710.12XXX
    79001ARepeat hyperthyroid therapy1.05NA1.720.10XXX
    7900126ARepeat hyperthyroid therapy1.050.370.370.04XXX
    79001TCARepeat hyperthyroid therapy0.00NA1.350.06XXX
    79020AThyroid ablation1.81NA3.330.19XXX
    7902026AThyroid ablation1.810.620.620.07XXX
    79020TCAThyroid ablation0.00NA2.710.12XXX
    79030AThyroid ablation, carcinoma2.10NA3.450.20XXX
    7903026AThyroid ablation, carcinoma2.100.740.740.08XXX
    79030TCAThyroid ablation, carcinoma0.00NA2.710.12XXX
    79035AThyroid metastatic therapy2.52NA3.620.21XXX
    7903526AThyroid metastatic therapy2.520.910.910.09XXX
    79035TCAThyroid metastatic therapy0.00NA2.710.12XXX
    79100AHematopoetic nuclear therapy1.32NA3.190.17XXX
    7910026AHematopoetic nuclear therapy1.320.480.480.05XXX
    79100TCAHematopoetic nuclear therapy0.00NA2.710.12XXX
    79200AIntracavitary nuclear trmt1.99NA3.430.19XXX
    7920026AIntracavitary nuclear trmt1.990.720.720.07XXX
    79200TCAIntracavitary nuclear trmt0.00NA2.710.12XXX
    79300CInterstitial nuclear therapy0.000.000.000.00XXX
    7930026AInterstitial nuclear therapy1.600.590.590.07XXX
    79300TCCInterstitial nuclear therapy0.000.000.000.00XXX
    79400ANonhemato nuclear therapy1.96NA3.410.20XXX
    7940026ANonhemato nuclear therapy1.960.700.700.08XXX
    79400TCANonhemato nuclear therapy0.00NA2.710.12XXX
    79420CIntravascular nuclear ther0.000.000.000.00XXX
    7942026AIntravascular nuclear ther1.510.530.530.06XXX
    79420TCCIntravascular nuclear ther0.000.000.000.00XXX
    79440ANuclear joint therapy1.99NA3.460.20XXX
    7944026ANuclear joint therapy1.990.750.750.08XXX
    79440TCANuclear joint therapy0.00NA2.710.12XXX
    79900CProvide ther radiopharm(s)0.000.000.000.00XXX
    79999CNuclear medicine therapy0.000.000.000.00XXX
    7999926CNuclear medicine therapy0.000.000.000.00XXX
    79999TCCNuclear medicine therapy0.000.000.000.00XXX
    80500ALab pathology consultation0.370.170.220.01XXX
    80502ALab pathology consultation1.330.600.640.05XXX
    8302026AHemoglobin electrophoresis0.370.160.160.01XXX
    Start Printed Page 43982
    8391226AGenetic examination0.370.150.150.01XXX
    8416526AAssay of serum proteins0.370.160.160.01XXX
    8418126AWestern blot test0.370.160.160.01XXX
    8418226AProtein, western blot test0.370.140.140.01XXX
    85060ABlood smear interpretation0.450.190.190.02XXX
    85097ABone marrow interpretation0.940.411.850.03XXX
    8539026AFibrinolysins screen0.370.130.130.01XXX
    8557626ABlood platelet aggregation0.370.160.160.01XXX
    86077APhysician blood bank service0.940.420.470.03XXX
    86078APhysician blood bank service0.940.420.510.03XXX
    86079APhysician blood bank service0.940.420.510.03XXX
    8625526AFluorescent antibody, screen0.370.170.170.01XXX
    8625626AFluorescent antibody, titer0.370.160.160.01XXX
    8632026ASerum immunoelectrophoresis0.370.160.170.01XXX
    8632526AOther immunoelectrophoresis0.370.160.160.01XXX
    8632726AImmunoelectrophoresis assay0.420.190.190.01XXX
    8633426AImmunofixation procedure0.370.160.160.01XXX
    86485CSkin test, candida0.000.000.000.00XXX
    86490ACoccidioidomycosis skin test0.00NA0.300.02XXX
    86510AHistoplasmosis skin test0.00NA0.330.02XXX
    86580ATB intradermal test0.00NA0.260.02XXX
    86585ATB tine test0.00NA0.210.01XXX
    86586CSkin test, unlisted0.000.000.000.00XXX
    8716426ADark field examination0.370.120.120.01XXX
    8720726ASmear, special stain0.370.170.170.01XXX
    88104ACytopathology, fluids0.56NA0.690.04XXX
    8810426ACytopathology, fluids0.560.250.250.02XXX
    88104TCACytopathology, fluids0.00NA0.440.02XXX
    88106ACytopathology, fluids0.56NA1.090.04XXX
    8810626ACytopathology, fluids0.560.250.250.02XXX
    88106TCACytopathology, fluids0.00NA0.840.02XXX
    88107ACytopathology, fluids0.76NA1.200.05XXX
    8810726ACytopathology, fluids0.760.340.340.03XXX
    88107TCACytopathology, fluids0.00NA0.850.02XXX
    88108ACytopath, concentrate tech0.56NA0.980.04XXX
    8810826ACytopath, concentrate tech0.560.250.250.02XXX
    88108TCACytopath, concentrate tech0.00NA0.730.02XXX
    88125AForensic cytopathology0.26NA0.280.02XXX
    8812526AForensic cytopathology0.260.120.120.01XXX
    88125TCAForensic cytopathology0.00NA0.160.01XXX
    88141ACytopath, c/v, interpret0.420.190.190.01XXX
    88160ACytopath smear, other source0.50NA0.730.04XXX
    8816026ACytopath smear, other source0.500.220.220.02XXX
    88160TCACytopath smear, other source0.00NA0.500.02XXX
    88161ACytopath smear, other source0.50NA0.820.04XXX
    8816126ACytopath smear, other source0.500.220.220.02XXX
    88161TCACytopath smear, other source0.00NA0.600.02XXX
    88162ACytopath smear, other source0.76NA0.610.05XXX
    8816226ACytopath smear, other source0.760.340.340.03XXX
    88162TCACytopath smear, other source0.00NA0.270.02XXX
    88172ACytopathology eval of fna0.60NA0.730.04XXX
    8817226ACytopathology eval of fna0.600.270.270.02XXX
    88172TCACytopathology eval of fna0.00NA0.460.02XXX
    88173ACytopath eval, fna, report1.39NA1.980.07XXX
    8817326ACytopath eval, fna, report1.390.620.620.05XXX
    88173TCACytopath eval, fna, report0.00NA1.360.02XXX
    88180ACell marker study0.36NA0.390.03XXX
    8818026ACell marker study0.360.160.160.01XXX
    88180TCACell marker study0.00NA0.230.02XXX
    88182ACell marker study0.77NA0.840.06XXX
    8818226ACell marker study0.770.350.350.03XXX
    88182TCACell marker study0.00NA0.490.03XXX
    88199CCytopathology procedure0.000.000.000.00XXX
    8819926CCytopathology procedure0.000.000.000.00XXX
    88199TCCCytopathology procedure0.000.000.000.00XXX
    88291ACyto/molecular report0.520.230.230.02XXX
    Start Printed Page 43983
    88299CCytogenetic study0.000.000.000.00XXX
    88300ASurgical path, gross0.08NA0.360.02XXX
    8830026ASurgical path, gross0.080.040.040.01XXX
    88300TCASurgical path, gross0.00NA0.320.01XXX
    88302ATissue exam by pathologist0.13NA0.830.03XXX
    8830226ATissue exam by pathologist0.130.060.060.01XXX
    88302TCATissue exam by pathologist0.00NA0.770.02XXX
    88304ATissue exam by pathologist0.22NA1.050.03XXX
    8830426ATissue exam by pathologist0.220.100.100.01XXX
    88304TCATissue exam by pathologist0.00NA0.950.02XXX
    88305ATissue exam by pathologist0.75NA1.600.05XXX
    8830526ATissue exam by pathologist0.750.340.340.02XXX
    88305TCATissue exam by pathologist0.00NA1.260.03XXX
    88307ATissue exam by pathologist1.59NA2.810.11XXX
    8830726ATissue exam by pathologist1.590.710.710.06XXX
    88307TCATissue exam by pathologist0.00NA2.090.05XXX
    88309ATissue exam by pathologist2.28NA3.920.13XXX
    8830926ATissue exam by pathologist2.281.021.020.08XXX
    88309TCATissue exam by pathologist0.00NA2.900.05XXX
    88311ADecalcify tissue0.24NA0.210.02XXX
    8831126ADecalcify tissue0.240.110.110.01XXX
    88311TCADecalcify tissue0.00NA0.110.01XXX
    88312ASpecial stains0.54NA1.560.03XXX
    8831226ASpecial stains0.540.240.240.02XXX
    88312TCASpecial stains0.00NA1.320.01XXX
    88313ASpecial stains0.24NA0.970.02XXX
    8831326ASpecial stains0.240.110.110.01XXX
    88313TCASpecial stains0.00NA0.860.01XXX
    88314AHistochemical stain0.45NA1.740.04XXX
    8831426AHistochemical stain0.450.200.200.02XXX
    88314TCAHistochemical stain0.00NA1.540.02XXX
    88318AChemical histochemistry0.42NA0.870.02XXX
    8831826AChemical histochemistry0.420.190.190.01XXX
    88318TCAChemical histochemistry0.00NA0.680.01XXX
    88319AEnzyme histochemistry0.53NA4.030.04XXX
    8831926AEnzyme histochemistry0.530.240.240.02XXX
    88319TCAEnzyme histochemistry0.00NA3.800.02XXX
    88321AMicroslide consultation1.300.580.610.04XXX
    88323AMicroslide consultation1.35NA1.620.07XXX
    8832326AMicroslide consultation1.350.610.610.05XXX
    88323TCAMicroslide consultation0.00NA1.010.02XXX
    88325AComprehensive review of data2.220.950.950.08XXX
    88329APath consult introp0.670.300.390.02XXX
    88331APath consult intraop, 1 bloc1.19NA0.910.07XXX
    8833126APath consult intraop, 1 bloc1.190.540.540.04XXX
    88331TCAPath consult intraop, 1 bloc0.00NA0.380.03XXX
    88332APath consult intraop, addl0.59NA0.430.04XXX
    8833226APath consult intraop, addl0.590.270.270.02XXX
    88332TCAPath consult intraop, addl0.00NA0.170.02XXX
    88342AImmunocytochemistry0.85NA1.120.05XXX
    8834226AImmunocytochemistry0.850.380.380.03XXX
    88342TCAImmunocytochemistry0.00NA0.740.02XXX
    88346AImmunofluorescent study0.86NA1.440.05XXX
    8834626AImmunofluorescent study0.860.380.380.03XXX
    88346TCAImmunofluorescent study0.00NA1.050.02XXX
    88347AImmunofluorescent study0.86NA1.220.05XXX
    8834726AImmunofluorescent study0.860.360.360.03XXX
    88347TCAImmunofluorescent study0.00NA0.860.02XXX
    88348AElectron microscopy1.51NA4.620.11XXX
    8834826AElectron microscopy1.510.670.670.05XXX
    88348TCAElectron microscopy0.00NA3.940.06XXX
    88349AScanning electron microscopy0.76NA2.270.08XXX
    8834926AScanning electron microscopy0.760.340.340.03XXX
    88349TCAScanning electron microscopy0.00NA1.930.05XXX
    88355AAnalysis, skeletal muscle1.85NA8.030.12XXX
    8835526AAnalysis, skeletal muscle1.850.830.830.07XXX
    Start Printed Page 43984
    88355TCAAnalysis, skeletal muscle0.00NA7.210.05XXX
    88356AAnalysis, nerve3.02NA4.070.16XXX
    8835626AAnalysis, nerve3.021.311.310.10XXX
    88356TCAAnalysis, nerve0.00NA2.760.06XXX
    88358AAnalysis, tumor2.82NA1.780.16XXX
    8835826AAnalysis, tumor2.821.271.270.10XXX
    88358TCAAnalysis, tumor0.00NA0.520.06XXX
    88362ANerve teasing preparations2.17NA4.180.12XXX
    8836226ANerve teasing preparations2.170.950.950.07XXX
    88362TCANerve teasing preparations0.00NA3.230.05XXX
    88365ATissue hybridization0.93NA1.730.05XXX
    8836526ATissue hybridization0.930.410.410.03XXX
    88365TCATissue hybridization0.00NA1.320.02XXX
    8837126AProtein, western blot tissue0.370.140.140.01XXX
    8837226AProtein analysis w/probe0.370.170.170.01XXX
    88380CMicrodissection0.000.000.000.00XXX
    8838026CMicrodissection0.000.000.000.00XXX
    88380TCCMicrodissection0.000.000.000.00XXX
    88399CSurgical pathology procedure0.000.000.000.00XXX
    8839926CSurgical pathology procedure0.000.000.000.00XXX
    88399TCCSurgical pathology procedure0.000.000.000.00XXX
    8906026AExam synovial fluid crystals0.370.170.170.01XXX
    89100ASample intestinal contents0.600.221.750.02XXX
    89105ASample intestinal contents0.500.172.330.02XXX
    89130ASample stomach contents0.450.131.990.02XXX
    89132ASample stomach contents0.190.061.760.01XXX
    89135ASample stomach contents0.790.261.780.03XXX
    89136ASample stomach contents0.210.081.720.01XXX
    89140ASample stomach contents0.940.282.220.03XXX
    89141ASample stomach contents0.850.352.840.03XXX
    89350ASputum specimen collection0.00NA0.420.02XXX
    89360ACollect sweat for test0.00NA0.470.02XXX
    89399CPathology lab procedure0.000.000.000.00XXX
    8939926CPathology lab procedure0.000.000.000.00XXX
    89399TCCPathology lab procedure0.000.000.000.00XXX
    90281IHuman ig, im0.000.000.000.00XXX
    90283IHuman ig, iv0.000.000.000.00XXX
    90287IBotulinum antitoxin0.000.000.000.00XXX
    90288IBotulism ig, iv0.000.000.000.00XXX
    90291ICmv ig, iv0.000.000.000.00XXX
    90296EDiphtheria antitoxin0.000.000.000.00XXX
    90371EHep b ig, im0.000.000.000.00XXX
    90375ERabies ig, im/sc0.000.000.000.00XXX
    90376ERabies ig, heat treated0.000.000.000.00XXX
    90378XRsv ig, im, 50mg0.000.000.000.00XXX
    90379IRsv ig, iv0.000.000.000.00XXX
    90384IRh ig, full-dose, im0.000.000.000.00XXX
    90385ERh ig, minidose, im0.000.000.000.00XXX
    90386IRh ig, iv0.000.000.000.00XXX
    90389ITetanus ig, im0.000.000.000.00XXX
    90393EVaccina ig, im0.000.000.000.00XXX
    90396EVaricella-zoster ig, im0.000.000.000.00XXX
    90399IImmune globulin0.000.000.000.00XXX
    90471AImmunization admin0.00NA0.220.01XXX
    90472AImmunization admin, each add0.00NA0.090.01ZZZ
    90473NImmune admin oral/nasal0.000.000.000.00XXX
    90474NImmune admin oral/nasal addl0.000.000.000.00ZZZ
    90476EAdenovirus vaccine, type 40.000.000.000.00XXX
    90477EAdenovirus vaccine, type 70.000.000.000.00XXX
    90581EAnthrax vaccine, sc0.000.000.000.00XXX
    90585EBcg vaccine, percut0.000.000.000.00XXX
    90586EBcg vaccine, intravesical0.000.000.000.00XXX
    90632EHep a vaccine, adult im0.000.000.000.00XXX
    90633EHep a vacc, ped/adol, 2 dose0.000.000.000.00XXX
    90634EHep a vacc, ped/adol, 3 dose0.000.000.000.00XXX
    90636EHep a/hep b vacc, adult im0.000.000.000.00XXX
    Start Printed Page 43985
    90645EHib vaccine, hboc, im0.000.000.000.00XXX
    90646EHib vaccine, prp-d, im0.000.000.000.00XXX
    90647EHib vaccine, prp-omp, im0.000.000.000.00XXX
    90648EHib vaccine, prp-t, im0.000.000.000.00XXX
    90657XFlu vaccine, 6-35 mo, im0.000.000.000.00XXX
    90658XFlu vaccine, 3 yrs, im0.000.000.000.00XXX
    90659XFlu vaccine, whole, im0.000.000.000.00XXX
    90660XFlu vaccine, nasal0.000.000.000.00XXX
    90665ELyme disease vaccine, im0.000.000.000.00XXX
    90669NPneumococcal vacc, ped<50.000.000.000.00XXX
    90675ERabies vaccine, im0.000.000.000.00XXX
    90676ERabies vaccine, id0.000.000.000.00XXX
    90680ERotovirus vaccine, oral0.000.000.000.00XXX
    90690ETyphoid vaccine, oral0.000.000.000.00XXX
    90691ETyphoid vaccine, im0.000.000.000.00XXX
    90692ETyphoid vaccine, h-p, sc/id0.000.000.000.00XXX
    90693ETyphoid vaccine, akd, sc0.000.000.000.00XXX
    90700EDtap vaccine, im0.000.000.000.00XXX
    90701EDtp vaccine, im0.000.000.000.00XXX
    90702EDt vaccine < 7, im0.000.000.000.00XXX
    90703ETetanus vaccine, im0.000.000.000.00XXX
    90704EMumps vaccine, sc0.000.000.000.00XXX
    90705EMeasles vaccine, sc0.000.000.000.00XXX
    90706ERubella vaccine, sc0.000.000.000.00XXX
    90707EMmr vaccine, sc0.000.000.000.00XXX
    90708EMeasles-rubella vaccine, sc0.000.000.000.00XXX
    90709ERubella & mumps vaccine, sc0.000.000.000.00XXX
    90710EMmrv vaccine, sc0.000.000.000.00XXX
    90712EOral poliovirus vaccine0.000.000.000.00XXX
    90713EPoliovirus, ipv, sc0.000.000.000.00XXX
    90716EChicken pox vaccine, sc0.000.000.000.00XXX
    90717EYellow fever vaccine, sc0.000.000.000.00XXX
    90718ETd vaccine > 7, im0.000.000.000.00XXX
    90719EDiphtheria vaccine, im0.000.000.000.00XXX
    90720EDtp/hib vaccine, im0.000.000.000.00XXX
    90721EDtap/hib vaccine, im0.000.000.000.00XXX
    90723XDtap-hep b-ipv vaccine, im0.000.000.000.00XXX
    90725ECholera vaccine, injectable0.000.000.000.00XXX
    90727EPlague vaccine, im0.000.000.000.00XXX
    90732XPneumococcal vaccine0.000.000.000.00XXX
    90733EMeningococcal vaccine, sc0.000.000.000.00XXX
    90735EEncephalitis vaccine, sc0.000.000.000.00XXX
    90740XHepb vacc, ill pat 3 dose im0.000.000.000.00XXX
    90743XHep b vacc, adol, 2 dose, im0.000.000.000.00XXX
    90744XHepb vacc ped/adol 3 dose im0.000.000.000.00XXX
    90746XHep b vaccine, adult, im0.000.000.000.00XXX
    90747XHepb vacc, ill pat 4 dose im0.000.000.000.00XXX
    90748EHep b/hib vaccine, im0.000.000.000.00XXX
    90749EVaccine toxoid0.000.000.000.00XXX
    90780AIV infusion therapy, 1 hour0.00NA1.150.06XXX
    90781AIV infusion, additional hour0.00NA0.580.03ZZZ
    90782TInjection, sc/im0.00NA0.110.01XXX
    90783TInjection, ia0.00NA0.420.02XXX
    90784TInjection, iv0.00NA0.490.03XXX
    90788TInjection of antibiotic0.00NA0.120.01XXX
    90799CTher/prophylactic/dx inject0.000.000.000.00XXX
    90801APsy dx interview2.800.921.130.06XXX
    90802AIntac psy dx interview3.010.981.190.07XXX
    90804APsytx, office, 20-30 min1.210.400.520.03XXX
    90805APsytx, off, 20-30 min w/e&m1.370.440.580.03XXX
    90806APsytx, off, 45-50 min1.860.630.760.04XXX
    90807APsytx, off, 45-50 min w/e&m2.020.650.770.05XXX
    90808APsytx, office, 75-80 min2.790.941.090.07XXX
    90809APsytx, off, 75-80, w/e&m2.950.951.100.07XXX
    90810AIntac psytx, off, 20-30 min1.320.440.550.03XXX
    90811AIntac psytx, 20-30, w/e&m1.480.470.600.03XXX
    Start Printed Page 43986
    90812AIntac psytx, off, 45-50 min1.970.660.810.05XXX
    90813AIntac psytx, 45-50 min w/e&m2.130.680.840.05XXX
    90814AIntac psytx, off, 75-80 min2.901.011.160.07XXX
    90815AIntac psytx, 75-80 w/e&m3.060.981.190.07XXX
    90816APsytx, hosp, 20-30 min1.250.430.570.03XXX
    90817APsytx, hosp, 20-30 min w/e&m1.410.450.610.03XXX
    90818APsytx, hosp, 45-50 min1.890.650.800.04XXX
    90819APsytx, hosp, 45-50 min w/e&m2.050.650.820.05XXX
    90821APsytx, hosp, 75-80 min2.830.961.120.06XXX
    90822APsytx, hosp, 75-80 min w/e&m2.990.951.140.07XXX
    90823AIntac psytx, hosp, 20-30 min1.360.450.650.03XXX
    90824AIntac psytx, hsp 20-30 w/e&m1.520.480.680.03XXX
    90826AIntac psytx, hosp, 45-50 min2.010.680.890.04XXX
    90827AIntac psytx, hsp 45-50 w/e&m2.160.680.890.05XXX
    90828AIntac psytx, hosp, 75-80 min2.940.991.250.07XXX
    90829AIntac psytx, hsp 75-80 w/e&m3.100.981.200.07XXX
    90845APsychoanalysis1.790.570.690.04XXX
    90846RFamily psytx w/o patient1.830.620.750.04XXX
    90847RFamily psytx w/patient2.210.740.860.05XXX
    90849RMultiple family group psytx0.590.200.330.01XXX
    90853AGroup psychotherapy0.590.200.340.01XXX
    90857AIntac group psytx0.630.220.360.02XXX
    90862AMedication management0.950.300.430.02XXX
    90865ANarcosynthesis2.840.881.570.07XXX
    90870AElectroconvulsive therapy1.880.710.710.04000
    90871AElectroconvulsive therapy2.720.99NA0.06000
    90875NPsychophysiological therapy1.200.460.880.03XXX
    90876NPsychophysiological therapy1.900.731.160.04XXX
    90880AHypnotherapy2.190.700.880.05XXX
    90882NEnvironmental manipulation0.000.000.000.00XXX
    90885BPsy evaluation of records0.970.370.370.02XXX
    90887BConsultation with family1.480.570.810.03XXX
    90889BPreparation of report0.000.000.000.00XXX
    90899CPsychiatric service/therapy0.000.000.000.00XXX
    90901ABiofeedback train, any meth0.410.190.820.02000
    90911ABiofeedback peri/uro/rectal0.890.390.880.04000
    90918AESRD related services, month11.185.525.520.30XXX
    90919AESRD related services, month8.544.484.480.24XXX
    90920AESRD related services, month7.273.943.940.19XXX
    90921AESRD related services, month4.472.872.870.12XXX
    90922AESRD related services, day0.370.170.170.01XXX
    90923AEsrd related services, day0.280.140.140.01XXX
    90924AEsrd related services, day0.240.130.130.01XXX
    90925AEsrd related services, day0.150.100.100.01XXX
    90935AHemodialysis, one evaluation1.220.83NA0.03000
    90937AHemodialysis, repeated eval2.111.16NA0.06000
    90939XHemodialysis study, transcut0.000.000.000.00XXX
    90940XHemodialysis access study0.000.000.000.00XXX
    90945ADialysis, one evaluation1.280.86NA0.04000
    90947ADialysis, repeated eval2.161.19NA0.06000
    90989XDialysis training, complete0.000.000.000.00XXX
    90993XDialysis training, incompl0.000.000.000.00XXX
    90997AHemoperfusion1.841.09NA0.05000
    90999CDialysis procedure0.000.000.000.00XXX
    91000AEsophageal intubation0.73NA0.330.04000
    9100026AEsophageal intubation0.730.250.250.03000
    91000TCAEsophageal intubation0.00NA0.080.01000
    91010AEsophagus motility study1.25NA2.750.10000
    9101026AEsophagus motility study1.250.450.450.05000
    91010TCAEsophagus motility study0.00NA2.300.05000
    91011AEsophagus motility study1.50NA3.200.10000
    9101126AEsophagus motility study1.500.540.540.05000
    91011TCAEsophagus motility study0.00NA2.660.05000
    91012AEsophagus motility study1.46NA3.280.12000
    9101226AEsophagus motility study1.460.520.520.06000
    91012TCAEsophagus motility study0.00NA2.750.06000
    Start Printed Page 43987
    91020AGastric motility1.44NA2.970.11000
    9102026AGastric motility1.440.500.500.06000
    91020TCAGastric motility0.00NA2.480.05000
    91030AAcid perfusion of esophagus0.91NA2.600.05000
    9103026AAcid perfusion of esophagus0.910.330.330.03000
    91030TCAAcid perfusion of esophagus0.00NA2.270.02000
    91032AEsophagus, acid reflux test1.21NA2.420.10000
    9103226AEsophagus, acid reflux test1.210.430.430.05000
    91032TCAEsophagus, acid reflux test0.00NA1.990.05000
    91033AProlonged acid reflux test1.30NA2.640.14000
    9103326AProlonged acid reflux test1.300.470.470.05000
    91033TCAProlonged acid reflux test0.00NA2.170.09000
    91052AGastric analysis test0.79NA2.410.05000
    9105226AGastric analysis test0.790.280.280.03000
    91052TCAGastric analysis test0.00NA2.120.02000
    91055AGastric intubation for smear0.94NA2.450.06000
    9105526AGastric intubation for smear0.940.280.280.04000
    91055TCAGastric intubation for smear0.00NA2.170.02000
    91060AGastric saline load test0.45NA0.300.04000
    9106026AGastric saline load test0.450.150.150.02000
    91060TCAGastric saline load test0.00NA0.150.02000
    91065ABreath hydrogen test0.20NA3.940.03000
    9106526ABreath hydrogen test0.200.070.070.01000
    91065TCABreath hydrogen test0.00NA3.870.02000
    91100APass intestine bleeding tube1.080.45NA0.06000
    91105AGastric intubation treatment0.370.20NA0.02000
    91122AAnal pressure record1.77NA5.630.17000
    9112226AAnal pressure record1.770.620.620.10000
    91122TCAAnal pressure record0.00NA5.010.07000
    91123BIrrigate fecal impaction0.000.000.000.00XXX
    91132CElectrogastrography0.000.000.000.00XXX
    9113226AElectrogastrography0.52NA0.200.03XXX
    91132TCCElectrogastrography0.000.000.000.00XXX
    1133CElectrogastrography w/test0.000.000.000.00XXX
    9113326AElectrogastrography w/test0.66NA0.260.03XXX
    91133TCCElectrogastrography w/test0.000.000.000.00XXX
    91299CGastroenterology procedure0.000.000.000.00XXX
    9129926CGastroenterology procedure0.000.000.000.00XXX
    91299TCCGastroenterology procedure0.000.000.000.00XXX
    92002AEye exam, new patient0.880.350.970.02XXX
    92004AEye exam, new patient1.670.701.700.03XXX
    92012AEye exam established pat0.670.301.010.01XXX
    92014AEye exam & treatment1.100.481.390.02XXX
    92015NRefraction0.380.151.530.01XXX
    92018ANew eye exam & treatment2.501.12NA0.03XXX
    92019AEye exam & treatment1.310.58NA0.03XXX
    92020ASpecial eye evaluation0.370.170.980.01XXX
    92060ASpecial eye evaluation0.69NA0.750.02XXX
    9206026ASpecial eye evaluation0.690.300.300.01XXX
    92060TCASpecial eye evaluation0.00NA0.450.01XXX
    92065AOrthoptic/pleoptic training0.37NA1.380.02XXX
    9206526AOrthoptic/pleoptic training0.370.160.160.01XXX
    92065TCAOrthoptic/pleoptic training0.00NA1.220.01XXX
    92070AFitting of contact lens0.700.331.150.01XXX
    92081AVisual field examination(s)0.36NA0.670.02XXX
    9208126AVisual field examination(s)0.360.160.160.01XXX
    92081TCAVisual field examination(s)0.00NA0.510.01XXX
    92082AVisual field examination(s)0.44NA1.040.02XXX
    9208226AVisual field examination(s)0.440.190.190.01XXX
    92082TCAVisual field examination(s)0.00NA0.850.01XXX
    92083AVisual field examination(s)0.50NA1.140.02XXX
    9208326AVisual field examination(s)0.500.230.230.01XXX
    92083TCAVisual field examination(s)0.00NA0.920.01XXX
    92100ASerial tonometry exam(s)0.920.350.740.02XXX
    92120ATonography & eye evaluation0.810.330.820.02XXX
    92130AWater provocation tonography0.810.380.930.02XXX
    Start Printed Page 43988
    92135AOpthalmic dx imaging0.35NA1.090.02XXX
    9213526AOpthalmic dx imaging0.350.160.160.01XXX
    92135TCAOpthalmic dx imaging0.00NA0.930.01XXX
    92136AOphthalmic biometry0.54NA2.000.07XXX
    9213626AOphthalmic biometry0.540.250.250.01XXX
    92136TCAOphthalmic biometry0.00NA1.750.06XXX
    92140AGlaucoma provocative tests0.500.221.020.01XXX
    92225ASpecial eye exam, initial0.380.160.220.01XXX
    92226ASpecial eye exam, subsequent0.330.150.210.01XXX
    92230AEye exam with photos0.600.201.790.02XXX
    92235AEye exam with photos0.81NA2.750.07XXX
    9223526AEye exam with photos0.810.380.380.02XXX
    92235TCAEye exam with photos0.00NA2.370.05XXX
    92240AIcg angiography1.10NA5.440.07XXX
    9224026AIcg angiography1.100.510.510.02XXX
    92240TCAIcg angiography0.00NA4.930.05XXX
    92250AEye exam with photos0.44NA1.580.02XXX
    9225026AEye exam with photos0.440.200.200.01XXX
    92250TCAEye exam with photos0.00NA1.380.01XXX
    92260AOphthalmoscopy/dynamometry0.200.090.250.01XXX
    92265AEye muscle evaluation0.81NA1.830.04XXX
    9226526AEye muscle evaluation0.810.290.290.02XXX
    92265TCAEye muscle evaluation0.00NA1.540.02XXX
    92270AElectro-oculography0.81NA1.700.05XXX
    9227026AElectro-oculography0.810.350.350.03XXX
    92270TCAElectro-oculography0.00NA1.350.02XXX
    92275AElectroretinography1.01NA2.010.04XXX
    9227526AElectroretinography1.010.440.440.02XXX
    92275TCAElectroretinography0.00NA1.570.02XXX
    92283AColor vision examination0.17NA0.950.02XXX
    9228326AColor vision examination0.170.070.070.01XXX
    92283TCAColor vision examination0.00NA0.880.01XXX
    92284ADark adaptation eye exam0.24NA2.380.02XXX
    9228426ADark adaptation eye exam0.240.090.090.01XXX
    92284TCADark adaptation eye exam0.00NA2.290.01XXX
    92285AEye photography0.20NA0.900.02XXX
    9228526AEye photography0.200.090.090.01XXX
    92285TCAEye photography0.00NA0.810.01XXX
    92286AInternal eye photography0.66NA3.070.03XXX
    9228626AInternal eye photography0.660.300.300.01XXX
    92286TCAInternal eye photography0.00NA2.760.02XXX
    92287AInternal eye photography0.810.322.870.02XXX
    92310NContact lens fitting1.170.451.100.03XXX
    92311AContact lens fitting1.080.361.200.03XXX
    92312AContact lens fitting1.260.511.180.03XXX
    92313AContact lens fitting0.920.291.170.02XXX
    92314NPrescription of contact lens0.690.270.920.01XXX
    92315APrescription of contact lens0.450.170.930.01XXX
    92316APrescription of contact lens0.680.301.000.01XXX
    92317APrescription of contact lens0.450.171.030.01XXX
    92325AModification of contact lens0.00NA0.410.01XXX
    92326AReplacement of contact lens0.00NA1.690.05XXX
    92330AFitting of artificial eye1.080.331.060.04XXX
    92335AFitting of artificial eye0.450.170.990.01XXX
    92340NFitting of spectacles0.370.140.690.01XXX
    92341NFitting of spectacles0.470.180.720.01XXX
    92342NFitting of spectacles0.530.200.750.01XXX
    92352BSpecial spectacles fitting0.370.140.690.01XXX
    92353BSpecial spectacles fitting0.500.190.740.02XXX
    92354BSpecial spectacles fitting0.00NA9.150.08XXX
    92355BSpecial spectacles fitting0.00NA4.480.01XXX
    92358BEye prosthesis service0.00NA1.000.04XXX
    92370NRepair & adjust spectacles0.320.120.540.02XXX
    92371BRepair & adjust spectacles0.00NA0.640.02XXX
    92390NSupply of spectacles0.000.000.000.00XXX
    92391NSupply of contact lenses0.000.000.000.00XXX
    Start Printed Page 43989
    92392ISupply of low vision aids0.00NA4.180.02XXX
    92393ISupply of artificial eye0.00NA12.970.47XXX
    92395ISupply of spectacles0.00NA1.420.08XXX
    92396ISupply of contact lenses0.00NA2.380.06XXX
    92499CEye service or procedure0.000.000.000.00XXX
    9249926CEye service or procedure0.000.000.000.00XXX
    92499TCCEye service or procedure0.000.000.000.00XXX
    92502AEar and throat examination1.511.24NA0.06000
    92504AEar microscopy examination0.180.091.080.01XXX
    92506ASpeech/hearing evaluation0.860.411.600.04XXX
    92507ASpeech/hearing therapy0.520.241.500.02XXX
    92508ASpeech/hearing therapy0.260.131.390.01XXX
    92510ARehab for ear implant1.500.762.030.06XXX
    92511ANasopharyngoscopy0.840.421.330.03000
    92512ANasal function studies0.550.181.090.02XXX
    92516AFacial nerve function test0.430.220.930.02XXX
    92520ALaryngeal function studies0.760.400.550.03XXX
    92525IOral function evaluation1.500.581.660.07XXX
    92526AOral function therapy0.550.211.680.02XXX
    92531BSpontaneous nystagmus study0.000.000.000.00XXX
    92532BPositional nystagmus test0.000.000.000.00XXX
    92533BCaloric vestibular test0.000.000.000.00XXX
    92534BOptokinetic nystagmus test0.000.000.000.00XXX
    92541ASpontaneous nystagmus test0.40NA1.540.04XXX
    9254126ASpontaneous nystagmus test0.400.200.200.02XXX
    92541TCASpontaneous nystagmus test0.00NA1.350.02XXX
    92542APositional nystagmus test0.33NA1.500.03XXX
    9254226APositional nystagmus test0.330.160.160.01XXX
    92542TCAPositional nystagmus test0.00NA1.340.02XXX
    92543ACaloric vestibular test0.10NA0.400.02XXX
    9254326ACaloric vestibular test0.100.050.050.01XXX
    92543TCACaloric vestibular test0.00NA0.360.01XXX
    92544AOptokinetic nystagmus test0.26NA1.440.03XXX
    9254426AOptokinetic nystagmus test0.260.130.130.01XXX
    92544TCAOptokinetic nystagmus test0.00NA1.320.02XXX
    92545AOscillating tracking test0.23NA1.430.03XXX
    9254526AOscillating tracking test0.230.110.110.01XXX
    92545TCAOscillating tracking test0.00NA1.320.02XXX
    92546ASinusoidal rotational test0.29NA2.710.03XXX
    9254626ASinusoidal rotational test0.290.140.140.01XXX
    92546TCASinusoidal rotational test0.00NA2.570.02XXX
    92547ASupplemental electrical test0.00NA1.270.05ZZZ
    92548APosturography0.50NA3.700.13XXX
    9254826APosturography0.500.270.270.02XXX
    92548TCAPosturography0.00NA3.430.11XXX
    92551NPure tone hearing test, air0.000.000.000.00XXX
    92552APure tone audiometry, air0.00NA0.460.03XXX
    92553AAudiometry, air & bone0.00NA0.680.05XXX
    92555ASpeech threshold audiometry0.00NA0.390.03XXX
    92556ASpeech audiometry, complete0.00NA0.590.05XXX
    92557AComprehensive hearing test0.00NA1.230.10XXX
    92559NGroup audiometric testing0.000.000.000.00XXX
    92560NBekesy audiometry, screen0.000.000.000.00XXX
    92561ABekesy audiometry, diagnosis0.00NA0.740.05XXX
    92562ALoudness balance test0.00NA0.420.03XXX
    92563ATone decay hearing test0.00NA0.390.03XXX
    92564ASisi hearing test0.00NA0.490.04XXX
    92565AStenger test, pure tone0.00NA0.410.03XXX
    92567ATympanometry0.00NA0.540.05XXX
    92568AAcoustic reflex testing0.00NA0.390.03XXX
    92569AAcoustic reflex decay test0.00NA0.420.03XXX
    92571AFiltered speech hearing test0.00NA0.400.03XXX
    92572AStaggered spondaic word test0.00NA0.090.01XXX
    92573ALombard test0.00NA0.360.03XXX
    92575ASensorineural acuity test0.00NA0.310.02XXX
    92576ASynthetic sentence test0.00NA0.460.04XXX
    Start Printed Page 43990
    92577AStenger test, speech0.00NA0.740.06XXX
    92579AVisual audiometry (vra)0.00NA0.750.05XXX
    92582AConditioning play audiometry0.00NA0.750.05XXX
    92583ASelect picture audiometry0.00NA0.920.07XXX
    92584AElectrocochleography0.00NA2.560.17XXX
    92585AAuditor evoke potent, compre0.50NA2.130.14XXX
    9258526AAuditor evoke potent, compre0.500.220.220.02XXX
    92585TCAAuditor evoke potent, compre0.00NA1.910.12XXX
    92586AAuditor evoke potent, limit0.00NA1.910.12XXX
    92587AEvoked auditory test0.13NA1.420.10XXX
    9258726AEvoked auditory test0.130.070.070.01XXX
    92587TCAEvoked auditory test0.00NA1.350.09XXX
    92588AEvoked auditory test0.36NA1.690.12XXX
    9258826AEvoked auditory test0.360.170.170.01XXX
    92588TCAEvoked auditory test0.00NA1.520.11XXX
    92589AAuditory function test(s)0.00NA0.550.05XXX
    92590NHearing aid exam, one ear0.000.000.000.00XXX
    92591NHearing aid exam, both ears0.000.000.000.00XXX
    92592NHearing aid check, one ear0.000.000.000.00XXX
    92593NHearing aid check, both ears0.000.000.000.00XXX
    92594NElectro hearng aid test, one0.000.000.000.00XXX
    92595NElectro hearng aid tst, both0.000.000.000.00XXX
    92596AEar protector evaluation0.00NA0.610.05XXX
    92597IOral speech device eval1.350.521.610.05XXX
    92598IModify oral speech device0.990.380.800.04XXX
    92599CENT procedure/service0.000.000.000.00XXX
    9259926CENT procedure/service0.000.000.000.00XXX
    92599TCCENT procedure/service0.000.000.000.00XXX
    92950AHeart/lung resuscitation cpr3.801.161.440.21000
    92953ATemporary external pacing0.230.23NA0.01000
    92960ACardioversion electric, ext2.250.862.180.08000
    92961ACardioversion, electric, int4.601.78NA0.17000
    92970ACardioassist, internal3.521.10NA0.17000
    92971ACardioassist, external1.770.86NA0.06000
    92973APercut coronary thrombectomy3.281.31NA0.17ZZZ
    92974ACath place, cardio brachytx3.001.21NA1.18ZZZ
    92975ADissolve clot, heart vessel7.252.90NA0.22000
    92977ADissolve clot, heart vessel0.00NA8.320.38XXX
    92978AIntravasc us, heart add-on1.80NA5.450.26ZZZ
    9297826AIntravasc us, heart add-on1.800.730.730.06ZZZ
    92978TCAIntravasc us, heart add-on0.00NA4.720.20ZZZ
    92979AIntravasc us, heart add-on1.44NA2.950.15ZZZ
    9297926AIntravasc us, heart add-on1.440.580.580.04ZZZ
    92979TCAIntravasc us, heart add-on0.00NA2.370.11ZZZ
    92980AInsert intracoronary stent14.846.00NA0.78000
    92981AInsert intracoronary stent4.171.69NA0.21ZZZ
    92982ACoronary artery dilation10.984.43NA0.57000
    92984ACoronary artery dilation2.971.20NA0.16ZZZ
    92986ARevision of aortic valve21.8010.19NA1.14090
    92987ARevision of mitral valve22.7010.57NA1.18090
    92990ARevision of pulmonary valve17.348.15NA0.90090
    92992CRevision of heart chamber0.000.000.000.00090
    92993CRevision of heart chamber0.000.000.000.00090
    92995ACoronary atherectomy12.094.88NA0.63000
    92996ACoronary atherectomy add-on3.261.31NA0.17ZZZ
    92997APul art balloon repr, percut12.004.73NA0.63000
    92998APul art balloon repr, percut6.002.26NA0.31ZZZ
    93000AElectrocardiogram, complete0.17NA0.530.03XXX
    93005AElectrocardiogram, tracing0.00NA0.470.02XXX
    93010AElectrocardiogram report0.170.060.060.01XXX
    93012ATransmission of ecg0.00NA2.440.15XXX
    93014AReport on transmitted ecg0.520.190.190.02XXX
    93015ACardiovascular stress test0.75NA2.030.11XXX
    93016ACardiovascular stress test0.450.180.180.01XXX
    93017ACardiovascular stress test0.00NA1.740.09XXX
    93018ACardiovascular stress test0.300.120.120.01XXX
    Start Printed Page 43991
    93024ACardiac drug stress test1.17NA1.620.11XXX
    9302426ACardiac drug stress test1.170.460.460.04XXX
    93024TCACardiac drug stress test0.00NA1.160.07XXX
    93025AMicrovolt t-wave assess0.75NA7.710.11XXX
    9302526AMicrovolt t-wave assess0.75NA0.310.02XXX
    93025TCAMicrovolt t-wave assess0.00NA7.400.09XXX
    93040ARhythm ECG with report0.16NA0.380.02XXX
    93041ARhythm ECG, tracing0.00NA0.150.01XXX
    93042ARhythm ECG, report0.160.050.050.01XXX
    93224AECG monitor/report, 24 hrs0.52NA3.740.21XXX
    93225AECG monitor/record, 24 hrs0.00NA1.280.07XXX
    93226AECG monitor/report, 24 hrs0.00NA2.260.12XXX
    93227AECG monitor/review, 24 hrs0.520.200.200.02XXX
    93230AECG monitor/report, 24 hrs0.52NA4.020.22XXX
    93231AEcg monitor/record, 24 hrs0.00NA1.570.09XXX
    93232AECG monitor/report, 24 hrs0.00NA2.250.11XXX
    93233AECG monitor/review, 24 hrs0.520.200.200.02XXX
    93235AECG monitor/report, 24 hrs0.45NA2.880.13XXX
    93236AECG monitor/report, 24 hrs0.00NA2.710.12XXX
    93237AECG monitor/review, 24 hrs0.450.170.170.01XXX
    93268AECG record/review0.52NA3.910.24XXX
    93270AECG recording0.00NA1.280.07XXX
    93271AEcg/monitoring and analysis0.00NA2.440.15XXX
    93272AEcg/review, interpret only0.520.190.190.02XXX
    93278AECG/signal-averaged0.25NA1.290.10XXX
    9327826AECG/signal-averaged0.250.100.100.01XXX
    93278TCAECG/signal-averaged0.00NA1.190.09XXX
    93303AEcho transthoracic1.30NA4.480.23XXX
    9330326AEcho transthoracic1.300.490.490.04XXX
    93303TCAEcho transthoracic0.00NA3.990.19XXX
    93304AEcho transthoracic0.75NA2.300.13XXX
    9330426AEcho transthoracic0.750.290.290.02XXX
    93304TCAEcho transthoracic0.00NA2.010.11XXX
    93307AEcho exam of heart0.92NA4.350.22XXX
    9330726AEcho exam of heart0.920.360.360.03XXX
    93307TCAEcho exam of heart0.00NA3.990.19XXX
    93308AEcho exam of heart0.53NA2.220.13XXX
    9330826AEcho exam of heart0.530.210.210.02XXX
    93308TCAEcho exam of heart0.00NA2.010.11XXX
    93312AEcho transesophageal2.20NA4.720.32XXX
    9331226AEcho transesophageal2.200.810.810.08XXX
    93312TCAEcho transesophageal0.00NA3.910.24XXX
    93313AEcho transesophageal0.950.225.000.05XXX
    93314AEcho transesophageal1.25NA4.390.28XXX
    9331426AEcho transesophageal1.250.480.480.04XXX
    93314TCAEcho transesophageal0.00NA3.910.24XXX
    93315AEcho transesophageal2.78NA4.950.34XXX
    9331526AEcho transesophageal2.781.041.040.10XXX
    93315TCAEcho transesophageal0.00NA3.910.24XXX
    93316AEcho transesophageal0.950.245.510.05XXX
    93317AEcho transesophageal1.83NA4.590.30XXX
    9331726AEcho transesophageal1.830.690.690.06XXX
    93317TCAEcho transesophageal0.00NA3.910.24XXX
    93318CEcho transesophageal intraop0.000.000.000.00XXX
    9331826AEcho transesophageal intraop2.20NA0.850.06XXX
    93318TCCEcho transesophageal intraop0.000.000.000.00XXX
    93320ADoppler echo exam, heart0.38NA1.920.11ZZZ
    9332026ADoppler echo exam, heart0.380.150.150.01ZZZ
    93320TCADoppler echo exam, heart0.00NA1.770.10ZZZ
    93321ADoppler echo exam, heart0.15NA1.210.08ZZZ
    9332126ADoppler echo exam, heart0.150.060.060.01ZZZ
    93321TCADoppler echo exam, heart0.00NA1.150.07ZZZ
    93325ADoppler color flow add-on0.07NA3.030.18ZZZ
    9332526ADoppler color flow add-on0.070.030.030.01ZZZ
    93325TCADoppler color flow add-on0.00NA3.000.17ZZZ
    93350AEcho transthoracic1.48NA2.400.13XXX
    Start Printed Page 43992
    9335026AEcho transthoracic1.480.590.590.02XXX
    93350TCAEcho transthoracic0.00NA1.820.11XXX
    93501ARight heart catheterization3.02NA16.721.03000
    9350126ARight heart catheterization3.021.191.190.16000
    93501TCARight heart catheterization0.00NA15.530.87000
    93503AInsert/place heart catheter2.910.71NA0.16000
    93505ABiopsy of heart lining4.38NA3.550.36000
    9350526ABiopsy of heart lining4.381.731.730.23000
    93505TCABiopsy of heart lining0.00NA1.820.13000
    93508ACath placement, angiography4.10NA13.240.75000
    9350826ACath placement, angiography4.101.651.650.21000
    93508TCACath placement, angiography0.00NA11.590.54000
    93510ALeft heart catheterization4.33NA35.702.13000
    9351026ALeft heart catheterization4.331.751.750.22000
    93510TCALeft heart catheterization0.00NA33.951.91000
    93511ALeft heart catheterization5.03NA35.082.11000
    9351126ALeft heart catheterization5.032.032.030.26000
    93511TCALeft heart catheterization0.00NA33.051.85000
    93514ALeft heart catheterization7.05NA35.822.22000
    9351426ALeft heart catheterization7.052.772.770.37000
    93514TCALeft heart catheterization0.00NA33.051.85000
    93524ALeft heart catheterization6.95NA45.982.79000
    9352426ALeft heart catheterization6.952.792.790.36000
    93524TCALeft heart catheterization0.00NA43.192.43000
    93526ARt & Lt heart catheters5.99NA46.792.81000
    9352626ARt & Lt heart catheters5.992.412.410.31000
    93526TCARt & Lt heart catheters0.00NA44.372.50000
    93527ARt & Lt heart catheters7.28NA46.122.81000
    9352726ARt & Lt heart catheters7.282.932.930.38000
    93527TCARt & Lt heart catheters0.00NA43.192.43000
    93528ARt & Lt heart catheters9.00NA46.852.90000
    9352826ARt & Lt heart catheters9.003.663.660.47000
    93528TCARt & Lt heart catheters0.00NA43.192.43000
    93529ARt&lt heart catheterization4.80NA45.082.68000
    9352926ARt&lt heart catheterization4.801.891.890.25000
    93529TCARt&lt heart catheterization0.00NA43.192.43000
    93530ARt heart cath, congenital4.23NA17.101.11000
    9353026ARt heart cath, congenital4.231.561.560.24000
    93530TCARt heart cath, congenital0.00NA15.530.87000
    93531AR & l heart cath, congenital8.35NA47.642.96000
    9353126AR & l heart cath, congenital8.353.273.270.46000
    93531TCAR & l heart cath, congenital0.00NA44.372.50000
    93532AR & l heart cath, congenital10.00NA47.112.95000
    9353226AR & l heart cath, congenital10.003.923.920.52000
    93532TCAR & l heart cath, congenital0.00NA43.192.43000
    93533AR & l heart cath, congenital6.70NA45.652.86000
    9353326AR & l heart cath, congenital6.702.462.460.43000
    93533TCAR & l heart cath, congenital0.00NA43.192.43000
    93536DInsert circulation assi4.851.87NA0.27000
    93539AInjection, cardiac cath0.400.160.840.01000
    93540AInjection, cardiac cath0.430.170.850.01000
    93541AInjection for lung angiogram0.290.12NA0.01000
    93542AInjection for heart x-rays0.290.12NA0.01000
    93543AInjection for heart x-rays0.290.120.540.01000
    93544AInjection for aortography0.250.100.530.01000
    93545AInject for coronary x-rays0.400.160.840.01000
    93555AImaging, cardiac cath0.81NA6.090.31XXX
    9355526AImaging, cardiac cath0.810.330.330.03XXX
    93555TCAImaging, cardiac cath0.00NA5.760.28XXX
    93556AImaging, cardiac cath0.83NA9.430.45XXX
    9355626AImaging, cardiac cath0.830.330.330.03XXX
    93556TCAImaging, cardiac cath0.00NA9.090.42XXX
    93561ACardiac output measurement0.50NA0.660.07000
    9356126ACardiac output measurement0.500.160.160.02000
    93561TCACardiac output measurement0.00NA0.500.05000
    93562ACardiac output measurement0.16NA0.330.04000
    Start Printed Page 43993
    9356226ACardiac output measurement0.160.050.050.01000
    93562TCACardiac output measurement0.00NA0.280.03000
    93571AHeart flow reserve measure1.80NA5.420.31ZZZ
    9357126AHeart flow reserve measure1.800.700.700.11ZZZ
    93571TCAHeart flow reserve measure0.00NA4.720.20ZZZ
    93572AHeart flow reserve measure1.44NA2.870.28ZZZ
    9357226AHeart flow reserve measure1.440.500.500.17ZZZ
    93572TCAHeart flow reserve measure0.00NA2.370.11ZZZ
    93600ABundle of His recording2.12NA2.870.22000
    9360026ABundle of His recording2.120.860.860.11000
    93600TCABundle of His recording0.00NA2.020.11000
    93602AIntra-atrial recording2.12NA1.990.18000
    9360226AIntra-atrial recording2.120.850.850.12000
    93602TCAIntra-atrial recording0.00NA1.150.06000
    93603ARight ventricular recording2.12NA2.570.20000
    9360326ARight ventricular recording2.120.840.840.11000
    93603TCARight ventricular recording0.00NA1.740.09000
    93607DLeft ventricular recording3.26NA1.320.26000
    9360726DLeft ventricular recording3.261.321.320.17000
    93607TCDLeft ventricular recording0.00NANA0.09000
    93609AMap tachycardia, add-on4.81NA4.740.66ZZZ
    9360926AMap tachycardia, add-on4.811.931.930.52ZZZ
    93609TCAMap tachycardia, add-on0.00NA2.810.14ZZZ
    93610AIntra-atrial pacing3.02NA2.590.25000
    9361026AIntra-atrial pacing3.021.191.190.17000
    93610TCAIntra-atrial pacing0.00NA1.400.08000
    93612AIntraventricular pacing3.02NA2.860.26000
    9361226AIntraventricular pacing3.021.191.190.17000
    93612TCAIntraventricular pacing0.00NA1.670.09000
    93613CElectrophys map, 3d, add-on0.000.000.000.00ZZZ
    93615AEsophageal recording0.99NA0.610.05000
    9361526AEsophageal recording0.990.280.280.03000
    93615TCAEsophageal recording0.00NA0.330.02000
    93616AEsophageal recording1.49NA0.770.08000
    9361626AEsophageal recording1.490.440.440.06000
    93616TCAEsophageal recording0.00NA0.330.02000
    93618AHeart rhythm pacing4.26NA5.820.42000
    9361826AHeart rhythm pacing4.261.721.720.22000
    93618TCAHeart rhythm pacing0.00NA4.100.20000
    93619AElectrophysiology evaluation7.32NA10.900.77000
    9361926AElectrophysiology evaluation7.322.932.930.38000
    93619TCAElectrophysiology evaluation0.00NA7.960.39000
    93620AElectrophysiology evaluation11.59NA13.911.04000
    9362026AElectrophysiology evaluation11.594.654.650.60000
    93620TCAElectrophysiology evaluation0.00NA9.260.44000
    93621CElectrophysiology evaluation0.000.000.000.00ZZZ
    9362126AElectrophysiology evaluation2.100.840.840.15ZZZ
    93621TCCElectrophysiology evaluation0.000.000.000.00ZZZ
    93622CElectrophysiology evaluation0.000.000.000.00ZZZ
    9362226AElectrophysiology evaluation3.101.241.240.67ZZZ
    93622TCCElectrophysiology evaluation0.000.000.000.00ZZZ
    93623CStimulation, pacing heart0.000.000.000.00ZZZ
    9362326AStimulation, pacing heart2.851.141.140.15ZZZ
    93623TCCStimulation, pacing heart0.000.000.000.00ZZZ
    93624AElectrophysiologic study4.81NA3.970.36000
    9362426AElectrophysiologic study4.811.921.920.25000
    93624TCAElectrophysiologic study0.00NA2.050.11000
    93631AHeart pacing, mapping7.60NA9.181.17000
    9363126AHeart pacing, mapping7.602.822.820.66000
    93631TCAHeart pacing, mapping0.00NA6.350.51000
    93640AEvaluation heart device3.52NA8.820.53000
    9364026AEvaluation heart device3.521.411.410.18000
    93640TCAEvaluation heart device0.00NA7.410.35000
    93641AElectrophysiology evaluation5.93NA9.800.66000
    9364126AElectrophysiology evaluation5.932.382.380.31000
    93641TCAElectrophysiology evaluation0.00NA7.410.35000
    Start Printed Page 43994
    93642AElectrophysiology evaluation4.89NA9.360.51000
    9364226AElectrophysiology evaluation4.891.941.940.16000
    93642TCAElectrophysiology evaluation0.00NA7.410.35000
    93650AAblate heart dysrhythm focus10.514.22NA0.55000
    93651AAblate heart dysrhythm focus16.256.53NA0.85000
    93652AAblate heart dysrhythm focus17.687.10NA0.92000
    93660ATilt table evaluation1.89NA2.500.08000
    9366026ATilt table evaluation1.890.760.760.06000
    93660TCATilt table evaluation0.00NA1.740.02000
    93662CIntracardiac ecg (ice)0.000.000.000.00ZZZ
    9366226AIntracardiac ecg (ice)2.801.141.140.41ZZZ
    93662TCCIntracardiac ecg (ice)0.000.000.000.00ZZZ
    93668NPeripheral vascular rehab0.000.000.000.00XXX
    93701ABioimpedance, thoracic0.17NA0.790.02XXX
    9370126ABioimpedance, thoracic0.170.060.060.01XXX
    93701TCABioimpedance, thoracic0.00NA0.730.01XXX
    93720ATotal body plethysmography0.17NA1.090.06XXX
    93721APlethysmography tracing0.00NA0.730.05XXX
    93722APlethysmography report0.170.050.050.01XXX
    93724AAnalyze pacemaker system4.89NA6.070.38000
    9372426AAnalyze pacemaker system4.891.971.970.18000
    93724TCAAnalyze pacemaker system0.00NA4.100.20000
    93727AAnalyze ilr system0.520.190.190.05XXX
    93731AAnalyze pacemaker system0.45NA0.690.05XXX
    9373126AAnalyze pacemaker system0.450.180.180.02XXX
    93731TCAAnalyze pacemaker system0.00NA0.510.03XXX
    93732AAnalyze pacemaker system0.92NA0.890.06XXX
    9373226AAnalyze pacemaker system0.920.360.360.03XXX
    93732TCAAnalyze pacemaker system0.00NA0.530.03XXX
    93733ATelephone analy, pacemaker0.17NA0.820.06XXX
    9373326ATelephone analy, pacemaker0.170.070.070.01XXX
    93733TCATelephone analy, pacemaker0.00NA0.750.05XXX
    93734AAnalyze pacemaker system0.38NA0.510.03XXX
    9373426AAnalyze pacemaker system0.380.150.150.01XXX
    93734TCAAnalyze pacemaker system0.00NA0.360.02XXX
    93735AAnalyze pacemaker system0.74NA0.750.06XXX
    9373526AAnalyze pacemaker system0.740.290.290.03XXX
    93735TCAAnalyze pacemaker system0.00NA0.460.03XXX
    93736ATelephone analy, pacemaker0.15NA0.710.06XXX
    9373626ATelephone analy, pacemaker0.150.060.060.01XXX
    93736TCATelephone analy, pacemaker0.00NA0.650.05XXX
    93737DAnalyze cardio/defibrillator0.45NA0.710.04XXX
    9373726DAnalyze cardio/defibrillator0.450.170.170.01XXX
    93737TCDAnalyze cardio/defibrillator0.00NA0.540.03XXX
    93738DAnalyze cardio/defibrillator0.92NA0.960.06XXX
    9373826DAnalyze cardio/defibrillator0.920.360.360.03XXX
    93738TCDAnalyze cardio/defibrillator0.00NA0.600.03XXX
    93740BTemperature gradient studies0.16NA0.220.02XXX
    9374026BTemperature gradient studies0.160.060.060.01XXX
    93740TCBTemperature gradient studies0.00NA0.160.01XXX
    93741AAnalyze ht pace device sngl0.80NA1.010.05XXX
    9374126AAnalyze ht pace device sngl0.800.320.320.02XXX
    93741TCAAnalyze ht pace device sngl0.00NA0.690.03XXX
    93742AAnalyze ht pace device sngl0.91NA1.060.05XXX
    9374226AAnalyze ht pace device sngl0.910.370.370.02XXX
    93742TCAAnalyze ht pace device sngl0.00NA0.690.03XXX
    93743AAnalyze ht pace device dual1.03NA1.170.06XXX
    9374326AAnalyze ht pace device dual1.030.410.410.03XXX
    93743TCAAnalyze ht pace device dual0.00NA0.760.03XXX
    93744AAnalyze ht pace device dual1.18NA1.160.06XXX
    9374426AAnalyze ht pace device dual1.180.470.470.03XXX
    93744TCAAnalyze ht pace device dual0.00NA0.690.03XXX
    93760NCephalic thermogram0.000.000.000.00XXX
    93762NPeripheral thermogram0.000.000.000.00XXX
    93770BMeasure venous pressure0.16NA0.090.02XXX
    9377026BMeasure venous pressure0.160.060.060.01XXX
    Start Printed Page 43995
    93770TCBMeasure venous pressure0.00NA0.030.01XXX
    93784AAmbulatory BP monitoring0.17NA1.060.02XXX
    93786AAmbulatory BP recording0.00NA1.000.01XXX
    93788NAmbulatory BP analysis0.000.000.000.00XXX
    93790AReview/report BP recording0.170.060.060.01XXX
    93797ACardiac rehab0.180.070.340.01000
    93798ACardiac rehab/monitor0.280.110.440.01000
    93799CCardiovascular procedure0.000.000.000.00XXX
    9379926CCardiovascular procedure0.000.000.000.00XXX
    93799TCCCardiovascular procedure0.000.000.000.00XXX
    93875AExtracranial study0.22NA1.710.10XXX
    9387526AExtracranial study0.220.080.080.01XXX
    93875TCAExtracranial study0.00NA1.630.09XXX
    93880AExtracranial study0.60NA4.600.33XXX
    9388026AExtracranial study0.600.210.210.04XXX
    93880TCAExtracranial study0.00NA4.390.29XXX
    93882AExtracranial study0.40NA3.240.22XXX
    9388226AExtracranial study0.400.140.140.04XXX
    93882TCAExtracranial study0.00NA3.100.18XXX
    93886AIntracranial study0.94NA5.010.37XXX
    9388626AIntracranial study0.940.380.380.05XXX
    93886TCAIntracranial study0.00NA4.630.32XXX
    93888AIntracranial study0.62NA3.440.26XXX
    9388826AIntracranial study0.620.230.230.04XXX
    93888TCAIntracranial study0.00NA3.210.22XXX
    93922AExtremity study0.25NA2.380.13XXX
    9392226AExtremity study0.250.090.090.02XXX
    93922TCAExtremity study0.00NA2.290.11XXX
    93923AExtremity study0.45NA2.890.22XXX
    9392326AExtremity study0.450.160.160.04XXX
    93923TCAExtremity study0.00NA2.740.18XXX
    93924AExtremity study0.50NA4.070.26XXX
    9392426AExtremity study0.500.170.170.05XXX
    93924TCAExtremity study0.00NA3.900.21XXX
    93925ALower extremity study0.58NA4.530.33XXX
    9392526ALower extremity study0.580.200.200.04XXX
    93925TCALower extremity study0.00NA4.330.29XXX
    93926ALower extremity study0.39NA3.360.22XXX
    9392626ALower extremity study0.390.130.130.03XXX
    93926TCALower extremity study0.00NA3.220.19XXX
    93930AUpper extremity study0.46NA4.500.34XXX
    9393026AUpper extremity study0.460.160.160.03XXX
    93930TCAUpper extremity study0.00NA4.340.31XXX
    93931AUpper extremity study0.31NA3.290.22XXX
    9393126AUpper extremity study0.310.110.110.02XXX
    93931TCAUpper extremity study0.00NA3.180.20XXX
    93965AExtremity study0.35NA1.990.12XXX
    9396526AExtremity study0.350.120.120.02XXX
    93965TCAExtremity study0.00NA1.860.10XXX
    93970AExtremity study0.68NA4.690.38XXX
    9397026AExtremity study0.680.240.240.05XXX
    93970TCAExtremity study0.00NA4.450.33XXX
    93971AExtremity study0.45NA3.740.25XXX
    9397126AExtremity study0.450.150.150.03XXX
    93971TCAExtremity study0.00NA3.590.22XXX
    93975AVascular study1.80NA6.370.47XXX
    9397526AVascular study1.800.620.620.11XXX
    93975TCAVascular study0.00NA5.750.36XXX
    93976AVascular study1.21NA4.670.31XXX
    9397626AVascular study1.210.410.410.06XXX
    93976TCAVascular study0.00NA4.260.25XXX
    93978AVascular study0.65NA4.390.36XXX
    9397826AVascular study0.650.230.230.05XXX
    93978TCAVascular study0.00NA4.170.31XXX
    93979AVascular study0.44NA3.150.24XXX
    9397926AVascular study0.440.160.160.04XXX
    Start Printed Page 43996
    93979TCAVascular study0.00NA2.990.20XXX
    93980APenile vascular study1.25NA4.760.35XXX
    9398026APenile vascular study1.250.420.420.07XXX
    93980TCAPenile vascular study0.00NA4.340.28XXX
    93981APenile vascular study0.44NA4.690.28XXX
    9398126APenile vascular study0.440.150.150.02XXX
    93981TCAPenile vascular study0.00NA4.540.26XXX
    93990ADoppler flow testing0.25NA3.180.21XXX
    9399026ADoppler flow testing0.250.090.090.02XXX
    93990TCADoppler flow testing0.00NA3.090.19XXX
    94010ABreathing capacity test0.17NA0.850.03XXX
    9401026ABreathing capacity test0.170.050.050.01XXX
    94010TCABreathing capacity test0.00NA0.790.02XXX
    94014APatient recorded spirometry0.52NA0.170.03XXX
    94015APatient recorded spirometry0.00NA0.000.01XXX
    94016AReview patient spirometry0.520.170.170.02XXX
    94060AEvaluation of wheezing0.31NA1.470.06XXX
    9406026AEvaluation of wheezing0.310.100.100.01XXX
    94060TCAEvaluation of wheezing0.00NA1.370.05XXX
    94070AEvaluation of wheezing0.60NA4.100.10XXX
    9407026AEvaluation of wheezing0.600.190.190.02XXX
    94070TCAEvaluation of wheezing0.00NA3.920.08XXX
    94150BVital capacity test0.07NA0.640.02XXX
    9415026BVital capacity test0.070.030.030.01XXX
    94150TCBVital capacity test0.00NA0.610.01XXX
    94200ALung function test (MBC/MVV)0.11NA0.610.03XXX
    9420026ALung function test (MBC/MVV)0.110.030.030.01XXX
    94200TCALung function test (MBC/MVV)0.00NA0.580.02XXX
    94240AResidual lung capacity0.26NA1.830.05XXX
    9424026AResidual lung capacity0.260.080.080.01XXX
    94240TCAResidual lung capacity0.00NA1.750.04XXX
    94250AExpired gas collection0.11NA0.660.02XXX
    9425026AExpired gas collection0.110.030.030.01XXX
    94250TCAExpired gas collection0.00NA0.630.01XXX
    94260AThoracic gas volume0.13NA0.530.04XXX
    9426026AThoracic gas volume0.130.040.040.01XXX
    94260TCAThoracic gas volume0.00NA0.490.03XXX
    94350ALung nitrogen washout curve0.26NA1.900.04XXX
    9435026ALung nitrogen washout curve0.260.080.080.01XXX
    94350TCALung nitrogen washout curve0.00NA1.810.03XXX
    94360AMeasure airflow resistance0.26NA0.550.06XXX
    9436026AMeasure airflow resistance0.260.080.080.01XXX
    94360TCAMeasure airflow resistance0.00NA0.460.05XXX
    94370ABreath airway closing volume0.26NA1.920.03XXX
    9437026ABreath airway closing volume0.260.080.080.01XXX
    94370TCABreath airway closing volume0.00NA1.840.02XXX
    94375ARespiratory flow volume loop0.31NA0.640.03XXX
    9437526ARespiratory flow volume loop0.310.100.100.01XXX
    94375TCARespiratory flow volume loop0.00NA0.540.02XXX
    94400ACO2 breathing response curve0.40NA0.870.06XXX
    9440026ACO2 breathing response curve0.400.130.130.01XXX
    94400TCACO2 breathing response curve0.00NA0.740.05XXX
    94450AHypoxia response curve0.40NA0.670.04XXX
    9445026AHypoxia response curve0.400.120.120.02XXX
    94450TCAHypoxia response curve0.00NA0.550.02XXX
    94620APulmonary stress test/simple0.64NA2.230.10XXX
    9462026APulmonary stress test/simple0.640.200.200.02XXX
    94620TCAPulmonary stress test/simple0.00NA2.030.08XXX
    94621APulm stress test/complex1.42NA2.140.13XXX
    9462126APulm stress test/complex1.420.450.450.05XXX
    94621TCAPulm stress test/complex0.00NA1.690.08XXX
    94640AAirway inhalation treatment0.00NA0.690.02XXX
    94642CAerosol inhalation treatment0.000.000.000.00XXX
    94650APressure breathing (IPPB)0.00NA0.650.02XXX
    94651APressure breathing (IPPB)0.00NA0.600.02XXX
    94652APressure breathing (IPPB)0.00NA0.830.06XXX
    Start Printed Page 43997
    94656AInitial ventilator mgmt1.220.33NA0.06XXX
    94657AContinued ventilator mgmt0.830.26NA0.03XXX
    94660APos airway pressure, CPAP0.760.240.660.03XXX
    94662ANeg press ventilation, cnp0.760.24NA0.02XXX
    94664AAerosol or vapor inhalations0.00NA0.510.03XXX
    94665AAerosol or vapor inhalations0.00NA0.520.04XXX
    94667AChest wall manipulation0.00NA0.800.04XXX
    94668AChest wall manipulation0.00NA0.700.02XXX
    94680AExhaled air analysis, o20.26NA1.840.06XXX
    9468026AExhaled air analysis, o20.260.090.090.01XXX
    94680TCAExhaled air analysis, o20.00NA1.760.05XXX
    94681AExhaled air analysis, o2/co20.20NA2.450.11XXX
    9468126AExhaled air analysis, o2/co20.200.070.070.01XXX
    94681TCAExhaled air analysis, o2/co20.00NA2.380.10XXX
    94690AExhaled air analysis0.07NA2.060.04XXX
    9469026AExhaled air analysis0.070.020.020.01XXX
    94690TCAExhaled air analysis0.00NA2.040.03XXX
    94720AMonoxide diffusing capacity0.26NA1.500.06XXX
    9472026AMonoxide diffusing capacity0.260.080.080.01XXX
    94720TCAMonoxide diffusing capacity0.00NA1.420.05XXX
    94725AMembrane diffusion capacity0.26NA2.510.11XXX
    9472526AMembrane diffusion capacity0.260.080.080.01XXX
    94725TCAMembrane diffusion capacity0.00NA2.420.10XXX
    94750APulmonary compliance study0.23NA2.040.04XXX
    9475026APulmonary compliance study0.230.070.070.01XXX
    94750TCAPulmonary compliance study0.00NA1.970.03XXX
    94760TMeasure blood oxygen level0.00NA0.090.02XXX
    94761TMeasure blood oxygen level0.00NA0.160.05XXX
    94762AMeasure blood oxygen level0.00NA0.710.08XXX
    94770AExhaled carbon dioxide test0.15NA1.640.07XXX
    9477026AExhaled carbon dioxide test0.150.040.040.01XXX
    94770TCAExhaled carbon dioxide test0.00NA1.600.06XXX
    94772CBreath recording, infant0.000.000.000.00XXX
    9477226CBreath recording, infant0.000.000.000.00XXX
    94772TCCBreath recording, infant0.000.000.000.00XXX
    94799CPulmonary service/procedure0.000.000.000.00XXX
    9479926CPulmonary service/procedure0.000.000.000.00XXX
    94799TCCPulmonary service/procedure0.000.000.000.00XXX
    95004AAllergy skin tests0.00NA0.100.01XXX
    95010ASensitivity skin tests0.150.060.440.01XXX
    95015ASensitivity skin tests0.150.060.380.01XXX
    95024AAllergy skin tests0.00NA0.150.01XXX
    95027ASkin end point titration0.00NA0.150.01XXX
    95028AAllergy skin tests0.00NA0.240.01XXX
    95044AAllergy patch tests0.00NA0.210.01XXX
    95052APhoto patch test0.00NA0.260.01XXX
    95056APhotosensitivity tests0.00NA0.180.01XXX
    95060AEye allergy tests0.00NA0.360.02XXX
    95065ANose allergy test0.00NA0.210.01XXX
    95070ABronchial allergy tests0.00NA2.360.02XXX
    95071ABronchial allergy tests0.00NA3.020.02XXX
    95075AIngestion challenge test0.950.400.830.03XXX
    95078AProvocative testing0.00NA0.260.02XXX
    95115AImmunotherapy, one injection0.00NA0.400.02000
    95117AImmunotherapy injections0.00NA0.520.02000
    95120IImmunotherapy, one injection0.000.000.000.00XXX
    95125IImmunotherapy, many antigens0.000.000.000.00XXX
    95130IImmunotherapy, insect venom0.000.000.000.00XXX
    95131IImmunotherapy, insect venoms0.000.000.000.00XXX
    95132IImmunotherapy, insect venoms0.000.000.000.00XXX
    95133IImmunotherapy, insect venoms0.000.000.000.00XXX
    95134IImmunotherapy, insect venoms0.000.000.000.00XXX
    95144AAntigen therapy services0.060.020.250.01000
    95145AAntigen therapy services0.060.020.480.01000
    95146AAntigen therapy services0.060.030.600.01000
    95147AAntigen therapy services0.060.020.830.01000
    Start Printed Page 43998
    95148AAntigen therapy services0.060.030.810.01000
    95149AAntigen therapy services0.060.031.010.01000
    95165AAntigen therapy services0.060.020.200.01000
    95170AAntigen therapy services0.060.020.260.01000
    95180ARapid desensitization2.010.841.610.04000
    95199CAllergy immunology services0.000.000.000.00000
    95250AGlucose monitoring, cont0.00NA3.120.01XXX
    95805AMultiple sleep latency test1.88NA13.890.34XXX
    9580526AMultiple sleep latency test1.880.680.680.06XXX
    95805TCAMultiple sleep latency test0.00NA13.210.28XXX
    95806ASleep study, unattended1.66NA3.870.32XXX
    9580626ASleep study, unattended1.660.550.550.06XXX
    95806TCASleep study, unattended0.00NA3.320.26XXX
    95807ASleep study, attended1.66NA26.100.40XXX
    9580726ASleep study, attended1.660.540.540.05XXX
    95807TCASleep study, attended0.00NA25.560.35XXX
    95808APolysomnography, 1-32.65NA19.700.44XXX
    9580826APolysomnography, 1-32.650.950.950.09XXX
    95808TCAPolysomnography, 1-30.00NA18.750.35XXX
    95810APolysomnography, 4 or more3.53NA28.480.47XXX
    9581026APolysomnography, 4 or more3.531.221.220.12XXX
    95810TCAPolysomnography, 4 or more0.00NA27.260.35XXX
    95811APolysomnography w/cpap3.80NA28.830.49XXX
    9581126APolysomnography w/cpap3.801.311.310.13XXX
    95811TCAPolysomnography w/cpap0.00NA27.520.36XXX
    95812AElectroencephalogram (EEG)1.08NA4.620.13XXX
    9581226AElectroencephalogram (EEG)1.080.460.460.04XXX
    95812TCAElectroencephalogram (EEG)0.00NA4.160.09XXX
    95813AElectroencephalogram (EEG)1.73NA5.750.15XXX
    9581326AElectroencephalogram (EEG)1.730.720.720.06XXX
    95813TCAElectroencephalogram (EEG)0.00NA5.030.09XXX
    95816AElectroencephalogram (EEG)1.08NA3.580.12XXX
    9581626AElectroencephalogram (EEG)1.080.470.470.04XXX
    95816TCAElectroencephalogram (EEG)0.00NA3.110.08XXX
    95819AElectroencephalogram (EEG)1.08NA4.160.12XXX
    9581926AElectroencephalogram (EEG)1.080.470.470.04XXX
    95819TCAElectroencephalogram (EEG)0.00NA3.690.08XXX
    95822ASleep electroencephalogram1.08NA4.960.15XXX
    9582226ASleep electroencephalogram1.080.470.470.04XXX
    95822TCASleep electroencephalogram0.00NA4.490.11XXX
    95824CElectroencephalography0.000.000.000.00XXX
    9582426AElectroencephalography0.740.290.290.05XXX
    95824TCCElectroencephalography0.000.000.000.00XXX
    95827ANight electroencephalogram1.08NA2.790.15XXX
    9582726ANight electroencephalogram1.080.420.420.03XXX
    95827TCANight electroencephalogram0.00NA2.370.12XXX
    95829ASurgery electrocorticogram6.21NA39.600.33XXX
    9582926ASurgery electrocorticogram6.212.412.410.31XXX
    95829TCASurgery electrocorticogram0.00NA37.190.02XXX
    95830AInsert electrodes for EEG1.700.753.510.07XXX
    95831ALimb muscle testing, manual0.280.130.520.01XXX
    95832AHand muscle testing, manual0.290.120.430.01XXX
    95833ABody muscle testing, manual0.470.230.590.01XXX
    95834ABody muscle testing, manual0.600.290.570.02XXX
    95851ARange of motion measurements0.160.080.570.01XXX
    95852ARange of motion measurements0.110.050.470.01XXX
    95857ATensilon test0.530.230.640.02XXX
    95858ATensilon test & myogram1.56NA1.100.07XXX
    9585826ATensilon test & myogram1.560.690.690.04XXX
    95858TCATensilon test & myogram0.00NA0.410.03XXX
    95860AMuscle test, one limb0.96NA1.610.05XXX
    9586026AMuscle test, one limb0.960.430.430.03XXX
    95860TCAMuscle test, one limb0.00NA1.180.02XXX
    95861AMuscle test, two limbs1.54NA1.460.10XXX
    9586126AMuscle test, two limbs1.540.700.700.05XXX
    95861TCAMuscle test, two limbs0.00NA0.760.05XXX
    Start Printed Page 43999
    95863AMuscle test, 3 limbs1.87NA1.800.11XXX
    9586326AMuscle test, 3 limbs1.870.830.830.06XXX
    95863TCAMuscle test, 3 limbs0.00NA0.970.05XXX
    95864AMuscle test, 4 limbs1.99NA2.730.16XXX
    9586426AMuscle test, 4 limbs1.990.900.900.06XXX
    95864TCAMuscle test, 4 limbs0.00NA1.840.10XXX
    95867AMuscle test, head or neck0.79NA0.960.06XXX
    9586726AMuscle test, head or neck0.790.360.360.03XXX
    95867TCAMuscle test, head or neck0.00NA0.600.03XXX
    95868AMuscle test, head or neck1.18NA1.250.08XXX
    9586826AMuscle test, head or neck1.180.530.530.04XXX
    95868TCAMuscle test, head or neck0.00NA0.720.04XXX
    95869AMuscle test, thor paraspinal0.37NA0.390.03XXX
    9586926AMuscle test, thor paraspinal0.370.170.170.01XXX
    95869TCAMuscle test, thor paraspinal0.00NA0.220.02XXX
    95870AMuscle test, nonparaspinal0.37NA0.380.03XXX
    9587026AMuscle test, nonparaspinal0.370.160.160.01XXX
    95870TCAMuscle test, nonparaspinal0.00NA0.220.02XXX
    95872AMuscle test, one fiber1.50NA1.270.08XXX
    9587226AMuscle test, one fiber1.500.650.650.04XXX
    95872TCAMuscle test, one fiber0.00NA0.620.04XXX
    95875ALimb exercise test1.10NA1.700.09XXX
    9587526ALimb exercise test1.100.480.480.04XXX
    95875TCALimb exercise test0.00NA1.220.05XXX
    95900AMotor nerve conduction test0.42NA1.110.03XXX
    9590026AMotor nerve conduction test0.420.190.190.01XXX
    95900TCAMotor nerve conduction test0.00NA0.920.02XXX
    95903AMotor nerve conduction test0.60NA1.030.04XXX
    9590326AMotor nerve conduction test0.600.270.270.02XXX
    95903TCAMotor nerve conduction test0.00NA0.770.02XXX
    95904ASense nerve conduction test0.34NA0.930.03XXX
    9590426ASense nerve conduction test0.340.150.150.01XXX
    95904TCASense nerve conduction test0.00NA0.780.02XXX
    95920AIntraop nerve test add-on2.11NA2.310.20ZZZ
    9592026AIntraop nerve test add-on2.110.960.960.14ZZZ
    95920TCAIntraop nerve test add-on0.00NA1.350.06ZZZ
    95921AAutonomic nerv function test0.90NA0.730.05XXX
    9592126AAutonomic nerv function test0.900.340.340.03XXX
    95921TCAAutonomic nerv function test0.00NA0.390.02XXX
    95922AAutonomic nerv function test0.96NA0.800.05XXX
    9592226AAutonomic nerv function test0.960.410.410.03XXX
    95922TCAAutonomic nerv function test0.00NA0.390.02XXX
    95923AAutonomic nerv function test0.90NA2.950.05XXX
    9592326AAutonomic nerv function test0.900.390.390.03XXX
    95923TCAAutonomic nerv function test0.00NA2.560.02XXX
    95925ASomatosensory testing0.54NA1.170.07XXX
    9592526ASomatosensory testing0.540.230.230.02XXX
    95925TCASomatosensory testing0.00NA0.940.05XXX
    95926ASomatosensory testing0.54NA1.180.07XXX
    9592626ASomatosensory testing0.540.240.240.02XXX
    95926TCASomatosensory testing0.00NA0.940.05XXX
    95927ASomatosensory testing0.54NA1.200.08XXX
    9592726ASomatosensory testing0.540.260.260.03XXX
    95927TCASomatosensory testing0.00NA0.940.05XXX
    95930AVisual evoked potential test0.35NA1.170.02XXX
    9593026AVisual evoked potential test0.350.150.150.01XXX
    95930TCAVisual evoked potential test0.00NA1.020.01XXX
    95933ABlink reflex test0.59NA1.060.07XXX
    9593326ABlink reflex test0.590.250.250.02XXX
    95933TCABlink reflex test0.00NA0.810.05XXX
    95934AH-reflex test0.51NA0.450.04XXX
    9593426AH-reflex test0.510.230.230.02XXX
    95934TCAH-reflex test0.00NA0.220.02XXX
    95936AH-reflex test0.55NA0.470.04XXX
    9593626AH-reflex test0.550.250.250.02XXX
    95936TCAH-reflex test0.00NA0.220.02XXX
    Start Printed Page 44000
    95937ANeuromuscular junction test0.65NA0.630.04XXX
    9593726ANeuromuscular junction test0.650.280.280.02XXX
    95937TCANeuromuscular junction test0.00NA0.350.02XXX
    95950AAmbulatory eeg monitoring1.51NA6.540.44XXX
    9595026AAmbulatory eeg monitoring1.510.650.650.08XXX
    95950TCAAmbulatory eeg monitoring0.00NA5.880.36XXX
    95951AEEG monitoring/videorecord6.00NA39.020.58XXX
    9595126AEEG monitoring/videorecord6.002.632.630.20XXX
    95951TCAEEG monitoring/videorecord0.00NA36.390.38XXX
    95953AEEG monitoring/computer3.08NA7.880.46XXX
    9595326AEEG monitoring/computer3.081.331.330.10XXX
    95953TCAEEG monitoring/computer0.00NA6.540.36XXX
    95954AEEG monitoring/giving drugs2.45NA4.790.15XXX
    9595426AEEG monitoring/giving drugs2.451.081.080.10XXX
    95954TCAEEG monitoring/giving drugs0.00NA3.710.05XXX
    95955AEEG during surgery1.01NA2.400.19XXX
    9595526AEEG during surgery1.010.370.370.05XXX
    95955TCAEEG during surgery0.00NA2.030.14XXX
    95956AEeg monitoring, cable/radio3.08NA14.490.47XXX
    9595626AEeg monitoring, cable/radio3.081.341.340.11XXX
    95956TCAEeg monitoring, cable/radio0.00NA13.140.36XXX
    95957AEEG digital analysis1.98NA2.630.17XXX
    9595726AEEG digital analysis1.980.870.870.07XXX
    95957TCAEEG digital analysis0.00NA1.760.10XXX
    95958AEEG monitoring/function test4.25NA3.590.29XXX
    9595826AEEG monitoring/function test4.251.791.790.18XXX
    95958TCAEEG monitoring/function test0.00NA1.800.11XXX
    95961AElectrode stimulation, brain2.97NA2.710.24XXX
    9596126AElectrode stimulation, brain2.971.361.360.18XXX
    95961TCAElectrode stimulation, brain0.00NA1.350.06XXX
    95962AElectrode stim, brain add-on3.21NA2.780.23ZZZ
    9596226AElectrode stim, brain add-on3.211.431.430.17ZZZ
    95962TCAElectrode stim, brain add-on0.00NA1.350.06ZZZ
    95965CMeg, spontaneous0.000.000.000.00XXX
    9596526AMeg, spontaneous8.003.093.090.20XXX
    95965TCCMeg, spontaneous0.000.000.000.00XXX
    95966CMeg, evoked, single0.000.000.000.00XXX
    9596626AMeg, evoked, single4.001.551.550.18XXX
    95966TCCMeg, evoked, single0.000.000.000.00XXX
    95967CMeg, evoked, each addl0.000.000.000.00ZZZ
    9596726AMeg, evoked, each addl3.501.351.350.17ZZZ
    95967TCCMeg, evoked, each addl0.000.000.000.00ZZZ
    95970AAnalyze neurostim, no prog0.450.140.170.03XXX
    95971AAnalyze neurostim, simple0.780.220.270.06XXX
    95972AAnalyze neurostim, complex1.500.500.600.17XXX
    95973AAnalyze neurostim, complex0.920.310.380.07ZZZ
    95974ACranial neurostim, complex3.001.301.310.15XXX
    95975ACranial neurostim, complex1.700.660.690.07ZZZ
    95999CNeurological procedure0.000.000.000.00XXX
    96000AMotion analysis, video/3d1.800.70NA0.02XXX
    96001AMotion test w/ft press meas2.150.83NA0.02XXX
    96002ADynamic surface emg0.410.16NA0.02XXX
    96003ADynamic fine wire emg0.370.14NA0.03XXX
    96004APhys review of motion tests1.800.700.700.08XXX
    96100APsychological testing0.00NA1.820.15XXX
    96105AAssessment of aphasia0.00NA1.820.15XXX
    96110CDevelopmental test, lim0.000.000.000.00XXX
    96111ADevelopmental test, extend0.00NA1.820.15XXX
    96115ANeurobehavior status exam0.00NA1.820.15XXX
    96117ANeuropsych test battery0.00NA1.820.15XXX
    96150AAssess hlth/behave, init0.500.190.210.02XXX
    96151AAssess hlth/behave, subseq0.480.190.200.02XXX
    96152AIntervene hlth/behave, indiv0.460.180.190.02XXX
    96153AIntervene hlth/behave, group0.100.040.040.01XXX
    96154AInterv hlth/behav, fam w/pt0.450.170.190.02XXX
    96155AInterv hlth/behav fam no pt0.440.170.180.02XXX
    Start Printed Page 44001
    96400AChemotherapy, sc/im0.00NA0.140.01XXX
    96405AIntralesional chemo admin0.520.231.860.02000
    96406AIntralesional chemo admin0.800.302.480.02000
    96408AChemotherapy, push technique0.00NA1.000.05XXX
    96410AChemotherapy infusion method0.00NA1.600.07XXX
    96412AChemo, infuse method add-on0.00NA1.190.06ZZZ
    96414AChemo, infuse method add-on0.00NA1.380.07XXX
    96420AChemotherapy, push technique0.00NA1.290.07XXX
    96422AChemotherapy infusion method0.00NA1.270.07XXX
    96423AChemo, infuse method add-on0.00NA0.500.02ZZZ
    96425AChemotherapy infusion method0.00NA1.480.07XXX
    96440AChemotherapy, intracavitary2.371.068.230.12000
    96445AChemotherapy, intracavitary2.201.038.300.07000
    96450AChemotherapy, into CNS1.890.936.600.06000
    96520APump refilling, maintenance0.00NA0.920.05XXX
    96530APump refilling, maintenance0.00NA1.100.05XXX
    96542AChemotherapy injection1.420.554.080.05XXX
    96545BProvide chemotherapy agent0.000.000.000.00XXX
    96549CChemotherapy, unspecified0.000.000.000.00XXX
    96567APhotodynamic tx, skin0.00NA1.650.03XXX
    96570APhotodynamic tx, 30 min1.100.370.440.04ZZZ
    96571APhotodynamic tx, addl 15 min0.550.200.210.02ZZZ
    96900AUltraviolet light therapy0.00NA0.440.02XXX
    96902BTrichogram0.410.160.240.01XXX
    96910APhotochemotherapy with UV-B0.00NA1.330.03XXX
    96912APhotochemotherapy with UV-A0.00NA1.520.04XXX
    96913APhotochemotherapy, UV-A or B0.00NA2.200.08XXX
    96999CDermatological procedure0.000.000.000.00XXX
    97001APt evaluation1.200.430.550.10XXX
    97002APt re-evaluation0.600.240.360.04XXX
    97003AOt evaluation1.200.320.710.05XXX
    97004AOt re-evaluation0.600.170.690.02XXX
    97005IAthletic train eval0.000.000.000.00XXX
    97006IAthletic train reeval0.000.000.000.00XXX
    97010BHot or cold packs therapy0.06NA0.040.01XXX
    97012AMechanical traction therapy0.25NA0.100.01XXX
    97014AElectric stimulation therapy0.18NA0.190.01XXX
    97016AVasopneumatic device therapy0.18NA0.140.01XXX
    97018AParaffin bath therapy0.06NA0.120.01XXX
    97020AMicrowave therapy0.06NA0.050.01XXX
    97022AWhirlpool therapy0.17NA0.260.01XXX
    97024ADiathermy treatment0.06NA0.050.01XXX
    97026AInfrared therapy0.06NA0.050.01XXX
    97028AUltraviolet therapy0.08NA0.060.01XXX
    97032AElectrical stimulation0.25NA0.200.01XXX
    97033AElectric current therapy0.26NA0.360.02XXX
    97034AContrast bath therapy0.21NA0.140.01XXX
    97035AUltrasound therapy0.21NA0.080.01XXX
    97036AHydrotherapy0.28NA0.340.01XXX
    97039APhysical therapy treatment0.20NA0.080.01XXX
    97110ATherapeutic exercises0.45NA0.250.03XXX
    97112ANeuromuscular reeducation0.45NA0.280.02XXX
    97113AAquatic therapy/exercises0.44NA0.320.03XXX
    97116AGait training therapy0.40NA0.210.02XXX
    97124AMassage therapy0.35NA0.210.01XXX
    97139APhysical medicine procedure0.21NA0.210.01XXX
    97140AManual therapy0.43NA0.230.02XXX
    97150AGroup therapeutic procedures0.27NA0.190.02XXX
    97504AOrthotic training0.45NA0.250.03XXX
    97520AProsthetic training0.45NA0.210.02XXX
    97530ATherapeutic activities0.44NA0.430.02XXX
    97532ACognitive skills development0.44NA0.160.01XXX
    97533ASensory integration0.44NA0.210.01XXX
    97535ASelf care mngment training0.45NA0.340.02XXX
    97537ACommunity/work reintegration0.45NA0.200.01XXX
    97542AWheelchair mngment training0.45NA0.220.01XXX
    Start Printed Page 44002
    97545RWork hardening0.000.000.000.00XXX
    97546RWork hardening add-on0.000.000.000.00ZZZ
    97601AWound(s) care, selective0.50NA0.660.04XXX
    97602BWound(s) care non-selective0.000.000.000.00XXX
    97703AProsthetic checkout0.25NA0.420.02XXX
    97750APhysical performance test0.45NA0.240.02XXX
    97780NAcupuncture w/o stimul0.000.000.000.00XXX
    97781NAcupuncture w/stimul0.000.000.000.00XXX
    97799CPhysical medicine procedure0.000.000.000.00XXX
    97802AMedical nutrition, indiv, in0.00NA0.490.01XXX
    97803AMed nutrition, indiv, subseq0.00NA0.490.01XXX
    97804AMedical nutrition, group0.00NA0.190.01XXX
    98925AOsteopathic manipulation0.450.150.370.01000
    98926AOsteopathic manipulation0.650.260.440.02000
    98927AOsteopathic manipulation0.870.300.510.03000
    98928AOsteopathic manipulation1.030.350.580.03000
    98929AOsteopathic manipulation1.190.380.640.04000
    98940AChiropractic manipulation0.450.130.240.01000
    98941AChiropractic manipulation0.650.180.300.02000
    98942AChiropractic manipulation0.870.240.360.03000
    98943NChiropractic manipulation0.400.150.340.01XXX
    99000BSpecimen handling0.000.000.000.00XXX
    99001BSpecimen handling0.000.000.000.00XXX
    99002BDevice handling0.000.000.000.00XXX
    99024BPostop follow-up visit0.000.000.000.00XXX
    99025BInitial surgical evaluation0.000.000.000.00XXX
    99050BMedical services after hrs0.000.000.000.00XXX
    99052BMedical services at night0.000.000.000.00XXX
    99054BMedical servcs, unusual hrs0.000.000.000.00XXX
    99056BNon-office medical services0.000.000.000.00XXX
    99058BOffice emergency care0.000.000.000.00XXX
    99070BSpecial supplies0.000.000.000.00XXX
    99071BPatient education materials0.000.000.000.00XXX
    99075NMedical testimony0.000.000.000.00XXX
    99078BGroup health education0.000.000.000.00XXX
    99080BSpecial reports or forms0.000.000.000.00XXX
    99082CUnusual physician travel0.000.000.000.00XXX
    99090BComputer data analysis0.000.000.000.00XXX
    99091BCollect/review data from pt0.000.000.000.00XXX
    99100BSpecial anesthesia service0.000.000.000.00ZZZ
    99116BAnesthesia with hypothermia0.000.000.000.00ZZZ
    99135BSpecial anesthesia procedure0.000.000.000.00ZZZ
    99140BEmergency anesthesia0.000.000.000.00ZZZ
    99141BSedation, iv/im or inhalant0.800.382.130.04XXX
    99142BSedation, oral/rectal/nasal0.600.301.240.03XXX
    99170AAnogenital exam, child1.750.531.960.07000
    99172NOcular function screen0.000.000.000.00XXX
    99173NVisual acuity screen0.000.000.000.00XXX
    99175AInduction of vomiting0.00NA1.440.08XXX
    99183AHyperbaric oxygen therapy2.340.74NA0.12XXX
    99185ARegional hypothermia0.00NA0.660.03XXX
    99186ATotal body hypothermia0.00NA1.840.37XXX
    99190XSpecial pump services0.000.000.000.00XXX
    99191XSpecial pump services0.000.000.000.00XXX
    99192XSpecial pump services0.000.000.000.00XXX
    99195APhlebotomy0.00NA0.460.02XXX
    99199CSpecial service/proc/report0.000.000.000.00XXX
    99201AOffice/outpatient visit, new0.450.160.460.02XXX
    99202AOffice/outpatient visit, new0.880.320.750.05XXX
    99203AOffice/outpatient visit, new1.340.491.090.08XXX
    99204AOffice/outpatient visit, new2.000.731.480.10XXX
    99205AOffice/outpatient visit, new2.670.951.760.12XXX
    99211AOffice/outpatient visit, est0.170.060.370.01XXX
    99212AOffice/outpatient visit, est0.450.160.510.02XXX
    99213AOffice/outpatient visit, est0.670.240.680.03XXX
    99214AOffice/outpatient visit, est1.100.401.020.04XXX
    Start Printed Page 44003
    99215AOffice/outpatient visit, est1.770.641.320.07XXX
    99217AObservation care discharge1.280.44NA0.05XXX
    99218AObservation care1.280.44NA0.05XXX
    99219AObservation care2.140.73NA0.08XXX
    99220AObservation care2.991.03NA0.11XXX
    99221AInitial hospital care1.280.46NA0.05XXX
    99222AInitial hospital care2.140.75NA0.08XXX
    99223AInitial hospital care2.991.05NA0.10XXX
    99231ASubsequent hospital care0.640.23NA0.02XXX
    99232ASubsequent hospital care1.060.38NA0.03XXX
    99233ASubsequent hospital care1.510.53NA0.05XXX
    99234AObserv/hosp same date2.560.89NA0.11XXX
    99235AObserv/hosp same date3.421.18NA0.13XXX
    99236AObserv/hosp same date4.271.48NA0.17XXX
    99238AHospital discharge day1.280.50NA0.04XXX
    99239AHospital discharge day1.750.69NA0.05XXX
    99241AOffice consultation0.640.220.610.04XXX
    99242AOffice consultation1.290.471.000.09XXX
    99243AOffice consultation1.720.651.340.10XXX
    99244AOffice consultation2.580.951.780.13XXX
    99245AOffice consultation3.431.262.230.16XXX
    99251AInitial inpatient consult0.660.25NA0.04XXX
    99252AInitial inpatient consult1.320.51NA0.08XXX
    99253AInitial inpatient consult1.820.70NA0.09XXX
    99254AInitial inpatient consult2.641.00NA0.11XXX
    99255AInitial inpatient consult3.651.36NA0.15XXX
    99261AFollow-up inpatient consult0.420.16NA0.02XXX
    99262AFollow-up inpatient consult0.850.31NA0.03XXX
    99263AFollow-up inpatient consult1.270.46NA0.04XXX
    99271AConfirmatory consultation0.450.160.650.03XXX
    99272AConfirmatory consultation0.840.320.880.06XXX
    99273AConfirmatory consultation1.190.451.080.07XXX
    99274AConfirmatory consultation1.730.651.380.09XXX
    99275AConfirmatory consultation2.310.841.630.10XXX
    99281AEmergency dept visit0.330.09NA0.02XXX
    99282AEmergency dept visit0.550.15NA0.03XXX
    99283AEmergency dept visit1.240.32NA0.08XXX
    99284AEmergency dept visit1.950.49NA0.12XXX
    99285AEmergency dept visit3.060.74NA0.19XXX
    99288BDirect advanced life support0.000.000.000.00XXX
    99289IPt transport, 30-74 min0.000.000.000.00XXX
    99290IPt transport, addl 30 min0.000.000.000.00ZZZ
    99291ACritical care, first hour4.001.311.570.14XXX
    99292ACritical care, addl 30 min2.000.650.850.07ZZZ
    99295ANeonatal critical care16.004.84NA0.70XXX
    99296ANeonatal critical care8.002.62NA0.23XXX
    99297ANeonatal critical care4.001.34NA0.12XXX
    99298ANeonatal critical care2.750.94NA0.10XXX
    99301ANursing facility care1.200.420.690.04XXX
    99302ANursing facility care1.610.560.970.05XXX
    99303ANursing facility care2.010.691.190.06XXX
    99311ANursing fac care, subseq0.600.210.490.02XXX
    99312ANursing fac care, subseq1.000.340.670.03XXX
    99313ANursing fac care, subseq1.420.490.860.04XXX
    99315ANursing fac discharge day1.130.390.720.04XXX
    99316ANursing fac discharge day1.500.520.920.05XXX
    99321ARest home visit, new patient0.71NA0.450.02XXX
    99322ARest home visit, new patient1.01NA0.690.03XXX
    99323ARest home visit, new patient1.28NA0.920.04XXX
    99331ARest home visit, est pat0.60NA0.470.02XXX
    99332ARest home visit, est pat0.80NA0.580.03XXX
    99333ARest home visit, est pat1.00NA0.710.03XXX
    99341AHome visit, new patient1.01NA0.550.05XXX
    99342AHome visit, new patient1.52NA0.850.05XXX
    99343AHome visit, new patient2.27NA1.270.07XXX
    99344AHome visit, new patient3.03NA1.550.10XXX
    Start Printed Page 44004
    99345AHome visit, new patient3.79NA1.810.12XXX
    99347AHome visit, est patient0.76NA0.480.03XXX
    99348AHome visit, est patient1.26NA0.720.04XXX
    99349AHome visit, est patient2.02NA1.060.06XXX
    99350AHome visit, est patient3.03NA1.420.10XXX
    99354AProlonged service, office1.770.621.440.06ZZZ
    99355AProlonged service, office1.770.591.230.06ZZZ
    99356AProlonged service, inpatient1.710.60NA0.06ZZZ
    99357AProlonged service, inpatient1.710.61NA0.06ZZZ
    99358BProlonged serv, w/o contact0.000.000.000.00ZZZ
    99359BProlonged serv, w/o contact0.000.000.000.00ZZZ
    99360XPhysician standby services0.000.000.000.00XXX
    99361BPhysician/team conference0.000.000.000.00XXX
    99362BPhysician/team conference0.000.000.000.00XXX
    99371BPhysician phone consultation0.000.000.000.00XXX
    99372BPhysician phone consultation0.000.000.000.00XXX
    99373BPhysician phone consultation0.000.000.000.00XXX
    99374BHome health care supervision1.100.431.440.04XXX
    99375IHome health care supervision1.73NANA0.06XXX
    99377BHospice care supervision1.100.431.440.04XXX
    99378IHospice care supervision1.73NANA0.06XXX
    99379BNursing fac care supervision1.100.431.440.03XXX
    99380BNursing fac care supervision1.730.671.690.05XXX
    99381NPrev visit, new, infant1.190.461.470.04XXX
    99382NPrev visit, new, age 1-41.360.531.510.04XXX
    99383NPrev visit, new, age 5-111.360.531.460.04XXX
    99384NPrev visit, new, age 12-171.530.591.530.05XXX
    99385NPrev visit, new, age 18-391.530.591.530.05XXX
    99386NPrev visit, new, age 40-641.880.731.710.06XXX
    99387NPrev visit, new, 65 & over2.060.801.840.06XXX
    99391NPrev visit, est, infant1.020.391.010.03XXX
    99392NPrev visit, est, age 1-41.190.461.070.04XXX
    99393NPrev visit, est, age 5-111.190.461.040.04XXX
    99394NPrev visit, est, age 12-171.360.531.120.04XXX
    99395NPrev visit, est, age 18-391.360.531.160.04XXX
    99396NPrev visit, est, age 40-641.530.591.250.05XXX
    99397NPrev visit, est, 65 & over1.710.661.350.05XXX
    99401NPreventive counseling, indiv0.480.190.610.01XXX
    99402NPreventive counseling, indiv0.980.380.850.02XXX
    99403NPreventive counseling, indiv1.460.561.080.03XXX
    99404NPreventive counseling, indiv1.950.751.320.04XXX
    99411NPreventive counseling, group0.150.060.180.01XXX
    99412NPreventive counseling, group0.250.100.240.01XXX
    99420NHealth risk assessment test0.000.000.000.00XXX
    99429NUnlisted preventive service0.000.000.000.00XXX
    99431AInitial care, normal newborn1.170.38NA0.04XXX
    99432ANewborn care, not in hosp1.260.411.110.06XXX
    99433ANormal newborn care/hospital0.620.20NA0.02XXX
    99435ANewborn discharge day hosp1.500.51NA0.05XXX
    99436AAttendance, birth1.500.460.500.05XXX
    99440ANewborn resuscitation2.930.93NA0.11XXX
    99450NLife/disability evaluation0.000.000.000.00XXX
    99455RDisability examination0.000.000.000.00XXX
    99456RDisability examination0.000.000.000.00XXX
    99499CUnlisted e&m service0.000.000.000.00XXX
    99500IHome visit, prenatal0.000.000.000.00XXX
    99501IHome visit, postnatal0.000.000.000.00XXX
    99502IHome visit, nb care0.000.000.000.00XXX
    99503IHome visit, resp therapy0.000.000.000.00XXX
    99504IHome visit mech ventilator0.000.000.000.00XXX
    99505IHome visit, stoma care0.000.000.000.00XXX
    99506IHome visit, im injection0.000.000.000.00XXX
    99507IHome visit, cath maintain0.000.000.000.00XXX
    99508IHome visit, sleep studies0.000.000.000.00XXX
    99509IHome visit day life activity0.000.000.000.00XXX
    99510IHome visit, sing/m/fam couns0.000.000.000.00XXX
    Start Printed Page 44005
    99511IHome visit, fecal/enema mgmt0.000.000.000.00XXX
    99512IHome visit, hemodialysis0.000.000.000.00XXX
    99539IHome visit, nos0.000.000.000.00XXX
    99551IHome infus, pain mgmt, iv/sc0.000.000.000.00XXX
    99552IHm infus pain mgmt, epid/ith0.000.000.000.00XXX
    99553IHome infuse, tocolytic tx0.000.000.000.00XXX
    99554IHome infus, hormone/platelet0.000.000.000.00XXX
    99555IHome infuse, chemotheraphy0.000.000.000.00XXX
    99556IHome infus, antibio/fung/vir0.000.000.000.00XXX
    99557IHome infuse, anticoagulant0.000.000.000.00XXX
    99558IHome infuse, immunotherapy0.000.000.000.00XXX
    99559IHome infus, periton dialysis0.000.000.000.00XXX
    99560IHome infus, entero nutrition0.000.000.000.00XXX
    99561IHome infuse, hydration tx0.000.000.000.00XXX
    99562IHome infus, parent nutrition0.000.000.000.00XXX
    99563IHome admin, pentamidine0.000.000.000.00XXX
    99564IHme infus, antihemophil agnt0.000.000.000.00XXX
    99565IHome infus, proteinase inhib0.000.000.000.00XXX
    99566IHome infuse, iv therapy0.000.000.000.00XXX
    99567IHome infuse, sympath agent0.000.000.000.00XXX
    99568IHome infus, misc drug, daily0.000.000.000.00XXX
    99569IHome infuse, each addl tx0.000.000.000.00XXX
    A4211PSupp for self-adm injections0.000.000.000.00XXX
    A4212PNon coring needle or stylet0.000.000.000.00XXX
    A4214P30 CC sterile water/saline0.000.000.000.00XXX
    A4220PInfusion pump refill kit0.000.000.000.00XXX
    A4253PBlood glucose/reagent strips0.000.000.000.00XXX
    A4256PCalibrator solution/chips0.000.000.000.00XXX
    A4258PLancet device each0.000.000.000.00XXX
    A4259PLancets per box0.000.000.000.00XXX
    A4262BTemporary tear duct plug0.000.000.000.00XXX
    A4263BPermanent tear duct plug0.000.000.000.00XXX
    A4265PParaffin0.000.000.000.00XXX
    A4270BDisposable endoscope sheath0.000.000.000.00XXX
    A4300BCath impl vasc access portal0.000.000.000.00XXX
    A4301PImplantable access syst perc0.000.000.000.00XXX
    A4305PDrug delivery system >=50 ML0.000.000.000.00XXX
    A4306PDrug delivery system <=5 ML0.000.000.000.00XXX
    A4310PInsert tray w/o bag/cath0.000.000.000.00XXX
    A4311PCatheter w/o bag 2-way latex0.000.000.000.00XXX
    A4312PCath w/o bag 2-way silicone0.000.000.000.00XXX
    A4313PCatheter w/bag 3-way0.000.000.000.00XXX
    A4314PCath w/drainage 2-way latex0.000.000.000.00XXX
    A4315PCath w/drainage 2-way silcne0.000.000.000.00XXX
    A4316PCath w/drainage 3-way0.000.000.000.00XXX
    A4320PIrrigation tray0.000.000.000.00XXX
    A4322PIrrigation syringe0.000.000.000.00XXX
    A4323PSaline irrigation solution0.000.000.000.00XXX
    A4326PMale external catheter0.000.000.000.00XXX
    A4327PFem urinary collect dev cup0.000.000.000.00XXX
    A4328PFem urinary collect pouch0.000.000.000.00XXX
    A4330PStool collection pouch0.000.000.000.00XXX
    A4335PIncontinence supply0.000.000.000.00XXX
    A4338PIndwelling catheter latex0.000.000.000.00XXX
    A4340PIndwelling catheter special0.000.000.000.00XXX
    A4344PCath indw foley 2 way silicn0.000.000.000.00XXX
    A4346PCath indw foley 3 way0.000.000.000.00XXX
    A4347PMale external catheter0.000.000.000.00XXX
    A4351PStraight tip urine catheter0.000.000.000.00XXX
    A4352PCoude tip urinary catheter0.000.000.000.00XXX
    A4354PCath insertion tray w/bag0.000.000.000.00XXX
    A4355PBladder irrigation tubing0.000.000.000.00XXX
    A4356PExt ureth clmp or compr dvc0.000.000.000.00XXX
    A4357PBedside drainage bag0.000.000.000.00XXX
    A4358PUrinary leg or abdomen bag0.000.000.000.00XXX
    A4359PUrinary suspensory w/o leg b0.000.000.000.00XXX
    Start Printed Page 44006
    A4361POstomy face plate0.000.000.000.00XXX
    A4362PSolid skin barrier0.000.000.000.00XXX
    A4364PAdhesive, liquid or equal0.000.000.000.00XXX
    A4367POstomy belt0.000.000.000.00XXX
    A4397PIrrigation supply sleeve0.000.000.000.00XXX
    A4398POstomy irrigation bag0.000.000.000.00XXX
    A4399POstomy irrig cone/cath w brs0.000.000.000.00XXX
    A4400POstomy irrigation set0.000.000.000.00XXX
    A4402PLubricant per ounce0.000.000.000.00XXX
    A4404POstomy ring each0.000.000.000.00XXX
    A4421POstomy supply misc0.000.000.000.00XXX
    A4454PTape all types all sizes0.000.000.000.00XXX
    A4455PAdhesive remover per ounce0.000.000.000.00XXX
    A4460PElastic compression bandage0.000.000.000.00XXX
    A4465PNon-elastic extremity binder0.000.000.000.00XXX
    A4470PGravlee jet washer0.000.000.000.00XXX
    A4480PVabra aspirator0.000.000.000.00XXX
    A4550BSurgical trays0.000.000.000.00XXX
    A4556PElectrodes, pair0.000.000.000.00XXX
    A4557PLead wires, pair0.000.000.000.00XXX
    A4558PConductive paste or gel0.000.000.000.00XXX
    A4647BSupp- paramagnetic contr mat0.000.000.000.00XXX
    A4649PSurgical supplies0.000.000.000.00XXX
    A4890RRepair/maint cont hemo equip0.000.000.000.00XXX
    A5051PPouch clsd w barr attached0.000.000.000.00XXX
    A5052PClsd ostomy pouch w/o barr0.000.000.000.00XXX
    A5053PClsd ostomy pouch faceplate0.000.000.000.00XXX
    A5054PClsd ostomy pouch w/flange0.000.000.000.00XXX
    A5055PStoma cap0.000.000.000.00XXX
    A5061PPouch drainable w barrier at0.000.000.000.00XXX
    A5062PDrnble ostomy pouch w/o barr0.000.000.000.00XXX
    A5063PDrain ostomy pouch w/flange0.000.000.000.00XXX
    A5071PUrinary pouch w/barrier0.000.000.000.00XXX
    A5072PUrinary pouch w/o barrier0.000.000.000.00XXX
    A5073PUrinary pouch on barr w/flng0.000.000.000.00XXX
    A5081PContinent stoma plug0.000.000.000.00XXX
    A5082PContinent stoma catheter0.000.000.000.00XXX
    A5093POstomy accessory convex inse0.000.000.000.00XXX
    A5102PBedside drain btl w/wo tube0.000.000.000.00XXX
    A5105PUrinary suspensory0.000.000.000.00XXX
    A5112PUrinary leg bag0.000.000.000.00XXX
    A5113PLatex leg strap0.000.000.000.00XXX
    A5114PFoam/fabric leg strap0.000.000.000.00XXX
    A5119PSkin barrier wipes box pr 500.000.000.000.00XXX
    A5121PSolid skin barrier 6x60.000.000.000.00XXX
    A5122PSolid skin barrier 8x80.000.000.000.00XXX
    A5123PSkin barrier with flange0.000.000.000.00XXX
    A5126PDisk/foam pad +or- adhesive0.000.000.000.00XXX
    A5131PAppliance cleaner0.000.000.000.00XXX
    A6154PWound pouch each0.000.000.000.00XXX
    A6196PAlginate dressing <=16 sq in0.000.000.000.00XXX
    A6197PAlginate drsg >16 <=48 sq in0.000.000.000.00XXX
    A6198Palginate dressing > 48 sq in0.000.000.000.00XXX
    A6199PAlginate drsg wound filler0.000.000.000.00XXX
    A6203PComposite drsg <= 16 sq in0.000.000.000.00XXX
    A6204PComposite drsg >16<=48 sq in0.000.000.000.00XXX
    A6205PComposite drsg > 48 sq in0.000.000.000.00XXX
    A6206PContact layer <= 16 sq in0.000.000.000.00XXX
    A6207PContact layer >16<= 48 sq in0.000.000.000.00XXX
    A6208PContact layer > 48 sq in0.000.000.000.00XXX
    A6209PFoam drsg <=16 sq in w/o bdr0.000.000.000.00XXX
    A6210PFoam drg >16<=48 sq in w/o b0.000.000.000.00XXX
    A6211PFoam drg > 48 sq in w/o brdr0.000.000.000.00XXX
    A6212PFoam drg <=16 sq in w/border0.000.000.000.00XXX
    A6213PFoam drg >16<=48 sq in w/bdr0.000.000.000.00XXX
    A6214PFoam drg > 48 sq in w/border0.000.000.000.00XXX
    Start Printed Page 44007
    A6215PFoam dressing wound filler0.000.000.000.00XXX
    A6216PNon-sterile gauze<=16 sq in0.000.000.000.00XXX
    A6217PNon-sterile gauze>16<=48 sq0.000.000.000.00XXX
    A6218PNon-sterile gauze > 48 sq in0.000.000.000.00XXX
    A6219PGauze <= 16 sq in w/border0.000.000.000.00XXX
    A6220PGauze >16 <=48 sq in w/bordr0.000.000.000.00XXX
    A6221PGauze > 48 sq in w/border0.000.000.000.00XXX
    A6222PGauze <=16 in no w/sal w/o b0.000.000.000.00XXX
    A6223PGauze >16<=48 no w/sal w/o b0.000.000.000.00XXX
    A6224PGauze > 48 in no w/sal w/o b0.000.000.000.00XXX
    A6228PGauze <= 16 sq in water/sal0.000.000.000.00XXX
    A6229PGauze >16<=48 sq in watr/sal0.000.000.000.00XXX
    A6230PGauze > 48 sq in water/salne0.000.000.000.00XXX
    A6234PHydrocolld drg <=16 w/o bdr0.000.000.000.00XXX
    A6235PHydrocolld drg >16<=48 w/o b0.000.000.000.00XXX
    A6236PHydrocolld drg > 48 in w/o b0.000.000.000.00XXX
    A6237PHydrocolld drg <=16 in w/bdr0.000.000.000.00XXX
    A6238PHydrocolld drg >16<=48 w/bdr0.000.000.000.00XXX
    A6239PHydrocolld drg > 48 in w/bdr0.000.000.000.00XXX
    A6240PHydrocolld drg filler paste0.000.000.000.00XXX
    A6241PHydrocolloid drg filler dry0.000.000.000.00XXX
    A6242PHydrogel drg <=16 in w/o bdr0.000.000.000.00XXX
    A6243PHydrogel drg >16<=48 w/o bdr0.000.000.000.00XXX
    A6244PHydrogel drg >48 in w/o bdr0.000.000.000.00XXX
    A6245PHydrogel drg <= 16 in w/bdr0.000.000.000.00XXX
    A6246PHydrogel drg >16<=48 in w/b0.000.000.000.00XXX
    A6247PHydrogel drg > 48 sq in w/b0.000.000.000.00XXX
    A6248PHydrogel drsg gel filler0.000.000.000.00XXX
    A6250PSkin seal protect moisturizr0.000.000.000.00XXX
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    A6252PAbsorpt drg >16 <=48 w/o bdr0.000.000.000.00XXX
    A6253PAbsorpt drg > 48 sq in w/o b0.000.000.000.00XXX
    A6254PAbsorpt drg <=16 sq in w/bdr0.000.000.000.00XXX
    A6255PAbsorpt drg >16<=48 in w/bdr0.000.000.000.00XXX
    A6256PAbsorpt drg > 48 sq in w/bdr0.000.000.000.00XXX
    A6257PTransparent film <= 16 sq in0.000.000.000.00XXX
    A6258PTransparent film >16<=48 in0.000.000.000.00XXX
    A6259PTransparent film > 48 sq in0.000.000.000.00XXX
    A6260PWound cleanser any type/size0.000.000.000.00XXX
    A6261PWound filler gel/paste /oz0.000.000.000.00XXX
    A6262PWound filler dry form / gram0.000.000.000.00XXX
    A6263PNon-sterile elastic gauze/yd0.000.000.000.00XXX
    A6264PNon-sterile no elastic gauze0.000.000.000.00XXX
    A6265PTape per 18 sq inches0.000.000.000.00XXX
    A6266PImpreg gauze no h20/sal/yard0.000.000.000.00XXX
    A6402PSterile gauze <= 16 sq in0.000.000.000.00XXX
    A6403PSterile gauze>16 <= 48 sq in0.000.000.000.00XXX
    A6404PSterile gauze > 48 sq in0.000.000.000.00XXX
    A6405PSterile elastic gauze/yd0.000.000.000.00XXX
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    D0150RComprehensve oral evaluation0.000.000.000.00YYY
    D0240RIntraoral occlusal film0.000.000.000.00YYY
    D0250RExtraoral first film0.000.000.000.00YYY
    D0260RExtraoral ea additional film0.000.000.000.00YYY
    D0270RDental bitewing single film0.000.000.000.00YYY
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    D0480RCytopath smear prep & report0.000.000.000.00XXX
    D0501RHistopathologic examinations0.000.000.000.00YYY
    D0502ROther oral pathology procedu0.000.000.000.00YYY
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    Start Printed Page 44008
    D1510RSpace maintainer fxd unilat0.000.000.000.00YYY
    D1515RFixed bilat space maintainer0.000.000.000.00YYY
    D1520RRemove unilat space maintain0.000.000.000.00YYY
    D1525RRemove bilat space maintain0.000.000.000.00YYY
    D1550RRecement space maintainer0.000.000.000.00YYY
    D2970RTemporary- fractured tooth0.000.000.000.00YYY
    D2999RDental unspec restorative pr0.000.000.000.00YYY
    D3460REndodontic endosseous implan0.000.000.000.00YYY
    D3999REndodontic procedure0.000.000.000.00YYY
    D4260ROsseous surgery per quadrant0.000.000.000.00YYY
    D4263RBone replce graft first site0.000.000.000.00YYY
    D4264RBone replce graft each add0.000.000.000.00YYY
    D4268RSurgical revision procedure0.000.000.000.00XXX
    D4270RPedicle soft tissue graft pr0.000.000.000.00YYY
    D4271RFree soft tissue graft proc0.000.000.000.00YYY
    D4273RSubepithelial tissue graft0.000.000.000.00YYY
    D4355RFull mouth debridement0.000.000.000.00YYY
    D4381RLocalized chemo delivery0.000.000.000.00YYY
    D5911RFacial moulage sectional0.000.000.000.00YYY
    D5912RFacial moulage complete0.000.000.000.00YYY
    D5951RFeeding aid0.000.000.000.00YYY
    D5983RRadiation applicator0.000.000.000.00YYY
    D5984RRadiation shield0.000.000.000.00YYY
    D5985RRadiation cone locator0.000.000.000.00YYY
    D5987RCommissure splint0.000.000.000.00YYY
    D6920RDental connector bar0.000.000.000.00YYY
    D7110ROral surgery single tooth0.000.000.000.00YYY
    D7120REach add tooth extraction0.000.000.000.00YYY
    D7130RTooth root removal0.000.000.000.00YYY
    D7210RRem imp tooth w mucoper flp0.000.000.000.00YYY
    D7220RImpact tooth remov soft tiss0.000.000.000.00YYY
    D7230RImpact tooth remov part bony0.000.000.000.00YYY
    D7240RImpact tooth remov comp bony0.000.000.000.00YYY
    D7241RImpact tooth rem bony w/comp0.000.000.000.00YYY
    D7250RTooth root removal0.000.000.000.00YYY
    D7260ROral antral fistula closure0.000.000.000.00YYY
    D7291RTransseptal fiberotomy0.000.000.000.00YYY
    D7940RReshaping bone orthognathic0.000.000.000.00YYY
    D9110RTx dental pain minor proc0.000.000.000.00YYY
    D9230RAnalgesia0.000.000.000.00YYY
    D9248RSedation (non-iv)0.000.000.000.00XXX
    D9630ROther drugs/medicaments0.000.000.000.00YYY
    D9930RTreatment of complications0.000.000.000.00YYY
    D9940RDental occlusal guard0.000.000.000.00YYY
    D9950ROcclusion analysis0.000.000.000.00YYY
    D9951RLimited occlusal adjustment0.000.000.000.00YYY
    D9952RComplete occlusal adjustment0.000.000.000.00YYY
    G0001XDrawing blood for specimen0.000.000.000.00XXX
    G0002ATemporary urinary catheter0.500.163.250.03000
    G0004AECG transm phys review & int0.52NA7.690.45XXX
    G0005AECG 24 hour recording0.00NA1.280.07XXX
    G0006AECG transmission & analysis0.00NA6.220.36XXX
    G0007AECG phy review & interpret0.520.200.200.02XXX
    G0008XAdmin influenza virus vac0.000.000.000.00XXX
    G0009XAdmin pneumococcal vaccine0.000.000.000.00XXX
    G0010XAdmin hepatitis b vaccine0.000.000.000.00XXX
    G0015APost symptom ECG tracing0.00NA6.220.36XXX
    G0016DPost symptom ECG md review0.520.220.220.02XXX
    G0025BCollagen skin test kit0.000.000.000.00XXX
    G0026XFecal leukocyte examination0.000.000.000.00XXX
    G0027XSemen analysis0.000.000.000.00XXX
    G0030CPET imaging prev PET single0.000.000.000.00XXX
    G003026APET imaging prev PET single1.500.520.520.04XXX
    G0030TCCPET imaging prev PET single0.000.000.000.00XXX
    G0031CPET imaging prev PET multple0.000.000.000.00XXX
    G003126APET imaging prev PET multple1.870.700.700.06XXX
    Start Printed Page 44009
    G0031TCCPET imaging prev PET multple0.000.000.000.00XXX
    G0032CPET follow SPECT 78464 singl0.000.000.000.00XXX
    G003226APET follow SPECT 78464 singl1.500.520.520.05XXX
    G0032TCCPET follow SPECT 78464 singl0.000.000.000.00XXX
    G0033CPET follow SPECT 78464 mult0.000.000.000.00XXX
    G003326APET follow SPECT 78464 mult1.870.700.700.06XXX
    G0033TCCPET follow SPECT 78464 mult0.000.000.000.00XXX
    G0034CPET follow SPECT 76865 singl0.000.000.000.00XXX
    G003426APET follow SPECT 76865 singl1.500.520.520.05XXX
    G0034TCCPET follow SPECT 76865 singl0.000.000.000.00XXX
    G0035CPET follow SPECT 78465 mult0.000.000.000.00XXX
    G003526APET follow SPECT 78465 mult1.870.700.700.06XXX
    G0035TCCPET follow SPECT 78465 mult0.000.000.000.00XXX
    G0036CPET follow cornry angio sing0.000.000.000.00XXX
    G003626APET follow cornry angio sing1.500.520.520.04XXX
    G0036TCCPET follow cornry angio sing0.000.000.000.00XXX
    G0037CPET follow cornry angio mult0.000.000.000.00XXX
    G003726APET follow cornry angio mult1.870.700.700.06XXX
    G0037TCCPET follow cornry angio mult0.000.000.000.00XXX
    G0038CPET follow myocard perf sing0.000.000.000.00XXX
    G003826APET follow myocard perf sing1.500.520.520.04XXX
    G0038TCCPET follow myocard perf sing0.000.000.000.00XXX
    G0039CPET follow myocard perf mult0.000.000.000.00XXX
    G003926APET follow myocard perf mult1.870.700.700.07XXX
    G0039TCCPET follow myocard perf mult0.000.000.000.00XXX
    G0040CPET follow stress echo singl0.000.000.000.00XXX
    G004026APET follow stress echo singl1.500.520.520.04XXX
    G0040TCCPET follow stress echo singl0.000.000.000.00XXX
    G0041CPET follow stress echo mult0.000.000.000.00XXX
    G004126APET follow stress echo mult1.870.700.700.05XXX
    G0041TCCPET follow stress echo mult0.000.000.000.00XXX
    G0042CPET follow ventriculogm sing0.000.000.000.00XXX
    G004226APET follow ventriculogm sing1.500.520.520.04XXX
    G0042TCCPET follow ventriculogm sing0.000.000.000.00XXX
    G0043CPET follow ventriculogm mult0.000.000.000.00XXX
    G004326APET follow ventriculogm mult1.870.700.700.06XXX
    G0043TCCPET follow ventriculogm mult0.000.000.000.00XXX
    G0044CPET following rest ECG singl0.000.000.000.00XXX
    G004426APET following rest ECG singl1.500.520.520.04XXX
    G0044TCCPET following rest ECG singl0.000.000.000.00XXX
    G0045CPET following rest ECG mult0.000.000.000.00XXX
    G004526APET following rest ECG mult1.870.700.700.06XXX
    G0045TCCPET following rest ECG mult0.000.000.000.00XXX
    G0046CPET follow stress ECG singl0.000.000.000.00XXX
    G004626APET follow stress ECG singl1.500.520.520.04XXX
    G0046TCCPET follow stress ECG singl0.000.000.000.00XXX
    G0047CPET follow stress ECG mult0.000.000.000.00XXX
    G004726APET follow stress ECG mult1.870.700.700.06XXX
    G0047TCCPET follow stress ECG mult0.000.000.000.00XXX
    G0050AResidual urine by ultrasound0.00NA0.880.04XXX
    G0101ACA screen; pelvic/breast exam0.450.170.520.01XXX
    G0102AProstate ca screening; dre0.170.060.370.01XXX
    G0103XPsa, total screening0.000.000.000.00XXX
    G0104ACA screen; flexi sigmoidscope0.960.511.820.05000
    G0105AColorectal scrn; hi risk ind3.701.717.970.20000
    G0106AColon CA screen; barium enema0.99NA2.650.15XXX
    G010626AColon CA screen; barium enema0.990.340.340.04XXX
    G0106TCAColon CA screen; barium enema0.00NA2.310.11XXX
    G0107XCA screen; fecal blood test0.000.000.000.00XXX
    G0108ADiab manage trn per indiv0.00NA0.820.01XXX
    G0109ADiab manage trn ind/group0.00NA0.480.01XXX
    G0110RNett pulm-rehab educ; ind0.900.350.690.03XXX
    G0111RNett pulm-rehab educ; group0.270.100.290.01XXX
    G0112RNett;nutrition guid, initial1.720.661.210.05XXX
    G0113RNett;nutrition guid,subseqnt1.290.500.950.04XXX
    G0114RNett; psychosocial consult1.200.460.490.03XXX
    Start Printed Page 44010
    G0115RNett; psychological testing1.200.460.720.04XXX
    G0116RNett; psychosocial counsel1.110.381.060.04XXX
    G0117TGlaucoma scrn hgh risk direc0.450.210.970.02XXX
    G0118TGlaucoma scrn hgh risk direc0.170.080.840.01XXX
    G0120AColon ca scrn; barium enema0.99NA2.650.15XXX
    G012026AColon ca scrn; barium enema0.990.340.340.04XXX
    G0120TCAColon ca scrn; barium enema0.00NA2.310.11XXX
    G0121AColon ca scrn not hi rsk ind3.701.717.970.20000
    G0122NColon ca scrn; barium enema0.99NA2.690.15XXX
    G012226NColon ca scrn; barium enema0.990.380.380.04XXX
    G0122TCNColon ca scrn; barium enema0.00NA2.310.11XXX
    G0123XScreen cerv/vag thin layer0.000.000.000.00XXX
    G0124AScreen c/v thin layer by MD0.420.190.190.01XXX
    G0125APET img WhBD sgl pulm ring1.50NA56.102.00XXX
    G012526APET img WhBD sgl pulm ring1.500.520.520.05XXX
    G0125TCAPET img WhBD sgl pulm ring0.00NA55.581.95XXX
    G0126FLung image (PET) staging1.87NA56.282.01XXX
    G012626FLung image (PET) staging1.870.700.700.06XXX
    G0126TCFLung image (PET) staging0.00NA55.581.95XXX
    G0127RTrim nail(s)0.170.070.250.01000
    G0128RCORF skilled nursing service0.080.030.030.01XXX
    G0130ASingle energy x-ray study0.22NA0.900.05XXX
    G013026ASingle energy x-ray study0.220.110.110.01XXX
    G0130TCASingle energy x-ray study0.00NA0.790.04XXX
    G0131ACT scan, bone density study0.25NA3.180.14XXX
    G013126ACT scan, bone density study0.250.130.130.01XXX
    G0131TCACT scan, bone density study0.00NA3.050.13XXX
    G0132ACT scan, bone density study0.22NA0.900.05XXX
    G013226ACT scan, bone density study0.220.110.110.01XXX
    G0132TCACT scan, bone density study0.00NA0.790.04XXX
    G0141AScr c/v cyto,autosys and md0.420.190.190.01XXX
    G0143XScr c/v cyto,thinlayer,rescr0.000.000.000.00XXX
    G0144XScr c/v cyto,thinlayer,rescr0.000.000.000.00XXX
    G0145XScr c/v cyto,thinlayer,rescr0.000.000.000.00XXX
    G0147XScr c/v cyto, automated sys0.000.000.000.00XXX
    G0148XScr c/v cyto, autosys, rescr0.000.000.000.00XXX
    G0163FPet for rec of colorectal ca1.50NA0.582.00XXX
    G016326FPet for rec of colorectal ca1.500.580.580.05XXX
    G0163TCFPet for rec of colorectal ca0.00NANA1.95XXX
    G0164FPet for lymphoma staging1.87NA0.722.01XXX
    G016426FPet for lymphoma staging1.870.720.720.06XXX
    G0164TCFPet for lymphoma staging0.00NANA1.95XXX
    G0165FPet, rec of melanoma/met ca1.50NA0.582.00XXX
    G016526FPet, rec of melanoma/met ca1.500.580.580.05XXX
    G0165TCFPet, rec of melanoma/met ca0.00NANA1.95XXX
    G0166AExtrnl counterpulse, per tx0.070.034.530.01XXX
    G0167CHyperbaric oz tx;no md reqrd0.000.000.000.00XXX
    G0168AWound closure by adhesive0.450.192.390.01000
    G0173XStereo radoisurgery,complete0.000.000.000.00XXX
    G0174DIntensitymodulatedradiation0.000.000.000.00XXX
    G0175XOPPS Service,sched team conf0.000.000.000.00XXX
    G0176XOPPS/PHP;activity therapy0.000.000.000.00XXX
    G0177XOPPS/PHP; train & educ serv0.000.000.000.00XXX
    G0178DIntensitymodulatedradiation0.000.000.000.00XXX
    G0179AMD recertification HHA PT0.45NA1.190.01XXX
    G0180AMD certification HHA patient0.67NA1.280.02XXX
    G0181AHome health care supervision1.73NA1.520.06XXX
    G0182AHospice care supervision1.73NA1.740.06XXX
    G0184DOcular photdynamicTx 2nd eye0.470.220.290.01ZZZ
    G0185CTranspuppillary thermotx0.000.000.000.00YYY
    G0186CDstry eye lesn,fdr vssl tech0.000.000.000.00YYY
    G0187CDstry mclr drusen,photocoag0.000.000.000.00YYY
    G0188DXray lwr extrmty-full lngth0.000.000.000.00XXX
    G018826DXray lwr extrmty-full lngth0.000.000.000.00XXX
    G0188TCDXray lwr extrmty-full lngth0.000.000.000.00XXX
    G0190DImmunization administration0.000.000.000.00XXX
    Start Printed Page 44011
    G0191DImmunization admin,each add0.000.000.000.00XXX
    G0192NImmunization oral/intranasal0.000.000.000.00XXX
    G0193CEndoscopicstudyswallowfunctn0.000.000.000.00XXX
    G0194CSensorytestingendoscopicstud0.000.000.000.00XXX
    G0195AClinicalevalswallowingfunct1.500.742.040.07XXX
    G0196AEvalofswallowingwithradioopa1.500.742.040.07XXX
    G0197AEvalofptforprescipspeechdevi1.350.742.010.04XXX
    G0198APatientadapation&trainforspe0.990.551.110.03XXX
    G0199AReevaluationofpatientusespec1.010.551.820.03XXX
    G0200AEvalofpatientprescipofvoicep1.350.742.010.04XXX
    G0201AModifortraininginusevoicepro0.990.551.110.03XXX
    G0202AScreeningmammographydigital0.70NA2.900.09XXX
    G020226AScreeningmammographydigital0.700.270.270.03XXX
    G0202TCAScreeningmammographydigital0.00NA2.630.06XXX
    G0203FScreenmammographyfilmdigital0.000.000.000.00XXX
    G0204ADiagnosticmammographydigital0.87NA2.920.09XXX
    G020426ADiagnosticmammographydigital0.870.340.340.03XXX
    G0204TCADiagnosticmammographydigital0.00NA2.590.06XXX
    G0205FDiagnosticmammographyfilmpro0.69NA1.620.09XXX
    G020526FDiagnosticmammographyfilmpro0.690.270.270.03XXX
    G0205TCFDiagnosticmammographyfilmpro0.00NA1.350.06XXX
    G0206ADiagnosticmammographydigital0.70NA2.360.08XXX
    G020626ADiagnosticmammographydigital0.700.270.270.03XXX
    G0206TCADiagnosticmammographydigital0.00NA2.090.05XXX
    G0207FDiagnostic mammography film0.58NA1.310.08XXX
    G020726FDiagnostic mammography film0.580.220.220.03XXX
    G0207TCFDiagnostic mammography film0.00NA1.090.05XXX
    G0210CPET img WhBD ring dxlung ca0.000.000.000.00XXX
    G021026APET img WhBD ring dxlung ca1.500.580.580.04XXX
    G0210TCCPET img WhBD ring dxlung ca0.000.000.000.00XXX
    G0211CPET img WhBD ring init lung0.000.000.000.00XXX
    G021126APET img WhBD ring init lung1.500.580.580.04XXX
    G0211TCCPET img WhBD ring init lung0.000.000.000.00XXX
    G0212CPET img WhBD ring restag lun0.000.000.000.00XXX
    G021226APET img WhBD ring restag lun1.500.580.580.04XXX
    G0212TCCPET img WhBD ring restag lun0.000.000.000.00XXX
    G0213CPET img WhBD ring dx colorec0.000.000.000.00XXX
    G021326APET img WhBD ring dx colorec1.500.580.580.04XXX
    G0213TCCPET img WhBD ring dx colorec0.000.000.000.00XXX
    G0214CPET img WhBD ring init colre0.000.000.000.00XXX
    G021426APET img WhBD ring init colre1.500.580.580.04XXX
    G0214TCCPET img WhBD ring init colre0.000.000.000.00XXX
    G0215CPETimg whbd restag col0.000.000.000.00XXX
    G021526APETimg whbd restag col1.500.580.580.04XXX
    G0215TCCPETimg whbd restag col0.000.000.000.00XXX
    G0216CPET img WhBD ring dx melanom0.000.000.000.00XXX
    G021626APET img WhBD ring dx melanom1.500.580.580.04XXX
    G0216TCCPET img WhBD ring dx melanom0.000.000.000.00XXX
    G0217CPET img WhBD ring init melan0.000.000.000.00XXX
    G021726APET img WhBD ring init melan1.500.580.580.04XXX
    G0217TCCPET img WhBD ring init melan0.000.000.000.00XXX
    G0218CPET img WhBD ring restag mel0.000.000.000.00XXX
    G021826APET img WhBD ring restag mel1.500.580.580.04XXX
    G0218TCCPET img WhBD ring restag mel0.000.000.000.00XXX
    G0219NPET img WhBD ring noncov ind1.50NA1.010.04XXX
    G021926NPET img WhBD ring noncov ind1.500.580.580.04XXX
    G0219TCNPET img WhBD ring noncov ind0.000.000.000.00XXX
    G0220CPET img WhBD ring dx lymphom0.000.000.000.00XXX
    G022026APET img WhBD ring dx lymphom1.500.580.580.04XXX
    G0220TCCPET img WhBD ring dx lymphom0.000.000.000.00XXX
    G0221CPET img WhBD ring init lymph0.000.000.000.00XXX
    G022126APET img WhBD ring init lymph1.500.580.580.04XXX
    G0221TCCPET img WhBD ring init lymph0.000.000.000.00XXX
    G0222CPET img WhBD ring resta lymp0.000.000.000.00XXX
    G022226APET img WhBD ring resta lymp1.500.580.580.04XXX
    G0222TCCPET img WhBD ring resta lymp0.000.000.000.00XXX
    Start Printed Page 44012
    G0223CPET img WhBD reg ring dx hea0.000.000.000.00XXX
    G022326APET img WhBD reg ring dx hea1.500.580.580.04XXX
    G0223TCCPET img WhBD reg ring dx hea0.000.000.000.00XXX
    G0224CPETimg WhBD reg ring ini hea0.000.000.000.00XXX
    G022426APETimg WhBD reg ring ini hea1.500.580.580.04XXX
    G0224TCCPETimg WhBD reg ring ini hea0.000.000.000.00XXX
    G0225CPET img WhBD ring restag hea0.000.000.000.00XXX
    G022526APET img WhBD ring restag hea1.500.580.580.04XXX
    G0225TCCPET img WhBD ring restag hea0.000.000.000.00XXX
    G0226CPET img WhBD dx esophag0.000.000.000.00XXX
    G022626APET img WhBD dx esophag1.500.580.580.04XXX
    G0226TCCPET img WhBD dx esophag0.000.000.000.00XXX
    G0227CPET img whbd ini esopha0.000.000.000.00XXX
    G022726APET img whbd ini esopha1.500.580.580.04XXX
    G0227TCCPET img whbd ini esopha0.000.000.000.00XXX
    G0228CPET img WhBD ring restg esop0.000.000.000.00XXX
    G022826APET img WhBD ring restg esop1.500.580.580.04XXX
    G0228TCCPET img WhBD ring restg esop0.000.000.000.00XXX
    G0229CPET img metabolic brain ring0.000.000.000.00XXX
    G022926APET img metabolic brain ring1.500.580.580.04XXX
    G0229TCCPET img metabolic brain ring0.000.000.000.00XXX
    G0230CPET myocard viability ring0.000.000.000.00XXX
    G023026APET myocard viability ring1.500.580.580.04XXX
    G0230TCCPET myocard viability ring0.000.000.000.00XXX
    G0231CPET WhBD colorec; gamma cam0.000.000.000.00XXX
    G023126APET WhBD colorec; gamma cam1.500.580.580.04XXX
    G0231TCCPET WhBD colorec; gamma cam0.000.000.000.00XXX
    G0232CPET WhBD lymphoma; gamma cam0.000.000.000.00XXX
    G023226APET WhBD lymphoma; gamma cam1.500.580.580.04XXX
    G0232TCCPET WhBD lymphoma; gamma cam0.000.000.000.00XXX
    G0233CPET WhBD melanoma; gamma cam0.000.000.000.00XXX
    G023326APET WhBD melanoma; gamma cam1.500.580.580.04XXX
    G0233TCCPET WhBD melanoma; gamma cam0.000.000.000.00XXX
    G0234CPET WhBD pulm nod; gamma cam0.000.000.000.00XXX
    G023426APET WhBD pulm nod; gamma cam1.500.580.580.04XXX
    G0234TCCPET WhBD pulm nod; gamma cam0.000.000.000.00XXX
    G0236Adigital film convert diag ma0.06NA0.450.02ZZZ
    G023626Adigital film convert diag ma0.060.020.020.01ZZZ
    G0236TCAdigital film convert diag ma0.00NA0.430.01ZZZ
    G0237ATherapeutic procd strg endur0.00NA0.490.02XXX
    G0238COth resp proc, indiv0.000.000.000.00XXX
    G0239COth resp proc, group0.000.000.000.00XXX
    G0240ACritic care by MD transport4.001.551.550.14XXX
    G0241AEach additional 30 minutes2.000.770.770.07ZZZ
    G0242XMultisource photon ster plan0.000.000.000.00XXX
    G0243XMultisour photon stero treat0.000.000.000.00XXX
    G0244XObserv care by facility topt0.000.000.000.00XXX
    G0245RInitial foot exam ptlops0.880.320.750.05XXX
    G0246RFollowup eval of foot pt lop0.450.160.510.02XXX
    G0247RRoutine footcare pt w lops0.500.210.540.05XXX
    G0248RDemonstrate use home INR mon0.00NA2.920.01XXX
    G0249RProvide test material,equipm0.00NA2.080.01XXX
    G0250RMD review interpret of test0.180.070.070.01XXX
    G0251IStereotactic radiosurgery0.000.000.000.00XXX
    G0252NPET image breast initial dx0.000.000.000.00XXX
    G025226NPET image breast initial dx0.000.000.000.00XXX
    G0252TCNPET image breast initial dx0.000.000.000.00XXX
    G0253CPET image brst dection recur0.000.000.000.00XXX
    G025326APET image brst dection recur1.870.580.580.07XXX
    G0253TCCPET image brst dection recur0.000.000.000.00XXX
    G0254CPET image brst eval to tx0.000.000.000.00XXX
    G025426APET image brst eval to tx1.870.580.580.07XXX
    G0254TCCPET image brst eval to tx0.000.000.000.00XXX
    G0255NSensory nerve conduction tst0.000.000.000.00XXX
    G025526NSensory nerve conduction tst0.000.000.000.00XXX
    G0255TCNSensory nerve conduction tst0.000.000.000.00XXX
    Start Printed Page 44013
    G9001XMCCD, initial rate0.000.000.000.00XXX
    G9002XMCCD, maintenance rate0.000.000.000.00XXX
    G9003XMCCD, risk adj hi, initial0.000.000.000.00XXX
    G9004XMCCD, risk adj lo, initial0.000.000.000.00XXX
    G9005XMCCD, risk adj, maintenance0.000.000.000.00XXX
    G9006XMCCD, Home monitoring0.000.000.000.00XXX
    G9007XMCCD, sch team conf0.000.000.000.00XXX
    G9008XMccd,phys coor-care ovrsght0.000.000.000.00XXX
    G9009XMCCD, risk adj, level 30.000.000.000.00XXX
    G9010XMCCD, risk adj, level 40.000.000.000.00XXX
    G9011XMCCD, risk adj, level 50.000.000.000.00XXX
    G9012XOther Specified Case Mgmt0.000.000.000.00XXX
    G9016NDemo-smoking cessation coun0.000.000.000.00XXX
    J3370RVancomycin hcl injeciton0.000.000.000.00XXX
    M0064AVisit for drug monitoring0.370.120.260.01XXX
    P3001AScreening pap smear by phys0.420.190.190.01XXX
    Q0035ACardiokymography0.17NA0.470.03XXX
    Q003526ACardiokymography0.170.070.070.01XXX
    Q0035TCACardiokymography0.00NA0.400.02XXX
    Q0091AObtaining screen pap smear0.370.140.680.01XXX
    Q0092ASet up port xray equipment0.00NA0.330.01XXX
    R0070CTransport portable x-ray0.000.000.000.00XXX
    R0075CTransport port x-ray multipl0.000.000.000.00XXX
    R0076BTransport portable EKG0.000.000.000.00XXX
    V2520PContact lens hydrophilic0.000.000.000.00XXX
    V5299RHearing service0.000.000.000.00XXX
    V5362RSpeech screening0.000.000.000.00XXX
    V5363RLanguage screening0.000.000.000.00XXX
    V5364RDysphagia screening0.000.000.000.00XXX
    1 CPT codes and descriptions only are copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
    2 Copyright 1994 American Dental Association. All rights reserved(D0110-D9999).
    3 +Indicates RVUs are not use for Medicate payments.
    4 PE RVUs = Practice Expense Relative Value Units.
    End Supplemental Information

    [FR Doc. 02-16146 Filed 6-27-02; 8:45 am]

    BILLING CODE 4120-01-P

Document Information

Published:
06/28/2002
Department:
Centers for Medicare & Medicaid Services
Entry Type:
Proposed Rule
Action:
Proposed rule.
Document Number:
02-16146
Dates:
We will consider comments if we receive them at the appropriate
Pages:
43845-44013 (169 pages)
Docket Numbers:
CMS-1204-P
RINs:
0938-AL21: Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2003 (CMS-1204-FC)
RIN Links:
https://www.federalregister.gov/regulations/0938-AL21/revisions-to-payment-policies-under-the-physician-fee-schedule-for-calendar-year-2003-cms-1204-fc-
Topics:
Administrative practice and procedure, Health facilities, Health professions, Kidney diseases, Laboratories, Medicare, Reporting and recordkeeping requirements, Rural areas, X-rays
PDF File:
02-16146.pdf
CFR: (7)
42 CFR 410.59
42 CFR 410.60
42 CFR 410.61
42 CFR 410.76
42 CFR 410.78
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