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.
Start Further InfoFOR 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 InformationSUPPLEMENTARY 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 designation Place of service code(s) Place of service name Place of service description 01-02 Unassigned N/A. NF 03 School A facility whose primary purpose is education. NF 04 Homeless Shelter A 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 NF 05 Indian Health Service Free-standing Facility A 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. F 06 Indian Health Service Provider-based Facility A 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. NF 07 Tribal 638 Free-standing Facility A 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. F 08 Tribal 638 Provider-based Facility A 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. 09-10 Unassigned N/A. NF 11 Office Location, 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. NF 12 Home Location, other than a hospital or other facility, where the patient receives care in a private residence. 13-14 Unassigned N/A. NF (*See above explanation) 15 Mobile Unit A facility/unit that moves from place-to-place equipped to provide preventive, screening, diagnostic, and/or treatment services. 16-19 Unassigned N/A. NF 20 Urgent Care Facility Location, 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. F 21 Inpatient Hospital A 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. F 22 Outpatient Hospital A 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. F 23 Emergency Room—Hospital A 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. 24 Ambulatory Surgical Center A freestanding facility, other than a physician's office, where surgical and diagnostic services are provided on an ambulatory basis. NF 25 Birthing Center A 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. F 26 Military Treatment Facility A 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). 27-30 Unassigned N/A. F 31 Skilled Nursing Facility A 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 NF 32 Nursing Facility A 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. NF 33 Custodial Care Facility A facility which provides room, board and other personal assistance services, generally on a long-term basis, and which does not include a medical component. F 34 Hospice A facility, other than a patient's home, in which palliative and supportive care for terminally ill patients and their families is provided. 35-40 Unassigned N/A. F 41 Ambulance—Land A land vehicle specifically designed, equipped and staffed for lifesaving and transporting the sick or injured. F 42 Ambulance—Air or Water An air or water vehicle specifically designed, equipped and staffed for lifesaving and transporting the sick or injured. 43-49 Unassigned N/A. NF 50 Federally Qualified Health Center A facility located in a medically underserved area that provides Medicare beneficiaries preventive primary medical care under the general direction of a physician. F 51 Inpatient Psychiatric Facility A 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. F 52 Psychiatric Facility-Partial Hospitalization A 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. F 53 Community Mental Health Center A 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. NF 54 Intermediate Care Facility/Mentally Retarded A 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. NF 55 Residential Substance-Abuse Treatment Facility A 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. NF 56 Psychiatric Residential Treatment Center A 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. 57-59 Unassigned N/A. NF 60 Mass Immunization Center A 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. NF 61 Comprehensive Inpatient Rehabilitation Facility A 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. NF 62 Comprehensive Outpatient Rehabilitation Facility A 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. 63-64 Unassigned N/A. Start Printed Page 43855 NF 65 End-Stage Renal Disease Treatment Facility A facility other than a hospital, which provides dialysis treatment, maintenance, and/or training to patients or caregivers on an ambulatory or home-care basis. 66-70 Unassigned N/A. NF 71 State or Local Public Health Clinic A facility maintained by either State or local health departments which provides ambulatory primary medical care under the general direction of a physician. NF 72 Rural Health Clinic A certified facility which is located in a rural medically-underserved area that provides ambulatory primary medical care under the general direction of a physician. 73-80 Unassigned N/A. NF 81 Independent Laboratory A laboratory certified to perform diagnostic and/or clinical tests independent of an institution or a physician's office. 82-98 Unassigned N/A. 99 Other Place of Service Other 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.
Start Printed Page 43861Table 1.—Increase in the Medicare Economic Index Update for Calendar Year 2003 1
Cost categories and price measures 1996 weights 2 CY 2003 percent changes Medicare Economic Index Total, productivity adjusted n/a 3.0 Productivity: 10-year moving average of Multifactor productivity, private nonfarm business sector n/a 0.8 Medicare Economic Index Total, without productivity adjustment 100.0 3.8 1. Physician's Own Time 3 54.5 4.1 a. Wages and Salaries: Average hourly earnings Private nonfarm 44.2 3.9 b. Fringe Benefits: Employment Cost Index, benefits, private nonfarm 10.3 4.8 2. Physician's Practice Expense 3 45.5 3.6 a. Nonphysician Employee Compensation 16.8 4.1 1. Wages and Salaries: Employment Cost Index, wages and salaries, weighted by occupation 12.4 3.7 2. Fringe Benefits: Employment Cost Index, fringe benefits, white collar 4.4 5.4 b. Office Expense: Consumer Price Index for Urban Consumers (CPI-U), housing 11.6 2.6 c. Medical Materials and Supplies: Producer Price Index (PPI), ethical drugs/PPI, surgical appliances and supplies/CPI-U, medical equipment and supplies (equally weighted) 4.5 2.1 d. Professional Liability Insurance: CMS professional liability insurance survey 4 3.2 11.3 e. Medical Equipment: PPI, medical instruments and equipment 1.9 1.6 f. Other Professional Expense 7.6 1.6 1. Professional Car: CPI-U, private transportation 1.3 −2.9 2. Other: CPI-U, all items less food and energy 6.3 2.5 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. 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
Category Medicare allowed charges ($ in billions) Input changes (percent) Maximum staff time (percent) Professional technical changes (percent) Zero physician work pool (percent) Multi-year utilization Total (percent) Physicians: ALLERGY/IMMUNOLOGY $0.14 0 1 0 0 0 2 ANESTHESIOLOGY 1.17 0 0 0 0 0 −1 CARDIAC SURGERY 0.27 0 0 0 0 0 0 CARDIOLOGY 4.28 0 1 0 0 1 1 CLINICS 1.81 0 0 0 0 0 0 DERMATOLOGY 1.43 0 −1 0 0 0 −2 EMERGENCY MEDICINE 1.04 0 0 0 0 0 0 ENDOCRINOLOGY 0.20 0 0 0 0 0 0 FAMILY PRACTICE 3.27 0 0 0 0 0 0 GASTROENTEROLOGY 1.25 0 0 0 0 −1 −1 GENERAL PRACTICE 0.87 0 0 0 0 0 0 GENERAL SURGERY 1.94 0 0 0 0 0 −1 GERIATRICS 0.08 0 0 0 0 0 0 HEMATOLOGY/ONCOLOGY 0.90 0 1 0 0 1 1 INFECTIOUS DISEASE 0.25 0 0 0 0 0 −1 INTERNAL MEDICINE 6.42 0 0 0 0 0 0 INTERVENTIONAL RADIOLOGY 0.13 0 0 0 0 0 1 NEPHROLOGY 1.03 0 0 0 0 0 −1 NEUROLOGY 0.85 0 1 3 0 0 −1 NEUROSURGERY 0.35 0 0 0 0 0 −1 OBSTETRICS/GYNECOLOGY 0.45 0 0 0 0 0 0 OPHTHALMOLOGY 3.69 0 −1 0 0 −1 −1 ORTHOPEDIC SURGERY 2.22 0 0 0 0 0 0 OTOLARNGOLOGY 0.63 0 0 0 0 0 0 PATHOLOGY 0.63 0 0 −2 0 0 −2 PEDIATRICS 0.05 0 0 0 0 0 0 PHYSICAL MEDICINE 0.48 0 0 1 0 0 1 PLASTIC SURGERY 0.23 0 0 0 0 −1 −1 PSYCHIATRY 1.00 0 0 0 0 0 0 PULMONARY DISEASE 1.07 0 0 1 0 0 0 RADIATION ONCOLOGY 0.72 0 2 0 0 2 3 RADIOLOGY 3.12 0 1 0 0 1 2 RHEUMATOLOGY 0.30 0 0 0 0 0 0 THORACIC SURGERY 0.44 0 0 0 0 0 0 UROLOGY 0.44 0 0 0 0 −1 −1 VASCULAR SURGERY 0.34 0 0 0 2 0 2 Other Practitioners: CHIROPRACTOR 0.44 0 0 0 0 −1 −1 CLINICAL PSYCHOLOGIST 0.38 0 0 0 0 1 1 CLINICAL SOCIAL WORKER 0.21 0 0 0 0 1 0 NURSE ANESTHETIST 0.35 0 0 0 0 0 −1 NURSE PRACTITIONER 0.21 0 0 0 0 0 0 OPTOMETRY 0.50 −1 −1 0 0 −1 −2 PHYSICAL/OCCUPATIONAL THERAPY 0.47 0 0 0 0 0 0 Start Printed Page 43868 PHYSICIAN ASSISTANTS 0.17 0 0 0 0 0 0 PODIATRY 1.10 0 0 0 0 0 −1 Suppliers: DIAGNOSTIC TREATMENT FACILITY 0.35 0 3 1 1 3 9 INDEPENDENT LABORATORY 0.38 0 −1 −9 0 2 −8 PORTABLE XRAY SUPPLIER 0.06 0 4 0 0 3 8 ALL OTHER 0.29 0 0 0 0 0 0 TOTAL 49.21 0 0 0 0 0 0 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
Specialty Medicare allowed charges ($ in billions) Combined practice expense changes (percent) Estimated update (percent) Total (percent) Physicians: ALLERGY/IMMUNOLOGY $0.14 2 −4.4 −3 ANESTHESIOLOGY 1.17 −1 −4.4 −5 CARDIAC SURGERY 0.27 0 −5.5 −5 CARDIOLOGY 4.28 1 −4.4 −4 CLINICS 1.81 0 −4.4 −5 DERMATOLOGY 1.43 −2 −4.4 −6 EMERGENCY MEDICINE 1.04 0 −4.4 −4 ENDOCRINOLOGY 0.20 0 −4.4 −5 FAMILY PRACTICE 3.27 0 −4.4 −5 GASTROENTEROLOGY 1.25 −1 −4.4 −5 GENERAL PRACTICE 0.87 0 −4.4 −4 Start Printed Page 43869 GENERAL SURGERY 1.94 −1 −4.4 −5 GERIATRICS 0.08 0 −4.4 −5 HEMATOLOGY/ONCOLOGY 0.90 1 −4.4 −3 INFECTIOUS DISEASE 0.25 −1 −4.4 −5 INTERNAL MEDICINE 6.42 0 −4.4 −5 INTERVENTIONAL RADIOLOGY 0.13 1 −4.4 −4 NEPHROLOGY 1.03 −1 −4.4 −5 NEUROLOGY 0.85 2 −4.4 −1 NEUROSURGERY 0.35 −1 −4.4 −5 OBSTETRICS/GYNECOLOGY 0.45 0 −4.4 −5 OPHTHALMOLOGY 3.69 −1 −4.4 −5 ORTHOPEDIC SURGERY 2.22 0 −4.4 −5 OTOLARNGOLOGY 0.63 0 −4.4 −5 PATHOLOGY 0.63 −2 −4.4 −6 PEDIATRICS 0.05 0 −4.4 −4 PHYSICAL MEDICINE 0.48 1 −4.4 −3 PLASTIC SURGERY 0.23 −1 −4.4 −5 PSYCHIATRY 1.00 0 −4.4 −5 PULMONARY DISEASE 1.07 0 −4.4 −4 RADIATION ONCOLOGY 0.72 3 −4.4 −3 RADIOLOGY 3.12 2 −4.4 −3 RHEUMATOLOGY 0.30 0 −4.4 −4 THORACIC SURGERY 0.44 0 −4.4 −4 UROLOGY 1.28 −1 −4.4 −4 VASCULAR SURGERY 0.34 2 −4.4 −3 Other Practitioners: CHIROPRACTOR 0.44 −1 −4.4 −5 CLINICAL PSYCHOLOGIST 0.38 1 −4.4 −4 CLINICAL SOCIAL WORKER 0.21 0 −4.4 −4 NURSE ANESTHETIST 0.35 −1 −4.4 −5 NURSE PRACTITIONER 0.21 0 −4.4 −5 OPTOMETRY 0.50 −2 −4.4 −4 PHYSICAL/OCCUPATIONAL THERAPY 0.47 0 −4.4 −5 PHYSICIANS ASSISTANT 0.17 0 −4.4 −5 PODIATRY 1.10 −1 −4.4 −5 Suppliers: DIAGNOSTIC TREATMENT FACILITY 0.35 9 −4.4 1 INDEPENDENT LABORATORY 0.38 −8 −4.4 −9 PORTABLE X-RAY SUPPLIER 0.06 8 −4.4 −1 ALL OTHER 0.29 0 −4.4 −5 TOTAL 49.21 0 −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
HCPCS MOD DESC Facility payment Nonfacility payment Old New % Change Old New % Change 11721 Debride nail, 6 or more $28.96 $27.34 −6 $36.92 $34.95 −5 17000 Detroy benign/premal lesion 32.94 31.15 −5 62.62 58.48 −7 27130 Total hip arthroplasty 1,452.31 1,376.62 −5 N/A N/A N/A 27236 Treat thigh fracture 1,113.85 1,053.40 −5 N/A N/A N/A 27244 Treat thigh fracture 1,137.38 1,074.86 −5 N/A N/A N/A Start Printed Page 43870 27447 Total knee arthroplasty 1,514.21 1,433.72 −5 N/A N/A N/A 33533 CABG, arterial, single 1,827.34 1,742.75 −5 N/A N/A N/A 35301 Rechanneling of artery 1,061.36 1,011.18 −5 N/A N/A N/A 43239 Upper GI endoscopy, biopsy 154.93 146.73 −5 354.75 316.30 −11 45385 Lesion removal colonoscopy 287.78 273.04 −5 571.22 511.82 −10 66821 After cataract laser surgery 213.94 203.83 −5 229.50 219.40 −4 66984 Cataract surg w/iol, i stage 669.32 636.06 −5 N/A N/A N/A 67210 Treatment of retinal lesion 546.61 519.09 5 603.08 575.15 −5 71010 26 Chest x-ray 9.05 8.65 −4 9.05 8.65 −4 71020 26 Chest x-ray 11.22 10.38 −7 11.22 10.38 −7 76091 Mammogram, both breasts N/A N/A N/A 90.50 90.32 0 76091 26 Mammogram, both breasts 43.44 41.53 −4 43.44 41.53 −4 76092 Mammogram, screening N/A N/A N/A 81.81 78.21 −4 76092 26 Mammogram, screening 35.48 33.91 −4 35.48 33.91 −4 77427 Radiation tx management, x5 167.96 159.88 −5 167.96 159.88 −5 78465 26 Heart image (3d), multiple 74.93 70.94 −5 74.93 70.94 −5 88305 26 Tissue exam by pathologist 40.54 38.41 −5 40.54 38.41 −5 90801 Psy dx interview 137.19 130.81 −5 144.80 138.08 −5 90806 Psytx, off, 45-50 min 91.22 87.55 −4 95.93 92.05 −4 90807 Psytx, off, 45-50 min w/e&m 98.82 94.13 −5 103.53 98.28 −5 90862 Medication management 46.33 43.95 −5 51.04 48.45 −5 90921 ESRD related services, month 273.30 258.16 −6 273.30 258.16 −6 90935 Hemodialysis, one evaluation 76.38 71.98 −6 N/A N/A N/A 92004 Eye exam, new patient 87.96 83.05 −6 123.44 117.66 −5 92012 Eye exam established pat 35.84 33.91 −5 61.18 58.48 −4 92014 Eye exam & treatment 58.64 55.37 −6 91.22 86.86 −5 92980 Insert itracoronary stent 790.59 748.18 −5 N/A N/A N/A 92982 Coronary artery dilation 584.26 553.00 −5 N/A N/A N/A 93000 Electrocardiogram, complete N/A N/A N/A 25.34 25.26 0 93010 Electrocardiogram report 9.05 8.31 −8 9.05 8.31 −8 93015 Cardiovascular stress test N/A N/A N/A 99.91 100.01 0 93307 26 Echo exam of heart 48.14 45.33 −6 48.14 45.33 −6 93510 26 Left heart catheterization 230.59 218.02 −5 230.59 218.02 −5 98941 Chiropractic manipulation 31.13 29.42 −5 35.48 33.57 −5 99202 Office/outpatient visit, new 45.61 43.26 −5 61.54 58.14 −6 99203 Office/outpatient visit, new 69.50 66.10 −5 91.95 86.86 −6 99204 Office/outpatient visit, new 102.81 97.93 −5 130.68 123.89 −5 99205 Office/outpatient visit, new 136.47 129.43 −5 166.15 157.46 −5 99211 Office/outpatient visit, est 8.69 8.31 −4 20.27 19.03 −6 99212 Office/outpatient visit, est 23.17 21.80 −6 36.20 33.91 −6 99213 Office/outpatient visit, est 34.03 32.53 −4 50.32 47.76 −5 99214 Office/outpatient visit, est 56.11 53.29 −5 78.91 74.75 −5 99215 Office/outpatient visit, est 90.50 85.82 −5 115.84 109.35 −6 99221 Initial hospital care 65.16 61.94 −5 N/A N/A N/A 99222 Initial hospital care 108.24 102.78 −5 N/A N/A N/A 99223 Initial hospital care 150.95 143.27 −5 N/A N/A N/A 99231 Subsequent hospital care 32.58 30.80 −5 N/A N/A N/A 99232 Subsequent hospital care 53.57 50.87 −5 N/A N/A N/A 99233 Subsequent hospital care 76.38 72.33 −5 N/A N/A N/A 99236 Observ/hosp same date 214.66 204.87 −5 N/A N/A N/A 99238 Hospital discharge day 66.24 62.98 −5 N/A N/A N/A 99239 Hospital discharge day 90.86 86.17 −5 N/A N/A N/A 99241 Office consultation 33.30 31.15 −6 47.06 44.64 −5 99242 Office consultation 68.05 64.02 −6 87.24 82.36 −6 99243 Office consultation 90.14 85.48 −5 115.84 109.35 −6 99244 Office consultation 133.58 126.66 −5 164.34 155.38 −5 99245 Office consultation 177.01 167.84 −5 212.85 201.41 −5 99251 Initial inpatient consult 34.75 32.88 −5 N/A N/A N/A 99252 Initial inpatient consult 69.86 66.10 −5 N/A N/A N/A 99253 Initial inpatient consult 95.20 90.32 −5 N/A N/A N/A 99254 Initial inpatient consult 136.83 129.77 −5 N/A N/A N/A 99255 Initial inpatient consult 188.60 178.57 −5 N/A N/A N/A 99261 Follow-up inpatient consult 21.72 20.76 −4 N/A N/A N/A 99262 Follow-up inpatient consult 43.44 41.18 −5 N/A N/A N/A 99263 Follow-up inpatient consult 64.80 61.25 −5 N/A N/A N/A 99282 Emergency dept visit 26.43 25.26 −4 N/A N/A N/A 99283 Emergency dept visit 59.37 56.75 −4 N/A N/A N/A 99284 Emergency dept visit 92.67 88.59 −4 N/A N/A N/A Start Printed Page 43871 99285 Emergency dept visit 144.80 138.08 −5 N/A N/A N/A 99291 Critical care, first hour 198.37 188.60 −5 208.87 197.60 −5 99292 Critical care, addl 30 min 98.82 94.13 −5 108.24 101.05 −7 99301 Nursing facility care 60.09 57.45 −4 70.23 66.79 −5 99302 Nursing facility care 80.72 76.83 −5 95.57 91.01 −5 99303 Nursing facility care 100.27 95.51 −5 118.73 112.82 −5 99311 Nursing fac care, subseq 30.05 28.72 −4 40.18 38.41 −4 99312 Nursing fac care, subseq 49.95 47.41 −5 61.90 58.83 −5 99313 Nursing fac care, subseq 70.95 67.48 −5 84.34 80.29 −5 99348 Home visit, est patient N/A N/A N/A 73.85 69.90 −5 99350 Home visit, est patient N/A N/A N/A 166.52 157.46 −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 SubjectsList of Subjects
42 CFR Part 410
- Health facilities
- Health professions
- Kidney diseases
- Laboratories
- Medicare
- Rural areas
- X-rays
42 CFR Part 414
- Administrative practice and procedure
- Health facilities
- Health professions
- Kidney diseases
- Medicare
- Reporting and recordkeeping requirements
- Rural areas
- X-rays
For the reasons set forth in the preamble, the Centers for Medicare & Medicaid Services proposes to amend 42 CFR chapter IV as follows:
Start PartPART 410—SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
1. The authority citation for Part 410 continues to read as follows:
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 43873Clinical 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.
* * * * *PART 414—PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
1. The authority citation for part 414 continues to read as follows:
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:
* * * * *(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.
Approved: June 5, 2002.
Tommy G. Thompson,
Secretary.
Note:
These addenda will not appear in the Code of Federal Regulations.
Addendum A—Explanation and Use of Addenda B
The addenda on the following pages provide various data pertaining to the Medicare fee schedule for physicians' services furnished in 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 43874End Supplemental InformationAddendum B.—Relative Value Units (RVUs) and Related Information
CPT 1/ HCPCS 2 MOD Status Description Physician Work RVUs 3 Facility PE RVUs Non- Facility PE RVUs Mal- Practice RVUs Global 0001T C Endovas repr abdo ao aneurys 0.00 0.00 0.00 0.00 XXX 0002T C Endovas repr abdo ao aneurys 0.00 0.00 0.00 0.00 XXX 0003T C Cervicography 0.00 0.00 0.00 0.00 XXX 0005T C Perc cath stent/brain cv art 0.00 0.00 0.00 0.00 XXX 0006T C Perc cath stent/brain cv art 0.00 0.00 0.00 0.00 XXX 0007T C Perc cath stent/brain cv art 0.00 0.00 0.00 0.00 XXX 0008T C Upper gi endoscopy w/suture 0.00 0.00 0.00 0.00 XXX 0009T C Endometrial cryoablation 0.00 0.00 0.00 0.00 XXX 0010T C Tb test, gamma interferon 0.00 0.00 0.00 0.00 XXX 0012T C Osteochondral knee autograft 0.00 0.00 0.00 0.00 XXX 0013T C Osteochondral knee allograft 0.00 0.00 0.00 0.00 XXX 0014T C Meniscal transplant, knee 0.00 0.00 0.00 0.00 XXX 0016T C Thermotx choroid vasc lesion 0.00 0.00 0.00 0.00 XXX 0017T C Photocoagulat macular drusen 0.00 0.00 0.00 0.00 XXX 0018T C Transcranial magnetic stimul 0.00 0.00 0.00 0.00 XXX 0019T C Extracorp shock wave tx, ms 0.00 0.00 0.00 0.00 XXX 0020T C Extracorp shock wave tx, ft 0.00 0.00 0.00 0.00 XXX 0021T C Fetal oximetry, trnsvag/cerv 0.00 0.00 0.00 0.00 XXX 0023T C Phenotype drug test, hiv 1 0.00 0.00 0.00 0.00 XXX 0024T C Transcath cardiac reduction 0.00 0.00 0.00 0.00 XXX 0025T C Ultrasonic pachymetry 0.00 0.00 0.00 0.00 XXX 0026T C Measure remnant lipoproteins 0.00 0.00 0.00 0.00 XXX 10021 A Fna w/o image 1.27 NA 1.00 0.10 XXX 10022 A Fna w/image 1.27 NA 1.26 0.08 XXX Start Printed Page 43875 10040 A Acne surgery 1.18 0.53 0.93 0.05 010 10060 A Drainage of skin abscess 1.17 0.67 1.47 0.08 010 10061 A Drainage of skin abscess 2.40 1.42 1.83 0.17 010 10080 A Drainage of pilonidal cyst 1.17 0.73 2.12 0.09 010 10081 A Drainage of pilonidal cyst 2.45 1.54 2.88 0.19 010 10120 A Remove foreign body 1.22 0.36 1.48 0.10 010 10121 A Remove foreign body 2.69 1.78 2.93 0.25 010 10140 A Drainage of hematoma/fluid 1.53 0.87 1.49 0.15 010 10160 A Puncture drainage of lesion 1.20 0.42 0.72 0.11 010 10180 A Complex drainage, wound 2.25 1.26 1.47 0.25 010 11000 A Debride infected skin 0.60 0.24 0.63 0.05 000 11001 A Debride infected skin add-on 0.30 0.11 0.37 0.02 ZZZ 11010 A Debride skin, fx 4.20 1.98 2.39 0.45 010 11011 A Debride skin/muscle, fx 4.95 2.59 3.82 0.53 000 11012 A Debride skin/muscle/bone, fx 6.88 4.21 5.47 0.89 000 11040 A Debride skin, partial 0.50 0.21 0.54 0.05 000 11041 A Debride skin, full 0.82 0.33 0.69 0.08 000 11042 A Debride skin/tissue 1.12 0.46 1.04 0.11 000 11043 A Debride tissue/muscle 2.38 1.38 2.65 0.24 010 11044 A Debride tissue/muscle/bone 3.06 1.82 3.26 0.34 010 11055 R Trim skin lesion 0.43 0.18 0.51 0.02 000 11056 R Trim skin lesions, 2 to 4 0.61 0.26 0.57 0.03 000 11057 R Trim skin lesions, over 4 0.79 0.33 0.64 0.04 000 11100 A Biopsy of skin lesion 0.81 0.37 1.46 0.04 000 11101 A Biopsy, skin add-on 0.41 0.19 0.69 0.02 ZZZ 11200 A Removal of skin tags 0.77 0.31 1.16 0.04 010 11201 A Remove skin tags add-on 0.29 0.12 0.51 0.02 ZZZ 11300 A Shave skin lesion 0.51 0.22 1.01 0.03 000 11301 A Shave skin lesion 0.85 0.39 1.09 0.04 000 11302 A Shave skin lesion 1.05 0.47 1.18 0.05 000 11303 A Shave skin lesion 1.24 0.54 1.31 0.06 000 11305 A Shave skin lesion 0.67 0.28 0.74 0.04 000 11306 A Shave skin lesion 0.99 0.43 1.00 0.05 000 11307 A Shave skin lesion 1.14 0.50 1.12 0.05 000 11308 A Shave skin lesion 1.41 0.61 1.26 0.07 000 11310 A Shave skin lesion 0.73 0.33 1.11 0.04 000 11311 A Shave skin lesion 1.05 0.50 1.20 0.05 000 11312 A Shave skin lesion 1.20 0.57 1.27 0.06 000 11313 A Shave skin lesion 1.62 0.74 1.55 0.09 000 11400 A Removal of skin lesion 0.91 0.35 1.63 0.06 010 11401 A Removal of skin lesion 1.32 0.51 1.76 0.09 010 11402 A Removal of skin lesion 1.61 0.95 2.51 0.12 010 11403 A Removal of skin lesion 1.92 1.07 2.75 0.16 010 11404 A Removal of skin lesion 2.20 1.15 2.91 0.18 010 11406 A Removal of skin lesion 2.76 1.36 3.21 0.25 010 11420 A Removal of skin lesion 1.06 0.43 1.46 0.08 010 11421 A Removal of skin lesion 1.53 0.62 1.77 0.11 010 11422 A Removal of skin lesion 1.76 1.04 2.53 0.14 010 11423 A Removal of skin lesion 2.17 1.22 2.92 0.17 010 11424 A Removal of skin lesion 2.62 1.38 3.04 0.21 010 11426 A Removal of skin lesion 3.78 1.82 3.70 0.34 010 11440 A Removal of skin lesion 1.15 0.51 2.18 0.08 010 11441 A Removal of skin lesion 1.61 0.72 2.38 0.11 010 11442 A Removal of skin lesion 1.87 1.25 2.79 0.14 010 11443 A Removal of skin lesion 2.49 1.57 3.30 0.18 010 11444 A Removal of skin lesion 3.42 1.98 3.75 0.25 010 11446 A Removal of skin lesion 4.49 2.45 4.20 0.30 010 11450 A Removal, sweat gland lesion 2.73 0.97 4.11 0.26 090 11451 A Removal, sweat gland lesion 3.95 1.44 4.91 0.39 090 11462 A Removal, sweat gland lesion 2.51 0.95 4.08 0.23 090 11463 A Removal, sweat gland lesion 3.95 1.57 5.55 0.40 090 11470 A Removal, sweat gland lesion 3.25 1.24 4.66 0.30 090 11471 A Removal, sweat gland lesion 4.41 1.72 5.69 0.40 090 11600 A Removal of skin lesion 1.41 1.02 2.41 0.09 010 11601 A Removal of skin lesion 1.93 1.30 2.46 0.12 010 11602 A Removal of skin lesion 2.09 1.35 2.58 0.13 010 Start Printed Page 43876 11603 A Removal of skin lesion 2.35 1.42 2.83 0.16 010 11604 A Removal of skin lesion 2.58 1.49 3.15 0.18 010 11606 A Removal of skin lesion 3.43 1.77 3.76 0.28 010 11620 A Removal of skin lesion 1.34 1.03 2.39 0.09 010 11621 A Removal of skin lesion 1.97 1.37 2.50 0.12 010 11622 A Removal of skin lesion 2.34 1.54 2.78 0.15 010 11623 A Removal of skin lesion 2.93 1.76 3.18 0.20 010 11624 A Removal of skin lesion 3.43 1.98 3.59 0.25 010 11626 A Removal of skin lesion 4.30 2.46 4.36 0.35 010 11640 A Removal of skin lesion 1.53 1.23 2.45 0.10 010 11641 A Removal of skin lesion 2.44 1.71 2.85 0.15 010 11642 A Removal of skin lesion 2.93 1.94 3.26 0.18 010 11643 A Removal of skin lesion 3.50 2.21 3.69 0.24 010 11644 A Removal of skin lesion 4.55 2.81 4.65 0.33 010 11646 A Removal of skin lesion 5.95 3.62 5.52 0.46 010 11719 R Trim nail(s) 0.17 0.07 0.25 0.01 000 11720 A Debride nail, 1-5 0.32 0.13 0.34 0.02 000 11721 A Debride nail, 6 or more 0.54 0.21 0.43 0.04 000 11730 A Removal of nail plate 1.13 0.44 0.81 0.09 000 11732 A Remove nail plate, add-on 0.57 0.23 0.30 0.05 ZZZ 11740 A Drain blood from under nail 0.37 0.14 0.81 0.03 000 11750 A Removal of nail bed 1.86 0.77 1.71 0.16 010 11752 A Remove nail bed/finger tip 2.67 1.74 2.10 0.33 010 11755 A Biopsy, nail unit 1.31 0.56 1.07 0.06 000 11760 A Repair of nail bed 1.58 1.24 1.78 0.17 010 11762 A Reconstruction of nail bed 2.89 1.86 2.23 0.32 010 11765 A Excision of nail fold, toe 0.69 0.49 1.13 0.05 010 11770 A Removal of pilonidal lesion 2.61 1.23 2.93 0.24 010 11771 A Removal of pilonidal lesion 5.74 3.91 5.50 0.56 090 11772 A Removal of pilonidal lesion 6.98 4.36 6.35 0.68 090 11900 A Injection into skin lesions 0.52 0.22 0.75 0.02 000 11901 A Added skin lesions injection 0.80 0.36 0.87 0.03 000 11920 R Correct skin color defects 1.61 0.80 2.21 0.17 000 11921 R Correct skin color defects 1.93 1.00 2.60 0.21 000 11922 R Correct skin color defects 0.49 0.25 0.39 0.05 ZZZ 11950 R Therapy for contour defects 0.84 0.42 1.20 0.06 000 11951 R Therapy for contour defects 1.19 0.52 1.57 0.10 000 11952 R Therapy for contour defects 1.69 0.70 2.01 0.17 000 11954 R Therapy for contour defects 1.85 0.93 2.62 0.19 000 11960 A Insert tissue expander(s) 9.08 11.15 NA 0.88 090 11970 A Replace tissue expander 7.06 5.01 NA 0.77 090 11971 A Remove tissue expander(s) 2.13 3.88 6.27 0.21 090 11975 N Insert contraceptive cap 1.48 0.57 1.56 0.14 XXX 11976 R Removal of contraceptive cap 1.78 0.70 1.67 0.17 000 11977 N Removal/reinsert contra cap 3.30 1.28 2.27 0.31 XXX 11980 A Implant hormone pellet(s) 1.48 0.56 1.12 0.10 000 11981 A Insert drug implant device 1.48 0.57 1.56 0.14 XXX 11982 A Remove drug implant device 1.78 0.69 1.68 0.17 XXX 11983 A Remove/insert drug implant 3.30 1.28 2.27 0.31 XXX 12001 A Repair superficial wound(s) 1.70 0.44 2.09 0.13 010 12002 A Repair superficial wound(s) 1.86 0.93 2.15 0.15 010 12004 A Repair superficial wound(s) 2.24 1.04 2.41 0.17 010 12005 A Repair superficial wound(s) 2.86 1.23 2.96 0.23 010 12006 A Repair superficial wound(s) 3.67 1.54 3.61 0.31 010 12007 A Repair superficial wound(s) 4.12 1.83 4.05 0.37 010 12011 A Repair superficial wound(s) 1.76 0.45 2.25 0.14 010 12013 A Repair superficial wound(s) 1.99 0.96 2.39 0.16 010 12014 A Repair superficial wound(s) 2.46 1.09 2.68 0.18 010 12015 A Repair superficial wound(s) 3.19 1.28 3.28 0.24 010 12016 A Repair superficial wound(s) 3.93 1.56 3.76 0.32 010 12017 A Repair superficial wound(s) 4.71 1.90 NA 0.39 010 12018 A Repair superficial wound(s) 5.53 2.27 NA 0.46 010 12020 A Closure of split wound 2.62 1.42 2.48 0.24 010 12021 A Closure of split wound 1.84 1.02 1.61 0.19 010 12031 A Layer closure of wound(s) 2.15 0.77 2.15 0.15 010 12032 A Layer closure of wound(s) 2.47 1.28 2.77 0.15 010 Start Printed Page 43877 12034 A Layer closure of wound(s) 2.92 1.45 3.04 0.21 010 12035 A Layer closure of wound(s) 3.43 1.67 3.08 0.30 010 12036 A Layer closure of wound(s) 4.05 2.45 5.20 0.41 010 12037 A Layer closure of wound(s) 4.67 2.79 5.49 0.49 010 12041 A Layer closure of wound(s) 2.37 0.83 2.34 0.17 010 12042 A Layer closure of wound(s) 2.74 1.42 2.98 0.17 010 12044 A Layer closure of wound(s) 3.14 1.61 3.15 0.24 010 12045 A Layer closure of wound(s) 3.64 1.86 3.53 0.34 010 12046 A Layer closure of wound(s) 4.25 2.52 5.48 0.40 010 12047 A Layer closure of wound(s) 4.65 2.88 5.92 0.41 010 12051 A Layer closure of wound(s) 2.47 1.41 3.00 0.16 010 12052 A Layer closure of wound(s) 2.77 1.38 2.92 0.17 010 12053 A Layer closure of wound(s) 3.12 1.54 3.09 0.20 010 12054 A Layer closure of wound(s) 3.46 1.65 3.44 0.25 010 12055 A Layer closure of wound(s) 4.43 2.18 4.49 0.35 010 12056 A Layer closure of wound(s) 5.24 3.05 6.55 0.43 010 12057 A Layer closure of wound(s) 5.96 3.75 6.07 0.50 010 13100 A Repair of wound or lesion 3.12 1.82 3.34 0.21 010 13101 A Repair of wound or lesion 3.92 2.29 3.54 0.22 010 13102 A Repair wound/lesion add-on 1.24 0.57 0.73 0.10 ZZZ 13120 A Repair of wound or lesion 3.30 1.87 3.45 0.23 010 13121 A Repair of wound or lesion 4.33 2.39 3.76 0.25 010 13122 A Repair wound/lesion add-on 1.44 0.65 0.86 0.12 ZZZ 13131 A Repair of wound or lesion 3.79 2.21 3.70 0.25 010 13132 A Repair of wound or lesion 5.95 3.25 4.48 0.32 010 13133 A Repair wound/lesion add-on 2.19 1.01 1.19 0.17 ZZZ 13150 A Repair of wound or lesion 3.81 2.66 5.17 0.29 010 13151 A Repair of wound or lesion 4.45 3.10 5.04 0.28 010 13152 A Repair of wound or lesion 6.33 4.00 5.71 0.38 010 13153 A Repair wound/lesion add-on 2.38 1.09 1.32 0.18 ZZZ 13160 A Late closure of wound 10.48 6.28 NA 1.19 090 14000 A Skin tissue rearrangement 5.89 4.68 7.31 0.46 090 14001 A Skin tissue rearrangement 8.47 5.99 8.55 0.65 090 14020 A Skin tissue rearrangement 6.59 5.39 7.78 0.50 090 14021 A Skin tissue rearrangement 10.06 7.15 9.05 0.69 090 14040 A Skin tissue rearrangement 7.87 6.10 8.03 0.53 090 14041 A Skin tissue rearrangement 11.49 7.93 9.73 0.68 090 14060 A Skin tissue rearrangement 8.50 6.95 8.54 0.59 090 14061 A Skin tissue rearrangement 12.29 8.79 10.70 0.75 090 14300 A Skin tissue rearrangement 11.76 8.44 9.90 0.88 090 14350 A Skin tissue rearrangement 9.61 6.37 NA 1.09 090 15000 A Skin graft 4.00 1.88 2.44 0.37 000 15001 A Skin graft add-on 1.00 0.43 0.58 0.11 ZZZ 15050 A Skin pinch graft 4.30 3.96 5.05 0.46 090 15100 A Skin split graft 9.05 6.16 6.25 0.94 090 15101 A Skin split graft add-on 1.72 0.74 1.20 0.18 ZZZ 15120 A Skin split graft 9.83 6.75 8.40 0.87 090 15121 A Skin split graft add-on 2.67 1.22 1.60 0.27 ZZZ 15200 A Skin full graft 8.03 5.57 9.30 0.73 090 15201 A Skin full graft add-on 1.32 0.64 1.07 0.14 ZZZ 15220 A Skin full graft 7.87 6.23 9.26 0.68 090 15221 A Skin full graft add-on 1.19 0.58 0.92 0.12 ZZZ 15240 A Skin full graft 9.04 7.06 8.90 0.77 090 15241 A Skin full graft add-on 1.86 0.94 1.46 0.17 ZZZ 15260 A Skin full graft 10.06 7.53 8.86 0.63 090 15261 A Skin full graft add-on 2.23 1.14 1.56 0.17 ZZZ 15342 A Cultured skin graft, 25 cm 1.00 1.03 2.14 0.09 010 15343 A Culture skn graft addl 25 cm 0.25 0.10 0.41 0.02 ZZZ 15350 A Skin homograft 4.00 4.40 8.43 0.42 090 15351 A Skin homograft add-on 1.00 0.41 0.92 0.11 ZZZ 15400 A Skin heterograft 4.00 4.79 4.79 0.40 090 15401 A Skin heterograft add-on 1.00 0.46 1.11 0.11 ZZZ 15570 A Form skin pedicle flap 9.21 6.11 8.17 0.96 090 15572 A Form skin pedicle flap 9.27 5.83 7.68 0.93 090 15574 A Form skin pedicle flap 9.88 6.85 8.31 0.92 090 15576 A Form skin pedicle flap 8.69 6.34 8.80 0.72 090 Start Printed Page 43878 15600 A Skin graft 1.91 2.39 6.22 0.19 090 15610 A Skin graft 2.42 2.67 3.38 0.25 090 15620 A Skin graft 2.94 3.42 6.82 0.28 090 15630 A Skin graft 3.27 3.71 6.10 0.28 090 15650 A Transfer skin pedicle flap 3.97 3.77 6.11 0.36 090 15732 A Muscle-skin graft, head/neck 17.84 11.31 NA 1.50 090 15734 A Muscle-skin graft, trunk 17.79 11.18 NA 1.91 090 15736 A Muscle-skin graft, arm 16.27 10.73 NA 1.78 090 15738 A Muscle-skin graft, leg 17.92 11.17 NA 1.95 090 15740 A Island pedicle flap graft 10.25 7.05 8.55 0.62 090 15750 A Neurovascular pedicle graft 11.41 8.17 NA 1.12 090 15756 A Free muscle flap, microvasc 35.23 20.87 NA 3.11 090 15757 A Free skin flap, microvasc 35.23 22.03 NA 3.37 090 15758 A Free fascial flap, microvasc 35.10 22.06 NA 3.52 090 15760 A Composite skin graft 8.74 6.66 8.88 0.72 090 15770 A Derma-fat-fascia graft 7.52 6.03 NA 0.78 090 15775 R Hair transplant punch grafts 3.96 1.55 3.07 0.43 000 15776 R Hair transplant punch grafts 5.54 2.88 3.90 0.60 000 15780 A Abrasion treatment of skin 7.29 6.41 6.41 0.41 090 15781 A Abrasion treatment of skin 4.85 4.74 4.84 0.27 090 15782 A Abrasion treatment of skin 4.32 4.13 4.21 0.21 090 15783 A Abrasion treatment of skin 4.29 3.47 4.55 0.26 090 15786 A Abrasion, lesion, single 2.03 1.27 1.73 0.11 010 15787 A Abrasion, lesions, add-on 0.33 0.16 0.31 0.02 ZZZ 15788 R Chemical peel, face, epiderm 2.09 1.03 2.90 0.11 090 15789 R Chemical peel, face, dermal 4.92 3.46 5.92 0.27 090 15792 R Chemical peel, nonfacial 1.86 2.08 2.78 0.10 090 15793 A Chemical peel, nonfacial 3.74 3.33 NA 0.17 090 15810 A Salabrasion 4.74 3.83 3.83 0.42 090 15811 A Salabrasion 5.39 4.75 6.10 0.52 090 15819 A Plastic surgery, neck 9.38 6.69 NA 0.77 090 15820 A Revision of lower eyelid 5.15 7.08 11.63 0.30 090 15821 A Revision of lower eyelid 5.72 7.22 12.14 0.31 090 15822 A Revision of upper eyelid 4.45 6.47 10.50 0.22 090 15823 A Revision of upper eyelid 7.05 7.55 11.57 0.32 090 15824 R Removal of forehead wrinkles 0.00 0.00 0.00 0.00 000 15825 R Removal of neck wrinkles 0.00 0.00 0.00 0.00 000 15826 R Removal of brow wrinkles 0.00 0.00 0.00 0.00 000 15828 R Removal of face wrinkles 0.00 0.00 0.00 0.00 000 15829 R Removal of skin wrinkles 0.00 0.00 0.00 0.00 000 15831 A Excise excessive skin tissue 12.40 7.66 NA 1.30 090 15832 A Excise excessive skin tissue 11.59 7.75 NA 1.21 090 15833 A Excise excessive skin tissue 10.64 7.04 NA 1.17 090 15834 A Excise excessive skin tissue 10.85 6.98 NA 1.18 090 15835 A Excise excessive skin tissue 11.67 6.80 NA 1.13 090 15836 A Excise excessive skin tissue 9.34 6.19 NA 0.95 090 15837 A Excise excessive skin tissue 8.43 6.34 7.48 0.78 090 15838 A Excise excessive skin tissue 7.13 5.68 NA 0.58 090 15839 A Excise excessive skin tissue 9.38 5.77 7.29 0.88 090 15840 A Graft for face nerve palsy 13.26 9.80 NA 1.15 090 15841 A Graft for face nerve palsy 23.26 14.52 NA 2.65 090 15842 A Flap for face nerve palsy 37.96 22.95 NA 3.99 090 15845 A Skin and muscle repair, face 12.57 8.54 NA 0.80 090 15850 B Removal of sutures 0.78 0.30 1.43 0.04 XXX 15851 A Removal of sutures 0.86 0.34 1.61 0.05 000 15852 A Dressing change,not for burn 0.86 0.36 1.77 0.07 000 15860 A Test for blood flow in graft 1.95 0.80 1.31 0.13 000 15876 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 000 15877 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 000 15878 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 000 15879 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 000 15920 A Removal of tail bone ulcer 7.95 5.50 NA 0.83 090 15922 A Removal of tail bone ulcer 9.90 7.35 NA 1.06 090 15931 A Remove sacrum pressure sore 9.24 5.56 NA 0.95 090 15933 A Remove sacrum pressure sore 10.85 8.00 NA 1.14 090 15934 A Remove sacrum pressure sore 12.69 8.34 NA 1.35 090 Start Printed Page 43879 15935 A Remove sacrum pressure sore 14.57 10.04 NA 1.56 090 15936 A Remove sacrum pressure sore 12.38 8.86 NA 1.32 090 15937 A Remove sacrum pressure sore 14.21 10.36 NA 1.51 090 15940 A Remove hip pressure sore 9.34 5.94 NA 0.98 090 15941 A Remove hip pressure sore 11.43 9.87 NA 1.23 090 15944 A Remove hip pressure sore 11.46 8.67 NA 1.21 090 15945 A Remove hip pressure sore 12.69 9.63 NA 1.38 090 15946 A Remove hip pressure sore 21.57 14.05 NA 2.32 090 15950 A Remove thigh pressure sore 7.54 5.16 NA 0.80 090 15951 A Remove thigh pressure sore 10.72 8.02 NA 1.14 090 15952 A Remove thigh pressure sore 11.39 7.43 NA 1.19 090 15953 A Remove thigh pressure sore 12.63 8.87 NA 1.38 090 15956 A Remove thigh pressure sore 15.52 10.48 NA 1.64 090 15958 A Remove thigh pressure sore 15.48 10.79 NA 1.66 090 15999 C Removal of pressure sore 0.00 0.00 0.00 0.00 YYY 16000 A Initial treatment of burn(s) 0.89 0.27 1.07 0.06 000 16010 A Treatment of burn(s) 0.87 0.36 1.18 0.07 000 16015 A Treatment of burn(s) 2.35 0.94 1.88 0.22 000 16020 A Treatment of burn(s) 0.80 0.26 1.21 0.06 000 16025 A Treatment of burn(s) 1.85 0.67 1.87 0.16 000 16030 A Treatment of burn(s) 2.08 0.90 3.03 0.18 000 16035 A Incision of burn scab, initi 3.75 1.50 NA 0.36 090 16036 A Incise burn scab, addl incis 1.50 0.60 NA 0.11 ZZZ 17000 A Detroy benign/premal lesion 0.60 0.27 1.06 0.03 010 17003 A Destroy lesions, 2-14 0.15 0.07 0.23 0.01 ZZZ 17004 A Destroy lesions, 15 or more 2.79 1.28 2.51 0.12 010 17106 A Destruction of skin lesions 4.59 2.76 4.58 0.28 090 17107 A Destruction of skin lesions 9.16 4.94 6.88 0.53 090 17108 A Destruction of skin lesions 13.20 7.18 8.80 0.89 090 17110 A Destruct lesion, 1-14 0.65 0.26 1.09 0.04 010 17111 A Destruct lesion, 15 or more 0.92 0.38 1.16 0.04 010 17250 A Chemical cautery, tissue 0.50 0.21 0.74 0.04 000 17260 A Destruction of skin lesions 0.91 0.40 1.34 0.04 010 17261 A Destruction of skin lesions 1.17 0.55 1.45 0.05 010 17262 A Destruction of skin lesions 1.58 0.74 1.65 0.07 010 17263 A Destruction of skin lesions 1.79 0.82 1.76 0.08 010 17264 A Destruction of skin lesions 1.94 0.85 1.83 0.08 010 17266 A Destruction of skin lesions 2.34 0.96 2.04 0.11 010 17270 A Destruction of skin lesions 1.32 0.60 1.54 0.06 010 17271 A Destruction of skin lesions 1.49 0.71 1.61 0.06 010 17272 A Destruction of skin lesions 1.77 0.84 1.75 0.07 010 17273 A Destruction of skin lesions 2.05 0.95 1.89 0.09 010 17274 A Destruction of skin lesions 2.59 1.18 2.15 0.11 010 17276 A Destruction of skin lesions 3.20 1.68 2.47 0.15 010 17280 A Destruction of skin lesions 1.17 0.53 1.37 0.05 010 17281 A Destruction of skin lesions 1.72 0.82 1.72 0.07 010 17282 A Destruction of skin lesions 2.04 0.97 1.88 0.09 010 17283 A Destruction of skin lesions 2.64 1.23 2.18 0.11 010 17284 A Destruction of skin lesions 3.21 1.49 2.47 0.14 010 17286 A Destruction of skin lesions 4.44 2.48 3.12 0.22 010 17304 A Chemosurgery of skin lesion 7.60 3.65 7.57 0.31 000 17305 A 2nd stage chemosurgery 2.85 1.37 3.51 0.12 000 17306 A 3rd stage chemosurgery 2.85 1.38 3.51 0.12 000 17307 A Followup skin lesion therapy 2.85 1.40 3.52 0.12 000 17310 A Extensive skin chemosurgery 0.95 0.47 1.50 0.05 000 17340 A Cryotherapy of skin 0.76 0.26 0.37 0.04 010 17360 A Skin peel therapy 1.43 0.71 1.45 0.06 010 17380 R Hair removal by electrolysis 0.00 0.00 0.00 0.00 000 17999 C Skin tissue procedure 0.00 0.00 0.00 0.00 YYY 19000 A Drainage of breast lesion 0.84 0.29 1.23 0.07 000 19001 A Drain breast lesion add-on 0.42 0.14 0.84 0.03 ZZZ 19020 A Incision of breast lesion 3.57 3.38 6.84 0.35 090 19030 A Injection for breast x-ray 1.53 0.52 3.74 0.07 000 19100 A Bx breast percut w/o image 1.27 0.44 1.46 0.10 000 19101 A Biopsy of breast, open 3.18 1.93 5.24 0.20 010 19102 A Bx breast percut w/image 2.00 0.69 5.11 0.13 000 Start Printed Page 43880 19103 A Bx breast percut w/device 3.70 1.27 12.71 0.16 000 19110 A Nipple exploration 4.30 4.40 8.56 0.44 090 19112 A Excise breast duct fistula 3.67 3.07 9.11 0.38 090 19120 A Removal of breast lesion 5.56 3.09 4.92 0.56 090 19125 A Excision, breast lesion 6.06 3.25 5.03 0.61 090 19126 A Excision, addl breast lesion 2.93 1.03 NA 0.30 ZZZ 19140 A Removal of breast tissue 5.14 3.65 9.29 0.52 090 19160 A Removal of breast tissue 5.99 4.48 NA 0.61 090 19162 A Remove breast tissue, nodes 13.53 7.93 NA 1.38 090 19180 A Removal of breast 8.80 5.97 NA 0.88 090 19182 A Removal of breast 7.73 5.01 NA 0.79 090 19200 A Removal of breast 15.49 9.09 NA 1.51 090 19220 A Removal of breast 15.72 9.14 NA 1.56 090 19240 A Removal of breast 16.00 8.78 NA 1.62 090 19260 A Removal of chest wall lesion 15.44 9.02 NA 1.64 090 19271 A Revision of chest wall 18.90 11.09 NA 2.27 090 19272 A Extensive chest wall surgery 21.55 11.93 NA 2.54 090 19290 A Place needle wire, breast 1.27 0.43 3.00 0.06 000 19291 A Place needle wire, breast 0.63 0.22 1.76 0.03 ZZZ 19295 A Place breast clip, percut 0.00 NA 2.88 0.01 ZZZ 19316 A Suspension of breast 10.69 7.64 NA 1.15 090 19318 A Reduction of large breast 15.62 10.30 NA 1.69 090 19324 A Enlarge breast 5.85 4.29 NA 0.63 090 19325 A Enlarge breast with implant 8.45 6.29 NA 0.90 090 19328 A Removal of breast implant 5.68 4.59 NA 0.61 090 19330 A Removal of implant material 7.59 5.27 NA 0.81 090 19340 A Immediate breast prosthesis 6.33 3.19 NA 0.68 ZZZ 19342 A Delayed breast prosthesis 11.20 7.92 NA 1.21 090 19350 A Breast reconstruction 8.92 6.87 13.93 0.95 090 19355 A Correct inverted nipple(s) 7.57 5.47 13.39 0.80 090 19357 A Breast reconstruction 18.16 13.88 NA 1.96 090 19361 A Breast reconstruction 19.26 11.98 NA 2.08 090 19364 A Breast reconstruction 41.00 23.88 NA 3.91 090 19366 A Breast reconstruction 21.28 11.71 NA 2.27 090 19367 A Breast reconstruction 25.73 15.24 NA 2.78 090 19368 A Breast reconstruction 32.42 18.77 NA 3.51 090 19369 A Breast reconstruction 29.82 18.13 NA 3.24 090 19370 A Surgery of breast capsule 8.05 6.15 NA 0.86 090 19371 A Removal of breast capsule 9.35 7.24 NA 1.01 090 19380 A Revise breast reconstruction 9.14 7.13 NA 0.98 090 19396 A Design custom breast implant 2.17 0.92 6.66 0.23 000 19499 C Breast surgery procedure 0.00 0.00 0.00 0.00 YYY 20000 A Incision of abscess 2.12 1.19 2.15 0.17 010 20005 A Incision of deep abscess 3.42 2.19 2.99 0.34 010 20100 A Explore wound, neck 10.08 4.37 5.83 0.99 010 20101 A Explore wound, chest 3.22 1.48 2.82 0.24 010 20102 A Explore wound, abdomen 3.94 1.76 3.39 0.35 010 20103 A Explore wound, extremity 5.30 3.00 4.25 0.57 010 20150 A Excise epiphyseal bar 13.69 8.96 NA 0.96 090 20200 A Muscle biopsy 1.46 0.60 1.69 0.17 000 20205 A Deep muscle biopsy 2.35 0.95 3.86 0.23 000 20206 A Needle biopsy, muscle 0.99 0.35 3.18 0.06 000 20220 A Bone biopsy, trocar/needle 1.27 3.02 5.05 0.06 000 20225 A Bone biopsy, trocar/needle 1.87 3.06 4.46 0.11 000 20240 A Bone biopsy, excisional 3.23 4.12 NA 0.33 010 20245 A Bone biopsy, excisional 7.78 6.74 NA 0.44 010 20250 A Open bone biopsy 5.03 4.25 NA 0.50 010 20251 A Open bone biopsy 5.56 4.78 NA 0.79 010 20500 A Injection of sinus tract 1.23 3.88 5.68 0.10 010 20501 A Inject sinus tract for x-ray 0.76 0.26 3.22 0.03 000 20520 A Removal of foreign body 1.85 3.46 5.49 0.17 010 20525 A Removal of foreign body 3.50 4.26 6.93 0.40 010 20526 A Ther injection carpal tunnel 0.86 0.38 0.77 0.06 000 20550 A Inject tendon/ligament/cyst 0.86 0.26 0.84 0.06 000 20551 A Inject tendon origin/insert 0.86 0.38 0.77 0.06 000 20552 A Inject trigger point, 1 or 2 0.86 0.38 0.77 0.06 000 Start Printed Page 43881 20553 A Inject trigger points, > 3 0.86 0.38 0.77 0.06 000 20600 A Drain/inject, joint/bursa 0.66 0.35 0.64 0.06 000 20605 A Drain/inject, joint/bursa 0.68 0.36 0.75 0.06 000 20610 A Drain/inject, joint/bursa 0.79 0.41 0.93 0.08 000 20615 A Treatment of bone cyst 2.28 2.63 4.68 0.19 010 20650 A Insert and remove bone pin 2.23 3.18 4.94 0.28 010 20660 A Apply, remove fixation device 2.51 1.46 NA 0.48 000 20661 A Application of head brace 4.89 6.61 NA 0.92 090 20662 A Application of pelvis brace 6.07 5.27 NA 0.81 090 20663 A Application of thigh brace 5.43 4.70 NA 0.77 090 20664 A Halo brace application 8.06 8.30 NA 1.49 090 20665 A Removal of fixation device 1.31 1.24 2.30 0.17 010 20670 A Removal of support implant 1.74 3.30 5.63 0.23 010 20680 A Removal of support implant 3.35 5.10 5.10 0.46 090 20690 A Apply bone fixation device 3.52 1.84 NA 0.47 090 20692 A Apply bone fixation device 6.41 3.07 NA 0.60 090 20693 A Adjust bone fixation device 5.86 12.41 NA 0.85 090 20694 A Remove bone fixation device 4.16 6.12 8.77 0.57 090 20802 A Replantation, arm, complete 41.15 29.57 NA 5.81 090 20805 A Replant, forearm, complete 50.00 44.44 NA 3.95 090 20808 A Replantation hand, complete 61.65 48.81 NA 6.49 090 20816 A Replantation digit, complete 30.94 46.19 NA 3.01 090 20822 A Replantation digit, complete 25.59 42.70 NA 3.07 090 20824 A Replantation thumb, complete 30.94 44.93 NA 3.48 090 20827 A Replantation thumb, complete 26.41 44.52 NA 3.21 090 20838 A Replantation foot, complete 41.41 28.98 NA 5.85 090 20900 A Removal of bone for graft 5.58 6.14 6.31 0.77 090 20902 A Removal of bone for graft 7.55 8.77 NA 1.06 090 20910 A Remove cartilage for graft 5.34 6.69 8.56 0.50 090 20912 A Remove cartilage for graft 6.35 7.57 NA 0.55 090 20920 A Removal of fascia for graft 5.31 5.57 NA 0.54 090 20922 A Removal of fascia for graft 6.61 6.32 9.03 0.88 090 20924 A Removal of tendon for graft 6.48 6.98 NA 0.82 090 20926 A Removal of tissue for graft 5.53 6.22 NA 0.73 090 20930 B Spinal bone allograft 0.00 0.00 0.00 0.00 XXX 20931 A Spinal bone allograft 1.81 0.95 NA 0.34 ZZZ 20936 B Spinal bone autograft 0.00 0.00 0.00 0.00 XXX 20937 A Spinal bone autograft 2.79 1.47 NA 0.43 ZZZ 20938 A Spinal bone autograft 3.02 1.58 NA 0.52 ZZZ 20950 A Fluid pressure, muscle 1.26 2.08 NA 0.16 000 20955 A Fibula bone graft, microvasc 39.21 29.77 NA 4.35 090 20956 A Iliac bone graft, microvasc 39.27 28.02 NA 5.77 090 20957 A Mt bone graft, microvasc 40.65 20.15 NA 5.74 090 20962 A Other bone graft, microvasc 39.27 27.75 NA 5.19 090 20969 A Bone/skin graft, microvasc 43.92 32.44 NA 4.34 090 20970 A Bone/skin graft, iliac crest 43.06 29.88 NA 4.64 090 20972 A Bone/skin graft, metatarsal 42.99 18.59 NA 6.07 090 20973 A Bone/skin graft, great toe 45.76 27.95 NA 4.65 090 20974 A Electrical bone stimulation 0.62 0.33 0.41 0.09 000 20975 A Electrical bone stimulation 2.60 1.37 NA 0.42 000 20979 A Us bone stimulation 0.62 0.24 0.57 0.04 000 20999 C Musculoskeletal surgery 0.00 0.00 0.00 0.00 YYY 21010 A Incision of jaw joint 10.14 7.22 NA 0.54 090 21015 A Resection of facial tumor 5.29 7.27 NA 0.52 090 21025 A Excision of bone, lower jaw 10.06 6.80 7.27 0.79 090 21026 A Excision of facial bone(s) 4.85 5.05 5.30 0.40 090 21029 A Contour of face bone lesion 7.71 6.14 6.85 0.74 090 21030 A Removal of face bone lesion 6.46 4.76 5.33 0.60 090 21031 A Remove exostosis, mandible 3.24 2.12 3.31 0.28 090 21032 A Remove exostosis, maxilla 3.24 2.24 3.28 0.27 090 21034 A Removal of face bone lesion 16.17 10.58 10.58 1.37 090 21040 A Removal of jaw bone lesion 2.11 1.80 2.98 0.19 090 21041 A Removal of jaw bone lesion 6.71 4.33 5.55 0.56 090 21044 A Removal of jaw bone lesion 11.86 7.93 NA 0.87 090 21045 A Extensive jaw surgery 16.17 10.23 NA 1.20 090 21050 A Removal of jaw joint 10.77 11.68 NA 0.84 090 Start Printed Page 43882 21060 A Remove jaw joint cartilage 10.23 10.19 NA 1.16 090 21070 A Remove coronoid process 8.20 5.97 NA 0.67 090 21076 A Prepare face/oral prosthesis 13.42 7.17 9.54 1.36 010 21077 A Prepare face/oral prosthesis 33.75 18.03 23.99 3.43 090 21079 A Prepare face/oral prosthesis 22.34 12.47 16.96 1.59 090 21080 A Prepare face/oral prosthesis 25.10 14.01 19.05 2.55 090 21081 A Prepare face/oral prosthesis 22.88 12.77 17.36 1.87 090 21082 A Prepare face/oral prosthesis 20.87 11.15 14.83 1.46 090 21083 A Prepare face/oral prosthesis 19.30 10.77 14.65 1.96 090 21084 A Prepare face/oral prosthesis 22.51 12.56 17.08 1.57 090 21085 A Prepare face/oral prosthesis 9.00 4.81 6.40 0.65 010 21086 A Prepare face/oral prosthesis 24.92 13.91 18.91 1.86 090 21087 A Prepare face/oral prosthesis 24.92 13.31 17.71 2.22 090 21088 C Prepare face/oral prosthesis 0.00 0.00 0.00 0.00 090 21089 C Prepare face/oral prosthesis 0.00 0.00 0.00 0.00 090 21100 A Maxillofacial fixation 4.22 3.95 5.67 0.18 090 21110 A Interdental fixation 5.21 4.25 5.18 0.28 090 21116 A Injection, jaw joint x-ray 0.81 0.29 7.90 0.05 000 21120 A Reconstruction of chin 4.93 6.06 9.69 0.29 090 21121 A Reconstruction of chin 7.64 6.18 7.71 0.56 090 21122 A Reconstruction of chin 8.52 7.53 NA 0.59 090 21123 A Reconstruction of chin 11.16 8.13 NA 1.16 090 21125 A Augmentation, lower jaw bone 10.62 8.01 9.32 0.72 090 21127 A Augmentation, lower jaw bone 11.12 7.38 9.51 0.76 090 21137 A Reduction of forehead 9.82 8.13 NA 0.53 090 21138 A Reduction of forehead 12.19 9.40 NA 1.47 090 21139 A Reduction of forehead 14.61 8.88 NA 1.02 090 21141 A Reconstruct midface, lefort 18.10 10.71 NA 1.63 090 21142 A Reconstruct midface, lefort 18.81 12.16 NA 1.16 090 21143 A Reconstruct midface, lefort 19.58 10.98 NA 0.90 090 21145 A Reconstruct midface, lefort 19.94 11.18 NA 2.09 090 21146 A Reconstruct midface, lefort 20.71 11.91 NA 2.13 090 21147 A Reconstruct midface, lefort 21.77 12.00 NA 1.52 090 21150 A Reconstruct midface, lefort 25.24 16.28 NA 1.09 090 21151 A Reconstruct midface, lefort 28.30 20.03 NA 1.98 090 21154 A Reconstruct midface, lefort 30.52 19.05 NA 4.86 090 21155 A Reconstruct midface, lefort 34.45 20.69 NA 5.48 090 21159 A Reconstruct midface, lefort 42.38 27.58 NA 6.74 090 21160 A Reconstruct midface, lefort 46.44 26.69 NA 4.39 090 21172 A Reconstruct orbit/forehead 27.80 15.81 NA 1.91 090 21175 A Reconstruct orbit/forehead 33.17 20.14 NA 5.16 090 21179 A Reconstruct entire forehead 22.25 17.94 NA 2.48 090 21180 A Reconstruct entire forehead 25.19 18.89 NA 2.15 090 21181 A Contour cranial bone lesion 9.90 8.49 NA 0.97 090 21182 A Reconstruct cranial bone 32.19 21.96 NA 2.53 090 21183 A Reconstruct cranial bone 35.31 23.64 NA 2.75 090 21184 A Reconstruct cranial bone 38.24 24.65 NA 4.12 090 21188 A Reconstruction of midface 22.46 15.57 NA 1.85 090 21193 A Reconst lwr jaw w/o graft 17.15 10.69 NA 1.53 090 21194 A Reconst lwr jaw w/graft 19.84 12.65 NA 1.39 090 21195 A Reconst lwr jaw w/o fixation 17.24 12.28 NA 1.20 090 21196 A Reconst lwr jaw w/fixation 18.91 12.87 NA 1.62 090 21198 A Reconstr lwr jaw segment 14.16 11.59 NA 1.05 090 21199 A Reconstr lwr jaw w/advance 16.00 10.19 NA 1.26 090 21206 A Reconstruct upper jaw bone 14.10 9.66 NA 1.01 090 21208 A Augmentation of facial bones 10.23 8.44 9.46 0.92 090 21209 A Reduction of facial bones 6.72 5.81 7.84 0.60 090 21210 A Face bone graft 10.23 8.14 8.78 0.88 090 21215 A Lower jaw bone graft 10.77 7.01 8.71 1.04 090 21230 A Rib cartilage graft 10.77 10.20 NA 0.96 090 21235 A Ear cartilage graft 6.72 8.12 12.04 0.52 090 21240 A Reconstruction of jaw joint 14.05 11.42 NA 1.15 090 21242 A Reconstruction of jaw joint 12.95 11.21 NA 1.40 090 21243 A Reconstruction of jaw joint 20.79 13.90 NA 1.85 090 21244 A Reconstruction of lower jaw 11.86 9.13 NA 0.95 090 21245 A Reconstruction of jaw 11.86 10.17 13.17 0.88 090 Start Printed Page 43883 21246 A Reconstruction of jaw 12.47 10.04 10.04 1.21 090 21247 A Reconstruct lower jaw bone 22.63 16.47 NA 2.21 090 21248 A Reconstruction of jaw 11.48 7.75 8.79 1.01 090 21249 A Reconstruction of jaw 17.52 10.11 11.33 1.39 090 21255 A Reconstruct lower jaw bone 16.72 11.37 NA 1.13 090 21256 A Reconstruction of orbit 16.19 13.42 NA 1.04 090 21260 A Revise eye sockets 16.52 11.01 NA 1.25 090 21261 A Revise eye sockets 31.49 19.83 NA 2.20 090 21263 A Revise eye sockets 28.42 14.74 NA 2.16 090 21267 A Revise eye sockets 18.90 14.58 NA 1.35 090 21268 A Revise eye sockets 24.48 16.16 NA 0.79 090 21270 A Augmentation, cheek bone 10.23 9.48 9.48 0.73 090 21275 A Revision, orbitofacial bones 11.24 11.04 NA 1.03 090 21280 A Revision of eyelid 6.03 6.19 NA 0.27 090 21282 A Revision of eyelid 3.49 5.30 NA 0.21 090 21295 A Revision of jaw muscle/bone 1.53 4.33 NA 0.13 090 21296 A Revision of jaw muscle/bone 4.25 4.65 NA 0.30 090 21299 C Cranio/maxillofacial surgery 0.00 0.00 0.00 0.00 YYY 21300 A Treatment of skull fracture 0.72 0.27 2.76 0.09 000 21310 A Treatment of nose fracture 0.58 0.15 2.66 0.05 000 21315 A Treatment of nose fracture 1.51 1.28 3.41 0.12 010 21320 A Treatment of nose fracture 1.85 2.03 4.81 0.15 010 21325 A Treatment of nose fracture 3.77 3.69 NA 0.31 090 21330 A Treatment of nose fracture 5.38 5.55 NA 0.48 090 21335 A Treatment of nose fracture 8.61 7.14 NA 0.64 090 21336 A Treat nasal septal fracture 5.72 5.55 NA 0.45 090 21337 A Treat nasal septal fracture 2.70 3.27 5.22 0.22 090 21338 A Treat nasoethmoid fracture 6.46 6.07 NA 0.53 090 21339 A Treat nasoethmoid fracture 8.09 6.73 NA 0.76 090 21340 A Treatment of nose fracture 10.77 9.18 NA 0.85 090 21343 A Treatment of sinus fracture 12.95 9.77 NA 1.06 090 21344 A Treatment of sinus fracture 19.72 13.45 NA 1.72 090 21345 A Treat nose/jaw fracture 8.16 7.92 9.46 0.60 090 21346 A Treat nose/jaw fracture 10.61 10.05 NA 0.85 090 21347 A Treat nose/jaw fracture 12.69 9.56 NA 1.14 090 21348 A Treat nose/jaw fracture 16.69 11.03 NA 1.50 090 21355 A Treat cheek bone fracture 3.77 2.28 4.37 0.29 010 21356 A Treat cheek bone fracture 4.15 3.25 NA 0.36 010 21360 A Treat cheek bone fracture 6.46 5.65 NA 0.52 090 21365 A Treat cheek bone fracture 14.95 11.39 NA 1.30 090 21366 A Treat cheek bone fracture 17.77 11.96 NA 1.41 090 21385 A Treat eye socket fracture 9.16 7.53 NA 0.64 090 21386 A Treat eye socket fracture 9.16 8.06 NA 0.76 090 21387 A Treat eye socket fracture 9.70 8.27 NA 0.78 090 21390 A Treat eye socket fracture 10.13 8.57 NA 0.70 090 21395 A Treat eye socket fracture 12.68 9.83 NA 1.09 090 21400 A Treat eye socket fracture 1.40 1.06 3.16 0.12 090 21401 A Treat eye socket fracture 3.26 3.19 4.70 0.34 090 21406 A Treat eye socket fracture 7.01 6.80 NA 0.59 090 21407 A Treat eye socket fracture 8.61 7.84 NA 0.67 090 21408 A Treat eye socket fracture 12.38 10.11 NA 1.24 090 21421 A Treat mouth roof fracture 5.14 6.03 7.17 0.42 090 21422 A Treat mouth roof fracture 8.32 7.52 NA 0.69 090 21423 A Treat mouth roof fracture 10.40 8.07 NA 0.95 090 21431 A Treat craniofacial fracture 7.05 6.81 NA 0.58 090 21432 A Treat craniofacial fracture 8.61 7.67 NA 0.55 090 21433 A Treat craniofacial fracture 25.35 17.13 NA 2.46 090 21435 A Treat craniofacial fracture 17.25 12.51 NA 1.66 090 21436 A Treat craniofacial fracture 28.04 17.24 NA 2.32 090 21440 A Treat dental ridge fracture 2.70 3.55 5.46 0.22 090 21445 A Treat dental ridge fracture 5.38 5.15 6.85 0.55 090 21450 A Treat lower jaw fracture 2.97 2.71 6.49 0.23 090 21451 A Treat lower jaw fracture 4.87 5.55 6.44 0.39 090 21452 A Treat lower jaw fracture 1.98 4.10 9.17 0.14 090 21453 A Treat lower jaw fracture 5.54 6.36 7.31 0.49 090 21454 A Treat lower jaw fracture 6.46 5.64 NA 0.55 090 Start Printed Page 43884 21461 A Treat lower jaw fracture 8.09 7.93 9.06 0.73 090 21462 A Treat lower jaw fracture 9.79 8.03 10.31 0.80 090 21465 A Treat lower jaw fracture 11.91 7.79 NA 0.84 090 21470 A Treat lower jaw fracture 15.34 9.88 NA 1.36 090 21480 A Reset dislocated jaw 0.61 0.18 1.58 0.05 000 21485 A Reset dislocated jaw 3.99 3.32 3.76 0.31 090 21490 A Repair dislocated jaw 11.86 7.46 NA 1.31 090 21493 A Treat hyoid bone fracture 1.27 3.58 NA 0.10 090 21494 A Treat hyoid bone fracture 6.28 4.85 NA 0.44 090 21495 A Treat hyoid bone fracture 5.69 5.02 NA 0.41 090 21497 A Interdental wiring 3.86 3.91 4.64 0.31 090 21499 C Head surgery procedure 0.00 0.00 0.00 0.00 YYY 21501 A Drain neck/chest lesion 3.81 3.53 4.35 0.36 090 21502 A Drain chest lesion 7.12 7.29 NA 0.79 090 21510 A Drainage of bone lesion 5.74 6.92 NA 0.67 090 21550 A Biopsy of neck/chest 2.06 1.23 2.20 0.13 010 21555 A Remove lesion, neck/chest 4.35 2.43 4.18 0.41 090 21556 A Remove lesion, neck/chest 5.57 3.21 NA 0.51 090 21557 A Remove tumor, neck/chest 8.88 7.58 NA 0.85 090 21600 A Partial removal of rib 6.89 7.47 NA 0.81 090 21610 A Partial removal of rib 14.61 10.91 NA 1.85 090 21615 A Removal of rib 9.87 7.85 NA 1.20 090 21616 A Removal of rib and nerves 12.04 9.08 NA 1.31 090 21620 A Partial removal of sternum 6.79 7.96 NA 0.77 090 21627 A Sternal debridement 6.81 12.18 NA 0.82 090 21630 A Extensive sternum surgery 17.38 13.60 NA 1.95 090 21632 A Extensive sternum surgery 18.14 11.81 NA 2.16 090 21700 A Revision of neck muscle 6.19 6.97 8.43 0.31 090 21705 A Revision of neck muscle/rib 9.60 7.55 NA 0.92 090 21720 A Revision of neck muscle 5.68 6.72 8.25 0.80 090 21725 A Revision of neck muscle 6.99 7.43 NA 0.90 090 21740 A Reconstruction of sternum 16.50 12.21 NA 2.03 090 21750 A Repair of sternum separation 10.77 9.44 NA 1.35 090 21800 A Treatment of rib fracture 0.96 1.06 2.27 0.09 090 21805 A Treatment of rib fracture 2.75 4.46 NA 0.29 090 21810 A Treatment of rib fracture(s) 6.86 6.73 NA 0.60 090 21820 A Treat sternum fracture 1.28 1.50 2.72 0.15 090 21825 A Treat sternum fracture 7.41 9.85 NA 0.84 090 21899 C Neck/chest surgery procedure 0.00 0.00 0.00 0.00 YYY 21920 A Biopsy soft tissue of back 2.06 0.75 2.27 0.12 010 21925 A Biopsy soft tissue of back 4.49 4.61 11.73 0.44 090 21930 A Remove lesion, back or flank 5.00 2.61 4.50 0.49 090 21935 A Remove tumor, back 17.96 13.13 NA 1.87 090 22100 A Remove part of neck vertebra 9.73 8.62 NA 1.55 090 22101 A Remove part, thorax vertebra 9.81 8.86 NA 1.51 090 22102 A Remove part, lumbar vertebra 9.81 8.93 NA 1.46 090 22103 A Remove extra spine segment 2.34 1.24 NA 0.37 ZZZ 22110 A Remove part of neck vertebra 12.74 10.73 NA 2.20 090 22112 A Remove part, thorax vertebra 12.81 10.64 NA 1.96 090 22114 A Remove part, lumbar vertebra 12.81 10.88 NA 1.98 090 22116 A Remove extra spine segment 2.32 1.19 NA 0.40 ZZZ 22210 A Revision of neck spine 23.82 16.92 NA 4.23 090 22212 A Revision of thorax spine 19.42 14.62 NA 2.78 090 22214 A Revision of lumbar spine 19.45 15.07 NA 2.78 090 22216 A Revise, extra spine segment 6.04 3.14 NA 0.98 ZZZ 22220 A Revision of neck spine 21.37 15.34 NA 3.65 090 22222 A Revision of thorax spine 21.52 12.81 NA 3.08 090 22224 A Revision of lumbar spine 21.52 15.67 NA 3.20 090 22226 A Revise, extra spine segment 6.04 3.15 NA 1.01 ZZZ 22305 A Treat spine process fracture 2.05 1.93 3.17 0.29 090 22310 A Treat spine fracture 2.61 3.45 4.65 0.37 090 22315 A Treat spine fracture 8.84 9.14 NA 1.37 090 22318 A Treat odontoid fx w/o graft 21.50 14.70 NA 4.26 090 22319 A Treat odontoid fx w/graft 24.00 17.01 NA 4.76 090 22325 A Treat spine fracture 18.30 14.66 NA 2.61 090 22326 A Treat neck spine fracture 19.59 15.40 NA 3.54 090 Start Printed Page 43885 22327 A Treat thorax spine fracture 19.20 15.11 NA 2.75 090 22328 A Treat each add spine fx 4.61 2.31 NA 0.66 ZZZ 22505 A Manipulation of spine 1.87 2.98 4.57 0.27 010 22520 A Percut vertebroplasty thor 8.91 4.13 NA 0.99 010 22521 A Percut vertebroplasty lumb 8.34 3.90 NA 0.93 010 22522 A Percut vertebroplasty addl 4.31 1.74 NA 0.33 ZZZ 22548 A Neck spine fusion 25.82 17.74 NA 4.98 090 22554 A Neck spine fusion 18.62 13.67 NA 3.51 090 22556 A Thorax spine fusion 23.46 16.51 NA 3.78 090 22558 A Lumbar spine fusion 22.28 14.98 NA 3.18 090 22585 A Additional spinal fusion 5.53 2.82 NA 0.98 ZZZ 22590 A Spine & skull spinal fusion 20.51 15.32 NA 3.81 090 22595 A Neck spinal fusion 19.39 14.31 NA 3.62 090 22600 A Neck spine fusion 16.14 12.63 NA 2.89 090 22610 A Thorax spine fusion 16.02 12.73 NA 2.66 090 22612 A Lumbar spine fusion 21.00 15.47 NA 3.28 090 22614 A Spine fusion, extra segment 6.44 3.39 NA 1.04 ZZZ 22630 A Lumbar spine fusion 20.84 15.73 NA 3.79 090 22632 A Spine fusion, extra segment 5.23 2.68 NA 0.90 ZZZ 22800 A Fusion of spine 18.25 13.89 NA 2.71 090 22802 A Fusion of spine 30.88 21.32 NA 4.42 090 22804 A Fusion of spine 36.27 23.91 NA 5.23 090 22808 A Fusion of spine 26.27 18.18 NA 4.36 090 22810 A Fusion of spine 30.27 19.74 NA 4.49 090 22812 A Fusion of spine 32.70 21.34 NA 4.67 090 22818 A Kyphectomy, 1-2 segments 31.83 20.75 NA 5.01 090 22819 A Kyphectomy, 3 or more 36.44 21.64 NA 5.20 090 22830 A Exploration of spinal fusion 10.85 9.91 NA 1.73 090 22840 A Insert spine fixation device 12.54 6.50 NA 2.03 ZZZ 22841 B Insert spine fixation device 0.00 0.00 0.00 0.00 XXX 22842 A Insert spine fixation device 12.58 6.57 NA 2.04 ZZZ 22843 A Insert spine fixation device 13.46 6.74 NA 2.10 ZZZ 22844 A Insert spine fixation device 16.44 8.94 NA 2.42 ZZZ 22845 A Insert spine fixation device 11.96 6.13 NA 2.22 ZZZ 22846 A Insert spine fixation device 12.42 6.38 NA 2.26 ZZZ 22847 A Insert spine fixation device 13.80 7.19 NA 2.36 ZZZ 22848 A Insert pelv fixation device 6.00 3.26 NA 0.88 ZZZ 22849 A Reinsert spinal fixation 18.51 13.89 NA 2.87 090 22850 A Remove spine fixation device 9.52 8.72 NA 1.51 090 22851 A Apply spine prosth device 6.71 3.39 NA 1.11 ZZZ 22852 A Remove spine fixation device 9.01 8.51 NA 1.40 090 22855 A Remove spine fixation device 15.13 11.41 NA 2.74 090 22899 C Spine surgery procedure 0.00 0.00 0.00 0.00 YYY 22900 A Remove abdominal wall lesion 5.80 4.30 NA 0.58 090 22999 C Abdomen surgery procedure 0.00 0.00 0.00 0.00 YYY 23000 A Removal of calcium deposits 4.36 7.10 8.92 0.50 090 23020 A Release shoulder joint 8.93 10.37 NA 1.23 090 23030 A Drain shoulder lesion 3.43 4.30 6.00 0.42 010 23031 A Drain shoulder bursa 2.74 4.06 5.82 0.33 010 23035 A Drain shoulder bone lesion 8.61 15.80 NA 1.19 090 23040 A Exploratory shoulder surgery 9.20 11.54 NA 1.28 090 23044 A Exploratory shoulder surgery 7.12 10.28 NA 0.97 090 23065 A Biopsy shoulder tissues 2.27 1.33 2.52 0.14 010 23066 A Biopsy shoulder tissues 4.16 6.17 7.65 0.50 090 23075 A Removal of shoulder lesion 2.39 3.13 5.27 0.25 010 23076 A Removal of shoulder lesion 7.63 8.17 NA 0.87 090 23077 A Remove tumor of shoulder 16.09 14.36 NA 1.81 090 23100 A Biopsy of shoulder joint 6.03 8.64 NA 0.81 090 23101 A Shoulder joint surgery 5.58 8.53 NA 0.77 090 23105 A Remove shoulder joint lining 8.23 10.09 NA 1.13 090 23106 A Incision of collarbone joint 5.96 8.75 NA 0.82 090 23107 A Explore treat shoulder joint 8.62 10.28 NA 1.19 090 23120 A Partial removal, collar bone 7.11 9.58 NA 0.99 090 23125 A Removal of collar bone 9.39 10.54 NA 1.27 090 23130 A Remove shoulder bone, part 7.55 9.62 NA 1.06 090 23140 A Removal of bone lesion 6.89 8.23 NA 0.82 090 Start Printed Page 43886 23145 A Removal of bone lesion 9.09 11.43 NA 1.24 090 23146 A Removal of bone lesion 7.83 10.60 NA 1.11 090 23150 A Removal of humerus lesion 8.48 9.84 NA 1.14 090 23155 A Removal of humerus lesion 10.35 11.93 NA 1.20 090 23156 A Removal of humerus lesion 8.68 10.27 NA 1.18 090 23170 A Remove collar bone lesion 6.86 10.65 NA 0.84 090 23172 A Remove shoulder blade lesion 6.90 10.05 NA 0.95 090 23174 A Remove humerus lesion 9.51 11.76 NA 1.30 090 23180 A Remove collar bone lesion 8.53 15.70 NA 1.18 090 23182 A Remove shoulder blade lesion 8.15 16.31 NA 1.08 090 23184 A Remove humerus lesion 9.38 16.25 NA 1.24 090 23190 A Partial removal of scapula 7.24 8.36 NA 0.97 090 23195 A Removal of head of humerus 9.81 10.62 NA 1.38 090 23200 A Removal of collar bone 12.08 13.91 NA 1.48 090 23210 A Removal of shoulder blade 12.49 13.95 NA 1.61 090 23220 A Partial removal of humerus 14.56 15.15 NA 2.03 090 23221 A Partial removal of humerus 17.74 16.33 NA 2.51 090 23222 A Partial removal of humerus 23.92 20.37 NA 3.37 090 23330 A Remove shoulder foreign body 1.85 3.57 5.69 0.18 010 23331 A Remove shoulder foreign body 7.38 9.51 NA 1.02 090 23332 A Remove shoulder foreign body 11.62 11.93 NA 1.62 090 23350 A Injection for shoulder x-ray 1.00 0.34 7.63 0.05 000 23395 A Muscle transfer, shoulder/arm 16.85 13.82 NA 2.29 090 23397 A Muscle transfers 16.13 14.11 NA 2.24 090 23400 A Fixation of shoulder blade 13.54 13.98 NA 1.91 090 23405 A Incision of tendon & muscle 8.37 9.37 NA 1.12 090 23406 A Incise tendon(s) & muscle(s) 10.79 11.52 NA 1.48 090 23410 A Repair of tendon(s) 12.45 12.33 NA 1.72 090 23412 A Repair of tendon(s) 13.31 12.90 NA 1.86 090 23415 A Release of shoulder ligament 9.97 9.97 NA 1.39 090 23420 A Repair of shoulder 13.30 13.81 NA 1.86 090 23430 A Repair biceps tendon 9.98 11.10 NA 1.40 090 23440 A Remove/transplant tendon 10.48 11.33 NA 1.47 090 23450 A Repair shoulder capsule 13.40 12.82 NA 1.86 090 23455 A Repair shoulder capsule 14.37 13.39 NA 2.01 090 23460 A Repair shoulder capsule 15.37 13.99 NA 2.17 090 23462 A Repair shoulder capsule 15.30 13.69 NA 2.16 090 23465 A Repair shoulder capsule 15.85 13.73 NA 1.61 090 23466 A Repair shoulder capsule 14.22 13.36 NA 2.00 090 23470 A Reconstruct shoulder joint 17.15 14.91 NA 2.40 090 23472 A Reconstruct shoulder joint 21.10 17.03 NA 2.37 090 23480 A Revision of collar bone 11.18 11.52 NA 1.56 090 23485 A Revision of collar bone 13.43 12.95 NA 1.84 090 23490 A Reinforce clavicle 11.86 11.82 NA 1.11 090 23491 A Reinforce shoulder bones 14.21 13.26 NA 2.00 090 23500 A Treat clavicle fracture 2.08 2.50 3.77 0.26 090 23505 A Treat clavicle fracture 3.69 3.91 5.79 0.50 090 23515 A Treat clavicle fracture 7.41 8.12 NA 1.03 090 23520 A Treat clavicle dislocation 2.16 2.55 3.83 0.26 090 23525 A Treat clavicle dislocation 3.60 3.82 5.95 0.44 090 23530 A Treat clavicle dislocation 7.31 7.83 NA 0.85 090 23532 A Treat clavicle dislocation 8.01 8.17 NA 1.13 090 23540 A Treat clavicle dislocation 2.23 2.50 4.40 0.24 090 23545 A Treat clavicle dislocation 3.25 3.56 4.89 0.39 090 23550 A Treat clavicle dislocation 7.24 8.12 NA 0.94 090 23552 A Treat clavicle dislocation 8.45 8.73 NA 1.18 090 23570 A Treat shoulder blade fx 2.23 2.62 3.76 0.29 090 23575 A Treat shoulder blade fx 4.06 4.16 6.01 0.53 090 23585 A Treat scapula fracture 8.96 9.26 NA 1.25 090 23600 A Treat humerus fracture 2.93 3.58 5.50 0.39 090 23605 A Treat humerus fracture 4.87 6.36 8.10 0.67 090 23615 A Treat humerus fracture 9.35 10.05 NA 1.31 090 23616 A Treat humerus fracture 21.27 15.83 NA 2.98 090 23620 A Treat humerus fracture 2.40 3.32 5.21 0.32 090 23625 A Treat humerus fracture 3.93 5.41 7.18 0.53 090 23630 A Treat humerus fracture 7.35 8.12 NA 1.03 090 Start Printed Page 43887 23650 A Treat shoulder dislocation 3.39 3.50 5.46 0.31 090 23655 A Treat shoulder dislocation 4.57 4.21 NA 0.52 090 23660 A Treat shoulder dislocation 7.49 7.91 NA 1.01 090 23665 A Treat dislocation/fracture 4.47 5.66 7.41 0.60 090 23670 A Treat dislocation/fracture 7.90 8.56 NA 1.10 090 23675 A Treat dislocation/fracture 6.05 6.53 8.15 0.83 090 23680 A Treat dislocation/fracture 10.06 9.65 NA 1.39 090 23700 A Fixation of shoulder 2.52 3.39 NA 0.35 010 23800 A Fusion of shoulder joint 14.16 14.08 NA 1.97 090 23802 A Fusion of shoulder joint 16.60 13.40 NA 2.34 090 23900 A Amputation of arm & girdle 19.72 15.42 NA 2.47 090 23920 A Amputation at shoulder joint 14.61 13.65 NA 1.92 090 23921 A Amputation follow-up surgery 5.49 6.51 NA 0.78 090 23929 C Shoulder surgery procedure 0.00 0.00 0.00 0.00 YYY 23930 A Drainage of arm lesion 2.94 3.89 5.98 0.32 010 23931 A Drainage of arm bursa 1.79 3.61 5.67 0.21 010 23935 A Drain arm/elbow bone lesion 6.09 12.53 NA 0.84 090 24000 A Exploratory elbow surgery 5.82 5.91 NA 0.77 090 24006 A Release elbow joint 9.31 8.43 NA 1.27 090 24065 A Biopsy arm/elbow soft tissue 2.08 3.25 5.34 0.14 010 24066 A Biopsy arm/elbow soft tissue 5.21 6.53 8.66 0.61 090 24075 A Remove arm/elbow lesion 3.92 5.96 7.99 0.43 090 24076 A Remove arm/elbow lesion 6.30 7.14 NA 0.70 090 24077 A Remove tumor of arm/elbow 11.76 14.01 NA 1.32 090 24100 A Biopsy elbow joint lining 4.93 5.85 NA 0.62 090 24101 A Explore/treat elbow joint 6.13 6.70 NA 0.84 090 24102 A Remove elbow joint lining 8.03 7.72 NA 1.09 090 24105 A Removal of elbow bursa 3.61 5.08 NA 0.49 090 24110 A Remove humerus lesion 7.39 9.51 NA 0.99 090 24115 A Remove/graft bone lesion 9.63 10.31 NA 1.15 090 24116 A Remove/graft bone lesion 11.81 12.01 NA 1.66 090 24120 A Remove elbow lesion 6.65 6.67 NA 0.87 090 24125 A Remove/graft bone lesion 7.89 7.07 NA 0.88 090 24126 A Remove/graft bone lesion 8.31 7.77 NA 0.90 090 24130 A Removal of head of radius 6.25 6.73 NA 0.87 090 24134 A Removal of arm bone lesion 9.73 15.85 NA 1.31 090 24136 A Remove radius bone lesion 7.99 6.40 NA 0.85 090 24138 A Remove elbow bone lesion 8.05 7.76 NA 1.12 090 24140 A Partial removal of arm bone 9.18 16.80 NA 1.23 090 24145 A Partial removal of radius 7.58 11.15 NA 1.01 090 24147 A Partial removal of elbow 7.54 11.09 NA 1.04 090 24149 A Radical resection of elbow 14.20 10.98 NA 1.90 090 24150 A Extensive humerus surgery 13.27 14.58 NA 1.81 090 24151 A Extensive humerus surgery 15.58 16.06 NA 2.19 090 24152 A Extensive radius surgery 10.06 9.58 NA 1.19 090 24153 A Extensive radius surgery 11.54 7.21 NA 0.64 090 24155 A Removal of elbow joint 11.73 9.34 NA 1.42 090 24160 A Remove elbow joint implant 7.83 7.59 NA 1.07 090 24164 A Remove radius head implant 6.23 6.71 NA 0.84 090 24200 A Removal of arm foreign body 1.76 3.29 5.66 0.15 010 24201 A Removal of arm foreign body 4.56 6.68 8.70 0.56 090 24220 A Injection for elbow x-ray 1.31 0.46 11.20 0.07 000 24300 A Manipulate elbow w/anesth 3.75 5.26 NA 0.52 090 24301 A Muscle/tendon transfer 10.20 9.03 NA 1.30 090 24305 A Arm tendon lengthening 7.45 7.49 NA 0.98 090 24310 A Revision of arm tendon 5.98 8.14 NA 0.74 090 24320 A Repair of arm tendon 10.56 10.72 NA 1.00 090 24330 A Revision of arm muscles 9.60 8.62 NA 1.21 090 24331 A Revision of arm muscles 10.65 9.19 NA 1.41 090 24332 A Tenolysis, triceps 7.45 5.13 NA 0.77 090 24340 A Repair of biceps tendon 7.89 7.61 NA 1.08 090 24341 A Repair arm tendon/muscle 7.90 7.61 NA 1.08 090 24342 A Repair of ruptured tendon 10.62 9.17 NA 1.48 090 24343 A Repr elbow lat ligmnt w/tiss 8.65 7.60 NA 1.21 090 24344 A Reconstruct elbow lat ligmnt 14.00 10.42 NA 1.95 090 24345 A Repr elbw med ligmnt w/tiss 8.65 7.60 NA 1.21 090 Start Printed Page 43888 24346 A Reconstruct elbow med ligmnt 14.00 10.42 NA 1.95 090 24350 A Repair of tennis elbow 5.25 6.11 NA 0.72 090 24351 A Repair of tennis elbow 5.91 6.59 NA 0.82 090 24352 A Repair of tennis elbow 6.43 6.90 NA 0.90 090 24354 A Repair of tennis elbow 6.48 6.84 NA 0.88 090 24356 A Revision of tennis elbow 6.68 7.02 NA 0.90 090 24360 A Reconstruct elbow joint 12.34 9.93 NA 1.69 090 24361 A Reconstruct elbow joint 14.08 10.92 NA 1.95 090 24362 A Reconstruct elbow joint 14.99 10.88 NA 1.92 090 24363 A Replace elbow joint 18.49 13.42 NA 2.52 090 24365 A Reconstruct head of radius 8.39 7.93 NA 1.11 090 24366 A Reconstruct head of radius 9.13 8.34 NA 1.28 090 24400 A Revision of humerus 11.06 12.49 NA 1.53 090 24410 A Revision of humerus 14.82 13.83 NA 1.89 090 24420 A Revision of humerus 13.44 16.46 NA 1.82 090 24430 A Repair of humerus 12.81 12.66 NA 1.80 090 24435 A Repair humerus with graft 13.17 13.78 NA 1.84 090 24470 A Revision of elbow joint 8.74 6.47 NA 1.23 090 24495 A Decompression of forearm 8.12 10.00 NA 0.92 090 24498 A Reinforce humerus 11.92 12.18 NA 1.67 090 24500 A Treat humerus fracture 3.21 3.24 4.96 0.41 090 24505 A Treat humerus fracture 5.17 6.63 8.63 0.72 090 24515 A Treat humerus fracture 11.65 11.15 NA 1.63 090 24516 A Treat humerus fracture 11.65 11.68 NA 1.63 090 24530 A Treat humerus fracture 3.50 4.68 6.02 0.47 090 24535 A Treat humerus fracture 6.87 6.56 8.59 0.96 090 24538 A Treat humerus fracture 9.43 10.31 NA 1.25 090 24545 A Treat humerus fracture 10.46 9.97 NA 1.47 090 24546 A Treat humerus fracture 15.69 13.38 NA 2.18 090 24560 A Treat humerus fracture 2.80 3.04 4.74 0.35 090 24565 A Treat humerus fracture 5.56 5.73 7.73 0.74 090 24566 A Treat humerus fracture 7.79 9.79 NA 1.10 090 24575 A Treat humerus fracture 10.66 8.21 NA 1.44 090 24576 A Treat humerus fracture 2.86 3.14 4.52 0.38 090 24577 A Treat humerus fracture 5.79 5.98 7.94 0.81 090 24579 A Treat humerus fracture 11.60 10.66 NA 1.62 090 24582 A Treat humerus fracture 8.55 10.24 NA 1.20 090 24586 A Treat elbow fracture 15.21 10.83 NA 2.12 090 24587 A Treat elbow fracture 15.16 10.68 NA 2.14 090 24600 A Treat elbow dislocation 4.23 4.90 6.63 0.49 090 24605 A Treat elbow dislocation 5.42 4.87 NA 0.72 090 24615 A Treat elbow dislocation 9.42 7.76 NA 1.31 090 24620 A Treat elbow fracture 6.98 6.42 NA 0.90 090 24635 A Treat elbow fracture 13.19 16.18 NA 1.84 090 24640 A Treat elbow dislocation 1.20 1.78 3.35 0.11 010 24650 A Treat radius fracture 2.16 2.79 4.44 0.28 090 24655 A Treat radius fracture 4.40 5.10 7.13 0.58 090 24665 A Treat radius fracture 8.14 9.27 NA 1.13 090 24666 A Treat radius fracture 9.49 10.03 NA 1.32 090 24670 A Treat ulnar fracture 2.54 2.99 4.37 0.33 090 24675 A Treat ulnar fracture 4.72 5.36 7.32 0.65 090 24685 A Treat ulnar fracture 8.80 9.64 NA 1.23 090 24800 A Fusion of elbow joint 11.20 9.64 NA 1.41 090 24802 A Fusion/graft of elbow joint 13.69 11.21 NA 1.89 090 24900 A Amputation of upper arm 9.60 10.94 NA 1.18 090 24920 A Amputation of upper arm 9.54 12.50 NA 1.22 090 24925 A Amputation follow-up surgery 7.07 9.22 NA 0.95 090 24930 A Amputation follow-up surgery 10.25 11.52 NA 1.23 090 24931 A Amputate upper arm & implant 12.72 11.44 NA 1.56 090 24935 A Revision of amputation 15.56 12.31 NA 1.58 090 24940 C Revision of upper arm 0.00 0.00 0.00 0.00 090 24999 C Upper arm/elbow surgery 0.00 0.00 0.00 0.00 YYY 25000 A Incision of tendon sheath 3.38 7.25 NA 0.45 090 25001 A Incise flexor carpi radialis 3.38 4.22 NA 0.45 090 25020 A Decompress forearm 1 space 5.92 11.04 NA 0.75 090 25023 A Decompress forearm 1 space 12.96 16.91 NA 1.50 090 Start Printed Page 43889 25024 A Decompress forearm 2 spaces 9.50 7.91 NA 1.20 090 25025 A Decompress forearm 2 spaces 16.54 11.74 NA 1.91 090 25028 A Drainage of forearm lesion 5.25 9.85 NA 0.61 090 25031 A Drainage of forearm bursa 4.14 9.83 NA 0.50 090 25035 A Treat forearm bone lesion 7.36 16.18 NA 0.98 090 25040 A Explore/treat wrist joint 7.18 9.13 NA 0.96 090 25065 A Biopsy forearm soft tissues 1.99 2.38 2.38 0.12 010 25066 A Biopsy forearm soft tissues 4.13 8.15 NA 0.49 090 25075 A Remove forearm lesion subcut 3.74 7.22 NA 0.40 090 25076 A Remove forearm lesion deep 4.92 12.49 NA 0.59 090 25077 A Remove tumor, forearm/wrist 9.76 15.45 NA 1.10 090 25085 A Incision of wrist capsule 5.50 10.81 NA 0.71 090 25100 A Biopsy of wrist joint 3.90 7.28 NA 0.50 090 25101 A Explore/treat wrist joint 4.69 7.67 NA 0.60 090 25105 A Remove wrist joint lining 5.85 10.73 NA 0.77 090 25107 A Remove wrist joint cartilage 6.43 11.20 NA 0.82 090 25110 A Remove wrist tendon lesion 3.92 8.38 NA 0.48 090 25111 A Remove wrist tendon lesion 3.39 6.44 NA 0.42 090 25112 A Reremove wrist tendon lesion 4.53 7.30 NA 0.54 090 25115 A Remove wrist/forearm lesion 8.82 16.72 NA 1.11 090 25116 A Remove wrist/forearm lesion 7.11 15.66 NA 0.90 090 25118 A Excise wrist tendon sheath 4.37 7.78 NA 0.55 090 25119 A Partial removal of ulna 6.04 11.06 NA 0.80 090 25120 A Removal of forearm lesion 6.10 14.75 NA 0.81 090 25125 A Remove/graft forearm lesion 7.48 15.74 NA 1.02 090 25126 A Remove/graft forearm lesion 7.55 15.44 NA 1.00 090 25130 A Removal of wrist lesion 5.26 8.12 NA 0.66 090 25135 A Remove & graft wrist lesion 6.89 8.89 NA 0.89 090 25136 A Remove & graft wrist lesion 5.97 8.13 NA 0.58 090 25145 A Remove forearm bone lesion 6.37 15.22 NA 0.82 090 25150 A Partial removal of ulna 7.09 11.83 NA 0.96 090 25151 A Partial removal of radius 7.39 15.63 NA 0.93 090 25170 A Extensive forearm surgery 11.09 17.44 NA 1.52 090 25210 A Removal of wrist bone 5.95 8.47 NA 0.73 090 25215 A Removal of wrist bones 7.89 12.05 NA 1.02 090 25230 A Partial removal of radius 5.23 7.95 NA 0.66 090 25240 A Partial removal of ulna 5.17 10.49 NA 0.69 090 25246 A Injection for wrist x-ray 1.45 0.50 10.63 0.07 000 25248 A Remove forearm foreign body 5.14 10.05 NA 0.54 090 25250 A Removal of wrist prosthesis 6.60 8.76 NA 0.84 090 25251 A Removal of wrist prosthesis 9.57 12.73 NA 1.15 090 25259 A Manipulate wrist w/anesthes 3.75 5.23 NA 0.52 090 25260 A Repair forearm tendon/muscle 7.80 16.77 NA 0.97 090 25263 A Repair forearm tendon/muscle 7.82 16.43 NA 0.94 090 25265 A Repair forearm tendon/muscle 9.88 17.18 NA 1.19 090 25270 A Repair forearm tendon/muscle 6.00 15.70 NA 0.76 090 25272 A Repair forearm tendon/muscle 7.04 16.21 NA 0.89 090 25274 A Repair forearm tendon/muscle 8.75 16.53 NA 1.11 090 25275 A Repair forearm tendon sheath 8.50 7.32 NA 1.11 090 25280 A Revise wrist/forearm tendon 7.22 15.52 NA 0.91 090 25290 A Incise wrist/forearm tendon 5.29 17.77 NA 0.66 090 25295 A Release wrist/forearm tendon 6.55 15.16 NA 0.84 090 25300 A Fusion of tendons at wrist 8.80 10.05 NA 1.07 090 25301 A Fusion of tendons at wrist 8.40 9.74 NA 1.08 090 25310 A Transplant forearm tendon 8.14 16.12 NA 1.01 090 25312 A Transplant forearm tendon 9.57 17.04 NA 1.22 090 25315 A Revise palsy hand tendon(s) 10.20 17.68 NA 1.26 090 25316 A Revise palsy hand tendon(s) 12.33 19.36 NA 1.74 090 25320 A Repair/revise wrist joint 10.77 11.21 NA 1.32 090 25332 A Revise wrist joint 11.41 11.65 NA 1.46 090 25335 A Realignment of hand 12.88 14.66 NA 1.66 090 25337 A Reconstruct ulna/radioulnar 10.17 13.29 NA 1.31 090 25350 A Revision of radius 8.78 16.51 NA 1.17 090 25355 A Revision of radius 10.17 17.17 NA 1.44 090 25360 A Revision of ulna 8.43 16.47 NA 1.17 090 25365 A Revise radius & ulna 12.40 18.00 NA 1.67 090 Start Printed Page 43890 25370 A Revise radius or ulna 13.36 17.37 NA 1.88 090 25375 A Revise radius & ulna 13.04 18.01 NA 1.84 090 25390 A Shorten radius or ulna 10.40 17.23 NA 1.38 090 25391 A Lengthen radius or ulna 13.65 18.62 NA 1.73 090 25392 A Shorten radius & ulna 13.95 17.19 NA 1.73 090 25393 A Lengthen radius & ulna 15.87 19.88 NA 1.87 090 25394 A Repair carpal bone, shorten 10.40 8.24 NA 1.15 090 25400 A Repair radius or ulna 10.92 17.53 NA 1.50 090 25405 A Repair/graft radius or ulna 14.38 20.00 NA 1.95 090 25415 A Repair radius & ulna 13.35 19.08 NA 1.87 090 25420 A Repair/graft radius & ulna 16.33 20.93 NA 2.20 090 25425 A Repair/graft radius or ulna 13.21 26.13 NA 1.61 090 25426 A Repair/graft radius & ulna 15.82 19.87 NA 2.23 090 25430 A Vasc graft into carpal bone 9.25 7.60 NA 0.56 090 25431 A Repair nonunion carpal bone 10.44 6.28 NA 0.56 090 25440 A Repair/graft wrist bone 10.44 10.99 NA 1.41 090 25441 A Reconstruct wrist joint 12.90 12.22 NA 1.83 090 25442 A Reconstruct wrist joint 10.85 11.22 NA 1.24 090 25443 A Reconstruct wrist joint 10.39 13.58 NA 1.30 090 25444 A Reconstruct wrist joint 11.15 13.83 NA 1.43 090 25445 A Reconstruct wrist joint 9.69 13.12 NA 1.26 090 25446 A Wrist replacement 16.55 14.38 NA 2.20 090 25447 A Repair wrist joint(s) 10.37 11.02 NA 1.34 090 25449 A Remove wrist joint implant 14.49 17.69 NA 1.77 090 25450 A Revision of wrist joint 7.87 12.63 NA 0.88 090 25455 A Revision of wrist joint 9.49 14.17 NA 1.07 090 25490 A Reinforce radius 9.54 16.27 NA 1.19 090 25491 A Reinforce ulna 9.96 17.52 NA 1.41 090 25492 A Reinforce radius and ulna 12.33 16.91 NA 1.62 090 25500 A Treat fracture of radius 2.45 2.82 4.14 0.28 090 25505 A Treat fracture of radius 5.21 5.50 7.55 0.69 090 25515 A Treat fracture of radius 9.18 9.59 NA 1.22 090 25520 A Treat fracture of radius 6.26 6.12 7.72 0.85 090 25525 A Treat fracture of radius 12.24 11.46 NA 1.68 090 25526 A Treat fracture of radius 12.98 14.97 NA 1.80 090 25530 A Treat fracture of ulna 2.09 2.77 4.10 0.27 090 25535 A Treat fracture of ulna 5.14 5.54 7.36 0.68 090 25545 A Treat fracture of ulna 8.90 9.70 NA 1.23 090 25560 A Treat fracture radius & ulna 2.44 2.81 4.15 0.27 090 25565 A Treat fracture radius & ulna 5.63 5.71 7.77 0.76 090 25574 A Treat fracture radius & ulna 7.01 8.63 NA 0.96 090 25575 A Treat fracture radius/ulna 10.45 10.51 NA 1.46 090 25600 A Treat fracture radius/ulna 2.63 2.98 4.41 0.34 090 25605 A Treat fracture radius/ulna 5.81 5.94 7.97 0.81 090 25611 A Treat fracture radius/ulna 7.77 9.77 NA 1.08 090 25620 A Treat fracture radius/ulna 8.55 9.47 NA 1.17 090 25622 A Treat wrist bone fracture 2.61 2.97 4.38 0.33 090 25624 A Treat wrist bone fracture 4.53 5.20 7.19 0.61 090 25628 A Treat wrist bone fracture 8.43 9.54 NA 1.14 090 25630 A Treat wrist bone fracture 2.88 3.03 4.53 0.37 090 25635 A Treat wrist bone fracture 4.39 4.52 7.16 0.39 090 25645 A Treat wrist bone fracture 7.25 9.13 NA 0.93 090 25650 A Treat wrist bone fracture 3.05 3.12 4.61 0.37 090 25651 A Pin ulnar styloid fracture 5.36 4.32 NA 0.73 090 25652 A Treat fracture ulnar styloid 7.60 6.74 NA 0.97 090 25660 A Treat wrist dislocation 4.76 5.24 NA 0.59 090 25670 A Treat wrist dislocation 7.92 9.34 NA 1.07 090 25671 A Pin radioulnar dislocation 6.00 5.89 NA 0.75 090 25675 A Treat wrist dislocation 4.67 5.17 7.08 0.57 090 25676 A Treat wrist dislocation 8.04 9.33 NA 1.10 090 25680 A Treat wrist fracture 5.99 6.29 NA 0.61 090 25685 A Treat wrist fracture 9.78 10.12 NA 1.25 090 25690 A Treat wrist dislocation 5.50 6.77 NA 0.78 090 25695 A Treat wrist dislocation 8.34 9.43 NA 1.07 090 25800 A Fusion of wrist joint 9.76 10.62 NA 1.30 090 25805 A Fusion/graft of wrist joint 11.28 11.48 NA 1.51 090 Start Printed Page 43891 25810 A Fusion/graft of wrist joint 10.57 11.05 NA 1.37 090 25820 A Fusion of hand bones 7.45 9.43 NA 0.96 090 25825 A Fuse hand bones with graft 9.27 10.37 NA 1.20 090 25830 A Fusion, radioulnar jnt/ulna 10.06 16.56 NA 1.27 090 25900 A Amputation of forearm 9.01 14.17 NA 1.08 090 25905 A Amputation of forearm 9.12 15.42 NA 1.06 090 25907 A Amputation follow-up surgery 7.80 14.95 NA 1.01 090 25909 A Amputation follow-up surgery 8.96 14.98 NA 1.07 090 25915 A Amputation of forearm 17.08 18.26 NA 2.41 090 25920 A Amputate hand at wrist 8.68 9.69 NA 1.06 090 25922 A Amputate hand at wrist 7.42 8.88 NA 0.93 090 25924 A Amputation follow-up surgery 8.46 9.99 NA 1.07 090 25927 A Amputation of hand 8.80 13.97 NA 1.02 090 25929 A Amputation follow-up surgery 7.59 7.68 NA 0.89 090 25931 A Amputation follow-up surgery 7.81 15.33 NA 0.88 090 25999 C Forearm or wrist surgery 0.00 0.00 0.00 0.00 YYY 26010 A Drainage of finger abscess 1.54 3.82 5.06 0.14 010 26011 A Drainage of finger abscess 2.19 6.23 7.16 0.25 010 26020 A Drain hand tendon sheath 4.67 12.63 NA 0.59 090 26025 A Drainage of palm bursa 4.82 12.62 NA 0.60 090 26030 A Drainage of palm bursa(s) 5.93 13.31 NA 0.72 090 26034 A Treat hand bone lesion 6.23 14.59 NA 0.79 090 26035 A Decompress fingers/hand 9.51 15.91 NA 1.12 090 26037 A Decompress fingers/hand 7.25 12.45 NA 0.87 090 26040 A Release palm contracture 3.33 12.35 NA 0.45 090 26045 A Release palm contracture 5.56 13.61 NA 0.74 090 26055 A Incise finger tendon sheath 2.69 7.49 7.83 0.36 090 26060 A Incision of finger tendon 2.81 7.56 NA 0.35 090 26070 A Explore/treat hand joint 3.69 10.87 NA 0.35 090 26075 A Explore/treat finger joint 3.79 11.81 NA 0.40 090 26080 A Explore/treat finger joint 4.24 12.65 NA 0.52 090 26100 A Biopsy hand joint lining 3.67 8.19 NA 0.45 090 26105 A Biopsy finger joint lining 3.71 12.40 NA 0.45 090 26110 A Biopsy finger joint lining 3.53 11.82 NA 0.44 090 26115 A Remove hand lesion subcut 3.86 7.53 7.53 0.48 090 26116 A Remove hand lesion, deep 5.53 13.37 NA 0.69 090 26117 A Remove tumor, hand/finger 8.55 15.03 NA 1.01 090 26121 A Release palm contracture 7.54 15.37 NA 0.94 090 26123 A Release palm contracture 9.29 16.33 NA 1.17 090 26125 A Release palm contracture 4.61 2.53 NA 0.57 ZZZ 26130 A Remove wrist joint lining 5.42 15.51 NA 0.65 090 26135 A Revise finger joint, each 6.96 16.70 NA 0.87 090 26140 A Revise finger joint, each 6.17 15.80 NA 0.76 090 26145 A Tendon excision, palm/finger 6.32 16.06 NA 0.77 090 26160 A Remove tendon sheath lesion 3.15 7.62 7.63 0.39 090 26170 A Removal of palm tendon, each 4.77 8.46 NA 0.60 090 26180 A Removal of finger tendon 5.18 8.79 NA 0.64 090 26185 A Remove finger bone 5.25 8.79 NA 0.67 090 26200 A Remove hand bone lesion 5.51 13.62 NA 0.71 090 26205 A Remove/graft bone lesion 7.70 15.10 NA 0.95 090 26210 A Removal of finger lesion 5.15 13.97 NA 0.64 090 26215 A Remove/graft finger lesion 7.10 14.34 NA 0.77 090 26230 A Partial removal of hand bone 6.33 12.72 NA 0.84 090 26235 A Partial removal, finger bone 6.19 12.25 NA 0.78 090 26236 A Partial removal, finger bone 5.32 12.30 NA 0.66 090 26250 A Extensive hand surgery 7.55 16.60 NA 0.92 090 26255 A Extensive hand surgery 12.43 19.40 NA 1.05 090 26260 A Extensive finger surgery 7.03 16.45 NA 0.83 090 26261 A Extensive finger surgery 9.09 12.97 NA 0.84 090 26262 A Partial removal of finger 5.67 14.23 NA 0.70 090 26320 A Removal of implant from hand 3.98 12.78 NA 0.49 090 26340 A Manipulate finger w/anesth 2.50 4.48 NA 0.32 090 26350 A Repair finger/hand tendon 5.99 19.56 NA 0.73 090 26352 A Repair/graft hand tendon 7.68 19.76 NA 0.93 090 26356 A Repair finger/hand tendon 8.07 20.93 NA 0.99 090 26357 A Repair finger/hand tendon 8.58 20.73 NA 1.02 090 Start Printed Page 43892 26358 A Repair/graft hand tendon 9.14 20.89 NA 1.07 090 26370 A Repair finger/hand tendon 7.11 20.10 NA 0.90 090 26372 A Repair/graft hand tendon 8.76 21.36 NA 1.06 090 26373 A Repair finger/hand tendon 8.16 21.27 NA 0.98 090 26390 A Revise hand/finger tendon 9.19 16.47 NA 1.09 090 26392 A Repair/graft hand tendon 10.26 22.37 NA 1.26 090 26410 A Repair hand tendon 4.63 15.82 NA 0.57 090 26412 A Repair/graft hand tendon 6.31 16.90 NA 0.80 090 26415 A Excision, hand/finger tendon 8.34 15.74 NA 0.77 090 26416 A Graft hand or finger tendon 9.37 18.18 NA 1.20 090 26418 A Repair finger tendon 4.25 15.67 NA 0.50 090 26420 A Repair/graft finger tendon 6.77 17.31 NA 0.83 090 26426 A Repair finger/hand tendon 6.15 16.47 NA 0.77 090 26428 A Repair/graft finger tendon 7.21 17.52 NA 0.84 090 26432 A Repair finger tendon 4.02 12.82 NA 0.48 090 26433 A Repair finger tendon 4.56 13.74 NA 0.56 090 26434 A Repair/graft finger tendon 6.09 14.25 NA 0.71 090 26437 A Realignment of tendons 5.82 13.75 NA 0.74 090 26440 A Release palm/finger tendon 5.02 17.99 NA 0.62 090 26442 A Release palm & finger tendon 8.16 19.45 NA 0.94 090 26445 A Release hand/finger tendon 4.31 17.85 NA 0.54 090 26449 A Release forearm/hand tendon 7.00 19.18 NA 0.84 090 26450 A Incision of palm tendon 3.67 8.30 NA 0.46 090 26455 A Incision of finger tendon 3.64 8.16 NA 0.47 090 26460 A Incise hand/finger tendon 3.46 7.79 NA 0.44 090 26471 A Fusion of finger tendons 5.73 13.37 NA 0.73 090 26474 A Fusion of finger tendons 5.32 13.83 NA 0.69 090 26476 A Tendon lengthening 5.18 13.19 NA 0.62 090 26477 A Tendon shortening 5.15 13.34 NA 0.60 090 26478 A Lengthening of hand tendon 5.80 14.10 NA 0.77 090 26479 A Shortening of hand tendon 5.74 14.56 NA 0.76 090 26480 A Transplant hand tendon 6.69 19.03 NA 0.84 090 26483 A Transplant/graft hand tendon 8.29 19.62 NA 1.03 090 26485 A Transplant palm tendon 7.70 19.60 NA 0.94 090 26489 A Transplant/graft palm tendon 9.55 16.48 NA 0.98 090 26490 A Revise thumb tendon 8.41 14.89 NA 1.05 090 26492 A Tendon transfer with graft 9.62 15.61 NA 1.19 090 26494 A Hand tendon/muscle transfer 8.47 15.87 NA 1.13 090 26496 A Revise thumb tendon 9.59 15.10 NA 1.17 090 26497 A Finger tendon transfer 9.57 15.87 NA 1.17 090 26498 A Finger tendon transfer 14.00 18.34 NA 1.74 090 26499 A Revision of finger 8.98 16.54 NA 0.94 090 26500 A Hand tendon reconstruction 5.96 14.55 NA 0.66 090 26502 A Hand tendon reconstruction 7.14 14.85 NA 0.87 090 26504 A Hand tendon reconstruction 7.47 14.56 NA 0.84 090 26508 A Release thumb contracture 6.01 14.04 NA 0.76 090 26510 A Thumb tendon transfer 5.43 13.79 NA 0.71 090 26516 A Fusion of knuckle joint 7.15 14.41 NA 0.90 090 26517 A Fusion of knuckle joints 8.83 15.76 NA 0.96 090 26518 A Fusion of knuckle joints 9.02 15.46 NA 1.13 090 26520 A Release knuckle contracture 5.30 18.02 NA 0.65 090 26525 A Release finger contracture 5.33 18.22 NA 0.66 090 26530 A Revise knuckle joint 6.69 18.75 NA 0.86 090 26531 A Revise knuckle with implant 7.91 19.26 NA 1.01 090 26535 A Revise finger joint 5.24 10.66 NA 0.66 090 26536 A Revise/implant finger joint 6.37 17.39 NA 0.80 090 26540 A Repair hand joint 6.43 14.40 NA 0.81 090 26541 A Repair hand joint with graft 8.62 15.99 NA 1.12 090 26542 A Repair hand joint with graft 6.78 14.13 NA 0.87 090 26545 A Reconstruct finger joint 6.92 15.10 NA 0.79 090 26546 A Repair nonunion hand 8.92 15.75 NA 1.14 090 26548 A Reconstruct finger joint 8.03 15.67 NA 0.98 090 26550 A Construct thumb replacement 21.24 23.51 NA 1.80 090 26551 A Great toe-hand transfer 46.58 26.34 NA 6.57 090 26553 A Single transfer, toe-hand 46.27 28.71 NA 1.99 090 26554 A Double transfer, toe-hand 54.95 33.50 NA 7.76 090 Start Printed Page 43893 26555 A Positional change of finger 16.63 20.49 NA 2.13 090 26556 A Toe joint transfer 47.26 29.09 NA 6.67 090 26560 A Repair of web finger 5.38 12.75 NA 0.60 090 26561 A Repair of web finger 10.92 17.37 NA 0.69 090 26562 A Repair of web finger 15.00 19.74 NA 0.98 090 26565 A Correct metacarpal flaw 6.74 14.45 NA 0.84 090 26567 A Correct finger deformity 6.82 14.29 NA 0.84 090 26568 A Lengthen metacarpal/finger 9.08 19.51 NA 1.10 090 26580 A Repair hand deformity 18.18 16.16 NA 1.46 090 26585 D Repair finger deformity 14.05 12.93 NA 1.08 090 26587 A Reconstruct extra finger 14.05 NA 5.98 1.08 090 26590 A Repair finger deformity 17.96 16.68 NA 1.32 090 26591 A Repair muscles of hand 3.25 13.51 NA 0.37 090 26593 A Release muscles of hand 5.31 13.02 NA 0.64 090 26596 A Excision constricting tissue 8.95 9.78 NA 0.87 090 26597 D Release of scar contracture 9.82 11.29 NA 1.20 090 26600 A Treat metacarpal fracture 1.96 2.71 4.04 0.25 090 26605 A Treat metacarpal fracture 2.85 4.18 5.88 0.38 090 26607 A Treat metacarpal fracture 5.36 8.18 NA 0.70 090 26608 A Treat metacarpal fracture 5.36 8.54 NA 0.73 090 26615 A Treat metacarpal fracture 5.33 8.14 NA 0.70 090 26641 A Treat thumb dislocation 3.94 4.71 6.40 0.42 090 26645 A Treat thumb fracture 4.41 5.13 7.10 0.54 090 26650 A Treat thumb fracture 5.72 8.72 NA 0.77 090 26665 A Treat thumb fracture 7.60 9.17 NA 0.97 090 26670 A Treat hand dislocation 3.69 4.63 6.18 0.36 090 26675 A Treat hand dislocation 4.64 4.42 6.35 0.56 090 26676 A Pin hand dislocation 5.52 8.82 NA 0.76 090 26685 A Treat hand dislocation 6.98 8.77 NA 0.95 090 26686 A Treat hand dislocation 7.94 9.30 NA 1.05 090 26700 A Treat knuckle dislocation 3.69 2.92 4.99 0.35 090 26705 A Treat knuckle dislocation 4.19 4.26 6.20 0.50 090 26706 A Pin knuckle dislocation 5.12 5.80 NA 0.64 090 26715 A Treat knuckle dislocation 5.74 8.29 NA 0.75 090 26720 A Treat finger fracture, each 1.66 1.66 2.99 0.20 090 26725 A Treat finger fracture, each 3.33 3.17 5.14 0.43 090 26727 A Treat finger fracture, each 5.23 8.73 NA 0.69 090 26735 A Treat finger fracture, each 5.98 8.65 NA 0.77 090 26740 A Treat finger fracture, each 1.94 2.55 3.74 0.24 090 26742 A Treat finger fracture, each 3.85 5.11 6.98 0.49 090 26746 A Treat finger fracture, each 5.81 8.77 NA 0.74 090 26750 A Treat finger fracture, each 1.70 2.36 3.56 0.19 090 26755 A Treat finger fracture, each 3.10 3.05 4.97 0.37 090 26756 A Pin finger fracture, each 4.39 8.61 NA 0.56 090 26765 A Treat finger fracture, each 4.17 7.78 NA 0.51 090 26770 A Treat finger dislocation 3.02 2.68 4.74 0.27 090 26775 A Treat finger dislocation 3.71 3.94 5.90 0.43 090 26776 A Pin finger dislocation 4.80 8.58 NA 0.63 090 26785 A Treat finger dislocation 4.21 7.62 NA 0.54 090 26820 A Thumb fusion with graft 8.26 15.82 NA 1.11 090 26841 A Fusion of thumb 7.13 14.94 NA 0.97 090 26842 A Thumb fusion with graft 8.24 15.72 NA 1.10 090 26843 A Fusion of hand joint 7.61 14.38 NA 0.99 090 26844 A Fusion/graft of hand joint 8.73 15.70 NA 1.12 090 26850 A Fusion of knuckle 6.97 14.21 NA 0.89 090 26852 A Fusion of knuckle with graft 8.46 15.08 NA 1.05 090 26860 A Fusion of finger joint 4.69 13.11 NA 0.60 090 26861 A Fusion of finger jnt, add-on 1.74 0.96 NA 0.22 ZZZ 26862 A Fusion/graft of finger joint 7.37 14.75 NA 0.92 090 26863 A Fuse/graft added joint 3.90 2.16 NA 0.51 ZZZ 26910 A Amputate metacarpal bone 7.60 13.76 NA 0.90 090 26951 A Amputation of finger/thumb 4.59 12.67 NA 0.56 090 26952 A Amputation of finger/thumb 6.31 13.99 NA 0.74 090 26989 C Hand/finger surgery 0.00 0.00 0.00 0.00 YYY 26990 A Drainage of pelvis lesion 7.48 15.56 NA 0.92 090 26991 A Drainage of pelvis bursa 6.68 9.38 11.53 0.85 090 Start Printed Page 43894 26992 A Drainage of bone lesion 13.02 19.43 NA 1.75 090 27000 A Incision of hip tendon 5.62 7.33 NA 0.76 090 27001 A Incision of hip tendon 6.94 8.22 NA 0.95 090 27003 A Incision of hip tendon 7.34 9.11 NA 0.93 090 27005 A Incision of hip tendon 9.66 10.42 NA 1.36 090 27006 A Incision of hip tendons 9.68 10.43 NA 1.33 090 27025 A Incision of hip/thigh fascia 11.16 10.31 NA 1.38 090 27030 A Drainage of hip joint 13.01 12.23 NA 1.81 090 27033 A Exploration of hip joint 13.39 12.33 NA 1.87 090 27035 A Denervation of hip joint 16.69 18.01 NA 1.70 090 27036 A Excision of hip joint/muscle 12.88 13.67 NA 1.80 090 27040 A Biopsy of soft tissues 2.87 4.01 5.90 0.21 010 27041 A Biopsy of soft tissues 9.89 8.47 NA 1.01 090 27047 A Remove hip/pelvis lesion 7.45 7.01 9.27 0.79 090 27048 A Remove hip/pelvis lesion 6.25 7.86 NA 0.73 090 27049 A Remove tumor, hip/pelvis 13.66 13.36 NA 1.60 090 27050 A Biopsy of sacroiliac joint 4.36 6.97 NA 0.53 090 27052 A Biopsy of hip joint 6.23 8.29 NA 0.85 090 27054 A Removal of hip joint lining 8.54 10.53 NA 1.17 090 27060 A Removal of ischial bursa 5.43 7.70 NA 0.60 090 27062 A Remove femur lesion/bursa 5.37 7.17 NA 0.74 090 27065 A Removal of hip bone lesion 5.90 8.66 NA 0.76 090 27066 A Removal of hip bone lesion 10.33 12.36 NA 1.42 090 27067 A Remove/graft hip bone lesion 13.83 14.25 NA 1.95 090 27070 A Partial removal of hip bone 10.72 17.92 NA 1.36 090 27071 A Partial removal of hip bone 11.46 18.86 NA 1.51 090 27075 A Extensive hip surgery 35.00 25.41 NA 2.22 090 27076 A Extensive hip surgery 22.12 19.90 NA 2.86 090 27077 A Extensive hip surgery 40.00 28.73 NA 3.18 090 27078 A Extensive hip surgery 13.44 15.54 NA 1.67 090 27079 A Extensive hip surgery 13.75 15.04 NA 1.86 090 27080 A Removal of tail bone 6.39 7.56 NA 0.80 090 27086 A Remove hip foreign body 1.87 3.81 5.53 0.17 010 27087 A Remove hip foreign body 8.54 8.85 NA 1.09 090 27090 A Removal of hip prosthesis 11.15 11.14 NA 1.55 090 27091 A Removal of hip prosthesis 22.14 16.20 NA 3.11 090 27093 A Injection for hip x-ray 1.30 0.50 12.79 0.09 000 27095 A Injection for hip x-ray 1.50 0.54 11.77 0.10 000 27096 A Inject sacroiliac joint 1.40 0.38 9.84 0.08 000 27097 A Revision of hip tendon 8.80 8.91 NA 1.22 090 27098 A Transfer tendon to pelvis 8.83 9.53 NA 1.24 090 27100 A Transfer of abdominal muscle 11.08 12.54 NA 1.57 090 27105 A Transfer of spinal muscle 11.77 12.21 NA 1.66 090 27110 A Transfer of iliopsoas muscle 13.26 13.43 NA 1.38 090 27111 A Transfer of iliopsoas muscle 12.15 11.85 NA 1.48 090 27120 A Reconstruction of hip socket 18.01 14.46 NA 2.45 090 27122 A Reconstruction of hip socket 14.98 14.13 NA 2.08 090 27125 A Partial hip replacement 14.69 13.66 NA 2.05 090 27130 A Total hip arthroplasty 20.12 16.84 NA 2.82 090 27132 A Total hip arthroplasty 23.30 18.59 NA 3.26 090 27134 A Revise hip joint replacement 28.52 21.23 NA 3.97 090 27137 A Revise hip joint replacement 21.17 17.42 NA 2.97 090 27138 A Revise hip joint replacement 22.17 17.87 NA 3.11 090 27140 A Transplant femur ridge 12.24 11.79 NA 1.67 090 27146 A Incision of hip bone 17.43 16.11 NA 2.27 090 27147 A Revision of hip bone 20.58 17.18 NA 2.61 090 27151 A Incision of hip bones 22.51 12.41 NA 3.12 090 27156 A Revision of hip bones 24.63 19.70 NA 3.48 090 27158 A Revision of pelvis 19.74 15.55 NA 2.60 090 27161 A Incision of neck of femur 16.71 14.13 NA 2.32 090 27165 A Incision/fixation of femur 17.91 14.67 NA 2.51 090 27170 A Repair/graft femur head/neck 16.07 13.84 NA 2.20 090 27175 A Treat slipped epiphysis 8.46 7.08 NA 1.19 090 27176 A Treat slipped epiphysis 12.05 9.88 NA 1.68 090 27177 A Treat slipped epiphysis 15.08 11.61 NA 2.11 090 27178 A Treat slipped epiphysis 11.99 9.30 NA 1.68 090 Start Printed Page 43895 27179 A Revise head/neck of femur 12.98 10.70 NA 1.84 090 27181 A Treat slipped epiphysis 14.68 11.04 NA 1.74 090 27185 A Revision of femur epiphysis 9.18 10.34 NA 1.29 090 27187 A Reinforce hip bones 13.54 13.30 NA 1.89 090 27193 A Treat pelvic ring fracture 5.56 5.22 6.95 0.77 090 27194 A Treat pelvic ring fracture 9.65 7.48 9.00 1.32 090 27200 A Treat tail bone fracture 1.84 1.77 3.03 0.22 090 27202 A Treat tail bone fracture 7.04 19.94 NA 0.69 090 27215 A Treat pelvic fracture(s) 10.05 10.20 NA 1.37 090 27216 A Treat pelvic ring fracture 15.19 13.55 NA 2.15 090 27217 A Treat pelvic ring fracture 14.11 12.60 NA 1.95 090 27218 A Treat pelvic ring fracture 20.15 14.13 NA 2.85 090 27220 A Treat hip socket fracture 6.18 5.56 7.28 0.85 090 27222 A Treat hip socket fracture 12.70 10.12 NA 1.77 090 27226 A Treat hip wall fracture 14.91 10.60 NA 2.07 090 27227 A Treat hip fracture(s) 23.45 17.00 NA 3.24 090 27228 A Treat hip fracture(s) 27.16 19.25 NA 3.77 090 27230 A Treat thigh fracture 5.50 6.09 7.44 0.73 090 27232 A Treat thigh fracture 10.68 9.09 NA 1.45 090 27235 A Treat thigh fracture 12.16 10.94 NA 1.71 090 27236 A Treat thigh fracture 15.60 12.66 NA 2.18 090 27238 A Treat thigh fracture 5.52 6.16 NA 0.76 090 27240 A Treat thigh fracture 12.50 10.13 NA 1.69 090 27244 A Treat thigh fracture 15.94 12.89 NA 2.23 090 27245 A Treat thigh fracture 20.31 15.27 NA 2.85 090 27246 A Treat thigh fracture 4.71 5.77 7.14 0.66 090 27248 A Treat thigh fracture 10.45 9.93 NA 1.45 090 27250 A Treat hip dislocation 6.95 6.30 NA 0.68 090 27252 A Treat hip dislocation 10.39 8.14 NA 1.37 090 27253 A Treat hip dislocation 12.92 10.81 NA 1.81 090 27254 A Treat hip dislocation 18.26 13.65 NA 2.52 090 27256 A Treat hip dislocation 4.12 4.33 NA 0.49 010 27257 A Treat hip dislocation 5.22 4.58 NA 0.56 010 27258 A Treat hip dislocation 15.43 13.78 NA 2.06 090 27259 A Treat hip dislocation 21.55 16.69 NA 2.99 090 27265 A Treat hip dislocation 5.05 5.90 NA 0.65 090 27266 A Treat hip dislocation 7.49 7.29 NA 1.04 090 27275 A Manipulation of hip joint 2.27 3.46 NA 0.31 010 27280 A Fusion of sacroiliac joint 13.39 14.04 NA 1.98 090 27282 A Fusion of pubic bones 11.34 12.33 NA 1.14 090 27284 A Fusion of hip joint 23.45 18.07 NA 2.36 090 27286 A Fusion of hip joint 23.45 18.77 NA 2.37 090 27290 A Amputation of leg at hip 23.28 16.75 NA 2.94 090 27295 A Amputation of leg at hip 18.65 14.23 NA 2.35 090 27299 C Pelvis/hip joint surgery 0.00 0.00 0.00 0.00 YYY 27301 A Drain thigh/knee lesion 6.49 13.59 15.74 0.80 090 27303 A Drainage of bone lesion 8.28 14.64 NA 1.14 090 27305 A Incise thigh tendon & fascia 5.92 9.10 NA 0.77 090 27306 A Incision of thigh tendon 4.62 7.51 NA 0.62 090 27307 A Incision of thigh tendons 5.80 8.12 NA 0.78 090 27310 A Exploration of knee joint 9.27 9.97 NA 1.29 090 27315 A Partial removal, thigh nerve 6.97 4.45 NA 0.79 090 27320 A Partial removal, thigh nerve 6.30 4.57 NA 0.78 090 27323 A Biopsy, thigh soft tissues 2.28 3.43 5.52 0.17 010 27324 A Biopsy, thigh soft tissues 4.90 6.82 NA 0.59 090 27327 A Removal of thigh lesion 4.47 6.28 8.36 0.50 090 27328 A Removal of thigh lesion 5.57 7.01 NA 0.66 090 27329 A Remove tumor, thigh/knee 14.14 14.57 NA 1.68 090 27330 A Biopsy, knee joint lining 4.97 6.29 NA 0.66 090 27331 A Explore/treat knee joint 5.88 7.47 NA 0.81 090 27332 A Removal of knee cartilage 8.27 8.63 NA 1.15 090 27333 A Removal of knee cartilage 7.30 8.25 NA 1.03 090 27334 A Remove knee joint lining 8.70 9.58 NA 1.21 090 27335 A Remove knee joint lining 10.00 10.43 NA 1.41 090 27340 A Removal of kneecap bursa 4.18 5.87 NA 0.58 090 27345 A Removal of knee cyst 5.92 7.38 NA 0.81 090 Start Printed Page 43896 27347 A Remove knee cyst 5.78 2.65 2.65 0.76 090 27350 A Removal of kneecap 8.17 8.84 NA 1.15 090 27355 A Remove femur lesion 7.65 10.26 NA 1.07 090 27356 A Remove femur lesion/graft 9.48 11.28 NA 1.29 090 27357 A Remove femur lesion/graft 10.53 11.62 NA 1.48 090 27358 A Remove femur lesion/fixation 4.74 2.55 NA 0.67 ZZZ 27360 A Partial removal, leg bone(s) 10.50 18.21 NA 1.42 090 27365 A Extensive leg surgery 16.27 14.25 NA 2.26 090 27370 A Injection for knee x-ray 0.96 0.33 12.13 0.06 000 27372 A Removal of foreign body 5.07 6.33 8.37 0.62 090 27380 A Repair of kneecap tendon 7.16 8.40 NA 1.00 090 27381 A Repair/graft kneecap tendon 10.34 10.13 NA 1.44 090 27385 A Repair of thigh muscle 7.76 8.76 NA 1.09 090 27386 A Repair/graft of thigh muscle 10.56 10.89 NA 1.49 090 27390 A Incision of thigh tendon 5.33 7.89 NA 0.69 090 27391 A Incision of thigh tendons 7.20 8.88 NA 0.99 090 27392 A Incision of thigh tendons 9.20 10.88 NA 1.23 090 27393 A Lengthening of thigh tendon 6.39 8.39 NA 0.90 090 27394 A Lengthening of thigh tendons 8.50 10.50 NA 1.17 090 27395 A Lengthening of thigh tendons 11.73 13.35 NA 1.63 090 27396 A Transplant of thigh tendon 7.86 10.33 NA 1.11 090 27397 A Transplants of thigh tendons 11.28 11.71 NA 1.58 090 27400 A Revise thigh muscles/tendons 9.02 10.75 NA 1.18 090 27403 A Repair of knee cartilage 8.33 8.81 NA 1.16 090 27405 A Repair of knee ligament 8.65 9.64 NA 1.21 090 27407 A Repair of knee ligament 10.28 10.36 NA 1.38 090 27409 A Repair of knee ligaments 12.90 11.93 NA 1.75 090 27418 A Repair degenerated kneecap 10.85 10.88 NA 1.51 090 27420 A Revision of unstable kneecap 9.83 9.73 NA 1.38 090 27422 A Revision of unstable kneecap 9.78 9.71 NA 1.37 090 27424 A Revision/removal of kneecap 9.81 9.66 NA 1.38 090 27425 A Lateral retinacular release 5.22 7.13 NA 0.73 090 27427 A Reconstruction, knee 9.36 9.40 NA 1.29 090 27428 A Reconstruction, knee 14.00 12.56 NA 1.95 090 27429 A Reconstruction, knee 15.52 13.22 NA 2.18 090 27430 A Revision of thigh muscles 9.67 9.71 NA 1.35 090 27435 A Incision of knee joint 9.49 9.52 NA 1.33 090 27437 A Revise kneecap 8.46 9.76 NA 1.18 090 27438 A Revise kneecap with implant 11.23 11.14 NA 1.56 090 27440 A Revision of knee joint 10.43 9.07 NA 1.42 090 27441 A Revision of knee joint 10.82 9.58 NA 1.49 090 27442 A Revision of knee joint 11.89 11.59 NA 1.68 090 27443 A Revision of knee joint 10.93 11.27 NA 1.52 090 27445 A Revision of knee joint 17.68 14.74 NA 2.49 090 27446 A Revision of knee joint 15.84 14.06 NA 2.22 090 27447 A Total knee arthroplasty 21.48 16.95 NA 3.00 090 27448 A Incision of thigh 11.06 11.97 NA 1.51 090 27450 A Incision of thigh 13.98 13.71 NA 1.96 090 27454 A Realignment of thigh bone 17.56 15.48 NA 2.46 090 27455 A Realignment of knee 12.82 12.31 NA 1.78 090 27457 A Realignment of knee 13.45 11.51 NA 1.88 090 27465 A Shortening of thigh bone 13.87 13.66 NA 1.86 090 27466 A Lengthening of thigh bone 16.33 15.70 NA 1.92 090 27468 A Shorten/lengthen thighs 18.97 16.21 NA 2.68 090 27470 A Repair of thigh 16.07 15.83 NA 2.24 090 27472 A Repair/graft of thigh 17.72 16.70 NA 2.49 090 27475 A Surgery to stop leg growth 8.64 9.16 NA 1.13 090 27477 A Surgery to stop leg growth 9.85 9.76 NA 1.31 090 27479 A Surgery to stop leg growth 12.80 12.01 NA 1.81 090 27485 A Surgery to stop leg growth 8.84 9.33 NA 1.24 090 27486 A Revise/replace knee joint 19.27 15.83 NA 2.70 090 27487 A Revise/replace knee joint 25.27 18.94 NA 3.54 090 27488 A Removal of knee prosthesis 15.74 14.01 NA 2.21 090 27495 A Reinforce thigh 15.55 15.59 NA 2.18 090 27496 A Decompression of thigh/knee 6.11 7.83 NA 0.77 090 27497 A Decompression of thigh/knee 7.17 8.07 NA 0.84 090 Start Printed Page 43897 27498 A Decompression of thigh/knee 7.99 8.43 NA 0.97 090 27499 A Decompression of thigh/knee 9.00 9.03 NA 1.18 090 27500 A Treatment of thigh fracture 5.92 7.34 9.60 0.80 090 27501 A Treatment of thigh fracture 5.92 8.40 10.65 0.83 090 27502 A Treatment of thigh fracture 10.58 10.93 NA 1.49 090 27503 A Treatment of thigh fracture 10.58 10.97 NA 1.49 090 27506 A Treatment of thigh fracture 17.45 14.12 NA 2.33 090 27507 A Treatment of thigh fracture 13.99 12.32 NA 1.95 090 27508 A Treatment of thigh fracture 5.83 5.28 6.97 0.80 090 27509 A Treatment of thigh fracture 7.71 9.15 NA 1.08 090 27510 A Treatment of thigh fracture 9.13 7.15 NA 1.26 090 27511 A Treatment of thigh fracture 13.64 13.04 NA 1.91 090 27513 A Treatment of thigh fracture 17.92 15.34 NA 2.51 090 27514 A Treatment of thigh fracture 17.30 14.48 NA 2.41 090 27516 A Treat thigh fx growth plate 5.37 5.68 7.67 0.74 090 27517 A Treat thigh fx growth plate 8.78 7.64 9.37 1.22 090 27519 A Treat thigh fx growth plate 15.02 13.50 NA 2.09 090 27520 A Treat kneecap fracture 2.86 3.70 5.34 0.38 090 27524 A Treat kneecap fracture 10.00 8.77 NA 1.40 090 27530 A Treat knee fracture 3.78 4.20 5.85 0.51 090 27532 A Treat knee fracture 7.30 5.68 7.41 1.02 090 27535 A Treat knee fracture 11.50 11.92 NA 1.61 090 27536 A Treat knee fracture 15.65 11.79 NA 2.19 090 27538 A Treat knee fracture(s) 4.87 5.41 7.43 0.67 090 27540 A Treat knee fracture 13.10 10.30 NA 1.80 090 27550 A Treat knee dislocation 5.76 5.59 7.20 0.68 090 27552 A Treat knee dislocation 7.90 7.80 NA 1.10 090 27556 A Treat knee dislocation 14.41 14.23 NA 2.01 090 27557 A Treat knee dislocation 16.77 15.52 NA 2.37 090 27558 A Treat knee dislocation 17.72 15.72 NA 2.51 090 27560 A Treat kneecap dislocation 3.82 3.90 5.78 0.40 090 27562 A Treat kneecap dislocation 5.79 5.60 NA 0.69 090 27566 A Treat kneecap dislocation 12.23 9.93 NA 1.73 090 27570 A Fixation of knee joint 1.74 3.15 NA 0.24 010 27580 A Fusion of knee 19.37 16.29 NA 2.70 090 27590 A Amputate leg at thigh 12.03 12.42 NA 1.35 090 27591 A Amputate leg at thigh 12.68 14.02 NA 1.63 090 27592 A Amputate leg at thigh 10.02 11.95 NA 1.17 090 27594 A Amputation follow-up surgery 6.92 8.79 NA 0.82 090 27596 A Amputation follow-up surgery 10.60 12.24 NA 1.24 090 27598 A Amputate lower leg at knee 10.53 11.25 NA 1.24 090 27599 C Leg surgery procedure 0.00 0.00 0.00 0.00 YYY 27600 A Decompression of lower leg 5.65 7.55 NA 0.68 090 27601 A Decompression of lower leg 5.64 7.50 NA 0.69 090 27602 A Decompression of lower leg 7.35 7.92 NA 0.85 090 27603 A Drain lower leg lesion 4.94 10.21 15.73 0.56 090 27604 A Drain lower leg bursa 4.47 8.19 11.59 0.54 090 27605 A Incision of achilles tendon 2.87 3.88 10.52 0.38 010 27606 A Incision of achilles tendon 4.14 5.01 12.66 0.57 010 27607 A Treat lower leg bone lesion 7.97 13.93 NA 1.08 090 27610 A Explore/treat ankle joint 8.34 10.27 NA 1.15 090 27612 A Exploration of ankle joint 7.33 8.30 NA 1.01 090 27613 A Biopsy lower leg soft tissue 2.17 3.13 5.51 0.16 010 27614 A Biopsy lower leg soft tissue 5.66 7.13 11.19 0.62 090 27615 A Remove tumor, lower leg 12.56 17.11 NA 1.39 090 27618 A Remove lower leg lesion 5.09 6.66 11.52 0.54 090 27619 A Remove lower leg lesion 8.40 9.17 13.19 1.01 090 27620 A Explore/treat ankle joint 5.98 8.06 NA 0.83 090 27625 A Remove ankle joint lining 8.30 9.69 NA 1.16 090 27626 A Remove ankle joint lining 8.91 10.34 NA 1.23 090 27630 A Removal of tendon lesion 4.80 6.85 11.35 0.60 090 27635 A Remove lower leg bone lesion 7.78 10.87 NA 1.06 090 27637 A Remove/graft leg bone lesion 9.85 12.27 NA 1.38 090 27638 A Remove/graft leg bone lesion 10.57 12.76 NA 1.47 090 27640 A Partial removal of tibia 11.37 18.07 NA 1.54 090 27641 A Partial removal of fibula 9.24 16.20 NA 1.22 090 Start Printed Page 43898 27645 A Extensive lower leg surgery 14.17 18.02 NA 1.98 090 27646 A Extensive lower leg surgery 12.66 17.14 NA 1.55 090 27647 A Extensive ankle/heel surgery 12.24 11.24 NA 1.64 090 27648 A Injection for ankle x-ray 0.96 0.34 9.99 0.05 000 27650 A Repair achilles tendon 9.69 9.45 NA 1.35 090 27652 A Repair/graft achilles tendon 10.33 9.61 NA 1.45 090 27654 A Repair of achilles tendon 10.02 10.19 NA 1.41 090 27656 A Repair leg fascia defect 4.57 6.65 12.72 0.48 090 27658 A Repair of leg tendon, each 4.98 9.17 13.22 0.68 090 27659 A Repair of leg tendon, each 6.81 9.84 14.06 0.96 090 27664 A Repair of leg tendon, each 4.59 9.06 14.17 0.63 090 27665 A Repair of leg tendon, each 5.40 9.62 14.21 0.75 090 27675 A Repair lower leg tendons 7.18 8.42 NA 1.01 090 27676 A Repair lower leg tendons 8.42 9.31 NA 1.15 090 27680 A Release of lower leg tendon 5.74 7.98 NA 0.80 090 27681 A Release of lower leg tendons 6.82 8.49 NA 0.92 090 27685 A Revision of lower leg tendon 6.50 8.49 10.34 0.91 090 27686 A Revise lower leg tendons 7.46 9.70 12.52 1.05 090 27687 A Revision of calf tendon 6.24 8.62 NA 0.88 090 27690 A Revise lower leg tendon 8.71 9.45 NA 1.22 090 27691 A Revise lower leg tendon 9.96 11.05 NA 1.40 090 27692 A Revise additional leg tendon 1.87 0.94 NA 0.26 ZZZ 27695 A Repair of ankle ligament 6.51 9.07 NA 0.90 090 27696 A Repair of ankle ligaments 8.27 9.49 NA 1.16 090 27698 A Repair of ankle ligament 9.36 9.44 NA 1.31 090 27700 A Revision of ankle joint 9.29 7.85 NA 1.24 090 27702 A Reconstruct ankle joint 13.67 12.80 NA 1.92 090 27703 A Reconstruction, ankle joint 15.87 13.41 NA 2.24 090 27704 A Removal of ankle implant 7.62 8.34 NA 0.61 090 27705 A Incision of tibia 10.38 11.46 NA 1.44 090 27707 A Incision of fibula 4.37 8.23 NA 0.60 090 27709 A Incision of tibia & fibula 9.95 11.41 NA 1.39 090 27712 A Realignment of lower leg 14.25 13.50 NA 2.00 090 27715 A Revision of lower leg 14.39 14.80 NA 2.00 090 27720 A Repair of tibia 11.79 13.47 NA 1.66 090 27722 A Repair/graft of tibia 11.82 13.33 NA 1.65 090 27724 A Repair/graft of tibia 18.20 16.95 NA 2.10 090 27725 A Repair of lower leg 15.59 15.37 NA 2.20 090 27727 A Repair of lower leg 14.01 13.92 NA 1.84 090 27730 A Repair of tibia epiphysis 7.41 9.84 20.38 0.75 090 27732 A Repair of fibula epiphysis 5.32 7.92 11.30 0.63 090 27734 A Repair lower leg epiphyses 8.48 9.68 NA 0.85 090 27740 A Repair of leg epiphyses 9.30 10.54 21.91 1.31 090 27742 A Repair of leg epiphyses 10.30 10.43 16.33 1.55 090 27745 A Reinforce tibia 10.07 11.54 NA 1.38 090 27750 A Treatment of tibia fracture 3.19 3.87 5.50 0.43 090 27752 A Treatment of tibia fracture 5.84 6.00 7.98 0.82 090 27756 A Treatment of tibia fracture 6.78 10.70 NA 0.94 090 27758 A Treatment of tibia fracture 11.67 11.92 NA 1.52 090 27759 A Treatment of tibia fracture 13.76 13.23 NA 1.93 090 27760 A Treatment of ankle fracture 3.01 3.73 5.29 0.39 090 27762 A Treatment of ankle fracture 5.25 5.57 7.48 0.71 090 27766 A Treatment of ankle fracture 8.36 8.27 NA 1.17 090 27780 A Treatment of fibula fracture 2.65 3.54 5.24 0.33 090 27781 A Treatment of fibula fracture 4.40 4.47 6.41 0.57 090 27784 A Treatment of fibula fracture 7.11 8.41 NA 0.98 090 27786 A Treatment of ankle fracture 2.84 3.65 5.25 0.37 090 27788 A Treatment of ankle fracture 4.45 4.51 6.47 0.61 090 27792 A Treatment of ankle fracture 7.66 7.98 NA 1.07 090 27808 A Treatment of ankle fracture 2.83 4.34 6.28 0.38 090 27810 A Treatment of ankle fracture 5.13 5.56 7.54 0.71 090 27814 A Treatment of ankle fracture 10.68 10.75 NA 1.50 090 27816 A Treatment of ankle fracture 2.89 4.38 5.81 0.37 090 27818 A Treatment of ankle fracture 5.50 5.71 7.71 0.74 090 27822 A Treatment of ankle fracture 11.00 12.99 NA 1.29 090 27823 A Treatment of ankle fracture 13.00 14.09 NA 1.65 090 Start Printed Page 43899 27824 A Treat lower leg fracture 2.89 4.35 6.26 0.39 090 27825 A Treat lower leg fracture 6.19 6.17 8.15 0.85 090 27826 A Treat lower leg fracture 8.54 11.67 NA 1.19 090 27827 A Treat lower leg fracture 14.06 14.76 NA 1.96 090 27828 A Treat lower leg fracture 16.23 15.51 NA 2.27 090 27829 A Treat lower leg joint 5.49 8.58 NA 0.77 090 27830 A Treat lower leg dislocation 3.79 4.11 5.45 0.44 090 27831 A Treat lower leg dislocation 4.56 5.21 NA 0.61 090 27832 A Treat lower leg dislocation 6.49 8.11 NA 0.91 090 27840 A Treat ankle dislocation 4.58 5.88 NA 0.47 090 27842 A Treat ankle dislocation 6.21 5.07 NA 0.76 090 27846 A Treat ankle dislocation 9.79 10.12 NA 1.36 090 27848 A Treat ankle dislocation 11.20 11.52 NA 1.55 090 27860 A Fixation of ankle joint 2.34 3.57 NA 0.31 010 27870 A Fusion of ankle joint 13.91 13.61 NA 1.95 090 27871 A Fusion of tibiofibular joint 9.17 10.91 NA 1.29 090 27880 A Amputation of lower leg 11.85 11.68 NA 1.38 090 27881 A Amputation of lower leg 12.34 13.13 NA 1.59 090 27882 A Amputation of lower leg 8.94 12.63 NA 1.03 090 27884 A Amputation follow-up surgery 8.21 10.43 NA 0.95 090 27886 A Amputation follow-up surgery 9.32 10.98 NA 1.13 090 27888 A Amputation of foot at ankle 9.67 10.81 NA 1.26 090 27889 A Amputation of foot at ankle 9.98 10.29 NA 1.19 090 27892 A Decompression of leg 7.39 8.09 NA 0.86 090 27893 A Decompression of leg 7.35 7.99 NA 0.90 090 27894 A Decompression of leg 10.49 9.41 NA 1.25 090 27899 C Leg/ankle surgery procedure 0.00 0.00 0.00 0.00 YYY 28001 A Drainage of bursa of foot 2.73 3.13 5.59 0.31 010 28002 A Treatment of foot infection 4.62 4.21 6.85 0.56 010 28003 A Treatment of foot infection 8.41 10.51 11.23 1.03 090 28005 A Treat foot bone lesion 8.68 10.34 NA 1.14 090 28008 A Incision of foot fascia 4.45 6.17 8.06 0.56 090 28010 A Incision of toe tendon 2.84 5.03 7.45 0.39 090 28011 A Incision of toe tendons 4.14 6.61 9.17 0.58 090 28020 A Exploration of foot joint 5.01 6.46 9.17 0.64 090 28022 A Exploration of foot joint 4.67 6.04 8.04 0.62 090 28024 A Exploration of toe joint 4.38 6.23 8.20 0.50 090 28030 A Removal of foot nerve 6.15 3.45 NA 0.85 090 28035 A Decompression of tibia nerve 5.09 5.33 9.17 0.71 090 28043 A Excision of foot lesion 3.54 4.98 7.44 0.45 090 28045 A Excision of foot lesion 4.72 5.71 8.07 0.62 090 28046 A Resection of tumor, foot 10.18 11.06 12.37 1.13 090 28050 A Biopsy of foot joint lining 4.25 5.75 7.72 0.55 090 28052 A Biopsy of foot joint lining 3.94 5.85 7.97 0.51 090 28054 A Biopsy of toe joint lining 3.45 5.68 7.94 0.45 090 28060 A Partial removal, foot fascia 5.23 6.44 8.70 0.69 090 28062 A Removal of foot fascia 6.52 6.45 9.54 0.85 090 28070 A Removal of foot joint lining 5.10 5.94 7.89 0.68 090 28072 A Removal of foot joint lining 4.58 6.65 8.40 0.64 090 28080 A Removal of foot lesion 3.58 5.47 7.82 0.50 090 28086 A Excise foot tendon sheath 4.78 7.40 11.14 0.66 090 28088 A Excise foot tendon sheath 3.86 6.55 9.36 0.52 090 28090 A Removal of foot lesion 4.41 5.53 7.99 0.57 090 28092 A Removal of toe lesions 3.64 5.85 8.37 0.46 090 28100 A Removal of ankle/heel lesion 5.66 7.59 11.69 0.76 090 28102 A Remove/graft foot lesion 7.73 9.10 NA 0.97 090 28103 A Remove/graft foot lesion 6.50 7.22 9.87 0.89 090 28104 A Removal of foot lesion 5.12 6.77 8.68 0.69 090 28106 A Remove/graft foot lesion 7.16 6.83 NA 1.01 090 28107 A Remove/graft foot lesion 5.56 7.10 9.51 0.74 090 28108 A Removal of toe lesions 4.16 5.25 7.37 0.52 090 28110 A Part removal of metatarsal 4.08 6.84 8.85 0.49 090 28111 A Part removal of metatarsal 5.01 7.65 10.39 0.63 090 28112 A Part removal of metatarsal 4.49 7.38 9.53 0.60 090 28113 A Part removal of metatarsal 4.79 7.11 9.18 0.63 090 28114 A Removal of metatarsal heads 9.79 10.84 14.02 1.36 090 Start Printed Page 43900 28116 A Revision of foot 7.75 6.71 8.84 1.03 090 28118 A Removal of heel bone 5.96 7.15 9.44 0.79 090 28119 A Removal of heel spur 5.39 6.07 8.49 0.74 090 28120 A Part removal of ankle/heel 5.40 9.66 12.50 0.69 090 28122 A Partial removal of foot bone 7.29 9.44 11.20 0.96 090 28124 A Partial removal of toe 4.81 7.62 9.47 0.65 090 28126 A Partial removal of toe 3.52 6.80 8.21 0.49 090 28130 A Removal of ankle bone 8.11 8.77 NA 1.11 090 28140 A Removal of metatarsal 6.91 7.83 10.56 0.84 090 28150 A Removal of toe 4.09 7.09 8.84 0.52 090 28153 A Partial removal of toe 3.66 5.84 8.22 0.49 090 28160 A Partial removal of toe 3.74 7.14 8.49 0.51 090 28171 A Extensive foot surgery 9.60 8.39 NA 1.13 090 28173 A Extensive foot surgery 8.80 8.69 11.02 1.04 090 28175 A Extensive foot surgery 6.05 6.80 9.51 0.75 090 28190 A Removal of foot foreign body 1.96 3.37 6.36 0.16 010 28192 A Removal of foot foreign body 4.64 5.39 8.12 0.52 090 28193 A Removal of foot foreign body 5.73 6.52 8.72 0.63 090 28200 A Repair of foot tendon 4.60 6.34 8.35 0.59 090 28202 A Repair/graft of foot tendon 6.84 7.29 11.70 0.86 090 28208 A Repair of foot tendon 4.37 5.95 8.09 0.59 090 28210 A Repair/graft of foot tendon 6.35 6.53 9.53 0.77 090 28220 A Release of foot tendon 4.53 6.07 7.90 0.63 090 28222 A Release of foot tendons 5.62 6.84 8.30 0.77 090 28225 A Release of foot tendon 3.66 5.60 7.66 0.50 090 28226 A Release of foot tendons 4.53 6.52 7.94 0.62 090 28230 A Incision of foot tendon(s) 4.24 6.68 8.03 0.59 090 28232 A Incision of toe tendon 3.39 6.37 8.04 0.48 090 28234 A Incision of foot tendon 3.37 5.92 8.10 0.46 090 28238 A Revision of foot tendon 7.73 7.51 10.10 1.08 090 28240 A Release of big toe 4.36 6.32 7.99 0.61 090 28250 A Revision of foot fascia 5.92 6.93 9.01 0.81 090 28260 A Release of midfoot joint 7.96 7.64 9.43 1.08 090 28261 A Revision of foot tendon 11.73 9.42 10.97 1.66 090 28262 A Revision of foot and ankle 15.83 14.95 17.10 2.22 090 28264 A Release of midfoot joint 10.35 11.27 11.27 1.46 090 28270 A Release of foot contracture 4.76 7.17 8.64 0.67 090 28272 A Release of toe joint, each 3.80 5.46 7.55 0.52 090 28280 A Fusion of toes 5.19 6.77 9.14 0.72 090 28285 A Repair of hammertoe 4.59 6.65 8.70 0.64 090 28286 A Repair of hammertoe 4.56 6.56 8.55 0.64 090 28288 A Partial removal of foot bone 4.74 8.03 9.04 0.65 090 28289 A Repair hallux rigidus 7.04 9.02 10.87 0.96 090 28290 A Correction of bunion 5.66 8.73 9.77 0.79 090 28292 A Correction of bunion 7.04 7.65 9.80 0.98 090 28293 A Correction of bunion 9.15 7.95 10.84 1.28 090 28294 A Correction of bunion 8.56 7.87 10.52 1.16 090 28296 A Correction of bunion 9.18 8.61 10.90 1.28 090 28297 A Correction of bunion 9.18 10.28 11.82 1.31 090 28298 A Correction of bunion 7.94 8.23 10.02 1.12 090 28299 A Correction of bunion 10.58 9.02 11.30 1.24 090 28300 A Incision of heel bone 9.54 9.38 14.91 1.31 090 28302 A Incision of ankle bone 9.55 9.22 14.29 1.15 090 28304 A Incision of midfoot bones 9.16 7.78 10.10 1.00 090 28305 A Incise/graft midfoot bones 10.50 9.70 14.46 0.55 090 28306 A Incision of metatarsal 5.86 6.34 9.14 0.81 090 28307 A Incision of metatarsal 6.33 7.88 12.89 0.71 090 28308 A Incision of metatarsal 5.29 5.39 7.84 0.74 090 28309 A Incision of metatarsals 12.78 10.41 NA 1.64 090 28310 A Revision of big toe 5.43 6.84 9.06 0.76 090 28312 A Revision of toe 4.55 7.41 8.79 0.62 090 28313 A Repair deformity of toe 5.01 9.25 9.25 0.68 090 28315 A Removal of sesamoid bone 4.86 5.65 7.86 0.66 090 28320 A Repair of foot bones 9.18 8.93 NA 1.27 090 28322 A Repair of metatarsals 8.34 8.40 11.64 1.17 090 28340 A Resect enlarged toe tissue 6.98 6.74 9.37 0.98 090 Start Printed Page 43901 28341 A Resect enlarged toe 8.41 7.05 9.46 1.18 090 28344 A Repair extra toe(s) 4.26 5.70 8.37 0.60 090 28345 A Repair webbed toe(s) 5.92 7.31 9.24 0.84 090 28360 A Reconstruct cleft foot 13.34 13.35 NA 1.88 090 28400 A Treatment of heel fracture 2.16 4.56 5.66 0.29 090 28405 A Treatment of heel fracture 4.57 5.71 6.66 0.63 090 28406 A Treatment of heel fracture 6.31 8.57 NA 0.87 090 28415 A Treat heel fracture 15.97 15.27 NA 2.24 090 28420 A Treat/graft heel fracture 16.64 15.62 NA 2.29 090 28430 A Treatment of ankle fracture 2.09 4.06 5.16 0.27 090 28435 A Treatment of ankle fracture 3.40 4.57 5.53 0.47 090 28436 A Treatment of ankle fracture 4.71 7.60 NA 0.66 090 28445 A Treat ankle fracture 15.62 13.65 NA 1.29 090 28450 A Treat midfoot fracture, each 1.90 3.95 5.14 0.25 090 28455 A Treat midfoot fracture, each 3.09 4.72 5.21 0.43 090 28456 A Treat midfoot fracture 2.68 6.06 NA 0.36 090 28465 A Treat midfoot fracture, each 7.01 8.12 NA 0.87 090 28470 A Treat metatarsal fracture 1.99 3.28 4.42 0.26 090 28475 A Treat metatarsal fracture 2.97 4.28 5.08 0.41 090 28476 A Treat metatarsal fracture 3.38 6.53 NA 0.46 090 28485 A Treat metatarsal fracture 5.71 7.87 NA 0.80 090 28490 A Treat big toe fracture 1.09 2.12 2.69 0.13 090 28495 A Treat big toe fracture 1.58 2.20 2.85 0.19 090 28496 A Treat big toe fracture 2.33 4.94 10.18 0.32 090 28505 A Treat big toe fracture 3.81 6.67 11.30 0.50 090 28510 A Treatment of toe fracture 1.09 2.13 2.44 0.13 090 28515 A Treatment of toe fracture 1.46 2.19 2.72 0.17 090 28525 A Treat toe fracture 3.32 6.32 10.85 0.44 090 28530 A Treat sesamoid bone fracture 1.06 2.74 2.96 0.13 090 28531 A Treat sesamoid bone fracture 2.35 4.29 15.26 0.33 090 28540 A Treat foot dislocation 2.04 3.70 3.70 0.24 090 28545 A Treat foot dislocation 2.45 4.05 4.05 0.33 090 28546 A Treat foot dislocation 3.20 5.81 8.92 0.46 090 28555 A Repair foot dislocation 6.30 8.57 11.82 0.88 090 28570 A Treat foot dislocation 1.66 3.71 3.98 0.22 090 28575 A Treat foot dislocation 3.31 5.27 5.60 0.45 090 28576 A Treat foot dislocation 4.17 6.43 12.02 0.56 090 28585 A Repair foot dislocation 7.99 8.40 9.66 1.13 090 28600 A Treat foot dislocation 1.89 3.84 4.31 0.24 090 28605 A Treat foot dislocation 2.71 4.79 5.05 0.35 090 28606 A Treat foot dislocation 4.90 6.95 15.78 0.68 090 28615 A Repair foot dislocation 7.77 9.38 NA 1.09 090 28630 A Treat toe dislocation 1.70 2.35 2.35 0.17 010 28635 A Treat toe dislocation 1.91 2.54 2.54 0.24 010 28636 A Treat toe dislocation 2.77 3.11 6.26 0.39 010 28645 A Repair toe dislocation 4.22 4.32 6.66 0.58 090 28660 A Treat toe dislocation 1.23 2.43 3.08 0.11 010 28665 A Treat toe dislocation 1.92 2.59 2.59 0.24 010 28666 A Treat toe dislocation 2.66 2.85 8.07 0.38 010 28675 A Repair of toe dislocation 2.92 4.87 9.35 0.41 090 28705 A Fusion of foot bones 18.80 15.04 NA 2.13 090 28715 A Fusion of foot bones 13.10 12.48 NA 1.84 090 28725 A Fusion of foot bones 11.61 11.34 NA 1.63 090 28730 A Fusion of foot bones 10.76 10.79 NA 1.51 090 28735 A Fusion of foot bones 10.85 10.53 NA 1.51 090 28737 A Revision of foot bones 9.64 9.44 NA 1.36 090 28740 A Fusion of foot bones 8.02 8.98 13.37 1.13 090 28750 A Fusion of big toe joint 7.30 9.06 14.47 1.03 090 28755 A Fusion of big toe joint 4.74 6.50 9.08 0.66 090 28760 A Fusion of big toe joint 7.75 7.72 10.11 1.07 090 28800 A Amputation of midfoot 8.21 8.97 NA 0.98 090 28805 A Amputation thru metatarsal 8.39 8.82 NA 0.97 090 28810 A Amputation toe & metatarsal 6.21 7.77 NA 0.70 090 28820 A Amputation of toe 4.41 7.02 10.96 0.51 090 28825 A Partial amputation of toe 3.59 6.88 10.36 0.43 090 28899 C Foot/toes surgery procedure 0.00 0.00 0.00 0.00 YYY Start Printed Page 43902 29000 A Application of body cast 2.25 1.67 3.07 0.30 000 29010 A Application of body cast 2.06 1.65 2.77 0.27 000 29015 A Application of body cast 2.41 1.57 2.91 0.21 000 29020 A Application of body cast 2.11 1.39 3.33 0.16 000 29025 A Application of body cast 2.40 1.78 3.05 0.26 000 29035 A Application of body cast 1.77 1.48 2.87 0.24 000 29040 A Application of body cast 2.22 1.56 2.43 0.35 000 29044 A Application of body cast 2.12 1.77 3.15 0.29 000 29046 A Application of body cast 2.41 1.95 3.24 0.34 000 29049 A Application of figure eight 0.89 0.55 1.04 0.12 000 29055 A Application of shoulder cast 1.78 1.40 2.35 0.24 000 29058 A Application of shoulder cast 1.31 0.74 1.28 0.14 000 29065 A Application of long arm cast 0.87 0.68 1.08 0.12 000 29075 A Application of forearm cast 0.77 0.62 1.02 0.11 000 29085 A Apply hand/wrist cast 0.87 0.61 1.07 0.11 000 29086 A Apply finger cast 0.62 0.43 0.77 0.07 000 29105 A Apply long arm splint 0.87 0.51 1.02 0.11 000 29125 A Apply forearm splint 0.59 0.40 0.86 0.06 000 29126 A Apply forearm splint 0.77 0.47 1.10 0.06 000 29130 A Application of finger splint 0.50 0.17 0.43 0.05 000 29131 A Application of finger splint 0.55 0.25 0.70 0.03 000 29200 A Strapping of chest 0.65 0.36 0.78 0.04 000 29220 A Strapping of low back 0.64 0.39 0.72 0.07 000 29240 A Strapping of shoulder 0.71 0.38 0.86 0.05 000 29260 A Strapping of elbow or wrist 0.55 0.34 0.75 0.04 000 29280 A Strapping of hand or finger 0.51 0.34 0.79 0.04 000 29305 A Application of hip cast 2.03 1.59 2.71 0.29 000 29325 A Application of hip casts 2.32 1.77 2.88 0.31 000 29345 A Application of long leg cast 1.40 0.99 1.47 0.19 000 29355 A Application of long leg cast 1.53 1.05 1.46 0.20 000 29358 A Apply long leg cast brace 1.43 1.02 1.69 0.19 000 29365 A Application of long leg cast 1.18 0.87 1.35 0.17 000 29405 A Apply short leg cast 0.86 0.65 1.01 0.12 000 29425 A Apply short leg cast 1.01 0.68 1.04 0.14 000 29435 A Apply short leg cast 1.18 0.86 1.29 0.17 000 29440 A Addition of walker to cast 0.57 0.27 0.59 0.07 000 29445 A Apply rigid leg cast 1.78 0.94 1.57 0.24 000 29450 A Application of leg cast 2.08 1.07 1.37 0.13 000 29505 A Application, long leg splint 0.69 0.47 1.02 0.06 000 29515 A Application lower leg splint 0.73 0.47 0.77 0.07 000 29520 A Strapping of hip 0.54 0.43 0.88 0.02 000 29530 A Strapping of knee 0.57 0.35 0.78 0.04 000 29540 A Strapping of ankle 0.51 0.32 0.39 0.04 000 29550 A Strapping of toes 0.47 0.27 0.40 0.05 000 29580 A Application of paste boot 0.57 0.35 0.59 0.05 000 29590 A Application of foot splint 0.76 0.30 0.48 0.06 000 29700 A Removal/revision of cast 0.57 0.28 0.77 0.07 000 29705 A Removal/revision of cast 0.76 0.39 0.70 0.10 000 29710 A Removal/revision of cast 1.34 0.71 1.36 0.17 000 29715 A Removal/revision of cast 0.94 0.41 1.04 0.08 000 29720 A Repair of body cast 0.68 0.38 0.93 0.10 000 29730 A Windowing of cast 0.75 0.35 0.69 0.10 000 29740 A Wedging of cast 1.12 0.49 1.00 0.15 000 29750 A Wedging of clubfoot cast 1.26 0.59 0.97 0.16 000 29799 C Casting/strapping procedure 0.00 0.00 0.00 0.00 YYY 29800 A Jaw arthroscopy/surgery 6.43 8.88 NA 0.84 090 29804 A Jaw arthroscopy/surgery 8.14 8.65 NA 0.66 090 29805 A Shoulder arthroscopy, dx 5.89 3.22 3.22 0.83 090 29806 A Shoulder arthroscopy/surgery 14.37 10.95 NA 2.01 090 29807 A Shoulder arthroscopy/surgery 13.90 10.69 NA 2.01 090 29815 D Shoulder arthroscopy 5.89 6.75 NA 0.83 090 29819 A Shoulder arthroscopy/surgery 7.62 9.64 NA 1.07 090 29820 A Shoulder arthroscopy/surgery 7.07 9.48 NA 0.99 090 29821 A Shoulder arthroscopy/surgery 7.72 9.85 NA 1.08 090 29822 A Shoulder arthroscopy/surgery 7.43 9.78 NA 1.04 090 29823 A Shoulder arthroscopy/surgery 8.17 10.10 NA 1.15 090 Start Printed Page 43903 29824 A Shoulder arthroscopy/surgery 8.25 7.24 NA 1.16 090 29825 A Shoulder arthroscopy/surgery 7.62 9.77 NA 1.06 090 29826 A Shoulder arthroscopy/surgery 8.99 10.58 NA 1.26 090 29830 A Elbow arthroscopy 5.76 6.00 NA 0.79 090 29834 A Elbow arthroscopy/surgery 6.28 6.85 NA 0.86 090 29835 A Elbow arthroscopy/surgery 6.48 6.87 NA 0.88 090 29836 A Elbow arthroscopy/surgery 7.55 7.54 NA 1.06 090 29837 A Elbow arthroscopy/surgery 6.87 7.13 NA 0.96 090 29838 A Elbow arthroscopy/surgery 7.71 7.58 NA 1.07 090 29840 A Wrist arthroscopy 5.54 8.38 NA 0.69 090 29843 A Wrist arthroscopy/surgery 6.01 8.56 NA 0.82 090 29844 A Wrist arthroscopy/surgery 6.37 8.75 NA 0.86 090 29845 A Wrist arthroscopy/surgery 7.52 9.25 NA 0.84 090 29846 A Wrist arthroscopy/surgery 6.75 11.39 NA 0.89 090 29847 A Wrist arthroscopy/surgery 7.08 11.66 NA 0.91 090 29848 A Wrist endoscopy/surgery 5.44 8.27 NA 0.72 090 29850 A Knee arthroscopy/surgery 8.19 7.27 NA 0.74 090 29851 A Knee arthroscopy/surgery 13.10 11.68 NA 1.81 090 29855 A Tibial arthroscopy/surgery 10.62 10.39 NA 1.50 090 29856 A Tibial arthroscopy/surgery 14.14 12.37 NA 2.00 090 29860 A Hip arthroscopy, dx 8.05 7.83 NA 1.14 090 29861 A Hip arthroscopy/surgery 9.15 8.91 NA 1.29 090 29862 A Hip arthroscopy/surgery 9.90 9.46 NA 1.39 090 29863 A Hip arthroscopy/surgery 9.90 9.95 NA 1.40 090 29870 A Knee arthroscopy, dx 5.07 6.13 NA 0.67 090 29871 A Knee arthroscopy/drainage 6.55 8.11 NA 0.88 090 29874 A Knee arthroscopy/surgery 7.05 7.86 NA 0.87 090 29875 A Knee arthroscopy/surgery 6.31 7.51 NA 0.88 090 29876 A Knee arthroscopy/surgery 7.92 8.95 NA 1.11 090 29877 A Knee arthroscopy/surgery 7.35 8.09 NA 1.03 090 29879 A Knee arthroscopy/surgery 8.04 8.46 NA 1.13 090 29880 A Knee arthroscopy/surgery 8.50 8.73 NA 1.19 090 29881 A Knee arthroscopy/surgery 7.76 8.31 NA 1.09 090 29882 A Knee arthroscopy/surgery 8.65 8.63 NA 1.09 090 29883 A Knee arthroscopy/surgery 11.05 10.12 NA 1.33 090 29884 A Knee arthroscopy/surgery 7.33 8.72 NA 1.03 090 29885 A Knee arthroscopy/surgery 9.09 9.69 NA 1.27 090 29886 A Knee arthroscopy/surgery 7.54 8.75 NA 1.06 090 29887 A Knee arthroscopy/surgery 9.04 9.64 NA 1.27 090 29888 A Knee arthroscopy/surgery 13.90 12.28 NA 1.95 090 29889 A Knee arthroscopy/surgery 16.00 13.45 NA 2.11 090 29891 A Ankle arthroscopy/surgery 8.40 9.02 NA 1.17 090 29892 A Ankle arthroscopy/surgery 9.00 9.27 NA 1.26 090 29893 A Scope, plantar fasciotomy 5.22 5.64 NA 0.74 090 29894 A Ankle arthroscopy/surgery 7.21 8.17 NA 1.01 090 29895 A Ankle arthroscopy/surgery 6.99 8.15 NA 0.97 090 29897 A Ankle arthroscopy/surgery 7.18 8.74 NA 1.01 090 29898 A Ankle arthroscopy/surgery 8.32 8.66 NA 1.14 090 29900 A Mcp joint arthroscopy, dx 5.42 5.70 NA 0.69 090 29901 A Mcp joint arthroscopy, surg 6.13 6.09 NA 0.81 090 29902 A Mcp joint arthroscopy, surg 6.70 6.40 NA 0.89 090 29909 D Arthroscopy of joint 0.00 0.00 0.00 0.00 YYY 29999 C Arthroscopy of joint 0.00 0.00 0.00 0.00 YYY 30000 A Drainage of nose lesion 1.43 1.46 2.48 0.10 010 30020 A Drainage of nose lesion 1.43 1.54 2.69 0.08 010 30100 A Intranasal biopsy 0.94 0.52 1.30 0.06 000 30110 A Removal of nose polyp(s) 1.63 0.87 2.73 0.12 010 30115 A Removal of nose polyp(s) 4.35 4.43 NA 0.31 090 30117 A Removal of intranasal lesion 3.16 3.12 4.82 0.22 090 30118 A Removal of intranasal lesion 9.69 8.10 NA 0.66 090 30120 A Revision of nose 5.27 5.81 5.81 0.41 090 30124 A Removal of nose lesion 3.10 3.26 NA 0.20 090 30125 A Removal of nose lesion 7.16 6.43 NA 0.54 090 30130 A Removal of turbinate bones 3.38 3.90 NA 0.22 090 30140 A Removal of turbinate bones 3.43 4.50 NA 0.24 090 30150 A Partial removal of nose 9.14 8.59 NA 0.76 090 Start Printed Page 43904 30160 A Removal of nose 9.58 8.48 NA 0.78 090 30200 A Injection treatment of nose 0.78 0.44 1.20 0.06 000 30210 A Nasal sinus therapy 1.08 0.59 2.10 0.08 010 30220 A Insert nasal septal button 1.54 0.84 2.46 0.11 010 30300 A Remove nasal foreign body 1.04 0.38 2.57 0.07 010 30310 A Remove nasal foreign body 1.96 1.86 NA 0.14 010 30320 A Remove nasal foreign body 4.52 5.20 NA 0.36 090 30400 R Reconstruction of nose 9.83 8.82 NA 0.80 090 30410 R Reconstruction of nose 12.98 10.53 NA 1.08 090 30420 R Reconstruction of nose 15.88 12.19 NA 1.24 090 30430 R Revision of nose 7.21 7.19 NA 0.62 090 30435 R Revision of nose 11.71 10.32 NA 1.10 090 30450 R Revision of nose 18.65 13.96 NA 1.53 090 30460 A Revision of nose 9.96 9.25 NA 0.85 090 30462 A Revision of nose 19.57 14.42 NA 1.92 090 30465 A Repair nasal stenosis 11.64 9.33 NA 0.97 090 30520 A Repair of nasal septum 5.70 5.78 NA 0.41 090 30540 A Repair nasal defect 7.75 6.43 NA 0.53 090 30545 A Repair nasal defect 11.38 9.36 NA 0.80 090 30560 A Release of nasal adhesions 1.26 1.48 2.29 0.09 010 30580 A Repair upper jaw fistula 6.69 4.87 4.87 0.50 090 30600 A Repair mouth/nose fistula 6.02 4.82 4.82 0.70 090 30620 A Intranasal reconstruction 5.97 6.49 NA 0.45 090 30630 A Repair nasal septum defect 7.12 7.02 NA 0.51 090 30801 A Cauterization, inner nose 1.09 2.27 2.51 0.08 010 30802 A Cauterization, inner nose 2.03 2.79 3.06 0.15 010 30901 A Control of nosebleed 1.21 0.33 1.39 0.09 000 30903 A Control of nosebleed 1.54 0.51 3.14 0.12 000 30905 A Control of nosebleed 1.97 0.78 3.77 0.15 000 30906 A Repeat control of nosebleed 2.45 1.24 4.17 0.17 000 30915 A Ligation, nasal sinus artery 7.20 6.93 NA 0.50 090 30920 A Ligation, upper jaw artery 9.83 8.40 NA 0.69 090 30930 A Therapy, fracture of nose 1.26 2.12 NA 0.09 010 30999 C Nasal surgery procedure 0.00 0.00 0.00 0.00 YYY 31000 A Irrigation, maxillary sinus 1.15 0.64 2.38 0.08 010 31002 A Irrigation, sphenoid sinus 1.91 2.06 NA 0.14 010 31020 A Exploration, maxillary sinus 2.94 3.60 4.22 0.20 090 31030 A Exploration, maxillary sinus 5.92 4.57 4.69 0.42 090 31032 A Explore sinus,remove polyps 6.57 5.99 NA 0.47 090 31040 A Exploration behind upper jaw 9.42 6.94 NA 0.71 090 31050 A Exploration, sphenoid sinus 5.28 4.98 NA 0.39 090 31051 A Sphenoid sinus surgery 7.11 6.42 NA 0.55 090 31070 A Exploration of frontal sinus 4.28 4.93 NA 0.30 090 31075 A Exploration of frontal sinus 9.16 8.09 NA 0.64 090 31080 A Removal of frontal sinus 11.42 8.90 NA 0.78 090 31081 A Removal of frontal sinus 12.75 9.57 NA 1.84 090 31084 A Removal of frontal sinus 13.51 10.43 NA 0.96 090 31085 A Removal of frontal sinus 14.20 10.63 NA 1.18 090 31086 A Removal of frontal sinus 12.86 10.30 NA 0.90 090 31087 A Removal of frontal sinus 13.10 10.30 NA 1.15 090 31090 A Exploration of sinuses 9.53 8.79 NA 0.66 090 31200 A Removal of ethmoid sinus 4.97 5.75 NA 0.25 090 31201 A Removal of ethmoid sinus 8.37 7.67 NA 0.58 090 31205 A Removal of ethmoid sinus 10.24 8.43 NA 0.58 090 31225 A Removal of upper jaw 19.23 14.91 NA 1.38 090 31230 A Removal of upper jaw 21.94 16.55 NA 1.57 090 31231 A Nasal endoscopy, dx 1.10 0.59 1.97 0.08 000 31233 A Nasal/sinus endoscopy, dx 2.18 1.20 2.60 0.16 000 31235 A Nasal/sinus endoscopy, dx 2.64 1.45 2.86 0.18 000 31237 A Nasal/sinus endoscopy, surg 2.98 1.62 3.15 0.21 000 31238 A Nasal/sinus endoscopy, surg 3.26 1.83 3.66 0.23 000 31239 A Nasal/sinus endoscopy, surg 8.70 6.58 NA 0.46 010 31240 A Nasal/sinus endoscopy, surg 2.61 1.56 NA 0.18 000 31254 A Revision of ethmoid sinus 4.65 2.72 NA 0.32 000 31255 A Removal of ethmoid sinus 6.96 4.01 NA 0.49 000 31256 A Exploration maxillary sinus 3.29 1.95 NA 0.23 000 Start Printed Page 43905 31267 A Endoscopy, maxillary sinus 5.46 3.17 NA 0.38 000 31276 A Sinus endoscopy, surgical 8.85 5.06 NA 0.62 000 31287 A Nasal/sinus endoscopy, surg 3.92 2.30 NA 0.27 000 31288 A Nasal/sinus endoscopy, surg 4.58 2.68 NA 0.32 000 31290 A Nasal/sinus endoscopy, surg 17.24 11.55 NA 1.20 010 31291 A Nasal/sinus endoscopy, surg 18.19 11.87 NA 1.73 010 31292 A Nasal/sinus endoscopy, surg 14.76 10.04 NA 0.99 010 31293 A Nasal/sinus endoscopy, surg 16.21 10.77 NA 0.97 010 31294 A Nasal/sinus endoscopy, surg 19.06 12.26 NA 1.04 010 31299 C Sinus surgery procedure 0.00 0.00 0.00 0.00 YYY 31300 A Removal of larynx lesion 14.29 17.11 NA 0.99 090 31320 A Diagnostic incision, larynx 5.26 12.72 NA 0.40 090 31360 A Removal of larynx 17.08 18.87 NA 1.20 090 31365 A Removal of larynx 24.16 22.60 NA 1.72 090 31367 A Partial removal of larynx 21.86 23.52 NA 1.57 090 31368 A Partial removal of larynx 27.09 28.09 NA 1.90 090 31370 A Partial removal of larynx 21.38 23.01 NA 1.51 090 31375 A Partial removal of larynx 20.21 20.67 NA 1.43 090 31380 A Partial removal of larynx 20.21 20.83 NA 1.40 090 31382 A Partial removal of larynx 20.52 22.68 NA 1.44 090 31390 A Removal of larynx & pharynx 27.53 28.31 NA 1.95 090 31395 A Reconstruct larynx & pharynx 31.09 33.94 NA 2.27 090 31400 A Revision of larynx 10.31 15.45 NA 0.72 090 31420 A Removal of epiglottis 10.22 15.10 NA 0.71 090 31500 A Insert emergency airway 2.33 0.66 NA 0.15 000 31502 A Change of windpipe airway 0.65 0.26 1.92 0.04 000 31505 A Diagnostic laryngoscopy 0.61 0.34 1.80 0.04 000 31510 A Laryngoscopy with biopsy 1.92 0.98 2.77 0.15 000 31511 A Remove foreign body, larynx 2.16 0.75 3.06 0.16 000 31512 A Removal of larynx lesion 2.07 1.08 2.97 0.16 000 31513 A Injection into vocal cord 2.10 1.28 NA 0.15 000 31515 A Laryngoscopy for aspiration 1.80 0.85 2.39 0.12 000 31520 A Diagnostic laryngoscopy 2.56 1.39 NA 0.17 000 31525 A Diagnostic laryngoscopy 2.63 1.48 2.87 0.18 000 31526 A Diagnostic laryngoscopy 2.57 1.54 NA 0.18 000 31527 A Laryngoscopy for treatment 3.27 1.72 NA 0.21 000 31528 A Laryngoscopy and dilation 2.37 1.27 NA 0.16 000 31529 A Laryngoscopy and dilation 2.68 1.55 NA 0.18 000 31530 A Operative laryngoscopy 3.39 1.76 NA 0.24 000 31531 A Operative laryngoscopy 3.59 2.12 NA 0.25 000 31535 A Operative laryngoscopy 3.16 1.82 NA 0.22 000 31536 A Operative laryngoscopy 3.56 2.10 NA 0.25 000 31540 A Operative laryngoscopy 4.13 2.40 NA 0.29 000 31541 A Operative laryngoscopy 4.53 2.64 NA 0.32 000 31560 A Operative laryngoscopy 5.46 3.06 NA 0.38 000 31561 A Operative laryngoscopy 6.00 3.28 NA 0.42 000 31570 A Laryngoscopy with injection 3.87 2.23 4.13 0.24 000 31571 A Laryngoscopy with injection 4.27 2.45 NA 0.30 000 31575 A Diagnostic laryngoscopy 1.10 0.57 2.04 0.08 000 31576 A Laryngoscopy with biopsy 1.97 1.01 2.37 0.13 000 31577 A Remove foreign body, larynx 2.47 1.26 2.83 0.17 000 31578 A Removal of larynx lesion 2.84 1.25 3.09 0.20 000 31579 A Diagnostic laryngoscopy 2.26 1.21 2.90 0.16 000 31580 A Revision of larynx 12.38 16.15 NA 0.87 090 31582 A Revision of larynx 21.62 21.48 NA 1.52 090 31584 A Treat larynx fracture 19.64 18.54 NA 1.42 090 31585 A Treat larynx fracture 4.64 8.81 NA 0.30 090 31586 A Treat larynx fracture 8.03 12.58 NA 0.56 090 31587 A Revision of larynx 11.99 14.03 NA 0.88 090 31588 A Revision of larynx 13.11 16.92 NA 0.92 090 31590 A Reinnervate larynx 6.97 12.31 NA 0.50 090 31595 A Larynx nerve surgery 8.34 11.19 NA 0.62 090 31599 C Larynx surgery procedure 0.00 0.00 0.00 0.00 YYY 31600 A Incision of windpipe 7.18 3.05 NA 0.34 000 31601 A Incision of windpipe 4.45 2.17 NA 0.39 000 31603 A Incision of windpipe 4.15 1.76 NA 0.35 000 Start Printed Page 43906 31605 A Incision of windpipe 3.58 1.22 NA 0.33 000 31610 A Incision of windpipe 8.76 10.69 NA 0.69 090 31611 A Surgery/speech prosthesis 5.64 10.08 NA 0.40 090 31612 A Puncture/clear windpipe 0.91 0.42 1.49 0.06 000 31613 A Repair windpipe opening 4.59 8.74 NA 0.37 090 31614 A Repair windpipe opening 7.12 12.11 NA 0.51 090 31615 A Visualization of windpipe 2.09 1.17 3.67 0.14 000 31622 A Dx bronchoscope/wash 2.78 1.16 3.37 0.14 000 31623 A Dx bronchoscope/brush 2.88 1.16 3.21 0.14 000 31624 A Dx bronchoscope/lavage 2.88 1.17 2.90 0.13 000 31625 A Bronchoscopy with biopsy 3.37 1.30 2.91 0.16 000 31628 A Bronchoscopy with biopsy 3.81 1.41 3.33 0.14 000 31629 A Bronchoscopy with biopsy 3.37 1.28 NA 0.13 000 31630 A Bronchoscopy with repair 3.82 1.95 NA 0.30 000 31631 A Bronchoscopy with dilation 4.37 2.00 NA 0.31 000 31635 A Remove foreign body, airway 3.68 1.67 NA 0.21 000 31640 A Bronchoscopy & remove lesion 4.94 2.33 NA 0.37 000 31641 A Bronchoscopy, treat blockage 5.03 2.12 NA 0.30 000 31643 A Diag bronchoscope/catheter 3.50 1.22 1.22 0.15 000 31645 A Bronchoscopy, clear airways 3.16 1.22 NA 0.13 000 31646 A Bronchoscopy, reclear airway 2.72 1.09 NA 0.12 000 31656 A Bronchoscopy, inj for xray 2.17 0.93 NA 0.10 000 31700 A Insertion of airway catheter 1.34 0.68 2.38 0.07 000 31708 A Instill airway contrast dye 1.41 0.61 NA 0.06 000 31710 A Insertion of airway catheter 1.30 0.72 NA 0.06 000 31715 A Injection for bronchus x-ray 1.11 0.61 NA 0.06 000 31717 A Bronchial brush biopsy 2.12 0.88 3.33 0.09 000 31720 A Clearance of airways 1.06 0.33 1.86 0.06 000 31725 A Clearance of airways 1.96 0.61 NA 0.10 000 31730 A Intro, windpipe wire/tube 2.85 1.10 2.42 0.15 000 31750 A Repair of windpipe 13.02 15.78 NA 1.02 090 31755 A Repair of windpipe 15.93 18.93 NA 1.15 090 31760 A Repair of windpipe 22.35 12.23 NA 1.48 090 31766 A Reconstruction of windpipe 30.43 16.01 NA 3.16 090 31770 A Repair/graft of bronchus 22.51 14.02 NA 2.27 090 31775 A Reconstruct bronchus 23.54 14.88 NA 2.91 090 31780 A Reconstruct windpipe 17.72 12.63 NA 1.55 090 31781 A Reconstruct windpipe 23.53 14.35 NA 2.04 090 31785 A Remove windpipe lesion 17.23 12.58 NA 1.36 090 31786 A Remove windpipe lesion 23.98 15.43 NA 2.20 090 31800 A Repair of windpipe injury 7.43 6.66 NA 0.67 090 31805 A Repair of windpipe injury 13.13 10.42 NA 1.45 090 31820 A Closure of windpipe lesion 4.49 7.87 8.00 0.35 090 31825 A Repair of windpipe defect 6.81 11.11 11.11 0.50 090 31830 A Revise windpipe scar 4.50 7.91 7.91 0.36 090 31899 C Airways surgical procedure 0.00 0.00 0.00 0.00 YYY 32000 A Drainage of chest 1.54 0.50 3.07 0.07 000 32002 A Treatment of collapsed lung 2.19 0.85 NA 0.11 000 32005 A Treat lung lining chemically 2.19 0.86 NA 0.17 000 32020 A Insertion of chest tube 3.98 1.44 NA 0.36 000 32035 A Exploration of chest 8.67 7.73 NA 1.02 090 32036 A Exploration of chest 9.68 8.39 NA 1.20 090 32095 A Biopsy through chest wall 8.36 7.87 NA 0.99 090 32100 A Exploration/biopsy of chest 15.24 10.15 NA 1.45 090 32110 A Explore/repair chest 23.00 12.62 NA 1.63 090 32120 A Re-exploration of chest 11.54 9.17 NA 1.42 090 32124 A Explore chest free adhesions 12.72 9.11 NA 1.51 090 32140 A Removal of lung lesion(s) 13.93 9.71 NA 1.68 090 32141 A Remove/treat lung lesions 14.00 9.61 NA 1.72 090 32150 A Removal of lung lesion(s) 14.15 9.58 NA 1.60 090 32151 A Remove lung foreign body 14.21 10.13 NA 1.49 090 32160 A Open chest heart massage 9.30 6.18 NA 1.01 090 32200 A Drain, open, lung lesion 15.29 9.98 NA 1.46 090 32201 A Drain, percut, lung lesion 4.00 5.67 NA 0.18 000 32215 A Treat chest lining 11.33 9.13 NA 1.34 090 32220 A Release of lung 24.00 13.15 NA 2.39 090 Start Printed Page 43907 32225 A Partial release of lung 13.96 9.87 NA 1.70 090 32310 A Removal of chest lining 13.44 9.52 NA 1.65 090 32320 A Free/remove chest lining 24.00 12.93 NA 2.50 090 32400 A Needle biopsy chest lining 1.76 0.57 1.87 0.07 000 32402 A Open biopsy chest lining 7.56 7.68 NA 0.91 090 32405 A Biopsy, lung or mediastinum 1.93 0.65 2.46 0.09 000 32420 A Puncture/clear lung 2.18 0.85 NA 0.11 000 32440 A Removal of lung 25.00 13.40 NA 2.56 090 32442 A Sleeve pneumonectomy 26.24 14.15 NA 3.12 090 32445 A Removal of lung 25.09 13.38 NA 3.11 090 32480 A Partial removal of lung 23.75 12.61 NA 2.24 090 32482 A Bilobectomy 25.00 13.24 NA 2.35 090 32484 A Segmentectomy 20.69 11.76 NA 2.54 090 32486 A Sleeve lobectomy 23.92 13.13 NA 3.00 090 32488 A Completion pneumonectomy 25.71 13.77 NA 3.18 090 32491 R Lung volume reduction 21.25 12.46 NA 2.66 090 32500 A Partial removal of lung 22.00 12.54 NA 1.77 090 32501 A Repair bronchus add-on 4.69 1.55 NA 0.56 ZZZ 32520 A Remove lung & revise chest 21.68 12.41 NA 2.71 090 32522 A Remove lung & revise chest 24.20 13.26 NA 2.84 090 32525 A Remove lung & revise chest 26.50 13.90 NA 3.25 090 32540 A Removal of lung lesion 14.64 10.01 NA 1.84 090 32601 A Thoracoscopy, diagnostic 5.46 3.47 NA 0.63 000 32602 A Thoracoscopy, diagnostic 5.96 3.62 NA 0.70 000 32603 A Thoracoscopy, diagnostic 7.81 4.13 NA 0.76 000 32604 A Thoracoscopy, diagnostic 8.78 4.63 NA 0.97 000 32605 A Thoracoscopy, diagnostic 6.93 4.10 NA 0.86 000 32606 A Thoracoscopy, diagnostic 8.40 4.44 NA 0.99 000 32650 A Thoracoscopy, surgical 10.75 8.30 NA 1.25 090 32651 A Thoracoscopy, surgical 12.91 8.69 NA 1.50 090 32652 A Thoracoscopy, surgical 18.66 11.00 NA 2.30 090 32653 A Thoracoscopy, surgical 12.87 8.91 NA 1.55 090 32654 A Thoracoscopy, surgical 12.44 7.35 NA 1.51 090 32655 A Thoracoscopy, surgical 13.10 8.71 NA 1.53 090 32656 A Thoracoscopy, surgical 12.91 9.22 NA 1.61 090 32657 A Thoracoscopy, surgical 13.65 9.20 NA 1.64 090 32658 A Thoracoscopy, surgical 11.63 8.98 NA 1.47 090 32659 A Thoracoscopy, surgical 11.59 8.80 NA 1.39 090 32660 A Thoracoscopy, surgical 17.43 10.93 NA 2.09 090 32661 A Thoracoscopy, surgical 13.25 9.44 NA 1.66 090 32662 A Thoracoscopy, surgical 16.44 10.34 NA 2.01 090 32663 A Thoracoscopy, surgical 18.47 10.92 NA 2.28 090 32664 A Thoracoscopy, surgical 14.20 9.07 NA 1.70 090 32665 A Thoracoscopy, surgical 15.54 9.09 NA 1.79 090 32800 A Repair lung hernia 13.69 9.61 NA 1.51 090 32810 A Close chest after drainage 13.05 9.68 NA 1.55 090 32815 A Close bronchial fistula 23.15 13.20 NA 2.84 090 32820 A Reconstruct injured chest 21.48 13.93 NA 2.31 090 32850 X Donor pneumonectomy 0.00 0.00 0.00 0.00 XXX 32851 A Lung transplant, single 38.63 19.63 NA 4.90 090 32852 A Lung transplant with bypass 41.80 21.03 NA 5.17 090 32853 A Lung transplant, double 47.81 23.01 NA 6.13 090 32854 A Lung transplant with bypass 50.98 23.77 NA 6.41 090 32900 A Removal of rib(s) 20.27 11.97 NA 2.42 090 32905 A Revise & repair chest wall 20.75 12.31 NA 2.54 090 32906 A Revise & repair chest wall 26.77 14.33 NA 3.30 090 32940 A Revision of lung 19.43 11.50 NA 2.47 090 32960 A Therapeutic pneumothorax 1.84 0.57 2.03 0.12 000 32997 A Total lung lavage 6.00 2.03 NA 0.55 000 32999 C Chest surgery procedure 0.00 0.00 0.00 0.00 YYY 33010 A Drainage of heart sac 2.24 0.97 NA 0.13 000 33011 A Repeat drainage of heart sac 2.24 1.01 NA 0.13 000 33015 A Incision of heart sac 6.80 4.33 NA 0.64 090 33020 A Incision of heart sac 12.61 7.84 NA 1.50 090 33025 A Incision of heart sac 12.09 7.74 NA 1.50 090 33030 A Partial removal of heart sac 18.71 11.91 NA 2.40 090 Start Printed Page 43908 33031 A Partial removal of heart sac 21.79 13.21 NA 2.78 090 33050 A Removal of heart sac lesion 14.36 9.99 NA 1.73 090 33120 A Removal of heart lesion 24.56 15.54 NA 3.06 090 33130 A Removal of heart lesion 21.39 12.49 NA 2.51 090 33140 A Heart revascularize (tmr) 20.00 10.40 NA 2.27 090 33141 A Heart tmr w/other procedure 4.84 1.62 NA 0.55 ZZZ 33200 A Insertion of heart pacemaker 12.48 9.22 NA 1.17 090 33201 A Insertion of heart pacemaker 10.18 9.14 NA 1.21 090 33206 A Insertion of heart pacemaker 6.67 5.34 NA 0.50 090 33207 A Insertion of heart pacemaker 8.04 5.87 NA 0.57 090 33208 A Insertion of heart pacemaker 8.13 6.04 NA 0.54 090 33210 A Insertion of heart electrode 3.30 1.29 NA 0.17 000 33211 A Insertion of heart electrode 3.40 1.35 NA 0.17 000 33212 A Insertion of pulse generator 5.52 4.34 NA 0.44 090 33213 A Insertion of pulse generator 6.37 4.74 NA 0.46 090 33214 A Upgrade of pacemaker system 7.75 5.83 NA 0.52 090 33216 A Revise eltrd pacing-defib 5.39 4.85 NA 0.36 090 33217 A Revise eltrd pacing-defib 5.75 5.17 NA 0.36 090 33218 A Revise eltrd pacing-defib 5.44 4.41 NA 0.40 090 33220 A Revise eltrd pacing-defib 5.52 4.45 NA 0.39 090 33222 A Revise pocket, pacemaker 4.96 3.82 NA 0.39 090 33223 A Revise pocket, pacing-defib 6.46 5.03 NA 0.44 090 33233 A Removal of pacemaker system 3.29 3.76 NA 0.22 090 33234 A Removal of pacemaker system 7.82 5.32 NA 0.56 090 33235 A Removal pacemaker electrode 9.40 6.14 NA 0.68 090 33236 A Remove electrode/thoracotomy 12.60 8.94 NA 1.49 090 33237 A Remove electrode/thoracotomy 13.71 9.35 NA 1.57 090 33238 A Remove electrode/thoracotomy 15.22 8.99 NA 1.56 090 33240 A Insert pulse generator 7.60 5.42 NA 0.53 090 33241 A Remove pulse generator 3.24 3.38 NA 0.21 090 33243 A Remove eltrd/thoracotomy 22.64 10.65 NA 2.53 090 33244 A Remove eltrd, transven 13.76 8.04 NA 1.05 090 33245 A Insert epic eltrd pace-defib 14.30 10.61 NA 1.28 090 33246 A Insert epic eltrd/generator 20.71 13.72 NA 2.22 090 33249 A Eltrd/insert pace-defib 14.23 8.80 NA 0.80 090 33250 A Ablate heart dysrhythm focus 21.85 13.66 NA 1.01 090 33251 A Ablate heart dysrhythm focus 24.88 14.23 NA 2.41 090 33253 A Reconstruct atria 31.06 16.40 NA 3.68 090 33261 A Ablate heart dysrhythm focus 24.88 14.43 NA 2.82 090 33282 A Implant pat-active ht record 4.17 4.44 NA 0.39 090 33284 A Remove pat-active ht record 2.50 4.02 NA 0.23 090 33300 A Repair of heart wound 17.92 11.66 NA 1.91 090 33305 A Repair of heart wound 21.44 13.12 NA 2.68 090 33310 A Exploratory heart surgery 18.51 11.93 NA 2.26 090 33315 A Exploratory heart surgery 22.37 13.31 NA 2.90 090 33320 A Repair major blood vessel(s) 16.79 11.00 NA 1.66 090 33321 A Repair major vessel 20.20 12.34 NA 2.70 090 33322 A Repair major blood vessel(s) 20.62 12.90 NA 2.51 090 33330 A Insert major vessel graft 21.43 12.65 NA 2.49 090 33332 A Insert major vessel graft 23.96 12.98 NA 2.45 090 33335 A Insert major vessel graft 30.01 15.88 NA 3.79 090 33400 A Repair of aortic valve 28.50 16.77 NA 3.09 090 33401 A Valvuloplasty, open 23.91 15.10 NA 2.71 090 33403 A Valvuloplasty, w/cp bypass 24.89 15.68 NA 2.48 090 33404 A Prepare heart-aorta conduit 28.54 16.72 NA 3.31 090 33405 A Replacement of aortic valve 35.00 17.61 NA 3.86 090 33406 A Replacement of aortic valve 37.50 18.36 NA 4.07 090 33410 A Replacement of aortic valve 32.46 16.82 NA 4.11 090 33411 A Replacement of aortic valve 36.25 18.02 NA 4.16 090 33412 A Replacement of aortic valve 42.00 21.33 NA 4.66 090 33413 A Replacement of aortic valve 43.50 22.90 NA 4.26 090 33414 A Repair of aortic valve 30.35 17.43 NA 3.79 090 33415 A Revision, subvalvular tissue 27.15 15.67 NA 3.25 090 33416 A Revise ventricle muscle 30.35 16.09 NA 3.85 090 33417 A Repair of aortic valve 28.53 16.95 NA 3.58 090 33420 A Revision of mitral valve 22.70 11.39 NA 1.48 090 Start Printed Page 43909 33422 A Revision of mitral valve 25.94 14.55 NA 3.30 090 33425 A Repair of mitral valve 27.00 14.75 NA 3.00 090 33426 A Repair of mitral valve 33.00 17.04 NA 3.87 090 33427 A Repair of mitral valve 40.00 19.22 NA 4.30 090 33430 A Replacement of mitral valve 33.50 17.14 NA 3.95 090 33460 A Revision of tricuspid valve 23.60 13.82 NA 3.02 090 33463 A Valvuloplasty, tricuspid 25.62 14.54 NA 3.17 090 33464 A Valvuloplasty, tricuspid 27.33 15.17 NA 3.47 090 33465 A Replace tricuspid valve 28.79 15.51 NA 3.61 090 33468 A Revision of tricuspid valve 30.12 19.16 NA 4.00 090 33470 A Revision of pulmonary valve 20.81 13.53 NA 2.81 090 33471 A Valvotomy, pulmonary valve 22.25 13.79 NA 3.00 090 33472 A Revision of pulmonary valve 22.25 13.74 NA 2.92 090 33474 A Revision of pulmonary valve 23.04 13.16 NA 2.84 090 33475 A Replacement, pulmonary valve 33.00 18.35 NA 2.64 090 33476 A Revision of heart chamber 25.77 13.99 NA 2.40 090 33478 A Revision of heart chamber 26.74 14.56 NA 3.56 090 33496 A Repair, prosth valve clot 27.25 16.52 NA 3.44 090 33500 A Repair heart vessel fistula 25.55 13.59 NA 2.80 090 33501 A Repair heart vessel fistula 17.78 10.56 NA 2.05 090 33502 A Coronary artery correction 21.04 16.23 NA 2.51 090 33503 A Coronary artery graft 21.78 13.58 NA 1.42 090 33504 A Coronary artery graft 24.66 16.54 NA 3.04 090 33505 A Repair artery w/tunnel 26.84 17.93 NA 1.52 090 33506 A Repair artery, translocation 35.50 19.53 NA 3.19 090 33510 A CABG, vein, single 29.00 15.59 NA 3.13 090 33511 A CABG, vein, two 30.00 15.92 NA 3.34 090 33512 A CABG, vein, three 31.80 16.48 NA 3.70 090 33513 A CABG, vein, four 32.00 16.63 NA 3.99 090 33514 A CABG, vein, five 32.75 16.91 NA 4.37 090 33516 A Cabg, vein, six or more 35.00 17.67 NA 4.62 090 33517 A CABG, artery-vein, single 2.57 0.85 NA 0.32 ZZZ 33518 A CABG, artery-vein, two 4.85 1.61 NA 0.61 ZZZ 33519 A CABG, artery-vein, three 7.12 2.36 NA 0.89 ZZZ 33521 A CABG, artery-vein, four 9.40 3.12 NA 1.18 ZZZ 33522 A CABG, artery-vein, five 11.67 3.86 NA 1.48 ZZZ 33523 A Cabg, art-vein, six or more 13.95 4.59 NA 1.78 ZZZ 33530 A Coronary artery, bypass/reop 5.86 1.93 NA 0.73 ZZZ 33533 A CABG, arterial, single 30.00 17.12 NA 3.24 090 33534 A CABG, arterial, two 32.20 17.36 NA 3.63 090 33535 A CABG, arterial, three 34.50 17.88 NA 3.97 090 33536 A Cabg, arterial, four or more 37.50 18.31 NA 3.29 090 33542 A Removal of heart lesion 28.85 16.97 NA 3.61 090 33545 A Repair of heart damage 36.78 19.54 NA 4.40 090 33572 A Open coronary endarterectomy 4.45 1.47 NA 0.55 ZZZ 33600 A Closure of valve 29.51 16.47 NA 2.30 090 33602 A Closure of valve 28.54 15.96 NA 2.90 090 33606 A Anastomosis/artery-aorta 30.74 17.95 NA 3.59 090 33608 A Repair anomaly w/conduit 31.09 17.05 NA 4.17 090 33610 A Repair by enlargement 30.61 18.43 NA 4.02 090 33611 A Repair double ventricle 34.00 18.53 NA 3.28 090 33612 A Repair double ventricle 35.00 19.36 NA 4.44 090 33615 A Repair, modified fontan 34.00 20.22 NA 3.15 090 33617 A Repair single ventricle 37.00 21.31 NA 4.09 090 33619 A Repair single ventricle 45.00 26.38 NA 4.71 090 33641 A Repair heart septum defect 21.39 11.71 NA 2.67 090 33645 A Revision of heart veins 24.82 13.89 NA 3.27 090 33647 A Repair heart septum defects 28.73 17.04 NA 3.37 090 33660 A Repair of heart defects 30.00 17.04 NA 2.82 090 33665 A Repair of heart defects 28.60 16.92 NA 3.81 090 33670 A Repair of heart chambers 35.00 16.29 NA 2.18 090 33681 A Repair heart septum defect 30.61 17.52 NA 3.53 090 33684 A Repair heart septum defect 29.65 16.58 NA 3.77 090 33688 A Repair heart septum defect 30.62 14.18 NA 3.89 090 33690 A Reinforce pulmonary artery 19.55 13.26 NA 2.56 090 33692 A Repair of heart defects 30.75 16.77 NA 3.77 090 Start Printed Page 43910 33694 A Repair of heart defects 34.00 18.42 NA 4.27 090 33697 A Repair of heart defects 36.00 18.65 NA 4.54 090 33702 A Repair of heart defects 26.54 16.25 NA 3.45 090 33710 A Repair of heart defects 29.71 17.07 NA 3.85 090 33720 A Repair of heart defect 26.56 15.88 NA 3.21 090 33722 A Repair of heart defect 28.41 17.22 NA 3.80 090 33730 A Repair heart-vein defect(s) 34.25 17.63 NA 2.85 090 33732 A Repair heart-vein defect 28.16 16.46 NA 2.78 090 33735 A Revision of heart chamber 21.39 12.93 NA 1.12 090 33736 A Revision of heart chamber 23.52 15.03 NA 2.70 090 33737 A Revision of heart chamber 21.76 13.98 NA 2.93 090 33750 A Major vessel shunt 21.41 12.99 NA 1.74 090 33755 A Major vessel shunt 21.79 13.29 NA 2.93 090 33762 A Major vessel shunt 21.79 12.96 NA 1.59 090 33764 A Major vessel shunt & graft 21.79 12.76 NA 1.93 090 33766 A Major vessel shunt 22.76 14.68 NA 3.04 090 33767 A Major vessel shunt 24.50 14.71 NA 3.14 090 33770 A Repair great vessels defect 37.00 18.64 NA 4.49 090 33771 A Repair great vessels defect 34.65 17.61 NA 4.67 090 33774 A Repair great vessels defect 30.98 16.19 NA 4.18 090 33775 A Repair great vessels defect 32.20 16.66 NA 4.34 090 33776 A Repair great vessels defect 34.04 17.37 NA 4.58 090 33777 A Repair great vessels defect 33.46 17.15 NA 4.51 090 33778 A Repair great vessels defect 40.00 19.94 NA 4.83 090 33779 A Repair great vessels defect 36.21 18.42 NA 2.40 090 33780 A Repair great vessels defect 41.75 22.00 NA 5.21 090 33781 A Repair great vessels defect 36.45 18.30 NA 4.91 090 33786 A Repair arterial trunk 39.00 19.29 NA 4.69 090 33788 A Revision of pulmonary artery 26.62 15.05 NA 3.32 090 33800 A Aortic suspension 16.24 12.12 NA 1.11 090 33802 A Repair vessel defect 17.66 12.50 NA 1.56 090 33803 A Repair vessel defect 19.60 12.94 NA 2.63 090 33813 A Repair septal defect 20.65 14.23 NA 2.78 090 33814 A Repair septal defect 25.77 15.91 NA 2.52 090 33820 A Revise major vessel 16.29 11.02 NA 2.10 090 33822 A Revise major vessel 17.32 10.91 NA 2.33 090 33824 A Revise major vessel 19.52 12.28 NA 2.61 090 33840 A Remove aorta constriction 20.63 13.62 NA 2.36 090 33845 A Remove aorta constriction 22.12 14.50 NA 2.90 090 33851 A Remove aorta constriction 21.27 14.06 NA 2.86 090 33852 A Repair septal defect 23.71 15.22 NA 3.19 090 33853 A Repair septal defect 31.72 18.12 NA 4.23 090 33860 A Ascending aortic graft 38.00 18.58 NA 4.30 090 33861 A Ascending aortic graft 42.00 19.90 NA 4.24 090 33863 A Ascending aortic graft 45.00 20.85 NA 4.60 090 33870 A Transverse aortic arch graft 44.00 20.48 NA 5.09 090 33875 A Thoracic aortic graft 33.06 16.78 NA 4.08 090 33877 A Thoracoabdominal graft 42.60 21.40 NA 5.07 090 33910 A Remove lung artery emboli 24.59 13.95 NA 3.06 090 33915 A Remove lung artery emboli 21.02 12.25 NA 1.20 090 33916 A Surgery of great vessel 25.83 14.51 NA 3.04 090 33917 A Repair pulmonary artery 24.50 15.30 NA 3.17 090 33918 A Repair pulmonary atresia 26.45 15.17 NA 3.42 090 33919 A Repair pulmonary atresia 40.00 20.96 NA 3.48 090 33920 A Repair pulmonary atresia 31.95 16.64 NA 3.61 090 33922 A Transect pulmonary artery 23.52 14.03 NA 2.30 090 33924 A Remove pulmonary shunt 5.50 1.86 NA 0.74 ZZZ 33930 X Removal of donor heart/lung 0.00 0.00 0.00 0.00 XXX 33935 R Transplantation, heart/lung 60.96 27.45 NA 8.15 090 33940 X Removal of donor heart 0.00 0.00 0.00 0.00 XXX 33945 R Transplantation of heart 42.10 21.20 NA 5.42 090 33960 A External circulation assist 19.36 5.10 NA 2.14 000 33961 A External circulation assist 10.93 3.66 NA 1.47 ZZZ 33967 A Insert ia percut device 4.85 1.90 1.90 0.27 000 33968 A Remove aortic assist device 0.64 0.23 NA 0.07 000 33970 A Aortic circulation assist 6.75 2.30 NA 0.70 000 Start Printed Page 43911 33971 A Aortic circulation assist 9.69 7.71 NA 0.97 090 33973 A Insert balloon device 9.76 3.34 NA 1.01 000 33974 A Remove intra-aortic balloon 14.41 10.41 NA 1.48 090 33975 A Implant ventricular device 21.00 6.40 NA 1.72 XXX 33976 A Implant ventricular device 23.00 7.60 NA 2.82 XXX 33977 A Remove ventricular device 19.29 10.25 NA 2.44 090 33978 A Remove ventricular device 21.73 11.11 NA 2.66 090 33979 C Insert intracorporeal device 0.00 0.00 0.00 0.00 XXX 33980 C Remove intracorporeal device 0.00 0.00 0.00 0.00 090 33999 C Cardiac surgery procedure 0.00 0.00 0.00 0.00 YYY 34001 A Removal of artery clot 12.91 5.88 NA 1.46 090 34051 A Removal of artery clot 15.21 6.83 NA 1.90 090 34101 A Removal of artery clot 10.00 4.69 NA 1.11 090 34111 A Removal of arm artery clot 10.00 4.78 NA 0.85 090 34151 A Removal of artery clot 25.00 10.26 NA 1.84 090 34201 A Removal of artery clot 10.03 5.02 NA 1.02 090 34203 A Removal of leg artery clot 16.50 7.46 NA 1.37 090 34401 A Removal of vein clot 25.00 10.14 NA 1.20 090 34421 A Removal of vein clot 12.00 5.88 NA 0.95 090 34451 A Removal of vein clot 27.00 10.74 NA 1.59 090 34471 A Removal of vein clot 10.18 4.86 NA 0.90 090 34490 A Removal of vein clot 9.86 6.04 NA 0.73 090 34501 A Repair valve, femoral vein 16.00 9.06 NA 1.37 090 34502 A Reconstruct vena cava 26.95 11.01 NA 2.99 090 34510 A Transposition of vein valve 18.95 10.02 NA 1.60 090 34520 A Cross-over vein graft 17.95 9.30 NA 1.41 090 34530 A Leg vein fusion 16.64 8.67 NA 2.06 090 34800 A Endovasc abdo repair w/tube 20.75 9.53 NA 1.49 090 34802 A Endovasc abdo repr w/device 23.00 10.40 NA 1.65 090 34804 A Endovasc abdo repr w/device 23.00 10.40 NA 1.65 090 34808 A Endovasc abdo occlud device 4.13 1.60 NA 0.29 ZZZ 34812 A Xpose for endoprosth, aortic 6.75 2.61 NA 0.49 000 34813 A Xpose for endoprosth, femorl 4.80 1.86 NA 0.34 ZZZ 34820 A Xpose for endoprosth, iliac 9.75 3.77 NA 0.70 000 34825 A Endovasc extend prosth, init 12.00 6.15 NA 0.86 090 34826 A Endovasc exten prosth, addl 4.13 1.60 NA 0.29 ZZZ 34830 A Open aortic tube prosth repr 32.59 14.47 NA 2.34 090 34831 A Open aortoiliac prosth repr 35.34 15.53 NA 2.53 090 34832 A Open aortofemor prosth repr 35.34 15.53 NA 2.53 090 35001 A Repair defect of artery 19.64 8.39 NA 2.44 090 35002 A Repair artery rupture, neck 21.00 9.08 NA 1.82 090 35005 A Repair defect of artery 18.12 7.79 NA 1.35 090 35011 A Repair defect of artery 18.00 7.40 NA 1.30 090 35013 A Repair artery rupture, arm 22.00 8.71 NA 1.91 090 35021 A Repair defect of artery 19.65 8.55 NA 1.93 090 35022 A Repair artery rupture, chest 23.18 9.41 NA 1.99 090 35045 A Repair defect of arm artery 17.57 8.53 NA 1.25 090 35081 A Repair defect of artery 28.01 11.65 NA 3.20 090 35082 A Repair artery rupture, aorta 38.50 14.62 NA 4.07 090 35091 A Repair defect of artery 35.40 13.95 NA 4.09 090 35092 A Repair artery rupture, aorta 45.00 16.95 NA 4.31 090 35102 A Repair defect of artery 30.76 12.36 NA 3.44 090 35103 A Repair artery rupture, groin 40.50 15.43 NA 3.79 090 35111 A Repair defect of artery 25.00 10.21 NA 1.81 090 35112 A Repair artery rupture,spleen 30.00 11.66 NA 1.95 090 35121 A Repair defect of artery 30.00 12.07 NA 2.93 090 35122 A Repair artery rupture, belly 35.00 13.45 NA 3.54 090 35131 A Repair defect of artery 25.00 10.39 NA 2.11 090 35132 A Repair artery rupture, groin 30.00 11.82 NA 2.48 090 35141 A Repair defect of artery 20.00 8.53 NA 1.65 090 35142 A Repair artery rupture, thigh 23.30 9.57 NA 1.75 090 35151 A Repair defect of artery 22.64 9.56 NA 1.93 090 35152 A Repair artery rupture, knee 25.62 10.43 NA 1.93 090 35161 A Repair defect of artery 18.76 8.66 NA 2.21 090 35162 A Repair artery rupture 19.78 8.82 NA 2.21 090 35180 A Repair blood vessel lesion 13.62 6.34 NA 1.44 090 Start Printed Page 43912 35182 A Repair blood vessel lesion 30.00 12.33 NA 1.88 090 35184 A Repair blood vessel lesion 18.00 7.81 NA 1.34 090 35188 A Repair blood vessel lesion 14.28 6.55 NA 1.53 090 35189 A Repair blood vessel lesion 28.00 11.42 NA 2.12 090 35190 A Repair blood vessel lesion 12.75 5.87 NA 1.33 090 35201 A Repair blood vessel lesion 16.14 6.99 NA 1.17 090 35206 A Repair blood vessel lesion 13.25 7.43 NA 1.04 090 35207 A Repair blood vessel lesion 10.15 9.69 NA 1.15 090 35211 A Repair blood vessel lesion 22.12 13.43 NA 2.83 090 35216 A Repair blood vessel lesion 18.75 11.41 NA 2.17 090 35221 A Repair blood vessel lesion 24.39 10.09 NA 1.79 090 35226 A Repair blood vessel lesion 14.50 8.68 NA 0.84 090 35231 A Repair blood vessel lesion 20.00 9.24 NA 1.32 090 35236 A Repair blood vessel lesion 17.11 8.85 NA 1.19 090 35241 A Repair blood vessel lesion 23.12 14.08 NA 2.90 090 35246 A Repair blood vessel lesion 26.45 14.10 NA 2.22 090 35251 A Repair blood vessel lesion 30.20 12.03 NA 1.87 090 35256 A Repair blood vessel lesion 18.36 9.37 NA 1.32 090 35261 A Repair blood vessel lesion 17.80 7.44 NA 1.34 090 35266 A Repair blood vessel lesion 14.91 7.88 NA 1.16 090 35271 A Repair blood vessel lesion 22.12 13.22 NA 2.77 090 35276 A Repair blood vessel lesion 24.25 13.50 NA 2.37 090 35281 A Repair blood vessel lesion 28.00 11.42 NA 1.82 090 35286 A Repair blood vessel lesion 16.16 8.65 NA 1.36 090 35301 A Rechanneling of artery 18.70 8.29 NA 2.23 090 35311 A Rechanneling of artery 27.00 10.92 NA 2.75 090 35321 A Rechanneling of artery 16.00 6.70 NA 1.36 090 35331 A Rechanneling of artery 26.20 10.81 NA 2.71 090 35341 A Rechanneling of artery 25.11 10.41 NA 2.87 090 35351 A Rechanneling of artery 23.00 9.64 NA 2.29 090 35355 A Rechanneling of artery 18.50 8.13 NA 1.80 090 35361 A Rechanneling of artery 28.20 11.37 NA 2.66 090 35363 A Rechanneling of artery 30.20 12.11 NA 2.77 090 35371 A Rechanneling of artery 14.72 6.63 NA 1.32 090 35372 A Rechanneling of artery 18.00 7.74 NA 1.53 090 35381 A Rechanneling of artery 15.81 7.21 NA 1.80 090 35390 A Reoperation, carotid add-on 3.19 1.08 NA 0.38 ZZZ 35400 A Angioscopy 3.00 1.07 NA 0.34 ZZZ 35450 A Repair arterial blockage 10.07 4.04 NA 0.84 000 35452 A Repair arterial blockage 6.91 3.07 NA 0.76 000 35454 A Repair arterial blockage 6.04 2.75 NA 0.67 000 35456 A Repair arterial blockage 7.35 3.20 NA 0.82 000 35458 A Repair arterial blockage 9.49 3.90 NA 1.09 000 35459 A Repair arterial blockage 8.63 3.58 NA 0.96 000 35460 A Repair venous blockage 6.04 2.61 NA 0.66 000 35470 A Repair arterial blockage 8.63 3.89 NA 0.50 000 35471 A Repair arterial blockage 10.07 4.53 NA 0.50 000 35472 A Repair arterial blockage 6.91 3.27 NA 0.39 000 35473 A Repair arterial blockage 6.04 2.95 NA 0.34 000 35474 A Repair arterial blockage 7.36 3.43 NA 0.40 000 35475 R Repair arterial blockage 9.49 4.12 NA 0.47 000 35476 A Repair venous blockage 6.04 2.89 NA 0.27 000 35480 A Atherectomy, open 11.08 4.50 NA 1.13 000 35481 A Atherectomy, open 7.61 3.35 NA 0.84 000 35482 A Atherectomy, open 6.65 3.01 NA 0.75 000 35483 A Atherectomy, open 8.10 3.46 NA 0.81 000 35484 A Atherectomy, open 10.44 4.17 NA 1.13 000 35485 A Atherectomy, open 9.49 4.00 NA 1.06 000 35490 A Atherectomy, percutaneous 11.08 4.80 NA 0.55 000 35491 A Atherectomy, percutaneous 7.61 3.34 NA 0.49 000 35492 A Atherectomy, percutaneous 6.65 3.18 NA 0.43 000 35493 A Atherectomy, percutaneous 8.10 3.83 NA 0.47 000 35494 A Atherectomy, percutaneous 10.44 4.47 NA 0.48 000 35495 A Atherectomy, percutaneous 9.49 4.43 NA 0.51 000 35500 A Harvest vein for bypass 6.45 2.10 NA 0.63 ZZZ 35501 A Artery bypass graft 19.19 7.40 NA 2.33 090 Start Printed Page 43913 35506 A Artery bypass graft 19.67 8.13 NA 2.33 090 35507 A Artery bypass graft 19.67 8.11 NA 2.27 090 35508 A Artery bypass graft 18.65 7.79 NA 2.34 090 35509 A Artery bypass graft 18.07 7.56 NA 2.12 090 35511 A Artery bypass graft 21.20 8.67 NA 1.74 090 35515 A Artery bypass graft 18.65 7.91 NA 2.26 090 35516 A Artery bypass graft 16.32 5.78 NA 1.88 090 35518 A Artery bypass graft 21.20 8.48 NA 1.78 090 35521 A Artery bypass graft 22.20 9.34 NA 1.82 090 35526 A Artery bypass graft 29.95 11.90 NA 2.18 090 35531 A Artery bypass graft 36.20 14.13 NA 2.91 090 35533 A Artery bypass graft 28.00 11.41 NA 2.35 090 35536 A Artery bypass graft 31.70 12.64 NA 2.62 090 35541 A Artery bypass graft 25.80 10.72 NA 2.74 090 35546 A Artery bypass graft 25.54 10.49 NA 2.84 090 35548 A Artery bypass graft 21.57 9.14 NA 2.45 090 35549 A Artery bypass graft 23.35 9.77 NA 2.77 090 35551 A Artery bypass graft 26.67 10.92 NA 3.19 090 35556 A Artery bypass graft 21.76 9.26 NA 2.48 090 35558 A Artery bypass graft 21.20 9.00 NA 1.58 090 35560 A Artery bypass graft 32.00 12.82 NA 2.73 090 35563 A Artery bypass graft 24.20 10.04 NA 1.68 090 35565 A Artery bypass graft 23.20 9.72 NA 1.71 090 35566 A Artery bypass graft 26.92 11.71 NA 3.02 090 35571 A Artery bypass graft 24.06 11.90 NA 2.14 090 35582 A Vein bypass graft 27.13 11.14 NA 3.11 090 35583 A Vein bypass graft 22.37 10.46 NA 2.53 090 35585 A Vein bypass graft 28.39 14.26 NA 3.21 090 35587 A Vein bypass graft 24.75 12.62 NA 2.17 090 35600 A Harvest artery for cabg 4.95 1.91 NA 0.60 ZZZ 35601 A Artery bypass graft 17.50 7.33 NA 2.08 090 35606 A Artery bypass graft 18.71 7.77 NA 2.17 090 35612 A Artery bypass graft 15.76 6.73 NA 1.72 090 35616 A Artery bypass graft 15.70 6.78 NA 1.84 090 35621 A Artery bypass graft 20.00 8.66 NA 1.68 090 35623 A Bypass graft, not vein 24.00 10.02 NA 1.91 090 35626 A Artery bypass graft 27.75 10.95 NA 2.89 090 35631 A Artery bypass graft 34.00 13.44 NA 2.83 090 35636 A Artery bypass graft 29.50 12.09 NA 2.37 090 35641 A Artery bypass graft 24.57 10.29 NA 2.83 090 35642 A Artery bypass graft 17.98 7.87 NA 1.84 090 35645 A Artery bypass graft 17.47 7.71 NA 1.91 090 35646 A Artery bypass graft 31.00 13.01 NA 2.98 090 35647 A Artery bypass graft 28.00 11.74 NA 2.98 090 35650 A Artery bypass graft 19.00 7.78 NA 1.64 090 35651 A Artery bypass graft 25.04 10.47 NA 2.53 090 35654 A Artery bypass graft 25.00 10.36 NA 2.10 090 35656 A Artery bypass graft 19.53 8.28 NA 2.21 090 35661 A Artery bypass graft 19.00 8.10 NA 1.50 090 35663 A Artery bypass graft 22.00 9.41 NA 1.55 090 35665 A Artery bypass graft 21.00 8.99 NA 1.76 090 35666 A Artery bypass graft 22.19 11.74 NA 2.19 090 35671 A Artery bypass graft 19.33 10.32 NA 1.68 090 35681 A Composite bypass graft 1.60 0.54 NA 0.18 ZZZ 35682 A Composite bypass graft 7.20 2.45 NA 0.83 ZZZ 35683 A Composite bypass graft 8.50 2.90 NA 0.98 ZZZ 35685 A Bypass graft patency/patch 4.05 1.47 NA 0.41 ZZZ 35686 A Bypass graft/av fist patency 3.35 1.22 NA 0.34 ZZZ 35691 A Arterial transposition 18.05 7.55 NA 2.06 090 35693 A Arterial transposition 15.36 6.55 NA 1.80 090 35694 A Arterial transposition 19.16 7.86 NA 2.13 090 35695 A Arterial transposition 19.16 7.82 NA 2.19 090 35700 A Reoperation, bypass graft 3.08 1.04 NA 0.36 ZZZ 35701 A Exploration, carotid artery 8.50 4.57 NA 0.64 090 35721 A Exploration, femoral artery 7.18 5.04 NA 0.59 090 35741 A Exploration popliteal artery 8.00 5.28 NA 0.60 090 Start Printed Page 43914 35761 A Exploration of artery/vein 5.37 4.36 NA 0.60 090 35800 A Explore neck vessels 7.02 3.89 NA 0.79 090 35820 A Explore chest vessels 12.88 4.26 NA 1.61 090 35840 A Explore abdominal vessels 9.77 5.10 NA 1.06 090 35860 A Explore limb vessels 5.55 3.53 NA 0.63 090 35870 A Repair vessel graft defect 22.17 9.92 NA 2.47 090 35875 A Removal of clot in graft 10.13 6.24 NA 0.97 090 35876 A Removal of clot in graft 17.00 8.78 NA 1.88 090 35879 A Revise graft w/vein 16.00 7.74 NA 1.35 090 35881 A Revise graft w/vein 18.00 8.55 NA 1.44 090 35901 A Excision, graft, neck 8.19 5.74 NA 0.90 090 35903 A Excision, graft, extremity 9.39 8.01 NA 1.03 090 35905 A Excision, graft, thorax 31.25 14.95 NA 2.15 090 35907 A Excision, graft, abdomen 35.00 14.55 NA 2.17 090 36000 A Place needle in vein 0.18 0.05 0.64 0.01 XXX 36002 A Pseudoaneurysm injection trt 1.96 1.01 2.91 0.08 000 36005 A Injection ext venography 0.95 0.33 8.26 0.04 000 36010 A Place catheter in vein 2.43 0.81 NA 0.16 XXX 36011 A Place catheter in vein 3.14 1.06 NA 0.17 XXX 36012 A Place catheter in vein 3.52 1.19 NA 0.17 XXX 36013 A Place catheter in artery 2.52 0.67 NA 0.17 XXX 36014 A Place catheter in artery 3.02 1.03 NA 0.14 XXX 36015 A Place catheter in artery 3.52 1.20 NA 0.16 XXX 36100 A Establish access to artery 3.02 1.13 NA 0.18 XXX 36120 A Establish access to artery 2.01 0.67 NA 0.11 XXX 36140 A Establish access to artery 2.01 0.66 NA 0.12 XXX 36145 A Artery to vein shunt 2.01 0.68 NA 0.10 XXX 36160 A Establish access to aorta 2.52 0.86 NA 0.20 XXX 36200 A Place catheter in aorta 3.02 1.05 NA 0.15 XXX 36215 A Place catheter in artery 4.68 1.63 NA 0.22 XXX 36216 A Place catheter in artery 5.28 1.82 NA 0.24 XXX 36217 A Place catheter in artery 6.30 2.22 NA 0.32 XXX 36218 A Place catheter in artery 1.01 0.36 NA 0.05 ZZZ 36245 A Place catheter in artery 4.68 1.71 NA 0.23 XXX 36246 A Place catheter in artery 5.28 1.85 NA 0.26 XXX 36247 A Place catheter in artery 6.30 2.18 NA 0.32 XXX 36248 A Place catheter in artery 1.01 0.36 NA 0.06 ZZZ 36260 A Insertion of infusion pump 9.71 5.46 NA 1.00 090 36261 A Revision of infusion pump 5.45 3.30 NA 0.50 090 36262 A Removal of infusion pump 4.02 2.47 NA 0.43 090 36299 C Vessel injection procedure 0.00 0.00 0.00 0.00 YYY 36400 A Drawing blood 0.38 0.10 0.72 0.01 XXX 36405 A Drawing blood 0.31 0.08 0.56 0.01 XXX 36406 A Drawing blood 0.18 0.05 0.72 0.01 XXX 36410 A Drawing blood 0.18 0.05 0.49 0.01 XXX 36415 I Drawing blood 0.00 0.00 0.00 0.00 XXX 36420 A Establish access to vein 1.01 0.30 NA 0.09 XXX 36425 A Establish access to vein 0.76 0.17 3.32 0.05 XXX 36430 A Blood transfusion service 0.00 NA 1.04 0.05 XXX 36440 A Blood transfusion service 1.03 0.29 NA 0.08 XXX 36450 A Exchange transfusion service 2.23 0.72 NA 0.16 XXX 36455 A Exchange transfusion service 2.43 0.85 NA 0.10 XXX 36460 A Transfusion service, fetal 6.59 2.28 NA 0.56 XXX 36468 R Injection(s), spider veins 0.00 0.00 0.00 0.00 000 36469 R Injection(s), spider veins 0.00 0.00 0.00 0.00 000 36470 A Injection therapy of vein 1.09 0.39 2.28 0.10 010 36471 A Injection therapy of veins 1.57 0.55 2.62 0.15 010 36481 A Insertion of catheter, vein 6.99 2.81 NA 0.40 000 36488 A Insertion of catheter, vein 1.35 0.71 NA 0.09 000 36489 A Insertion of catheter, vein 2.50 1.03 4.09 0.08 000 36490 A Insertion of catheter, vein 1.67 0.78 NA 0.17 000 36491 A Insertion of catheter, vein 1.43 0.73 NA 0.13 000 36493 A Repositioning of cvc 1.21 0.86 NA 0.06 000 36500 A Insertion of catheter, vein 3.52 1.27 NA 0.14 000 36510 A Insertion of catheter, vein 1.09 0.71 NA 0.06 000 36520 A Plasma and/or cell exchange 1.74 1.04 NA 0.06 000 Start Printed Page 43915 36521 A Apheresis w/ adsorp/reinfuse 1.74 1.04 NA 0.06 000 36522 A Photopheresis 1.67 1.12 6.82 0.07 000 36530 R Insertion of infusion pump 6.20 3.71 NA 0.56 010 36531 R Revision of infusion pump 4.87 3.21 NA 0.44 010 36532 R Removal of infusion pump 3.30 1.51 NA 0.34 010 36533 A Insertion of access device 5.32 3.36 13.86 0.49 010 36534 A Revision of access device 2.80 1.47 NA 0.19 010 36535 A Removal of access device 2.27 1.81 2.81 0.21 010 36540 B Collect blood venous device 0.00 0.00 0.00 0.00 XXX 36550 A Declot vascular device 0.00 NA 0.37 0.31 XXX 36600 A Withdrawal of arterial blood 0.32 0.09 0.41 0.02 XXX 36620 A Insertion catheter, artery 1.15 0.25 NA 0.06 000 36625 A Insertion catheter, artery 2.11 0.54 NA 0.16 000 36640 A Insertion catheter, artery 2.10 0.72 NA 0.18 000 36660 A Insertion catheter, artery 1.40 0.45 NA 0.08 000 36680 A Insert needle, bone cavity 1.20 0.62 NA 0.08 000 36800 A Insertion of cannula 2.43 1.54 NA 0.17 000 36810 A Insertion of cannula 3.97 2.19 NA 0.40 000 36815 A Insertion of cannula 2.62 1.24 NA 0.26 000 36819 A Av fusion/uppr arm vein 14.00 6.40 NA 1.53 090 36820 A Av fusion/forearm vein 14.00 6.41 NA 1.53 090 36821 A Av fusion direct any site 8.93 4.93 NA 0.97 090 36822 A Insertion of cannula(s) 5.42 6.73 NA 0.63 090 36823 A Insertion of cannula(s) 21.00 10.32 NA 2.18 090 36825 A Artery-vein graft 9.84 5.45 NA 1.09 090 36830 A Artery-vein graft 12.00 6.02 NA 1.32 090 36831 A Open thrombect av fistula 8.00 3.93 NA 0.79 090 36832 A Av fistula revision, open 10.50 5.50 NA 1.13 090 36833 A Av fistula revision 11.95 6.01 NA 1.29 090 36834 A Repair A-V aneurysm 9.93 3.79 NA 1.06 090 36835 A Artery to vein shunt 7.15 4.41 NA 0.80 090 36860 A External cannula declotting 2.01 1.30 2.26 0.10 000 36861 A Cannula declotting 2.52 1.47 NA 0.14 000 36870 A Percut thrombect av fistula 5.16 2.41 42.13 0.23 090 37140 A Revision of circulation 23.60 10.40 NA 1.21 090 37145 A Revision of circulation 24.61 10.96 NA 2.48 090 37160 A Revision of circulation 21.60 9.11 NA 2.16 090 37180 A Revision of circulation 24.61 10.29 NA 2.63 090 37181 A Splice spleen/kidney veins 26.68 10.86 NA 2.67 090 37195 A Thrombolytic therapy, stroke 0.00 NA 8.32 0.38 XXX 37200 A Transcatheter biopsy 4.56 1.56 NA 0.19 000 37201 A Transcatheter therapy infuse 5.00 2.55 NA 0.24 000 37202 A Transcatheter therapy infuse 5.68 3.07 NA 0.38 000 37203 A Transcatheter retrieval 5.03 2.57 NA 0.23 000 37204 A Transcatheter occlusion 18.14 6.15 NA 0.85 000 37205 A Transcatheter stent 8.28 3.80 NA 0.43 000 37206 A Transcatheter stent add-on 4.13 1.49 NA 0.22 ZZZ 37207 A Transcatheter stent 8.28 3.52 NA 0.89 000 37208 A Transcatheter stent add-on 4.13 1.42 NA 0.44 ZZZ 37209 A Exchange arterial catheter 2.27 0.77 NA 0.11 000 37250 A Iv us first vessel add-on 2.10 0.77 NA 0.17 ZZZ 37251 A Iv us each add vessel add-on 1.60 0.57 NA 0.14 ZZZ 37565 A Ligation of neck vein 10.88 5.08 NA 0.45 090 37600 A Ligation of neck artery 11.25 6.28 NA 0.40 090 37605 A Ligation of neck artery 13.11 6.46 NA 0.77 090 37606 A Ligation of neck artery 6.28 3.95 NA 0.79 090 37607 A Ligation of a-v fistula 6.16 3.61 NA 0.67 090 37609 A Temporal artery procedure 3.00 2.50 7.03 0.21 010 37615 A Ligation of neck artery 5.73 3.61 NA 0.57 090 37616 A Ligation of chest artery 16.49 10.47 NA 1.93 090 37617 A Ligation of abdomen artery 22.06 9.45 NA 1.69 090 37618 A Ligation of extremity artery 4.84 3.46 NA 0.54 090 37620 A Revision of major vein 10.56 5.41 NA 0.75 090 37650 A Revision of major vein 7.80 4.57 NA 0.56 090 37660 A Revision of major vein 21.00 9.30 NA 1.17 090 37700 A Revise leg vein 3.73 3.08 NA 0.40 090 Start Printed Page 43916 37720 A Removal of leg vein 5.66 3.60 NA 0.61 090 37730 A Removal of leg veins 7.33 4.44 NA 0.77 090 37735 A Removal of leg veins/lesion 10.53 5.77 NA 1.17 090 37760 A Revision of leg veins 10.47 5.61 NA 1.11 090 37780 A Revision of leg vein 3.84 2.91 NA 0.41 090 37785 A Revise secondary varicosity 3.84 2.82 6.83 0.41 090 37788 A Revascularization, penis 22.01 12.45 NA 1.35 090 37790 A Penile venous occlusion 8.34 6.96 NA 0.63 090 37799 C Vascular surgery procedure 0.00 0.00 0.00 0.00 YYY 38100 A Removal of spleen, total 14.50 6.57 NA 1.30 090 38101 A Removal of spleen, partial 15.31 6.98 NA 1.38 090 38102 A Removal of spleen, total 4.80 1.68 NA 0.49 ZZZ 38115 A Repair of ruptured spleen 15.82 7.04 NA 1.40 090 38120 A Laparoscopy, splenectomy 17.00 7.42 NA 1.73 090 38129 C Laparoscope proc, spleen 0.00 0.00 0.00 0.00 YYY 38200 A Injection for spleen x-ray 2.64 0.92 NA 0.12 000 38220 A Bone marrow aspiration 1.08 0.43 4.59 0.03 XXX 38221 A Bone marrow biopsy 1.37 0.54 4.70 0.04 XXX 38230 R Bone marrow collection 4.54 2.44 NA 0.25 010 38231 R Stem cell collection 1.50 0.59 NA 0.05 000 38240 R Bone marrow/stem transplant 2.24 0.84 NA 0.08 XXX 38241 R Bone marrow/stem transplant 2.24 0.84 NA 0.08 XXX 38300 A Drainage, lymph node lesion 1.99 2.57 4.60 0.15 010 38305 A Drainage, lymph node lesion 6.00 6.22 8.50 0.36 090 38308 A Incision of lymph channels 6.45 5.62 NA 0.51 090 38380 A Thoracic duct procedure 7.46 7.40 NA 0.68 090 38381 A Thoracic duct procedure 12.88 9.51 NA 1.58 090 38382 A Thoracic duct procedure 10.08 9.00 NA 1.08 090 38500 A Biopsy/removal, lymph nodes 3.75 2.54 3.02 0.28 010 38505 A Needle biopsy, lymph nodes 1.14 1.11 3.15 0.09 000 38510 A Biopsy/removal, lymph nodes 6.43 5.36 NA 0.38 010 38520 A Biopsy/removal, lymph nodes 6.67 5.44 NA 0.52 090 38525 A Biopsy/removal, lymph nodes 6.07 4.38 NA 0.48 090 38530 A Biopsy/removal, lymph nodes 7.98 5.82 NA 0.63 090 38542 A Explore deep node(s), neck 5.91 5.91 NA 0.50 090 38550 A Removal, neck/armpit lesion 6.92 4.76 NA 0.69 090 38555 A Removal, neck/armpit lesion 14.14 10.08 NA 1.46 090 38562 A Removal, pelvic lymph nodes 10.49 6.59 NA 0.97 090 38564 A Removal, abdomen lymph nodes 10.83 6.31 NA 1.06 090 38570 A Laparoscopy, lymph node biop 9.25 4.53 NA 0.89 010 38571 A Laparoscopy, lymphadenectomy 14.68 6.29 NA 0.80 010 38572 A Laparoscopy, lymphadenectomy 16.59 7.39 NA 1.32 010 38589 C Laparoscope proc, lymphatic 0.00 0.00 0.00 0.00 YYY 38700 A Removal of lymph nodes, neck 8.24 13.45 NA 0.60 090 38720 A Removal of lymph nodes, neck 13.61 16.01 NA 1.03 090 38724 A Removal of lymph nodes, neck 14.54 16.49 NA 1.10 090 38740 A Remove armpit lymph nodes 10.03 5.80 NA 0.69 090 38745 A Remove armpit lymph nodes 13.10 8.29 NA 0.90 090 38746 A Remove thoracic lymph nodes 4.89 1.62 NA 0.55 ZZZ 38747 A Remove abdominal lymph nodes 4.89 1.71 NA 0.50 ZZZ 38760 A Remove groin lymph nodes 12.95 7.18 NA 0.88 090 38765 A Remove groin lymph nodes 19.98 11.40 NA 1.50 090 38770 A Remove pelvis lymph nodes 13.23 6.95 NA 0.94 090 38780 A Remove abdomen lymph nodes 16.59 9.36 NA 1.60 090 38790 A Inject for lymphatic x-ray 1.29 0.45 31.71 0.09 000 38792 A Identify sentinel node 0.52 0.18 NA 0.04 000 38794 A Access thoracic lymph duct 4.45 1.56 NA 0.17 090 38999 C Blood/lymph system procedure 0.00 0.00 0.00 0.00 YYY 39000 A Exploration of chest 6.10 7.21 NA 0.73 090 39010 A Exploration of chest 11.79 9.38 NA 1.46 090 39200 A Removal chest lesion 13.62 9.88 NA 1.65 090 39220 A Removal chest lesion 17.42 11.13 NA 2.10 090 39400 A Visualization of chest 5.61 6.84 NA 0.69 010 39499 C Chest procedure 0.00 0.00 0.00 0.00 YYY 39501 A Repair diaphragm laceration 13.19 7.70 NA 1.38 090 39502 A Repair paraesophageal hernia 16.33 8.24 NA 1.68 090 Start Printed Page 43917 39503 A Repair of diaphragm hernia 95.00 34.58 NA 3.52 090 39520 A Repair of diaphragm hernia 16.10 9.54 NA 1.83 090 39530 A Repair of diaphragm hernia 15.41 8.49 NA 1.66 090 39531 A Repair of diaphragm hernia 16.42 8.73 NA 1.83 090 39540 A Repair of diaphragm hernia 13.32 7.75 NA 1.38 090 39541 A Repair of diaphragm hernia 14.41 7.83 NA 1.52 090 39545 A Revision of diaphragm 13.37 8.96 NA 1.55 090 39560 A Resect diaphragm, simple 12.00 7.55 NA 1.35 090 39561 A Resect diaphragm, complex 17.50 9.58 NA 1.97 090 39599 C Diaphragm surgery procedure 0.00 0.00 0.00 0.00 YYY 40490 A Biopsy of lip 1.22 0.61 1.59 0.06 000 40500 A Partial excision of lip 4.28 5.64 5.64 0.31 090 40510 A Partial excision of lip 4.70 6.55 6.62 0.38 090 40520 A Partial excision of lip 4.67 6.99 7.74 0.42 090 40525 A Reconstruct lip with flap 7.55 8.45 NA 0.68 090 40527 A Reconstruct lip with flap 9.13 9.33 NA 0.82 090 40530 A Partial removal of lip 5.40 6.30 6.53 0.47 090 40650 A Repair lip 3.64 4.83 5.45 0.31 090 40652 A Repair lip 4.26 6.80 6.80 0.39 090 40654 A Repair lip 5.31 7.67 7.67 0.48 090 40700 A Repair cleft lip/nasal 12.79 10.40 NA 0.93 090 40701 A Repair cleft lip/nasal 15.85 12.85 NA 1.36 090 40702 A Repair cleft lip/nasal 13.04 9.44 NA 1.01 090 40720 A Repair cleft lip/nasal 13.55 12.14 NA 1.31 090 40761 A Repair cleft lip/nasal 14.72 12.51 NA 1.41 090 40799 C Lip surgery procedure 0.00 0.00 0.00 0.00 YYY 40800 A Drainage of mouth lesion 1.17 0.46 1.93 0.09 010 40801 A Drainage of mouth lesion 2.53 1.86 2.43 0.18 010 40804 A Removal, foreign body, mouth 1.24 2.16 2.62 0.09 010 40805 A Removal, foreign body, mouth 2.69 2.80 3.13 0.17 010 40806 A Incision of lip fold 0.31 0.81 0.91 0.02 000 40808 A Biopsy of mouth lesion 0.96 2.07 2.07 0.07 010 40810 A Excision of mouth lesion 1.31 2.38 2.66 0.09 010 40812 A Excise/repair mouth lesion 2.31 2.88 2.88 0.17 010 40814 A Excise/repair mouth lesion 3.42 4.01 4.01 0.26 090 40816 A Excision of mouth lesion 3.67 4.31 4.31 0.27 090 40818 A Excise oral mucosa for graft 2.41 4.04 4.04 0.14 090 40819 A Excise lip or cheek fold 2.41 3.51 3.53 0.17 090 40820 A Treatment of mouth lesion 1.28 2.24 2.36 0.08 010 40830 A Repair mouth laceration 1.76 2.48 2.48 0.14 010 40831 A Repair mouth laceration 2.46 2.72 2.72 0.21 010 40840 R Reconstruction of mouth 8.73 6.06 6.06 0.79 090 40842 R Reconstruction of mouth 8.73 5.95 5.95 0.65 090 40843 R Reconstruction of mouth 12.10 7.19 7.19 0.84 090 40844 R Reconstruction of mouth 16.01 8.89 8.89 1.63 090 40845 R Reconstruction of mouth 18.58 10.81 10.81 1.47 090 40899 C Mouth surgery procedure 0.00 0.00 0.00 0.00 YYY 41000 A Drainage of mouth lesion 1.30 1.48 2.35 0.09 010 41005 A Drainage of mouth lesion 1.26 1.45 2.20 0.09 010 41006 A Drainage of mouth lesion 3.24 3.35 3.66 0.25 090 41007 A Drainage of mouth lesion 3.10 3.15 3.65 0.22 090 41008 A Drainage of mouth lesion 3.37 3.25 3.49 0.24 090 41009 A Drainage of mouth lesion 3.59 3.23 3.57 0.25 090 41010 A Incision of tongue fold 1.06 3.19 3.19 0.06 010 41015 A Drainage of mouth lesion 3.96 3.18 4.11 0.29 090 41016 A Drainage of mouth lesion 4.07 3.34 4.06 0.28 090 41017 A Drainage of mouth lesion 4.07 3.28 4.07 0.32 090 41018 A Drainage of mouth lesion 5.10 3.74 4.44 0.35 090 41100 A Biopsy of tongue 1.63 2.58 2.64 0.12 010 41105 A Biopsy of tongue 1.42 2.43 2.43 0.10 010 41108 A Biopsy of floor of mouth 1.05 2.29 2.35 0.08 010 41110 A Excision of tongue lesion 1.51 2.57 3.09 0.11 010 41112 A Excision of tongue lesion 2.73 3.49 3.49 0.20 090 41113 A Excision of tongue lesion 3.19 3.43 3.43 0.23 090 41114 A Excision of tongue lesion 8.47 6.35 NA 0.64 090 41115 A Excision of tongue fold 1.74 2.47 2.57 0.13 010 Start Printed Page 43918 41116 A Excision of mouth lesion 2.44 3.35 3.35 0.17 090 41120 A Partial removal of tongue 9.77 8.78 NA 0.70 090 41130 A Partial removal of tongue 11.15 9.57 NA 0.81 090 41135 A Tongue and neck surgery 23.09 15.91 NA 1.66 090 41140 A Removal of tongue 25.50 17.29 NA 1.85 090 41145 A Tongue removal, neck surgery 30.06 21.16 NA 2.11 090 41150 A Tongue, mouth, jaw surgery 23.04 17.06 NA 1.67 090 41153 A Tongue, mouth, neck surgery 23.77 17.65 NA 1.71 090 41155 A Tongue, jaw, & neck surgery 27.72 19.86 NA 2.02 090 41250 A Repair tongue laceration 1.91 1.70 2.79 0.15 010 41251 A Repair tongue laceration 2.27 1.99 2.64 0.18 010 41252 A Repair tongue laceration 2.97 2.34 3.45 0.23 010 41500 A Fixation of tongue 3.71 4.27 NA 0.26 090 41510 A Tongue to lip surgery 3.42 4.76 NA 0.24 090 41520 A Reconstruction, tongue fold 2.73 2.95 2.95 0.19 090 41599 C Tongue and mouth surgery 0.00 0.00 0.00 0.00 YYY 41800 A Drainage of gum lesion 1.17 1.36 1.91 0.09 010 41805 A Removal foreign body, gum 1.24 1.88 1.88 0.09 010 41806 A Removal foreign body,jawbone 2.69 2.44 2.50 0.22 010 41820 R Excision, gum, each quadrant 0.00 0.00 0.00 0.00 000 41821 R Excision of gum flap 0.00 0.00 0.00 0.00 000 41822 R Excision of gum lesion 2.31 0.96 2.78 0.24 010 41823 R Excision of gum lesion 3.30 2.93 3.52 0.29 090 41825 A Excision of gum lesion 1.31 2.30 2.35 0.10 010 41826 A Excision of gum lesion 2.31 2.60 2.60 0.17 010 41827 A Excision of gum lesion 3.42 3.51 3.51 0.25 090 41828 R Excision of gum lesion 3.09 2.33 2.98 0.22 010 41830 R Removal of gum tissue 3.35 2.88 3.23 0.23 010 41850 R Treatment of gum lesion 0.00 0.00 0.00 0.00 000 41870 R Gum graft 0.00 0.00 0.00 0.00 000 41872 R Repair gum 2.59 2.80 2.81 0.18 090 41874 R Repair tooth socket 3.09 2.34 2.82 0.23 090 41899 C Dental surgery procedure 0.00 0.00 0.00 0.00 YYY 42000 A Drainage mouth roof lesion 1.23 1.53 2.45 0.10 010 42100 A Biopsy roof of mouth 1.31 2.43 2.43 0.10 010 42104 A Excision lesion, mouth roof 1.64 2.49 2.49 0.12 010 42106 A Excision lesion, mouth roof 2.10 2.60 2.60 0.16 010 42107 A Excision lesion, mouth roof 4.44 4.04 4.04 0.32 090 42120 A Remove palate/lesion 6.17 6.03 NA 0.44 090 42140 A Excision of uvula 1.62 3.28 3.81 0.12 090 42145 A Repair palate, pharynx/uvula 8.05 7.41 NA 0.56 090 42160 A Treatment mouth roof lesion 1.80 2.64 3.15 0.13 010 42180 A Repair palate 2.50 2.10 2.90 0.19 010 42182 A Repair palate 3.83 3.06 3.43 0.27 010 42200 A Reconstruct cleft palate 12.00 10.14 NA 0.97 090 42205 A Reconstruct cleft palate 13.29 9.32 NA 0.82 090 42210 A Reconstruct cleft palate 14.50 9.50 NA 1.24 090 42215 A Reconstruct cleft palate 8.82 8.81 NA 0.96 090 42220 A Reconstruct cleft palate 7.02 6.63 NA 0.41 090 42225 A Reconstruct cleft palate 9.54 9.20 NA 0.75 090 42226 A Lengthening of palate 10.01 9.49 NA 0.73 090 42227 A Lengthening of palate 9.52 8.14 NA 0.70 090 42235 A Repair palate 7.87 6.20 NA 0.49 090 42260 A Repair nose to lip fistula 9.80 6.94 6.94 0.85 090 42280 A Preparation, palate mold 1.54 0.75 1.40 0.12 010 42281 A Insertion, palate prosthesis 1.93 0.96 1.78 0.14 010 42299 C Palate/uvula surgery 0.00 0.00 0.00 0.00 YYY 42300 A Drainage of salivary gland 1.93 1.87 2.61 0.15 010 42305 A Drainage of salivary gland 6.07 5.25 NA 0.46 090 42310 A Drainage of salivary gland 1.56 1.64 2.31 0.11 010 42320 A Drainage of salivary gland 2.35 2.11 2.73 0.17 010 42325 A Create salivary cyst drain 2.75 1.16 3.31 0.17 090 42326 A Create salivary cyst drain 3.78 1.79 3.28 0.34 090 42330 A Removal of salivary stone 2.21 1.06 2.74 0.16 010 42335 A Removal of salivary stone 3.31 3.61 3.61 0.23 090 42340 A Removal of salivary stone 4.60 4.73 4.73 0.34 090 Start Printed Page 43919 42400 A Biopsy of salivary gland 0.78 0.39 2.45 0.06 000 42405 A Biopsy of salivary gland 3.29 3.31 3.38 0.24 010 42408 A Excision of salivary cyst 4.54 4.46 4.46 0.34 090 42409 A Drainage of salivary cyst 2.81 3.35 3.35 0.20 090 42410 A Excise parotid gland/lesion 9.34 7.83 NA 0.77 090 42415 A Excise parotid gland/lesion 16.89 12.41 NA 1.26 090 42420 A Excise parotid gland/lesion 19.59 13.97 NA 1.45 090 42425 A Excise parotid gland/lesion 13.02 10.38 NA 0.98 090 42426 A Excise parotid gland/lesion 21.26 14.76 NA 1.57 090 42440 A Excise submaxillary gland 6.97 5.92 NA 0.51 090 42450 A Excise sublingual gland 4.62 4.73 4.73 0.34 090 42500 A Repair salivary duct 4.30 4.80 4.80 0.30 090 42505 A Repair salivary duct 6.18 5.39 5.39 0.44 090 42507 A Parotid duct diversion 6.11 5.89 NA 0.66 090 42508 A Parotid duct diversion 9.10 7.89 NA 0.64 090 42509 A Parotid duct diversion 11.54 9.60 NA 1.24 090 42510 A Parotid duct diversion 8.15 6.93 NA 0.57 090 42550 A Injection for salivary x-ray 1.25 0.43 13.27 0.06 000 42600 A Closure of salivary fistula 4.82 5.64 6.24 0.34 090 42650 A Dilation of salivary duct 0.77 0.40 1.08 0.06 000 42660 A Dilation of salivary duct 1.13 1.17 1.17 0.07 000 42665 A Ligation of salivary duct 2.53 3.48 3.48 0.17 090 42699 C Salivary surgery procedure 0.00 0.00 0.00 0.00 YYY 42700 A Drainage of tonsil abscess 1.62 1.85 3.19 0.12 010 42720 A Drainage of throat abscess 5.42 4.69 4.82 0.39 010 42725 A Drainage of throat abscess 10.72 8.42 NA 0.80 090 42800 A Biopsy of throat 1.39 2.55 3.01 0.10 010 42802 A Biopsy of throat 1.54 2.64 3.10 0.11 010 42804 A Biopsy of upper nose/throat 1.24 2.50 2.96 0.09 010 42806 A Biopsy of upper nose/throat 1.58 2.69 3.43 0.12 010 42808 A Excise pharynx lesion 2.30 3.09 4.88 0.17 010 42809 A Remove pharynx foreign body 1.81 1.73 3.42 0.13 010 42810 A Excision of neck cyst 3.25 4.44 5.46 0.25 090 42815 A Excision of neck cyst 7.07 6.50 NA 0.53 090 42820 A Remove tonsils and adenoids 3.91 3.24 NA 0.28 090 42821 A Remove tonsils and adenoids 4.29 4.17 NA 0.30 090 42825 A Removal of tonsils 3.42 3.64 NA 0.24 090 42826 A Removal of tonsils 3.38 3.69 NA 0.23 090 42830 A Removal of adenoids 2.57 2.39 NA 0.18 090 42831 A Removal of adenoids 2.71 2.52 NA 0.19 090 42835 A Removal of adenoids 2.30 3.09 NA 0.17 090 42836 A Removal of adenoids 3.18 3.62 NA 0.22 090 42842 A Extensive surgery of throat 8.76 7.73 NA 0.61 090 42844 A Extensive surgery of throat 14.31 11.29 NA 1.04 090 42845 A Extensive surgery of throat 24.29 17.33 NA 1.76 090 42860 A Excision of tonsil tags 2.22 3.01 NA 0.16 090 42870 A Excision of lingual tonsil 5.40 6.00 NA 0.38 090 42890 A Partial removal of pharynx 12.94 10.72 NA 0.91 090 42892 A Revision of pharyngeal walls 15.83 12.23 NA 1.14 090 42894 A Revision of pharyngeal walls 22.88 16.84 NA 1.64 090 42900 A Repair throat wound 5.25 3.76 NA 0.39 010 42950 A Reconstruction of throat 8.10 7.46 NA 0.58 090 42953 A Repair throat, esophagus 8.96 8.98 NA 0.73 090 42955 A Surgical opening of throat 7.39 6.44 NA 0.63 090 42960 A Control throat bleeding 2.33 2.08 NA 0.17 010 42961 A Control throat bleeding 5.59 5.20 NA 0.40 090 42962 A Control throat bleeding 7.14 6.13 NA 0.51 090 42970 A Control nose/throat bleeding 5.43 3.75 NA 0.37 090 42971 A Control nose/throat bleeding 6.21 5.75 NA 0.45 090 42972 A Control nose/throat bleeding 7.20 5.48 NA 0.54 090 42999 C Throat surgery procedure 0.00 0.00 0.00 0.00 YYY 43020 A Incision of esophagus 8.09 6.34 NA 0.70 090 43030 A Throat muscle surgery 7.69 6.85 NA 0.60 090 43045 A Incision of esophagus 20.12 10.97 NA 2.15 090 43100 A Excision of esophagus lesion 9.19 7.13 NA 0.79 090 43101 A Excision of esophagus lesion 16.24 8.58 NA 1.81 090 Start Printed Page 43920 43107 A Removal of esophagus 40.00 18.10 NA 3.29 090 43108 A Removal of esophagus 34.19 15.66 NA 3.78 090 43112 A Removal of esophagus 43.50 19.60 NA 3.67 090 43113 A Removal of esophagus 35.27 16.29 NA 4.33 090 43116 A Partial removal of esophagus 31.22 18.69 NA 2.62 090 43117 A Partial removal of esophagus 40.00 18.09 NA 3.51 090 43118 A Partial removal of esophagus 33.20 15.34 NA 3.56 090 43121 A Partial removal of esophagus 29.19 14.61 NA 3.44 090 43122 A Parital removal of esophagus 40.00 17.59 NA 3.27 090 43123 A Partial removal of esophagus 33.20 15.66 NA 3.96 090 43124 A Removal of esophagus 27.32 14.72 NA 2.95 090 43130 A Removal of esophagus pouch 11.75 8.78 NA 1.06 090 43135 A Removal of esophagus pouch 16.10 9.75 NA 1.85 090 43200 A Esophagus endoscopy 1.59 1.17 7.54 0.11 000 43202 A Esophagus endoscopy, biopsy 1.89 1.12 6.10 0.12 000 43204 A Esophagus endoscopy & inject 3.77 1.66 NA 0.18 000 43205 A Esophagus endoscopy/ligation 3.79 1.67 NA 0.17 000 43215 A Esophagus endoscopy 2.60 1.23 NA 0.17 000 43216 A Esophagus endoscopy/lesion 2.40 1.17 NA 0.15 000 43217 A Esophagus endoscopy 2.90 1.33 NA 0.17 000 43219 A Esophagus endoscopy 2.80 1.39 NA 0.16 000 43220 A Esoph endoscopy, dilation 2.10 1.10 NA 0.12 000 43226 A Esoph endoscopy, dilation 2.34 1.17 NA 0.12 000 43227 A Esoph endoscopy, repair 3.60 1.59 NA 0.18 000 43228 A Esoph endoscopy, ablation 3.77 1.71 NA 0.25 000 43231 A Esoph endoscopy w/us exam 3.19 1.55 NA 0.20 000 43232 A Esoph endoscopy w/us fn bx 4.48 2.11 NA 0.26 000 43234 A Upper GI endoscopy, exam 2.01 1.03 4.21 0.13 000 43235 A Uppr gi endoscopy, diagnosis 2.39 1.19 5.80 0.13 000 43239 A Upper GI endoscopy, biopsy 2.87 1.23 6.13 0.14 000 43240 A Esoph endoscope w/drain cyst 6.86 2.89 NA 0.36 000 43241 A Upper GI endoscopy with tube 2.59 1.23 NA 0.14 000 43242 A Uppr gi endoscopy w/us fn bx 7.31 2.58 2.58 0.29 000 43243 A Upper gi endoscopy & inject 4.57 1.94 NA 0.21 000 43244 A Upper GI endoscopy/ligation 5.05 2.12 NA 0.21 000 43245 A Operative upper GI endoscopy 3.39 1.51 NA 0.18 000 43246 A Place gastrostomy tube 4.33 1.79 NA 0.24 000 43247 A Operative upper GI endoscopy 3.39 1.51 NA 0.17 000 43248 A Uppr gi endoscopy/guide wire 3.15 1.44 NA 0.15 000 43249 A Esoph endoscopy, dilation 2.90 1.35 NA 0.15 000 43250 A Upper GI endoscopy/tumor 3.20 1.44 NA 0.17 000 43251 A Operative upper GI endoscopy 3.70 1.62 NA 0.19 000 43255 A Operative upper GI endoscopy 4.82 1.92 NA 0.20 000 43256 A Uppr gi endoscopy w stent 4.60 1.62 1.62 0.23 000 43258 A Operative upper GI endoscopy 4.55 1.93 NA 0.22 000 43259 A Endoscopic ultrasound exam 4.89 2.16 NA 0.22 000 43260 A Endo cholangiopancreatograph 5.96 2.43 NA 0.27 000 43261 A Endo cholangiopancreatograph 6.27 2.54 NA 0.29 000 43262 A Endo cholangiopancreatograph 7.39 2.95 NA 0.34 000 43263 A Endo cholangiopancreatograph 7.29 2.92 NA 0.28 000 43264 A Endo cholangiopancreatograph 8.90 3.49 NA 0.41 000 43265 A Endo cholangiopancreatograph 10.02 3.88 NA 0.42 000 43267 A Endo cholangiopancreatograph 7.39 2.95 NA 0.34 000 43268 A Endo cholangiopancreatograph 7.39 2.95 NA 0.34 000 43269 A Endo cholangiopancreatograph 8.21 3.24 NA 0.28 000 43271 A Endo cholangiopancreatograph 7.39 2.94 NA 0.34 000 43272 A Endo cholangiopancreatograph 7.39 2.95 NA 0.34 000 43280 A Laparoscopy, fundoplasty 17.25 8.29 NA 1.76 090 43289 C Laparoscope proc, esoph 0.00 0.00 0.00 0.00 YYY 43300 A Repair of esophagus 9.14 7.19 NA 0.85 090 43305 A Repair esophagus and fistula 17.39 12.59 NA 1.36 090 43310 A Repair of esophagus 25.39 14.33 NA 3.18 090 43312 A Repair esophagus and fistula 28.42 17.71 NA 3.38 090 43313 A Esophagoplasty congential 45.28 21.41 NA 5.43 090 43314 A Tracheo-esophagoplasty cong 50.27 23.41 NA 5.53 090 43320 A Fuse esophagus & stomach 19.93 10.33 NA 1.59 090 Start Printed Page 43921 43324 A Revise esophagus & stomach 20.57 9.51 NA 1.72 090 43325 A Revise esophagus & stomach 20.06 9.81 NA 1.65 090 43326 A Revise esophagus & stomach 19.74 10.35 NA 1.84 090 43330 A Repair of esophagus 19.77 9.60 NA 1.52 090 43331 A Repair of esophagus 20.13 10.98 NA 1.93 090 43340 A Fuse esophagus & intestine 19.61 10.52 NA 1.53 090 43341 A Fuse esophagus & intestine 20.85 11.90 NA 2.14 090 43350 A Surgical opening, esophagus 15.78 10.05 NA 1.15 090 43351 A Surgical opening, esophagus 18.35 10.38 NA 1.51 090 43352 A Surgical opening, esophagus 15.26 9.59 NA 1.28 090 43360 A Gastrointestinal repair 35.70 16.40 NA 3.00 090 43361 A Gastrointestinal repair 40.50 18.21 NA 3.52 090 43400 A Ligate esophagus veins 21.20 10.32 NA 0.99 090 43401 A Esophagus surgery for veins 22.09 10.28 NA 1.73 090 43405 A Ligate/staple esophagus 20.01 9.44 NA 1.63 090 43410 A Repair esophagus wound 13.47 8.78 NA 1.15 090 43415 A Repair esophagus wound 25.00 12.19 NA 1.92 090 43420 A Repair esophagus opening 14.35 8.85 NA 0.86 090 43425 A Repair esophagus opening 21.03 11.04 NA 2.03 090 43450 A Dilate esophagus 1.38 0.61 1.39 0.07 000 43453 A Dilate esophagus 1.51 0.66 NA 0.08 000 43456 A Dilate esophagus 2.57 1.04 NA 0.14 000 43458 A Dilate esophagus 3.06 1.23 NA 0.17 000 43460 A Pressure treatment esophagus 3.80 1.50 NA 0.21 000 43496 C Free jejunum flap, microvasc 0.00 0.00 0.00 0.00 090 43499 C Esophagus surgery procedure 0.00 0.00 0.00 0.00 YYY 43500 A Surgical opening of stomach 11.05 5.08 NA 0.84 090 43501 A Surgical repair of stomach 20.04 8.61 NA 1.55 090 43502 A Surgical repair of stomach 23.13 9.79 NA 1.83 090 43510 A Surgical opening of stomach 13.08 7.50 NA 0.90 090 43520 A Incision of pyloric muscle 9.99 5.75 NA 0.84 090 43600 A Biopsy of stomach 1.91 1.00 NA 0.11 000 43605 A Biopsy of stomach 11.98 5.40 NA 0.93 090 43610 A Excision of stomach lesion 14.60 6.71 NA 1.14 090 43611 A Excision of stomach lesion 17.84 7.95 NA 1.38 090 43620 A Removal of stomach 30.04 12.71 NA 2.29 090 43621 A Removal of stomach 30.73 12.88 NA 2.36 090 43622 A Removal of stomach 32.53 13.49 NA 2.48 090 43631 A Removal of stomach, partial 22.59 9.46 NA 1.99 090 43632 A Removal of stomach, partial 22.59 9.48 NA 2.00 090 43633 A Removal of stomach, partial 23.10 9.66 NA 2.05 090 43634 A Removal of stomach, partial 25.12 10.47 NA 2.18 090 43635 A Removal of stomach, partial 2.06 0.72 NA 0.21 ZZZ 43638 A Removal of stomach, partial 29.00 11.76 NA 2.24 090 43639 A Removal of stomach, partial 29.65 12.02 NA 2.31 090 43640 A Vagotomy & pylorus repair 17.02 7.54 NA 1.51 090 43641 A Vagotomy & pylorus repair 17.27 7.65 NA 1.53 090 43651 A Laparoscopy, vagus nerve 10.15 4.58 NA 1.03 090 43652 A Laparoscopy, vagus nerve 12.15 5.41 NA 1.25 090 43653 A Laparoscopy, gastrostomy 7.73 4.31 NA 0.78 090 43659 C Laparoscope proc, stom 0.00 0.00 0.00 0.00 YYY 43750 A Place gastrostomy tube 4.49 2.62 NA 0.33 010 43752 B Nasal/orogastric w/stent 0.00 0.00 0.00 0.00 XXX 43760 A Change gastrostomy tube 1.10 0.45 1.43 0.07 000 43761 A Reposition gastrostomy tube 2.01 0.81 NA 0.10 000 43800 A Reconstruction of pylorus 13.69 6.45 NA 1.07 090 43810 A Fusion of stomach and bowel 14.65 6.75 NA 1.10 090 43820 A Fusion of stomach and bowel 15.37 6.97 NA 1.18 090 43825 A Fusion of stomach and bowel 19.22 8.31 NA 1.50 090 43830 A Place gastrostomy tube 9.53 4.94 NA 0.69 090 43831 A Place gastrostomy tube 7.84 4.28 NA 0.81 090 43832 A Place gastrostomy tube 15.60 7.47 NA 1.13 090 43840 A Repair of stomach lesion 15.56 7.02 NA 1.20 090 43842 A Gastroplasty for obesity 18.47 11.14 NA 1.51 090 43843 A Gastroplasty for obesity 18.65 10.77 NA 1.53 090 43846 A Gastric bypass for obesity 24.05 13.28 NA 1.96 090 Start Printed Page 43922 43847 A Gastric bypass for obesity 26.92 15.00 NA 2.14 090 43848 A Revision gastroplasty 29.39 15.96 NA 2.39 090 43850 A Revise stomach-bowel fusion 24.72 10.15 NA 1.97 090 43855 A Revise stomach-bowel fusion 26.16 10.77 NA 2.01 090 43860 A Revise stomach-bowel fusion 25.00 10.32 NA 2.03 090 43865 A Revise stomach-bowel fusion 26.52 10.92 NA 2.15 090 43870 A Repair stomach opening 9.69 5.04 NA 0.71 090 43880 A Repair stomach-bowel fistula 24.65 10.67 NA 1.94 090 43999 C Stomach surgery procedure 0.00 0.00 0.00 0.00 YYY 44005 A Freeing of bowel adhesion 16.23 7.23 NA 1.39 090 44010 A Incision of small bowel 12.52 6.32 NA 1.05 090 44015 A Insert needle cath bowel 2.62 0.91 NA 0.25 ZZZ 44020 A Explore small intestine 13.99 6.41 NA 1.20 090 44021 A Decompress small bowel 14.08 6.85 NA 1.18 090 44025 A Incision of large bowel 14.28 6.51 NA 1.21 090 44050 A Reduce bowel obstruction 14.03 6.43 NA 1.15 090 44055 A Correct malrotation of bowel 22.00 9.23 NA 1.32 090 44100 A Biopsy of bowel 2.01 1.06 NA 0.12 000 44110 A Excise intestine lesion(s) 11.81 5.72 NA 1.00 090 44111 A Excision of bowel lesion(s) 14.29 7.08 NA 1.22 090 44120 A Removal of small intestine 17.00 7.47 NA 1.46 090 44121 A Removal of small intestine 4.45 1.56 NA 0.45 ZZZ 44125 A Removal of small intestine 17.54 7.65 NA 1.49 090 44126 A Enterectomy w/taper, cong 35.50 17.56 NA 0.36 090 44127 A Enterectomy w/o taper, cong 41.00 20.01 NA 0.41 090 44128 A Enterectomy cong, add-on 4.45 1.72 NA 0.45 ZZZ 44130 A Bowel to bowel fusion 14.49 6.59 NA 1.23 090 44132 R Enterectomy, cadaver donor 0.00 0.00 0.00 0.00 XXX 44133 R Enterectomy, live donor 0.00 0.00 0.00 0.00 XXX 44135 R Intestine transplnt, cadaver 0.00 0.00 0.00 0.00 XXX 44136 R Intestine transplant, live 0.00 0.00 0.00 0.00 XXX 44139 A Mobilization of colon 2.23 0.78 NA 0.21 ZZZ 44140 A Partial removal of colon 21.00 9.32 NA 1.83 090 44141 A Partial removal of colon 19.51 11.64 NA 1.95 090 44143 A Partial removal of colon 22.99 12.83 NA 2.02 090 44144 A Partial removal of colon 21.53 11.48 NA 1.89 090 44145 A Partial removal of colon 26.42 11.62 NA 2.22 090 44146 A Partial removal of colon 27.54 14.95 NA 2.20 090 44147 A Partial removal of colon 20.71 9.94 NA 1.74 090 44150 A Removal of colon 23.95 13.76 NA 2.05 090 44151 A Removal of colon/ileostomy 26.88 14.99 NA 1.97 090 44152 A Removal of colon/ileostomy 27.83 16.51 NA 2.36 090 44153 A Removal of colon/ileostomy 30.59 16.36 NA 2.33 090 44155 A Removal of colon/ileostomy 27.86 14.99 NA 2.26 090 44156 A Removal of colon/ileostomy 30.79 16.97 NA 2.19 090 44160 A Removal of colon 18.62 8.45 NA 1.55 090 44200 A Laparoscopy, enterolysis 14.44 6.63 NA 1.46 090 44201 A Laparoscopy, jejunostomy 9.78 5.11 NA 0.97 090 44202 A Lap resect s/intestine singl 22.04 9.63 NA 2.16 090 44203 A Lap resect s/intestine, addl 4.45 1.56 NA 0.45 ZZZ 44204 A Laparo partial colectomy 25.08 10.22 NA 1.83 090 44205 A Lap colectomy part w/ileum 22.23 9.08 NA 1.55 090 44209 C Laparoscope proc, intestine 0.00 0.00 0.00 0.00 YYY 44300 A Open bowel to skin 12.11 6.59 NA 0.88 090 44310 A Ileostomy/jejunostomy 15.95 10.27 NA 1.13 090 44312 A Revision of ileostomy 8.02 5.13 NA 0.54 090 44314 A Revision of ileostomy 15.05 10.27 NA 0.99 090 44316 A Devise bowel pouch 21.09 13.78 NA 1.41 090 44320 A Colostomy 17.64 11.82 NA 1.28 090 44322 A Colostomy with biopsies 11.98 10.08 NA 1.18 090 44340 A Revision of colostomy 7.72 4.70 NA 0.56 090 44345 A Revision of colostomy 15.43 8.17 NA 1.11 090 44346 A Revision of colostomy 16.99 8.68 NA 1.20 090 44360 A Small bowel endoscopy 2.59 1.35 NA 0.14 000 44361 A Small bowel endoscopy/biopsy 2.87 1.45 NA 0.15 000 44363 A Small bowel endoscopy 3.50 1.63 NA 0.19 000 Start Printed Page 43923 44364 A Small bowel endoscopy 3.74 1.75 NA 0.21 000 44365 A Small bowel endoscopy 3.31 1.62 NA 0.18 000 44366 A Small bowel endoscopy 4.41 2.00 NA 0.22 000 44369 A Small bowel endoscopy 4.52 2.00 NA 0.23 000 44370 A Small bowel endoscopy/stent 4.80 1.72 1.72 0.21 000 44372 A Small bowel endoscopy 4.41 2.00 NA 0.27 000 44373 A Small bowel endoscopy 3.50 1.72 NA 0.19 000 44376 A Small bowel endoscopy 5.26 2.29 NA 0.29 000 44377 A Small bowel endoscopy/biopsy 5.53 2.41 NA 0.28 000 44378 A Small bowel endoscopy 7.13 2.98 NA 0.37 000 44379 A S bowel endoscope w/stent 7.47 2.63 2.63 0.38 000 44380 A Small bowel endoscopy 1.05 0.77 NA 0.08 000 44382 A Small bowel endoscopy 1.27 0.86 NA 0.09 000 44383 A Ileoscopy w/stent 3.26 1.13 1.13 0.13 000 44385 A Endoscopy of bowel pouch 1.82 0.94 4.84 0.12 000 44386 A Endoscopy, bowel pouch/biop 2.12 1.08 6.12 0.15 000 44388 A Colon endoscopy 2.82 1.37 6.45 0.18 000 44389 A Colonoscopy with biopsy 3.13 1.51 7.16 0.18 000 44390 A Colonoscopy for foreign body 3.83 1.72 6.97 0.22 000 44391 A Colonoscopy for bleeding 4.32 1.73 5.95 0.23 000 44392 A Colonoscopy & polypectomy 3.82 1.73 7.43 0.23 000 44393 A Colonoscopy, lesion removal 4.84 2.11 7.66 0.27 000 44394 A Colonoscopy w/snare 4.43 1.97 7.90 0.26 000 44397 A Colonoscopy w stent 4.71 2.04 NA 0.28 000 44500 A Intro, gastrointestinal tube 0.49 0.37 NA 0.02 000 44602 A Suture, small intestine 16.03 7.14 NA 1.07 090 44603 A Suture, small intestine 18.66 8.05 NA 1.39 090 44604 A Suture, large intestine 16.03 7.13 NA 1.42 090 44605 A Repair of bowel lesion 19.53 8.75 NA 1.54 090 44615 A Intestinal stricturoplasty 15.93 7.13 NA 1.39 090 44620 A Repair bowel opening 12.20 5.73 NA 1.05 090 44625 A Repair bowel opening 15.05 6.72 NA 1.30 090 44626 A Repair bowel opening 25.36 10.29 NA 2.19 090 44640 A Repair bowel-skin fistula 21.65 9.46 NA 1.46 090 44650 A Repair bowel fistula 22.57 9.77 NA 1.49 090 44660 A Repair bowel-bladder fistula 21.36 9.27 NA 1.14 090 44661 A Repair bowel-bladder fistula 24.81 10.46 NA 1.53 090 44680 A Surgical revision, intestine 15.40 7.29 NA 1.37 090 44700 A Suspend bowel w/prosthesis 16.11 7.57 NA 1.21 090 44799 C Intestine surgery procedure 0.00 0.00 0.00 0.00 YYY 44800 A Excision of bowel pouch 11.23 5.46 NA 1.11 090 44820 A Excision of mesentery lesion 12.09 5.81 NA 1.03 090 44850 A Repair of mesentery 10.74 5.37 NA 0.99 090 44899 C Bowel surgery procedure 0.00 0.00 0.00 0.00 YYY 44900 A Drain app abscess, open 10.14 5.82 NA 0.84 090 44901 A Drain app abscess, percut 3.38 4.43 NA 0.17 000 44950 A Appendectomy 10.00 5.19 NA 0.88 090 44955 A Appendectomy add-on 1.53 0.55 NA 0.16 ZZZ 44960 A Appendectomy 12.34 6.34 NA 1.09 090 44970 A Laparoscopy, appendectomy 8.70 4.12 NA 0.88 090 44979 C Laparoscope proc, app 0.00 0.00 0.00 0.00 YYY 45000 A Drainage of pelvic abscess 4.52 3.84 NA 0.37 090 45005 A Drainage of rectal abscess 1.99 1.56 4.57 0.18 010 45020 A Drainage of rectal abscess 4.72 3.82 NA 0.41 090 45100 A Biopsy of rectum 3.68 2.04 4.82 0.33 090 45108 A Removal of anorectal lesion 4.76 2.96 6.23 0.46 090 45110 A Removal of rectum 28.00 12.91 NA 2.26 090 45111 A Partial removal of rectum 16.48 8.59 NA 1.60 090 45112 A Removal of rectum 30.54 13.34 NA 2.35 090 45113 A Partial proctectomy 30.58 12.80 NA 2.13 090 45114 A Partial removal of rectum 27.32 12.22 NA 2.28 090 45116 A Partial removal of rectum 24.58 11.02 NA 2.00 090 45119 A Remove rectum w/reservoir 30.84 13.02 NA 2.13 090 45120 A Removal of rectum 24.60 11.33 NA 2.28 090 45121 A Removal of rectum and colon 27.04 12.49 NA 2.66 090 45123 A Partial proctectomy 16.71 7.82 NA 1.04 090 Start Printed Page 43924 45126 A Pelvic exenteration 45.16 19.67 NA 3.23 090 45130 A Excision of rectal prolapse 16.44 7.59 NA 1.12 090 45135 A Excision of rectal prolapse 19.28 8.98 NA 1.52 090 45136 A Excise ileoanal reservoir 27.30 12.34 NA 2.19 090 45150 A Excision of rectal stricture 5.67 3.09 5.38 0.46 090 45160 A Excision of rectal lesion 15.32 7.00 NA 1.07 090 45170 A Excision of rectal lesion 11.49 5.74 NA 0.89 090 45190 A Destruction, rectal tumor 9.74 5.13 NA 0.76 090 45300 A Proctosigmoidoscopy dx 0.38 0.22 1.33 0.05 000 45303 A Proctosigmoidoscopy dilate 0.44 0.26 1.57 0.06 000 45305 A Protosigmoidoscopy w/bx 1.01 0.44 1.59 0.09 000 45307 A Protosigmoidoscopy fb 0.94 0.42 2.50 0.15 000 45308 A Protosigmoidoscopy removal 0.83 0.38 1.55 0.13 000 45309 A Protosigmoidoscopy removal 2.01 0.79 2.40 0.17 000 45315 A Protosigmoidoscopy removal 1.40 0.58 2.58 0.20 000 45317 A Protosigmoidoscopy bleed 1.50 0.61 1.87 0.20 000 45320 A Protosigmoidoscopy ablate 1.58 0.65 1.82 0.20 000 45321 A Protosigmoidoscopy volvul 1.17 0.51 NA 0.17 000 45327 A Proctosigmoidoscopy w/stent 1.65 0.87 NA 0.10 000 45330 A Diagnostic sigmoidoscopy 0.96 0.51 1.82 0.05 000 45331 A Sigmoidoscopy and biopsy 1.15 0.52 2.23 0.07 000 45332 A Sigmoidoscopy w/fb removal 1.79 0.74 3.91 0.11 000 45333 A Sigmoidoscopy & polypectomy 1.79 0.74 3.57 0.12 000 45334 A Sigmoidoscopy for bleeding 2.73 1.09 NA 0.16 000 45337 A Sigmoidoscopy & decompress 2.36 0.95 NA 0.15 000 45338 A Sigmoidoscpy w/tumr remove 2.34 0.94 4.29 0.15 000 45339 A Sigmoidoscopy w/ablate tumr 3.14 1.23 3.34 0.17 000 45341 A Sigmoidoscopy w/ultrasound 2.60 1.36 NA 0.20 000 45342 A Sigmoidoscopy w/us guide bx 4.06 1.79 NA 0.23 000 45345 A Sigmodoscopy w/stent 2.92 1.39 NA 0.15 000 45355 A Surgical colonoscopy 3.52 1.24 NA 0.26 000 45378 A Diagnostic colonoscopy 3.70 1.71 7.97 0.20 000 45378 53 A Diagnostic colonoscopy 0.96 0.51 1.82 0.05 000 45379 A Colonoscopy w/fb removal 4.69 2.07 8.18 0.25 000 45380 A Colonoscopy and biopsy 4.44 1.99 8.40 0.21 000 45382 A Colonoscopy/control bleeding 5.69 2.23 9.67 0.27 000 45383 A Lesion removal colonoscopy 5.87 2.48 9.28 0.32 000 45384 A Lesion remove colonoscopy 4.70 2.08 9.02 0.24 000 45385 A Lesion removal colonoscopy 5.31 2.30 9.20 0.28 000 45387 A Colonoscopy w/stent 5.91 2.50 NA 0.33 000 45500 A Repair of rectum 7.29 4.13 NA 0.56 090 45505 A Repair of rectum 7.58 3.69 NA 0.50 090 45520 A Treatment of rectal prolapse 0.55 0.19 0.76 0.04 000 45540 A Correct rectal prolapse 16.27 7.91 NA 1.17 090 45541 A Correct rectal prolapse 13.40 6.79 NA 0.88 090 45550 A Repair rectum/remove sigmoid 23.00 10.17 NA 1.58 090 45560 A Repair of rectocele 10.58 5.96 NA 0.73 090 45562 A Exploration/repair of rectum 15.38 7.31 NA 1.15 090 45563 A Exploration/repair of rectum 23.47 10.99 NA 1.84 090 45800 A Repair rect/bladder fistula 17.77 7.98 NA 1.14 090 45805 A Repair fistula w/colostomy 20.78 10.00 NA 1.47 090 45820 A Repair rectourethral fistula 18.48 8.22 NA 1.17 090 45825 A Repair fistula w/colostomy 21.25 10.30 NA 0.97 090 45900 A Reduction of rectal prolapse 2.61 1.02 NA 0.17 010 45905 A Dilation of anal sphincter 2.30 0.93 11.95 0.14 010 45910 A Dilation of rectal narrowing 2.80 1.12 16.25 0.14 010 45915 A Remove rectal obstruction 3.14 1.11 4.72 0.17 010 45999 C Rectum surgery procedure 0.00 0.00 0.00 0.00 YYY 46020 A Placement of seton 2.90 2.32 3.04 0.22 010 46030 A Removal of rectal marker 1.23 1.19 2.99 0.11 010 46040 A Incision of rectal abscess 4.96 3.04 5.35 0.48 090 46045 A Incision of rectal abscess 4.32 2.76 NA 0.40 090 46050 A Incision of anal abscess 1.19 1.32 3.55 0.11 010 46060 A Incision of rectal abscess 5.69 3.69 NA 0.52 090 46070 A Incision of anal septum 2.71 2.36 NA 0.27 090 46080 A Incision of anal sphincter 2.49 1.60 3.63 0.23 010 Start Printed Page 43925 46083 A Incise external hemorrhoid 1.40 1.52 4.66 0.12 010 46200 A Removal of anal fissure 3.42 2.33 3.91 0.30 090 46210 A Removal of anal crypt 2.67 2.16 5.04 0.26 090 46211 A Removal of anal crypts 4.25 2.84 5.24 0.37 090 46220 A Removal of anal tab 1.56 0.54 1.27 0.14 010 46221 A Ligation of hemorrhoid(s) 2.04 1.07 1.71 0.12 010 46230 A Removal of anal tabs 2.57 1.65 4.27 0.22 010 46250 A Hemorrhoidectomy 3.89 2.64 5.33 0.43 090 46255 A Hemorrhoidectomy 4.60 2.85 6.01 0.51 090 46257 A Remove hemorrhoids & fissure 5.40 3.05 NA 0.59 090 46258 A Remove hemorrhoids & fistula 5.73 3.19 NA 0.64 090 46260 A Hemorrhoidectomy 6.37 3.90 NA 0.68 090 46261 A Remove hemorrhoids & fissure 7.08 4.03 NA 0.70 090 46262 A Remove hemorrhoids & fistula 7.50 4.24 NA 0.76 090 46270 A Removal of anal fistula 3.72 2.55 5.00 0.36 090 46275 A Removal of anal fistula 4.56 2.74 4.76 0.40 090 46280 A Removal of anal fistula 5.98 3.68 NA 0.50 090 46285 A Removal of anal fistula 4.09 2.58 4.11 0.34 090 46288 A Repair anal fistula 7.13 4.16 NA 0.60 090 46320 A Removal of hemorrhoid clot 1.61 1.54 3.88 0.14 010 46500 A Injection into hemorrhoid(s) 1.61 0.57 2.79 0.12 010 46600 A Diagnostic anoscopy 0.50 0.15 0.79 0.04 000 46604 A Anoscopy and dilation 1.31 0.46 0.96 0.09 000 46606 A Anoscopy and biopsy 0.81 0.28 0.86 0.07 000 46608 A Anoscopy/ remove for body 1.51 0.47 1.83 0.13 000 46610 A Anoscopy/remove lesion 1.32 0.47 1.46 0.12 000 46611 A Anoscopy 1.81 0.63 1.99 0.15 000 46612 A Anoscopy/ remove lesions 2.34 0.83 2.46 0.18 000 46614 A Anoscopy/control bleeding 2.01 0.69 1.81 0.14 000 46615 A Anoscopy 2.68 0.94 1.73 0.23 000 46700 A Repair of anal stricture 9.13 4.63 NA 0.56 090 46705 A Repair of anal stricture 6.90 4.17 NA 0.73 090 46715 A Repair of anovaginal fistula 7.20 4.28 NA 0.76 090 46716 A Repair of anovaginal fistula 15.07 7.34 NA 1.30 090 46730 A Construction of absent anus 26.75 11.99 NA 2.03 090 46735 A Construction of absent anus 32.17 14.02 NA 2.64 090 46740 A Construction of absent anus 30.00 12.84 NA 1.99 090 46742 A Repair of imperforated anus 35.80 17.81 NA 2.63 090 46744 A Repair of cloacal anomaly 52.63 21.91 NA 2.27 090 46746 A Repair of cloacal anomaly 58.22 26.99 NA 2.51 090 46748 A Repair of cloacal anomaly 64.21 27.32 NA 2.77 090 46750 A Repair of anal sphincter 10.25 5.66 NA 0.69 090 46751 A Repair of anal sphincter 8.77 6.01 NA 0.78 090 46753 A Reconstruction of anus 8.29 4.00 NA 0.58 090 46754 A Removal of suture from anus 2.20 1.36 5.33 0.12 010 46760 A Repair of anal sphincter 14.43 7.06 NA 0.86 090 46761 A Repair of anal sphincter 13.84 6.58 NA 0.84 090 46762 A Implant artificial sphincter 12.71 5.77 NA 0.71 090 46900 A Destruction, anal lesion(s) 1.91 0.74 3.48 0.13 010 46910 A Destruction, anal lesion(s) 1.86 1.45 3.64 0.14 010 46916 A Cryosurgery, anal lesion(s) 1.86 1.58 3.28 0.09 010 46917 A Laser surgery, anal lesions 1.86 1.53 4.72 0.16 010 46922 A Excision of anal lesion(s) 1.86 1.43 3.86 0.17 010 46924 A Destruction, anal lesion(s) 2.76 1.69 4.94 0.20 010 46934 A Destruction of hemorrhoids 3.51 3.57 6.27 0.26 090 46935 A Destruction of hemorrhoids 2.43 0.85 4.27 0.17 010 46936 A Destruction of hemorrhoids 3.69 3.40 5.95 0.30 090 46937 A Cryotherapy of rectal lesion 2.69 1.76 3.99 0.12 010 46938 A Cryotherapy of rectal lesion 4.66 3.24 4.96 0.40 090 46940 A Treatment of anal fissure 2.32 0.80 3.21 0.17 010 46942 A Treatment of anal fissure 2.04 0.69 2.95 0.14 010 46945 A Ligation of hemorrhoids 1.84 2.14 3.98 0.17 090 46946 A Ligation of hemorrhoids 2.58 2.43 5.00 0.22 090 46999 C Anus surgery procedure 0.00 0.00 0.00 0.00 YYY 47000 A Needle biopsy of liver 1.90 0.65 8.60 0.09 000 47001 A Needle biopsy, liver add-on 1.90 0.66 NA 0.18 ZZZ Start Printed Page 43926 47010 A Open drainage, liver lesion 16.01 9.66 NA 0.65 090 47011 A Percut drain, liver lesion 3.70 4.43 NA 0.17 000 47015 A Inject/aspirate liver cyst 15.11 7.94 NA 0.86 090 47100 A Wedge biopsy of liver 11.67 6.33 NA 0.75 090 47120 A Partial removal of liver 35.50 16.59 NA 2.29 090 47122 A Extensive removal of liver 55.13 23.47 NA 3.60 090 47125 A Partial removal of liver 49.19 21.48 NA 3.18 090 47130 A Partial removal of liver 53.35 22.88 NA 3.47 090 47133 X Removal of donor liver 0.00 0.00 0.00 0.00 XXX 47134 R Partial removal, donor liver 39.15 13.56 NA 3.98 XXX 47135 R Transplantation of liver 81.52 42.51 NA 8.13 090 47136 R Transplantation of liver 68.60 45.98 NA 6.93 090 47300 A Surgery for liver lesion 15.08 7.59 NA 0.97 090 47350 A Repair liver wound 19.56 9.24 NA 1.25 090 47360 A Repair liver wound 26.92 12.54 NA 1.71 090 47361 A Repair liver wound 47.12 19.12 NA 3.11 090 47362 A Repair liver wound 18.51 9.54 NA 1.22 090 47370 A Laparo ablate liver tumor rf 18.00 6.96 6.96 0.85 090 47371 A Laparo ablate liver cryosug 16.94 6.55 6.55 0.85 090 47379 C Laparoscope procedure, liver 0.00 0.00 0.00 0.00 YYY 47380 A Open ablate liver tumor rf 21.25 8.21 8.21 0.85 090 47381 A Open ablate liver tumor cryo 21.00 8.12 8.12 0.85 090 47382 A Percut ablate liver rf 12.00 5.22 NA 0.85 010 47399 C Liver surgery procedure 0.00 0.00 0.00 0.00 YYY 47400 A Incision of liver duct 32.49 14.60 NA 1.82 090 47420 A Incision of bile duct 19.88 9.18 NA 1.70 090 47425 A Incision of bile duct 19.83 9.25 NA 1.60 090 47460 A Incise bile duct sphincter 18.04 8.99 NA 1.24 090 47480 A Incision of gallbladder 10.82 6.60 NA 0.85 090 47490 A Incision of gallbladder 7.23 7.67 NA 0.33 090 47500 A Injection for liver x-rays 1.96 0.66 NA 0.09 000 47505 A Injection for liver x-rays 0.76 0.26 2.68 0.03 000 47510 A Insert catheter, bile duct 7.83 9.40 NA 0.36 090 47511 A Insert bile duct drain 10.50 10.55 NA 0.47 090 47525 A Change bile duct catheter 5.55 3.31 NA 0.24 010 47530 A Revise/reinsert bile tube 5.85 5.00 NA 0.29 090 47550 A Bile duct endoscopy add-on 3.02 1.05 NA 0.30 ZZZ 47552 A Biliary endoscopy thru skin 6.04 2.45 NA 0.42 000 47553 A Biliary endoscopy thru skin 6.35 2.65 NA 0.30 000 47554 A Biliary endoscopy thru skin 9.06 3.45 NA 0.74 000 47555 A Biliary endoscopy thru skin 7.56 3.08 NA 0.35 000 47556 A Biliary endoscopy thru skin 8.56 3.42 NA 0.38 000 47560 A Laparoscopy w/cholangio 4.89 1.83 NA 0.49 000 47561 A Laparo w/cholangio/biopsy 5.18 2.15 NA 0.49 000 47562 A Laparoscopic cholecystectomy 11.09 5.03 NA 1.13 090 47563 A Laparo cholecystectomy/graph 11.94 5.32 NA 1.21 090 47564 A Laparo cholecystectomy/explr 14.23 6.11 NA 1.44 090 47570 A Laparo cholecystoenterostomy 12.58 5.56 NA 1.28 090 47579 C Laparoscope proc, biliary 0.00 0.00 0.00 0.00 YYY 47600 A Removal of gallbladder 13.58 6.70 NA 1.16 090 47605 A Removal of gallbladder 14.69 7.06 NA 1.25 090 47610 A Removal of gallbladder 18.82 8.61 NA 1.61 090 47612 A Removal of gallbladder 18.78 8.49 NA 1.60 090 47620 A Removal of gallbladder 20.64 9.15 NA 1.77 090 47630 A Remove bile duct stone 9.11 3.10 NA 0.46 090 47700 A Exploration of bile ducts 15.62 8.50 NA 1.40 090 47701 A Bile duct revision 27.81 12.93 NA 3.00 090 47711 A Excision of bile duct tumor 23.03 11.02 NA 1.98 090 47712 A Excision of bile duct tumor 30.24 13.68 NA 2.67 090 47715 A Excision of bile duct cyst 18.80 8.90 NA 1.59 090 47716 A Fusion of bile duct cyst 16.44 8.01 NA 1.41 090 47720 A Fuse gallbladder & bowel 15.91 8.51 NA 1.37 090 47721 A Fuse upper gi structures 19.12 9.66 NA 1.63 090 47740 A Fuse gallbladder & bowel 18.48 9.44 NA 1.59 090 47741 A Fuse gallbladder & bowel 21.34 10.43 NA 1.82 090 47760 A Fuse bile ducts and bowel 25.85 11.95 NA 2.21 090 Start Printed Page 43927 47765 A Fuse liver ducts & bowel 24.88 12.51 NA 2.18 090 47780 A Fuse bile ducts and bowel 26.50 12.20 NA 2.27 090 47785 A Fuse bile ducts and bowel 31.18 14.52 NA 2.69 090 47800 A Reconstruction of bile ducts 23.30 11.13 NA 1.95 090 47801 A Placement, bile duct support 15.17 10.14 NA 0.69 090 47802 A Fuse liver duct & intestine 21.55 11.18 NA 1.84 090 47900 A Suture bile duct injury 19.90 9.97 NA 1.65 090 47999 C Bile tract surgery procedure 0.00 0.00 0.00 0.00 YYY 48000 A Drainage of abdomen 28.07 12.48 NA 1.32 090 48001 A Placement of drain, pancreas 35.45 14.75 NA 1.90 090 48005 A Resect/debride pancreas 42.17 17.00 NA 2.26 090 48020 A Removal of pancreatic stone 15.70 7.43 NA 1.36 090 48100 A Biopsy of pancreas, open 12.23 6.85 NA 1.08 090 48102 A Needle biopsy, pancreas 4.68 2.42 9.14 0.20 010 48120 A Removal of pancreas lesion 15.85 7.39 NA 1.35 090 48140 A Partial removal of pancreas 22.94 10.51 NA 2.12 090 48145 A Partial removal of pancreas 24.02 11.23 NA 2.25 090 48146 A Pancreatectomy 26.40 13.36 NA 2.43 090 48148 A Removal of pancreatic duct 17.34 9.00 NA 1.61 090 48150 A Partial removal of pancreas 48.00 21.41 NA 4.43 090 48152 A Pancreatectomy 43.75 20.45 NA 4.07 090 48153 A Pancreatectomy 47.89 21.63 NA 4.40 090 48154 A Pancreatectomy 44.10 20.38 NA 4.10 090 48155 A Removal of pancreas 24.64 13.60 NA 2.30 090 48160 N Pancreas removal/transplant 0.00 0.00 0.00 0.00 XXX 48180 A Fuse pancreas and bowel 24.72 10.89 NA 2.24 090 48400 A Injection, intraop add-on 1.95 0.67 NA 0.10 ZZZ 48500 A Surgery of pancreatic cyst 15.28 7.28 NA 1.35 090 48510 A Drain pancreatic pseudocyst 14.31 7.49 NA 1.07 090 48511 A Drain pancreatic pseudocyst 4.00 3.71 NA 0.17 000 48520 A Fuse pancreas cyst and bowel 15.59 7.23 NA 1.41 090 48540 A Fuse pancreas cyst and bowel 19.72 8.63 NA 1.82 090 48545 A Pancreatorrhaphy 18.18 8.71 NA 1.61 090 48547 A Duodenal exclusion 25.83 10.77 NA 2.30 090 48550 X Donor pancreatectomy 0.00 0.00 0.00 0.00 XXX 48554 R Transpl allograft pancreas 34.17 11.94 NA 3.30 090 48556 A Removal, allograft pancreas 15.71 8.46 NA 1.52 090 48999 C Pancreas surgery procedure 0.00 0.00 0.00 0.00 YYY 49000 A Exploration of abdomen 11.68 6.07 NA 1.17 090 49002 A Reopening of abdomen 10.49 5.96 NA 1.06 090 49010 A Exploration behind abdomen 12.28 6.93 NA 1.22 090 49020 A Drain abdominal abscess 22.84 11.43 NA 1.31 090 49021 A Drain abdominal abscess 3.38 5.31 NA 0.16 000 49040 A Drain, open, abdom abscess 13.52 8.15 NA 0.84 090 49041 A Drain, percut, abdom abscess 4.00 5.59 NA 0.18 000 49060 A Drain, open, retrop abscess 15.86 9.57 NA 0.77 090 49061 A Drain, percut, retroper absc 3.70 5.64 NA 0.17 000 49062 A Drain to peritoneal cavity 11.36 7.04 NA 1.08 090 49080 A Puncture, peritoneal cavity 1.35 0.47 4.45 0.07 000 49081 A Removal of abdominal fluid 1.26 0.58 3.10 0.06 000 49085 A Remove abdomen foreign body 12.14 6.44 NA 0.88 090 49180 A Biopsy, abdominal mass 1.73 0.59 8.56 0.08 000 49200 A Removal of abdominal lesion 10.25 6.32 NA 0.89 090 49201 A Removal of abdominal lesion 14.84 8.63 NA 1.44 090 49215 A Excise sacral spine tumor 33.50 14.71 NA 2.48 090 49220 A Multiple surgery, abdomen 14.88 7.65 NA 1.51 090 49250 A Excision of umbilicus 8.35 5.09 NA 0.84 090 49255 A Removal of omentum 11.14 6.50 NA 1.12 090 49320 A Diag laparo separate proc 5.10 3.00 NA 0.50 010 49321 A Laparoscopy, biopsy 5.40 3.03 NA 0.53 010 49322 A Laparoscopy, aspiration 5.70 3.46 NA 0.57 010 49323 A Laparo drain lymphocele 9.48 4.15 NA 0.88 090 49329 C Laparo proc, abdm/per/oment 0.00 0.00 0.00 0.00 YYY 49400 A Air injection into abdomen 1.88 0.80 NA 0.11 000 49420 A Insert abdominal drain 2.22 0.96 NA 0.13 000 49421 A Insert abdominal drain 5.54 3.96 NA 0.55 090 Start Printed Page 43928 49422 A Remove perm cannula/catheter 6.25 2.91 NA 0.63 010 49423 A Exchange drainage catheter 1.46 0.68 NA 0.07 000 49424 A Assess cyst, contrast inject 0.76 0.45 NA 0.03 000 49425 A Insert abdomen-venous drain 11.37 6.62 NA 1.21 090 49426 A Revise abdomen-venous shunt 9.63 5.86 NA 0.93 090 49427 A Injection, abdominal shunt 0.89 0.49 NA 0.05 000 49428 A Ligation of shunt 6.06 3.14 NA 0.31 010 49429 A Removal of shunt 7.40 3.43 NA 0.81 010 49491 A Repairing hern premie reduc 11.13 5.44 NA 1.00 090 49492 A Rpr ing hern premie, blocked 14.03 6.38 NA 1.42 090 49495 A Rpr ing hernia baby, reduc 5.89 3.56 NA 0.55 090 49496 A Rpr ing hernia baby, blocked 8.79 6.15 NA 0.89 090 49500 A Rpr ing hernia, init, reduce 5.48 3.36 NA 0.46 090 49501 A Rpr ing hernia, init blocked 8.88 4.47 NA 0.76 090 49505 A Rpr i/hern init reduc>5 yr 7.60 4.03 4.50 0.65 090 49507 A Rpr i/hern init block>5 yr 9.57 6.03 NA 0.83 090 49520 A Rerepair ing hernia, reduce 9.63 5.37 NA 0.84 090 49521 A Rerepair ing hernia, blocked 11.97 5.70 NA 1.04 090 49525 A Repair ing hernia, sliding 8.57 4.85 NA 0.74 090 49540 A Repair lumbar hernia 10.39 5.56 NA 0.90 090 49550 A Rpr fem hernia, init, reduce 8.63 4.43 NA 0.75 090 49553 A Rpr fem hernia, init blocked 9.44 4.85 NA 0.83 090 49555 A Rerepair fem hernia, reduce 9.03 5.18 NA 0.79 090 49557 A Rerepair fem hernia, blocked 11.15 5.43 NA 0.97 090 49560 A Rpr ventral hern init, reduc 11.57 5.98 NA 1.00 090 49561 A Rpr ventral hern init, block 14.25 6.55 NA 1.23 090 49565 A Rerepair ventrl hern, reduce 11.57 6.14 NA 1.00 090 49566 A Rerepair ventrl hern, block 14.40 6.62 NA 1.24 090 49568 A Hernia repair w/mesh 4.89 1.71 NA 0.50 ZZZ 49570 A Rpr epigastric hern, reduce 5.69 3.45 NA 0.50 090 49572 A Rpr epigastric hern, blocked 6.73 3.93 NA 0.58 090 49580 A Rpr umbil hern, reduc <5 yr 4.11 2.98 NA 0.34 090 49582 A Rpr umbil hern, block < 5 yr 6.65 4.85 NA 0.57 090 49585 A Rpr umbil hern, reduc > 5 yr 6.23 4.06 NA 0.53 090 49587 A Rpr umbil hern, block > 5 yr 7.56 4.17 NA 0.65 090 49590 A Repair spigelian hernia 8.54 4.87 NA 0.74 090 49600 A Repair umbilical lesion 10.96 6.09 NA 1.13 090 49605 A Repair umbilical lesion 76.00 29.96 NA 2.57 090 49606 A Repair umbilical lesion 18.60 9.06 NA 2.22 090 49610 A Repair umbilical lesion 10.50 6.85 NA 0.77 090 49611 A Repair umbilical lesion 8.92 6.43 NA 0.65 090 49650 A Laparo hernia repair initial 6.27 3.26 NA 0.64 090 49651 A Laparo hernia repair recur 8.24 4.32 NA 0.84 090 49659 C Laparo proc, hernia repair 0.00 0.00 0.00 0.00 YYY 49900 A Repair of abdominal wall 12.28 6.64 NA 1.23 090 49905 A Omental flap 6.55 2.35 NA 0.61 ZZZ 49906 C Free omental flap, microvasc 0.00 0.00 0.00 0.00 090 49999 C Abdomen surgery procedure 0.00 0.00 0.00 0.00 YYY 50010 A Exploration of kidney 10.98 6.94 NA 0.79 090 50020 A Renal abscess, open drain 14.66 13.99 NA 0.80 090 50021 A Renal abscess, percut drain 3.38 10.10 NA 0.15 000 50040 A Drainage of kidney 14.94 11.72 NA 0.82 090 50045 A Exploration of kidney 15.46 8.34 NA 1.06 090 50060 A Removal of kidney stone 19.30 9.74 NA 1.14 090 50065 A Incision of kidney 20.79 7.87 NA 1.13 090 50070 A Incision of kidney 20.32 10.14 NA 1.20 090 50075 A Removal of kidney stone 25.34 12.28 NA 1.51 90 50080 A Removal of kidney stone 14.71 10.81 NA 0.86 90 50081 A Removal of kidney stone 21.80 12.93 NA 1.30 90 50100 A Revise kidney blood vessels 16.09 9.79 NA 1.64 90 50120 A Exploration of kidney 15.91 8.66 NA 1.04 90 50125 A Explore and drain kidney 16.52 8.76 NA 1.07 90 50130 A Removal of kidney stone 17.29 9.00 NA 1.04 90 50135 A Exploration of kidney 19.18 9.65 NA 1.18 90 50200 A Biopsy of kidney 2.63 0.93 NA 0.12 000 50205 A Biopsy of kidney 11.31 6.41 NA 0.94 090 Start Printed Page 43929 50220 A Remove kidney, open 17.15 9.07 NA 1.16 090 50225 A Removal kidney open, complex 20.23 10.03 NA 1.26 090 50230 A Removal kidney open, radical 22.07 10.63 NA 1.35 090 50234 A Removal of kidney & ureter 22.40 10.73 NA 1.37 090 50236 A Removal of kidney & ureter 24.86 13.88 NA 1.50 090 50240 A Partial removal of kidney 22.00 13.00 NA 1.36 090 50280 A Removal of kidney lesion 15.67 8.51 NA 0.99 090 50290 A Removal of kidney lesion 14.73 8.12 NA 1.11 090 50300 X Removal of donor kidney 0.00 0.00 0.00 0.00 XXX 50320 A Removal of donor kidney 22.21 10.50 NA 1.78 090 50340 A Removal of kidney 12.15 9.21 NA 1.15 090 50360 A Transplantation of kidney 31.53 17.47 NA 2.97 090 50365 A Transplantation of kidney 36.81 20.98 NA 3.51 090 50370 A Remove transplanted kidney 13.72 9.73 NA 1.26 090 50380 A Reimplantation of kidney 20.76 13.71 NA 1.80 090 50390 A Drainage of kidney lesion 1.96 0.66 NA 0.09 000 50392 A Insert kidney drain 3.38 1.14 NA 0.15 000 50393 A Insert ureteral tube 4.16 1.40 NA 0.18 000 50394 A Injection for kidney x-ray 0.76 0.26 2.56 0.04 000 50395 A Create passage to kidney 3.38 1.14 NA 0.16 000 50396 A Measure kidney pressure 2.09 0.88 NA 0.10 000 50398 A Change kidney tube 1.46 0.49 1.16 0.07 000 50400 A Revision of kidney/ureter 19.50 9.78 NA 1.21 090 50405 A Revision of kidney/ureter 23.93 12.43 NA 1.45 090 50500 A Repair of kidney wound 19.57 11.28 NA 1.45 090 50520 A Close kidney-skin fistula 17.23 10.89 NA 1.26 090 50525 A Repair renal-abdomen fistula 22.27 12.57 NA 1.51 090 50526 A Repair renal-abdomen fistula 24.02 13.52 NA 1.62 090 50540 A Revision of horseshoe kidney 19.93 10.21 NA 1.28 090 50541 A Laparo ablate renal cyst 16.00 6.62 NA 0.99 090 50544 A Laparoscopy, pyeloplasty 22.40 8.78 NA 1.41 090 50545 A Laparo radical nephrectomy 24.00 9.38 NA 1.53 090 50546 A Laparoscopic nephrectomy 20.48 8.20 NA 1.37 090 50547 A Laparo removal donor kidney 25.50 10.89 NA 2.04 090 50548 A Laparo remove k/ureter 24.40 9.43 NA 1.49 090 50549 C Laparoscope proc, renal 0.00 0.00 0.00 0.00 YYY 50551 A Kidney endoscopy 5.60 1.84 4.78 0.33 000 50553 A Kidney endoscopy 5.99 2.01 18.21 0.35 000 50555 A Kidney endoscopy & biopsy 6.53 2.17 18.94 0.38 000 50557 A Kidney endoscopy & treatment 6.62 2.18 19.70 0.39 000 50559 A Renal endoscopy/radiotracer 6.78 2.39 NA 0.27 000 50561 A Kidney endoscopy & treatment 7.59 2.51 17.36 0.44 000 50570 A Kidney endoscopy 9.54 3.14 NA 0.56 000 50572 A Kidney endoscopy 10.35 3.43 NA 0.64 000 50574 A Kidney endoscopy & biopsy 11.02 3.66 NA 0.65 000 50575 A Kidney endoscopy 13.98 4.60 NA 0.84 000 50576 A Kidney endoscopy & treatment 10.99 3.61 NA 0.66 000 50578 A Renal endoscopy/radiotracer 11.35 3.80 NA 0.67 000 50580 A Kidney endoscopy & treatment 11.86 3.91 NA 0.70 000 50590 A Fragmenting of kidney stone 9.09 5.18 10.34 0.54 090 50600 A Exploration of ureter 15.84 8.68 NA 0.99 090 50605 A Insert ureteral support 15.46 8.69 NA 1.13 090 50610 A Removal of ureter stone 15.92 8.92 NA 1.08 090 50620 A Removal of ureter stone 15.16 8.28 NA 0.91 090 50630 A Removal of ureter stone 14.94 8.23 NA 0.90 090 50650 A Removal of ureter 17.41 9.44 NA 1.07 090 50660 A Removal of ureter 19.55 10.16 NA 1.19 090 50684 A Injection for ureter x-ray 0.76 0.25 14.87 0.04 000 50686 A Measure ureter pressure 1.51 0.67 5.02 0.09 000 50688 A Change of ureter tube 1.17 1.75 NA 0.06 010 50690 A Injection for ureter x-ray 1.16 0.39 15.23 0.06 000 50700 A Revision of ureter 15.21 9.16 NA 0.86 090 50715 A Release of ureter 18.90 12.01 NA 1.68 090 50722 A Release of ureter 16.35 9.79 NA 1.41 090 50725 A Release/revise ureter 18.49 10.35 NA 1.44 090 50727 A Revise ureter 8.18 6.48 NA 0.51 090 Start Printed Page 43930 50728 A Revise ureter 12.02 8.04 NA 0.88 090 50740 A Fusion of ureter & kidney 18.42 9.43 NA 1.49 090 50750 A Fusion of ureter & kidney 19.51 10.22 NA 1.24 090 50760 A Fusion of ureters 18.42 9.85 NA 1.25 090 50770 A Splicing of ureters 19.51 10.15 NA 1.25 090 50780 A Reimplant ureter in bladder 18.36 9.76 NA 1.20 090 50782 A Reimplant ureter in bladder 19.54 11.19 NA 1.13 090 50783 A Reimplant ureter in bladder 20.55 10.83 NA 1.35 090 50785 A Reimplant ureter in bladder 20.52 10.53 NA 1.30 090 50800 A Implant ureter in bowel 14.52 9.66 NA 0.92 090 50810 A Fusion of ureter & bowel 20.05 12.42 NA 1.78 090 50815 A Urine shunt to intestine 19.93 11.56 NA 1.31 090 50820 A Construct bowel bladder 21.89 11.84 NA 1.38 090 50825 A Construct bowel bladder 28.18 14.82 NA 1.81 090 50830 A Revise urine flow 31.28 15.47 NA 2.20 090 50840 A Replace ureter by bowel 20.00 11.61 NA 1.26 090 50845 A Appendico-vesicostomy 20.89 9.92 NA 1.26 090 50860 A Transplant ureter to skin 15.36 8.75 NA 1.01 090 50900 A Repair of ureter 13.62 7.82 NA 0.98 090 50920 A Closure ureter/skin fistula 14.33 8.38 NA 0.84 090 50930 A Closure ureter/bowel fistula 18.72 9.84 NA 1.57 090 50940 A Release of ureter 14.51 8.26 NA 1.04 090 50945 A Laparoscopy ureterolithotomy 17.00 7.27 NA 1.15 090 50947 A Laparo new ureter/bladder 24.50 11.42 NA 1.99 090 50948 A Laparo new ureter/bladder 22.50 10.32 NA 1.83 090 50949 C Laparoscope proc, ureter 0.00 0.00 0.00 0.00 YYY 50951 A Endoscopy of ureter 5.84 1.92 5.17 0.35 000 50953 A Endoscopy of ureter 6.24 2.06 18.11 0.37 000 50955 A Ureter endoscopy & biopsy 6.75 2.26 19.81 0.38 000 50957 A Ureter endoscopy & treatment 6.79 2.24 17.80 0.40 000 50959 A Ureter endoscopy & tracer 4.40 1.51 NA 0.18 000 50961 A Ureter endoscopy & treatment 6.05 1.99 23.56 0.35 000 50970 A Ureter endoscopy 7.14 2.36 NA 0.43 000 50972 A Ureter endoscopy & catheter 6.89 2.33 NA 0.39 000 50974 A Ureter endoscopy & biopsy 9.17 3.02 NA 0.53 000 50976 A Ureter endoscopy & treatment 9.04 2.99 NA 0.53 000 50978 A Ureter endoscopy & tracer 5.10 1.74 NA 0.30 000 50980 A Ureter endoscopy & treatment 6.85 2.24 NA 0.41 000 51000 A Drainage of bladder 0.78 0.25 2.02 0.05 000 51005 A Drainage of bladder 1.02 0.35 3.30 0.08 000 51010 A Drainage of bladder 3.53 2.31 4.29 0.23 010 51020 A Incise & treat bladder 6.71 5.63 NA 0.42 090 51030 A Incise & treat bladder 6.77 5.75 NA 0.42 090 51040 A Incise & drain bladder 4.40 4.35 NA 0.27 090 51045 A Incise bladder/drain ureter 6.77 5.83 NA 0.47 090 51050 A Removal of bladder stone 6.92 5.14 NA 0.42 090 51060 A Removal of ureter stone 8.85 6.25 NA 0.54 090 51065 A Remove ureter calculus 8.85 6.10 NA 0.53 090 51080 A Drainage of bladder abscess 5.96 5.61 NA 0.35 090 51500 A Removal of bladder cyst 10.14 6.02 NA 0.88 090 51520 A Removal of bladder lesion 9.29 6.46 NA 0.58 090 51525 A Removal of bladder lesion 13.97 7.90 NA 0.85 090 51530 A Removal of bladder lesion 12.38 7.53 NA 0.82 090 51535 A Repair of ureter lesion 12.57 8.02 NA 0.90 090 51550 A Partial removal of bladder 15.66 8.47 NA 1.05 090 51555 A Partial removal of bladder 21.23 10.71 NA 1.37 090 51565 A Revise bladder & ureter(s) 21.62 11.27 NA 1.40 090 51570 A Removal of bladder 24.24 12.37 NA 1.59 090 51575 A Removal of bladder & nodes 30.45 15.00 NA 1.88 090 51580 A Remove bladder/revise tract 31.08 15.60 NA 1.94 090 51585 A Removal of bladder & nodes 35.23 16.88 NA 2.18 090 51590 A Remove bladder/revise tract 32.66 15.61 NA 2.01 090 51595 A Remove bladder/revise tract 37.14 17.08 NA 2.23 090 51596 A Remove bladder/create pouch 39.52 18.38 NA 2.39 090 51597 A Removal of pelvic structures 38.35 17.94 NA 2.49 090 51600 A Injection for bladder x-ray 0.88 0.30 5.44 0.04 000 Start Printed Page 43931 51605 A Preparation for bladder xray 0.64 0.22 16.06 0.04 000 51610 A Injection for bladder x-ray 1.05 0.35 15.78 0.05 000 51700 A Irrigation of bladder 0.88 0.29 1.29 0.05 000 51705 A Change of bladder tube 1.02 0.64 2.10 0.06 010 51710 A Change of bladder tube 1.49 1.44 4.97 0.09 010 51715 A Endoscopic injection/implant 3.74 1.25 4.34 0.24 000 51720 A Treatment of bladder lesion 1.96 0.72 1.64 0.12 000 51725 A Simple cystometrogram 1.51 NA 5.76 0.13 000 51725 26 A Simple cystometrogram 1.51 0.51 0.51 0.10 000 51725 TC A Simple cystometrogram 0.00 NA 5.25 0.03 000 51726 A Complex cystometrogram 1.71 NA 4.54 0.15 000 51726 26 A Complex cystometrogram 1.71 0.57 0.57 0.11 000 51726 TC A Complex cystometrogram 0.00 NA 3.96 0.04 000 51736 A Urine flow measurement 0.61 NA 1.09 0.05 000 51736 26 A Urine flow measurement 0.61 0.20 0.20 0.04 000 51736 TC A Urine flow measurement 0.00 NA 0.88 0.01 000 51741 A Electro-uroflowmetry, first 1.14 NA 1.88 0.09 000 51741 26 A Electro-uroflowmetry, first 1.14 0.38 0.38 0.07 000 51741 TC A Electro-uroflowmetry, first 0.00 NA 1.50 0.02 000 51772 A Urethra pressure profile 1.61 NA 4.69 0.16 000 51772 26 A Urethra pressure profile 1.61 0.57 0.57 0.12 000 51772 TC A Urethra pressure profile 0.00 NA 4.12 0.04 000 51784 A Anal/urinary muscle study 1.53 NA 3.47 0.13 000 51784 26 A Anal/urinary muscle study 1.53 0.52 0.52 0.10 000 51784 TC A Anal/urinary muscle study 0.00 NA 2.95 0.03 000 51785 A Anal/urinary muscle study 1.53 NA 3.38 0.12 000 51785 26 A Anal/urinary muscle study 1.53 0.52 0.52 0.09 000 51785 TC A Anal/urinary muscle study 0.00 NA 2.86 0.03 000 51792 A Urinary reflex study 1.10 NA 3.32 0.20 000 51792 26 A Urinary reflex study 1.10 0.43 0.43 0.09 000 51792 TC A Urinary reflex study 0.00 NA 2.89 0.11 000 51795 A Urine voiding pressure study 1.53 NA 4.67 0.18 000 51795 26 A Urine voiding pressure study 1.53 0.52 0.52 0.10 000 51795 TC A Urine voiding pressure study 0.00 NA 4.15 0.08 000 51797 A Intraabdominal pressure test 1.60 NA 4.74 0.14 000 51797 26 A Intraabdominal pressure test 1.60 0.54 0.54 0.10 000 51797 TC A Intraabdominal pressure test 0.00 NA 4.20 0.04 000 51800 A Revision of bladder/urethra 17.42 9.33 NA 1.17 090 51820 A Revision of urinary tract 17.89 10.80 NA 1.45 090 51840 A Attach bladder/urethra 10.71 6.69 NA 0.87 090 51841 A Attach bladder/urethra 13.03 8.36 NA 1.04 090 51845 A Repair bladder neck 9.73 6.71 NA 0.62 090 51860 A Repair of bladder wound 12.02 7.73 NA 0.89 090 51865 A Repair of bladder wound 15.04 8.69 NA 1.01 090 51880 A Repair of bladder opening 7.66 5.68 NA 0.54 090 51900 A Repair bladder/vagina lesion 12.97 8.12 NA 0.87 090 51920 A Close bladder-uterus fistula 11.81 7.28 NA 0.86 090 51925 A Hysterectomy/bladder repair 15.58 9.47 NA 1.48 090 51940 A Correction of bladder defect 28.43 16.03 NA 1.97 090 51960 A Revision of bladder & bowel 23.01 12.95 NA 1.41 090 51980 A Construct bladder opening 11.36 7.17 NA 0.74 090 51990 A Laparo urethral suspension 12.50 6.51 NA 1.02 090 51992 A Laparo sling operation 14.01 6.58 NA 0.93 090 52000 A Cystoscopy 2.01 0.67 3.35 0.12 000 52001 A Cystoscopy, removal of clots 2.37 0.95 NA 0.32 000 52005 A Cystoscopy & ureter catheter 2.37 0.88 13.07 0.15 000 52007 A Cystoscopy and biopsy 3.02 1.00 NA 0.18 000 52010 A Cystoscopy & duct catheter 3.02 1.00 5.55 0.18 000 52204 A Cystoscopy 2.37 0.78 6.00 0.15 000 52214 A Cystoscopy and treatment 3.71 1.22 6.34 0.22 000 52224 A Cystoscopy and treatment 3.14 1.04 6.22 0.18 000 52234 A Cystoscopy and treatment 4.63 1.63 NA 0.27 000 52235 A Cystoscopy and treatment 5.45 1.91 NA 0.32 000 52240 A Cystoscopy and treatment 9.72 3.34 NA 0.58 000 52250 A Cystoscopy and radiotracer 4.50 1.48 NA 0.27 000 52260 A Cystoscopy and treatment 3.92 1.29 NA 0.23 000 Start Printed Page 43932 52265 A Cystoscopy and treatment 2.94 0.97 3.67 0.18 000 52270 A Cystoscopy & revise urethra 3.37 1.11 6.70 0.20 000 52275 A Cystoscopy & revise urethra 4.70 1.55 7.22 0.28 000 52276 A Cystoscopy and treatment 5.00 1.65 7.33 0.30 000 52277 A Cystoscopy and treatment 6.17 2.05 NA 0.38 000 52281 A Cystoscopy and treatment 2.80 1.04 14.17 0.17 000 52282 A Cystoscopy, implant stent 6.40 2.11 15.05 0.38 000 52283 A Cystoscopy and treatment 3.74 1.24 6.62 0.22 000 52285 A Cystoscopy and treatment 3.61 1.19 6.87 0.22 000 52290 A Cystoscopy and treatment 4.59 1.51 NA 0.27 000 52300 A Cystoscopy and treatment 5.31 1.75 NA 0.32 000 52301 A Cystoscopy and treatment 5.51 1.76 NA 0.39 000 52305 A Cystoscopy and treatment 5.31 1.75 NA 0.31 000 52310 A Cystoscopy and treatment 2.81 0.99 3.74 0.17 000 52315 A Cystoscopy and treatment 5.21 1.72 16.02 0.31 000 52317 A Remove bladder stone 6.72 2.21 24.56 0.40 000 52318 A Remove bladder stone 9.19 3.03 NA 0.54 000 52320 A Cystoscopy and treatment 4.70 1.54 NA 0.28 000 52325 A Cystoscopy, stone removal 6.16 2.02 NA 0.37 000 52327 A Cystoscopy, inject material 5.19 1.73 NA 0.32 000 52330 A Cystoscopy and treatment 5.04 1.66 20.27 0.30 000 52332 A Cystoscopy and treatment 2.83 1.04 18.45 0.17 000 52334 A Create passage to kidney 4.83 1.59 NA 0.28 000 52341 A Cysto w/ureter stricture tx 6.00 2.32 NA 0.37 000 52342 A Cysto w/up stricture tx 6.50 2.51 NA 0.40 000 52343 A Cysto w/renal stricture tx 7.20 2.78 NA 0.44 000 52344 A Cysto/uretero, stone remove 7.70 2.98 NA 0.47 000 52345 A Cysto/uretero w/up stricture 8.20 3.17 NA 0.50 000 52346 A Cystouretero w/renal strict 9.23 3.57 NA 0.57 000 52347 A Cystoscopy, resect ducts 5.28 2.08 NA 0.33 000 52351 A Cystouretro & or pyeloscope 5.86 1.93 NA 0.36 000 52352 A Cystouretro w/stone remove 6.88 2.26 NA 0.42 000 52353 A Cystouretero w/lithotripsy 7.97 2.61 NA 0.49 000 52354 A Cystouretero w/biopsy 7.34 2.42 NA 0.45 000 52355 A Cystouretero w/excise tumor 8.82 2.90 NA 0.55 000 52400 A Cystouretero w/congen repr 9.68 5.60 NA 0.60 090 52450 A Incision of prostate 7.64 5.01 NA 0.46 090 52500 A Revision of bladder neck 8.47 5.26 NA 0.50 090 52510 A Dilation prostatic urethra 6.72 4.30 NA 0.40 090 52601 A Prostatectomy (TURP) 12.37 6.55 NA 0.74 090 52606 A Control postop bleeding 8.13 4.69 NA 0.49 090 52612 A Prostatectomy, first stage 7.98 5.14 NA 0.48 090 52614 A Prostatectomy, second stage 6.84 4.73 NA 0.41 090 52620 A Remove residual prostate 6.61 4.66 NA 0.39 090 52630 A Remove prostate regrowth 7.26 4.88 NA 0.43 090 52640 A Relieve bladder contracture 6.62 4.19 NA 0.39 090 52647 A Laser surgery of prostate 10.36 4.72 57.64 0.61 090 52648 A Laser surgery of prostate 11.21 6.16 NA 0.66 090 52700 A Drainage of prostate abscess 6.80 4.78 NA 0.41 090 53000 A Incision of urethra 2.28 2.57 7.30 0.13 010 53010 A Incision of urethra 3.64 4.11 NA 0.20 090 53020 A Incision of urethra 1.77 0.65 4.24 0.11 000 53025 A Incision of urethra 1.13 0.44 4.67 0.07 000 53040 A Drainage of urethra abscess 6.40 8.16 13.49 0.41 090 53060 A Drainage of urethra abscess 2.63 2.81 6.41 0.23 010 53080 A Drainage of urinary leakage 6.29 8.42 NA 0.42 090 53085 A Drainage of urinary leakage 10.27 9.71 NA 0.67 090 53200 A Biopsy of urethra 2.59 0.94 5.53 0.17 000 53210 A Removal of urethra 12.57 7.96 NA 0.81 090 53215 A Removal of urethra 15.58 8.59 NA 0.93 090 53220 A Treatment of urethra lesion 7.00 5.50 NA 0.44 090 53230 A Removal of urethra lesion 9.58 6.27 NA 0.60 090 53235 A Removal of urethra lesion 10.14 6.41 NA 0.60 090 53240 A Surgery for urethra pouch 6.45 5.22 NA 0.42 090 53250 A Removal of urethra gland 5.89 4.52 NA 0.35 090 53260 A Treatment of urethra lesion 2.98 2.38 6.16 0.23 010 Start Printed Page 43933 53265 A Treatment of urethra lesion 3.12 2.35 6.51 0.20 010 53270 A Removal of urethra gland 3.09 2.57 6.50 0.21 010 53275 A Repair of urethra defect 4.53 3.32 NA 0.28 010 53400 A Revise urethra, stage 1 12.77 7.88 NA 0.85 090 53405 A Revise urethra, stage 2 14.48 8.18 NA 0.91 090 53410 A Reconstruction of urethra 16.44 8.95 NA 0.99 090 53415 A Reconstruction of urethra 19.41 9.29 NA 1.16 090 53420 A Reconstruct urethra, stage 1 14.08 8.69 NA 0.90 090 53425 A Reconstruct urethra, stage 2 15.98 9.02 NA 0.97 090 53430 A Reconstruction of urethra 16.34 9.09 NA 1.01 090 53431 A Reconstruct urethra/bladder 19.89 6.77 6.77 1.25 090 53440 A Correct bladder function 12.34 7.99 NA 0.73 090 53442 A Remove perineal prosthesis 8.27 5.96 NA 0.55 090 53443 D Reconstruction of urethra 19.89 11.28 NA 1.25 090 53444 A Insert tandem cuff 13.40 6.47 NA 0.79 090 53445 A Insert uro/ves nck sphincter 14.06 8.52 NA 0.84 090 53446 A Remove uro sphincter 10.23 8.33 NA 0.61 090 53447 A Remove/replace ur sphincter 13.49 7.71 NA 0.79 090 53448 A Remov/replc ur sphinctr comp 21.15 12.09 NA 1.27 090 53449 A Repair uro sphincter 9.70 6.55 NA 0.57 090 53450 A Revision of urethra 6.14 4.99 NA 0.37 090 53460 A Revision of urethra 7.12 5.35 NA 0.43 090 53502 A Repair of urethra injury 7.63 5.72 NA 0.50 090 53505 A Repair of urethra injury 7.63 5.48 NA 0.46 090 53510 A Repair of urethra injury 10.11 6.72 NA 0.60 090 53515 A Repair of urethra injury 13.31 7.44 NA 0.83 090 53520 A Repair of urethra defect 8.68 5.95 NA 0.53 090 53600 A Dilate urethra stricture 1.21 0.44 1.15 0.07 000 53601 A Dilate urethra stricture 0.98 0.39 1.28 0.06 000 53605 A Dilate urethra stricture 1.28 0.42 NA 0.08 000 53620 A Dilate urethra stricture 1.62 0.61 1.86 0.10 000 53621 A Dilate urethra stricture 1.35 0.51 1.94 0.08 000 53660 A Dilation of urethra 0.71 0.32 1.19 0.04 000 53661 A Dilation of urethra 0.72 0.30 1.18 0.04 000 53665 A Dilation of urethra 0.76 0.26 NA 0.05 000 53670 A Insert urinary catheter 0.50 0.17 1.71 0.03 000 53675 A Insert urinary catheter 1.47 0.56 2.57 0.09 000 53850 A Prostatic microwave thermotx 9.45 4.35 80.16 0.56 090 53852 A Prostatic rf thermotx 9.88 4.52 71.41 0.58 090 53853 A Prostatic water thermother 4.14 3.02 52.92 0.38 090 53899 C Urology surgery procedure 0.00 0.00 0.00 0.00 YYY 54000 A Slitting of prepuce 1.54 1.47 5.71 0.10 010 54001 A Slitting of prepuce 2.19 2.09 6.34 0.14 010 54015 A Drain penis lesion 5.32 3.15 7.41 0.33 010 54050 A Destruction, penis lesion(s) 1.24 0.49 2.66 0.07 010 54055 A Destruction, penis lesion(s) 1.22 1.41 6.46 0.07 010 54056 A Cryosurgery, penis lesion(s) 1.24 0.54 2.88 0.06 010 54057 A Laser surg, penis lesion(s) 1.24 1.37 2.94 0.08 010 54060 A Excision of penis lesion(s) 1.93 1.61 5.47 0.12 010 54065 A Destruction, penis lesion(s) 2.42 2.16 5.35 0.13 010 54100 A Biopsy of penis 1.90 0.74 3.54 0.10 000 54105 A Biopsy of penis 3.50 2.13 6.53 0.21 010 54110 A Treatment of penis lesion 10.13 7.97 NA 0.60 090 54111 A Treat penis lesion, graft 13.57 9.09 NA 0.79 090 54112 A Treat penis lesion, graft 15.86 9.98 NA 0.94 090 54115 A Treatment of penis lesion 6.15 6.70 11.15 0.39 090 54120 A Partial removal of penis 9.97 7.93 NA 0.60 090 54125 A Removal of penis 13.53 9.12 NA 0.81 090 54130 A Remove penis & nodes 20.14 11.59 NA 1.19 090 54135 A Remove penis & nodes 26.36 13.71 NA 1.58 090 54150 A Circumcision 1.81 1.91 6.79 0.17 010 54152 A Circumcision 2.31 1.73 NA 0.16 010 54160 A Circumcision 2.48 1.80 5.76 0.16 010 54161 A Circumcision 3.27 2.04 NA 0.20 010 54162 A Lysis penil circumcis lesion 3.00 2.86 NA 0.18 010 54163 A Repair of circumcision 3.00 2.48 NA 0.18 010 Start Printed Page 43934 54164 A Frenulotomy of penis 2.50 2.31 NA 0.15 010 54200 A Treatment of penis lesion 1.06 0.37 2.79 0.06 010 54205 A Treatment of penis lesion 7.93 7.15 NA 0.47 090 54220 A Treatment of penis lesion 2.42 1.00 2.04 0.15 000 54230 A Prepare penis study 1.34 0.44 NA 0.08 000 54231 A Dynamic cavernosometry 2.04 0.81 2.22 0.14 000 54235 A Penile injection 1.19 0.40 1.18 0.07 000 54240 A Penis study 1.31 NA 1.81 0.13 000 54240 26 A Penis study 1.31 0.44 0.44 0.08 000 54240 TC A Penis study 0.00 NA 1.37 0.05 000 54250 A Penis study 2.22 NA 2.98 0.16 000 54250 26 A Penis study 2.22 0.73 0.73 0.14 000 54250 TC A Penis study 0.00 NA 2.25 0.02 000 54300 A Revision of penis 10.41 8.80 NA 0.64 090 54304 A Revision of penis 12.49 9.94 NA 0.74 090 54308 A Reconstruction of urethra 11.83 9.73 NA 0.70 090 54312 A Reconstruction of urethra 13.57 10.21 NA 0.81 090 54316 A Reconstruction of urethra 16.82 11.88 NA 1.00 090 54318 A Reconstruction of urethra 11.25 9.24 NA 1.15 090 54322 A Reconstruction of urethra 13.01 9.22 NA 0.77 090 54324 A Reconstruction of urethra 16.31 11.70 NA 1.03 090 54326 A Reconstruction of urethra 15.72 11.09 NA 0.93 090 54328 A Revise penis/urethra 15.65 11.10 NA 0.92 090 54332 A Revise penis/urethra 17.08 11.23 NA 1.01 090 54336 A Revise penis/urethra 20.04 14.98 NA 1.90 090 54340 A Secondary urethral surgery 8.91 8.11 NA 0.72 090 54344 A Secondary urethral surgery 15.94 10.79 NA 1.10 090 54348 A Secondary urethral surgery 17.15 12.23 NA 1.02 090 54352 A Reconstruct urethra/penis 24.74 15.37 NA 1.62 090 54360 A Penis plastic surgery 11.93 8.57 NA 0.72 090 54380 A Repair penis 13.18 10.08 NA 1.16 090 54385 A Repair penis 15.39 12.00 NA 0.71 090 54390 A Repair penis and bladder 21.61 14.40 NA 1.28 090 54400 A Insert semi-rigid prosthesis 8.99 6.37 NA 0.53 090 54401 A Insert self-contd prosthesis 10.28 7.18 NA 0.61 090 54402 D Remove penis prosthesis 9.21 7.43 NA 0.55 090 54405 A Insert multi-comp penis pros 13.43 8.27 NA 0.80 090 54406 A Remove multi-comp penis pros 12.10 6.02 NA 0.80 090 54407 D Remove multi-comp prosthesis 13.34 9.03 NA 0.80 090 54408 A Repair multi-comp penis pros 12.75 6.37 NA 0.80 090 54409 D Revise penis prosthesis 12.20 8.59 NA 0.73 090 54410 A Remove/replace penis prosth 15.50 7.27 NA 0.80 090 54411 A Remv/replc penis pros, comp 16.00 8.77 NA 0.80 090 54415 A Remove self-contd penis pros 8.20 5.24 NA 0.55 090 54416 A Remv/repl penis contain pros 10.87 6.79 NA 0.55 090 54417 A Remv/replc penis pros, compl 14.19 7.71 NA 0.55 090 54420 A Revision of penis 11.42 8.47 NA 0.72 090 54430 A Revision of penis 10.15 7.94 NA 0.60 090 54435 A Revision of penis 6.12 6.09 NA 0.36 090 54440 C Repair of penis 0.00 0.00 0.00 0.00 090 54450 A Preputial stretching 1.12 0.47 1.06 0.07 000 54500 A Biopsy of testis 1.31 0.44 6.32 0.08 000 54505 A Biopsy of testis 3.46 2.66 NA 0.21 010 54510 D Removal of testis lesion 5.45 3.90 NA 0.35 090 54512 A Excise lesion testis 8.58 5.01 NA 0.56 090 54520 A Removal of testis 5.23 3.64 NA 0.33 090 54522 A Orchiectomy, partial 9.50 6.00 NA 0.62 090 54530 A Removal of testis 8.58 5.30 NA 0.53 090 54535 A Extensive testis surgery 12.16 7.26 NA 0.83 090 54550 A Exploration for testis 7.78 4.77 NA 0.49 090 54560 A Exploration for testis 11.13 6.79 NA 0.79 090 54600 A Reduce testis torsion 7.01 4.26 NA 0.45 090 54620 A Suspension of testis 4.90 3.17 NA 0.31 010 54640 A Suspension of testis 6.90 4.26 NA 0.49 090 54650 A Orchiopexy (Fowler-Stephens) 11.45 7.08 NA 0.81 090 54660 A Revision of testis 5.11 3.51 NA 0.35 090 Start Printed Page 43935 54670 A Repair testis injury 6.41 4.19 NA 0.41 090 54680 A Relocation of testis(es) 12.65 7.40 NA 0.94 090 54690 A Laparoscopy, orchiectomy 10.96 6.76 NA 0.99 090 54692 A Laparoscopy, orchiopexy 12.88 5.66 NA 0.87 090 54699 C Laparoscope proc, testis 0.00 0.00 0.00 0.00 YYY 54700 A Drainage of scrotum 3.43 3.42 8.49 0.23 010 54800 A Biopsy of epididymis 2.33 0.79 6.02 0.14 000 54820 A Exploration of epididymis 5.14 3.61 NA 0.33 090 54830 A Remove epididymis lesion 5.38 3.73 NA 0.34 090 54840 A Remove epididymis lesion 5.20 3.67 NA 0.31 090 54860 A Removal of epididymis 6.32 4.27 NA 0.38 090 54861 A Removal of epididymis 8.90 5.12 NA 0.52 090 54900 A Fusion of spermatic ducts 13.20 6.63 NA 1.34 090 54901 A Fusion of spermatic ducts 17.94 8.70 NA 1.83 090 55000 A Drainage of hydrocele 1.43 0.48 2.18 0.10 000 55040 A Removal of hydrocele 5.36 3.45 NA 0.35 090 55041 A Removal of hydroceles 7.74 4.50 NA 0.50 090 55060 A Repair of hydrocele 5.52 3.51 NA 0.37 090 55100 A Drainage of scrotum abscess 2.13 3.68 9.84 0.15 010 55110 A Explore scrotum 5.70 3.61 NA 0.36 090 55120 A Removal of scrotum lesion 5.09 3.41 NA 0.33 090 55150 A Removal of scrotum 7.22 4.62 NA 0.47 090 55175 A Revision of scrotum 5.24 3.73 NA 0.33 090 55180 A Revision of scrotum 10.72 6.41 NA 0.72 090 55200 A Incision of sperm duct 4.24 3.15 NA 0.25 090 55250 A Removal of sperm duct(s) 3.29 3.13 9.45 0.21 090 55300 A Prepare, sperm duct x-ray 3.51 1.54 NA 0.20 000 55400 A Repair of sperm duct 8.49 5.30 NA 0.50 090 55450 A Ligation of sperm duct 4.12 2.50 7.33 0.24 010 55500 A Removal of hydrocele 5.59 3.67 NA 0.43 090 55520 A Removal of sperm cord lesion 6.03 3.70 NA 0.56 090 55530 A Revise spermatic cord veins 5.66 3.81 NA 0.36 090 55535 A Revise spermatic cord veins 6.56 4.16 NA 0.42 090 55540 A Revise hernia & sperm veins 7.67 4.26 NA 0.74 090 55550 A Laparo ligate spermatic vein 6.57 3.42 NA 0.47 090 55559 C Laparo proc, spermatic cord 0.00 0.00 0.00 0.00 YYY 55600 A Incise sperm duct pouch 6.38 4.30 NA 0.38 090 55605 A Incise sperm duct pouch 7.96 5.20 NA 0.54 090 55650 A Remove sperm duct pouch 11.80 6.27 NA 0.72 090 55680 A Remove sperm pouch lesion 5.19 3.89 NA 0.31 090 55700 A Biopsy of prostate 1.57 0.72 4.56 0.10 000 55705 A Biopsy of prostate 4.57 3.84 NA 0.26 010 55720 A Drainage of prostate abscess 7.64 5.95 NA 0.44 090 55725 A Drainage of prostate abscess 8.68 6.39 NA 0.51 090 55801 A Removal of prostate 17.80 9.51 NA 1.08 090 55810 A Extensive prostate surgery 22.58 11.51 NA 1.35 090 55812 A Extensive prostate surgery 27.51 13.67 NA 1.69 090 55815 A Extensive prostate surgery 30.46 14.64 NA 1.84 090 55821 A Removal of prostate 14.25 7.99 NA 0.85 090 55831 A Removal of prostate 15.62 8.46 NA 0.94 090 55840 A Extensive prostate surgery 22.69 12.05 NA 1.37 090 55842 A Extensive prostate surgery 24.38 12.69 NA 1.48 090 55845 A Extensive prostate surgery 28.55 13.91 NA 1.71 090 55859 A Percut/needle insert, pros 12.52 7.54 NA 0.74 090 55860 A Surgical exposure, prostate 14.45 8.27 NA 0.82 090 55862 A Extensive prostate surgery 18.39 9.58 NA 1.14 090 55865 A Extensive prostate surgery 22.87 11.14 NA 1.37 090 55870 A Electroejaculation 2.58 1.02 1.97 0.14 000 55873 A Cryoablate prostate 19.47 10.37 NA 1.02 090 55899 C Genital surgery procedure 0.00 0.00 0.00 0.00 YYY 55970 N Sex transformation, M to F 0.00 0.00 0.00 0.00 XXX 55980 N Sex transformation, F to M 0.00 0.00 0.00 0.00 XXX 56405 A I & D of vulva/perineum 1.44 1.30 2.48 0.14 010 56420 A Drainage of gland abscess 1.39 1.29 2.46 0.13 010 56440 A Surgery for vulva lesion 2.84 2.36 3.75 0.28 010 56441 A Lysis of labial lesion(s) 1.97 2.09 2.68 0.17 010 Start Printed Page 43936 56501 A Destroy, vulva lesions, simp 1.53 1.40 2.42 0.15 010 56515 A Destroy vulva lesion/s compl 2.76 2.38 3.20 0.18 010 56605 A Biopsy of vulva/perineum 1.10 0.49 1.89 0.11 000 56606 A Biopsy of vulva/perineum 0.55 0.22 1.67 0.06 ZZZ 56620 A Partial removal of vulva 7.47 5.00 NA 0.76 090 56625 A Complete removal of vulva 8.40 5.95 NA 0.84 090 56630 A Extensive vulva surgery 12.36 7.75 NA 1.23 090 56631 A Extensive vulva surgery 16.20 10.49 NA 1.63 090 56632 A Extensive vulva surgery 20.29 10.33 NA 2.03 090 56633 A Extensive vulva surgery 16.47 9.42 NA 1.66 090 56634 A Extensive vulva surgery 17.88 11.17 NA 1.78 090 56637 A Extensive vulva surgery 21.97 12.85 NA 2.18 090 56640 A Extensive vulva surgery 22.17 12.38 NA 2.26 090 56700 A Partial removal of hymen 2.52 2.13 3.10 0.24 010 56720 A Incision of hymen 0.68 0.57 1.81 0.07 000 56740 A Remove vagina gland lesion 4.57 2.96 3.92 0.37 010 56800 A Repair of vagina 3.89 2.80 NA 0.37 010 56805 A Repair clitoris 18.86 9.36 NA 1.82 090 56810 A Repair of perineum 4.13 2.86 NA 0.41 010 57000 A Exploration of vagina 2.97 2.42 NA 0.28 010 57010 A Drainage of pelvic abscess 6.03 3.92 NA 0.57 090 57020 A Drainage of pelvic fluid 1.50 0.63 1.63 0.15 000 57022 A I & d vaginal hematoma, pp 2.56 2.13 NA 0.24 010 57023 A I & d vag hematoma, non-ob 4.75 2.98 NA 0.24 010 57061 A Destroy vag lesions, simple 1.25 1.30 2.36 0.13 010 57065 A Destroy vag lesions, complex 2.61 2.36 3.06 0.26 010 57100 A Biopsy of vagina 1.20 0.51 1.61 0.10 000 57105 A Biopsy of vagina 1.69 2.30 2.33 0.17 010 57106 A Remove vagina wall, partial 6.36 2.52 2.52 0.58 090 57107 A Remove vagina tissue, part 23.00 10.53 NA 2.17 090 57109 A Vaginectomy partial w/nodes 27.00 12.03 NA 1.97 090 57110 A Remove vagina wall, complete 14.29 7.39 NA 1.43 090 57111 A Remove vagina tissue, compl 27.00 12.47 NA 2.71 090 57112 A Vaginectomy w/nodes, compl 29.00 12.71 NA 2.19 090 57120 A Closure of vagina 7.41 4.77 NA 0.75 090 57130 A Remove vagina lesion 2.43 2.18 NA 0.23 010 57135 A Remove vagina lesion 2.67 2.29 3.05 0.26 010 57150 A Treat vagina infection 0.55 0.22 1.05 0.06 000 57155 A Insert uteri tandems/ovoids 6.27 3.67 NA 0.63 090 57160 A Insert pessary/other device 0.89 0.40 1.13 0.09 000 57170 A Fitting of diaphragm/cap 0.91 0.34 1.46 0.09 000 57180 A Treat vaginal bleeding 1.58 1.51 2.37 0.16 010 57200 A Repair of vagina 3.94 3.08 NA 0.38 090 57210 A Repair vagina/perineum 5.17 3.60 NA 0.50 090 57220 A Revision of urethra 4.31 3.48 NA 0.42 090 57230 A Repair of urethral lesion 5.64 4.33 NA 0.50 090 57240 A Repair bladder & vagina 6.07 4.55 NA 0.53 090 57250 A Repair rectum & vagina 5.53 3.95 NA 0.54 090 57260 A Repair of vagina 8.27 5.07 NA 0.83 090 57265 A Extensive repair of vagina 11.34 7.09 NA 1.14 090 57268 A Repair of bowel bulge 6.76 4.43 NA 0.66 090 57270 A Repair of bowel pouch 12.11 6.41 NA 1.17 090 57280 A Suspension of vagina 15.04 7.56 NA 1.44 090 57282 A Repair of vaginal prolapse 8.86 5.32 NA 0.86 090 57284 A Repair paravaginal defect 12.70 7.28 NA 1.17 090 57287 A Revise/remove sling repair 10.71 7.29 NA 0.74 090 57288 A Repair bladder defect 13.02 7.03 NA 0.86 090 57289 A Repair bladder & vagina 11.58 6.87 NA 0.95 090 57291 A Construction of vagina 7.95 5.82 NA 0.78 090 57292 A Construct vagina with graft 13.09 7.23 NA 1.29 090 57300 A Repair rectum-vagina fistula 7.61 4.73 NA 0.70 090 57305 A Repair rectum-vagina fistula 13.77 6.83 NA 1.33 090 57307 A Fistula repair & colostomy 15.93 7.56 NA 1.59 090 57308 A Fistula repair, transperine 9.94 5.94 NA 0.91 090 57310 A Repair urethrovaginal lesion 6.78 4.82 NA 0.45 090 57311 A Repair urethrovaginal lesion 7.98 5.44 NA 0.51 090 Start Printed Page 43937 57320 A Repair bladder-vagina lesion 8.01 5.44 NA 0.60 090 57330 A Repair bladder-vagina lesion 12.35 6.89 NA 0.86 090 57335 A Repair vagina 18.73 9.30 NA 1.66 090 57400 A Dilation of vagina 2.27 1.15 NA 0.22 000 57410 A Pelvic examination 1.75 1.09 2.67 0.14 000 57415 A Remove vaginal foreign body 2.17 2.13 3.64 0.19 010 57452 A Examination of vagina 0.99 0.45 1.68 0.10 000 57454 A Vagina examination & biopsy 1.27 0.60 1.87 0.13 000 57460 A Cervix excision 2.83 1.16 2.14 0.28 000 57500 A Biopsy of cervix 0.97 0.48 2.27 0.10 000 57505 A Endocervical curettage 1.14 1.33 2.04 0.12 010 57510 A Cauterization of cervix 1.90 1.61 3.26 0.18 010 57511 A Cryocautery of cervix 1.90 0.75 2.52 0.18 010 57513 A Laser surgery of cervix 1.90 1.62 2.73 0.19 010 57520 A Conization of cervix 4.04 2.90 4.43 0.41 090 57522 A Conization of cervix 3.36 2.63 3.98 0.34 090 57530 A Removal of cervix 4.79 3.69 NA 0.48 090 57531 A Removal of cervix, radical 28.00 13.79 NA 2.46 090 57540 A Removal of residual cervix 12.22 6.28 NA 1.21 090 57545 A Remove cervix/repair pelvis 13.03 6.76 NA 1.30 090 57550 A Removal of residual cervix 5.53 3.95 NA 0.55 090 57555 A Remove cervix/repair vagina 8.95 5.76 NA 0.89 090 57556 A Remove cervix, repair bowel 8.37 5.03 NA 0.80 090 57700 A Revision of cervix 3.55 2.64 NA 0.33 090 57720 A Revision of cervix 4.13 3.39 NA 0.41 090 57800 A Dilation of cervical canal 0.77 0.35 1.22 0.08 000 57820 A D & c of residual cervix 1.67 2.34 2.70 0.17 010 58100 A Biopsy of uterus lining 1.53 0.74 1.55 0.07 000 58120 A Dilation and curettage 3.27 2.50 3.99 0.33 010 58140 A Removal of uterus lesion 14.60 7.13 NA 1.46 090 58145 A Removal of uterus lesion 8.04 5.02 NA 0.80 090 58150 A Total hysterectomy 15.24 7.69 NA 1.53 090 58152 A Total hysterectomy 20.60 9.88 NA 1.52 090 58180 A Partial hysterectomy 15.29 7.64 NA 1.54 090 58200 A Extensive hysterectomy 21.59 11.32 NA 2.15 090 58210 A Extensive hysterectomy 28.85 14.24 NA 2.91 090 58240 A Removal of pelvis contents 38.39 19.04 NA 3.76 090 58260 A Vaginal hysterectomy 12.98 6.73 NA 1.23 090 58262 A Vaginal hysterectomy 14.77 7.48 NA 1.42 090 58263 A Vaginal hysterectomy 16.06 8.00 NA 1.55 090 58267 A Hysterectomy & vagina repair 17.04 8.59 NA 1.51 090 58270 A Hysterectomy & vagina repair 14.26 7.25 NA 1.37 090 58275 A Hysterectomy/revise vagina 15.76 7.76 NA 1.51 090 58280 A Hysterectomy/revise vagina 17.01 8.26 NA 1.54 090 58285 A Extensive hysterectomy 22.26 10.93 NA 1.88 090 58300 N Insert intrauterine device 1.01 0.39 1.41 0.10 XXX 58301 A Remove intrauterine device 1.27 0.50 1.61 0.13 000 58321 A Artificial insemination 0.92 0.36 0.99 0.10 000 58322 A Artificial insemination 1.10 0.43 1.05 0.11 000 58323 A Sperm washing 0.23 0.10 0.55 0.02 000 58340 A Catheter for hysterography 0.88 0.33 12.82 0.08 000 58345 A Reopen fallopian tube 4.66 1.74 NA 0.36 010 58346 A Insert heyman uteri capsule 6.75 3.85 NA 0.68 090 58350 A Reopen fallopian tube 1.01 1.17 2.11 0.10 010 58353 A Endometr ablate, thermal 3.56 2.25 NA 0.37 010 58400 A Suspension of uterus 6.36 4.11 NA 0.62 090 58410 A Suspension of uterus 12.73 6.68 NA 1.09 090 58520 A Repair of ruptured uterus 11.92 6.01 NA 1.17 090 58540 A Revision of uterus 14.64 7.06 NA 1.28 090 58550 A Laparo-asst vag hysterectomy 14.19 6.91 NA 1.44 010 58551 A Laparoscopy, remove myoma 14.21 6.81 NA 1.45 010 58555 A Hysteroscopy, dx, sep proc 3.33 1.47 2.93 0.34 000 58558 A Hysteroscopy, biopsy 4.75 2.07 3.52 0.49 000 58559 A Hysteroscopy, lysis 6.17 2.52 2.52 0.62 000 58560 A Hysteroscopy, resect septum 7.00 2.92 2.92 0.71 000 58561 A Hysteroscopy, remove myoma 10.00 4.02 4.02 1.02 000 Start Printed Page 43938 58562 A Hysteroscopy, remove fb 5.21 2.23 NA 0.52 000 58563 A Hysteroscopy, ablation 6.17 2.54 2.54 0.62 000 58578 C Laparo proc, uterus 0.00 0.00 0.00 0.00 YYY 58579 C Hysteroscope procedure 0.00 0.00 0.00 0.00 YYY 58600 A Division of fallopian tube 5.60 3.43 NA 0.39 090 58605 A Division of fallopian tube 5.00 3.24 NA 0.33 090 58611 A Ligate oviduct(s) add-on 1.45 0.59 NA 0.07 ZZZ 58615 A Occlude fallopian tube(s) 3.90 3.17 NA 0.40 010 58660 A Laparoscopy, lysis 11.29 5.37 NA 1.14 090 58661 A Laparoscopy, remove adnexa 11.05 5.32 NA 1.12 010 58662 A Laparoscopy, excise lesions 11.79 5.44 NA 1.18 090 58670 A Laparoscopy, tubal cautery 5.60 3.66 NA 0.55 090 58671 A Laparoscopy, tubal block 5.60 3.69 NA 0.56 090 58672 A Laparoscopy, fimbrioplasty 12.88 6.36 NA 1.22 090 58673 A Laparoscopy, salpingostomy 13.74 6.94 NA 1.40 090 58679 C Laparo proc, oviduct-ovary 0.00 0.00 0.00 0.00 YYY 58700 A Removal of fallopian tube 12.05 5.90 NA 0.64 090 58720 A Removal of ovary/tube(s) 11.36 5.87 NA 1.14 090 58740 A Revise fallopian tube(s) 14.00 7.14 NA 0.59 090 58750 A Repair oviduct 14.84 7.50 NA 1.52 090 58752 A Revise ovarian tube(s) 14.84 7.15 NA 1.51 090 58760 A Remove tubal obstruction 13.13 6.88 NA 1.34 090 58770 A Create new tubal opening 13.97 7.11 NA 1.42 090 58800 A Drainage of ovarian cyst(s) 4.14 4.49 4.49 0.36 090 58805 A Drainage of ovarian cyst(s) 5.88 3.54 NA 0.56 090 58820 A Drain ovary abscess, open 4.22 3.43 NA 0.29 090 58822 A Drain ovary abscess, percut 10.13 5.10 NA 0.92 090 58823 A Drain pelvic abscess, percut 3.38 2.35 NA 0.18 000 58825 A Transposition, ovary(s) 10.98 5.87 NA 0.62 090 58900 A Biopsy of ovary(s) 5.99 3.63 NA 0.56 090 58920 A Partial removal of ovary(s) 11.36 5.67 NA 0.68 090 58925 A Removal of ovarian cyst(s) 11.36 5.63 NA 1.14 090 58940 A Removal of ovary(s) 7.29 4.03 NA 0.73 090 58943 A Removal of ovary(s) 18.43 9.59 NA 1.86 090 58950 A Resect ovarian malignancy 16.93 9.15 NA 1.55 090 58951 A Resect ovarian malignancy 22.38 11.49 NA 2.20 090 58952 A Resect ovarian malignancy 25.01 12.59 NA 2.50 090 58953 A Tah, rad dissect for debulk 32.00 15.15 NA 3.20 090 58954 A Tah rad debulk/lymph remove 35.00 16.23 NA 3.50 090 58960 A Exploration of abdomen 14.65 8.27 NA 1.47 090 58970 A Retrieval of oocyte 3.53 1.66 8.70 0.36 000 58974 C Transfer of embryo 0.00 0.00 0.00 0.00 000 58976 A Transfer of embryo 3.83 1.48 2.25 0.39 000 58999 C Genital surgery procedure 0.00 0.00 0.00 0.00 YYY 59000 A Amniocentesis, diagnostic 1.30 0.70 2.05 0.23 000 59001 A Amniocentesis, therapeutic 3.00 1.33 NA 0.23 000 59012 A Fetal cord puncture,prenatal 3.45 1.59 NA 0.62 000 59015 A Chorion biopsy 2.20 1.09 1.61 0.40 000 59020 A Fetal contract stress test 0.66 NA 0.81 0.20 000 59020 26 A Fetal contract stress test 0.66 0.27 0.27 0.12 000 59020 TC A Fetal contract stress test 0.00 NA 0.54 0.08 000 59025 A Fetal non-stress test 0.53 NA 0.46 0.12 000 59025 26 A Fetal non-stress test 0.53 0.22 0.22 0.10 000 59025 TC A Fetal non-stress test 0.00 NA 0.24 0.02 000 59030 A Fetal scalp blood sample 1.99 1.07 NA 0.36 000 59050 A Fetal monitor w/report 0.89 0.36 NA 0.16 XXX 59051 A Fetal monitor/interpret only 0.74 0.30 NA 0.14 XXX 59100 A Remove uterus lesion 12.35 6.42 NA 2.21 090 59120 A Treat ectopic pregnancy 11.49 6.23 NA 2.06 090 59121 A Treat ectopic pregnancy 11.67 6.35 NA 2.09 090 59130 A Treat ectopic pregnancy 14.22 6.99 NA 2.54 090 59135 A Treat ectopic pregnancy 13.88 7.10 NA 2.49 090 59136 A Treat ectopic pregnancy 13.18 6.70 NA 2.36 090 59140 A Treat ectopic pregnancy 5.46 3.46 NA 0.98 090 59150 A Treat ectopic pregnancy 11.67 6.48 NA 1.23 090 59151 A Treat ectopic pregnancy 11.49 5.94 NA 1.41 090 Start Printed Page 43939 59160 A D & c after delivery 2.71 2.29 3.73 0.49 010 59200 A Insert cervical dilator 0.79 0.31 1.41 0.15 000 59300 A Episiotomy or vaginal repair 2.41 0.98 2.00 0.43 000 59320 A Revision of cervix 2.48 1.30 NA 0.45 000 59325 A Revision of cervix 4.07 1.96 NA 0.73 000 59350 A Repair of uterus 4.95 1.99 NA 0.88 000 59400 A Obstetrical care 23.06 15.17 NA 4.14 MMM 59409 A Obstetrical care 13.50 5.41 NA 2.42 MMM 59410 A Obstetrical care 14.78 6.25 NA 2.65 MMM 59412 A Antepartum manipulation 1.71 0.70 1.34 0.31 MMM 59414 A Deliver placenta 1.61 1.32 NA 0.29 MMM 59425 A Antepartum care only 4.81 5.34 5.34 0.86 MMM 59426 A Antepartum care only 8.28 9.11 9.11 1.49 MMM 59430 A Care after delivery 2.13 1.26 1.26 0.38 MMM 59510 A Cesarean delivery 26.22 17.35 NA 4.70 MMM 59514 A Cesarean delivery only 15.97 6.33 NA 2.86 MMM 59515 A Cesarean delivery 17.37 8.23 NA 3.12 MMM 59525 A Remove uterus after cesarean 8.54 3.34 NA 1.53 ZZZ 59610 A Vbac delivery 24.62 15.89 NA 4.41 MMM 59612 A Vbac delivery only 15.06 6.18 NA 2.70 MMM 59614 A Vbac care after delivery 16.34 7.52 NA 2.93 MMM 59618 A Attempted vbac delivery 27.78 18.22 NA 4.98 MMM 59620 A Attempted vbac delivery only 17.53 6.89 NA 3.15 MMM 59622 A Attempted vbac after care 18.93 8.80 NA 3.39 MMM 59812 A Treatment of miscarriage 4.01 2.63 3.71 0.58 090 59820 A Care of miscarriage 4.01 2.79 3.75 0.72 090 59821 A Treatment of miscarriage 4.47 2.98 3.74 0.80 090 59830 A Treat uterus infection 6.11 4.05 NA 1.10 090 59840 R Abortion 3.01 2.37 4.07 0.54 010 59841 R Abortion 5.24 3.71 5.71 0.94 010 59850 R Abortion 5.91 2.79 NA 1.06 090 59851 R Abortion 5.93 3.18 NA 1.06 090 59852 R Abortion 8.24 4.65 NA 1.48 090 59855 R Abortion 6.12 3.34 NA 1.10 090 59856 R Abortion 7.48 3.65 NA 1.34 090 59857 R Abortion 9.29 4.35 NA 1.66 090 59866 R Abortion (mpr) 4.00 1.55 NA 0.72 000 59870 A Evacuate mole of uterus 6.01 3.85 NA 0.77 090 59871 A Remove cerclage suture 2.13 0.89 2.12 0.38 000 59898 C Laparo proc, ob care/deliver 0.00 0.00 0.00 0.00 YYY 59899 C Maternity care procedure 0.00 0.00 0.00 0.00 YYY 60000 A Drain thyroid/tongue cyst 1.76 2.12 2.33 0.14 010 60001 A Aspirate/inject thyriod cyst 0.97 0.35 1.64 0.06 000 60100 A Biopsy of thyroid 1.56 0.55 2.61 0.05 000 60200 A Remove thyroid lesion 9.55 6.53 NA 0.84 090 60210 A Partial thyroid excision 10.88 6.43 NA 1.01 090 60212 A Parital thyroid excision 16.03 8.24 NA 1.51 090 60220 A Partial removal of thyroid 11.90 6.99 NA 0.97 090 60225 A Partial removal of thyroid 14.19 7.82 NA 1.31 090 60240 A Removal of thyroid 16.06 9.18 NA 1.50 090 60252 A Removal of thyroid 20.57 11.38 NA 1.63 090 60254 A Extensive thyroid surgery 26.99 15.76 NA 1.96 090 60260 A Repeat thyroid surgery 17.47 10.27 NA 1.39 090 60270 A Removal of thyroid 20.27 11.40 NA 1.78 090 60271 A Removal of thyroid 16.83 9.77 NA 1.35 090 60280 A Remove thyroid duct lesion 5.87 5.11 NA 0.45 090 60281 A Remove thyroid duct lesion 8.53 6.32 NA 0.67 090 60500 A Explore parathyroid glands 16.23 7.77 NA 1.61 090 60502 A Re-explore parathyroids 20.35 9.58 NA 2.00 090 60505 A Explore parathyroid glands 21.49 11.33 NA 2.14 090 60512 A Autotransplant parathyroid 4.45 1.66 NA 0.44 ZZZ 60520 A Removal of thymus gland 16.81 9.71 NA 1.84 090 60521 A Removal of thymus gland 18.87 11.48 NA 2.34 090 60522 A Removal of thymus gland 23.09 12.76 NA 2.83 090 60540 A Explore adrenal gland 17.03 7.84 NA 1.42 090 60545 A Explore adrenal gland 19.88 9.48 NA 1.75 090 Start Printed Page 43940 60600 A Remove carotid body lesion 17.93 13.29 NA 1.87 090 60605 A Remove carotid body lesion 20.24 18.29 NA 2.28 090 60650 A Laparoscopy adrenalectomy 20.00 8.11 NA 1.98 090 60659 C Laparo proc, endocrine 0.00 0.00 0.00 0.00 YYY 60699 C Endocrine surgery procedure 0.00 0.00 0.00 0.00 YYY 61000 A Remove cranial cavity fluid 1.58 1.49 1.73 0.13 000 61001 A Remove cranial cavity fluid 1.49 1.41 1.91 0.15 000 61020 A Remove brain cavity fluid 1.51 1.48 2.35 0.26 000 61026 A Injection into brain canal 1.69 1.67 2.28 0.21 000 61050 A Remove brain canal fluid 1.51 1.52 NA 0.13 000 61055 A Injection into brain canal 2.10 1.70 NA 0.13 000 61070 A Brain canal shunt procedure 0.89 1.18 6.86 0.09 000 61105 A Twist drill hole 5.14 3.60 NA 1.05 090 61107 A Drill skull for implantation 5.00 3.06 NA 1.02 000 61108 A Drill skull for drainage 10.19 6.94 NA 2.04 090 61120 A Burr hole for puncture 8.76 5.77 NA 1.81 090 61140 A Pierce skull for biopsy 15.90 9.73 NA 3.15 090 61150 A Pierce skull for drainage 17.57 10.52 NA 3.52 090 61151 A Pierce skull for drainage 12.42 8.07 NA 2.45 090 61154 A Pierce skull & remove clot 14.99 9.33 NA 3.05 090 61156 A Pierce skull for drainage 16.32 10.12 NA 3.42 090 61210 A Pierce skull, implant device 5.84 3.46 NA 1.16 000 61215 A Insert brain-fluid device 4.89 4.16 NA 0.99 090 61250 A Pierce skull & explore 10.42 6.64 NA 2.02 090 61253 A Pierce skull & explore 12.36 7.48 NA 2.26 090 61304 A Open skull for exploration 21.96 12.40 NA 4.33 090 61305 A Open skull for exploration 26.61 14.78 NA 5.25 090 61312 A Open skull for drainage 24.57 14.18 NA 4.99 090 61313 A Open skull for drainage 24.93 14.37 NA 5.07 090 61314 A Open skull for drainage 24.23 12.82 NA 4.00 090 61315 A Open skull for drainage 27.68 15.79 NA 5.62 090 61320 A Open skull for drainage 25.62 14.72 NA 5.20 090 61321 A Open skull for drainage 28.50 15.83 NA 5.35 090 61330 A Decompress eye socket 23.32 18.10 NA 2.58 090 61332 A Explore/biopsy eye socket 27.28 19.79 NA 4.15 090 61333 A Explore orbit/remove lesion 27.95 16.19 NA 2.24 090 61334 A Explore orbit/remove object 18.27 11.00 NA 3.02 090 61340 A Relieve cranial pressure 18.66 11.41 NA 3.66 090 61343 A Incise skull (press relief) 29.77 17.51 NA 6.04 090 61345 A Relieve cranial pressure 27.20 16.07 NA 5.23 090 61440 A Incise skull for surgery 26.63 15.30 NA 5.57 090 61450 A Incise skull for surgery 25.95 14.46 NA 5.11 090 61458 A Incise skull for brain wound 27.29 15.54 NA 5.28 090 61460 A Incise skull for surgery 28.39 16.54 NA 5.13 090 61470 A Incise skull for surgery 26.06 14.26 NA 4.65 090 61480 A Incise skull for surgery 26.49 12.00 NA 5.54 090 61490 A Incise skull for surgery 25.66 14.57 NA 5.37 090 61500 A Removal of skull lesion 17.92 10.82 NA 3.26 090 61501 A Remove infected skull bone 14.84 9.23 NA 2.63 090 61510 A Removal of brain lesion 28.45 16.15 NA 5.77 090 61512 A Remove brain lining lesion 35.09 19.64 NA 7.14 090 61514 A Removal of brain abscess 25.26 14.48 NA 5.12 090 61516 A Removal of brain lesion 24.61 14.55 NA 4.94 090 61518 A Removal of brain lesion 37.32 21.68 NA 7.53 090 61519 A Remove brain lining lesion 41.39 23.67 NA 8.15 090 61520 A Removal of brain lesion 54.84 31.29 NA 10.10 090 61521 A Removal of brain lesion 44.48 25.20 NA 8.85 090 61522 A Removal of brain abscess 29.45 17.12 NA 5.30 090 61524 A Removal of brain lesion 27.86 16.38 NA 5.01 090 61526 A Removal of brain lesion 52.17 30.55 NA 6.72 090 61530 A Removal of brain lesion 43.86 26.68 NA 6.17 090 61531 A Implant brain electrodes 14.63 9.36 NA 2.84 090 61533 A Implant brain electrodes 19.71 12.01 NA 3.80 090 61534 A Removal of brain lesion 20.97 12.74 NA 4.15 090 61535 A Remove brain electrodes 11.63 7.81 NA 2.29 090 61536 A Removal of brain lesion 35.52 20.56 NA 6.68 090 Start Printed Page 43941 61538 A Removal of brain tissue 26.81 15.92 NA 5.38 090 61539 A Removal of brain tissue 32.08 18.48 NA 6.62 090 61541 A Incision of brain tissue 28.85 16.57 NA 5.50 090 61542 A Removal of brain tissue 31.02 18.39 NA 6.49 090 61543 A Removal of brain tissue 29.22 16.98 NA 6.11 090 61544 A Remove & treat brain lesion 25.50 14.30 NA 4.91 090 61545 A Excision of brain tumor 43.80 24.37 NA 8.88 090 61546 A Removal of pituitary gland 31.30 18.25 NA 6.06 090 61548 A Removal of pituitary gland 21.53 13.40 NA 3.63 090 61550 A Release of skull seams 14.65 7.19 NA 1.14 090 61552 A Release of skull seams 19.56 9.61 NA 0.88 090 61556 A Incise skull/sutures 22.26 11.83 NA 3.57 090 61557 A Incise skull/sutures 22.38 13.43 NA 4.68 090 61558 A Excision of skull/sutures 25.58 12.33 NA 2.61 090 61559 A Excision of skull/sutures 32.79 19.31 NA 6.86 090 61563 A Excision of skull tumor 26.83 15.82 NA 4.46 090 61564 A Excision of skull tumor 33.83 18.61 NA 7.08 090 61570 A Remove foreign body, brain 24.60 13.44 NA 4.60 090 61571 A Incise skull for brain wound 26.39 14.67 NA 5.23 090 61575 A Skull base/brainstem surgery 34.36 20.90 NA 5.02 090 61576 A Skull base/brainstem surgery 52.43 30.54 NA 4.68 090 61580 A Craniofacial approach, skull 30.35 19.03 NA 2.75 090 61581 A Craniofacial approach, skull 34.60 15.21 NA 3.37 090 61582 A Craniofacial approach, skull 31.66 18.86 NA 6.30 090 61583 A Craniofacial approach, skull 36.21 22.08 NA 6.94 090 61584 A Orbitocranial approach/skull 34.65 20.47 NA 6.53 090 61585 A Orbitocranial approach/skull 38.61 22.17 NA 6.19 090 61586 A Resect nasopharynx, skull 25.10 15.93 NA 3.52 090 61590 A Infratemporal approach/skull 41.78 25.32 NA 4.28 090 61591 A Infratemporal approach/skull 43.68 26.00 NA 5.26 090 61592 A Orbitocranial approach/skull 39.64 23.16 NA 7.55 090 61595 A Transtemporal approach/skull 29.57 19.15 NA 3.05 090 61596 A Transcochlear approach/skull 35.63 21.87 NA 4.25 090 61597 A Transcondylar approach/skull 37.96 20.80 NA 6.65 090 61598 A Transpetrosal approach/skull 33.41 20.38 NA 4.60 090 61600 A Resect/excise cranial lesion 25.85 15.77 NA 3.12 090 61601 A Resect/excise cranial lesion 27.89 16.92 NA 5.29 090 61605 A Resect/excise cranial lesion 29.33 18.37 NA 2.51 090 61606 A Resect/excise cranial lesion 38.83 22.93 NA 6.81 090 61607 A Resect/excise cranial lesion 36.27 21.66 NA 5.69 090 61608 A Resect/excise cranial lesion 42.10 24.23 NA 8.31 090 61609 A Transect artery, sinus 9.89 4.91 NA 2.07 ZZZ 61610 A Transect artery, sinus 29.67 13.53 NA 3.52 ZZZ 61611 A Transect artery, sinus 7.42 2.87 NA 1.55 ZZZ 61612 A Transect artery, sinus 27.88 13.72 NA 3.55 ZZZ 61613 A Remove aneurysm, sinus 40.86 23.57 NA 8.32 090 61615 A Resect/excise lesion, skull 32.07 20.27 NA 4.64 090 61616 A Resect/excise lesion, skull 43.33 26.44 NA 7.02 090 61618 A Repair dura 16.99 11.17 NA 2.92 090 61619 A Repair dura 20.71 13.11 NA 3.42 090 61624 A Occlusion/embolization cath 20.15 7.18 NA 1.15 000 61626 A Occlusion/embolization cath 16.62 5.74 NA 0.84 000 61680 A Intracranial vessel surgery 30.71 17.96 NA 6.04 090 61682 A Intracranial vessel surgery 61.57 33.42 NA 12.69 090 61684 A Intracranial vessel surgery 39.81 22.49 NA 7.87 090 61686 A Intracranial vessel surgery 64.49 35.40 NA 13.20 090 61690 A Intracranial vessel surgery 29.31 17.26 NA 5.51 090 61692 A Intracranial vessel surgery 51.87 28.35 NA 10.17 090 61697 A Brain aneurysm repr, complx 50.52 27.58 NA 10.31 090 61698 A Brain aneurysm repr, complx 48.41 26.60 NA 9.99 090 61700 A Brain aneurysm repr , simple 50.52 27.58 NA 10.18 090 61702 A Inner skull vessel surgery 48.41 26.60 NA 9.75 090 61703 A Clamp neck artery 17.47 10.91 NA 3.62 090 61705 A Revise circulation to head 36.20 19.80 NA 6.67 090 61708 A Revise circulation to head 35.30 15.99 NA 2.18 090 61710 A Revise circulation to head 29.67 14.51 NA 2.42 090 Start Printed Page 43942 61711 A Fusion of skull arteries 36.33 20.32 NA 7.39 090 61720 A Incise skull/brain surgery 16.77 10.59 NA 3.51 090 61735 A Incise skull/brain surgery 20.43 12.62 NA 4.16 090 61750 A Incise skull/brain biopsy 18.20 10.86 NA 3.71 090 61751 A Brain biopsy w/ ct/mr guide 17.62 10.67 NA 3.57 090 61760 A Implant brain electrodes 22.27 8.87 NA 4.59 090 61770 A Incise skull for treatment 21.44 12.92 NA 4.09 090 61790 A Treat trigeminal nerve 10.86 5.86 NA 1.82 090 61791 A Treat trigeminal tract 14.61 9.18 NA 3.03 090 61793 A Focus radiation beam 17.24 10.80 NA 3.51 090 61795 A Brain surgery using computer 4.04 2.09 NA 0.81 ZZZ 61850 A Implant neuroelectrodes 12.39 7.95 NA 2.23 090 61860 A Implant neuroelectrodes 20.87 12.73 NA 4.04 090 61862 A Implant neurostimul, subcort 19.34 11.90 NA 3.97 090 61870 A Implant neuroelectrodes 14.94 10.48 NA 1.70 090 61875 A Implant neuroelectrodes 15.06 9.02 NA 2.42 090 61880 A Revise/remove neuroelectrode 6.29 5.19 NA 1.31 090 61885 A Implant neurostim one array 5.85 4.27 NA 1.22 090 61886 A Implant neurostim arrays 8.00 6.03 NA 1.64 090 61888 A Revise/remove neuroreceiver 5.07 3.85 NA 1.04 010 62000 A Treat skull fracture 12.53 5.52 NA 0.87 090 62005 A Treat skull fracture 16.17 8.93 NA 2.33 090 62010 A Treatment of head injury 19.81 11.53 NA 4.05 090 62100 A Repair brain fluid leakage 22.03 13.66 NA 4.07 090 62115 A Reduction of skull defect 21.66 11.72 NA 4.53 090 62116 A Reduction of skull defect 23.59 13.67 NA 4.85 090 62117 A Reduction of skull defect 26.60 15.32 NA 5.56 090 62120 A Repair skull cavity lesion 23.35 14.28 NA 3.07 090 62121 A Incise skull repair 21.58 13.43 NA 2.47 090 62140 A Repair of skull defect 13.51 8.50 NA 2.60 090 62141 A Repair of skull defect 14.91 9.64 NA 2.85 090 62142 A Remove skull plate/flap 10.79 7.17 NA 2.10 090 62143 A Replace skull plate/flap 13.05 8.61 NA 2.55 090 62145 A Repair of skull & brain 18.82 11.50 NA 3.81 090 62146 A Repair of skull with graft 16.12 10.29 NA 2.94 090 62147 A Repair of skull with graft 19.34 12.03 NA 3.64 090 62180 A Establish brain cavity shunt 21.06 12.65 NA 4.32 090 62190 A Establish brain cavity shunt 11.07 7.60 NA 2.18 090 62192 A Establish brain cavity shunt 12.25 8.13 NA 2.46 090 62194 A Replace/irrigate catheter 5.03 2.18 NA 0.50 010 62200 A Establish brain cavity shunt 18.32 11.44 NA 3.70 090 62201 A Establish brain cavity shunt 14.86 9.45 NA 2.52 090 62220 A Establish brain cavity shunt 13.00 8.50 NA 2.53 090 62223 A Establish brain cavity shunt 12.87 8.37 NA 2.58 090 62225 A Replace/irrigate catheter 5.41 4.04 NA 1.09 090 62230 A Replace/revise brain shunt 10.54 6.50 NA 2.10 090 62252 A Csf shunt reprogram 0.74 NA 1.43 0.18 XXX 62252 26 A Csf shunt reprogram 0.74 0.29 0.29 0.16 XXX 62252 TC A Csf shunt reprogram 0.00 NA 1.14 0.02 XXX 62256 A Remove brain cavity shunt 6.60 5.31 NA 1.34 90 62258 A Replace brain cavity shunt 14.54 8.59 NA 2.91 090 62263 A Lysis epidural adhesions 6.14 2.12 5.52 0.42 010 62268 A Drain spinal cord cyst 4.74 2.71 NA 0.29 000 62269 A Needle biopsy, spinal cord 5.02 2.39 NA 0.29 000 62270 A Spinal fluid tap, diagnostic 1.13 0.47 4.00 0.06 000 62272 A Drain cerebro spinal fluid 1.35 0.62 3.38 0.13 000 62273 A Treat epidural spine lesion 2.15 1.20 1.46 0.14 000 62280 A Treat spinal cord lesion 2.63 0.68 4.29 0.17 010 62281 A Treat spinal cord lesion 2.66 0.59 4.00 0.16 010 62282 A Treat spinal canal lesion 2.33 0.59 5.80 0.14 010 62284 A Injection for myelogram 1.54 0.50 6.09 0.10 000 62287 A Percutaneous diskectomy 8.08 5.00 NA 0.66 090 62290 A Inject for spine disk x-ray 3.00 1.29 5.67 0.20 000 62291 A Inject for spine disk x-ray 2.91 1.15 5.87 0.17 000 62292 A Injection into disk lesion 7.86 4.87 NA 0.65 090 62294 A Injection into spinal artery 11.83 6.66 NA 0.85 090 Start Printed Page 43943 62310 A Inject spine c/t 1.91 0.42 3.71 0.11 000 62311 A Inject spine l/s (cd) 1.54 0.35 4.18 0.09 000 62318 A Inject spine w/cath, c/t 2.04 0.44 3.85 0.12 000 62319 A Inject spine w/cath l/s (cd) 1.87 0.39 3.43 0.11 000 62350 A Implant spinal canal cath 6.87 3.62 NA 0.64 090 62351 A Implant spinal canal cath 10.00 6.65 NA 1.79 090 62355 A Remove spinal canal catheter 5.45 2.83 NA 0.47 090 62360 A Insert spine infusion device 2.62 2.24 NA 0.21 090 62361 A Implant spine infusion pump 5.42 3.47 NA 0.50 090 62362 A Implant spine infusion pump 7.04 4.02 NA 0.86 090 62365 A Remove spine infusion device 5.42 3.88 NA 0.58 090 62367 C Analyze spine infusion pump 0.00 0.00 0.00 0.00 XXX 62367 26 A Analyze spine infusion pump 0.48 0.13 0.13 0.03 XXX 62367 TC C Analyze spine infusion pump 0.00 0.00 0.00 0.00 XXX 62368 C Analyze spine infusion pump 0.00 0.00 0.00 0.00 XXX 62368 26 A Analyze spine infusion pump 0.75 0.20 0.20 0.05 XXX 62368 TC C Analyze spine infusion pump 0.00 0.00 0.00 0.00 XXX 63001 A Removal of spinal lamina 15.82 11.41 NA 3.03 090 63003 A Removal of spinal lamina 15.95 11.72 NA 2.98 090 63005 A Removal of spinal lamina 14.92 11.28 NA 2.62 090 63011 A Removal of spinal lamina 14.52 9.87 NA 1.43 090 63012 A Removal of spinal lamina 15.40 10.09 NA 2.71 090 63015 A Removal of spinal lamina 19.35 13.38 NA 3.84 090 63016 A Removal of spinal lamina 19.20 13.41 NA 3.62 090 63017 A Removal of spinal lamina 15.94 11.75 NA 2.91 090 63020 A Neck spine disk surgery 14.81 11.11 NA 2.89 090 63030 A Low back disk surgery 12.00 9.79 NA 2.21 090 63035 A Spinal disk surgery add-on 3.15 1.60 NA 0.57 ZZZ 63040 A Laminotomy, single cervical 18.81 13.09 NA 3.36 090 63042 A Laminotomy, single lumbar 17.47 12.67 NA 3.11 090 63043 C Laminotomy, addl cervical 0.00 0.00 0.00 0.00 ZZZ 63044 C Laminotomy, addl lumbar 0.00 0.00 0.00 0.00 ZZZ 63045 A Removal of spinal lamina 16.50 11.98 NA 3.19 090 63046 A Removal of spinal lamina 15.80 11.74 NA 2.89 090 63047 A Removal of spinal lamina 14.61 11.20 NA 2.61 090 63048 A Remove spinal lamina add-on 3.26 1.68 NA 0.58 ZZZ 63055 A Decompress spinal cord 21.99 14.81 NA 4.09 090 63056 A Decompress spinal cord 20.36 14.14 NA 3.34 090 63057 A Decompress spine cord add-on 5.26 2.66 NA 0.81 ZZZ 63064 A Decompress spinal cord 24.61 16.61 NA 4.72 090 63066 A Decompress spine cord add-on 3.26 1.69 NA 0.63 ZZZ 63075 A Neck spine disk surgery 19.41 13.53 NA 3.73 090 63076 A Neck spine disk surgery 4.05 2.07 NA 0.78 ZZZ 63077 A Spine disk surgery, thorax 21.44 15.02 NA 3.44 090 63078 A Spine disk surgery, thorax 3.28 1.68 NA 0.50 ZZZ 63081 A Removal of vertebral body 23.73 16.32 NA 4.46 090 63082 A Remove vertebral body add-on 4.37 2.26 NA 0.82 ZZZ 63085 A Removal of vertebral body 26.92 17.77 NA 4.70 090 63086 A Remove vertebral body add-on 3.19 1.62 NA 0.55 ZZZ 63087 A Removal of vertebral body 35.57 21.55 NA 5.87 090 63088 A Remove vertebral body add-on 4.33 2.23 NA 0.77 ZZZ 63090 A Removal of vertebral body 28.16 17.98 NA 4.27 090 63091 A Remove vertebral body add-on 3.03 1.49 NA 0.45 ZZZ 63170 A Incise spinal cord tract(s) 19.83 13.67 NA 3.89 090 63172 A Drainage of spinal cyst 17.66 13.13 NA 3.46 090 63173 A Drainage of spinal cyst 21.99 15.14 NA 4.14 090 63180 A Revise spinal cord ligaments 18.27 13.46 NA 3.83 090 63182 A Revise spinal cord ligaments 20.50 12.98 NA 3.48 090 63185 A Incise spinal column/nerves 15.04 9.94 NA 2.08 090 63190 A Incise spinal column/nerves 17.45 12.03 NA 2.88 090 63191 A Incise spinal column/nerves 17.54 11.93 NA 3.50 090 63194 A Incise spinal column & cord 19.19 13.30 NA 4.01 090 63195 A Incise spinal column & cord 18.84 12.99 NA 3.44 090 63196 A Incise spinal column & cord 22.30 13.73 NA 4.66 090 63197 A Incise spinal column & cord 21.11 13.89 NA 4.42 090 63198 A Incise spinal column & cord 25.38 11.10 NA 5.31 090 Start Printed Page 43944 63199 A Incise spinal column & cord 26.89 16.61 NA 5.62 090 63200 A Release of spinal cord 19.18 13.04 NA 3.61 090 63250 A Revise spinal cord vessels 40.76 20.63 NA 7.65 090 63251 A Revise spinal cord vessels 41.20 22.94 NA 7.98 090 63252 A Revise spinal cord vessels 41.19 22.46 NA 7.75 090 63265 A Excise intraspinal lesion 21.56 12.96 NA 4.29 090 63266 A Excise intraspinal lesion 22.30 13.40 NA 4.47 090 63267 A Excise intraspinal lesion 17.95 11.21 NA 3.50 090 63268 A Excise intraspinal lesion 18.52 10.62 NA 3.18 090 63270 A Excise intraspinal lesion 26.80 15.75 NA 5.41 090 63271 A Excise intraspinal lesion 26.92 15.82 NA 5.56 090 63272 A Excise intraspinal lesion 25.32 14.93 NA 5.07 090 63273 A Excise intraspinal lesion 24.29 14.57 NA 5.08 090 63275 A Biopsy/excise spinal tumor 23.68 14.01 NA 4.68 090 63276 A Biopsy/excise spinal tumor 23.45 13.90 NA 4.63 090 63277 A Biopsy/excise spinal tumor 20.83 12.68 NA 4.03 090 63278 A Biopsy/excise spinal tumor 20.56 12.55 NA 4.02 090 63280 A Biopsy/excise spinal tumor 28.35 16.43 NA 5.80 090 63281 A Biopsy/excise spinal tumor 28.05 16.28 NA 5.67 090 63282 A Biopsy/excise spinal tumor 26.39 15.38 NA 5.33 090 63283 A Biopsy/excise spinal tumor 25.00 14.75 NA 5.12 090 63285 A Biopsy/excise spinal tumor 36.00 20.14 NA 7.31 090 63286 A Biopsy/excise spinal tumor 35.63 20.04 NA 7.07 090 63287 A Biopsy/excise spinal tumor 36.70 20.64 NA 7.48 090 63290 A Biopsy/excise spinal tumor 37.38 20.84 NA 7.65 090 63300 A Removal of vertebral body 24.43 14.50 NA 4.78 090 63301 A Removal of vertebral body 27.60 15.58 NA 5.03 090 63302 A Removal of vertebral body 27.81 15.82 NA 5.25 090 63303 A Removal of vertebral body 30.50 17.19 NA 5.21 090 63304 A Removal of vertebral body 30.33 17.50 NA 4.72 090 63305 A Removal of vertebral body 32.03 17.96 NA 5.39 090 63306 A Removal of vertebral body 32.22 17.54 NA 2.39 090 63307 A Removal of vertebral body 31.63 17.15 NA 4.23 090 63308 A Remove vertebral body add-on 5.25 2.66 NA 1.01 ZZZ 63600 A Remove spinal cord lesion 14.02 6.14 NA 1.22 090 63610 A Stimulation of spinal cord 8.73 4.12 NA 0.43 000 63615 A Remove lesion of spinal cord 16.28 10.20 NA 2.85 090 63650 A Implant neuroelectrodes 6.74 2.98 NA 0.48 090 63655 A Implant neuroelectrodes 10.29 7.12 NA 1.85 090 63660 A Revise/remove neuroelectrode 6.16 3.71 NA 0.65 090 63685 A Implant neuroreceiver 7.04 4.27 NA 0.96 090 63688 A Revise/remove neuroreceiver 5.39 3.63 NA 0.70 090 63700 A Repair of spinal herniation 16.53 10.33 NA 2.69 090 63702 A Repair of spinal herniation 18.48 10.98 NA 1.36 090 63704 A Repair of spinal herniation 21.18 12.54 NA 3.84 090 63706 A Repair of spinal herniation 24.11 13.63 NA 4.73 090 63707 A Repair spinal fluid leakage 11.26 7.88 NA 1.96 090 63709 A Repair spinal fluid leakage 14.32 9.56 NA 2.49 090 63710 A Graft repair of spine defect 14.07 9.28 NA 2.61 090 63740 A Install spinal shunt 11.36 7.62 NA 2.15 090 63741 A Install spinal shunt 8.25 4.85 NA 1.05 090 63744 A Revision of spinal shunt 8.10 5.53 NA 1.51 090 63746 A Removal of spinal shunt 6.43 4.01 NA 1.15 090 64400 A Injection for nerve block 1.11 0.27 2.46 0.06 000 64402 A Injection for nerve block 1.25 0.44 4.37 0.07 000 64405 A Injection for nerve block 1.32 0.35 1.30 0.08 000 64408 A Injection for nerve block 1.41 0.57 2.81 0.09 000 64410 A Injection for nerve block 1.43 0.31 2.77 0.08 000 64412 A Injection for nerve block 1.18 0.27 2.71 0.08 000 64413 A Injection for nerve block 1.40 0.35 2.82 0.09 000 64415 A Injection for nerve block 1.48 0.31 2.80 0.08 000 64417 A Injection for nerve block 1.44 0.34 2.78 0.09 000 64418 A Injection for nerve block 1.32 0.28 2.44 0.07 000 64420 A Injection for nerve block 1.18 0.26 2.37 0.07 000 64421 A Injection for nerve block 1.68 0.37 2.78 0.10 000 64425 A Injection for nerve block 1.75 0.39 2.30 0.11 000 Start Printed Page 43945 64430 A Injection for nerve block 1.46 0.43 2.85 0.11 000 64435 A Injection for nerve block 1.45 0.56 3.07 0.15 000 64445 A Injection for nerve block 1.48 0.39 2.48 0.08 000 64450 A Injection for nerve block 1.27 0.32 1.78 0.08 000 64470 A Inj paravertebral c/t 1.85 0.48 4.03 0.12 000 64472 A Inj paravertebral c/t add-on 1.29 0.33 3.86 0.09 ZZZ 64475 A Inj paravertebral l/s 1.41 0.38 3.92 0.09 000 64476 A Inj paravertebral l/s add-on 0.98 0.25 4.09 0.06 ZZZ 64479 A Inj foramen epidural c/t 2.20 0.62 4.25 0.14 000 64480 A Inj foramen epidural add-on 1.54 0.42 4.17 0.09 ZZZ 64483 A Inj foramen epidural l/s 1.90 0.54 4.12 0.12 000 64484 A Inj foramen epidural add-on 1.33 0.36 4.10 0.08 ZZZ 64505 A Injection for nerve block 1.36 0.35 2.34 0.08 000 64508 A Injection for nerve block 1.12 0.34 2.44 0.06 000 64510 A Injection for nerve block 1.22 0.25 2.52 0.07 000 64520 A Injection for nerve block 1.35 0.29 3.65 0.08 000 64530 A Injection for nerve block 1.58 0.35 3.45 0.09 000 64550 A Apply neurostimulator 0.18 0.06 0.54 0.01 000 64553 A Implant neuroelectrodes 2.31 1.27 1.74 0.17 010 64555 A Implant neuroelectrodes 2.27 0.65 2.39 0.11 010 64560 A Implant neuroelectrodes 2.36 0.72 2.42 0.17 010 64561 A Implant neuroelectrodes 6.74 3.74 15.36 0.11 010 64565 A Implant neuroelectrodes 1.76 0.66 3.16 0.08 010 64573 A Implant neuroelectrodes 7.50 5.33 NA 1.48 090 64575 A Implant neuroelectrodes 4.35 3.16 NA 0.37 090 64577 A Implant neuroelectrodes 4.62 3.63 NA 0.50 090 64580 A Implant neuroelectrodes 4.12 3.91 NA 0.21 090 64581 A Implant neuroelectrodes 13.50 6.55 NA 0.37 090 64585 A Revise/remove neuroelectrode 2.06 2.13 3.18 0.29 010 64590 A Implant neuroreceiver 2.40 2.31 NA 0.40 010 64595 A Revise/remove neuroreceiver 1.73 1.94 NA 0.22 010 64600 A Injection treatment of nerve 3.45 2.01 3.10 0.28 010 64605 A Injection treatment of nerve 5.61 2.51 3.64 0.53 010 64610 A Injection treatment of nerve 7.16 4.05 NA 1.12 010 64612 A Destroy nerve, face muscle 1.96 1.60 2.98 0.09 010 64613 A Destroy nerve, spine muscle 1.96 1.44 1.76 0.10 010 64614 A Destroy nerve, extrem musc 2.20 0.76 3.48 0.09 010 64620 A Injection treatment of nerve 2.84 0.65 2.98 0.17 010 64622 A Destr paravertebrl nerve l/s 3.00 0.72 4.59 0.17 010 64623 A Destr paravertebral n add-on 0.99 0.23 3.59 0.06 ZZZ 64626 A Destr paravertebrl nerve c/t 3.28 0.79 4.32 0.22 010 64627 A Destr paravertebral n add-on 1.16 0.29 3.64 0.08 ZZZ 64630 A Injection treatment of nerve 3.00 0.77 3.50 0.16 010 64640 A Injection treatment of nerve 2.76 1.62 5.04 0.11 010 64680 A Injection treatment of nerve 2.62 0.68 2.98 0.15 010 64702 A Revise finger/toe nerve 4.23 3.90 NA 0.51 090 64704 A Revise hand/foot nerve 4.57 3.19 NA 0.59 090 64708 A Revise arm/leg nerve 6.12 5.01 NA 0.82 090 64712 A Revision of sciatic nerve 7.75 5.14 NA 0.54 090 64713 A Revision of arm nerve(s) 11.00 5.68 NA 1.01 090 64714 A Revise low back nerve(s) 10.33 4.11 NA 0.64 090 64716 A Revision of cranial nerve 6.31 4.92 NA 0.59 090 64718 A Revise ulnar nerve at elbow 5.99 5.14 NA 0.87 090 64719 A Revise ulnar nerve at wrist 4.85 4.64 NA 0.63 090 64721 A Carpal tunnel surgery 4.29 5.96 6.32 0.59 090 64722 A Relieve pressure on nerve(s) 4.70 3.22 NA 0.32 090 64726 A Release foot/toe nerve 4.18 3.02 NA 0.57 090 64727 A Internal nerve revision 3.10 1.55 NA 0.40 ZZZ 64732 A Incision of brow nerve 4.41 3.51 NA 0.77 090 64734 A Incision of cheek nerve 4.92 3.55 NA 0.83 090 64736 A Incision of chin nerve 4.60 2.88 NA 0.71 090 64738 A Incision of jaw nerve 5.73 3.58 NA 0.84 090 64740 A Incision of tongue nerve 5.59 3.78 NA 0.43 090 64742 A Incision of facial nerve 6.22 4.71 NA 0.69 090 64744 A Incise nerve, back of head 5.24 3.83 NA 0.98 090 64746 A Incise diaphragm nerve 5.93 4.41 NA 0.75 090 Start Printed Page 43946 64752 A Incision of vagus nerve 7.06 4.67 NA 0.83 090 64755 A Incision of stomach nerves 13.52 6.23 NA 1.16 090 64760 A Incision of vagus nerve 6.96 4.03 NA 0.51 090 64761 A Incision of pelvis nerve 6.41 3.56 NA 0.26 090 64763 A Incise hip/thigh nerve 6.93 6.12 NA 0.77 090 64766 A Incise hip/thigh nerve 8.67 5.65 NA 0.99 090 64771 A Sever cranial nerve 7.35 5.51 NA 1.32 090 64772 A Incision of spinal nerve 7.21 4.79 NA 1.20 090 64774 A Remove skin nerve lesion 5.17 3.73 NA 0.60 090 64776 A Remove digit nerve lesion 5.12 3.80 NA 0.63 090 64778 A Digit nerve surgery add-on 3.11 1.55 NA 0.38 ZZZ 64782 A Remove limb nerve lesion 6.23 3.70 NA 0.79 090 64783 A Limb nerve surgery add-on 3.72 1.90 NA 0.48 ZZZ 64784 A Remove nerve lesion 9.82 6.60 NA 1.17 090 64786 A Remove sciatic nerve lesion 15.46 10.09 NA 2.22 090 64787 A Implant nerve end 4.30 2.19 NA 0.56 ZZZ 64788 A Remove skin nerve lesion 4.61 3.46 NA 0.54 090 64790 A Removal of nerve lesion 11.31 7.18 NA 1.68 090 64792 A Removal of nerve lesion 14.92 8.77 NA 1.88 090 64795 A Biopsy of nerve 3.01 1.76 NA 0.40 000 64802 A Remove sympathetic nerves 9.15 5.31 NA 0.87 090 64804 A Remove sympathetic nerves 14.64 7.26 NA 1.79 090 64809 A Remove sympathetic nerves 13.67 6.23 NA 0.96 090 64818 A Remove sympathetic nerves 10.30 5.72 NA 1.08 090 64820 A Remove sympathetic nerves 10.37 7.35 NA 1.17 090 64821 A Remove sympathetic nerves 8.75 6.60 NA 0.99 090 64822 A Remove sympathetic nerves 8.75 6.60 NA 0.99 090 64823 A Remove sympathetic nerves 10.37 7.35 NA 1.17 090 64831 A Repair of digit nerve 9.44 7.20 NA 1.14 090 64832 A Repair nerve add-on 5.66 3.03 NA 0.68 ZZZ 64834 A Repair of hand or foot nerve 10.19 7.16 NA 1.23 090 64835 A Repair of hand or foot nerve 10.94 7.81 NA 1.36 090 64836 A Repair of hand or foot nerve 10.94 7.79 NA 1.32 090 64837 A Repair nerve add-on 6.26 3.34 NA 0.80 ZZZ 64840 A Repair of leg nerve 13.02 8.44 NA 0.86 090 64856 A Repair/transpose nerve 13.80 9.36 NA 1.71 090 64857 A Repair arm/leg nerve 14.49 9.83 NA 1.76 090 64858 A Repair sciatic nerve 16.49 10.69 NA 2.78 090 64859 A Nerve surgery 4.26 2.23 NA 0.50 ZZZ 64861 A Repair of arm nerves 19.24 12.60 NA 2.45 090 64862 A Repair of low back nerves 19.44 12.10 NA 2.47 090 64864 A Repair of facial nerve 12.55 8.55 NA 1.13 090 64865 A Repair of facial nerve 15.24 10.03 NA 1.37 090 64866 A Fusion of facial/other nerve 15.74 9.94 NA 1.06 090 64868 A Fusion of facial/other nerve 14.04 9.26 NA 1.40 090 64870 A Fusion of facial/other nerve 15.99 10.24 NA 1.08 090 64872 A Subsequent repair of nerve 1.99 1.08 NA 0.24 ZZZ 64874 A Repair & revise nerve add-on 2.98 1.54 NA 0.34 ZZZ 64876 A Repair nerve/shorten bone 3.38 1.31 NA 0.39 ZZZ 64885 A Nerve graft, head or neck 17.53 11.12 NA 1.51 090 64886 A Nerve graft, head or neck 20.75 13.08 NA 1.73 090 64890 A Nerve graft, hand or foot 15.15 10.21 NA 1.74 090 64891 A Nerve graft, hand or foot 16.14 7.62 NA 1.38 090 64892 A Nerve graft, arm or leg 14.65 8.95 NA 1.65 090 64893 A Nerve graft, arm or leg 15.60 9.94 NA 1.77 090 64895 A Nerve graft, hand or foot 19.25 9.74 NA 2.04 090 64896 A Nerve graft, hand or foot 20.49 11.17 NA 1.85 090 64897 A Nerve graft, arm or leg 18.24 10.85 NA 2.64 090 64898 A Nerve graft, arm or leg 19.50 11.80 NA 2.71 090 64901 A Nerve graft add-on 10.22 5.41 NA 0.99 ZZZ 64902 A Nerve graft add-on 11.83 6.05 NA 1.10 ZZZ 64905 A Nerve pedicle transfer 14.02 9.10 NA 1.52 090 64907 A Nerve pedicle transfer 18.83 12.43 NA 1.79 090 64999 C Nervous system surgery 0.00 0.00 0.00 0.00 YYY 65091 A Revise eye 6.46 11.88 NA 0.26 090 65093 A Revise eye with implant 6.87 11.93 NA 0.28 090 Start Printed Page 43947 65101 A Removal of eye 7.03 12.17 NA 0.28 090 65103 A Remove eye/insert implant 7.57 12.36 NA 0.30 090 65105 A Remove eye/attach implant 8.49 12.86 NA 0.34 090 65110 A Removal of eye 13.95 15.87 NA 0.68 090 65112 A Remove eye/revise socket 16.38 18.08 NA 0.96 090 65114 A Remove eye/revise socket 17.53 18.13 NA 0.94 090 65125 A Revise ocular implant 3.12 1.46 6.31 0.15 090 65130 A Insert ocular implant 7.15 11.79 NA 0.28 090 65135 A Insert ocular implant 7.33 12.01 NA 0.29 090 65140 A Attach ocular implant 8.02 12.27 NA 0.31 090 65150 A Revise ocular implant 6.26 11.22 NA 0.25 090 65155 A Reinsert ocular implant 8.66 13.17 NA 0.40 090 65175 A Removal of ocular implant 6.28 11.37 NA 0.26 090 65205 A Remove foreign body from eye 0.71 0.20 0.62 0.03 000 65210 A Remove foreign body from eye 0.84 0.30 0.78 0.03 000 65220 A Remove foreign body from eye 0.71 0.19 0.62 0.05 000 65222 A Remove foreign body from eye 0.93 0.28 0.79 0.04 000 65235 A Remove foreign body from eye 7.57 6.99 NA 0.30 090 65260 A Remove foreign body from eye 10.96 12.76 NA 0.43 090 65265 A Remove foreign body from eye 12.59 14.32 NA 0.50 090 65270 A Repair of eye wound 1.90 2.41 4.10 0.08 010 65272 A Repair of eye wound 3.82 4.85 5.82 0.16 090 65273 A Repair of eye wound 4.36 5.19 NA 0.17 090 65275 A Repair of eye wound 5.34 5.24 5.74 0.27 090 65280 A Repair of eye wound 7.66 7.88 NA 0.30 090 65285 A Repair of eye wound 12.90 13.88 NA 0.51 090 65286 A Repair of eye wound 5.51 7.94 9.20 0.21 090 65290 A Repair of eye socket wound 5.41 6.47 NA 0.26 090 65400 A Removal of eye lesion 6.06 7.15 8.69 0.24 090 65410 A Biopsy of cornea 1.47 0.67 1.76 0.06 000 65420 A Removal of eye lesion 4.17 7.31 8.47 0.17 090 65426 A Removal of eye lesion 5.25 6.78 8.10 0.20 090 65430 A Corneal smear 1.47 0.68 9.01 0.06 000 65435 A Curette/treat cornea 0.92 0.40 1.38 0.04 000 65436 A Curette/treat cornea 4.19 5.06 6.06 0.17 090 65450 A Treatment of corneal lesion 3.27 6.90 8.19 0.13 090 65600 A Revision of cornea 3.40 1.44 5.65 0.14 090 65710 A Corneal transplant 12.35 13.14 NA 0.49 090 65730 A Corneal transplant 14.25 12.01 NA 0.56 090 65750 A Corneal transplant 15.00 14.53 NA 0.59 090 65755 A Corneal transplant 14.89 14.44 NA 0.58 090 65760 N Revision of cornea 0.00 0.00 0.00 0.00 XXX 65765 N Revision of cornea 0.00 0.00 0.00 0.00 XXX 65767 N Corneal tissue transplant 0.00 0.00 0.00 0.00 XXX 65770 A Revise cornea with implant 17.56 15.44 NA 0.69 090 65771 N Radial keratotomy 0.00 0.00 0.00 0.00 XXX 65772 A Correction of astigmatism 4.29 6.56 7.61 0.17 090 65775 A Correction of astigmatism 5.79 8.66 NA 0.22 090 65800 A Drainage of eye 1.91 1.44 2.33 0.08 000 65805 A Drainage of eye 1.91 1.44 2.33 0.08 000 65810 A Drainage of eye 4.87 9.09 NA 0.19 090 65815 A Drainage of eye 5.05 8.24 9.49 0.20 090 65820 A Relieve inner eye pressure 8.13 11.15 NA 0.32 090 65850 A Incision of eye 10.52 10.30 NA 0.41 090 65855 A Laser surgery of eye 3.85 3.61 5.13 0.17 010 65860 A Incise inner eye adhesions 3.55 3.15 4.15 0.14 090 65865 A Incise inner eye adhesions 5.60 6.93 NA 0.22 090 65870 A Incise inner eye adhesions 6.27 7.26 NA 0.24 090 65875 A Incise inner eye adhesions 6.54 7.38 NA 0.25 090 65880 A Incise inner eye adhesions 7.09 7.63 NA 0.28 090 65900 A Remove eye lesion 10.93 12.87 NA 0.46 090 65920 A Remove implant of eye 8.40 8.24 NA 0.33 090 65930 A Remove blood clot from eye 7.44 8.85 NA 0.29 090 66020 A Injection treatment of eye 1.59 1.56 2.44 0.07 010 66030 A Injection treatment of eye 1.25 1.39 2.27 0.05 010 66130 A Remove eye lesion 7.69 6.71 7.65 0.31 090 Start Printed Page 43948 66150 A Glaucoma surgery 8.30 10.90 NA 0.33 090 66155 A Glaucoma surgery 8.29 10.83 NA 0.32 090 66160 A Glaucoma surgery 10.17 11.71 NA 0.41 090 66165 A Glaucoma surgery 8.01 10.70 NA 0.31 090 66170 A Glaucoma surgery 12.16 17.20 NA 0.48 090 66172 A Incision of eye 15.04 15.44 NA 0.59 090 66180 A Implant eye shunt 14.55 12.30 NA 0.57 090 66185 A Revise eye shunt 8.14 8.45 NA 0.32 090 66220 A Repair eye lesion 7.77 10.10 NA 0.32 090 66225 A Repair/graft eye lesion 11.05 9.53 NA 0.44 090 66250 A Follow-up surgery of eye 5.98 6.50 8.04 0.23 090 66500 A Incision of iris 3.71 4.87 NA 0.15 090 66505 A Incision of iris 4.08 5.00 NA 0.17 090 66600 A Remove iris and lesion 8.68 8.90 NA 0.34 090 66605 A Removal of iris 12.79 12.47 NA 0.61 090 66625 A Removal of iris 5.13 6.83 7.91 0.20 090 66630 A Removal of iris 6.16 7.80 NA 0.24 090 66635 A Removal of iris 6.25 6.65 NA 0.24 090 66680 A Repair iris & ciliary body 5.44 6.25 NA 0.21 090 66682 A Repair iris & ciliary body 6.21 7.81 NA 0.24 090 66700 A Destruction, ciliary body 4.78 7.16 7.16 0.19 090 66710 A Destruction, ciliary body 4.78 7.61 9.06 0.18 090 66720 A Destruction, ciliary body 4.78 7.58 8.62 0.19 090 66740 A Destruction, ciliary body 4.78 6.56 NA 0.18 090 66761 A Revision of iris 4.07 4.34 5.64 0.16 090 66762 A Revision of iris 4.58 4.40 5.60 0.18 090 66770 A Removal of inner eye lesion 5.18 4.65 5.87 0.20 090 66820 A Incision, secondary cataract 3.89 8.62 NA 0.16 090 66821 A After cataract laser surgery 2.35 3.44 3.89 0.10 090 66825 A Reposition intraocular lens 8.23 10.65 NA 0.32 090 66830 A Removal of lens lesion 8.20 6.98 NA 0.32 090 66840 A Removal of lens material 7.91 6.87 NA 0.31 090 66850 A Removal of lens material 9.11 7.41 NA 0.36 090 66852 A Removal of lens material 9.97 7.87 NA 0.39 090 66920 A Extraction of lens 8.86 7.34 NA 0.35 090 66930 A Extraction of lens 10.18 8.86 NA 0.41 090 66940 A Extraction of lens 8.93 8.28 NA 0.35 090 66982 A Cataract surgery, complex 13.50 9.17 NA 0.56 090 66983 A Cataract surg w/iol, 1 stage 8.99 6.02 NA 0.37 090 66984 A Cataract surg w/iol, i stage 10.23 7.74 NA 0.41 090 66985 A Insert lens prosthesis 8.39 6.96 NA 0.33 090 66986 A Exchange lens prosthesis 12.28 8.71 NA 0.49 090 66999 C Eye surgery procedure 0.00 0.00 0.00 0.00 YYY 67005 A Partial removal of eye fluid 5.70 2.66 NA 0.22 090 67010 A Partial removal of eye fluid 6.87 3.23 NA 0.27 090 67015 A Release of eye fluid 6.92 8.37 NA 0.27 090 67025 A Replace eye fluid 6.84 7.70 17.77 0.27 090 67027 A Implant eye drug system 10.85 8.94 14.73 0.46 090 67028 A Injection eye drug 2.52 1.17 11.22 0.11 000 67030 A Incise inner eye strands 4.84 6.97 NA 0.19 090 67031 A Laser surgery, eye strands 3.67 3.21 4.22 0.15 090 67036 A Removal of inner eye fluid 11.89 9.17 NA 0.47 090 67038 A Strip retinal membrane 21.24 15.78 NA 0.84 090 67039 A Laser treatment of retina 14.52 12.62 NA 0.57 090 67040 A Laser treatment of retina 17.23 13.91 NA 0.68 090 67101 A Repair detached retina 7.53 9.12 11.28 0.29 090 67105 A Repair detached retina 7.41 5.64 7.79 0.29 090 67107 A Repair detached retina 14.84 13.51 NA 0.58 090 67108 A Repair detached retina 20.82 18.17 NA 0.82 090 67110 A Repair detached retina 8.81 10.57 21.28 0.35 090 67112 A Rerepair detached retina 16.86 16.13 NA 0.66 090 67115 A Release encircling material 4.99 7.05 NA 0.19 090 67120 A Remove eye implant material 5.98 7.34 17.00 0.23 090 67121 A Remove eye implant material 10.67 12.48 NA 0.42 090 67141 A Treatment of retina 5.20 7.18 8.31 0.20 090 67145 A Treatment of retina 5.37 4.23 5.42 0.21 090 Start Printed Page 43949 67208 A Treatment of retinal lesion 6.70 7.35 8.64 0.26 090 67210 A Treatment of retinal lesion 8.82 5.83 7.45 0.35 090 67218 A Treatment of retinal lesion 18.53 16.22 NA 0.53 090 67220 A Treatment of choroid lesion 13.13 9.82 11.06 0.51 090 67221 A Ocular photodynamic ther 4.01 1.89 4.80 0.16 000 67225 A Eye photodynamic ther add-on 0.47 0.18 0.24 0.50 ZZZ 67227 A Treatment of retinal lesion 6.58 7.39 9.32 0.26 090 67228 A Treatment of retinal lesion 12.74 7.30 10.07 0.50 090 67250 A Reinforce eye wall 8.66 12.35 NA 0.36 090 67255 A Reinforce/graft eye wall 8.90 12.40 NA 0.35 090 67299 C Eye surgery procedure 0.00 0.00 0.00 0.00 YYY 67311 A Revise eye muscle 6.65 6.29 NA 0.27 090 67312 A Revise two eye muscles 8.54 7.36 NA 0.35 090 67314 A Revise eye muscle 7.52 6.87 NA 0.30 090 67316 A Revise two eye muscles 9.66 7.86 NA 0.40 090 67318 A Revise eye muscle(s) 7.85 7.26 NA 0.31 090 67320 A Revise eye muscle(s) add-on 4.33 2.02 NA 0.17 ZZZ 67331 A Eye surgery follow-up add-on 4.06 1.95 NA 0.17 ZZZ 67332 A Rerevise eye muscles add-on 4.49 2.09 NA 0.18 ZZZ 67334 A Revise eye muscle w/suture 3.98 1.86 NA 0.16 ZZZ 67335 A Eye suture during surgery 2.49 1.16 NA 0.10 ZZZ 67340 A Revise eye muscle add-on 4.93 2.29 NA 0.19 ZZZ 67343 A Release eye tissue 7.35 7.17 NA 0.30 090 67345 A Destroy nerve of eye muscle 2.96 1.35 4.34 0.13 010 67350 A Biopsy eye muscle 2.87 1.94 NA 0.13 000 67399 C Eye muscle surgery procedure 0.00 0.00 0.00 0.00 YYY 67400 A Explore/biopsy eye socket 9.76 14.03 NA 0.43 090 67405 A Explore/drain eye socket 7.93 12.74 NA 0.36 090 67412 A Explore/treat eye socket 9.50 16.27 NA 0.41 090 67413 A Explore/treat eye socket 10.00 13.96 NA 0.43 090 67414 A Explr/decompress eye socket 11.13 17.10 NA 0.48 090 67415 A Aspiration, orbital contents 1.76 0.79 NA 0.09 000 67420 A Explore/treat eye socket 20.06 20.88 NA 0.84 090 67430 A Explore/treat eye socket 13.39 17.96 NA 0.97 090 67440 A Explore/drain eye socket 13.09 17.25 NA 0.58 090 67445 A Explr/decompress eye socket 14.42 18.42 NA 0.63 090 67450 A Explore/biopsy eye socket 13.51 17.42 NA 0.56 090 67500 A Inject/treat eye socket 0.79 0.17 0.83 0.04 000 67505 A Inject/treat eye socket 0.82 0.21 0.95 0.04 000 67515 A Inject/treat eye socket 0.61 0.29 0.86 0.02 000 67550 A Insert eye socket implant 10.19 13.66 NA 0.50 090 67560 A Revise eye socket implant 10.60 13.56 NA 0.47 090 67570 A Decompress optic nerve 13.58 17.87 NA 0.69 090 67599 C Orbit surgery procedure 0.00 0.00 0.00 0.00 YYY 67700 A Drainage of eyelid abscess 1.35 0.58 8.03 0.06 010 67710 A Incision of eyelid 1.02 0.48 8.19 0.04 010 67715 A Incision of eyelid fold 1.22 0.58 NA 0.05 010 67800 A Remove eyelid lesion 1.38 0.64 2.70 0.06 010 67801 A Remove eyelid lesions 1.88 0.88 8.52 0.08 010 67805 A Remove eyelid lesions 2.22 1.04 8.68 0.09 010 67808 A Remove eyelid lesion(s) 3.80 4.31 NA 0.17 090 67810 A Biopsy of eyelid 1.48 0.70 5.42 0.06 000 67820 A Revise eyelashes 0.89 0.38 1.16 0.04 000 67825 A Revise eyelashes 1.38 1.04 1.64 0.06 010 67830 A Revise eyelashes 1.70 2.20 11.86 0.07 010 67835 A Revise eyelashes 5.56 4.77 NA 0.22 090 67840 A Remove eyelid lesion 2.04 0.96 8.42 0.08 010 67850 A Treat eyelid lesion 1.69 2.14 9.21 0.07 010 67875 A Closure of eyelid by suture 1.35 2.17 12.03 0.06 000 67880 A Revision of eyelid 3.80 3.24 13.10 0.16 090 67882 A Revision of eyelid 5.07 4.76 14.99 0.21 090 67900 A Repair brow defect 6.14 6.66 11.42 0.30 090 67901 A Repair eyelid defect 6.97 7.00 NA 0.32 090 67902 A Repair eyelid defect 7.03 7.07 NA 0.34 090 67903 A Repair eyelid defect 6.37 7.47 12.96 0.39 090 67904 A Repair eyelid defect 6.26 8.43 15.13 0.26 090 Start Printed Page 43950 67906 A Repair eyelid defect 6.79 6.55 9.99 0.42 090 67908 A Repair eyelid defect 5.13 6.30 9.76 0.20 090 67909 A Revise eyelid defect 5.40 6.81 10.41 0.25 090 67911 A Revise eyelid defect 5.27 6.89 NA 0.23 090 67914 A Repair eyelid defect 3.68 3.69 13.57 0.16 090 67915 A Repair eyelid defect 3.18 1.49 12.06 0.13 090 67916 A Repair eyelid defect 5.31 5.51 16.81 0.22 090 67917 A Repair eyelid defect 6.02 6.81 10.73 0.25 090 67921 A Repair eyelid defect 3.40 3.46 13.32 0.14 090 67922 A Repair eyelid defect 3.06 3.29 12.03 0.13 090 67923 A Repair eyelid defect 5.88 5.59 15.84 0.24 090 67924 A Repair eyelid defect 5.79 6.15 10.03 0.23 090 67930 A Repair eyelid wound 3.61 3.15 12.94 0.17 010 67935 A Repair eyelid wound 6.22 5.59 15.85 0.29 090 67938 A Remove eyelid foreign body 1.33 0.52 10.18 0.06 010 67950 A Revision of eyelid 5.82 7.53 9.15 0.30 090 67961 A Revision of eyelid 5.69 5.94 9.50 0.26 090 67966 A Revision of eyelid 6.57 6.07 9.17 0.33 090 67971 A Reconstruction of eyelid 9.79 7.66 NA 0.42 090 67973 A Reconstruction of eyelid 12.87 9.73 NA 0.59 090 67974 A Reconstruction of eyelid 12.84 9.64 NA 0.54 090 67975 A Reconstruction of eyelid 9.13 7.32 NA 0.38 090 67999 C Revision of eyelid 0.00 0.00 0.00 0.00 YYY 68020 A Incise/drain eyelid lining 1.37 0.63 8.12 0.06 010 68040 A Treatment of eyelid lesions 0.85 0.39 7.99 0.03 000 68100 A Biopsy of eyelid lining 1.35 0.62 8.20 0.06 000 68110 A Remove eyelid lining lesion 1.77 1.38 9.27 0.07 010 68115 A Remove eyelid lining lesion 2.36 1.10 8.75 0.10 010 68130 A Remove eyelid lining lesion 4.93 2.31 NA 0.19 090 68135 A Remove eyelid lining lesion 1.84 0.86 8.50 0.07 010 68200 A Treat eyelid by injection 0.49 0.23 0.76 0.02 000 68320 A Revise/graft eyelid lining 5.37 5.25 5.75 0.21 090 68325 A Revise/graft eyelid lining 7.36 6.28 NA 0.30 090 68326 A Revise/graft eyelid lining 7.15 6.15 NA 0.30 090 68328 A Revise/graft eyelid lining 8.18 6.96 NA 0.40 090 68330 A Revise eyelid lining 4.83 5.75 7.35 0.19 090 68335 A Revise/graft eyelid lining 7.19 5.63 NA 0.29 090 68340 A Separate eyelid adhesions 4.17 4.31 15.52 0.17 090 68360 A Revise eyelid lining 4.37 5.44 6.84 0.17 090 68362 A Revise eyelid lining 7.34 8.05 NA 0.29 090 68399 C Eyelid lining surgery 0.00 0.00 0.00 0.00 YYY 68400 A Incise/drain tear gland 1.69 2.22 11.99 0.07 010 68420 A Incise/drain tear sac 2.30 2.53 12.33 0.10 010 68440 A Incise tear duct opening 0.94 0.44 8.12 0.04 010 68500 A Removal of tear gland 11.02 9.89 NA 0.60 090 68505 A Partial removal, tear gland 10.94 11.12 NA 0.57 090 68510 A Biopsy of tear gland 4.61 2.16 13.13 0.19 000 68520 A Removal of tear sac 7.51 7.41 NA 0.33 090 68525 A Biopsy of tear sac 4.43 2.08 NA 0.18 000 68530 A Clearance of tear duct 3.66 3.09 14.74 0.16 010 68540 A Remove tear gland lesion 10.60 9.42 NA 0.46 090 68550 A Remove tear gland lesion 13.26 11.32 NA 0.66 090 68700 A Repair tear ducts 6.60 6.88 NA 0.27 090 68705 A Revise tear duct opening 2.06 0.97 8.67 0.08 010 68720 A Create tear sac drain 8.96 8.01 NA 0.38 090 68745 A Create tear duct drain 8.63 7.83 NA 0.38 090 68750 A Create tear duct drain 8.66 8.45 NA 0.37 090 68760 A Close tear duct opening 1.73 1.21 6.98 0.07 010 68761 A Close tear duct opening 1.36 0.96 3.21 0.06 010 68770 A Close tear system fistula 7.02 6.13 17.23 0.28 090 68801 A Dilate tear duct opening 0.94 0.56 0.86 0.04 010 68810 A Probe nasolacrimal duct 1.90 0.88 2.47 0.08 010 68811 A Probe nasolacrimal duct 2.35 2.49 NA 0.10 010 68815 A Probe nasolacrimal duct 3.20 2.92 13.26 0.14 010 68840 A Explore/irrigate tear ducts 1.25 0.93 1.59 0.05 010 68850 A Injection for tear sac x-ray 0.80 0.31 15.79 0.03 000 Start Printed Page 43951 68899 C Tear duct system surgery 0.00 0.00 0.00 0.00 YYY 69000 A Drain external ear lesion 1.45 0.55 2.06 0.10 010 69005 A Drain external ear lesion 2.11 1.99 2.50 0.16 010 69020 A Drain outer ear canal lesion 1.48 0.71 2.18 0.11 010 69090 N Pierce earlobes 0.00 0.00 0.00 0.00 XXX 69100 A Biopsy of external ear 0.81 0.40 1.41 0.04 000 69105 A Biopsy of external ear canal 0.85 0.99 1.47 0.06 000 69110 A Remove external ear, partial 3.44 2.79 3.42 0.24 090 69120 A Removal of external ear 4.05 4.45 NA 0.31 090 69140 A Remove ear canal lesion(s) 7.97 7.95 NA 0.56 090 69145 A Remove ear canal lesion(s) 2.62 2.47 3.33 0.18 090 69150 A Extensive ear canal surgery 13.43 11.15 NA 1.07 090 69155 A Extensive ear/neck surgery 20.80 15.23 NA 1.51 090 69200 A Clear outer ear canal 0.77 0.74 1.41 0.05 000 69205 A Clear outer ear canal 1.20 1.52 NA 0.09 010 69210 A Remove impacted ear wax 0.61 0.24 0.57 0.04 000 69220 A Clean out mastoid cavity 0.83 0.43 1.49 0.06 000 69222 A Clean out mastoid cavity 1.40 1.67 2.18 0.10 010 69300 R Revise external ear 6.36 4.37 NA 0.43 YYY 69310 A Rebuild outer ear canal 10.79 9.61 NA 0.77 090 69320 A Rebuild outer ear canal 16.96 13.66 NA 1.17 090 69399 C Outer ear surgery procedure 0.00 0.00 0.00 0.00 YYY 69400 A Inflate middle ear canal 0.83 0.40 1.48 0.06 000 69401 A Inflate middle ear canal 0.63 0.35 1.38 0.04 000 69405 A Catheterize middle ear canal 2.63 1.46 3.03 0.18 010 69410 A Inset middle ear (baffle) 0.33 0.16 1.38 0.02 000 69420 A Incision of eardrum 1.33 0.71 2.30 0.10 010 69421 A Incision of eardrum 1.73 1.86 2.52 0.13 010 69424 A Remove ventilating tube 0.85 0.87 1.65 0.06 000 69433 A Create eardrum opening 1.52 0.85 2.26 0.11 010 69436 A Create eardrum opening 1.96 1.99 NA 0.14 010 69440 A Exploration of middle ear 7.57 7.20 NA 0.53 090 69450 A Eardrum revision 5.57 6.00 NA 0.39 090 69501 A Mastoidectomy 9.07 7.98 NA 0.65 090 69502 A Mastoidectomy 12.38 10.52 NA 0.86 090 69505 A Remove mastoid structures 12.99 10.77 NA 0.92 090 69511 A Extensive mastoid surgery 13.52 11.12 NA 0.96 090 69530 A Extensive mastoid surgery 19.19 14.64 NA 1.32 090 69535 A Remove part of temporal bone 36.14 24.07 NA 2.59 090 69540 A Remove ear lesion 1.20 1.55 2.21 0.09 010 69550 A Remove ear lesion 10.99 9.63 NA 0.80 090 69552 A Remove ear lesion 19.46 14.21 NA 1.36 090 69554 A Remove ear lesion 33.16 21.75 NA 2.32 090 69601 A Mastoid surgery revision 13.24 11.69 NA 0.92 090 69602 A Mastoid surgery revision 13.58 11.25 NA 0.94 090 69603 A Mastoid surgery revision 14.02 11.46 NA 1.00 090 69604 A Mastoid surgery revision 14.02 11.38 NA 0.98 090 69605 A Mastoid surgery revision 18.49 14.28 NA 1.29 090 69610 A Repair of eardrum 4.43 3.37 4.15 0.31 010 69620 A Repair of eardrum 5.89 3.20 6.73 0.40 090 69631 A Repair eardrum structures 9.86 9.07 NA 0.69 090 69632 A Rebuild eardrum structures 12.75 11.40 NA 0.89 090 69633 A Rebuild eardrum structures 12.10 11.05 NA 0.84 090 69635 A Repair eardrum structures 13.33 10.61 NA 0.87 090 69636 A Rebuild eardrum structures 15.22 12.87 NA 1.07 090 69637 A Rebuild eardrum structures 15.11 12.79 NA 1.06 090 69641 A Revise middle ear & mastoid 12.71 10.75 NA 0.89 090 69642 A Revise middle ear & mastoid 16.84 13.73 NA 1.18 090 69643 A Revise middle ear & mastoid 15.32 12.87 NA 1.08 090 69644 A Revise middle ear & mastoid 16.97 13.81 NA 1.19 090 69645 A Revise middle ear & mastoid 16.38 13.44 NA 1.16 090 69646 A Revise middle ear & mastoid 17.99 14.39 NA 1.26 090 69650 A Release middle ear bone 9.66 8.34 NA 0.68 090 69660 A Revise middle ear bone 11.90 9.56 NA 0.84 090 69661 A Revise middle ear bone 15.74 12.33 NA 1.10 090 69662 A Revise middle ear bone 15.44 12.20 NA 1.08 090 Start Printed Page 43952 69666 A Repair middle ear structures 9.75 8.42 NA 0.68 090 69667 A Repair middle ear structures 9.76 8.40 NA 0.72 090 69670 A Remove mastoid air cells 11.51 9.99 NA 0.78 090 69676 A Remove middle ear nerve 9.52 8.88 NA 0.69 090 69700 A Close mastoid fistula 8.23 5.52 NA 0.55 090 69710 N Implant/replace hearing aid 0.00 0.00 0.00 0.00 XXX 69711 A Remove/repair hearing aid 10.44 9.26 NA 0.62 090 69714 A Implant temple bone w/stimul 14.00 11.18 NA 1.01 090 69715 A Temple bne implnt w/stimulat 18.25 13.64 NA 1.32 090 69717 A Temple bone implant revision 14.98 11.13 NA 1.08 090 69718 A Revise temple bone implant 18.50 13.78 NA 1.34 090 69720 A Release facial nerve 14.38 12.31 NA 1.03 090 69725 A Release facial nerve 25.38 17.77 NA 1.78 090 69740 A Repair facial nerve 15.96 11.20 NA 1.13 090 69745 A Repair facial nerve 16.69 12.61 NA 1.00 090 69799 C Middle ear surgery procedure 0.00 0.00 0.00 0.00 YYY 69801 A Incise inner ear 8.56 7.75 NA 0.60 090 69802 A Incise inner ear 13.10 11.01 NA 0.91 090 69805 A Explore inner ear 13.82 10.69 NA 0.97 090 69806 A Explore inner ear 12.35 10.57 NA 0.86 090 69820 A Establish inner ear window 10.34 8.95 NA 0.66 090 69840 A Revise inner ear window 10.26 9.13 NA 0.64 090 69905 A Remove inner ear 11.10 9.61 NA 0.77 090 69910 A Remove inner ear & mastoid 13.63 11.08 NA 0.94 090 69915 A Incise inner ear nerve 21.23 15.52 NA 1.54 090 69930 A Implant cochlear device 16.81 12.61 NA 1.19 090 69949 C Inner ear surgery procedure 0.00 0.00 0.00 0.00 YYY 69950 A Incise inner ear nerve 25.64 16.38 NA 2.90 090 69955 A Release facial nerve 27.04 18.41 NA 1.89 090 69960 A Release inner ear canal 27.04 18.02 NA 2.43 090 69970 A Remove inner ear lesion 30.04 18.86 NA 2.34 090 69979 C Temporal bone surgery 0.00 0.00 0.00 0.00 YYY 69990 R Microsurgery add-on 3.47 1.82 NA 0.56 ZZZ 70010 A Contrast x-ray of brain 1.19 NA 4.89 0.24 XXX 70010 26 A Contrast x-ray of brain 1.19 0.41 0.41 0.06 XXX 70010 TC A Contrast x-ray of brain 0.00 NA 4.48 0.18 XXX 70015 A Contrast x-ray of brain 1.19 NA 1.81 0.12 XXX 70015 26 A Contrast x-ray of brain 1.19 0.41 0.41 0.05 XXX 70015 TC A Contrast x-ray of brain 0.00 NA 1.40 0.07 XXX 70030 A X-ray eye for foreign body 0.17 NA 0.49 0.03 XXX 70030 26 A X-ray eye for foreign body 0.17 0.06 0.06 0.01 XXX 70030 TC A X-ray eye for foreign body 0.00 NA 0.43 0.02 XXX 70100 A X-ray exam of jaw 0.18 NA 0.60 0.03 XXX 70100 26 A X-ray exam of jaw 0.18 0.06 0.06 0.01 XXX 70100 TC A X-ray exam of jaw 0.00 NA 0.54 0.02 XXX 70110 A X-ray exam of jaw 0.25 NA 0.72 0.04 XXX 70110 26 A X-ray exam of jaw 0.25 0.09 0.09 0.01 XXX 70110 TC A X-ray exam of jaw 0.00 NA 0.64 0.03 XXX 70120 A X-ray exam of mastoids 0.18 NA 0.70 0.04 XXX 70120 26 A X-ray exam of mastoids 0.18 0.06 0.06 0.01 XXX 70120 TC A X-ray exam of mastoids 0.00 NA 0.64 0.03 XXX 70130 A X-ray exam of mastoids 0.34 NA 0.93 0.05 XXX 70130 26 A X-ray exam of mastoids 0.34 0.12 0.12 0.01 XXX 70130 TC A X-ray exam of mastoids 0.00 NA 0.81 0.04 XXX 70134 A X-ray exam of middle ear 0.34 NA 0.88 0.05 XXX 70134 26 A X-ray exam of middle ear 0.34 0.12 0.12 0.01 XXX 70134 TC A X-ray exam of middle ear 0.00 NA 0.76 0.04 XXX 70140 A X-ray exam of facial bones 0.19 NA 0.70 0.04 XXX 70140 26 A X-ray exam of facial bones 0.19 0.06 0.06 0.01 XXX 70140 TC A X-ray exam of facial bones 0.00 NA 0.64 0.03 XXX 70150 A X-ray exam of facial bones 0.26 NA 0.90 0.05 XXX 70150 26 A X-ray exam of facial bones 0.26 0.09 0.09 0.01 XXX 70150 TC A X-ray exam of facial bones 0.00 NA 0.81 0.04 XXX 70160 A X-ray exam of nasal bones 0.17 NA 0.60 0.03 XXX 70160 26 A X-ray exam of nasal bones 0.17 0.06 0.06 0.01 XXX 70160 TC A X-ray exam of nasal bones 0.00 NA 0.54 0.02 XXX Start Printed Page 43953 70170 A X-ray exam of tear duct 0.30 NA 1.08 0.06 XXX 70170 26 A X-ray exam of tear duct 0.30 0.10 0.10 0.01 XXX 70170 TC A X-ray exam of tear duct 0.00 NA 0.98 0.05 XXX 70190 A X-ray exam of eye sockets 0.21 NA 0.71 0.04 XXX 70190 26 A X-ray exam of eye sockets 0.21 0.07 0.07 0.01 XXX 70190 TC A X-ray exam of eye sockets 0.00 NA 0.64 0.03 XXX 70200 A X-ray exam of eye sockets 0.28 NA 0.90 0.05 XXX 70200 26 A X-ray exam of eye sockets 0.28 0.10 0.10 0.01 XXX 70200 TC A X-ray exam of eye sockets 0.00 NA 0.81 0.04 XXX 70210 A X-ray exam of sinuses 0.17 NA 0.70 0.04 XXX 70210 26 A X-ray exam of sinuses 0.17 0.06 0.06 0.01 XXX 70210 TC A X-ray exam of sinuses 0.00 NA 0.64 0.03 XXX 70220 A X-ray exam of sinuses 0.25 NA 0.89 0.05 XXX 70220 26 A X-ray exam of sinuses 0.25 0.09 0.09 0.01 XXX 70220 TC A X-ray exam of sinuses 0.00 NA 0.81 0.04 XXX 70240 A X-ray exam, pituitary saddle 0.19 NA 0.49 0.03 XXX 70240 26 A X-ray exam, pituitary saddle 0.19 0.07 0.07 0.01 XXX 70240 TC A X-ray exam, pituitary saddle 0.00 NA 0.43 0.02 XXX 70250 A X-ray exam of skull 0.24 NA 0.72 0.04 XXX 70250 26 A X-ray exam of skull 0.24 0.08 0.08 0.01 XXX 70250 TC A X-ray exam of skull 0.00 NA 0.64 0.03 XXX 70260 A X-ray exam of skull 0.34 NA 1.04 0.06 XXX 70260 26 A X-ray exam of skull 0.34 0.12 0.12 0.01 XXX 70260 TC A X-ray exam of skull 0.00 NA 0.92 0.05 XXX 70300 A X-ray exam of teeth 0.10 NA 0.31 0.03 XXX 70300 26 A X-ray exam of teeth 0.10 0.04 0.04 0.01 XXX 70300 TC A X-ray exam of teeth 0.00 NA 0.27 0.02 XXX 70310 A X-ray exam of teeth 0.16 NA 0.49 0.03 XXX 70310 26 A X-ray exam of teeth 0.16 0.06 0.06 0.01 XXX 70310 TC A X-ray exam of teeth 0.00 NA 0.43 0.02 XXX 70320 A Full mouth x-ray of teeth 0.22 NA 0.89 0.05 XXX 70320 26 A Full mouth x-ray of teeth 0.22 0.08 0.08 0.01 XXX 70320 TC A Full mouth x-ray of teeth 0.00 NA 0.81 0.04 XXX 70328 A X-ray exam of jaw joint 0.18 NA 0.57 0.03 XXX 70328 26 A X-ray exam of jaw joint 0.18 0.06 0.06 0.01 XXX 70328 TC A X-ray exam of jaw joint 0.00 NA 0.51 0.02 XXX 70330 A X-ray exam of jaw joints 0.24 NA 0.95 0.05 XXX 70330 26 A X-ray exam of jaw joints 0.24 0.08 0.08 0.01 XXX 70330 TC A X-ray exam of jaw joints 0.00 NA 0.87 0.04 XXX 70332 A X-ray exam of jaw joint 0.54 NA 2.36 0.12 XXX 70332 26 A X-ray exam of jaw joint 0.54 0.19 0.19 0.02 XXX 70332 TC A X-ray exam of jaw joint 0.00 NA 2.17 0.10 XXX 70336 A Magnetic image, jaw joint 1.48 NA 12.09 0.56 XXX 70336 26 A Magnetic image, jaw joint 1.48 0.51 0.51 0.07 XXX 70336 TC A Magnetic image, jaw joint 0.00 NA 11.58 0.49 XXX 70350 A X-ray head for orthodontia 0.17 NA 0.45 0.03 XXX 70350 26 A X-ray head for orthodontia 0.17 0.06 0.06 0.01 XXX 70350 TC A X-ray head for orthodontia 0.00 NA 0.39 0.02 XXX 70355 A Panoramic x-ray of jaws 0.20 NA 0.66 0.04 XXX 70355 26 A Panoramic x-ray of jaws 0.20 0.07 0.07 0.01 XXX 70355 TC A Panoramic x-ray of jaws 0.00 NA 0.59 0.03 XXX 70360 A X-ray exam of neck 0.17 NA 0.49 0.03 XXX 70360 26 A X-ray exam of neck 0.17 0.06 0.06 0.01 XXX 70360 TC A X-ray exam of neck 0.00 NA 0.43 0.02 XXX 70370 A Throat x-ray & fluoroscopy 0.32 NA 1.46 0.07 XXX 70370 26 A Throat x-ray & fluoroscopy 0.32 0.11 0.11 0.01 XXX 70370 TC A Throat x-ray & fluoroscopy 0.00 NA 1.35 0.06 XXX 70371 A Speech evaluation, complex 0.84 NA 2.46 0.14 XXX 70371 26 A Speech evaluation, complex 0.84 0.29 0.29 0.04 XXX 70371 TC A Speech evaluation, complex 0.00 NA 2.17 0.10 XXX 70373 A Contrast x-ray of larynx 0.44 NA 1.99 0.11 XXX 70373 26 A Contrast x-ray of larynx 0.44 0.15 0.15 0.02 XXX 70373 TC A Contrast x-ray of larynx 0.00 NA 1.84 0.09 XXX 70380 A X-ray exam of salivary gland 0.17 NA 0.75 0.04 XXX 70380 26 A X-ray exam of salivary gland 0.17 0.06 0.06 0.01 XXX 70380 TC A X-ray exam of salivary gland 0.00 NA 0.69 0.03 XXX Start Printed Page 43954 70390 A X-ray exam of salivary duct 0.38 NA 1.97 0.11 XXX 70390 26 A X-ray exam of salivary duct 0.38 0.13 0.13 0.02 XXX 70390 TC A X-ray exam of salivary duct 0.00 NA 1.84 0.09 XXX 70450 A Ct head/brain w/o dye 0.85 NA 5.17 0.25 XXX 70450 26 A Ct head/brain w/o dye 0.85 0.29 0.29 0.04 XXX 70450 TC A Ct head/brain w/o dye 0.00 NA 4.88 0.21 XXX 70460 A Ct head/brain w/dye 1.13 NA 6.23 0.30 XXX 70460 26 A Ct head/brain w/dye 1.13 0.39 0.39 0.05 XXX 70460 TC A Ct head/brain w/dye 0.00 NA 5.85 0.25 XXX 70470 A Ct head/brain w/o&w dye 1.27 NA 7.74 0.37 XXX 70470 26 A Ct head/brain w/o&w dye 1.27 0.43 0.43 0.06 XXX 70470 TC A Ct head/brain w/o&w dye 0.00 NA 7.30 0.31 XXX 70480 A Ct orbit/ear/fossa w/o dye 1.28 NA 5.31 0.27 XXX 70480 26 A Ct orbit/ear/fossa w/o dye 1.28 0.44 0.44 0.06 XXX 70480 TC A Ct orbit/ear/fossa w/o dye 0.00 NA 4.88 0.21 XXX 70481 A Ct orbit/ear/fossa w/dye 1.38 NA 6.32 0.31 XXX 70481 26 A Ct orbit/ear/fossa w/dye 1.38 0.47 0.47 0.06 XXX 70481 TC A Ct orbit/ear/fossa w/dye 0.00 NA 5.85 0.25 XXX 70482 A Ct orbit/ear/fossa w/o&w dye 1.45 NA 7.80 0.37 XXX 70482 26 A Ct orbit/ear/fossa w/o&w dye 1.45 0.50 0.50 0.06 XXX 70482 TC A Ct orbit/ear/fossa w/o&w dye 0.00 NA 7.30 0.31 XXX 70486 A Ct maxillofacial w/o dye 1.14 NA 5.27 0.26 XXX 70486 26 A Ct maxillofacial w/o dye 1.14 0.39 0.39 0.05 XXX 70486 TC A Ct maxillofacial w/o dye 0.00 NA 4.88 0.21 XXX 70487 A Ct maxillofacial w/dye 1.30 NA 6.29 0.31 XXX 70487 26 A Ct maxillofacial w/dye 1.30 0.44 0.44 0.06 XXX 70487 TC A Ct maxillofacial w/dye 0.00 NA 5.85 0.25 XXX 70488 A Ct maxillofacial w/o&w dye 1.42 NA 7.79 0.37 XXX 70488 26 A Ct maxillofacial w/o&w dye 1.42 0.48 0.48 0.06 XXX 70488 TC A Ct maxillofacial w/o&w dye 0.00 NA 7.30 0.31 XXX 70490 A Ct soft tissue neck w/o dye 1.28 NA 5.31 0.27 XXX 70490 26 A Ct soft tissue neck w/o dye 1.28 0.44 0.44 0.06 XXX 70490 TC A Ct soft tissue neck w/o dye 0.00 NA 4.88 0.21 XXX 70491 A Ct soft tissue neck w/dye 1.38 NA 6.32 0.31 XXX 70491 26 A Ct soft tissue neck w/dye 1.38 0.47 0.47 0.06 XXX 70491 TC A Ct soft tissue neck w/dye 0.00 NA 5.85 0.25 XXX 70492 A Ct sft tsue nck w/o & w/dye 1.45 NA 7.80 0.37 XXX 70492 26 A Ct sft tsue nck w/o & w/dye 1.45 0.50 0.50 0.06 XXX 70492 TC A Ct sft tsue nck w/o & w/dye 0.00 NA 7.30 0.31 XXX 70496 A Ct angiography, head 1.75 NA 7.98 0.56 XXX 70496 26 A Ct angiography, head 1.75 0.68 0.68 0.08 XXX 70496 TC A Ct angiography, head 0.00 NA 7.30 0.48 XXX 70498 A Ct angiography, neck 1.75 NA 7.98 0.56 XXX 70498 26 A Ct angiography, neck 1.75 0.68 0.68 0.08 XXX 70498 TC A Ct angiography, neck 0.00 NA 7.30 0.48 XXX 70540 A Mri orbit/face/neck w/o dye 1.35 NA 12.04 0.36 XXX 70540 26 A Mri orbit/face/neck w/o dye 1.35 0.46 0.46 0.04 XXX 70540 TC A Mri orbit/face/neck w/o dye 0.00 NA 11.58 0.32 XXX 70542 A Mri orbit/face/neck w/dye 1.62 NA 14.44 0.44 XXX 70542 26 A Mri orbit/face/neck w/dye 1.62 0.55 0.55 0.05 XXX 70542 TC A Mri orbit/face/neck w/dye 0.00 NA 13.89 0.39 XXX 70543 A Mri orbt/fac/nck w/o&w dye 2.15 NA 26.46 0.77 XXX 70543 26 A Mri orbt/fac/nck w/o&w dye 2.15 0.74 0.74 0.07 XXX 70543 TC A Mri orbt/fac/nck w/o&w dye 0.00 NA 25.72 0.70 XXX 70544 A Mr angiography head w/o dye 1.20 NA 11.99 0.54 XXX 70544 26 A Mr angiography head w/o dye 1.20 0.41 0.41 0.05 XXX 70544 TC A Mr angiography head w/o dye 0.00 NA 11.58 0.49 XXX 70545 A Mr angiography head w/dye 1.20 NA 11.99 0.54 XXX 70545 26 A Mr angiography head w/dye 1.20 0.41 0.41 0.05 XXX 70545 TC A Mr angiography head w/dye 0.00 NA 11.58 0.49 XXX 70546 A Mr angiograph head w/o&w dye 1.80 NA 23.78 0.57 XXX 70546 26 A Mr angiograph head w/o&w dye 1.80 0.62 0.62 0.08 XXX 70546 TC A Mr angiograph head w/o&w dye 0.00 NA 23.16 0.49 XXX 70547 A Mr angiography neck w/o dye 1.20 NA 11.99 0.54 XXX 70547 26 A Mr angiography neck w/o dye 1.20 0.41 0.41 0.05 XXX 70547 TC A Mr angiography neck w/o dye 0.00 NA 11.58 0.49 XXX Start Printed Page 43955 70548 A Mr angiography neck w/dye 1.20 NA 11.99 0.54 XXX 70548 26 A Mr angiography neck w/dye 1.20 0.41 0.41 0.05 XXX 70548 TC A Mr angiography neck w/dye 0.00 NA 11.58 0.49 XXX 70549 A Mr angiograph neck w/o&w dye 1.80 NA 23.78 0.57 XXX 70549 26 A Mr angiograph neck w/o&w dye 1.80 0.62 0.62 0.08 XXX 70549 TC A Mr angiograph neck w/o&w dye 0.00 NA 23.16 0.49 XXX 70551 A Mri brain w/o dye 1.48 NA 12.09 0.56 XXX 70551 26 A Mri brain w/o dye 1.48 0.51 0.51 0.07 XXX 70551 TC A Mri brain w/o dye 0.00 NA 11.58 0.49 XXX 70552 A Mri brain w/dye 1.78 NA 14.51 0.66 XXX 70552 26 A Mri brain w/dye 1.78 0.62 0.62 0.08 XXX 70552 TC A Mri brain w/dye 0.00 NA 13.89 0.58 XXX 70553 A Mri brain w/o&w dye 2.36 NA 26.53 1.19 XXX 70553 26 A Mri brain w/o&w dye 2.36 0.81 0.81 0.10 XXX 70553 TC A Mri brain w/o&w dye 0.00 NA 25.72 1.09 XXX 71010 A Chest x-ray 0.18 NA 0.55 0.03 XXX 71010 26 A Chest x-ray 0.18 0.06 0.06 0.01 XXX 71010 TC A Chest x-ray 0.00 NA 0.49 0.02 XXX 71015 A Chest x-ray 0.21 NA 0.61 0.03 XXX 71015 26 A Chest x-ray 0.21 0.07 0.07 0.01 XXX 71015 TC A Chest x-ray 0.00 NA 0.54 0.02 XXX 71020 A Chest x-ray 0.22 NA 0.71 0.04 XXX 71020 26 A Chest x-ray 0.22 0.07 0.07 0.01 XXX 71020 TC A Chest x-ray 0.00 NA 0.64 0.03 XXX 71021 A Chest x-ray 0.27 NA 0.85 0.05 XXX 71021 26 A Chest x-ray 0.27 0.09 0.09 0.01 XXX 71021 TC A Chest x-ray 0.00 NA 0.76 0.04 XXX 71022 A Chest x-ray 0.31 NA 0.87 0.06 XXX 71022 26 A Chest x-ray 0.31 0.11 0.11 0.02 XXX 71022 TC A Chest x-ray 0.00 NA 0.76 0.04 XXX 71023 A Chest x-ray and fluoroscopy 0.38 NA 0.95 0.06 XXX 71023 26 A Chest x-ray and fluoroscopy 0.38 0.14 0.14 0.02 XXX 71023 TC A Chest x-ray and fluoroscopy 0.00 NA 0.81 0.04 XXX 71030 A Chest x-ray 0.31 NA 0.91 0.05 XXX 71030 26 A Chest x-ray 0.31 0.11 0.11 0.01 XXX 71030 TC A Chest x-ray 0.00 NA 0.81 0.04 XXX 71034 A Chest x-ray and fluoroscopy 0.46 NA 1.66 0.09 XXX 71034 26 A Chest x-ray and fluoroscopy 0.46 0.17 0.17 0.02 XXX 71034 TC A Chest x-ray and fluoroscopy 0.00 NA 1.49 0.07 XXX 71035 A Chest x-ray 0.18 NA 0.60 0.03 XXX 71035 26 A Chest x-ray 0.18 0.06 0.06 0.01 XXX 71035 TC A Chest x-ray 0.00 NA 0.54 0.02 XXX 71040 A Contrast x-ray of bronchi 0.58 NA 1.71 0.10 XXX 71040 26 A Contrast x-ray of bronchi 0.58 0.20 0.20 0.03 XXX 71040 TC A Contrast x-ray of bronchi 0.00 NA 1.51 0.07 XXX 71060 A Contrast x-ray of bronchi 0.74 NA 2.53 0.14 XXX 71060 26 A Contrast x-ray of bronchi 0.74 0.25 0.25 0.03 XXX 71060 TC A Contrast x-ray of bronchi 0.00 NA 2.28 0.11 XXX 71090 A X-ray & pacemaker insertion 0.54 NA 1.95 0.11 XXX 71090 26 A X-ray & pacemaker insertion 0.54 0.21 0.21 0.02 XXX 71090 TC A X-ray & pacemaker insertion 0.00 NA 1.74 0.09 XXX 71100 A X-ray exam of ribs 0.22 NA 0.66 0.04 XXX 71100 26 A X-ray exam of ribs 0.22 0.07 0.07 0.01 XXX 71100 TC A X-ray exam of ribs 0.00 NA 0.59 0.03 XXX 71101 A X-ray exam of ribs/chest 0.27 NA 0.78 0.04 XXX 71101 26 A X-ray exam of ribs/chest 0.27 0.09 0.09 0.01 XXX 71101 TC A X-ray exam of ribs/chest 0.00 NA 0.69 0.03 XXX 71110 A X-ray exam of ribs 0.27 NA 0.90 0.05 XXX 71110 26 A X-ray exam of ribs 0.27 0.09 0.09 0.01 XXX 71110 TC A X-ray exam of ribs 0.00 NA 0.81 0.04 XXX 71111 A X-ray exam of ribs/ chest 0.32 NA 1.03 0.06 XXX 71111 26 A X-ray exam of ribs/ chest 0.32 0.11 0.11 0.01 XXX 71111 TC A X-ray exam of ribs/ chest 0.00 NA 0.92 0.05 XXX 71120 A X-ray exam of breastbone 0.20 NA 0.74 0.04 XXX 71120 26 A X-ray exam of breastbone 0.20 0.07 0.07 0.01 XXX 71120 TC A X-ray exam of breastbone 0.00 NA 0.67 0.03 XXX Start Printed Page 43956 71130 A X-ray exam of breastbone 0.22 NA 0.80 0.04 XXX 71130 26 A X-ray exam of breastbone 0.22 0.08 0.08 0.01 XXX 71130 TC A X-ray exam of breastbone 0.00 NA 0.73 0.03 XXX 71250 A Ct thorax w/o dye 1.16 NA 6.50 0.31 XXX 71250 26 A Ct thorax w/o dye 1.16 0.40 0.40 0.05 XXX 71250 TC A Ct thorax w/o dye 0.00 NA 6.11 0.26 XXX 71260 A Ct thorax w/dye 1.24 NA 7.73 0.36 XXX 71260 26 A Ct thorax w/dye 1.24 0.42 0.42 0.05 XXX 71260 TC A Ct thorax w/dye 0.00 NA 7.30 0.31 XXX 71270 A Ct thorax w/o&w dye 1.38 NA 9.61 0.44 XXX 71270 26 A Ct thorax w/o&w dye 1.38 0.47 0.47 0.06 XXX 71270 TC A Ct thorax w/o&w dye 0.00 NA 9.14 0.38 XXX 71275 A Ct angiography, chest 1.92 NA 9.88 0.38 XXX 71275 26 A Ct angiography, chest 1.92 0.74 0.74 0.06 XXX 71275 TC A Ct angiography, chest 0.00 NA 9.14 0.32 XXX 71550 A Mri chest w/o dye 1.46 NA 12.08 0.41 XXX 71550 26 A Mri chest w/o dye 1.46 0.50 0.50 0.04 XXX 71550 TC A Mri chest w/o dye 0.00 NA 11.58 0.37 XXX 71551 A Mri chest w/dye 1.73 NA 14.48 0.49 XXX 71551 26 A Mri chest w/dye 1.73 0.59 0.59 0.06 XXX 71551 TC A Mri chest w/dye 0.00 NA 13.89 0.43 XXX 71552 A Mri chest w/o&w dye 2.26 NA 26.49 0.64 XXX 71552 26 A Mri chest w/o&w dye 2.26 0.77 0.77 0.08 XXX 71552 TC A Mri chest w/o&w dye 0.00 NA 25.72 0.56 XXX 71555 R Mri angio chest w or w/o dye 1.81 NA 12.20 0.57 XXX 71555 26 R Mri angio chest w or w/o dye 1.81 0.62 0.62 0.08 XXX 71555 TC R Mri angio chest w or w/o dye 0.00 NA 11.58 0.49 XXX 72010 A X-ray exam of spine 0.45 NA 1.21 0.08 XXX 72010 26 A X-ray exam of spine 0.45 0.15 0.15 0.03 XXX 72010 TC A X-ray exam of spine 0.00 NA 1.06 0.05 XXX 72020 A X-ray exam of spine 0.15 NA 0.48 0.03 XXX 72020 26 A X-ray exam of spine 0.15 0.05 0.05 0.01 XXX 72020 TC A X-ray exam of spine 0.00 NA 0.43 0.02 XXX 72040 A X-ray exam of neck spine 0.22 NA 0.69 0.04 XXX 72040 26 A X-ray exam of neck spine 0.22 0.08 0.08 0.01 XXX 72040 TC A X-ray exam of neck spine 0.00 NA 0.62 0.03 XXX 72050 A X-ray exam of neck spine 0.31 NA 1.03 0.07 XXX 72050 26 A X-ray exam of neck spine 0.31 0.11 0.11 0.02 XXX 72050 TC A X-ray exam of neck spine 0.00 NA 0.92 0.05 XXX 72052 A X-ray exam of neck spine 0.36 NA 1.29 0.07 XXX 72052 26 A X-ray exam of neck spine 0.36 0.12 0.12 0.02 XXX 72052 TC A X-ray exam of neck spine 0.00 NA 1.17 0.05 XXX 72069 A X-ray exam of trunk spine 0.22 NA 0.59 0.04 XXX 72069 26 A X-ray exam of trunk spine 0.22 0.08 0.08 0.02 XXX 72069 TC A X-ray exam of trunk spine 0.00 NA 0.51 0.02 XXX 72070 A X-ray exam of thoracic spine 0.22 NA 0.74 0.04 XXX 72070 26 A X-ray exam of thoracic spine 0.22 0.08 0.08 0.01 XXX 72070 TC A X-ray exam of thoracic spine 0.00 NA 0.67 0.03 XXX 72072 A X-ray exam of thoracic spine 0.22 NA 0.83 0.05 XXX 72072 26 A X-ray exam of thoracic spine 0.22 0.08 0.08 0.01 XXX 72072 TC A X-ray exam of thoracic spine 0.00 NA 0.76 0.04 XXX 72074 A X-ray exam of thoracic spine 0.22 NA 1.01 0.06 XXX 72074 26 A X-ray exam of thoracic spine 0.22 0.08 0.08 0.01 XXX 72074 TC A X-ray exam of thoracic spine 0.00 NA 0.94 0.05 XXX 72080 A X-ray exam of trunk spine 0.22 NA 0.77 0.05 XXX 72080 26 A X-ray exam of trunk spine 0.22 0.08 0.08 0.02 XXX 72080 TC A X-ray exam of trunk spine 0.00 NA 0.69 0.03 XXX 72090 A X-ray exam of trunk spine 0.28 NA 0.79 0.05 XXX 72090 26 A X-ray exam of trunk spine 0.28 0.10 0.10 0.02 XXX 72090 TC A X-ray exam of trunk spine 0.00 NA 0.69 0.03 XXX 72100 A X-ray exam of lower spine 0.22 NA 0.77 0.05 XXX 72100 26 A X-ray exam of lower spine 0.22 0.08 0.08 0.02 XXX 72100 TC A X-ray exam of lower spine 0.00 NA 0.69 0.03 XXX 72110 A X-ray exam of lower spine 0.31 NA 1.05 0.07 XXX 72110 26 A X-ray exam of lower spine 0.31 0.11 0.11 0.02 XXX 72110 TC A X-ray exam of lower spine 0.00 NA 0.94 0.05 XXX Start Printed Page 43957 72114 A X-ray exam of lower spine 0.36 NA 1.35 0.08 XXX 72114 26 A X-ray exam of lower spine 0.36 0.12 0.12 0.03 XXX 72114 TC A X-ray exam of lower spine 0.00 NA 1.23 0.05 XXX 72120 A X-ray exam of lower spine 0.22 NA 0.99 0.07 XXX 72120 26 A X-ray exam of lower spine 0.22 0.08 0.08 0.02 XXX 72120 TC A X-ray exam of lower spine 0.00 NA 0.92 0.05 XXX 72125 A Ct neck spine w/o dye 1.16 NA 6.50 0.31 XXX 72125 26 A Ct neck spine w/o dye 1.16 0.40 0.40 0.05 XXX 72125 TC A Ct neck spine w/o dye 0.00 NA 6.11 0.26 XXX 72126 A Ct neck spine w/dye 1.22 NA 7.72 0.36 XXX 72126 26 A Ct neck spine w/dye 1.22 0.42 0.42 0.05 XXX 72126 TC A Ct neck spine w/dye 0.00 NA 7.30 0.31 XXX 72127 A Ct neck spine w/o&w dye 1.27 NA 9.58 0.44 XXX 72127 26 A Ct neck spine w/o&w dye 1.27 0.43 0.43 0.06 XXX 72127 TC A Ct neck spine w/o&w dye 0.00 NA 9.14 0.38 XXX 72128 A Ct chest spine w/o dye 1.16 NA 6.50 0.31 XXX 72128 26 A Ct chest spine w/o dye 1.16 0.40 0.40 0.05 XXX 72128 TC A Ct chest spine w/o dye 0.00 NA 6.11 0.26 XXX 72129 A Ct chest spine w/dye 1.22 NA 7.72 0.36 XXX 72129 26 A Ct chest spine w/dye 1.22 0.42 0.42 0.05 XXX 72129 TC A Ct chest spine w/dye 0.00 NA 7.30 0.31 XXX 72130 A Ct chest spine w/o&w dye 1.27 NA 9.58 0.44 XXX 72130 26 A Ct chest spine w/o&w dye 1.27 0.43 0.43 0.06 XXX 72130 TC A Ct chest spine w/o&w dye 0.00 NA 9.14 0.38 XXX 72131 A Ct lumbar spine w/o dye 1.16 NA 6.50 0.31 XXX 72131 26 A Ct lumbar spine w/o dye 1.16 0.40 0.40 0.05 XXX 72131 TC A Ct lumbar spine w/o dye 0.00 NA 6.11 0.26 XXX 72132 A Ct lumbar spine w/dye 1.22 NA 7.72 0.37 XXX 72132 26 A Ct lumbar spine w/dye 1.22 0.42 0.42 0.06 XXX 72132 TC A Ct lumbar spine w/dye 0.00 NA 7.30 0.31 XXX 72133 A Ct lumbar spine w/o&w dye 1.27 NA 9.58 0.44 XXX 2133 26 A Ct lumbar spine w/o&w dye 1.27 0.44 0.44 0.06 XXX 72133 TC A Ct lumbar spine w/o&w dye 0.00 NA 9.14 0.38 XXX 72141 A Mri neck spine w/o dye 1.60 NA 12.13 0.56 XXX 72141 26 A Mri neck spine w/o dye 1.60 0.55 0.55 0.07 XXX 72141 TC A Mri neck spine w/o dye 0.00 NA 11.58 0.49 XXX 72142 A Mri neck spine w/dye 1.92 NA 14.56 0.67 XXX 72142 26 A Mri neck spine w/dye 1.92 0.67 0.67 0.09 XXX 72142 TC A Mri neck spine w/dye 0.00 NA 13.89 0.58 XXX 72146 A Mri chest spine w/o dye 1.60 NA 13.41 0.60 XXX 72146 26 A Mri chest spine w/o dye 1.60 0.55 0.55 0.07 XXX 72146 TC A Mri chest spine w/o dye 0.00 NA 12.86 0.53 XXX 72147 A Mri chest spine w/dye 1.92 NA 14.55 0.67 XXX 72147 26 A Mri chest spine w/dye 1.92 0.66 0.66 0.09 XXX 72147 TC A Mri chest spine w/dye 0.00 NA 13.89 0.58 XXX 72148 A Mri lumbar spine w/o dye 1.48 NA 13.37 0.60 XXX 72148 26 A Mri lumbar spine w/o dye 1.48 0.51 0.51 0.07 XXX 72148 TC A Mri lumbar spine w/o dye 0.00 NA 12.86 0.53 XXX 72149 A Mri lumbar spine w/dye 1.78 NA 14.51 0.67 XXX 72149 26 A Mri lumbar spine w/dye 1.78 0.62 0.62 0.09 XXX 72149 TC A Mri lumbar spine w/dye 0.00 NA 13.89 0.58 XXX 72156 A Mri neck spine w/o&w dye 2.57 NA 26.60 1.20 XXX 72156 26 A Mri neck spine w/o&w dye 2.57 0.88 0.88 0.11 XXX 72156 TC A Mri neck spine w/o&w dye 0.00 NA 25.72 1.09 XXX 72157 A Mri chest spine w/o&w dye 2.57 NA 26.60 1.20 XXX 72157 26 A Mri chest spine w/o&w dye 2.57 0.88 0.88 0.11 XXX 72157 TC A Mri chest spine w/o&w dye 0.00 NA 25.72 1.09 XXX 72158 A Mri lumbar spine w/o&w dye 2.36 NA 26.53 1.20 XXX 72158 26 A Mri lumbar spine w/o&w dye 2.36 0.81 0.81 0.11 XXX 72158 TC A Mri lumbar spine w/o&w dye 0.00 NA 25.72 1.09 XXX 72159 N Mr angio spine w/o&w dye 1.80 NA 13.56 0.61 XXX 72159 26 N Mr angio spine w/o&w dye 1.80 0.70 0.70 0.08 XXX 72159 TC N Mr angio spine w/o&w dye 0.00 NA 12.86 0.53 XXX 72170 A X-ray exam of pelvis 0.17 NA 0.60 0.03 XXX 72170 26 A X-ray exam of pelvis 0.17 0.06 0.06 0.01 XXX 72170 TC A X-ray exam of pelvis 0.00 NA 0.54 0.02 XXX Start Printed Page 43958 72190 A X-ray exam of pelvis 0.21 NA 0.76 0.04 XXX 72190 26 A X-ray exam of pelvis 0.21 0.07 0.07 0.01 XXX 72190 TC A X-ray exam of pelvis 0.00 NA 0.69 0.03 XXX 72191 A Ct angiograph pelv w/o&w dye 1.81 NA 9.47 0.38 XXX 72191 26 A Ct angiograph pelv w/o&w dye 1.81 0.70 0.70 0.06 XXX 72191 TC A Ct angiograph pelv w/o&w dye 0.00 NA 8.77 0.32 XXX 72192 A Ct pelvis w/o dye 1.09 NA 6.48 0.31 XXX 72192 26 A Ct pelvis w/o dye 1.09 0.37 0.37 0.05 XXX 72192 TC A Ct pelvis w/o dye 0.00 NA 6.11 0.26 XXX 72193 A Ct pelvis w/dye 1.16 NA 7.47 0.35 XXX 72193 26 A Ct pelvis w/dye 1.16 0.40 0.40 0.05 XXX 72193 TC A Ct pelvis w/dye 0.00 NA 7.07 0.30 XXX 72194 A Ct pelvis w/o&w dye 1.22 NA 9.19 0.41 XXX 72194 26 A Ct pelvis w/o&w dye 1.22 0.42 0.42 0.05 XXX 72194 TC A Ct pelvis w/o&w dye 0.00 NA 8.77 0.36 XXX 72195 A Mri pelvis w/o dye 1.46 NA 12.08 0.42 XXX 72195 26 A Mri pelvis w/o dye 1.46 0.50 0.50 0.05 XXX 72195 TC A Mri pelvis w/o dye 0.00 NA 11.58 0.37 XXX 72196 A Mri pelvis w/dye 1.73 NA 14.48 0.48 XXX 72196 26 A Mri pelvis w/dye 1.73 0.59 0.59 0.05 XXX 72196 TC A Mri pelvis w/dye 0.00 NA 13.89 0.43 XXX 72197 A Mri pelvis w/o & w dye 2.26 NA 26.49 0.84 XXX 72197 26 A Mri pelvis w/o & w dye 2.26 0.77 0.77 0.08 XXX 72197 TC A Mri pelvis w/o & w dye 0.00 NA 25.72 0.76 XXX 72198 N Mr angio pelvis w/o&w dye 1.80 NA 12.28 0.57 XXX 72198 26 N Mr angio pelvis w/o&w dye 1.80 0.70 0.70 0.08 XXX 72198 TC N Mr angio pelvis w/o&w dye 0.00 NA 11.58 0.49 XXX 72200 A X-ray exam sacroiliac joints 0.17 NA 0.60 0.03 XXX 72200 26 A X-ray exam sacroiliac joints 0.17 0.06 0.06 0.01 XXX 72200 TC A X-ray exam sacroiliac joints 0.00 NA 0.54 0.02 XXX 72202 A X-ray exam sacroiliac joints 0.19 NA 0.70 0.04 XXX 72202 26 A X-ray exam sacroiliac joints 0.19 0.06 0.06 0.01 XXX 72202 TC A X-ray exam sacroiliac joints 0.00 NA 0.64 0.03 XXX 72220 A X-ray exam of tailbone 0.17 NA 0.65 0.04 XXX 72220 26 A X-ray exam of tailbone 0.17 0.06 0.06 0.01 XXX 72220 TC A X-ray exam of tailbone 0.00 NA 0.59 0.03 XXX 72240 A Contrast x-ray of neck spine 0.91 NA 5.21 0.25 XXX 72240 26 A Contrast x-ray of neck spine 0.91 0.30 0.30 0.04 XXX 72240 TC A Contrast x-ray of neck spine 0.00 NA 4.91 0.21 XXX 72255 A Contrast x-ray, thorax spine 0.91 NA 4.76 0.22 XXX 72255 26 A Contrast x-ray, thorax spine 0.91 0.28 0.28 0.04 XXX 72255 TC A Contrast x-ray, thorax spine 0.00 NA 4.48 0.18 XXX 72265 A Contrast x-ray, lower spine 0.83 NA 4.47 0.22 XXX 72265 26 A Contrast x-ray, lower spine 0.83 0.26 0.26 0.04 XXX 72265 TC A Contrast x-ray, lower spine 0.00 NA 4.21 0.18 XXX 72270 A Contrast x-ray of spine 1.33 NA 6.74 0.34 XXX 72270 26 A Contrast x-ray of spine 1.33 0.44 0.44 0.07 XXX 72270 TC A Contrast x-ray of spine 0.00 NA 6.31 0.27 XXX 72275 A Epidurography 0.76 NA 2.38 0.21 XXX 72275 26 A Epidurography 0.76 0.21 0.21 0.03 XXX 72275 TC A Epidurography 0.00 NA 2.17 0.18 XXX 72285 A X-ray c/t spine disk 1.16 NA 9.03 0.42 XXX 72285 26 A X-ray c/t spine disk 1.16 0.37 0.37 0.06 XXX 72285 TC A X-ray c/t spine disk 0.00 NA 8.66 0.36 XXX 72295 A X-ray of lower spine disk 0.83 NA 8.40 0.37 XXX 72295 26 A X-ray of lower spine disk 0.83 0.28 0.28 0.04 XXX 72295 TC A X-ray of lower spine disk 0.00 NA 8.12 0.33 XXX 73000 A X-ray exam of collar bone 0.16 NA 0.59 0.03 XXX 73000 26 A X-ray exam of collar bone 0.16 0.06 0.06 0.01 XXX 73000 TC A X-ray exam of collar bone 0.00 NA 0.54 0.02 XXX 73010 A X-ray exam of shoulder blade 0.17 NA 0.60 0.03 XXX 73010 26 A X-ray exam of shoulder blade 0.17 0.06 0.06 0.01 XXX 73010 TC A X-ray exam of shoulder blade 0.00 NA 0.54 0.02 XXX 73020 A X-ray exam of shoulder 0.15 NA 0.54 0.03 XXX 73020 26 A X-ray exam of shoulder 0.15 0.05 0.05 0.01 XXX 73020 TC A X-ray exam of shoulder 0.00 NA 0.49 0.02 XXX Start Printed Page 43959 73030 A X-ray exam of shoulder 0.18 NA 0.65 0.04 XXX 73030 26 A X-ray exam of shoulder 0.18 0.06 0.06 0.01 XXX 73030 TC A X-ray exam of shoulder 0.00 NA 0.59 0.03 XXX 73040 A Contrast x-ray of shoulder 0.54 NA 2.35 0.13 XXX 73040 26 A Contrast x-ray of shoulder 0.54 0.18 0.18 0.03 XXX 73040 TC A Contrast x-ray of shoulder 0.00 NA 2.17 0.10 XXX 73050 A X-ray exam of shoulders 0.20 NA 0.76 0.05 XXX 73050 26 A X-ray exam of shoulders 0.20 0.07 0.07 0.02 XXX 73050 TC A X-ray exam of shoulders 0.00 NA 0.69 0.03 XXX 73060 A X-ray exam of humerus 0.17 NA 0.65 0.04 XXX 73060 26 A X-ray exam of humerus 0.17 0.06 0.06 0.01 XXX 73060 TC A X-ray exam of humerus 0.00 NA 0.59 0.03 XXX 73070 A X-ray exam of elbow 0.15 NA 0.59 0.03 XXX 73070 26 A X-ray exam of elbow 0.15 0.05 0.05 0.01 XXX 73070 TC A X-ray exam of elbow 0.00 NA 0.54 0.02 XXX 73080 A X-ray exam of elbow 0.17 NA 0.65 0.04 XXX 73080 26 A X-ray exam of elbow 0.17 0.06 0.06 0.01 XXX 73080 TC A X-ray exam of elbow 0.00 NA 0.59 0.03 XXX 73085 A Contrast x-ray of elbow 0.54 NA 2.36 0.13 XXX 73085 26 A Contrast x-ray of elbow 0.54 0.19 0.19 0.03 XXX 73085 TC A Contrast x-ray of elbow 0.00 NA 2.17 0.10 XXX 73090 A X-ray exam of forearm 0.16 NA 0.59 0.03 XXX 73090 26 A X-ray exam of forearm 0.16 0.05 0.05 0.01 XXX 73090 TC A X-ray exam of forearm 0.00 NA 0.54 0.02 XXX 73092 A X-ray exam of arm, infant 0.16 NA 0.56 0.03 XXX 73092 26 A X-ray exam of arm, infant 0.16 0.05 0.05 0.01 XXX 73092 TC A X-ray exam of arm, infant 0.00 NA 0.51 0.02 XXX 73100 A X-ray exam of wrist 0.16 NA 0.57 0.04 XXX 73100 26 A X-ray exam of wrist 0.16 0.06 0.06 0.02 XXX 73100 TC A X-ray exam of wrist 0.00 NA 0.51 0.02 XXX 73110 A X-ray exam of wrist 0.17 NA 0.61 0.03 XXX 73110 26 A X-ray exam of wrist 0.17 0.06 0.06 0.01 XXX 73110 TC A X-ray exam of wrist 0.00 NA 0.55 0.02 XXX 73115 A Contrast x-ray of wrist 0.54 NA 1.82 0.11 XXX 73115 26 A Contrast x-ray of wrist 0.54 0.19 0.19 0.03 XXX 73115 TC A Contrast x-ray of wrist 0.00 NA 1.63 0.08 XXX 73120 A X-ray exam of hand 0.16 NA 0.57 0.03 XXX 73120 26 A X-ray exam of hand 0.16 0.06 0.06 0.01 XXX 73120 TC A X-ray exam of hand 0.00 NA 0.51 0.02 XXX 73130 A X-ray exam of hand 0.17 NA 0.61 0.03 XXX 73130 26 A X-ray exam of hand 0.17 0.06 0.06 0.01 XXX 73130 TC A X-ray exam of hand 0.00 NA 0.55 0.02 XXX 73140 A X-ray exam of finger(s) 0.13 NA 0.47 0.03 XXX 73140 26 A X-ray exam of finger(s) 0.13 0.04 0.04 0.01 XXX 73140 TC A X-ray exam of finger(s) 0.00 NA 0.43 0.02 XXX 73200 A Ct upper extremity w/o dye 1.09 NA 5.50 0.26 XXX 73200 26 A Ct upper extremity w/o dye 1.09 0.37 0.37 0.05 XXX 73200 TC A Ct upper extremity w/o dye 0.00 NA 5.13 0.21 XXX 73201 A Ct upper extremity w/dye 1.16 NA 6.50 0.31 XXX 73201 26 A Ct upper extremity w/dye 1.16 0.40 0.40 0.05 XXX 73201 TC A Ct upper extremity w/dye 0.00 NA 6.11 0.26 XXX 73202 A Ct uppr extremity w/o&w dye 1.22 NA 8.09 0.38 XXX 73202 26 A Ct uppr extremity w/o&w dye 1.22 0.42 0.42 0.06 XXX 73202 TC A Ct uppr extremity w/o&w dye 0.00 NA 7.67 0.32 XXX 73206 A Ct angio upr extrm w/o&w dye 1.81 NA 8.37 0.38 XXX 73206 26 A Ct angio upr extrm w/o&w dye 1.81 0.70 0.70 0.06 XXX 73206 TC A Ct angio upr extrm w/o&w dye 0.00 NA 7.67 0.32 XXX 73218 A Mri upper extremity w/o dye 1.35 NA 12.05 0.36 XXX 73218 26 A Mri upper extremity w/o dye 1.35 0.46 0.46 0.04 XXX 73218 TC A Mri upper extremity w/o dye 0.00 NA 11.58 0.32 XXX 73219 A Mri upper extremity w/dye 1.62 NA 14.45 0.44 XXX 73219 26 A Mri upper extremity w/dye 1.62 0.56 0.56 0.05 XXX 73219 TC A Mri upper extremity w/dye 0.00 NA 13.89 0.39 XXX 73220 A Mri uppr extremity w/o&w dye 2.15 NA 26.46 0.78 XXX 73220 26 A Mri uppr extremity w/o&w dye 2.15 0.74 0.74 0.08 XXX 73220 TC A Mri uppr extremity w/o&w dye 0.00 NA 25.72 0.70 XXX Start Printed Page 43960 73221 A Mri joint upr extrem w/o dye 1.35 NA 12.04 0.36 XXX 73221 26 A Mri joint upr extrem w/o dye 1.35 0.46 0.46 0.04 XXX 73221 TC A Mri joint upr extrem w/o dye 0.00 NA 11.58 0.32 XXX 73222 A Mri joint upr extrem w/ dye 1.62 NA 14.45 0.44 XXX 73222 26 A Mri joint upr extrem w/ dye 1.62 0.56 0.56 0.05 XXX 73222 TC A Mri joint upr extrem w/ dye 0.00 NA 13.89 0.39 XXX 73223 A Mri joint upr extr w/o&w dye 2.15 NA 26.46 0.77 XXX 73223 26 A Mri joint upr extr w/o&w dye 2.15 0.74 0.74 0.07 XXX 73223 TC A Mri joint upr extr w/o&w dye 0.00 NA 25.72 0.70 XXX 73225 N Mr angio upr extr w/o&w dye 1.73 NA 12.25 0.57 XXX 73225 26 N Mr angio upr extr w/o&w dye 1.73 0.67 0.67 0.08 XXX 73225 TC N Mr angio upr extr w/o&w dye 0.00 NA 11.58 0.49 XXX 73500 A X-ray exam of hip 0.17 NA 0.55 0.03 XXX 73500 26 A X-ray exam of hip 0.17 0.06 0.06 0.01 XXX 73500 TC A X-ray exam of hip 0.00 NA 0.49 0.02 XXX 73510 A X-ray exam of hip 0.21 NA 0.66 0.05 XXX 73510 26 A X-ray exam of hip 0.21 0.07 0.07 0.02 XXX 73510 TC A X-ray exam of hip 0.00 NA 0.59 0.03 XXX 73520 A X-ray exam of hips 0.26 NA 0.78 0.05 XXX 73520 26 A X-ray exam of hips 0.26 0.09 0.09 0.02 XXX 73520 TC A X-ray exam of hips 0.00 NA 0.69 0.03 XXX 73525 A Contrast x-ray of hip 0.54 NA 2.35 0.13 XXX 73525 26 A Contrast x-ray of hip 0.54 0.19 0.19 0.03 XXX 73525 TC A Contrast x-ray of hip 0.00 NA 2.17 0.10 XXX 73530 A X-ray exam of hip 0.29 NA 0.64 0.03 XXX 73530 26 A X-ray exam of hip 0.29 0.10 0.10 0.01 XXX 73530 TC A X-ray exam of hip 0.00 NA 0.54 0.02 XXX 73540 A X-ray exam of pelvis & hips 0.20 NA 0.66 0.05 XXX 73540 26 A X-ray exam of pelvis & hips 0.20 0.07 0.07 0.02 XXX 73540 TC A X-ray exam of pelvis & hips 0.00 NA 0.59 0.03 XXX 73542 A X-ray exam, sacroiliac joint 0.59 NA 2.35 0.13 XXX 73542 26 A X-ray exam, sacroiliac joint 0.59 0.18 0.18 0.03 XXX 73542 TC A X-ray exam, sacroiliac joint 0.00 NA 2.17 0.10 XXX 73550 A X-ray exam of thigh 0.17 NA 0.65 0.04 XXX 73550 26 A X-ray exam of thigh 0.17 0.06 0.06 0.01 XXX 73550 TC A X-ray exam of thigh 0.00 NA 0.59 0.03 XXX 73560 A X-ray exam of knee, 1 or 2 0.17 NA 0.60 0.04 XXX 73560 26 A X-ray exam of knee, 1 or 2 0.17 0.06 0.06 0.02 XXX 73560 TC A X-ray exam of knee, 1 or 2 0.00 NA 0.54 0.02 XXX 73562 A X-ray exam of knee, 3 0.18 NA 0.65 0.05 XXX 73562 26 A X-ray exam of knee, 3 0.18 0.06 0.06 0.02 XXX 73562 TC A X-ray exam of knee, 3 0.00 NA 0.59 0.03 XXX 73564 A X-ray exam, knee, 4 or more 0.22 NA 0.72 0.05 XXX 73564 26 A X-ray exam, knee, 4 or more 0.22 0.08 0.08 0.02 XXX 73564 TC A X-ray exam, knee, 4 or more 0.00 NA 0.64 0.03 XXX 73565 A X-ray exam of knees 0.17 NA 0.57 0.04 XXX 73565 26 A X-ray exam of knees 0.17 0.06 0.06 0.02 XXX 73565 TC A X-ray exam of knees 0.00 NA 0.51 0.02 XXX 73580 A Contrast x-ray of knee joint 0.54 NA 2.89 0.15 XXX 73580 26 A Contrast x-ray of knee joint 0.54 0.18 0.18 0.03 XXX 73580 TC A Contrast x-ray of knee joint 0.00 NA 2.71 0.12 XXX 73590 A X-ray exam of lower leg 0.17 NA 0.60 0.03 XXX 73590 26 A X-ray exam of lower leg 0.17 0.06 0.06 0.01 XXX 73590 TC A X-ray exam of lower leg 0.00 NA 0.54 0.02 XXX 73592 A X-ray exam of leg, infant 0.16 NA 0.57 0.03 XXX 73592 26 A X-ray exam of leg, infant 0.16 0.06 0.06 0.01 XXX 73592 TC A X-ray exam of leg, infant 0.00 NA 0.51 0.02 XXX 73600 A X-ray exam of ankle 0.16 NA 0.57 0.03 XXX 73600 26 A X-ray exam of ankle 0.16 0.06 0.06 0.01 XXX 73600 TC A X-ray exam of ankle 0.00 NA 0.51 0.02 XXX 73610 A X-ray exam of ankle 0.17 NA 0.61 0.03 XXX 73610 26 A X-ray exam of ankle 0.17 0.06 0.06 0.01 XXX 73610 TC A X-ray exam of ankle 0.00 NA 0.55 0.02 XXX 73615 A Contrast x-ray of ankle 0.54 NA 2.36 0.13 XXX 73615 26 A Contrast x-ray of ankle 0.54 0.19 0.19 0.03 XXX 73615 TC A Contrast x-ray of ankle 0.00 NA 2.17 0.10 XXX Start Printed Page 43961 73620 A X-ray exam of foot 0.16 NA 0.57 0.03 XXX 73620 26 A X-ray exam of foot 0.16 0.06 0.06 0.01 XXX 73620 TC A X-ray exam of foot 0.00 NA 0.51 0.02 XXX 73630 A X-ray exam of foot 0.17 NA 0.61 0.03 XXX 73630 26 A X-ray exam of foot 0.17 0.06 0.06 0.01 XXX 73630 TC A X-ray exam of foot 0.00 NA 0.55 0.02 XXX 73650 A X-ray exam of heel 0.16 NA 0.55 0.03 XXX 73650 26 A X-ray exam of heel 0.16 0.06 0.06 0.01 XXX 73650 TC A X-ray exam of heel 0.00 NA 0.49 0.02 XXX 73660 A X-ray exam of toe(s) 0.13 NA 0.47 0.03 XXX 73660 26 A X-ray exam of toe(s) 0.13 0.04 0.04 0.01 XXX 73660 TC A X-ray exam of toe(s) 0.00 NA 0.43 0.02 XXX 73700 A Ct lower extremity w/o dye 1.09 NA 5.50 0.26 XXX 73700 26 A Ct lower extremity w/o dye 1.09 0.37 0.37 0.05 XXX 73700 TC A Ct lower extremity w/o dye 0.00 NA 5.13 0.21 XXX 73701 A Ct lower extremity w/dye 1.16 NA 6.50 0.31 XXX 73701 26 A Ct lower extremity w/dye 1.16 0.40 0.40 0.05 XXX 73701 TC A Ct lower extremity w/dye 0.00 NA 6.11 0.26 XXX 73702 A Ct lwr extremity w/o&w dye 1.22 NA 8.09 0.37 XXX 73702 26 A Ct lwr extremity w/o&w dye 1.22 0.42 0.42 0.05 XXX 73702 TC A Ct lwr extremity w/o&w dye 0.00 NA 7.67 0.32 XXX 73706 A Ct angio lwr extr w/o&w dye 1.90 NA 8.41 0.38 XXX 73706 26 A Ct angio lwr extr w/o&w dye 1.90 0.73 0.73 0.06 XXX 73706 TC A Ct angio lwr extr w/o&w dye 0.00 NA 7.67 0.32 XXX 73718 A Mri lower extremity w/o dye 1.35 NA 12.04 0.36 XXX 73718 26 A Mri lower extremity w/o dye 1.35 0.46 0.46 0.04 XXX 73718 TC A Mri lower extremity w/o dye 0.00 NA 11.58 0.32 XXX 73719 A Mri lower extremity w/dye 1.62 NA 14.44 0.44 XXX 73719 26 A Mri lower extremity w/dye 1.62 0.55 0.55 0.05 XXX 73719 TC A Mri lower extremity w/dye 0.00 NA 13.89 0.39 XXX 73720 A Mri lwr extremity w/o&w dye 2.15 NA 26.45 0.78 XXX 73720 26 A Mri lwr extremity w/o&w dye 2.15 0.74 0.74 0.08 XXX 73720 TC A Mri lwr extremity w/o&w dye 0.00 NA 25.72 0.70 XXX 73721 A Mri joint of lwr extre w/o d 1.35 NA 12.05 0.36 XXX 73721 26 A Mri joint of lwr extre w/o d 1.35 0.46 0.46 0.04 XXX 73721 TC A Mri joint of lwr extre w/o d 0.00 NA 11.58 0.32 XXX 73722 A Mri joint of lwr extr w/dye 1.62 NA 14.45 0.45 XXX 73722 26 A Mri joint of lwr extr w/dye 1.62 0.56 0.56 0.06 XXX 73722 TC A Mri joint of lwr extr w/dye 0.00 NA 13.89 0.39 XXX 73723 A Mri joint lwr extr w/o&w dye 2.15 NA 26.46 0.77 XXX 73723 26 A Mri joint lwr extr w/o&w dye 2.15 0.74 0.74 0.07 XXX 73723 TC A Mri joint lwr extr w/o&w dye 0.00 NA 25.72 0.70 XXX 73725 R Mr ang lwr ext w or w/o dye 1.82 NA 12.20 0.57 XXX 73725 26 R Mr ang lwr ext w or w/o dye 1.82 0.62 0.62 0.08 XXX 73725 TC R Mr ang lwr ext w or w/o dye 0.00 NA 11.58 0.49 XXX 74000 A X-ray exam of abdomen 0.18 NA 0.60 0.03 XXX 74000 26 A X-ray exam of abdomen 0.18 0.06 0.06 0.01 XXX 74000 TC A X-ray exam of abdomen 0.00 NA 0.54 0.02 XXX 74010 A X-ray exam of abdomen 0.23 NA 0.67 0.04 XXX 74010 26 A X-ray exam of abdomen 0.23 0.08 0.08 0.01 XXX 74010 TC A X-ray exam of abdomen 0.00 NA 0.59 0.03 XXX 74020 A X-ray exam of abdomen 0.27 NA 0.73 0.04 XXX 74020 26 A X-ray exam of abdomen 0.27 0.09 0.09 0.01 XXX 74020 TC A X-ray exam of abdomen 0.00 NA 0.64 0.03 XXX 74022 A X-ray exam series, abdomen 0.32 NA 0.87 0.05 XXX 74022 26 A X-ray exam series, abdomen 0.32 0.11 0.11 0.01 XXX 74022 TC A X-ray exam series, abdomen 0.00 NA 0.76 0.04 XXX 74150 A Ct abdomen w/o dye 1.19 NA 6.25 0.30 XXX 74150 26 A Ct abdomen w/o dye 1.19 0.41 0.41 0.05 XXX 74150 TC A Ct abdomen w/o dye 0.00 NA 5.85 0.25 XXX 74160 A Ct abdomen w/dye 1.27 NA 7.51 0.36 XXX 74160 26 A Ct abdomen w/dye 1.27 0.43 0.43 0.06 XXX 74160 TC A Ct abdomen w/dye 0.00 NA 7.07 0.30 XXX 74170 A Ct abdomen w/o&w dye 1.40 NA 9.25 0.42 XXX 74170 26 A Ct abdomen w/o&w dye 1.40 0.48 0.48 0.06 XXX 74170 TC A Ct abdomen w/o&w dye 0.00 NA 8.77 0.36 XXX Start Printed Page 43962 74175 A Ct angio abdom w/o&w dye 1.90 NA 9.51 0.38 XXX 74175 26 A Ct angio abdom w/o&w dye 1.90 0.73 0.73 0.06 XXX 74175 TC A Ct angio abdom w/o&w dye 0.00 NA 8.77 0.32 XXX 74181 A Mri abdomen w/o dye 1.46 NA 12.08 0.41 XXX 74181 26 A Mri abdomen w/o dye 1.46 0.50 0.50 0.04 XXX 74181 TC A Mri abdomen w/o dye 0.00 NA 11.58 0.37 XXX 74182 A Mri abdomen w/dye 1.73 NA 14.48 0.49 XXX 74182 26 A Mri abdomen w/dye 1.73 0.59 0.59 0.06 XXX 74182 TC A Mri abdomen w/dye 0.00 NA 13.89 0.43 XXX 74183 A Mri abdomen w/o&w dye 2.26 NA 26.49 0.84 XXX 74183 26 A Mri abdomen w/o&w dye 2.26 0.77 0.77 0.08 XXX 74183 TC A Mri abdomen w/o&w dye 0.00 NA 25.72 0.76 XXX 74185 R Mri angio, abdom w or w/o dy 1.80 NA 12.20 0.57 XXX 74185 26 R Mri angio, abdom w or w/o dy 1.80 0.62 0.62 0.08 XXX 74185 TC R Mri angio, abdom w or w/o dy 0.00 NA 11.58 0.49 XXX 74190 A X-ray exam of peritoneum 0.48 NA 1.51 0.08 XXX 74190 26 A X-ray exam of peritoneum 0.48 0.16 0.16 0.02 XXX 74190 TC A X-ray exam of peritoneum 0.00 NA 1.35 0.06 XXX 74210 A Contrst x-ray exam of throat 0.36 NA 1.35 0.07 XXX 74210 26 A Contrst x-ray exam of throat 0.36 0.12 0.12 0.02 XXX 74210 TC A Contrst x-ray exam of throat 0.00 NA 1.23 0.05 XXX 74220 A Contrast x-ray, esophagus 0.46 NA 1.39 0.07 XXX 74220 26 A Contrast x-ray, esophagus 0.46 0.16 0.16 0.02 XXX 74220 TC A Contrast x-ray, esophagus 0.00 NA 1.23 0.05 XXX 74230 A Cine/video x-ray, throat/eso 0.53 NA 1.53 0.08 XXX 74230 26 A Cine/video x-ray, throat/eso 0.53 0.18 0.18 0.02 XXX 74230 TC A Cine/video x-ray, throat/eso 0.00 NA 1.35 0.06 XXX 74235 A Remove esophagus obstruction 1.19 NA 3.11 0.17 XXX 74235 26 A Remove esophagus obstruction 1.19 0.41 0.41 0.05 XXX 74235 TC A Remove esophagus obstruction 0.00 NA 2.71 0.12 XXX 74240 A X-ray exam, upper gi tract 0.69 NA 1.74 0.10 XXX 74240 26 A X-ray exam, upper gi tract 0.69 0.24 0.24 0.03 XXX 74240 TC A X-ray exam, upper gi tract 0.00 NA 1.51 0.07 XXX 74241 A X-ray exam, upper gi tract 0.69 NA 1.77 0.10 XXX 74241 26 A X-ray exam, upper gi tract 0.69 0.23 0.23 0.03 XXX 74241 TC A X-ray exam, upper gi tract 0.00 NA 1.54 0.07 XXX 74245 A X-ray exam, upper gi tract 0.91 NA 2.77 0.15 XXX 74245 26 A X-ray exam, upper gi tract 0.91 0.31 0.31 0.04 XXX 74245 TC A X-ray exam, upper gi tract 0.00 NA 2.46 0.11 XXX 74246 A Contrst x-ray uppr gi tract 0.69 NA 1.93 0.11 XXX 74246 26 A Contrst x-ray uppr gi tract 0.69 0.24 0.24 0.03 XXX 74246 TC A Contrst x-ray uppr gi tract 0.00 NA 1.70 0.08 XXX 74247 A Contrst x-ray uppr gi tract 0.69 NA 1.97 0.12 XXX 74247 26 A Contrst x-ray uppr gi tract 0.69 0.24 0.24 0.03 XXX 74247 TC A Contrst x-ray uppr gi tract 0.00 NA 1.74 0.09 XXX 74249 A Contrst x-ray uppr gi tract 0.91 NA 2.97 0.16 XXX 74249 26 A Contrst x-ray uppr gi tract 0.91 0.31 0.31 0.04 XXX 74249 TC A Contrst x-ray uppr gi tract 0.00 NA 2.66 0.12 XXX 74250 A X-ray exam of small bowel 0.47 NA 1.51 0.08 XXX 74250 26 A X-ray exam of small bowel 0.47 0.16 0.16 0.02 XXX 74250 TC A X-ray exam of small bowel 0.00 NA 1.35 0.06 XXX 74251 A X-ray exam of small bowel 0.69 NA 1.58 0.09 XXX 74251 26 A X-ray exam of small bowel 0.69 0.24 0.24 0.03 XXX 74251 TC A X-ray exam of small bowel 0.00 NA 1.35 0.06 XXX 74260 A X-ray exam of small bowel 0.50 NA 1.71 0.09 XXX 74260 26 A X-ray exam of small bowel 0.50 0.17 0.17 0.02 XXX 74260 TC A X-ray exam of small bowel 0.00 NA 1.54 0.07 XXX 74270 A Contrast x-ray exam of colon 0.69 NA 1.99 0.12 XXX 74270 26 A Contrast x-ray exam of colon 0.69 0.24 0.24 0.03 XXX 74270 TC A Contrast x-ray exam of colon 0.00 NA 1.76 0.09 XXX 74280 A Contrast x-ray exam of colon 0.99 NA 2.65 0.15 XXX 74280 26 A Contrast x-ray exam of colon 0.99 0.34 0.34 0.04 XXX 74280 TC A Contrast x-ray exam of colon 0.00 NA 2.31 0.11 XXX 74283 A Contrast x-ray exam of colon 2.02 NA 3.34 0.21 XXX 74283 26 A Contrast x-ray exam of colon 2.02 0.69 0.69 0.09 XXX 74283 TC A Contrast x-ray exam of colon 0.00 NA 2.65 0.12 XXX Start Printed Page 43963 74290 A Contrast x-ray, gallbladder 0.32 NA 0.87 0.05 XXX 74290 26 A Contrast x-ray, gallbladder 0.32 0.11 0.11 0.01 XXX 74290 TC A Contrast x-ray, gallbladder 0.00 NA 0.76 0.04 XXX 74291 A Contrast x-rays, gallbladder 0.20 NA 0.50 0.03 XXX 74291 26 A Contrast x-rays, gallbladder 0.20 0.07 0.07 0.01 XXX 74291 TC A Contrast x-rays, gallbladder 0.00 NA 0.43 0.02 XXX 74300 C X-ray bile ducts/pancreas 0.00 0.00 0.00 0.00 XXX 74300 26 A X-ray bile ducts/pancreas 0.36 0.12 0.12 0.02 XXX 74300 TC C X-ray bile ducts/pancreas 0.00 0.00 0.00 0.00 XXX 74301 C X-rays at surgery add-on 0.00 0.00 0.00 0.00 ZZZ 74301 26 A X-rays at surgery add-on 0.21 0.07 0.07 0.01 ZZZ 74301 TC C X-rays at surgery add-on 0.00 0.00 0.00 0.00 ZZZ 74305 A X-ray bile ducts/pancreas 0.42 NA 0.95 0.06 XXX 74305 26 A X-ray bile ducts/pancreas 0.42 0.14 0.14 0.02 XXX 74305 TC A X-ray bile ducts/pancreas 0.00 NA 0.81 0.04 XXX 74320 A Contrast x-ray of bile ducts 0.54 NA 3.44 0.16 XXX 74320 26 A Contrast x-ray of bile ducts 0.54 0.18 0.18 0.02 XXX 74320 TC A Contrast x-ray of bile ducts 0.00 NA 3.26 0.14 XXX 74327 A X-ray bile stone removal 0.70 NA 2.06 0.12 XXX 74327 26 A X-ray bile stone removal 0.70 0.24 0.24 0.03 XXX 74327 TC A X-ray bile stone removal 0.00 NA 1.82 0.09 XXX 74328 A Xray bile duct endoscopy 0.70 NA 3.50 0.17 XXX 74328 26 A Xray bile duct endoscopy 0.70 0.24 0.24 0.03 XXX 74328 TC A Xray bile duct endoscopy 0.00 NA 3.26 0.14 XXX 74329 A X-ray for pancreas endoscopy 0.70 NA 3.50 0.17 XXX 74329 26 A X-ray for pancreas endoscopy 0.70 0.24 0.24 0.03 XXX 74329 TC A X-ray for pancreas endoscopy 0.00 NA 3.26 0.14 XXX 74330 A X-ray bile/panc endoscopy 0.90 NA 3.56 0.18 XXX 74330 26 A X-ray bile/panc endoscopy 0.90 0.31 0.31 0.04 XXX 74330 TC A X-ray bile/panc endoscopy 0.00 NA 3.26 0.14 XXX 74340 A X-ray guide for GI tube 0.54 NA 2.89 0.14 XXX 74340 26 A X-ray guide for GI tube 0.54 0.18 0.18 0.02 XXX 74340 TC A X-ray guide for GI tube 0.00 NA 2.71 0.12 XXX 74350 A X-ray guide, stomach tube 0.76 NA 3.52 0.17 XXX 74350 26 A X-ray guide, stomach tube 0.76 0.26 0.26 0.03 XXX 74350 TC A X-ray guide, stomach tube 0.00 NA 3.26 0.14 XXX 74355 A X-ray guide, intestinal tube 0.76 NA 2.96 0.15 XXX 74355 26 A X-ray guide, intestinal tube 0.76 0.26 0.26 0.03 XXX 74355 TC A X-ray guide, intestinal tube 0.00 NA 2.71 0.12 XXX 74360 A X-ray guide, GI dilation 0.54 NA 3.45 0.16 XXX 74360 26 A X-ray guide, GI dilation 0.54 0.19 0.19 0.02 XXX 74360 TC A X-ray guide, GI dilation 0.00 NA 3.26 0.14 XXX 74363 A X-ray, bile duct dilation 0.88 NA 6.60 0.31 XXX 74363 26 A X-ray, bile duct dilation 0.88 0.30 0.30 0.04 XXX 74363 TC A X-ray, bile duct dilation 0.00 NA 6.31 0.27 XXX 74400 A Contrst x-ray, urinary tract 0.49 NA 1.91 0.11 XXX 74400 26 A Contrst x-ray, urinary tract 0.49 0.17 0.17 0.02 XXX 74400 TC A Contrst x-ray, urinary tract 0.00 NA 1.74 0.09 XXX 74410 A Contrst x-ray, urinary tract 0.49 NA 2.19 0.11 XXX 74410 26 A Contrst x-ray, urinary tract 0.49 0.17 0.17 0.02 XXX 74410 TC A Contrst x-ray, urinary tract 0.00 NA 2.02 0.09 XXX 74415 A Contrst x-ray, urinary tract 0.49 NA 2.36 0.12 XXX 74415 26 A Contrst x-ray, urinary tract 0.49 0.17 0.17 0.02 XXX 74415 TC A Contrst x-ray, urinary tract 0.00 NA 2.19 0.10 XXX 74420 A Contrst x-ray, urinary tract 0.36 NA 2.83 0.14 XXX 74420 26 A Contrst x-ray, urinary tract 0.36 0.12 0.12 0.02 XXX 74420 TC A Contrst x-ray, urinary tract 0.00 NA 2.71 0.12 XXX 74425 A Contrst x-ray, urinary tract 0.36 NA 1.47 0.08 XXX 74425 26 A Contrst x-ray, urinary tract 0.36 0.12 0.12 0.02 XXX 74425 TC A Contrst x-ray, urinary tract 0.00 NA 1.35 0.06 XXX 74430 A Contrast x-ray, bladder 0.32 NA 1.20 0.07 XXX 74430 26 A Contrast x-ray, bladder 0.32 0.11 0.11 0.02 XXX 74430 TC A Contrast x-ray, bladder 0.00 NA 1.09 0.05 XXX 74440 A X-ray, male genital tract 0.38 NA 1.30 0.07 XXX 74440 26 A X-ray, male genital tract 0.38 0.13 0.13 0.02 XXX 74440 TC A X-ray, male genital tract 0.00 NA 1.17 0.05 XXX Start Printed Page 43964 74445 A X-ray exam of penis 1.14 NA 1.55 0.10 XXX 74445 26 A X-ray exam of penis 1.14 0.38 0.38 0.05 XXX 74445 TC A X-ray exam of penis 0.00 NA 1.17 0.05 XXX 74450 A X-ray, urethra/bladder 0.33 NA 1.62 0.09 XXX 74450 26 A X-ray, urethra/bladder 0.33 0.11 0.11 0.02 XXX 74450 TC A X-ray, urethra/bladder 0.00 NA 1.51 0.07 XXX 74455 A X-ray, urethra/bladder 0.33 NA 1.74 0.10 XXX 74455 26 A X-ray, urethra/bladder 0.33 0.11 0.11 0.02 XXX 74455 TC A X-ray, urethra/bladder 0.00 NA 1.63 0.08 XXX 74470 A X-ray exam of kidney lesion 0.54 NA 1.47 0.08 XXX 74470 26 A X-ray exam of kidney lesion 0.54 0.18 0.18 0.02 XXX 74470 TC A X-ray exam of kidney lesion 0.00 NA 1.29 0.06 XXX 74475 A X-ray control, cath insert 0.54 NA 4.39 0.20 XXX 74475 26 A X-ray control, cath insert 0.54 0.18 0.18 0.02 XXX 74475 TC A X-ray control, cath insert 0.00 NA 4.21 0.18 XXX 74480 A X-ray control, cath insert 0.54 NA 4.39 0.20 XXX 74480 26 A X-ray control, cath insert 0.54 0.18 0.18 0.02 XXX 74480 TC A X-ray control, cath insert 0.00 NA 4.21 0.18 XXX 74485 A X-ray guide, GU dilation 0.54 NA 3.44 0.17 XXX 74485 26 A X-ray guide, GU dilation 0.54 0.18 0.18 0.03 XXX 74485 TC A X-ray guide, GU dilation 0.00 NA 3.26 0.14 XXX 74710 A X-ray measurement of pelvis 0.34 NA 1.21 0.07 XXX 74710 26 A X-ray measurement of pelvis 0.34 0.12 0.12 0.02 XXX 74710 TC A X-ray measurement of pelvis 0.00 NA 1.09 0.05 XXX 74740 A X-ray, female genital tract 0.38 NA 1.48 0.08 XXX 74740 26 A X-ray, female genital tract 0.38 0.13 0.13 0.02 XXX 74740 TC A X-ray, female genital tract 0.00 NA 1.35 0.06 XXX 74742 A X-ray, fallopian tube 0.61 NA 3.47 0.16 XXX 74742 26 A X-ray, fallopian tube 0.61 0.21 0.21 0.02 XXX 74742 TC A X-ray, fallopian tube 0.00 NA 3.26 0.14 XXX 74775 A X-ray exam of perineum 0.62 NA 1.72 0.10 XXX 74775 26 A X-ray exam of perineum 0.62 0.22 0.22 0.03 XXX 74775 TC A X-ray exam of perineum 0.00 NA 1.51 0.07 XXX 75552 A Heart mri for morph w/o dye 1.60 NA 12.13 0.56 XXX 75552 26 A Heart mri for morph w/o dye 1.60 0.55 0.55 0.07 XXX 75552 TC A Heart mri for morph w/o dye 0.00 NA 11.58 0.49 XXX 75553 A Heart mri for morph w/dye 2.00 NA 12.26 0.58 XXX 75553 26 A Heart mri for morph w/dye 2.00 0.68 0.68 0.09 XXX 75553 TC A Heart mri for morph w/dye 0.00 NA 11.58 0.49 XXX 75554 A Cardiac MRI/function 1.83 NA 12.25 0.56 XXX 75554 26 A Cardiac MRI/function 1.83 0.67 0.67 0.07 XXX 75554 TC A Cardiac MRI/function 0.00 NA 11.58 0.49 XXX 75555 A Cardiac MRI/limited study 1.74 NA 12.24 0.56 XXX 75555 26 A Cardiac MRI/limited study 1.74 0.66 0.66 0.07 XXX 75555 TC A Cardiac MRI/limited study 0.00 NA 11.58 0.49 XXX 75556 N Cardiac MRI/flow mapping 0.00 0.00 0.00 0.00 XXX 75600 A Contrast x-ray exam of aorta 0.49 NA 13.21 0.56 XXX 75600 26 A Contrast x-ray exam of aorta 0.49 0.19 0.19 0.02 XXX 75600 TC A Contrast x-ray exam of aorta 0.00 NA 13.02 0.54 XXX 75605 A Contrast x-ray exam of aorta 1.14 NA 13.43 0.59 XXX 75605 26 A Contrast x-ray exam of aorta 1.14 0.41 0.41 0.05 XXX 75605 TC A Contrast x-ray exam of aorta 0.00 NA 13.02 0.54 XXX 75625 A Contrast x-ray exam of aorta 1.14 NA 13.41 0.59 XXX 75625 26 A Contrast x-ray exam of aorta 1.14 0.39 0.39 0.05 XXX 75625 TC A Contrast x-ray exam of aorta 0.00 NA 13.02 0.54 XXX 75630 A X-ray aorta, leg arteries 1.79 NA 14.21 0.65 XXX 75630 26 A X-ray aorta, leg arteries 1.79 0.64 0.64 0.08 XXX 75630 TC A X-ray aorta, leg arteries 0.00 NA 13.57 0.57 XXX 75635 A Ct angio abdominal arteries 2.40 NA 9.70 0.41 XXX 75635 26 A Ct angio abdominal arteries 2.40 0.93 0.93 0.09 XXX 75635 TC A Ct angio abdominal arteries 0.00 NA 8.77 0.32 XXX 75650 A Artery x-rays, head & neck 1.49 NA 13.53 0.61 XXX 75650 26 A Artery x-rays, head & neck 1.49 0.51 0.51 0.07 XXX 75650 TC A Artery x-rays, head & neck 0.00 NA 13.02 0.54 XXX 75658 A Artery x-rays, arm 1.31 NA 13.51 0.60 XXX 75658 26 A Artery x-rays, arm 1.31 0.49 0.49 0.06 XXX Start Printed Page 43965 75658 TC A Artery x-rays, arm 0.00 NA 13.02 0.54 XXX 75660 A Artery x-rays, head & neck 1.31 NA 13.48 0.60 XXX 75660 26 A Artery x-rays, head & neck 1.31 0.46 0.46 0.06 XXX 75660 TC A Artery x-rays, head & neck 0.00 NA 13.02 0.54 XXX 75662 A Artery x-rays, head & neck 1.66 NA 13.63 0.62 XXX 75662 26 A Artery x-rays, head & neck 1.66 0.61 0.61 0.08 XXX 75662 TC A Artery x-rays, head & neck 0.00 NA 13.02 0.54 XXX 75665 A Artery x-rays, head & neck 1.31 NA 13.47 0.61 XXX 75665 26 A Artery x-rays, head & neck 1.31 0.46 0.46 0.07 XXX 75665 TC A Artery x-rays, head & neck 0.00 NA 13.02 0.54 XXX 75671 A Artery x-rays, head & neck 1.66 NA 13.59 0.62 XXX 75671 26 A Artery x-rays, head & neck 1.66 0.57 0.57 0.08 XXX 75671 TC A Artery x-rays, head & neck 0.00 NA 13.02 0.54 XXX 75676 A Artery x-rays, neck 1.31 NA 13.48 0.61 XXX 75676 26 A Artery x-rays, neck 1.31 0.46 0.46 0.07 XXX 75676 TC A Artery x-rays, neck 0.00 NA 13.02 0.54 XXX 75680 A Artery x-rays, neck 1.66 NA 13.59 0.62 XXX 75680 26 A Artery x-rays, neck 1.66 0.57 0.57 0.08 XXX 75680 TC A Artery x-rays, neck 0.00 NA 13.02 0.54 XXX 75685 A Artery x-rays, spine 1.31 NA 13.47 0.60 XXX 75685 26 A Artery x-rays, spine 1.31 0.45 0.45 0.06 XXX 75685 TC A Artery x-rays, spine 0.00 NA 13.02 0.54 XXX 75705 A Artery x-rays, spine 2.18 NA 13.78 0.65 XXX 75705 26 A Artery x-rays, spine 2.18 0.76 0.76 0.11 XXX 75705 TC A Artery x-rays, spine 0.00 NA 13.02 0.54 XXX 75710 A Artery x-rays, arm/leg 1.14 NA 13.42 0.60 XXX 75710 26 A Artery x-rays, arm/leg 1.14 0.40 0.40 0.06 XXX 75710 TC A Artery x-rays, arm/leg 0.00 NA 13.02 0.54 XXX 75716 A Artery x-rays, arms/legs 1.31 NA 13.47 0.60 XXX 75716 26 A Artery x-rays, arms/legs 1.31 0.45 0.45 0.06 XXX 75716 TC A Artery x-rays, arms/legs 0.00 NA 13.02 0.54 XXX 75722 A Artery x-rays, kidney 1.14 NA 13.43 0.59 XXX 75722 26 A Artery x-rays, kidney 1.14 0.41 0.41 0.05 XXX 75722 TC A Artery x-rays, kidney 0.00 NA 13.02 0.54 XXX 75724 A Artery x-rays, kidneys 1.49 NA 13.60 0.59 XXX 75724 26 A Artery x-rays, kidneys 1.49 0.58 0.58 0.05 XXX 75724 TC A Artery x-rays, kidneys 0.00 NA 13.02 0.54 XXX 75726 A Artery x-rays, abdomen 1.14 NA 13.41 0.59 XXX 75726 26 A Artery x-rays, abdomen 1.14 0.39 0.39 0.05 XXX 75726 TC A Artery x-rays, abdomen 0.00 NA 13.02 0.54 XXX 75731 A Artery x-rays, adrenal gland 1.14 NA 13.41 0.59 XXX 75731 26 A Artery x-rays, adrenal gland 1.14 0.39 0.39 0.05 XXX 75731 TC A Artery x-rays, adrenal gland 0.00 NA 13.02 0.54 XXX 75733 A Artery x-rays, adrenals 1.31 NA 13.48 0.60 XXX 75733 26 A Artery x-rays, adrenals 1.31 0.46 0.46 0.06 XXX 75733 TC A Artery x-rays, adrenals 0.00 NA 13.02 0.54 XXX 75736 A Artery x-rays, pelvis 1.14 NA 13.41 0.59 XXX 75736 26 A Artery x-rays, pelvis 1.14 0.39 0.39 0.05 XXX 75736 TC A Artery x-rays, pelvis 0.00 NA 13.02 0.54 XXX 75741 A Artery x-rays, lung 1.31 NA 13.47 0.60 XXX 75741 26 A Artery x-rays, lung 1.31 0.45 0.45 0.06 XXX 75741 TC A Artery x-rays, lung 0.00 NA 13.02 0.54 XXX 75743 A Artery x-rays, lungs 1.66 NA 13.58 0.61 XXX 75743 26 A Artery x-rays, lungs 1.66 0.57 0.57 0.07 XXX 75743 TC A Artery x-rays, lungs 0.00 NA 13.02 0.54 XXX 75746 A Artery x-rays, lung 1.14 NA 13.41 0.59 XXX 75746 26 A Artery x-rays, lung 1.14 0.39 0.39 0.05 XXX 75746 TC A Artery x-rays, lung 0.00 NA 13.02 0.54 XXX 75756 A Artery x-rays, chest 1.14 NA 13.48 0.58 XXX 75756 26 A Artery x-rays, chest 1.14 0.46 0.46 0.04 XXX 75756 TC A Artery x-rays, chest 0.00 NA 13.02 0.54 XXX 75774 A Artery x-ray, each vessel 0.36 NA 13.15 0.56 ZZZ 75774 26 A Artery x-ray, each vessel 0.36 0.13 0.13 0.02 ZZZ 75774 TC A Artery x-ray, each vessel 0.00 NA 13.02 0.54 ZZZ 75790 A Visualize A-V shunt 1.84 NA 2.02 0.16 XXX 75790 26 A Visualize A-V shunt 1.84 0.63 0.63 0.09 XXX Start Printed Page 43966 75790 TC A Visualize A-V shunt 0.00 NA 1.40 0.07 XXX 75801 A Lymph vessel x-ray, arm/leg 0.81 NA 5.87 0.29 XXX 75801 26 A Lymph vessel x-ray, arm/leg 0.81 0.28 0.28 0.05 XXX 75801 TC A Lymph vessel x-ray, arm/leg 0.00 NA 5.60 0.24 XXX 75803 A Lymph vessel x-ray, arms/legs 1.17 NA 5.99 0.29 XXX 75803 26 A Lymph vessel x-ray, arms/legs 1.17 0.40 0.40 0.05 XXX 75803 TC A Lymph vessel x-ray, arms/legs 0.00 NA 5.60 0.24 XXX 75805 A Lymph vessel x-ray, trunk 0.81 NA 6.58 0.31 XXX 75805 26 A Lymph vessel x-ray, trunk 0.81 0.28 0.28 0.04 XXX 75805 TC A Lymph vessel x-ray, trunk 0.00 NA 6.31 0.27 XXX 75807 A Lymph vessel x-ray, trunk 1.17 NA 6.70 0.32 XXX 75807 26 A Lymph vessel x-ray, trunk 1.17 0.40 0.40 0.05 XXX 75807 TC A Lymph vessel x-ray, trunk 0.00 NA 6.31 0.27 XXX 75809 A Nonvascular shunt, x-ray 0.47 NA 0.97 0.06 XXX 75809 26 A Nonvascular shunt, x-ray 0.47 0.16 0.16 0.02 XXX 75809 TC A Nonvascular shunt, x-ray 0.00 NA 0.81 0.04 XXX 75810 A Vein x-ray, spleen/liver 1.14 NA 13.41 0.60 XXX 75810 26 A Vein x-ray, spleen/liver 1.14 0.39 0.39 0.06 XXX 75810 TC A Vein x-ray, spleen/liver 0.00 NA 13.02 0.54 XXX 75820 A Vein x-ray, arm/leg 0.70 NA 1.22 0.08 XXX 75820 26 A Vein x-ray, arm/leg 0.70 0.24 0.24 0.03 XXX 75820 TC A Vein x-ray, arm/leg 0.00 NA 0.98 0.05 XXX 75822 A Vein x-ray, arms/legs 1.06 NA 1.89 0.12 XXX 75822 26 A Vein x-ray, arms/legs 1.06 0.36 0.36 0.05 XXX 75822 TC A Vein x-ray, arms/legs 0.00 NA 1.53 0.07 XXX 75825 A Vein x-ray, trunk 1.14 NA 13.41 0.60 XXX 75825 26 A Vein x-ray, trunk 1.14 0.39 0.39 0.06 XXX 75825 TC A Vein x-ray, trunk 0.00 NA 13.02 0.54 XXX 75827 A Vein x-ray, chest 1.14 NA 13.41 0.59 XXX 75827 26 A Vein x-ray, chest 1.14 0.39 0.39 0.05 XXX 75827 TC A Vein x-ray, chest 0.00 NA 13.02 0.54 XXX 75831 A Vein x-ray, kidney 1.14 NA 13.40 0.59 XXX 75831 26 A Vein x-ray, kidney 1.14 0.38 0.38 0.05 XXX 75831 TC A Vein x-ray, kidney 0.00 NA 13.02 0.54 XXX 75833 A Vein x-ray, kidneys 1.49 NA 13.53 0.61 XXX 75833 26 A Vein x-ray, kidneys 1.49 0.51 0.51 0.07 XXX 75833 TC A Vein x-ray, kidneys 0.00 NA 13.02 0.54 XXX 75840 A Vein x-ray, adrenal gland 1.14 NA 13.41 0.61 XXX 75840 26 A Vein x-ray, adrenal gland 1.14 0.39 0.39 0.07 XXX 75840 TC A Vein x-ray, adrenal gland 0.00 NA 13.02 0.54 XXX 75842 A Vein x-ray, adrenal glands 1.49 NA 13.52 0.61 XXX 75842 26 A Vein x-ray, adrenal glands 1.49 0.50 0.50 0.07 XXX 75842 TC A Vein x-ray, adrenal glands 0.00 NA 13.02 0.54 XXX 75860 A Vein x-ray, neck 1.14 NA 13.42 0.60 XXX 75860 26 A Vein x-ray, neck 1.14 0.40 0.40 0.06 XXX 75860 TC A Vein x-ray, neck 0.00 NA 13.02 0.54 XXX 75870 A Vein x-ray, skull 1.14 NA 13.42 0.60 XXX 75870 26 A Vein x-ray, skull 1.14 0.40 0.40 0.06 XXX 75870 TC A Vein x-ray, skull 0.00 NA 13.02 0.54 XXX 75872 A Vein x-ray, skull 1.14 NA 13.41 0.59 XXX 75872 26 A Vein x-ray, skull 1.14 0.39 0.39 0.05 XXX 75872 TC A Vein x-ray, skull 0.00 NA 13.02 0.54 XXX 75880 A Vein x-ray, eye socket 0.70 NA 1.22 0.08 XXX 75880 26 A Vein x-ray, eye socket 0.70 0.24 0.24 0.03 XXX 75880 TC A Vein x-ray, eye socket 0.00 NA 0.98 0.05 XXX 75885 A Vein x-ray, liver 1.44 NA 13.51 0.60 XXX 75885 26 A Vein x-ray, liver 1.44 0.49 0.49 0.06 XXX 75885 TC A Vein x-ray, liver 0.00 NA 13.02 0.54 XXX 75887 A Vein x-ray, liver 1.44 NA 13.51 0.60 XXX 75887 26 A Vein x-ray, liver 1.44 0.49 0.49 0.06 XXX 75887 TC A Vein x-ray, liver 0.00 NA 13.02 0.54 XXX 75889 A Vein x-ray, liver 1.14 NA 13.41 0.59 XXX 75889 26 A Vein x-ray, liver 1.14 0.39 0.39 0.05 XXX 75889 TC A Vein x-ray, liver 0.00 NA 13.02 0.54 XXX 75891 A Vein x-ray, liver 1.14 NA 13.41 0.59 XXX 75891 26 A Vein x-ray, liver 1.14 0.39 0.39 0.05 XXX Start Printed Page 43967 75891 TC A Vein x-ray, liver 0.00 NA 13.02 0.54 XXX 75893 A Venous sampling by catheter 0.54 NA 13.21 0.56 XXX 75893 26 A Venous sampling by catheter 0.54 0.19 0.19 0.02 XXX 75893 TC A Venous sampling by catheter 0.00 NA 13.02 0.54 XXX 75894 A X-rays, transcath therapy 1.31 NA 25.39 1.12 XXX 75894 26 A X-rays, transcath therapy 1.31 0.45 0.45 0.07 XXX 75894 TC A X-rays, transcath therapy 0.00 NA 24.94 1.05 XXX 75896 A X-rays, transcath therapy 1.31 NA 22.16 0.97 XXX 75896 26 A X-rays, transcath therapy 1.31 0.47 0.47 0.06 XXX 75896 TC A X-rays, transcath therapy 0.00 NA 21.69 0.91 XXX 75898 A Follow-up angiography 1.65 NA 1.66 0.12 XXX 75898 26 A Follow-up angiography 1.65 0.57 0.57 0.07 XXX 75898 TC A Follow-up angiography 0.00 NA 1.09 0.05 XXX 75900 A Arterial catheter exchange 0.49 NA 21.84 0.94 XXX 75900 26 A Arterial catheter exchange 0.49 0.17 0.17 0.02 XXX 75900 TC A Arterial catheter exchange 0.00 NA 21.67 0.92 XXX 75940 A X-ray placement, vein filter 0.54 NA 13.20 0.57 XXX 75940 26 A X-ray placement, vein filter 0.54 0.18 0.18 0.03 XXX 75940 TC A X-ray placement, vein filter 0.00 NA 13.02 0.54 XXX 75945 A Intravascular us 0.40 NA 4.86 0.23 XXX 75945 26 A Intravascular us 0.40 0.15 0.15 0.03 XXX 75945 TC A Intravascular us 0.00 NA 4.72 0.20 XXX 75946 A Intravascular us add-on 0.40 NA 2.51 0.14 ZZZ 75946 26 A Intravascular us add-on 0.40 0.14 0.14 0.03 ZZZ 75946 TC A Intravascular us add-on 0.00 NA 2.37 0.11 ZZZ 75952 C Endovasc repair abdom aorta 0.00 0.00 0.00 0.00 XXX 75952 26 A Endovasc repair abdom aorta 4.50 1.74 1.74 0.68 XXX 75952 TC C Endovasc repair abdom aorta 0.00 0.00 0.00 0.00 XXX 75953 C Abdom aneurysm endovas rpr 0.00 0.00 0.00 0.00 XXX 75953 26 A Abdom aneurysm endovas rpr 1.36 0.53 0.53 0.68 XXX 75953 TC C Abdom aneurysm endovas rpr 0.00 0.00 0.00 0.00 XXX 75960 A Transcatheter intro, stent 0.82 NA 15.69 0.68 XXX 75960 26 A Transcatheter intro, stent 0.82 0.29 0.29 0.04 XXX 75960 TC A Transcatheter intro, stent 0.00 NA 15.40 0.64 XXX 75961 A Retrieval, broken catheter 4.25 NA 12.30 0.64 XXX 75961 26 A Retrieval, broken catheter 4.25 1.45 1.45 0.18 XXX 75961 TC A Retrieval, broken catheter 0.00 NA 10.85 0.46 XXX 75962 A Repair arterial blockage 0.54 NA 16.46 0.72 XXX 75962 26 A Repair arterial blockage 0.54 0.19 0.19 0.03 XXX 75962 TC A Repair arterial blockage 0.00 NA 16.27 0.69 XXX 75964 A Repair artery blockage, each 0.36 NA 8.80 0.38 ZZZ 75964 26 A Repair artery blockage, each 0.36 0.13 0.13 0.02 ZZZ 75964 TC A Repair artery blockage, each 0.00 NA 8.67 0.36 ZZZ 75966 A Repair arterial blockage 1.31 NA 16.75 0.75 XXX 75966 26 A Repair arterial blockage 1.31 0.48 0.48 0.06 XXX 75966 TC A Repair arterial blockage 0.00 NA 16.27 0.69 XXX 75968 A Repair artery blockage, each 0.36 NA 8.81 0.37 ZZZ 75968 26 A Repair artery blockage, each 0.36 0.13 0.13 0.01 ZZZ 75968 TC A Repair artery blockage, each 0.00 NA 8.67 0.36 ZZZ 75970 A Vascular biopsy 0.83 NA 12.22 0.54 XXX 75970 26 A Vascular biopsy 0.83 0.29 0.29 0.04 XXX 75970 TC A Vascular biopsy 0.00 NA 11.93 0.50 XXX 75978 A Repair venous blockage 0.54 NA 16.45 0.71 XXX 75978 26 A Repair venous blockage 0.54 0.18 0.18 0.02 XXX 75978 TC A Repair venous blockage 0.00 NA 16.27 0.69 XXX 75980 A Contrast xray exam bile duct 1.44 NA 6.08 0.30 XXX 75980 26 A Contrast xray exam bile duct 1.44 0.49 0.49 0.06 XXX 75980 TC A Contrast xray exam bile duct 0.00 NA 5.60 0.24 XXX 75982 A Contrast xray exam bile duct 1.44 NA 6.79 0.33 XXX 75982 26 A Contrast xray exam bile duct 1.44 0.49 0.49 0.06 XXX 75982 TC A Contrast xray exam bile duct 0.00 NA 6.31 0.27 XXX 75984 A Xray control catheter change 0.72 NA 2.26 0.12 XXX 75984 26 A Xray control catheter change 0.72 0.24 0.24 0.03 XXX 75984 TC A Xray control catheter change 0.00 NA 2.02 0.09 XXX 75989 A Abscess drainage under x-ray 1.19 NA 3.66 0.19 XXX 75989 26 A Abscess drainage under x-ray 1.19 0.40 0.40 0.05 XXX Start Printed Page 43968 75989 TC A Abscess drainage under x-ray 0.00 NA 3.26 0.14 XXX 75992 A Atherectomy, x-ray exam 0.54 NA 16.46 0.71 XXX 75992 26 A Atherectomy, x-ray exam 0.54 0.20 0.20 0.02 XXX 75992 TC A Atherectomy, x-ray exam 0.00 NA 16.27 0.69 XXX 75993 A Atherectomy, x-ray exam 0.36 NA 8.81 0.37 ZZZ 75993 26 A Atherectomy, x-ray exam 0.36 0.14 0.14 0.01 ZZZ 75993 TC A Atherectomy, x-ray exam 0.00 NA 8.67 0.36 ZZZ 75994 A Atherectomy, x-ray exam 1.31 NA 16.75 0.75 XXX 75994 26 A Atherectomy, x-ray exam 1.31 0.48 0.48 0.06 XXX 75994 TC A Atherectomy, x-ray exam 0.00 NA 16.27 0.69 XXX 75995 A Atherectomy, x-ray exam 1.31 NA 16.75 0.75 XXX 75995 26 A Atherectomy, x-ray exam 1.31 0.49 0.49 0.06 XXX 75995 TC A Atherectomy, x-ray exam 0.00 NA 16.27 0.69 XXX 75996 A Atherectomy, x-ray exam 0.36 NA 8.80 0.37 ZZZ 75996 26 A Atherectomy, x-ray exam 0.36 0.12 0.12 0.01 ZZZ 75996 TC A Atherectomy, x-ray exam 0.00 NA 8.67 0.36 ZZZ 76000 A Fluoroscope examination 0.17 NA 1.40 0.07 XXX 76000 26 A Fluoroscope examination 0.17 0.05 0.05 0.01 XXX 76000 TC A Fluoroscope examination 0.00 NA 1.35 0.06 XXX 76001 A Fluoroscope exam, extensive 0.67 NA 2.94 0.15 XXX 76001 26 A Fluoroscope exam, extensive 0.67 0.23 0.23 0.03 XXX 76001 TC A Fluoroscope exam, extensive 0.00 NA 2.71 0.12 XXX 76003 A Needle localization by x-ray 0.54 NA 1.53 0.09 XXX 76003 26 A Needle localization by x-ray 0.54 0.18 0.18 0.03 XXX 76003 TC A Needle localization by x-ray 0.00 NA 1.35 0.06 XXX 76005 A Fluoroguide for spine inject 0.60 NA 1.52 0.09 XXX 76005 26 A Fluoroguide for spine inject 0.60 0.17 0.17 0.03 XXX 76005 TC A Fluoroguide for spine inject 0.00 NA 1.35 0.06 XXX 76006 A X-ray stress view 0.41 0.18 0.18 0.04 XXX 76010 A X-ray, nose to rectum 0.18 NA 0.60 0.03 XXX 76010 26 A X-ray, nose to rectum 0.18 0.06 0.06 0.01 XXX 76010 TC A X-ray, nose to rectum 0.00 NA 0.54 0.02 XXX 76012 C Percut vertebroplasty fluor 0.00 0.00 0.00 0.00 XXX 76012 26 A Percut vertebroplasty fluor 1.31 0.51 0.51 0.23 XXX 76012 TC C Percut vertebroplasty fluor 0.00 0.00 0.00 0.00 XXX 76013 C Percut vertebroplasty, ct 0.00 0.00 0.00 0.00 XXX 76013 26 A Percut vertebroplasty, ct 1.38 0.53 0.53 0.48 XXX 76013 TC C Percut vertebroplasty, ct 0.00 0.00 0.00 0.00 XXX 76020 A X-rays for bone age 0.19 NA 0.60 0.03 XXX 76020 26 A X-rays for bone age 0.19 0.07 0.07 0.01 XXX 76020 TC A X-rays for bone age 0.00 NA 0.54 0.02 XXX 76040 A X-rays, bone evaluation 0.27 NA 0.90 0.07 XXX 76040 26 A X-rays, bone evaluation 0.27 0.09 0.09 0.03 XXX 76040 TC A X-rays, bone evaluation 0.00 NA 0.81 0.04 XXX 76061 A X-rays, bone survey 0.45 NA 1.18 0.07 XXX 76061 26 A X-rays, bone survey 0.45 0.15 0.15 0.02 XXX 76061 TC A X-rays, bone survey 0.00 NA 1.03 0.05 XXX 76062 A X-rays, bone survey 0.54 NA 1.67 0.09 XXX 76062 26 A X-rays, bone survey 0.54 0.18 0.18 0.02 XXX 76062 TC A X-rays, bone survey 0.00 NA 1.49 0.07 XXX 76065 A X-rays, bone evaluation 0.70 NA 1.00 0.05 XXX 76065 26 A X-rays, bone evaluation 0.70 0.24 0.24 0.01 XXX 76065 TC A X-rays, bone evaluation 0.00 NA 0.76 0.04 XXX 76066 A Joint survey, single view 0.31 NA 1.26 0.07 XXX 76066 26 A Joint survey, single view 0.31 0.11 0.11 0.02 XXX 76066 TC A Joint survey, single view 0.00 NA 1.15 0.05 XXX 76070 I CT scan, bone density study 0.25 NA 3.14 0.14 XXX 76070 26 I CT scan, bone density study 0.25 0.10 0.10 0.01 XXX 76070 TC I CT scan, bone density study 0.00 NA 3.05 0.13 XXX 76075 A Us exam, abdom, limited 0.30 NA 3.30 0.15 XXX 76075 26 A Us exam, abdom, limited 0.30 0.11 0.11 0.01 XXX 76075 TC A Us exam, abdom, limited 0.00 NA 3.20 0.14 XXX 76076 A Dual energy x-ray study 0.22 NA 0.86 0.05 XXX 76076 26 A Dual energy x-ray study 0.22 0.08 0.08 0.01 XXX 76076 TC A Dual energy x-ray study 0.00 NA 0.78 0.04 XXX 76078 A Radiographic absorptiometry 0.20 NA 0.86 0.05 XXX Start Printed Page 43969 76078 26 A Radiographic absorptiometry 0.20 0.08 0.08 0.01 XXX 76078 TC A Radiographic absorptiometry 0.00 NA 0.78 0.04 XXX 76080 A X-ray exam of fistula 0.54 NA 1.27 0.07 XXX 76080 26 A X-ray exam of fistula 0.54 0.18 0.18 0.02 XXX 76080 TC A X-ray exam of fistula 0.00 NA 1.09 0.05 XXX 76085 A Computer mammogram add-on 0.06 NA 0.45 0.02 ZZZ 76085 26 A Computer mammogram add-on 0.06 0.02 0.02 0.01 ZZZ 76085 TC A Computer mammogram add-on 0.00 NA 0.43 0.01 ZZZ 76086 A X-ray of mammary duct 0.36 NA 2.83 0.14 XXX 76086 26 A X-ray of mammary duct 0.36 0.12 0.12 0.02 XXX 76086 TC A X-ray of mammary duct 0.00 NA 2.71 0.12 XXX 76088 A X-ray of mammary ducts 0.45 NA 3.94 0.18 XXX 76088 26 A X-ray of mammary ducts 0.45 0.15 0.15 0.02 XXX 76088 TC A X-ray of mammary ducts 0.00 NA 3.79 0.16 XXX 76090 A Mammogram, one breast 0.70 NA 1.33 0.08 XXX 76090 26 A Mammogram, one breast 0.70 0.24 0.24 0.03 XXX 76090 TC A Mammogram, one breast 0.00 NA 1.09 0.05 XXX 76091 A Mammogram, both breasts 0.87 NA 1.65 0.09 XXX 76091 26 A Mammogram, both breasts 0.87 0.30 0.30 0.03 XXX 76091 TC A Mammogram, both breasts 0.00 NA 1.35 0.06 XXX 76092 A Mammogram, screening 0.70 NA 1.47 0.09 XXX 76092 26 A Mammogram, screening 0.70 0.25 0.25 0.03 XXX 76092 TC A Mammogram, screening 0.00 NA 1.22 0.06 XXX 76093 A Magnetic image, breast 1.63 NA 18.77 0.83 XXX 76093 26 A Magnetic image, breast 1.63 0.56 0.56 0.07 XXX 76093 TC A Magnetic image, breast 0.00 NA 18.22 0.76 XXX 76094 A Magnetic image, both breasts 1.63 NA 25.27 1.10 XXX 76094 26 A Magnetic image, both breasts 1.63 0.56 0.56 0.07 XXX 76094 TC A Magnetic image, both breasts 0.00 NA 24.71 1.03 XXX 76095 A Stereotactic breast biopsy 1.59 NA 7.95 0.40 XXX 76095 26 A Stereotactic breast biopsy 1.59 0.54 0.54 0.09 XXX 76095 TC A Stereotactic breast biopsy 0.00 NA 7.40 0.31 XXX 76096 A X-ray of needle wire, breast 0.56 NA 1.54 0.09 XXX 76096 26 A X-ray of needle wire, breast 0.56 0.19 0.19 0.03 XXX 76096 TC A X-ray of needle wire, breast 0.00 NA 1.35 0.06 XXX 76098 A X-ray exam, breast specimen 0.16 NA 0.49 0.03 XXX 76098 26 A X-ray exam, breast specimen 0.16 0.06 0.06 0.01 XXX 76098 TC A X-ray exam, breast specimen 0.00 NA 0.43 0.02 XXX 76100 A X-ray exam of body section 0.58 NA 1.49 0.09 XXX 76100 26 A X-ray exam of body section 0.58 0.20 0.20 0.03 XXX 76100 TC A X-ray exam of body section 0.00 NA 1.29 0.06 XXX 76101 A Complex body section x-ray 0.58 NA 1.67 0.10 XXX 76101 26 A Complex body section x-ray 0.58 0.20 0.20 0.03 XXX 76101 TC A Complex body section x-ray 0.00 NA 1.47 0.07 XXX 76102 A Complex body section x-rays 0.58 NA 1.99 0.12 XXX 76102 26 A Complex body section x-rays 0.58 0.20 0.20 0.03 XXX 76102 TC A Complex body section x-rays 0.00 NA 1.79 0.09 XXX 76120 A Cine/video x-rays 0.38 NA 1.22 0.07 XXX 76120 26 A Cine/video x-rays 0.38 0.13 0.13 0.02 XXX 76120 TC A Cine/video x-rays 0.00 NA 1.09 0.05 XXX 76125 A Cine/video x-rays add-on 0.27 NA 0.91 0.05 ZZZ 76125 26 A Cine/video x-rays add-on 0.27 0.10 0.10 0.01 ZZZ 76125 TC A Cine/video x-rays add-on 0.00 NA 0.81 0.04 ZZZ 76140 I X-ray consultation 0.00 0.00 0.00 0.00 XXX 76150 A X-ray exam, dry process 0.00 NA 0.43 0.02 XXX 76350 C Special x-ray contrast study 0.00 0.00 0.00 0.00 XXX 76355 A CAT scan for localization 1.21 NA 8.95 0.41 XXX 76355 26 A CAT scan for localization 1.21 0.42 0.42 0.06 XXX 76355 TC A CAT scan for localization 0.00 NA 8.53 0.35 XXX 76360 A CAT scan for needle biopsy 1.16 NA 8.93 0.40 XXX 76360 26 A CAT scan for needle biopsy 1.16 0.39 0.39 0.05 XXX 76360 TC A CAT scan for needle biopsy 0.00 NA 8.53 0.35 XXX 76362 A Cat scan for tissue ablation 4.00 NA 9.89 1.38 XXX 76362 26 A Cat scan for tissue ablation 4.00 1.36 1.36 0.17 XXX 76362 TC A Cat scan for tissue ablation 0.00 NA 8.53 1.21 XXX 76370 A CAT scan for therapy guide 0.85 NA 3.34 0.17 XXX Start Printed Page 43970 76370 26 A CAT scan for therapy guide 0.85 0.29 0.29 0.04 XXX 76370 TC A CAT scan for therapy guide 0.00 NA 3.05 0.13 XXX 76375 A 3d/holograph reconstr add-on 0.16 NA 3.71 0.16 XXX 76375 26 A 3d/holograph reconstr add-on 0.16 0.05 0.05 0.01 XXX 76375 TC A 3d/holograph reconstr add-on 0.00 NA 3.66 0.15 XXX 76380 A CAT scan follow-up study 0.98 NA 3.95 0.19 XXX 76380 26 A CAT scan follow-up study 0.98 0.33 0.33 0.04 XXX 76380 TC A CAT scan follow-up study 0.00 NA 3.62 0.15 XXX 76390 N Mr spectroscopy 1.40 NA 12.06 0.55 XXX 76390 26 N Mr spectroscopy 1.40 0.48 0.48 0.06 XXX 76390 TC N Mr spectroscopy 0.00 NA 11.58 0.49 XXX 76393 A Mr guidance for needle place 1.50 NA 12.09 0.53 XXX 76393 26 A Mr guidance for needle place 1.50 0.51 0.51 0.07 XXX 76393 TC A Mr guidance for needle place 0.00 NA 11.58 0.46 XXX 76394 A Mri for tissue ablation 4.25 NA 13.03 1.43 XXX 76394 26 A Mri for tissue ablation 4.25 1.45 1.45 0.14 XXX 76394 TC A Mri for tissue ablation 0.00 NA 11.58 1.29 XXX 76400 A Magnetic image, bone marrow 1.60 NA 12.13 0.56 XXX 76400 26 A Magnetic image, bone marrow 1.60 0.55 0.55 0.07 XXX 76400 TC A Magnetic image, bone marrow 0.00 NA 11.58 0.49 XXX 76490 A Us for tissue ablation 2.00 NA 2.24 0.36 XXX 76490 26 A Us for tissue ablation 2.00 0.68 0.68 0.12 XXX 76490 TC A Us for tissue ablation 0.00 NA 1.57 0.24 XXX 76499 C Radiographic procedure 0.00 0.00 0.00 0.00 XXX 76499 26 C Radiographic procedure 0.00 0.00 0.00 0.00 XXX 76499 TC C Radiographic procedure 0.00 0.00 0.00 0.00 XXX 76506 A Echo exam of head 0.63 NA 1.72 0.10 XXX 76506 26 A Echo exam of head 0.63 0.25 0.25 0.03 XXX 76506 TC A Echo exam of head 0.00 NA 1.47 0.07 XXX 76511 A Echo exam of eye 0.94 NA 2.75 0.08 XXX 76511 26 A Echo exam of eye 0.94 0.41 0.41 0.02 XXX 76511 TC A Echo exam of eye 0.00 NA 2.33 0.06 XXX 76512 A Echo exam of eye 0.66 NA 2.71 0.09 XXX 76512 26 A Echo exam of eye 0.66 0.30 0.30 0.01 XXX 76512 TC A Echo exam of eye 0.00 NA 2.41 0.08 XXX 76513 A Echo exam of eye, water bath 0.66 NA 2.96 0.09 XXX 76513 26 A Echo exam of eye, water bath 0.66 0.30 0.30 0.01 XXX 76513 TC A Echo exam of eye, water bath 0.00 NA 2.66 0.08 XXX 76516 A Echo exam of eye 0.54 NA 2.27 0.07 XXX 76516 26 A Echo exam of eye 0.54 0.25 0.25 0.01 XXX 76516 TC A Echo exam of eye 0.00 NA 2.02 0.06 XXX 76519 A Echo exam of eye 0.54 NA 1.98 0.07 XXX 76519 26 A Echo exam of eye 0.54 0.25 0.25 0.01 XXX 76519 TC A Echo exam of eye 0.00 NA 1.73 0.06 XXX 76529 A Echo exam of eye 0.57 NA 2.57 0.08 XXX 76529 26 A Echo exam of eye 0.57 0.25 0.25 0.01 XXX 76529 TC A Echo exam of eye 0.00 NA 2.31 0.07 XXX 76536 A Us exam of head and neck 0.56 NA 1.66 0.09 XXX 76536 26 A Us exam of head and neck 0.56 0.19 0.19 0.02 XXX 76536 TC A Us exam of head and neck 0.00 NA 1.47 0.07 XXX 76604 A Us exam, chest, b-scan 0.55 NA 1.54 0.08 XXX 76604 26 A Us exam, chest, b-scan 0.55 0.19 0.19 0.02 XXX 76604 TC A Us exam, chest, b-scan 0.00 NA 1.35 0.06 XXX 76645 A Us exam, breast(s) 0.54 NA 1.27 0.08 XXX 76645 26 A Us exam, breast(s) 0.54 0.18 0.18 0.03 XXX 76645 TC A Us exam, breast(s) 0.00 NA 1.09 0.05 XXX 76700 A Us exam, abdom, complete 0.81 NA 2.31 0.13 XXX 76700 26 A Us exam, abdom, complete 0.81 0.28 0.28 0.04 XXX 76700 TC A Us exam, abdom, complete 0.00 NA 2.04 0.09 XXX 76705 A Us exam, abdom, limited 0.59 NA 1.67 0.10 XXX 76705 26 A Us exam, abdom, limited 0.59 0.20 0.20 0.03 XXX 76705 TC A Us exam, abdom, limited 0.00 NA 1.47 0.07 XXX 76770 A Us exam abdo back wall, comp 0.74 NA 2.29 0.12 XXX 76770 26 A Us exam abdo back wall, comp 0.74 0.25 0.25 0.03 XXX 76770 TC A Us exam abdo back wall, comp 0.00 NA 2.04 0.09 XXX 76775 A Us exam abdo back wall, lim 0.58 NA 1.67 0.10 XXX Start Printed Page 43971 76775 26 A Us exam abdo back wall, lim 0.58 0.20 0.20 0.03 XXX 76775 TC A Us exam abdo back wall, lim 0.00 NA 1.47 0.07 XXX 76778 A Us exam kidney transplant 0.74 NA 2.29 0.12 XXX 76778 26 A Us exam kidney transplant 0.74 0.25 0.25 0.03 XXX 76778 TC A Us exam kidney transplant 0.00 NA 2.04 0.09 XXX 76800 A Us exam, spinal canal 1.13 NA 1.82 0.11 XXX 76800 26 A Us exam, spinal canal 1.13 0.35 0.35 0.04 XXX 76800 TC A Us exam, spinal canal 0.00 NA 1.47 0.07 XXX 76805 A Us exam, pg uterus, compl 0.99 NA 2.52 0.14 XXX 76805 26 A Us exam, pg uterus, compl 0.99 0.35 0.35 0.04 XXX 76805 TC A Us exam, pg uterus, compl 0.00 NA 2.17 0.10 XXX 76810 A Us exam, pg uterus, mult 1.97 NA 5.05 0.25 XXX 76810 26 A Us exam, pg uterus, mult 1.97 0.72 0.72 0.07 XXX 76810 TC A Us exam, pg uterus, mult 0.00 NA 4.34 0.18 XXX 76815 A Us exam, pg uterus limit 0.65 NA 1.71 0.09 XXX 76815 26 A Us exam, pg uterus limit 0.65 0.24 0.24 0.02 XXX 76815 TC A Us exam, pg uterus limit 0.00 NA 1.47 0.07 XXX 76816 A Us exam pg uterus repeat 0.57 NA 1.37 0.07 XXX 76816 26 A Us exam pg uterus repeat 0.57 0.22 0.22 0.02 XXX 76816 TC A Us exam pg uterus repeat 0.00 NA 1.15 0.05 XXX 76818 A Fetal biophy profile w/nst 1.05 NA 2.07 0.12 XXX 76818 26 A Fetal biophy profile w/nst 1.05 0.40 0.40 0.04 XXX 76818 TC A Fetal biophy profile w/nst 0.00 NA 1.67 0.08 XXX 76819 A Fetal biophys profil w/o nst 0.77 NA 1.96 0.10 XXX 76819 26 A Fetal biophys profil w/o nst 0.77 0.29 0.29 0.02 XXX 76819 TC A Fetal biophys profil w/o nst 0.00 NA 1.67 0.08 XXX 76825 A Echo exam of fetal heart 1.67 NA 2.66 0.15 XXX 76825 26 A Echo exam of fetal heart 1.67 0.62 0.62 0.06 XXX 76825 TC A Echo exam of fetal heart 0.00 NA 2.04 0.09 XXX 76826 A Echo exam of fetal heart 0.83 NA 1.03 0.07 XXX 76826 26 A Echo exam of fetal heart 0.83 0.30 0.30 0.03 XXX 76826 TC A Echo exam of fetal heart 0.00 NA 0.73 0.04 XXX 76827 A Echo exam of fetal heart 0.58 NA 2.00 0.12 XXX 76827 26 A Echo exam of fetal heart 0.58 0.22 0.22 0.02 XXX 76827 TC A Echo exam of fetal heart 0.00 NA 1.78 0.10 XXX 76828 A Echo exam of fetal heart 0.56 NA 1.37 0.09 XXX 76828 26 A Echo exam of fetal heart 0.56 0.22 0.22 0.02 XXX 76828 TC A Echo exam of fetal heart 0.00 NA 1.15 0.07 XXX 76830 A Us exam, transvaginal 0.69 NA 1.81 0.11 XXX 76830 26 A Us exam, transvaginal 0.69 0.24 0.24 0.03 XXX 76830 TC A Us exam, transvaginal 0.00 NA 1.57 0.08 XXX 76831 A Echo exam, uterus 0.72 NA 1.83 0.10 XXX 76831 26 A Echo exam, uterus 0.72 0.26 0.26 0.02 XXX 76831 TC A Echo exam, uterus 0.00 NA 1.57 0.08 XXX 76856 A Us exam, pelvic, complete 0.69 NA 1.81 0.11 XXX 76856 26 A Us exam, pelvic, complete 0.69 0.24 0.24 0.03 XXX 76856 TC A Us exam, pelvic, complete 0.00 NA 1.57 0.08 XXX 76857 A Us exam, pelvic, limited 0.38 NA 1.22 0.07 XXX 76857 26 A Us exam, pelvic, limited 0.38 0.13 0.13 0.02 XXX 76857 TC A Us exam, pelvic, limited 0.00 NA 1.09 0.05 XXX 76870 A Us exam, scrotum 0.64 NA 1.79 0.11 XXX 76870 26 A Us exam, scrotum 0.64 0.22 0.22 0.03 XXX 76870 TC A Us exam, scrotum 0.00 NA 1.57 0.08 XXX 76872 A Echo exam, transrectal 0.69 NA 1.80 0.12 XXX 76872 26 A Echo exam, transrectal 0.69 0.23 0.23 0.04 XXX 76872 TC A Echo exam, transrectal 0.00 NA 1.57 0.08 XXX 76873 A Echograp trans r, pros study 1.55 NA 2.69 0.21 XXX 76873 26 A Echograp trans r, pros study 1.55 0.53 0.53 0.08 XXX 76873 TC A Echograp trans r, pros study 0.00 NA 2.17 0.13 XXX 76880 A Us exam, extremity 0.59 NA 1.67 0.10 XXX 76880 26 A Us exam, extremity 0.59 0.20 0.20 0.03 XXX 76880 TC A Us exam, extremity 0.00 NA 1.47 0.07 XXX 76885 A Us exam infant hips, dynamic 0.74 NA 1.82 0.11 XXX 76885 26 A Us exam infant hips, dynamic 0.74 0.25 0.25 0.03 XXX 76885 TC A Us exam infant hips, dynamic 0.00 NA 1.57 0.08 XXX 76886 A Us exam infant hips, static 0.62 NA 1.68 0.10 XXX Start Printed Page 43972 76886 26 A Us exam infant hips, static 0.62 0.21 0.21 0.03 XXX 76886 TC A Us exam infant hips, static 0.00 NA 1.47 0.07 XXX 76930 A Echo guide, cardiocentesis 0.67 NA 1.83 0.10 XXX 76930 26 A Echo guide, cardiocentesis 0.67 0.26 0.26 0.02 XXX 76930 TC A Echo guide, cardiocentesis 0.00 NA 1.57 0.08 XXX 76932 A Echo guide for heart biopsy 0.67 NA 1.83 0.10 XXX 76932 26 A Echo guide for heart biopsy 0.67 0.26 0.26 0.02 XXX 76932 TC A Echo guide for heart biopsy 0.00 NA 1.57 0.08 XXX 76936 A Echo guide for artery repair 1.99 NA 7.19 0.39 XXX 76936 26 A Echo guide for artery repair 1.99 0.69 0.69 0.11 XXX 76936 TC A Echo guide for artery repair 0.00 NA 6.50 0.28 XXX 76941 A Echo guide for transfusion 1.34 NA 2.07 0.13 XXX 76941 26 A Echo guide for transfusion 1.34 0.50 0.50 0.06 XXX 76941 TC A Echo guide for transfusion 0.00 NA 1.58 0.07 XXX 76942 A Echo guide for biopsy 0.67 NA 1.80 0.12 XXX 76942 26 A Echo guide for biopsy 0.67 0.23 0.23 0.04 XXX 76942 TC A Echo guide for biopsy 0.00 NA 1.57 0.08 XXX 76945 A Echo guide, villus sampling 0.67 NA 1.81 0.10 XXX 76945 26 A Echo guide, villus sampling 0.67 0.23 0.23 0.03 XXX 76945 TC A Echo guide, villus sampling 0.00 NA 1.58 0.07 XXX 76946 A Echo guide for amniocentesis 0.38 NA 1.71 0.09 XXX 76946 26 A Echo guide for amniocentesis 0.38 0.14 0.14 0.01 XXX 76946 TC A Echo guide for amniocentesis 0.00 NA 1.57 0.08 XXX 76948 A Echo guide, ova aspiration 0.38 NA 1.70 0.10 XXX 76948 26 A Echo guide, ova aspiration 0.38 0.13 0.13 0.02 XXX 76948 TC A Echo guide, ova aspiration 0.00 NA 1.57 0.08 XXX 76950 A Echo guidance radiotherapy 0.58 NA 1.55 0.09 XXX 76950 26 A Echo guidance radiotherapy 0.58 0.20 0.20 0.03 XXX 76950 TC A Echo guidance radiotherapy 0.00 NA 1.35 0.06 XXX 76965 A Echo guidance radiotherapy 1.34 NA 6.21 0.31 XXX 76965 26 A Echo guidance radiotherapy 1.34 0.45 0.45 0.07 XXX 76965 TC A Echo guidance radiotherapy 0.00 NA 5.76 0.24 XXX 76970 A Ultrasound exam follow-up 0.40 NA 1.23 0.07 XXX 76970 26 A Ultrasound exam follow-up 0.40 0.14 0.14 0.02 XXX 76970 TC A Ultrasound exam follow-up 0.00 NA 1.09 0.05 XXX 76975 A GI endoscopic ultrasound 0.81 NA 1.85 0.11 XXX 76975 26 A GI endoscopic ultrasound 0.81 0.29 0.29 0.03 XXX 76975 TC A GI endoscopic ultrasound 0.00 NA 1.57 0.08 XXX 76977 A Us bone density measure 0.05 NA 0.87 0.05 XXX 76977 26 A Us bone density measure 0.05 0.02 0.02 0.01 XXX 76977 TC A Us bone density measure 0.00 NA 0.85 0.04 XXX 76986 A Ultrasound guide intraoper 1.20 NA 3.12 0.19 XXX 76986 26 A Ultrasound guide intraoper 1.20 0.41 0.41 0.07 XXX 76986 TC A Ultrasound guide intraoper 0.00 NA 2.71 0.12 XXX 76999 C Echo examination procedure 0.00 0.00 0.00 0.00 XXX 76999 26 C Echo examination procedure 0.00 0.00 0.00 0.00 XXX 76999 TC C Echo examination procedure 0.00 0.00 0.00 0.00 XXX 77261 A Radiation therapy planning 1.39 0.56 0.56 0.06 XXX 77262 A Radiation therapy planning 2.11 0.83 0.83 0.09 XXX 77263 A Radiation therapy planning 3.14 1.23 1.23 0.13 XXX 77280 A Set radiation therapy field 0.70 NA 3.83 0.18 XXX 77280 26 A Set radiation therapy field 0.70 0.25 0.25 0.03 XXX 77280 TC A Set radiation therapy field 0.00 NA 3.59 0.15 XXX 77285 A Set radiation therapy field 1.05 NA 6.12 0.29 XXX 77285 26 A Set radiation therapy field 1.05 0.37 0.37 0.04 XXX 77285 TC A Set radiation therapy field 0.00 NA 5.76 0.25 XXX 77290 A Set radiation therapy field 1.56 NA 7.27 0.35 XXX 77290 26 A Set radiation therapy field 1.56 0.55 0.55 0.06 XXX 77290 TC A Set radiation therapy field 0.00 NA 6.72 0.29 XXX 77295 A Set radiation therapy field 4.57 NA 30.48 1.41 XXX 77295 26 A Set radiation therapy field 4.57 1.61 1.61 0.18 XXX 77295 TC A Set radiation therapy field 0.00 NA 28.87 1.23 XXX 77299 C Radiation therapy planning 0.00 0.00 0.00 0.00 XXX 77299 26 C Radiation therapy planning 0.00 0.00 0.00 0.00 XXX 77299 TC C Radiation therapy planning 0.00 0.00 0.00 0.00 XXX 77300 A Radiation therapy dose plan 0.62 NA 1.61 0.09 XXX Start Printed Page 43973 77300 26 A Radiation therapy dose plan 0.62 0.22 0.22 0.03 XXX 77300 TC A Radiation therapy dose plan 0.00 NA 1.39 0.06 XXX 77301 A Radioltherapy dos plan, imrt 8.00 NA 31.96 1.41 XXX 77301 26 A Radioltherapy dos plan, imrt 8.00 3.09 3.09 0.18 XXX 77301 TC A Radioltherapy dos plan, imrt 0.00 NA 28.87 1.23 XXX 77305 A Radiation therapy dose plan 0.70 NA 2.17 0.12 XXX 77305 26 A Radiation therapy dose plan 0.70 0.25 0.25 0.03 XXX 77305 TC A Radiation therapy dose plan 0.00 NA 1.92 0.09 XXX 77310 A Radiation therapy dose plan 1.05 NA 2.78 0.15 XXX 77310 26 A Radiation therapy dose plan 1.05 0.37 0.37 0.04 XXX 77310 TC A Radiation therapy dose plan 0.00 NA 2.41 0.11 XXX 77315 A Radiation therapy dose plan 1.56 NA 3.30 0.18 XXX 77315 26 A Radiation therapy dose plan 1.56 0.55 0.55 0.06 XXX 77315 TC A Radiation therapy dose plan 0.00 NA 2.75 0.12 XXX 77321 A Radiation therapy port plan 0.95 NA 4.51 0.21 XXX 77321 26 A Radiation therapy port plan 0.95 0.33 0.33 0.04 XXX 77321 TC A Radiation therapy port plan 0.00 NA 4.18 0.17 XXX 77326 A Radiation therapy dose plan 0.93 NA 2.76 0.15 XXX 77326 26 A Radiation therapy dose plan 0.93 0.33 0.33 0.04 XXX 77326 TC A Radiation therapy dose plan 0.00 NA 2.44 0.11 XXX 77327 A Radiation therapy dose plan 1.39 NA 4.08 0.21 XXX 77327 26 A Radiation therapy dose plan 1.39 0.49 0.49 0.06 XXX 77327 TC A Radiation therapy dose plan 0.00 NA 3.59 0.15 XXX 77328 A Radiation therapy dose plan 2.09 NA 5.86 0.30 XXX 77328 26 A Radiation therapy dose plan 2.09 0.73 0.73 0.09 XXX 77328 TC A Radiation therapy dose plan 0.00 NA 5.13 0.21 XXX 77331 A Special radiation dosimetry 0.87 NA 0.83 0.06 XXX 77331 26 A Special radiation dosimetry 0.87 0.31 0.31 0.04 XXX 77331 TC A Special radiation dosimetry 0.00 NA 0.52 0.02 XXX 77332 A Radiation treatment aid(s) 0.54 NA 1.58 0.08 XXX 77332 26 A Radiation treatment aid(s) 0.54 0.19 0.19 0.02 XXX 77332 TC A Radiation treatment aid(s) 0.00 NA 1.39 0.06 XXX 77333 A Radiation treatment aid(s) 0.84 NA 2.25 0.13 XXX 77333 26 A Radiation treatment aid(s) 0.84 0.30 0.30 0.04 XXX 77333 TC A Radiation treatment aid(s) 0.00 NA 1.96 0.09 XXX 77334 A Radiation treatment aid(s) 1.24 NA 3.79 0.19 XXX 77334 26 A Radiation treatment aid(s) 1.24 0.44 0.44 0.05 XXX 77334 TC A Radiation treatment aid(s) 0.00 NA 3.36 0.14 XXX 77336 A Radiation physics consult 0.00 NA 3.08 0.13 XXX 77370 A Radiation physics consult 0.00 NA 3.61 0.15 XXX 77399 C External radiation dosimetry 0.00 0.00 0.00 0.00 XXX 77399 26 C External radiation dosimetry 0.00 0.00 0.00 0.00 XXX 77399 TC C External radiation dosimetry 0.00 0.00 0.00 0.00 XXX 77401 A Radiation treatment delivery 0.00 NA 1.83 0.09 XXX 77402 A Radiation treatment delivery 0.00 NA 1.83 0.09 XXX 77403 A Radiation treatment delivery 0.00 NA 1.83 0.09 XXX 77404 A Radiation treatment delivery 0.00 NA 1.83 0.09 XXX 77406 A Radiation treatment delivery 0.00 NA 1.83 0.09 XXX 77407 A Radiation treatment delivery 0.00 NA 2.16 0.10 XXX 77408 A Radiation treatment delivery 0.00 NA 2.16 0.10 XXX 77409 A Radiation treatment delivery 0.00 NA 2.16 0.10 XXX 77411 A Radiation treatment delivery 0.00 NA 2.16 0.10 XXX 77412 A Radiation treatment delivery 0.00 NA 2.41 0.11 XXX 77413 A Radiation treatment delivery 0.00 NA 2.41 0.11 XXX 77414 A Radiation treatment delivery 0.00 NA 2.41 0.11 XXX 77416 A Radiation treatment delivery 0.00 NA 2.41 0.11 XXX 77417 A Radiology port film(s) 0.00 NA 0.61 0.03 XXX 77418 A Radiation tx delivery, imrt 0.00 NA 17.15 0.11 XXX 77427 A Radiation tx management, x5 3.31 1.17 1.17 0.14 XXX 77431 A Radiation therapy management 1.81 0.74 0.74 0.07 XXX 77432 A Stereotactic radiation trmt 7.93 3.20 3.20 0.33 XXX 77470 A Special radiation treatment 2.09 NA 12.26 0.58 XXX 77470 26 A Special radiation treatment 2.09 0.74 0.74 0.09 XXX 77470 TC A Special radiation treatment 0.00 NA 11.52 0.49 XXX 77499 C Radiation therapy management 0.00 0.00 0.00 0.00 XXX 77499 26 C Radiation therapy management 0.00 0.00 0.00 0.00 XXX Start Printed Page 43974 77499 TC C Radiation therapy management 0.00 0.00 0.00 0.00 XXX 77520 C Proton trmt, simple w/o comp 0.00 0.00 0.00 0.00 XXX 77522 C Proton trmt, simple w/comp 0.00 0.00 0.00 0.00 XXX 77523 C Proton trmt, intermediate 0.00 0.00 0.00 0.00 XXX 77525 C Proton treatment, complex 0.00 0.00 0.00 0.00 XXX 77600 R Hyperthermia treatment 1.56 NA 3.69 0.21 XXX 77600 26 R Hyperthermia treatment 1.56 0.54 0.54 0.08 XXX 77600 TC R Hyperthermia treatment 0.00 NA 3.15 0.13 XXX 77605 R Hyperthermia treatment 2.09 NA 4.94 0.31 XXX 77605 26 R Hyperthermia treatment 2.09 0.74 0.74 0.13 XXX 77605 TC R Hyperthermia treatment 0.00 NA 4.20 0.18 XXX 77610 R Hyperthermia treatment 1.56 NA 3.69 0.20 XXX 77610 26 R Hyperthermia treatment 1.56 0.55 0.55 0.07 XXX 77610 TC R Hyperthermia treatment 0.00 NA 3.15 0.13 XXX 77615 R Hyperthermia treatment 2.09 NA 4.93 0.27 XXX 77615 26 R Hyperthermia treatment 2.09 0.73 0.73 0.09 XXX 77615 TC R Hyperthermia treatment 0.00 NA 4.20 0.18 XXX 77620 R Hyperthermia treatment 1.56 NA 3.70 0.19 XXX 77620 26 R Hyperthermia treatment 1.56 0.55 0.55 0.06 XXX 77620 TC R Hyperthermia treatment 0.00 NA 3.15 0.13 XXX 77750 A Infuse radioactive materials 4.91 NA 3.11 0.23 090 77750 26 A Infuse radioactive materials 4.91 1.73 1.73 0.17 090 77750 TC A Infuse radioactive materials 0.00 NA 1.38 0.06 090 77761 A Apply intrcav radiat simple 3.81 NA 3.76 0.28 090 77761 26 A Apply intrcav radiat simple 3.81 1.17 1.17 0.16 090 77761 TC A Apply intrcav radiat simple 0.00 NA 2.59 0.12 090 77762 A Apply intrcav radiat interm 5.72 NA 5.71 0.38 090 77762 26 A Apply intrcav radiat interm 5.72 1.98 1.98 0.22 090 77762 TC A Apply intrcav radiat interm 0.00 NA 3.73 0.16 090 77763 A Apply intrcav radiat compl 8.57 NA 7.61 0.53 090 77763 26 A Apply intrcav radiat compl 8.57 2.97 2.97 0.34 090 77763 TC A Apply intrcav radiat compl 0.00 NA 4.64 0.19 090 77776 A Apply interstit radiat simpl 4.66 NA 3.22 0.35 090 77776 26 A Apply interstit radiat simpl 4.66 0.97 0.97 0.24 090 77776 TC A Apply interstit radiat simpl 0.00 NA 2.25 0.11 090 77777 A Apply interstit radiat inter 7.48 NA 6.93 0.50 090 77777 26 A Apply interstit radiat inter 7.48 2.55 2.55 0.32 090 77777 TC A Apply interstit radiat inter 0.00 NA 4.38 0.18 090 77778 A Apply iterstit radiat compl 11.19 NA 9.22 0.69 090 77778 26 A Apply iterstit radiat compl 11.19 3.92 3.92 0.47 090 77778 TC A Apply iterstit radiat compl 0.00 NA 5.31 0.22 090 77781 A High intensity brachytherapy 1.66 NA 21.57 0.95 090 77781 26 A High intensity brachytherapy 1.66 0.59 0.59 0.07 090 77781 TC A High intensity brachytherapy 0.00 NA 20.98 0.88 090 77782 A High intensity brachytherapy 2.49 NA 21.86 0.98 090 77782 26 A High intensity brachytherapy 2.49 0.88 0.88 0.10 090 77782 TC A High intensity brachytherapy 0.00 NA 20.98 0.88 090 77783 A High intensity brachytherapy 3.73 NA 22.30 1.03 090 77783 26 A High intensity brachytherapy 3.73 1.31 1.31 0.15 090 77783 TC A High intensity brachytherapy 0.00 NA 20.98 0.88 090 77784 A High intensity brachytherapy 5.61 NA 22.96 1.10 090 77784 26 A High intensity brachytherapy 5.61 1.98 1.98 0.22 090 77784 TC A High intensity brachytherapy 0.00 NA 20.98 0.88 090 77789 A Apply surface radiation 1.12 NA 0.87 0.05 000 77789 26 A Apply surface radiation 1.12 0.40 0.40 0.03 000 77789 TC A Apply surface radiation 0.00 NA 0.47 0.02 000 77790 A Radiation handling 1.05 NA 0.89 0.06 XXX 77790 26 A Radiation handling 1.05 0.37 0.37 0.04 XXX 77790 TC A Radiation handling 0.00 NA 0.52 0.02 XXX 77799 C Radium/radioisotope therapy 0.00 0.00 0.00 0.00 XXX 77799 26 C Radium/radioisotope therapy 0.00 0.00 0.00 0.00 XXX 77799 TC C Radium/radioisotope therapy 0.00 0.00 0.00 0.00 XXX 78000 A Thyroid, single uptake 0.19 NA 1.07 0.06 XXX 78000 26 A Thyroid, single uptake 0.19 0.07 0.07 0.01 XXX 78000 TC A Thyroid, single uptake 0.00 NA 1.00 0.05 XXX 78001 A Thyroid, multiple uptakes 0.26 NA 1.44 0.07 XXX Start Printed Page 43975 78001 26 A Thyroid, multiple uptakes 0.26 0.09 0.09 0.01 XXX 78001 TC A Thyroid, multiple uptakes 0.00 NA 1.35 0.06 XXX 78003 A Thyroid suppress/stimul 0.33 NA 1.11 0.06 XXX 78003 26 A Thyroid suppress/stimul 0.33 0.11 0.11 0.01 XXX 78003 TC A Thyroid suppress/stimul 0.00 NA 1.00 0.05 XXX 78006 A Thyroid imaging with uptake 0.49 NA 2.63 0.13 XXX 78006 26 A Thyroid imaging with uptake 0.49 0.17 0.17 0.02 XXX 78006 TC A Thyroid imaging with uptake 0.00 NA 2.46 0.11 XXX 78007 A Thyroid image, mult uptakes 0.50 NA 2.83 0.14 XXX 78007 26 A Thyroid image, mult uptakes 0.50 0.17 0.17 0.02 XXX 78007 TC A Thyroid image, mult uptakes 0.00 NA 2.66 0.12 XXX 78010 A Thyroid imaging 0.39 NA 2.01 0.11 XXX 78010 26 A Thyroid imaging 0.39 0.14 0.14 0.02 XXX 78010 TC A Thyroid imaging 0.00 NA 1.88 0.09 XXX 78011 A Thyroid imaging with flow 0.45 NA 2.65 0.13 XXX 78011 26 A Thyroid imaging with flow 0.45 0.16 0.16 0.02 XXX 78011 TC A Thyroid imaging with flow 0.00 NA 2.49 0.11 XXX 78015 A Thyroid met imaging 0.67 NA 2.89 0.15 XXX 78015 26 A Thyroid met imaging 0.67 0.23 0.23 0.03 XXX 78015 TC A Thyroid met imaging 0.00 NA 2.66 0.12 XXX 78016 A Thyroid met imaging/studies 0.82 NA 3.89 0.18 XXX 78016 26 A Thyroid met imaging/studies 0.82 0.30 0.30 0.03 XXX 78016 TC A Thyroid met imaging/studies 0.00 NA 3.60 0.15 XXX 78018 A Thyroid met imaging, body 0.86 NA 5.91 0.27 XXX 78018 26 A Thyroid met imaging, body 0.86 0.31 0.31 0.03 XXX 78018 TC A Thyroid met imaging, body 0.00 NA 5.61 0.24 XXX 78020 A Thyroid met uptake 0.60 NA 1.57 0.14 ZZZ 78020 26 A Thyroid met uptake 0.60 0.22 0.22 0.02 ZZZ 78020 TC A Thyroid met uptake 0.00 NA 1.35 0.12 ZZZ 78070 A Parathyroid nuclear imaging 0.82 NA 2.17 0.12 XXX 78070 26 A Parathyroid nuclear imaging 0.82 0.29 0.29 0.03 XXX 78070 TC A Parathyroid nuclear imaging 0.00 NA 1.88 0.09 XXX 78075 A Adrenal nuclear imaging 0.74 NA 5.88 0.27 XXX 78075 26 A Adrenal nuclear imaging 0.74 0.27 0.27 0.03 XXX 78075 TC A Adrenal nuclear imaging 0.00 NA 5.61 0.24 XXX 78099 C Endocrine nuclear procedure 0.00 0.00 0.00 0.00 XXX 78099 26 C Endocrine nuclear procedure 0.00 0.00 0.00 0.00 XXX 78099 TC C Endocrine nuclear procedure 0.00 0.00 0.00 0.00 XXX 78102 A Bone marrow imaging, ltd 0.55 NA 2.31 0.12 XXX 78102 26 A Bone marrow imaging, ltd 0.55 0.20 0.20 0.02 XXX 78102 TC A Bone marrow imaging, ltd 0.00 NA 2.11 0.10 XXX 78103 A Bone marrow imaging, mult 0.75 NA 3.54 0.17 XXX 78103 26 A Bone marrow imaging, mult 0.75 0.27 0.27 0.03 XXX 78103 TC A Bone marrow imaging, mult 0.00 NA 3.28 0.14 XXX 78104 A Bone marrow imaging, body 0.80 NA 4.49 0.21 XXX 78104 26 A Bone marrow imaging, body 0.80 0.28 0.28 0.03 XXX 78104 TC A Bone marrow imaging, body 0.00 NA 4.21 0.18 XXX 78110 A Plasma volume, single 0.19 NA 1.05 0.06 XXX 78110 26 A Plasma volume, single 0.19 0.07 0.07 0.01 XXX 78110 TC A Plasma volume, single 0.00 NA 0.98 0.05 XXX 78111 A Plasma volume, multiple 0.22 NA 2.74 0.13 XXX 78111 26 A Plasma volume, multiple 0.22 0.08 0.08 0.01 XXX 78111 TC A Plasma volume, multiple 0.00 NA 2.66 0.12 XXX 78120 A Red cell mass, single 0.23 NA 1.87 0.10 XXX 78120 26 A Red cell mass, single 0.23 0.08 0.08 0.01 XXX 78120 TC A Red cell mass, single 0.00 NA 1.79 0.09 XXX 78121 A Red cell mass, multiple 0.32 NA 3.12 0.13 XXX 78121 26 A Red cell mass, multiple 0.32 0.12 0.12 0.01 XXX 78121 TC A Red cell mass, multiple 0.00 NA 3.01 0.12 XXX 78122 A Blood volume 0.45 NA 4.92 0.22 XXX 78122 26 A Blood volume 0.45 0.16 0.16 0.02 XXX 78122 TC A Blood volume 0.00 NA 4.76 0.20 XXX 78130 A Red cell survival study 0.61 NA 3.17 0.15 XXX 78130 26 A Red cell survival study 0.61 0.22 0.22 0.03 XXX 78130 TC A Red cell survival study 0.00 NA 2.95 0.12 XXX 78135 A Red cell survival kinetics 0.64 NA 5.26 0.24 XXX Start Printed Page 43976 78135 26 A Red cell survival kinetics 0.64 0.23 0.23 0.03 XXX 78135 TC A Red cell survival kinetics 0.00 NA 5.04 0.21 XXX 78140 A Red cell sequestration 0.61 NA 4.28 0.20 XXX 78140 26 A Red cell sequestration 0.61 0.21 0.21 0.03 XXX 78140 TC A Red cell sequestration 0.00 NA 4.07 0.17 XXX 78160 A Plasma iron turnover 0.33 NA 3.91 0.19 XXX 78160 26 A Plasma iron turnover 0.33 0.12 0.12 0.03 XXX 78160 TC A Plasma iron turnover 0.00 NA 3.79 0.16 XXX 78162 A Iron absorption exam 0.45 NA 3.48 0.15 XXX 78162 26 A Iron absorption exam 0.45 0.17 0.17 0.01 XXX 78162 TC A Iron absorption exam 0.00 NA 3.31 0.14 XXX 78170 A Red cell iron utilization 0.41 NA 5.63 0.27 XXX 78170 26 A Red cell iron utilization 0.41 0.14 0.14 0.04 XXX 78170 TC A Red cell iron utilization 0.00 NA 5.49 0.23 XXX 78172 C Total body iron estimation 0.00 0.00 0.00 0.00 XXX 78172 26 A Total body iron estimation 0.53 0.18 0.18 0.02 XXX 78172 TC C Total body iron estimation 0.00 0.00 0.00 0.00 XXX 78185 A Spleen imaging 0.40 NA 2.58 0.13 XXX 78185 26 A Spleen imaging 0.40 0.14 0.14 0.02 XXX 78185 TC A Spleen imaging 0.00 NA 2.44 0.11 XXX 78190 A Platelet survival, kinetics 1.09 NA 6.30 0.31 XXX 78190 26 A Platelet survival, kinetics 1.09 0.40 0.40 0.06 XXX 78190 TC A Platelet survival, kinetics 0.00 NA 5.91 0.25 XXX 78191 A Platelet survival 0.61 NA 7.80 0.34 XXX 78191 26 A Platelet survival 0.61 0.21 0.21 0.03 XXX 78191 TC A Platelet survival 0.00 NA 7.58 0.31 XXX 78195 A Lymph system imaging 1.20 NA 4.64 0.23 XXX 78195 26 A Lymph system imaging 1.20 0.43 0.43 0.05 XXX 78195 TC A Lymph system imaging 0.00 NA 4.21 0.18 XXX 78199 C Blood/lymph nuclear exam 0.00 0.00 0.00 0.00 XXX 78199 26 C Blood/lymph nuclear exam 0.00 0.00 0.00 0.00 XXX 78199 TC C Blood/lymph nuclear exam 0.00 0.00 0.00 0.00 XXX 78201 A Liver imaging 0.44 NA 2.59 0.13 XXX 78201 26 A Liver imaging 0.44 0.15 0.15 0.02 XXX 78201 TC A Liver imaging 0.00 NA 2.44 0.11 XXX 78202 A Liver imaging with flow 0.51 NA 3.16 0.14 XXX 78202 26 A Liver imaging with flow 0.51 0.18 0.18 0.02 XXX 78202 TC A Liver imaging with flow 0.00 NA 2.98 0.12 XXX 78205 A Liver imaging (3D) 0.71 NA 6.36 0.29 XXX 78205 26 A Liver imaging (3D) 0.71 0.25 0.25 0.03 XXX 78205 TC A Liver imaging (3D) 0.00 NA 6.11 0.26 XXX 78206 A Liver image (3d) w/flow 0.96 NA 6.45 0.13 XXX 78206 26 A Liver image (3d) w/flow 0.96 0.34 0.34 0.04 XXX 78206 TC A Liver image (3d) w/flow 0.00 NA 6.11 0.09 XXX 78215 A Liver and spleen imaging 0.49 NA 3.21 0.14 XXX 78215 26 A Liver and spleen imaging 0.49 0.17 0.17 0.02 XXX 78215 TC A Liver and spleen imaging 0.00 NA 3.04 0.12 XXX 78216 A Liver & spleen image/flow 0.57 NA 3.80 0.17 XXX 78216 26 A Liver & spleen image/flow 0.57 0.20 0.20 0.02 XXX 78216 TC A Liver & spleen image/flow 0.00 NA 3.60 0.15 XXX 78220 A Liver function study 0.49 NA 4.02 0.18 XXX 78220 26 A Liver function study 0.49 0.17 0.17 0.02 XXX 78220 TC A Liver function study 0.00 NA 3.85 0.16 XXX 78223 A Hepatobiliary imaging 0.84 NA 4.08 0.20 XXX 78223 26 A Hepatobiliary imaging 0.84 0.29 0.29 0.04 XXX 78223 TC A Hepatobiliary imaging 0.00 NA 3.79 0.16 XXX 78230 A Salivary gland imaging 0.45 NA 2.40 0.13 XXX 78230 26 A Salivary gland imaging 0.45 0.15 0.15 0.02 XXX 78230 TC A Salivary gland imaging 0.00 NA 2.25 0.11 XXX 78231 A Serial salivary imaging 0.52 NA 3.47 0.16 XXX 78231 26 A Serial salivary imaging 0.52 0.19 0.19 0.02 XXX 78231 TC A Serial salivary imaging 0.00 NA 3.28 0.14 XXX 78232 A Salivary gland function exam 0.47 NA 3.83 0.16 XXX 78232 26 A Salivary gland function exam 0.47 0.17 0.17 0.01 XXX 78232 TC A Salivary gland function exam 0.00 NA 3.66 0.15 XXX 78258 A Esophageal motility study 0.74 NA 3.24 0.15 XXX Start Printed Page 43977 78258 26 A Esophageal motility study 0.74 0.26 0.26 0.03 XXX 78258 TC A Esophageal motility study 0.00 NA 2.98 0.12 XXX 78261 A Gastric mucosa imaging 0.69 NA 4.49 0.21 XXX 78261 26 A Gastric mucosa imaging 0.69 0.25 0.25 0.03 XXX 78261 TC A Gastric mucosa imaging 0.00 NA 4.24 0.18 XXX 78262 A Gastroesophageal reflux exam 0.68 NA 4.64 0.21 XXX 78262 26 A Gastroesophageal reflux exam 0.68 0.24 0.24 0.03 XXX 78262 TC A Gastroesophageal reflux exam 0.00 NA 4.40 0.18 XXX 78264 A Gastric emptying study 0.78 NA 4.54 0.21 XXX 78264 26 A Gastric emptying study 0.78 0.27 0.27 0.03 XXX 78264 TC A Gastric emptying study 0.00 NA 4.27 0.18 XXX 78267 X Breath tst attain/anal c-14 0.00 0.00 0.00 0.00 XXX 78268 X Breath test analysis, c-14 0.00 0.00 0.00 0.00 XXX 78270 A Vit B-12 absorption exam 0.20 NA 1.67 0.09 XXX 78270 26 A Vit B-12 absorption exam 0.20 0.07 0.07 0.01 XXX 78270 TC A Vit B-12 absorption exam 0.00 NA 1.60 0.08 XXX 78271 A Vit B-12 absorp exam, IF 0.20 NA 1.77 0.09 XXX 78271 26 A Vit B-12 absorp exam, IF 0.20 0.07 0.07 0.01 XXX 78271 TC A Vit B-12 absorp exam, IF 0.00 NA 1.70 0.08 XXX 78272 A Vit B-12 absorp, combined 0.27 NA 2.50 0.12 XXX 78272 26 A Vit B-12 absorp, combined 0.27 0.10 0.10 0.01 XXX 78272 TC A Vit B-12 absorp, combined 0.00 NA 2.40 0.11 XXX 78278 A Acute GI blood loss imaging 0.99 NA 5.38 0.25 XXX 78278 26 A Acute GI blood loss imaging 0.99 0.34 0.34 0.04 XXX 78278 TC A Acute GI blood loss imaging 0.00 NA 5.04 0.21 XXX 78282 C GI protein loss exam 0.00 0.00 0.00 0.00 XXX 78282 26 A GI protein loss exam 0.38 0.14 0.14 0.02 XXX 78282 TC C GI protein loss exam 0.00 0.00 0.00 0.00 XXX 78290 A Meckel's divert exam 0.68 NA 3.38 0.16 XXX 78290 26 A Meckel's divert exam 0.68 0.24 0.24 0.03 XXX 78290 TC A Meckel's divert exam 0.00 NA 3.15 0.13 XXX 78291 A Leveen/shunt patency exam 0.88 NA 3.48 0.17 XXX 78291 26 A Leveen/shunt patency exam 0.88 0.31 0.31 0.04 XXX 78291 TC A Leveen/shunt patency exam 0.00 NA 3.17 0.13 XXX 78299 C GI nuclear procedure 0.00 0.00 0.00 0.00 XXX 78299 26 C GI nuclear procedure 0.00 0.00 0.00 0.00 XXX 78299 TC C GI nuclear procedure 0.00 0.00 0.00 0.00 XXX 78300 A Bone imaging, limited area 0.62 NA 2.78 0.15 XXX 78300 26 A Bone imaging, limited area 0.62 0.21 0.21 0.03 XXX 78300 TC A Bone imaging, limited area 0.00 NA 2.57 0.12 XXX 78305 A Bone imaging, multiple areas 0.83 NA 4.08 0.19 XXX 78305 26 A Bone imaging, multiple areas 0.83 0.29 0.29 0.03 XXX 78305 TC A Bone imaging, multiple areas 0.00 NA 3.79 0.16 XXX 78306 A Bone imaging, whole body 0.86 NA 4.72 0.22 XXX 78306 26 A Bone imaging, whole body 0.86 0.30 0.30 0.04 XXX 78306 TC A Bone imaging, whole body 0.00 NA 4.42 0.18 XXX 78315 A Bone imaging, 3 phase 1.02 NA 5.29 0.25 XXX 78315 26 A Bone imaging, 3 phase 1.02 0.36 0.36 0.04 XXX 78315 TC A Bone imaging, 3 phase 0.00 NA 4.94 0.21 XXX 78320 A Bone imaging (3D) 1.04 NA 6.48 0.30 XXX 78320 26 A Bone imaging (3D) 1.04 0.37 0.37 0.04 XXX 78320 TC A Bone imaging (3D) 0.00 NA 6.11 0.26 XXX 78350 A Bone mineral, single photon 0.22 NA 0.86 0.05 XXX 78350 26 A Bone mineral, single photon 0.22 0.08 0.08 0.01 XXX 78350 TC A Bone mineral, single photon 0.00 NA 0.78 0.04 XXX 78351 N Bone mineral, dual photon 0.30 0.12 1.67 0.01 XXX 78399 C Musculoskeletal nuclear exam 0.00 0.00 0.00 0.00 XXX 78399 26 C Musculoskeletal nuclear exam 0.00 0.00 0.00 0.00 XXX 78399 TC C Musculoskeletal nuclear exam 0.00 0.00 0.00 0.00 XXX 78414 C Non-imaging heart function 0.00 0.00 0.00 0.00 XXX 78414 26 A Non-imaging heart function 0.45 0.16 0.16 0.02 XXX 78414 TC C Non-imaging heart function 0.00 0.00 0.00 0.00 XXX 78428 A Cardiac shunt imaging 0.78 NA 2.63 0.14 XXX 78428 26 A Cardiac shunt imaging 0.78 0.30 0.30 0.03 XXX 78428 TC A Cardiac shunt imaging 0.00 NA 2.33 0.11 XXX 78445 A Vascular flow imaging 0.49 NA 2.09 0.11 XXX Start Printed Page 43978 78445 26 A Vascular flow imaging 0.49 0.18 0.18 0.02 XXX 78445 TC A Vascular flow imaging 0.00 NA 1.92 0.09 XXX 78455 A Venous thrombosis study 0.73 NA 4.37 0.20 XXX 78455 26 A Venous thrombosis study 0.73 0.26 0.26 0.03 XXX 78455 TC A Venous thrombosis study 0.00 NA 4.12 0.17 XXX 78456 A Acute venous thrombus image 1.00 NA 4.48 0.28 XXX 78456 26 A Acute venous thrombus image 1.00 0.36 0.36 0.04 XXX 78456 TC A Acute venous thrombus image 0.00 NA 4.12 0.24 XXX 78457 A Venous thrombosis imaging 0.77 NA 3.02 0.15 XXX 78457 26 A Venous thrombosis imaging 0.77 0.27 0.27 0.03 XXX 78457 TC A Venous thrombosis imaging 0.00 NA 2.75 0.12 XXX 78458 A Ven thrombosis images, bilat 0.90 NA 4.49 0.20 XXX 78458 26 A Ven thrombosis images, bilat 0.90 0.33 0.33 0.03 XXX 78458 TC A Ven thrombosis images, bilat 0.00 NA 4.16 0.17 XXX 78459 I Heart muscle imaging (PET) 0.00 0.00 0.00 0.00 XXX 78459 26 I Heart muscle imaging (PET) 1.88 0.73 0.73 0.08 XXX 78459 TC I Heart muscle imaging (PET) 0.00 0.00 0.00 0.00 XXX 78460 A Heart muscle blood, single 0.86 NA 2.74 0.14 XXX 78460 26 A Heart muscle blood, single 0.86 0.30 0.30 0.03 XXX 78460 TC A Heart muscle blood, single 0.00 NA 2.44 0.11 XXX 78461 A Heart muscle blood, multiple 1.23 NA 5.33 0.26 XXX 78461 26 A Heart muscle blood, multiple 1.23 0.45 0.45 0.05 XXX 78461 TC A Heart muscle blood, multiple 0.00 NA 4.88 0.21 XXX 78464 A Heart image (3d), single 1.09 NA 7.70 0.35 XXX 78464 26 A Heart image (3d), single 1.09 0.40 0.40 0.04 XXX 78464 TC A Heart image (3d), single 0.00 NA 7.30 0.31 XXX 78465 A Heart image (3d), multiple 1.46 NA 12.73 0.56 XXX 78465 26 A Heart image (3d), multiple 1.46 0.54 0.54 0.05 XXX 78465 TC A Heart image (3d), multiple 0.00 NA 12.19 0.51 XXX 78466 A Heart infarct image 0.69 NA 2.96 0.15 XXX 78466 26 A Heart infarct image 0.69 0.25 0.25 0.03 XXX 78466 TC A Heart infarct image 0.00 NA 2.71 0.12 XXX 78468 A Heart infarct image (ef) 0.80 NA 4.07 0.19 XXX 78468 26 A Heart infarct image (ef) 0.80 0.29 0.29 0.03 XXX 78468 TC A Heart infarct image (ef) 0.00 NA 3.79 0.16 XXX 78469 A Heart infarct image (3D) 0.92 NA 5.72 0.26 XXX 78469 26 A Heart infarct image (3D) 0.92 0.32 0.32 0.03 XXX 78469 TC A Heart infarct image (3D) 0.00 NA 5.40 0.23 XXX 78472 A Gated heart, planar, single 0.98 NA 6.05 0.29 XXX 78472 26 A Gated heart, planar, single 0.98 0.36 0.36 0.04 XXX 78472 TC A Gated heart, planar, single 0.00 NA 5.70 0.25 XXX 78473 A Gated heart, multiple 1.47 NA 9.07 0.40 XXX 78473 26 A Gated heart, multiple 1.47 0.53 0.53 0.05 XXX 78473 TC A Gated heart, multiple 0.00 NA 8.53 0.35 XXX 78478 A Heart wall motion add-on 0.62 NA 1.84 0.10 ZZZ 78478 26 A Heart wall motion add-on 0.62 0.23 0.23 0.02 ZZZ 78478 TC A Heart wall motion add-on 0.00 NA 1.61 0.08 ZZZ 78480 A Heart function add-on 0.62 NA 1.84 0.10 ZZZ 78480 26 A Heart function add-on 0.62 0.23 0.23 0.02 ZZZ 78480 TC A Heart function add-on 0.00 NA 1.61 0.08 ZZZ 78481 A Heart first pass, single 0.98 NA 5.77 0.26 XXX 78481 26 A Heart first pass, single 0.98 0.37 0.37 0.03 XXX 78481 TC A Heart first pass, single 0.00 NA 5.40 0.23 XXX 78483 A Heart first pass, multiple 1.47 NA 8.69 0.39 XXX 78483 26 A Heart first pass, multiple 1.47 0.56 0.56 0.05 XXX 78483 TC A Heart first pass, multiple 0.00 NA 8.13 0.34 XXX 78491 I Heart image (pet), single 0.00 0.00 0.00 0.00 XXX 78491 26 I Heart image (pet), single 1.50 0.58 0.58 0.05 XXX 78491 TC I Heart image (pet), single 0.00 0.00 0.00 0.00 XXX 78492 I Heart image (pet), multiple 0.00 0.00 0.00 0.00 XXX 78492 26 I Heart image (pet), multiple 1.87 0.72 0.72 0.06 XXX 78492 TC I Heart image (pet), multiple 0.00 0.00 0.00 0.00 XXX 78494 A Heart image, spect 1.19 NA 7.74 0.29 XXX 78494 26 A Heart image, spect 1.19 0.43 0.43 0.04 XXX 78494 TC A Heart image, spect 0.00 NA 7.30 0.25 XXX 78496 A Heart first pass add-on 0.50 NA 7.49 0.27 ZZZ Start Printed Page 43979 78496 26 A Heart first pass add-on 0.50 0.19 0.19 0.02 ZZZ 78496 TC A Heart first pass add-on 0.00 NA 7.30 0.25 ZZZ 78499 C Cardiovascular nuclear exam 0.00 0.00 0.00 0.00 XXX 78499 26 C Cardiovascular nuclear exam 0.00 0.00 0.00 0.00 XXX 78499 TC C Cardiovascular nuclear exam 0.00 0.00 0.00 0.00 XXX 78580 A Lung perfusion imaging 0.74 NA 3.81 0.18 XXX 78580 26 A Lung perfusion imaging 0.74 0.26 0.26 0.03 XXX 78580 TC A Lung perfusion imaging 0.00 NA 3.55 0.15 XXX 78584 A Lung V/Q image single breath 0.99 NA 3.65 0.18 XXX 78584 26 A Lung V/Q image single breath 0.99 0.34 0.34 0.04 XXX 78584 TC A Lung V/Q image single breath 0.00 NA 3.31 0.14 XXX 78585 A Lung V/Q imaging 1.09 NA 6.20 0.30 XXX 78585 26 A Lung V/Q imaging 1.09 0.38 0.38 0.05 XXX 78585 TC A Lung V/Q imaging 0.00 NA 5.83 0.25 XXX 78586 A Aerosol lung image, single 0.40 NA 2.82 0.14 XXX 78586 26 A Aerosol lung image, single 0.40 0.14 0.14 0.02 XXX 78586 TC A Aerosol lung image, single 0.00 NA 2.68 0.12 XXX 78587 A Aerosol lung image, multiple 0.49 NA 3.07 0.14 XXX 78587 26 A Aerosol lung image, multiple 0.49 0.17 0.17 0.02 XXX 78587 TC A Aerosol lung image, multiple 0.00 NA 2.90 0.12 XXX 78588 A Perfusion lung image 1.09 NA 3.69 0.20 XXX 78588 26 A Perfusion lung image 1.09 0.38 0.38 0.05 XXX 78588 TC A Perfusion lung image 0.00 NA 3.31 0.15 XXX 78591 A Vent image, 1 breath, 1 proj 0.40 NA 3.09 0.14 XXX 78591 26 A Vent image, 1 breath, 1 proj 0.40 0.14 0.14 0.02 XXX 78591 TC A Vent image, 1 breath, 1 proj 0.00 NA 2.95 0.12 XXX 78593 A Vent image, 1 proj, gas 0.49 NA 3.74 0.17 XXX 78593 26 A Vent image, 1 proj, gas 0.49 0.17 0.17 0.02 XXX 78593 TC A Vent image, 1 proj, gas 0.00 NA 3.57 0.15 XXX 78594 A Vent image, mult proj, gas 0.53 NA 5.33 0.23 XXX 78594 26 A Vent image, mult proj, gas 0.53 0.19 0.19 0.02 XXX 78594 TC A Vent image, mult proj, gas 0.00 NA 5.15 0.21 XXX 78596 A Lung differential function 1.27 NA 7.75 0.36 XXX 78596 26 A Lung differential function 1.27 0.44 0.44 0.05 XXX 78596 TC A Lung differential function 0.00 NA 7.30 0.31 XXX 78599 C Respiratory nuclear exam 0.00 0.00 0.00 0.00 XXX 78599 26 C Respiratory nuclear exam 0.00 0.00 0.00 0.00 XXX 78599 TC C Respiratory nuclear exam 0.00 0.00 0.00 0.00 XXX 78600 A Brain imaging, ltd static 0.44 NA 3.14 0.14 XXX 78600 26 A Brain imaging, ltd static 0.44 0.16 0.16 0.02 XXX 78600 TC A Brain imaging, ltd static 0.00 NA 2.98 0.12 XXX 78601 A Brain imaging, ltd w/ flow 0.51 NA 3.70 0.17 XXX 78601 26 A Brain imaging, ltd w/ flow 0.51 0.18 0.18 0.02 XXX 78601 TC A Brain imaging, ltd w/ flow 0.00 NA 3.52 0.15 XXX 78605 A Brain imaging, complete 0.53 NA 3.71 0.17 XXX 78605 26 A Brain imaging, complete 0.53 0.19 0.19 0.02 XXX 78605 TC A Brain imaging, complete 0.00 NA 3.52 0.15 XXX 78606 A Brain imaging, compl w/flow 0.64 NA 4.22 0.20 XXX 78606 26 A Brain imaging, compl w/flow 0.64 0.22 0.22 0.03 XXX 78606 TC A Brain imaging, compl w/flow 0.00 NA 4.00 0.17 XXX 78607 A Brain imaging (3D) 1.23 NA 7.22 0.34 XXX 78607 26 A Brain imaging (3D) 1.23 0.45 0.45 0.05 XXX 78607 TC A Brain imaging (3D) 0.00 NA 6.77 0.29 XXX 78608 N Brain imaging (PET) 0.00 0.00 0.00 0.00 XXX 78609 N Brain imaging (PET) 0.00 0.00 0.00 0.00 XXX 78610 A Brain flow imaging only 0.30 NA 1.74 0.09 XXX 78610 26 A Brain flow imaging only 0.30 0.11 0.11 0.01 XXX 78610 TC A Brain flow imaging only 0.00 NA 1.63 0.08 XXX 78615 A Cerebral vascular flow image 0.42 NA 4.14 0.19 XXX 78615 26 A Cerebral vascular flow image 0.42 0.16 0.16 0.02 XXX 78615 TC A Cerebral vascular flow image 0.00 NA 3.98 0.17 XXX 78630 A Cerebrospinal fluid scan 0.68 NA 5.44 0.25 XXX 78630 26 A Cerebrospinal fluid scan 0.68 0.24 0.24 0.03 XXX 78630 TC A Cerebrospinal fluid scan 0.00 NA 5.21 0.22 XXX 78635 A CSF ventriculography 0.61 NA 2.87 0.14 XXX 78635 26 A CSF ventriculography 0.61 0.24 0.24 0.02 XXX Start Printed Page 43980 78635 TC A CSF ventriculography 0.00 NA 2.63 0.12 XXX 78645 A CSF shunt evaluation 0.57 NA 3.75 0.17 XXX 78645 26 A CSF shunt evaluation 0.57 0.20 0.20 0.02 XXX 78645 TC A CSF shunt evaluation 0.00 NA 3.55 0.15 XXX 78647 A Cerebrospinal fluid scan 0.90 NA 6.43 0.29 XXX 78647 26 A Cerebrospinal fluid scan 0.90 0.33 0.33 0.03 XXX 78647 TC A Cerebrospinal fluid scan 0.00 NA 6.11 0.26 XXX 78650 A CSF leakage imaging 0.61 NA 5.01 0.22 XXX 78650 26 A CSF leakage imaging 0.61 0.22 0.22 0.02 XXX 78650 TC A CSF leakage imaging 0.00 NA 4.80 0.20 XXX 78660 A Nuclear exam of tear flow 0.53 NA 2.37 0.12 XXX 78660 26 A Nuclear exam of tear flow 0.53 0.19 0.19 0.02 XXX 78660 TC A Nuclear exam of tear flow 0.00 NA 2.19 0.10 XXX 78699 C Nervous system nuclear exam 0.00 0.00 0.00 0.00 XXX 78699 26 C Nervous system nuclear exam 0.00 0.00 0.00 0.00 XXX 78699 TC C Nervous system nuclear exam 0.00 0.00 0.00 0.00 XXX 78700 A Kidney imaging, static 0.45 NA 3.30 0.15 XXX 78700 26 A Kidney imaging, static 0.45 0.16 0.16 0.02 XXX 78700 TC A Kidney imaging, static 0.00 NA 3.15 0.13 XXX 78701 A Kidney imaging with flow 0.49 NA 3.85 0.17 XXX 78701 26 A Kidney imaging with flow 0.49 0.17 0.17 0.02 XXX 78701 TC A Kidney imaging with flow 0.00 NA 3.68 0.15 XXX 78704 A Imaging renogram 0.74 NA 4.35 0.20 XXX 78704 26 A Imaging renogram 0.74 0.26 0.26 0.03 XXX 78704 TC A Imaging renogram 0.00 NA 4.09 0.17 XXX 78707 A Kidney flow/function image 0.96 NA 4.95 0.23 XXX 78707 26 A Kidney flow/function image 0.96 0.34 0.34 0.04 XXX 78707 TC A Kidney flow/function image 0.00 NA 4.62 0.19 XXX 78708 A Kidney flow/function image 1.21 NA 5.04 0.24 XXX 78708 26 A Kidney flow/function image 1.21 0.43 0.43 0.05 XXX 78708 TC A Kidney flow/function image 0.00 NA 4.62 0.19 XXX 78709 A Kidney flow/function image 1.41 NA 5.11 0.25 XXX 78709 26 A Kidney flow/function image 1.41 0.49 0.49 0.06 XXX 78709 TC A Kidney flow/function image 0.00 NA 4.62 0.19 XXX 78710 A Kidney imaging (3D) 0.66 NA 6.34 0.29 XXX 78710 26 A Kidney imaging (3D) 0.66 0.23 0.23 0.03 XXX 78710 TC A Kidney imaging (3D) 0.00 NA 6.11 0.26 XXX 78715 A Renal vascular flow exam 0.30 NA 1.74 0.09 XXX 78715 26 A Renal vascular flow exam 0.30 0.11 0.11 0.01 XXX 78715 TC A Renal vascular flow exam 0.00 NA 1.63 0.08 XXX 78725 A Kidney function study 0.38 NA 1.97 0.10 XXX 78725 26 A Kidney function study 0.38 0.13 0.13 0.01 XXX 78725 TC A Kidney function study 0.00 NA 1.84 0.09 XXX 78730 A Urinary bladder retention 0.36 NA 1.64 0.09 XXX 78730 26 A Urinary bladder retention 0.36 0.13 0.13 0.02 XXX 78730 TC A Urinary bladder retention 0.00 NA 1.51 0.07 XXX 78740 A Ureteral reflux study 0.57 NA 2.38 0.12 XXX 78740 26 A Ureteral reflux study 0.57 0.20 0.20 0.02 XXX 78740 TC A Ureteral reflux study 0.00 NA 2.19 0.10 XXX 78760 A Testicular imaging 0.66 NA 2.99 0.15 XXX 78760 26 A Testicular imaging 0.66 0.23 0.23 0.03 XXX 78760 TC A Testicular imaging 0.00 NA 2.77 0.12 XXX 78761 A Testicular imaging/flow 0.71 NA 3.56 0.17 XXX 78761 26 A Testicular imaging/flow 0.71 0.25 0.25 0.03 XXX 78761 TC A Testicular imaging/flow 0.00 NA 3.31 0.14 XXX 78799 C Genitourinary nuclear exam 0.00 0.00 0.00 0.00 XXX 78799 26 C Genitourinary nuclear exam 0.00 0.00 0.00 0.00 XXX 78799 TC C Genitourinary nuclear exam 0.00 0.00 0.00 0.00 XXX 78800 A Tumor imaging, limited area 0.66 NA 3.75 0.18 XXX 78800 26 A Tumor imaging, limited area 0.66 0.23 0.23 0.03 XXX 78800 TC A Tumor imaging, limited area 0.00 NA 3.52 0.15 XXX 78801 A Tumor imaging, mult areas 0.79 NA 4.64 0.21 XXX 78801 26 A Tumor imaging, mult areas 0.79 0.28 0.28 0.03 XXX 78801 TC A Tumor imaging, mult areas 0.00 NA 4.37 0.18 XXX 78802 A Tumor imaging, whole body 0.86 NA 6.02 0.28 XXX 78802 26 A Tumor imaging, whole body 0.86 0.31 0.31 0.03 XXX Start Printed Page 43981 78802 TC A Tumor imaging, whole body 0.00 NA 5.72 0.25 XXX 78803 A Tumor imaging (3D) 1.09 NA 7.17 0.33 XXX 78803 26 A Tumor imaging (3D) 1.09 0.40 0.40 0.04 XXX 78803 TC A Tumor imaging (3D) 0.00 NA 6.77 0.29 XXX 78805 A Abscess imaging, ltd area 0.73 NA 3.78 0.18 XXX 78805 26 A Abscess imaging, ltd area 0.73 0.26 0.26 0.03 XXX 78805 TC A Abscess imaging, ltd area 0.00 NA 3.52 0.15 XXX 78806 A Abscess imaging, whole body 0.86 NA 6.95 0.32 XXX 78806 26 A Abscess imaging, whole body 0.86 0.31 0.31 0.03 XXX 78806 TC A Abscess imaging, whole body 0.00 NA 6.64 0.29 XXX 78807 A Nuclear localization/abscess 1.09 NA 7.18 0.33 XXX 78807 26 A Nuclear localization/abscess 1.09 0.41 0.41 0.04 XXX 78807 TC A Nuclear localization/abscess 0.00 NA 6.77 0.29 XXX 78810 N Tumor imaging (PET) 0.00 0.00 0.00 0.00 XXX 78810 26 N Tumor imaging (PET) 1.93 0.75 0.75 0.09 XXX 78810 TC N Tumor imaging (PET) 0.00 0.00 0.00 0.00 XXX 78890 B Nuclear medicine data proc 0.05 NA 1.37 0.06 XXX 78890 26 B Nuclear medicine data proc 0.05 0.02 0.02 0.01 XXX 78890 TC B Nuclear medicine data proc 0.00 NA 1.35 0.05 XXX 78891 B Nuclear med data proc 0.10 NA 2.75 0.12 XXX 78891 26 B Nuclear med data proc 0.10 0.04 0.04 0.01 XXX 78891 TC B Nuclear med data proc 0.00 NA 2.71 0.11 XXX 78990 I Provide diag radionuclide(s) 0.00 0.00 0.00 0.00 XXX 78999 C Nuclear diagnostic exam 0.00 0.00 0.00 0.00 XXX 78999 26 C Nuclear diagnostic exam 0.00 0.00 0.00 0.00 XXX 78999 TC C Nuclear diagnostic exam 0.00 0.00 0.00 0.00 XXX 79000 A Init hyperthyroid therapy 1.80 NA 3.34 0.19 XXX 79000 26 A Init hyperthyroid therapy 1.80 0.63 0.63 0.07 XXX 79000 TC A Init hyperthyroid therapy 0.00 NA 2.71 0.12 XXX 79001 A Repeat hyperthyroid therapy 1.05 NA 1.72 0.10 XXX 79001 26 A Repeat hyperthyroid therapy 1.05 0.37 0.37 0.04 XXX 79001 TC A Repeat hyperthyroid therapy 0.00 NA 1.35 0.06 XXX 79020 A Thyroid ablation 1.81 NA 3.33 0.19 XXX 79020 26 A Thyroid ablation 1.81 0.62 0.62 0.07 XXX 79020 TC A Thyroid ablation 0.00 NA 2.71 0.12 XXX 79030 A Thyroid ablation, carcinoma 2.10 NA 3.45 0.20 XXX 79030 26 A Thyroid ablation, carcinoma 2.10 0.74 0.74 0.08 XXX 79030 TC A Thyroid ablation, carcinoma 0.00 NA 2.71 0.12 XXX 79035 A Thyroid metastatic therapy 2.52 NA 3.62 0.21 XXX 79035 26 A Thyroid metastatic therapy 2.52 0.91 0.91 0.09 XXX 79035 TC A Thyroid metastatic therapy 0.00 NA 2.71 0.12 XXX 79100 A Hematopoetic nuclear therapy 1.32 NA 3.19 0.17 XXX 79100 26 A Hematopoetic nuclear therapy 1.32 0.48 0.48 0.05 XXX 79100 TC A Hematopoetic nuclear therapy 0.00 NA 2.71 0.12 XXX 79200 A Intracavitary nuclear trmt 1.99 NA 3.43 0.19 XXX 79200 26 A Intracavitary nuclear trmt 1.99 0.72 0.72 0.07 XXX 79200 TC A Intracavitary nuclear trmt 0.00 NA 2.71 0.12 XXX 79300 C Interstitial nuclear therapy 0.00 0.00 0.00 0.00 XXX 79300 26 A Interstitial nuclear therapy 1.60 0.59 0.59 0.07 XXX 79300 TC C Interstitial nuclear therapy 0.00 0.00 0.00 0.00 XXX 79400 A Nonhemato nuclear therapy 1.96 NA 3.41 0.20 XXX 79400 26 A Nonhemato nuclear therapy 1.96 0.70 0.70 0.08 XXX 79400 TC A Nonhemato nuclear therapy 0.00 NA 2.71 0.12 XXX 79420 C Intravascular nuclear ther 0.00 0.00 0.00 0.00 XXX 79420 26 A Intravascular nuclear ther 1.51 0.53 0.53 0.06 XXX 79420 TC C Intravascular nuclear ther 0.00 0.00 0.00 0.00 XXX 79440 A Nuclear joint therapy 1.99 NA 3.46 0.20 XXX 79440 26 A Nuclear joint therapy 1.99 0.75 0.75 0.08 XXX 79440 TC A Nuclear joint therapy 0.00 NA 2.71 0.12 XXX 79900 C Provide ther radiopharm(s) 0.00 0.00 0.00 0.00 XXX 79999 C Nuclear medicine therapy 0.00 0.00 0.00 0.00 XXX 79999 26 C Nuclear medicine therapy 0.00 0.00 0.00 0.00 XXX 79999 TC C Nuclear medicine therapy 0.00 0.00 0.00 0.00 XXX 80500 A Lab pathology consultation 0.37 0.17 0.22 0.01 XXX 80502 A Lab pathology consultation 1.33 0.60 0.64 0.05 XXX 83020 26 A Hemoglobin electrophoresis 0.37 0.16 0.16 0.01 XXX Start Printed Page 43982 83912 26 A Genetic examination 0.37 0.15 0.15 0.01 XXX 84165 26 A Assay of serum proteins 0.37 0.16 0.16 0.01 XXX 84181 26 A Western blot test 0.37 0.16 0.16 0.01 XXX 84182 26 A Protein, western blot test 0.37 0.14 0.14 0.01 XXX 85060 A Blood smear interpretation 0.45 0.19 0.19 0.02 XXX 85097 A Bone marrow interpretation 0.94 0.41 1.85 0.03 XXX 85390 26 A Fibrinolysins screen 0.37 0.13 0.13 0.01 XXX 85576 26 A Blood platelet aggregation 0.37 0.16 0.16 0.01 XXX 86077 A Physician blood bank service 0.94 0.42 0.47 0.03 XXX 86078 A Physician blood bank service 0.94 0.42 0.51 0.03 XXX 86079 A Physician blood bank service 0.94 0.42 0.51 0.03 XXX 86255 26 A Fluorescent antibody, screen 0.37 0.17 0.17 0.01 XXX 86256 26 A Fluorescent antibody, titer 0.37 0.16 0.16 0.01 XXX 86320 26 A Serum immunoelectrophoresis 0.37 0.16 0.17 0.01 XXX 86325 26 A Other immunoelectrophoresis 0.37 0.16 0.16 0.01 XXX 86327 26 A Immunoelectrophoresis assay 0.42 0.19 0.19 0.01 XXX 86334 26 A Immunofixation procedure 0.37 0.16 0.16 0.01 XXX 86485 C Skin test, candida 0.00 0.00 0.00 0.00 XXX 86490 A Coccidioidomycosis skin test 0.00 NA 0.30 0.02 XXX 86510 A Histoplasmosis skin test 0.00 NA 0.33 0.02 XXX 86580 A TB intradermal test 0.00 NA 0.26 0.02 XXX 86585 A TB tine test 0.00 NA 0.21 0.01 XXX 86586 C Skin test, unlisted 0.00 0.00 0.00 0.00 XXX 87164 26 A Dark field examination 0.37 0.12 0.12 0.01 XXX 87207 26 A Smear, special stain 0.37 0.17 0.17 0.01 XXX 88104 A Cytopathology, fluids 0.56 NA 0.69 0.04 XXX 88104 26 A Cytopathology, fluids 0.56 0.25 0.25 0.02 XXX 88104 TC A Cytopathology, fluids 0.00 NA 0.44 0.02 XXX 88106 A Cytopathology, fluids 0.56 NA 1.09 0.04 XXX 88106 26 A Cytopathology, fluids 0.56 0.25 0.25 0.02 XXX 88106 TC A Cytopathology, fluids 0.00 NA 0.84 0.02 XXX 88107 A Cytopathology, fluids 0.76 NA 1.20 0.05 XXX 88107 26 A Cytopathology, fluids 0.76 0.34 0.34 0.03 XXX 88107 TC A Cytopathology, fluids 0.00 NA 0.85 0.02 XXX 88108 A Cytopath, concentrate tech 0.56 NA 0.98 0.04 XXX 88108 26 A Cytopath, concentrate tech 0.56 0.25 0.25 0.02 XXX 88108 TC A Cytopath, concentrate tech 0.00 NA 0.73 0.02 XXX 88125 A Forensic cytopathology 0.26 NA 0.28 0.02 XXX 88125 26 A Forensic cytopathology 0.26 0.12 0.12 0.01 XXX 88125 TC A Forensic cytopathology 0.00 NA 0.16 0.01 XXX 88141 A Cytopath, c/v, interpret 0.42 0.19 0.19 0.01 XXX 88160 A Cytopath smear, other source 0.50 NA 0.73 0.04 XXX 88160 26 A Cytopath smear, other source 0.50 0.22 0.22 0.02 XXX 88160 TC A Cytopath smear, other source 0.00 NA 0.50 0.02 XXX 88161 A Cytopath smear, other source 0.50 NA 0.82 0.04 XXX 88161 26 A Cytopath smear, other source 0.50 0.22 0.22 0.02 XXX 88161 TC A Cytopath smear, other source 0.00 NA 0.60 0.02 XXX 88162 A Cytopath smear, other source 0.76 NA 0.61 0.05 XXX 88162 26 A Cytopath smear, other source 0.76 0.34 0.34 0.03 XXX 88162 TC A Cytopath smear, other source 0.00 NA 0.27 0.02 XXX 88172 A Cytopathology eval of fna 0.60 NA 0.73 0.04 XXX 88172 26 A Cytopathology eval of fna 0.60 0.27 0.27 0.02 XXX 88172 TC A Cytopathology eval of fna 0.00 NA 0.46 0.02 XXX 88173 A Cytopath eval, fna, report 1.39 NA 1.98 0.07 XXX 88173 26 A Cytopath eval, fna, report 1.39 0.62 0.62 0.05 XXX 88173 TC A Cytopath eval, fna, report 0.00 NA 1.36 0.02 XXX 88180 A Cell marker study 0.36 NA 0.39 0.03 XXX 88180 26 A Cell marker study 0.36 0.16 0.16 0.01 XXX 88180 TC A Cell marker study 0.00 NA 0.23 0.02 XXX 88182 A Cell marker study 0.77 NA 0.84 0.06 XXX 88182 26 A Cell marker study 0.77 0.35 0.35 0.03 XXX 88182 TC A Cell marker study 0.00 NA 0.49 0.03 XXX 88199 C Cytopathology procedure 0.00 0.00 0.00 0.00 XXX 88199 26 C Cytopathology procedure 0.00 0.00 0.00 0.00 XXX 88199 TC C Cytopathology procedure 0.00 0.00 0.00 0.00 XXX 88291 A Cyto/molecular report 0.52 0.23 0.23 0.02 XXX Start Printed Page 43983 88299 C Cytogenetic study 0.00 0.00 0.00 0.00 XXX 88300 A Surgical path, gross 0.08 NA 0.36 0.02 XXX 88300 26 A Surgical path, gross 0.08 0.04 0.04 0.01 XXX 88300 TC A Surgical path, gross 0.00 NA 0.32 0.01 XXX 88302 A Tissue exam by pathologist 0.13 NA 0.83 0.03 XXX 88302 26 A Tissue exam by pathologist 0.13 0.06 0.06 0.01 XXX 88302 TC A Tissue exam by pathologist 0.00 NA 0.77 0.02 XXX 88304 A Tissue exam by pathologist 0.22 NA 1.05 0.03 XXX 88304 26 A Tissue exam by pathologist 0.22 0.10 0.10 0.01 XXX 88304 TC A Tissue exam by pathologist 0.00 NA 0.95 0.02 XXX 88305 A Tissue exam by pathologist 0.75 NA 1.60 0.05 XXX 88305 26 A Tissue exam by pathologist 0.75 0.34 0.34 0.02 XXX 88305 TC A Tissue exam by pathologist 0.00 NA 1.26 0.03 XXX 88307 A Tissue exam by pathologist 1.59 NA 2.81 0.11 XXX 88307 26 A Tissue exam by pathologist 1.59 0.71 0.71 0.06 XXX 88307 TC A Tissue exam by pathologist 0.00 NA 2.09 0.05 XXX 88309 A Tissue exam by pathologist 2.28 NA 3.92 0.13 XXX 88309 26 A Tissue exam by pathologist 2.28 1.02 1.02 0.08 XXX 88309 TC A Tissue exam by pathologist 0.00 NA 2.90 0.05 XXX 88311 A Decalcify tissue 0.24 NA 0.21 0.02 XXX 88311 26 A Decalcify tissue 0.24 0.11 0.11 0.01 XXX 88311 TC A Decalcify tissue 0.00 NA 0.11 0.01 XXX 88312 A Special stains 0.54 NA 1.56 0.03 XXX 88312 26 A Special stains 0.54 0.24 0.24 0.02 XXX 88312 TC A Special stains 0.00 NA 1.32 0.01 XXX 88313 A Special stains 0.24 NA 0.97 0.02 XXX 88313 26 A Special stains 0.24 0.11 0.11 0.01 XXX 88313 TC A Special stains 0.00 NA 0.86 0.01 XXX 88314 A Histochemical stain 0.45 NA 1.74 0.04 XXX 88314 26 A Histochemical stain 0.45 0.20 0.20 0.02 XXX 88314 TC A Histochemical stain 0.00 NA 1.54 0.02 XXX 88318 A Chemical histochemistry 0.42 NA 0.87 0.02 XXX 88318 26 A Chemical histochemistry 0.42 0.19 0.19 0.01 XXX 88318 TC A Chemical histochemistry 0.00 NA 0.68 0.01 XXX 88319 A Enzyme histochemistry 0.53 NA 4.03 0.04 XXX 88319 26 A Enzyme histochemistry 0.53 0.24 0.24 0.02 XXX 88319 TC A Enzyme histochemistry 0.00 NA 3.80 0.02 XXX 88321 A Microslide consultation 1.30 0.58 0.61 0.04 XXX 88323 A Microslide consultation 1.35 NA 1.62 0.07 XXX 88323 26 A Microslide consultation 1.35 0.61 0.61 0.05 XXX 88323 TC A Microslide consultation 0.00 NA 1.01 0.02 XXX 88325 A Comprehensive review of data 2.22 0.95 0.95 0.08 XXX 88329 A Path consult introp 0.67 0.30 0.39 0.02 XXX 88331 A Path consult intraop, 1 bloc 1.19 NA 0.91 0.07 XXX 88331 26 A Path consult intraop, 1 bloc 1.19 0.54 0.54 0.04 XXX 88331 TC A Path consult intraop, 1 bloc 0.00 NA 0.38 0.03 XXX 88332 A Path consult intraop, addl 0.59 NA 0.43 0.04 XXX 88332 26 A Path consult intraop, addl 0.59 0.27 0.27 0.02 XXX 88332 TC A Path consult intraop, addl 0.00 NA 0.17 0.02 XXX 88342 A Immunocytochemistry 0.85 NA 1.12 0.05 XXX 88342 26 A Immunocytochemistry 0.85 0.38 0.38 0.03 XXX 88342 TC A Immunocytochemistry 0.00 NA 0.74 0.02 XXX 88346 A Immunofluorescent study 0.86 NA 1.44 0.05 XXX 88346 26 A Immunofluorescent study 0.86 0.38 0.38 0.03 XXX 88346 TC A Immunofluorescent study 0.00 NA 1.05 0.02 XXX 88347 A Immunofluorescent study 0.86 NA 1.22 0.05 XXX 88347 26 A Immunofluorescent study 0.86 0.36 0.36 0.03 XXX 88347 TC A Immunofluorescent study 0.00 NA 0.86 0.02 XXX 88348 A Electron microscopy 1.51 NA 4.62 0.11 XXX 88348 26 A Electron microscopy 1.51 0.67 0.67 0.05 XXX 88348 TC A Electron microscopy 0.00 NA 3.94 0.06 XXX 88349 A Scanning electron microscopy 0.76 NA 2.27 0.08 XXX 88349 26 A Scanning electron microscopy 0.76 0.34 0.34 0.03 XXX 88349 TC A Scanning electron microscopy 0.00 NA 1.93 0.05 XXX 88355 A Analysis, skeletal muscle 1.85 NA 8.03 0.12 XXX 88355 26 A Analysis, skeletal muscle 1.85 0.83 0.83 0.07 XXX Start Printed Page 43984 88355 TC A Analysis, skeletal muscle 0.00 NA 7.21 0.05 XXX 88356 A Analysis, nerve 3.02 NA 4.07 0.16 XXX 88356 26 A Analysis, nerve 3.02 1.31 1.31 0.10 XXX 88356 TC A Analysis, nerve 0.00 NA 2.76 0.06 XXX 88358 A Analysis, tumor 2.82 NA 1.78 0.16 XXX 88358 26 A Analysis, tumor 2.82 1.27 1.27 0.10 XXX 88358 TC A Analysis, tumor 0.00 NA 0.52 0.06 XXX 88362 A Nerve teasing preparations 2.17 NA 4.18 0.12 XXX 88362 26 A Nerve teasing preparations 2.17 0.95 0.95 0.07 XXX 88362 TC A Nerve teasing preparations 0.00 NA 3.23 0.05 XXX 88365 A Tissue hybridization 0.93 NA 1.73 0.05 XXX 88365 26 A Tissue hybridization 0.93 0.41 0.41 0.03 XXX 88365 TC A Tissue hybridization 0.00 NA 1.32 0.02 XXX 88371 26 A Protein, western blot tissue 0.37 0.14 0.14 0.01 XXX 88372 26 A Protein analysis w/probe 0.37 0.17 0.17 0.01 XXX 88380 C Microdissection 0.00 0.00 0.00 0.00 XXX 88380 26 C Microdissection 0.00 0.00 0.00 0.00 XXX 88380 TC C Microdissection 0.00 0.00 0.00 0.00 XXX 88399 C Surgical pathology procedure 0.00 0.00 0.00 0.00 XXX 88399 26 C Surgical pathology procedure 0.00 0.00 0.00 0.00 XXX 88399 TC C Surgical pathology procedure 0.00 0.00 0.00 0.00 XXX 89060 26 A Exam synovial fluid crystals 0.37 0.17 0.17 0.01 XXX 89100 A Sample intestinal contents 0.60 0.22 1.75 0.02 XXX 89105 A Sample intestinal contents 0.50 0.17 2.33 0.02 XXX 89130 A Sample stomach contents 0.45 0.13 1.99 0.02 XXX 89132 A Sample stomach contents 0.19 0.06 1.76 0.01 XXX 89135 A Sample stomach contents 0.79 0.26 1.78 0.03 XXX 89136 A Sample stomach contents 0.21 0.08 1.72 0.01 XXX 89140 A Sample stomach contents 0.94 0.28 2.22 0.03 XXX 89141 A Sample stomach contents 0.85 0.35 2.84 0.03 XXX 89350 A Sputum specimen collection 0.00 NA 0.42 0.02 XXX 89360 A Collect sweat for test 0.00 NA 0.47 0.02 XXX 89399 C Pathology lab procedure 0.00 0.00 0.00 0.00 XXX 89399 26 C Pathology lab procedure 0.00 0.00 0.00 0.00 XXX 89399 TC C Pathology lab procedure 0.00 0.00 0.00 0.00 XXX 90281 I Human ig, im 0.00 0.00 0.00 0.00 XXX 90283 I Human ig, iv 0.00 0.00 0.00 0.00 XXX 90287 I Botulinum antitoxin 0.00 0.00 0.00 0.00 XXX 90288 I Botulism ig, iv 0.00 0.00 0.00 0.00 XXX 90291 I Cmv ig, iv 0.00 0.00 0.00 0.00 XXX 90296 E Diphtheria antitoxin 0.00 0.00 0.00 0.00 XXX 90371 E Hep b ig, im 0.00 0.00 0.00 0.00 XXX 90375 E Rabies ig, im/sc 0.00 0.00 0.00 0.00 XXX 90376 E Rabies ig, heat treated 0.00 0.00 0.00 0.00 XXX 90378 X Rsv ig, im, 50mg 0.00 0.00 0.00 0.00 XXX 90379 I Rsv ig, iv 0.00 0.00 0.00 0.00 XXX 90384 I Rh ig, full-dose, im 0.00 0.00 0.00 0.00 XXX 90385 E Rh ig, minidose, im 0.00 0.00 0.00 0.00 XXX 90386 I Rh ig, iv 0.00 0.00 0.00 0.00 XXX 90389 I Tetanus ig, im 0.00 0.00 0.00 0.00 XXX 90393 E Vaccina ig, im 0.00 0.00 0.00 0.00 XXX 90396 E Varicella-zoster ig, im 0.00 0.00 0.00 0.00 XXX 90399 I Immune globulin 0.00 0.00 0.00 0.00 XXX 90471 A Immunization admin 0.00 NA 0.22 0.01 XXX 90472 A Immunization admin, each add 0.00 NA 0.09 0.01 ZZZ 90473 N Immune admin oral/nasal 0.00 0.00 0.00 0.00 XXX 90474 N Immune admin oral/nasal addl 0.00 0.00 0.00 0.00 ZZZ 90476 E Adenovirus vaccine, type 4 0.00 0.00 0.00 0.00 XXX 90477 E Adenovirus vaccine, type 7 0.00 0.00 0.00 0.00 XXX 90581 E Anthrax vaccine, sc 0.00 0.00 0.00 0.00 XXX 90585 E Bcg vaccine, percut 0.00 0.00 0.00 0.00 XXX 90586 E Bcg vaccine, intravesical 0.00 0.00 0.00 0.00 XXX 90632 E Hep a vaccine, adult im 0.00 0.00 0.00 0.00 XXX 90633 E Hep a vacc, ped/adol, 2 dose 0.00 0.00 0.00 0.00 XXX 90634 E Hep a vacc, ped/adol, 3 dose 0.00 0.00 0.00 0.00 XXX 90636 E Hep a/hep b vacc, adult im 0.00 0.00 0.00 0.00 XXX Start Printed Page 43985 90645 E Hib vaccine, hboc, im 0.00 0.00 0.00 0.00 XXX 90646 E Hib vaccine, prp-d, im 0.00 0.00 0.00 0.00 XXX 90647 E Hib vaccine, prp-omp, im 0.00 0.00 0.00 0.00 XXX 90648 E Hib vaccine, prp-t, im 0.00 0.00 0.00 0.00 XXX 90657 X Flu vaccine, 6-35 mo, im 0.00 0.00 0.00 0.00 XXX 90658 X Flu vaccine, 3 yrs, im 0.00 0.00 0.00 0.00 XXX 90659 X Flu vaccine, whole, im 0.00 0.00 0.00 0.00 XXX 90660 X Flu vaccine, nasal 0.00 0.00 0.00 0.00 XXX 90665 E Lyme disease vaccine, im 0.00 0.00 0.00 0.00 XXX 90669 N Pneumococcal vacc, ped<5 0.00 0.00 0.00 0.00 XXX 90675 E Rabies vaccine, im 0.00 0.00 0.00 0.00 XXX 90676 E Rabies vaccine, id 0.00 0.00 0.00 0.00 XXX 90680 E Rotovirus vaccine, oral 0.00 0.00 0.00 0.00 XXX 90690 E Typhoid vaccine, oral 0.00 0.00 0.00 0.00 XXX 90691 E Typhoid vaccine, im 0.00 0.00 0.00 0.00 XXX 90692 E Typhoid vaccine, h-p, sc/id 0.00 0.00 0.00 0.00 XXX 90693 E Typhoid vaccine, akd, sc 0.00 0.00 0.00 0.00 XXX 90700 E Dtap vaccine, im 0.00 0.00 0.00 0.00 XXX 90701 E Dtp vaccine, im 0.00 0.00 0.00 0.00 XXX 90702 E Dt vaccine < 7, im 0.00 0.00 0.00 0.00 XXX 90703 E Tetanus vaccine, im 0.00 0.00 0.00 0.00 XXX 90704 E Mumps vaccine, sc 0.00 0.00 0.00 0.00 XXX 90705 E Measles vaccine, sc 0.00 0.00 0.00 0.00 XXX 90706 E Rubella vaccine, sc 0.00 0.00 0.00 0.00 XXX 90707 E Mmr vaccine, sc 0.00 0.00 0.00 0.00 XXX 90708 E Measles-rubella vaccine, sc 0.00 0.00 0.00 0.00 XXX 90709 E Rubella & mumps vaccine, sc 0.00 0.00 0.00 0.00 XXX 90710 E Mmrv vaccine, sc 0.00 0.00 0.00 0.00 XXX 90712 E Oral poliovirus vaccine 0.00 0.00 0.00 0.00 XXX 90713 E Poliovirus, ipv, sc 0.00 0.00 0.00 0.00 XXX 90716 E Chicken pox vaccine, sc 0.00 0.00 0.00 0.00 XXX 90717 E Yellow fever vaccine, sc 0.00 0.00 0.00 0.00 XXX 90718 E Td vaccine > 7, im 0.00 0.00 0.00 0.00 XXX 90719 E Diphtheria vaccine, im 0.00 0.00 0.00 0.00 XXX 90720 E Dtp/hib vaccine, im 0.00 0.00 0.00 0.00 XXX 90721 E Dtap/hib vaccine, im 0.00 0.00 0.00 0.00 XXX 90723 X Dtap-hep b-ipv vaccine, im 0.00 0.00 0.00 0.00 XXX 90725 E Cholera vaccine, injectable 0.00 0.00 0.00 0.00 XXX 90727 E Plague vaccine, im 0.00 0.00 0.00 0.00 XXX 90732 X Pneumococcal vaccine 0.00 0.00 0.00 0.00 XXX 90733 E Meningococcal vaccine, sc 0.00 0.00 0.00 0.00 XXX 90735 E Encephalitis vaccine, sc 0.00 0.00 0.00 0.00 XXX 90740 X Hepb vacc, ill pat 3 dose im 0.00 0.00 0.00 0.00 XXX 90743 X Hep b vacc, adol, 2 dose, im 0.00 0.00 0.00 0.00 XXX 90744 X Hepb vacc ped/adol 3 dose im 0.00 0.00 0.00 0.00 XXX 90746 X Hep b vaccine, adult, im 0.00 0.00 0.00 0.00 XXX 90747 X Hepb vacc, ill pat 4 dose im 0.00 0.00 0.00 0.00 XXX 90748 E Hep b/hib vaccine, im 0.00 0.00 0.00 0.00 XXX 90749 E Vaccine toxoid 0.00 0.00 0.00 0.00 XXX 90780 A IV infusion therapy, 1 hour 0.00 NA 1.15 0.06 XXX 90781 A IV infusion, additional hour 0.00 NA 0.58 0.03 ZZZ 90782 T Injection, sc/im 0.00 NA 0.11 0.01 XXX 90783 T Injection, ia 0.00 NA 0.42 0.02 XXX 90784 T Injection, iv 0.00 NA 0.49 0.03 XXX 90788 T Injection of antibiotic 0.00 NA 0.12 0.01 XXX 90799 C Ther/prophylactic/dx inject 0.00 0.00 0.00 0.00 XXX 90801 A Psy dx interview 2.80 0.92 1.13 0.06 XXX 90802 A Intac psy dx interview 3.01 0.98 1.19 0.07 XXX 90804 A Psytx, office, 20-30 min 1.21 0.40 0.52 0.03 XXX 90805 A Psytx, off, 20-30 min w/e&m 1.37 0.44 0.58 0.03 XXX 90806 A Psytx, off, 45-50 min 1.86 0.63 0.76 0.04 XXX 90807 A Psytx, off, 45-50 min w/e&m 2.02 0.65 0.77 0.05 XXX 90808 A Psytx, office, 75-80 min 2.79 0.94 1.09 0.07 XXX 90809 A Psytx, off, 75-80, w/e&m 2.95 0.95 1.10 0.07 XXX 90810 A Intac psytx, off, 20-30 min 1.32 0.44 0.55 0.03 XXX 90811 A Intac psytx, 20-30, w/e&m 1.48 0.47 0.60 0.03 XXX Start Printed Page 43986 90812 A Intac psytx, off, 45-50 min 1.97 0.66 0.81 0.05 XXX 90813 A Intac psytx, 45-50 min w/e&m 2.13 0.68 0.84 0.05 XXX 90814 A Intac psytx, off, 75-80 min 2.90 1.01 1.16 0.07 XXX 90815 A Intac psytx, 75-80 w/e&m 3.06 0.98 1.19 0.07 XXX 90816 A Psytx, hosp, 20-30 min 1.25 0.43 0.57 0.03 XXX 90817 A Psytx, hosp, 20-30 min w/e&m 1.41 0.45 0.61 0.03 XXX 90818 A Psytx, hosp, 45-50 min 1.89 0.65 0.80 0.04 XXX 90819 A Psytx, hosp, 45-50 min w/e&m 2.05 0.65 0.82 0.05 XXX 90821 A Psytx, hosp, 75-80 min 2.83 0.96 1.12 0.06 XXX 90822 A Psytx, hosp, 75-80 min w/e&m 2.99 0.95 1.14 0.07 XXX 90823 A Intac psytx, hosp, 20-30 min 1.36 0.45 0.65 0.03 XXX 90824 A Intac psytx, hsp 20-30 w/e&m 1.52 0.48 0.68 0.03 XXX 90826 A Intac psytx, hosp, 45-50 min 2.01 0.68 0.89 0.04 XXX 90827 A Intac psytx, hsp 45-50 w/e&m 2.16 0.68 0.89 0.05 XXX 90828 A Intac psytx, hosp, 75-80 min 2.94 0.99 1.25 0.07 XXX 90829 A Intac psytx, hsp 75-80 w/e&m 3.10 0.98 1.20 0.07 XXX 90845 A Psychoanalysis 1.79 0.57 0.69 0.04 XXX 90846 R Family psytx w/o patient 1.83 0.62 0.75 0.04 XXX 90847 R Family psytx w/patient 2.21 0.74 0.86 0.05 XXX 90849 R Multiple family group psytx 0.59 0.20 0.33 0.01 XXX 90853 A Group psychotherapy 0.59 0.20 0.34 0.01 XXX 90857 A Intac group psytx 0.63 0.22 0.36 0.02 XXX 90862 A Medication management 0.95 0.30 0.43 0.02 XXX 90865 A Narcosynthesis 2.84 0.88 1.57 0.07 XXX 90870 A Electroconvulsive therapy 1.88 0.71 0.71 0.04 000 90871 A Electroconvulsive therapy 2.72 0.99 NA 0.06 000 90875 N Psychophysiological therapy 1.20 0.46 0.88 0.03 XXX 90876 N Psychophysiological therapy 1.90 0.73 1.16 0.04 XXX 90880 A Hypnotherapy 2.19 0.70 0.88 0.05 XXX 90882 N Environmental manipulation 0.00 0.00 0.00 0.00 XXX 90885 B Psy evaluation of records 0.97 0.37 0.37 0.02 XXX 90887 B Consultation with family 1.48 0.57 0.81 0.03 XXX 90889 B Preparation of report 0.00 0.00 0.00 0.00 XXX 90899 C Psychiatric service/therapy 0.00 0.00 0.00 0.00 XXX 90901 A Biofeedback train, any meth 0.41 0.19 0.82 0.02 000 90911 A Biofeedback peri/uro/rectal 0.89 0.39 0.88 0.04 000 90918 A ESRD related services, month 11.18 5.52 5.52 0.30 XXX 90919 A ESRD related services, month 8.54 4.48 4.48 0.24 XXX 90920 A ESRD related services, month 7.27 3.94 3.94 0.19 XXX 90921 A ESRD related services, month 4.47 2.87 2.87 0.12 XXX 90922 A ESRD related services, day 0.37 0.17 0.17 0.01 XXX 90923 A Esrd related services, day 0.28 0.14 0.14 0.01 XXX 90924 A Esrd related services, day 0.24 0.13 0.13 0.01 XXX 90925 A Esrd related services, day 0.15 0.10 0.10 0.01 XXX 90935 A Hemodialysis, one evaluation 1.22 0.83 NA 0.03 000 90937 A Hemodialysis, repeated eval 2.11 1.16 NA 0.06 000 90939 X Hemodialysis study, transcut 0.00 0.00 0.00 0.00 XXX 90940 X Hemodialysis access study 0.00 0.00 0.00 0.00 XXX 90945 A Dialysis, one evaluation 1.28 0.86 NA 0.04 000 90947 A Dialysis, repeated eval 2.16 1.19 NA 0.06 000 90989 X Dialysis training, complete 0.00 0.00 0.00 0.00 XXX 90993 X Dialysis training, incompl 0.00 0.00 0.00 0.00 XXX 90997 A Hemoperfusion 1.84 1.09 NA 0.05 000 90999 C Dialysis procedure 0.00 0.00 0.00 0.00 XXX 91000 A Esophageal intubation 0.73 NA 0.33 0.04 000 91000 26 A Esophageal intubation 0.73 0.25 0.25 0.03 000 91000 TC A Esophageal intubation 0.00 NA 0.08 0.01 000 91010 A Esophagus motility study 1.25 NA 2.75 0.10 000 91010 26 A Esophagus motility study 1.25 0.45 0.45 0.05 000 91010 TC A Esophagus motility study 0.00 NA 2.30 0.05 000 91011 A Esophagus motility study 1.50 NA 3.20 0.10 000 91011 26 A Esophagus motility study 1.50 0.54 0.54 0.05 000 91011 TC A Esophagus motility study 0.00 NA 2.66 0.05 000 91012 A Esophagus motility study 1.46 NA 3.28 0.12 000 91012 26 A Esophagus motility study 1.46 0.52 0.52 0.06 000 91012 TC A Esophagus motility study 0.00 NA 2.75 0.06 000 Start Printed Page 43987 91020 A Gastric motility 1.44 NA 2.97 0.11 000 91020 26 A Gastric motility 1.44 0.50 0.50 0.06 000 91020 TC A Gastric motility 0.00 NA 2.48 0.05 000 91030 A Acid perfusion of esophagus 0.91 NA 2.60 0.05 000 91030 26 A Acid perfusion of esophagus 0.91 0.33 0.33 0.03 000 91030 TC A Acid perfusion of esophagus 0.00 NA 2.27 0.02 000 91032 A Esophagus, acid reflux test 1.21 NA 2.42 0.10 000 91032 26 A Esophagus, acid reflux test 1.21 0.43 0.43 0.05 000 91032 TC A Esophagus, acid reflux test 0.00 NA 1.99 0.05 000 91033 A Prolonged acid reflux test 1.30 NA 2.64 0.14 000 91033 26 A Prolonged acid reflux test 1.30 0.47 0.47 0.05 000 91033 TC A Prolonged acid reflux test 0.00 NA 2.17 0.09 000 91052 A Gastric analysis test 0.79 NA 2.41 0.05 000 91052 26 A Gastric analysis test 0.79 0.28 0.28 0.03 000 91052 TC A Gastric analysis test 0.00 NA 2.12 0.02 000 91055 A Gastric intubation for smear 0.94 NA 2.45 0.06 000 91055 26 A Gastric intubation for smear 0.94 0.28 0.28 0.04 000 91055 TC A Gastric intubation for smear 0.00 NA 2.17 0.02 000 91060 A Gastric saline load test 0.45 NA 0.30 0.04 000 91060 26 A Gastric saline load test 0.45 0.15 0.15 0.02 000 91060 TC A Gastric saline load test 0.00 NA 0.15 0.02 000 91065 A Breath hydrogen test 0.20 NA 3.94 0.03 000 91065 26 A Breath hydrogen test 0.20 0.07 0.07 0.01 000 91065 TC A Breath hydrogen test 0.00 NA 3.87 0.02 000 91100 A Pass intestine bleeding tube 1.08 0.45 NA 0.06 000 91105 A Gastric intubation treatment 0.37 0.20 NA 0.02 000 91122 A Anal pressure record 1.77 NA 5.63 0.17 000 91122 26 A Anal pressure record 1.77 0.62 0.62 0.10 000 91122 TC A Anal pressure record 0.00 NA 5.01 0.07 000 91123 B Irrigate fecal impaction 0.00 0.00 0.00 0.00 XXX 91132 C Electrogastrography 0.00 0.00 0.00 0.00 XXX 91132 26 A Electrogastrography 0.52 NA 0.20 0.03 XXX 91132 TC C Electrogastrography 0.00 0.00 0.00 0.00 XXX 1133 C Electrogastrography w/test 0.00 0.00 0.00 0.00 XXX 91133 26 A Electrogastrography w/test 0.66 NA 0.26 0.03 XXX 91133 TC C Electrogastrography w/test 0.00 0.00 0.00 0.00 XXX 91299 C Gastroenterology procedure 0.00 0.00 0.00 0.00 XXX 91299 26 C Gastroenterology procedure 0.00 0.00 0.00 0.00 XXX 91299 TC C Gastroenterology procedure 0.00 0.00 0.00 0.00 XXX 92002 A Eye exam, new patient 0.88 0.35 0.97 0.02 XXX 92004 A Eye exam, new patient 1.67 0.70 1.70 0.03 XXX 92012 A Eye exam established pat 0.67 0.30 1.01 0.01 XXX 92014 A Eye exam & treatment 1.10 0.48 1.39 0.02 XXX 92015 N Refraction 0.38 0.15 1.53 0.01 XXX 92018 A New eye exam & treatment 2.50 1.12 NA 0.03 XXX 92019 A Eye exam & treatment 1.31 0.58 NA 0.03 XXX 92020 A Special eye evaluation 0.37 0.17 0.98 0.01 XXX 92060 A Special eye evaluation 0.69 NA 0.75 0.02 XXX 92060 26 A Special eye evaluation 0.69 0.30 0.30 0.01 XXX 92060 TC A Special eye evaluation 0.00 NA 0.45 0.01 XXX 92065 A Orthoptic/pleoptic training 0.37 NA 1.38 0.02 XXX 92065 26 A Orthoptic/pleoptic training 0.37 0.16 0.16 0.01 XXX 92065 TC A Orthoptic/pleoptic training 0.00 NA 1.22 0.01 XXX 92070 A Fitting of contact lens 0.70 0.33 1.15 0.01 XXX 92081 A Visual field examination(s) 0.36 NA 0.67 0.02 XXX 92081 26 A Visual field examination(s) 0.36 0.16 0.16 0.01 XXX 92081 TC A Visual field examination(s) 0.00 NA 0.51 0.01 XXX 92082 A Visual field examination(s) 0.44 NA 1.04 0.02 XXX 92082 26 A Visual field examination(s) 0.44 0.19 0.19 0.01 XXX 92082 TC A Visual field examination(s) 0.00 NA 0.85 0.01 XXX 92083 A Visual field examination(s) 0.50 NA 1.14 0.02 XXX 92083 26 A Visual field examination(s) 0.50 0.23 0.23 0.01 XXX 92083 TC A Visual field examination(s) 0.00 NA 0.92 0.01 XXX 92100 A Serial tonometry exam(s) 0.92 0.35 0.74 0.02 XXX 92120 A Tonography & eye evaluation 0.81 0.33 0.82 0.02 XXX 92130 A Water provocation tonography 0.81 0.38 0.93 0.02 XXX Start Printed Page 43988 92135 A Opthalmic dx imaging 0.35 NA 1.09 0.02 XXX 92135 26 A Opthalmic dx imaging 0.35 0.16 0.16 0.01 XXX 92135 TC A Opthalmic dx imaging 0.00 NA 0.93 0.01 XXX 92136 A Ophthalmic biometry 0.54 NA 2.00 0.07 XXX 92136 26 A Ophthalmic biometry 0.54 0.25 0.25 0.01 XXX 92136 TC A Ophthalmic biometry 0.00 NA 1.75 0.06 XXX 92140 A Glaucoma provocative tests 0.50 0.22 1.02 0.01 XXX 92225 A Special eye exam, initial 0.38 0.16 0.22 0.01 XXX 92226 A Special eye exam, subsequent 0.33 0.15 0.21 0.01 XXX 92230 A Eye exam with photos 0.60 0.20 1.79 0.02 XXX 92235 A Eye exam with photos 0.81 NA 2.75 0.07 XXX 92235 26 A Eye exam with photos 0.81 0.38 0.38 0.02 XXX 92235 TC A Eye exam with photos 0.00 NA 2.37 0.05 XXX 92240 A Icg angiography 1.10 NA 5.44 0.07 XXX 92240 26 A Icg angiography 1.10 0.51 0.51 0.02 XXX 92240 TC A Icg angiography 0.00 NA 4.93 0.05 XXX 92250 A Eye exam with photos 0.44 NA 1.58 0.02 XXX 92250 26 A Eye exam with photos 0.44 0.20 0.20 0.01 XXX 92250 TC A Eye exam with photos 0.00 NA 1.38 0.01 XXX 92260 A Ophthalmoscopy/dynamometry 0.20 0.09 0.25 0.01 XXX 92265 A Eye muscle evaluation 0.81 NA 1.83 0.04 XXX 92265 26 A Eye muscle evaluation 0.81 0.29 0.29 0.02 XXX 92265 TC A Eye muscle evaluation 0.00 NA 1.54 0.02 XXX 92270 A Electro-oculography 0.81 NA 1.70 0.05 XXX 92270 26 A Electro-oculography 0.81 0.35 0.35 0.03 XXX 92270 TC A Electro-oculography 0.00 NA 1.35 0.02 XXX 92275 A Electroretinography 1.01 NA 2.01 0.04 XXX 92275 26 A Electroretinography 1.01 0.44 0.44 0.02 XXX 92275 TC A Electroretinography 0.00 NA 1.57 0.02 XXX 92283 A Color vision examination 0.17 NA 0.95 0.02 XXX 92283 26 A Color vision examination 0.17 0.07 0.07 0.01 XXX 92283 TC A Color vision examination 0.00 NA 0.88 0.01 XXX 92284 A Dark adaptation eye exam 0.24 NA 2.38 0.02 XXX 92284 26 A Dark adaptation eye exam 0.24 0.09 0.09 0.01 XXX 92284 TC A Dark adaptation eye exam 0.00 NA 2.29 0.01 XXX 92285 A Eye photography 0.20 NA 0.90 0.02 XXX 92285 26 A Eye photography 0.20 0.09 0.09 0.01 XXX 92285 TC A Eye photography 0.00 NA 0.81 0.01 XXX 92286 A Internal eye photography 0.66 NA 3.07 0.03 XXX 92286 26 A Internal eye photography 0.66 0.30 0.30 0.01 XXX 92286 TC A Internal eye photography 0.00 NA 2.76 0.02 XXX 92287 A Internal eye photography 0.81 0.32 2.87 0.02 XXX 92310 N Contact lens fitting 1.17 0.45 1.10 0.03 XXX 92311 A Contact lens fitting 1.08 0.36 1.20 0.03 XXX 92312 A Contact lens fitting 1.26 0.51 1.18 0.03 XXX 92313 A Contact lens fitting 0.92 0.29 1.17 0.02 XXX 92314 N Prescription of contact lens 0.69 0.27 0.92 0.01 XXX 92315 A Prescription of contact lens 0.45 0.17 0.93 0.01 XXX 92316 A Prescription of contact lens 0.68 0.30 1.00 0.01 XXX 92317 A Prescription of contact lens 0.45 0.17 1.03 0.01 XXX 92325 A Modification of contact lens 0.00 NA 0.41 0.01 XXX 92326 A Replacement of contact lens 0.00 NA 1.69 0.05 XXX 92330 A Fitting of artificial eye 1.08 0.33 1.06 0.04 XXX 92335 A Fitting of artificial eye 0.45 0.17 0.99 0.01 XXX 92340 N Fitting of spectacles 0.37 0.14 0.69 0.01 XXX 92341 N Fitting of spectacles 0.47 0.18 0.72 0.01 XXX 92342 N Fitting of spectacles 0.53 0.20 0.75 0.01 XXX 92352 B Special spectacles fitting 0.37 0.14 0.69 0.01 XXX 92353 B Special spectacles fitting 0.50 0.19 0.74 0.02 XXX 92354 B Special spectacles fitting 0.00 NA 9.15 0.08 XXX 92355 B Special spectacles fitting 0.00 NA 4.48 0.01 XXX 92358 B Eye prosthesis service 0.00 NA 1.00 0.04 XXX 92370 N Repair & adjust spectacles 0.32 0.12 0.54 0.02 XXX 92371 B Repair & adjust spectacles 0.00 NA 0.64 0.02 XXX 92390 N Supply of spectacles 0.00 0.00 0.00 0.00 XXX 92391 N Supply of contact lenses 0.00 0.00 0.00 0.00 XXX Start Printed Page 43989 92392 I Supply of low vision aids 0.00 NA 4.18 0.02 XXX 92393 I Supply of artificial eye 0.00 NA 12.97 0.47 XXX 92395 I Supply of spectacles 0.00 NA 1.42 0.08 XXX 92396 I Supply of contact lenses 0.00 NA 2.38 0.06 XXX 92499 C Eye service or procedure 0.00 0.00 0.00 0.00 XXX 92499 26 C Eye service or procedure 0.00 0.00 0.00 0.00 XXX 92499 TC C Eye service or procedure 0.00 0.00 0.00 0.00 XXX 92502 A Ear and throat examination 1.51 1.24 NA 0.06 000 92504 A Ear microscopy examination 0.18 0.09 1.08 0.01 XXX 92506 A Speech/hearing evaluation 0.86 0.41 1.60 0.04 XXX 92507 A Speech/hearing therapy 0.52 0.24 1.50 0.02 XXX 92508 A Speech/hearing therapy 0.26 0.13 1.39 0.01 XXX 92510 A Rehab for ear implant 1.50 0.76 2.03 0.06 XXX 92511 A Nasopharyngoscopy 0.84 0.42 1.33 0.03 000 92512 A Nasal function studies 0.55 0.18 1.09 0.02 XXX 92516 A Facial nerve function test 0.43 0.22 0.93 0.02 XXX 92520 A Laryngeal function studies 0.76 0.40 0.55 0.03 XXX 92525 I Oral function evaluation 1.50 0.58 1.66 0.07 XXX 92526 A Oral function therapy 0.55 0.21 1.68 0.02 XXX 92531 B Spontaneous nystagmus study 0.00 0.00 0.00 0.00 XXX 92532 B Positional nystagmus test 0.00 0.00 0.00 0.00 XXX 92533 B Caloric vestibular test 0.00 0.00 0.00 0.00 XXX 92534 B Optokinetic nystagmus test 0.00 0.00 0.00 0.00 XXX 92541 A Spontaneous nystagmus test 0.40 NA 1.54 0.04 XXX 92541 26 A Spontaneous nystagmus test 0.40 0.20 0.20 0.02 XXX 92541 TC A Spontaneous nystagmus test 0.00 NA 1.35 0.02 XXX 92542 A Positional nystagmus test 0.33 NA 1.50 0.03 XXX 92542 26 A Positional nystagmus test 0.33 0.16 0.16 0.01 XXX 92542 TC A Positional nystagmus test 0.00 NA 1.34 0.02 XXX 92543 A Caloric vestibular test 0.10 NA 0.40 0.02 XXX 92543 26 A Caloric vestibular test 0.10 0.05 0.05 0.01 XXX 92543 TC A Caloric vestibular test 0.00 NA 0.36 0.01 XXX 92544 A Optokinetic nystagmus test 0.26 NA 1.44 0.03 XXX 92544 26 A Optokinetic nystagmus test 0.26 0.13 0.13 0.01 XXX 92544 TC A Optokinetic nystagmus test 0.00 NA 1.32 0.02 XXX 92545 A Oscillating tracking test 0.23 NA 1.43 0.03 XXX 92545 26 A Oscillating tracking test 0.23 0.11 0.11 0.01 XXX 92545 TC A Oscillating tracking test 0.00 NA 1.32 0.02 XXX 92546 A Sinusoidal rotational test 0.29 NA 2.71 0.03 XXX 92546 26 A Sinusoidal rotational test 0.29 0.14 0.14 0.01 XXX 92546 TC A Sinusoidal rotational test 0.00 NA 2.57 0.02 XXX 92547 A Supplemental electrical test 0.00 NA 1.27 0.05 ZZZ 92548 A Posturography 0.50 NA 3.70 0.13 XXX 92548 26 A Posturography 0.50 0.27 0.27 0.02 XXX 92548 TC A Posturography 0.00 NA 3.43 0.11 XXX 92551 N Pure tone hearing test, air 0.00 0.00 0.00 0.00 XXX 92552 A Pure tone audiometry, air 0.00 NA 0.46 0.03 XXX 92553 A Audiometry, air & bone 0.00 NA 0.68 0.05 XXX 92555 A Speech threshold audiometry 0.00 NA 0.39 0.03 XXX 92556 A Speech audiometry, complete 0.00 NA 0.59 0.05 XXX 92557 A Comprehensive hearing test 0.00 NA 1.23 0.10 XXX 92559 N Group audiometric testing 0.00 0.00 0.00 0.00 XXX 92560 N Bekesy audiometry, screen 0.00 0.00 0.00 0.00 XXX 92561 A Bekesy audiometry, diagnosis 0.00 NA 0.74 0.05 XXX 92562 A Loudness balance test 0.00 NA 0.42 0.03 XXX 92563 A Tone decay hearing test 0.00 NA 0.39 0.03 XXX 92564 A Sisi hearing test 0.00 NA 0.49 0.04 XXX 92565 A Stenger test, pure tone 0.00 NA 0.41 0.03 XXX 92567 A Tympanometry 0.00 NA 0.54 0.05 XXX 92568 A Acoustic reflex testing 0.00 NA 0.39 0.03 XXX 92569 A Acoustic reflex decay test 0.00 NA 0.42 0.03 XXX 92571 A Filtered speech hearing test 0.00 NA 0.40 0.03 XXX 92572 A Staggered spondaic word test 0.00 NA 0.09 0.01 XXX 92573 A Lombard test 0.00 NA 0.36 0.03 XXX 92575 A Sensorineural acuity test 0.00 NA 0.31 0.02 XXX 92576 A Synthetic sentence test 0.00 NA 0.46 0.04 XXX Start Printed Page 43990 92577 A Stenger test, speech 0.00 NA 0.74 0.06 XXX 92579 A Visual audiometry (vra) 0.00 NA 0.75 0.05 XXX 92582 A Conditioning play audiometry 0.00 NA 0.75 0.05 XXX 92583 A Select picture audiometry 0.00 NA 0.92 0.07 XXX 92584 A Electrocochleography 0.00 NA 2.56 0.17 XXX 92585 A Auditor evoke potent, compre 0.50 NA 2.13 0.14 XXX 92585 26 A Auditor evoke potent, compre 0.50 0.22 0.22 0.02 XXX 92585 TC A Auditor evoke potent, compre 0.00 NA 1.91 0.12 XXX 92586 A Auditor evoke potent, limit 0.00 NA 1.91 0.12 XXX 92587 A Evoked auditory test 0.13 NA 1.42 0.10 XXX 92587 26 A Evoked auditory test 0.13 0.07 0.07 0.01 XXX 92587 TC A Evoked auditory test 0.00 NA 1.35 0.09 XXX 92588 A Evoked auditory test 0.36 NA 1.69 0.12 XXX 92588 26 A Evoked auditory test 0.36 0.17 0.17 0.01 XXX 92588 TC A Evoked auditory test 0.00 NA 1.52 0.11 XXX 92589 A Auditory function test(s) 0.00 NA 0.55 0.05 XXX 92590 N Hearing aid exam, one ear 0.00 0.00 0.00 0.00 XXX 92591 N Hearing aid exam, both ears 0.00 0.00 0.00 0.00 XXX 92592 N Hearing aid check, one ear 0.00 0.00 0.00 0.00 XXX 92593 N Hearing aid check, both ears 0.00 0.00 0.00 0.00 XXX 92594 N Electro hearng aid test, one 0.00 0.00 0.00 0.00 XXX 92595 N Electro hearng aid tst, both 0.00 0.00 0.00 0.00 XXX 92596 A Ear protector evaluation 0.00 NA 0.61 0.05 XXX 92597 I Oral speech device eval 1.35 0.52 1.61 0.05 XXX 92598 I Modify oral speech device 0.99 0.38 0.80 0.04 XXX 92599 C ENT procedure/service 0.00 0.00 0.00 0.00 XXX 92599 26 C ENT procedure/service 0.00 0.00 0.00 0.00 XXX 92599 TC C ENT procedure/service 0.00 0.00 0.00 0.00 XXX 92950 A Heart/lung resuscitation cpr 3.80 1.16 1.44 0.21 000 92953 A Temporary external pacing 0.23 0.23 NA 0.01 000 92960 A Cardioversion electric, ext 2.25 0.86 2.18 0.08 000 92961 A Cardioversion, electric, int 4.60 1.78 NA 0.17 000 92970 A Cardioassist, internal 3.52 1.10 NA 0.17 000 92971 A Cardioassist, external 1.77 0.86 NA 0.06 000 92973 A Percut coronary thrombectomy 3.28 1.31 NA 0.17 ZZZ 92974 A Cath place, cardio brachytx 3.00 1.21 NA 1.18 ZZZ 92975 A Dissolve clot, heart vessel 7.25 2.90 NA 0.22 000 92977 A Dissolve clot, heart vessel 0.00 NA 8.32 0.38 XXX 92978 A Intravasc us, heart add-on 1.80 NA 5.45 0.26 ZZZ 92978 26 A Intravasc us, heart add-on 1.80 0.73 0.73 0.06 ZZZ 92978 TC A Intravasc us, heart add-on 0.00 NA 4.72 0.20 ZZZ 92979 A Intravasc us, heart add-on 1.44 NA 2.95 0.15 ZZZ 92979 26 A Intravasc us, heart add-on 1.44 0.58 0.58 0.04 ZZZ 92979 TC A Intravasc us, heart add-on 0.00 NA 2.37 0.11 ZZZ 92980 A Insert intracoronary stent 14.84 6.00 NA 0.78 000 92981 A Insert intracoronary stent 4.17 1.69 NA 0.21 ZZZ 92982 A Coronary artery dilation 10.98 4.43 NA 0.57 000 92984 A Coronary artery dilation 2.97 1.20 NA 0.16 ZZZ 92986 A Revision of aortic valve 21.80 10.19 NA 1.14 090 92987 A Revision of mitral valve 22.70 10.57 NA 1.18 090 92990 A Revision of pulmonary valve 17.34 8.15 NA 0.90 090 92992 C Revision of heart chamber 0.00 0.00 0.00 0.00 090 92993 C Revision of heart chamber 0.00 0.00 0.00 0.00 090 92995 A Coronary atherectomy 12.09 4.88 NA 0.63 000 92996 A Coronary atherectomy add-on 3.26 1.31 NA 0.17 ZZZ 92997 A Pul art balloon repr, percut 12.00 4.73 NA 0.63 000 92998 A Pul art balloon repr, percut 6.00 2.26 NA 0.31 ZZZ 93000 A Electrocardiogram, complete 0.17 NA 0.53 0.03 XXX 93005 A Electrocardiogram, tracing 0.00 NA 0.47 0.02 XXX 93010 A Electrocardiogram report 0.17 0.06 0.06 0.01 XXX 93012 A Transmission of ecg 0.00 NA 2.44 0.15 XXX 93014 A Report on transmitted ecg 0.52 0.19 0.19 0.02 XXX 93015 A Cardiovascular stress test 0.75 NA 2.03 0.11 XXX 93016 A Cardiovascular stress test 0.45 0.18 0.18 0.01 XXX 93017 A Cardiovascular stress test 0.00 NA 1.74 0.09 XXX 93018 A Cardiovascular stress test 0.30 0.12 0.12 0.01 XXX Start Printed Page 43991 93024 A Cardiac drug stress test 1.17 NA 1.62 0.11 XXX 93024 26 A Cardiac drug stress test 1.17 0.46 0.46 0.04 XXX 93024 TC A Cardiac drug stress test 0.00 NA 1.16 0.07 XXX 93025 A Microvolt t-wave assess 0.75 NA 7.71 0.11 XXX 93025 26 A Microvolt t-wave assess 0.75 NA 0.31 0.02 XXX 93025 TC A Microvolt t-wave assess 0.00 NA 7.40 0.09 XXX 93040 A Rhythm ECG with report 0.16 NA 0.38 0.02 XXX 93041 A Rhythm ECG, tracing 0.00 NA 0.15 0.01 XXX 93042 A Rhythm ECG, report 0.16 0.05 0.05 0.01 XXX 93224 A ECG monitor/report, 24 hrs 0.52 NA 3.74 0.21 XXX 93225 A ECG monitor/record, 24 hrs 0.00 NA 1.28 0.07 XXX 93226 A ECG monitor/report, 24 hrs 0.00 NA 2.26 0.12 XXX 93227 A ECG monitor/review, 24 hrs 0.52 0.20 0.20 0.02 XXX 93230 A ECG monitor/report, 24 hrs 0.52 NA 4.02 0.22 XXX 93231 A Ecg monitor/record, 24 hrs 0.00 NA 1.57 0.09 XXX 93232 A ECG monitor/report, 24 hrs 0.00 NA 2.25 0.11 XXX 93233 A ECG monitor/review, 24 hrs 0.52 0.20 0.20 0.02 XXX 93235 A ECG monitor/report, 24 hrs 0.45 NA 2.88 0.13 XXX 93236 A ECG monitor/report, 24 hrs 0.00 NA 2.71 0.12 XXX 93237 A ECG monitor/review, 24 hrs 0.45 0.17 0.17 0.01 XXX 93268 A ECG record/review 0.52 NA 3.91 0.24 XXX 93270 A ECG recording 0.00 NA 1.28 0.07 XXX 93271 A Ecg/monitoring and analysis 0.00 NA 2.44 0.15 XXX 93272 A Ecg/review, interpret only 0.52 0.19 0.19 0.02 XXX 93278 A ECG/signal-averaged 0.25 NA 1.29 0.10 XXX 93278 26 A ECG/signal-averaged 0.25 0.10 0.10 0.01 XXX 93278 TC A ECG/signal-averaged 0.00 NA 1.19 0.09 XXX 93303 A Echo transthoracic 1.30 NA 4.48 0.23 XXX 93303 26 A Echo transthoracic 1.30 0.49 0.49 0.04 XXX 93303 TC A Echo transthoracic 0.00 NA 3.99 0.19 XXX 93304 A Echo transthoracic 0.75 NA 2.30 0.13 XXX 93304 26 A Echo transthoracic 0.75 0.29 0.29 0.02 XXX 93304 TC A Echo transthoracic 0.00 NA 2.01 0.11 XXX 93307 A Echo exam of heart 0.92 NA 4.35 0.22 XXX 93307 26 A Echo exam of heart 0.92 0.36 0.36 0.03 XXX 93307 TC A Echo exam of heart 0.00 NA 3.99 0.19 XXX 93308 A Echo exam of heart 0.53 NA 2.22 0.13 XXX 93308 26 A Echo exam of heart 0.53 0.21 0.21 0.02 XXX 93308 TC A Echo exam of heart 0.00 NA 2.01 0.11 XXX 93312 A Echo transesophageal 2.20 NA 4.72 0.32 XXX 93312 26 A Echo transesophageal 2.20 0.81 0.81 0.08 XXX 93312 TC A Echo transesophageal 0.00 NA 3.91 0.24 XXX 93313 A Echo transesophageal 0.95 0.22 5.00 0.05 XXX 93314 A Echo transesophageal 1.25 NA 4.39 0.28 XXX 93314 26 A Echo transesophageal 1.25 0.48 0.48 0.04 XXX 93314 TC A Echo transesophageal 0.00 NA 3.91 0.24 XXX 93315 A Echo transesophageal 2.78 NA 4.95 0.34 XXX 93315 26 A Echo transesophageal 2.78 1.04 1.04 0.10 XXX 93315 TC A Echo transesophageal 0.00 NA 3.91 0.24 XXX 93316 A Echo transesophageal 0.95 0.24 5.51 0.05 XXX 93317 A Echo transesophageal 1.83 NA 4.59 0.30 XXX 93317 26 A Echo transesophageal 1.83 0.69 0.69 0.06 XXX 93317 TC A Echo transesophageal 0.00 NA 3.91 0.24 XXX 93318 C Echo transesophageal intraop 0.00 0.00 0.00 0.00 XXX 93318 26 A Echo transesophageal intraop 2.20 NA 0.85 0.06 XXX 93318 TC C Echo transesophageal intraop 0.00 0.00 0.00 0.00 XXX 93320 A Doppler echo exam, heart 0.38 NA 1.92 0.11 ZZZ 93320 26 A Doppler echo exam, heart 0.38 0.15 0.15 0.01 ZZZ 93320 TC A Doppler echo exam, heart 0.00 NA 1.77 0.10 ZZZ 93321 A Doppler echo exam, heart 0.15 NA 1.21 0.08 ZZZ 93321 26 A Doppler echo exam, heart 0.15 0.06 0.06 0.01 ZZZ 93321 TC A Doppler echo exam, heart 0.00 NA 1.15 0.07 ZZZ 93325 A Doppler color flow add-on 0.07 NA 3.03 0.18 ZZZ 93325 26 A Doppler color flow add-on 0.07 0.03 0.03 0.01 ZZZ 93325 TC A Doppler color flow add-on 0.00 NA 3.00 0.17 ZZZ 93350 A Echo transthoracic 1.48 NA 2.40 0.13 XXX Start Printed Page 43992 93350 26 A Echo transthoracic 1.48 0.59 0.59 0.02 XXX 93350 TC A Echo transthoracic 0.00 NA 1.82 0.11 XXX 93501 A Right heart catheterization 3.02 NA 16.72 1.03 000 93501 26 A Right heart catheterization 3.02 1.19 1.19 0.16 000 93501 TC A Right heart catheterization 0.00 NA 15.53 0.87 000 93503 A Insert/place heart catheter 2.91 0.71 NA 0.16 000 93505 A Biopsy of heart lining 4.38 NA 3.55 0.36 000 93505 26 A Biopsy of heart lining 4.38 1.73 1.73 0.23 000 93505 TC A Biopsy of heart lining 0.00 NA 1.82 0.13 000 93508 A Cath placement, angiography 4.10 NA 13.24 0.75 000 93508 26 A Cath placement, angiography 4.10 1.65 1.65 0.21 000 93508 TC A Cath placement, angiography 0.00 NA 11.59 0.54 000 93510 A Left heart catheterization 4.33 NA 35.70 2.13 000 93510 26 A Left heart catheterization 4.33 1.75 1.75 0.22 000 93510 TC A Left heart catheterization 0.00 NA 33.95 1.91 000 93511 A Left heart catheterization 5.03 NA 35.08 2.11 000 93511 26 A Left heart catheterization 5.03 2.03 2.03 0.26 000 93511 TC A Left heart catheterization 0.00 NA 33.05 1.85 000 93514 A Left heart catheterization 7.05 NA 35.82 2.22 000 93514 26 A Left heart catheterization 7.05 2.77 2.77 0.37 000 93514 TC A Left heart catheterization 0.00 NA 33.05 1.85 000 93524 A Left heart catheterization 6.95 NA 45.98 2.79 000 93524 26 A Left heart catheterization 6.95 2.79 2.79 0.36 000 93524 TC A Left heart catheterization 0.00 NA 43.19 2.43 000 93526 A Rt & Lt heart catheters 5.99 NA 46.79 2.81 000 93526 26 A Rt & Lt heart catheters 5.99 2.41 2.41 0.31 000 93526 TC A Rt & Lt heart catheters 0.00 NA 44.37 2.50 000 93527 A Rt & Lt heart catheters 7.28 NA 46.12 2.81 000 93527 26 A Rt & Lt heart catheters 7.28 2.93 2.93 0.38 000 93527 TC A Rt & Lt heart catheters 0.00 NA 43.19 2.43 000 93528 A Rt & Lt heart catheters 9.00 NA 46.85 2.90 000 93528 26 A Rt & Lt heart catheters 9.00 3.66 3.66 0.47 000 93528 TC A Rt & Lt heart catheters 0.00 NA 43.19 2.43 000 93529 A Rt< heart catheterization 4.80 NA 45.08 2.68 000 93529 26 A Rt< heart catheterization 4.80 1.89 1.89 0.25 000 93529 TC A Rt< heart catheterization 0.00 NA 43.19 2.43 000 93530 A Rt heart cath, congenital 4.23 NA 17.10 1.11 000 93530 26 A Rt heart cath, congenital 4.23 1.56 1.56 0.24 000 93530 TC A Rt heart cath, congenital 0.00 NA 15.53 0.87 000 93531 A R & l heart cath, congenital 8.35 NA 47.64 2.96 000 93531 26 A R & l heart cath, congenital 8.35 3.27 3.27 0.46 000 93531 TC A R & l heart cath, congenital 0.00 NA 44.37 2.50 000 93532 A R & l heart cath, congenital 10.00 NA 47.11 2.95 000 93532 26 A R & l heart cath, congenital 10.00 3.92 3.92 0.52 000 93532 TC A R & l heart cath, congenital 0.00 NA 43.19 2.43 000 93533 A R & l heart cath, congenital 6.70 NA 45.65 2.86 000 93533 26 A R & l heart cath, congenital 6.70 2.46 2.46 0.43 000 93533 TC A R & l heart cath, congenital 0.00 NA 43.19 2.43 000 93536 D Insert circulation assi 4.85 1.87 NA 0.27 000 93539 A Injection, cardiac cath 0.40 0.16 0.84 0.01 000 93540 A Injection, cardiac cath 0.43 0.17 0.85 0.01 000 93541 A Injection for lung angiogram 0.29 0.12 NA 0.01 000 93542 A Injection for heart x-rays 0.29 0.12 NA 0.01 000 93543 A Injection for heart x-rays 0.29 0.12 0.54 0.01 000 93544 A Injection for aortography 0.25 0.10 0.53 0.01 000 93545 A Inject for coronary x-rays 0.40 0.16 0.84 0.01 000 93555 A Imaging, cardiac cath 0.81 NA 6.09 0.31 XXX 93555 26 A Imaging, cardiac cath 0.81 0.33 0.33 0.03 XXX 93555 TC A Imaging, cardiac cath 0.00 NA 5.76 0.28 XXX 93556 A Imaging, cardiac cath 0.83 NA 9.43 0.45 XXX 93556 26 A Imaging, cardiac cath 0.83 0.33 0.33 0.03 XXX 93556 TC A Imaging, cardiac cath 0.00 NA 9.09 0.42 XXX 93561 A Cardiac output measurement 0.50 NA 0.66 0.07 000 93561 26 A Cardiac output measurement 0.50 0.16 0.16 0.02 000 93561 TC A Cardiac output measurement 0.00 NA 0.50 0.05 000 93562 A Cardiac output measurement 0.16 NA 0.33 0.04 000 Start Printed Page 43993 93562 26 A Cardiac output measurement 0.16 0.05 0.05 0.01 000 93562 TC A Cardiac output measurement 0.00 NA 0.28 0.03 000 93571 A Heart flow reserve measure 1.80 NA 5.42 0.31 ZZZ 93571 26 A Heart flow reserve measure 1.80 0.70 0.70 0.11 ZZZ 93571 TC A Heart flow reserve measure 0.00 NA 4.72 0.20 ZZZ 93572 A Heart flow reserve measure 1.44 NA 2.87 0.28 ZZZ 93572 26 A Heart flow reserve measure 1.44 0.50 0.50 0.17 ZZZ 93572 TC A Heart flow reserve measure 0.00 NA 2.37 0.11 ZZZ 93600 A Bundle of His recording 2.12 NA 2.87 0.22 000 93600 26 A Bundle of His recording 2.12 0.86 0.86 0.11 000 93600 TC A Bundle of His recording 0.00 NA 2.02 0.11 000 93602 A Intra-atrial recording 2.12 NA 1.99 0.18 000 93602 26 A Intra-atrial recording 2.12 0.85 0.85 0.12 000 93602 TC A Intra-atrial recording 0.00 NA 1.15 0.06 000 93603 A Right ventricular recording 2.12 NA 2.57 0.20 000 93603 26 A Right ventricular recording 2.12 0.84 0.84 0.11 000 93603 TC A Right ventricular recording 0.00 NA 1.74 0.09 000 93607 D Left ventricular recording 3.26 NA 1.32 0.26 000 93607 26 D Left ventricular recording 3.26 1.32 1.32 0.17 000 93607 TC D Left ventricular recording 0.00 NA NA 0.09 000 93609 A Map tachycardia, add-on 4.81 NA 4.74 0.66 ZZZ 93609 26 A Map tachycardia, add-on 4.81 1.93 1.93 0.52 ZZZ 93609 TC A Map tachycardia, add-on 0.00 NA 2.81 0.14 ZZZ 93610 A Intra-atrial pacing 3.02 NA 2.59 0.25 000 93610 26 A Intra-atrial pacing 3.02 1.19 1.19 0.17 000 93610 TC A Intra-atrial pacing 0.00 NA 1.40 0.08 000 93612 A Intraventricular pacing 3.02 NA 2.86 0.26 000 93612 26 A Intraventricular pacing 3.02 1.19 1.19 0.17 000 93612 TC A Intraventricular pacing 0.00 NA 1.67 0.09 000 93613 C Electrophys map, 3d, add-on 0.00 0.00 0.00 0.00 ZZZ 93615 A Esophageal recording 0.99 NA 0.61 0.05 000 93615 26 A Esophageal recording 0.99 0.28 0.28 0.03 000 93615 TC A Esophageal recording 0.00 NA 0.33 0.02 000 93616 A Esophageal recording 1.49 NA 0.77 0.08 000 93616 26 A Esophageal recording 1.49 0.44 0.44 0.06 000 93616 TC A Esophageal recording 0.00 NA 0.33 0.02 000 93618 A Heart rhythm pacing 4.26 NA 5.82 0.42 000 93618 26 A Heart rhythm pacing 4.26 1.72 1.72 0.22 000 93618 TC A Heart rhythm pacing 0.00 NA 4.10 0.20 000 93619 A Electrophysiology evaluation 7.32 NA 10.90 0.77 000 93619 26 A Electrophysiology evaluation 7.32 2.93 2.93 0.38 000 93619 TC A Electrophysiology evaluation 0.00 NA 7.96 0.39 000 93620 A Electrophysiology evaluation 11.59 NA 13.91 1.04 000 93620 26 A Electrophysiology evaluation 11.59 4.65 4.65 0.60 000 93620 TC A Electrophysiology evaluation 0.00 NA 9.26 0.44 000 93621 C Electrophysiology evaluation 0.00 0.00 0.00 0.00 ZZZ 93621 26 A Electrophysiology evaluation 2.10 0.84 0.84 0.15 ZZZ 93621 TC C Electrophysiology evaluation 0.00 0.00 0.00 0.00 ZZZ 93622 C Electrophysiology evaluation 0.00 0.00 0.00 0.00 ZZZ 93622 26 A Electrophysiology evaluation 3.10 1.24 1.24 0.67 ZZZ 93622 TC C Electrophysiology evaluation 0.00 0.00 0.00 0.00 ZZZ 93623 C Stimulation, pacing heart 0.00 0.00 0.00 0.00 ZZZ 93623 26 A Stimulation, pacing heart 2.85 1.14 1.14 0.15 ZZZ 93623 TC C Stimulation, pacing heart 0.00 0.00 0.00 0.00 ZZZ 93624 A Electrophysiologic study 4.81 NA 3.97 0.36 000 93624 26 A Electrophysiologic study 4.81 1.92 1.92 0.25 000 93624 TC A Electrophysiologic study 0.00 NA 2.05 0.11 000 93631 A Heart pacing, mapping 7.60 NA 9.18 1.17 000 93631 26 A Heart pacing, mapping 7.60 2.82 2.82 0.66 000 93631 TC A Heart pacing, mapping 0.00 NA 6.35 0.51 000 93640 A Evaluation heart device 3.52 NA 8.82 0.53 000 93640 26 A Evaluation heart device 3.52 1.41 1.41 0.18 000 93640 TC A Evaluation heart device 0.00 NA 7.41 0.35 000 93641 A Electrophysiology evaluation 5.93 NA 9.80 0.66 000 93641 26 A Electrophysiology evaluation 5.93 2.38 2.38 0.31 000 93641 TC A Electrophysiology evaluation 0.00 NA 7.41 0.35 000 Start Printed Page 43994 93642 A Electrophysiology evaluation 4.89 NA 9.36 0.51 000 93642 26 A Electrophysiology evaluation 4.89 1.94 1.94 0.16 000 93642 TC A Electrophysiology evaluation 0.00 NA 7.41 0.35 000 93650 A Ablate heart dysrhythm focus 10.51 4.22 NA 0.55 000 93651 A Ablate heart dysrhythm focus 16.25 6.53 NA 0.85 000 93652 A Ablate heart dysrhythm focus 17.68 7.10 NA 0.92 000 93660 A Tilt table evaluation 1.89 NA 2.50 0.08 000 93660 26 A Tilt table evaluation 1.89 0.76 0.76 0.06 000 93660 TC A Tilt table evaluation 0.00 NA 1.74 0.02 000 93662 C Intracardiac ecg (ice) 0.00 0.00 0.00 0.00 ZZZ 93662 26 A Intracardiac ecg (ice) 2.80 1.14 1.14 0.41 ZZZ 93662 TC C Intracardiac ecg (ice) 0.00 0.00 0.00 0.00 ZZZ 93668 N Peripheral vascular rehab 0.00 0.00 0.00 0.00 XXX 93701 A Bioimpedance, thoracic 0.17 NA 0.79 0.02 XXX 93701 26 A Bioimpedance, thoracic 0.17 0.06 0.06 0.01 XXX 93701 TC A Bioimpedance, thoracic 0.00 NA 0.73 0.01 XXX 93720 A Total body plethysmography 0.17 NA 1.09 0.06 XXX 93721 A Plethysmography tracing 0.00 NA 0.73 0.05 XXX 93722 A Plethysmography report 0.17 0.05 0.05 0.01 XXX 93724 A Analyze pacemaker system 4.89 NA 6.07 0.38 000 93724 26 A Analyze pacemaker system 4.89 1.97 1.97 0.18 000 93724 TC A Analyze pacemaker system 0.00 NA 4.10 0.20 000 93727 A Analyze ilr system 0.52 0.19 0.19 0.05 XXX 93731 A Analyze pacemaker system 0.45 NA 0.69 0.05 XXX 93731 26 A Analyze pacemaker system 0.45 0.18 0.18 0.02 XXX 93731 TC A Analyze pacemaker system 0.00 NA 0.51 0.03 XXX 93732 A Analyze pacemaker system 0.92 NA 0.89 0.06 XXX 93732 26 A Analyze pacemaker system 0.92 0.36 0.36 0.03 XXX 93732 TC A Analyze pacemaker system 0.00 NA 0.53 0.03 XXX 93733 A Telephone analy, pacemaker 0.17 NA 0.82 0.06 XXX 93733 26 A Telephone analy, pacemaker 0.17 0.07 0.07 0.01 XXX 93733 TC A Telephone analy, pacemaker 0.00 NA 0.75 0.05 XXX 93734 A Analyze pacemaker system 0.38 NA 0.51 0.03 XXX 93734 26 A Analyze pacemaker system 0.38 0.15 0.15 0.01 XXX 93734 TC A Analyze pacemaker system 0.00 NA 0.36 0.02 XXX 93735 A Analyze pacemaker system 0.74 NA 0.75 0.06 XXX 93735 26 A Analyze pacemaker system 0.74 0.29 0.29 0.03 XXX 93735 TC A Analyze pacemaker system 0.00 NA 0.46 0.03 XXX 93736 A Telephone analy, pacemaker 0.15 NA 0.71 0.06 XXX 93736 26 A Telephone analy, pacemaker 0.15 0.06 0.06 0.01 XXX 93736 TC A Telephone analy, pacemaker 0.00 NA 0.65 0.05 XXX 93737 D Analyze cardio/defibrillator 0.45 NA 0.71 0.04 XXX 93737 26 D Analyze cardio/defibrillator 0.45 0.17 0.17 0.01 XXX 93737 TC D Analyze cardio/defibrillator 0.00 NA 0.54 0.03 XXX 93738 D Analyze cardio/defibrillator 0.92 NA 0.96 0.06 XXX 93738 26 D Analyze cardio/defibrillator 0.92 0.36 0.36 0.03 XXX 93738 TC D Analyze cardio/defibrillator 0.00 NA 0.60 0.03 XXX 93740 B Temperature gradient studies 0.16 NA 0.22 0.02 XXX 93740 26 B Temperature gradient studies 0.16 0.06 0.06 0.01 XXX 93740 TC B Temperature gradient studies 0.00 NA 0.16 0.01 XXX 93741 A Analyze ht pace device sngl 0.80 NA 1.01 0.05 XXX 93741 26 A Analyze ht pace device sngl 0.80 0.32 0.32 0.02 XXX 93741 TC A Analyze ht pace device sngl 0.00 NA 0.69 0.03 XXX 93742 A Analyze ht pace device sngl 0.91 NA 1.06 0.05 XXX 93742 26 A Analyze ht pace device sngl 0.91 0.37 0.37 0.02 XXX 93742 TC A Analyze ht pace device sngl 0.00 NA 0.69 0.03 XXX 93743 A Analyze ht pace device dual 1.03 NA 1.17 0.06 XXX 93743 26 A Analyze ht pace device dual 1.03 0.41 0.41 0.03 XXX 93743 TC A Analyze ht pace device dual 0.00 NA 0.76 0.03 XXX 93744 A Analyze ht pace device dual 1.18 NA 1.16 0.06 XXX 93744 26 A Analyze ht pace device dual 1.18 0.47 0.47 0.03 XXX 93744 TC A Analyze ht pace device dual 0.00 NA 0.69 0.03 XXX 93760 N Cephalic thermogram 0.00 0.00 0.00 0.00 XXX 93762 N Peripheral thermogram 0.00 0.00 0.00 0.00 XXX 93770 B Measure venous pressure 0.16 NA 0.09 0.02 XXX 93770 26 B Measure venous pressure 0.16 0.06 0.06 0.01 XXX Start Printed Page 43995 93770 TC B Measure venous pressure 0.00 NA 0.03 0.01 XXX 93784 A Ambulatory BP monitoring 0.17 NA 1.06 0.02 XXX 93786 A Ambulatory BP recording 0.00 NA 1.00 0.01 XXX 93788 N Ambulatory BP analysis 0.00 0.00 0.00 0.00 XXX 93790 A Review/report BP recording 0.17 0.06 0.06 0.01 XXX 93797 A Cardiac rehab 0.18 0.07 0.34 0.01 000 93798 A Cardiac rehab/monitor 0.28 0.11 0.44 0.01 000 93799 C Cardiovascular procedure 0.00 0.00 0.00 0.00 XXX 93799 26 C Cardiovascular procedure 0.00 0.00 0.00 0.00 XXX 93799 TC C Cardiovascular procedure 0.00 0.00 0.00 0.00 XXX 93875 A Extracranial study 0.22 NA 1.71 0.10 XXX 93875 26 A Extracranial study 0.22 0.08 0.08 0.01 XXX 93875 TC A Extracranial study 0.00 NA 1.63 0.09 XXX 93880 A Extracranial study 0.60 NA 4.60 0.33 XXX 93880 26 A Extracranial study 0.60 0.21 0.21 0.04 XXX 93880 TC A Extracranial study 0.00 NA 4.39 0.29 XXX 93882 A Extracranial study 0.40 NA 3.24 0.22 XXX 93882 26 A Extracranial study 0.40 0.14 0.14 0.04 XXX 93882 TC A Extracranial study 0.00 NA 3.10 0.18 XXX 93886 A Intracranial study 0.94 NA 5.01 0.37 XXX 93886 26 A Intracranial study 0.94 0.38 0.38 0.05 XXX 93886 TC A Intracranial study 0.00 NA 4.63 0.32 XXX 93888 A Intracranial study 0.62 NA 3.44 0.26 XXX 93888 26 A Intracranial study 0.62 0.23 0.23 0.04 XXX 93888 TC A Intracranial study 0.00 NA 3.21 0.22 XXX 93922 A Extremity study 0.25 NA 2.38 0.13 XXX 93922 26 A Extremity study 0.25 0.09 0.09 0.02 XXX 93922 TC A Extremity study 0.00 NA 2.29 0.11 XXX 93923 A Extremity study 0.45 NA 2.89 0.22 XXX 93923 26 A Extremity study 0.45 0.16 0.16 0.04 XXX 93923 TC A Extremity study 0.00 NA 2.74 0.18 XXX 93924 A Extremity study 0.50 NA 4.07 0.26 XXX 93924 26 A Extremity study 0.50 0.17 0.17 0.05 XXX 93924 TC A Extremity study 0.00 NA 3.90 0.21 XXX 93925 A Lower extremity study 0.58 NA 4.53 0.33 XXX 93925 26 A Lower extremity study 0.58 0.20 0.20 0.04 XXX 93925 TC A Lower extremity study 0.00 NA 4.33 0.29 XXX 93926 A Lower extremity study 0.39 NA 3.36 0.22 XXX 93926 26 A Lower extremity study 0.39 0.13 0.13 0.03 XXX 93926 TC A Lower extremity study 0.00 NA 3.22 0.19 XXX 93930 A Upper extremity study 0.46 NA 4.50 0.34 XXX 93930 26 A Upper extremity study 0.46 0.16 0.16 0.03 XXX 93930 TC A Upper extremity study 0.00 NA 4.34 0.31 XXX 93931 A Upper extremity study 0.31 NA 3.29 0.22 XXX 93931 26 A Upper extremity study 0.31 0.11 0.11 0.02 XXX 93931 TC A Upper extremity study 0.00 NA 3.18 0.20 XXX 93965 A Extremity study 0.35 NA 1.99 0.12 XXX 93965 26 A Extremity study 0.35 0.12 0.12 0.02 XXX 93965 TC A Extremity study 0.00 NA 1.86 0.10 XXX 93970 A Extremity study 0.68 NA 4.69 0.38 XXX 93970 26 A Extremity study 0.68 0.24 0.24 0.05 XXX 93970 TC A Extremity study 0.00 NA 4.45 0.33 XXX 93971 A Extremity study 0.45 NA 3.74 0.25 XXX 93971 26 A Extremity study 0.45 0.15 0.15 0.03 XXX 93971 TC A Extremity study 0.00 NA 3.59 0.22 XXX 93975 A Vascular study 1.80 NA 6.37 0.47 XXX 93975 26 A Vascular study 1.80 0.62 0.62 0.11 XXX 93975 TC A Vascular study 0.00 NA 5.75 0.36 XXX 93976 A Vascular study 1.21 NA 4.67 0.31 XXX 93976 26 A Vascular study 1.21 0.41 0.41 0.06 XXX 93976 TC A Vascular study 0.00 NA 4.26 0.25 XXX 93978 A Vascular study 0.65 NA 4.39 0.36 XXX 93978 26 A Vascular study 0.65 0.23 0.23 0.05 XXX 93978 TC A Vascular study 0.00 NA 4.17 0.31 XXX 93979 A Vascular study 0.44 NA 3.15 0.24 XXX 93979 26 A Vascular study 0.44 0.16 0.16 0.04 XXX Start Printed Page 43996 93979 TC A Vascular study 0.00 NA 2.99 0.20 XXX 93980 A Penile vascular study 1.25 NA 4.76 0.35 XXX 93980 26 A Penile vascular study 1.25 0.42 0.42 0.07 XXX 93980 TC A Penile vascular study 0.00 NA 4.34 0.28 XXX 93981 A Penile vascular study 0.44 NA 4.69 0.28 XXX 93981 26 A Penile vascular study 0.44 0.15 0.15 0.02 XXX 93981 TC A Penile vascular study 0.00 NA 4.54 0.26 XXX 93990 A Doppler flow testing 0.25 NA 3.18 0.21 XXX 93990 26 A Doppler flow testing 0.25 0.09 0.09 0.02 XXX 93990 TC A Doppler flow testing 0.00 NA 3.09 0.19 XXX 94010 A Breathing capacity test 0.17 NA 0.85 0.03 XXX 94010 26 A Breathing capacity test 0.17 0.05 0.05 0.01 XXX 94010 TC A Breathing capacity test 0.00 NA 0.79 0.02 XXX 94014 A Patient recorded spirometry 0.52 NA 0.17 0.03 XXX 94015 A Patient recorded spirometry 0.00 NA 0.00 0.01 XXX 94016 A Review patient spirometry 0.52 0.17 0.17 0.02 XXX 94060 A Evaluation of wheezing 0.31 NA 1.47 0.06 XXX 94060 26 A Evaluation of wheezing 0.31 0.10 0.10 0.01 XXX 94060 TC A Evaluation of wheezing 0.00 NA 1.37 0.05 XXX 94070 A Evaluation of wheezing 0.60 NA 4.10 0.10 XXX 94070 26 A Evaluation of wheezing 0.60 0.19 0.19 0.02 XXX 94070 TC A Evaluation of wheezing 0.00 NA 3.92 0.08 XXX 94150 B Vital capacity test 0.07 NA 0.64 0.02 XXX 94150 26 B Vital capacity test 0.07 0.03 0.03 0.01 XXX 94150 TC B Vital capacity test 0.00 NA 0.61 0.01 XXX 94200 A Lung function test (MBC/MVV) 0.11 NA 0.61 0.03 XXX 94200 26 A Lung function test (MBC/MVV) 0.11 0.03 0.03 0.01 XXX 94200 TC A Lung function test (MBC/MVV) 0.00 NA 0.58 0.02 XXX 94240 A Residual lung capacity 0.26 NA 1.83 0.05 XXX 94240 26 A Residual lung capacity 0.26 0.08 0.08 0.01 XXX 94240 TC A Residual lung capacity 0.00 NA 1.75 0.04 XXX 94250 A Expired gas collection 0.11 NA 0.66 0.02 XXX 94250 26 A Expired gas collection 0.11 0.03 0.03 0.01 XXX 94250 TC A Expired gas collection 0.00 NA 0.63 0.01 XXX 94260 A Thoracic gas volume 0.13 NA 0.53 0.04 XXX 94260 26 A Thoracic gas volume 0.13 0.04 0.04 0.01 XXX 94260 TC A Thoracic gas volume 0.00 NA 0.49 0.03 XXX 94350 A Lung nitrogen washout curve 0.26 NA 1.90 0.04 XXX 94350 26 A Lung nitrogen washout curve 0.26 0.08 0.08 0.01 XXX 94350 TC A Lung nitrogen washout curve 0.00 NA 1.81 0.03 XXX 94360 A Measure airflow resistance 0.26 NA 0.55 0.06 XXX 94360 26 A Measure airflow resistance 0.26 0.08 0.08 0.01 XXX 94360 TC A Measure airflow resistance 0.00 NA 0.46 0.05 XXX 94370 A Breath airway closing volume 0.26 NA 1.92 0.03 XXX 94370 26 A Breath airway closing volume 0.26 0.08 0.08 0.01 XXX 94370 TC A Breath airway closing volume 0.00 NA 1.84 0.02 XXX 94375 A Respiratory flow volume loop 0.31 NA 0.64 0.03 XXX 94375 26 A Respiratory flow volume loop 0.31 0.10 0.10 0.01 XXX 94375 TC A Respiratory flow volume loop 0.00 NA 0.54 0.02 XXX 94400 A CO2 breathing response curve 0.40 NA 0.87 0.06 XXX 94400 26 A CO2 breathing response curve 0.40 0.13 0.13 0.01 XXX 94400 TC A CO2 breathing response curve 0.00 NA 0.74 0.05 XXX 94450 A Hypoxia response curve 0.40 NA 0.67 0.04 XXX 94450 26 A Hypoxia response curve 0.40 0.12 0.12 0.02 XXX 94450 TC A Hypoxia response curve 0.00 NA 0.55 0.02 XXX 94620 A Pulmonary stress test/simple 0.64 NA 2.23 0.10 XXX 94620 26 A Pulmonary stress test/simple 0.64 0.20 0.20 0.02 XXX 94620 TC A Pulmonary stress test/simple 0.00 NA 2.03 0.08 XXX 94621 A Pulm stress test/complex 1.42 NA 2.14 0.13 XXX 94621 26 A Pulm stress test/complex 1.42 0.45 0.45 0.05 XXX 94621 TC A Pulm stress test/complex 0.00 NA 1.69 0.08 XXX 94640 A Airway inhalation treatment 0.00 NA 0.69 0.02 XXX 94642 C Aerosol inhalation treatment 0.00 0.00 0.00 0.00 XXX 94650 A Pressure breathing (IPPB) 0.00 NA 0.65 0.02 XXX 94651 A Pressure breathing (IPPB) 0.00 NA 0.60 0.02 XXX 94652 A Pressure breathing (IPPB) 0.00 NA 0.83 0.06 XXX Start Printed Page 43997 94656 A Initial ventilator mgmt 1.22 0.33 NA 0.06 XXX 94657 A Continued ventilator mgmt 0.83 0.26 NA 0.03 XXX 94660 A Pos airway pressure, CPAP 0.76 0.24 0.66 0.03 XXX 94662 A Neg press ventilation, cnp 0.76 0.24 NA 0.02 XXX 94664 A Aerosol or vapor inhalations 0.00 NA 0.51 0.03 XXX 94665 A Aerosol or vapor inhalations 0.00 NA 0.52 0.04 XXX 94667 A Chest wall manipulation 0.00 NA 0.80 0.04 XXX 94668 A Chest wall manipulation 0.00 NA 0.70 0.02 XXX 94680 A Exhaled air analysis, o2 0.26 NA 1.84 0.06 XXX 94680 26 A Exhaled air analysis, o2 0.26 0.09 0.09 0.01 XXX 94680 TC A Exhaled air analysis, o2 0.00 NA 1.76 0.05 XXX 94681 A Exhaled air analysis, o2/co2 0.20 NA 2.45 0.11 XXX 94681 26 A Exhaled air analysis, o2/co2 0.20 0.07 0.07 0.01 XXX 94681 TC A Exhaled air analysis, o2/co2 0.00 NA 2.38 0.10 XXX 94690 A Exhaled air analysis 0.07 NA 2.06 0.04 XXX 94690 26 A Exhaled air analysis 0.07 0.02 0.02 0.01 XXX 94690 TC A Exhaled air analysis 0.00 NA 2.04 0.03 XXX 94720 A Monoxide diffusing capacity 0.26 NA 1.50 0.06 XXX 94720 26 A Monoxide diffusing capacity 0.26 0.08 0.08 0.01 XXX 94720 TC A Monoxide diffusing capacity 0.00 NA 1.42 0.05 XXX 94725 A Membrane diffusion capacity 0.26 NA 2.51 0.11 XXX 94725 26 A Membrane diffusion capacity 0.26 0.08 0.08 0.01 XXX 94725 TC A Membrane diffusion capacity 0.00 NA 2.42 0.10 XXX 94750 A Pulmonary compliance study 0.23 NA 2.04 0.04 XXX 94750 26 A Pulmonary compliance study 0.23 0.07 0.07 0.01 XXX 94750 TC A Pulmonary compliance study 0.00 NA 1.97 0.03 XXX 94760 T Measure blood oxygen level 0.00 NA 0.09 0.02 XXX 94761 T Measure blood oxygen level 0.00 NA 0.16 0.05 XXX 94762 A Measure blood oxygen level 0.00 NA 0.71 0.08 XXX 94770 A Exhaled carbon dioxide test 0.15 NA 1.64 0.07 XXX 94770 26 A Exhaled carbon dioxide test 0.15 0.04 0.04 0.01 XXX 94770 TC A Exhaled carbon dioxide test 0.00 NA 1.60 0.06 XXX 94772 C Breath recording, infant 0.00 0.00 0.00 0.00 XXX 94772 26 C Breath recording, infant 0.00 0.00 0.00 0.00 XXX 94772 TC C Breath recording, infant 0.00 0.00 0.00 0.00 XXX 94799 C Pulmonary service/procedure 0.00 0.00 0.00 0.00 XXX 94799 26 C Pulmonary service/procedure 0.00 0.00 0.00 0.00 XXX 94799 TC C Pulmonary service/procedure 0.00 0.00 0.00 0.00 XXX 95004 A Allergy skin tests 0.00 NA 0.10 0.01 XXX 95010 A Sensitivity skin tests 0.15 0.06 0.44 0.01 XXX 95015 A Sensitivity skin tests 0.15 0.06 0.38 0.01 XXX 95024 A Allergy skin tests 0.00 NA 0.15 0.01 XXX 95027 A Skin end point titration 0.00 NA 0.15 0.01 XXX 95028 A Allergy skin tests 0.00 NA 0.24 0.01 XXX 95044 A Allergy patch tests 0.00 NA 0.21 0.01 XXX 95052 A Photo patch test 0.00 NA 0.26 0.01 XXX 95056 A Photosensitivity tests 0.00 NA 0.18 0.01 XXX 95060 A Eye allergy tests 0.00 NA 0.36 0.02 XXX 95065 A Nose allergy test 0.00 NA 0.21 0.01 XXX 95070 A Bronchial allergy tests 0.00 NA 2.36 0.02 XXX 95071 A Bronchial allergy tests 0.00 NA 3.02 0.02 XXX 95075 A Ingestion challenge test 0.95 0.40 0.83 0.03 XXX 95078 A Provocative testing 0.00 NA 0.26 0.02 XXX 95115 A Immunotherapy, one injection 0.00 NA 0.40 0.02 000 95117 A Immunotherapy injections 0.00 NA 0.52 0.02 000 95120 I Immunotherapy, one injection 0.00 0.00 0.00 0.00 XXX 95125 I Immunotherapy, many antigens 0.00 0.00 0.00 0.00 XXX 95130 I Immunotherapy, insect venom 0.00 0.00 0.00 0.00 XXX 95131 I Immunotherapy, insect venoms 0.00 0.00 0.00 0.00 XXX 95132 I Immunotherapy, insect venoms 0.00 0.00 0.00 0.00 XXX 95133 I Immunotherapy, insect venoms 0.00 0.00 0.00 0.00 XXX 95134 I Immunotherapy, insect venoms 0.00 0.00 0.00 0.00 XXX 95144 A Antigen therapy services 0.06 0.02 0.25 0.01 000 95145 A Antigen therapy services 0.06 0.02 0.48 0.01 000 95146 A Antigen therapy services 0.06 0.03 0.60 0.01 000 95147 A Antigen therapy services 0.06 0.02 0.83 0.01 000 Start Printed Page 43998 95148 A Antigen therapy services 0.06 0.03 0.81 0.01 000 95149 A Antigen therapy services 0.06 0.03 1.01 0.01 000 95165 A Antigen therapy services 0.06 0.02 0.20 0.01 000 95170 A Antigen therapy services 0.06 0.02 0.26 0.01 000 95180 A Rapid desensitization 2.01 0.84 1.61 0.04 000 95199 C Allergy immunology services 0.00 0.00 0.00 0.00 000 95250 A Glucose monitoring, cont 0.00 NA 3.12 0.01 XXX 95805 A Multiple sleep latency test 1.88 NA 13.89 0.34 XXX 95805 26 A Multiple sleep latency test 1.88 0.68 0.68 0.06 XXX 95805 TC A Multiple sleep latency test 0.00 NA 13.21 0.28 XXX 95806 A Sleep study, unattended 1.66 NA 3.87 0.32 XXX 95806 26 A Sleep study, unattended 1.66 0.55 0.55 0.06 XXX 95806 TC A Sleep study, unattended 0.00 NA 3.32 0.26 XXX 95807 A Sleep study, attended 1.66 NA 26.10 0.40 XXX 95807 26 A Sleep study, attended 1.66 0.54 0.54 0.05 XXX 95807 TC A Sleep study, attended 0.00 NA 25.56 0.35 XXX 95808 A Polysomnography, 1-3 2.65 NA 19.70 0.44 XXX 95808 26 A Polysomnography, 1-3 2.65 0.95 0.95 0.09 XXX 95808 TC A Polysomnography, 1-3 0.00 NA 18.75 0.35 XXX 95810 A Polysomnography, 4 or more 3.53 NA 28.48 0.47 XXX 95810 26 A Polysomnography, 4 or more 3.53 1.22 1.22 0.12 XXX 95810 TC A Polysomnography, 4 or more 0.00 NA 27.26 0.35 XXX 95811 A Polysomnography w/cpap 3.80 NA 28.83 0.49 XXX 95811 26 A Polysomnography w/cpap 3.80 1.31 1.31 0.13 XXX 95811 TC A Polysomnography w/cpap 0.00 NA 27.52 0.36 XXX 95812 A Electroencephalogram (EEG) 1.08 NA 4.62 0.13 XXX 95812 26 A Electroencephalogram (EEG) 1.08 0.46 0.46 0.04 XXX 95812 TC A Electroencephalogram (EEG) 0.00 NA 4.16 0.09 XXX 95813 A Electroencephalogram (EEG) 1.73 NA 5.75 0.15 XXX 95813 26 A Electroencephalogram (EEG) 1.73 0.72 0.72 0.06 XXX 95813 TC A Electroencephalogram (EEG) 0.00 NA 5.03 0.09 XXX 95816 A Electroencephalogram (EEG) 1.08 NA 3.58 0.12 XXX 95816 26 A Electroencephalogram (EEG) 1.08 0.47 0.47 0.04 XXX 95816 TC A Electroencephalogram (EEG) 0.00 NA 3.11 0.08 XXX 95819 A Electroencephalogram (EEG) 1.08 NA 4.16 0.12 XXX 95819 26 A Electroencephalogram (EEG) 1.08 0.47 0.47 0.04 XXX 95819 TC A Electroencephalogram (EEG) 0.00 NA 3.69 0.08 XXX 95822 A Sleep electroencephalogram 1.08 NA 4.96 0.15 XXX 95822 26 A Sleep electroencephalogram 1.08 0.47 0.47 0.04 XXX 95822 TC A Sleep electroencephalogram 0.00 NA 4.49 0.11 XXX 95824 C Electroencephalography 0.00 0.00 0.00 0.00 XXX 95824 26 A Electroencephalography 0.74 0.29 0.29 0.05 XXX 95824 TC C Electroencephalography 0.00 0.00 0.00 0.00 XXX 95827 A Night electroencephalogram 1.08 NA 2.79 0.15 XXX 95827 26 A Night electroencephalogram 1.08 0.42 0.42 0.03 XXX 95827 TC A Night electroencephalogram 0.00 NA 2.37 0.12 XXX 95829 A Surgery electrocorticogram 6.21 NA 39.60 0.33 XXX 95829 26 A Surgery electrocorticogram 6.21 2.41 2.41 0.31 XXX 95829 TC A Surgery electrocorticogram 0.00 NA 37.19 0.02 XXX 95830 A Insert electrodes for EEG 1.70 0.75 3.51 0.07 XXX 95831 A Limb muscle testing, manual 0.28 0.13 0.52 0.01 XXX 95832 A Hand muscle testing, manual 0.29 0.12 0.43 0.01 XXX 95833 A Body muscle testing, manual 0.47 0.23 0.59 0.01 XXX 95834 A Body muscle testing, manual 0.60 0.29 0.57 0.02 XXX 95851 A Range of motion measurements 0.16 0.08 0.57 0.01 XXX 95852 A Range of motion measurements 0.11 0.05 0.47 0.01 XXX 95857 A Tensilon test 0.53 0.23 0.64 0.02 XXX 95858 A Tensilon test & myogram 1.56 NA 1.10 0.07 XXX 95858 26 A Tensilon test & myogram 1.56 0.69 0.69 0.04 XXX 95858 TC A Tensilon test & myogram 0.00 NA 0.41 0.03 XXX 95860 A Muscle test, one limb 0.96 NA 1.61 0.05 XXX 95860 26 A Muscle test, one limb 0.96 0.43 0.43 0.03 XXX 95860 TC A Muscle test, one limb 0.00 NA 1.18 0.02 XXX 95861 A Muscle test, two limbs 1.54 NA 1.46 0.10 XXX 95861 26 A Muscle test, two limbs 1.54 0.70 0.70 0.05 XXX 95861 TC A Muscle test, two limbs 0.00 NA 0.76 0.05 XXX Start Printed Page 43999 95863 A Muscle test, 3 limbs 1.87 NA 1.80 0.11 XXX 95863 26 A Muscle test, 3 limbs 1.87 0.83 0.83 0.06 XXX 95863 TC A Muscle test, 3 limbs 0.00 NA 0.97 0.05 XXX 95864 A Muscle test, 4 limbs 1.99 NA 2.73 0.16 XXX 95864 26 A Muscle test, 4 limbs 1.99 0.90 0.90 0.06 XXX 95864 TC A Muscle test, 4 limbs 0.00 NA 1.84 0.10 XXX 95867 A Muscle test, head or neck 0.79 NA 0.96 0.06 XXX 95867 26 A Muscle test, head or neck 0.79 0.36 0.36 0.03 XXX 95867 TC A Muscle test, head or neck 0.00 NA 0.60 0.03 XXX 95868 A Muscle test, head or neck 1.18 NA 1.25 0.08 XXX 95868 26 A Muscle test, head or neck 1.18 0.53 0.53 0.04 XXX 95868 TC A Muscle test, head or neck 0.00 NA 0.72 0.04 XXX 95869 A Muscle test, thor paraspinal 0.37 NA 0.39 0.03 XXX 95869 26 A Muscle test, thor paraspinal 0.37 0.17 0.17 0.01 XXX 95869 TC A Muscle test, thor paraspinal 0.00 NA 0.22 0.02 XXX 95870 A Muscle test, nonparaspinal 0.37 NA 0.38 0.03 XXX 95870 26 A Muscle test, nonparaspinal 0.37 0.16 0.16 0.01 XXX 95870 TC A Muscle test, nonparaspinal 0.00 NA 0.22 0.02 XXX 95872 A Muscle test, one fiber 1.50 NA 1.27 0.08 XXX 95872 26 A Muscle test, one fiber 1.50 0.65 0.65 0.04 XXX 95872 TC A Muscle test, one fiber 0.00 NA 0.62 0.04 XXX 95875 A Limb exercise test 1.10 NA 1.70 0.09 XXX 95875 26 A Limb exercise test 1.10 0.48 0.48 0.04 XXX 95875 TC A Limb exercise test 0.00 NA 1.22 0.05 XXX 95900 A Motor nerve conduction test 0.42 NA 1.11 0.03 XXX 95900 26 A Motor nerve conduction test 0.42 0.19 0.19 0.01 XXX 95900 TC A Motor nerve conduction test 0.00 NA 0.92 0.02 XXX 95903 A Motor nerve conduction test 0.60 NA 1.03 0.04 XXX 95903 26 A Motor nerve conduction test 0.60 0.27 0.27 0.02 XXX 95903 TC A Motor nerve conduction test 0.00 NA 0.77 0.02 XXX 95904 A Sense nerve conduction test 0.34 NA 0.93 0.03 XXX 95904 26 A Sense nerve conduction test 0.34 0.15 0.15 0.01 XXX 95904 TC A Sense nerve conduction test 0.00 NA 0.78 0.02 XXX 95920 A Intraop nerve test add-on 2.11 NA 2.31 0.20 ZZZ 95920 26 A Intraop nerve test add-on 2.11 0.96 0.96 0.14 ZZZ 95920 TC A Intraop nerve test add-on 0.00 NA 1.35 0.06 ZZZ 95921 A Autonomic nerv function test 0.90 NA 0.73 0.05 XXX 95921 26 A Autonomic nerv function test 0.90 0.34 0.34 0.03 XXX 95921 TC A Autonomic nerv function test 0.00 NA 0.39 0.02 XXX 95922 A Autonomic nerv function test 0.96 NA 0.80 0.05 XXX 95922 26 A Autonomic nerv function test 0.96 0.41 0.41 0.03 XXX 95922 TC A Autonomic nerv function test 0.00 NA 0.39 0.02 XXX 95923 A Autonomic nerv function test 0.90 NA 2.95 0.05 XXX 95923 26 A Autonomic nerv function test 0.90 0.39 0.39 0.03 XXX 95923 TC A Autonomic nerv function test 0.00 NA 2.56 0.02 XXX 95925 A Somatosensory testing 0.54 NA 1.17 0.07 XXX 95925 26 A Somatosensory testing 0.54 0.23 0.23 0.02 XXX 95925 TC A Somatosensory testing 0.00 NA 0.94 0.05 XXX 95926 A Somatosensory testing 0.54 NA 1.18 0.07 XXX 95926 26 A Somatosensory testing 0.54 0.24 0.24 0.02 XXX 95926 TC A Somatosensory testing 0.00 NA 0.94 0.05 XXX 95927 A Somatosensory testing 0.54 NA 1.20 0.08 XXX 95927 26 A Somatosensory testing 0.54 0.26 0.26 0.03 XXX 95927 TC A Somatosensory testing 0.00 NA 0.94 0.05 XXX 95930 A Visual evoked potential test 0.35 NA 1.17 0.02 XXX 95930 26 A Visual evoked potential test 0.35 0.15 0.15 0.01 XXX 95930 TC A Visual evoked potential test 0.00 NA 1.02 0.01 XXX 95933 A Blink reflex test 0.59 NA 1.06 0.07 XXX 95933 26 A Blink reflex test 0.59 0.25 0.25 0.02 XXX 95933 TC A Blink reflex test 0.00 NA 0.81 0.05 XXX 95934 A H-reflex test 0.51 NA 0.45 0.04 XXX 95934 26 A H-reflex test 0.51 0.23 0.23 0.02 XXX 95934 TC A H-reflex test 0.00 NA 0.22 0.02 XXX 95936 A H-reflex test 0.55 NA 0.47 0.04 XXX 95936 26 A H-reflex test 0.55 0.25 0.25 0.02 XXX 95936 TC A H-reflex test 0.00 NA 0.22 0.02 XXX Start Printed Page 44000 95937 A Neuromuscular junction test 0.65 NA 0.63 0.04 XXX 95937 26 A Neuromuscular junction test 0.65 0.28 0.28 0.02 XXX 95937 TC A Neuromuscular junction test 0.00 NA 0.35 0.02 XXX 95950 A Ambulatory eeg monitoring 1.51 NA 6.54 0.44 XXX 95950 26 A Ambulatory eeg monitoring 1.51 0.65 0.65 0.08 XXX 95950 TC A Ambulatory eeg monitoring 0.00 NA 5.88 0.36 XXX 95951 A EEG monitoring/videorecord 6.00 NA 39.02 0.58 XXX 95951 26 A EEG monitoring/videorecord 6.00 2.63 2.63 0.20 XXX 95951 TC A EEG monitoring/videorecord 0.00 NA 36.39 0.38 XXX 95953 A EEG monitoring/computer 3.08 NA 7.88 0.46 XXX 95953 26 A EEG monitoring/computer 3.08 1.33 1.33 0.10 XXX 95953 TC A EEG monitoring/computer 0.00 NA 6.54 0.36 XXX 95954 A EEG monitoring/giving drugs 2.45 NA 4.79 0.15 XXX 95954 26 A EEG monitoring/giving drugs 2.45 1.08 1.08 0.10 XXX 95954 TC A EEG monitoring/giving drugs 0.00 NA 3.71 0.05 XXX 95955 A EEG during surgery 1.01 NA 2.40 0.19 XXX 95955 26 A EEG during surgery 1.01 0.37 0.37 0.05 XXX 95955 TC A EEG during surgery 0.00 NA 2.03 0.14 XXX 95956 A Eeg monitoring, cable/radio 3.08 NA 14.49 0.47 XXX 95956 26 A Eeg monitoring, cable/radio 3.08 1.34 1.34 0.11 XXX 95956 TC A Eeg monitoring, cable/radio 0.00 NA 13.14 0.36 XXX 95957 A EEG digital analysis 1.98 NA 2.63 0.17 XXX 95957 26 A EEG digital analysis 1.98 0.87 0.87 0.07 XXX 95957 TC A EEG digital analysis 0.00 NA 1.76 0.10 XXX 95958 A EEG monitoring/function test 4.25 NA 3.59 0.29 XXX 95958 26 A EEG monitoring/function test 4.25 1.79 1.79 0.18 XXX 95958 TC A EEG monitoring/function test 0.00 NA 1.80 0.11 XXX 95961 A Electrode stimulation, brain 2.97 NA 2.71 0.24 XXX 95961 26 A Electrode stimulation, brain 2.97 1.36 1.36 0.18 XXX 95961 TC A Electrode stimulation, brain 0.00 NA 1.35 0.06 XXX 95962 A Electrode stim, brain add-on 3.21 NA 2.78 0.23 ZZZ 95962 26 A Electrode stim, brain add-on 3.21 1.43 1.43 0.17 ZZZ 95962 TC A Electrode stim, brain add-on 0.00 NA 1.35 0.06 ZZZ 95965 C Meg, spontaneous 0.00 0.00 0.00 0.00 XXX 95965 26 A Meg, spontaneous 8.00 3.09 3.09 0.20 XXX 95965 TC C Meg, spontaneous 0.00 0.00 0.00 0.00 XXX 95966 C Meg, evoked, single 0.00 0.00 0.00 0.00 XXX 95966 26 A Meg, evoked, single 4.00 1.55 1.55 0.18 XXX 95966 TC C Meg, evoked, single 0.00 0.00 0.00 0.00 XXX 95967 C Meg, evoked, each addl 0.00 0.00 0.00 0.00 ZZZ 95967 26 A Meg, evoked, each addl 3.50 1.35 1.35 0.17 ZZZ 95967 TC C Meg, evoked, each addl 0.00 0.00 0.00 0.00 ZZZ 95970 A Analyze neurostim, no prog 0.45 0.14 0.17 0.03 XXX 95971 A Analyze neurostim, simple 0.78 0.22 0.27 0.06 XXX 95972 A Analyze neurostim, complex 1.50 0.50 0.60 0.17 XXX 95973 A Analyze neurostim, complex 0.92 0.31 0.38 0.07 ZZZ 95974 A Cranial neurostim, complex 3.00 1.30 1.31 0.15 XXX 95975 A Cranial neurostim, complex 1.70 0.66 0.69 0.07 ZZZ 95999 C Neurological procedure 0.00 0.00 0.00 0.00 XXX 96000 A Motion analysis, video/3d 1.80 0.70 NA 0.02 XXX 96001 A Motion test w/ft press meas 2.15 0.83 NA 0.02 XXX 96002 A Dynamic surface emg 0.41 0.16 NA 0.02 XXX 96003 A Dynamic fine wire emg 0.37 0.14 NA 0.03 XXX 96004 A Phys review of motion tests 1.80 0.70 0.70 0.08 XXX 96100 A Psychological testing 0.00 NA 1.82 0.15 XXX 96105 A Assessment of aphasia 0.00 NA 1.82 0.15 XXX 96110 C Developmental test, lim 0.00 0.00 0.00 0.00 XXX 96111 A Developmental test, extend 0.00 NA 1.82 0.15 XXX 96115 A Neurobehavior status exam 0.00 NA 1.82 0.15 XXX 96117 A Neuropsych test battery 0.00 NA 1.82 0.15 XXX 96150 A Assess hlth/behave, init 0.50 0.19 0.21 0.02 XXX 96151 A Assess hlth/behave, subseq 0.48 0.19 0.20 0.02 XXX 96152 A Intervene hlth/behave, indiv 0.46 0.18 0.19 0.02 XXX 96153 A Intervene hlth/behave, group 0.10 0.04 0.04 0.01 XXX 96154 A Interv hlth/behav, fam w/pt 0.45 0.17 0.19 0.02 XXX 96155 A Interv hlth/behav fam no pt 0.44 0.17 0.18 0.02 XXX Start Printed Page 44001 96400 A Chemotherapy, sc/im 0.00 NA 0.14 0.01 XXX 96405 A Intralesional chemo admin 0.52 0.23 1.86 0.02 000 96406 A Intralesional chemo admin 0.80 0.30 2.48 0.02 000 96408 A Chemotherapy, push technique 0.00 NA 1.00 0.05 XXX 96410 A Chemotherapy infusion method 0.00 NA 1.60 0.07 XXX 96412 A Chemo, infuse method add-on 0.00 NA 1.19 0.06 ZZZ 96414 A Chemo, infuse method add-on 0.00 NA 1.38 0.07 XXX 96420 A Chemotherapy, push technique 0.00 NA 1.29 0.07 XXX 96422 A Chemotherapy infusion method 0.00 NA 1.27 0.07 XXX 96423 A Chemo, infuse method add-on 0.00 NA 0.50 0.02 ZZZ 96425 A Chemotherapy infusion method 0.00 NA 1.48 0.07 XXX 96440 A Chemotherapy, intracavitary 2.37 1.06 8.23 0.12 000 96445 A Chemotherapy, intracavitary 2.20 1.03 8.30 0.07 000 96450 A Chemotherapy, into CNS 1.89 0.93 6.60 0.06 000 96520 A Pump refilling, maintenance 0.00 NA 0.92 0.05 XXX 96530 A Pump refilling, maintenance 0.00 NA 1.10 0.05 XXX 96542 A Chemotherapy injection 1.42 0.55 4.08 0.05 XXX 96545 B Provide chemotherapy agent 0.00 0.00 0.00 0.00 XXX 96549 C Chemotherapy, unspecified 0.00 0.00 0.00 0.00 XXX 96567 A Photodynamic tx, skin 0.00 NA 1.65 0.03 XXX 96570 A Photodynamic tx, 30 min 1.10 0.37 0.44 0.04 ZZZ 96571 A Photodynamic tx, addl 15 min 0.55 0.20 0.21 0.02 ZZZ 96900 A Ultraviolet light therapy 0.00 NA 0.44 0.02 XXX 96902 B Trichogram 0.41 0.16 0.24 0.01 XXX 96910 A Photochemotherapy with UV-B 0.00 NA 1.33 0.03 XXX 96912 A Photochemotherapy with UV-A 0.00 NA 1.52 0.04 XXX 96913 A Photochemotherapy, UV-A or B 0.00 NA 2.20 0.08 XXX 96999 C Dermatological procedure 0.00 0.00 0.00 0.00 XXX 97001 A Pt evaluation 1.20 0.43 0.55 0.10 XXX 97002 A Pt re-evaluation 0.60 0.24 0.36 0.04 XXX 97003 A Ot evaluation 1.20 0.32 0.71 0.05 XXX 97004 A Ot re-evaluation 0.60 0.17 0.69 0.02 XXX 97005 I Athletic train eval 0.00 0.00 0.00 0.00 XXX 97006 I Athletic train reeval 0.00 0.00 0.00 0.00 XXX 97010 B Hot or cold packs therapy 0.06 NA 0.04 0.01 XXX 97012 A Mechanical traction therapy 0.25 NA 0.10 0.01 XXX 97014 A Electric stimulation therapy 0.18 NA 0.19 0.01 XXX 97016 A Vasopneumatic device therapy 0.18 NA 0.14 0.01 XXX 97018 A Paraffin bath therapy 0.06 NA 0.12 0.01 XXX 97020 A Microwave therapy 0.06 NA 0.05 0.01 XXX 97022 A Whirlpool therapy 0.17 NA 0.26 0.01 XXX 97024 A Diathermy treatment 0.06 NA 0.05 0.01 XXX 97026 A Infrared therapy 0.06 NA 0.05 0.01 XXX 97028 A Ultraviolet therapy 0.08 NA 0.06 0.01 XXX 97032 A Electrical stimulation 0.25 NA 0.20 0.01 XXX 97033 A Electric current therapy 0.26 NA 0.36 0.02 XXX 97034 A Contrast bath therapy 0.21 NA 0.14 0.01 XXX 97035 A Ultrasound therapy 0.21 NA 0.08 0.01 XXX 97036 A Hydrotherapy 0.28 NA 0.34 0.01 XXX 97039 A Physical therapy treatment 0.20 NA 0.08 0.01 XXX 97110 A Therapeutic exercises 0.45 NA 0.25 0.03 XXX 97112 A Neuromuscular reeducation 0.45 NA 0.28 0.02 XXX 97113 A Aquatic therapy/exercises 0.44 NA 0.32 0.03 XXX 97116 A Gait training therapy 0.40 NA 0.21 0.02 XXX 97124 A Massage therapy 0.35 NA 0.21 0.01 XXX 97139 A Physical medicine procedure 0.21 NA 0.21 0.01 XXX 97140 A Manual therapy 0.43 NA 0.23 0.02 XXX 97150 A Group therapeutic procedures 0.27 NA 0.19 0.02 XXX 97504 A Orthotic training 0.45 NA 0.25 0.03 XXX 97520 A Prosthetic training 0.45 NA 0.21 0.02 XXX 97530 A Therapeutic activities 0.44 NA 0.43 0.02 XXX 97532 A Cognitive skills development 0.44 NA 0.16 0.01 XXX 97533 A Sensory integration 0.44 NA 0.21 0.01 XXX 97535 A Self care mngment training 0.45 NA 0.34 0.02 XXX 97537 A Community/work reintegration 0.45 NA 0.20 0.01 XXX 97542 A Wheelchair mngment training 0.45 NA 0.22 0.01 XXX Start Printed Page 44002 97545 R Work hardening 0.00 0.00 0.00 0.00 XXX 97546 R Work hardening add-on 0.00 0.00 0.00 0.00 ZZZ 97601 A Wound(s) care, selective 0.50 NA 0.66 0.04 XXX 97602 B Wound(s) care non-selective 0.00 0.00 0.00 0.00 XXX 97703 A Prosthetic checkout 0.25 NA 0.42 0.02 XXX 97750 A Physical performance test 0.45 NA 0.24 0.02 XXX 97780 N Acupuncture w/o stimul 0.00 0.00 0.00 0.00 XXX 97781 N Acupuncture w/stimul 0.00 0.00 0.00 0.00 XXX 97799 C Physical medicine procedure 0.00 0.00 0.00 0.00 XXX 97802 A Medical nutrition, indiv, in 0.00 NA 0.49 0.01 XXX 97803 A Med nutrition, indiv, subseq 0.00 NA 0.49 0.01 XXX 97804 A Medical nutrition, group 0.00 NA 0.19 0.01 XXX 98925 A Osteopathic manipulation 0.45 0.15 0.37 0.01 000 98926 A Osteopathic manipulation 0.65 0.26 0.44 0.02 000 98927 A Osteopathic manipulation 0.87 0.30 0.51 0.03 000 98928 A Osteopathic manipulation 1.03 0.35 0.58 0.03 000 98929 A Osteopathic manipulation 1.19 0.38 0.64 0.04 000 98940 A Chiropractic manipulation 0.45 0.13 0.24 0.01 000 98941 A Chiropractic manipulation 0.65 0.18 0.30 0.02 000 98942 A Chiropractic manipulation 0.87 0.24 0.36 0.03 000 98943 N Chiropractic manipulation 0.40 0.15 0.34 0.01 XXX 99000 B Specimen handling 0.00 0.00 0.00 0.00 XXX 99001 B Specimen handling 0.00 0.00 0.00 0.00 XXX 99002 B Device handling 0.00 0.00 0.00 0.00 XXX 99024 B Postop follow-up visit 0.00 0.00 0.00 0.00 XXX 99025 B Initial surgical evaluation 0.00 0.00 0.00 0.00 XXX 99050 B Medical services after hrs 0.00 0.00 0.00 0.00 XXX 99052 B Medical services at night 0.00 0.00 0.00 0.00 XXX 99054 B Medical servcs, unusual hrs 0.00 0.00 0.00 0.00 XXX 99056 B Non-office medical services 0.00 0.00 0.00 0.00 XXX 99058 B Office emergency care 0.00 0.00 0.00 0.00 XXX 99070 B Special supplies 0.00 0.00 0.00 0.00 XXX 99071 B Patient education materials 0.00 0.00 0.00 0.00 XXX 99075 N Medical testimony 0.00 0.00 0.00 0.00 XXX 99078 B Group health education 0.00 0.00 0.00 0.00 XXX 99080 B Special reports or forms 0.00 0.00 0.00 0.00 XXX 99082 C Unusual physician travel 0.00 0.00 0.00 0.00 XXX 99090 B Computer data analysis 0.00 0.00 0.00 0.00 XXX 99091 B Collect/review data from pt 0.00 0.00 0.00 0.00 XXX 99100 B Special anesthesia service 0.00 0.00 0.00 0.00 ZZZ 99116 B Anesthesia with hypothermia 0.00 0.00 0.00 0.00 ZZZ 99135 B Special anesthesia procedure 0.00 0.00 0.00 0.00 ZZZ 99140 B Emergency anesthesia 0.00 0.00 0.00 0.00 ZZZ 99141 B Sedation, iv/im or inhalant 0.80 0.38 2.13 0.04 XXX 99142 B Sedation, oral/rectal/nasal 0.60 0.30 1.24 0.03 XXX 99170 A Anogenital exam, child 1.75 0.53 1.96 0.07 000 99172 N Ocular function screen 0.00 0.00 0.00 0.00 XXX 99173 N Visual acuity screen 0.00 0.00 0.00 0.00 XXX 99175 A Induction of vomiting 0.00 NA 1.44 0.08 XXX 99183 A Hyperbaric oxygen therapy 2.34 0.74 NA 0.12 XXX 99185 A Regional hypothermia 0.00 NA 0.66 0.03 XXX 99186 A Total body hypothermia 0.00 NA 1.84 0.37 XXX 99190 X Special pump services 0.00 0.00 0.00 0.00 XXX 99191 X Special pump services 0.00 0.00 0.00 0.00 XXX 99192 X Special pump services 0.00 0.00 0.00 0.00 XXX 99195 A Phlebotomy 0.00 NA 0.46 0.02 XXX 99199 C Special service/proc/report 0.00 0.00 0.00 0.00 XXX 99201 A Office/outpatient visit, new 0.45 0.16 0.46 0.02 XXX 99202 A Office/outpatient visit, new 0.88 0.32 0.75 0.05 XXX 99203 A Office/outpatient visit, new 1.34 0.49 1.09 0.08 XXX 99204 A Office/outpatient visit, new 2.00 0.73 1.48 0.10 XXX 99205 A Office/outpatient visit, new 2.67 0.95 1.76 0.12 XXX 99211 A Office/outpatient visit, est 0.17 0.06 0.37 0.01 XXX 99212 A Office/outpatient visit, est 0.45 0.16 0.51 0.02 XXX 99213 A Office/outpatient visit, est 0.67 0.24 0.68 0.03 XXX 99214 A Office/outpatient visit, est 1.10 0.40 1.02 0.04 XXX Start Printed Page 44003 99215 A Office/outpatient visit, est 1.77 0.64 1.32 0.07 XXX 99217 A Observation care discharge 1.28 0.44 NA 0.05 XXX 99218 A Observation care 1.28 0.44 NA 0.05 XXX 99219 A Observation care 2.14 0.73 NA 0.08 XXX 99220 A Observation care 2.99 1.03 NA 0.11 XXX 99221 A Initial hospital care 1.28 0.46 NA 0.05 XXX 99222 A Initial hospital care 2.14 0.75 NA 0.08 XXX 99223 A Initial hospital care 2.99 1.05 NA 0.10 XXX 99231 A Subsequent hospital care 0.64 0.23 NA 0.02 XXX 99232 A Subsequent hospital care 1.06 0.38 NA 0.03 XXX 99233 A Subsequent hospital care 1.51 0.53 NA 0.05 XXX 99234 A Observ/hosp same date 2.56 0.89 NA 0.11 XXX 99235 A Observ/hosp same date 3.42 1.18 NA 0.13 XXX 99236 A Observ/hosp same date 4.27 1.48 NA 0.17 XXX 99238 A Hospital discharge day 1.28 0.50 NA 0.04 XXX 99239 A Hospital discharge day 1.75 0.69 NA 0.05 XXX 99241 A Office consultation 0.64 0.22 0.61 0.04 XXX 99242 A Office consultation 1.29 0.47 1.00 0.09 XXX 99243 A Office consultation 1.72 0.65 1.34 0.10 XXX 99244 A Office consultation 2.58 0.95 1.78 0.13 XXX 99245 A Office consultation 3.43 1.26 2.23 0.16 XXX 99251 A Initial inpatient consult 0.66 0.25 NA 0.04 XXX 99252 A Initial inpatient consult 1.32 0.51 NA 0.08 XXX 99253 A Initial inpatient consult 1.82 0.70 NA 0.09 XXX 99254 A Initial inpatient consult 2.64 1.00 NA 0.11 XXX 99255 A Initial inpatient consult 3.65 1.36 NA 0.15 XXX 99261 A Follow-up inpatient consult 0.42 0.16 NA 0.02 XXX 99262 A Follow-up inpatient consult 0.85 0.31 NA 0.03 XXX 99263 A Follow-up inpatient consult 1.27 0.46 NA 0.04 XXX 99271 A Confirmatory consultation 0.45 0.16 0.65 0.03 XXX 99272 A Confirmatory consultation 0.84 0.32 0.88 0.06 XXX 99273 A Confirmatory consultation 1.19 0.45 1.08 0.07 XXX 99274 A Confirmatory consultation 1.73 0.65 1.38 0.09 XXX 99275 A Confirmatory consultation 2.31 0.84 1.63 0.10 XXX 99281 A Emergency dept visit 0.33 0.09 NA 0.02 XXX 99282 A Emergency dept visit 0.55 0.15 NA 0.03 XXX 99283 A Emergency dept visit 1.24 0.32 NA 0.08 XXX 99284 A Emergency dept visit 1.95 0.49 NA 0.12 XXX 99285 A Emergency dept visit 3.06 0.74 NA 0.19 XXX 99288 B Direct advanced life support 0.00 0.00 0.00 0.00 XXX 99289 I Pt transport, 30-74 min 0.00 0.00 0.00 0.00 XXX 99290 I Pt transport, addl 30 min 0.00 0.00 0.00 0.00 ZZZ 99291 A Critical care, first hour 4.00 1.31 1.57 0.14 XXX 99292 A Critical care, addl 30 min 2.00 0.65 0.85 0.07 ZZZ 99295 A Neonatal critical care 16.00 4.84 NA 0.70 XXX 99296 A Neonatal critical care 8.00 2.62 NA 0.23 XXX 99297 A Neonatal critical care 4.00 1.34 NA 0.12 XXX 99298 A Neonatal critical care 2.75 0.94 NA 0.10 XXX 99301 A Nursing facility care 1.20 0.42 0.69 0.04 XXX 99302 A Nursing facility care 1.61 0.56 0.97 0.05 XXX 99303 A Nursing facility care 2.01 0.69 1.19 0.06 XXX 99311 A Nursing fac care, subseq 0.60 0.21 0.49 0.02 XXX 99312 A Nursing fac care, subseq 1.00 0.34 0.67 0.03 XXX 99313 A Nursing fac care, subseq 1.42 0.49 0.86 0.04 XXX 99315 A Nursing fac discharge day 1.13 0.39 0.72 0.04 XXX 99316 A Nursing fac discharge day 1.50 0.52 0.92 0.05 XXX 99321 A Rest home visit, new patient 0.71 NA 0.45 0.02 XXX 99322 A Rest home visit, new patient 1.01 NA 0.69 0.03 XXX 99323 A Rest home visit, new patient 1.28 NA 0.92 0.04 XXX 99331 A Rest home visit, est pat 0.60 NA 0.47 0.02 XXX 99332 A Rest home visit, est pat 0.80 NA 0.58 0.03 XXX 99333 A Rest home visit, est pat 1.00 NA 0.71 0.03 XXX 99341 A Home visit, new patient 1.01 NA 0.55 0.05 XXX 99342 A Home visit, new patient 1.52 NA 0.85 0.05 XXX 99343 A Home visit, new patient 2.27 NA 1.27 0.07 XXX 99344 A Home visit, new patient 3.03 NA 1.55 0.10 XXX Start Printed Page 44004 99345 A Home visit, new patient 3.79 NA 1.81 0.12 XXX 99347 A Home visit, est patient 0.76 NA 0.48 0.03 XXX 99348 A Home visit, est patient 1.26 NA 0.72 0.04 XXX 99349 A Home visit, est patient 2.02 NA 1.06 0.06 XXX 99350 A Home visit, est patient 3.03 NA 1.42 0.10 XXX 99354 A Prolonged service, office 1.77 0.62 1.44 0.06 ZZZ 99355 A Prolonged service, office 1.77 0.59 1.23 0.06 ZZZ 99356 A Prolonged service, inpatient 1.71 0.60 NA 0.06 ZZZ 99357 A Prolonged service, inpatient 1.71 0.61 NA 0.06 ZZZ 99358 B Prolonged serv, w/o contact 0.00 0.00 0.00 0.00 ZZZ 99359 B Prolonged serv, w/o contact 0.00 0.00 0.00 0.00 ZZZ 99360 X Physician standby services 0.00 0.00 0.00 0.00 XXX 99361 B Physician/team conference 0.00 0.00 0.00 0.00 XXX 99362 B Physician/team conference 0.00 0.00 0.00 0.00 XXX 99371 B Physician phone consultation 0.00 0.00 0.00 0.00 XXX 99372 B Physician phone consultation 0.00 0.00 0.00 0.00 XXX 99373 B Physician phone consultation 0.00 0.00 0.00 0.00 XXX 99374 B Home health care supervision 1.10 0.43 1.44 0.04 XXX 99375 I Home health care supervision 1.73 NA NA 0.06 XXX 99377 B Hospice care supervision 1.10 0.43 1.44 0.04 XXX 99378 I Hospice care supervision 1.73 NA NA 0.06 XXX 99379 B Nursing fac care supervision 1.10 0.43 1.44 0.03 XXX 99380 B Nursing fac care supervision 1.73 0.67 1.69 0.05 XXX 99381 N Prev visit, new, infant 1.19 0.46 1.47 0.04 XXX 99382 N Prev visit, new, age 1-4 1.36 0.53 1.51 0.04 XXX 99383 N Prev visit, new, age 5-11 1.36 0.53 1.46 0.04 XXX 99384 N Prev visit, new, age 12-17 1.53 0.59 1.53 0.05 XXX 99385 N Prev visit, new, age 18-39 1.53 0.59 1.53 0.05 XXX 99386 N Prev visit, new, age 40-64 1.88 0.73 1.71 0.06 XXX 99387 N Prev visit, new, 65 & over 2.06 0.80 1.84 0.06 XXX 99391 N Prev visit, est, infant 1.02 0.39 1.01 0.03 XXX 99392 N Prev visit, est, age 1-4 1.19 0.46 1.07 0.04 XXX 99393 N Prev visit, est, age 5-11 1.19 0.46 1.04 0.04 XXX 99394 N Prev visit, est, age 12-17 1.36 0.53 1.12 0.04 XXX 99395 N Prev visit, est, age 18-39 1.36 0.53 1.16 0.04 XXX 99396 N Prev visit, est, age 40-64 1.53 0.59 1.25 0.05 XXX 99397 N Prev visit, est, 65 & over 1.71 0.66 1.35 0.05 XXX 99401 N Preventive counseling, indiv 0.48 0.19 0.61 0.01 XXX 99402 N Preventive counseling, indiv 0.98 0.38 0.85 0.02 XXX 99403 N Preventive counseling, indiv 1.46 0.56 1.08 0.03 XXX 99404 N Preventive counseling, indiv 1.95 0.75 1.32 0.04 XXX 99411 N Preventive counseling, group 0.15 0.06 0.18 0.01 XXX 99412 N Preventive counseling, group 0.25 0.10 0.24 0.01 XXX 99420 N Health risk assessment test 0.00 0.00 0.00 0.00 XXX 99429 N Unlisted preventive service 0.00 0.00 0.00 0.00 XXX 99431 A Initial care, normal newborn 1.17 0.38 NA 0.04 XXX 99432 A Newborn care, not in hosp 1.26 0.41 1.11 0.06 XXX 99433 A Normal newborn care/hospital 0.62 0.20 NA 0.02 XXX 99435 A Newborn discharge day hosp 1.50 0.51 NA 0.05 XXX 99436 A Attendance, birth 1.50 0.46 0.50 0.05 XXX 99440 A Newborn resuscitation 2.93 0.93 NA 0.11 XXX 99450 N Life/disability evaluation 0.00 0.00 0.00 0.00 XXX 99455 R Disability examination 0.00 0.00 0.00 0.00 XXX 99456 R Disability examination 0.00 0.00 0.00 0.00 XXX 99499 C Unlisted e&m service 0.00 0.00 0.00 0.00 XXX 99500 I Home visit, prenatal 0.00 0.00 0.00 0.00 XXX 99501 I Home visit, postnatal 0.00 0.00 0.00 0.00 XXX 99502 I Home visit, nb care 0.00 0.00 0.00 0.00 XXX 99503 I Home visit, resp therapy 0.00 0.00 0.00 0.00 XXX 99504 I Home visit mech ventilator 0.00 0.00 0.00 0.00 XXX 99505 I Home visit, stoma care 0.00 0.00 0.00 0.00 XXX 99506 I Home visit, im injection 0.00 0.00 0.00 0.00 XXX 99507 I Home visit, cath maintain 0.00 0.00 0.00 0.00 XXX 99508 I Home visit, sleep studies 0.00 0.00 0.00 0.00 XXX 99509 I Home visit day life activity 0.00 0.00 0.00 0.00 XXX 99510 I Home visit, sing/m/fam couns 0.00 0.00 0.00 0.00 XXX Start Printed Page 44005 99511 I Home visit, fecal/enema mgmt 0.00 0.00 0.00 0.00 XXX 99512 I Home visit, hemodialysis 0.00 0.00 0.00 0.00 XXX 99539 I Home visit, nos 0.00 0.00 0.00 0.00 XXX 99551 I Home infus, pain mgmt, iv/sc 0.00 0.00 0.00 0.00 XXX 99552 I Hm infus pain mgmt, epid/ith 0.00 0.00 0.00 0.00 XXX 99553 I Home infuse, tocolytic tx 0.00 0.00 0.00 0.00 XXX 99554 I Home infus, hormone/platelet 0.00 0.00 0.00 0.00 XXX 99555 I Home infuse, chemotheraphy 0.00 0.00 0.00 0.00 XXX 99556 I Home infus, antibio/fung/vir 0.00 0.00 0.00 0.00 XXX 99557 I Home infuse, anticoagulant 0.00 0.00 0.00 0.00 XXX 99558 I Home infuse, immunotherapy 0.00 0.00 0.00 0.00 XXX 99559 I Home infus, periton dialysis 0.00 0.00 0.00 0.00 XXX 99560 I Home infus, entero nutrition 0.00 0.00 0.00 0.00 XXX 99561 I Home infuse, hydration tx 0.00 0.00 0.00 0.00 XXX 99562 I Home infus, parent nutrition 0.00 0.00 0.00 0.00 XXX 99563 I Home admin, pentamidine 0.00 0.00 0.00 0.00 XXX 99564 I Hme infus, antihemophil agnt 0.00 0.00 0.00 0.00 XXX 99565 I Home infus, proteinase inhib 0.00 0.00 0.00 0.00 XXX 99566 I Home infuse, iv therapy 0.00 0.00 0.00 0.00 XXX 99567 I Home infuse, sympath agent 0.00 0.00 0.00 0.00 XXX 99568 I Home infus, misc drug, daily 0.00 0.00 0.00 0.00 XXX 99569 I Home infuse, each addl tx 0.00 0.00 0.00 0.00 XXX A4211 P Supp for self-adm injections 0.00 0.00 0.00 0.00 XXX A4212 P Non coring needle or stylet 0.00 0.00 0.00 0.00 XXX A4214 P 30 CC sterile water/saline 0.00 0.00 0.00 0.00 XXX A4220 P Infusion pump refill kit 0.00 0.00 0.00 0.00 XXX A4253 P Blood glucose/reagent strips 0.00 0.00 0.00 0.00 XXX A4256 P Calibrator solution/chips 0.00 0.00 0.00 0.00 XXX A4258 P Lancet device each 0.00 0.00 0.00 0.00 XXX A4259 P Lancets per box 0.00 0.00 0.00 0.00 XXX A4262 B Temporary tear duct plug 0.00 0.00 0.00 0.00 XXX A4263 B Permanent tear duct plug 0.00 0.00 0.00 0.00 XXX A4265 P Paraffin 0.00 0.00 0.00 0.00 XXX A4270 B Disposable endoscope sheath 0.00 0.00 0.00 0.00 XXX A4300 B Cath impl vasc access portal 0.00 0.00 0.00 0.00 XXX A4301 P Implantable access syst perc 0.00 0.00 0.00 0.00 XXX A4305 P Drug delivery system >=50 ML 0.00 0.00 0.00 0.00 XXX A4306 P Drug delivery system <=5 ML 0.00 0.00 0.00 0.00 XXX A4310 P Insert tray w/o bag/cath 0.00 0.00 0.00 0.00 XXX A4311 P Catheter w/o bag 2-way latex 0.00 0.00 0.00 0.00 XXX A4312 P Cath w/o bag 2-way silicone 0.00 0.00 0.00 0.00 XXX A4313 P Catheter w/bag 3-way 0.00 0.00 0.00 0.00 XXX A4314 P Cath w/drainage 2-way latex 0.00 0.00 0.00 0.00 XXX A4315 P Cath w/drainage 2-way silcne 0.00 0.00 0.00 0.00 XXX A4316 P Cath w/drainage 3-way 0.00 0.00 0.00 0.00 XXX A4320 P Irrigation tray 0.00 0.00 0.00 0.00 XXX A4322 P Irrigation syringe 0.00 0.00 0.00 0.00 XXX A4323 P Saline irrigation solution 0.00 0.00 0.00 0.00 XXX A4326 P Male external catheter 0.00 0.00 0.00 0.00 XXX A4327 P Fem urinary collect dev cup 0.00 0.00 0.00 0.00 XXX A4328 P Fem urinary collect pouch 0.00 0.00 0.00 0.00 XXX A4330 P Stool collection pouch 0.00 0.00 0.00 0.00 XXX A4335 P Incontinence supply 0.00 0.00 0.00 0.00 XXX A4338 P Indwelling catheter latex 0.00 0.00 0.00 0.00 XXX A4340 P Indwelling catheter special 0.00 0.00 0.00 0.00 XXX A4344 P Cath indw foley 2 way silicn 0.00 0.00 0.00 0.00 XXX A4346 P Cath indw foley 3 way 0.00 0.00 0.00 0.00 XXX A4347 P Male external catheter 0.00 0.00 0.00 0.00 XXX A4351 P Straight tip urine catheter 0.00 0.00 0.00 0.00 XXX A4352 P Coude tip urinary catheter 0.00 0.00 0.00 0.00 XXX A4354 P Cath insertion tray w/bag 0.00 0.00 0.00 0.00 XXX A4355 P Bladder irrigation tubing 0.00 0.00 0.00 0.00 XXX A4356 P Ext ureth clmp or compr dvc 0.00 0.00 0.00 0.00 XXX A4357 P Bedside drainage bag 0.00 0.00 0.00 0.00 XXX A4358 P Urinary leg or abdomen bag 0.00 0.00 0.00 0.00 XXX A4359 P Urinary suspensory w/o leg b 0.00 0.00 0.00 0.00 XXX Start Printed Page 44006 A4361 P Ostomy face plate 0.00 0.00 0.00 0.00 XXX A4362 P Solid skin barrier 0.00 0.00 0.00 0.00 XXX A4364 P Adhesive, liquid or equal 0.00 0.00 0.00 0.00 XXX A4367 P Ostomy belt 0.00 0.00 0.00 0.00 XXX A4397 P Irrigation supply sleeve 0.00 0.00 0.00 0.00 XXX A4398 P Ostomy irrigation bag 0.00 0.00 0.00 0.00 XXX A4399 P Ostomy irrig cone/cath w brs 0.00 0.00 0.00 0.00 XXX A4400 P Ostomy irrigation set 0.00 0.00 0.00 0.00 XXX A4402 P Lubricant per ounce 0.00 0.00 0.00 0.00 XXX A4404 P Ostomy ring each 0.00 0.00 0.00 0.00 XXX A4421 P Ostomy supply misc 0.00 0.00 0.00 0.00 XXX A4454 P Tape all types all sizes 0.00 0.00 0.00 0.00 XXX A4455 P Adhesive remover per ounce 0.00 0.00 0.00 0.00 XXX A4460 P Elastic compression bandage 0.00 0.00 0.00 0.00 XXX A4465 P Non-elastic extremity binder 0.00 0.00 0.00 0.00 XXX A4470 P Gravlee jet washer 0.00 0.00 0.00 0.00 XXX A4480 P Vabra aspirator 0.00 0.00 0.00 0.00 XXX A4550 B Surgical trays 0.00 0.00 0.00 0.00 XXX A4556 P Electrodes, pair 0.00 0.00 0.00 0.00 XXX A4557 P Lead wires, pair 0.00 0.00 0.00 0.00 XXX A4558 P Conductive paste or gel 0.00 0.00 0.00 0.00 XXX A4647 B Supp- paramagnetic contr mat 0.00 0.00 0.00 0.00 XXX A4649 P Surgical supplies 0.00 0.00 0.00 0.00 XXX A4890 R Repair/maint cont hemo equip 0.00 0.00 0.00 0.00 XXX A5051 P Pouch clsd w barr attached 0.00 0.00 0.00 0.00 XXX A5052 P Clsd ostomy pouch w/o barr 0.00 0.00 0.00 0.00 XXX A5053 P Clsd ostomy pouch faceplate 0.00 0.00 0.00 0.00 XXX A5054 P Clsd ostomy pouch w/flange 0.00 0.00 0.00 0.00 XXX A5055 P Stoma cap 0.00 0.00 0.00 0.00 XXX A5061 P Pouch drainable w barrier at 0.00 0.00 0.00 0.00 XXX A5062 P Drnble ostomy pouch w/o barr 0.00 0.00 0.00 0.00 XXX A5063 P Drain ostomy pouch w/flange 0.00 0.00 0.00 0.00 XXX A5071 P Urinary pouch w/barrier 0.00 0.00 0.00 0.00 XXX A5072 P Urinary pouch w/o barrier 0.00 0.00 0.00 0.00 XXX A5073 P Urinary pouch on barr w/flng 0.00 0.00 0.00 0.00 XXX A5081 P Continent stoma plug 0.00 0.00 0.00 0.00 XXX A5082 P Continent stoma catheter 0.00 0.00 0.00 0.00 XXX A5093 P Ostomy accessory convex inse 0.00 0.00 0.00 0.00 XXX A5102 P Bedside drain btl w/wo tube 0.00 0.00 0.00 0.00 XXX A5105 P Urinary suspensory 0.00 0.00 0.00 0.00 XXX A5112 P Urinary leg bag 0.00 0.00 0.00 0.00 XXX A5113 P Latex leg strap 0.00 0.00 0.00 0.00 XXX A5114 P Foam/fabric leg strap 0.00 0.00 0.00 0.00 XXX A5119 P Skin barrier wipes box pr 50 0.00 0.00 0.00 0.00 XXX A5121 P Solid skin barrier 6x6 0.00 0.00 0.00 0.00 XXX A5122 P Solid skin barrier 8x8 0.00 0.00 0.00 0.00 XXX A5123 P Skin barrier with flange 0.00 0.00 0.00 0.00 XXX A5126 P Disk/foam pad +or- adhesive 0.00 0.00 0.00 0.00 XXX A5131 P Appliance cleaner 0.00 0.00 0.00 0.00 XXX A6154 P Wound pouch each 0.00 0.00 0.00 0.00 XXX A6196 P Alginate dressing <=16 sq in 0.00 0.00 0.00 0.00 XXX A6197 P Alginate drsg >16 <=48 sq in 0.00 0.00 0.00 0.00 XXX A6198 P alginate dressing > 48 sq in 0.00 0.00 0.00 0.00 XXX A6199 P Alginate drsg wound filler 0.00 0.00 0.00 0.00 XXX A6203 P Composite drsg <= 16 sq in 0.00 0.00 0.00 0.00 XXX A6204 P Composite drsg >16<=48 sq in 0.00 0.00 0.00 0.00 XXX A6205 P Composite drsg > 48 sq in 0.00 0.00 0.00 0.00 XXX A6206 P Contact layer <= 16 sq in 0.00 0.00 0.00 0.00 XXX A6207 P Contact layer >16<= 48 sq in 0.00 0.00 0.00 0.00 XXX A6208 P Contact layer > 48 sq in 0.00 0.00 0.00 0.00 XXX A6209 P Foam drsg <=16 sq in w/o bdr 0.00 0.00 0.00 0.00 XXX A6210 P Foam drg >16<=48 sq in w/o b 0.00 0.00 0.00 0.00 XXX A6211 P Foam drg > 48 sq in w/o brdr 0.00 0.00 0.00 0.00 XXX A6212 P Foam drg <=16 sq in w/border 0.00 0.00 0.00 0.00 XXX A6213 P Foam drg >16<=48 sq in w/bdr 0.00 0.00 0.00 0.00 XXX A6214 P Foam drg > 48 sq in w/border 0.00 0.00 0.00 0.00 XXX Start Printed Page 44007 A6215 P Foam dressing wound filler 0.00 0.00 0.00 0.00 XXX A6216 P Non-sterile gauze<=16 sq in 0.00 0.00 0.00 0.00 XXX A6217 P Non-sterile gauze>16<=48 sq 0.00 0.00 0.00 0.00 XXX A6218 P Non-sterile gauze > 48 sq in 0.00 0.00 0.00 0.00 XXX A6219 P Gauze <= 16 sq in w/border 0.00 0.00 0.00 0.00 XXX A6220 P Gauze >16 <=48 sq in w/bordr 0.00 0.00 0.00 0.00 XXX A6221 P Gauze > 48 sq in w/border 0.00 0.00 0.00 0.00 XXX A6222 P Gauze <=16 in no w/sal w/o b 0.00 0.00 0.00 0.00 XXX A6223 P Gauze >16<=48 no w/sal w/o b 0.00 0.00 0.00 0.00 XXX A6224 P Gauze > 48 in no w/sal w/o b 0.00 0.00 0.00 0.00 XXX A6228 P Gauze <= 16 sq in water/sal 0.00 0.00 0.00 0.00 XXX A6229 P Gauze >16<=48 sq in watr/sal 0.00 0.00 0.00 0.00 XXX A6230 P Gauze > 48 sq in water/salne 0.00 0.00 0.00 0.00 XXX A6234 P Hydrocolld drg <=16 w/o bdr 0.00 0.00 0.00 0.00 XXX A6235 P Hydrocolld drg >16<=48 w/o b 0.00 0.00 0.00 0.00 XXX A6236 P Hydrocolld drg > 48 in w/o b 0.00 0.00 0.00 0.00 XXX A6237 P Hydrocolld drg <=16 in w/bdr 0.00 0.00 0.00 0.00 XXX A6238 P Hydrocolld drg >16<=48 w/bdr 0.00 0.00 0.00 0.00 XXX A6239 P Hydrocolld drg > 48 in w/bdr 0.00 0.00 0.00 0.00 XXX A6240 P Hydrocolld drg filler paste 0.00 0.00 0.00 0.00 XXX A6241 P Hydrocolloid drg filler dry 0.00 0.00 0.00 0.00 XXX A6242 P Hydrogel drg <=16 in w/o bdr 0.00 0.00 0.00 0.00 XXX A6243 P Hydrogel drg >16<=48 w/o bdr 0.00 0.00 0.00 0.00 XXX A6244 P Hydrogel drg >48 in w/o bdr 0.00 0.00 0.00 0.00 XXX A6245 P Hydrogel drg <= 16 in w/bdr 0.00 0.00 0.00 0.00 XXX A6246 P Hydrogel drg >16<=48 in w/b 0.00 0.00 0.00 0.00 XXX A6247 P Hydrogel drg > 48 sq in w/b 0.00 0.00 0.00 0.00 XXX A6248 P Hydrogel drsg gel filler 0.00 0.00 0.00 0.00 XXX A6250 P Skin seal protect moisturizr 0.00 0.00 0.00 0.00 XXX A6251 P Absorpt drg <=16 sq in w/o b 0.00 0.00 0.00 0.00 XXX A6252 P Absorpt drg >16 <=48 w/o bdr 0.00 0.00 0.00 0.00 XXX A6253 P Absorpt drg > 48 sq in w/o b 0.00 0.00 0.00 0.00 XXX A6254 P Absorpt drg <=16 sq in w/bdr 0.00 0.00 0.00 0.00 XXX A6255 P Absorpt drg >16<=48 in w/bdr 0.00 0.00 0.00 0.00 XXX A6256 P Absorpt drg > 48 sq in w/bdr 0.00 0.00 0.00 0.00 XXX A6257 P Transparent film <= 16 sq in 0.00 0.00 0.00 0.00 XXX A6258 P Transparent film >16<=48 in 0.00 0.00 0.00 0.00 XXX A6259 P Transparent film > 48 sq in 0.00 0.00 0.00 0.00 XXX A6260 P Wound cleanser any type/size 0.00 0.00 0.00 0.00 XXX A6261 P Wound filler gel/paste /oz 0.00 0.00 0.00 0.00 XXX A6262 P Wound filler dry form / gram 0.00 0.00 0.00 0.00 XXX A6263 P Non-sterile elastic gauze/yd 0.00 0.00 0.00 0.00 XXX A6264 P Non-sterile no elastic gauze 0.00 0.00 0.00 0.00 XXX A6265 P Tape per 18 sq inches 0.00 0.00 0.00 0.00 XXX A6266 P Impreg gauze no h20/sal/yard 0.00 0.00 0.00 0.00 XXX A6402 P Sterile gauze <= 16 sq in 0.00 0.00 0.00 0.00 XXX A6403 P Sterile gauze>16 <= 48 sq in 0.00 0.00 0.00 0.00 XXX A6404 P Sterile gauze > 48 sq in 0.00 0.00 0.00 0.00 XXX A6405 P Sterile elastic gauze/yd 0.00 0.00 0.00 0.00 XXX A6406 P Sterile non-elastic gauze/yd 0.00 0.00 0.00 0.00 XXX D0150 R Comprehensve oral evaluation 0.00 0.00 0.00 0.00 YYY D0240 R Intraoral occlusal film 0.00 0.00 0.00 0.00 YYY D0250 R Extraoral first film 0.00 0.00 0.00 0.00 YYY D0260 R Extraoral ea additional film 0.00 0.00 0.00 0.00 YYY D0270 R Dental bitewing single film 0.00 0.00 0.00 0.00 YYY D0272 R Dental bitewings two films 0.00 0.00 0.00 0.00 YYY D0274 R Dental bitewings four films 0.00 0.00 0.00 0.00 YYY D0277 R Vert bitewings-sev to eight 0.00 0.00 0.00 0.00 XXX D0460 R Pulp vitality test 0.00 0.00 0.00 0.00 YYY D0472 R Gross exam, prep & report 0.00 0.00 0.00 0.00 XXX D0473 R Micro exam, prep & report 0.00 0.00 0.00 0.00 XXX D0474 R Micro w exam of surg margins 0.00 0.00 0.00 0.00 XXX D0480 R Cytopath smear prep & report 0.00 0.00 0.00 0.00 XXX D0501 R Histopathologic examinations 0.00 0.00 0.00 0.00 YYY D0502 R Other oral pathology procedu 0.00 0.00 0.00 0.00 YYY D0999 R Unspecified diagnostic proce 0.00 0.00 0.00 0.00 YYY Start Printed Page 44008 D1510 R Space maintainer fxd unilat 0.00 0.00 0.00 0.00 YYY D1515 R Fixed bilat space maintainer 0.00 0.00 0.00 0.00 YYY D1520 R Remove unilat space maintain 0.00 0.00 0.00 0.00 YYY D1525 R Remove bilat space maintain 0.00 0.00 0.00 0.00 YYY D1550 R Recement space maintainer 0.00 0.00 0.00 0.00 YYY D2970 R Temporary- fractured tooth 0.00 0.00 0.00 0.00 YYY D2999 R Dental unspec restorative pr 0.00 0.00 0.00 0.00 YYY D3460 R Endodontic endosseous implan 0.00 0.00 0.00 0.00 YYY D3999 R Endodontic procedure 0.00 0.00 0.00 0.00 YYY D4260 R Osseous surgery per quadrant 0.00 0.00 0.00 0.00 YYY D4263 R Bone replce graft first site 0.00 0.00 0.00 0.00 YYY D4264 R Bone replce graft each add 0.00 0.00 0.00 0.00 YYY D4268 R Surgical revision procedure 0.00 0.00 0.00 0.00 XXX D4270 R Pedicle soft tissue graft pr 0.00 0.00 0.00 0.00 YYY D4271 R Free soft tissue graft proc 0.00 0.00 0.00 0.00 YYY D4273 R Subepithelial tissue graft 0.00 0.00 0.00 0.00 YYY D4355 R Full mouth debridement 0.00 0.00 0.00 0.00 YYY D4381 R Localized chemo delivery 0.00 0.00 0.00 0.00 YYY D5911 R Facial moulage sectional 0.00 0.00 0.00 0.00 YYY D5912 R Facial moulage complete 0.00 0.00 0.00 0.00 YYY D5951 R Feeding aid 0.00 0.00 0.00 0.00 YYY D5983 R Radiation applicator 0.00 0.00 0.00 0.00 YYY D5984 R Radiation shield 0.00 0.00 0.00 0.00 YYY D5985 R Radiation cone locator 0.00 0.00 0.00 0.00 YYY D5987 R Commissure splint 0.00 0.00 0.00 0.00 YYY D6920 R Dental connector bar 0.00 0.00 0.00 0.00 YYY D7110 R Oral surgery single tooth 0.00 0.00 0.00 0.00 YYY D7120 R Each add tooth extraction 0.00 0.00 0.00 0.00 YYY D7130 R Tooth root removal 0.00 0.00 0.00 0.00 YYY D7210 R Rem imp tooth w mucoper flp 0.00 0.00 0.00 0.00 YYY D7220 R Impact tooth remov soft tiss 0.00 0.00 0.00 0.00 YYY D7230 R Impact tooth remov part bony 0.00 0.00 0.00 0.00 YYY D7240 R Impact tooth remov comp bony 0.00 0.00 0.00 0.00 YYY D7241 R Impact tooth rem bony w/comp 0.00 0.00 0.00 0.00 YYY D7250 R Tooth root removal 0.00 0.00 0.00 0.00 YYY D7260 R Oral antral fistula closure 0.00 0.00 0.00 0.00 YYY D7291 R Transseptal fiberotomy 0.00 0.00 0.00 0.00 YYY D7940 R Reshaping bone orthognathic 0.00 0.00 0.00 0.00 YYY D9110 R Tx dental pain minor proc 0.00 0.00 0.00 0.00 YYY D9230 R Analgesia 0.00 0.00 0.00 0.00 YYY D9248 R Sedation (non-iv) 0.00 0.00 0.00 0.00 XXX D9630 R Other drugs/medicaments 0.00 0.00 0.00 0.00 YYY D9930 R Treatment of complications 0.00 0.00 0.00 0.00 YYY D9940 R Dental occlusal guard 0.00 0.00 0.00 0.00 YYY D9950 R Occlusion analysis 0.00 0.00 0.00 0.00 YYY D9951 R Limited occlusal adjustment 0.00 0.00 0.00 0.00 YYY D9952 R Complete occlusal adjustment 0.00 0.00 0.00 0.00 YYY G0001 X Drawing blood for specimen 0.00 0.00 0.00 0.00 XXX G0002 A Temporary urinary catheter 0.50 0.16 3.25 0.03 000 G0004 A ECG transm phys review & int 0.52 NA 7.69 0.45 XXX G0005 A ECG 24 hour recording 0.00 NA 1.28 0.07 XXX G0006 A ECG transmission & analysis 0.00 NA 6.22 0.36 XXX G0007 A ECG phy review & interpret 0.52 0.20 0.20 0.02 XXX G0008 X Admin influenza virus vac 0.00 0.00 0.00 0.00 XXX G0009 X Admin pneumococcal vaccine 0.00 0.00 0.00 0.00 XXX G0010 X Admin hepatitis b vaccine 0.00 0.00 0.00 0.00 XXX G0015 A Post symptom ECG tracing 0.00 NA 6.22 0.36 XXX G0016 D Post symptom ECG md review 0.52 0.22 0.22 0.02 XXX G0025 B Collagen skin test kit 0.00 0.00 0.00 0.00 XXX G0026 X Fecal leukocyte examination 0.00 0.00 0.00 0.00 XXX G0027 X Semen analysis 0.00 0.00 0.00 0.00 XXX G0030 C PET imaging prev PET single 0.00 0.00 0.00 0.00 XXX G0030 26 A PET imaging prev PET single 1.50 0.52 0.52 0.04 XXX G0030 TC C PET imaging prev PET single 0.00 0.00 0.00 0.00 XXX G0031 C PET imaging prev PET multple 0.00 0.00 0.00 0.00 XXX G0031 26 A PET imaging prev PET multple 1.87 0.70 0.70 0.06 XXX Start Printed Page 44009 G0031 TC C PET imaging prev PET multple 0.00 0.00 0.00 0.00 XXX G0032 C PET follow SPECT 78464 singl 0.00 0.00 0.00 0.00 XXX G0032 26 A PET follow SPECT 78464 singl 1.50 0.52 0.52 0.05 XXX G0032 TC C PET follow SPECT 78464 singl 0.00 0.00 0.00 0.00 XXX G0033 C PET follow SPECT 78464 mult 0.00 0.00 0.00 0.00 XXX G0033 26 A PET follow SPECT 78464 mult 1.87 0.70 0.70 0.06 XXX G0033 TC C PET follow SPECT 78464 mult 0.00 0.00 0.00 0.00 XXX G0034 C PET follow SPECT 76865 singl 0.00 0.00 0.00 0.00 XXX G0034 26 A PET follow SPECT 76865 singl 1.50 0.52 0.52 0.05 XXX G0034 TC C PET follow SPECT 76865 singl 0.00 0.00 0.00 0.00 XXX G0035 C PET follow SPECT 78465 mult 0.00 0.00 0.00 0.00 XXX G0035 26 A PET follow SPECT 78465 mult 1.87 0.70 0.70 0.06 XXX G0035 TC C PET follow SPECT 78465 mult 0.00 0.00 0.00 0.00 XXX G0036 C PET follow cornry angio sing 0.00 0.00 0.00 0.00 XXX G0036 26 A PET follow cornry angio sing 1.50 0.52 0.52 0.04 XXX G0036 TC C PET follow cornry angio sing 0.00 0.00 0.00 0.00 XXX G0037 C PET follow cornry angio mult 0.00 0.00 0.00 0.00 XXX G0037 26 A PET follow cornry angio mult 1.87 0.70 0.70 0.06 XXX G0037 TC C PET follow cornry angio mult 0.00 0.00 0.00 0.00 XXX G0038 C PET follow myocard perf sing 0.00 0.00 0.00 0.00 XXX G0038 26 A PET follow myocard perf sing 1.50 0.52 0.52 0.04 XXX G0038 TC C PET follow myocard perf sing 0.00 0.00 0.00 0.00 XXX G0039 C PET follow myocard perf mult 0.00 0.00 0.00 0.00 XXX G0039 26 A PET follow myocard perf mult 1.87 0.70 0.70 0.07 XXX G0039 TC C PET follow myocard perf mult 0.00 0.00 0.00 0.00 XXX G0040 C PET follow stress echo singl 0.00 0.00 0.00 0.00 XXX G0040 26 A PET follow stress echo singl 1.50 0.52 0.52 0.04 XXX G0040 TC C PET follow stress echo singl 0.00 0.00 0.00 0.00 XXX G0041 C PET follow stress echo mult 0.00 0.00 0.00 0.00 XXX G0041 26 A PET follow stress echo mult 1.87 0.70 0.70 0.05 XXX G0041 TC C PET follow stress echo mult 0.00 0.00 0.00 0.00 XXX G0042 C PET follow ventriculogm sing 0.00 0.00 0.00 0.00 XXX G0042 26 A PET follow ventriculogm sing 1.50 0.52 0.52 0.04 XXX G0042 TC C PET follow ventriculogm sing 0.00 0.00 0.00 0.00 XXX G0043 C PET follow ventriculogm mult 0.00 0.00 0.00 0.00 XXX G0043 26 A PET follow ventriculogm mult 1.87 0.70 0.70 0.06 XXX G0043 TC C PET follow ventriculogm mult 0.00 0.00 0.00 0.00 XXX G0044 C PET following rest ECG singl 0.00 0.00 0.00 0.00 XXX G0044 26 A PET following rest ECG singl 1.50 0.52 0.52 0.04 XXX G0044 TC C PET following rest ECG singl 0.00 0.00 0.00 0.00 XXX G0045 C PET following rest ECG mult 0.00 0.00 0.00 0.00 XXX G0045 26 A PET following rest ECG mult 1.87 0.70 0.70 0.06 XXX G0045 TC C PET following rest ECG mult 0.00 0.00 0.00 0.00 XXX G0046 C PET follow stress ECG singl 0.00 0.00 0.00 0.00 XXX G0046 26 A PET follow stress ECG singl 1.50 0.52 0.52 0.04 XXX G0046 TC C PET follow stress ECG singl 0.00 0.00 0.00 0.00 XXX G0047 C PET follow stress ECG mult 0.00 0.00 0.00 0.00 XXX G0047 26 A PET follow stress ECG mult 1.87 0.70 0.70 0.06 XXX G0047 TC C PET follow stress ECG mult 0.00 0.00 0.00 0.00 XXX G0050 A Residual urine by ultrasound 0.00 NA 0.88 0.04 XXX G0101 A CA screen; pelvic/breast exam 0.45 0.17 0.52 0.01 XXX G0102 A Prostate ca screening; dre 0.17 0.06 0.37 0.01 XXX G0103 X Psa, total screening 0.00 0.00 0.00 0.00 XXX G0104 A CA screen; flexi sigmoidscope 0.96 0.51 1.82 0.05 000 G0105 A Colorectal scrn; hi risk ind 3.70 1.71 7.97 0.20 000 G0106 A Colon CA screen; barium enema 0.99 NA 2.65 0.15 XXX G0106 26 A Colon CA screen; barium enema 0.99 0.34 0.34 0.04 XXX G0106 TC A Colon CA screen; barium enema 0.00 NA 2.31 0.11 XXX G0107 X CA screen; fecal blood test 0.00 0.00 0.00 0.00 XXX G0108 A Diab manage trn per indiv 0.00 NA 0.82 0.01 XXX G0109 A Diab manage trn ind/group 0.00 NA 0.48 0.01 XXX G0110 R Nett pulm-rehab educ; ind 0.90 0.35 0.69 0.03 XXX G0111 R Nett pulm-rehab educ; group 0.27 0.10 0.29 0.01 XXX G0112 R Nett;nutrition guid, initial 1.72 0.66 1.21 0.05 XXX G0113 R Nett;nutrition guid,subseqnt 1.29 0.50 0.95 0.04 XXX G0114 R Nett; psychosocial consult 1.20 0.46 0.49 0.03 XXX Start Printed Page 44010 G0115 R Nett; psychological testing 1.20 0.46 0.72 0.04 XXX G0116 R Nett; psychosocial counsel 1.11 0.38 1.06 0.04 XXX G0117 T Glaucoma scrn hgh risk direc 0.45 0.21 0.97 0.02 XXX G0118 T Glaucoma scrn hgh risk direc 0.17 0.08 0.84 0.01 XXX G0120 A Colon ca scrn; barium enema 0.99 NA 2.65 0.15 XXX G0120 26 A Colon ca scrn; barium enema 0.99 0.34 0.34 0.04 XXX G0120 TC A Colon ca scrn; barium enema 0.00 NA 2.31 0.11 XXX G0121 A Colon ca scrn not hi rsk ind 3.70 1.71 7.97 0.20 000 G0122 N Colon ca scrn; barium enema 0.99 NA 2.69 0.15 XXX G0122 26 N Colon ca scrn; barium enema 0.99 0.38 0.38 0.04 XXX G0122 TC N Colon ca scrn; barium enema 0.00 NA 2.31 0.11 XXX G0123 X Screen cerv/vag thin layer 0.00 0.00 0.00 0.00 XXX G0124 A Screen c/v thin layer by MD 0.42 0.19 0.19 0.01 XXX G0125 A PET img WhBD sgl pulm ring 1.50 NA 56.10 2.00 XXX G0125 26 A PET img WhBD sgl pulm ring 1.50 0.52 0.52 0.05 XXX G0125 TC A PET img WhBD sgl pulm ring 0.00 NA 55.58 1.95 XXX G0126 F Lung image (PET) staging 1.87 NA 56.28 2.01 XXX G0126 26 F Lung image (PET) staging 1.87 0.70 0.70 0.06 XXX G0126 TC F Lung image (PET) staging 0.00 NA 55.58 1.95 XXX G0127 R Trim nail(s) 0.17 0.07 0.25 0.01 000 G0128 R CORF skilled nursing service 0.08 0.03 0.03 0.01 XXX G0130 A Single energy x-ray study 0.22 NA 0.90 0.05 XXX G0130 26 A Single energy x-ray study 0.22 0.11 0.11 0.01 XXX G0130 TC A Single energy x-ray study 0.00 NA 0.79 0.04 XXX G0131 A CT scan, bone density study 0.25 NA 3.18 0.14 XXX G0131 26 A CT scan, bone density study 0.25 0.13 0.13 0.01 XXX G0131 TC A CT scan, bone density study 0.00 NA 3.05 0.13 XXX G0132 A CT scan, bone density study 0.22 NA 0.90 0.05 XXX G0132 26 A CT scan, bone density study 0.22 0.11 0.11 0.01 XXX G0132 TC A CT scan, bone density study 0.00 NA 0.79 0.04 XXX G0141 A Scr c/v cyto,autosys and md 0.42 0.19 0.19 0.01 XXX G0143 X Scr c/v cyto,thinlayer,rescr 0.00 0.00 0.00 0.00 XXX G0144 X Scr c/v cyto,thinlayer,rescr 0.00 0.00 0.00 0.00 XXX G0145 X Scr c/v cyto,thinlayer,rescr 0.00 0.00 0.00 0.00 XXX G0147 X Scr c/v cyto, automated sys 0.00 0.00 0.00 0.00 XXX G0148 X Scr c/v cyto, autosys, rescr 0.00 0.00 0.00 0.00 XXX G0163 F Pet for rec of colorectal ca 1.50 NA 0.58 2.00 XXX G0163 26 F Pet for rec of colorectal ca 1.50 0.58 0.58 0.05 XXX G0163 TC F Pet for rec of colorectal ca 0.00 NA NA 1.95 XXX G0164 F Pet for lymphoma staging 1.87 NA 0.72 2.01 XXX G0164 26 F Pet for lymphoma staging 1.87 0.72 0.72 0.06 XXX G0164 TC F Pet for lymphoma staging 0.00 NA NA 1.95 XXX G0165 F Pet, rec of melanoma/met ca 1.50 NA 0.58 2.00 XXX G0165 26 F Pet, rec of melanoma/met ca 1.50 0.58 0.58 0.05 XXX G0165 TC F Pet, rec of melanoma/met ca 0.00 NA NA 1.95 XXX G0166 A Extrnl counterpulse, per tx 0.07 0.03 4.53 0.01 XXX G0167 C Hyperbaric oz tx;no md reqrd 0.00 0.00 0.00 0.00 XXX G0168 A Wound closure by adhesive 0.45 0.19 2.39 0.01 000 G0173 X Stereo radoisurgery,complete 0.00 0.00 0.00 0.00 XXX G0174 D Intensitymodulatedradiation 0.00 0.00 0.00 0.00 XXX G0175 X OPPS Service,sched team conf 0.00 0.00 0.00 0.00 XXX G0176 X OPPS/PHP;activity therapy 0.00 0.00 0.00 0.00 XXX G0177 X OPPS/PHP; train & educ serv 0.00 0.00 0.00 0.00 XXX G0178 D Intensitymodulatedradiation 0.00 0.00 0.00 0.00 XXX G0179 A MD recertification HHA PT 0.45 NA 1.19 0.01 XXX G0180 A MD certification HHA patient 0.67 NA 1.28 0.02 XXX G0181 A Home health care supervision 1.73 NA 1.52 0.06 XXX G0182 A Hospice care supervision 1.73 NA 1.74 0.06 XXX G0184 D Ocular photdynamicTx 2nd eye 0.47 0.22 0.29 0.01 ZZZ G0185 C Transpuppillary thermotx 0.00 0.00 0.00 0.00 YYY G0186 C Dstry eye lesn,fdr vssl tech 0.00 0.00 0.00 0.00 YYY G0187 C Dstry mclr drusen,photocoag 0.00 0.00 0.00 0.00 YYY G0188 D Xray lwr extrmty-full lngth 0.00 0.00 0.00 0.00 XXX G0188 26 D Xray lwr extrmty-full lngth 0.00 0.00 0.00 0.00 XXX G0188 TC D Xray lwr extrmty-full lngth 0.00 0.00 0.00 0.00 XXX G0190 D Immunization administration 0.00 0.00 0.00 0.00 XXX Start Printed Page 44011 G0191 D Immunization admin,each add 0.00 0.00 0.00 0.00 XXX G0192 N Immunization oral/intranasal 0.00 0.00 0.00 0.00 XXX G0193 C Endoscopicstudyswallowfunctn 0.00 0.00 0.00 0.00 XXX G0194 C Sensorytestingendoscopicstud 0.00 0.00 0.00 0.00 XXX G0195 A Clinicalevalswallowingfunct 1.50 0.74 2.04 0.07 XXX G0196 A Evalofswallowingwithradioopa 1.50 0.74 2.04 0.07 XXX G0197 A Evalofptforprescipspeechdevi 1.35 0.74 2.01 0.04 XXX G0198 A Patientadapation&trainforspe 0.99 0.55 1.11 0.03 XXX G0199 A Reevaluationofpatientusespec 1.01 0.55 1.82 0.03 XXX G0200 A Evalofpatientprescipofvoicep 1.35 0.74 2.01 0.04 XXX G0201 A Modifortraininginusevoicepro 0.99 0.55 1.11 0.03 XXX G0202 A Screeningmammographydigital 0.70 NA 2.90 0.09 XXX G0202 26 A Screeningmammographydigital 0.70 0.27 0.27 0.03 XXX G0202 TC A Screeningmammographydigital 0.00 NA 2.63 0.06 XXX G0203 F Screenmammographyfilmdigital 0.00 0.00 0.00 0.00 XXX G0204 A Diagnosticmammographydigital 0.87 NA 2.92 0.09 XXX G0204 26 A Diagnosticmammographydigital 0.87 0.34 0.34 0.03 XXX G0204 TC A Diagnosticmammographydigital 0.00 NA 2.59 0.06 XXX G0205 F Diagnosticmammographyfilmpro 0.69 NA 1.62 0.09 XXX G0205 26 F Diagnosticmammographyfilmpro 0.69 0.27 0.27 0.03 XXX G0205 TC F Diagnosticmammographyfilmpro 0.00 NA 1.35 0.06 XXX G0206 A Diagnosticmammographydigital 0.70 NA 2.36 0.08 XXX G0206 26 A Diagnosticmammographydigital 0.70 0.27 0.27 0.03 XXX G0206 TC A Diagnosticmammographydigital 0.00 NA 2.09 0.05 XXX G0207 F Diagnostic mammography film 0.58 NA 1.31 0.08 XXX G0207 26 F Diagnostic mammography film 0.58 0.22 0.22 0.03 XXX G0207 TC F Diagnostic mammography film 0.00 NA 1.09 0.05 XXX G0210 C PET img WhBD ring dxlung ca 0.00 0.00 0.00 0.00 XXX G0210 26 A PET img WhBD ring dxlung ca 1.50 0.58 0.58 0.04 XXX G0210 TC C PET img WhBD ring dxlung ca 0.00 0.00 0.00 0.00 XXX G0211 C PET img WhBD ring init lung 0.00 0.00 0.00 0.00 XXX G0211 26 A PET img WhBD ring init lung 1.50 0.58 0.58 0.04 XXX G0211 TC C PET img WhBD ring init lung 0.00 0.00 0.00 0.00 XXX G0212 C PET img WhBD ring restag lun 0.00 0.00 0.00 0.00 XXX G0212 26 A PET img WhBD ring restag lun 1.50 0.58 0.58 0.04 XXX G0212 TC C PET img WhBD ring restag lun 0.00 0.00 0.00 0.00 XXX G0213 C PET img WhBD ring dx colorec 0.00 0.00 0.00 0.00 XXX G0213 26 A PET img WhBD ring dx colorec 1.50 0.58 0.58 0.04 XXX G0213 TC C PET img WhBD ring dx colorec 0.00 0.00 0.00 0.00 XXX G0214 C PET img WhBD ring init colre 0.00 0.00 0.00 0.00 XXX G0214 26 A PET img WhBD ring init colre 1.50 0.58 0.58 0.04 XXX G0214 TC C PET img WhBD ring init colre 0.00 0.00 0.00 0.00 XXX G0215 C PETimg whbd restag col 0.00 0.00 0.00 0.00 XXX G0215 26 A PETimg whbd restag col 1.50 0.58 0.58 0.04 XXX G0215 TC C PETimg whbd restag col 0.00 0.00 0.00 0.00 XXX G0216 C PET img WhBD ring dx melanom 0.00 0.00 0.00 0.00 XXX G0216 26 A PET img WhBD ring dx melanom 1.50 0.58 0.58 0.04 XXX G0216 TC C PET img WhBD ring dx melanom 0.00 0.00 0.00 0.00 XXX G0217 C PET img WhBD ring init melan 0.00 0.00 0.00 0.00 XXX G0217 26 A PET img WhBD ring init melan 1.50 0.58 0.58 0.04 XXX G0217 TC C PET img WhBD ring init melan 0.00 0.00 0.00 0.00 XXX G0218 C PET img WhBD ring restag mel 0.00 0.00 0.00 0.00 XXX G0218 26 A PET img WhBD ring restag mel 1.50 0.58 0.58 0.04 XXX G0218 TC C PET img WhBD ring restag mel 0.00 0.00 0.00 0.00 XXX G0219 N PET img WhBD ring noncov ind 1.50 NA 1.01 0.04 XXX G0219 26 N PET img WhBD ring noncov ind 1.50 0.58 0.58 0.04 XXX G0219 TC N PET img WhBD ring noncov ind 0.00 0.00 0.00 0.00 XXX G0220 C PET img WhBD ring dx lymphom 0.00 0.00 0.00 0.00 XXX G0220 26 A PET img WhBD ring dx lymphom 1.50 0.58 0.58 0.04 XXX G0220 TC C PET img WhBD ring dx lymphom 0.00 0.00 0.00 0.00 XXX G0221 C PET img WhBD ring init lymph 0.00 0.00 0.00 0.00 XXX G0221 26 A PET img WhBD ring init lymph 1.50 0.58 0.58 0.04 XXX G0221 TC C PET img WhBD ring init lymph 0.00 0.00 0.00 0.00 XXX G0222 C PET img WhBD ring resta lymp 0.00 0.00 0.00 0.00 XXX G0222 26 A PET img WhBD ring resta lymp 1.50 0.58 0.58 0.04 XXX G0222 TC C PET img WhBD ring resta lymp 0.00 0.00 0.00 0.00 XXX Start Printed Page 44012 G0223 C PET img WhBD reg ring dx hea 0.00 0.00 0.00 0.00 XXX G0223 26 A PET img WhBD reg ring dx hea 1.50 0.58 0.58 0.04 XXX G0223 TC C PET img WhBD reg ring dx hea 0.00 0.00 0.00 0.00 XXX G0224 C PETimg WhBD reg ring ini hea 0.00 0.00 0.00 0.00 XXX G0224 26 A PETimg WhBD reg ring ini hea 1.50 0.58 0.58 0.04 XXX G0224 TC C PETimg WhBD reg ring ini hea 0.00 0.00 0.00 0.00 XXX G0225 C PET img WhBD ring restag hea 0.00 0.00 0.00 0.00 XXX G0225 26 A PET img WhBD ring restag hea 1.50 0.58 0.58 0.04 XXX G0225 TC C PET img WhBD ring restag hea 0.00 0.00 0.00 0.00 XXX G0226 C PET img WhBD dx esophag 0.00 0.00 0.00 0.00 XXX G0226 26 A PET img WhBD dx esophag 1.50 0.58 0.58 0.04 XXX G0226 TC C PET img WhBD dx esophag 0.00 0.00 0.00 0.00 XXX G0227 C PET img whbd ini esopha 0.00 0.00 0.00 0.00 XXX G0227 26 A PET img whbd ini esopha 1.50 0.58 0.58 0.04 XXX G0227 TC C PET img whbd ini esopha 0.00 0.00 0.00 0.00 XXX G0228 C PET img WhBD ring restg esop 0.00 0.00 0.00 0.00 XXX G0228 26 A PET img WhBD ring restg esop 1.50 0.58 0.58 0.04 XXX G0228 TC C PET img WhBD ring restg esop 0.00 0.00 0.00 0.00 XXX G0229 C PET img metabolic brain ring 0.00 0.00 0.00 0.00 XXX G0229 26 A PET img metabolic brain ring 1.50 0.58 0.58 0.04 XXX G0229 TC C PET img metabolic brain ring 0.00 0.00 0.00 0.00 XXX G0230 C PET myocard viability ring 0.00 0.00 0.00 0.00 XXX G0230 26 A PET myocard viability ring 1.50 0.58 0.58 0.04 XXX G0230 TC C PET myocard viability ring 0.00 0.00 0.00 0.00 XXX G0231 C PET WhBD colorec; gamma cam 0.00 0.00 0.00 0.00 XXX G0231 26 A PET WhBD colorec; gamma cam 1.50 0.58 0.58 0.04 XXX G0231 TC C PET WhBD colorec; gamma cam 0.00 0.00 0.00 0.00 XXX G0232 C PET WhBD lymphoma; gamma cam 0.00 0.00 0.00 0.00 XXX G0232 26 A PET WhBD lymphoma; gamma cam 1.50 0.58 0.58 0.04 XXX G0232 TC C PET WhBD lymphoma; gamma cam 0.00 0.00 0.00 0.00 XXX G0233 C PET WhBD melanoma; gamma cam 0.00 0.00 0.00 0.00 XXX G0233 26 A PET WhBD melanoma; gamma cam 1.50 0.58 0.58 0.04 XXX G0233 TC C PET WhBD melanoma; gamma cam 0.00 0.00 0.00 0.00 XXX G0234 C PET WhBD pulm nod; gamma cam 0.00 0.00 0.00 0.00 XXX G0234 26 A PET WhBD pulm nod; gamma cam 1.50 0.58 0.58 0.04 XXX G0234 TC C PET WhBD pulm nod; gamma cam 0.00 0.00 0.00 0.00 XXX G0236 A digital film convert diag ma 0.06 NA 0.45 0.02 ZZZ G0236 26 A digital film convert diag ma 0.06 0.02 0.02 0.01 ZZZ G0236 TC A digital film convert diag ma 0.00 NA 0.43 0.01 ZZZ G0237 A Therapeutic procd strg endur 0.00 NA 0.49 0.02 XXX G0238 C Oth resp proc, indiv 0.00 0.00 0.00 0.00 XXX G0239 C Oth resp proc, group 0.00 0.00 0.00 0.00 XXX G0240 A Critic care by MD transport 4.00 1.55 1.55 0.14 XXX G0241 A Each additional 30 minutes 2.00 0.77 0.77 0.07 ZZZ G0242 X Multisource photon ster plan 0.00 0.00 0.00 0.00 XXX G0243 X Multisour photon stero treat 0.00 0.00 0.00 0.00 XXX G0244 X Observ care by facility topt 0.00 0.00 0.00 0.00 XXX G0245 R Initial foot exam ptlops 0.88 0.32 0.75 0.05 XXX G0246 R Followup eval of foot pt lop 0.45 0.16 0.51 0.02 XXX G0247 R Routine footcare pt w lops 0.50 0.21 0.54 0.05 XXX G0248 R Demonstrate use home INR mon 0.00 NA 2.92 0.01 XXX G0249 R Provide test material,equipm 0.00 NA 2.08 0.01 XXX G0250 R MD review interpret of test 0.18 0.07 0.07 0.01 XXX G0251 I Stereotactic radiosurgery 0.00 0.00 0.00 0.00 XXX G0252 N PET image breast initial dx 0.00 0.00 0.00 0.00 XXX G0252 26 N PET image breast initial dx 0.00 0.00 0.00 0.00 XXX G0252 TC N PET image breast initial dx 0.00 0.00 0.00 0.00 XXX G0253 C PET image brst dection recur 0.00 0.00 0.00 0.00 XXX G0253 26 A PET image brst dection recur 1.87 0.58 0.58 0.07 XXX G0253 TC C PET image brst dection recur 0.00 0.00 0.00 0.00 XXX G0254 C PET image brst eval to tx 0.00 0.00 0.00 0.00 XXX G0254 26 A PET image brst eval to tx 1.87 0.58 0.58 0.07 XXX G0254 TC C PET image brst eval to tx 0.00 0.00 0.00 0.00 XXX G0255 N Sensory nerve conduction tst 0.00 0.00 0.00 0.00 XXX G0255 26 N Sensory nerve conduction tst 0.00 0.00 0.00 0.00 XXX G0255 TC N Sensory nerve conduction tst 0.00 0.00 0.00 0.00 XXX Start Printed Page 44013 G9001 X MCCD, initial rate 0.00 0.00 0.00 0.00 XXX G9002 X MCCD, maintenance rate 0.00 0.00 0.00 0.00 XXX G9003 X MCCD, risk adj hi, initial 0.00 0.00 0.00 0.00 XXX G9004 X MCCD, risk adj lo, initial 0.00 0.00 0.00 0.00 XXX G9005 X MCCD, risk adj, maintenance 0.00 0.00 0.00 0.00 XXX G9006 X MCCD, Home monitoring 0.00 0.00 0.00 0.00 XXX G9007 X MCCD, sch team conf 0.00 0.00 0.00 0.00 XXX G9008 X Mccd,phys coor-care ovrsght 0.00 0.00 0.00 0.00 XXX G9009 X MCCD, risk adj, level 3 0.00 0.00 0.00 0.00 XXX G9010 X MCCD, risk adj, level 4 0.00 0.00 0.00 0.00 XXX G9011 X MCCD, risk adj, level 5 0.00 0.00 0.00 0.00 XXX G9012 X Other Specified Case Mgmt 0.00 0.00 0.00 0.00 XXX G9016 N Demo-smoking cessation coun 0.00 0.00 0.00 0.00 XXX J3370 R Vancomycin hcl injeciton 0.00 0.00 0.00 0.00 XXX M0064 A Visit for drug monitoring 0.37 0.12 0.26 0.01 XXX P3001 A Screening pap smear by phys 0.42 0.19 0.19 0.01 XXX Q0035 A Cardiokymography 0.17 NA 0.47 0.03 XXX Q0035 26 A Cardiokymography 0.17 0.07 0.07 0.01 XXX Q0035 TC A Cardiokymography 0.00 NA 0.40 0.02 XXX Q0091 A Obtaining screen pap smear 0.37 0.14 0.68 0.01 XXX Q0092 A Set up port xray equipment 0.00 NA 0.33 0.01 XXX R0070 C Transport portable x-ray 0.00 0.00 0.00 0.00 XXX R0075 C Transport port x-ray multipl 0.00 0.00 0.00 0.00 XXX R0076 B Transport portable EKG 0.00 0.00 0.00 0.00 XXX V2520 P Contact lens hydrophilic 0.00 0.00 0.00 0.00 XXX V5299 R Hearing service 0.00 0.00 0.00 0.00 XXX V5362 R Speech screening 0.00 0.00 0.00 0.00 XXX V5363 R Language screening 0.00 0.00 0.00 0.00 XXX V5364 R Dysphagia screening 0.00 0.00 0.00 0.00 XXX 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. [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
- More ...