03-20280. Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2004 Payment Rates

AGENCY:

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

ACTION:

Proposed rule.

SUMMARY:

This proposed rule would revise the Medicare hospital outpatient prospective payment system to implement applicable statutory requirements and changes arising from our continuing experience with this system. In addition, it would describe proposed changes to the amounts and factors used to determine the payment rates for Medicare hospital outpatient services paid under the prospective payment system. These changes would be applicable to services furnished on or after January 1, 2004.

DATES:

We will consider comments if we receive them at the appropriate address, as provided below, no later than 5 p.m. on October 6, 2003.

ADDRESSES:

In commenting, please refer to file code CMS-1471-P. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission or e-mail.

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-1471-P, P.O. Box 8018, Baltimore, MD 21244-8018.

Please allow sufficient time for mailed comments to be timely received 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 21244-1850.

(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 for persons wishing to retain a 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.

We encourage commenters submitting as comments information that contains beneficiary specific information (for example, medical records, or invoices with beneficiary identification) to remove any individually identifiable information, such as information that identifies an individual, diagnoses, addresses, telephone numbers, attending physician, medical record number, or Medicare or other insurance number. Moreover, individually identifiable beneficiary medical records, including progress notes, medical orders, test results, consultation reports, and photocopies of checks from hospitals or other documents that contain bank routing numbers should not be submitted to us. Persons or organizations submitting proprietary information as public comments must designate in writing if part or all of the information contained in such comments should be considered as exempt from disclosure under Exemption 4 of the Freedom of Information Act (FOIA). Generally, Exemption 4 of the FOIA protects trade secrets and commercial or financial information that is privileged or confidential, and affords the same protections as the Trade Secrets Act, which is also applicable. We will attempt to keep confidential and protect from disclosure information that qualifies under Exemption 4. However, only data that can be available for public inspection would be used for the final rule. For information on viewing public comments, see the beginning of the SUPPLEMENTARY INFORMATION section.

FOR FURTHER INFORMATION CONTACT:

Dana Burley, [phone]—outpatient prospective payment issues; Suzanne Asplen, [phone] or Jana Petze, [phone]—partial hospitalization and community mental health centers issues.

SUPPLEMENTARY INFORMATION:

 

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

Availability of Copies and Electronic Access

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 [phone] (or toll-free at 1-888-293-6498) or by faxing to [phone]. The cost for each copy is $10. 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.

To assist readers in referencing sections contained in this document, we are providing the following table of contents.

Outline of Contents

I. Background

A. Authority for the Outpatient Prospective Payment System

B. Summary of Rulemaking for the Outpatient Prospective Payment System

II. Proposed Changes to the Ambulatory Payment Classification (APC) Groups and Relative Weights

A. Recommendations of the Advisory Panel on APC Groups

1. Establishment of the Advisory Panel on APC Groups

2. The Panel's Meetings

3. Establishment of an Observation Subcommittee

4. Recommendations of the Advisory Panel and Our Responses

B. Other Changes Affecting the APCs

1. Limit on Variation of Costs of Services Classified Within an APC Group

2. Procedures Moved from New Technology APCs to Clinically Appropriate APCs

3. Revision of Cost Bands and Payment Amounts for New Technology APCs

4. APC Assignment for New Codes Created During Calendar Year (CY) 2003

5. Creation of APCs for Combinations of Device Procedures

6. New APC for Antepartum Care

III. Recalibration of APC Weights for CY 2004

A. Data Issues

1. Period of Claims Data Used

2. Treatment of “Multiple Procedure” Claims

3. Adjustment of Median Costs for CY 2003 OPPS

B. Description of How We Propose To Calculate Weights for CY 2004

IV. Transitional Pass-Through and Related Payment Issues

A. Background

B. Discussion of Pro Rata Reduction

V. Payment for Devices

A. Pass-Through Devices

B. Expiration of Transitional Pass-Through Payments in CY 2004

C. Other Policy Issues Relating to Pass-Through Device Categories

VI. Payment for Drugs, Biologicals, Radiopharmaceutical Agents, Blood, and Blood Products

A. Pass-Through Drugs and Biologicals

B. Drugs, Biologicals, and Radiopharmaceuticals Without Pass-Through Status

1. Background

2. Proposed Criteria for Packaging Payment for Drugs, Biologicals, and Radiopharmaceuticals

3. Payment for Drugs, Biologicals, and Radiopharmaceuticals That Are Not Packaged

4. Proposed Payment Methodology for Drug Administration

5. Generic Drugs and Radiopharmaceuticals

6. Orphan Drugs

7. Vaccines

8. Blood and Blood Products

9. Intravenous Immune Globulin

10. Drug and Device Coding

11. Payment for Split Unit of Blood

12. Other Issues

VII. Wage Index Changes for CY 2004

VIII. Copayment for CY 2004

IX. Conversion Factor Update for CY 2004

X. Proposed Outlier Policy and Elimination of Transitional Corridor Payments for CY 2004

A. Proposed Outlier Policy for CY 2004

B. Elimination of Transitional Corridor Payments for CY 2004

XI. Other Policy Decisions and Proposed Changes

A. Hospital Coding for Evaluation and Management (E/M) Services

B. Status Indicators and Issues Related to OCE Editing

C. Observation Services

D. Procedures That Will Be Paid Only As Inpatient Procedures

E. Partial Hospitalization Payment Methodology

1. Background

2. PHP APC Update for CY 2004

3. Outlier Payments to CMHCs

XII. Summary of and Responses to MedPAC Recommendations

XIII. Summary of Proposed Changes for 2004

A. Changes Required by Statute

B. Additional Changes

XIV. Collection of Information Requirements

XV. Response to Public Comments

XVI. Regulatory Impact Analysis

A. General

B. Changes in This Proposed Rule

C. Limitations of Our Analysis

D. Estimated Impacts of This Proposed Rule on Hospitals

E. Projected Distribution of Outlier Payments

F. Estimated Impacts of This Proposed Rule on Beneficiaries

Addenda

Addendum A—List of Ambulatory Payment Classifications (APCs) with Status Indicators, Relative Weights, Payment Rates, and Copayment Amounts

Addendum B—Payment Status by HCPCS Code, and Related Information

Addendum C—Hospital Outpatient Payment for Procedures by APC: Displayed on Web Site Only

Addendum D—Payment Status Indicators for the Hospital Outpatient Prospective Payment System

Addendum E—CPT Codes That Would Be Paid Only as Inpatient Procedures

Addendum H—Wage Index for Urban Areas

Addendum I—Wage Index for Rural Areas

Addendum J—Wage Index for Hospitals That Are Reclassified

Addendum L—Packaged Nonchemotherapy Infusion Drugs

Addendum M—Separately Paid Nonchemotherapy Infusion Drugs

Addendum N—Packaged Chemotherapy Drugs Other Than Infusion

Addendum O—Separately Paid Chemotherapy Drugs Other Than Infusion

Addendum P—Packaged Chemotherapy Drugs Infusion Only

Addendum Q—Separately Paid Chemotherapy Drugs Infusion Only

Alphabetical List of Acronyms Appearing in the Proposed Rule

ACEP—American College of Emergency Physicians

AHA—American Hospital Association

AHIMA—American Health Information Management Association

AMA—American Medical Association

APC—Ambulatory payment classification

ASC—Ambulatory surgical center

AWP—Average wholesale price

BBA—Balanced Budget Act of 1997

BIPA—Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000

BBRA—Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999

CAH—Critical access hospital

CCR—Cost center specific cost-to-charge ratio

CMHC—Community mental health center

CMS—Centers for Medicare & Medicaid Services (Formerly known as the Health Care Financing Administration)

CPT—[Physicians'] Current Procedural Terminology, Fourth Edition, 2002, copyrighted by the American Medical Association

CY—Calendar year

DMEPOS—Durable medical equipment, prosthetics, orthotics, and supplies

DRG—Diagnosis-related group

DSH—Disproportionate Share Hospital

EACH—Essential Access Community Hospital

E/M—Evaluation and management

ESRD—End-stage renal disease

FACA—Federal Advisory Committee Act

FDA—Food and Drug Administration

FI—Fiscal intermediary

FSS—Federal Supply Schedule

FY—Federal fiscal year

HCPCS—Healthcare Common Procedure Coding System

HCRIS—Hospital Cost Report Information System

HHA—Home health agency

HIPAA—Health Insurance Portability and Accountability Act of 1996

ICD-9-CM—International Classification of Diseases, Ninth Edition, Clinical Modification

IME—Indirect Medical Education

IPPS—(Hospital) inpatient prospective payment system

IVIG—Intravenous Immune Globulin

LTC—Long Term Care

MedPAC—Medicare Payment Advisory Commission

MDH—Medicare Dependent Hospital

MSA—Metropolitan statistical area

NECMA—New England County Metropolitan Area

OCE—Outpatient code editor

OMB—Office of Management and Budget

OPD—(Hospital) outpatient department

OPPS—(Hospital) outpatient prospective payment system

PHP—Partial hospitalization program

PM—Program memorandum

PPS—Prospective payment system

PPV—Pneumococcal pneumonia (virus)

PRA—Paperwork Reduction Act

RFA—Regulatory Flexibility Act

RRC—Rural Referral Center

SBA—Small Business Administration

SCH—Sole Community Hospital

SDP—Single drug pricer

SI—Status Indicator

TEFRA—Tax Equity and Fiscal Responsibility Act

TOPS—Transitional outpatient payments

USPDI—United States Pharmacopoeia Drug Information

I. Background

A. Authority for the Outpatient Prospective Payment System

When the Medicare statute was originally enacted, Medicare payment for hospital outpatient services was based on hospital-specific costs. In an effort to ensure that Medicare and its beneficiaries pay appropriately for services and to encourage more efficient delivery of care, the Congress mandated replacement of the cost-based payment methodology with a prospective payment system (PPS). The Balanced Budget Act of 1997 (BBA) (Pub. L. 105-33), enacted on August 5, 1997, added section 1833(t) to the Social Security Act (the Act) authorizing implementation of a PPS for hospital outpatient services. The Balanced Budget Refinement Act of 1999 (BBRA) (Pub. L. 106-113), enacted on November 29, 1999, made major changes that affected the hospital outpatient PPS (OPPS). The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) (Pub. L. 106-554), enacted on December 21, 2000, made further changes in the OPPS. The OPPS was first implemented for services furnished on or after August 1, 2000.

B. Summary of Rulemaking for the Outpatient Prospective Payment System

• On September 8, 1998, we published a proposed rule (63 FR 47552) to establish in regulations a PPS for hospital outpatient services, to eliminate the formula-driven overpayment for certain hospital outpatient services, and to extend reductions in payment for costs of hospital outpatient services. On June 30, 1999, we published a correction notice (64 FR 35258) to correct a number of technical and typographic errors in the September 1998 proposed rule including the proposed amounts and factors used to determine the payment rates.
• On April 7, 2000, we published a final rule with comment period (65 FR 18434) that addressed the provisions of the PPS for hospital outpatient services scheduled to be effective for services furnished on or after July 1, 2000. Under this system, Medicare payment for hospital outpatient services included in the PPS is made at a predetermined, specific rate. These outpatient services are classified according to a list of ambulatory payment classifications (APCs). The April 7, 2000 final rule with comment period also established requirements for provider departments and provider-based entities and prohibited Medicare payment for nonphysician services furnished to a hospital outpatient by a provider or supplier other than a hospital unless the services are furnished under arrangement. In addition, this rule extended reductions in payment for costs of hospital outpatient services as required by the BBA and amended by the BBRA. Medicare regulations governing the hospital OPPS are set forth at 42 CFR part 419.
• On June 30, 2000, we published a notice (65 FR 40535) announcing a delay in implementation of the OPPS from July 1, 2000 to August 1, 2000. We implemented the OPPS on August 1, 2000.
• On August 3, 2000, we published an interim final rule with comment period (65 FR 47670) that modified criteria that we use to determine which medical devices are eligible for transitional pass-through payments. The August 3, 2000 rule also corrected and clarified certain provider-based provisions included in the April 7, 2000 rule.
• On November 13, 2000, we published an interim final rule with comment period (65 FR 67798). This rule provided for the annual update to the amounts and factors for OPPS payment rates effective for services furnished on or after January 1, 2001. We implemented the 2001 OPPS on January 1, 2001. We also responded to public comments on those portions of the April 7, 2000 final rule that implemented related provisions of the BBRA and public comments on the August 3, 2000 rule.
• On November 2, 2001, we published a final rule (66 FR 55857) that announced the Medicare OPPS conversion factor for calendar year (CY) 2002. In addition, it described the Secretary's estimate of the total amount of the transitional pass-through payments for CY 2002 and the implementation of a uniform reduction in each of the pass-through payments for that year.
• On November 2, 2001, we also published an interim final rule with comment period (66 FR 55850) that set forth the criteria the Secretary will use to establish new categories of medical devices eligible for transitional pass-through payments under Medicare's OPPS.
• On November 30, 2001, we published a final rule (66 FR 59856) that revised the Medicare OPPS to implement applicable statutory requirements, including relevant provisions of BIPA, and changes resulting from continuing experience with this system. In addition, it described the CY 2002 payment rates for Medicare hospital outpatient services paid under the PPS. This final rule also announced a uniform reduction of 68.9 percent to be applied to each of the transitional pass-through payments for certain categories of medical devices and drugs and biologicals.
• On December 31, 2001, we published a final rule (66 FR 67494) that delayed, until no later than April 1, 2002, the effective date of CY 2002 payment rates and the uniform reduction of transitional pass-through payments that were announced in the November 30, 2001 final rule. In addition, this final rule indefinitely delayed certain related regulatory provisions.
• On March 1, 2002, we published a final rule (67 FR 9556) that corrected technical errors that affected the amounts and factors used to determine the payment rates for services paid under the Medicare OPPS and corrected the uniform reduction to be applied to transitional pass-through payments for CY 2002 as published in the November 30, 2001 final rule. These corrections and the regulatory provisions that had been delayed became effective on April 1, 2002.
• On November 1, 2002, we published a final rule (67 FR 66718) that revised the Medicare OPPS to update the payment weights and conversion factor for services payable under the 2003 OPPS on the basis of data from claims for services furnished from April 1, 2001 through March 31, 2002. The rule also removed from pass-through status most drugs and devices that had been paid under pass-through provisions in 2002 as required by the applicable provisions of law governing the duration of pass-through payment.

II. Proposed Changes to the Ambulatory Payment Classification (APC) Groups and Relative Weights

Under the OPPS, we pay for hospital outpatient services on a rate-per-service basis that varies according to the APC group to which the service is assigned. Each APC weight represents the median hospital cost of the services included in that APC relative to the median hospital cost of the services included in APC 601, Mid-Level Clinic Visits. The APC weights are scaled to APC 601 because a mid-level clinic visit is one of the most frequently performed services in the outpatient setting.

Section 1833(t)(9)(A) of the Act requires the Secretary to review the components of the OPPS not less often than annually and to revise the groups, relative payment weights, and other adjustments to take into account changes in medical practice, changes in technology, and the addition of new services, new cost data, and other relevant information and factors. Section 1833(t)(9)(A) of the Act requires the Secretary, beginning in 2001, to consult with an outside panel of experts to review the APC groups and the relative payment weights.

Finally, section 1833(t)(2) of the Act provides that, subject to certain exceptions, the items and services within an APC group cannot be considered comparable with respect to the use of resources if the highest median (or mean cost, if elected by the Secretary) for an item or service in the group is more than 2 times greater than the lowest median cost for an item or service within the same group (referred to as the “2 times rule”).

We use the median cost of the item or service in implementing this provision. The statute authorizes the Secretary to make exceptions to the 2 times rule “in unusual cases, such as low volume items and services.”

For purposes of this proposed rule, we analyzed the APC groups within this statutory framework.

A. Recommendations of the Advisory Panel on APC Groups

1. Establishment of the Advisory Panel on APC Groups

Section 1833(t)(9)(A) of the Act requires that we consult with an outside panel of experts, the Advisory Panel on APC Groups (the Panel), to review the clinical integrity of the groups and weights. The Act specifies that the Panel will act in an advisory capacity. This expert panel, which is to be composed of representatives of providers subject to the OPPS (currently employed full-time, in their respective areas of expertise), reviews and advises us about the clinical integrity of the APC groups and their weights. The Panel is not restricted to using our data and may use data collected or developed by organizations outside the Department in conducting its review.

On November 21, 2000, the Secretary signed the charter establishing an “Advisory Panel on APC Groups.” The Panel is technical in nature and is governed by the provisions of the Federal Advisory Committee Act (FACA) as amended (Pub. L. 92-463).

On November 1, 2002, the Secretary renewed the charter. The new charter indicates that the Panel continues to be technical in nature, is governed by the provisions of the FACA, may convene “up to three meetings per year,” and is chaired by a Federal official.

To establish the Panel, we solicited members in a notice published in the Federal Register on December 5, 2000 (65 FR 75943). We received applications from more than 115 individuals nominating either a colleague or themselves. After carefully reviewing the applications, we chose 15 highly qualified individuals to serve on the Panel.

Because of the loss of 6 Panel members in March 2003 due to the expiration of terms of office, retirement, and a career change, a Federal Register notice was published on February 28, 2003 (68 FR 9671), requesting nominations of Panel members. From the 40 nominations we received, 6 new members have been chosen and will be identified on the CMS Web site.

2. The Panel's Meetings

The first Panel meeting was held on February 27, February 28, and March 1, 2001. During the 2001 meeting, the Panel members felt that requiring consistency for all presentations with regard to format, data submission, and general information would assist them in analyzing the submissions and presentations and making recommendations. Therefore, upon the Panel's recommendation, the Research Subcommittee was established during the 2001 meeting.

The Panel began its 2002 meeting on January 22, 2002, by considering the Research Subcommittee's recommendation to the Panel on requirements for written submissions and oral presentations. The Research Subcommittee recommended that all future oral presentations and written submissions contain the following:

• Name, address, and telephone number of the proposed presenter.
• Financial relationship(s), if any, with any company whose products, services, or procedures are under consideration.
• CPT ([Physicians'] Current Procedural Technology) codes involved.
• APC(s) affected.
• Description of the issue.
• Clinical description of the service under discussion, with comparison to other services within the APC.
• Description of the resource inputs associated with the service under discussion, with a comparison to resource inputs for other services within the APC.
• Recommendations and rationale for change.
• Expected outcome of change and potential consequences of no change.

The Panel adopted these Subcommittee recommendations.

The third Panel meeting was held on January 21 and 22, 2003, to discuss the APCs of the newly implemented 2003 OPPS. We published a notice in the Federal Register on December 27, 2002 (67 FR 79107), to announce the following: The location and time of the third Panel meeting; a list of agenda items; and that the meeting was open to the public. In that document, we solicited public comment specifically on the items included on the agenda for the January 2003 Panel meeting. In this section, “commenter” refers to entities that provided comments in response to that Federal Register notice. We also provided additional information about the Panel meeting through a press release and on the CMS Web site. Presentations for the 2003 meeting met, at a minimum, the adopted guidelines for presentations referred to above.

3. Establishment of an Observation Subcommittee

At the third annual meeting in January 2003, the Panel suggested numerous changes to the APCs (listed below) and that a subcommittee be established to review observation issues, such as allowable International Classification of Diseases, clinical modification codes, and operational issues. Therefore, before the close of the third annual meeting, the Observation Subcommittee was established. Other Panel members that are not currently participating in this subcommittee are welcome to take part in this subcommittee, which is tasked with reviewing International Classification of Disease Codes, clinical modification codes, and operational issues related to observation. This subcommittee will report its findings to the Panel in 1 year.

4. Recommendations of the Advisory Panel and Our Responses

In this section, we consider the Panel's recommendations affecting specific APCs. The Panel based its recommendations on claims data for the period April 1, 2002 through September 30, 2002. This data set comprises a portion of the data that will be used to set 2004 payment rates. APC titles in this discussion are those that existed when the APC Panel met in January 2003. In a few cases, APC titles have been changed for this proposed rule, and, therefore, some APCs do not have the same title in Addendum A as they have in this section.

The Panel's agenda included APCs that our staff believe violate the 2 times rule as well as APCs for which comments were submitted. As discussed below, the Panel sometimes declined to recommend a change in an APC even though the APC appeared to violate the 2 times rule. In section II.B of this preamble, we discuss our proposals regarding the 2 times rule based on the April 1, 2002 through December 31, 2002 data that we used to determine the proposed 2004 APC relative weights. Section II.B also details the criteria we used when deciding to propose exceptions to the 2 times rule.

a. Debridement and Destruction.

APC 0012: Level I Debridement & Destruction.

APC 0013: Level II Debridement & Destruction.

We expressed concern to the Panel that APCs 0012 and 0013 appear to violate the 2 times rule. In order to remedy these violations, we asked the Panel to consider the following changes:

(1) Move the following codes from APC 0013 to APC 0012:

HCPCS	Description
11001	Debride infected skin add-on.
11302	Shave skin lesion.
15786	Abrasion, lesion, single.
15793	Chemical peel, nonfacial.
15851	Removal of sutures.
16000	Initial treatment of burn(s).
16025	Treatment of burn(s).

(2) Move code 11057 (Trim skin lesions, over 4) from APC 0012 to APC 0013.

The Panel agreed with our staff and recommended that we make these changes. We propose to accept the Panel's recommendation.

b. Excision/Biopsy.

APC 0019: Level I Excision/Biopsy.

APC 0020: Level II Excision/Biopsy.

APC 0021: Level III Excision/Biopsy.

We expressed concern to the Panel that APCs 0019 and 0020 appear to violate the 2 times rule. In order to remedy these violations, we asked the Panel to consider the following changes:

(1) Move the following HCPCS codes from APC 0019 to a new APC:

HCPCS	Description
11755	Biopsy, nail unit.
11976	Removal of contraceptive cap.
24200	Removal of arm foreign body.
28190	Removal of foot foreign body.
56605	Biopsy of vulva/perineum.
56606	Biopsy of vulva/perineum.
69100	Biopsy of external ear.

(2) Move the following HCPCS codes from APC 0020 to APC 0021:

HCPCS	Description
11404	Removal of skin lesion.
11423	Removal of skin lesion.
11604	Removal of skin lesion.
11623	Removal of skin lesion.

The Panel recommended that we not change the structure of APCs 0019, 0020, and 0021 at this time in the interest of preserving clinical homogeneity. We propose to accept the Panel's recommendation that we make no changes to the structure of these APCs for 2004. We plan to place these APCs on the Panel's agenda for the 2005 update.

c. Thoracentesis/Lavage Procedures and Endoscopies.

APC 0071: Level I Endoscopy Upper Airway.

APC 0072: Level II Endoscopy Upper Airway.

APC 0073: Level III Endoscopy Upper Airway.

We expressed concern to the Panel that APCs 0071 and 0072 appear to violate the 2 times rule. In order to remedy these violations, we asked the Panel to consider the following changes:

Move the following HCPCS codes as described below:

Table 1.—HCPCS Codes Proposed To Be Redistributed From APCs 0071 and 0072 to APCs 0071, 0072, and 0073

HCPCS	Description	2003 APC	2004 APC
31505	Diagnostic laryngoscopy	0072	0071
31575	Diagnostic laryngoscopy	0071	0072
31720	Clearance of airways	0072	0073

The Panel recommended that we make the above changes. We propose to accept the Panel's recommendation, with the exception of CPT code 31720. After reviewing an additional quarter of claims data that was not available at the time the Panel convened, placement of CPT code 31720 into APC 0072 better reflects its resource consumption. Therefore, we propose to keep CPT code 31720 in APC 0072.

d. Cardiac and Ambulatory Blood Pressure Monitoring.

APC 0097: Cardiac and Ambulatory Blood Pressure Monitoring.

We expressed concern to the Panel that APC 0097 appears to violate the 2 times rule. We asked the Panel to recommend options for resolving this violation, and suggested splitting APC 0097 into two APCs. The Panel recommended that the structure of APC 0097 should not be changed at this time based on clinical homogeneity considerations. We propose to accept the Panel's recommendation that we make no changes to APC 0097 for 2004. We plan to place this APC on the Panel's agenda for the 2005 update.

e. Electrocardiograms.

APC 0099: Electrocardiograms.

APC 0340: Minor Ancillary Procedures.

We expressed concern to the Panel that APC 0099 appears to violate the 2 times rule. We asked the Panel to recommend options for resolving this violation, and suggested moving CPT code 93701 (Bioimpedance, thoracic) from APC 0099 to APC 0340. The Panel felt, however, that the structure of APC 0099 should not be changed at this time based on clinical homogeneity considerations. We propose to accept the Panel's recommendation that we make no changes to APC 0099 for 2004. We plan to place this APC on the Panel's agenda for the 2005 update.

f. Cardiac Stress Tests.

APC 0100: Cardiac Stress Tests.

A presenter to the Panel, who represented a device manufacturer, requested that we move CPT code 93025 (Microvolt t-wave assessment) out of APC 0100. The presenter believes that the actual cost for this procedure is significantly higher than for other procedures in the same APC. Since this technology is often billed in conjunction with other procedures (for example, stress tests, CPT code 93017), few single-APC claims were available to evaluate the presenter's contention.

The Panel felt the data presented are insufficient to merit moving the code and recommends that CPT code 93025 remain in APC 0100 until more data are available for review. We propose to accept the Panel's recommendation that CPT code 93025 remain in APC 0100 until more claims data become available for review.

g. Revision/Removal of Pacemakers or Automatic Implantable Cardioverter Defibrillators.

APC 0105: Revision/Removal of Pacemakers, AICD, or Vascular.

We asked the Panel to review the codes within APC 0105 for an apparent violation of the 2 times rule, stating that we believe the apparent violation is a result of incorrectly coded claims. The Panel agreed and recommended no changes to APC 0105 at this time. We propose to accept the Panel's recommendation that we make no changes to APC 0105 until more accurate claims data become available and support the need for a change.

h. Sigmoidoscopy.

APC 0146: Level I Sigmoidoscopy.

APC 0147: Level II Sigmoidoscopy.

We expressed concern to the Panel that relatively simple procedures such as anoscopy and rigid sigmoidoscopy have higher median costs than more complex procedures such as flexible sigmoidoscopy. Panel members suggested the high costs may be due to the need to perform an otherwise minor office procedure in a hospital setting (for example, due to the clinical condition of the patient). Panel members also suggested that claims may be incorrectly coded because coding instructions do not clearly state how to code when the procedure performed is not as extensive as the procedure planned (for example, when a colonoscopy is planned but only a sigmoidoscopy is performed). In these cases, coding instructions are unclear as to whether the planned procedure should be reported with a modifier for reduced services or with the code for the actual procedure performed.

The Panel recommended that we make no changes to APCs 0146 and 0147 at this time. We propose to accept the Panel's recommendation that we make no changes to APCs 0146 and 0147. We plan to place this APC on the Panel's agenda for the 2005 update.

i. Anal/Rectal Procedures.

APC 0148: Level I Anal/Rectal Procedure.

APC 0149: Level III Anal/Rectal Procedure.

APC 0155: Level II Anal/Rectal Procedure.

We expressed concern to the Panel that APCs 0148 and 0149 appear to violate the 2 times rule. We asked the Panel to recommend options for resolving these violations, and suggested rearranging some of the CPT codes within APCs 0148, 0149, and 0155. The Panel recommended that we move CPT code 46040 (Incision of rectal abscess) from APC 0155 to APC 0149. We propose to accept the Panel's recommendation.

j. Insertion of Penile Prosthesis.

APC 0179: Urinary Incontinence Procedures.

APC 0182: Insertion of Penile Prosthesis.

A presenter to the Panel representing manufacturers and providers requested that APC 0182 be split into two APCs, based on whether the procedure used inflatable or non-inflatable penile prostheses. The presenter stated that the complexity of the procedure, the cost of the devices, and related resources were all significantly higher with inflatable prostheses.

The Panel recommended that we eliminate APCs 0179 and 0182 and create two new APCs, 0385 and 0386 that contain the following CPT codes:

HCPCS	Description
APC 0385:
52282	Cystoscopy, implant stent.
53440	Correct bladder function.
53444	Insert tandem cuff.
54400	Insert semi-rigid prosthesis.
54416	Remv/repl penis contain prosthesis.
APC 0386:
53445	Insert uro/ves nck sphincter.
53447	Remove/replace ur sphincter.
54401	Insert self-contained prosthesis.
54405	Insert multi-comp penis prosthesis.
54410	Remove/replace penis prosthesis.

We propose to accept the Panel's recommendation to eliminate APCs 0179 and 0182 and create two new APCs, 0644 and 0645, containing the above CPT code configurations.

k. Surgical Hysteroscopy.

APC 0190: Surgical Hysteroscopy.

A presenter to the Panel, who represented a device manufacturer, requested that we move CPT code 58563 (Hysteroscopy, ablation) from APC 0190 to a higher paying APC. The presenter noted that endometrial cryoablation is included in a new technology APC, while a thermal ablation system is included with older, less costly techniques. The presenter expressed concern that cryoablation may be reimbursed at a higher rate than the thermal ablation system, giving its manufacturers an unfair competitive advantage.

Panel members agreed that new, more expensive technologies that prove to be more effective merit review for a higher payment rate. Without substantial evidence of greater effectiveness, however, the Panel was reluctant to create APCs that provide an incentive to use a more expensive device. In its discussion of whether or not to recommend moving CPT code 58563 to a higher paying APC, the Panel recommended that we take into account different methods of endometrial ablation associated with hysteroscopy, adequately reflect the resources used for the various procedures, avoid creating a competitive advantage or disadvantage, and collect data needed to track costs on the type of technologies used for this procedure.

After consulting with experts in the field, we propose to split APC 0190 (Surgical Hysteroscopy) into 2 APCs that are more clinically homogeneous. We propose to change the description for APC 0190 from “Surgical Hysteroscopy” to “Level I Hysteroscopy” and keep the following HCPCS codes in APC 0190:

HCPCS	Description
58558	Hysteroscopy, biopsy.
58559	Hysteroscopy, lysis.
58562	Hysteroscopy, remove fb.
58579	Hysteroscope procedure.

We also propose to move the following HCPCS codes from APC 0190 to newly created APC 0387 titled “Level II Hysteroscopy”:

HCPCS	Description
58560	Hysteroscopy, resect septum.
58561	Hysteroscopy, remove myoma.
58563	Hysteroscopy, ablation.

In addition, we propose to move the following HCPCS codes as described below:

Table 2.—HCPCS Codes Proposed To Be Redistributed to APCs 0130, 0195, and 0190

HCPCS	Description	2003 APC	2004 APC
58578	Laparoscopic procedure, uterus	0190	0130
58353	Endometrial ablate, thermal	0193	0195
58555	Hysteroscopy, diagnostic, sep. procedure	0194	0190

We believe these proposed changes take into account the different technologies used to perform these procedures while maintaining the clinical comparability of these APCs as well as improving their homogeneity in terms of resource consumption.

l. Female Reproductive Procedures.

APC 0195: Level VII Female Reproductive Proc. APC 0202: Level VIII Female Reproductive Proc.

A commenter requested that we place CPT code 57288 (Repair bladder defect) in its own APC because it requires the use of a device. Our staff suggested that CPT codes 57288 and 57287 remain in APC 0202, while the remaining codes in APC 0202 be moved to APC 0195:

HCPCS	Description
57109	Vaginectomy partial w/nodes.
58920	Partial removal of ovary(s).
58925	Removal of ovarian cyst(s).

The Panel agreed with our staff, and we propose to accept the Panel's recommendation to move CPT codes 57109, 58920, and 58925 from APC 0202 to APC 0195.

m. Nerve Injections.

APC 0203: Level IV Nerve Injections.

APC 0204: Level I Nerve Injections.

APC 0206: Level II Nerve Injections.

APC 0207: Level III Nerve Injections.

Several commenters suggested changes in the configuration of APCs 0203, 0204, 0206, and 0207 because of concerns that the current classifications result in payment rates that are too low relative to the resource costs associated with certain procedures in these APCs. Several of these APCs include procedures associated with drugs or devices for which pass-through payments are scheduled to expire in 2003.

We requested the Panel's input regarding whether or not these APCs should be restructured. The Panel stated that the current configuration of APCs 0203, 0204, 0206, and 0207 is more clinically cohesive than the previous year's configuration and that more data should be collected before making any changes. We propose to accept the Panel's recommendation that we make no changes to the structure of these APCs until more data become available for review.

n. Laminotomies and Laminectomies; Implantation of Pain Management Device.

APC 0208: Laminotomies and Laminectomies.

APC 0223: Implantation of Pain Management Device.

A presenter to the Panel, who represented a device manufacturer, requested that we move CPT code 62351 (Implant spinal canal catheter) from APC 0208 to APC 0223 to better capture the device cost that may be involved with the procedure. The Panel felt the data were insufficient to merit moving the code and recommended that CPT code 62351 remain in APC 0208 until more data are available for review. We propose to accept the Panel's recommendation that CPT code 62351 remain in APC 0208 until more claims data become available for review.

o. Extended EEG Studies and Sleep Studies; Electroencephalogram.

APC 0209: Extended EEG Studies and Sleep Studies, Level II.

APC 0213: Extended EEG Studies and Sleep Studies, Level I.

APC 0214: Electroencephalogram.

We expressed concern to the Panel that APC 0213 appears to minimally violate the 2 times rule. In order to remedy this violation, we asked the Panel to consider a commenter's suggestion that we move CPT code 95955 (EEG during surgery) from APC 0214 to APC 0213. The Panel agreed with the commenter's suggestion. We propose to accept the Panel's recommendation to move CPT code 95955 from APC 0214 to APC 0213.

p. Nerve and Muscle Tests.

APC 0215: Level I Nerve and Muscle Tests.

APC 0216: Level III Nerve and Muscle Tests.

APC 0218: Level II Nerve and Muscle Tests.

We expressed concern to the Panel that APC 0218 appears to violate the 2 times rule. In order to remedy this violation, one commenter requested that we move CPT codes 95921 (Autonomic nerve function test) and 95922 (Autonomic nerve function test) from APC 0218 to APC 0216, while another commenter requested that we move CPT code 95904 (Sensory nerve conduction test) from APC 0215 to APC 0218. Alternatively, our staff suggested to the Panel that the following CPT codes be moved from APC 0218 to APC 0215.

HCPCS	Description
95858	Tensilon test & myogram.
95870	Muscle test, nonparaspinal.
95900	Motor nerve conduction test.
95903	Motor nerve conduction test.

After considering all of the above proposals, the Panel recommended that we move CPT codes 95858, 95870, 95900, and 95903 from APC 0218 to APC 0215. We propose to accept the Panel's recommendation.

q. Implantation of Drug Infusion Device.

APC 0227: Implantation of Drug Infusion Device.

APC 0227 contains only two CPT codes: one for implantation of programmable spine infusion pumps, 62362, and for implantation of non-programmable spine infusion pumps, 62361. A commenter requested that we split APC 0227 into two APCs to recognize the cost difference between CPT code 62361 and CPT code 62362. However, since our cost data do not show a significant cost difference between the two devices and APC 227 does not violate the 2 times rule, the Panel recommended that CPT codes 62361 and 62362 remain in APC 0227. We propose to accept the Panel's recommendation.

r. Ophthalmologic APCs.

APC 0230: Level I Eye Tests & Treatments.

APC 0235: Level I Posterior Segment Eye Procedures.

APC 0236: Level II Posterior Segment Eye Procedures.

APC 0698: Level II Eye Tests & Treatments.

We advised the Panel that APCs 0230 and 0235 violate the 2 times rule but that the current configuration of these APCs reflects the Panel's previous recommendations. A presenter to the Panel, who represented a device manufacturer, expressed concern that the pass-through device category “New Technology: Intraocular Lens” was discontinued and these devices are now packaged. The presenter asked the Panel to recommend that future new intraocular lens devices be considered for a new pass-through category.

To remedy the violations to the 2 times rule, we asked the Panel to consider moving CPT code 67820 (Revise eyelashes) from APC 0230 to APC 0698 and CPT code 67110 (Repair detached retina) from APC 0235 to APC 0236. The Panel recommended that we make these changes. We propose to accept the Panel's recommendation and monitor the data for APC 0235 for possible review next year. The Panel also acknowledged that making recommendations concerning pass-through categories is beyond their purview.

s. Skin Tests and Miscellaneous Red Blood Cell Tests; Transfusion Laboratory Procedures.

APC 0341: Skin Tests and Miscellaneous Red Blood Cell Tests.

APC 0345: Level I Transfusion Laboratory Procedures.

We advised the Panel that APCs 0341 and 0345 minimally violate the 2 times rule and suggested moving several CPT codes within these APCs into a new APC because a commenter expressed concern over the combination of skin tests and miscellaneous red blood cell tests in APC 0341, asserting that services within this APC cannot be considered comparable with respect to resource usage.

In order to remedy these violations to the 2 times rule, we suggested moving CPT code 86901 (Blood typing, Rh (D)) from APC 0345 to a new APC along with the following CPT codes from APC 0341:

HCPCS	Description
86880	Coombs test, direct.
86885	Coombs test, indirect, qualitative.
86886	Coombs test, indirect, titer.
86900	Blood typing, ABO.

The Panel recommended that we make the above changes. We propose to accept the Panel's recommendation to move HCPCS codes 86880, 86885, 86886, and 86900 from APC 0341 to new APC 0409 and to move CPT code 86901 (Blood typing, Rh (D)) from APC 0345 to new APC 0409.

t. Otorhinolaryngologic Function Tests.

APC 0363: Level I Otorhinolaryngologic Function Tests.

APC 0660: Level II Otorhinolaryngologic Function Tests.

We expressed concern to the Panel that APC 0660 appears to violate the 2 times rule and suggested moving CPT codes 92543 (Caloric vestibular test) and 92588 (Evoked auditory test) from APC 0660 to APC 0363. The Panel recommended that we make these CPT code changes. We propose to accept the Panel's recommendation to move CPT codes 92543 and 92588 from APC 0660 to APC 0363.

u. Tube Changes and Repositioning.

APC 0121: Level I Tube changes and Repositioning

APC 0122: Level II Tube changes and Repositioning

We expressed concern to the Panel that APC 0121 appears to violate the 2 times rule. In order to remedy this violation, we suggested moving the following CPT codes from APC 0121 to APC 0122:

HCPCS	Description
47530	Revise/reinsert bile tube.
50688	Change of ureter tube.
51710	Change of bladder tube.
62225	Replace/irrigate catheter.

The Panel recommended that we make these CPT code changes. We propose to accept the Panel's recommendation to move CPT codes 47530, 50688, 51710, and 62225 from APC 0121 to APC 0122.

v. Myelography.

APC 0274: Myelography.

We advised the Panel that APC 0274 minimally violates the 2 times rule and suggested moving CPT codes 72285 (X-ray c/t spine disk) and 72295 (X-ray

c/t spine disk) from APC 0274 to a new APC. A presenter, from an organization representing radiologists, agreed with our proposal. The Panel recommended that we make these CPT code changes. We propose to accept the Panel's recommendation to move CPT codes 72285 and 72295 from APC 0274 to new APC 0388.

w. Therapeutic Radiologic Procedures.

APC 0296: Level I Therapeutic Radiologic Procedures

APC 0297: Level II Therapeutic Radiologic Procedures

We advised the Panel that APCs 0296 and 0297 appear to minimally violate the 2 times rule as a result of changes recommended by the Panel and adopted by CMS last year. The Panel recommended that no changes be made to APCs 0296 and 0297 in the interest of preserving the clinical homogeneity of these APCs. We propose to accept the Panel's recommendation that we make no CPT code changes to APCs 0296 and 0297.

x. Vascular Procedures; Cannula/Access Device Procedures.

APC 0103: Miscellaneous Vascular Procedures

APC 0115: Cannula/Access Device Procedures

A commenter requested that we move CPT code 36860 (External cannula declotting) from APC 0103 to APC 0115, asserting that this procedure is more similar to other procedures in APC 0115 and does not fit well in its current miscellaneous APC. The Panel found that the claims data were insufficient to support moving CPT code 36860 from APC 0103 to the higher paying APC 0115 and recommends that CPT code 36860 remain in APC 0103 until more data are available for review. We propose to accept the Panel's recommendation that CPT code 36860 remain in APC 0103 until more claims data become available for review.

y. Angiography and Venography Except Extremity.

APC 0279: Level II Angiography and Venography except Extremity.

APC 0280: Level III Angiography and Venography except Extremity.

APC 0668: Level I Angiography and Venography except Extremity.

A commenter requested that we move CPT code 75978 (Repair venous blockage) from APC 0668 to APC 0280 and that we move CPT code 75774 (Artery x-ray, each vessel) from APC 0668 to APC 0279. A presenter to the Panel testified that CPT code 75978 is commonly used for dialysis patients and often requires multiple intraoperative attempts to succeed; thus, it should be paid under APC 280. The Panel felt that APCs 0279, 0280, and 0668 were clinically homogenous and recommended that we only make changes after consulting with experts in the field. We propose to accept the Panel's recommendation to make no changes to APCs 0279, 0280, and 0668 until consulting with experts in the field. We plan to place these APCs on the Panel's agenda for the 2005 update.

z. Computed Tomography (CT), Magnetic Resonance (MR), and Ultrasound Guidance Procedures Currently Packaged.

APC 0332: Computerized Axial Tomography and Computerized Angiography without Contrast Material.

APC 0335: Magnetic Resonance Imaging, Miscellaneous.

APC 0268: Ultrasound Guidance Procedures.

A presenter to the Panel expressed concern that the packaging of guidance procedures for tissue ablation does not recognize the significant difference in cost and time required to perform each procedure (for example, MRI vs. CT). This presenter felt that hospitals needed more education on the appropriate application of these codes. Another commenter requested that CPT codes 76362, 76394, and 76490 be changed from a status indicator of N to a status indicator of S and included in an appropriate clinical or new technology APC.

The Panel agreed with the above comments and stated that the packaging of these three procedures made it difficult for hospitals to track their use for the purpose of allocating funds. The Panel recommended changing the following CPT codes from a packaged status (N status indicator) to a separately payable status (S status indicator) within the indicated APCs:

Table 3.—HCPCS Codes Proposed To Be Designated as Separately Payable

HCPCS	Description	2003 status	2004 APC
76362	CT scan for tissue ablation	Packaged	0332
76394	MRI for tissue ablation	Packaged	0335
76490	US for tissue ablation	Packaged	0268

We propose to accept the Panel's recommendation to change HCPCS codes 76362, 76394, and 76490 from a packaged status to a separately payable status as indicated above.

aa. Magnetic Resonance Imaging and Magnetic Resonance Angiography Without Contrast.

APC 0336: Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contrast

A commenter requested that we change CPT code 76393 (MR guidance for needle placement) from a packaged status to a separately payable status within APC 0336. Based on clinical homogeneity considerations, the Panel agreed with the commenter and recommended that CPT code 76393 be changed from a status indicator of N to a status indicator of S and placed in APC 0335. We propose to accept the Panel's recommendation.

bb. Plain Film Except Teeth; Plain Film Except Teeth Including Bone Density Measurement.

APC 0260: Level I Plain Film Except Teeth.

APC 0261: Level II Plain Film Except Teeth Including Bone Density Measurement.

APC 0272: Level I Fluoroscopy.

A commenter requested that we move CPT codes 76120 (Cine/video x-rays) and 76125 (Cine/video x-rays add-on) from APC 0260 to APC 0261. However, a presenter to the Panel argued that these CPT codes are fluoroscopic procedures that should not be grouped with Level I radiography procedures. The Panel recommended that we move CPT code 76120 from APC 0260 to APC 0272 and that CPT code 76125 remain in APC 0260. This change makes the APCs more clinically coherent. We propose to accept the Panel's recommendation.

cc. Chemotherapy Administration by Other Technique Except Infusion.

APC 0116: Chemotherapy Administration by Other Technique Except Infusion.

A presenter to the Panel requested that we split APC 0116 into three APCs according to the method of administration: (a) Subcutaneous or intramuscular administration (CPT code 96400); (b) “push” administration (CPT code 96408); and (c) central nervous system administration (CPT code 96450). The presenter also requested that existing CPT codes should replace the more nonspecific Q codes for administration of chemotherapy because the CPT codes would provide more detailed data on methods of chemotherapy administration, which could be used for future payment policy decisions. Another presenter agreed with this request and stated that CPT codes are preferable to Q codes because other payers require CPT codes.

The Panel agreed with the above suggestions to split APC 0116 into 3 APCs according to the method of administration. The Panel recommended that we require hospitals to use the existing CPT codes (for example, 96400, 96408, and 96450) for administration of chemotherapy and map them to APCs 0116, 0117, and 0118, as appropriate. The Panel also recommended that payment rates be based on current Q code cost data until cost data for the CPT codes are available. These cost data would be used to determine whether to change the APC structure for chemotherapy administration.

We propose not to accept the Panel's recommendations to split APC 0116 into 3 APCs and to use CPT codes for administration of chemotherapy. We would consider such a split in the future but would like to first address the administration of drugs issue. We believe that making a change in APC 116 would be too complicated for hospitals given the changes for administration in general that we are considering in this proposed rule for implementation in CY 2004. We will consider such a split for APC 116 for CY 2005. We also believe the use of CPT codes would be burdensome to hospitals, would require extensive education, and would result in a significant amount of miscoding. The CPT codes for infusion therapy are based on the service furnished per hour. We do not believe that all hospitals routinely record the start and stop time for infusion therapy and that doing so in order to be able to bill the proper number of hours of infusion therapy could be very burdensome for them. Moreover, the historic cost data on which we base the payment for the service is reported on a per visit basis (much easier to cull from the record than the number of hours of service) and if we changed to CPT codes for these services, we would be unable to convert the charge/cost data now on a per visit basis to a per hour basis (as required by the CPT code) for budget neutrality purposes. Please see section VI of this proposed rule for further discussion on payments for drugs and drug administration.

dd. Capturing the Costs of Drugs and Biologicals Packaged Into APCs.

APC 0290: Level I Diagnostic Nuclear Medicine Excluding Myocardial Scans.

APC 0291: Level II Diagnostic Nuclear Medicine Excluding Myocardial Scans.

APC 0292: Level III Diagnostic Nuclear Medicine Excluding Myocardial Scans.

APC 0294: Level II Therapeutic Nuclear Medicine.

APC 0666: Myocardial Add-on Scans.

We told the Panel that APCs 0290 and 0291 appear to violate the 2 times rule. Several presenters to the Panel expressed concern that our cost data are inadequate because of confusion over coding due to changes in codes and coding instructions for these procedures, poor hospital reporting of radiopharmaceutical use, and the use of single (not multiple) claims in determining costs. One presenter claimed that the current cost data used for CPT code 78122 (Whole blood volume determination) underestimated real costs because of confusion about whether to code radiopharmaceuticals on a “per dose” basis or “per millicurie” basis. This presenter requested that we move CPT code 78122 from APC 0290 to the higher paying APC 0292.

Other presenters agreed with these concerns and said they were applicable to payments for all drugs, not just radiopharmaceuticals. These commenters were also concerned about the loss of drug-specific data due to packaging because hospitals would have no incentive to code, and thereby, identify, packaged drugs.

Pass-through payments for 236 drugs, biologicals, and radiopharmaceuticals expired as of 2003, and these items are now paid either separately or packaged with the procedures with which they are associated. Drugs and radiopharmaceuticals with median costs for administration of $150 or less were packaged. Beginning in 2003 claims data will not provide specific cost information for packaged items. We requested input from the Panel for methods to determine drug costs.

Panel members were concerned that packaging the costs of radiopharmaceuticals into procedures would result in underpayments for the service because we lack adequate data on the cost of radiopharmaceuticals. They were also concerned about creating incentives to use radiopharmaceuticals based on cost rather than clinical efficacy. The Panel recommended that we consider grouping drugs and radiopharmaceuticals into new APCs taking into account both their cost and clinical use. The Panel further recommended that, if new APCs for radionucliides are created, the descriptors should be as simple as possible and use of confusing units of measure should be limited.

Due to the packaging of radiopharmaceuticals into the APC payments for nuclear medicine procedures, we, along with commenters have expressed concern to the Panel regarding whether the current nuclear medicine APC structure is homogeneous in terms of resource consumption. We have reviewed information about the use and cost of various radiopharmaceuticals and believe that reorganizing the APCs for nuclear medicine would result in greater clinical and resource homogeneity. Therefore, we propose to eliminate APCs 0286, 0290, 0291, 0292, 0294, 0666 and create 20 new APCs for nuclear medicine that contain the following CPT codes:

HCPCS	Description
APC 0389:
78000	Thyroid, single uptake.
78001	Thyroid, multiple uptakes.
78003	Thyroid suppress/stimul.
78020	Thyroid met uptake.
78099	Endocrine nuclear procedure.
78190	Platelet survival, kinetics.
78191	Platelet survival.
78199	Blood/lymph nuclear exam.
78299	GI nuclear procedure.
78399	Musculoskeletal nuclear exam.
78499	Cardiovascular nuclear exam.
78599	Respiratory nuclear exam.
78699	Nervous system nuclear exam.
78725	Kidney function study.
78799	Genitourinary nuclear exam.
78999	Nuclear diagnostic exam.
79999	Nuclear medicine therapy.
APC 0390:
78006	Thyroid imaging with uptake.
78010	Thyroid imaging.
78015	Thyroid met imaging.
78016	Thyroid met imaging/studies.
APC 0391:
78007	Thyroid image, mult uptakes.
78011	Thyroid imaging with flow.
78018	Thyroid met imaging, body.
78070	Parathyroid nuclear imaging.
APC 0392:
78075	Adrenal nuclear imaging.
APC 0393:
78110	Plasma volume, single.
78111	Plasma volume, multiple.
78120	Red cell mass, single.
78121	Red cell mass, multiple.
78122	Blood volume.
78130	Red cell survival study.
78135	Red cell survival kinetics.
78140	Red cell sequestration.
78160	Plasma iron turnover.
78162	Radioiron absorption exam.
78170	Red cell iron utilization.
78172	Total body iron estimation.
APC 0400:
78102	Bone marrow imaging, ltd.
78103	Bone marrow imaging, mult.
78104	Bone marrow imaging, body.
78185	Spleen imaging.
78195	Lymph system imaging.
APC 0394:
78201	Liver imaging.
78202	Liver imaging with flow.
78205	Liver imaging (3D).
78206	Liver image (3d) with flow.
78215	Liver and spleen imaging.
78216	Liver & spleen image/flow.
78220	Liver function study.
78223	Hepatobiliary imaging.
APC 0395:
78230	Salivary gland imaging.
78231	Serial salivary imaging.
78232	Salivary gland function exam.
78258	Esophageal motility study.
78261	Gastric mucosa imaging.
78262	Gastroesophageal reflux exam.
78264	Gastric emptying study.
78278	Acute GI blood loss imaging.
78290	Meckel's divert exam.
78291	Leveen/shunt patency exam.
78270	Vit B-12 absorption exam.
78271	Vit b-12 absrp exam, int fac.
78272	Vit B-12 absorp, combined.
78282	GI protein loss exam.
APC 0396:
78300	Bone imaging, limited area.
78305	Bone imaging, multiple areas.
78306	Bone imaging, whole body.
78315	Bone imaging, 3 phase.
78320	Bone imaging (3D).
APC 0397:
78414	Non-imaging heart function.
78445	Venous thrombosis study.
78455	Venous thrombosis study.
78456	Acute venous thrombus image.
78457	Venous thrombosis imaging.
78458	Ven thrombosis images, bilat.
APC 0398:
78428	Cardiac shunt imaging.
78460	Heart muscle blood, single.
78461	Heart muscle blood, multiple.
78464	Heart image (3d), single.
78465	Heart image (3d), multiple.
78466	Heart infarct image.
78468	Heart infarct image (ef).
78469	Heart infarct image (3D).
78472	Gated heart, planar, single.
78473	Gated heart, multiple.
78481	Heart first pass, single.
78483	Heart first pass, multiple.
78494	Heart image, spect.
APC 0399:
78478	Heart wall motion add-on.
78480	Heart function add-on.
78496	Heart first pass add-on.
APC 0401:
78580	Lung perfusion imaging.
78584	Lung V/Q image single breath.
78585	Lung V/Q imaging.
78586	Aerosol lung image, single.
78587	Aerosol lung image, multiple.
78588	Perfusion lung image.
78591	Vent image, 1 breath, 1 proj.
78593	Vent image, 1 proj, gas.
78594	Vent image, mult proj, gas.
78596	Lung differential function.
APC 0402:
78600	Brain imaging, ltd static.
78601	Brain imaging, ltd w/flow.
78605	Brain imaging, complete.
78606	Brain imaging, compl w/flow.
78607	Brain imaging (3D).
78610	Brain flow imaging only.
78615	Cerebral vascular flow image.
APC 0403:
78630	Cerebrospinal fluid scan.
78635	CSF ventriculography.
78645	CSF shunt evaluation.
78647	Cerebrospinal fluid scan.
78650	CSF leakage imaging.
78660	Nuclear exam of tear flow.
APC 0404:
78700	Kidney imaging, static.
78701	Kidney imaging with flow.
78704	Imaging renogram.
78707	Kidney flow/function image.
78708	Kidney flow/function image.
78709	Kidney flow/function image.
78710	Kidney imaging (3D).
78715	Renal vascular flow exam.
APC 0405:
78730	Urinary bladder retention.
78740	Ureteral reflux study.
78760	Testicular imaging.
78761	Testicular imaging/flow.
APC 0406:
78800	Tumor imaging, limited area.
78801	Tumor imaging, mult areas.
78802	Tumor imaging, whole body.
78803	Tumor imaging, whole body.
78805	Abscess imaging, ltd area.
78806	Abscess imaging, whole body.
78807	Nuclear localization/abscess.
G0273	Pretx planning, non-Hodgkins.
APC 0407:
79000	Init hyperthyroid therapy.
79001	Repeat hyperthyroid therapy.
79020	Thyroid ablation.
79030	Thyroid ablation, carcinoma.
79035	Thyroid metastatic therapy.
APC 0408:
79100	Hematopoetic nuclear therapy.
79200	Intracavitary nuclear trmt.
79300	Interstitial nuclear therapy.
79400	Nonhemato nuclear therapy.
79420	Thyroid metastatic therapy.
79440	Nuclear joint therapy.
G0274	Radiopharm tx, non-Hodgkins.

We believe that the proposed APC structure, which takes into account the organ(s) being examined (or treated) as well as the type and complexity of the procedure, is more homogeneous both clinically and in terms of resource consumption than the current APC structure.

Currently, payment for the radiopharmaceutical “zevalin” (Ibritumomab Tiuxetan) is packaged into the payment for HCPCS codes G0273 (Pretx planning, non-Hodgkins) and G0274 (Radiopharm tx, non-Hodgkins). To ensure consistency with our payment policy for other radiopharmaceuticals (that is, making separate payment for radiopharmaceuticals whose costs are greater than $150 per episode of care), we are proposing to make payment for “zevalin” (Ibritumomab Tiuxetan) separately from payment for the procedures with which “zevalin” (Ibritumomab Tiuxetan) is used.

We propose to use HCPCS A9522 (Indium 111 ibritumomab tiuxetan) to report the use of In-111 Zevalin (In-111 Ibritumomab Tiuxetan) and HCPCS A9523 (Yttrium 90 ibritumomab tiuxetan) to report the use of Y90 Zevalin (Y90 Ibritumomab Tiuxetan). We would place HCPCS A9522 in APC 9118 with a payment amount of $2,084.55 and HCPCS A9523 in APC 9117 with a payment amount of $18,066.09. We note that payment rates for radiopharmaceuticals are not subject to wage index adjustments because no portion of the payment is attributed to labor-related costs.

Because we propose that payment for G0273 and G0274 no longer include payment for “zevalin,” we also propose to place G0273 into newly created APC 0406 and G0274 into newly created APC 0408. These APCs include procedures that are similar clinically and in terms of resource consumption to G0274 and G0273, respectively.

Please see section VI of this proposed rule for further discussion on payments for drugs, biologicals, and radiopharmaceuticals.

ee. Endoscopy Lower Airway.

APC 0076: Endoscopy Lower Airway.

A presenter to the Panel expressed concern that APC 0076 apparently violates the 2 times rule and requested that we move CPT code 31631 (bronchoscopy with tracheal stent placement) from APC 0076 and into a new APC.

The Panel suggested that a new APC comprised of the four most costly procedures in APC 0076 would result in a more homogenous grouping, and recommended that we move the following CPT codes from APC 0076 and into newly created APC 0415.

HCPCS	Description
31630	Bronchoscopy dilate/fracture reduction.
31631	Bronchoscopy, dilate w/stent.
31640	Bronchoscopy w/tumor excise.
31641	Bronchoscopy, treat blockage.

We propose to accept the Panel's recommendation that we move CPT codes 31630, 31631, 31640, and 31641 from APC 0076 to new APC 0415.

ff. Gastrointestinal Endoscopic Stenting Procedures.

APC 0141: Upper GI Procedures.

APC 0142: Small Intestine Endoscopy.

APC 0143: Lower GI Endoscopy.

APC 0147: Level II Sigmoidoscopy.

A commenter requested that we create a new APC that would be comprised of all the gastrointestinal endoscopic stent codes. The Panel agreed with the commenter's suggestion because the resource requirements for all gastrointestinal endoscopic stents appear to be similar.

The Panel recommended that we move the following CPT codes from their 2003 APCs to newly created APC 0384 for 2004:

Table 4.—HCPCS Codes To Be Moved Into New APC 0646

HCPCS	Description	2003 APC	2004 APC
43219	Esophagus endoscopy	0141	0384
43256	Upper GI endoscopy w/stent	0141	0384
44370	Small bowel endoscopy w/stent	0142	0384
44379	Small bowel endoscopy w/stent	0142	0384
44383	Small bowel endoscopy	0142	0384
44397	Colonoscopy w/stent	0143	0384
45387	Colonoscopy w/stent	0143	0384
45327	Proctosigmoidoscopy w/stent	0147	0384
45345	Sigmoidoscopy w/stent	0147	0384

We propose to accept the Panel's recommendation to move the following gastrointestinal endoscopic stent CPT codes into newly created APC 0384: 43219, 43256 (from APC 0141); 44370, 44379, 44383 (from APC 0142); 44397, 45387 (from APC 0143); 45327, and 45345 (from APC 0147).

gg. Capturing the Costs of Devices That Are Packaged Into APCs.

APC 0081: Non-Coronary Angioplasty or Atherectomy.

APC 0083: Coronary Angioplasty and Percutaneous Valvuloplasty.

APC 0104: Transcatheter Placement of Intracoronary Stents.

APC 0222: Implantation of Neurological Device.

APC 0223: Implantation of Pain Management Device.

APC 0227: Implantation of Drug Infusion Device.

APC 0229: Transcatheter Placement of Intravascular Shunts.

Several commenters requested that the status indicators for the above APCs (all of which include high-cost devices) be changed from T (multiple-procedure discount applies) to S (multiple-procedure discount does not apply). Two presenters to the Panel stated that hospitals do not pay less for devices when they are used in the context of a multiple-procedure claim and suggested that we apply the multiple-procedure reduction to the non-device portion of the claim only. Alternatively, these presenters recommended that we apply the discount policy only when the device cost is below a predetermined proportion of the APC cost. Another presenter to the Panel requested that APCs 0222, 0223, and 0227 be exempt from the multiple procedure discount policy because the cost of the devices used in these procedures makes up more than 50 percent of the APC cost.

We sought the Panel's input as to whether there are situations in which we should not apply our multiple procedure discount policy. The Panel recommended no changes to the status indicators for any of the device-related APCs discussed because they were concerned that exemptions from the discount policy could result in incentives to use more devices than necessary. However, the Panel asked that we analyze our data to determine if we may be underpaying for devices when the multiple procedure discounting policy is applied and recommended that we develop some methodology to track device costs. In section V.C of this proposed rule, we discuss the issue of device costs and multiple procedure reductions and our progress to date in developing “combination APCs” to address the Panel's concern.

hh. Discussion of Ways To Increase the Use of Multiple Claims To Set APC Payment Rates.

A presenter to the Panel suggested that we use dates of service on multiple procedure claims to increase the number of claims we use to set payment rates. Another presenter suggested that we could further increase the number of multiple procedure claims that could be used to set payment rates by ignoring codes with status indicator K. Other suggestions were to exclude from consideration those APCs with small dollar values and to create a new code or APC specifically for the insertion and removal of devices.

The Panel recommended that our staff explore ways to increase the number of claims used to set payment rates, including the following methodologies: sort multiple claims by date of service; exclude codes with K status indicator from evaluation; exclude those APCs with nominal costs (the definition of “nominal” can be determined by modeling a variety of possible dollar amounts). In addition, the Panel recommended that we create no G codes as part of the effort to use multiple procedure claims for developing relative weights. If new codes are needed, the Panel suggested that our staff work with the American Medical Association's CPT Board to identify possible new codes. Please see section V.C of this proposed rule for our discussion of the use of multiple procedure claims for developing payment rates for procedures that use devices.

B. Other Changes Affecting the APCs

1. Limit on Variation of Costs of Services Classified Within an APC Group

Section 1833(t)(2) of the Act provides that the items and services within an APC group cannot be considered comparable with respect to the use of resources if the highest cost item or service within an APC group is more than 2 times greater than the lowest cost item or service within the same group. However, the statute authorizes the Secretary to make exceptions to this limit on the variation of costs within each APC group in unusual cases such as low volume items and services. No exception may be made in the case of a drug or biological that has been designated as an orphan drug under section 526 of the Federal Food, Drug, and Cosmetic Act.

Taking into account the proposed APC changes discussed in relation to the APC Panel recommendations in section II.A.4 of this proposed rule and the use of 2002 claims data to calculate the median cost of procedures classified to APCs, we reviewed all the APCs to determine which of them would not meet the 2 times limit. We use the following criteria when deciding whether to make exceptions to the 2 times rule for affected APCs:

• Resource homogeneity.
• Clinical homogeneity.
• Hospital concentration.
• Frequency of service (volume).
• Opportunity for upcoding and code fragmentation.

For a detailed discussion of these criteria, refer to the April 7, 2000 final rule (65 FR 18457).

The following table contains APCs that we propose to exempt from the 2 times rule based on the criteria cited above. In cases in which a recommendation of the APC Panel appeared to result in or allow a violation of the 2 times rule, we generally accepted the Panel recommendation because Panel recommendations were based on explicit consideration of resource use, clinical homogeneity, hospital specialization, and the quality of the data used to determine payment rates.

The median cost for hospital outpatient services for these and all other APCs can be found at Web site: http://www.cms.hhs.gov.

Table 5.—Table of APCs Exempted From 2 Times Rule

Proposed rule APC	Description
0004	Level I Needle Biopsy/Aspiration Except Bone Marrow.
0018	Biopsy of Skin/Puncture of Lesion.
0019	Level I Excision/Biopsy.
0020	Level II Excision/Biopsy.
0032	Insertion of Central Venous/Arterial Catheter.
0043	Closed Treatment Fracture Finger/Toe/Trunk.
0046	Open/Percutaneous Treatment Fracture or Dislocation.
0048	Arthroplasty with Prosthesis.
0055	Level I Foot Musculoskeletal Procedures.
0058	Level I Strapping and Cast Application.
0060	Manipulation Therapy.
0072	Level II Endoscopy Upper Airway.
0073	Level III Endoscopy Upper Airway.
0080	Diagnostic Cardiac Catheterization.
0084	Level I Electrophysiologic Evaluation.
0097	Cardiac and Ambulatory Blood Pressure Monitoring.
0099	Electrocardiograms.
0105	Revision/Removal of Pacemakers, AICD, or Vascular.
0130	Level I Laparoscopy.
0147	Level II Sigmoidoscopy.
0148	Level I Anal/Rectal Procedure.
0155	Level II Anal/Rectal Procedure.
0164	Level I Urinary and Anal Procedures.
0165	Level III Urinary and Anal Procedures.
0192	Level IV Female Reproductive Proc.
0203	Level IV Nerve Injections
0204	Level I Nerve Injections.
0207	Level III Nerve Injections.
0213	Extended EEG Studies and Sleep Studies, Level I.
0214	Electroencephalogram.
0218	Level II Nerve and Muscle Tests.
0231	Level III Eye Tests & Treatments.
0233	Level II Anterior Segment Eye Procedures.
0235	Level I Posterior Segment Eye Procedures.
0239	Level II Repair and Plastic Eye Procedures.
0245	Level I Cataract Procedures without IOL Insert.
0252	Level II ENT Procedures.
0262	Plain Film of Teeth.
0266	Level II Diagnostic Ultrasound Except Vascular.
0274	Myelography.
0303	Treatment Device Construction.
0330	Dental Procedures.
0340	Minor Ancillary Procedures.
0341	Skin Tests.
0344	Level III Pathology.
0363	Level I Otorhinolaryngologic Function Tests.
0364	Level I Audiometry.
0367	Level I Pulmonary Test.
0368	Level II Pulmonary Tests.
0370	Allergy Tests.
0373	Neuropsychological Testing.
0385	Urinary Incontinence Procedures.
0397	Vascular Imaging.
0408	Non-thyroid Radionucliide Treatment.
0409	Red Blood Cell Tests.
0600	Low Level Clinic Visits.
0668	Level I Angiography and Venography except Extremity.
0692	Electronic Analysis of Neurostimulator Pulse Generators.
0698	Level II Eye Tests & Treatments.

2. Procedures Moved From New Technology APCs to Clinically Appropriate APCs

In the November 30, 2001 final rule (66 FR 59903), we made final our proposal to change the period of time during which a service may be paid under a new technology APC. The April 7, 2000 final rule initially established the time frame that new technology APCs would be in effect (65 FR 18457). Beginning in 2002, we retain a service within a new technology APC group until we have acquired adequate data that allow us to assign the service to a clinically appropriate APC. This policy allows us to move a service from a new technology APC in less than 2 years if sufficient data are available, and it also allows us to retain a service in a new technology APC for more than 3 years if sufficient data upon which to base a decision for reassignment have not been collected.

In the context of new technology procedures, we create HCPCS codes for services only. We do not create HCPCS codes for equipment that is used in the course of providing an item or service (except in the case of “C” codes for devices that meet the criteria for transitional pass-through payments). Equipment that is used to provide an item or service is not separately coded because it is a resource required to furnish the service. Like other resources that are required to furnish a service (for example, cost of a room, cost of staff, cost of supplies), the hospital should show charges either as part of its charge for the procedure or with a revenue code.

As described in more detail below, we propose to delete four HCPCS codes that are currently paid in new technology APCs. These four HCPCS codes do not conform to our current policy to not create HCPCS codes for equipment used to provide a service. In addition, there exist, or soon will exist, CPT codes to describe the services being furnished, including any equipment that is needed to perform them, so we believe it is appropriate at this time to delete the HCPCS codes. The HCPCS codes we propose to delete effective January 1, 2004 are:

C1088: Laser Optic Treatment system, Indigo Laseroptic Treatment System,

C9701: Stretta System,

C9703: Bard Endoscopic Suturing System, and

C9711: H.E.L.P. Apheresis System.

These codes were created and assigned to New Technology APCs when it was CMS policy to create a C code to describe an item of equipment for which there was no other means of making payment for the service in which the equipment was used. In the November 30, 2001 final rule, we announced that we would not use New Technology APCs to pay for drugs, devices, and equipment that are used in the performance of a procedure, but which are not in and of themselves a complete service. It is due to an oversight on our part that we did not delete these codes at that time. We stopped using C codes to describe specific devices in April 2001 and no longer create C codes to describe items of equipment. Moreover, we have found that there are existing CPT codes or, in the case of C9701, there will soon be a CPT tracking code, that will accurately report the services being furnished, and under which the hospital should report the charges for providing the services, including charges related to the equipment needed to furnish the service. Therefore, payment will be appropriate regardless of whether there are separate codes for these items of equipment.

HCPCS code C1088, the Laser Optic Treatment System, Indigo Laseroptic Treatment System, now paid under APC 0980 is no longer needed because our review of data shows that the equipment it describes is appropriately reported under CPT codes 52647 and 52648. The procedures described by these CPT codes may be performed by using several types of equipment, one of which is the type described by C1088. In fact, most of the claims containing line items for C1088 are accompanied by line items for 52647 or 52648. This means that hospitals are appropriately reporting these services under the applicable CPT codes and that any charges associated with C1088 are likely duplicate charges for the service provided. Therefore, we propose to delete C1088 and to have hospitals continue to report these services under CPT codes 52647 and 52648, which are in APC 0163.

HCPCS code C9701, the Stretta System, now paid under APC 0980, is used in a procedure that will soon be given a CPT Category Three Tracking Code by the American Medical Association's CPT Editorial Panel. We propose to use the CPT tracking code to report services using the Stretta System and to delete HCPCS code C9701. We propose to assign the new CPT tracking code in APC 1557.

HCPCS code C9703, the Bard Endoscopic Suturing System, now paid under APC 0979, is used in a procedure that has been granted a CPT Category Three Tracking Code, 0008T, which describes the procedure for which this equipment is used. We propose to delete C9703 and to require hospitals to use 0008T to report services using this equipment. We propose to assign CPT code 0008T to APC 1555 for 2004.

HCPCS code C9711, the H.E.L.P. Apheresis System, now paid under APC 0978, is used to provide apheresis, which is appropriately reported using CPT codes 36511 through 36516. Therefore, we propose to delete C9711 and to require hospitals to report the service in which this equipment is used by using CPT codes 36511 through 36516.

3. Revision of Cost Bands and Payment Amounts for New Technology APCs

In the April 7, 2000 final rule (68 FR 18477), we created 15 new technology APCs (APCs 0970 through 0984) to pay for certain new technology services under the OPPS. As discussed in both the April 7, 2000 and November 30, 2001 final rules, new technology APCs are intended to pay for new or rarely performed procedures for which we lack sufficient cost data to make an assignment to a clinical APC. New technology APCs are defined on the basis of costs, not the clinical characteristics of a service. The payment rate for each new technology APC is based on the midpoint of a range of costs.

In the November 30, 2001 final rule (66 FR 59856), we revised several of the cost bands, added a payment level to the original group of new technology APCs, and assigned status indicator “T” to APCs 0970 through 0985. We also created a parallel set of new technology APCs (APCs 0706 through 0721), each of which was assigned status indicator “S.” In addition, we changed the definition of what is appropriately paid for under a new technology APC; we refined the criteria for determining assignment of a procedure or service to a new technology APC; we clarified the information that must be supplied for a request for new technology status to be considered; and we removed the restrictions on how long a procedure can be assigned to a new technology APC. These changes, which are discussed in detail in the November 30, 2001 final rule, were implemented effective April 1, 2002.

In the November 1, 2002 final rule, we established two additional new technology APCs, APC 989, and APC 725; as these APCs were not discussed in the proposed rule, they were considered interim with comment.

In this proposed rule, we are proposing to implement a comprehensive restructuring of all the new technology APCs. First, the cost intervals in the current new technology APCs are inconsistent, ranging from $50 to $1,500. Secondly, as the number of procedures assigned to new technology APCs increases, we believe that narrower cost bands are required to avoid significant mispayment for new technology services. The increased number of new technology APCs that would result from narrowing the cost bands cannot be accommodated within the current sequence of available APC numbers. Therefore, we are proposing to dedicate two new series of APC numbers to the restructured new technology APCs, which would allow us to narrow the cost bands and also afford us flexibility in creating additional bands as future needs may dictate.

We propose to establish cost bands from $0 to $100 in increments of $50, from $100 through $2,000 in intervals of $100, and from $2,000 through $6,000 in intervals of $500. We believe that these intervals would allow us to price new technology services more appropriately and consistently. We also propose to retain two parallel sets of new technology APCs, one with status indicator “S” and the other with status indicator “T.” We invite comments on the hierarchy of cost levels of the restructured new technology APCs.

We would reassign current new technology procedures to the level in the restructured new technology APCs so that the payment amount for the procedure in 2004 closely approximates the current payment amount. As we explained in the November 30, 2001 final rule, we generally keep a procedure in the new technology APC to which it is initially assigned until we have collected data sufficient to enable us to move the procedure to a clinically appropriate APC. However, in cases where we find that our original new technology APC assignment was based on inaccurate or inadequate information, we may, based on more recent information (including claims data), reassign the procedure or service to a different new technology APC that more appropriately reflects its cost.

The proposed restructured new technology APCs are listed in Addendum A.

4. APC Assignment for New Codes Created During Calendar Year (CY) 2003

During CY 2003, we created several HCPCS codes to describe services payable under the hospital OPPS. These codes have already been assigned to APCs for CY 2003. In this proposed rule, we solicit comment on the APC assignment of these services. In addition, in this proposed rule, we propose to create a new HCPCS code with an effective date of July 1, 2003. Table 6 includes a new procedural HCPCS code created for implementation in July 2003.

Table 6 does not include new codes for drugs and devices for which we established or intend to establish pass-through payment eligibility effective July or October 2003. Furthermore, neither the new procedural HCPCS nor the new pass-through codes proposed for implementation beginning October 2003, or later, are included in Addendum B of this proposed rule.

Table 6—New G Code for 2003

HCPCS code	Long descriptor	SI	Effective date	APC
G0296	PET imaging, full and partial ring PET scanner only, for restaging of previously treated thyroid cancer of follicular cell origin following negative I-131 whole body scan	S	07/01/03	0714

5. Creation of APCs for Combinations of Device Procedures

In the course of developing the proposed rule for the 2004 OPPS, we wanted to ensure that the claims we use to set payment rates for APCs into which we package medical devices accurately reflect the costs of both the device and non-device portions of the service. As discussed in section III of this proposed rule, we have made a number of changes to our methodology for the creation of single procedure claims used to set relative weights. These changes enabled us to use charge data from more claims to set relative weights. However, we have noted that in spite of our new methodology, we were unable to significantly increase the number of single procedure claims used to set relative weights for several APCs that use high cost devices. One reason for this is that these APCs are often billed in combination with several other major procedures so that we are unable to generate single procedure claims for these APCs.

In the past, commenters have alleged that without using multiple procedure claims, we will be unable to capture the costs of the more complex cases in which multiple procedures are performed and multiple devices are used. These commenters further requested that we change the status indicator of certain APCs from “T” to “S” in order to appropriately capture the cost of high cost devices when multiple procedures, each using devices, were billed. In addition to attempting to find a way to use multiple procedure claims, we also decided to examine our claims data to investigate whether our current payments for multiple procedures performed on the same date, each using high cost devices accurately captured the costs of the device and non-device portion of each procedure.

In order to do this, we reviewed claims from APCs that required high cost devices and from which we were unable to use the majority of claims to set a relative weight for the APC (for example, APCs for insertion of pacemakers, defibrillators, and neurostimulators). We determined the frequency with which other APCs were billed with the high cost device APCs. We then selected those claims where two APCs using high cost devices, or one APC using high cost devices and one high cost, non-device-requiring APC, were billed together with a frequency of more than 100 for the time period April 1, 2002 through September 30, 2002. This number was chosen in order to ensure that we had enough claims to determine reliable median costs. We included the APC combination 0081/0104 unintentionally and performed the analysis without realizing until after the data were developed that it had fewer than 100 claims and therefore should not have been selected. We expected that the data being used to set the 2004 weights would have a similar number of each combination to the number we found in the April 2002 to September 2002 claims. Review of Table 7, Combination APCs Used in Analysis, shows that even starting with 100 claims, we frequently had to determine median costs with very few claims. Additionally, Table 7 reveals that only a few combinations of two high cost device-requiring APCs are billed together 100 or more times. Six of the twelve combinations we analyzed (for example, claims for insertion of pacemakers and defibrillators) contained APC 0105 (Removal of pacemaker defibrillator), which is not a high cost, device-requiring APC. As the data show, APC 0105 is frequently found on multiple procedure claims, but because it is not a high cost device-requiring APC, when it is billed with these APCs, the multiple procedure reductions are applied to APC 0105. Therefore, we have determined that the vast majority of claims for APCs, such as “insertion of Cardioverter Defibrillators,” were not usable multiple procedure claims for the purpose of determining relative weights under our single claim process because they were billed with APC 0105.

After selecting the combinations to review, we determined the hospital costs associated with providing these “combination” procedures using the following methodology:

1. We selected claims where the two APCs of interest both appeared on the claim with the same date of service, and subjected them to the same trimming methodology we use for single procedure claims.

2. We then required that each APC appear on the claim only once. (For example, if two HCPCS codes from APC 0081 appeared on a claim with one HCPCS code from APC 0229, we did not use the claim. Many claims were discarded because of this requirement.)

3. From the claims in step two, we selected only those claims that included the device category codes for the devices required to perform the service. This is similar to our methodology for using single procedure claims where the procedure requires the use of a device with a category code (for example, for claims involving APCs 0222/0225, we used only claims that contained C codes for both a neurostimulator pulse generator and neuroelectrodes).

4. We ignored any line items for separately payable services under OPPS or the lab fee schedule and any line items with revenue centers containing HCPCS other than those in the APCs of interest.

5. At this point, we were left with claims where the only separately payable services were the line items for the HCPCS in the APCs of interest.

6. We packaged into the payable HCPCS codes all device category codes, all packaged HCPCS codes, and all revenue center codes without HCPCS.

7. We then determined the median cost for each APC pair using the remaining claims.

We believe the median cost estimate determined by this methodology should, if anything, overestimate the costs of the procedure combinations studied since all packaged line items were attributed to the APCs of interest unless they were clearly identified as being associated with other procedures. For example, if line items for a clinic visit and a medical or surgical supply revenue center appeared on the claim, we packaged the charges associated with the revenue center entirely into the APCs of interest and not into the APC for clinic visits.

We also determined the median costs for these APCs using our usual single claims methodology (these medians are contained in Addendum A). We then determined a summed median cost of each APC pair using our current payment policy, which allows payment at 100 percent for the most expensive APC with “T” status indicator and 50 percent for each additional APC with “T” status indicator. That is, we added the median cost of the more expensive APC and 50 percent of the median cost of the less expensive APC as a proxy for the total median cost (and payment) using our current payment policy. We then compared this figure with the median cost for the “combination APC.” (See Table 7.) We believe this comparison is an indicator of whether our current payment policy accurately pays for the costs of these APCs when they are billed together on the same date of service.

Our comparison reveals that, of the 12 “combination APCs” created, 7 had higher median costs than the median costs obtained with the multiple procedure methodology (we note that because APC 222 has a status indicator of “S”, we did not apply the multiple procedure reduction for the APC 0222/0225 combination).

For three of these seven combinations, we consider the data unreliable because we were able to use very few claims to determine the “combination” median cost. Specifically, for APC combination 0085/0655, we were able to use only 37 claims; for APC combination 0105/0089, we were to use only 16 claims; and for APC combination 0105/0655, we were able to use only 12 claims. This is in distinction to the number of claims we used to determine the median costs for APCs 0655 and 0089 alone (1,170 and 303 respectively). Further, two of these combinations contain only one APC using high cost devices because APC 0105 does not require the use of high cost devices. This means that the multiple procedure reduction was applied to APC 0105. In such cases, we believe the reduction is appropriate because when a pacemaker or defibrillator is removed and replaced, the patient is only anesthetized once, the room only needs to be prepared once, and the time for replacement is usually less than the time for insertion due to the existence of a subcutaneous pocket.

Three other APC combinations, 0105/0090, 0105/0107, and 0105/0654, also contain only one APC requiring the use of high cost devices and therefore should not pose the problem of underpayment due to the multiple procedure reduction, which was applied to APC 0105. Furthermore, in these three cases, the difference in median costs between the combination median and the median determined by our multiple procedure reduction methodology was, in our view, insignificant (all much less than 5 percent).

For APC combination 0222/0225, the difference in median cost could be considered significant at slightly under 5 percent, but only 74 claims were used to determine the combination median. Because we used approximately 600 claims to determine the median costs for APCs 0222 and APC 0225 individually, we consider the combination median cost comparatively unreliable.

Lastly, we note that for the other five combinations, our current payment policy pays more than the “combination” payment methodology.

Based on this comparison we considered several options for payment of these APCs when billed together:

1. Maintain our current payment policy.

2. Change the status indicators of certain APCs requiring the use of high cost devices to “S.”

3. Create “combination APCs” with relative weights calculated using the methodology described above in order to make a single payment when the two APCs in the combination are billed together.

The third option need not result in creation of new HCPCS codes and APCs for hospitals to report. Instead, we could make changes in the logic of the outpatient code editor (OCE) so that when hospitals bill the two APCs in a combination, the OCE would “map” the payment to a single amount rather than paying the more expensive APC at 100 percent and the less expensive at 50 percent. The following is an example of how combination APCs might work: If a unit of a code in APC 0081 was billed with a unit of a code in APC 0104 on the same date, the multiple procedure discount would not be applied, so payment would no longer be made at 100 percent of the payment for APC 0104 (the highest paid APC in the pair) and 50 percent of the payment for APC 0081. Instead, if we were to implement combination APCs for this pair, the combination of codes would be mapped to a new “combination” APC, and we would make a single payment for both services. The payment rate for the new “combination” APC would be based upon a scaled weight calculated from the median cost for all claims containing one unit of a code from APC 0081 and one unit of a code from APC 0104 (using the methodology described above). If either of the APCs were billed without the partner APC for that established “combination” APC, then the APC would map to the current APC that contains the code.

Based on our analysis, we are proposing option one: Maintaining our current payment policy. We believe that our analysis shows that our current payments for these APCs adequately reflect the costs of the procedures, even when billed in combination.

We note that only a few APCs requiring the use of high cost devices are billed in combination. Thus, we do not believe there are compelling reasons to establish a new, or special, payment policy in situations where two APCs requiring high cost devices are billed together fewer than 100 times. Even when APCs are billed together, we have shown that frequently the data are unreliable due to the low number of claims we can actually use to determine the total median cost of the “combined” procedure. Furthermore, even where the number of usable claims is large enough to give us some assurance that the data are reliable, the median costs as determined by the two methodologies do not support any changes in our current payment policy. In some instances, adoption of the new payment policy would actually reduce payments for these services, and, in most other cases, any increase in payments would be negligible.

One commenter has brought to our attention the fact that, rarely, correct coding does not allow hospitals to bill for two APCs requiring high cost devices. One example is APC 0082 (Coronary Atherectomy) and APC 0104 (Transcoronary Stent Placement) because atherectomy is considered to be a component of stent placement when both are performed together. In those cases, we would expect hospitals to bill for all the devices used to accomplish the atherectomy and the stent placement. To the extent that both were performed, the median cost of stent placement should reflect the cost of performing an atherectomy. Therefore, we do not believe there is a compelling reason to create new payment policy for these rare situations. (See also the discussion below on “case rate” purchasing by hospitals.)

It could be reasoned that our analysis of the costs of “combined” procedures is faulty because hospital coding and billing inaccuracies may apply to these claims as well as single procedure claims (and may even be magnified). However, that reasoning would undercut, and be contrary to, the repeated comments that we need to use more multiple procedure claims to set relative weights because single procedure claims do not capture the true costs of complex procedures or episodes of care. Our investigation was performed precisely to address these concerns, determine how we might use multiple procedure claims, and what effect use of those claims would have on payment rates. Even with use of a methodology that overestimated the costs of combination procedures, we were unable to show that the median costs (and payments) using our current payment policy do not accurately reflect the costs for performing these procedures.

Other possible factors affecting our analysis include charge compression and/or inadequate charges for these procedures or the devices associated with them. However, it is not possible for us to know the magnitude of how charge compression or inadequate charges might affect costs or what methodologic or payment adjustment would be appropriate to address the problem. Furthermore, we point out that charge compression and inadequate charges should affect our cost data for these APCs when billed alone and when these APCs are billed in combination. It is unknown whether the effects would be similar in each instance but we have no reason to believe they would be different. Therefore, we do not believe that adjusting for charge compression or inadequate charges would change the “relative” median costs of the APCs when billed alone or in combination. Finally, we believe that the median costs of the APCs billed in combination support the concept that economies of scale are achieved in those cases. There are at least two reasons why this might occur: First, many hospitals purchase devices on a case rate or capitated basis, which means that the hospitals' device cost “per case” is fixed (with quarterly adjustments made based on volume and actual device use in the previous quarter(s)). For example, inserting a stent or cardioverter defibrillator requires the use of multiple devices in addition to the stent or defibrillator. A hospital may agree to pay $XXXX “per case” for all the devices used to insert a stent (for example, guidewires, introducers, catheters, rotablators etc.). This “per case” payment means that the hospital has the same cost irrespective of whether a rotablator, two catheters, or four catheters were used for a specific patient. Second, even if hospitals purchase devices on a “per device” basis, it is possible that no extra catheters, guidewires, and/or introducers, for example, are used when a second related procedure is performed (for example, an electrophysiology study and a defibrillator lead placement, or an angioplasty and a stent placement).

In summary, we have concluded that there is no compelling reason to change our current payment policy for APCs requiring the use of high cost devices.

We solicit public comments on our methodology, analysis, and payment options for these APCs. We particularly solicit comments on how our analysis should affect any use of external data sources in the final rule. Specifically, we ask commenters to explain why submitted external data should be used in preference to our single or multiple claim data for APCs requiring the use of high cost devices.

We also note that creation of “combination APCs” would allow us to set relative weights using a number of claims that we otherwise would not be able to use. Therefore we solicit comments on this approach to using more claims to set relative weights and specifically request comments on how to use those claims even if we do not create “combination APCs.”

Table 7.—Combination APCs Used in Analysis

Combination of APCs	Descriptions of both APCs in the combination	Sum of single APC medians adjusted for multiple procedure policy	Frequency of combination APC billed on the same date	Frequency of claims used for median cost of services in both APCs	Median cost of services in both APCs	Percent difference median for both APCs to sum of adjusted single medians
0081/0104	Noncoronary Angioplasty/Athectomy & Transcatheter Placement of Intracoronary Stent	$5,760.50	55	2	$5,589.14	−2.97
0081/0229	Noncoronary Angioplasty/Athectomy & Transcatheter Placement of Iintravascular Stent	4,507.09	6177	135	4,116.50	−8.67
0085/0108	Level II Electrophysiologic Evaluation & Insertion/Replacement/Convert of Cardioverter Defibrillator	29,749.68	502	63	20,438.99	−31.30
0085/0655	Level II Electrophysiologic Evaluation & Insertion/Replacement/Conversion of Permanent Dual Chamber Pacemaker	9,398.45	268	37	10,832.16	15.25
0105/0089	Revision/Removal of Pacemakers, AICD, or Vascular & Insertion/replacement of Permanent Pacemaker and Electrodes	7,360.80	221	16	12,268.96	66.68
0105/0090	Revision/Removal of Pacemakers, AICD, or Vascular & Insertion/replacement of Permanent Pacemaker Pulse Generator	5,668.72	1426	516	5,751.30	1.46
0105/0107	Revision/Removal of Pacemakers, AICD, or Vascular & Insertion of Cardioverter-Defibrillator	17,579.21	1106	235	18,294.85	4.07
0105/0108	Revision/Removal of Pacemakers, AICD, or Vascular & Insertion/Replacement/Repair of Cardioverter-Defibrillator Leads	29,239.29	294	8	26,843.72	−8.19
0105/0654	Revision/Removal of Pacemakers, AICD, or Vascular & Insertion/Replacement of a permanent dual chamber pacemaker	6,639.65	3653	1475	7,014.00	5.64
0105/0655	Revision/Removal of Pacemakers, AICD, or Vascular & Insertion/Replacement/Conversion of a Permanent Dual Chamber Pacemaker	8,888.06	237	12	10,290.88	15.78
0222/0225	Implantation of Neurological Device & Implantation of Neurostimulator Electrodes	14,345.41	368	74	15,002.40	4.58
0223/0227	Implantation of Pain Management Device & Implantation of Drug Infusion Device	10,350.16	222	65	9,815.08	−5.17
Table 7 lists the combinations that we investigated, abbreviated titles for the single APCs in the pair, the number of times the APCs were billed together, the number of claims used to set the combination APC median, a combined median cost for claims in which both the APCs appeared (derived from the methodology discussed above), the median cost for the two APCs using the multiple procedure reduction policy, and the difference in median costs (expressed in percent).

6. New APC for Antepartum Care

We propose to split APC 0199, Obstetrical Care Service into two APCs. New APC 0700, Antepartum Care Service, would be created and 59412 (external cephalic version) would be assigned there. The two remaining HCPCS code 59409 (vaginal delivery only) and 59612 (vaginal delivery only, after previous cesarean delivery) would remain in APC 0199, Obstetrical Care Service. We propose to make this change because of the great difference in cost between vaginal delivery and the external cephalic version procedures. We believe that inclusion of the lower cost procedure in the APC with vaginal deliveries may have an affect on the median cost for the APC that results in less accurate payment.

III. Recalibration of APC Weights for CY 2004

Section 1833(t)(9)(A) of the Act requires that the Secretary review and revise the relative payment weights for APCs at least annually, beginning in 2001. In the April 7, 2000 final rule (65 FR 18482), we explained in detail how we calculated the relative payment weights that were implemented on August 1, 2000 for each APC group. Except for some reweighting due to APC changes, these relative weights continued to be in effect for CY 2001. (See the November 13, 2000 interim final rule (65 FR 67824 to 67827).)

To recalibrate the relative APC weights for services furnished on or after January 1, 2004 and before January 1, 2005, we are proposing to use the same basic methodology that we described in the April 7, 2000 final rule. That is, we would recalibrate the weights based on claims and cost report data for outpatient services. We propose to use the most recent available data to construct the database for calculating APC group weights. For the purpose of recalibrating APC relative weights for CY 2004, the most recent available claims data are the approximately 115 million final action claims for hospital outpatient department services furnished on or after January 1, 2002 and before January 1, 2003. We then eliminated the following 45.7 million claims because many of these claims were for services that are not paid under OPPS: Claims in the first quarter of calendar year 2002; claims for bill types other than OPPS bill types; claims for services furnished in Maryland, Guam, and the Virgin Islands. We matched the 69.3 million claims that were paid under the OPPS to the most recent cost report filed by the individual hospitals represented in our claims data. The APC relative weights would continue to be based on the median hospital costs for services in the APC groups.

A. Data Issues

1. Period of Claims Data Used

We propose to use claims for the period beginning April 1, 2002 through and including December 31, 2002 as the base for the CY 2004 OPPS. The statute requires that we take into account new cost data and other relevant information and factors in reviewing and revising the weights, and we believe that this period will give us the most recent costs. We chose not to include the claims for the period beginning on January 1, 2002 through March 31, 2002 because they were used to set the payment rates for the 2003 OPPS and we believe that the most recent 9 months of claims data will result in payment rates that are most representative of the current relative costs of hospital outpatient services.

The claims base used to calculate the proposed payment weights and payment rates in this proposed rule is not the totality of claims on which the final weights and rates will be based. The use of this claims base is due to (1) a lag in claims submission by providers; (2) a statutory limit on the date before which no claim can be paid; and (3) the additional processing time it takes for the claims data to be included in the national claims history, which is the source of our claims data. For these reasons, the claims data used for this proposed rule are for the period of services furnished between April 1, 2002 and November 1, 2002. However, when the final weights and rates are calculated, we will have access to approximately 95 percent of the claims data for services furnished from April 1, 2002 through December 1, 2002.

2. Treatment of “Multiple Procedure” Claims

We have received many requests asking that we ensure that the data from claims that contain charges for multiple procedures are included in the data from which we calculate the CY 2004 relative payment weights. Those making the requests believe that relying solely on single-procedure claims to recalibrate APC weights fails to take into account data for many frequently performed procedures, particularly those commonly performed in combination with other procedures.

We agree that optimally, it is desirable to use the data from as many claims as possible to recalibrate the relative payment weights, including those with multiple procedures. We identified certain multiple-procedure claims that could be treated as single-procedure claims, enabling us to greatly increase the number of services used to develop the APC payment weights for CY 2003. However, several inherent features of multiple procedure claims prevented us from using all of them to recalibrate the payment weights. We discussed these obstacles in detail in the August 9, 2002 proposed rule (67 FR 52092, 52108 through 52111), and the November 1, 2002 final rule (67 FR 66718, 66743 through 66746).

For the CY 2004 OPPS, we propose several changes to how we handle and use claims data to enable us to use more claims in the creation of median costs on which our payment weights and rates are based. Specifically, we propose to expand the number of HCPCS codes that we ignore for purposes of creating a pseudo single claim from claims that contain other separately payable HCPCS codes. We also looked at dates of service on packaged HCPCS codes and packaged revenue centers, and propose, where possible, to attribute the charges to major, separately payable HCPCS codes based on the codes' dates of service. Our complete discussion of the use of data to set the weights for CY 2004 OPPS follows in section III.B of this proposed rule.

Expansion of the list of codes to be ignored in creation of single claims. For CY 2003 OPPS, we ignored the presence of HCPCS codes 93005, 71010, and 71020 to create pseudo single claims where there was one remaining separately paid, major HCPCS code on the claim. This enabled us to attribute the costs of packaged HCPCS codes and packaged revenue centers to the remaining separately paid HCPCS codes and, therefore, to use the charge data on the claim. We did this based on our belief that these three separately payable HCPCS codes would not have charges related to them that would be placed in packaged HCPCS codes or packaged revenue centers. Instead, we believe that the charges found in the packaged HCPCS or packaged revenue centers would be appropriately associated with the only other separately payable HCPCS that remained on the claim when these codes are ignored.

For CY 2004 OPPS, we propose to expand the list of HCPCS codes that we would ignore for purposes of creating pseudo single claims. On claims that contain other separately payable HCPCS, we propose to ignore the HCPCS codes in the APCs identified in Table 9. As with HCPCS codes 93005, 71010, and 71020, we believe that these codes are highly unlikely to have charges that are found in packaged HCPCS or in packaged revenue centers. Therefore, we believe that they can be ignored for the purpose of creating a pseudo single claim from the remaining charges on the claim. We solicit comments on the proposed methodology to create pseudo single claims, on the list of codes in Table 9 that we propose to ignore, and whether there are other low cost services that we could ignore in using this methodology. We also request comments on whether we should use the charges for the codes in the APCs in Table 9 to create pseudo single claims to be used in setting the median costs for these APCs.

Use of dates of service to create single claims. For CY 2003, we did not use dates of service to attribute charges on packaged HCPCS and packaged revenue centers to major separately payable HCPCS codes. For CY 2004, we propose to use dates of service on HCPCS codes and on packaged revenue centers to attribute charges to a major payable HCPCS code where the dates of service match. We can only use this approach where there are different dates of service for the separately payable major HCPCS codes. Where there are multiple major payable HCPCS codes on a claim with the same date, we cannot use this approach because there is no way to tell to which major payable HCPCS code the charges from the packaged HCPCS or packaged revenue center belong. Moreover, where the hospital does not provide dates for all packaged revenue centers, we cannot attribute charges based on the date of service.

We believe that this methodology yields more single claims than if we did not use dates of service. However, because hospitals are not required to put dates of service for line items with only a revenue center but no HCPCS code, we will not be able to perform this analysis routinely for each claim. Therefore, the claims from hospitals that do provide those dates are more likely to be used for weight-setting than claims of hospitals that do not provide those dates on the claim. We are unable to determine what impact, if any, this methodology has on the weights for the services and we solicit comments on the approach.

We invite comments on whether we should require hospitals to enter a line item date of service for every OPPS charge. We are interested in receiving comments regarding the implications the policy would have for hospitals, including potential obstacles and estimates on the amount of time that would be required to implement this change.

3. Adjustment of Median Costs for CY 2003 OPPS

The relative weights of several APCs, especially APCs requiring the use of high cost devices, that were developed for the 2003 OPPS fee schedule, using claims data from April 1, 2001 to March 31, 2002, showed a significant decrease from the relative weights that were established for the 2002 OPPS fee schedule. The 2002 OPPS relative weights were based on both claims data and packaging of 75 percent of the manufacturer submitted costs for devices into the APC cost. Using our April 1, 2001, through March 31, 2002 claims data resulted in significant decreases in payment for many blood products and separately payable drugs. In order to minimize any beneficiary access problems related to the reduction in payment for blood products, separately payable drugs, and certain device-related APCs, we created a limit for any payment reductions as follows:

Device and Procedural APCs

For APCs requiring the use of one or more devices receiving pass-through payments, we determined the median cost of the APC using only claims that contained device category “C” codes. For selected APCs, we used only claims containing the device “C” code specific to the service furnished (for example, we used only claims containing the “C” codes for cardioverter defibrillators to determine the median cost for the APC for inserting cardioverter defibrillators).

We then compared the median costs established for the 2002 OPPS fee schedule and the median costs based on our April 1, 2001, through March 31, 2002 claims data and limited decreases in median costs (from the 2002 fee schedule) by 15 percent plus half the amount of any reduction beyond 15 percent (for example, if the claims data showed the median cost of an APC decreased 45 percent, the amount of allowed reduction would have been 15 percent + 1/2 × (45 percent−15 percent) = 30 percent). For a few APCs where device costs accounted for more than 80 percent of the total cost of the APC, we also incorporated external data into our calculation of the median cost.

Blood and Blood Products

We limited reductions in median costs to 11 percent as compared to the 2002 median costs so that the reduction in payments, after other adjustments, for these items would generally not exceed 15 percent.

Separately Payable Drugs

We noted in the November 1, 2002 final rule that the reason our April 1, 2001, through March 31, 2002 claims data resulted in lower median costs for many drugs was that the payment rates for 2002 were based on 95 percent of average wholesale price (AWP) as required by law for pass-through drugs. We believed, and continue to believe, that the acquisition cost for many drugs is considerably less than 95 percent of AWP. However, we limited reductions in median costs for separately payable drugs and for administration of packaged drugs using the same methodology as described above for device and procedural APCs.

Procedural and Device Intense APCs for 2004 OPPS

Comparison of procedural APC medians for 2004 OPPS to adjusted medians for 2003 OPPS. Our analysis of the April 1, 2002, through December 31, 2002 claims data, which is the basis for the proposed median costs for the 2004 OPPS, reveals a distribution of changes in median costs that are not unusual. Compared to the adjusted median costs used for the 2003 OPPS, most of the median cost increases and decreases were for nondevice-related APCs. Very few device-related APCs saw their median costs decrease significantly. We also note that, with a few exceptions, the median cost increases and decreases were not unusually distributed; we believe that the fluctuations should not be unexpected in a new payment system. For example, the cost of providing items and services changes yearly and, in a new payment system, the accuracy of coding services will improve year to year. We also compared the actual median costs from the April 1, 2001 through March 31, 2002 claims data with the actual median costs from the April 1, 2002 through December 31, 2002 claims data. Given the level of consistency we see in our claims data, we believe that adjustment of median costs last year may have resulted in payment amounts for some APCs that were too high.

The medians we propose to use to set weights for the 2004 OPPS for APCs in Table 8 have decreased more than 10 percent in median cost when compared to the adjusted median costs for 2003 OPPS. For reference, we also provide the actual median cost from the claims data we used to set 2003 OPPS payment rates. Some changes appear to be the result of normal fluctuation in the costs of services. In other cases the actual median cost in the April through December 2002 data (the 2004 OPPS medians) is consistent with the actual median cost in the April 1, 2001 through March 31, 2002 data (used for the 2003 OPPS medians), but decreased significantly only in comparison to the adjusted 2001 medians used for 2003 OPPS. In general, where there is consistency between the 2001 (2003 OPPS) and 2002 (2004 OPPS) unadjusted medians or where a change appears to represent normal fluctuations in costs, and we know of no special circumstances that would cause us to believe that there are problems in the claims data, we conclude that the claims data accurately represent the cost of the service. After reviewing the data, we believe that there is no sound basis for making an across-the-board adjustment to our April through December 2002 median costs, notwithstanding that using the unadjusted 2004 median may result in a reduced payment compared to the payment that was based on adjusted medians under 2003 OPPS.

Table 8.—APCs With Median Cost Decreases of 10 Percent or More

Final APC	Description	SI	Final 2003 dampened median cost	2004 proposed rule APC median cost	% diff APC median cost (2003 dampened vs. 2004 proposed rule)
0312	Radioelement Applications	S	$3,141.77	$216.18	−93.12
0330	Dental Procedures	S	284.02	32.87	−88.43
0692	Electronic Analysis of Neurostimulator Pulse Generators	S	371.55	56.40	−84.82
0651	Complex Interstitial Radiation Source Application	S	3,250.63	588.67	−81.89
0225	Implantation of Neurostimulator Electrodes	S	8,277.07	3,283.68	−60.33
0352	Level I Injections	X	13.10	6.31	−51.83
0068	CPAP Initiation	S	123.29	65.83	−46.61
0124	Revision of Implanted Infusion Pump	T	2,975.12	1,608.78	−45.93
0688	Revision/Removal of Neurostimulator Pulse Generator Receiver	T	4,429.71	2,495.57	−43.66
1719	Brachytx seed, Non-HDR Ir-192	K	31.04	17.89	−42.36
0699	Level IV Eye Tests & Treatments	T	223.07	130.15	−41.65
0199	Obstetrical Care Service	T	232.46	142.74	−38.59
0313	Brachytherapy	S	1,249.57	769.14	−38.45
0236	Level II Posterior Segment Eye Procedures	T	1,873.66	1,153.59	−38.43
0123	Bone Marrow Harvesting and Bone Marrow/Stem Cell Transplant	S	380.54	234.84	−38.29
0223	Implantation or Revision of Pain Management Catheter	T	2,437.21	1,525.61	−37.40
0385	Level I Prosthetic Urological Procedures	T	6,199.09	3,895.76	−37.16
0681	Knee Arthroplasty	T	8,780.47	5,669.25	−35.43
0302	Level III Radiation Therapy	S	548.35	363.26	−33.75
0301	Level II Radiation Therapy	S	187.53	125.03	−33.33
0094	Level I Resuscitation and Cardioversion	S	228.18	154.77	−32.17
0671	Level II Echocardiogram Except Transesophageal	S	140.57	96.05	−31.67
0098	Injection of Sclerosing Solution	T	99.06	68.15	−31.20
0346	Level II Transfusion Laboratory Procedures	X	30.59	22.72	−25.73
0043	Closed Treatment Fracture Finger/Toe/Trunk	T	148.63	112.70	−24.17
0687	Revision/Removal of Neurostimulator Electrodes	T	1,535.37	1,171.45	−23.70
0359	Level II Injections	X	67.50	51.53	−23.66
0122	Level II Tube changes and Repositioning	T	638.40	494.56	−22.53
0363	Level I Otorhinolaryngologic Function Tests	X	64.56	50.02	−22.52
0081	Non-Coronary Angioplasty or Atherectomy	T	2,584.47	2,041.29	−21.02
0191	Level I Female Reproductive Proc	T	12.27	9.84	−19.80
0685	Level III Needle Biopsy/Aspiration Except Bone Marrow	T	355.90	286.61	−19.47
0371	Level I Allergy Injections	X	29.69	23.93	−19.39
0152	Percutaneous Abdominal and Biliary Procedures	T	595.64	486.01	−18.41
0222	Implantation of Neurological Device	T	13,528.13	11,061.74	−18.23
0118	Chemotherapy Administration by Both Infusion and Other Technique	S	325.75	267.63	−17.84
0086	Ablate Heart Dysrhythm Focus	T	3,138.30	2,611.43	−16.79
0202	Level VIII Female Reproductive Proc	T	2,706.38	2,273.91	−15.98
0228	Creation of Lumbar Subarachnoid Shunt	T	3,541.71	2,996.28	−15.40
0347	Level III Transfusion Laboratory Procedures	X	66.49	56.52	−14.99
0245	Level I Cataract Procedures without IOL Insert	T	863.71	736.87	−14.69
0189	Level III Female Reproductive Proc	T	90.69	77.39	−14.67
0085	Level II Electrophysiologic Evaluation	T	2,478.31	2,128.77	−14.10
0665	Bone Density: AppendicularSkeleton	S	49.02	42.34	−13.63
0670	Intravenous and Intracardiac Ultrasound	S	1,796.55	1,555.61	−13.41
0368	Level II Pulmonary Tests	X	62.61	54.62	−12.76
0107	Insertion of Cardioverter-Defibrillator	T	19,378.60	17,025.21	−12.14
0362	Level III Otorhinolaryngologic Function Tests	X	168.41	148.74	−11.68
0287	Complex Venography	S	415.06	368.16	−11.30
0120	Infusion Therapy Except Chemotherapy	T	129.56	115.11	−11.15
0212	Nervous System Injections	T	196.63	175.73	−10.63
0004	Level I Needle Biopsy/ Aspiration Except Bone Marrow	T	103.36	92.43	−10.57
0676	Level II Transcatheter Thrombolysis	T	245.24	219.77	−10.39
0268	Ultrasound Guidance Procedures	S	82.47	74.07	−10.19
0106	Insertion/Replacement/Repair of Pacemaker and/or Electrodes	T	3,256.61	2,927.17	−10.12

We solicit comments on the proposed weights for all APCs and for the APC placement of all HCPCS codes. However, because we believe the public may be interested in commenting on APCs where the payment rate decreases, we discuss several APCs whose payment rates decrease by more than 10 percent. We are particularly interested in comments, including the submission of external data (as discussed below) regarding these APCs.

Discussion of Selected APCs

APC 312 Radioelement Applications—The proposed median for this APC falls 93.12 percent in comparison with the 2003 adjusted median (from $3,141.77 to $216.18). The 2003 OPPS median was adjusted against the 2002 OPPS median ($7,080.00) into which we packaged the cost of brachytherapy seeds. However, for 2003 and 2004, we are making separate payment for bracytherapy seeds (with the exception of prostate brachytherapy) and, therefore, the costs of those seeds is not packaged into the APC payment (except for prostate brachytherapy). The 2003 OPPS unadjusted median was $265.53, which is comparable to the proposed 2004 OPPS median. Hence, we think the 2003 OPPS median reflects the costs of brachytherapy, with seeds paid separately.

APC 692 Electronic Analysis of Neurostimulator Pulse Generators—The proposed median for this APC falls 84.82 percent in comparison with the 2003 OPPS adjusted median (from $371.55 to $56.40). The 2003 OPPS median was adjusted against the 2002 OPPS median ($819.00), which contained costs for devices that should not have been packaged. Moreover, the 2003 OPPS unadjusted median for the service was $46.95, and this is comparable to the 2004 OPPS median of $56.40. Hence, we believe that the proposed 2004 OPPS median reflects the cost of the service.

APC 651 Complex Interstitial Radiation Source Application—The proposed median for this APC falls 81.89 percent in comparison with the 2003 OPPS adjusted median (from $3,250.63 to $588.67). The 2003 OPPS median was adjusted against the 2002 OPPS median ($7,080.00), which contained costs for brachytherapy seeds that are currently paid separately. Moreover, the 2003 OPPS unadjusted median for the service was $483.25, and this is comparable to the proposed 2004 OPPS median of $588.67. Hence, we believe that the proposed 2004 OPPS median reflects the cost of the service because brachytherapy seeds are paid separately.

APC 225 Implantation of Neurostimulator Electrodes—The proposed median for this APC fell 60.33 percent (from $8,277.07 to $3,283.68) as compared to the adjusted median used for the 2003 OPPS. The 2003 OPPS median was adjusted against the 2002 OPPS median ($15,286.00), which reflected the manufacturer(s) price(s) for the devices packaged into the APC. However, the proposed 2004 OPPS median ($3,283.68) is very close to the unadjusted 2003 OPPS median ($3,561.03), causing us to believe that the 2004 proposed median accurately reflects the costs of the procedure. Because this APC is commonly performed with implantation of a neurostimulator pulse generator (APC 222), we changed the status indicator of APC 225 to “S” so that it would not be subjected to the multiple procedure reduction when it is performed with implantation of a neurological device. We do not propose to change the status indicator this year, and the multiple procedure reductions would not be applied in CY 2004 to APC 0225.

We determined the proposed 2004 OPPS median for APC 225, using only claims that contained the C codes for the neurostimulator leads (either C1778 Lead, neurostimulator, or C1897 Lead, neurostimulator test kit) in order to ensure that we captured the costs for the leads in the data used to calculate the median. We solicit comments concerning the accuracy of our data and whether they appropriately reflect the cost of neurostimulator electrodes, as well as submission of data on the acquisition cost of neurostimulator electrodes (both permanent and test electrodes).

APC 352 Level 1 Injections—The proposed 2004 OPPS median for this APC fell 51.83 percent (from $13.10 to $6.31) as compared to the adjusted 2003 OPPS median. The 2003 OPPS median was adjusted against the 2002 OPPS median ($23.00). However, the 2003 OPPS median ($6.65) is very close to the proposed 2004 OPPS median ($6.31), and this leads us to believe that the proposed 2004 median reflects the cost of the service.

APC 313 Brachytherapy.—The proposed median for this APC falls 38.45 percent in comparison with the 2003 OPPS adjusted median (from $1,249.57 to $769.14) because the 2003 OPPS median was adjusted against the 2002 OPPS median ($2,030.00), which contained costs for brachytherapy seeds that should not have been included because the radioelement sources used in this APC are not single use seeds. Moreover, the 2003 OPPS unadjusted median for the service was $773.63, and this is comparable to the proposed 2004 OPPS median of $769.14. Hence, we believe that the proposed 2004 OPPS median reflects the cost of the service.

APC 223 Implantation or Revision of Pain Management Catheter.—The proposed median for this APC falls 37.40 percent in comparison with the 2003 OPPS adjusted median (from $2,437.21 to $1,525.61). The single CPT code in this APC describes three procedures: revision, repositioning, and insertion of a pain management catheter. Therefore, the median cost of this APC should reflect the relative frequencies with which these three procedures are performed. Furthermore, the descriptor makes it inappropriate to use only claims containing “C” codes to determine the median cost for this APC because a device is not always used when this procedure is performed. To require that a “C” code be on claims for this procedure would result in inaccurate median costs. We believe the decrease in median cost is due to the packaging of 75 percent of the cost of the catheter into the APC amount for the 2002 OPPS fee schedule.

APC 385 Level 1 Prosthetic Urological Procedures.—The proposed median for this APC fell 37.16 percent compared to the adjusted median for this APC in 2003 OPPS ($3895.76 compared to $6,199.09). This occurred because we removed the more expensive inflatable penile prosthesis and prosthetic urinary sphincters from APC 179 and placed them in a new APC (APC 386 with proposed 2004 OPPS median of $6,298.89). Hence, we believe that the proposed medians for both APCs reflect the costs of the services that they now contain.

APC 687 Revision/Removal of Neurostimulator Electrodes—The proposed median costs of this APC decreased 23.7 percent as compared to the adjusted median used for the 2003 OPPS fee schedule ($1,171.45 compared to $1,535.37). (See Table 8.) However, none of the procedures in this APC require the use of high cost devices, and we believe the change in median cost reflects fluctuation in the costs of providing these services.

APC 359 Level II Injections—See section VI.B.4 of this proposed rule for the discussion of administration of drugs.

APC 81 Non Coronary Angioplasty or Atherectomy—The median for this APC fell 21.02 percent in comparison with the actual median cost used in the 2003 OPPS fee schedule (from $2,584.47 to $2,041.29). The median cost used for OPPS 2003 was significantly higher than the median cost used for the 2002 OPPS, which included packaging of 75 percent of the devices used in this APC. We believe the decrease this year, which is still substantially higher than the median used for 2002, reflects the fluctuating costs of providing this service.

APC 222 Implantation of Neurological Device—The proposed median for this APC fell 18.23 percent in comparison with the 2003 OPPS adjusted median (from $13,528.13 to $11.528.13). The 2003 OPPS adjusted median was adjusted against the 2002 OPPS median, which packaged 75 percent of the cost (based on manufacturer submitted data) of the devices ($17,284.00) into the APC. However, the proposed 2004 OPPS median of $11,061.74 compares favorably with the unadjusted 2003 OPPS median of $9,146.22. Because we developed the proposed 2004 median for APC 222 using only claims that contained charges for device code C1767, we believe our current cost data better reflect the cost of these devices. We solicit comments on the accuracy of our data as well as the submission of data on the acquisition cost of these devices.

APC 118 Chemotherapy Administration by Both Infusion and Other Technique—See section VI.B.4 of this proposed rule for the discussion of administration of drugs.

APC 86 Ablate Heart Dysrhythm Focus—The proposed median for this APC fell 16.79 percent for 2004 OPPS when compared to the adjusted median for 2003 (from $3,138.30 to $2,611.43). The proposed 2004 OPPS median is comparable to the unadjusted median for 2003 OPPS of $2,745.69. Because this APC requires the use of a device, we required that the claims used to set the median for this APC contain a device code to qualify. We believe that our cost data accurately reflect the cost of providing this service. We note that the high payment rate for 2003 was adjusted against the 2002 median, which reflected packaging 75 percent of the device cost (based on manufacturer submitted costs) into the APC.

APC 202 Level VIII Female Reproductive Procedure—We made several changes to the structure of this APC and the proposed median for this APC fell 15.98 percent for 2004 OPPS when compared to the adjusted median for the 2003 (from $2,706.38 to $2,273.91). The proposed 2004 OPPS median is comparable to the unadjusted median for 2003 OPPS of $2,327.25. This APC requires the use of a device and, therefore, we required that the claims used to set the median for this APC must contain one or more specified device codes to qualify (C1771 Repair device, urinary incontinence, with sling graft, C2631 Repair device, urinary incontinence, without sling graft). We believe our cost data accurately reflect the costs of providing this service.

APC 670 Intravenous and Intracardiac Ultrasound—The proposed median for this APC fell 13.41 percent for the 2004 OPPS when compared to the median for 2003 OPPS (from $1,796.55 to $1,555.61). This APC requires the use of a device and therefore we required that the claims used to set the median for this APC must contain a device code to qualify. We believe that our cost data accurately reflect the cost of providing this service and that any change in median cost is due to fluctuations in hospital costs.

APC 107 Insertion of Cardioverter-Defibrillator—The proposed 2004 OPPS median for this APC fell 12.14 percent (from $19,378.60 to $17,025.21) as compared to the adjusted median cost for the 2003 OPPS fee schedule. The 2003 OPPS median was adjusted against the 2002 OPPS median ($21,679.00) which reflected packaging 75 percent of the manufacturer submitted prices for the devices used in this APC. The proposed 2004 OPPS median is much closer to the adjusted median than it is to the unadjusted 2003 OPPS median ($13,572.62).

We acquired the proposed 2004 OPPS median for APC 107 by using only claims that contained the C codes for cardioverter-defibrillators (either C1721 Cardioverter-defibrillator dual chamber, C1722 Cardioverter-defibrillator, single chamber, or C1882 Cardioverter-defibrillator, other than single or dual chamber) in order to ensure that we captured the costs for the device in the data used to calculate the median. Although the proposed median cost of this APC is lower than the adjusted median used last year, it is considerably higher than the actual median from last year, and we have confidence that it reflects the cost of the devices used in the procedure. We would also note that the proposed median cost for APC 108 also rose dramatically and is higher than the adjusted median used for the 2003 OPPS fee schedule. Assuming that the proposed median cost for APC 108 accurately reflects the cost of inserting a cardioverter-defibrillator with leads, we would expect that the proposed median cost of APC 107, which also rose significantly as compared to the actual median cost used for OPPS 2003, accurately reflects the cost of inserting a cardioverter-defibrillator without leads.

APC 120 Infusion Therapy Except Chemotherapy—See section VI.B.4 of this proposed rule for a discussion of infusion therapy other than chemotherapy.

APC 106 Insertion/Replacement/Repair of Pacemaker and/or Electrodes—The proposed 2004 OPPS median for this APC fell 10.12 percent compared to the 2003 OPPS median (from a final 2003 OPPS median of $3,256.61 to a proposed 2004 Median of $2,927.17). This APC contains both CPT codes for insertion of temporary pacemaker leads (CPT codes 33210 and 33211) and repair and revision of pacemaker leads (33216, 33217, 33218, and 33220). This APC contains a mixture of services and, therefore, its median cost should reflect the mixture of services provided. We solicit comments on whether the proposed median cost for this APC reflects the cost of providing these services as well as the submission of data on the acquisition costs of the leads used for each service in this APC.

Preferred Characteristics of External Data Submitted in Comments. We will consider external data on devices that are provided to the extent that they enable us to verify or adjust claims data where we are convinced that an adjustment is appropriate. All data we use to create payment amounts for the final rule will be available for public inspection.

External data must meet the following criterion:

• Be available for public inspection.

External data that are likely to be of optimal use should meet the following criteria:

• Represent a diverse group of hospitals both by location (for example, rural, urban) and by type (for example, community, teaching). We would prefer that commenters identify each hospital including location with city and State, nonprofit vs. for profit status, teaching vs. nonteaching status, and the percent of Medicare vs. non-Medicare patients receiving the service; a pseudo identifier could be used for the hospital identification. Data should be submitted both “per hospital” and in the aggregate.
• Identify the number of devices billed to Medicare by each hospital as well as any rebates or reductions for bulk purchase or similar discounts and identify the characteristics of providers to which any such price rebates or reductions apply.
• Identify all HCPCS codes with which each item would be used.
• Identify the source of the data.
• Include both the charges and costs for each hospital, by quarter for the last 3 quarters of 2002. Cost data for 2003 are not compatible with 2002 claims data.

This information would enable us to compare our claims data to the external data and help us determine whether the submitted data are representative of hospitals that submit claims under OPPS.

Please note that information that contains beneficiary-specific information (for example, medical records, invoices with beneficiary identification on it) should be altered, if necessary, to remove any individually identifiable information, such as information that identifies an individual, diagnoses, addresses, telephone numbers, attending physician, medical record number, Medicare or other insurance number, etc. Moreover, individually identifiable beneficiary medical records, including progress notes, medical orders, test results, consultation reports, etc. should not be submitted to us. Similarly, photocopies of checks from hospitals or other documents that contain bank routing numbers should not be submitted to us.

Blood and Blood Products

See section VI.B.8 of this proposed rule for our discussion of the analysis of data for blood and blood products and our proposal.

Separately Paid Drugs

See section VI.B.3 of this proposed rule for our discussion of the analysis of data for separately paid drugs and our proposal.

B. Description of How We Propose To Calculate Weights for CY 2004

The methodology we followed to calculate the APC relative payment weights proposed for CY 2004 is as follows:

• We excluded from the data claims for those bill and claim types that would not be paid under the OPPS (for example, bill type 72X for dialysis services for patients with end-stage renal disease (ESRD)).
• We eliminated claims from hospitals located in Maryland, Guam, and the U.S. Virgin Islands.
• Using the most recent available cost report from each hospital, we converted billed charges to costs and aggregated them to the procedure or visit level first by identifying the cost-to-charge ratio specific to each hospital's cost centers (“cost center specific cost-to-charge ratios” or CCRs) and then by matching the CCRs to revenue centers used on the hospital's CY 2001 outpatient bills. The CCRs include operating and capital costs but exclude items paid on a reasonable cost basis.
• We eliminated from the hospital CCR data 325 hospitals that we identified as having reported charges on their cost reports that were not actual charges (for example, a uniform charge applied to all services). Of these, only 166 hospitals had claims data.
• We eliminated from our data claims for critical access hospitals that are not paid under OPPS and whose claims are therefore not suitable for use in setting weights for services paid under OPPS.
• We calculated the geometric mean of the total operating CCRs of hospitals remaining in the CCR data. We removed from the CCR data 29 hospitals whose total operating CCR deviated from the geometric mean by more than three standard deviations.
• We excluded from our data approximately 2.1 million claims submitted by the hospitals that we removed or trimmed from the hospital CCR data.
• We matched revenue centers from the remaining universe of claims to hospital CCRs.
• We separated the 66.345 million claims that we had matched with a cost report into the following three distinct groups: (1) Single-procedure claims; (2) multiple-procedure claims; and (3) claims on which we could not identify at least one OPPS covered service. Single-procedure claims are those that include only one HCPCS code (other than laboratory and incidentals such as packaged drugs and venipuncture) that could be grouped to an APC. Multiple-procedure claims include more than one HCPCS code that could be mapped to an APC. Thus, dividing the claims yielded approximately 21.92 million single-procedure claims and 14.8 million multiple-procedure claims. Approximately 19.57 million claims without at least one covered OPPS service were set aside.

We converted 8.47 million multiple-procedure claims to single-procedure claims using the following criteria: (1) If a multiple-procedure claim contained lines with a HCPCS code in the pathology series (that is, CPT 80000 series of codes), we treated each of those lines as a single claim. (2) For multiple-procedure claims with a packaged HCPCS code (status indicator “N”) on the claim, we ignored line items for preoperative procedures and for those services in the APCs identified in Table 9. These are services with payment amounts below $50 (under CY 2003 OPPS) for which we believe the charge represents the totality of the charges associated with the service (that is, that there are no packaged HCPCS or packaged revenue centers attributable to the service). If only one procedure (other than HCPCS codes in Table 9) existed on the claim, we treated it as a single-procedure claim. (3) If the claim had no packaged HCPCS codes and if there were no packaged revenue centers on the claim, we treated each line with a procedure as a single-procedure claim if billed with single units. (4) If the claim had no packaged HCPCS codes but had packaged revenue centers for the procedure, we ignored the line item for codes in the APCs identified in Table 9. If only one HCPCS code remained, we treated the claim as a single-procedure claim.

Table 9.—APCS That Were Ignored To Create Pseudo Single Procedure Claims

0001	Level I Photochemotherapy	S
0060	Manipulation Therapy	S
0077	Level I Pulmonary Treatment	S
0099	Electrocardiograms	S
0215	Level I Nerve and Muscle Tests	S
0215	Level I Nerve and Muscle Tests	S
0230	Level I Eye Tests & Treatments	S
0260	Level I Plain Film Except Teeth	X
0262	Plain Film of Teeth	X
0271	Mammography	S
0341	Skin Tests and Miscellaneous Red Blood Cell Tests	X
0342	Level I Pathology	X
0343	Level II Pathology	X
0344	Level III Pathology	X
0345	Level I Transfusion Laboratory Procedures	X
0364	Level I Audiometry	X
0367	Level I Pulmonary Test	X
0669	Digital Mammography	S
0690	Electronic Analysis of Pacemakers and other Cardiac Devices	S
0706	New Technology—Level I ($0-$50)	S

In addition, we assessed the dates of service for HCPCS codes and packaged revenue centers on each claim that contained more than one major code. Where it was possible to attribute charges for packaged HCPCS and packaged revenue centers to HCPCS codes for major procedures by matching unique dates of service, we did this and created single claims by packaging charges into the charge for the major service on the same date. We were only able to do this if the multiple major procedures had different dates of service and if there were dates of service on all of the packaged revenue centers. Dates of service on revenue centers are not required and, therefore, only claims from hospitals that submitted dates of service on revenue centers in CY 2002 could be used in this process for maximizing the number of single-procedure claims to be used for weight setting. We created an additional 23.58 million single-procedure bills through this process, which enabled us to use these data from multiple-procedure claims in calculation of the APC relative payment weights.

• To calculate median costs for services within an APC, we used only single-procedure bills and those multiple-procedure bills that we converted into single claims except as described otherwise. If a claim had a single code with a zero charge (that would have been considered a single-procedure claim), we did not use it. As we discussed in section III.A.2 of this proposed rule, we did not use multiple-procedure claims that billed more than one separately payable HCPCS code with charges for packaged items and services such as anesthesia, recovery room, or supplies that could not be reliably allocated or apportioned among the primary HCPCS codes on the claim. We have not yet developed what we regard as an acceptable method of using multiple procedure bills to recalibrate APC weights that minimizes the risk of improperly assigning charges to the wrong procedure or visit.

For APCs in Table 10, we required that there be a C code on the claim for the claim to be used. These APCs require the use of a device in the provision of the service. Moreover, in 2002, hospitals were required to bill the C code in order for the device to receive pass-through payment for the device. Therefore, if no C code was billed on the claim, we presumed that the claim was incorrectly coded, and we did not use it. For some of these APCs, we further required that specific devices be on the claim.

Table 10.—APCS for Which a HCPCS for a Device Was Required To Be on a Claim Used for Weight Setting

APC	APC description	Status
0032	Insertion of Central Venous/Arterial Catheter	T
0048	Arthroplasty with Prosthesis	T
0080	Diagnostic Cardiac Catheterization	T
0081	Non-Coronary Angioplasty or Atherectomy	T
0082	Coronary Atherectomy	T
0083	Coronary Angioplasty and Percutaneous Valvuloplasty	T
0085	Level II Electrophysiologic Evaluation	T
0086	Ablate Heart Dysrhythm Focus	T
0087	Cardiac Electrophysiologic Recording/Mapping	T
0089	Insertion/Replacement of Permanent Pacemaker and Electrodes	T
0090	Insertion/Replacement of Pacemaker Pulse Generator	T
0104	Transcatheter Placement of Intracoronary Stents	T
0106	Insertion/Replacement/Repair of Pacemaker and/or Electrodes	T
0107	Insertion of Cardioverter-Defibrillator	T
0108	Insertion/Replacement/Repair of Cardioverter-Defibrillator Leads	T
0115	Cannula/Access Device Procedures	T
0119	Implantation of Devices	T
0122	Level II Tube Changes and Repositioning	T
0167	Level III Urethral Procedures	T
0182	Insertion of Penile Prosthesis	T
0202	Level VIII Female Reproductive Proc	T
0222	Implantation of Neurological Device	T
0225	Implantation of Neurostimulator Electrodes	S
0226	Implantation of Drug Infusion Reservoir	T
0227	Implantation of Drug Infusion Device	T
0229	Transcatheter Placement of Intravascular Shunts	T
0259	Level VI ENT Procedures	T
0313	Brachytherapy	S
0384	GI Procedures with Stents	T
0385	Level I Prosthetic Urological Procedures	T
0386	Level II Prosthetic Urological Procedures	T
0648	Breast Reconstruction with Prosthesis	T
0652	Insertion of Intraperitoneal Catheters	T
0653	Vascular Reconstruction/Fistula Repair with Device	T
0654	Insertion/Replacement of a permanent dual chamber pacemaker	T
0655	Insertion/Replacement/Conversion of a permanent dual chamber pacemaker	T
0670	Intravenous and Intracardiac Ultrasound	S
0674	Prostate Cryoablation	T
0680	Insertion of Patient Activated Event Recorders	S
0681	Knee Arthroplasty	T

• For each single-procedure claim, we calculated a cost for every billed line item charge by multiplying each revenue center charge by the appropriate hospital-specific CCR. We used the most recent settled or submitted cost reports. Using the most recent “submitted to settled ratio,” we adjusted CCRs for the submitted cost reports but not the settled ones. If an appropriate cost center did not exist for a given hospital, we crosswalked the revenue center to a secondary cost center when possible, or used the hospital's overall CCR for outpatient department services. We excluded from this calculation all charges associated with HCPCS codes previously defined as not paid under the OPPS (for example, laboratory, ambulance, and therapy services). We included all charges associated with HCPCS codes that are designated as packaged services (that is, HCPCS codes with the status indicator of “N”).
• To calculate per-service costs, we used the charges shown in revenue centers that contained items integral to performing services. Table 11 contains a list of the revenue centers that we packaged into major HCPCS codes when they appeared on the same claim. This is a change to the packaging of revenue centers by category of service that had been done since the inception of the OPPS in the April 7, 2000 final rule (65 FR 18457). In all prior years of OPPS, we had specific subsets of revenue centers that we packaged into major HCPCS codes based on the type of service we assigned to the HCPCS code for this purpose. For example, we had a set of revenue centers that could be packaged into visit codes and a different, but overlapping, set of revenue centers that could be packaged into surgery codes. We propose to convert these categories to a single set of revenue codes (see Table 11) that would be packaged into the major HCPCS code with which it appears on a claim. We believe that this will increase the likelihood that the total charge for the major HCPCS code will capture all of the costs attributed to the services furnished.

Table 11 lists packaged services by revenue center that we are proposing to use to calculate per-service costs for outpatient services furnished in CY 2004.

Table 11.—Packaged Services by Revenue Code

Revenue Code	Description
250	PHARMACY
251	GENERIC
252	NONGENERIC
254	PHARMACY INCIDENT TO OTHER DIAGNOSTIC
255	PHARMACY INCIDENT TO RADIOLOGY
257	NONPRESCRIPTION DRUGS
258	IV SOLUTIONS
259	OTHER PHARMACY
260	IV THERAPY, GENERAL CLASS
262	IV THERAPY/PHARMACY SERVICES
263	SUPPLY/DELIVERY
264	IV THERAPY/SUPPLIES
269	OTHER IV THERAPY
270	M&S SUPPLIES
271	NONSTERILE SUPPLIES
272	STERILE SUPPLIES
274	PROSTHETIC/ORTHOTIC DEVICES
275	PACEMAKER DRUG
276	INTRAOCULAR LENS SOURCE DRUG
278	OTHER IMPLANTS
279	OTHER M&S SUPPLIES
280	ONCOLOGY
289	OTHER ONCOLOGY
290	DURABLE MEDICAL EQUIPMENT
370	ANESTHESIA
371	ANESTHESIA INCIDENT TO RADIOLOGY
372	ANESTHESIA INCIDENT TO OTHER DIAGNOSTIC
379	OTHER ANESTHESIA
390	BLOOD STORAGE AND PROCESSING
399	OTHER BLOOD STORAGE AND PROCESSING
560	MEDICAL SOCIAL SERVICES
569	OTHER MEDICAL SOCIAL SERVICES
621	SUPPLIES INCIDENT TO RADIOLOGY
622	SUPPLIES INCIDENT TO OTHER DIAGNOSTIC
624	INVESTIGATIONAL DEVICE (IDE)
630	DRUGS REQUIRING SPECIFIC IDENTIFICATION, GENERAL CLASS
631	SINGLE SOURCE
632	MULTIPLE
633	RESTRICTIVE PRESCRIPTION
637	SELF-ADMINISTERED DRUG (INSULIN ADMIN. IN EMERGENCY DIABETIC COMA)
700	CAST ROOM
709	OTHER CAST ROOM
710	RECOVERY ROOM
719	OTHER RECOVERY ROOM
720	LABOR ROOM
721	LABOR
762	OBSERVATION ROOM
810	ORGAN ACQUISITION
819	OTHER ORGAN ACQUISITION
942	EDUCATION/TRAINING

• We standardized costs for geographic wage variation by dividing the labor-related portion of the operating and capital costs for each billed item by the proposed FY 2004 hospital inpatient prospective payment system (IPPS) wage index published in the Federal Register on May 9, 2002 (67 FR 31602). We used 60 percent to represent our estimate of that portion of costs attributable, on average, to labor. We have used this estimate since the inception of the OPPS and continue to believe that it is appropriate. (See the April 7, 2000 final rule (65 FR 18496) for a complete description of how we derived this percentage).
• We summed the standardized labor-related cost and the nonlabor-related cost component for each billed item to derive the total standardized cost for each procedure or medical visit.
• We removed extremely unusual costs that appeared to be errors in the data using a trimming methodology analogous to what we use in calculating the diagnosis-related group (DRG) weights for the hospital IPPS. That is, we eliminated any bills with costs outside of three standard deviations from the geometric mean.
• After trimming the procedure and visit level costs, we mapped each procedure or visit cost to its assigned APC, including, to the extent possible, the proposed APC changes.
• We calculated the median cost for each APC.

To develop the median cost for observation (APC 339, HCPCS code G0244), we selected claims containing HCPCS code G0244 (Observation care provided by a facility to a patient with CHF, chest pain, or asthma, minimum eight hours, maximum forty-eight hours) that also showed one or more of the ICD-9 (International Classification of Diseases, Ninth Edition) diagnosis codes required for payment of APC 339. We ignored other separately payable codes so that the claims with G0244 would not be excluded for having multiple major procedures on a single claim. We packaged the costs of allowable revenue centers and HCPCS codes with status indicator “N” into the cost of G0244, and trimmed as was done for the calculation of the median costs for other APCs.

To calculate the weights for APCs 649 (Prostate Brachytherapy with Palladium seeds) and 684 (Prostate Brachytherapy with Iodine seeds) into which the cost of brachytherapy seeds are packaged, we selected claims that contained HCPCS codes 77778 and 55859 where the lines containing codes 77778 and 55859 have the same date of service and the claim contained either HCPCS code C1720 (Palladium seeds) or C1718 (Iodine seeds) (which need not be the same date of service as 77778 and 55859). We ignored line items for services paid on the laboratory fee schedule and lines with separately payable HCPCS (even if multiple majors). We packaged all remaining costs from allowable revenue centers and packaged HCPCS into the claim (regardless of date of service). We separated the claims with Palladium seeds from claims with Iodine seeds. We then created a median cost for prostate brachytherapy with Palladium seeds (APC 0649; G0256) from the claims containing 77778, 55859, and C1720 (Palladium seeds), and we created a median cost for prostate brachytherapy with Iodine seeds (APC 0684; G0261) from claims containing 77778, 55859, and C1718 (Iodine seeds).

• Using the median APC costs, we calculated the relative payment weights for each APC. As in prior years, we scaled all the relative payment weights to APC 0601, Mid-level clinic visit, because it is one of the most frequently performed services in the hospital outpatient setting. We assigned APC 0601 a relative payment weight of 1.00 and divided the median cost for each APC by the median cost for APC 0601 to derive the relative payment weight for each APC. Using 2002 data, the median cost for APC 0601 is $58.78.

Section 1833(t)(9)(B) of the Act requires that APC revisions, relative payment weight revisions, and wage index and other adjustments be made in a manner that ensures that estimated aggregate payments under the OPPS for 2004 are neither greater than nor less than the estimated aggregate payments that would have been made without the changes. To comply with this requirement concerning the APC changes, we compared aggregate payments using the CY 2003 relative weights to aggregate payments using the CY 2004 proposed weights. Based on this comparison, we are proposing to make an adjustment of 1.003107132 to the weights. The weights that we are proposing for CY 2004, which incorporate the recalibration adjustments explained in this section, are listed in Addendum A and Addendum B.

IV. Transitional Pass-Through and Related Payment Issues

A. Background

Section 1833(t)(6) of the Act provides for temporary additional payments or “transitional pass-through payments” for certain medical devices, drugs, and biological agents. As originally enacted by the BBRA, this provision required the Secretary to make additional payments to hospitals for current orphan drugs, as designated under section 526 of the Federal Food, Drug, and Cosmetic Act, Public Law 107-186; current drugs, biological agents, and brachytherapy devices used for the treatment of cancer; and current drugs and biological products.

For those drugs, biological agents, and devices referred to as “current,” the transitional pass-through payment began on the first date the hospital OPPS was implemented (before enactment of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA), Public Law 106-554, enacted December 21, 2000).

Transitional pass-through payments are also required for certain “new” medical devices, drugs, and biological agents that were not being paid for as a hospital outpatient service as of December 31, 1996 and whose cost is “not insignificant” in relation to the OPPS payment for the procedures or services associated with the new device, drug, or biological. Under the statute, transitional pass-through payments can be made for at least 2 years but not more than 3 years.

Section 1833(t)(6)(B)(i) of the Act required that we establish by April 1, 2001, initial categories to be used for purposes of determining which medical devices are eligible for transitional pass-through payments. Section 1833(t)(6)(B)(i)(II) of the Act explicitly authorized us to establish initial categories by program memorandum (PM). On March 22, 2001, we issued two PMs, Transmittals A-01-40 and A-01-41 that established the initial categories. We posted them on our Web site at: http://www.hcfa.gov/​pubforms/​transmit/​A0140.pdf and http://www.hcfa.gov/​pubforms/​transmit/​A0141.pdf,, respectively.

Transmittal A-01-41 includes a list of the initial device categories, a crosswalk of all the item-specific codes for individual devices that were approved for transitional pass-through payments, and the initial category code by which the cross-walked individual device was to be billed beginning April 1, 2001. Items eligible for transitional pass-through payments are generally coded using a Level II HCPCS code with an alpha prefix of “C.” Pass-through device categories are identified by status indicator “H” and pass-through drugs and biological agents are identified by status indicator “G.” Subsequently, we added a number of additional categories, retired 95 categories effective January 1, 2003, and made clarifications to some of the categories' long descriptors found in various program transmittals. A list of device category codes in effect as of July 1, 2003, can be found in Transmittal A-03-051, which was issued on June 13, 2003. This PM can be accessed on our Web site at http://www.cms.gov.

Section 1833(t)(6)(B)(ii) of the Act also requires us to establish, through rulemaking, criteria that will be used to create additional device categories. The criteria for new categories were the subject of a separate interim final rule with comment period published in the Federal Register on November 2, 2001 (66 FR 55850) and made final in the November 1, 2002 Federal Register (67 FR 66781) announcing the 2003 update to the OPPS.

Transitional pass-through categories are for devices only; they do not apply to drugs or biological agents. The regulations at § 419.64 governing transitional pass-through payments for eligible drugs and biological agents are unaffected by the creation of categories.

The process to apply for transitional pass-through payment for eligible drugs and biological agents or for additional device categories can be found on respective pages on our Web site at http://www.cms.gov. If we revise the application instructions in any way, we will post the revisions on our Web site and submit the changes for approval by the Office of Management and Budget (OMB) as required under the Paperwork Reduction Act (PRA). Notification of new drug, biological, or device category application processes is generally posted on the OPPS Web site at http://www.cms.gov.

B. Discussion of Pro Rata Reduction

Section 1833(t)(6)(E) of the Act limits the total projected amount of transitional pass-through payments for a given year to an “applicable percentage” of projected total Medicare and beneficiary payments under the hospital OPPS. For a year before 2004, the applicable percentage is 2.5 percent; for 2004 and subsequent years, we specify the applicable percentage up to 2.0 percent. We propose to set the percentage at 2.0 percent for the 2004 OPPS.

If we estimate before the beginning of the calendar year that the total amount of pass-through payments in that year would exceed the applicable percentage, section 1833(t)(6)(E)(iii) of the Act requires a prospective uniform reduction in the amount of each of the transitional pass-through payments made in that year to ensure that the limit is not exceeded. We make an estimate of pass-through spending to determine not only whether payment exceeds the applicable percentage but also to determine the appropriate reduction to the conversion factor.

For devices, making an estimate of pass-through spending in 2004 entails estimating spending for two groups of items. The first group consists of those items for which we have claims data (that is, items that were eligible in 2002 and that will continue to be eligible in 2004). The second group consists of those items for which we have no direct claims data (that is, items that became, or will become, eligible in 2003 and will retain pass-through status and items that will be newly eligible beginning in 2004).

To estimate 2004 pass-through spending for device categories in the first group, we would use volume and hospital cost (derived from charges on claims using cost-to-charge ratios) information from 2002 claims data. This information would be projected forward to 2004 levels using appropriate inflation and utilization factors. For existing categories with no claims data in 2002 that are, or will be, active in 2004, we would follow the method described in the November 2, 2001 final rule (66 FR 55857). We would use price information from manufacturers and volume estimates from claims related to procedures that use the devices in question. This information would be projected forward to 2004 using appropriate inflation and utilization factors to estimate 2004 pass-through spending for this group of categories. For categories that become eligible in 2004, we would use the same method as described for categories that were newly active in 2002. We anticipate that any new categories for January 1, 2004 will be announced after the publication of this proposed rule but before the publication of the final rule. Therefore, the estimate of pass-through spending would incorporate pass-through spending for categories made effective January 1, 2004.

To estimate 2004 pass-through spending for drugs and biological agents, we would make estimates of utilization, collect data on average wholesale price (AWP) and combine these with ratios used to represent hospital acquisition costs for these drugs. We would collect drug-specific information on Medicare use from the pharmaceutical manufacturer where possible and rely on other sources (such as peer-reviewed clinical studies) as needed. In the past, we relied upon the AWP published in the Redbook to establish the AWP of pass-through drugs payable under the OPPS. As described elsewhere in this preamble, we plan to adopt and apply the provisions outlined in the Payment Reform for Part B drugs. For the purpose of calculating payments for transitional pass-through items, we would determine 95 percent of the drug's average wholesale price based on the newly established AWP. We would use published ratios on hospital acquisition costs reported in our proposed rule of August 9, 2002 (67 FR 52129). For sole source drugs the ratio of acquisition cost to AWP equals 0.71; for multi-source drugs, the ratio is 0.68; and for multi-source drugs with generic competitors, the ratio equals 0.46.

For drugs and biological agents that may receive pass-through status effective January 1, 2004, we propose to use the same methodology as described for drugs and biological agents that received pass-through status in 2003. Any new pass-through drugs and biological agents effective beginning in 2004 would be announced after the publication of this proposed rule but before the publication of the final rule. Therefore, the estimate of pass-through spending would incorporate pass-through spending for these drugs and biological agents made effective January 1, 2004.

After using the methodologies described above to determine projected 2004 pass-through spending for the groups of devices, drugs, and biological agents, we would calculate total projected 2004 pass-through spending as a percentage of the total projected payments (Medicare and beneficiary payments) under OPPS to determine if the pro rata reduction will be required.

Table 12 shows our current estimate of 2004 pass-through spending for known pass-through drugs, biologicals, and devices based on information available at the time this table was developed. We are uncertain whether estimated pass-through spending in 2004 will exceed $456 million (2.0 percent of total estimated OPPS spending). We have not yet completed the estimate of pass-through spending for a number of drugs and devices. In particular, we do not have estimates for those drugs still under agency review for additional pass-through payments beginning October 2003 or the changes in pass-through spending that could result from quarterly rather than annual updates of AWP for pass-through drugs. Finally, we would incorporate an estimate of pass-through spending for items for which pass-through payment becomes effective later in 2004 (that is, April 1, 2004; July 1, 2004; and October 1, 2004) based on estimates of items that become eligible for pass-through payment on October 1, 2003 and January 1, 2004. Specifically, we would assume a proportionate amount of spending for items that become eligible later in the year while making an adjustment to account for the fact that items made eligible later in the year will not receive pass-through payments for the entire year. We invite comments on the methodology as described above and the estimates for utilization that appear in the table below.

Table 12.—Estimates for 2004 Transitional Pass-Through Spending

New HCPC	APC	Drug biological	2004 pass-through payment portion	2004 estimated utilization	2004 anticipated pass-through payments
		Existing Pass-through Drugs/Biologicals
C9111	9111	Injection Bivalrudin, 250 mg per vial	$100.50	21,007	2,111,200
C9112	9112	Perflutren lipid microsphere, per 2 ml	$37.44	67,000	2,508,480
C9113	9113	Inj Pantoprazole sodium, per vial	$5.76	20,000	115,200
C9116	9116	Ertapenum sodium, per 1 gm vial	$11.45	7,200	82,440
Q4053	9119	Pegfilgrastim, per 1 mg single dose vial	$118.00	662,062	78,123,329
C9120	9120	Faslodex, per 50 mg injection	$44.25	137,078	6,065,702
C9121	9121	Argatroban, per 5 mg	$3.60	50,000	180,000
C9200	9200	Orcel, per 36 cm2	$286.80	1,000	286,800
C9203	9203	Perflexane lipid microspheres, per single use vial	$36.00	82,400	2,966,400
J2324	9114	Nesiritide, per 0.5 mg vial	$36.48	60,000	2,188,800
J3315	9122	Triptorelin pamoate, per 3.75 mg	$104.90	219,600	23,036,040
J3487	9115	Zoledronic acid, 1 mg	$51.38	539,000	27,693,820
C9204	9204	Ziprasidone mesylate, per 20 mg	$10.50	117,143	1,230,000
C9205	9205	Oxaliplatin, per 5 mg	$23.86	280,756	6,698,845

HCPCS	APC	Description		2004 estimated utilization	2004 anticipated payment
		Existing Pass-through Devices
C1783	1783	Ocular implant, aqueous drainage assist device		323	159,756
C1814	1814	Retinal tamponade device, silicone oil		35106	13,649,018
C1884	1884	Embolization Protective System		25000	38,601,544
C1888	1888	Catheter, ablation, non-cardiac, endovascular (implantable)		214	129,128
C1900	1900	Lead, left ventricular coronary venous system		2091	2,814,528
C2614	2614	Probe, percutaneous lumbar discectomy		899	1,748,555
C2632	2632	Brachytherapy solution, iodine-125, per mCi		225	1,890,000
C1818	1818	Integrated keratoprosthesis		4	27,800

V. Payment for Devices

A. Pass-Through Devices

Section 1833(t)(6)(B)(iii) of the Act requires that a category of devices be eligible for transitional pass-through payments for at least 2, but not more than 3, years. This period begins with the first date on which a transitional pass-through payment is made for any medical device that is described by the category. We propose that two device categories currently in effect would expire effective January 1, 2004. Our proposed payment methodology for devices that have been paid by means of pass-through categories, and for which pass-through status would expire effective January 1, 2004, is discussed in the section below.

Although the device category codes became effective April 1, 2001, most of the item-specific “C” codes for pass-through devices that were crosswalked to the new category codes were approved for pass-through payment in CY 2000 and as of January 1, 2001. (The crosswalk for item-specific “C” codes to category codes was issued in Transmittals A-01-41 and A-01-97). We based the expiration dates for the category codes listed in Table 13, on when a category was first created, or when the item-specific devices that are described by, and included in, the initial categories were first paid as pass-through devices, before the implementation of device categories. These proposed device category expiration dates are listed in Table 13. We propose to base the expiration date for a device category on the earliest effective date of pass-through payment status of the devices that populate that category. There are two categories for devices that will have been eligible for pass-through payments for over 2 1/2 years as of December 31, 2003, and we propose that they would not be eligible for pass-through payments effective January 1, 2004. The two categories we propose for expiration are C1765 and C2618, as indicated in Table 13. Each category includes devices for which pass-through payment was first made under OPPS in 2000 or 2001.

A comprehensive list of all pass-through device categories effective on or before July 2003 is displayed in Table 13. Also displayed are the dates the devices described by the category were populated and their respective proposed expiration dates.

The methodology used to base expiration of a device category is the same as that used to determine the 95 initial categories that expired as of January 1, 2003. A list including those 95 categories that expired as of January 1, 2003 (as well as 5 categories that continue to be paid in 2003) is found in the November 1, 2002 final rule (67 FR 66761 through 66763).

Table 13.—List of Current Pass-Through Device Categories With Proposed Expiration Dates

	HCPCS codes	Category long descriptor	Date(s) populated	Expiration date
	C1765	Adhesion Barrier	10/1/00-3/31/01; 7/1/01	12/31/03
	C2618	Probe, cryoblation	4/1/01	12/31/03
	C1888	Catheter, ablation, non-cardiac, endovascular (implantable)	7/1/02	12/31/04
	C1900	Lead, left ventricular coronary venous system	7/1/02	12/31/04
	C1783	Ocular implant, aqueous drainage assist device	7/1/02	12/31/04
	C1884	Embolization protective system	1/1/03	12/31/04
	C2614	Probe, percutaneous lumbar discectomy	1/1/03	12/31/04
	C2632	Brachytherapy solution, iodine-125, per mCi	1/1/03	12/31/04
	C1814	Retinal tamponade device, silicone oil	4/1/03	12/31/05
	C1818	Integrated keratoprosthesis	7/1/03	12/31/05

The methodology that we propose to use to package pass-through device costs is consistent with the packaging methodology that we describe in section II.B.5. For the codes in APCs displayed in Table 10, we propose to use only those claims on which the hospital included the “C” code and to discard the claims on which no “C” code is billed.

We propose to limit our analysis to the claims with “C” codes because we are not confident that the claims for the relevant APCs include the charges for the devices unless the “C” codes are specifically billed.

To calculate the total cost for a service on a per-service basis, we included all charges billed with the service in a revenue center in addition to packaged HCPCS codes with status indicator “N.” We also packaged the costs of devices that we propose would no longer be eligible for pass-through payment in 2004 into the HCPCS codes with which the devices were billed.

B. Expiration of Transitional Pass-Through Payments in CY 2004

In the November 1, 2002 final rule, we established a policy for payment of devices included in pass-through categories that are due to expire (67 FR 66763). We stated that we would package the costs of the devices no longer eligible for pass-through payments in 2003 into the costs of the procedures with which the devices were billed in 2001. There were very few exceptions to the policy (for example, brachytherapy seed for other than prostate brachytherapy), and we propose to continue this policy. Therefore, we propose that the payment for the devices that populate C1765 and C2618, which we propose will cease to be eligible for pass-through payment on January 1, 2004, would be made as part of the payment for the APCs with which they are billed.

C. Other Policy Issues Relating to Pass-Through Device Categories

Reducing Transitional Pass-Through Payments To Offset Costs Packaged Into APC Groups

In the November 30, 2001 final rule, we explained the methodology we used to estimate the portion of each APC rate that could reasonably be attributed to the cost of associated devices that are eligible for pass-through payments (66 FR 59904). Beginning with the implementation of the 2002 OPPS update (April 1, 2002), we deduct from the pass-through payments for the identified devices an amount that offsets the portion of the APC payment amount that we determine is associated with the device, as required by section 1833(t)(6)(D)(ii) of the Act. In the November 1, 2002 final rule, we published the applicable offset amounts for 2003 (67 FR 66801).

For the 2002 and 2003 OPPS updates, we estimated the portion of each APC rate that could reasonably be attributed to the cost of an associated pass-through device that is eligible for pass-through payment using claims data from the period used for recalibration of the APC rates. Using these claims, we calculated a median cost for every APC without packaging the costs of associated “C” codes for device categories that were billed with the APC. We then calculated a median cost for every APC with the costs of associated device category “C” codes that were billed with the APC packaged into the median. Comparing the median APC cost minus device packaging to the median APC cost including device packaging enables us to determine the percentage of the median APC cost that is attributable to associated pass-through devices. By applying these percentages to the median APC costs, we determined the applicable offset amount. We included any APC on the offset list for which the device cost was at least 1 percent of the APC's cost.

As we discussed in our November 1, 2002 final rule (67 FR 66801), the listed offsets are those that may potentially be used because we do not know which procedures would be billed with newly created categories.

After publication of the November 1, 2002 final rule, we received a comment indicating that in some cases it may be inappropriate to apply an offset to a new device category because the device category is not replacing any device whose costs have been packaged into the APC. We agree with this comment. Therefore, we propose to modify our policy for applying offsets. Specifically, we would apply an offset to a new device category only when we can determine that an APC contains costs associated with the device. At this time, we propose to continue our existing methodology for determining the offset amount, described above. However, we solicit comments for alternative methodologies for determining the offset amounts that potentially could be applied to the payment amounts for new device categories.

We can use this methodology to establish the device offset amounts for the 2004 OPPS because we are using 2002 claims on which device codes are reported. However, for the 2005 update to OPPS, we would use 2003 claims that would not include device coding. Thus, for 2005, we are considering whether or not to use the charges from lines on the claim having no HCPCS code but have charges under revenue codes 272, 275, 276, 278, 279, 280, 289, and 624 as proxies for the device charges that would have been billed with HCPCS codes for these devices in previous years. We are also considering the reinstitution of the “C” codes for expired device categories and requiring hospitals to use one or more newly created “C” codes for identification of devices and costs on claims. See section VI.B of this proposed rule for further discussion.

We propose to review each new device category on a case-by-case basis to determine whether device costs associated with the new category are packaged into the existing APC structure.

We reviewed the device categories eligible for continuing pass-through payment in 2004 to determine whether the costs associated with the device categories are packaged into the existing APCs. For the categories existing as of publication of this proposed rule, we have determined that there are no close or identifiable costs associated with the devices in our data related to the respective APCs that are normally billed with those devices. Therefore, for these categories we are proposing to set the offset to $0 for 2004.

If we create a new device category and determine that our data contain identifiable costs associated with the devices in any APC, we would apply an offset. We propose, if any offsets apply, for new categories, to announce the offsets in the program memorandum that announces the information regarding the new category.

VI. Payment for Drugs, Biologicals, Radiopharmaceutical Agents, Blood, and Blood Products

A. Pass-Through Drugs and Biologicals

Section 1833(t)(6)(D)(i) of the Act requires us to make transitional pass-through payment for new drugs equal to the amount by which 95 percent of the average wholesale price (AWP) of the drug exceeds the proposed payment rate. In the past, we have used the AWP published in the Red Book to determine payment amounts for pass-through drugs as we explain in the correction notice issued on February 10, 2003 (68 FR 6637). However, we are concerned about the extent to which Medicare pays more for drugs than other payers and more than the market-based price of drugs. To address this problem of how to pay appropriately for drugs that are priced using the AWP, we are developing regulations that would revise the current payment methodology for part B covered drugs paid under section 1842(o) of the Act. When the AWP regulations are made final, we propose to adopt and apply the provisions of the final AWP rule to establish the AWP of pass-through drugs payable under the OPPS. If implementation of the AWP final rule necessitates mid-year changes in the 2004 OPPS payment rates for pass-through drugs, we propose to make those changes on a prospective payment basis through our regular OPPS PM and PRICER quarterly updates. We further propose to issue instructions by program memorandum regarding implementation of the provisions of the AWP final rule to set payment rates for pass-through drugs under the OPPS.

An AWP final rule could be published before 2004. However, if the AWP final rule is not issued in time to permit us to apply its provisions to price pass-through drugs furnished on or after January 1, 2004, we propose to use 95 percent of the AWP listed in the most recent quarterly update of the Single Drug Pricer (SDP). In the past, we have relied solely on the Red Book to determine the AWP for a pass-through drug, as we explain in the correction notice issued on February 10, 2003 (68 FR 6637). However, on January 1, 2003, we introduced for the first time a single pricing source for approximately 400 drugs and biologicals for which the Medicare payment allowance is based on 95 percent of their AWP. We established the SDP to address apparent discrepancies in drug pricing that were the unintended result of delegating calculation of AWP to multiple contractors, whose application of the pricing methodology established under 42 CFR 405.517 sometimes varied. The SDP continues to rely on published compilations such as the Red Book and First Data Bank to identify wholesale drug prices. However, using the SDP enables us to establish a uniform Medicare payment allowance for drugs whose payment is based on 95 percent of their AWP, which results in greater consistency in Medicare drug pricing nationally. If a drug with pass-through status is not included in the SDP, we propose to forward to the SDP contractor the AWP information submitted as part of the pass-through application.

Because the January SDP would not be available in time, we propose to announce the January 1, 2004 prices for pass-through drugs in our January 2004 OPPS implementing instructions to fiscal intermediaries and in the January 2004 OPPS PRICER rather than in the 2004 final rule, which is to be published in the Federal Register by November 1, 2003. We further propose to update the AWP for pass-through drugs paid under the OPPS on a quarterly basis in accordance with the quarterly updates of the SDP. The updated rates for pass-through drugs and biologicals would also be issued through our quarterly OPPS program memoranda and PRICER updates.

Additional information regarding the SDP can be found on the CMS Web site in Program Memorandum AB-02-174, issued December 3, 2002.

B. Drugs, Biologicals, and Radiopharmaceuticals Without Pass-Through Status

1. Background

Under the OPPS, we currently pay for radiopharmaceuticals, drugs, and biologicals including blood, and blood products, which do not have pass-through status, in one of three ways: packaged payment, separate payment (individual APCs), and reasonable cost. As we explained in the April 7, 2000 final rule (65 FR 18450), we generally package the cost of drugs and radiopharmaceuticals into the APC payment rate for the procedure or treatment with which the products are usually furnished. Hospitals do not receive separate payment from Medicare for packaged items and supplies, and hospitals may not bill beneficiaries separately for any such packaged items and supplies whose costs are recognized and paid for within the national OPPS payment rate for the associated procedure or service. (Transmittal A-01-133, a Program Memorandum issued to Intermediaries on November 20, 2001, explains in greater detail the rules regarding separate payment for packaged services). As we explained in the November 1, 2002 final rule (67 FR 66757), we do not classify diagnostic and therapeutic radiopharmaceutical agents as drugs or biologicals as described in section 1861(t) of the Act.

Packaging costs into a single aggregate payment for a service, procedure, or episode of care is a fundamental principle that distinguishes a prospective payment system from a fee schedule. In general, packaging the costs of items and services into the payment for the primary procedure or service with which they are associated encourages hospital efficiencies and also enables hospitals to manage their resources with maximum flexibility. Notwithstanding our commitment to package as many costs as possible, we are aware that packaging payments for certain drugs and radiopharmaceuticals, especially those that are particularly expensive or rarely used, might result in insufficient payments to hospitals, which could adversely affect beneficiary access to medically necessary services.

As discussed in the November 1, 2002 final rule (67 FR 66774), we packaged payment for drugs and radiopharmaceuticals into the APCs with which they were billed if the median cost per line for the drug or radiopharmaceutical was less than $150, and we established a separate APC payment for drugs and radiopharmaceuticals for which the median cost per line exceeded than $150. This supported our general view that payment for drugs and radiopharmaceuticals should be made as part of the payment for the services in which they are used in order to encourage efficient purchase and use of drugs and radiopharmaceuticals provided in the hospital outpatient department.

Payment Rates for 2003

To limit the dramatic reduction in payment rates for many of the separately payable drugs and radiopharmaceuticals from 2002 to 2003, we limited the decrease in their median costs from 2002 median costs to 15 percent plus half of the difference between the total proposed reduction and 15 percent reduction. (For example, for a drug whose cost decreased by 35 percent from the applicable 2002 median cost, the allowed reduction from 2002 to 2003 was 15 percent plus (1/2 times 35-15) percent = 25 percent.) For each blood and blood product, we provide separate payment in an individual APC and limited any decrease in payment rate from 2002 to 2003 to 15 percent. In 2003, we also excluded from OPPS certain vaccines and orphan drugs (that met our orphan criteria) and paid for these items at reasonable cost. Our intent in implementing these policies was to avoid adversely affecting beneficiary access to needed treatment.

Drugs for Which We Propose Pass-Through Status Will Expire in 2004

Section 1833(t)(6)(C)(i) of the Act specifies that the duration of transitional pass-through payments for drugs and biologicals must be no less than 2 years nor any longer than 3 years. The drugs that are due to expire December 31, 2003 meet that criterion. Table 14 lists the drugs and biologicals for which we propose pass-through status will expire on December 31, 2003.

Table 14.—Proposed List of Drugs and Biologicals for Which Pass-Through Status Expires CY 2004

HCPCS	APC	Long descriptor	Trade name	Proposed pass-through Expiration date
A9700	9016	Injection, Octafluoropropane, per 3 ml	Optison (single source)	12-31-03
J0587	9018	Injection, Botulinum toxin, type B, per 100 units	Myobloc (single source)	12-31-03
J0637	9019	Injection, Caspofungin acetate, 5 mg	Cancidas (single source)	12-31-03
J7517	9015	Mycophenolate mofetil, oral per 250 mg	CellCept (single source)	12-31-03
J9010	9110	Injection, Alemtuzumab, per 10 mg	Campath (single source)	12-31-03
J9017	9012	Injection, Arsenic trioxide, per 1 mg	Trisenox (single source)	12-31-03
J9219	7051	Implant, Leuprolide acetate, per 65 mg implant	Viadur (single source)	12-31-03
C9201	9201	Dermagraft, per 37.5 sq. centimeters	Dermagraft (single source)	12-31-03

2. Proposed Criteria for Packaging Payment for Drugs, Biologicals, and Radiopharmaceuticals

To the maximum extent possible, our intention is to package into the APC payment the costs of any items and supplies that are furnished with an outpatient procedure. We considered several options for packaging in 2004 and propose the following policy:

For 2004, we propose to continue with our policy of paying separately for drugs and radiopharmaceuticals whose median cost per day exceeds $150 and packaging the cost of drugs and radiopharmaceuticals with median cost per day of less than $150 into the procedures with which they are billed.

As discussed in the November 1, 2002 final rule, we received several comments on our methodology of analyzing single line items on drug claims for the 2003 OPPS (67 FR 66772). Commenters stated that our methodology was not consistent with how hospitals bill for certain drugs, biologicals, and radiopharmaceuticals. They believe that this inconsistency affected whether or not a drug, biological, or radiopharmaceutical fell below the $150 median cost per line threshold. Commenters claimed that we incorrectly assumed “that a single administration of a drug was billed as a single line item on a claim.” These commenters alleged that hospitals often bill for certain drugs administered during a single patient encounter using multiple lines on a claim. For example, if 10 units of a drug were administered at a cost of $100 but the hospital billed 2 line items of 5 units at a cost of $50 each, then a methodology that determines median costs on a per line basis would incorporate 2 line items at $50 when the real cost was one line item at $100. If a significant percentage of administrations for this drug was billed in this manner, it would result in median costs that underestimate the true cost of the drug. We agree with this comment. Therefore, we propose to change our packaging methodology to account for such hospital billing practices.

We calculated the median cost per day using claims data from April 1, 2002 to December 31, 2002 for all drugs and radiopharmaceuticals paid under the OPPS that had a HCPCS code during this time period including drugs for which transitional pass-through payment ended on January 1, 2003. Although we included orphan drugs in this methodology, we discuss them separately below. We excluded from these calculations vaccines and blood and blood products that are discussed below. In order to calculate the median cost per day for the drugs, biologicals, and radiopharmaceuticals, we took the following steps:

• After application of the cost-to-charge ratios, we aggregated all line items for a single date of service on a single claim for each drug or radiopharmaceutical. This resulted in creating a single line item with the total number of units and the total cost of a drug or radiopharmaceutical given to a patient in a single day.
• A separate record was then created for each drug or radiopharmaceutical by date of service, regardless of the number of lines the drug or radiopharmaceutical was billed in each claim. For example, drug X is billed on a claim with two different dates of service, and for each date of service, the drug is billed on 2 line items with costs of $10 and 5 units in each line item. In this case, the computer program would have created two records for this drug, and each record would have a total cost of $20 and 10 units.
• For each record created for a drug or radiopharmaceutical, the cost per unit of the drug was calculated. If drug X's descriptor is “per 1 mg” and one record was created for a total of 10 mg (as indicated by the total number of units for the drug on the claim for each unique date of service), then the computer program divided the total cost for the record by 10 to give a per unit cost. This unit cost was then weighted by the total number of units in the record. This was done by generating a number of line items equivalent to the number of units in that particular claim. Thus, a claim with 100 units and a total cost of $200 would be given 100 line items each with a cost of $2 while a claim of 50 units with a cost of $50 would be given 50 line items each with a cost of $1.
• The unit records with cost per unit greater or less than 3 standard deviations from the geometric mean were then trimmed.
• The remaining unit observations were arrayed and the median cost per unit of the drug or radiopharmaceutical was established.
• Next, the total number of units billed on all claims for the drug or radiopharmaceutical was divided by the total number of unique per-day records for the drug or radiopharmaceutical to arrive at an average number of units per day.
• The average number of units per day for each drug or radiopharmaceutical was then multiplied by the median cost per unit to arrive at its “median cost” per day.
• We then arrayed the median cost per day for all drugs and radiopharmaceuticals in ascending order and examined the distribution.

Many commenters have alleged that hospitals do not accurately bill the number of units for drugs and radiopharmaceuticals. Because this methodology assumes that hospitals bill the number of units accurately, we compared the median cost per day obtained by the above methodology with the median cost per day derived as follows: We aggregated line items as above and created records for each drug and radiopharmaceutical based on date of service. However, instead of calculating costs on a per-unit basis, we simply reduced total charges to total costs for each record and determined the median. This methodology assumes that hospitals record charges more accurately than units. We believed that calculating median costs using the second methodology would address the concerns of commenters and would help us determine whether our median cost per unit calculation accurately reflected the costs of drugs and radiopharmaceuticals.

In most cases, the median costs determined by the two methodologies were similar. Based on this comparison, we believe that calculating median costs per unit accurately reflects the actual cost of the drug or radiopharmaceutical. Furthermore, given the wide variability of doses used for many drugs, we believe that it is important to pay on a “per unit” basis for separately payable drugs and radiopharmaceuticals. For example, many chemotherapy agents are dosed based on both body area and frequency of administration. Thus, a patient with a body area of 2 m squared could receive 600 mg of a drug every 3 weeks, 400 mg every 2 weeks, or 200 mg every week depending on the chemotherapy regimen.

Based on our analyses, we believe that it is reasonable to continue our current policy of packaging drugs and radiopharmaceuticals with a median cost of less than $150 per day. This means that approximately 52 percent of the drugs and radiopharmaceuticals will be packaged and 48 percent of the drugs and radiopharmaceuticals will be paid separately.

We noticed that several drugs and radiopharmaceuticals with median cost per line that were under $150 for the 2003 OPPS have median costs per day that are equal to or greater than $150 based on the data used for the 2004 OPPS. For some other drugs and radiopharmaceuticals, we saw that their median costs per line were equal to or greater than $150 for 2003 OPPS; however, using the 2002 data, their median costs per day fell below $150. These shifts from 2003 to 2004 would affect packaging decisions for a number of drugs.

Given that these variations exist, we propose to provide an exception in 2004 to the packaging rule for drugs and radiopharmaceuticals whose payment status would change as a result of using newer data and a different methodology. As we explain elsewhere in this proposed rule, we expect to use additional 2002 claims data for the establishment of our final policies for CY 2004. Based on this additional data and comments from the public, we intend to re-evaluate whether to package or pay separately for drugs for which the per-day median cost would cross the threshold from 2003 to 2004. For 2004, we propose that:

• Currently packaged drugs and radiopharmaceuticals with median costs per day that are at or above $150 would receive separate payment in 2004.
• Currently separately payable drugs and radiopharmaceuticals with median costs per day that are under $150 would continue to receive separate payment in CY 2004.
• Drugs whose pass-through status would expire on December 31, 2003, and whose median costs per day are under $150 would receive separate payment in 2004.
• Currently packaged drugs and radiopharmaceuticals with median costs per day below $150 would remain packaged in 2004.

We request comments on the methodology we used to determine the median cost per day, on the threshold we propose to use for packaging drugs and radiopharmaceuticals, and on the proposal to pay separately for drugs and radiopharmaceuticals whose payment status would change based on use of recent claims data and our proposed methodology.

Although in the future we expect to expand packaging the costs of drugs and radiopharmaceuticals into the APCs for the services with which they are billed, we request comments on alternatives to packaging.

3. Payment for Drugs, Biologicals, and Radiopharmaceuticals That Are Not Packaged

For the 2003 OPPS, the APC payment rate for separately payable drugs and radiopharmaceuticals with status indicator “K” is based on a relative weight calculated in the same way that the relative weights for procedural APCs are calculated. As with procedural APCs, we observed a decrease in the proposed payment rates for many separately payable drugs and radiopharmaceuticals; therefore, we dampened the payment reduction for APCs whose median costs decreased by more than 15 percent from 2002 to 2003.

In order to establish payment rates for separately payable drugs and radiopharmaceuticals for the 2004 OPPS, we first determined each drug's and radiopharmaceutical's median cost as described above. When we compared the median cost per unit used for determining the 2003 payment rate (for example, the true or dampened median cost) for separately payable drugs and radiopharmaceuticals with their 2004 median cost per unit, we found fluctuations in costs from 2003 to 2004.

CY 2004 median costs decreased more than 15 percent from the corresponding 2003 median cost for many of the separately payable drugs and radiopharmaceuticals. Many of these decreases affected low-volume drugs and radiopharmaceuticals and may be the result of inaccurate coding. Similarly, the 2004 median costs increased by more than 15 percent from the corresponding 2003 median cost for approximately 12 (mostly low volume) drugs and radiopharmaceuticals. For many of the high-volume, separately payable drugs and radiopharmaceuticals, the 2004 median costs increased or decreased by less than 15 percent as compared to the corresponding 2003 median cost. We solicit comments concerning the reasons for the fluctuations in median costs from 2003 to 2004. We are interested in determining whether these fluctuations reflect changes in the market prices of these drugs and radiopharmaceuticals or problems in the hospital claims data (for example, inaccurate coding, improper charges) that we use for setting payment rates.

We considered several options to address the fluctuations in median costs for separately payable drugs and radiopharmaceuticals. One option was to base payment on our 2002 claims data without modification. A second option was to adopt for 2004 the same methodology that we used to moderate payment decreases in 2003.

A third option was to create drug and radiopharmaceutical cost bands for separately payable drugs and radiopharmaceuticals (for example, all drugs with median costs per unit of $60.01 to $70 would be assigned a proxy median of $70), which would be based on their median costs calculated using 2002 claims data. We considered adopting two sets of cost bands: one for separately payable drugs and biologicals other than radiopharmaceutical agents and one for separately payable radiopharmaceutical agents. The cost bands for drugs and radiopharmaceuticals would be assigned based solely on cost, with no consideration given to the therapeutic use or chemical composition of the drug.

When we applied the dampening methodology used for the 2003 OPPS to drugs and radiopharmaceuticals that will be separately payable in 2004, we observed that this methodology did not sufficiently limit payment reductions for many of the drugs and radiopharmaceuticals with large decreases in median cost from 2003 to 2004. Therefore, a fourth option that we considered and are proposing for 2004 is a variation of the methodology used for the 2003 OPPS. For separately payable drugs and radiopharmaceuticals whose 2004 median costs decreased by more than 15 percent from the applicable 2003 median cost, we propose to limit the reduction in median costs to one fourth of the difference between the value derived from claims data and a 15 percent reduction (for example, for a drug whose cost decreased by 35 percent from the applicable 2003 median cost, the allowed reduction from 2003 to 2004 would be 15 percent + (1/4 times 35−15) percent = 20 percent). For separately payable drugs and radiopharmaceuticals whose median costs decreased by less than 15 percent from 2003 to 2004, we propose to establish their payment rates using the median costs derived from the 2002 claims data. We believe that it is appropriate to determine payment rates based on our claims data where those data show the cost of drugs and radiopharmaceuticals to be stable over 2 years. In cases where costs show significant fluctuation, we believe it is appropriate to mitigate the potential for underpayment. We believe our proposal bases payment rates on our claims data as required by statute and addresses the potential for making underpayments. However, based on more complete claims data we expect to have for the final rule and on the comments from the public, we will re-evaluate the appropriateness of adjusting median costs for drugs for which median costs would decline in 2004.

We also propose a separate payment policy, which is described below, for drugs, biologicals, and radiopharmaceuticals that have generic alternatives approved by the Food and Drug Administration (FDA) between October 2001 and December 2002.

We solicit comment on both our proposed methodology and payment rates for separately payable drugs and radiopharmaceuticals for 2004. Commenters who disagree with the proposed rate for a drug or radiopharmaceutical should submit verifiable information that shows our payment rate does not reflect the price that is widely available to the hospital market. Thus, information should demonstrate actual, market-based pricing of drugs and radiopharmaceuticals and should be prices at which a broadly based, national sample of hospitals are routinely able to procure the drug or radiopharmaceutical. We do not consider the published average wholesale price (AWP) for a drug to be an indication of its market-based price.

4. Proposed Payment Methodology for Drug Administration

Currently, payment for drug administration is made separately using HCPCS codes Q0081, Q0083, Q0084, Q0085, 90782, 90783, 90784, and 90788 with certain drugs packaged into the median cost for administration. The amount packaged should reflect the costs of the packaged drugs in relation to the frequency with which they are administered. Each of these codes is to be reported once per visit no matter how many drugs are administered. When a hospital administers only packaged drug(s), the appropriate HCPCS code is reported once and no separate payment is made for the drugs. When a hospital administers only separately payable drug(s) the appropriate HCPCS code is reported once; in addition, separate payment is made for the drugs. Because the payment for administration includes payment for packaged drugs, a hospital receives inappropriate reimbursement every time it administers a separately payable drug.

In order to facilitate accurate payments for drugs and drug administration, we are considering whether to make several changes in our current payment policy with regard to payment for Q0081, Q0083, Q0084, and Q0085. We are not considering changes to payment policy for HCPCS codes 90782, 90783, 90784, and 90788 at this time, although we are interested in receiving comments regarding payment for these codes.

We are proposing to continue our current policy of packaging drugs and radiopharmaceuticals that cost less than $150 per episode of care into the APC with which they are associated (for example, nuclear medicine scans, drug administration).

We are considering whether and how to make different payments to hospitals for administration of packaged drugs and administration of unpackaged drugs. We would like to ensure that when a hospital administers a separately paid drug, it would receive payment for the drug and the drug administration, but not for any drugs packaged into the administration. We also would like to ensure that the payments that are made for administration of packaged drugs are appropriate for the costs of the drugs as well as the cost of the administration.

In order to achieve the above objectives, we considered several coding and payment options and analyzed our claims data for the period April 1, 2002 through December 31, 2002.

Summary of Findings and Alternatives

As explained in greater detail below, we carefully examined data for administration of packaged and separately paid drugs billed under Q0081, Q0083, Q0084 and Q0085. We found that the data showed that paying based on a median cost for the APC for each of the current four codes generally results in underpayment when packaged drugs are billed on the claim and overpayment when separately paid drugs are billed on the claim. In the sections that follow, we discuss our data analysis in detail. We also discuss four alternatives to the current codes and APC payments in detail. In summary, those alternatives are:

1. Maintain the current codes and APCs with payments based on the median costs of all claims in the APC.

2. Eliminate the four current codes and create eight new codes to enable hospitals to report that they administered a packaged drug or a separately paid drug. We would pay a different APC amount for each of the eight new codes. The new code descriptors would parallel those of the current codes. This would retain the concept of using one code rather than two when both “infusion” and administration of chemotherapy by “other than infusion” occurred (as exists under the current codes). Coders would have to look up the drugs administered to know which code to bill.

3. Eliminate the four current codes and create six new codes to enable hospitals to report that they administered a packaged drug or separately paid drug and pay a different APC amount for each of the six new codes. In this option, no code equivalent to Q0085 would exist. Therefore, when administering chemotherapy by “infusion” or “other than infusion,” hospitals would report two codes, one for administration by “infusion” and one for administration by “other than infusion.” This would eliminate the need to use one code when both infusion and another method of administration of chemotherapy occurred. Coders would have to look up the drugs administered to know which code to bill.

4. Retain three of the current codes (Q0081, Q0083, and Q0084) but delete Q0085 (infusion and other administration of chemotherapy) and modify the OCE to use the drugs billed on the claim to assign an APC for packaged drugs or an APC for separately paid drugs. No drug administration code could be paid without a drug also being reported on the claim.

Claims Data Analysis

Using our methodology for creating single procedure claims, we looked at all single claims for HCPCS codes Q0081, Q0083, Q0084, and Q0085. We created separate files for each HCPCS code and further subdivided those into four subgroups for each code. The subgroups were for the HCPCS code billed (1) without any HCPCS for drugs; (2) with HCPCS only for packaged drugs; (3) with HCPCS only for separately payable drugs; and (4) with HCPCS for both packaged and separately packaged drugs.

We then reviewed the median costs for each of these subgroups and determined that we could use these subgroups to create two median costs for each existing administration HCPCS code (Q0081, Q0083, Q0084, and Q0085). See Table 15 for median cost data for HCPCS subgroups. We used claims where packaged drugs appeared (subgroups W and X) to create a median cost for administration of packaged drugs. We used claims without HCPCS codes for drugs and claims with HCPCS for only separately payable drugs (subgroups Y and Z) to create a median cost for the administration of separately payable drugs.

We believe that the resultant median costs accurately reflect the costs of packaged drugs and the costs of administration of separately payable drugs. It is obvious that there are significant differences in median costs of services within the same drug administration code, depending on whether a packaged or separately paid drug was administered, the type of drug administered (chemotherapy versus non-chemotherapy) and the route of administration (infusion versus other route or both).

Table 15.—Median Costs by Types of Drugs on the Claim

HCPCS	Description	Neither packaged nor separate drug (W)	With packaged drug but no separate drug (X)	No packaged drug but with separate drug (Y)	Both packaged drug and separate drug (Z)
Q0081	Infusion therapy other than chemo	$104.97	$276.98	$117.89	$231.56
Q0083	Chemotherapy other than infusion	35.16	119.88	42.26	188.98
Q0084	Chemotherapy by infusion	127.34	250.97	159.01	265.46
Q0085	Chemotherapy by both infusion and other	97.11	154.01	203.43	318.05

We then calculated medians for circumstances in which there were neither packaged nor separately paid drugs on the claim, and there were no packaged drugs, but there were separately paid drugs on the claim (both W and Y). We also calculated medians for circumstances in which there were packaged drugs on the claim (both X and Z). The resultant medians and the number of claims used to set the medians appear in Table 16 below with the HCPCS medians for all claims (packaged and separately paid drugs together).

Table 16.—Numbers of Claims and Medians by Code

HCPCS code	Number of claims with packaged drugs	Median of claims with packaged drugs	Number of claims with no drug or separately paid drug	Median for claims with no drug or separately paid drug	HCPCS Median for all claims for 2004
Q0081	19,116	$274.47	280,939	$107.93	$115.11
Q0083	8,681	125.86	24,710	39.10	48.25
Q0084	34,085	257.57	23,933	142.38	205.70
Q0085	17,749	303.87	3,242	126.55	267.63

Review of the data reveals that the median costs for all claims for Q0081 and Q0083 more closely reflect the median cost of claims where no drug or only separately payable drugs were on the claim because that subset of claims represents the vast majority of claims for Q0081 and Q0083. Therefore, if we do not differentiate payment for Q0081 and Q0083 based on whether or not a packaged drug was administered, we would underpay the cases in which a packaged drug was administered. The opposite is true of Q0084 and Q0085 in which more claims reflect packaged drugs than separately paid drugs, and, therefore, the claims with packaged drugs will determine the median cost for the code, thus overpaying cases in which the drug is separately paid.

We also examined the mean and median number of drugs billed with each of the Q codes when only packaged drugs were billed, only separately paid drugs were billed, and both packaged and separately payable drugs were billed (see Table 17). With the exception of Q0085, we believe the data on the number of drugs billed per claim is consistent with the cost data in Table 15. Again, with the exception of Q0085, we are confident that the cost of packaged drugs is accurately reflected in the median cost of the codes for administration of packaged drugs. We are also confident that the median cost for administration of separately payable drugs is appropriate.

Table 17.—Numbers of Drugs Billed per Specified Codes

HCPCS	Mean number of drugs packaged	Median number of drugs packaged	Mean number of drugs separately paid	Median number of drugs separately paid
Q0081	1.05	1	1.01	1
Q0083	1.77	2	1.02	1
Q0084	1.68	1	1.10	1
Q0085	2.33	2	1.19	1

We have some concerns about the cost data for Q0085. The cost for administration of only separately payable drugs is less than the comparable cost for Q0084 ($126 vs. $142). This is counterintuitive as Q0085 describes administration of, at minimum, two drugs, while Q0084 describes administration of one or more drugs. These cost data for Q0085 also raise the concern that proper usage of the code is not understood by hospitals and, therefore, the data are not being used properly.

We believe our analysis supports the need for creating different payment amounts for the administration of packaged drugs and for the administration of separately payable drugs (and, in the case of Q0081, the administration of no drug).

While reviewing options for coding and payment for drug administration we kept five major considerations in mind:

1. Ensuring beneficiary access to drugs.

2. Making accurate payment for both packaged and separately payable drugs.

3. Collecting sufficient data on drugs and drug administration to ensure that future policy development in this area will be properly informed.

4. Facilitating proper coding by hospitals.

5. Avoiding complicated billing rules and hospital burden to the extent possible.

We thought that three basic coding and payment options were available:

1. Continuing the current coding structure and payment policy (for example, a single payment for drug administration per day no matter how many drugs were administered). (Option 1 below).

2. Creation of new codes and new payment policy to describe drug administration (for example, different sets of codes for administration of packaged and separately payable drugs along with allowance for more than one payment for drug administration per day). (Options 2 and 3 below).

3. Continuation of the current drug administration codes but creating new payment policy (for example, allowance for more than one payment for drug administration per day).

After reviewing these three basic options, we developed more fully four specific options. Under all of these options, hospitals would be required to bill all drugs using the HCPCS code for the drug.

Moreover, although we have included an expanded option for Q0085 (Chemotherapy by both infusion and other technique) in option 2, and have retained Q0085 in option 1, we have serious concerns about the extent to which Q0085 is used correctly and about the extent to which the data for this code validly reflect the costs of an identifiable service. Hence, we are particularly interested in comments regarding whether we should eliminate Q0085. (Option 4 below).

Option 1—Retain the current codes and continue to pay on a per-visit basis, based on median costs for each code regardless of whether or not packaged or separately paid drugs are administered.

We would retain the current codes, use all claims for these services to set a relative weight, and make a single payment based on the median costs for the code regardless of whether or not packaged or separately paid drugs are administered. This would result in significant underpayment for administration of packaged drugs because the largest volume of claims with this code are either for administration of no drug (Q0081) or for drugs that are separately paid (and have no packaged drug costs). See Table 16 for the median costs determined on the basis of all claims for the existing codes. We would require hospitals to report HCPCS codes for both packaged and separately payable drugs in order to inform future policy decisions in this area.

We do not propose payment amounts for this option because the budget neutrality scalar would be different under this proposal than under option 2 (which was used in the scalar and impact analysis).

Option 2—Create eight new drug administration codes to enable hospitals to report administration of both packaged and separately payable drugs.

We would create two new sets of HCPCS codes to describe administration of packaged and separately payable drugs. Each of the eight codes would have its own APC payment. The descriptions and median costs for these proposed codes would be as follows:

Table 18.—Median Costs of Proposed G Codes Under Option 2

HCPCS	2004 APC	2004 SI	Description	Median costs
GXXX1	0382	S	Infusion of packaged non-cancer chemotherapy drug(s), per day	$274.47
GXXX3	0376	S	Administration of packaged cancer chemotherapy drug(s) by other than infusion, per day	125.86
GXXX4	0378	S	Administration of packaged cancer chemotherapy drug(s) by infusion, per day	257.57
GXXX5	0380	S	Administration of packaged cancer chemotherapy drugs by both infusion and other than infusion, per day	303.87
GYYY1	0383	S	Infusion of separately payable non-cancer chemotherapy drug(s) or non-drug infusion therapy, per day	107.93
GYYY3	0377	S	Administration of separately payable cancer chemotherapy drug(s) by other than infusion, per day	39.10
GYYY4	0379	S	Administration of separately payable cancer chemotherapy drug(s) by infusion, per day	142.38
GYYY5	0381	S	Administration of separately payable cancer chemotherapy drugs by both infusion and other than infusion, per day	126.55

The median costs for administration of packaged drugs would be determined from claims that contain at least one packaged drug and the median costs for administration of separately payable drugs (or no drugs in the case of Q0081) would be determined from claims that contained only separately payable (or no) drugs.

Although payment would not depend on accurate reporting of HCPCS codes for drugs, we would require hospitals to use HCPCS codes for both packaged and separately payable drugs in order to ensure that we had reliable data upon which to base future relative weights for these services. As described under option 4, we would create six lists of drugs in order to facilitate proper payment in the future.

Hospitals would report the appropriate code for the type of drug administered and the route(s) of administration. In this option, hospitals could bill for administration of both chemotherapy agents and administration of non-chemotherapy agents (or non-drug infusions). We would permit a maximum of one chemotherapy and one non-chemotherapy administration per day.

We are concerned that creation of these codes could require complicated billing rules and cause burden to hospitals. We would need to specify how to bill different combinations of route and category of drug (for example, two infused drugs, one pushed drug, antiemetics, and hydration). Because hospital billers would have to review both the type of administration and the type of drug administered to determine the correct code to bill, we are concerned about the potential for miscoding (with resultant mispayment) under this option, and we solicit comments on both of these issues. In some cases, this additional coding burden might result in less payment for administration (particularly Q0081).

Under this option, all codes would have a status indicator of S, and no multiple procedure reductions would apply.

This option is modeled for purposes of the budget neutrality scalar and the impact analysis (see Table 18).

Option 3—Create six new drug administration codes to enable hospitals to report administration of both packaged and separately payable drugs.

This option is similar to option 2 except that we would eliminate the codes used to describe administration of chemotherapy by both infusion and other techniques. Where a code is billed with a packaged drug suitable for the code, we would pay the APC for the packaged drug. Where both a packaged drug and a separately paid drug were administered via the same route of administration (and therefore only one code was billed), we would pay the APC only for the administration of the packaged drug and would pay separately for the separately paid drug and would not pay the APC for administration of the separately paid drug. Under this option, we would allow up to three payments for administration of drugs or infusions. We would allow one payment for non-chemotherapy drugs/infusions (for example, antiemetics, fluids), one payment for chemotherapy administered by infusion, and one payment for chemotherapy administered by “other than infusion.” As stated above, we would not allow payment for administration of packaged chemotherapy drugs by infusion and payment for administration of separately payable chemotherapy by infusion. This coding scheme would allow us to more accurately recognize the true costs of administering multiple drugs. For example, there are some economies of scale when infusing two or more drugs (for example, only one I. V. line needed), but each drug requires its own mixing and nursing care. This option would allow up to three payments for administration of drugs or non-drug infusion, thereby recognizing the unique costs of administering each drug while not making duplicate payment. In order to ensure that we do not make duplicate payment for patients receiving chemotherapy drugs and non-chemotherapy drugs (and/or hydration), we would pay GXXX1 and GYYY1 at 50 percent of their payment when one of these codes is paid in addition to chemotherapy administration (GXXX3, GXXX4, GYYY3, and GYYY4). This is because we believe there are economies of scale achieved for multiple drug administrations and that the additional resources used to provide non-chemotherapy treatment are minimal.

Following are examples of how payment would be made:

• When both packaged and separately payable chemotherapy drugs are infused, we would make payment for GXXX4—Administration of packaged chemotherapy drugs by infusion and for each separately payable chemotherapy drug, but we would not make payment for GYYY4—Infusion of separately payable chemotherapy drugs.
• When packaged chemotherapy drugs are pushed and infused, and separately payable chemotherapy drugs are infused, we would make payment for GXXX3 and GXXX4 and for each separately payable chemotherapy drug, but we would not make payment for GYYY4.
• When packaged chemotherapy drugs are infused and pushed; separately payable chemotherapy drugs are infused and packaged; and separately payable non-chemotherapy drugs are infused (for example, antiemetics), and hydration is given; we would make payment for GXXX3, GXXX4, each separately infused chemotherapy drug, GXXX1, and each separately payable non-chemotherapy drug. We would not make payment for GYYY1 or GYYY3. Note that payment for GXXX1 in this case would be made at 50 percent because it was billed with chemotherapy (if it was billed without chemotherapy, then payment would be made at 100 percent).

Medians for these codes would be as follows:

Table 19.—Median Costs Under Option 3

HCPCS	2004 APC	2004 SI	Description	Median costs
GXXX1	XXX1	T	Infusion of packaged non-cancer chemotherapy drug(s), per day	$274.47
GXXX3	XXX3	S	Administration of packaged cancer chemotherapy drug(s) by other than infusion, per day	125.86
GXXX4	XXX4	S	Administration of packaged cancer chemotherapy drug(s) by infusion, per day	257.57
GYYY1	YYY1	T	Infusion of separately payable non-cancer chemotherapy drug(s) or non-drug infusion therapy, per day	107.93
GYYY3	YYY3	S	Administration of separately payable cancer chemotherapy drug(s) by other than infusion, per day	39.10
GYYY4	YYY4	S	Administration of separately payable cancer chemotherapy drug(s) by infusion, per day	142.38

As modeled, these codes would have status indicator S (except as described above for GXXX1 and GYYY1).

Similar to option 2, we would require hospitals to report HCPCS codes for packaged and separately payable drugs to ensure that we have reliable data upon which to base future relative weights for these services. As described under option 4, we would create six lists of drugs in order to facilitate proper coding and payment in the future.

We do not propose payment amounts for this option because the budget neutrality scalar would be different under this proposal than under option 2 (which was used in the scalar and impact analysis).

Option 4—Use of codes Q0081, Q0083, and Q0084 and deletion of Q0085 with creation of logic in the outpatient code editor (OCE) to enable differential payment for administration of packaged and separately payable drugs.

This option is similar to option 3 in terms of payment policy. However, instead of creating six new codes, hospitals would continue to report codes Q0081, Q0083, Q0084, and the HCPCS codes for all packaged and separately payable drugs. We would delete Q0085 in order to simplify hospital reporting and to facilitate creation of payment logic in the OCE.

We would create six lists of drugs (see Addenda L, M, N, O, P, Q): packaged chemotherapy agents administered by other than infusion, separately payable chemotherapy agents administered by other than infusion, packaged chemotherapy agents administered by infusion, separately payable chemotherapy agents administered by infusion, packaged non-chemotherapy agents administered by infusion, and separately payable non-chemotherapy agents administered by infusion. These lists would be coded into the OCE, and would be updated quarterly by program memoranda. We realize that a few drugs may be administered by both infusion and other techniques. In these lists, we would assign each drug to its predominant form of administration in a hospital outpatient setting. If we could not determine whether a drug was infused or administered by a technique other than infusion (for example, we receive a claim with Q0083 and Q0084 and two drugs that may be administered by either infusion or another technique), we would associate each drug with its predominant administration code.

We would create logic in the OCE that would base payment on the combination of administration and drug codes on the claim but would only allow one unit of each administration type as described in option 3. The medians for the APCs to which OCE would assign the codes are described in Table 20.

Table 20.—Medians for APCS Under Option 4

Drug administration codes on the claim	Nonchemo drug, packaged list (subgroup X)	Chemo drug, packaged list (subgroup W)	Nonchemo drug, separately paid list or no drug billed (subgroup Z)	Chemo drug, separately paid list (subgroup Y)	Admin APC	APC median	Applicable addenda
Q0081	X				A	$274.47	L
Q0081			X		B	107.93	M
Q0083		X			C	125.86	N
Q0083				X	D	39.10	O
Q0084		X			E	257.57	P
Q0084				X	F	149.38	Q

The payment policy is identical to the policy described in option 3 including the discount for Q0081 when billed with Q0083 and/or Q0084. Although this option would not require hospitals to change coding of drug administration it would, unlike options 2 and 3, require accurate coding of HCPCS codes for drugs in order to ensure proper payment. Additionally, we would revise the definitions of the administration codes to “per day” instead of “per visit.”

Similar to option 3, we would make payment for up to three drug administrations per day, if appropriate. Where a code is billed with a packaged drug suitable for the code, we would pay the APC for the packaged drug. Where both a packaged drug and a separately paid drug were administered via the same route of administration (and therefore only one code was billed), we would pay the APC only for the administration of the packaged drug and would pay separately for the separately paid drug and would not pay the APC for administration of the separately paid drug. In no case would we pay for more than one unit of an administration code.

Under options 2, 3, and 4, we would return a claim to the provider when a chemotherapy administration code was reported without a HCPCS code for a chemotherapy drug. Therefore, it is very important that commenters advise us as to whether there are any cancer chemotherapy drugs that are not included in Addenda L, M, N, O, P, or Q. Specifically, we solicit comments as to whether there are any cancer chemotherapy drugs that do not have HCPCS codes.

We do not propose payment amounts for this option because the budget neutrality scalar would be different under this proposal than under option 2 (which was used in the scalar and impact analysis). We solicit comment on each option described above.

General Billing Instructions

Any previous regulatory or sub-regulatory guidance notwithstanding, we propose to implement the following billing rules under any of the above payment options:

(1) Q0081 may not be used to bill separately for the hanging of a bag of solution for which the sole purpose is to administer chemotherapy drugs; that charge should be billed as part of the charge for Q0084 or Q0085.

(2) Q0081 may not be billed when it is an integral part of another procedure. In those cases, the charge for the procedure should reflect the costs of the infusion therapy, either as part of the charge for the HCPCS code or as a revenue code charge (for example, hydration or drug administration during a surgical procedure performed under general anesthesia).

(3) Q0081, Q0083, and Q0084 should not be used to bill for the administration of radiopharmaceuticals that are administered as part of diagnostic or therapeutic nuclear medicine procedures. In those cases, the radionucliide should be billed with the appropriate nuclear medicine HCPCS code.

(4) Q0081, Q0083, and Q0084 may not be used to report the transfusion of blood, platelets, or any other blood products. Those transfusions should be reported by use of the appropriate HCPCS code(s) in APC 0110.

5. Generic Drugs, and Radiopharmaceuticals

In general, hospital acquisition costs for drugs, biologicals, and radiopharmaceutical agents with generic competitors are lower than the acquisition costs for sole source or multi-source drugs. In order to ensure that Medicare recognizes these lower costs in a timely manner, we are proposing a new method of calculating payment amounts for drugs, biologicals, and radiopharmaceuticals that are separately paid under the OPPS and for which the Food and Drug Administration (FDA) has recently approved generic alternatives when we determine our claims data do not reflect the costs of the generic alternatives.

Because many hospitals have long term purchasing arrangements for drugs and radiopharmaceuticals, we believe that there is generally a 12-month lag between the time that generic items are made available and when our claims data will accurately reflect the costs associated with the availability of the generic alternative. Therefore, during the interval between FDA approval of a generic item and the time when we would reasonably expect claims data to reflect the cost of generic alternatives, we propose to adopt the following methodology to price the affected drugs, biologicals, and radiopharmaceuticals under the OPPS.

We would first identify items approved for generic availability by the FDA during the 6 months before the first day of the claims period we would use as the basis for an annual OPPS update. Where we determine that our claims data do not reflect the costs of generic alternatives for a separately payable drug, biological, or radiopharmaceutical, we propose to base our payment rate on 43 percent of the AWP for the drug, biological, or radiopharmaceutical. As described in the 2003 OPPS rule (67 FR 66768), the ratio of hospital acquisition cost, on average, to AWP for multisource drugs with generic competitors equals 0.43. We believe that using this ratio would allow us to appropriately calculate the costs that hospitals incur when purchasing generic drugs or radiopharmaceuticals. When we determine that our claims data accurately reflect the cost of the generic alternative(s), we would use the claims data to set payment rates in preference to 43 percent of AWP for the drug or radiopharmaceutical.

We considered another payment option where we would base our payment rate on the lower of: (1) The median cost (with dampening if applicable) based on claims data; or (2) the Federal Supply Schedule price. We are not proposing this policy because we believe we would not be able to calculate payment rates that are close to the actual hospital acquisition costs of generic alternatives since the Federal Supply Schedule represents prices that are lower than the prices paid by most hospitals. Also, median costs from the claims data would not reflect the actual cost of generics because of the time lag described above.

To apply this payment methodology to the 2004 OPPS update, we reviewed FDA approvals for generic drugs, biologicals, and radiopharmaceuticals issued between October 2001 and December 2002. We found six drugs, which we propose to be separately paid under the 2004 OPPS that had generic alternatives approved during that time. These drugs are: Daunorubicin, Bleomycin, Pamidronate, Paclitaxel, Ifosfomide, and Idarubicin. Table 21 shows the dates when the FDA approved generic alternatives for these drugs.

We understand that there is a wide range of utilization for these drugs in the OPPS and that price reductions for generic drugs will depend on their utilization and the types of illnesses for which they are used. However, we would not expect claims data from April 1, 2002 through December 31, 2002 to reflect fully the availability of the generic alternatives.

Table 21 shows the median cost for these six drugs as determined by claims data (with any adjustments for APCs that decreased in median cost by more than 15 percent from 2003 to 2004) and their costs at 43 percent of AWP as determined under the July 2003 update of the Medicare Single Drug Pricer.

We solicit comments on this proposed method of calculating payment for drugs, biologicals, and radiopharmaceuticals for which generic alternatives have recently been approved. Specifically, we are interested in comments concerning our proposed methodology for identifying these items, whether we properly identified all the items, and whether our proposed payment policy for these generic alternatives is appropriate.

Table 21.—Proposed List of Separately Payable OPPS Drugs With Generic Alternatives Approved Between October 2001 and December 2002

APC	Description	Date of Generic Approval by the FDA	43% of AWP	2004 Median cost (with dampening if applicable)
0832	Idarubicin hcl injection	May 2002	$190.08	$188.25
0831	Ifosfomide injection	May 2002	68.07	115.46
0863	Paclitaxel injection	May 2002	74.27	116.61
0730	Pamidronate disodium	May 2002	120.34	184.40
0857	Bleomycin sulfate injection	October 2001	130.98	169.28
0820	Daunorubicin hcl injection	November 2001	35.46	89.65

6. Orphan Drugs

In response to last year's proposed rule, many commenters explained that many orphan drugs were life-saving therapies used solely for the treatment of rare disorders where no other treatment was available. They further stated that many of these drugs would be received by very few Medicare beneficiaries and that if we packaged these drugs into other procedures, our payment rates would be insufficient to recognize their high cost, thus impairing the access of beneficiaries who needed the drugs. These commenters also stated that the claims data we used to set payment rates for 2003 did not accurately reflect the cost of these drugs. We shared these concerns, and in the November 1, 2002 final rule (67 FR 66772), we set forth the following payment policy:

We identified orphan drugs that are used solely for orphan conditions by applying the following criteria:

• The drug is designated as an orphan drug by the FDA and approved by the FDA for treatment of only one or more orphan condition(s).
• The current United States Pharmacopoeia Drug Information (USPDI) shows that the drug has neither an approved use nor an off-label use for other than the orphan condition(s). Payment for drugs that met these criteria was made outside of OPPS under reasonable cost.

In that same rule, we identified four orphan drugs (J0205 Injection, alglucerase, per 10 units; J0256 Injection, alpha 1-proteinase inhibitor, 10 mg; J9300 Gemtuzumab ozogamicin, 5 mg; and J1785 Injection, imiglucerase, per unit) as meeting these criteria. Therefore, we excluded them from payment under OPPS and paid for them at reasonable cost in 2003.

We received several comments in response to the final rule, stating that we had not identified all drugs that qualified for special payment as orphans under our criteria. After reviewing these comments, we have identified 7 additional drugs that meet our criteria. These drugs are: J2355 Injection, oprelvekin, 5 mg; J3240 Injection, thyrotropin alpha, 0.9 mg; J7513 Daclizumab parenteral, 25 mg; J9015 Aldesleukin, per vial; J9160 Denileukin diftitox, 300 mcg; J9216 Interferon, gamma 1-b, 3 million units; and Q2019 Injection, basiliximab, 20 mg.

We have now identified a total of 11 drugs that meet our orphan drug criteria, and we expect to identify more such drugs in the future. Last year's policy was intended to narrowly target a very small number of drugs received by very few Medicare beneficiaries in order to ensure beneficiary access to life saving therapies. The aggregate number of Medicare beneficiaries who will receive the 11 drugs that meet our criteria for orphans is significantly higher than the number who receive the 4 we identified last year. Furthermore, as we identify more drugs that meet our criteria, we expect the number of beneficiaries who receive these drugs to grow. As the number of beneficiaries who receive these drugs increases, so do total payments for the drugs. Therefore, we no longer believe that paying for these drugs at reasonable cost, outside of OPPS, is appropriate. Our goal is to pay for as many hospital outpatient department (OPD) services as possible under the OPPS system. We believe that any payments made outside of OPPS should remain relatively small and, as in the case of vaccines, be made because it is unlikely our claims data will reflect the cost of the item or service (see discussion of vaccines below).

In the case of orphan drugs, we believe that our claims data for April 1, 2002 through December 31, 2002 do reflect the cost of orphan drugs, and we are concerned about the potential of making ever increasing payments for these drugs outside of the OPPS. Furthermore, we believe that many of the concerns expressed by commenters would be addressed if we continue to make separate payment for these drugs.

Therefore, we propose the following payment policy for orphan drugs:

• We propose to continue using the same criteria to identify orphan drugs used solely for an orphan condition under the OPPS.
• We propose to discontinue retrospective cost payments and to make prospective payments under the OPPS for those identified orphan drugs.
• We propose to base payments on the same methodology we use to pay for other drugs including any limitation on payment reductions (as described above).
• We propose to make separate payment for orphan drugs and place them in APCs.

We solicit comment on each of these proposals and request that commenters submit information meeting the same criteria as comments for other drugs (as discussed above).

7. Vaccines

Outpatient hospital departments administer large amounts of the vaccines for influenza (flu) and pneumococcal pneumonia (PPV), typically by participating in immunization programs. In recent years, the availability and cost of some vaccines (particularly the flu vaccine) have fluctuated considerably. As discussed in the November 1, 2002 final rule (67 FR 66718), we were advised by providers that OPPS payment was insufficient to cover the costs of the flu vaccine and that access of Medicare beneficiaries to flu vaccines might be limited. They cited the timing of updates to OPPS rates as a major concern. They said that our update methodology, which uses 2-year-old claims data to recalibrate payment rates would never be able to take into account yearly fluctuations in the cost of the flu vaccine. We agreed with this concern and decided to pay hospitals for influenza and pneumococcal pneumonia vaccines based on a reasonable cost methodology. As a result of this change, hospitals, home health agencies (HHAs), and hospices, which were paid for these vaccines under OPPS in 2002 are being paid at reasonable cost for these vaccines in 2003. We are aware that access concerns continue to exist for these vaccines; therefore, we propose to continue paying for influenza and pneumococcal pneumonia vaccines under reasonable cost methodology.

8. Blood and Blood Products

From the onset of the OPPS, we have made separate payment for blood and blood products in APCs rather than packaging them into payment for the procedures with which they were administered. As we explained in the April 7, 2000 final rule (65 FR 18449), wide variations in patient requirements convinced us that we should pay for these items separately rather than packaging their costs into the procedural APCs. Moreover, the Secretary's Advisory Council on Blood Safety and Access recommended that blood and blood products be paid separately to ensure that we did not create any incentives that were inconsistent with the promotion of blood safety and access. Therefore, we propose to continue to pay separately for blood and blood products.

As described in the November 1, 2002 final rule (67 FR 66773), we applied a special dampening option to blood and blood products that had significant reductions in payment rates from 2002 to 2003. For 2003, we limited the decrease in payment rates for blood and blood products to approximately 15 percent.

After careful comparison of the 2003 dampened medians with the 2004 medians from our claims data, we believe that establishing payment rates based on the 2004 median costs would, for many blood and blood products, result in payments that are significantly lower than hospital acquisition costs. In order to mitigate any significant payment reductions and to minimize any compromise in access of beneficiaries to these products, we propose to limit the decrease in payment rates for blood and blood products from 2003 to 2004 by approximately 10 percent.

This is different than the amount by which we limited payment decreases last year because when we applied the dampening methodology used for the 2003 OPPS to blood and blood products, we observed that it did not sufficiently limit payment reductions for the blood and blood products with large decreases in median cost from 2003 to 2004. Therefore, we are proposing for 2004 a variation of the methodology used for the 2003 OPPS because we believe that a 10 percent limit in the decrease in payment rates for blood and blood products would better reflect hospital acquisition costs, ensure appropriate reimbursement to hospitals, and enable continued beneficiary access to blood and blood products.

The list of APCs containing blood and blood products can be found in the November 1, 2002 final rule (67 FR 66750). We note that the APCs for these products are intended to make payment for the costs of the products. Costs for storage and other administrative expenses are packaged into the APCs for the procedures with which the products are used.

We solicit comment on this proposal especially from hospitals. We are especially interested in comments that include verifiable information about the widely available acquisition cost of commonly used blood and blood products.

9. Intravenous Immune Globulin

Following publication of the proposed rule on August 9, 2002, we received comments urging us to reclassify intravenous immune globulin (IVIG) as a blood product. After carefully reviewing these comments with our medical advisors, we decided to make final our proposal to classify immune globulin as a biological, subject to the same payment policy we implemented for other drugs and biologicals. Our reasons were set forth in the November 1, 2002 final rule (67 FR 66774). Since implementation of the 2003 OPPS update, we have received further comments on this decision. These commenters continue to assert that we should make special payment provisions for IVIG and reclassify IVIG as a blood and blood product. They have expressed particular concern about the potentially negative impact of our payment policy for IVIG on patient access, especially for those individuals who have primary immune deficiency diseases.

We appreciate the concerns regarding our decision to pay for IVIG in accordance with the payment methodology we applied to other drugs and biologicals in the 2003 update of the OPPS. We have reviewed the claims data that are the basis for the payment rates in this proposed rule, and our analysis reveals that IVIG would be separately payable in 2004. The claims data for IVIG are robust, and the most recent claims data, when compared with claims data used in earlier updates of the OPPS suggest that hospital costs are consistent and that hospitals are billing accurately for these products. Therefore, we believe that payment for these products is appropriate using the methodology we propose to implement for other drugs and biologicals. Therefore, we propose to continue to classify IVIG as a biologic. We solicit comments on this proposal.

10. Drug and Device Coding

We propose to require hospitals to report individual codes for all drugs and devices used during the episode, including those that are packaged.

Last year (CY 2003), the pass-through status of many drugs and devices expired. These drugs and devices were packaged, consistent with the fundamental principles of a prospective payment system. By packaging the costs of items and services into the payment for the primary procedure or service with which they are associated, we encourage hospital efficiency and provide hospitals with the ability to manage their resources with maximum flexibility. We believed that an additional advantage of increased packaging would be that hospitals would no longer need to report codes for the individual items and services included in the package. While we continue to support packaging to the greatest extent possible, the loss of coding information on claims creates some obstacles to accurate rate-setting.

The data for 2002 that we are using for CY 2004 rate-setting still have considerable drug and device coding information. However, for the CY 2005 OPPS update, for which 2003 data would be used, there will be much less information regarding specific drug and device costs. We do not expect to have as much Medicare claims information on which to base certain decisions such as which drugs to remove from packaged status and pay separately.

This concerns us and has led us to consider the need for drug and device coding. Even though payment is not directly related to that information, we believe that reporting the codes may be in hospitals' best interest because it may result in the most accurate payments. For example, in setting the weights of certain device-related APCs, we discovered that the median costs of those APCs were higher when we used only claims on which the device codes appeared. Similarly, certain drug administration APCs have higher median costs when separate HCPCS for drugs are reported on the claims.

If we are to continue to price drugs and devices using up-to-date median costs from claims data, we need information on the costs of the items, even when packaged. We propose to require the separate coding of individual drugs and device categories, even where their costs are packaged, to address this need. We would like comments on whether or not to require coding of devices. We also solicit comments regarding our proposal to report drug codes on claims and alternative methods for rate-setting if codes for drugs and/or devices are no longer present on the claims. We are particularly interested in receiving comments from hospitals on this proposal.

11. Payment for Split Unit of Blood

Since implementation of the OPPS, we have assigned status indicator “E” to HCPCS code P9011, blood (split unit). Status indicator “E” designates services for which payment is not allowed under the OPPS or services that are not covered by Medicare. P9011 was created to identify situations where one unit of red blood cells or whole blood, for example, is split and half of the unit is transfused to one patient and the other half to another patient. Because use of split units is not uncommon, we propose to change the status indicator for P9011 from “E” to “K” and assign it to a blood and blood product APC that pays approximately 50 percent of the payment for the whole unit of blood. We propose to assign P9010 to APC 0957 (Platelet concentrate) with a payment rate of $37.30. We invite comments on this proposed change in the status indicator and payment amount for P9010.

12. Other Issues

We propose to continue our payment policy for Procrit and Aranesp for calendar year 2004. As explained in detail in the November 1, 2002 final rule (67 FR 66758), Aranesp and Procrit are in separate APCs, and are paid at equivalent rates with the application of a ratio to convert the dosage units of Aranesp into units of Procrit. The current conversion ratio is based on the best information available at the time we developed the final rule for calendar year 2003. In the final rule, we explained that we based our conclusion regarding the appropriate conversion ratio on the FDA labeling for each product and the body of available clinical evidence contained in published and unpublished articles and abstracts and in materials provided by the products' manufacturers. We indicated that we might refine the conversion ratio as soon as feasible based on information not available at the time we established the current conversion ratio.

Consistent with our statements in the final rule, we have continued to gather information regarding an appropriate conversion ratio by reviewing recent published studies and data from alternative sources. We have met with the manufacturers of the products and consulted with clinicians. We are continuing to evaluate this additional data and information. However, we have not yet determined whether the data would support a change to the current policy. We remain open to establishing a different conversion ratio in the final rule if we conclude that a change is warranted based on public comments and information submitted during the public comment period and/or any other information we consider in developing the final rule.

Therefore, we propose to continue with the current policy regarding payment for Procrit and Aranesp, including the current conversion ratio. We solicit comments on this issue and are especially interested in submission of articles in peer-reviewed publications and other clinical data concerning the frequency of administration and the dosage amounts of these agents. Submission of prospective, randomized, controlled trials comparing the dosage amounts, frequency of administration, and clinical outcomes of these agents are preferred. All data submitted would be available to the public. We would base any changes to our current payment policy for these two drugs only on data that we could make available to the public.

VII. Wage Index Changes for CY 2004

Section 1833(t)(2)(D) of the Act requires that we determine a wage adjustment factor to adjust for geographic wage differences, in a budget neutral manner, that portion of the OPPS payment rate and copayment amount that is attributable to labor and labor-related costs.

We used the proposed Federal fiscal year (FY) 2004 hospital inpatient PPS wage index to make wage adjustments in determining the proposed payment rates set forth in this proposed rule. The proposed FY 2004 hospital inpatient wage index published in the May 19, 2003 Federal Register (68 FR 27154) is reprinted in this proposed rule as Addendum H—Wage Index for Urban Areas; Addendum I—Wage Index for Rural Areas; and Addendum J—Wage Index for Hospitals That Are Reclassified. We propose to use the final FY 2004 hospital inpatient wage index to calculate the payment rates and coinsurance amounts that we will publish in the final rule implementing the OPPS for CY 2004.

VIII. Copayment for CY 2004

In the November 30, 2001 final rule (66 FR 59887), we adopted a methodology that applied five rules for calculating APC copayment amounts when payments for APC groups change because the APCs' relative weights are recalibrated or when individual services are reclassified from one APC group to another. In calculating the unadjusted copayment amounts for 2004, we encountered circumstances that the methodology in the November 30, 2001 final rule either did not address or whose applicability was ambiguous. For example, rules 2 and 3 refer to payment rate changes resulting from the recalibration of relative payment weights but do not clearly apply to payment rate changes resulting from the reclassification of HCPCS codes from one APC group to another APC group. Therefore, we propose to revise and clarify the methodology we would follow to calculate unadjusted copayment amounts, including situations in which recalibration of the relative payment weight of an existing APC results in a change in the APC payment; to situations in which reclassification of HCPCS codes from an existing APC to another APC results in a change in the APC payment; and to payment rates for newly created APCs that are comprised of HCPCS codes from existing APCs.

As a general rule, we would seek to lower the coinsurance rate for the services in an APC from the prior year. This principle is consistent with section 1833(t)(8)(C)(ii) of the Act, which accelerates the reduction in the national unadjusted coinsurance rate so that beneficiary liability will eventually equal 20 percent of the OPPS payment rate for all OPPS services and with section 1833(t)(3)(B), which indicates the congressional goal of achieving 20 percent coinsurance when fully phased in and gives the Secretary the authority to set rules for determining copayment amounts to new services. However, in no event is the proposed 2004 coinsurance rate for an APC group lower than 20 percent or greater than 50 percent of the payment rate.

We propose to determine copayment amounts in 2004 and subsequent years in accordance with the following rules.

1. When an APC group consists solely of HCPCS codes that were not paid under the OPPS the prior year because they were packaged or excluded or are new codes, the unadjusted copayment amount would be 20 percent of the APC payment rate.

2. If a new APC that did not exist during the prior year is created and consists of HCPCS codes previously assigned to other APCs, the copayment amount is calculated as the product of the APC payment rate and the lowest coinsurance percentage of the codes comprising the new APC.

3. If no codes are added to or removed from an APC and, after recalibration of its relative payment weight, the new payment rate is equal to or greater than the prior year's rate, the copayment amount remains constant (unless the resulting coinsurance rate is less than 20 percent).

4. If no codes are added to or removed from an APC and, after recalibration of its relative payment weight, the new payment rate is less than the prior year's rate, the copayment amount is calculated as the product of the new payment rate and the prior year's coinsurance percentage.

5. If HCPCS codes are added to or deleted from an APC, and, after recalibrating its relative payment weight, holding its unadjusted copayment amount constant results in a decrease in the coinsurance percentage for the reconfigured APC, the copayment amount would not change (unless retaining the copayment amount would result in a coinsurance rate less than 20 percent).

6. If HCPCS codes are added to an APC, and, after recalibrating its relative payment weight, holding its unadjusted copayment amount constant results in an increase in the coinsurance percentage for the reconfigured APC, the copayment amount would be calculated as the product of the payment rate of the reconfigured APC and the lowest coinsurance rate of the codes being added to the reconfigured APC.

This methodology would, in general, reduce the beneficiary coinsurance rate and copayment amount for APCs for which the payment rate changes as the result of the reconfiguration of APCs and/or the recalibration of relative payment weights.

IX. Conversion Factor Update for CY 2004

Section 1833(t)(3)(C)(ii) of the Act requires us to update the conversion factor used to determine payment rates under the OPPS on an annual basis. Section 1833(t)(3)(C)(iv) of the Act provides that for 2004, the update is equal to the hospital inpatient market basket percentage increase applicable to hospital discharges under section 1886(b)(3)(B)(iii) of the Act.

The forecast of the hospital market basket increase for FY 2004 published in the inpatient PPS proposed rule on May 19, 2003 is 3.5 percent. To set the proposed OPPS conversion factor for 2004, we increased the 2003 conversion factor of $52.151 (the figure from the November 1, 2002 final rule (67 FR 66788) by 3.5 percent.

In accordance with section 1833(t)(9)(B) of the Act, we further adjusted the proposed conversion factor for 2004 to ensure that the revisions we are proposing to update by means of the wage index are made on a budget-neutral basis. We calculated a budget neutrality factor of 1.003 for wage index changes by comparing total payments from our simulation model using the proposed FY 2004 hospital inpatient PPS wage index values to those payments using the current (FY 2003) wage index values. In addition, for CY 2004, allowed pass-through payments have decreased to 2 percent of total OPPS payments, down from 2.3 percent in CY 2003. The 0.3 percent was also used to adjust the conversion factor.

The increase factor of 3.5 percent for 2004, the required wage index budget neutrality adjustment of approximately 1.003, and the 0.3 percent adjustment to the pass-through estimate, result in a proposed conversion factor for 2004 of 54.289.

X. Proposed Outlier Policy and Elimination of Transitional Corridor Payments for CY 2004

A. Proposed Outlier Policy for CY 2004

For OPPS services furnished between August 1, 2000 and April 1, 2002, we calculated outlier payments in the aggregate for all OPPS services that appear on a bill in accordance with section 1833(t)(5)(D) of the Act. In the November 30, 2001 final rule (66 FR 59856, 59888), we specified that beginning with 2002, we will calculate outlier payments based on each individual OPPS service. We revised the aggregate method that we had used to calculate outlier payments and began to determine outliers on a service-by-service basis.

As explained in the April 7, 2000 final rule (65 FR 18498), we set a target for outlier payments at 2.0 percent of total payments. For purposes of simulating payments to calculate outlier thresholds, we propose to continue to set the target for outlier payments at 2.0 percent, as we did for CYs 2001, 2002, and 2003. For 2003, the outlier threshold is met when costs of furnishing a service or procedure exceed 2.75 times the APC payment amount, and the current outlier payment percentage is 45 percent of the amount of costs in excess of the threshold. For the reasons discussed in detail in section XI.E of this preamble, we are proposing to establish two separate outlier thresholds, one for community mental health centers (CMHCs) and one for hospitals. For CY 2004, we propose to continue to set the target for outlier payments at 2.0 percent of total OPPS payments (a portion of that 2.0 percent, 0.36 percent, would be allocated to CMHCs for PHP services). Based on our simulations for 2004, we propose to set the hospital threshold for 2004 at 2.75 times the APC payment amount, and the proposed 2004 payment percentage applicable to costs over the threshold at 50 percent. We propose to set the threshold for CMHCs for 2004 at 11.75 times the APC payment amount and the 2004 outlier payment percentage applicable to costs over the threshold at 50 percent.

B. Elimination of Transitional Corridor Payments for CY 2004

Since the inception of the OPPS, providers have been eligible to receive additional transitional payments if the payments they received under the OPPS were less than the payments they would have received for the same services under the payment system in effect before the OPPS. Under 1833(t)(7) of the Act, most hospitals that realize lower payments under the OPPS received transitional corridor payments based on a percent of the decrease in payments. However, rural hospitals having 100 or fewer beds, as well as cancer hospitals and children's hospitals described in section 1886(d)(1)(B)(iii) and (v) of the Act, were held harmless under this provision and paid the full amount of the decrease in payments under the OPPS. Transitional corridor payments were intended to be temporary payments to ease providers' transition from the prior cost-based payment system to the prospective payment system. Beginning January 1, 2004, in accordance with section 1833(t)(7) of the Act, transitional corridor payments will no longer be paid to providers other than cancer hospitals and children's hospitals. Cancer hospitals and children's hospitals are held harmless permanently under the transitional corridor provisions of the statute.

We are concerned that small rural hospitals are not able to achieve the same level of operating efficiencies as larger rural hospitals and urban hospitals, and we are concerned that the decrease in payments these hospitals may experience once they stop receiving transitional corridor payments will result in these hospitals having to decrease or altogether cease to provide certain outpatient services. A reduction of services could have consequences for Medicare beneficiaries and their continued access to care in rural areas. In light of these concerns, one thing we could do is to provide increased APC payments for clinic and emergency room visits furnished by rural hospitals having 100 or fewer beds. Any adjustment to payments for these hospitals would be made under the authority granted to the Secretary under section 1833(t)(2)(E) of the Act, to establish in a budget neutral manner adjustments as determined to be necessary to ensure equitable payments, such as adjustments for certain classes of hospitals. We invite comments on whether we should provide an adjustment, such as the one described above, for small rural hospitals.

XI. Other Policy Decisions and Proposed Changes

A. Hospital Coding for Evaluation and Management (E/M) Services

Facilities code clinic and emergency department visits using the same [Physicians'] Current Procedural Terminology (CPT) codes as physicians. For both clinic and emergency department visits, there are currently five levels of care. Because these codes were defined to reflect only the activities of physicians, they are inadequate to describe the range and mix of services provided to patients in the clinic and emergency department settings (for example, ongoing nursing care, preparation for diagnostic tests, and patient education). An example to illustrate the services that are billed using E/M codes in the hospital outpatient department follows:

An adult male patient presents to a clinic after a fall while working in his yard. As a result, he has scraped off the top layer of skin covering his entire back. The physician examines the patient, finds a dirty and possibly infected wound, which is the only injury. The physician orders the nurse to clean the wound, apply antiseptic medication, and dress the wound. In addition, the physician orders an intramuscular antibiotic and a tetanus injection.

The nurse will spend a considerable amount of time cleaning and dressing the wound with large amounts of sterile supplies (because of the large body surface area) as well as administering medications. The nurse also will give the patient discharge instructions regarding the care of the wound.

Although the physician services are captured using existing E/M codes, the additional staff and supplies integral to the outpatient department services are not. The low level E/M code that describes the physician services in the example is not reflective of the services provided by the nurse (and any other staff that may have become involved) or of the quantity of supplies used in the treatment.

In the April 7, 2000 final rule (65 FR 18434), we stated that in order to ensure proper payment to hospitals, it was important that emergency and clinic visits be coded properly. To facilitate proper coding, we required each hospital to create an internal set of guidelines to determine what level of visit to report for each patient. In the August 24, 2001 proposed rule (66 FR 44672), we asked for public comments regarding national guidelines for hospital coding of emergency and clinic visits. Commenters recommended that we should keep the current E/M coding system until facility specific E/M codes for emergency department and clinic visits, along with national coding guidelines, were established. Commenters also recommended that we convene a panel of experts to develop codes and guidelines that are simple to understand, implement, and that are compliant with the Health Insurance Portability and Accountability Act (HIPAA) requirements.

APC Panel Recommendations

During its January 2002 meeting, the APC Panel made the following recommendations regarding coding for evaluation and management services:

1. Propose, and make final, facility coding guidelines for E/M services for CY 2004.

2. Create a series of G codes with appropriate descriptors for facility E/M services.

3. Maintain a single set of codes, with five levels of service, for emergency department visits.

4. Develop a single set of codes, with five levels of service, for clinic visits. The Panel specifically recommended that we not differentiate among visit types (for example, new, established, and consultation visits) for the purposes of facility coding of clinic visits.

5. Adopt the American College of Emergency Physicians (ACEP) facility coding guidelines as the national guidelines for facility coding of emergency department visits.

6. Develop guidelines for clinic visits that are modeled on the ACEP guidelines but are appropriate for clinic visits.

7. Implement these guidelines as interim and continue to work with appropriate organizations and stakeholders to develop final guidelines.

After careful review and consideration of written comments, oral testimony, and the APC Panel's recommendations, we proposed the following in the August 9, 2002 proposed rule (for implementation no earlier than January 2004):

1. To develop five G codes to describe emergency department services:

GXXX1—Level 1 Facility Emergency Services;

GXXX2—Level 2 Facility Emergency Services;

GXXX3—Level 3 Facility Emergency Services;

GXXX4—Level 4 Facility Emergency Services; and

GXXX5—Level 5 Facility Emergency Services.

2. To develop five G codes to describe clinic services:

GXXX6—Level 1 Facility Clinic Services;

GXXX7—Level 2 Facility Clinic Services;

GXXX8—Level 3 Facility Clinic Services;

GXXX9—Level 4 Facility Clinic Services; and

GXXX10—Level 5 Facility Clinic Services.

3. To replace CPT Visit Codes with the 10 new G codes for OPPS payment purposes.

4. To establish separate documentation guidelines for emergency visits and clinic visits.

In our November 1, 2002 final rule (67 FR 66792), we stated that the most appropriate forum for development of new code definitions and guidelines would be an independent expert panel that would make recommendations to us. We wanted to ensure that definitions and guidelines were developed using an open process involving a variety of experts in the field. We stated that it is critically important to the development, acceptance, and implementation of facility visit code definitions and guidelines that the organizations that develop the guidelines also maintain and update the guidelines and provide ongoing education to providers on use of the codes. In light of the expertise of organizations such as the American Hospital Association (AHA) and the American Health Information Management Association (AHIMA), we felt that these organizations were particularly well equipped to make recommendations to us and to provide ongoing education to providers. Furthermore, we stated that the process should provide adequate time for the education of clinicians and coders and for hospitals to make the necessary changes in their systems to accommodate the new codes and guidelines.

On their own initiative, the AHA and the AHIMA convened an independent expert panel of individuals from various organizations to develop code descriptions and guidelines for hospital emergency department and clinic visits and make recommendations to us.

The panel recommended the following to us.

1. We should make payment for emergency and clinic visits based on four levels of care.

2. We should create HCPCS codes to describe these levels of care as follows:

GXXX1—Level 1 Emergency Visit.

GXXX2—Level 2 Emergency Visit.

GXXX3—Level 3 Emergency Visit.

GXXX4—Critical Care provided in the emergency department.

GXXX5—Level 1 Clinic Visit.

GXXX6—Level 2 Clinic Visit.

GXXX7—Level 3 Clinic Visit.

GXXX8—Critical Care provided in the clinic.

3. We should replace all the HCPCS currently in APCs 600, 601, 602, 610, 611, 612, and 620 with GXXX1 through GXXX8.

4. Based on the above recommendations, we would crosswalk payments as follows: GXXX1 to APC 610, GXXX2 to APC 611, GXXX3 to APC 612, GXXX4 to APC 620, GXXX5 to APC 600, GXXX6 to APC 601, GXXX7 to APC 602, and GXXX8 to APC 620. These crosswalks and code descriptions are listed in Table 22 below.

Table 22.—Crosswalks of 2003 HCPCS Codes to the Proposed G Codes

2003 HCPCS description	2004 G code description	2003 HCPCS	2004 Proposed G codes	APC	Payment amount
Emergency department visit	Level 1 Emergency Visit	99281 99282	GXXX1	0610	$76.80
Emergency department visit	Level 2 Emergency Visit	99283	GXXX2	0611	$135.08
Emergency department visit	Level 3 Emergency Visit	99284 99285	GXXX3	0612	$234.72
Critical care	Level 4 Critical Care provided in the emergency department	99291 99292	GXXX4	0620	$503.03
Office/outpatient visit, new	Level 1 Clinic Visit	99201 99202	GXXX5	0600	$50.90
Office/outpatient visit, new	Level 2 Clinic Visit	99203	GXXX6	0601	$54.46
Office/outpatient visit, new	Level 3 Clinic Visit	99204 99205	GXXX7	0602	$84.71
Office/outpatient visit, established	Level 1 Clinic Visit	99211 99212	GXXX5	0600	$50.90
Office/outpatient visit, established	Level 2 Clinic Visit	99213	GXXX6	0601	$54.46
Office/outpatient visit, established	Level 3 Clinic Visit	99214 99215	GXXX7	0602	$84.71
Office consultation	Level 1 Clinic Visit	99241 99242	GXXX5	0600	$50.90
Office consultation	Level 2 Clinic Visit	99243	GXXX6	0601	$54.46
Office consultation	Level 3 Clinic Visit	99244 99245	GXXX7	0602	$84.71
Critical care	Level 4 Critical Care provided in the clinic	99291 99292	GXXX8	0620	$503.03

The independent panel convened by the AHA and AHIMA recommended these levels in anticipation of the development of national coding guidelines for emergency and clinic visits that meet the following criteria we announced in the August 9, 2002 proposed rule (67 FR 52131):

1. Coding guidelines for emergency and clinic visits should be based on emergency department or clinic facility resource use, rather than physician resource use.

2. Coding guidelines should be clear, facilitate accurate payment, be usable for compliance purposes and audits, and comply with HIPAA.

3. Coding guidelines should only require documentation that is clinically necessary for patient care. Preferably, coding guidelines should be based on current hospital documentation requirements.

4. Coding guidelines should not create incentives for inappropriate coding (for example, up-coding).

We have received recommendations for a set of coding guidelines from the independent E/M panel comprised of members of the AHA and AHIMA. We propose to implement new evaluation and management codes only when we are also ready to implement guidelines for their use, after allowing ample opportunity for public comment, systems change, and provider education. We also propose to use cost data from the current HCPCS codes in these APCs to determine the relative weights of these APCs until cost data from GXXX1 through GXXX8 are available to set relative weights. We note that this proposal requires discontinuing the use of all HCPCS codes in these APCs and would not allow us to collect cost data for the five levels of emergency and clinic visits that are currently described by CPT codes. We further note that we would no longer be able to distinguish among the costs for visits by new patients, established patients, consultation patients, or patients being seen for more specialized care (for example, pelvic screening exams and glaucoma screening exams).

We would be using claims data from current HCPCS codes and crosswalking those data to the new codes in the same APCs; therefore, there would be no change in payment for any of these services as a result of these coding changes. Once cost data become available from the new HCPCS codes, we would use those data to set the relative weights, and, therefore, there should be no budgetary impact.

We are currently considering the set of proposed national coding guidelines for emergency and clinic visits recommended by the independent panel. We plan to make any proposed guidelines available to the public for comment on the OPPS Web site as soon as they are complete. We will notify the public through our listserve when these proposed guidelines become available. To subscribe to this listserve, please go to the following Web site: http://www.cms.hhs.gov/​medlearn/​listserv.asp and follow the directions to the OPPS listserve. With regard to the development of these guidelines, our primary concerns are—

1. To make appropriate payment for medically necessary care;

2. To minimize the information collection and reporting burden on facilities;

3. To minimize any incentives to provide unnecessary or low quality care;

4. To minimize the extent to which separately billable services are counted as E/M services;

5. To develop coding guidelines that are consistent with facility resource use; and

6. To develop coding guidelines that are clear, facilitate accurate payment, are useful for compliance purposes and audits, and comply with HIPAA. Before implementation of the codes and coding guidelines, adequate time will be provided for the education of clinicians and coders and for hospitals to make the necessary changes in their systems to accommodate the codes and guidelines. We are requesting comments on the amount of time hospitals believe would be adequate to implement these new codes and guidelines. We remain committed to working with appropriate organizations and stakeholders in our continuing development of a standard set of codes and national guidelines for facility coding of emergency and clinic visits.

B. Status Indicators and Issues Related to OCE Editing

The status indicators we assign to HCPCS codes and APCs under the OPPS have an important role in payment for services under the OPPS because they indicate whether a service represented by a HCPCS code is payable under the OPPS or another payment system and also whether particular OPPS policies apply to the code. We are providing our proposed status indicator (SI) assignments for APCs in Addendum A, HCPCS codes in Addendum B, and definitions of the status indicators in Addendum D.

The OPPS is based on HCPCS codes for medical and other health services. These codes are used for a wide variety of payment systems under Medicare, including, but not limited to, the Medicare fee schedule for physician services, the Medicare fee schedule for durable medical equipment and prosthetic devices, and the Medicare clinical laboratory fee schedule. For purposes of making payment under the OPPS, we must be able to signal the claims processing system which HCPCS codes are paid under the OPPS and those codes to which particular OPPS payment policies apply. We accomplish this identification in the OPPS through the establishment of a system of status indicators with specific meanings. Addendum D defines the meaning of each status indicator for purposes of the OPPS.

We assign one and only one status indicator to each APC and to each HCPCS code. Each HCPCS code that is assigned to an APC has the same status indicator as the APC to which it is assigned.

Specifically, in 2004 we propose to use the status indicators in the following manner:

• We use “A” to indicate services that are paid under some payment method other than OPPS, such as the durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) fee schedule or the physician fee schedule. Some but not all of these other payment systems are identified in Addendum D.
• We use “C” to indicate inpatient services that are not payable under the OPPS.
• We use “D” to indicate a code that was deleted effective with the beginning of the calendar year.
• We use “E” to indicate services for which payment is not allowed under the OPPS or that are not covered by Medicare.
• We use “F” to indicate acquisition of corneal tissue, which is paid at reasonable cost. (In 2003, we also use “F” to indicate those orphan drugs that are paid at reasonable cost.) In 2004, we propose to revise the definition of “F” solely to indicate acquisition of corneal tissue paid at reasonable cost.
• We use “G” to indicate drugs and biologicals that are paid under OPPS transitional pass-through rules.
• We use “H” to indicate devices that are paid under OPPS transitional pass-through rules.
• We use “K” to indicate drugs, biologicals (including blood and blood products), radiopharmaceutical agents, and certain brachytherapy seeds that are paid in separate APCs under the OPPS but that are not paid under OPPS transitional pass-through rules.
• We use “L” to indicate flu and pneumococcal immunizations which are paid at reasonable cost but to which no coinsurance or copayment apply.
• We use “N” to indicate services that are paid under the OPPS but for which payment is packaged into another service or APC group.
• We use “P” to indicate services that are paid under the OPPS but only in partial hospitalization programs.
• We use “S” to indicate significant procedures that are paid under OPPS but to which the multiple procedure reduction does not apply.
• We use “T” to indicate significant services that are paid under the OPPS and to which the multiple procedure payment discount under OPPS applies.
• We use “V” to indicate medical visits (including clinic or emergency department visits) that are paid under the OPPS.
• We use “X” to indicate ancillary services that are paid under the OPPS.

The software that controls Medicare payment looks to the status indicators attached to the HCPCS codes and APCs for direction in the processing of the claim. Therefore, the assignment of the status indicators has significance for the payment of services.

We are proposing the status indicators identified for each HCPCS code and each APC in Addenda A and B and are requesting comments on the appropriateness of the indicators we have assigned.

C. Observation Services

In the November 1, 2002 update to the OPPS (67 FR 66794), we summarized and clarified previously published guidance (Transmittal A-02-026) regarding payment requirements for HCPCS code G0244, Observation care provided by a facility to a patient with congestive heart failure, chest pain or asthma, minimum of 8 hours, maximum 48 hours. We also implemented HCPCS codes G0263 and G0264 to identify patients directly admitted to observation. In January 2003, we published Transmittal A-02-129, which provides further instructions regarding billing for observation services. In this proposed rule, we are neither proposing anything new with regard to observation services, nor are we seeking public comment on observation issues at this time. As we have in the past, we will update by Program Memorandum any changes in the list of ICD-9-CM codes required for payment of HCPCS code G0244 resulting from October 1 annual update of ICD-9-CM. Any such changes will be included in the 2004 final OPPS rule with comment period and the public will have an opportunity to comment at that time.

D. Procedures That Will Be Paid Only as Inpatient Procedures

Before implementation of the OPPS, Medicare paid reasonable costs for services provided in the outpatient department. The claims submitted were subject to medical review by the fiscal intermediaries to determine the appropriateness of providing certain services in the outpatient setting. We did not specify in regulations those services that were appropriate to provide only in the inpatient setting and that, therefore, should be payable only when provided in that setting.

Section 1833(t)(1)(B)(i) of the Act gives the Secretary broad authority to determine the services to be covered and paid for under the OPPS. In the April 7, 2000 final rule, we identified procedures that are typically provided only in an inpatient setting and, therefore, would not be paid by Medicare under the OPPS (65 FR 18455). These procedures comprise what is referred to as the “inpatient list.” The inpatient list specifies those services that are only paid when provided in an inpatient setting. These are services that require inpatient care because of the nature of the procedure, the need for at least 24 hours of postoperative recovery time or monitoring before the patient can be safely discharged, or the underlying physical condition of the patient. As we discussed in the April 7, 2000 and the November 30, 2001 final rules, we use the following criteria when reviewing procedures to determine whether or not they should be moved from the inpatient list and assigned to an APC group for payment under the OPPS:

• Most outpatient departments are equipped to provide the services to the Medicare population.
• The simplest procedure described by the code may be performed in most outpatient departments.
• The procedure is related to codes that we have already removed from the inpatient list.

In the November 1, 2002 final rule, we added the following criteria for use in reviewing procedures to determine whether they should be removed from the inpatient list and assigned to an APC group for payment under the OPPS:

• We have determined that the procedure is being performed in multiple hospitals on an outpatient basis; or
• We have determined that the procedure can be appropriately and safely performed in an ASC and is on the list of approved ambulatory surgical center (ASC) procedures or proposed by us for addition to the ASC list.

At its January 2003 meeting, the APC Panel did not make recommendations regarding procedures on the inpatient list, and we are not proposing to make any of the procedures that are currently on the inpatient list in Addendum E payable under the OPPS in 2004. We solicit comments on whether any procedures in Addendum E should be paid under the OPPS. We ask commenters recommending reclassification of a procedure to an APC to include evidence (preferably from peer-reviewed medical literature) that the procedure is being performed on an outpatient basis in a safe and effective manner. We also solicit comments on the appropriate APC assignment for the procedure in the event that we determine in the final rule, based on comments, that the procedure would be payable under the OPPS in 2004.

Following our review of any comments that we receive about the procedures in Addendum E, we propose either to assign a CPT code to an APC for payment under the OPPS or, if the comments do not provide sufficient information and data to enable us to make a decision, to present the comments to the APC Panel at its 2004 meeting.

Proposed New APC To Pay for Services Furnished on Same Date as Service with Modifier -CA:

In the 2003 update of the OPPS, we implemented a new modifier -CA, Procedure payable only in the inpatient setting when performed emergently on an outpatient who dies before admission. In section VI of Transmittal A-02-129, issued on January 3, 2003, we instructed hospitals on the use of modifier -CA when submitting a claim on bill type 13x for a procedure that is on the inpatient list and that is assigned payment status indicator “C.” (Transmittal A-02-129 can be found on our Web site at cms.hhs.gov.) We also implemented in the November 1, 2002 final rule (67 FR 66799) a new payment policy to allow payment, under certain conditions, for outpatient services on a claim that have the same date of service as the HCPCS code billed with modifier -CA. A single payment for outpatient services on the claim, other than those coded with status indicator “C” and modifier -CA, is currently made under APC 977.

We reviewed this policy and determined that assigning payment for these services to APC 977, which is a New Technology APC, is problematic because payment under New Technology APCs is a fixed amount that does not have a relative payment weight and is, therefore, not subject to recalibration based on hospital costs. We propose to establish a new APC for which payment would be made under certain conditions for otherwise payable outpatient services furnished on the same date of service that a procedure with status indicator “C” is performed emergently on an outpatient who dies before admission to the hospital as an inpatient. Beginning in 2004, hospitals would be paid under APC 375 instead of APC 977 for services furnished on the same date of service that a procedure with status indicator “C” and modifier -CA is billed. We propose at the outset to set the payment rate for APC 375 in the amount of $1,150, which is the payment amount for the newly structured New Technology APC that would replace APC 977. When the APC weights are recalibrated in 2005, we would use charge data from CY 2003 claims for line items that have the same date of service as the line with modifier -CA and that show a HCPCS code with status indicator “V,” “S,” “T,” “X,” “N,” or “K” to calculate a median cost and relative payment weight for APC 375. Once we have claims data, we would be able to determine whether it is appropriate to calculate a relative payment weight based on median costs from our claims data or to continue a fixed payment rate for these special cases. We invite comments on these proposed changes.

E. Partial Hospitalization Payment Methodology

1. Background

As we discussed in the April 7, 2000 OPPS final rule (65 FR 18452), partial hospitalization is an intensive outpatient program of psychiatric services provided to patients in place of inpatient psychiatric care. A partial hospitalization program (PHP) may be provided by a hospital to its outpatients or by a Medicare-certified community mental health center (CMHC). Payment to providers under the OPPS for PHPs represents the provider's overhead costs associated with the program. Because a day of care is the unit that defines the structure and scheduling of partial hospitalization services, we established a per diem payment methodology for the PHP APC, effective for services furnished on or after August 1, 2000.

The PHP per diem amount was based solely on hospital data. Section 1833(t)(2)(C) of the Act required that we initially establish relative payment weights based on median (or mean, at the discretion of the Secretary) hospital costs determined by 1996 claims and cost report data. We analyzed the service components billed by hospitals over the course of a billing period and determined the median hospital cost of furnishing a day of partial hospitalization. The analysis of hospital partial hospitalization claims resulted in a per diem payment of $202.19, effective August 1, 2000. This amount was updated effective January 1, 2001 and April 1, 2002 to $206.82 and $212.27, respectively.

Although we did not use CMHC data in establishing the initial APC amount for partial hospitalization, in the April 7, 2000 final rule, we committed to analyzing future data from hospitals and CMHCs to determine whether refinements to the per diem were warranted. As a result, for payment rates presented in the proposed and final rules in 2002, we used data from both hospitals and CMHCs to compute the CY 2003 per diem rate. A description of the methodology we followed in developing the CY 2003 PHP payment rate is presented below.

We based the CY 2003 per diem amount on hospital and CMHC claims data for services furnished from April 1, 2001 through March 31, 2002. We used data from all the hospital bills reporting condition code 41, which identifies the claim as partial hospitalization, and all bills from CMHCs, since CMHCs are Medicare providers only for the purpose of providing partial hospitalization services. We used cost-to-charge ratios from the most recently available hospital and CMHC cost reports to convert each provider's line item charges as reported on bills, to estimate the provider's cost for a day of PHP. Unlike hospitals, CMHCs do not file cost reports electronically and the cost report information is not included in the Hospital Cost Report Information System (HCRIS). The CMHC cost reports are held by the Medicare fiscal intermediaries (FIs). As a result, we requested that the FIs forward to us the most recently available CMHC cost-to-charge ratios so that we could apply the ratio to the CMHC's billed charges and approximate the CMHC's per diem cost for PHP.

Per diem costs are computed by summing the line item costs on each bill and dividing by the number of days on the bill. Using this method of computing costs, preliminary per diem cost estimates for CMHCs were much higher than expected, in many cases more than twice the average per diem for inpatient psychiatric care. Closer examination of the CMHC cost report data summaries showed that costs from CMHC settled cost reports were considerably lower than costs from “as submitted” CMHC cost reports. To account for the difference between settled and as submitted cost report data, we computed the ratio of total settled costs to total as submitted costs over a 3-year period (CMHC FYs 1998 through 2000) and calculated an average adjustment factor (0.583), which we applied to the costs on each claim. As stated in the 2002 proposed and final OPPS rules, we thought that an adjustment factor of 0.583 was adequate to account for the difference between settled and “as submitted” CMHC cost reports and was more reflective of CMHC costs for PHP. However, we did not have an opportunity to examine the data in depth before publishing the OPPS final rule on November 1, 2002.

The adjusted CMHC per diem costs on each claim were summed, then divided by the number of days on the claim. We then combined the CMHC and hospital PHP data files and determined the median per diem cost for PHP. Effective January 1, 2003, the PHP APC amount was $240.03, of which $48.17 is the beneficiary's coinsurance.

2. PHP APC Update for CY 2004

For CY 2004, we analyzed hospital and CMHC PHP claims for services furnished between April 1, 2002 and December 31, 2002. We intended to propose to use the same methodology for computing median costs per day for CY 2004, including the adjustment factor, as we used to compute the CY 2003 PHP median cost per day. However, when we applied the adjustment factor to the CMHC claims to compute the CY 2004 per diem, the CMHC median cost per day was determined to be $605. Without the adjustment, the median cost per day for CMHCs to provide partial hospitalization services is $1,038. The median cost per day for hospital outpatient departments to provide the same benefit is $225. We do not believe it is reasonable for CMHCs to incur costs that are more than double those incurred by hospital outpatient departments providing PHP services. In addition, the median CMHC cost for a day of outpatient PHP services exceeds the average per diem cost for inpatient psychiatric facilities, which provide a full 24 hours of care, medications, and other ancillary services. We do not believe it is appropriate for Medicare to pay more for a day of outpatient treatment than for a day of inpatient psychiatric care.

In addition to the vast difference in median costs between CMHCs and hospital outpatient departments, we are concerned that this difference has grown significantly larger since last year. The median per diem cost for hospitals is about the same for 2003 and 2004 ($224 for CY 2003 compared to $225 for the proposed CY 2004 update), while the median per diem cost for CMHCs (after adjustment) has increased by 58 percent ($384 for CY 2003 compared to $605 for the proposed CY 2004 update). We believe that the increase in the median CMHC per diem cost is primarily due to large increases in CMHC charges, coupled with the application of outdated cost-to-charge ratios to determine the per diem cost. In a Program Memorandum issued on January 17, 2003 (Transmittal A-03-004), we directed FIs to recalculate hospital and CMHC cost-to-charge ratios using the most recently settled or tentatively settled cost reports by April 30, 2003. However, we did not receive the updated CMHC cost-to-charge ratios in time to use in our data analysis for this proposed rule.

Therefore, we are proposing a per diem rate for PHP services furnished during CY 2004 based solely on hospital PHP data. The resulting PHP APC 0033 amount, after scaling, is $208.95, of which $41.69 is the beneficiary's coinsurance. We are not inclined to use the CMHC data in computing the per diem amount until the data discrepancies can be more fully resolved. We anticipate receipt of the revised CMHC cost-to-charge ratios this summer and will analyze the updated CMHC cost data. To the extent we believe the updated cost-to-charge ratios result in a more reasonable median per diem rate, we propose to use the CMHC data in developing the final rate for CY 2004.

3. Outlier Payments to CMHCs

In a related matter, the use of outdated cost-to-charge ratios applied to current charges has resulted in an excessive amount of outlier payments being made to CMHCs. As a result of more in-depth analysis of the 2001 data files that were used to compute the CY 2003 PHP per diem amount, we discovered a significant difference in the amount of outlier payments made to hospitals and CMHCs for PHP. Of the approximately 660 hospital programs with claims for PHP in CY 2001, 25 hospitals received approximately $9,000 in outlier payments. By contrast, almost half of the 155 CMHCs in our CY 2001 data file were paid outlier payments, totaling approximately $48 million.

Based on preliminary analysis of the 125 CMHCs with claims in the CY 2002 data files, that is, April 1, 2002 through December 31, 2002, we have determined that CMHCs received approximately $37 million in outlier payments, compared to approximately $13,000 for all hospitals in the PHP data file. The $37 million in outlier payments to CMHCs almost equals the total amount paid to CMHCs in regular APC payments.

CMHCs have indicated that they are unable to reduce their costs to the per diem payment amount and that outlier payments are needed to cover operating expenses. This use of outlier payments is contrary to the intent of an outlier policy. Establishing an outlier policy allows us to ensure beneficiary access to services by sharing in the loss associated with services for specific patients that are extraordinarily expensive. Through a comparison of the median per diem costs, we have determined that CMHCs dramatically increased their charges between CY 2001 and CY 2002. During this period, the median per diem cost for CMHCs increased by 58 percent. We believe that in most cases, these increases in charges were not related to a corresponding increase in costs. Since the CMHC cost-to-charge ratios used to calculate outlier payments remained constant during this period, we believe that the 58 percent increase in computed cost is attributable to artificial increases in charges designed to enhance outlier payments. Approximately two-thirds of outlier payments made to PHP providers were paid to 20 of the 125 CMHCs. The charges reported by these providers, on average, were over 10 times more than hospital per diem charges.

Given the difference in PHP charges between hospitals and CMHCs, we no longer believe it is appropriate to make outlier payments to CMHCs using the outlier percentage target amount and threshold established for hospitals. Therefore, we are proposing to designate a portion of the estimated 2.0 percent outlier target amount specifically for CMHCs, consistent with the percentage of projected payments to CMHCs under the OPPS in CY 2004, excluding outlier payments. CMHCs are projected to receive 0.36 percent of total OPPS payments in CY 2004, excluding outlier payments. Therefore, we are proposing to designate 0.36 percent of the estimated 2.0 percent outlier target amount for CMHCs and establish a threshold to achieve that level of outlier payments. Based on our simulations of CMHC payments in 2004, we are proposing to set the threshold for CY 2004 at 11.75 times the PHP APC payment amount. We believe that this approach would neutralize the impact of inflated CMHC charges on outlier payments. We are proposing to apply the same outlier payment percentage that applies to hospitals. Therefore, for CY 2004, we are proposing to pay 50 percent of CMHC per diem costs over the threshold. To the extent charges remain relatively constant, CMHCs would qualify for outlier payments in CY 2004 only for truly high cost patients.

As noted previously, we expect to receive updated cost-to-charge ratios from the FIs this summer. Many of the cost-to-charge ratios are expected to be considerably lower than those currently used to determine a provider's cost for the purpose of outlier and transitional pass-through or corridor payments. For example, we are aware of a number of situations where the updated cost-to-charge ratios have declined by more than 50 percent.

We specifically request public comments on this proposed outlier policy. We intend to monitor the extent to which the current pattern of escalating charges continues. CMS and the Office of the Inspector General will be further examining the excessive outlier payments to CMHCs.

XII. Summary of and Responses to MedPAC Recommendations

The Medicare Payment Advisory Commission (MedPAC) in its March 2002 Report to the Congress: “Medicare Payment Policy,” makes a number of recommendations relating to the OPPS. This section provides responses to those recommendations.

Recommendation: The Congress should increase payment rates for the OPPS by the rate of increase in the hospital market basket, less 0.9 percent, for CY 2004.

Response: Section 1833(t)(3)(C)(ii) of the Act requires the Secretary to update the conversion factor annually. Under section 1833(t)(3)(C)(iv) of the Act, the update must be equal to the hospital market basket percentage increase applicable under the hospital inpatient PPS. For years 2000 and 2002 only, the statute required the update to be determined by reducing the increase by one percentage point, but current law specifies such a reduction only for those 2 years. For 2004, we propose to increase the conversion factor by the rate of increase in the hospital market basket.

Recommendation: The Secretary should introduce clinical criteria for eligibility of drugs and biologicals to receive pass-through payments under the outpatient PPS.

Response: In accordance with section 402 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA), pass-through payments for medical devices is made on the basis of categories of devices. On November 2, 2001, we published in the Federal Register (66 FR 55850) a rule that specified the criteria for establishment of a new category of devices for purposes of pass-through payments. Among these is the requirement that the devices to be included in a possible category must demonstrate a substantial improvement in medical benefits for Medicare beneficiaries compared to benefits obtained by devices in previously established categories or other available treatments. We elaborated further about this criterion in the final rule updating the OPPS for CY 2003, published in the Federal Register on November 1, 2002. As we stated at that time, “We established this criterion because it is important for hospitals to receive pass-through payments for devices that offer substantial clinical improvement in the treatment of Medicare beneficiaries to facilitate access by beneficiaries to the advantages of the new technology. Conversely, the need for additional payments for devices that offer little or no clinical improvement over a previously existing device is less apparent.” (67 FR 66782)

At present, pass-through payment for drugs and biologicals is not made on the basis of categories, and no comparable criterion applies to them. Whether we should apply such a requirement to drugs and biologicals is an important question. On the one hand, as noted above, limiting extra payment to those items that have the potential to make a significant difference in treatment of Medicare beneficiaries appears useful. On the other hand, developing an appropriate mechanism for identifying which drugs or biologicals might qualify is difficult. Because the clinical characteristics of particular cases that are relevant for drug use may vary substantially, we believe that this challenge is more difficult than in the case of devices. Consequently, we have not developed a proposal in this area, and we are not prepared to advance one at this time.

XIII. Summary of Proposed Changes for 2004

A. Changes Required By Statute

We are proposing the following changes to implement statutory requirements:

• Add APCs, delete APCs, and modify the composition of some existing APCs.
• Recalibrate the relative payment weights of the APCs.
• Update the conversion factor and the wage index.
• Revise the APC payment amounts to reflect the APC reclassifications, the recalibration of payment weights, and the other required updates and adjustments.
• Cease transitional pass-through payments for drugs and biologicals and devices that will have been paid under the transitional pass-through methodology for at least 2 years by January 1, 2004.
• Cease transitional outpatient payments (TOPS payments) for all hospitals paid under OPPS except for cancer hospitals and children's hospitals.

B. Additional Changes

We are proposing the following additional changes to the OPPS:

• Adjust payment to moderate the effects of decreased median costs for non-pass-through drugs, biologicals, and radiopharmaceuticals.
• Implement a new method for paying for drug administration.
• Create new evaluation and management service codes for outpatient clinic and emergency department encounters.
• Change status indicators for HCPCS codes.
• List midyear and proposed HCPCS codes that are paid under OPPS.
• Allocate a portion of the outlier percentage target amount to CMHCs and create a separate threshold for outlier payments for partial hospitalization services.
• Create methodology and payment rates for separately payable drugs and radiopharmaceuticals for 2004.
• Make several changes in our current payment policy with regard to payment for Q0081, Q0083, Q0084, and Q0085 to facilitate accurate payments for drugs and drug administration.
• Change the status indicator and payment amount for P9010 by assigning it to APC 0957 (Platelet concentrate) with a payment rate of $37.30.

XIV. Collection of Information Requirements

Under the Paperwork Reduction Act of 1995, we are required to provide 60-day notice in the Federal Register and solicit public comment before a collection of information requirement is submitted to the Office of Management and Budget (OMB) for review and approval. In order to fairly evaluate whether an information collection should be approved by OMB, section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995 requires that we solicit comment on the following issues:

• The need for the information collection and its usefulness in carrying out the proper functions of our agency.
• The accuracy of our estimate of the information collection burden.
• The quality, utility, and clarity of the information to be collected.
• Recommendations to minimize the information collection burden on the affected public, including automated collection techniques.

The OPPS provisions set forth in this proposed rule do 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.

XV. Response to Public Comments

Because of the large number of items of correspondence we normally receive on a proposed rule, we are not able to acknowledge or respond to them individually. However, in preparing the final rule, we will consider all comments concerning the provisions of this proposed rule that we receive by the date and time specified in the DATES section of this preamble and respond to those comments in the preamble to that rule.

XVI. Regulatory Impact Analysis

A. General

We have examined the impacts 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 (as amended by Executive Order 13258, which merely reassigns responsibility of duties) directs agencies to assess all costs and benefits of available regulatory alternatives and, if regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis (RIA) must be prepared for major rules with economically significant effects ($100 million or more in any 1 year).

We estimate the effects of the provisions that would be implemented by this proposed rule would result in expenditures exceeding $100 million in any 1 year. We estimate the total increase (from changes in the proposed rule as well as enrollment, utilization, and case mix changes) in expenditures under the OPPS for CY 2004 compared to CY 2003 to be approximately $0.457 billion. Therefore, this proposed rule is an economically significant rule under Executive Order 12866, and a major rule under 5 U.S.C. 804(2).

The RFA requires agencies to determine whether a rule would have a significant economic impact on a substantial number of small entities. For purposes of the RFA, small entities include small businesses, nonprofit organizations, and government agencies. Most hospitals and most other providers and suppliers are small entities, either by nonprofit status or by having revenues of $6 million to $29 million in any 1 year (see 65 FR 69432).

For purposes of the RFA, we have determined that approximately 37 percent of hospitals would be considered small entities according to the Small Business Administration (SBA) size standards. We do not have data available to calculate the percentages of entities in the pharmaceutical preparation manufacturing, biological products, or medical instrument industries that would be considered to be small entities according to the SBA size standards. For the pharmaceutical preparation manufacturing industry (NAICS 325412), the size standard is 750 or fewer employees and $67.6 billion in annual sales (1997 business census). For biological products (except diagnostic) (NAICS 325414), with $5.7 billion in annual sales, and medical instruments (NAICS 339112), with $18.5 billion in annual sales, the standard is 50 or fewer employees (see the standards Web site at http://www.sba.gov/​regulations/​siccodes/​). Individuals and States are not included in the definition of a small entity.

In addition, section 1102(b) of the Act requires us to prepare a regulatory impact analysis if a rule may have a significant impact on the operations of a substantial number of small rural hospitals. This analysis must conform to the provisions of section 603 of the RFA. With the exception of hospitals located in certain New England counties, for purposes of section 1102(b) of the Act, we define a small rural hospital as a hospital that is located outside of a Metropolitan Statistical Area (MSA) and has fewer than 100 beds (or New England County Metropolitan Area (NECMA)). Section 601(g) of the Social Security Amendments of 1983 (Pub. L. 98-21) designated hospitals in certain New England counties as belonging to the adjacent NECMA. Thus, for purposes of the OPPS, we classify these hospitals as urban hospitals. We believe that the changes in this proposed rule would affect both a substantial number of rural hospitals as well as other classes of hospitals and that the effects on some may be significant. Therefore, we conclude that this proposed rule would have a significant impact on a substantial number of small entities.

Unfunded Mandates

Section 202 of the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4) also requires that agencies assess anticipated costs and benefits before issuing any rule that may result in an expenditure in any 1 year by State, local, or tribal governments, in the aggregate, or by the private sector, of $110 million. This proposed rule would not mandate any requirements for State, local, or tribal governments. This proposed rule would not impose unfunded mandates on the private sector of more than $110 million dollars.

Federalism

Executive Order 13132 establishes certain requirements that an agency must meet when it publishes a proposed rule (and subsequent final rule) that imposes substantial direct costs on State and local governments, preempts State law, or otherwise has Federalism implications.

We have examined this proposed rule in accordance with Executive Order 13132, Federalism, and have determined that it would not have an impact on the rights, roles, and responsibilities of State, local or tribal governments. The impact analysis (see Table 23) shows that payments to governmental hospitals (including State, local, and tribal governmental hospitals) would increase by 3.9 percent under the proposed rule.

B. Changes in This Proposed Rule

We are proposing several changes to the OPPS that are required by the statute. We are required under section 1833(t)(3)(C)(ii) of the Act to update annually the conversion factor used to determine the APC payment rates. We are also required under section 1833(t)(9)(A) of the Act to revise, not less often than annually, the wage index and other adjustments. In addition, we must review the clinical integrity of payment groups and weights at least annually. Accordingly, in this proposed rule, we are proposing to update the conversion factor and the wage index adjustment for hospital outpatient services furnished beginning January 1, 2004 as we discuss in sections IX and VII, respectively, of this proposed rule. We are also proposing to revise the relative APC payment weights based on claims data from April 1, 2002 through December 31, 2002. Finally, we are proposing to remove two devices and eight drugs and biologicals from pass-through payment status. Alternatives to the changes we are proposing and why we did not accept them are discussed throughout this proposed rule. In particular, see section V.B with regard to the expiration of pass-through payment for devices; see section VI.B with regard to the expiration of pass-through payment for drugs and biological agents.

Under this proposed rule, the change to the conversion factor as provided by statute would increase total OPPS payments by 3.8 percent in 2004. The changes to the wage index and to the APC weights (which incorporate the cessation of pass-through payments for many drugs and devices) would not increase OPPS payments because the OPPS is budget neutral. However, the wage index and APC weight changes would change the distribution of payments within the budget neutral system as shown in Table 23 and described in more detail in this section.

Alternatives Considered

Alternatives to the changes we are proposing and the reasons that we are proposing not to make them are discussed throughout this final rule. Below we discuss options we considered when analyzing methodologies to appropriately recognize the costs of former pass-through items. For a more detailed discussion, see section V.B of this proposed rule regarding the expiration of pass-through payment for devices and section VI.B of this proposed rule regarding the expiration of pass-through payment for drugs and biological agents.

Payment for the Administration of Drugs

As discussed in detail in section VI.B of this proposed rule, we considered the following alternatives with regard to payment for administration of packaged and separately paid drugs:

• Continue to pay under the current drug administration codes (Q0081, Q0083, Q0084, and Q0085). This alternative would pay the same amount for administration of packaged or separately paid drugs, although the data show that the costs are considerably more when packaged drugs are administered and considerably less if separately paid drugs are administered.
• Create eight new HCPCS codes (based on the existing Q codes listed above), with one set of codes for packaged drugs and one set for separately paid drugs. Establish an APC for each. This alternative permits more accurate payment for packaged and separately paid drugs than use of the current codes but imposes a significant burden on hospitals to bill correctly.
• Create six new HCPCS codes (based on the existing Q codes with deletion of Q0085). Establish an APC for each. This alternative permits more accurate payment for packaged and separately paid drugs than use of the current codes and imposes slightly less burden on hospital billing than the eight-code alternative.
• Delete Q0085 and revise the definitions of the other Q codes to once per day. Crosswalk each code billed to one of two APCs that would be paid dependent on the drugs billed on the same date of service. This alternative permits more accurate payment for packaged and separately paid drugs. It also simplifies hospital billing for drug administration. Under this option, however, hospitals would be required to bill for all drugs they administer, whether packaged or separately paid so that the outpatient code editor (OCE) could properly assign the APC that applies in the case. The systems changes required for this alternative are much more substantial than under any of the other alternatives, and we are considering whether we can implement this change before January 2005.

We modeled the second alternative for purposes of budget neutrality and impact analysis. We await comments before determining what alternative we will undertake for the 2004 OPPS.

Payment for Drugs That Are Not Packaged

As a result of marked and erratic fluctuations in median costs for drugs, biologicals, and radiopharmaceutical agents that are paid separately under the OPPS, we explored several options to determine how best to provide accurate payment for CY 2004. One option was to pay based on our 2002 claims data without any adjustment. We were certain that this would not result in accurate payments because of the magnitude of some of the fluctuations in median costs seen in the data.

Another option considered, to create cost bands similar to those used for New Technology APCs, was rejected because unless very narrow bands were created, this option also would result in inaccurate payments.

Finally, we looked at using the same methodology for moderating payment decreases that we used last year, to limit median cost decreases of 15 percent or more to 50 percent of the difference between the median cost and the amount of decrease greater than 15 percent. This option would enable us to moderate the decreased payment amount on an individual drug, biological, or radiopharmaceutical agent level, which is important in light of the great variations in the data; but the 50 percent adjustment level was not adequate for the level of moderation we believed was required for CY 2004.

The adjustment we put forth in this proposed rule is a 75 percent moderation of decreases of 15 percent or more. Thus, for separately payable drugs, biologicals, and radiopharmaceutical agents for which median costs decreased by 15 percent or more, we are proposing to limit the reduction in median costs to 15 percent plus 25 percent of the difference between the value derived from claims data and any decrease of 15 percent or more.

Our analyses indicate that application of this method of adjustment would result in payment levels that will be fair and accurate. However, based on more complete claims data we expect to have for the final rule and on the comments from the public, we will re-evaluate the appropriateness of adjusting median costs for drugs for which median costs would decline in 2004.

Conclusion

It is clear that the changes in this proposed rule would affect both a substantial number of rural hospitals as well as other classes of hospitals, and the effects on some may be significant. Therefore, the discussion below, in combination with the rest of this proposed rule, constitutes a regulatory impact analysis.

The OPPS rates for CY 2004 would have, overall, a positive effect for every category of hospital with the exception of cancer hospitals and children's hospitals, which are held harmless under the OPPS. These changes in the OPPS for 2004 would result in an overall 3.8 percent increase in Medicare payments to hospitals, exclusive of outlier and transitional pass-through payments and transitional corridor payments. As described in the preamble, budget neutrality adjustments are made to the conversion factor and the relative weights to ensure that the revisions in the wage index, APC groups, and relative weights do not affect aggregate payments. The impact of the wage and recalibration changes does vary somewhat by hospital group. Estimates of these impacts are displayed on Table 23.

The overall projected increase in payments for urban hospitals is slightly lower (3.7 percent) than the average increase for all hospitals (3.8 percent) while the increase for rural hospitals is slightly greater (4.0 percent) than the average increase. The introduction of a new wage index combined with changes to the APC structure would result in small distributional changes for all categories of hospitals. Rural hospitals would gain 0.1 percent from the wage index change but show no gains from APC changes. Large urban hospitals would lose 0.1 percent from the wage index change, whereas “other” urban hospitals show a decrease of −0.2 percent from the APC changes. A discussion of the distribution of outlier payments that we project under this proposed rule can be found under section XV.E below. Table 24 presents the outlier distribution that we expect to see under this proposed rule.

C. Limitations of Our Analysis

The distributional impacts represent the projected effects of the policy changes, as well as statutory changes effective for 2004, on various hospital groups. We estimate the effects of individual policy changes by estimating payments per service while holding all other payment policies constant. We use the best data available but do not attempt to predict behavioral responses to our policy changes. In addition, we are not proposing to make adjustments for future changes in variables such as service volume, service mix, or number of encounters.

D. Estimated Impacts of This Proposed Rule on Hospitals

The OPPS is a budget neutral payment system under which the increase to the total payments made under OPPS is limited by the increase to the conversion factor set under the methodology in the statute. The impact tables show the redistribution of hospital payments among providers as a result of a new wage index and APC structure. In some cases, under this proposed rule, hospitals would receive more total payment than in 2003 while in other cases they would receive less total payment than they received in 2003. The impact of this proposed rule would depend on a number of factors, most significant of which are the mix of services furnished by a hospital (for example, how the APCs for the hospital's most frequently furnished services would change) and the impact of the wage index changes on the hospital.

Column 4 in Table 23 represents the full impact on each hospital group of all the changes for 2004. Columns 2 and 3 in the table reflect the independent effects of the proposed change in the wage index and the APC reclassification and recalibration changes, respectively. We excluded critical access hospitals (CAHs) from the analysis of the impact of the proposed 2004 OPPS rates that is summarized in Table 23. For that reason, the total number of hospitals included in Table 23 (4,352) is lower than in previous years. CAHs are excluded from the OPPS.

To a very limited extent, wage index changes favor all hospital categories with the exception of large urban hospitals with 500 or more beds that show a −0.3 percentage change. Rural hospitals show modest increases of 0.1 percent for most bed sizes but show the largest gains for categories with 200 or more beds, a 0.3 percent increase. Rural hospitals located in Puerto Rico show the largest negative impact (−2.2 percent) due to changes in the wage index. Hospitals located in the Middle Atlantic, South Atlantic, and in the East North Central part of the country experience a negative impact due to wage index changes regardless of urban or rural designation. However, this effect is somewhat lessened by the distribution of outlier payments as discussed in more detail below.

The APC reclassification and recalibration changes also favor rural hospitals with the exception of rural hospitals with 200 or more beds that show a negative effect (−1.2 percent). Conversely, urban hospitals with 200 to 299 beds (−0.1 percent decrease), and urban hospitals with 300 to 499 beds (−0.5 percent) show a decrease attributed to APC recalibration. Urban hospitals in excess of 500 beds show a 0.1 percent increase as a result of APC recalibration. In general, APC changes are small and result in very few distributional changes among hospital categories.

In both urban and rural areas, hospitals that provide a lower volume of outpatient services are projected to receive a larger increase in payments than higher volume hospitals. In rural areas, hospitals with volumes of fewer than 5,000 services are projected to experience an increase in payments (4.4 percent). Urban hospitals that provide low-volume services experience an even larger increase (5.0 percent) in payments attributable to both wage index and APC changes. Conversely, urban and rural hospitals providing more than 21,000 services are projected to lose as a result of APC recalibration but gain from the introduction of the new wage index for a combined effect in the range of 3.4 to 3.9 percent.

Major teaching hospitals are projected to experience a smaller increase in payments (3.4 percent) than the aggregate for all hospitals (3.8 percent) due to negative impacts of the wage index (−0.4 percent). Hospitals with less intensive teaching programs are projected to experience an overall increase (3.7 percent) that is smaller than the average for all hospitals. There is little difference in impact among hospitals that serve low-income patients where increases in payments range from 3.4 to 4.2 percent higher than in 2003.

Table 23.—Impact of Changes for CY2004 Hospital Outpatient Prospective Payment System

(Percent change in total payments to hospitals (program and beneficiary); does not include hold harmless, corridor, outlier, or transitional pass-through payments)

	Number of hospitals (1)	New wage index (2)	APC changes (3)	All CY2003 changes (4)
ALL HOSPITALS	4,352	0.0	0.0	3.8
NON-TEFRA HOSPITALS	3,849	0.0	0.0	3.8
URBAN HOSPS	2,390	0.0	0.0	3.7
LARGE URBAN (GT 1 MILL.)	1,377	−0.1	0.0	3.8
OTHER URBAN (LE 1 MILL.)	1,013	0.0	−0.2	3.7
RURAL HOSPS	1,459	0.1	0.0	4.0
BEDS (URBAN):
0-99 BEDS	546	0.2	0.4	4.4
100-199 BEDS	875	0.0	0.2	4.1
200-299 BEDS	456	0.0	−0.1	3.7
300-499 BEDS	364	0.1	−0.5	3.4
500 + BEDS	149	−0.3	0.1	3.6
BEDS (RURAL):
0-49 BEDS	694	0.1	1.0	4.9
50-99 BEDS	449	0.1	0.2	4.1
100-149 BEDS	190	0.1	0.0	3.9
150-199 BEDS	65	0.1	0.1	4.0
200 + BEDS	61	0.3	−1.2	2.9
VOLUME (URBAN):
LT 5,000	225	0.0	1.1	5.0
5,000-10,999	396	0.0	1.0	4.9
11,000-20,999	529	−0.2	0.8	4.5
21,000-42,999	736	0.1	−0.1	3.9
GT 42,999	504	−0.1	−0.3	3.4
VOLUME (RURAL):
LT 5,000	419	0.1	0.4	4.4
5,000-10,999	483	0.1	0.9	4.9
11,000-20,999	318	0.0	0.4	4.3
21,000-42,999	191	0.2	−0.6	3.5
GT 42,999	48	0.3	−0.7	3.4
REGION (URBAN):
NEW ENGLAND	128	0.0	−0.7	3.1
MIDDLE ATLANTIC	367	−0.6	−0.5	2.7
SOUTH ATLANTIC	355	−0.1	−0.1	3.7
EAST NORTH CENT.	401	−0.1	0.4	4.1
EAST SOUTH CENT.	152	0.6	−0.2	4.3
WEST NORTH CENT.	166	0.3	0.1	4.2
WEST SOUTH CENT.	293	−0.1	0.1	3.9
MOUNTAIN	122	0.6	0.0	4.5
PACIFIC	366	0.1	0.0	3.9
PUERTO RICO	40	0.3	2.1	6.3
REGION (RURAL):
NEW ENGLAND	36	0.8	−0.1	4.6
MIDDLE ATLANTIC	66	−0.2	0.2	3.8
SOUTH ATLANTIC	213	−0.2	−0.1	3.5
EAST NORTH CENT.	192	−0.1	−0.5	3.3
EAST SOUTH CENT.	225	0.4	0.2	4.4
WEST NORTH CENT.	244	0.6	0.0	4.4
WEST SOUTH CENT.	267	0.2	0.5	4.6
MOUNTAIN	123	0.1	0.0	3.9
PACIFIC	88	0.3	0.7	4.8
PUERTO RICO	5	−2.2	1.4	3.0
TEACHING STATUS:
NON-TEACHING	2,803	0.1	0.1	4.0
MINOR	758	0.1	−0.2	3.7
MAJOR	288	−0.4	0.0	3.4
DSH PATIENT PERCENT:
0	11	2.7	3.0	9.8
GT 0-0.10	862	−0.1	−0.3	3.4
0.10-0.16	845	0.0	−0.2	3.6
0.16-0.23	778	0.1	0.4	4.2
0.23-0.35	757	0.0	0.0	3.8
GE 0.35	596	0.0	0.2	4.0
URBAN IME/DSH:
IME & DSH	963	−0.1	−0.1	3.6
IME/NO DSH	1	0.0	−1.3	2.4
NO IME/DSH	1,417	0.0	0.1	3.9
NO IME/NO DSH	9	2.8	3.0	10.0
RURAL HOSP. TYPES:
NO SPECIAL STATUS	481	−0.2	0.3	4.0
RRC	159	0.3	−0.6	3.5
SCH/EACH	483	0.2	0.6	4.7
MDH	249	0.1	0.7	4.7
SCH AND RRC	78	0.3	−0.5	3.6
TYPE OF OWNERSHIP:
VOLUNTARY	2,362	0.0	−0.1	3.6
PROPRIETARY	696	0.1	0.6	4.6
GOVERNMENT	791	0.1	0.0	3.9
SPECIALTY HOSPITALS:
EYE AND EAR	13	−0.4	1.7	5.2
CANCER	11	−0.3	−4.7	−1.3
TEFRA HOSPITALS (NOT INCLUDED ON OTHER LINES):
REHAB	159	0.5	0.3	4.6
PSYCH	167	0.8	7.2	12.2
LTC	135	1.8	4.3	10.3
CHILDREN	42	0.0	−1.1	2.7
1. Some data necessary to classify hospitals by category were missing; thus, the total number of hospitals in each category may not equal the national total.
2. This column shows the impact of updating the wage index used to calculate payment by applying the FY2004 hospital inpatient wage index after geographic reclassification by the Medicare Geographic Classification Review Board. The hospital inpatient proposed rule for FY2004 was published in the Federal Register on May 19, 2003.
3. This column shows the impact of changes resulting from the reclassification of HCPCS codes among APC groups and the recalibration of APC weights based on 2002 hospital claims data.
4. This column shows changes in total payment from CY2003 to CY2004, excluding outlier and pass-through payments. It incorporates all of the changes reflected in columns 2 and 3. In addition, it shows the impact of the FY 2004 payment update. The sum of the columns may be different from the percentage changes shown here due to rounding.

E. Projected Distribution of Outlier Payments

As stated elsewhere in this preamble, we have allocated 2 percent of the estimated 2004 expenditures to outlier payments. In Table 24 below, we provide a table that illustrates the percentage of outlier payments relative to the total projected payments for the categories of hospitals that we show in the impact table.

We project, based on the mix of services for the hospitals that would be paid under the OPPS in 2004, that most hospitals would receive outlier payments—approximately 94 percent would receive outlier payments. The anticipated outlier payments for urban hospitals can be expected to ameliorate the impact of the wage index and APC changes on payments to urban hospitals.

Table 24.—Distribution of Outlier Payments for CY 2004 Hospital Outpatient Prospective Payment

	Number of hospitals	Percent of total hospitals	Number of hospitals with outliers	Outlier payments as a percent of total payments (percent)
ALL HOSPITALS	4,352	96.4	4,097	2.0
NON-TEFRA HOSPITALS	3,849	85.2	3,831	2.0
URBAN HOSPS	2,390	52.8	2,376	2.1
LARGE URBAN (GT 1 MILL.)	1,377	30.4	1,368	2.3
OTHER URBAN (LE 1 MILL.)	1,013	22.4	1,008	1.9
RURAL HOSPS	1,459	32.2	1,455	1.7
BEDS (URBAN):
0-99 BEDS	546	12.0	534	2.6
100-199 BEDS	875	19.4	874	1.8
200-299 BEDS	456	10.0	455	2.0
300-499 BEDS	364	8.0	364	2.0
500 + BEDS	149	3.2	149	2.6
BEDS (RURAL):
0-49 BEDS	694	15.4	691	2.2
50-99 BEDS	449	10.0	448	1.8
100-149 BEDS	190	4.2	190	1.4
150-199 BEDS	65	1.4	65	1.7
200 + BEDS	61	1.4	61	1.4
VOLUME (URBAN):
LT 5,000	225	5.0	212	3.0
5,000-10,999	396	8.8	395	3.4
11,000-20,999	529	11.8	529	2.1
21,000-42,999	736	16.2	736	1.9
GT 42,999	504	11.2	504	2.1
VOLUME (RURAL):
LT 5,000	419	9.2	416	2.7
5,000-10,999	483	10.6	482	2.1
11,000-20,999	318	7.0	318	1.7
21,000-42,999	191	4.2	191	1.4
GT 42,999	48	1.0	48	1.5
REGION (URBAN):
NEW ENGLAND	128	2.8	127	1.9
MIDDLE ATLANTIC	367	8.2	367	3.2
SOUTH ATLANTIC	355	7.8	355	1.9
EAST NORTH CENT	401	8.8	398	1.7
EAST SOUTH CENT	152	3.4	150	1.4
WEST NORTH CENT	166	3.6	166	1.8
WEST SOUTH CENT	293	6.4	292	2.6
MOUNTAIN	122	2.6	120	1.8
PACIFIC	366	8.0	363	2.0
PUERTO RICO	40	0.8	38	0.6
REGION (RURAL):
NEW ENGLAND	36	0.8	36	2.4
MIDDLE ATLANTIC	66	1.4	66	1.4
SOUTH ATLANTIC	213	4.8	212	1.6
EAST NORTH CENT	192	4.2	192	1.5
EAST SOUTH CENT	225	5.0	225	1.2
WEST NORTH CENT	244	5.4	243	1.8
WEST SOUTH CENT	267	6.0	266	1.7
MOUNTAIN	123	2.8	123	2.8
PACIFIC	88	2.0	87	2.2
PUERTO RICO	5	0.2	5	0.9
TEACHING STATUS:
NON-TEACHING	2,803	62.0	2,786	1.8
MINOR	758	16.8	757	1.7
MAJOR	288	6.4	288	3.1
DSH PATIENT PERCENT:
0	11	0.2	10	6.7
GT 0-0.10	862	19.0	853	1.9
0.10-0.16	845	18.6	845	1.7
0.16-0.23	778	17.2	777	1.8
0.23-0.35	757	16.8	752	2.2
GE 0.35	596	13.2	594	3.1
URBAN IME/DSH:
IME & DSH	963	21.4	963	2.3
IME/NO DSH	1	0.0	0	0.0
NO IME/DSH	1,417	31.4	1,404	1.9
NO IME/NO DSH	9	0.2	9	6.8
RURAL HOSP. TYPES:
NO SPECIAL STATUS	481	10.6	478	1.8
RRC	159	3.6	159	1.4
SCH/EACH	483	10.6	483	2.1
MDH	249	5.6	249	1.8
SCH AND RRC	78	1.8	78	1.4
TYPE OF OWNERSHIP:
VOLUNTARY	2,362	52.2	2,359	1.9
PROPRIETARY	696	15.4	685	2.4
GOVERNMENT	791	17.6	787	2.5
SPECIALTY HOSPITALS:
EYE AND EAR	13	0.2	13	2.5
TRAUMA	151	3.4	151	2.6
CANCER	11	0.2	11	5.2
TEFRA HOSPITALS (NOT INCLUDED ON OTHER LINES):
REHAB	159	3.6	94	5.8
PSYCH	167	3.6	46	0.6
LTC	135	3.0	88	2.7
CHILDREN	42	1.0	38	11.8

F. Estimated Impacts of This Proposed Rule on Beneficiaries

For services for which the beneficiary pays a coinsurance of 20 percent of the payment rate, the beneficiary share of payment would increase for services for which OPPS payments would rise and would decrease for services for which OPPS payments would fall. For example, for a mid level office visit (APC 0601), the minimum unadjusted copayment in 2003 was $10.11; under this proposed rule, the minimum unadjusted copayment for APC 601 would be $10.89 because the OPPS payment for the service would increase under this proposed rule. For some services (those services for which a national unadjusted copayment amount is shown in Addendum B), however, the beneficiary copayment is frozen based on historic data and would not change, therefore not presenting any potential impact on beneficiaries.

However, in all cases, the statute limits beneficiary liability for copayment for a service to the inpatient hospital deductible for the applicable year. This amount was $840 for 2003, but is not yet determined for 2004. In general, the impact of this proposed rule on beneficiaries would vary based on the service the beneficiary receives and whether the copayment for the service is one that is frozen under the OPPS.

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

Dated: July 16, 2003.

(Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Medical Insurance Program)

Thomas A. Scully,

Administrator, Centers for Medicare & Medicaid Services.

Approved: July 22, 2003.

Tommy G. Thompson,

Secretary.

Addendum A.—List of Ambulatory Payment Classifications (APCs) With Status Indicators, Relative Weights, Payment Rates, and Copayment Amounts Calendar Year 2004

APC	Group title	Status indicator	Relative weight	Payment rate	National unadjusted copayment	Minimum unadjusted copayment
0001	Level I Photochemotherapy	S	0.3940	$21.39	$7.09	$4.28
0002	Fine needle Biopsy/Aspiration	T	1.0937	$59.38		$11.88
0003	Bone Marrow Biopsy/Aspiration	T	2.2627	$122.84		$24.57
0004	Level I Needle Biopsy/Aspiration Except Bone Marrow	T	1.5774	$85.64	$22.10	$17.13
0005	Level II Needle Biopsy /Aspiration Except Bone Marrow	T	3.3675	$182.82	$71.59	$36.56
0006	Level I Incision & Drainage	T	1.7487	$94.94	$24.12	$18.99
0007	Level II Incision & Drainage	T	11.4943	$624.01		$124.80
0008	Level III Incision and Drainage	T	16.8303	$913.70		$182.74
0009	Nail Procedures	T	0.6597	$35.81	$8.34	$7.16
0010	Level I Destruction of Lesion	T	0.6806	$36.95	$10.08	$7.39
0011	Level II Destruction of Lesion	T	2.1800	$118.35	$27.88	$23.67
0012	Level I Debridement & Destruction	T	0.8203	$44.53	$11.18	$8.91
0013	Level II Debridement & Destruction	T	1.1420	$62.00	$14.20	$12.40
0015	Level III Debridement & Destruction	T	1.5832	$85.95	$20.35	$17.19
0016	Level IV Debridement & Destruction	T	2.7343	$148.44	$57.31	$29.69
0017	Level VI Debridement & Destruction	T	16.7332	$908.43	$227.84	$181.69
0018	Biopsy of Skin/Puncture of Lesion	T	0.9567	$51.94	$16.04	$10.39
0019	Level I Excision/ Biopsy	T	3.9807	$216.11	$71.87	$43.22
0020	Level II Excision/ Biopsy	T	7.3105	$396.88	$113.25	$79.38
0021	Level III Excision/ Biopsy	T	14.5749	$791.26	$219.48	$158.25
0022	Level IV Excision/ Biopsy	T	18.6725	$1,013.71	$354.45	$202.74
0023	Exploration Penetrating Wound	T	3.1587	$171.48	$40.37	$34.30
0024	Level I Skin Repair	T	1.7847	$96.89	$34.75	$19.38
0025	Level II Skin Repair	T	6.2703	$340.41	$115.49	$68.08
0027	Level IV Skin Repair	T	15.8319	$859.50	$329.72	$171.90
0028	Level I Breast Surgery	T	17.7459	$963.41	$303.74	$192.68
0029	Level II Breast Surgery	T	29.2783	$1,589.49	$632.64	$317.90
0030	Level III Breast Surgery	T	37.2809	$2,023.94	$763.55	$404.79
0032	Insertion of Central Venous/Arterial Catheter	T	11.5584	$627.49		$125.50
0033	Partial Hospitalization	P	3.8397	$208.45	$41.83	$41.69
0035	Placement of Arterial or Central Venous Catheter	T	0.2236	$12.14	$3.51	$2.43
0041	Level I Arthroscopy	T	27.2538	$1,479.58		$295.92
0042	Level II Arthroscopy	T	42.8551	$2,326.56	$804.74	$465.31
0043	Closed Treatment Fracture Finger/Toe/Trunk	T	1.9233	$104.41		$20.88
0045	Bone/Joint Manipulation Under Anesthesia	T	13.5546	$735.87	$268.47	$147.17
0046	Open/Percutaneous Treatment Fracture or Dislocation	T	31.9719	$1,735.72	$535.76	$347.14
0047	Arthroplasty without Prosthesis	T	30.3786	$1,649.22	$537.03	$329.84
0048	Arthroplasty with Prosthesis	T	47.4707	$2,577.14	$695.60	$515.43
0049	Level I Musculoskeletal Procedures Except Hand and Foot	T	19.9376	$1,082.39		$216.48
0050	Level II Musculoskeletal Procedures Except Hand and Foot	T	25.1166	$1,363.56		$272.71
0051	Level III Musculoskeletal Procedures Except Hand and Foot	T	34.9381	$1,896.75		$379.35
0052	Level IV Musculoskeletal Procedures Except Hand and Foot	T	42.6430	$2,315.05		$463.01
0053	Level I Hand Musculoskeletal Procedures	T	14.8188	$804.50	$253.49	$160.90
0054	Level II Hand Musculoskeletal Procedures	T	24.2685	$1,317.51		$263.50
0055	Level I Foot Musculoskeletal Procedures	T	18.8851	$1,025.25	$355.34	$205.05
0056	Level II Foot Musculoskeletal Procedures	T	25.1591	$1,365.86	$405.81	$273.17
0057	Bunion Procedures	T	25.4248	$1,380.29	$475.91	$276.06
0058	Level I Strapping and Cast Application	S	1.0785	$58.55		$11.71
0060	Manipulation Therapy	S	0.3151	$17.11	$3.43	$3.42
0068	CPAP Initiation	S	1.1234	$60.99	$30.49	$12.20
0069	Thoracoscopy	T	28.6334	$1,554.48	$591.64	$310.90
0070	Thoracentesis/Lavage Procedures	T	3.1393	$170.43		$34.09
0071	Level I Endoscopy Upper Airway	T	0.9012	$48.93	$12.89	$9.79
0072	Level II Endoscopy Upper Airway	T	1.6987	$92.22	$26.68	$18.44
0073	Level III Endoscopy Upper Airway	T	3.4396	$186.73	$73.38	$37.35
0074	Level IV Endoscopy Upper Airway	T	14.4952	$786.93	$295.70	$157.39
0075	Level V Endoscopy Upper Airway	T	20.4113	$1,108.11	$445.92	$221.62
0076	Level I Endoscopy Lower Airway	T	9.3560	$507.93	$189.82	$101.59
0077	Level I Pulmonary Treatment	S	0.2772	$15.05	$7.52	$3.01
0078	Level II Pulmonary Treatment	S	0.7731	$41.97	$14.55	$8.39
0079	Ventilation Initiation and Management	S	2.2837	$123.98		$24.80
0080	Diagnostic Cardiac Catheterization	T	36.0982	$1,959.74	$838.92	$391.95
0081	Non-Coronary Angioplasty or Atherectomy	T	34.8355	$1,891.18		$378.24
0082	Coronary Atherectomy	T	100.3996	$5,450.59	$1,293.59	$1,090.12
0083	Coronary Angioplasty and Percutaneous Valvuloplasty	T	59.3417	$3,221.60		$644.32
0084	Level I Electrophysiologic Evaluation	S	10.3392	$561.30		$112.26
0085	Level II Electrophysiologic Evaluation	T	36.3284	$1,972.23	$435.09	$394.45
0086	Ablate Heart Dysrhythm Focus	T	44.5652	$2,419.40	$822.28	$483.88
0087	Cardiac Electrophysiologic Recording/Mapping	T	40.4579	$2,196.42		$439.28
0088	Thrombectomy	T	34.6065	$1,878.75	$655.22	$375.75
0089	Insertion/Replacement of Permanent Pacemaker and Electrodes	T	116.1611	$6,306.27	$1,722.59	$1,261.25
0090	Insertion/Replacement of Pacemaker Pulse Generator	T	87.2850	$4,738.62	$1,705.90	$947.72
0091	Level II Vascular Ligation	T	28.5187	$1,548.25	$348.23	$309.65
0092	Level I Vascular Ligation	T	25.1347	$1,364.54	$505.37	$272.91
0093	Vascular Reconstruction/Fistula Repair without Device	T	20.6662	$1,121.95	$277.34	$224.39
0094	Level I Resuscitation and Cardioversion	S	2.6412	$143.39	$48.46	$28.68
0095	Cardiac Rehabilitation	S	0.5984	$32.49	$16.24	$6.50
0096	Non-Invasive Vascular Studies	S	1.7332	$94.09	$47.05	$18.82
0097	Cardiac and Ambulatory Blood Pressure Monitoring	X	1.0565	$57.36	$23.80	$11.47
0098	Injection of Sclerosing Solution	T	1.1630	$63.14	$15.17	$12.63
0099	Electrocardiograms	S	0.3708	$20.13		$4.03
0100	Cardiac Stress Tests	X	1.6726	$90.80	$41.44	$18.16
0101	Tilt Table Evaluation	S	4.3675	$237.11	$105.27	$47.42
0103	Miscellaneous Vascular Procedures	T	12.1256	$658.29	$223.63	$131.66
0104	Transcatheter Placement of Intracoronary Stents	T	80.8877	$4,391.31		$878.26
0105	Revision/Removal of Pacemakers, AICD, or Vascular	T	18.9084	$1,026.52	$370.40	$205.30
0106	Insertion/Replacement/Repair of Pacemaker and/or Electrodes	T	49.9534	$2,711.92	$542.39	$542.38
0107	Insertion of Cardioverter-Defibrillator	T	290.5429	$15,773.28	$3,429.62	$3,154.66
0108	Insertion/Replacement/Repair of Cardioverter-Defibrillator Leads	T	489.5275	$26,575.96		$5,315.19
0109	Removal of Implanted Devices	T	7.7075	$418.43	$131.49	$83.69
0110	Transfusion	S	3.7128	$201.56		$40.31
0111	Blood Product Exchange	S	14.0169	$760.96	$211.96	$152.19
0112	Apheresis, Photopheresis, and Plasmapheresis	S	34.8318	$1,890.98	$609.71	$378.20
0113	Excision Lymphatic System	T	19.9529	$1,083.22		$216.64
0114	Thyroid/Lymphadenectomy Procedures	T	37.3583	$2,028.14	$485.91	$405.63
0115	Cannula/Access Device Procedures	T	25.6233	$1,391.06	$459.35	$278.21
0119	Implantation of Infusion Pump	T	129.8988	$7,052.08		$1,410.42
0121	Level I Tube changes and Repositioning	T	2.2058	$119.75	$43.80	$23.95
0122	Level II Tube changes and Repositioning	T	8.4398	$458.19	$93.97	$91.64
0123	Bone Marrow Harvesting and Bone Marrow/Stem Cell Transplant	S	4.0076	$217.57		$43.51
0124	Revision of Implanted Infusion Pump	T	27.4545	$1,490.48	$298.10	$298.10
0125	Refilling of Infusion Pump	T	2.5105	$136.29		$27.26
0130	Level I Laparoscopy	T	32.5959	$1,769.60	$659.53	$353.92
0131	Level II Laparoscopy	T	40.8955	$2,220.18	$1,001.89	$444.04
0132	Level III Laparoscopy	T	56.6318	$3,074.48	$1,239.22	$614.90
0140	Esophageal Dilation without Endoscopy	T	6.3480	$344.63	$107.24	$68.93
0141	Upper GI Procedures	T	7.8542	$426.40	$143.38	$85.28
0142	Small Intestine Endoscopy	T	9.0138	$489.35	$152.78	$97.87
0143	Lower GI Endoscopy	T	8.3227	$451.83	$186.06	$90.37
0146	Level I Sigmoidoscopy	T	3.9986	$217.08	$64.40	$43.42
0147	Level II Sigmoidoscopy	T	7.5876	$411.92		$82.38
0148	Level I Anal/Rectal Procedure	T	4.1171	$223.51	$63.38	$44.70
0149	Level III Anal/Rectal Procedure	T	16.8557	$915.08	$293.06	$183.02
0150	Level IV Anal/Rectal Procedure	T	22.2565	$1,208.28	$437.12	$241.66
0151	Endoscopic Retrograde Cholangio-Pancreatography (ERCP)	T	18.8763	$1,024.78	$245.46	$204.96
0152	Percutaneous Abdominal and Biliary Procedures	T	8.2940	$450.27	$113.02	$90.05
0153	Peritoneal and Abdominal Procedures	T	21.2745	$1,154.97	$410.87	$230.99
0154	Hernia/Hydrocele Procedures	T	26.8861	$1,459.62	$464.85	$291.92
0155	Level II Anal/Rectal Procedure	T	9.9148	$538.26	$188.89	$107.65
0156	Level II Urinary and Anal Procedures	T	3.1438	$170.67	$46.55	$34.13
0157	Colorectal Cancer Screening: Barium Enema	S	2.4771	$134.48		$26.90
0158	Colorectal Cancer Screening: Colonoscopy	T	7.4187	$402.75	$100.69	$80.55
0159	Colorectal Cancer Screening: Flexible Sigmoidoscopy	S	2.7168	$147.49	$36.87	$29.50
0160	Level I Cystourethroscopy and other Genitourinary Procedures	T	6.8152	$369.99	$105.06	$74.00
0161	Level II Cystourethroscopy and other Genitourinary Procedures	T	16.5822	$900.23	$249.36	$180.05
0162	Level III Cystourethroscopy and other Genitourinary Procedures	T	21.8578	$1,186.64		$237.33
0163	Level IV Cystourethroscopy and other Genitourinary Procedures	T	33.6435	$1,826.47		$365.29
0164	Level I Urinary and Anal Procedures	T	1.2115	$65.77	$17.59	$13.15
0165	Level III Urinary and Anal Procedures	T	14.0780	$764.28		$152.86
0166	Level I Urethral Procedures	T	16.8401	$914.23	$218.73	$182.85
0167	Level III Urethral Procedures	T	30.1066	$1,634.46	$555.84	$326.89
0168	Level II Urethral Procedures	T	30.3485	$1,647.59	$405.60	$329.52
0169	Lithotripsy	T	44.5329	$2,417.65	$1,115.69	$483.53
0170	Dialysis	S	5.9427	$322.62		$64.52
0180	Circumcision	T	18.4967	$1,004.17	$304.87	$200.83
0181	Penile Procedures	T	29.0094	$1,574.89	$621.82	$314.98
0183	Testes/Epididymis Procedures	T	21.7612	$1,181.39		$236.28
0184	Prostate Biopsy	T	3.8073	$206.69	$96.27	$41.34
0187	Miscellaneous Placement/Repositioning	X	4.4274	$240.36	$90.71	$48.07
0188	Level II Female Reproductive Proc	T	1.1079	$60.15		$12.03
0189	Level III Female Reproductive Proc	T	1.3207	$71.70	$16.70	$14.34
0190	Level I Hysteroscopy	T	19.8088	$1,075.40	$424.28	$215.08
0191	Level I Female Reproductive Proc	T	0.1679	$9.12	$2.65	$1.82
0192	Level IV Female Reproductive Proc	T	2.6966	$146.40	$39.11	$29.28
0193	Level V Female Reproductive Proc	T	15.7365	$854.32	$171.13	$170.86
0194	Level VI Female Reproductive Proc	T	18.8194	$1,021.69	$397.84	$204.34
0195	Level VII Female Reproductive Proc	T	25.3207	$1,374.64	$483.80	$274.93
0196	Dilation and Curettage	T	16.1823	$878.52	$338.23	$175.70
0197	Infertility Procedures	T	5.1958	$282.07		$56.41
0198	Pregnancy and Neonatal Care Procedures	T	1.3718	$74.47	$32.19	$14.89
0199	Obstetrical Care Service	T	16.8630	$915.48		$183.10
0200	Therapeutic Abortion	T	18.3633	$996.93	$307.83	$199.39
0201	Spontaneous Abortion	T	17.2803	$938.13	$329.65	$187.63
0202	Level VIII Female Reproductive Proc	T	38.8053	$2,106.70	$1,032.28	$421.34
0203	Level IV Nerve Injections	T	11.8511	$643.38	$276.76	$128.68
0204	Level I Nerve Injections	T	2.2209	$120.57	$40.13	$24.11
0206	Level II Nerve Injections	T	5.2584	$285.47	$75.55	$57.09
0207	Level III Nerve Injections	T	6.5998	$358.30	$123.69	$71.66
0208	Laminotomies and Laminectomies	T	40.6521	$2,206.96		$441.39
0209	Extended EEG Studies and Sleep Studies, Level II	S	11.5352	$626.23	$280.58	$125.25
0212	Nervous System Injections	T	2.9989	$162.81	$74.92	$32.56
0213	Extended EEG Studies and Sleep Studies, Level I	S	3.2422	$176.02	$70.41	$35.20
0214	Electroencephalogram	S	2.2459	$121.93	$58.12	$24.39
0215	Level I Nerve and Muscle Tests	S	0.6390	$34.69	$15.76	$6.94
0216	Level III Nerve and Muscle Tests	S	2.8332	$153.81	$67.98	$30.76
0218	Level II Nerve and Muscle Tests	S	1.1296	$61.32		$12.26
0220	Level I Nerve Procedures	T	16.5293	$897.36		$179.47
0221	Level II Nerve Procedures	T	25.8194	$1,401.71	$463.62	$280.34
0222	Implantation of Neurological Device	T	188.7735	$10,248.32		$2,049.66
0223	Implantation or Revision of Pain Management Catheter	T	26.0352	$1,413.42		$282.68
0224	Implantation of Reservoir/Pump/Shunt	T	34.0161	$1,846.70	$453.41	$369.34
0225	Implantation of Neurostimulator Electrodes	S	56.0375	$3,042.22		$608.44
0226	Implantation of Drug Infusion Reservoir	T	159.6795	$8,668.84		$1,733.77
0227	Implantation of Drug Infusion Device	T	163.6124	$8,882.35		$1,776.47
0228	Creation of Lumbar Subarachnoid Shunt	T	51.1329	$2,775.95	$621.80	$555.19
0229	Transcatherter Placement of Intravascular Shunts	T	59.4977	$3,230.07	$771.23	$646.01
0230	Level I Eye Tests & Treatments	S	0.7379	$40.06	$14.97	$8.01
0231	Level III Eye Tests & Treatments	S	2.0880	$113.36	$50.94	$22.67
0232	Level I Anterior Segment Eye Procedures	T	4.9739	$270.03	$103.17	$54.01
0233	Level II Anterior Segment Eye Procedures	T	14.5435	$789.55	$266.33	$157.91
0234	Level III Anterior Segment Eye Procedures	T	21.5482	$1,169.83	$511.31	$233.97
0235	Level I Posterior Segment Eye Procedures	T	4.9900	$270.90	$72.04	$54.18
0236	Level II Posterior Segment Eye Procedures	T	19.6866	$1,068.77		$213.75
0237	Level III Posterior Segment Eye Procedures	T	34.0324	$1,847.58	$818.54	$369.52
0238	Level I Repair and Plastic Eye Procedures	T	3.2016	$173.81	$58.96	$34.76
0239	Level II Repair and Plastic Eye Procedures	T	6.2432	$338.94	$110.62	$67.79
0240	Level III Repair and Plastic Eye Procedures	T	17.3397	$941.35	$315.31	$188.27
0241	Level IV Repair and Plastic Eye Procedures	T	21.9830	$1,193.44	$384.47	$238.69
0242	Level V Repair and Plastic Eye Procedures	T	29.2193	$1,586.29	$597.36	$317.26
0243	Strabismus/Muscle Procedures	T	21.1035	$1,145.69	$431.39	$229.14
0244	Corneal Transplant	T	37.4885	$2,035.21	$803.26	$407.04
0245	Level I Cataract Procedures without IOL Insert	T	12.5751	$682.69	$226.11	$136.54
0246	Cataract Procedures with IOL Insert	T	22.8428	$1,240.11	$495.96	$248.02
0247	Laser Eye Procedures Except Retinal	T	5.0192	$272.49	$104.31	$54.50
0248	Laser Retinal Procedures	T	4.7544	$258.11	$95.08	$51.62
0249	Level II Cataract Procedures without IOL Insert	T	28.3307	$1,538.05	$524.67	$307.61
0250	Nasal Cauterization/Packing	T	1.5381	$83.50	$29.23	$16.70
0251	Level I ENT Procedures	T	1.8643	$101.21		$20.24
0252	Level II ENT Procedures	T	6.5416	$355.14	$113.41	$71.03
0253	Level III ENT Procedures	T	15.1698	$823.55	$282.29	$164.71
0254	Level IV ENT Procedures	T	21.4368	$1,163.78	$321.35	$232.76
0256	Level V ENT Procedures	T	35.0866	$1,904.82		$380.96
0258	Tonsil and Adenoid Procedures	T	21.0273	$1,141.55	$437.25	$228.31
0259	Level VI ENT Procedures	T	389.1764	$21,128.00	$9,394.83	$4,225.60
0260	Level I Plain Film Except Teeth	X	0.7845	$42.59	$21.29	$8.52
0261	Level II Plain Film Except Teeth Including Bone Density Measurement	X	1.3238	$71.87		$14.37
0262	Plain Film of Teeth	X	0.7851	$42.62	$9.82	$8.52
0263	Level I Miscellaneous Radiology Procedures	X	2.1875	$118.76	$43.58	$23.75
0264	Level II Miscellaneous Radiology Procedures	X	3.0022	$162.99	$79.41	$32.60
0265	Level I Diagnostic Ultrasound Except Vascular	S	1.0245	$55.62	$27.81	$11.12
0266	Level II Diagnostic Ultrasound Except Vascular	S	1.6234	$88.13	$44.07	$17.63
0267	Level III Diagnostic Ultrasound Except Vascular	S	2.4805	$134.66	$65.52	$26.93
0268	Ultrasound Guidance Procedures	S	1.2640	$68.62		$13.72
0269	Level III Echocardiogram Except Transesophageal	S	3.2517	$176.53	$87.24	$35.31
0270	Transesophageal Echocardiogram	S	5.9057	$320.61	$146.79	$64.12
0271	Mammography	S	0.6548	$35.55	$16.80	$7.11
0272	Level I Fluoroscopy	X	1.4086	$76.47	$38.24	$15.29
0274	Myelography	S	3.5837	$194.56	$92.92	$38.91
0275	Arthrography	S	3.2967	$178.97	$69.09	$35.79
0276	Level I Digestive Radiology	S	1.6025	$87.00	$41.72	$17.40
0277	Level II Digestive Radiology	S	2.4462	$132.80	$60.47	$26.56
0278	Diagnostic Urography	S	2.7365	$148.56	$66.07	$29.71
0279	Level II Angiography and Venography except Extremity	S	11.0678	$600.86	$174.57	$120.17
0280	Level III Angiography and Venography except Extremity	S	19.0237	$1,032.78	$353.85	$206.56
0281	Venography of Extremity	S	6.6888	$363.13	$115.16	$72.63
0282	Miscellaneous Computerized Axial Tomography	S	1.6813	$91.28	$44.51	$18.26
0283	Computerized Axial Tomography with Contrast Material	S	4.6121	$250.39	$125.19	$50.08
0284	Magnetic Resonance Imaging and Magnetic Resonance Angiography with Contras	S	7.0207	$381.15	$190.57	$76.23
0285	Myocardial Positron Emission Tomography (PET)	S	19.5044	$1,058.87	$409.56	$211.77
0287	Complex Venography	S	6.2829	$341.09	$107.20	$68.22
0288	Bone Density:Axial Skeleton	S	1.2854	$69.78		$13.96
0289	Needle Localization for Breast Biopsy	X	3.6386	$197.54	$44.80	$39.51
0296	Level I Therapeutic Radiologic Procedures	S	3.1381	$170.36	$69.20	$34.07
0297	Level II Therapeutic Radiologic Procedures	S	8.1532	$442.63	$172.51	$88.53
0299	Miscellaneous Radiation Treatment	S	5.7427	$311.77	$62.36	$62.35
0300	Level I Radiation Therapy	S	1.5112	$82.04		$16.41
0301	Level II Radiation Therapy	S	2.1337	$115.84	$23.17	$23.17
0302	Level III Radiation Therapy	S	6.1992	$336.55	$127.49	$67.31
0303	Treatment Device Construction	X	2.8636	$155.46	$66.95	$31.09
0304	Level I Therapeutic Radiation Treatment Preparation	X	1.6599	$90.11	$41.52	$18.02
0305	Level II Therapeutic Radiation Treatment Preparation	X	3.6649	$198.96	$91.38	$39.79
0310	Level III Therapeutic Radiation Treatment Preparation	X	13.7085	$744.22	$325.27	$148.84
0312	Radioelement Applications	S	3.6892	$200.28	$40.06	$40.06
0313	Brachytherapy	S	13.1258	$712.59		$142.52
0314	Hyperthermic Therapies	S	5.0930	$276.49	$101.77	$55.30
0320	Electroconvulsive Therapy	S	5.4480	$295.77	$80.06	$59.15
0321	Biofeedback and Other Training	S	1.2462	$67.65	$21.78	$13.53
0322	Brief Individual Psychotherapy	S	1.3091	$71.07		$14.21
0323	Extended Individual Psychotherapy	S	1.7955	$97.48	$21.26	$19.50
0324	Family Psychotherapy	S	2.8219	$153.20		$30.64
0325	Group Psychotherapy	S	1.5820	$85.89	$18.27	$17.18
0330	Dental Procedures	S	0.5609	$30.45	$6.09	$6.09
0332	Computerized Axial Tomography and Computerized Angiography without Contras	S	3.3916	$184.13	$91.27	$36.83
0333	Computerized Axial Tomography and Computerized Angio  w/o Contrast Material	S	5.4299	$294.78	$146.98	$58.96
0335	Magnetic Resonance Imaging, Miscellaneous	S	6.4453	$349.91	$151.46	$69.98
0336	Magnetic Resonance Imaging and Magnetic Resonance Angiography without Cont	S	6.4817	$351.89	$175.94	$70.38
0337	MRI and Magnetic Resonance Angiography without Contrast Material followed	S	9.3215	$506.05	$240.77	$101.21
0339	Observation	S	7.2016	$390.97		$78.19
0340	Minor Ancillary Procedures	X	0.6232	$33.83		$6.77
0341	Skin Tests	X	0.1468	$7.97	$3.08	$1.59
0342	Level I Pathology	X	0.2169	$11.78	$5.88	$2.36
0343	Level II Pathology	X	0.4662	$25.31	$12.55	$5.06
0344	Level III Pathology	X	0.6278	$34.08	$17.04	$6.82
0345	Level I Transfusion Laboratory Procedures	X	0.2589	$14.06	$3.10	$2.81
0346	Level II Transfusion Laboratory Procedures	X	0.3877	$21.05	$5.31	$4.21
0347	Level III Transfusion Laboratory Procedures	X	0.9646	$52.37	$13.19	$10.47
0348	Fertility Laboratory Procedures	X	1.2207	$66.27		$13.25
0352	Level I Injections	X	0.1076	$5.84		$1.17
0353	Level II Allergy Injections	X	0.4106	$22.29		$4.46
0355	Level III Immunizations	K	0.2667	$14.48		$2.90
0356	Level IV Immunizations	K	0.4353	$23.63		$4.73
0359	Level II Injections	X	0.8794	$47.74		$9.55
0360	Level I Alimentary Tests	X	1.7088	$92.77	$42.45	$18.55
0361	Level II Alimentary Tests	X	3.5574	$193.13	$83.23	$38.63
0362	Level III Otorhinolaryngologic Function Tests	X	2.5384	$137.81		$27.56
0363	Level I Otorhinolaryngologic Function Tests	X	0.8536	$46.34	$17.15	$9.27
0364	Level I Audiometry	X	0.4415	$23.97	$9.06	$4.79
0365	Level II Audiometry	X	1.1915	$64.69	$18.95	$12.94
0367	Level I Pulmonary Test	X	0.5828	$31.64	$15.16	$6.33
0368	Level II Pulmonary Tests	X	0.9321	$50.60	$25.30	$10.12
0369	Level III Pulmonary Tests	X	2.5282	$137.25	$44.18	$27.45
0370	Allergy Tests	X	0.8858	$48.09	$11.58	$9.62
0371	Level I Allergy Injections	X	0.4084	$22.17	$4.44	$4.43
0372	Therapeutic Phlebotomy	X	0.5529	$30.02	$10.09	$6.00
0373	Neuropsychological Testing	X	2.1165	$114.90	$22.98	$22.98
0374	Monitoring Psychiatric Drugs	X	1.1062	$60.05		$12.01
0375	Ancillary Outpatient Services when Patient Expires	T		$1,150.00		$230.00
0376	Pkgd cancer chemo, other	S	2.1479	$116.61		$23.32
0377	Sep cancer chemo, other	S	0.6673	$36.23		$7.25
0378	Infusion of pkgd cancer	S	4.3955	$238.63		$47.73
0379	Infusion, separate cancer	S	2.4298	$131.91		$26.38
0380	Pkgd cancer chemo, both	S	5.1857	$281.53		$56.31
0381	Sep cancer chemo, both	S	2.1596	$117.24		$23.45
0382	Infusion, pkgd noncancer	S	4.6839	$254.28		$50.86
0383	Infusion, separate noncancer	S	1.8419	$99.99		$20.00
0384	GI Procedures with Stents	T	36.0040	$1,954.62	$424.53	$390.92
0385	Level I Prosthetic Urological Procedures	T	66.4829	$3,609.29		$721.86
0386	Level II Prosthetic Urological Procedures	T	118.8122	$6,450.20		$1,290.04
0387	Level II Hysteroscopy	T	28.5174	$1,548.18	$660.84	$309.64
0388	Discography	S	11.7450	$637.62	$304.54	$127.52
0389	Non-imaging Nuclear Medicine	S	1.6475	$89.44	$44.72	$17.89
0390	Level I Thyroid Imaging	S	2.8434	$154.37	$77.18	$30.87
0391	Level II Thyroid Imaging	S	3.7174	$201.81	$100.91	$40.36
0392	Adrenal Imaging	S	6.7081	$364.18	$182.09	$72.84
0393	Red Cell/Plasma Studies	S	4.0720	$221.06	$110.53	$44.21
0394	Hepatobiliary Imaging	S	4.4370	$240.88	$120.44	$48.18
0395	GI Tract and B12 Studies	S	3.9372	$213.75	$106.87	$42.75
0396	Bone Imaging	S	4.2445	$230.43	$115.21	$46.09
0397	Vascular Imaging	S	2.4737	$134.29	$67.15	$26.86
0398	Cardiac Imaging	S	6.6521	$361.14	$180.57	$72.23
0399	Cardiac Add-on Imaging	S	1.6033	$87.04	$43.52	$17.41
0400	Hematopoietic Imaging	S	3.8691	$210.05	$105.02	$42.01
0401	Pulmonary Imaging	S	4.9130	$266.72	$133.36	$53.34
0402	Brain Imaging	S	5.4818	$297.60	$148.80	$59.52
0403	CSF Imaging	S	3.9265	$213.17	$106.58	$42.63
0404	Renal Imaging	S	5.1538	$279.79	$139.90	$55.96
0405	Non-renal GU Studies	S	0.7739	$42.01	$21.01	$8.40
0406	Tumor/Infection Imaging	S	4.7542	$258.10		$51.62
0407	Thyroid Radionucliide treatment	S	4.2797	$232.34	$116.17	$46.47
0408	Non-thyroid Radionucliide treatment	S	4.0000	$217.16		$43.43
0409	Red Blood Cell Tests	X	0.1385	$7.52	$2.31	$1.50
0410	Mammogram Add On	S	0.1473	$8.00		$1.60
0411	Respiratory Procedures	S	0.4207	$22.84		$4.57
0412	IMRT Treatment Delivery	S	5.2832	$286.82		$57.36
0413	IMRT Treatment Plan	S	6.0369	$327.74		$65.55
0414	Reconstruction CT Angiography of Aorta	S	4.8012	$260.65		$52.13
0415	Level II Endoscopy Lower Airway	T	20.9920	$1,139.63	$463.30	$227.93
0600	Low Level Clinic Visits	V	0.9376	$50.90		$10.18
0601	Mid Level Clinic Visits	V	1.0031	$54.46		$10.89
0602	High Level Clinic Visits	V	1.5603	$84.71		$16.94
0610	Low Level Emergency Visits	V	1.4146	$76.80	$19.57	$15.36
0611	Mid Level Emergency Visits	V	2.4881	$135.08	$36.47	$27.02
0612	High Level Emergency Visits	V	4.3235	$234.72	$54.14	$46.94
0620	Critical Care	S	9.2657	$503.03	$145.78	$100.61
0648	Breast Reconstruction with Prosthesis	T	55.5345	$3,014.91		$602.98
0649	Prostate Brachytherapy Palladium Seeds	T	119.0281	$6,461.92		$1,292.38
0651	Complex Interstitial Radiation Source Application	S	10.0459	$545.38	$109.08	$109.08
0652	Insertion of Intraperitoneal Catheters	T	28.0692	$1,523.85		$304.77
0653	Vascular Reconstruction/Fistula Repair with Device	T	32.4880	$1,763.74		$352.75
0654	Insertion/Replacement of a permanent dual chamber pacemaker	T	103.8544	$5,638.15		$1,127.63
0655	Insertion/Replacement/Conversion of a permanent dual chamber pacemaker	T	142.2244	$7,721.22		$1,544.24
0656	Transcatheter Placement of Intracoronary Drug-Eluting Stents	T	101.3662	$5,503.07		$1,100.61
0657	Placement of Tissue Clips	S	1.5630	$84.85		$16.97
0658	Percutaneous Breast Biopsies	T	5.6035	$304.21		$60.84
0659	Hyperbaric Oxygen	S	3.2220	$174.92		$34.98
0660	Level II Otorhinolaryngologic Function Tests	X	1.7330	$94.08	$30.66	$18.82
0661	Level IV Pathology	X	3.3215	$180.32	$90.16	$36.06
0662	CT Angiography	S	5.8751	$318.95	$156.47	$63.79
0664	Proton Beam Radiation Therapy	S	9.6828	$525.67		$105.13
0665	Bone Density:AppendicularSkeleton	S	0.7225	$39.22		$7.84
0668	Level I Angiography and Venography except Extremity	S	10.4896	$569.47	$237.76	$113.89
0669	Digital Mammography	S	0.9111	$49.46		$9.89
0670	Intravenous and Intracardiac Ultrasound	S	26.5472	$1,441.22	$521.95	$288.24
0671	Level II Echocardiogram Except Transesophageal	S	1.6392	$88.99	$44.50	$17.80
0672	Level IV Posterior Segment Procedures	T	39.1363	$2,124.67	$988.43	$424.93
0673	Level IV Anterior Segment Eye Procedures	T	26.7626	$1,452.91	$649.56	$290.58
0674	Prostate Cryoablation	T	101.1198	$5,489.69		$1,097.94
0675	Prostatic Thermotherapy	T	49.3613	$2,679.78		$535.96
0676	Level II Transcatheter Thrombolysis	T	3.7505	$203.61	$55.06	$40.72
0677	Level I Transcatheter Thrombolysis	T	3.0769	$167.04		$33.41
0678	External Counterpulsation	T	2.0622	$111.95		$22.39
0679	Level II Resuscitation and Cardioversion	S	5.4862	$297.84	$95.30	$59.57
0680	Insertion of Patient Activated Event Recorders	S	61.4222	$3,334.55		$666.91
0681	Knee Arthroplasty	T	96.7483	$5,252.37	$2,090.21	$1,050.47
0682	Level V Debridement & Destruction	T	7.6815	$417.02	$174.57	$83.40
0683	Level II Photochemotherapy	S	1.7915	$97.26	$35.01	$19.45
0684	Prostate Brachytherapy Iodine Seeds	T	104.7194	$5,685.11		$1,137.02
0685	Level III Needle Biopsy/Aspiration Except Bone Marrow	T	4.8912	$265.54	$116.83	$53.11
0686	Level III Skin Repair	T	17.0868	$927.63	$341.70	$185.53
0687	Revision/Removal of Neurostimulator Electrodes	T	19.9913	$1,085.31	$499.24	$217.06
0688	Revision/Removal of Neurostimulator Pulse Generator Receiver	T	42.5880	$2,312.06	$1,132.91	$462.41
0689	Electronic Analysis of Cardioverter-defibrillators	S	0.5427	$29.46		$5.89
0690	Electronic Analysis of Pacemakers and other Cardiac Devices	S	0.3986	$21.64	$10.35	$4.33
0691	Electronic Analysis of Programmable Shunts/Pumps	S	2.9894	$162.29	$81.15	$32.46
0692	Electronic Analysis of Neurostimulator Pulse Generators	S	0.9625	$52.25	$26.13	$10.45
0693	Level II Breast Reconstruction	T	38.6469	$2,098.10	$798.17	$419.62
0694	Mohs Surgery	T	3.3272	$180.63	$72.25	$36.13
0695	Level VII Debridement & Destruction	T	19.1377	$1,038.97	$266.59	$207.79
0697	Level I Echocardiogram Except Transesophageal	S	1.4621	$79.38	$39.69	$15.88
0698	Level II Eye Tests & Treatments	S	0.9355	$50.79	$18.72	$10.16
0699	Level IV Eye Tests & Treatments	T	2.2211	$120.58	$54.26	$24.12
0700	Antepartum Manipulation	T	2.4359	$132.24	$37.03	$26.45
0701	SR 89 chloride, per mCi	K	7.4586	$404.92		$80.98
0702	SM 153 lexidronam, 50 mCi	K	16.1415	$876.31		$175.26
0704	IN 111 Satumomab pendetide per dose	K	2.9212	$158.59		$31.72
0726	Dexrazoxane hcl injection, 250 mg	K	1.9860	$107.82		$21.56
0728	Filgrastim 300 mcg injection	K	2.2544	$122.39		$24.48
0730	Pamidronate disodium , 30 mg	K	1.5359	$83.38		$16.68
0732	Mesna injection 200 mg	K	0.4908	$26.65		$5.33
0733	Non esrd epoetin alpha inj, 1000 u	K	0.1782	$9.67		$1.93
0734	Injection, darbepoetin alfa (for non-ESRD use), pre 1 mcg	K	0.0463	$2.51		$.50
0800	Leuprolide acetate, 3.75 mg	K	3.3020	$179.26		$35.85
0802	Etoposide oral 50 mg	K	0.4830	$26.22		$5.24
0807	Aldesleukin/single use vial	K	7.0936	$385.10		$77.02
0810	Goserelin acetate implant 3.6 mg	K	4.9549	$269.00		$53.80
0811	Carboplatin injection 50 mg	K	1.5475	$84.01		$16.80
0812	Carmustine, 100 mg	K	0.9972	$54.14		$10.83
0813	Cisplatin 10 mg injection	K	0.3594	$19.51		$3.90
0820	Daunorubicin 10 mg	K	0.60	$32.86		$6.57
0821	Daunorubicin citrate liposom 10 mg	K	2.9697	$161.22		$32.24
0822	Diethylstilbestrol injection 250 mg	K	1.3274	$72.06		$14.41
0823	Docetaxel, 20 mg	K	4.0041	$217.38		$43.48
0827	Floxuridine injection 500 mg	K	2.1836	$118.55		$23.71
0828	Gemcitabine HCL 200 mg	K	1.4523	$78.84		$15.77
0830	Irinotecan injection 20 mg	K	1.8626	$101.12		$20.22
0831	Ifosfomide injection 1 gm	K	1.1616	$63.06		$12.61
0832	Idarubicin hcl injection 5 mg	K	3.2438	$176.10		$35.22
0836	Interferon alfa-2b inj recombinant, 1 million	K	0.2000	$10.86		$2.17
0838	Interferon gamma 1-b inj, 3 million u	K	2.4742	$134.32		$26.86
0840	Melphalan hydrochl 50 mg	K	4.4072	$239.26		$47.85
0842	Fludarabine phosphate inj 50 mg	K	3.6854	$200.08		$40.02
0843	Pegaspargase, singl dose vial	K	5.7621	$312.82		$62.56
0844	Pentostatin injection, 10 mg	K	17.4201	$945.72		$189.14
0849	Rituximab, 100 mg	K	5.5636	$302.04		$60.41
0850	Streptozocin injection, 1 gm	K	1.3942	$75.69		$15.14
0852	Topotecan, 4 mg	K	7.9075	$429.29		$85.86
0855	Vinorelbine tartrate, 10 mg	K	1.1683	$63.43		$12.69
0856	Porfimer sodium, 75 mg	K	25.3788	$1,377.79		$275.56
0857	Bleomycin sulfate injection 15 u	K	2.2352	$121.35		$24.27
0858	Cladribine, 1mg	K	0.7031	$38.17		$7.63
0861	Leuprolide acetate injection 1 mg	K	0.8223	$44.64		$8.93
0862	Mitomycin 5 mg inj	K	0.9557	$51.88		$10.38
0863	Paclitaxel injection, 30 mg	K	1.2674	$68.81		$13.76
0864	Mitoxantrone hcl, 5 mg	K	3.1513	$171.08		$34.22
0865	Interferon alfa-n3 inj, human leukocyte derived, 2	K	1.5823	$85.90		$17.18
0884	Rho d immune globulin inj, 1 dose pkg	K	0.2312	$12.55		$2.51
0888	Cyclosporine oral 100 mg	K	0.0482	$2.62		$.52
0890	Lymphocyte immune globulin 250 mg	K	2.1958	$119.21		$23.84
0891	Tacrolimus oral per 1 mg	K	0.0236	$1.28		$.26
0900	Alglucerase injection, per 10 u	K	0.5473	$29.71		$5.94
0901	Alpha 1 proteinase inhibitor, 10 mg	K	0.0214	$1.16		$.23
0902	Botulinum toxin a, per unit	K	0.0460	$2.50		$.50
0903	Cytomegalovirus imm IV/vial	K	5.0754	$275.54		$55.11
0905	Immune globulin, 1g	K	0.8103	$43.99		$8.80
0906	RSV-ivig, 50 mg	K	6.0142	$326.50		$65.30
0909	Interferon beta-1a, 33 mcg	K	2.8010	$152.06		$30.41
0910	Interferon beta-1b /0.25 mg	K	1.9843	$107.73		$21.55
0911	Streptokinase per 250,000 iu	K	1.6055	$87.16		$17.43
0916	Imiglucerase injection/unit	K	0.0531	$2.88		$.58
0917	Inj, Adenosine, 90 mg	K	2.3474	$127.44		$25.49
0925	Factor viii per iu	K	0.0085	$.46		$.09
0926	Factor VIII (porcine) per iu	K	0.0253	$1.37		$.27
0927	Factor viii recombinant per iu	K	0.0168	$.91		$.18
0928	Factor ix complex per iu	K	0.0085	$.46		$.09
0929	Anti-inhibitor per iu	K	0.0168	$.91		$.18
0930	Antithrombin iii injection per iu	K	0.0117	$.64		$.13
0931	Factor IX non-recombinant, per iu	K	0.0104	$.56		$.11
0932	Factor IX recombinant, per iu	K	0.0168	$.91		$.18
0949	Plasma, Pooled Multiple Donor, Solvent/Detergent T	K	2.0608	$111.88		$22.38
0950	Blood (Whole) For Transfusion	K	1.4575	$79.13		$15.83
0952	Cryoprecipitate	K	0.4860	$26.38		$5.28
0954	RBC leukocytes reduced	K	1.9770	$107.33		$21.47
0955	Plasma, Fresh Frozen	K	1.5750	$85.51		$17.10
0956	Plasma Protein Fraction	K	1.5414	$83.68		$16.74
0957	Platelet Concentrate	K	0.6870	$37.30		$7.46
0958	Platelet Rich Plasma	K	1.1296	$61.32		$12.26
0959	Red Blood Cells	K	1.4326	$77.77		$15.55
0960	Washed Red Blood Cells	K	2.6638	$144.62		$28.92
0961	Infusion, Albumin (Human) 5%, 50 ml	K	0.7319	$39.73		$7.95
0963	Albumin (human), 5%, 250 ml	K	3.4713	$188.45		$37.69
0964	Albumin (human), 25%, 20 ml	K	0.7911	$42.95		$8.59
0965	Albumin (human), 25%, 50ml	K	1.9432	$105.49		$21.10
0966	Plasmaprotein fract,5%,250ml	K	7.7071	$418.41		$83.68
1009	Cryoprecip reduced plasma	K	0.9447	$51.29		$10.26
1010	Blood, L/R, CMV-neg	K	2.1361	$115.97		$23.19
1011	Platelets, HLA-m, L/R, unit	K	8.2851	$449.79		$89.96
1013	Platelet concentrate, L/R, unit	K	0.9101	$49.41		$9.88
1016	Blood, L/R, froz/deglycerol/washed	K	5.0012	$271.51		$54.30
1017	Platelets, aph/pher, L/R, CMV-neg, unit	K	6.5175	$353.83		$70.77
1018	Blood, L/R, irradiated	K	2.1950	$119.16		$23.83
1019	Platelets, aph/pher, L/R, irradiated, unit	K	6.7353	$365.65		$73.13
1020	Pit, pher,L/R,CMV,irrad	K	9.6266	$522.62		$104.52
1021	RBC, frz/deg/wsh, L/R, irrad	K	6.5287	$354.44		$70.89
1022	RBC, L/R, CMV neg, irrad	K	3.9139	$212.48		$42.50
1045	Iobenguane sulfate I-131per 0.5 mCi	K	2.9293	$159.03		$31.81
1064	I-131 sodium iodide capsule	K	0.1007	$5.47		$1.09
1065	I-131 sodium iodide solution	K	0.0002	$.01		$.00
1084	Denileukin diftitox, 300 MCG	K	15.0913	$819.29		$163.86
1086	Temozolomide,oral 5 mg	K	0.0643	$3.49		$.70
1091	IN 111 Oxyquinoline, per .5 mCi	K	4.0535	$220.06		$44.01
1092	IN 111 Pentetate, per 0.5 mCi	K	4.0824	$221.63		$44.33
1095	Technetium TC 99M Depreotide	K	3.7042	$201.10		$40.22
1096	TC 99M Exametazime, per dose	K	3.8103	$206.86		$41.37
1122	TC 99M arcitumomab, per vial	K	9.6556	$524.19		$104.84
1167	Epirubicin hcl, 2 mg	K	0.3597	$19.53		$3.91
1178	Busulfan IV, 6 mg	K	6.0245	$327.06		$65.41
1203	Verteporfin for injection	K	16.1946	$879.19		$175.84
1207	Octreotide injection, depot	K	1.1849	$64.33		$12.87
1305	Apligraf	K	11.2075	$608.44		$121.69
1409	Factor viia recombinant, per 1.2 mg	K	17.9693	$975.54		$195.11
1501	New Technology - Level I ($0 - $50)	S		$25.00		$5.00
1502	New Technology - Level II ($50 - $100)	S		$75.00		$15.00
1503	New Technology - Level III ($100 - $200)	S		$150.00		$30.00
1504	New Technology - Level IV ($200 - $300)	S		$250.00		$50.00
1505	New Technology - Level V ($300 - $400)	S		$350.00		$70.00
1506	New Technology - Level VI ($400 - $500)	S		$450.00		$90.00
1507	New Technology - Level VII ($500 - $600)	S		$550.00		$110.00
1508	New Technology - Level VIII ($600 - $700)	S		$650.00		$130.00
1509	New Technology - Level IX ($700 - $800)	S		$750.00		$150.00
1510	New Technology - Level X ($800 - $900)	S		$850.00		$170.00
1511	New Technology - Level XI ($900 - $1000)	S		$950.00		$190.00
1512	New Technology - Level XII ($1000 - $1100)	S		$1,050.00		$210.00
1513	New Technology - Level XIII ($1100 - $1200)	S		$1,150.00		$230.00
1514	New Technology - Level XIV ($1200 - $1300)	S		$1,250.00		$250.00
1515	New Technology - Level XV ($1300 - $1400)	S		$1,350.00		$270.00
1516	New Technology - Level XVI ($1400 - $1500)	S		$1,450.00		$290.00
1517	New Technology - Level XX ($1500-$1600)	S		$1,550.00		$310.00
1518	New Technology - Level XX ($1600-$1700)	S		$1,650.00		$330.00
1519	New Technology - Level XX ($1700-$1800)	S		$1,750.00		$350.00
1520	New Technology - Level XX ($1800-$1900)	S		$1,850.00		$370.00
1521	New Technology - Level XX ($1900-$2000)	S		$1,950.00		$390.00
1522	New Technology - Level XX ($2000-$2500)	S		$2,250.00		$450.00
1523	New Technology - Level XX ($2500-$3000)	S		$2,750.00		$550.00
1524	New Technology - Level XX ($3000-$3500)	S		$3,250.00		$650.00
1525	New Technology - Level XX ($3500-$4000)	S		$3,750.00		$750.00
1526	New Technology - Level XX ($4000-$4500)	S		$4,250.00		$850.00
1527	New Technology - Level XX ($4500-$5000)	S		$4,750.00		$950.00
1528	New Technology - Level XX ($5000-$5500)	S		$5,250.00		$1,050.00
1529	New Technology - Level XX ($5500-$6000)	S		$5,750.00		$1,150.00
1530	New Technology - Level XX ($6000-$6500)	S		$6,250.00		$1,250.00
1531	New Technology - Level XX ($6500-$7000)	S		$6,750.00		$1,350.00
1532	New Technology - Level XX ($7000-$7500)	S		$7,250.00		$1,450.00
1533	New Technology - Level XX ($7500-$8000)	S		$7,750.00		$1,550.00
1534	New Technology - Level XX ($8000-$8500)	S		$8,250.00		$1,650.00
1535	New Technology - Level XX ($8500-$9000)	S		$8,750.00		$1,750.00
1536	New Technology - Level XX ($9000-$9500)	S		$9,250.00		$1,850.00
1537	New Technology - Level XX ($9500-$10000)	S		$9,750.00		$1,950.00
1538	New Technology - Level I ($0 - $50)	T		$25.00		$5.00
1539	New Technology - Level II ($50 - $100)	T		$75.00		$15.00
1540	New Technology - Level III ($100 - $200)	T		$150.00		$30.00
1541	New Technology - Level IV ($200 - $300)	T		$250.00		$50.00
1542	New Technology - Level V ($300 - $400)	T		$350.00		$70.00
1543	New Technology - Level VI ($400 - $500)	T		$450.00		$90.00
1544	New Technology - Level VII ($500 - $600)	T		$550.00		$110.00
1545	New Technology - Level VIII ($600 - $700)	T		$650.00		$130.00
1546	New Technology - Level IX ($700 - $800)	T		$750.00		$150.00
1547	New Technology - Level X ($800 - $900)	T		$850.00		$170.00
1548	New Technology - Level XI ($900 - $1000)	T		$950.00		$190.00
1549	New Technology - Level XII ($1000 - $1100)	T		$1,050.00		$210.00
1550	New Technology - Level XIII ($1100 - $1200)	T		$1,150.00		$230.00
1551	New Technology - Level XIV ($1200 - $1300)	T		$1,250.00		$250.00
1552	New Technology - Level XV ($1300 - $1400)	T		$1,350.00		$270.00
1553	New Technology - Level XVI ($1400 - $1500)	T		$1,450.00		$290.00
1554	New Technology - Level XX ($1500-$1600)	T		$1,550.00		$310.00
1555	New Technology - Level XX ($1600-$1700)	T		$1,650.00		$330.00
1556	New Technology - Level XX ($1700-$1800)	T		$1,750.00		$350.00
1557	New Technology - Level XX ($1800-$1900)	T		$1,850.00		$370.00
1558	New Technology - Level XX ($1900-$2000)	T		$1,950.00		$390.00
1559	New Technology - Level XX ($2000-$2500)	T		$2,250.00		$450.00
1560	New Technology - Level XX ($2500-$3000)	T		$2,750.00		$550.00
1561	New Technology - Level XX ($3000-$3500)	T		$3,250.00		$650.00
1562	New Technology - Level XX ($3500-$4000)	T		$3,750.00		$750.00
1563	New Technology - Level XX ($4000-$4500)	T		$4,250.00		$850.00
1564	New Technology - Level XX ($4500-$5000)	T		$4,750.00		$950.00
1565	New Technology - Level XX ($5000-$5500)	T		$5,250.00		$1,050.00
1566	New Technology - Level XX ($5500-$6000)	T		$5,750.00		$1,150.00
1567	New Technology - Level XX ($6000-$6500)	T		$6,250.00		$1,250.00
1568	New Technology - Level XX ($6500-$7000)	T		$6,750.00		$1,350.00
1569	New Technology - Level XX ($7000-$7500)	T		$7,250.00		$1,450.00
1570	New Technology - Level XX ($7500-$8000)	T		$7,750.00		$1,550.00
1571	New Technology - Level XX ($8000-$8500)	T		$8,250.00		$1,650.00
1572	New Technology - Level XX ($8500-$9000)	T		$8,750.00		$1,750.00
1573	New Technology - Level XX ($9000-$9500)	T		$9,250.00		$1,850.00
1574	New Technology - Level XX ($9500-$10000)	T		$9,750.00		$1,950.00
1604	IN 111 capromab pendetide, per dose	K	12.4029	$673.34		$134.67
1605	Abciximab injection, 10 mg	K	5.2806	$286.68		$57.34
1606	Anistreplase, 30 u	K	25.3116	$1,374.14		$274.83
1607	Eptifibatide injection, 5mg	K	0.1426	$7.74		$1.55
1609	Rho(D) immune globulin h, sd, 100 iu	K	0.1863	$10.11		$2.02
1611	Hylan G-F 20 injection, 16 mg	K	2.1566	$117.08		$23.42
1612	Daclizumab, parenteral, 25 mg	K	3.7304	$202.52		$40.50
1613	Trastuzumab, 10 mg	K	0.7384	$40.09		$8.02
1614	Valrubicin, 200 mg	K	9.6183	$522.17		$104.43
1615	Basiliximab, 20 mg	K	11.2007	$608.07		$121.61
1618	Vonwillebrandfactrcmplx, per iu	K	0.0168	$.91		$.18
1620	Technetium tc99m bicisate	K	3.3106	$179.73		$35.95
1625	Indium 111-in pentetreotide	K	6.8170	$370.09		$74.02
1628	Chromic phosphate p32	K	2.0103	$109.14		$21.83
1716	Brachytx source, Gold 198	K	1.3399	$72.74		$14.55
1718	Brachytx source, Iodine 125	K	0.6695	$36.35		$7.27
1719	Brachytx source, Non-HDR Ir-192	K	0.3053	$16.57		$3.31
1720	Brachytx source, Palladium 103	K	0.8104	$44.00		$8.80
1775	FDG, per dose (4-40 mCi/ml)	K	5.8606	$318.17		$63.63
1783	Ocular implant, aqueous drain device	H
1814	Retinal Tamp, silicone oil	H
1818	Integrated keratoprosthesis	H
1900	Lead coronary venous	H
2614	Probe, percutaneous lumbar disc	H
2616	Brachytx source, Yttrium-90	K	163.4011	$8,870.88		$1,774.18
2632	Brachytx sol, I-125, per mCi	H
7000	Amifostine, 500 mg	K	3.9932	$216.79		$43.36
7011	Oprelvekin injection, 5 mg	K	2.7246	$147.92		$29.58
7015	Busulfan, oral, 2 mg	K	0.0263	$1.43		$.29
7024	Corticorelin ovine triflutat	K	3.4880	$189.36		$37.87
7025	Digoxin immune FAB (ovine)	K	4.4789	$243.16		$48.63
7027	Fomepizole, 15mg	K	0.2215	$12.03		$2.41
7030	Hemin, per 1 mg	K	0.0119	$.65		$.13
7031	Octreotide acetate injection	K	1.0339	$56.13		$11.23
7034	Somatropin injection	K	0.9206	$49.98		$10.00
7035	Teniposide, 50 mg	K	1.5530	$84.31		$16.86
7036	Urokinase 250,000 iu inj	K	5.1032	$277.05		$55.41
7037	Urofollitropin, 75 iu	K	1.1321	$61.46		$12.29
7038	Muromonab-CD3, 5 mg	K	5.8452	$317.33		$63.47
7041	Tirofiban hydrochloride 12.5 mg	K	4.2976	$233.31		$46.66
7042	Capecitabine, oral, 150 mg	K	0.0290	$1.57		$.31
7043	Infliximab injection 10 mg	K	0.6841	$37.14		$7.43
7045	Trimetrexate glucoronate	K	1.2099	$65.68		$13.14
7046	Doxorubicin hcl liposome inj 10 mg	K	4.6362	$251.69		$50.34
7049	Filgrastim 480 mcg injection	K	3.1998	$173.71		$34.74
7051	Leuprolide acetate implant, 65 mg	K	68.9392	$3,742.64		$748.53
9000	Na chromate Cr51, per 0.25mCi	K	1.2631	$68.57		$13.71
9002	Tenecteplase, 50mg/vial	K	23.2303	$1,261.15		$252.23
9003	Palivizumab, per 50mg	K	6.3850	$346.64		$69.33
9004	Gemtuzumab ozogamicin inj,5mg	K	17.5020	$950.17		$190.03
9005	Reteplase injection	K	10.1332	$550.12		$110.02
9009	Baclofen refill kit - per 2000 mcg	K	0.7478	$40.60		$8.12
9010	Baclofen refill kit - per 4000 mcg	K	0.7340	$39.85		$7.97
9012	Arsenic Trioxide	K	0.4837	$26.26		$5.25
9015	Mycophenolate mofetil oral 250 mg	K	0.0373	$2.02		$.40
9018	Botulinum toxin B, per 100 u	K	0.1272	$6.91		$1.38
9019	Caspofungin acetate, 5 mg	K	0.5334	$28.96		$5.79
9020	Sirolimus tablet, oral 1 mg	K	0.0520	$2.82		$.56
9021	Immune globulin 10 mg	K	0.0080	$.43		$.09
9022	IM inj interferon beta 1-a	K	0.9417	$51.12		$10.22
9023	Rho d immune globulin 50 mcg	K	0.0523	$2.84		$.57
9024	Amphotericin b lipid complex	K	0.4174	$22.66		$4.53
9025	Rubidium-Rb-82	K	2.5939	$140.82		$28.16
9100	Iodinated I-131albumin, per 5 uci	K	0.0071	$.39		$.08
9104	Anti-thymocycte globulin rabbit	K	2.9801	$161.79		$32.36
9105	Hep B imm glob, per 1 ml	K	1.5621	$84.80		$16.96
9108	Thyrotropin alfa, per 1.1 mg	K	6.6059	$358.63		$71.73
9109	Tirofiban hcl, per 6.25 mg	K	2.2328	$121.22		$24.24
9110	Alemtuzumab, per 10 mg	K	7.6422	$414.89		$82.98
9111	Inj, bivalirudin, per 250 mg vial	G		$397.81		$59.46
9112	Perflutren lipid micro, per 2ml	G		$148.20		$22.15
9113	Inj, pantoprazole sodium, vial	G		$22.80		$3.41
9114	Nesiritide, per 0.5 mg vial	G		$144.40		$21.58
9115	Inj, zoledronic acid, per 1 mg	G		$203.40		$30.40
9116	Inj, Ertapenem sodium, per 1 gm vial	G		$45.31		$6.77
9117	Y-90 ibritumomab tiuxetan	K	332.7763	$18,066.09		$3,613.22
9118	IN-111 ibritumomab tiuxetan	K	38.3972	$2,084.55		$416.91
9119	Pegfilgrastim, per 1 mg	G		$467.09		$69.82
9120	Inj, Fulvestrant, per 50 mg	G		$175.16		$26.18
9121	Inj, Argatroban, per 5 mg	G		$14.25		$2.13
9122	Inj, Triptorelin pamoate, per 3.75 mg	G		$415.24		$62.07
9200	Orcel, per 36 cm2	G		$1,135.25		$169.69
9201	Dermagraft, per 37.5 sq cm	K	7.9288	$430.45		$86.09
9202	Octafluoropropane	K	2.1253	$115.38		$23.08
9203	Perflexane lipid micro	G		$142.50		$21.30
9204	Ziprasidone mesylate	G		$41.56		$6.21
9205	Oxaliplatin	G		$94.46		$14.12
9217	Leuprolide acetate suspnsion, 7.5 mg	K	5.5128	$299.28		$59.86
9500	Platelets, irradiated	K	1.2398	$67.31		$13.46
9501	Platelets, pheresis	K	6.7772	$367.93		$73.59
9502	Platelet pheresis irradiated	K	7.3552	$399.31		$79.86
9503	Fresh frozen plasma, ea unit	K	1.1560	$62.76		$12.55
9504	RBC deglycerolized	K	3.9764	$215.87		$43.17
9505	RBC irradiated	K	1.8011	$97.78		$19.56
9506	Granulocytes, pheresis	K	20.7004	$1,123.80		$224.76

—————————— CPT codes and descriptions only are copyright American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. Copyright American Dental Association. All rights reserved.

Addendum B.—Payment Status by HCPCS Code and Related Information Calendar Year 2004

CPT/HCPCS	Status indicator	Condition	Description	APC	Relative weight	Payment rate	National unadjusted copayment	Minimum unadjusted copayment
0001T	C		Endovas repr abdo ao aneurys
0002T	C		Endovas repr abdo ao aneurys
0003T	S		Cervicography	1501		$25.00		$5.00
0005T	C		Perc cath stent/brain cv art
0006T	C		Perc cath stent/brain cv art
0007T	C		Perc cath stent/brain cv art
0008T	E		Upper gi endoscopy w/suture
0009T	T		Endometrial cryoablation	1557		$1,850.00		$370.00
00100	N		Anesth, salivary gland
00102	N		Anesth, repair of cleft lip
00103	N		Anesth, blepharoplasty
00104	N		Anesth, electroshock
0010T	A		Tb test, gamma interferon
00120	N		Anesth, ear surgery
00124	N		Anesth, ear exam
00126	N		Anesth, tympanotomy
0012T	T		Osteochondral knee autograft	0041	27.2538	$1,479.58		$295.92
0013T	T		Osteochondral knee allograft	0041	27.2538	$1,479.58		$295.92
00140	N		Anesth, procedures on eye
00142	N		Anesth, lens surgery
00144	N		Anesth, corneal transplant
00145	N		Anesth, vitreoretinal surg
00147	N		Anesth, iridectomy
00148	N		Anesth, eye exam
0014T	T		Meniscal transplant, knee	0041	27.2538	$1,479.58		$295.92
00160	N		Anesth, nose/sinus surgery
00162	N		Anesth, nose/sinus surgery
00164	N		Anesth, biopsy of nose
0016T	T		Thermotx choroid vasc lesion	0235	4.9900	$270.90	$72.04	$54.18
00170	N		Anesth, procedure on mouth
00172	N		Anesth, cleft palate repair
00174	C		Anesth, pharyngeal surgery
00176	C		Anesth, pharyngeal surgery
0017T	E		Photocoagulat macular drusen
0018T	S		Transcranial magnetic stimul	0215	0.6390	$34.69	$15.76	$6.94
00190	N		Anesth, face/skull bone surg
00192	C		Anesth, facial bone surgery
0019T	E		Extracorp shock wave tx, ms
0020T	A		Extracorp shock wave tx, ft
00210	N		Anesth, open head surgery
00212	N		Anesth, skull drainage
00214	C		Anesth, skull drainage
00215	C		Anesth, skull repair/fract
00216	N		Anesth, head vessel surgery
00218	N		Anesth, special head surgery
0021T	C		Fetal oximetry, trnsvag/cerv
00220	N		Anesth, intrcrn nerve
00222	N		Anesth, head nerve surgery
0023T	A		Phenotype drug test, hiv 1
0024T	C		Transcath cardiac reduction
0025T	S		Ultrasonic pachymetry	0230	0.7379	$40.06	$14.97	$8.01
0026T	A		Measure remnant lipoproteins
0027T	T		Endoscopic epidural lysis	1547		$850.00		$170.00
0028T	N		Dexa body composition study
0029T	N		Magnetic tx for incontinence
00300	N		Anesth, head/neck/ptrunk
0030T	A		Antiprothrombin antibody
0031T	N		Speculoscopy
00320	N		Anesth, neck organ surgery
00322	N		Anesth, biopsy of thyroid
00326	N		Anesth, larynx/trach, < 1 yr
0032T	N		Speculoscopy w/direct sample
0033T	C		Endovasc taa repr incl subcl
0034T	C		Endovasc taa repr w/o subcl
00350	N		Anesth, neck vessel surgery
00352	N		Anesth, neck vessel surgery
0035T	C		Insert endovasc prosth, taa
0036T	C		Endovasc prosth, taa, add-on
0037T	C		Artery transpose/endovas taa
0038T	C		Rad endovasc taa rpr w/cover
0039T	C		Rad s/i, endovasc taa repair
00400	N		Anesth, skin, ext/per/atrunk
00402	N		Anesth, surgery of breast
00404	C		Anesth, surgery of breast
00406	C		Anesth, surgery of breast
0040T	C		Rad s/i, endovasc taa prosth
00410	N		Anesth, correct heart rhythm
0041T	A		Detect ur infect agnt w/cpas
0042T	N		Ct perfusion w/contrast, cbf
0043T	A		Co expired gas analysis
0044T	N		Whole body photography
00450	N		Anesth, surgery of shoulder
00452	C		Anesth, surgery of shoulder
00454	N		Anesth, collar bone biopsy
00470	N		Anesth, removal of rib
00472	N		Anesth, chest wall repair
00474	C		Anesth, surgery of rib(s)
00500	N		Anesth, esophageal surgery
00520	N		Anesth, chest procedure
00522	N		Anesth, chest lining biopsy
00524	C		Anesth, chest drainage
00528	N		Anesth, chest partition view
00530	N		Anesth, pacemaker insertion
00532	N		Anesth, vascular access
00534	N		Anesth, cardioverter/defib
00537	N		Anesth, cardiac electrophys
00539	N		Anesth, trach-bronch reconst
00540	C		Anesth, chest surgery
00541	N		Anesth, one lung ventilation
00542	C		Anesth, release of lung
00544	C		Anesth, chest lining removal
00546	C		Anesth, lung,chest wall surg
00548	N		Anesth, trachea,bronchi surg
00550	N		Anesth, sternal debridement
00560	C		Anesth, open heart surgery
00562	C		Anesth, open heart surgery
00563	N		Anesth, heart proc w/pump
00566	N		Anesth, cabg w/o pump
00580	C		Anesth, heart/lung transplnt
00600	N		Anesth, spine, cord surgery
00604	C		Anesth, sitting procedure
00620	N		Anesth, spine, cord surgery
00622	C		Anesth, removal of nerves
00630	N		Anesth, spine, cord surgery
00632	C		Anesth, removal of nerves
00634	C		Anesth for chemonucleolysis
00635	N		Anesth, lumbar puncture
00640	N		Anesth, spine manipulation
00670	C		Anesth, spine, cord surgery
00700	N		Anesth, abdominal wall surg
00702	N		Anesth, for liver biopsy
00730	N		Anesth, abdominal wall surg
00740	N		Anesth, upper gi visualize
00750	N		Anesth, repair of hernia
00752	N		Anesth, repair of hernia
00754	N		Anesth, repair of hernia
00756	N		Anesth, repair of hernia
00770	N		Anesth, blood vessel repair
00790	N		Anesth, surg upper abdomen
00792	C		Anesth, hemorr/excise liver
00794	C		Anesth, pancreas removal
00796	C		Anesth, for liver transplant
00797	N		Anesth, surgery for obesity
00800	N		Anesth, abdominal wall surg
00802	C		Anesth, fat layer removal
00810	N		Anesth, low intestine scope
00820	N		Anesth, abdominal wall surg
00830	N		Anesth, repair of hernia
00832	N		Anesth, repair of hernia
00834	N		Anesth, hernia repair< 1 yr
00836	N		Anesth hernia repair preemie
00840	N		Anesth, surg lower abdomen
00842	N		Anesth, amniocentesis
00844	C		Anesth, pelvis surgery
00846	C		Anesth, hysterectomy
00848	C		Anesth, pelvic organ surg
00851	N		Anesth, tubal ligation
00860	N		Anesth, surgery of abdomen
00862	N		Anesth, kidney/ureter surg
00864	C		Anesth, removal of bladder
00865	C		Anesth, removal of prostate
00866	C		Anesth, removal of adrenal
00868	C		Anesth, kidney transplant
00870	N		Anesth, bladder stone surg
00872	N		Anesth kidney stone destruct
00873	N		Anesth kidney stone destruct
00880	N		Anesth, abdomen vessel surg
00882	C		Anesth, major vein ligation
00902	N		Anesth, anorectal surgery
00904	C		Anesth, perineal surgery
00906	N		Anesth, removal of vulva
00908	C		Anesth, removal of prostate
00910	N		Anesth, bladder surgery
00912	N		Anesth, bladder tumor surg
00914	N		Anesth, removal of prostate
00916	N		Anesth, bleeding control
00918	N		Anesth, stone removal
00920	N		Anesth, genitalia surgery
00921	N		Anesth, vasectomy
00922	N		Anesth, sperm duct surgery
00924	N		Anesth, testis exploration
00926	N		Anesth, removal of testis
00928	C		Anesth, removal of testis
00930	N		Anesth, testis suspension
00932	C		Anesth, amputation of penis
00934	C		Anesth, penis, nodes removal
00936	C		Anesth, penis, nodes removal
00938	N		Anesth, insert penis device
00940	N		Anesth, vaginal procedures
00942	N		Anesth, surg on vag/urethral
00944	C		Anesth, vaginal hysterectomy
00948	N		Anesth, repair of cervix
00950	N		Anesth, vaginal endoscopy
00952	N		Anesth, hysteroscope/graph
01112	N		Anesth, bone aspirate/bx
01120	N		Anesth, pelvis surgery
01130	N		Anesth, body cast procedure
01140	C		Anesth, amputation at pelvis
01150	C		Anesth, pelvic tumor surgery
01160	N		Anesth, pelvis procedure
01170	N		Anesth, pelvis surgery
01180	N		Anesth, pelvis nerve removal
01190	C		Anesth, pelvis nerve removal
01200	N		Anesth, hip joint procedure
01202	N		Anesth, arthroscopy of hip
01210	N		Anesth, hip joint surgery
01212	C		Anesth, hip disarticulation
01214	C		Anesth, hip arthroplasty
01215	N		Anesth, revise hip repair
01220	N		Anesth, procedure on femur
01230	N		Anesth, surgery of femur
01232	C		Anesth, amputation of femur
01234	C		Anesth, radical femur surg
01250	N		Anesth, upper leg surgery
01260	N		Anesth, upper leg veins surg
01270	N		Anesth, thigh arteries surg
01272	C		Anesth, femoral artery surg
01274	C		Anesth, femoral embolectomy
01320	N		Anesth, knee area surgery
01340	N		Anesth, knee area procedure
01360	N		Anesth, knee area surgery
01380	N		Anesth, knee joint procedure
01382	N		Anesth, knee arthroscopy
01390	N		Anesth, knee area procedure
01392	N		Anesth, knee area surgery
01400	N		Anesth, knee joint surgery
01402	C		Anesth, knee arthroplasty
01404	C		Anesth, amputation at knee
01420	N		Anesth, knee joint casting
01430	N		Anesth, knee veins surgery
01432	N		Anesth, knee vessel surg
01440	N		Anesth, knee arteries surg
01442	C		Anesth, knee artery surg
01444	C		Anesth, knee artery repair
01462	N		Anesth, lower leg procedure
01464	N		Anesth, ankle arthroscopy
01470	N		Anesth, lower leg surgery
01472	N		Anesth, achilles tendon surg
01474	N		Anesth, lower leg surgery
01480	N		Anesth, lower leg bone surg
01482	N		Anesth, radical leg surgery
01484	N		Anesth, lower leg revision
01486	C		Anesth, ankle replacement
01490	N		Anesth, lower leg casting
01500	N		Anesth, leg arteries surg
01502	C		Anesth, lwr leg embolectomy
01520	N		Anesth, lower leg vein surg
01522	N		Anesth, lower leg vein surg
01610	N		Anesth, surgery of shoulder
01620	N		Anesth, shoulder procedure
01622	N		Anesth, shoulder arthroscopy
01630	N		Anesth, surgery of shoulder
01632	C		Anesth, surgery of shoulder
01634	C		Anesth, shoulder joint amput
01636	C		Anesth, forequarter amput
01638	C		Anesth, shoulder replacement
01650	N		Anesth, shoulder artery surg
01652	C		Anesth, shoulder vessel surg
01654	C		Anesth, shoulder vessel surg
01656	C		Anesth, arm-leg vessel surg
01670	N		Anesth, shoulder vein surg
01680	N		Anesth, shoulder casting
01682	N		Anesth, airplane cast
01710	N		Anesth, elbow area surgery
01712	N		Anesth, uppr arm tendon surg
01714	N		Anesth, uppr arm tendon surg
01716	N		Anesth, biceps tendon repair
01730	N		Anesth, uppr arm procedure
01732	N		Anesth, elbow arthroscopy
01740	N		Anesth, upper arm surgery
01742	N		Anesth, humerus surgery
01744	N		Anesth, humerus repair
01756	C		Anesth, radical humerus surg
01758	N		Anesth, humeral lesion surg
01760	N		Anesth, elbow replacement
01770	N		Anesth, uppr arm artery surg
01772	N		Anesth, uppr arm embolectomy
01780	N		Anesth, upper arm vein surg
01782	N		Anesth, uppr arm vein repair
01810	N		Anesth, lower arm surgery
01820	N		Anesth, lower arm procedure
01829	N		Anesth, dx wrist arthroscopy
01830	N		Anesth, lower arm surgery
01832	N		Anesth, wrist replacement
01840	N		Anesth, lwr arm artery surg
01842	N		Anesth, lwr arm embolectomy
01844	N		Anesth, vascular shunt surg
01850	N		Anesth, lower arm vein surg
01852	N		Anesth, lwr arm vein repair
01860	N		Anesth, lower arm casting
01905	N		Anes, spine inject, x-ray/re
01916	N		Anesth, dx arteriography
01920	N		Anesth, catheterize heart
01922	N		Anesth, cat or MRI scan
01924	N		Anes, ther interven rad, art
01925	N		Anes, ther interven rad, car
01926	N		Anes, tx interv rad hrt/cran
01930	N		Anes, ther interven rad, vei
01931	N		Anes, ther interven rad, tip
01932	N		Anes, tx interv rad, th vein
01933	N		Anes, tx interv rad, cran v
01951	N		Anesth, burn, less 4 percent
01952	N		Anesth, burn, 4-9 percent
01953	N		Anesth, burn, each 9 percent
01960	N		Anesth, vaginal delivery
01961	N		Anesth, cs delivery
01962	N		Anesth, emer hysterectomy
01963	N		Anesth, cs hysterectomy
01964	N		Anesth, abortion procedures
01967	N		Anesth/analg, vag delivery
01968	N		Anes/analg cs deliver add-on
01969	N		Anesth/analg cs hyst add-on
01990	C		Support for organ donor
01991	N		Anesth, nerve block/inj
01992	N		Anesth, n block/inj, prone
01995	N		Regional anesthesia limb
01996	N		Manage daily drug therapy
01999	N		Unlisted anesth procedure
10021	T		Fna w/o image	0002	1.0937	$59.38		$11.88
10022	T		Fna w/image	0002	1.0937	$59.38		$11.88
10040	T		Acne surgery	0010	0.6806	$36.95	$10.08	$7.39
10060	T		Drainage of skin abscess	0006	1.7487	$94.94	$24.12	$18.99
10061	T		Drainage of skin abscess	0006	1.7487	$94.94	$24.12	$18.99
10080	T		Drainage of pilonidal cyst	0006	1.7487	$94.94	$24.12	$18.99
10081	T		Drainage of pilonidal cyst	0007	11.4943	$624.01		$124.80
10120	T		Remove foreign body	0006	1.7487	$94.94	$24.12	$18.99
10121	T		Remove foreign body	0021	14.5749	$791.26	$219.48	$158.25
10140	T		Drainage of hematoma/fluid	0007	11.4943	$624.01		$124.80
10160	T		Puncture drainage of lesion	0018	0.9567	$51.94	$16.04	$10.39
10180	T		Complex drainage, wound	0007	11.4943	$624.01		$124.80
11000	T		Debride infected skin	0015	1.5832	$85.95	$20.35	$17.19
11001	T		Debride infected skin add-on	0012	0.8203	$44.53	$11.18	$8.91
11010	T		Debride skin, fx	0022	18.6725	$1,013.71	$354.45	$202.74
11011	T		Debride skin/muscle, fx	0022	18.6725	$1,013.71	$354.45	$202.74
11012	T		Debride skin/muscle/bone, fx	0022	18.6725	$1,013.71	$354.45	$202.74
11040	T		Debride skin, partial	0015	1.5832	$85.95	$20.35	$17.19
11041	T		Debride skin, full	0015	1.5832	$85.95	$20.35	$17.19
11042	T		Debride skin/tissue	0016	2.7343	$148.44	$57.31	$29.69
11043	T		Debride tissue/muscle	0016	2.7343	$148.44	$57.31	$29.69
11044	T		Debride tissue/muscle/bone	0682	7.6815	$417.02	$174.57	$83.40
11055	T		Trim skin lesion	0012	0.8203	$44.53	$11.18	$8.91
11056	T		Trim skin lesions, 2 to 4	0012	0.8203	$44.53	$11.18	$8.91
11057	T		Trim skin lesions, over 4	0012	0.8203	$44.53	$11.18	$8.91
11100	T		Biopsy of skin lesion	0018	0.9567	$51.94	$16.04	$10.39
11101	T		Biopsy, skin add-on	0018	0.9567	$51.94	$16.04	$10.39
11200	T		Removal of skin tags	0013	1.1420	$62.00	$14.20	$12.40
11201	T		Remove skin tags add-on	0015	1.5832	$85.95	$20.35	$17.19
11300	T		Shave skin lesion	0012	0.8203	$44.53	$11.18	$8.91
11301	T		Shave skin lesion	0012	0.8203	$44.53	$11.18	$8.91
11302	T		Shave skin lesion	0012	0.8203	$44.53	$11.18	$8.91
11303	T		Shave skin lesion	0015	1.5832	$85.95	$20.35	$17.19
11305	T		Shave skin lesion	0013	1.1420	$62.00	$14.20	$12.40
11306	T		Shave skin lesion	0013	1.1420	$62.00	$14.20	$12.40
11307	T		Shave skin lesion	0013	1.1420	$62.00	$14.20	$12.40
11308	T		Shave skin lesion	0013	1.1420	$62.00	$14.20	$12.40
11310	T		Shave skin lesion	0013	1.1420	$62.00	$14.20	$12.40
11311	T		Shave skin lesion	0013	1.1420	$62.00	$14.20	$12.40
11312	T		Shave skin lesion	0013	1.1420	$62.00	$14.20	$12.40
11313	T		Shave skin lesion	0016	2.7343	$148.44	$57.31	$29.69
11400	T		Removal of skin lesion	0019	3.9807	$216.11	$71.87	$43.22
11401	T		Removal of skin lesion	0019	3.9807	$216.11	$71.87	$43.22
11402	T		Removal of skin lesion	0019	3.9807	$216.11	$71.87	$43.22
11403	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11404	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11406	T		Removal of skin lesion	0021	14.5749	$791.26	$219.48	$158.25
11420	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11421	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11422	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11423	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11424	T		Removal of skin lesion	0021	14.5749	$791.26	$219.48	$158.25
11426	T		Removal of skin lesion	0022	18.6725	$1,013.71	$354.45	$202.74
11440	T		Removal of skin lesion	0019	3.9807	$216.11	$71.87	$43.22
11441	T		Removal of skin lesion	0019	3.9807	$216.11	$71.87	$43.22
11442	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11443	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11444	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11446	T		Removal of skin lesion	0022	18.6725	$1,013.71	$354.45	$202.74
11450	T		Removal, sweat gland lesion	0022	18.6725	$1,013.71	$354.45	$202.74
11451	T		Removal, sweat gland lesion	0022	18.6725	$1,013.71	$354.45	$202.74
11462	T		Removal, sweat gland lesion	0022	18.6725	$1,013.71	$354.45	$202.74
11463	T		Removal, sweat gland lesion	0022	18.6725	$1,013.71	$354.45	$202.74
11470	T		Removal, sweat gland lesion	0022	18.6725	$1,013.71	$354.45	$202.74
11471	T		Removal, sweat gland lesion	0022	18.6725	$1,013.71	$354.45	$202.74
11600	T		Removal of skin lesion	0019	3.9807	$216.11	$71.87	$43.22
11601	T		Removal of skin lesion	0019	3.9807	$216.11	$71.87	$43.22
11602	T		Removal of skin lesion	0019	3.9807	$216.11	$71.87	$43.22
11603	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11604	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11606	T		Removal of skin lesion	0021	14.5749	$791.26	$219.48	$158.25
11620	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11621	T		Removal of skin lesion	0019	3.9807	$216.11	$71.87	$43.22
11622	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11623	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11624	T		Removal of skin lesion	0021	14.5749	$791.26	$219.48	$158.25
11626	T		Removal of skin lesion	0022	18.6725	$1,013.71	$354.45	$202.74
11640	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11641	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11642	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11643	T		Removal of skin lesion	0020	7.3105	$396.88	$113.25	$79.38
11644	T		Removal of skin lesion	0021	14.5749	$791.26	$219.48	$158.25
11646	T		Removal of skin lesion	0022	18.6725	$1,013.71	$354.45	$202.74
11719	T		Trim nail(s)	0009	0.6597	$35.81	$8.34	$7.16
11720	T		Debride nail, 1-5	0009	0.6597	$35.81	$8.34	$7.16
11721	T		Debride nail, 6 or more	0009	0.6597	$35.81	$8.34	$7.16
11730	T		Removal of nail plate	0013	1.1420	$62.00	$14.20	$12.40
11732	T		Remove nail plate, add-on	0012	0.8203	$44.53	$11.18	$8.91
11740	T		Drain blood from under nail	0009	0.6597	$35.81	$8.34	$7.16
11750	T		Removal of nail bed	0019	3.9807	$216.11	$71.87	$43.22
11752	T		Remove nail bed/finger tip	0022	18.6725	$1,013.71	$354.45	$202.74
11755	T		Biopsy, nail unit	0019	3.9807	$216.11	$71.87	$43.22
11760	T		Repair of nail bed	0024	1.7847	$96.89	$34.75	$19.38
11762	T		Reconstruction of nail bed	0024	1.7847	$96.89	$34.75	$19.38
11765	T		Excision of nail fold, toe	0015	1.5832	$85.95	$20.35	$17.19
11770	T		Removal of pilonidal lesion	0022	18.6725	$1,013.71	$354.45	$202.74
11771	T		Removal of pilonidal lesion	0022	18.6725	$1,013.71	$354.45	$202.74
11772	T		Removal of pilonidal lesion	0022	18.6725	$1,013.71	$354.45	$202.74
11900	T		Injection into skin lesions	0012	0.8203	$44.53	$11.18	$8.91
11901	T		Added skin lesions injection	0012	0.8203	$44.53	$11.18	$8.91
11920	T		Correct skin color defects	0024	1.7847	$96.89	$34.75	$19.38
11921	T		Correct skin color defects	0024	1.7847	$96.89	$34.75	$19.38
11922	T		Correct skin color defects	0024	1.7847	$96.89	$34.75	$19.38
11950	T		Therapy for contour defects	0024	1.7847	$96.89	$34.75	$19.38
11951	T		Therapy for contour defects	0024	1.7847	$96.89	$34.75	$19.38
11952	T		Therapy for contour defects	0024	1.7847	$96.89	$34.75	$19.38
11954	T		Therapy for contour defects	0024	1.7847	$96.89	$34.75	$19.38
11960	T		Insert tissue expander(s)	0027	15.8319	$859.50	$329.72	$171.90
11970	T		Replace tissue expander	0027	15.8319	$859.50	$329.72	$171.90
11971	T		Remove tissue expander(s)	0022	18.6725	$1,013.71	$354.45	$202.74
11975	E		Insert contraceptive cap
11976	T		Removal of contraceptive cap	0019	3.9807	$216.11	$71.87	$43.22
11977	E		Removal/reinsert contra cap
11980	X		Implant hormone pellet(s)	0340	0.6232	$33.83		$6.77
11981	X		Insert drug implant device	0340	0.6232	$33.83		$6.77
11982	X		Remove drug implant device	0340	0.6232	$33.83		$6.77
11983	X		Remove/insert drug implant	0340	0.6232	$33.83		$6.77
12001	T		Repair superficial wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12002	T		Repair superficial wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12004	T		Repair superficial wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12005	T		Repair superficial wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12006	T		Repair superficial wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12007	T		Repair superficial wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12011	T		Repair superficial wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12013	T		Repair superficial wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12014	T		Repair superficial wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12015	T		Repair superficial wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12016	T		Repair superficial wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12017	T		Repair superficial wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12018	T		Repair superficial wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12020	T		Closure of split wound	0024	1.7847	$96.89	$34.75	$19.38
12021	T		Closure of split wound	0024	1.7847	$96.89	$34.75	$19.38
12031	T		Layer closure of wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12032	T		Layer closure of wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12034	T		Layer closure of wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12035	T		Layer closure of wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12036	T		Layer closure of wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12037	T		Layer closure of wound(s)	0025	6.2703	$340.41	$115.49	$68.08
12041	T		Layer closure of wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12042	T		Layer closure of wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12044	T		Layer closure of wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12045	T		Layer closure of wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12046	T		Layer closure of wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12047	T		Layer closure of wound(s)	0025	6.2703	$340.41	$115.49	$68.08
12051	T		Layer closure of wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12052	T		Layer closure of wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12053	T		Layer closure of wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12054	T		Layer closure of wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12055	T		Layer closure of wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12056	T		Layer closure of wound(s)	0024	1.7847	$96.89	$34.75	$19.38
12057	T		Layer closure of wound(s)	0025	6.2703	$340.41	$115.49	$68.08
13100	T		Repair of wound or lesion	0025	6.2703	$340.41	$115.49	$68.08
13101	T		Repair of wound or lesion	0025	6.2703	$340.41	$115.49	$68.08
13102	T		Repair wound/lesion add-on	0024	1.7847	$96.89	$34.75	$19.38
13120	T		Repair of wound or lesion	0024	1.7847	$96.89	$34.75	$19.38
13121	T		Repair of wound or lesion	0024	1.7847	$96.89	$34.75	$19.38
13122	T		Repair wound/lesion add-on	0024	1.7847	$96.89	$34.75	$19.38
13131	T		Repair of wound or lesion	0024	1.7847	$96.89	$34.75	$19.38
13132	T		Repair of wound or lesion	0024	1.7847	$96.89	$34.75	$19.38
13133	T		Repair wound/lesion add-on	0024	1.7847	$96.89	$34.75	$19.38
13150	T		Repair of wound or lesion	0025	6.2703	$340.41	$115.49	$68.08
13151	T		Repair of wound or lesion	0024	1.7847	$96.89	$34.75	$19.38
13152	T		Repair of wound or lesion	0025	6.2703	$340.41	$115.49	$68.08
13153	T		Repair wound/lesion add-on	0024	1.7847	$96.89	$34.75	$19.38
13160	T		Late closure of wound	0027	15.8319	$859.50	$329.72	$171.90
14000	T		Skin tissue rearrangement	0027	15.8319	$859.50	$329.72	$171.90
14001	T		Skin tissue rearrangement	0027	15.8319	$859.50	$329.72	$171.90
14020	T		Skin tissue rearrangement	0027	15.8319	$859.50	$329.72	$171.90
14021	T		Skin tissue rearrangement	0027	15.8319	$859.50	$329.72	$171.90
14040	T		Skin tissue rearrangement	0027	15.8319	$859.50	$329.72	$171.90
14041	T		Skin tissue rearrangement	0027	15.8319	$859.50	$329.72	$171.90
14060	T		Skin tissue rearrangement	0027	15.8319	$859.50	$329.72	$171.90
14061	T		Skin tissue rearrangement	0027	15.8319	$859.50	$329.72	$171.90
14300	T		Skin tissue rearrangement	0027	15.8319	$859.50	$329.72	$171.90
14350	T		Skin tissue rearrangement	0027	15.8319	$859.50	$329.72	$171.90
15000	T		Skin graft	0025	6.2703	$340.41	$115.49	$68.08
15001	T		Skin graft add-on	0025	6.2703	$340.41	$115.49	$68.08
15050	T		Skin pinch graft	0025	6.2703	$340.41	$115.49	$68.08
15100	T		Skin split graft	0027	15.8319	$859.50	$329.72	$171.90
15101	T		Skin split graft add-on	0027	15.8319	$859.50	$329.72	$171.90
15120	T		Skin split graft	0027	15.8319	$859.50	$329.72	$171.90
15121	T		Skin split graft add-on	0027	15.8319	$859.50	$329.72	$171.90
15200	T		Skin full graft	0027	15.8319	$859.50	$329.72	$171.90
15201	T		Skin full graft add-on	0025	6.2703	$340.41	$115.49	$68.08
15220	T		Skin full graft	0027	15.8319	$859.50	$329.72	$171.90
15221	T		Skin full graft add-on	0025	6.2703	$340.41	$115.49	$68.08
15240	T		Skin full graft	0027	15.8319	$859.50	$329.72	$171.90
15241	T		Skin full graft add-on	0025	6.2703	$340.41	$115.49	$68.08
15260	T		Skin full graft	0027	15.8319	$859.50	$329.72	$171.90
15261	T		Skin full graft add-on	0025	6.2703	$340.41	$115.49	$68.08
15342	T		Cultured skin graft, 25 cm	0024	1.7847	$96.89	$34.75	$19.38
15343	T		Culture skn graft addl 25 cm	0024	1.7847	$96.89	$34.75	$19.38
15350	T		Skin homograft	0686	17.0868	$927.63	$341.70	$185.53
15351	T		Skin homograft add-on	0027	15.8319	$859.50	$329.72	$171.90
15400	T		Skin heterograft	0025	6.2703	$340.41	$115.49	$68.08
15401	T		Skin heterograft add-on	0025	6.2703	$340.41	$115.49	$68.08
15570	T		Form skin pedicle flap	0027	15.8319	$859.50	$329.72	$171.90
15572	T		Form skin pedicle flap	0027	15.8319	$859.50	$329.72	$171.90
15574	T		Form skin pedicle flap	0027	15.8319	$859.50	$329.72	$171.90
15576	T		Form skin pedicle flap	0027	15.8319	$859.50	$329.72	$171.90
15600	T		Skin graft	0027	15.8319	$859.50	$329.72	$171.90
15610	T		Skin graft	0027	15.8319	$859.50	$329.72	$171.90
15620	T		Skin graft	0027	15.8319	$859.50	$329.72	$171.90
15630	T		Skin graft	0027	15.8319	$859.50	$329.72	$171.90
15650	T		Transfer skin pedicle flap	0027	15.8319	$859.50	$329.72	$171.90
15732	T		Muscle-skin graft, head/neck	0027	15.8319	$859.50	$329.72	$171.90
15734	T		Muscle-skin graft, trunk	0027	15.8319	$859.50	$329.72	$171.90
15736	T		Muscle-skin graft, arm	0027	15.8319	$859.50	$329.72	$171.90
15738	T		Muscle-skin graft, leg	0027	15.8319	$859.50	$329.72	$171.90
15740	T		Island pedicle flap graft	0027	15.8319	$859.50	$329.72	$171.90
15750	T		Neurovascular pedicle graft	0027	15.8319	$859.50	$329.72	$171.90
15756	C		Free muscle flap, microvasc
15757	C		Free skin flap, microvasc
15758	C		Free fascial flap, microvasc
15760	T		Composite skin graft	0027	15.8319	$859.50	$329.72	$171.90
15770	T		Derma-fat-fascia graft	0027	15.8319	$859.50	$329.72	$171.90
15775	T		Hair transplant punch grafts	0025	6.2703	$340.41	$115.49	$68.08
15776	T		Hair transplant punch grafts	0025	6.2703	$340.41	$115.49	$68.08
15780	T		Abrasion treatment of skin	0022	18.6725	$1,013.71	$354.45	$202.74
15781	T		Abrasion treatment of skin	0022	18.6725	$1,013.71	$354.45	$202.74
15782	T		Abrasion treatment of skin	0022	18.6725	$1,013.71	$354.45	$202.74
15783	T		Abrasion treatment of skin	0016	2.7343	$148.44	$57.31	$29.69
15786	T		Abrasion, lesion, single	0012	0.8203	$44.53	$11.18	$8.91
15787	T		Abrasion, lesions, add-on	0013	1.1420	$62.00	$14.20	$12.40
15788	T		Chemical peel, face, epiderm	0012	0.8203	$44.53	$11.18	$8.91
15789	T		Chemical peel, face, dermal	0015	1.5832	$85.95	$20.35	$17.19
15792	T		Chemical peel, nonfacial	0012	0.8203	$44.53	$11.18	$8.91
15793	T		Chemical peel, nonfacial	0012	0.8203	$44.53	$11.18	$8.91
15810	T		Salabrasion	0016	2.7343	$148.44	$57.31	$29.69
15811	T		Salabrasion	0016	2.7343	$148.44	$57.31	$29.69
15819	T		Plastic surgery, neck	0025	6.2703	$340.41	$115.49	$68.08
15820	T		Revision of lower eyelid	0027	15.8319	$859.50	$329.72	$171.90
15821	T		Revision of lower eyelid	0027	15.8319	$859.50	$329.72	$171.90
15822	T		Revision of upper eyelid	0027	15.8319	$859.50	$329.72	$171.90
15823	T		Revision of upper eyelid	0027	15.8319	$859.50	$329.72	$171.90
15824	T		Removal of forehead wrinkles	0027	15.8319	$859.50	$329.72	$171.90
15825	T		Removal of neck wrinkles	0027	15.8319	$859.50	$329.72	$171.90
15826	T		Removal of brow wrinkles	0027	15.8319	$859.50	$329.72	$171.90
15828	T		Removal of face wrinkles	0027	15.8319	$859.50	$329.72	$171.90
15829	T		Removal of skin wrinkles	0027	15.8319	$859.50	$329.72	$171.90
15831	T		Excise excessive skin tissue	0022	18.6725	$1,013.71	$354.45	$202.74
15832	T		Excise excessive skin tissue	0022	18.6725	$1,013.71	$354.45	$202.74
15833	T		Excise excessive skin tissue	0022	18.6725	$1,013.71	$354.45	$202.74
15834	T		Excise excessive skin tissue	0022	18.6725	$1,013.71	$354.45	$202.74
15835	T		Excise excessive skin tissue	0025	6.2703	$340.41	$115.49	$68.08
15836	T		Excise excessive skin tissue	0020	7.3105	$396.88	$113.25	$79.38
15837	T		Excise excessive skin tissue	0020	7.3105	$396.88	$113.25	$79.38
15838	T		Excise excessive skin tissue	0020	7.3105	$396.88	$113.25	$79.38
15839	T		Excise excessive skin tissue	0020	7.3105	$396.88	$113.25	$79.38
15840	T		Graft for face nerve palsy	0027	15.8319	$859.50	$329.72	$171.90
15841	T		Graft for face nerve palsy	0027	15.8319	$859.50	$329.72	$171.90
15842	T		Flap for face nerve palsy	0027	15.8319	$859.50	$329.72	$171.90
15845	T		Skin and muscle repair, face	0027	15.8319	$859.50	$329.72	$171.90
15850	T		Removal of sutures	0016	2.7343	$148.44	$57.31	$29.69
15851	T		Removal of sutures	0012	0.8203	$44.53	$11.18	$8.91
15852	X		Dressing change,not for burn	0340	0.6232	$33.83		$6.77
15860	S		Test for blood flow in graft	1501		$25.00		$5.00
15876	T		Suction assisted lipectomy	0027	15.8319	$859.50	$329.72	$171.90
15877	T		Suction assisted lipectomy	0027	15.8319	$859.50	$329.72	$171.90
15878	T		Suction assisted lipectomy	0027	15.8319	$859.50	$329.72	$171.90
15879	T		Suction assisted lipectomy	0027	15.8319	$859.50	$329.72	$171.90
15920	T		Removal of tail bone ulcer	0022	18.6725	$1,013.71	$354.45	$202.74
15922	T		Removal of tail bone ulcer	0027	15.8319	$859.50	$329.72	$171.90
15931	T		Remove sacrum pressure sore	0022	18.6725	$1,013.71	$354.45	$202.74
15933	T		Remove sacrum pressure sore	0022	18.6725	$1,013.71	$354.45	$202.74
15934	T		Remove sacrum pressure sore	0027	15.8319	$859.50	$329.72	$171.90
15935	T		Remove sacrum pressure sore	0027	15.8319	$859.50	$329.72	$171.90
15936	T		Remove sacrum pressure sore	0027	15.8319	$859.50	$329.72	$171.90
15937	T		Remove sacrum pressure sore	0027	15.8319	$859.50	$329.72	$171.90
15940	T		Remove hip pressure sore	0022	18.6725	$1,013.71	$354.45	$202.74
15941	T		Remove hip pressure sore	0022	18.6725	$1,013.71	$354.45	$202.74
15944	T		Remove hip pressure sore	0027	15.8319	$859.50	$329.72	$171.90
15945	T		Remove hip pressure sore	0027	15.8319	$859.50	$329.72	$171.90
15946	T		Remove hip pressure sore	0027	15.8319	$859.50	$329.72	$171.90
15950	T		Remove thigh pressure sore	0022	18.6725	$1,013.71	$354.45	$202.74
15951	T		Remove thigh pressure sore	0022	18.6725	$1,013.71	$354.45	$202.74
15952	T		Remove thigh pressure sore	0027	15.8319	$859.50	$329.72	$171.90
15953	T		Remove thigh pressure sore	0027	15.8319	$859.50	$329.72	$171.90
15956	T		Remove thigh pressure sore	0027	15.8319	$859.50	$329.72	$171.90
15958	T		Remove thigh pressure sore	0027	15.8319	$859.50	$329.72	$171.90
15999	T		Removal of pressure sore	0022	18.6725	$1,013.71	$354.45	$202.74
16000	T		Initial treatment of burn(s)	0012	0.8203	$44.53	$11.18	$8.91
16010	T		Treatment of burn(s)	0016	2.7343	$148.44	$57.31	$29.69
16015	T		Treatment of burn(s)	0017	16.7332	$908.43	$227.84	$181.69
16020	T		Treatment of burn(s)	0013	1.1420	$62.00	$14.20	$12.40
16025	T		Treatment of burn(s)	0012	0.8203	$44.53	$11.18	$8.91
16030	T		Treatment of burn(s)	0015	1.5832	$85.95	$20.35	$17.19
16035	C		Incision of burn scab, initi
16036	C		Incise burn scab, addl incis
17000	T		Destroy benign/premlg lesion	0010	0.6806	$36.95	$10.08	$7.39
17003	T		Destroy lesions, 2-14	0010	0.6806	$36.95	$10.08	$7.39
17004	T		Destroy lesions, 15 or more	0011	2.1800	$118.35	$27.88	$23.67
17106	T		Destruction of skin lesions	0011	2.1800	$118.35	$27.88	$23.67
17107	T		Destruction of skin lesions	0011	2.1800	$118.35	$27.88	$23.67
17108	T		Destruction of skin lesions	0011	2.1800	$118.35	$27.88	$23.67
17110	T		Destruct lesion, 1-14	0010	0.6806	$36.95	$10.08	$7.39
17111	T		Destruct lesion, 15 or more	0011	2.1800	$118.35	$27.88	$23.67
17250	T		Chemical cautery, tissue	0013	1.1420	$62.00	$14.20	$12.40
17260	T		Destruction of skin lesions	0015	1.5832	$85.95	$20.35	$17.19
17261	T		Destruction of skin lesions	0015	1.5832	$85.95	$20.35	$17.19
17262	T		Destruction of skin lesions	0015	1.5832	$85.95	$20.35	$17.19
17263	T		Destruction of skin lesions	0015	1.5832	$85.95	$20.35	$17.19
17264	T		Destruction of skin lesions	0015	1.5832	$85.95	$20.35	$17.19
17266	T		Destruction of skin lesions	0016	2.7343	$148.44	$57.31	$29.69
17270	T		Destruction of skin lesions	0015	1.5832	$85.95	$20.35	$17.19
17271	T		Destruction of skin lesions	0013	1.1420	$62.00	$14.20	$12.40
17272	T		Destruction of skin lesions	0015	1.5832	$85.95	$20.35	$17.19
17273	T		Destruction of skin lesions	0015	1.5832	$85.95	$20.35	$17.19
17274	T		Destruction of skin lesions	0016	2.7343	$148.44	$57.31	$29.69
17276	T		Destruction of skin lesions	0016	2.7343	$148.44	$57.31	$29.69
17280	T		Destruction of skin lesions	0015	1.5832	$85.95	$20.35	$17.19
17281	T		Destruction of skin lesions	0015	1.5832	$85.95	$20.35	$17.19
17282	T		Destruction of skin lesions	0015	1.5832	$85.95	$20.35	$17.19
17283	T		Destruction of skin lesions	0015	1.5832	$85.95	$20.35	$17.19
17284	T		Destruction of skin lesions	0016	2.7343	$148.44	$57.31	$29.69
17286	T		Destruction of skin lesions	0015	1.5832	$85.95	$20.35	$17.19
17304	T		Chemosurgery of skin lesion	0694	3.3272	$180.63	$72.25	$36.13
17305	T		2 stage mohs, up to 5 spec	0694	3.3272	$180.63	$72.25	$36.13
17306	T		3 stage mohs, up to 5 spec	0694	3.3272	$180.63	$72.25	$36.13
17307	T		Mohs addl stage up to 5 spec	0694	3.3272	$180.63	$72.25	$36.13
17310	T		Extensive skin chemosurgery	0694	3.3272	$180.63	$72.25	$36.13
17340	T		Cryotherapy of skin	0012	0.8203	$44.53	$11.18	$8.91
17360	T		Skin peel therapy	0012	0.8203	$44.53	$11.18	$8.91
17380	T		Hair removal by electrolysis	0012	0.8203	$44.53	$11.18	$8.91
17999	T		Skin tissue procedure	0006	1.7487	$94.94	$24.12	$18.99
19000	T		Drainage of breast lesion	0004	1.5774	$85.64	$22.10	$17.13
19001	T		Drain breast lesion add-on	0004	1.5774	$85.64	$22.10	$17.13
19020	T		Incision of breast lesion	0008	16.8303	$913.70		$182.74
19030	N		Injection for breast x-ray
19100	T		Bx breast percut w/o image	0005	3.3675	$182.82	$71.59	$36.56
19101	T		Biopsy of breast, open	0028	17.7459	$963.41	$303.74	$192.68
19102	T		Bx breast percut w/image	0005	3.3675	$182.82	$71.59	$36.56
19103	T		Bx breast percut w/device	0658	5.6035	$304.21		$60.84
19110	T		Nipple exploration	0028	17.7459	$963.41	$303.74	$192.68
19112	T		Excise breast duct fistula	0028	17.7459	$963.41	$303.74	$192.68
19120	T		Removal of breast lesion	0028	17.7459	$963.41	$303.74	$192.68
19125	T		Excision, breast lesion	0028	17.7459	$963.41	$303.74	$192.68
19126	T		Excision, addl breast lesion	0028	17.7459	$963.41	$303.74	$192.68
19140	T		Removal of breast tissue	0028	17.7459	$963.41	$303.74	$192.68
19160	T		Removal of breast tissue	0028	17.7459	$963.41	$303.74	$192.68
19162	T		Remove breast tissue, nodes	0693	38.6469	$2,098.10	$798.17	$419.62
19180	T		Removal of breast	0029	29.2783	$1,589.49	$632.64	$317.90
19182	T		Removal of breast	0029	29.2783	$1,589.49	$632.64	$317.90
19200	C		Removal of breast
19220	C		Removal of breast
19240	T		Removal of breast	0030	37.2809	$2,023.94	$763.55	$404.79
19260	T		Removal of chest wall lesion	0021	14.5749	$791.26	$219.48	$158.25
19271	C		Revision of chest wall
19272	C		Extensive chest wall surgery
19290	N		Place needle wire, breast
19291	N		Place needle wire, breast
19295	S		Place breast clip, percut	0657	1.5630	$84.85		$16.97
19316	T		Suspension of breast	0029	29.2783	$1,589.49	$632.64	$317.90
19318	T		Reduction of large breast	0693	38.6469	$2,098.10	$798.17	$419.62
19324	T		Enlarge breast	0693	38.6469	$2,098.10	$798.17	$419.62
19325	T		Enlarge breast with implant	0648	55.5345	$3,014.91		$602.98
19328	T		Removal of breast implant	0029	29.2783	$1,589.49	$632.64	$317.90
19330	T		Removal of implant material	0029	29.2783	$1,589.49	$632.64	$317.90
19340	T		Immediate breast prosthesis	0030	37.2809	$2,023.94	$763.55	$404.79
19342	T		Delayed breast prosthesis	0648	55.5345	$3,014.91		$602.98
19350	T		Breast reconstruction	0029	29.2783	$1,589.49	$632.64	$317.90
19355	T		Correct inverted nipple(s)	0029	29.2783	$1,589.49	$632.64	$317.90
19357	T		Breast reconstruction	0648	55.5345	$3,014.91		$602.98
19361	C		Breast reconstruction
19364	C		Breast reconstruction
19366	T		Breast reconstruction	0029	29.2783	$1,589.49	$632.64	$317.90
19367	C		Breast reconstruction
19368	C		Breast reconstruction
19369	C		Breast reconstruction
19370	T		Surgery of breast capsule	0029	29.2783	$1,589.49	$632.64	$317.90
19371	T		Removal of breast capsule	0029	29.2783	$1,589.49	$632.64	$317.90
19380	T		Revise breast reconstruction	0030	37.2809	$2,023.94	$763.55	$404.79
19396	T		Design custom breast implant	0029	29.2783	$1,589.49	$632.64	$317.90
19499	T		Breast surgery procedure	0028	17.7459	$963.41	$303.74	$192.68
20000	T		Incision of abscess	0006	1.7487	$94.94	$24.12	$18.99
20005	T		Incision of deep abscess	0049	19.9376	$1,082.39		$216.48
20100	T		Explore wound, neck	0023	3.1587	$171.48	$40.37	$34.30
20101	T		Explore wound, chest	0027	15.8319	$859.50	$329.72	$171.90
20102	T		Explore wound, abdomen	0027	15.8319	$859.50	$329.72	$171.90
20103	T		Explore wound, extremity	0023	3.1587	$171.48	$40.37	$34.30
20150	T		Excise epiphyseal bar	0051	34.9381	$1,896.75		$379.35
20200	T		Muscle biopsy	0021	14.5749	$791.26	$219.48	$158.25
20205	T		Deep muscle biopsy	0021	14.5749	$791.26	$219.48	$158.25
20206	T		Needle biopsy, muscle	0005	3.3675	$182.82	$71.59	$36.56
20220	T		Bone biopsy, trocar/needle	0019	3.9807	$216.11	$71.87	$43.22
20225	T		Bone biopsy, trocar/needle	0020	7.3105	$396.88	$113.25	$79.38
20240	T		Bone biopsy, excisional	0022	18.6725	$1,013.71	$354.45	$202.74
20245	T		Bone biopsy, excisional	0022	18.6725	$1,013.71	$354.45	$202.74
20250	T		Open bone biopsy	0049	19.9376	$1,082.39		$216.48
20251	T		Open bone biopsy	0049	19.9376	$1,082.39		$216.48
20500	T		Injection of sinus tract	0251	1.8643	$101.21		$20.24
20501	N		Inject sinus tract for x-ray
20520	T		Removal of foreign body	0019	3.9807	$216.11	$71.87	$43.22
20525	T		Removal of foreign body	0022	18.6725	$1,013.71	$354.45	$202.74
20526	T		Ther injection, carp tunnel	0204	2.2209	$120.57	$40.13	$24.11
20550	T		Inject tendon/ligament/cyst	0204	2.2209	$120.57	$40.13	$24.11
20551	T		Inject tendon origin/insert	0204	2.2209	$120.57	$40.13	$24.11
20552	T		Inject trigger point, 1 or 2	0204	2.2209	$120.57	$40.13	$24.11
20553	T		Inject trigger points, > 3	0204	2.2209	$120.57	$40.13	$24.11
20600	T		Drain/inject, joint/bursa	0204	2.2209	$120.57	$40.13	$24.11
20605	T		Drain/inject, joint/bursa	0204	2.2209	$120.57	$40.13	$24.11
20610	T		Drain/inject, joint/bursa	0204	2.2209	$120.57	$40.13	$24.11
20612	T		Aspirate/inj ganglion cyst	0204	2.2209	$120.57	$40.13	$24.11
20615	T		Treatment of bone cyst	0004	1.5774	$85.64	$22.10	$17.13
20650	T		Insert and remove bone pin	0049	19.9376	$1,082.39		$216.48
20660	C		Apply, rem fixation device
20661	C		Application of head brace
20662	C		Application of pelvis brace
20663	C		Application of thigh brace
20664	C		Halo brace application
20665	X		Removal of fixation device	0340	0.6232	$33.83		$6.77
20670	T		Removal of support implant	0021	14.5749	$791.26	$219.48	$158.25
20680	T		Removal of support implant	0022	18.6725	$1,013.71	$354.45	$202.74
20690	T		Apply bone fixation device	0050	25.1166	$1,363.56		$272.71
20692	T		Apply bone fixation device	0050	25.1166	$1,363.56		$272.71
20693	T		Adjust bone fixation device	0049	19.9376	$1,082.39		$216.48
20694	T		Remove bone fixation device	0049	19.9376	$1,082.39		$216.48
20802	C		Replantation, arm, complete
20805	C		Replant forearm, complete
20808	C		Replantation hand, complete
20816	C		Replantation digit, complete
20822	C		Replantation digit, complete
20824	C		Replantation thumb, complete
20827	C		Replantation thumb, complete
20838	C		Replantation foot, complete
20900	T		Removal of bone for graft	0050	25.1166	$1,363.56		$272.71
20902	T		Removal of bone for graft	0050	25.1166	$1,363.56		$272.71
20910	T		Remove cartilage for graft	0027	15.8319	$859.50	$329.72	$171.90
20912	T		Remove cartilage for graft	0027	15.8319	$859.50	$329.72	$171.90
20920	T		Removal of fascia for graft	0027	15.8319	$859.50	$329.72	$171.90
20922	T		Removal of fascia for graft	0027	15.8319	$859.50	$329.72	$171.90
20924	T		Removal of tendon for graft	0050	25.1166	$1,363.56		$272.71
20926	T		Removal of tissue for graft	0027	15.8319	$859.50	$329.72	$171.90
20930	C		Spinal bone allograft
20931	C		Spinal bone allograft
20936	C		Spinal bone autograft
20937	C		Spinal bone autograft
20938	C		Spinal bone autograft
20950	T		Fluid pressure, muscle	0006	1.7487	$94.94	$24.12	$18.99
20955	C		Fibula bone graft, microvasc
20956	C		Iliac bone graft, microvasc
20957	C		Mt bone graft, microvasc
20962	C		Other bone graft, microvasc
20969	C		Bone/skin graft, microvasc
20970	C		Bone/skin graft, iliac crest
20972	C		Bone/skin graft, metatarsal
20973	C		Bone/skin graft, great toe
20974	A		Electrical bone stimulation
20975	T		Electrical bone stimulation	0049	19.9376	$1,082.39		$216.48
20979	A		Us bone stimulation
20999	T		Musculoskeletal surgery	0049	19.9376	$1,082.39		$216.48
21010	T		Incision of jaw joint	0254	21.4368	$1,163.78	$321.35	$232.76
21015	T		Resection of facial tumor	0253	15.1698	$823.55	$282.29	$164.71
21025	T		Excision of bone, lower jaw	0256	35.0866	$1,904.82		$380.96
21026	T		Excision of facial bone(s)	0256	35.0866	$1,904.82		$380.96
21029	T		Contour of face bone lesion	0256	35.0866	$1,904.82		$380.96
21030	T		Removal of face bone lesion	0254	21.4368	$1,163.78	$321.35	$232.76
21031	T		Remove exostosis, mandible	0254	21.4368	$1,163.78	$321.35	$232.76
21032	T		Remove exostosis, maxilla	0254	21.4368	$1,163.78	$321.35	$232.76
21034	T		Removal of face bone lesion	0256	35.0866	$1,904.82		$380.96
21040	T		Removal of jaw bone lesion	0254	21.4368	$1,163.78	$321.35	$232.76
21044	T		Removal of jaw bone lesion	0256	35.0866	$1,904.82		$380.96
21045	C		Extensive jaw surgery
21046	T		Remove mandible cyst complex	0256	35.0866	$1,904.82		$380.96
21047	T		Excise lwr jaw cyst w/repair	0256	35.0866	$1,904.82		$380.96
21048	T		Remove maxilla cyst complex	0256	35.0866	$1,904.82		$380.96
21049	T		Excis uppr jaw cyst w/repair	0256	35.0866	$1,904.82		$380.96
21050	T		Removal of jaw joint	0256	35.0866	$1,904.82		$380.96
21060	T		Remove jaw joint cartilage	0256	35.0866	$1,904.82		$380.96
21070	T		Remove coronoid process	0256	35.0866	$1,904.82		$380.96
21076	T		Prepare face/oral prosthesis	0254	21.4368	$1,163.78	$321.35	$232.76
21077	T		Prepare face/oral prosthesis	0256	35.0866	$1,904.82		$380.96
21079	T		Prepare face/oral prosthesis	0256	35.0866	$1,904.82		$380.96
21080	T		Prepare face/oral prosthesis	0256	35.0866	$1,904.82		$380.96
21081	T		Prepare face/oral prosthesis	0256	35.0866	$1,904.82		$380.96
21082	T		Prepare face/oral prosthesis	0256	35.0866	$1,904.82		$380.96
21083	T		Prepare face/oral prosthesis	0256	35.0866	$1,904.82		$380.96
21084	T		Prepare face/oral prosthesis	0256	35.0866	$1,904.82		$380.96
21085	T		Prepare face/oral prosthesis	0253	15.1698	$823.55	$282.29	$164.71
21086	T		Prepare face/oral prosthesis	0256	35.0866	$1,904.82		$380.96
21087	T		Prepare face/oral prosthesis	0256	35.0866	$1,904.82		$380.96
21088	T		Prepare face/oral prosthesis	0256	35.0866	$1,904.82		$380.96
21089	T		Prepare face/oral prosthesis	0253	15.1698	$823.55	$282.29	$164.71
21100	T		Maxillofacial fixation	0256	35.0866	$1,904.82		$380.96
21110	T		Interdental fixation	0252	6.5416	$355.14	$113.41	$71.03
21116	N		Injection, jaw joint x-ray
21120	T		Reconstruction of chin	0254	21.4368	$1,163.78	$321.35	$232.76
21121	T		Reconstruction of chin	0254	21.4368	$1,163.78	$321.35	$232.76
21122	T		Reconstruction of chin	0254	21.4368	$1,163.78	$321.35	$232.76
21123	T		Reconstruction of chin	0254	21.4368	$1,163.78	$321.35	$232.76
21125	T		Augmentation, lower jaw bone	0254	21.4368	$1,163.78	$321.35	$232.76
21127	T		Augmentation, lower jaw bone	0256	35.0866	$1,904.82		$380.96
21137	T		Reduction of forehead	0254	21.4368	$1,163.78	$321.35	$232.76
21138	T		Reduction of forehead	0256	35.0866	$1,904.82		$380.96
21139	T		Reduction of forehead	0256	35.0866	$1,904.82		$380.96
21141	C		Reconstruct midface, lefort
21142	C		Reconstruct midface, lefort
21143	C		Reconstruct midface, lefort
21145	C		Reconstruct midface, lefort
21146	C		Reconstruct midface, lefort
21147	C		Reconstruct midface, lefort
21150	C		Reconstruct midface, lefort
21151	C		Reconstruct midface, lefort
21154	C		Reconstruct midface, lefort
21155	C		Reconstruct midface, lefort
21159	C		Reconstruct midface, lefort
21160	C		Reconstruct midface, lefort
21172	C		Reconstruct orbit/forehead
21175	C		Reconstruct orbit/forehead
21179	C		Reconstruct entire forehead
21180	C		Reconstruct entire forehead
21181	T		Contour cranial bone lesion	0254	21.4368	$1,163.78	$321.35	$232.76
21182	C		Reconstruct cranial bone
21183	C		Reconstruct cranial bone
21184	C		Reconstruct cranial bone
21188	C		Reconstruction of midface
21193	C		Reconst lwr jaw w/o graft
21194	C		Reconst lwr jaw w/graft
21195	C		Reconst lwr jaw w/o fixation
21196	C		Reconst lwr jaw w/fixation
21198	T		Reconstr lwr jaw segment	0256	35.0866	$1,904.82		$380.96
21199	T		Reconstr lwr jaw w/advance	0256	35.0866	$1,904.82		$380.96
21206	T		Reconstruct upper jaw bone	0256	35.0866	$1,904.82		$380.96
21208	T		Augmentation of facial bones	0256	35.0866	$1,904.82		$380.96
21209	T		Reduction of facial bones	0256	35.0866	$1,904.82		$380.96
21210	T		Face bone graft	0256	35.0866	$1,904.82		$380.96
21215	T		Lower jaw bone graft	0256	35.0866	$1,904.82		$380.96
21230	T		Rib cartilage graft	0256	35.0866	$1,904.82		$380.96
21235	T		Ear cartilage graft	0254	21.4368	$1,163.78	$321.35	$232.76
21240	T		Reconstruction of jaw joint	0256	35.0866	$1,904.82		$380.96
21242	T		Reconstruction of jaw joint	0256	35.0866	$1,904.82		$380.96
21243	T		Reconstruction of jaw joint	0256	35.0866	$1,904.82		$380.96
21244	T		Reconstruction of lower jaw	0256	35.0866	$1,904.82		$380.96
21245	T		Reconstruction of jaw	0256	35.0866	$1,904.82		$380.96
21246	T		Reconstruction of jaw	0256	35.0866	$1,904.82		$380.96
21247	C		Reconstruct lower jaw bone
21248	T		Reconstruction of jaw	0256	35.0866	$1,904.82		$380.96
21249	T		Reconstruction of jaw	0256	35.0866	$1,904.82		$380.96
21255	C		Reconstruct lower jaw bone
21256	C		Reconstruction of orbit
21260	T		Revise eye sockets	0256	35.0866	$1,904.82		$380.96
21261	T		Revise eye sockets	0256	35.0866	$1,904.82		$380.96
21263	T		Revise eye sockets	0256	35.0866	$1,904.82		$380.96
21267	T		Revise eye sockets	0256	35.0866	$1,904.82		$380.96
21268	C		Revise eye sockets
21270	T		Augmentation, cheek bone	0256	35.0866	$1,904.82		$380.96
21275	T		Revision, orbitofacial bones	0256	35.0866	$1,904.82		$380.96
21280	T		Revision of eyelid	0256	35.0866	$1,904.82		$380.96
21282	T		Revision of eyelid	0253	15.1698	$823.55	$282.29	$164.71
21295	T		Revision of jaw muscle/bone	0252	6.5416	$355.14	$113.41	$71.03
21296	T		Revision of jaw muscle/bone	0254	21.4368	$1,163.78	$321.35	$232.76
21299	T		Cranio/maxillofacial surgery	0253	15.1698	$823.55	$282.29	$164.71
21300	T		Treatment of skull fracture	0253	15.1698	$823.55	$282.29	$164.71
21310	X		Treatment of nose fracture	0340	0.6232	$33.83		$6.77
21315	X		Treatment of nose fracture	0340	0.6232	$33.83		$6.77
21320	X		Treatment of nose fracture	0340	0.6232	$33.83		$6.77
21325	T		Treatment of nose fracture	0254	21.4368	$1,163.78	$321.35	$232.76
21330	T		Treatment of nose fracture	0254	21.4368	$1,163.78	$321.35	$232.76
21335	T		Treatment of nose fracture	0254	21.4368	$1,163.78	$321.35	$232.76
21336	T		Treat nasal septal fracture	0046	31.9719	$1,735.72	$535.76	$347.14
21337	T		Treat nasal septal fracture	0253	15.1698	$823.55	$282.29	$164.71
21338	T		Treat nasoethmoid fracture	0254	21.4368	$1,163.78	$321.35	$232.76
21339	T		Treat nasoethmoid fracture	0254	21.4368	$1,163.78	$321.35	$232.76
21340	T		Treatment of nose fracture	0256	35.0866	$1,904.82		$380.96
21343	C		Treatment of sinus fracture
21344	C		Treatment of sinus fracture
21345	T		Treat nose/jaw fracture	0254	21.4368	$1,163.78	$321.35	$232.76
21346	C		Treat nose/jaw fracture
21347	C		Treat nose/jaw fracture
21348	C		Treat nose/jaw fracture
21355	T		Treat cheek bone fracture	0256	35.0866	$1,904.82		$380.96
21356	C		Treat cheek bone fracture
21360	C		Treat cheek bone fracture
21365	C		Treat cheek bone fracture
21366	C		Treat cheek bone fracture
21385	C		Treat eye socket fracture
21386	C		Treat eye socket fracture
21387	C		Treat eye socket fracture
21390	T		Treat eye socket fracture	0256	35.0866	$1,904.82		$380.96
21395	C		Treat eye socket fracture
21400	T		Treat eye socket fracture	0252	6.5416	$355.14	$113.41	$71.03
21401	T		Treat eye socket fracture	0253	15.1698	$823.55	$282.29	$164.71
21406	T		Treat eye socket fracture	0256	35.0866	$1,904.82		$380.96
21407	T		Treat eye socket fracture	0256	35.0866	$1,904.82		$380.96
21408	C		Treat eye socket fracture
21421	T		Treat mouth roof fracture	0254	21.4368	$1,163.78	$321.35	$232.76
21422	C		Treat mouth roof fracture
21423	C		Treat mouth roof fracture
21431	C		Treat craniofacial fracture
21432	C		Treat craniofacial fracture
21433	C		Treat craniofacial fracture
21435	C		Treat craniofacial fracture
21436	C		Treat craniofacial fracture
21440	T		Treat dental ridge fracture	0254	21.4368	$1,163.78	$321.35	$232.76
21445	T		Treat dental ridge fracture	0254	21.4368	$1,163.78	$321.35	$232.76
21450	T		Treat lower jaw fracture	0251	1.8643	$101.21		$20.24
21451	T		Treat lower jaw fracture	0252	6.5416	$355.14	$113.41	$71.03
21452	T		Treat lower jaw fracture	0253	15.1698	$823.55	$282.29	$164.71
21453	T		Treat lower jaw fracture	0256	35.0866	$1,904.82		$380.96
21454	T		Treat lower jaw fracture	0254	21.4368	$1,163.78	$321.35	$232.76
21461	T		Treat lower jaw fracture	0256	35.0866	$1,904.82		$380.96
21462	T		Treat lower jaw fracture	0256	35.0866	$1,904.82		$380.96
21465	T		Treat lower jaw fracture	0256	35.0866	$1,904.82		$380.96
21470	T		Treat lower jaw fracture	0256	35.0866	$1,904.82		$380.96
21480	T		Reset dislocated jaw	0251	1.8643	$101.21		$20.24
21485	T		Reset dislocated jaw	0253	15.1698	$823.55	$282.29	$164.71
21490	T		Repair dislocated jaw	0256	35.0866	$1,904.82		$380.96
21493	T		Treat hyoid bone fracture	0252	6.5416	$355.14	$113.41	$71.03
21494	T		Treat hyoid bone fracture	0252	6.5416	$355.14	$113.41	$71.03
21495	C		Treat hyoid bone fracture
21497	T		Interdental wiring	0253	15.1698	$823.55	$282.29	$164.71
21499	T		Head surgery procedure	0253	15.1698	$823.55	$282.29	$164.71
21501	T		Drain neck/chest lesion	0008	16.8303	$913.70		$182.74
21502	T		Drain chest lesion	0049	19.9376	$1,082.39		$216.48
21510	C		Drainage of bone lesion
21550	T		Biopsy of neck/chest	0021	14.5749	$791.26	$219.48	$158.25
21555	T		Remove lesion, neck/chest	0022	18.6725	$1,013.71	$354.45	$202.74
21556	T		Remove lesion, neck/chest	0022	18.6725	$1,013.71	$354.45	$202.74
21557	C		Remove tumor, neck/chest
21600	T		Partial removal of rib	0050	25.1166	$1,363.56		$272.71
21610	T		Partial removal of rib	0050	25.1166	$1,363.56		$272.71
21615	C		Removal of rib
21616	C		Removal of rib and nerves
21620	C		Partial removal of sternum
21627	C		Sternal debridement
21630	C		Extensive sternum surgery
21632	C		Extensive sternum surgery
21700	T		Revision of neck muscle	0049	19.9376	$1,082.39		$216.48
21705	C		Revision of neck muscle/rib
21720	T		Revision of neck muscle	0049	19.9376	$1,082.39		$216.48
21725	T		Revision of neck muscle	0006	1.7487	$94.94	$24.12	$18.99
21740	C		Reconstruction of sternum
21742	T		Repair stern/nuss w/o scope	0051	34.9381	$1,896.75		$379.35
21743	T		Repair sternum/nuss w/scope	0051	34.9381	$1,896.75		$379.35
21750	C		Repair of sternum separation
21800	T		Treatment of rib fracture	0043	1.9233	$104.41		$20.88
21805	T		Treatment of rib fracture	0046	31.9719	$1,735.72	$535.76	$347.14
21810	C		Treatment of rib fracture(s)
21820	T		Treat sternum fracture	0043	1.9233	$104.41		$20.88
21825	C		Treat sternum fracture
21899	T		Neck/chest surgery procedure	0252	6.5416	$355.14	$113.41	$71.03
21920	T		Biopsy soft tissue of back	0020	7.3105	$396.88	$113.25	$79.38
21925	T		Biopsy soft tissue of back	0022	18.6725	$1,013.71	$354.45	$202.74
21930	T		Remove lesion, back or flank	0022	18.6725	$1,013.71	$354.45	$202.74
21935	T		Remove tumor, back	0022	18.6725	$1,013.71	$354.45	$202.74
22100	T		Remove part of neck vertebra	0208	40.6521	$2,206.96		$441.39
22101	T		Remove part, thorax vertebra	0208	40.6521	$2,206.96		$441.39
22102	T		Remove part, lumbar vertebra	0208	40.6521	$2,206.96		$441.39
22103	T		Remove extra spine segment	0208	40.6521	$2,206.96		$441.39
22110	C		Remove part of neck vertebra
22112	C		Remove part, thorax vertebra
22114	C		Remove part, lumbar vertebra
22116	C		Remove extra spine segment
22210	C		Revision of neck spine
22212	C		Revision of thorax spine
22214	C		Revision of lumbar spine
22216	C		Revise, extra spine segment
22220	C		Revision of neck spine
22222	C		Revision of thorax spine
22224	C		Revision of lumbar spine
22226	C		Revise, extra spine segment
22305	T		Treat spine process fracture	0043	1.9233	$104.41		$20.88
22310	T		Treat spine fracture	0043	1.9233	$104.41		$20.88
22315	T		Treat spine fracture	0043	1.9233	$104.41		$20.88
22318	C		Treat odontoid fx w/o graft
22319	C		Treat odontoid fx w/graft
22325	C		Treat spine fracture
22326	C		Treat neck spine fracture
22327	C		Treat thorax spine fracture
22328	C		Treat each add spine fx
22505	T		Manipulation of spine	0045	13.5546	$735.87	$268.47	$147.17
22520	T		Percut vertebroplasty thor	0050	25.1166	$1,363.56		$272.71
22521	T		Percut vertebroplasty lumb	0050	25.1166	$1,363.56		$272.71
22522	T		Percut vertebroplasty addl	0050	25.1166	$1,363.56		$272.71
22548	C		Neck spine fusion
22554	C		Neck spine fusion
22556	C		Thorax spine fusion
22558	C		Lumbar spine fusion
22585	C		Additional spinal fusion
22590	C		Spine & skull spinal fusion
22595	C		Neck spinal fusion
22600	C		Neck spine fusion
22610	C		Thorax spine fusion
22612	T		Lumbar spine fusion	0208	40.6521	$2,206.96		$441.39
22614	T		Spine fusion, extra segment	0208	40.6521	$2,206.96		$441.39
22630	C		Lumbar spine fusion
22632	C		Spine fusion, extra segment
22800	C		Fusion of spine
22802	C		Fusion of spine
22804	C		Fusion of spine
22808	C		Fusion of spine
22810	C		Fusion of spine
22812	C		Fusion of spine
22818	C		Kyphectomy, 1-2 segments
22819	C		Kyphectomy, 3 or more
22830	C		Exploration of spinal fusion
22840	C		Insert spine fixation device
22841	C		Insert spine fixation device
22842	C		Insert spine fixation device
22843	C		Insert spine fixation device
22844	C		Insert spine fixation device
22845	C		Insert spine fixation device
22846	C		Insert spine fixation device
22847	C		Insert spine fixation device
22848	C		Insert pelv fixation device
22849	C		Reinsert spinal fixation
22850	C		Remove spine fixation device
22851	C		Apply spine prosth device
22852	C		Remove spine fixation device
22855	C		Remove spine fixation device
22899	T		Spine surgery procedure	0043	1.9233	$104.41		$20.88
22900	T		Remove abdominal wall lesion	0022	18.6725	$1,013.71	$354.45	$202.74
22999	T		Abdomen surgery procedure	0022	18.6725	$1,013.71	$354.45	$202.74
23000	T		Removal of calcium deposits	0021	14.5749	$791.26	$219.48	$158.25
23020	T		Release shoulder joint	0051	34.9381	$1,896.75		$379.35
23030	T		Drain shoulder lesion	0008	16.8303	$913.70		$182.74
23031	T		Drain shoulder bursa	0008	16.8303	$913.70		$182.74
23035	T		Drain shoulder bone lesion	0049	19.9376	$1,082.39		$216.48
23040	T		Exploratory shoulder surgery	0050	25.1166	$1,363.56		$272.71
23044	T		Exploratory shoulder surgery	0050	25.1166	$1,363.56		$272.71
23065	T		Biopsy shoulder tissues	0021	14.5749	$791.26	$219.48	$158.25
23066	T		Biopsy shoulder tissues	0022	18.6725	$1,013.71	$354.45	$202.74
23075	T		Removal of shoulder lesion	0021	14.5749	$791.26	$219.48	$158.25
23076	T		Removal of shoulder lesion	0022	18.6725	$1,013.71	$354.45	$202.74
23077	T		Remove tumor of shoulder	0022	18.6725	$1,013.71	$354.45	$202.74
23100	T		Biopsy of shoulder joint	0049	19.9376	$1,082.39		$216.48
23101	T		Shoulder joint surgery	0050	25.1166	$1,363.56		$272.71
23105	T		Remove shoulder joint lining	0050	25.1166	$1,363.56		$272.71
23106	T		Incision of collarbone joint	0050	25.1166	$1,363.56		$272.71
23107	T		Explore treat shoulder joint	0050	25.1166	$1,363.56		$272.71
23120	T		Partial removal, collar bone	0051	34.9381	$1,896.75		$379.35
23125	T		Removal of collar bone	0051	34.9381	$1,896.75		$379.35
23130	T		Remove shoulder bone, part	0051	34.9381	$1,896.75		$379.35
23140	T		Removal of bone lesion	0049	19.9376	$1,082.39		$216.48
23145	T		Removal of bone lesion	0050	25.1166	$1,363.56		$272.71
23146	T		Removal of bone lesion	0050	25.1166	$1,363.56		$272.71
23150	T		Removal of humerus lesion	0050	25.1166	$1,363.56		$272.71
23155	T		Removal of humerus lesion	0050	25.1166	$1,363.56		$272.71
23156	T		Removal of humerus lesion	0050	25.1166	$1,363.56		$272.71
23170	T		Remove collar bone lesion	0050	25.1166	$1,363.56		$272.71
23172	T		Remove shoulder blade lesion	0050	25.1166	$1,363.56		$272.71
23174	T		Remove humerus lesion	0050	25.1166	$1,363.56		$272.71
23180	T		Remove collar bone lesion	0050	25.1166	$1,363.56		$272.71
23182	T		Remove shoulder blade lesion	0050	25.1166	$1,363.56		$272.71
23184	T		Remove humerus lesion	0050	25.1166	$1,363.56		$272.71
23190	T		Partial removal of scapula	0050	25.1166	$1,363.56		$272.71
23195	T		Removal of head of humerus	0050	25.1166	$1,363.56		$272.71
23200	C		Removal of collar bone
23210	C		Removal of shoulder blade
23220	C		Partial removal of humerus
23221	C		Partial removal of humerus
23222	C		Partial removal of humerus
23330	T		Remove shoulder foreign body	0020	7.3105	$396.88	$113.25	$79.38
23331	T		Remove shoulder foreign body	0022	18.6725	$1,013.71	$354.45	$202.74
23332	C		Remove shoulder foreign body
23350	N		Injection for shoulder x-ray
23395	T		Muscle transfer,shoulder/arm	0051	34.9381	$1,896.75		$379.35
23397	T		Muscle transfers	0052	42.6430	$2,315.05		$463.01
23400	T		Fixation of shoulder blade	0050	25.1166	$1,363.56		$272.71
23405	T		Incision of tendon & muscle	0050	25.1166	$1,363.56		$272.71
23406	T		Incise tendon(s) & muscle(s)	0050	25.1166	$1,363.56		$272.71
23410	T		Repair of tendon(s)	0052	42.6430	$2,315.05		$463.01
23412	T		Repair rotator cuff, chronic	0052	42.6430	$2,315.05		$463.01
23415	T		Release of shoulder ligament	0051	34.9381	$1,896.75		$379.35
23420	T		Repair of shoulder	0052	42.6430	$2,315.05		$463.01
23430	T		Repair biceps tendon	0052	42.6430	$2,315.05		$463.01
23440	T		Remove/transplant tendon	0052	42.6430	$2,315.05		$463.01
23450	T		Repair shoulder capsule	0052	42.6430	$2,315.05		$463.01
23455	T		Repair shoulder capsule	0052	42.6430	$2,315.05		$463.01
23460	T		Repair shoulder capsule	0052	42.6430	$2,315.05		$463.01
23462	T		Repair shoulder capsule	0052	42.6430	$2,315.05		$463.01
23465	T		Repair shoulder capsule	0052	42.6430	$2,315.05		$463.01
23466	T		Repair shoulder capsule	0052	42.6430	$2,315.05		$463.01
23470	T		Reconstruct shoulder joint	0048	47.4707	$2,577.14	$695.60	$515.43
23472	C		Reconstruct shoulder joint
23480	T		Revision of collar bone	0051	34.9381	$1,896.75		$379.35
23485	T		Revision of collar bone	0051	34.9381	$1,896.75		$379.35
23490	T		Reinforce clavicle	0051	34.9381	$1,896.75		$379.35
23491	T		Reinforce shoulder bones	0051	34.9381	$1,896.75		$379.35
23500	T		Treat clavicle fracture	0043	1.9233	$104.41		$20.88
23505	T		Treat clavicle fracture	0043	1.9233	$104.41		$20.88
23515	T		Treat clavicle fracture	0046	31.9719	$1,735.72	$535.76	$347.14
23520	T		Treat clavicle dislocation	0043	1.9233	$104.41		$20.88
23525	T		Treat clavicle dislocation	0043	1.9233	$104.41		$20.88
23530	T		Treat clavicle dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
23532	T		Treat clavicle dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
23540	T		Treat clavicle dislocation	0043	1.9233	$104.41		$20.88
23545	T		Treat clavicle dislocation	0043	1.9233	$104.41		$20.88
23550	T		Treat clavicle dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
23552	T		Treat clavicle dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
23570	T		Treat shoulder blade fx	0043	1.9233	$104.41		$20.88
23575	T		Treat shoulder blade fx	0043	1.9233	$104.41		$20.88
23585	T		Treat scapula fracture	0046	31.9719	$1,735.72	$535.76	$347.14
23600	T		Treat humerus fracture	0043	1.9233	$104.41		$20.88
23605	T		Treat humerus fracture	0043	1.9233	$104.41		$20.88
23615	T		Treat humerus fracture	0046	31.9719	$1,735.72	$535.76	$347.14
23616	T		Treat humerus fracture	0046	31.9719	$1,735.72	$535.76	$347.14
23620	T		Treat humerus fracture	0043	1.9233	$104.41		$20.88
23625	T		Treat humerus fracture	0043	1.9233	$104.41		$20.88
23630	T		Treat humerus fracture	0046	31.9719	$1,735.72	$535.76	$347.14
23650	T		Treat shoulder dislocation	0043	1.9233	$104.41		$20.88
23655	T		Treat shoulder dislocation	0045	13.5546	$735.87	$268.47	$147.17
23660	T		Treat shoulder dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
23665	T		Treat dislocation/fracture	0043	1.9233	$104.41		$20.88
23670	T		Treat dislocation/fracture	0046	31.9719	$1,735.72	$535.76	$347.14
23675	T		Treat dislocation/fracture	0043	1.9233	$104.41		$20.88
23680	T		Treat dislocation/fracture	0046	31.9719	$1,735.72	$535.76	$347.14
23700	T		Fixation of shoulder	0045	13.5546	$735.87	$268.47	$147.17
23800	T		Fusion of shoulder joint	0051	34.9381	$1,896.75		$379.35
23802	T		Fusion of shoulder joint	0051	34.9381	$1,896.75		$379.35
23900	C		Amputation of arm & girdle
23920	C		Amputation at shoulder joint
23921	T		Amputation follow-up surgery	0025	6.2703	$340.41	$115.49	$68.08
23929	T		Shoulder surgery procedure	0043	1.9233	$104.41		$20.88
23930	T		Drainage of arm lesion	0008	16.8303	$913.70		$182.74
23931	T		Drainage of arm bursa	0006	1.7487	$94.94	$24.12	$18.99
23935	T		Drain arm/elbow bone lesion	0049	19.9376	$1,082.39		$216.48
24000	T		Exploratory elbow surgery	0050	25.1166	$1,363.56		$272.71
24006	T		Release elbow joint	0050	25.1166	$1,363.56		$272.71
24065	T		Biopsy arm/elbow soft tissue	0021	14.5749	$791.26	$219.48	$158.25
24066	T		Biopsy arm/elbow soft tissue	0021	14.5749	$791.26	$219.48	$158.25
24075	T		Remove arm/elbow lesion	0021	14.5749	$791.26	$219.48	$158.25
24076	T		Remove arm/elbow lesion	0022	18.6725	$1,013.71	$354.45	$202.74
24077	T		Remove tumor of arm/elbow	0022	18.6725	$1,013.71	$354.45	$202.74
24100	T		Biopsy elbow joint lining	0049	19.9376	$1,082.39		$216.48
24101	T		Explore/treat elbow joint	0050	25.1166	$1,363.56		$272.71
24102	T		Remove elbow joint lining	0050	25.1166	$1,363.56		$272.71
24105	T		Removal of elbow bursa	0049	19.9376	$1,082.39		$216.48
24110	T		Remove humerus lesion	0049	19.9376	$1,082.39		$216.48
24115	T		Remove/graft bone lesion	0050	25.1166	$1,363.56		$272.71
24116	T		Remove/graft bone lesion	0050	25.1166	$1,363.56		$272.71
24120	T		Remove elbow lesion	0049	19.9376	$1,082.39		$216.48
24125	T		Remove/graft bone lesion	0050	25.1166	$1,363.56		$272.71
24126	T		Remove/graft bone lesion	0050	25.1166	$1,363.56		$272.71
24130	T		Removal of head of radius	0050	25.1166	$1,363.56		$272.71
24134	T		Removal of arm bone lesion	0050	25.1166	$1,363.56		$272.71
24136	T		Remove radius bone lesion	0050	25.1166	$1,363.56		$272.71
24138	T		Remove elbow bone lesion	0050	25.1166	$1,363.56		$272.71
24140	T		Partial removal of arm bone	0050	25.1166	$1,363.56		$272.71
24145	T		Partial removal of radius	0050	25.1166	$1,363.56		$272.71
24147	T		Partial removal of elbow	0050	25.1166	$1,363.56		$272.71
24149	C		Radical resection of elbow
24150	T		Extensive humerus surgery	0052	42.6430	$2,315.05		$463.01
24151	T		Extensive humerus surgery	0052	42.6430	$2,315.05		$463.01
24152	T		Extensive radius surgery	0052	42.6430	$2,315.05		$463.01
24153	T		Extensive radius surgery	0052	42.6430	$2,315.05		$463.01
24155	T		Removal of elbow joint	0051	34.9381	$1,896.75		$379.35
24160	T		Remove elbow joint implant	0050	25.1166	$1,363.56		$272.71
24164	T		Remove radius head implant	0050	25.1166	$1,363.56		$272.71
24200	T		Removal of arm foreign body	0019	3.9807	$216.11	$71.87	$43.22
24201	T		Removal of arm foreign body	0021	14.5749	$791.26	$219.48	$158.25
24220	N		Injection for elbow x-ray
24300	T		Manipulate elbow w/anesth	0045	13.5546	$735.87	$268.47	$147.17
24301	T		Muscle/tendon transfer	0050	25.1166	$1,363.56		$272.71
24305	T		Arm tendon lengthening	0050	25.1166	$1,363.56		$272.71
24310	T		Revision of arm tendon	0049	19.9376	$1,082.39		$216.48
24320	T		Repair of arm tendon	0051	34.9381	$1,896.75		$379.35
24330	T		Revision of arm muscles	0051	34.9381	$1,896.75		$379.35
24331	T		Revision of arm muscles	0051	34.9381	$1,896.75		$379.35
24332	T		Tenolysis, triceps	0049	19.9376	$1,082.39		$216.48
24340	T		Repair of biceps tendon	0051	34.9381	$1,896.75		$379.35
24341	T		Repair arm tendon/muscle	0051	34.9381	$1,896.75		$379.35
24342	T		Repair of ruptured tendon	0051	34.9381	$1,896.75		$379.35
24343	T		Repr elbow lat ligmnt w/tiss	0050	25.1166	$1,363.56		$272.71
24344	T		Reconstruct elbow lat ligmnt	0051	34.9381	$1,896.75		$379.35
24345	T		Repr elbw med ligmnt w/tissu	0050	25.1166	$1,363.56		$272.71
24346	T		Reconstruct elbow med ligmnt	0051	34.9381	$1,896.75		$379.35
24350	T		Repair of tennis elbow	0050	25.1166	$1,363.56		$272.71
24351	T		Repair of tennis elbow	0050	25.1166	$1,363.56		$272.71
24352	T		Repair of tennis elbow	0050	25.1166	$1,363.56		$272.71
24354	T		Repair of tennis elbow	0050	25.1166	$1,363.56		$272.71
24356	T		Revision of tennis elbow	0050	25.1166	$1,363.56		$272.71
24360	T		Reconstruct elbow joint	0047	30.3786	$1,649.22	$537.03	$329.84
24361	T		Reconstruct elbow joint	0048	47.4707	$2,577.14	$695.60	$515.43
24362	T		Reconstruct elbow joint	0048	47.4707	$2,577.14	$695.60	$515.43
24363	T		Replace elbow joint	0048	47.4707	$2,577.14	$695.60	$515.43
24365	T		Reconstruct head of radius	0047	30.3786	$1,649.22	$537.03	$329.84
24366	T		Reconstruct head of radius	0048	47.4707	$2,577.14	$695.60	$515.43
24400	T		Revision of humerus	0050	25.1166	$1,363.56		$272.71
24410	T		Revision of humerus	0050	25.1166	$1,363.56		$272.71
24420	T		Revision of humerus	0051	34.9381	$1,896.75		$379.35
24430	T		Repair of humerus	0051	34.9381	$1,896.75		$379.35
24435	T		Repair humerus with graft	0051	34.9381	$1,896.75		$379.35
24470	T		Revision of elbow joint	0051	34.9381	$1,896.75		$379.35
24495	T		Decompression of forearm	0050	25.1166	$1,363.56		$272.71
24498	T		Reinforce humerus	0051	34.9381	$1,896.75		$379.35
24500	T		Treat humerus fracture	0043	1.9233	$104.41		$20.88
24505	T		Treat humerus fracture	0043	1.9233	$104.41		$20.88
24515	T		Treat humerus fracture	0046	31.9719	$1,735.72	$535.76	$347.14
24516	T		Treat humerus fracture	0046	31.9719	$1,735.72	$535.76	$347.14
24530	T		Treat humerus fracture	0043	1.9233	$104.41		$20.88
24535	T		Treat humerus fracture	0043	1.9233	$104.41		$20.88
24538	T		Treat humerus fracture	0046	31.9719	$1,735.72	$535.76	$347.14
24545	T		Treat humerus fracture	0046	31.9719	$1,735.72	$535.76	$347.14
24546	T		Treat humerus fracture	0046	31.9719	$1,735.72	$535.76	$347.14
24560	T		Treat humerus fracture	0043	1.9233	$104.41		$20.88
24565	T		Treat humerus fracture	0043	1.9233	$104.41		$20.88
24566	T		Treat humerus fracture	0046	31.9719	$1,735.72	$535.76	$347.14
24575	T		Treat humerus fracture	0046	31.9719	$1,735.72	$535.76	$347.14
24576	T		Treat humerus fracture	0043	1.9233	$104.41		$20.88
24577	T		Treat humerus fracture	0043	1.9233	$104.41		$20.88
24579	T		Treat humerus fracture	0046	31.9719	$1,735.72	$535.76	$347.14
24582	T		Treat humerus fracture	0046	31.9719	$1,735.72	$535.76	$347.14
24586	T		Treat elbow fracture	0046	31.9719	$1,735.72	$535.76	$347.14
24587	T		Treat elbow fracture	0046	31.9719	$1,735.72	$535.76	$347.14
24600	T		Treat elbow dislocation	0043	1.9233	$104.41		$20.88
24605	T		Treat elbow dislocation	0045	13.5546	$735.87	$268.47	$147.17
24615	T		Treat elbow dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
24620	T		Treat elbow fracture	0043	1.9233	$104.41		$20.88
24635	T		Treat elbow fracture	0046	31.9719	$1,735.72	$535.76	$347.14
24640	T		Treat elbow dislocation	0043	1.9233	$104.41		$20.88
24650	T		Treat radius fracture	0043	1.9233	$104.41		$20.88
24655	T		Treat radius fracture	0043	1.9233	$104.41		$20.88
24665	T		Treat radius fracture	0046	31.9719	$1,735.72	$535.76	$347.14
24666	T		Treat radius fracture	0046	31.9719	$1,735.72	$535.76	$347.14
24670	T		Treat ulnar fracture	0043	1.9233	$104.41		$20.88
24675	T		Treat ulnar fracture	0043	1.9233	$104.41		$20.88
24685	T		Treat ulnar fracture	0046	31.9719	$1,735.72	$535.76	$347.14
24800	T		Fusion of elbow joint	0051	34.9381	$1,896.75		$379.35
24802	T		Fusion/graft of elbow joint	0051	34.9381	$1,896.75		$379.35
24900	C		Amputation of upper arm
24920	C		Amputation of upper arm
24925	T		Amputation follow-up surgery	0049	19.9376	$1,082.39		$216.48
24930	C		Amputation follow-up surgery
24931	C		Amputate upper arm & implant
24935	T		Revision of amputation	0052	42.6430	$2,315.05		$463.01
24940	C		Revision of upper arm
24999	T		Upper arm/elbow surgery	0043	1.9233	$104.41		$20.88
25000	T		Incision of tendon sheath	0049	19.9376	$1,082.39		$216.48
25001	T		Incise flexor carpi radialis	0049	19.9376	$1,082.39		$216.48
25020	T		Decompress forearm 1 space	0049	19.9376	$1,082.39		$216.48
25023	T		Decompress forearm 1 space	0050	25.1166	$1,363.56		$272.71
25024	T		Decompress forearm 2 spaces	0050	25.1166	$1,363.56		$272.71
25025	T		Decompress forarm 2 spaces	0050	25.1166	$1,363.56		$272.71
25028	T		Drainage of forearm lesion	0049	19.9376	$1,082.39		$216.48
25031	T		Drainage of forearm bursa	0049	19.9376	$1,082.39		$216.48
25035	T		Treat forearm bone lesion	0049	19.9376	$1,082.39		$216.48
25040	T		Explore/treat wrist joint	0050	25.1166	$1,363.56		$272.71
25065	T		Biopsy forearm soft tissues	0021	14.5749	$791.26	$219.48	$158.25
25066	T		Biopsy forearm soft tissues	0022	18.6725	$1,013.71	$354.45	$202.74
25075	T		Removel forearm lesion subcu	0021	14.5749	$791.26	$219.48	$158.25
25076	T		Removel forearm lesion deep	0022	18.6725	$1,013.71	$354.45	$202.74
25077	T		Remove tumor, forearm/wrist	0022	18.6725	$1,013.71	$354.45	$202.74
25085	T		Incision of wrist capsule	0049	19.9376	$1,082.39		$216.48
25100	T		Biopsy of wrist joint	0049	19.9376	$1,082.39		$216.48
25101	T		Explore/treat wrist joint	0050	25.1166	$1,363.56		$272.71
25105	T		Remove wrist joint lining	0050	25.1166	$1,363.56		$272.71
25107	T		Remove wrist joint cartilage	0050	25.1166	$1,363.56		$272.71
25110	T		Remove wrist tendon lesion	0049	19.9376	$1,082.39		$216.48
25111	T		Remove wrist tendon lesion	0053	14.8188	$804.50	$253.49	$160.90
25112	T		Reremove wrist tendon lesion	0053	14.8188	$804.50	$253.49	$160.90
25115	T		Remove wrist/forearm lesion	0049	19.9376	$1,082.39		$216.48
25116	T		Remove wrist/forearm lesion	0049	19.9376	$1,082.39		$216.48
25118	T		Excise wrist tendon sheath	0050	25.1166	$1,363.56		$272.71
25119	T		Partial removal of ulna	0050	25.1166	$1,363.56		$272.71
25120	T		Removal of forearm lesion	0050	25.1166	$1,363.56		$272.71
25125	T		Remove/graft forearm lesion	0050	25.1166	$1,363.56		$272.71
25126	T		Remove/graft forearm lesion	0050	25.1166	$1,363.56		$272.71
25130	T		Removal of wrist lesion	0050	25.1166	$1,363.56		$272.71
25135	T		Remove & graft wrist lesion	0050	25.1166	$1,363.56		$272.71
25136	T		Remove & graft wrist lesion	0050	25.1166	$1,363.56		$272.71
25145	T		Remove forearm bone lesion	0050	25.1166	$1,363.56		$272.71
25150	T		Partial removal of ulna	0050	25.1166	$1,363.56		$272.71
25151	T		Partial removal of radius	0050	25.1166	$1,363.56		$272.71
25170	T		Extensive forearm surgery	0052	42.6430	$2,315.05		$463.01
25210	T		Removal of wrist bone	0054	24.2685	$1,317.51		$263.50
25215	T		Removal of wrist bones	0054	24.2685	$1,317.51		$263.50
25230	T		Partial removal of radius	0050	25.1166	$1,363.56		$272.71
25240	T		Partial removal of ulna	0050	25.1166	$1,363.56		$272.71
25246	N		Injection for wrist x-ray
25248	T		Remove forearm foreign body	0049	19.9376	$1,082.39		$216.48
25250	T		Removal of wrist prosthesis	0050	25.1166	$1,363.56		$272.71
25251	T		Removal of wrist prosthesis	0050	25.1166	$1,363.56		$272.71
25259	T		Manipulate wrist w/anesthes	0043	1.9233	$104.41		$20.88
25260	T		Repair forearm tendon/muscle	0050	25.1166	$1,363.56		$272.71
25263	T		Repair forearm tendon/muscle	0050	25.1166	$1,363.56		$272.71
25265	T		Repair forearm tendon/muscle	0050	25.1166	$1,363.56		$272.71
25270	T		Repair forearm tendon/muscle	0050	25.1166	$1,363.56		$272.71
25272	T		Repair forearm tendon/muscle	0050	25.1166	$1,363.56		$272.71
25274	T		Repair forearm tendon/muscle	0050	25.1166	$1,363.56		$272.71
25275	T		Repair forearm tendon sheath	0050	25.1166	$1,363.56		$272.71
25280	T		Revise wrist/forearm tendon	0050	25.1166	$1,363.56		$272.71
25290	T		Incise wrist/forearm tendon	0050	25.1166	$1,363.56		$272.71
25295	T		Release wrist/forearm tendon	0049	19.9376	$1,082.39		$216.48
25300	T		Fusion of tendons at wrist	0050	25.1166	$1,363.56		$272.71
25301	T		Fusion of tendons at wrist	0050	25.1166	$1,363.56		$272.71
25310	T		Transplant forearm tendon	0051	34.9381	$1,896.75		$379.35
25312	T		Transplant forearm tendon	0051	34.9381	$1,896.75		$379.35
25315	T		Revise palsy hand tendon(s)	0051	34.9381	$1,896.75		$379.35
25316	T		Revise palsy hand tendon(s)	0051	34.9381	$1,896.75		$379.35
25320	T		Repair/revise wrist joint	0051	34.9381	$1,896.75		$379.35
25332	T		Revise wrist joint	0047	30.3786	$1,649.22	$537.03	$329.84
25335	T		Realignment of hand	0051	34.9381	$1,896.75		$379.35
25337	T		Reconstruct ulna/radioulnar	0051	34.9381	$1,896.75		$379.35
25350	T		Revision of radius	0051	34.9381	$1,896.75		$379.35
25355	T		Revision of radius	0051	34.9381	$1,896.75		$379.35
25360	T		Revision of ulna	0050	25.1166	$1,363.56		$272.71
25365	T		Revise radius & ulna	0050	25.1166	$1,363.56		$272.71
25370	T		Revise radius or ulna	0051	34.9381	$1,896.75		$379.35
25375	T		Revise radius & ulna	0051	34.9381	$1,896.75		$379.35
25390	T		Shorten radius or ulna	0050	25.1166	$1,363.56		$272.71
25391	T		Lengthen radius or ulna	0051	34.9381	$1,896.75		$379.35
25392	T		Shorten radius & ulna	0050	25.1166	$1,363.56		$272.71
25393	T		Lengthen radius & ulna	0051	34.9381	$1,896.75		$379.35
25394	T		Repair carpal bone, shorten	0053	14.8188	$804.50	$253.49	$160.90
25400	T		Repair radius or ulna	0050	25.1166	$1,363.56		$272.71
25405	T		Repair/graft radius or ulna	0050	25.1166	$1,363.56		$272.71
25415	T		Repair radius & ulna	0050	25.1166	$1,363.56		$272.71
25420	T		Repair/graft radius & ulna	0051	34.9381	$1,896.75		$379.35
25425	T		Repair/graft radius or ulna	0051	34.9381	$1,896.75		$379.35
25426	T		Repair/graft radius & ulna	0051	34.9381	$1,896.75		$379.35
25430	T		Vasc graft into carpal bone	0054	24.2685	$1,317.51		$263.50
25431	T		Repair nonunion carpal bone	0054	24.2685	$1,317.51		$263.50
25440	T		Repair/graft wrist bone	0051	34.9381	$1,896.75		$379.35
25441	T		Reconstruct wrist joint	0048	47.4707	$2,577.14	$695.60	$515.43
25442	T		Reconstruct wrist joint	0048	47.4707	$2,577.14	$695.60	$515.43
25443	T		Reconstruct wrist joint	0048	47.4707	$2,577.14	$695.60	$515.43
25444	T		Reconstruct wrist joint	0048	47.4707	$2,577.14	$695.60	$515.43
25445	T		Reconstruct wrist joint	0048	47.4707	$2,577.14	$695.60	$515.43
25446	T		Wrist replacement	0048	47.4707	$2,577.14	$695.60	$515.43
25447	T		Repair wrist joint(s)	0047	30.3786	$1,649.22	$537.03	$329.84
25449	T		Remove wrist joint implant	0047	30.3786	$1,649.22	$537.03	$329.84
25450	T		Revision of wrist joint	0051	34.9381	$1,896.75		$379.35
25455	T		Revision of wrist joint	0051	34.9381	$1,896.75		$379.35
25490	T		Reinforce radius	0051	34.9381	$1,896.75		$379.35
25491	T		Reinforce ulna	0051	34.9381	$1,896.75		$379.35
25492	T		Reinforce radius and ulna	0051	34.9381	$1,896.75		$379.35
25500	T		Treat fracture of radius	0043	1.9233	$104.41		$20.88
25505	T		Treat fracture of radius	0043	1.9233	$104.41		$20.88
25515	T		Treat fracture of radius	0046	31.9719	$1,735.72	$535.76	$347.14
25520	T		Treat fracture of radius	0043	1.9233	$104.41		$20.88
25525	T		Treat fracture of radius	0046	31.9719	$1,735.72	$535.76	$347.14
25526	T		Treat fracture of radius	0046	31.9719	$1,735.72	$535.76	$347.14
25530	T		Treat fracture of ulna	0043	1.9233	$104.41		$20.88
25535	T		Treat fracture of ulna	0043	1.9233	$104.41		$20.88
25545	T		Treat fracture of ulna	0046	31.9719	$1,735.72	$535.76	$347.14
25560	T		Treat fracture radius & ulna	0043	1.9233	$104.41		$20.88
25565	T		Treat fracture radius & ulna	0043	1.9233	$104.41		$20.88
25574	T		Treat fracture radius & ulna	0046	31.9719	$1,735.72	$535.76	$347.14
25575	T		Treat fracture radius/ulna	0046	31.9719	$1,735.72	$535.76	$347.14
25600	T		Treat fracture radius/ulna	0043	1.9233	$104.41		$20.88
25605	T		Treat fracture radius/ulna	0043	1.9233	$104.41		$20.88
25611	T		Treat fracture radius/ulna	0046	31.9719	$1,735.72	$535.76	$347.14
25620	T		Treat fracture radius/ulna	0046	31.9719	$1,735.72	$535.76	$347.14
25622	T		Treat wrist bone fracture	0043	1.9233	$104.41		$20.88
25624	T		Treat wrist bone fracture	0043	1.9233	$104.41		$20.88
25628	T		Treat wrist bone fracture	0046	31.9719	$1,735.72	$535.76	$347.14
25630	T		Treat wrist bone fracture	0043	1.9233	$104.41		$20.88
25635	T		Treat wrist bone fracture	0043	1.9233	$104.41		$20.88
25645	T		Treat wrist bone fracture	0046	31.9719	$1,735.72	$535.76	$347.14
25650	T		Treat wrist bone fracture	0043	1.9233	$104.41		$20.88
25651	T		Pin ulnar styloid fracture	0046	31.9719	$1,735.72	$535.76	$347.14
25652	T		Treat fracture ulnar styloid	0046	31.9719	$1,735.72	$535.76	$347.14
25660	T		Treat wrist dislocation	0043	1.9233	$104.41		$20.88
25670	T		Treat wrist dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
25671	T		Pin radioulnar dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
25675	T		Treat wrist dislocation	0043	1.9233	$104.41		$20.88
25676	T		Treat wrist dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
25680	T		Treat wrist fracture	0043	1.9233	$104.41		$20.88
25685	T		Treat wrist fracture	0046	31.9719	$1,735.72	$535.76	$347.14
25690	T		Treat wrist dislocation	0043	1.9233	$104.41		$20.88
25695	T		Treat wrist dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
25800	T		Fusion of wrist joint	0051	34.9381	$1,896.75		$379.35
25805	T		Fusion/graft of wrist joint	0051	34.9381	$1,896.75		$379.35
25810	T		Fusion/graft of wrist joint	0051	34.9381	$1,896.75		$379.35
25820	T		Fusion of hand bones	0053	14.8188	$804.50	$253.49	$160.90
25825	T		Fuse hand bones with graft	0054	24.2685	$1,317.51		$263.50
25830	T		Fusion, radioulnar jnt/ulna	0051	34.9381	$1,896.75		$379.35
25900	C		Amputation of forearm
25905	C		Amputation of forearm
25907	T		Amputation follow-up surgery	0049	19.9376	$1,082.39		$216.48
25909	C		Amputation follow-up surgery
25915	C		Amputation of forearm
25920	C		Amputate hand at wrist
25922	T		Amputate hand at wrist	0049	19.9376	$1,082.39		$216.48
25924	C		Amputation follow-up surgery
25927	C		Amputation of hand
25929	T		Amputation follow-up surgery	0027	15.8319	$859.50	$329.72	$171.90
25931	C		Amputation follow-up surgery
25999	T		Forearm or wrist surgery	0043	1.9233	$104.41		$20.88
26010	T		Drainage of finger abscess	0006	1.7487	$94.94	$24.12	$18.99
26011	T		Drainage of finger abscess	0007	11.4943	$624.01		$124.80
26020	T		Drain hand tendon sheath	0053	14.8188	$804.50	$253.49	$160.90
26025	T		Drainage of palm bursa	0053	14.8188	$804.50	$253.49	$160.90
26030	T		Drainage of palm bursa(s)	0053	14.8188	$804.50	$253.49	$160.90
26034	T		Treat hand bone lesion	0053	14.8188	$804.50	$253.49	$160.90
26035	T		Decompress fingers/hand	0053	14.8188	$804.50	$253.49	$160.90
26037	T		Decompress fingers/hand	0053	14.8188	$804.50	$253.49	$160.90
26040	T		Release palm contracture	0054	24.2685	$1,317.51		$263.50
26045	T		Release palm contracture	0054	24.2685	$1,317.51		$263.50
26055	T		Incise finger tendon sheath	0053	14.8188	$804.50	$253.49	$160.90
26060	T		Incision of finger tendon	0053	14.8188	$804.50	$253.49	$160.90
26070	T		Explore/treat hand joint	0053	14.8188	$804.50	$253.49	$160.90
26075	T		Explore/treat finger joint	0053	14.8188	$804.50	$253.49	$160.90
26080	T		Explore/treat finger joint	0053	14.8188	$804.50	$253.49	$160.90
26100	T		Biopsy hand joint lining	0053	14.8188	$804.50	$253.49	$160.90
26105	T		Biopsy finger joint lining	0053	14.8188	$804.50	$253.49	$160.90
26110	T		Biopsy finger joint lining	0053	14.8188	$804.50	$253.49	$160.90
26115	T		Removel hand lesion subcut	0022	18.6725	$1,013.71	$354.45	$202.74
26116	T		Removel hand lesion, deep	0022	18.6725	$1,013.71	$354.45	$202.74
26117	T		Remove tumor, hand/finger	0022	18.6725	$1,013.71	$354.45	$202.74
26121	T		Release palm contracture	0054	24.2685	$1,317.51		$263.50
26123	T		Release palm contracture	0054	24.2685	$1,317.51		$263.50
26125	T		Release palm contracture	0054	24.2685	$1,317.51		$263.50
26130	T		Remove wrist joint lining	0053	14.8188	$804.50	$253.49	$160.90
26135	T		Revise finger joint, each	0054	24.2685	$1,317.51		$263.50
26140	T		Revise finger joint, each	0053	14.8188	$804.50	$253.49	$160.90
26145	T		Tendon excision, palm/finger	0053	14.8188	$804.50	$253.49	$160.90
26160	T		Remove tendon sheath lesion	0053	14.8188	$804.50	$253.49	$160.90
26170	T		Removal of palm tendon, each	0053	14.8188	$804.50	$253.49	$160.90
26180	T		Removal of finger tendon	0053	14.8188	$804.50	$253.49	$160.90
26185	T		Remove finger bone	0053	14.8188	$804.50	$253.49	$160.90
26200	T		Remove hand bone lesion	0053	14.8188	$804.50	$253.49	$160.90
26205	T		Remove/graft bone lesion	0054	24.2685	$1,317.51		$263.50
26210	T		Removal of finger lesion	0053	14.8188	$804.50	$253.49	$160.90
26215	T		Remove/graft finger lesion	0053	14.8188	$804.50	$253.49	$160.90
26230	T		Partial removal of hand bone	0053	14.8188	$804.50	$253.49	$160.90
26235	T		Partial removal, finger bone	0053	14.8188	$804.50	$253.49	$160.90
26236	T		Partial removal, finger bone	0053	14.8188	$804.50	$253.49	$160.90
26250	T		Extensive hand surgery	0053	14.8188	$804.50	$253.49	$160.90
26255	T		Extensive hand surgery	0054	24.2685	$1,317.51		$263.50
26260	T		Extensive finger surgery	0053	14.8188	$804.50	$253.49	$160.90
26261	T		Extensive finger surgery	0053	14.8188	$804.50	$253.49	$160.90
26262	T		Partial removal of finger	0053	14.8188	$804.50	$253.49	$160.90
26320	T		Removal of implant from hand	0021	14.5749	$791.26	$219.48	$158.25
26340	T		Manipulate finger w/anesth	0043	1.9233	$104.41		$20.88
26350	T		Repair finger/hand tendon	0054	24.2685	$1,317.51		$263.50
26352	T		Repair/graft hand tendon	0054	24.2685	$1,317.51		$263.50
26356	T		Repair finger/hand tendon	0054	24.2685	$1,317.51		$263.50
26357	T		Repair finger/hand tendon	0054	24.2685	$1,317.51		$263.50
26358	T		Repair/graft hand tendon	0054	24.2685	$1,317.51		$263.50
26370	T		Repair finger/hand tendon	0054	24.2685	$1,317.51		$263.50
26372	T		Repair/graft hand tendon	0054	24.2685	$1,317.51		$263.50
26373	T		Repair finger/hand tendon	0054	24.2685	$1,317.51		$263.50
26390	T		Revise hand/finger tendon	0054	24.2685	$1,317.51		$263.50
26392	T		Repair/graft hand tendon	0054	24.2685	$1,317.51		$263.50
26410	T		Repair hand tendon	0053	14.8188	$804.50	$253.49	$160.90
26412	T		Repair/graft hand tendon	0054	24.2685	$1,317.51		$263.50
26415	T		Excision, hand/finger tendon	0054	24.2685	$1,317.51		$263.50
26416	T		Graft hand or finger tendon	0054	24.2685	$1,317.51		$263.50
26418	T		Repair finger tendon	0053	14.8188	$804.50	$253.49	$160.90
26420	T		Repair/graft finger tendon	0054	24.2685	$1,317.51		$263.50
26426	T		Repair finger/hand tendon	0054	24.2685	$1,317.51		$263.50
26428	T		Repair/graft finger tendon	0054	24.2685	$1,317.51		$263.50
26432	T		Repair finger tendon	0053	14.8188	$804.50	$253.49	$160.90
26433	T		Repair finger tendon	0053	14.8188	$804.50	$253.49	$160.90
26434	T		Repair/graft finger tendon	0054	24.2685	$1,317.51		$263.50
26437	T		Realignment of tendons	0053	14.8188	$804.50	$253.49	$160.90
26440	T		Release palm/finger tendon	0053	14.8188	$804.50	$253.49	$160.90
26442	T		Release palm & finger tendon	0054	24.2685	$1,317.51		$263.50
26445	T		Release hand/finger tendon	0053	14.8188	$804.50	$253.49	$160.90
26449	T		Release forearm/hand tendon	0054	24.2685	$1,317.51		$263.50
26450	T		Incision of palm tendon	0053	14.8188	$804.50	$253.49	$160.90
26455	T		Incision of finger tendon	0053	14.8188	$804.50	$253.49	$160.90
26460	T		Incise hand/finger tendon	0053	14.8188	$804.50	$253.49	$160.90
26471	T		Fusion of finger tendons	0053	14.8188	$804.50	$253.49	$160.90
26474	T		Fusion of finger tendons	0053	14.8188	$804.50	$253.49	$160.90
26476	T		Tendon lengthening	0053	14.8188	$804.50	$253.49	$160.90
26477	T		Tendon shortening	0053	14.8188	$804.50	$253.49	$160.90
26478	T		Lengthening of hand tendon	0053	14.8188	$804.50	$253.49	$160.90
26479	T		Shortening of hand tendon	0053	14.8188	$804.50	$253.49	$160.90
26480	T		Transplant hand tendon	0054	24.2685	$1,317.51		$263.50
26483	T		Transplant/graft hand tendon	0054	24.2685	$1,317.51		$263.50
26485	T		Transplant palm tendon	0054	24.2685	$1,317.51		$263.50
26489	T		Transplant/graft palm tendon	0054	24.2685	$1,317.51		$263.50
26490	T		Revise thumb tendon	0054	24.2685	$1,317.51		$263.50
26492	T		Tendon transfer with graft	0054	24.2685	$1,317.51		$263.50
26494	T		Hand tendon/muscle transfer	0054	24.2685	$1,317.51		$263.50
26496	T		Revise thumb tendon	0054	24.2685	$1,317.51		$263.50
26497	T		Finger tendon transfer	0054	24.2685	$1,317.51		$263.50
26498	T		Finger tendon transfer	0054	24.2685	$1,317.51		$263.50
26499	T		Revision of finger	0054	24.2685	$1,317.51		$263.50
26500	T		Hand tendon reconstruction	0053	14.8188	$804.50	$253.49	$160.90
26502	T		Hand tendon reconstruction	0054	24.2685	$1,317.51		$263.50
26504	T		Hand tendon reconstruction	0054	24.2685	$1,317.51		$263.50
26508	T		Release thumb contracture	0053	14.8188	$804.50	$253.49	$160.90
26510	T		Thumb tendon transfer	0054	24.2685	$1,317.51		$263.50
26516	T		Fusion of knuckle joint	0054	24.2685	$1,317.51		$263.50
26517	T		Fusion of knuckle joints	0054	24.2685	$1,317.51		$263.50
26518	T		Fusion of knuckle joints	0054	24.2685	$1,317.51		$263.50
26520	T		Release knuckle contracture	0053	14.8188	$804.50	$253.49	$160.90
26525	T		Release finger contracture	0053	14.8188	$804.50	$253.49	$160.90
26530	T		Revise knuckle joint	0047	30.3786	$1,649.22	$537.03	$329.84
26531	T		Revise knuckle with implant	0048	47.4707	$2,577.14	$695.60	$515.43
26535	T		Revise finger joint	0047	30.3786	$1,649.22	$537.03	$329.84
26536	T		Revise/implant finger joint	0048	47.4707	$2,577.14	$695.60	$515.43
26540	T		Repair hand joint	0053	14.8188	$804.50	$253.49	$160.90
26541	T		Repair hand joint with graft	0054	24.2685	$1,317.51		$263.50
26542	T		Repair hand joint with graft	0053	14.8188	$804.50	$253.49	$160.90
26545	T		Reconstruct finger joint	0054	24.2685	$1,317.51		$263.50
26546	T		Repair nonunion hand	0054	24.2685	$1,317.51		$263.50
26548	T		Reconstruct finger joint	0054	24.2685	$1,317.51		$263.50
26550	T		Construct thumb replacement	0054	24.2685	$1,317.51		$263.50
26551	C		Great toe-hand transfer
26553	C		Single transfer, toe-hand
26554	C		Double transfer, toe-hand
26555	T		Positional change of finger	0054	24.2685	$1,317.51		$263.50
26556	C		Toe joint transfer
26560	T		Repair of web finger	0053	14.8188	$804.50	$253.49	$160.90
26561	T		Repair of web finger	0054	24.2685	$1,317.51		$263.50
26562	T		Repair of web finger	0054	24.2685	$1,317.51		$263.50
26565	T		Correct metacarpal flaw	0054	24.2685	$1,317.51		$263.50
26567	T		Correct finger deformity	0054	24.2685	$1,317.51		$263.50
26568	T		Lengthen metacarpal/finger	0054	24.2685	$1,317.51		$263.50
26580	T		Repair hand deformity	0054	24.2685	$1,317.51		$263.50
26587	T		Reconstruct extra finger	0053	14.8188	$804.50	$253.49	$160.90
26590	T		Repair finger deformity	0054	24.2685	$1,317.51		$263.50
26591	T		Repair muscles of hand	0054	24.2685	$1,317.51		$263.50
26593	T		Release muscles of hand	0053	14.8188	$804.50	$253.49	$160.90
26596	T		Excision constricting tissue	0054	24.2685	$1,317.51		$263.50
26600	T		Treat metacarpal fracture	0043	1.9233	$104.41		$20.88
26605	T		Treat metacarpal fracture	0043	1.9233	$104.41		$20.88
26607	T		Treat metacarpal fracture	0043	1.9233	$104.41		$20.88
26608	T		Treat metacarpal fracture	0046	31.9719	$1,735.72	$535.76	$347.14
26615	T		Treat metacarpal fracture	0046	31.9719	$1,735.72	$535.76	$347.14
26641	T		Treat thumb dislocation	0043	1.9233	$104.41		$20.88
26645	T		Treat thumb fracture	0043	1.9233	$104.41		$20.88
26650	T		Treat thumb fracture	0046	31.9719	$1,735.72	$535.76	$347.14
26665	T		Treat thumb fracture	0046	31.9719	$1,735.72	$535.76	$347.14
26670	T		Treat hand dislocation	0043	1.9233	$104.41		$20.88
26675	T		Treat hand dislocation	0043	1.9233	$104.41		$20.88
26676	T		Pin hand dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
26685	T		Treat hand dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
26686	T		Treat hand dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
26700	T		Treat knuckle dislocation	0043	1.9233	$104.41		$20.88
26705	T		Treat knuckle dislocation	0043	1.9233	$104.41		$20.88
26706	T		Pin knuckle dislocation	0043	1.9233	$104.41		$20.88
26715	T		Treat knuckle dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
26720	T		Treat finger fracture, each	0043	1.9233	$104.41		$20.88
26725	T		Treat finger fracture, each	0043	1.9233	$104.41		$20.88
26727	T		Treat finger fracture, each	0046	31.9719	$1,735.72	$535.76	$347.14
26735	T		Treat finger fracture, each	0046	31.9719	$1,735.72	$535.76	$347.14
26740	T		Treat finger fracture, each	0043	1.9233	$104.41		$20.88
26742	T		Treat finger fracture, each	0043	1.9233	$104.41		$20.88
26746	T		Treat finger fracture, each	0046	31.9719	$1,735.72	$535.76	$347.14
26750	T		Treat finger fracture, each	0043	1.9233	$104.41		$20.88
26755	T		Treat finger fracture, each	0043	1.9233	$104.41		$20.88
26756	T		Pin finger fracture, each	0046	31.9719	$1,735.72	$535.76	$347.14
26765	T		Treat finger fracture, each	0046	31.9719	$1,735.72	$535.76	$347.14
26770	T		Treat finger dislocation	0043	1.9233	$104.41		$20.88
26775	T		Treat finger dislocation	0045	13.5546	$735.87	$268.47	$147.17
26776	T		Pin finger dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
26785	T		Treat finger dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
26820	T		Thumb fusion with graft	0054	24.2685	$1,317.51		$263.50
26841	T		Fusion of thumb	0054	24.2685	$1,317.51		$263.50
26842	T		Thumb fusion with graft	0054	24.2685	$1,317.51		$263.50
26843	T		Fusion of hand joint	0054	24.2685	$1,317.51		$263.50
26844	T		Fusion/graft of hand joint	0054	24.2685	$1,317.51		$263.50
26850	T		Fusion of knuckle	0054	24.2685	$1,317.51		$263.50
26852	T		Fusion of knuckle with graft	0054	24.2685	$1,317.51		$263.50
26860	T		Fusion of finger joint	0054	24.2685	$1,317.51		$263.50
26861	T		Fusion of finger jnt, add-on	0054	24.2685	$1,317.51		$263.50
26862	T		Fusion/graft of finger joint	0054	24.2685	$1,317.51		$263.50
26863	T		Fuse/graft added joint	0054	24.2685	$1,317.51		$263.50
26910	T		Amputate metacarpal bone	0054	24.2685	$1,317.51		$263.50
26951	T		Amputation of finger/thumb	0053	14.8188	$804.50	$253.49	$160.90
26952	T		Amputation of finger/thumb	0053	14.8188	$804.50	$253.49	$160.90
26989	T		Hand/finger surgery	0043	1.9233	$104.41		$20.88
26990	T		Drainage of pelvis lesion	0049	19.9376	$1,082.39		$216.48
26991	T		Drainage of pelvis bursa	0049	19.9376	$1,082.39		$216.48
26992	C		Drainage of bone lesion
27000	T		Incision of hip tendon	0049	19.9376	$1,082.39		$216.48
27001	T		Incision of hip tendon	0050	25.1166	$1,363.56		$272.71
27003	T		Incision of hip tendon	0050	25.1166	$1,363.56		$272.71
27005	C		Incision of hip tendon
27006	C		Incision of hip tendons
27025	C		Incision of hip/thigh fascia
27030	C		Drainage of hip joint
27033	T		Exploration of hip joint	0051	34.9381	$1,896.75		$379.35
27035	T		Denervation of hip joint	0052	42.6430	$2,315.05		$463.01
27036	C		Excision of hip joint/muscle
27040	T		Biopsy of soft tissues	0021	14.5749	$791.26	$219.48	$158.25
27041	T		Biopsy of soft tissues	0022	18.6725	$1,013.71	$354.45	$202.74
27047	T		Remove hip/pelvis lesion	0022	18.6725	$1,013.71	$354.45	$202.74
27048	T		Remove hip/pelvis lesion	0022	18.6725	$1,013.71	$354.45	$202.74
27049	T		Remove tumor, hip/pelvis	0022	18.6725	$1,013.71	$354.45	$202.74
27050	T		Biopsy of sacroiliac joint	0049	19.9376	$1,082.39		$216.48
27052	T		Biopsy of hip joint	0049	19.9376	$1,082.39		$216.48
27054	C		Removal of hip joint lining
27060	T		Removal of ischial bursa	0049	19.9376	$1,082.39		$216.48
27062	T		Remove femur lesion/bursa	0049	19.9376	$1,082.39		$216.48
27065	T		Removal of hip bone lesion	0049	19.9376	$1,082.39		$216.48
27066	T		Removal of hip bone lesion	0050	25.1166	$1,363.56		$272.71
27067	T		Remove/graft hip bone lesion	0050	25.1166	$1,363.56		$272.71
27070	C		Partial removal of hip bone
27071	C		Partial removal of hip bone
27075	C		Extensive hip surgery
27076	C		Extensive hip surgery
27077	C		Extensive hip surgery
27078	C		Extensive hip surgery
27079	C		Extensive hip surgery
27080	T		Removal of tail bone	0050	25.1166	$1,363.56		$272.71
27086	T		Remove hip foreign body	0020	7.3105	$396.88	$113.25	$79.38
27087	T		Remove hip foreign body	0049	19.9376	$1,082.39		$216.48
27090	C		Removal of hip prosthesis
27091	C		Removal of hip prosthesis
27093	N		Injection for hip x-ray
27095	N		Injection for hip x-ray
27096	E		Inject sacroiliac joint
27097	T		Revision of hip tendon	0050	25.1166	$1,363.56		$272.71
27098	T		Transfer tendon to pelvis	0050	25.1166	$1,363.56		$272.71
27100	T		Transfer of abdominal muscle	0051	34.9381	$1,896.75		$379.35
27105	T		Transfer of spinal muscle	0051	34.9381	$1,896.75		$379.35
27110	T		Transfer of iliopsoas muscle	0051	34.9381	$1,896.75		$379.35
27111	T		Transfer of iliopsoas muscle	0051	34.9381	$1,896.75		$379.35
27120	C		Reconstruction of hip socket
27122	C		Reconstruction of hip socket
27125	C		Partial hip replacement
27130	C		Total hip arthroplasty
27132	C		Total hip arthroplasty
27134	C		Revise hip joint replacement
27137	C		Revise hip joint replacement
27138	C		Revise hip joint replacement
27140	C		Transplant femur ridge
27146	C		Incision of hip bone
27147	C		Revision of hip bone
27151	C		Incision of hip bones
27156	C		Revision of hip bones
27158	C		Revision of pelvis
27161	C		Incision of neck of femur
27165	C		Incision/fixation of femur
27170	C		Repair/graft femur head/neck
27175	C		Treat slipped epiphysis
27176	C		Treat slipped epiphysis
27177	C		Treat slipped epiphysis
27178	C		Treat slipped epiphysis
27179	C		Revise head/neck of femur
27181	C		Treat slipped epiphysis
27185	C		Revision of femur epiphysis
27187	C		Reinforce hip bones
27193	T		Treat pelvic ring fracture	0043	1.9233	$104.41		$20.88
27194	T		Treat pelvic ring fracture	0045	13.5546	$735.87	$268.47	$147.17
27200	T		Treat tail bone fracture	0043	1.9233	$104.41		$20.88
27202	T		Treat tail bone fracture	0046	31.9719	$1,735.72	$535.76	$347.14
27215	C		Treat pelvic fracture(s)
27216	T		Treat pelvic ring fracture	0050	25.1166	$1,363.56		$272.71
27217	C		Treat pelvic ring fracture
27218	C		Treat pelvic ring fracture
27220	T		Treat hip socket fracture	0043	1.9233	$104.41		$20.88
27222	C		Treat hip socket fracture
27226	C		Treat hip wall fracture
27227	C		Treat hip fracture(s)
27228	C		Treat hip fracture(s)
27230	T		Treat thigh fracture	0043	1.9233	$104.41		$20.88
27232	C		Treat thigh fracture
27235	T		Treat thigh fracture	0050	25.1166	$1,363.56		$272.71
27236	C		Treat thigh fracture
27238	T		Treat thigh fracture	0043	1.9233	$104.41		$20.88
27240	C		Treat thigh fracture
27244	C		Treat thigh fracture
27245	C		Treat thigh fracture
27246	T		Treat thigh fracture	0043	1.9233	$104.41		$20.88
27248	C		Treat thigh fracture
27250	T		Treat hip dislocation	0043	1.9233	$104.41		$20.88
27252	T		Treat hip dislocation	0045	13.5546	$735.87	$268.47	$147.17
27253	C		Treat hip dislocation
27254	C		Treat hip dislocation
27256	T		Treat hip dislocation	0043	1.9233	$104.41		$20.88
27257	T		Treat hip dislocation	0045	13.5546	$735.87	$268.47	$147.17
27258	C		Treat hip dislocation
27259	C		Treat hip dislocation
27265	T		Treat hip dislocation	0043	1.9233	$104.41		$20.88
27266	T		Treat hip dislocation	0045	13.5546	$735.87	$268.47	$147.17
27275	T		Manipulation of hip joint	0045	13.5546	$735.87	$268.47	$147.17
27280	C		Fusion of sacroiliac joint
27282	C		Fusion of pubic bones
27284	C		Fusion of hip joint
27286	C		Fusion of hip joint
27290	C		Amputation of leg at hip
27295	C		Amputation of leg at hip
27299	T		Pelvis/hip joint surgery	0043	1.9233	$104.41		$20.88
27301	T		Drain thigh/knee lesion	0008	16.8303	$913.70		$182.74
27303	C		Drainage of bone lesion
27305	T		Incise thigh tendon & fascia	0049	19.9376	$1,082.39		$216.48
27306	T		Incision of thigh tendon	0049	19.9376	$1,082.39		$216.48
27307	T		Incision of thigh tendons	0049	19.9376	$1,082.39		$216.48
27310	T		Exploration of knee joint	0050	25.1166	$1,363.56		$272.71
27315	T		Partial removal, thigh nerve	0220	16.5293	$897.36		$179.47
27320	T		Partial removal, thigh nerve	0220	16.5293	$897.36		$179.47
27323	T		Biopsy, thigh soft tissues	0021	14.5749	$791.26	$219.48	$158.25
27324	T		Biopsy, thigh soft tissues	0022	18.6725	$1,013.71	$354.45	$202.74
27327	T		Removal of thigh lesion	0022	18.6725	$1,013.71	$354.45	$202.74
27328	T		Removal of thigh lesion	0022	18.6725	$1,013.71	$354.45	$202.74
27329	T		Remove tumor, thigh/knee	0022	18.6725	$1,013.71	$354.45	$202.74
27330	T		Biopsy, knee joint lining	0050	25.1166	$1,363.56		$272.71
27331	T		Explore/treat knee joint	0050	25.1166	$1,363.56		$272.71
27332	T		Removal of knee cartilage	0050	25.1166	$1,363.56		$272.71
27333	T		Removal of knee cartilage	0050	25.1166	$1,363.56		$272.71
27334	T		Remove knee joint lining	0050	25.1166	$1,363.56		$272.71
27335	T		Remove knee joint lining	0050	25.1166	$1,363.56		$272.71
27340	T		Removal of kneecap bursa	0049	19.9376	$1,082.39		$216.48
27345	T		Removal of knee cyst	0049	19.9376	$1,082.39		$216.48
27347	T		Remove knee cyst	0049	19.9376	$1,082.39		$216.48
27350	T		Removal of kneecap	0050	25.1166	$1,363.56		$272.71
27355	T		Remove femur lesion	0050	25.1166	$1,363.56		$272.71
27356	T		Remove femur lesion/graft	0050	25.1166	$1,363.56		$272.71
27357	T		Remove femur lesion/graft	0050	25.1166	$1,363.56		$272.71
27358	T		Remove femur lesion/fixation	0050	25.1166	$1,363.56		$272.71
27360	T		Partial removal, leg bone(s)	0050	25.1166	$1,363.56		$272.71
27365	C		Extensive leg surgery
27370	N		Injection for knee x-ray
27372	T		Removal of foreign body	0022	18.6725	$1,013.71	$354.45	$202.74
27380	T		Repair of kneecap tendon	0049	19.9376	$1,082.39		$216.48
27381	T		Repair/graft kneecap tendon	0049	19.9376	$1,082.39		$216.48
27385	T		Repair of thigh muscle	0049	19.9376	$1,082.39		$216.48
27386	T		Repair/graft of thigh muscle	0049	19.9376	$1,082.39		$216.48
27390	T		Incision of thigh tendon	0049	19.9376	$1,082.39		$216.48
27391	T		Incision of thigh tendons	0049	19.9376	$1,082.39		$216.48
27392	T		Incision of thigh tendons	0049	19.9376	$1,082.39		$216.48
27393	T		Lengthening of thigh tendon	0050	25.1166	$1,363.56		$272.71
27394	T		Lengthening of thigh tendons	0050	25.1166	$1,363.56		$272.71
27395	T		Lengthening of thigh tendons	0051	34.9381	$1,896.75		$379.35
27396	T		Transplant of thigh tendon	0050	25.1166	$1,363.56		$272.71
27397	T		Transplants of thigh tendons	0051	34.9381	$1,896.75		$379.35
27400	T		Revise thigh muscles/tendons	0051	34.9381	$1,896.75		$379.35
27403	T		Repair of knee cartilage	0050	25.1166	$1,363.56		$272.71
27405	T		Repair of knee ligament	0051	34.9381	$1,896.75		$379.35
27407	T		Repair of knee ligament	0051	34.9381	$1,896.75		$379.35
27409	T		Repair of knee ligaments	0051	34.9381	$1,896.75		$379.35
27418	T		Repair degenerated kneecap	0051	34.9381	$1,896.75		$379.35
27420	T		Revision of unstable kneecap	0051	34.9381	$1,896.75		$379.35
27422	T		Revision of unstable kneecap	0051	34.9381	$1,896.75		$379.35
27424	T		Revision/removal of kneecap	0051	34.9381	$1,896.75		$379.35
27425	T		Lateral retinacular release	0050	25.1166	$1,363.56		$272.71
27427	T		Reconstruction, knee	0052	42.6430	$2,315.05		$463.01
27428	T		Reconstruction, knee	0052	42.6430	$2,315.05		$463.01
27429	T		Reconstruction, knee	0052	42.6430	$2,315.05		$463.01
27430	T		Revision of thigh muscles	0051	34.9381	$1,896.75		$379.35
27435	T		Incision of knee joint	0051	34.9381	$1,896.75		$379.35
27437	T		Revise kneecap	0047	30.3786	$1,649.22	$537.03	$329.84
27438	T		Revise kneecap with implant	0048	47.4707	$2,577.14	$695.60	$515.43
27440	T		Revision of knee joint	0047	30.3786	$1,649.22	$537.03	$329.84
27441	T		Revision of knee joint	0047	30.3786	$1,649.22	$537.03	$329.84
27442	T		Revision of knee joint	0047	30.3786	$1,649.22	$537.03	$329.84
27443	T		Revision of knee joint	0047	30.3786	$1,649.22	$537.03	$329.84
27445	C		Revision of knee joint
27446	T		Revision of knee joint	0681	96.7483	$5,252.37	$2,090.21	$1,050.47
27447	C		Total knee arthroplasty
27448	C		Incision of thigh
27450	C		Incision of thigh
27454	C		Realignment of thigh bone
27455	C		Realignment of knee
27457	C		Realignment of knee
27465	C		Shortening of thigh bone
27466	C		Lengthening of thigh bone
27468	C		Shorten/lengthen thighs
27470	C		Repair of thigh
27472	C		Repair/graft of thigh
27475	C		Surgery to stop leg growth
27477	C		Surgery to stop leg growth
27479	C		Surgery to stop leg growth
27485	C		Surgery to stop leg growth
27486	C		Revise/replace knee joint
27487	C		Revise/replace knee joint
27488	C		Removal of knee prosthesis
27495	C		Reinforce thigh
27496	T		Decompression of thigh/knee	0049	19.9376	$1,082.39		$216.48
27497	T		Decompression of thigh/knee	0049	19.9376	$1,082.39		$216.48
27498	T		Decompression of thigh/knee	0049	19.9376	$1,082.39		$216.48
27499	T		Decompression of thigh/knee	0049	19.9376	$1,082.39		$216.48
27500	T		Treatment of thigh fracture	0043	1.9233	$104.41		$20.88
27501	T		Treatment of thigh fracture	0043	1.9233	$104.41		$20.88
27502	T		Treatment of thigh fracture	0043	1.9233	$104.41		$20.88
27503	T		Treatment of thigh fracture	0043	1.9233	$104.41		$20.88
27506	C		Treatment of thigh fracture
27507	C		Treatment of thigh fracture
27508	T		Treatment of thigh fracture	0043	1.9233	$104.41		$20.88
27509	T		Treatment of thigh fracture	0046	31.9719	$1,735.72	$535.76	$347.14
27510	T		Treatment of thigh fracture	0043	1.9233	$104.41		$20.88
27511	C		Treatment of thigh fracture
27513	C		Treatment of thigh fracture
27514	C		Treatment of thigh fracture
27516	T		Treat thigh fx growth plate	0043	1.9233	$104.41		$20.88
27517	T		Treat thigh fx growth plate	0043	1.9233	$104.41		$20.88
27519	C		Treat thigh fx growth plate
27520	T		Treat kneecap fracture	0043	1.9233	$104.41		$20.88
27524	T		Treat kneecap fracture	0046	31.9719	$1,735.72	$535.76	$347.14
27530	T		Treat knee fracture	0043	1.9233	$104.41		$20.88
27532	T		Treat knee fracture	0043	1.9233	$104.41		$20.88
27535	C		Treat knee fracture
27536	C		Treat knee fracture
27538	T		Treat knee fracture(s)	0043	1.9233	$104.41		$20.88
27540	C		Treat knee fracture
27550	T		Treat knee dislocation	0043	1.9233	$104.41		$20.88
27552	T		Treat knee dislocation	0045	13.5546	$735.87	$268.47	$147.17
27556	C		Treat knee dislocation
27557	C		Treat knee dislocation
27558	C		Treat knee dislocation
27560	T		Treat kneecap dislocation	0043	1.9233	$104.41		$20.88
27562	T		Treat kneecap dislocation	0045	13.5546	$735.87	$268.47	$147.17
27566	T		Treat kneecap dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
27570	T		Fixation of knee joint	0045	13.5546	$735.87	$268.47	$147.17
27580	C		Fusion of knee
27590	C		Amputate leg at thigh
27591	C		Amputate leg at thigh
27592	C		Amputate leg at thigh
27594	T		Amputation follow-up surgery	0049	19.9376	$1,082.39		$216.48
27596	C		Amputation follow-up surgery
27598	C		Amputate lower leg at knee
27599	T		Leg surgery procedure	0043	1.9233	$104.41		$20.88
27600	T		Decompression of lower leg	0049	19.9376	$1,082.39		$216.48
27601	T		Decompression of lower leg	0049	19.9376	$1,082.39		$216.48
27602	T		Decompression of lower leg	0049	19.9376	$1,082.39		$216.48
27603	T		Drain lower leg lesion	0008	16.8303	$913.70		$182.74
27604	T		Drain lower leg bursa	0049	19.9376	$1,082.39		$216.48
27605	T		Incision of achilles tendon	0055	18.8851	$1,025.25	$355.34	$205.05
27606	T		Incision of achilles tendon	0049	19.9376	$1,082.39		$216.48
27607	T		Treat lower leg bone lesion	0049	19.9376	$1,082.39		$216.48
27610	T		Explore/treat ankle joint	0050	25.1166	$1,363.56		$272.71
27612	T		Exploration of ankle joint	0050	25.1166	$1,363.56		$272.71
27613	T		Biopsy lower leg soft tissue	0020	7.3105	$396.88	$113.25	$79.38
27614	T		Biopsy lower leg soft tissue	0022	18.6725	$1,013.71	$354.45	$202.74
27615	T		Remove tumor, lower leg	0046	31.9719	$1,735.72	$535.76	$347.14
27618	T		Remove lower leg lesion	0021	14.5749	$791.26	$219.48	$158.25
27619	T		Remove lower leg lesion	0022	18.6725	$1,013.71	$354.45	$202.74
27620	T		Explore/treat ankle joint	0050	25.1166	$1,363.56		$272.71
27625	T		Remove ankle joint lining	0050	25.1166	$1,363.56		$272.71
27626	T		Remove ankle joint lining	0050	25.1166	$1,363.56		$272.71
27630	T		Removal of tendon lesion	0049	19.9376	$1,082.39		$216.48
27635	T		Remove lower leg bone lesion	0050	25.1166	$1,363.56		$272.71
27637	T		Remove/graft leg bone lesion	0050	25.1166	$1,363.56		$272.71
27638	T		Remove/graft leg bone lesion	0050	25.1166	$1,363.56		$272.71
27640	T		Partial removal of tibia	0051	34.9381	$1,896.75		$379.35
27641	T		Partial removal of fibula	0050	25.1166	$1,363.56		$272.71
27645	C		Extensive lower leg surgery
27646	C		Extensive lower leg surgery
27647	T		Extensive ankle/heel surgery	0051	34.9381	$1,896.75		$379.35
27648	N		Injection for ankle x-ray
27650	T		Repair achilles tendon	0051	34.9381	$1,896.75		$379.35
27652	T		Repair/graft achilles tendon	0051	34.9381	$1,896.75		$379.35
27654	T		Repair of achilles tendon	0051	34.9381	$1,896.75		$379.35
27656	T		Repair leg fascia defect	0049	19.9376	$1,082.39		$216.48
27658	T		Repair of leg tendon, each	0049	19.9376	$1,082.39		$216.48
27659	T		Repair of leg tendon, each	0049	19.9376	$1,082.39		$216.48
27664	T		Repair of leg tendon, each	0049	19.9376	$1,082.39		$216.48
27665	T		Repair of leg tendon, each	0050	25.1166	$1,363.56		$272.71
27675	T		Repair lower leg tendons	0049	19.9376	$1,082.39		$216.48
27676	T		Repair lower leg tendons	0050	25.1166	$1,363.56		$272.71
27680	T		Release of lower leg tendon	0050	25.1166	$1,363.56		$272.71
27681	T		Release of lower leg tendons	0050	25.1166	$1,363.56		$272.71
27685	T		Revision of lower leg tendon	0050	25.1166	$1,363.56		$272.71
27686	T		Revise lower leg tendons	0050	25.1166	$1,363.56		$272.71
27687	T		Revision of calf tendon	0050	25.1166	$1,363.56		$272.71
27690	T		Revise lower leg tendon	0051	34.9381	$1,896.75		$379.35
27691	T		Revise lower leg tendon	0051	34.9381	$1,896.75		$379.35
27692	T		Revise additional leg tendon	0051	34.9381	$1,896.75		$379.35
27695	T		Repair of ankle ligament	0050	25.1166	$1,363.56		$272.71
27696	T		Repair of ankle ligaments	0050	25.1166	$1,363.56		$272.71
27698	T		Repair of ankle ligament	0050	25.1166	$1,363.56		$272.71
27700	T		Revision of ankle joint	0047	30.3786	$1,649.22	$537.03	$329.84
27702	C		Reconstruct ankle joint
27703	C		Reconstruction, ankle joint
27704	T		Removal of ankle implant	0049	19.9376	$1,082.39		$216.48
27705	T		Incision of tibia	0051	34.9381	$1,896.75		$379.35
27707	T		Incision of fibula	0049	19.9376	$1,082.39		$216.48
27709	T		Incision of tibia & fibula	0050	25.1166	$1,363.56		$272.71
27712	C		Realignment of lower leg
27715	C		Revision of lower leg
27720	C		Repair of tibia
27722	C		Repair/graft of tibia
27724	C		Repair/graft of tibia
27725	C		Repair of lower leg
27727	C		Repair of lower leg
27730	T		Repair of tibia epiphysis	0050	25.1166	$1,363.56		$272.71
27732	T		Repair of fibula epiphysis	0050	25.1166	$1,363.56		$272.71
27734	T		Repair lower leg epiphyses	0050	25.1166	$1,363.56		$272.71
27740	T		Repair of leg epiphyses	0050	25.1166	$1,363.56		$272.71
27742	T		Repair of leg epiphyses	0051	34.9381	$1,896.75		$379.35
27745	T		Reinforce tibia	0051	34.9381	$1,896.75		$379.35
27750	T		Treatment of tibia fracture	0043	1.9233	$104.41		$20.88
27752	T		Treatment of tibia fracture	0043	1.9233	$104.41		$20.88
27756	T		Treatment of tibia fracture	0046	31.9719	$1,735.72	$535.76	$347.14
27758	T		Treatment of tibia fracture	0046	31.9719	$1,735.72	$535.76	$347.14
27759	T		Treatment of tibia fracture	0046	31.9719	$1,735.72	$535.76	$347.14
27760	T		Treatment of ankle fracture	0043	1.9233	$104.41		$20.88
27762	T		Treatment of ankle fracture	0043	1.9233	$104.41		$20.88
27766	T		Treatment of ankle fracture	0046	31.9719	$1,735.72	$535.76	$347.14
27780	T		Treatment of fibula fracture	0043	1.9233	$104.41		$20.88
27781	T		Treatment of fibula fracture	0043	1.9233	$104.41		$20.88
27784	T		Treatment of fibula fracture	0046	31.9719	$1,735.72	$535.76	$347.14
27786	T		Treatment of ankle fracture	0043	1.9233	$104.41		$20.88
27788	T		Treatment of ankle fracture	0043	1.9233	$104.41		$20.88
27792	T		Treatment of ankle fracture	0046	31.9719	$1,735.72	$535.76	$347.14
27808	T		Treatment of ankle fracture	0043	1.9233	$104.41		$20.88
27810	T		Treatment of ankle fracture	0043	1.9233	$104.41		$20.88
27814	T		Treatment of ankle fracture	0046	31.9719	$1,735.72	$535.76	$347.14
27816	T		Treatment of ankle fracture	0043	1.9233	$104.41		$20.88
27818	T		Treatment of ankle fracture	0043	1.9233	$104.41		$20.88
27822	T		Treatment of ankle fracture	0046	31.9719	$1,735.72	$535.76	$347.14
27823	T		Treatment of ankle fracture	0046	31.9719	$1,735.72	$535.76	$347.14
27824	T		Treat lower leg fracture	0043	1.9233	$104.41		$20.88
27825	T		Treat lower leg fracture	0043	1.9233	$104.41		$20.88
27826	T		Treat lower leg fracture	0046	31.9719	$1,735.72	$535.76	$347.14
27827	T		Treat lower leg fracture	0046	31.9719	$1,735.72	$535.76	$347.14
27828	T		Treat lower leg fracture	0046	31.9719	$1,735.72	$535.76	$347.14
27829	T		Treat lower leg joint	0046	31.9719	$1,735.72	$535.76	$347.14
27830	T		Treat lower leg dislocation	0043	1.9233	$104.41		$20.88
27831	T		Treat lower leg dislocation	0043	1.9233	$104.41		$20.88
27832	T		Treat lower leg dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
27840	T		Treat ankle dislocation	0043	1.9233	$104.41		$20.88
27842	T		Treat ankle dislocation	0045	13.5546	$735.87	$268.47	$147.17
27846	T		Treat ankle dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
27848	T		Treat ankle dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
27860	T		Fixation of ankle joint	0045	13.5546	$735.87	$268.47	$147.17
27870	T		Fusion of ankle joint	0051	34.9381	$1,896.75		$379.35
27871	T		Fusion of tibiofibular joint	0051	34.9381	$1,896.75		$379.35
27880	C		Amputation of lower leg
27881	C		Amputation of lower leg
27882	C		Amputation of lower leg
27884	T		Amputation follow-up surgery	0049	19.9376	$1,082.39		$216.48
27886	C		Amputation follow-up surgery
27888	C		Amputation of foot at ankle
27889	T		Amputation of foot at ankle	0050	25.1166	$1,363.56		$272.71
27892	T		Decompression of leg	0049	19.9376	$1,082.39		$216.48
27893	T		Decompression of leg	0049	19.9376	$1,082.39		$216.48
27894	T		Decompression of leg	0049	19.9376	$1,082.39		$216.48
27899	T		Leg/ankle surgery procedure	0043	1.9233	$104.41		$20.88
28001	T		Drainage of bursa of foot	0008	16.8303	$913.70		$182.74
28002	T		Treatment of foot infection	0049	19.9376	$1,082.39		$216.48
28003	T		Treatment of foot infection	0049	19.9376	$1,082.39		$216.48
28005	T		Treat foot bone lesion	0055	18.8851	$1,025.25	$355.34	$205.05
28008	T		Incision of foot fascia	0055	18.8851	$1,025.25	$355.34	$205.05
28010	T		Incision of toe tendon	0055	18.8851	$1,025.25	$355.34	$205.05
28011	T		Incision of toe tendons	0055	18.8851	$1,025.25	$355.34	$205.05
28020	T		Exploration of foot joint	0055	18.8851	$1,025.25	$355.34	$205.05
28022	T		Exploration of foot joint	0055	18.8851	$1,025.25	$355.34	$205.05
28024	T		Exploration of toe joint	0055	18.8851	$1,025.25	$355.34	$205.05
28030	T		Removal of foot nerve	0220	16.5293	$897.36		$179.47
28035	T		Decompression of tibia nerve	0220	16.5293	$897.36		$179.47
28043	T		Excision of foot lesion	0021	14.5749	$791.26	$219.48	$158.25
28045	T		Excision of foot lesion	0055	18.8851	$1,025.25	$355.34	$205.05
28046	T		Resection of tumor, foot	0055	18.8851	$1,025.25	$355.34	$205.05
28050	T		Biopsy of foot joint lining	0055	18.8851	$1,025.25	$355.34	$205.05
28052	T		Biopsy of foot joint lining	0055	18.8851	$1,025.25	$355.34	$205.05
28054	T		Biopsy of toe joint lining	0055	18.8851	$1,025.25	$355.34	$205.05
28060	T		Partial removal, foot fascia	0056	25.1591	$1,365.86	$405.81	$273.17
28062	T		Removal of foot fascia	0056	25.1591	$1,365.86	$405.81	$273.17
28070	T		Removal of foot joint lining	0056	25.1591	$1,365.86	$405.81	$273.17
28072	T		Removal of foot joint lining	0056	25.1591	$1,365.86	$405.81	$273.17
28080	T		Removal of foot lesion	0055	18.8851	$1,025.25	$355.34	$205.05
28086	T		Excise foot tendon sheath	0055	18.8851	$1,025.25	$355.34	$205.05
28088	T		Excise foot tendon sheath	0055	18.8851	$1,025.25	$355.34	$205.05
28090	T		Removal of foot lesion	0055	18.8851	$1,025.25	$355.34	$205.05
28092	T		Removal of toe lesions	0055	18.8851	$1,025.25	$355.34	$205.05
28100	T		Removal of ankle/heel lesion	0055	18.8851	$1,025.25	$355.34	$205.05
28102	T		Remove/graft foot lesion	0056	25.1591	$1,365.86	$405.81	$273.17
28103	T		Remove/graft foot lesion	0056	25.1591	$1,365.86	$405.81	$273.17
28104	T		Removal of foot lesion	0055	18.8851	$1,025.25	$355.34	$205.05
28106	T		Remove/graft foot lesion	0056	25.1591	$1,365.86	$405.81	$273.17
28107	T		Remove/graft foot lesion	0056	25.1591	$1,365.86	$405.81	$273.17
28108	T		Removal of toe lesions	0055	18.8851	$1,025.25	$355.34	$205.05
28110	T		Part removal of metatarsal	0056	25.1591	$1,365.86	$405.81	$273.17
28111	T		Part removal of metatarsal	0055	18.8851	$1,025.25	$355.34	$205.05
28112	T		Part removal of metatarsal	0055	18.8851	$1,025.25	$355.34	$205.05
28113	T		Part removal of metatarsal	0055	18.8851	$1,025.25	$355.34	$205.05
28114	T		Removal of metatarsal heads	0055	18.8851	$1,025.25	$355.34	$205.05
28116	T		Revision of foot	0055	18.8851	$1,025.25	$355.34	$205.05
28118	T		Removal of heel bone	0055	18.8851	$1,025.25	$355.34	$205.05
28119	T		Removal of heel spur	0055	18.8851	$1,025.25	$355.34	$205.05
28120	T		Part removal of ankle/heel	0055	18.8851	$1,025.25	$355.34	$205.05
28122	T		Partial removal of foot bone	0055	18.8851	$1,025.25	$355.34	$205.05
28124	T		Partial removal of toe	0055	18.8851	$1,025.25	$355.34	$205.05
28126	T		Partial removal of toe	0055	18.8851	$1,025.25	$355.34	$205.05
28130	T		Removal of ankle bone	0055	18.8851	$1,025.25	$355.34	$205.05
28140	T		Removal of metatarsal	0055	18.8851	$1,025.25	$355.34	$205.05
28150	T		Removal of toe	0055	18.8851	$1,025.25	$355.34	$205.05
28153	T		Partial removal of toe	0055	18.8851	$1,025.25	$355.34	$205.05
28160	T		Partial removal of toe	0055	18.8851	$1,025.25	$355.34	$205.05
28171	T		Extensive foot surgery	0055	18.8851	$1,025.25	$355.34	$205.05
28173	T		Extensive foot surgery	0055	18.8851	$1,025.25	$355.34	$205.05
28175	T		Extensive foot surgery	0055	18.8851	$1,025.25	$355.34	$205.05
28190	T		Removal of foot foreign body	0019	3.9807	$216.11	$71.87	$43.22
28192	T		Removal of foot foreign body	0021	14.5749	$791.26	$219.48	$158.25
28193	T		Removal of foot foreign body	0021	14.5749	$791.26	$219.48	$158.25
28200	T		Repair of foot tendon	0055	18.8851	$1,025.25	$355.34	$205.05
28202	T		Repair/graft of foot tendon	0056	25.1591	$1,365.86	$405.81	$273.17
28208	T		Repair of foot tendon	0055	18.8851	$1,025.25	$355.34	$205.05
28210	T		Repair/graft of foot tendon	0055	18.8851	$1,025.25	$355.34	$205.05
28220	T		Release of foot tendon	0055	18.8851	$1,025.25	$355.34	$205.05
28222	T		Release of foot tendons	0055	18.8851	$1,025.25	$355.34	$205.05
28225	T		Release of foot tendon	0055	18.8851	$1,025.25	$355.34	$205.05
28226	T		Release of foot tendons	0055	18.8851	$1,025.25	$355.34	$205.05
28230	T		Incision of foot tendon(s)	0055	18.8851	$1,025.25	$355.34	$205.05
28232	T		Incision of toe tendon	0055	18.8851	$1,025.25	$355.34	$205.05
28234	T		Incision of foot tendon	0055	18.8851	$1,025.25	$355.34	$205.05
28238	T		Revision of foot tendon	0056	25.1591	$1,365.86	$405.81	$273.17
28240	T		Release of big toe	0055	18.8851	$1,025.25	$355.34	$205.05
28250	T		Revision of foot fascia	0056	25.1591	$1,365.86	$405.81	$273.17
28260	T		Release of midfoot joint	0056	25.1591	$1,365.86	$405.81	$273.17
28261	T		Revision of foot tendon	0056	25.1591	$1,365.86	$405.81	$273.17
28262	T		Revision of foot and ankle	0056	25.1591	$1,365.86	$405.81	$273.17
28264	T		Release of midfoot joint	0056	25.1591	$1,365.86	$405.81	$273.17
28270	T		Release of foot contracture	0055	18.8851	$1,025.25	$355.34	$205.05
28272	T		Release of toe joint, each	0055	18.8851	$1,025.25	$355.34	$205.05
28280	T		Fusion of toes	0055	18.8851	$1,025.25	$355.34	$205.05
28285	T		Repair of hammertoe	0055	18.8851	$1,025.25	$355.34	$205.05
28286	T		Repair of hammertoe	0055	18.8851	$1,025.25	$355.34	$205.05
28288	T		Partial removal of foot bone	0056	25.1591	$1,365.86	$405.81	$273.17
28289	T		Repair hallux rigidus	0056	25.1591	$1,365.86	$405.81	$273.17
28290	T		Correction of bunion	0056	25.1591	$1,365.86	$405.81	$273.17
28292	T		Correction of bunion	0057	25.4248	$1,380.29	$475.91	$276.06
28293	T		Correction of bunion	0057	25.4248	$1,380.29	$475.91	$276.06
28294	T		Correction of bunion	0056	25.1591	$1,365.86	$405.81	$273.17
28296	T		Correction of bunion	0056	25.1591	$1,365.86	$405.81	$273.17
28297	T		Correction of bunion	0057	25.4248	$1,380.29	$475.91	$276.06
28298	T		Correction of bunion	0056	25.1591	$1,365.86	$405.81	$273.17
28299	T		Correction of bunion	0057	25.4248	$1,380.29	$475.91	$276.06
28300	T		Incision of heel bone	0056	25.1591	$1,365.86	$405.81	$273.17
28302	T		Incision of ankle bone	0056	25.1591	$1,365.86	$405.81	$273.17
28304	T		Incision of midfoot bones	0056	25.1591	$1,365.86	$405.81	$273.17
28305	T		Incise/graft midfoot bones	0056	25.1591	$1,365.86	$405.81	$273.17
28306	T		Incision of metatarsal	0056	25.1591	$1,365.86	$405.81	$273.17
28307	T		Incision of metatarsal	0056	25.1591	$1,365.86	$405.81	$273.17
28308	T		Incision of metatarsal	0056	25.1591	$1,365.86	$405.81	$273.17
28309	T		Incision of metatarsals	0056	25.1591	$1,365.86	$405.81	$273.17
28310	T		Revision of big toe	0055	18.8851	$1,025.25	$355.34	$205.05
28312	T		Revision of toe	0055	18.8851	$1,025.25	$355.34	$205.05
28313	T		Repair deformity of toe	0055	18.8851	$1,025.25	$355.34	$205.05
28315	T		Removal of sesamoid bone	0055	18.8851	$1,025.25	$355.34	$205.05
28320	T		Repair of foot bones	0056	25.1591	$1,365.86	$405.81	$273.17
28322	T		Repair of metatarsals	0056	25.1591	$1,365.86	$405.81	$273.17
28340	T		Resect enlarged toe tissue	0055	18.8851	$1,025.25	$355.34	$205.05
28341	T		Resect enlarged toe	0055	18.8851	$1,025.25	$355.34	$205.05
28344	T		Repair extra toe(s)	0056	25.1591	$1,365.86	$405.81	$273.17
28345	T		Repair webbed toe(s)	0056	25.1591	$1,365.86	$405.81	$273.17
28360	T		Reconstruct cleft foot	0056	25.1591	$1,365.86	$405.81	$273.17
28400	T		Treatment of heel fracture	0043	1.9233	$104.41		$20.88
28405	T		Treatment of heel fracture	0043	1.9233	$104.41		$20.88
28406	T		Treatment of heel fracture	0046	31.9719	$1,735.72	$535.76	$347.14
28415	T		Treat heel fracture	0046	31.9719	$1,735.72	$535.76	$347.14
28420	T		Treat/graft heel fracture	0046	31.9719	$1,735.72	$535.76	$347.14
28430	T		Treatment of ankle fracture	0043	1.9233	$104.41		$20.88
28435	T		Treatment of ankle fracture	0043	1.9233	$104.41		$20.88
28436	T		Treatment of ankle fracture	0046	31.9719	$1,735.72	$535.76	$347.14
28445	T		Treat ankle fracture	0046	31.9719	$1,735.72	$535.76	$347.14
28450	T		Treat midfoot fracture, each	0043	1.9233	$104.41		$20.88
28455	T		Treat midfoot fracture, each	0043	1.9233	$104.41		$20.88
28456	T		Treat midfoot fracture	0046	31.9719	$1,735.72	$535.76	$347.14
28465	T		Treat midfoot fracture, each	0046	31.9719	$1,735.72	$535.76	$347.14
28470	T		Treat metatarsal fracture	0043	1.9233	$104.41		$20.88
28475	T		Treat metatarsal fracture	0043	1.9233	$104.41		$20.88
28476	T		Treat metatarsal fracture	0046	31.9719	$1,735.72	$535.76	$347.14
28485	T		Treat metatarsal fracture	0046	31.9719	$1,735.72	$535.76	$347.14
28490	T		Treat big toe fracture	0043	1.9233	$104.41		$20.88
28495	T		Treat big toe fracture	0043	1.9233	$104.41		$20.88
28496	T		Treat big toe fracture	0046	31.9719	$1,735.72	$535.76	$347.14
28505	T		Treat big toe fracture	0046	31.9719	$1,735.72	$535.76	$347.14
28510	T		Treatment of toe fracture	0043	1.9233	$104.41		$20.88
28515	T		Treatment of toe fracture	0043	1.9233	$104.41		$20.88
28525	T		Treat toe fracture	0046	31.9719	$1,735.72	$535.76	$347.14
28530	T		Treat sesamoid bone fracture	0043	1.9233	$104.41		$20.88
28531	T		Treat sesamoid bone fracture	0046	31.9719	$1,735.72	$535.76	$347.14
28540	T		Treat foot dislocation	0043	1.9233	$104.41		$20.88
28545	T		Treat foot dislocation	0045	13.5546	$735.87	$268.47	$147.17
28546	T		Treat foot dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
28555	T		Repair foot dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
28570	T		Treat foot dislocation	0043	1.9233	$104.41		$20.88
28575	T		Treat foot dislocation	0043	1.9233	$104.41		$20.88
28576	T		Treat foot dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
28585	T		Repair foot dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
28600	T		Treat foot dislocation	0043	1.9233	$104.41		$20.88
28605	T		Treat foot dislocation	0043	1.9233	$104.41		$20.88
28606	T		Treat foot dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
28615	T		Repair foot dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
28630	T		Treat toe dislocation	0043	1.9233	$104.41		$20.88
28635	T		Treat toe dislocation	0045	13.5546	$735.87	$268.47	$147.17
28636	T		Treat toe dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
28645	T		Repair toe dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
28660	T		Treat toe dislocation	0043	1.9233	$104.41		$20.88
28665	T		Treat toe dislocation	0045	13.5546	$735.87	$268.47	$147.17
28666	T		Treat toe dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
28675	T		Repair of toe dislocation	0046	31.9719	$1,735.72	$535.76	$347.14
28705	T		Fusion of foot bones	0056	25.1591	$1,365.86	$405.81	$273.17
28715	T		Fusion of foot bones	0056	25.1591	$1,365.86	$405.81	$273.17
28725	T		Fusion of foot bones	0056	25.1591	$1,365.86	$405.81	$273.17
28730	T		Fusion of foot bones	0056	25.1591	$1,365.86	$405.81	$273.17
28735	T		Fusion of foot bones	0056	25.1591	$1,365.86	$405.81	$273.17
28737	T		Revision of foot bones	0055	18.8851	$1,025.25	$355.34	$205.05
28740	T		Fusion of foot bones	0056	25.1591	$1,365.86	$405.81	$273.17
28750	T		Fusion of big toe joint	0055	18.8851	$1,025.25	$355.34	$205.05
28755	T		Fusion of big toe joint	0055	18.8851	$1,025.25	$355.34	$205.05
28760	T		Fusion of big toe joint	0056	25.1591	$1,365.86	$405.81	$273.17
28800	C		Amputation of midfoot
28805	C		Amputation thru metatarsal
28810	T		Amputation toe & metatarsal	0055	18.8851	$1,025.25	$355.34	$205.05
28820	T		Amputation of toe	0055	18.8851	$1,025.25	$355.34	$205.05
28825	T		Partial amputation of toe	0055	18.8851	$1,025.25	$355.34	$205.05
28899	T		Foot/toes surgery procedure	0043	1.9233	$104.41		$20.88
29000	S		Application of body cast	0058	1.0785	$58.55		$11.71
29010	S		Application of body cast	0058	1.0785	$58.55		$11.71
29015	S		Application of body cast	0058	1.0785	$58.55		$11.71
29020	S		Application of body cast	0058	1.0785	$58.55		$11.71
29025	S		Application of body cast	0058	1.0785	$58.55		$11.71
29035	S		Application of body cast	0058	1.0785	$58.55		$11.71
29040	S		Application of body cast	0058	1.0785	$58.55		$11.71
29044	S		Application of body cast	0058	1.0785	$58.55		$11.71
29046	S		Application of body cast	0058	1.0785	$58.55		$11.71
29049	S		Application of figure eight	0058	1.0785	$58.55		$11.71
29055	S		Application of shoulder cast	0058	1.0785	$58.55		$11.71
29058	S		Application of shoulder cast	0058	1.0785	$58.55		$11.71
29065	S		Application of long arm cast	0058	1.0785	$58.55		$11.71
29075	S		Application of forearm cast	0058	1.0785	$58.55		$11.71
29085	S		Apply hand/wrist cast	0058	1.0785	$58.55		$11.71
29086	S		Apply finger cast	0058	1.0785	$58.55		$11.71
29105	S		Apply long arm splint	0058	1.0785	$58.55		$11.71
29125	S		Apply forearm splint	0058	1.0785	$58.55		$11.71
29126	S		Apply forearm splint	0058	1.0785	$58.55		$11.71
29130	S		Application of finger splint	0058	1.0785	$58.55		$11.71
29131	S		Application of finger splint	0058	1.0785	$58.55		$11.71
29200	S		Strapping of chest	0058	1.0785	$58.55		$11.71
29220	S		Strapping of low back	0058	1.0785	$58.55		$11.71
29240	S		Strapping of shoulder	0058	1.0785	$58.55		$11.71
29260	S		Strapping of elbow or wrist	0058	1.0785	$58.55		$11.71
29280	S		Strapping of hand or finger	0058	1.0785	$58.55		$11.71
29305	S		Application of hip cast	0058	1.0785	$58.55		$11.71
29325	S		Application of hip casts	0058	1.0785	$58.55		$11.71
29345	S		Application of long leg cast	0058	1.0785	$58.55		$11.71
29355	S		Application of long leg cast	0058	1.0785	$58.55		$11.71
29358	S		Apply long leg cast brace	0058	1.0785	$58.55		$11.71
29365	S		Application of long leg cast	0058	1.0785	$58.55		$11.71
29405	S		Apply short leg cast	0058	1.0785	$58.55		$11.71
29425	S		Apply short leg cast	0058	1.0785	$58.55		$11.71
29435	S		Apply short leg cast	0058	1.0785	$58.55		$11.71
29440	S		Addition of walker to cast	0058	1.0785	$58.55		$11.71
29445	S		Apply rigid leg cast	0058	1.0785	$58.55		$11.71
29450	S		Application of leg cast	0058	1.0785	$58.55		$11.71
29505	S		Application, long leg splint	0058	1.0785	$58.55		$11.71
29515	S		Application lower leg splint	0058	1.0785	$58.55		$11.71
29520	S		Strapping of hip	0058	1.0785	$58.55		$11.71
29530	S		Strapping of knee	0058	1.0785	$58.55		$11.71
29540	S		Strapping of ankle	0058	1.0785	$58.55		$11.71
29550	S		Strapping of toes	0058	1.0785	$58.55		$11.71
29580	S		Application of paste boot	0058	1.0785	$58.55		$11.71
29590	S		Application of foot splint	0058	1.0785	$58.55		$11.71
29700	S		Removal/revision of cast	0058	1.0785	$58.55		$11.71
29705	S		Removal/revision of cast	0058	1.0785	$58.55		$11.71
29710	S		Removal/revision of cast	0058	1.0785	$58.55		$11.71
29715	S		Removal/revision of cast	0058	1.0785	$58.55		$11.71
29720	S		Repair of body cast	0058	1.0785	$58.55		$11.71
29730	S		Windowing of cast	0058	1.0785	$58.55		$11.71
29740	S		Wedging of cast	0058	1.0785	$58.55		$11.71
29750	S		Wedging of clubfoot cast	0058	1.0785	$58.55		$11.71
29799	S		Casting/strapping procedure	0058	1.0785	$58.55		$11.71
29800	T		Jaw arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29804	T		Jaw arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29805	T		Shoulder arthroscopy, dx	0041	27.2538	$1,479.58		$295.92
29806	T		Shoulder arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29807	T		Shoulder arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29819	T		Shoulder arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29820	T		Shoulder arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29821	T		Shoulder arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29822	T		Shoulder arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29823	T		Shoulder arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29824	T		Shoulder arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29825	T		Shoulder arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29826	T		Shoulder arthroscopy/surgery	0042	42.8551	$2,326.56	$804.74	$465.31
29827	T		Arthroscop rotator cuff repr	0041	27.2538	$1,479.58		$295.92
29830	T		Elbow arthroscopy	0041	27.2538	$1,479.58		$295.92
29834	T		Elbow arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29835	T		Elbow arthroscopy/surgery	0042	42.8551	$2,326.56	$804.74	$465.31
29836	T		Elbow arthroscopy/surgery	0042	42.8551	$2,326.56	$804.74	$465.31
29837	T		Elbow arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29838	T		Elbow arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29840	T		Wrist arthroscopy	0041	27.2538	$1,479.58		$295.92
29843	T		Wrist arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29844	T		Wrist arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29845	T		Wrist arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29846	T		Wrist arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29847	T		Wrist arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29848	T		Wrist endoscopy/surgery	0041	27.2538	$1,479.58		$295.92
29850	T		Knee arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29851	T		Knee arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29855	T		Tibial arthroscopy/surgery	0042	42.8551	$2,326.56	$804.74	$465.31
29856	T		Tibial arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29860	T		Hip arthroscopy, dx	0041	27.2538	$1,479.58		$295.92
29861	T		Hip arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29862	T		Hip arthroscopy/surgery	0042	42.8551	$2,326.56	$804.74	$465.31
29863	T		Hip arthroscopy/surgery	0042	42.8551	$2,326.56	$804.74	$465.31
29870	T		Knee arthroscopy, dx	0041	27.2538	$1,479.58		$295.92
29871	T		Knee arthroscopy/drainage	0041	27.2538	$1,479.58		$295.92
29873	T		Knee arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29874	T		Knee arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29875	T		Knee arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29876	T		Knee arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29877	T		Knee arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29879	T		Knee arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29880	T		Knee arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29881	T		Knee arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29882	T		Knee arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29883	T		Knee arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29884	T		Knee arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29885	T		Knee arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29886	T		Knee arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29887	T		Knee arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29888	T		Knee arthroscopy/surgery	0042	42.8551	$2,326.56	$804.74	$465.31
29889	T		Knee arthroscopy/surgery	0042	42.8551	$2,326.56	$804.74	$465.31
29891	T		Ankle arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29892	T		Ankle arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29893	T		Scope, plantar fasciotomy	0055	18.8851	$1,025.25	$355.34	$205.05
29894	T		Ankle arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29895	T		Ankle arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29897	T		Ankle arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29898	T		Ankle arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29899	T		Ankle arthroscopy/surgery	0041	27.2538	$1,479.58		$295.92
29900	T		Mcp joint arthroscopy, dx	0053	14.8188	$804.50	$253.49	$160.90
29901	T		Mcp joint arthroscopy, surg	0053	14.8188	$804.50	$253.49	$160.90
29902	T		Mcp joint arthroscopy, surg	0053	14.8188	$804.50	$253.49	$160.90
29999	T		Arthroscopy of joint	0041	27.2538	$1,479.58		$295.92
30000	T		Drainage of nose lesion	0251	1.8643	$101.21		$20.24
30020	T		Drainage of nose lesion	0251	1.8643	$101.21		$20.24
30100	T		Intranasal biopsy	0252	6.5416	$355.14	$113.41	$71.03
30110	T		Removal of nose polyp(s)	0253	15.1698	$823.55	$282.29	$164.71
30115	T		Removal of nose polyp(s)	0253	15.1698	$823.55	$282.29	$164.71
30117	T		Removal of intranasal lesion	0253	15.1698	$823.55	$282.29	$164.71
30118	T		Removal of intranasal lesion	0254	21.4368	$1,163.78	$321.35	$232.76
30120	T		Revision of nose	0253	15.1698	$823.55	$282.29	$164.71
30124	T		Removal of nose lesion	0252	6.5416	$355.14	$113.41	$71.03
30125	T		Removal of nose lesion	0256	35.0866	$1,904.82		$380.96
30130	T		Removal of turbinate bones	0253	15.1698	$823.55	$282.29	$164.71
30140	T		Removal of turbinate bones	0254	21.4368	$1,163.78	$321.35	$232.76
30150	T		Partial removal of nose	0256	35.0866	$1,904.82		$380.96
30160	T		Removal of nose	0256	35.0866	$1,904.82		$380.96
30200	T		Injection treatment of nose	0253	15.1698	$823.55	$282.29	$164.71
30210	T		Nasal sinus therapy	0252	6.5416	$355.14	$113.41	$71.03
30220	T		Insert nasal septal button	0252	6.5416	$355.14	$113.41	$71.03
30300	X		Remove nasal foreign body	0340	0.6232	$33.83		$6.77
30310	T		Remove nasal foreign body	0253	15.1698	$823.55	$282.29	$164.71
30320	T		Remove nasal foreign body	0253	15.1698	$823.55	$282.29	$164.71
30400	T		Reconstruction of nose	0256	35.0866	$1,904.82		$380.96
30410	T		Reconstruction of nose	0256	35.0866	$1,904.82		$380.96
30420	T		Reconstruction of nose	0256	35.0866	$1,904.82		$380.96
30430	T		Revision of nose	0254	21.4368	$1,163.78	$321.35	$232.76
30435	T		Revision of nose	0256	35.0866	$1,904.82		$380.96
30450	T		Revision of nose	0256	35.0866	$1,904.82		$380.96
30460	T		Revision of nose	0256	35.0866	$1,904.82		$380.96
30462	T		Revision of nose	0256	35.0866	$1,904.82		$380.96
30465	T		Repair nasal stenosis	0256	35.0866	$1,904.82		$380.96
30520	T		Repair of nasal septum	0254	21.4368	$1,163.78	$321.35	$232.76
30540	T		Repair nasal defect	0256	35.0866	$1,904.82		$380.96
30545	T		Repair nasal defect	0256	35.0866	$1,904.82		$380.96
30560	T		Release of nasal adhesions	0251	1.8643	$101.21		$20.24
30580	T		Repair upper jaw fistula	0256	35.0866	$1,904.82		$380.96
30600	T		Repair mouth/nose fistula	0256	35.0866	$1,904.82		$380.96
30620	T		Intranasal reconstruction	0256	35.0866	$1,904.82		$380.96
30630	T		Repair nasal septum defect	0254	21.4368	$1,163.78	$321.35	$232.76
30801	T		Cauterization, inner nose	0252	6.5416	$355.14	$113.41	$71.03
30802	T		Cauterization, inner nose	0253	15.1698	$823.55	$282.29	$164.71
30901	T		Control of nosebleed	0250	1.5381	$83.50	$29.23	$16.70
30903	T		Control of nosebleed	0250	1.5381	$83.50	$29.23	$16.70
30905	T		Control of nosebleed	0250	1.5381	$83.50	$29.23	$16.70
30906	T		Repeat control of nosebleed	0250	1.5381	$83.50	$29.23	$16.70
30915	T		Ligation, nasal sinus artery	0091	28.5187	$1,548.25	$348.23	$309.65
30920	T		Ligation, upper jaw artery	0092	25.1347	$1,364.54	$505.37	$272.91
30930	T		Therapy, fracture of nose	0253	15.1698	$823.55	$282.29	$164.71
30999	T		Nasal surgery procedure	0251	1.8643	$101.21		$20.24
31000	T		Irrigation, maxillary sinus	0251	1.8643	$101.21		$20.24
31002	T		Irrigation, sphenoid sinus	0252	6.5416	$355.14	$113.41	$71.03
31020	T		Exploration, maxillary sinus	0254	21.4368	$1,163.78	$321.35	$232.76
31030	T		Exploration, maxillary sinus	0256	35.0866	$1,904.82		$380.96
31032	T		Explore sinus, remove polyps	0256	35.0866	$1,904.82		$380.96
31040	T		Exploration behind upper jaw	0254	21.4368	$1,163.78	$321.35	$232.76
31050	T		Exploration, sphenoid sinus	0256	35.0866	$1,904.82		$380.96
31051	T		Sphenoid sinus surgery	0256	35.0866	$1,904.82		$380.96
31070	T		Exploration of frontal sinus	0254	21.4368	$1,163.78	$321.35	$232.76
31075	T		Exploration of frontal sinus	0256	35.0866	$1,904.82		$380.96
31080	T		Removal of frontal sinus	0256	35.0866	$1,904.82		$380.96
31081	T		Removal of frontal sinus	0256	35.0866	$1,904.82		$380.96
31084	T		Removal of frontal sinus	0256	35.0866	$1,904.82		$380.96
31085	T		Removal of frontal sinus	0256	35.0866	$1,904.82		$380.96
31086	T		Removal of frontal sinus	0256	35.0866	$1,904.82		$380.96
31087	T		Removal of frontal sinus	0256	35.0866	$1,904.82		$380.96
31090	T		Exploration of sinuses	0256	35.0866	$1,904.82		$380.96
31200	T		Removal of ethmoid sinus	0256	35.0866	$1,904.82		$380.96
31201	T		Removal of ethmoid sinus	0256	35.0866	$1,904.82		$380.96
31205	T		Removal of ethmoid sinus	0256	35.0866	$1,904.82		$380.96
31225	C		Removal of upper jaw
31230	C		Removal of upper jaw
31231	T		Nasal endoscopy, dx	0071	0.9012	$48.93	$12.89	$9.79
31233	T		Nasal/sinus endoscopy, dx	0073	3.4396	$186.73	$73.38	$37.35
31235	T		Nasal/sinus endoscopy, dx	0074	14.4952	$786.93	$295.70	$157.39
31237	T		Nasal/sinus endoscopy, surg	0075	20.4113	$1,108.11	$445.92	$221.62
31238	T		Nasal/sinus endoscopy, surg	0074	14.4952	$786.93	$295.70	$157.39
31239	T		Nasal/sinus endoscopy, surg	0075	20.4113	$1,108.11	$445.92	$221.62
31240	T		Nasal/sinus endoscopy, surg	0074	14.4952	$786.93	$295.70	$157.39
31254	T		Revision of ethmoid sinus	0075	20.4113	$1,108.11	$445.92	$221.62
31255	T		Removal of ethmoid sinus	0075	20.4113	$1,108.11	$445.92	$221.62
31256	T		Exploration maxillary sinus	0075	20.4113	$1,108.11	$445.92	$221.62
31267	T		Endoscopy, maxillary sinus	0075	20.4113	$1,108.11	$445.92	$221.62
31276	T		Sinus endoscopy, surgical	0075	20.4113	$1,108.11	$445.92	$221.62
31287	T		Nasal/sinus endoscopy, surg	0075	20.4113	$1,108.11	$445.92	$221.62
31288	T		Nasal/sinus endoscopy, surg	0075	20.4113	$1,108.11	$445.92	$221.62
31290	C		Nasal/sinus endoscopy, surg
31291	C		Nasal/sinus endoscopy, surg
31292	C		Nasal/sinus endoscopy, surg
31293	C		Nasal/sinus endoscopy, surg
31294	C		Nasal/sinus endoscopy, surg
31299	T		Sinus surgery procedure	0252	6.5416	$355.14	$113.41	$71.03
31300	T		Removal of larynx lesion	0254	21.4368	$1,163.78	$321.35	$232.76
31320	T		Diagnostic incision, larynx	0256	35.0866	$1,904.82		$380.96
31360	C		Removal of larynx
31365	C		Removal of larynx
31367	C		Partial removal of larynx
31368	C		Partial removal of larynx
31370	C		Partial removal of larynx
31375	C		Partial removal of larynx
31380	C		Partial removal of larynx
31382	C		Partial removal of larynx
31390	C		Removal of larynx & pharynx
31395	C		Reconstruct larynx & pharynx
31400	T		Revision of larynx	0256	35.0866	$1,904.82		$380.96
31420	T		Removal of epiglottis	0256	35.0866	$1,904.82		$380.96
31500	S		Insert emergency airway	0094	2.6412	$143.39	$48.46	$28.68
31502	T		Change of windpipe airway	0121	2.2058	$119.75	$43.80	$23.95
31505	T		Diagnostic laryngoscopy	0071	0.9012	$48.93	$12.89	$9.79
31510	T		Laryngoscopy with biopsy	0074	14.4952	$786.93	$295.70	$157.39
31511	T		Remove foreign body, larynx	0072	1.6987	$92.22	$26.68	$18.44
31512	T		Removal of larynx lesion	0074	14.4952	$786.93	$295.70	$157.39
31513	T		Injection into vocal cord	0072	1.6987	$92.22	$26.68	$18.44
31515	T		Laryngoscopy for aspiration	0074	14.4952	$786.93	$295.70	$157.39
31520	T		Diagnostic laryngoscopy	0072	1.6987	$92.22	$26.68	$18.44
31525	T		Diagnostic laryngoscopy	0074	14.4952	$786.93	$295.70	$157.39
31526	T		Diagnostic laryngoscopy	0075	20.4113	$1,108.11	$445.92	$221.62
31527	T		Laryngoscopy for treatment	0075	20.4113	$1,108.11	$445.92	$221.62
31528	T		Laryngoscopy and dilation	0074	14.4952	$786.93	$295.70	$157.39
31529	T		Laryngoscopy and dilation	0074	14.4952	$786.93	$295.70	$157.39
31530	T		Operative laryngoscopy	0075	20.4113	$1,108.11	$445.92	$221.62
31531	T		Operative laryngoscopy	0075	20.4113	$1,108.11	$445.92	$221.62
31535	T		Operative laryngoscopy	0075	20.4113	$1,108.11	$445.92	$221.62
31536	T		Operative laryngoscopy	0075	20.4113	$1,108.11	$445.92	$221.62
31540	T		Operative laryngoscopy	0075	20.4113	$1,108.11	$445.92	$221.62
31541	T		Operative laryngoscopy	0075	20.4113	$1,108.11	$445.92	$221.62
31560	T		Operative laryngoscopy	0075	20.4113	$1,108.11	$445.92	$221.62
31561	T		Operative laryngoscopy	0075	20.4113	$1,108.11	$445.92	$221.62
31570	T		Laryngoscopy with injection	0074	14.4952	$786.93	$295.70	$157.39
31571	T		Laryngoscopy with injection	0075	20.4113	$1,108.11	$445.92	$221.62
31575	T		Diagnostic laryngoscopy	0072	1.6987	$92.22	$26.68	$18.44
31576	T		Laryngoscopy with biopsy	0075	20.4113	$1,108.11	$445.92	$221.62
31577	T		Remove foreign body, larynx	0073	3.4396	$186.73	$73.38	$37.35
31578	T		Removal of larynx lesion	0075	20.4113	$1,108.11	$445.92	$221.62
31579	T		Diagnostic laryngoscopy	0073	3.4396	$186.73	$73.38	$37.35
31580	T		Revision of larynx	0256	35.0866	$1,904.82		$380.96
31582	T		Revision of larynx	0256	35.0866	$1,904.82		$380.96
31584	C		Treat larynx fracture
31585	T		Treat larynx fracture	0253	15.1698	$823.55	$282.29	$164.71
31586	T		Treat larynx fracture	0256	35.0866	$1,904.82		$380.96
31587	C		Revision of larynx
31588	T		Revision of larynx	0256	35.0866	$1,904.82		$380.96
31590	T		Reinnervate larynx	0256	35.0866	$1,904.82		$380.96
31595	T		Larynx nerve surgery	0256	35.0866	$1,904.82		$380.96
31599	T		Larynx surgery procedure	0254	21.4368	$1,163.78	$321.35	$232.76
31600	T		Incision of windpipe	0254	21.4368	$1,163.78	$321.35	$232.76
31601	T		Incision of windpipe	0254	21.4368	$1,163.78	$321.35	$232.76
31603	T		Incision of windpipe	0252	6.5416	$355.14	$113.41	$71.03
31605	T		Incision of windpipe	0253	15.1698	$823.55	$282.29	$164.71
31610	T		Incision of windpipe	0254	21.4368	$1,163.78	$321.35	$232.76
31611	T		Surgery/speech prosthesis	0254	21.4368	$1,163.78	$321.35	$232.76
31612	T		Puncture/clear windpipe	0254	21.4368	$1,163.78	$321.35	$232.76
31613	T		Repair windpipe opening	0254	21.4368	$1,163.78	$321.35	$232.76
31614	T		Repair windpipe opening	0256	35.0866	$1,904.82		$380.96
31615	T		Visualization of windpipe	0076	9.3560	$507.93	$189.82	$101.59
31622	T		Dx bronchoscope/wash	0076	9.3560	$507.93	$189.82	$101.59
31623	T		Dx bronchoscope/brush	0076	9.3560	$507.93	$189.82	$101.59
31624	T		Dx bronchoscope/lavage	0076	9.3560	$507.93	$189.82	$101.59
31625	T		Bronchoscopy w/biopsy(s)	0076	9.3560	$507.93	$189.82	$101.59
31628	T		Bronchoscopy/lung bx, each	0076	9.3560	$507.93	$189.82	$101.59
31629	T		Bronchoscopy/needle bx, each	0076	9.3560	$507.93	$189.82	$101.59
31630	T		Bronchoscopy dilate/fx repr	0415	20.9920	$1,139.63	$463.30	$227.93
31631	T		Bronchoscopy, dilate w/stent	0415	20.9920	$1,139.63	$463.30	$227.93
31635	T		Bronchoscopy w/fb removal	0076	9.3560	$507.93	$189.82	$101.59
31640	T		Bronchoscopy w/tumor excise	0415	20.9920	$1,139.63	$463.30	$227.93
31641	T		Bronchoscopy, treat blockage	0415	20.9920	$1,139.63	$463.30	$227.93
31643	T		Diag bronchoscope/catheter	0076	9.3560	$507.93	$189.82	$101.59
31645	T		Bronchoscopy, clear airways	0076	9.3560	$507.93	$189.82	$101.59
31646	T		Bronchoscopy, reclear airway	0076	9.3560	$507.93	$189.82	$101.59
31656	T		Bronchoscopy, inj for x-ray	0076	9.3560	$507.93	$189.82	$101.59
31700	T		Insertion of airway catheter	0072	1.6987	$92.22	$26.68	$18.44
31708	N		Instill airway contrast dye
31710	N		Insertion of airway catheter
31715	N		Injection for bronchus x-ray
31717	T		Bronchial brush biopsy	0073	3.4396	$186.73	$73.38	$37.35
31720	T		Clearance of airways	0072	1.6987	$92.22	$26.68	$18.44
31725	C		Clearance of airways
31730	T		Intro, windpipe wire/tube	0073	3.4396	$186.73	$73.38	$37.35
31750	T		Repair of windpipe	0256	35.0866	$1,904.82		$380.96
31755	T		Repair of windpipe	0256	35.0866	$1,904.82		$380.96
31760	C		Repair of windpipe
31766	C		Reconstruction of windpipe
31770	C		Repair/graft of bronchus
31775	C		Reconstruct bronchus
31780	C		Reconstruct windpipe
31781	C		Reconstruct windpipe
31785	T		Remove windpipe lesion	0254	21.4368	$1,163.78	$321.35	$232.76
31786	C		Remove windpipe lesion
31800	C		Repair of windpipe injury
31805	C		Repair of windpipe injury
31820	T		Closure of windpipe lesion	0253	15.1698	$823.55	$282.29	$164.71
31825	T		Repair of windpipe defect	0254	21.4368	$1,163.78	$321.35	$232.76
31830	T		Revise windpipe scar	0254	21.4368	$1,163.78	$321.35	$232.76
31899	T		Airways surgical procedure	0076	9.3560	$507.93	$189.82	$101.59
32000	T		Drainage of chest	0070	3.1393	$170.43		$34.09
32002	T		Treatment of collapsed lung	0070	3.1393	$170.43		$34.09
32005	T		Treat lung lining chemically	0070	3.1393	$170.43		$34.09
32020	T		Insertion of chest tube	0070	3.1393	$170.43		$34.09
32035	C		Exploration of chest
32036	C		Exploration of chest
32095	C		Biopsy through chest wall
32100	C		Exploration/biopsy of chest
32110	C		Explore/repair chest
32120	C		Re-exploration of chest
32124	C		Explore chest free adhesions
32140	C		Removal of lung lesion(s)
32141	C		Remove/treat lung lesions
32150	C		Removal of lung lesion(s)
32151	C		Remove lung foreign body
32160	C		Open chest heart massage
32200	C		Drain, open, lung lesion
32201	T		Drain, percut, lung lesion	0070	3.1393	$170.43		$34.09
32215	C		Treat chest lining
32220	C		Release of lung
32225	C		Partial release of lung
32310	C		Removal of chest lining
32320	C		Free/remove chest lining
32400	T		Needle biopsy chest lining	0005	3.3675	$182.82	$71.59	$36.56
32402	C		Open biopsy chest lining
32405	T		Biopsy, lung or mediastinum	0685	4.8912	$265.54	$116.83	$53.11
32420	T		Puncture/clear lung	0070	3.1393	$170.43		$34.09
32440	C		Removal of lung
32442	C		Sleeve pneumonectomy
32445	C		Removal of lung
32480	C		Partial removal of lung
32482	C		Bilobectomy
32484	C		Segmentectomy
32486	C		Sleeve lobectomy
32488	C		Completion pneumonectomy
32491	C		Lung volume reduction
32500	C		Partial removal of lung
32501	C		Repair bronchus add-on
32520	C		Remove lung & revise chest
32522	C		Remove lung & revise chest
32525	C		Remove lung & revise chest
32540	C		Removal of lung lesion
32601	T		Thoracoscopy, diagnostic	0069	28.6334	$1,554.48	$591.64	$310.90
32602	T		Thoracoscopy, diagnostic	0069	28.6334	$1,554.48	$591.64	$310.90
32603	T		Thoracoscopy, diagnostic	0069	28.6334	$1,554.48	$591.64	$310.90
32604	T		Thoracoscopy, diagnostic	0069	28.6334	$1,554.48	$591.64	$310.90
32605	T		Thoracoscopy, diagnostic	0069	28.6334	$1,554.48	$591.64	$310.90
32606	T		Thoracoscopy, diagnostic	0069	28.6334	$1,554.48	$591.64	$310.90
32650	C		Thoracoscopy, surgical
32651	C		Thoracoscopy, surgical
32652	C		Thoracoscopy, surgical
32653	C		Thoracoscopy, surgical
32654	C		Thoracoscopy, surgical
32655	C		Thoracoscopy, surgical
32656	C		Thoracoscopy, surgical
32657	C		Thoracoscopy, surgical
32658	C		Thoracoscopy, surgical
32659	C		Thoracoscopy, surgical
32660	C		Thoracoscopy, surgical
32661	C		Thoracoscopy, surgical
32662	C		Thoracoscopy, surgical
32663	C		Thoracoscopy, surgical
32664	C		Thoracoscopy, surgical
32665	C		Thoracoscopy, surgical
32800	C		Repair lung hernia
32810	C		Close chest after drainage
32815	C		Close bronchial fistula
32820	C		Reconstruct injured chest
32850	C		Donor pneumonectomy
32851	C		Lung transplant, single
32852	C		Lung transplant with bypass
32853	C		Lung transplant, double
32854	C		Lung transplant with bypass
32900	C		Removal of rib(s)
32905	C		Revise & repair chest wall
32906	C		Revise & repair chest wall
32940	C		Revision of lung
32960	T		Therapeutic pneumothorax	0070	3.1393	$170.43		$34.09
32997	C		Total lung lavage
32999	T		Chest surgery procedure	0070	3.1393	$170.43		$34.09
33010	T		Drainage of heart sac	0070	3.1393	$170.43		$34.09
33011	T		Repeat drainage of heart sac	0070	3.1393	$170.43		$34.09
33015	C		Incision of heart sac
33020	C		Incision of heart sac
33025	C		Incision of heart sac
33030	C		Partial removal of heart sac
33031	C		Partial removal of heart sac
33050	C		Removal of heart sac lesion
33120	C		Removal of heart lesion
33130	C		Removal of heart lesion
33140	C		Heart revascularize (tmr)
33141	C		Heart tmr w/other procedure
33200	C		Insertion of heart pacemaker
33201	C		Insertion of heart pacemaker
33206	T		Insertion of heart pacemaker	0089	116.1611	$6,306.27	$1,722.59	$1,261.25
33207	T		Insertion of heart pacemaker	0089	116.1611	$6,306.27	$1,722.59	$1,261.25
33208	T		Insertion of heart pacemaker	0655	142.2244	$7,721.22		$1,544.24
33210	T		Insertion of heart electrode	0106	49.9534	$2,711.92	$542.39	$542.38
33211	T		Insertion of heart electrode	0106	49.9534	$2,711.92	$542.39	$542.38
33212	T		Insertion of pulse generator	0090	87.2850	$4,738.62	$1,705.90	$947.72
33213	T		Insertion of pulse generator	0654	103.8544	$5,638.15		$1,127.63
33214	T		Upgrade of pacemaker system	0655	142.2244	$7,721.22		$1,544.24
33215	T		Reposition pacing-defib lead	0105	18.9084	$1,026.52	$370.40	$205.30
33216	T		Revise eltrd pacing-defib	0106	49.9534	$2,711.92	$542.39	$542.38
33217	T		Insert lead pace-defib, dual	0106	49.9534	$2,711.92	$542.39	$542.38
33218	T		Repair lead pace-defib, one	0106	49.9534	$2,711.92	$542.39	$542.38
33220	T		Repair lead pace-defib, dual	0106	49.9534	$2,711.92	$542.39	$542.38
33222	T		Revise pocket, pacemaker	0027	15.8319	$859.50	$329.72	$171.90
33223	T		Revise pocket, pacing-defib	0027	15.8319	$859.50	$329.72	$171.90
33224	T		Insert pacing lead & connect	1547		$850.00		$170.00
33225	T		L ventric pacing lead add-on	1550		$1,150.00		$230.00
33226	T		Reposition l ventric lead	0105	18.9084	$1,026.52	$370.40	$205.30
33233	T		Removal of pacemaker system	0105	18.9084	$1,026.52	$370.40	$205.30
33234	T		Removal of pacemaker system	0105	18.9084	$1,026.52	$370.40	$205.30
33235	T		Removal pacemaker electrode	0105	18.9084	$1,026.52	$370.40	$205.30
33236	C		Remove electrode/thoracotomy
33237	C		Remove electrode/thoracotomy
33238	C		Remove electrode/thoracotomy
33240	T		Insert pulse generator	0107	290.5429	$15,773.28	$3,429.62	$3,154.66
33241	T		Remove pulse generator	0105	18.9084	$1,026.52	$370.40	$205.30
33243	C		Remove eltrd/thoracotomy
33244	T		Remove eltrd, transven	0105	18.9084	$1,026.52	$370.40	$205.30
33245	C		Insert epic eltrd pace-defib
33246	C		Insert epic eltrd/generator
33249	T		Eltrd/insert pace-defib	0108	489.5275	$26,575.96		$5,315.19
33250	C		Ablate heart dysrhythm focus
33251	C		Ablate heart dysrhythm focus
33253	C		Reconstruct atria
33261	C		Ablate heart dysrhythm focus
33282	S		Implant pat-active ht record	0680	61.4222	$3,334.55		$666.91
33284	T		Remove pat-active ht record	0109	7.7075	$418.43	$131.49	$83.69
33300	C		Repair of heart wound
33305	C		Repair of heart wound
33310	C		Exploratory heart surgery
33315	C		Exploratory heart surgery
33320	C		Repair major blood vessel(s)
33321	C		Repair major vessel
33322	C		Repair major blood vessel(s)
33330	C		Insert major vessel graft
33332	C		Insert major vessel graft
33335	C		Insert major vessel graft
33400	C		Repair of aortic valve
33401	C		Valvuloplasty, open
33403	C		Valvuloplasty, w/cp bypass
33404	C		Prepare heart-aorta conduit
33405	C		Replacement of aortic valve
33406	C		Replacement of aortic valve
33410	C		Replacement of aortic valve
33411	C		Replacement of aortic valve
33412	C		Replacement of aortic valve
33413	C		Replacement of aortic valve
33414	C		Repair of aortic valve
33415	C		Revision, subvalvular tissue
33416	C		Revise ventricle muscle
33417	C		Repair of aortic valve
33420	C		Revision of mitral valve
33422	C		Revision of mitral valve
33425	C		Repair of mitral valve
33426	C		Repair of mitral valve
33427	C		Repair of mitral valve
33430	C		Replacement of mitral valve
33460	C		Revision of tricuspid valve
33463	C		Valvuloplasty, tricuspid
33464	C		Valvuloplasty, tricuspid
33465	C		Replace tricuspid valve
33468	C		Revision of tricuspid valve
33470	C		Revision of pulmonary valve
33471	C		Valvotomy, pulmonary valve
33472	C		Revision of pulmonary valve
33474	C		Revision of pulmonary valve
33475	C		Replacement, pulmonary valve
33476	C		Revision of heart chamber
33478	C		Revision of heart chamber
33496	C		Repair, prosth valve clot
33500	C		Repair heart vessel fistula
33501	C		Repair heart vessel fistula
33502	C		Coronary artery correction
33503	C		Coronary artery graft
33504	C		Coronary artery graft
33505	C		Repair artery w/tunnel
33506	C		Repair artery, translocation
33508	N		Endoscopic vein harvest
33510	C		CABG, vein, single
33511	C		CABG, vein, two
33512	C		CABG, vein, three
33513	C		CABG, vein, four
33514	C		CABG, vein, five
33516	C		Cabg, vein, six or more
33517	C		CABG, artery-vein, single
33518	C		CABG, artery-vein, two
33519	C		CABG, artery-vein, three
33521	C		CABG, artery-vein, four
33522	C		CABG, artery-vein, five
33523	C		Cabg, art-vein, six or more
33530	C		Coronary artery, bypass/reop
33533	C		CABG, arterial, single
33534	C		CABG, arterial, two
33535	C		CABG, arterial, three
33536	C		Cabg, arterial, four or more
33542	C		Removal of heart lesion
33545	C		Repair of heart damage
33572	C		Open coronary endarterectomy
33600	C		Closure of valve
33602	C		Closure of valve
33606	C		Anastomosis/artery-aorta
33608	C		Repair anomaly w/conduit
33610	C		Repair by enlargement
33611	C		Repair double ventricle
33612	C		Repair double ventricle
33615	C		Repair, modified fontan
33617	C		Repair single ventricle
33619	C		Repair single ventricle
33641	C		Repair heart septum defect
33645	C		Revision of heart veins
33647	C		Repair heart septum defects
33660	C		Repair of heart defects
33665	C		Repair of heart defects
33670	C		Repair of heart chambers
33681	C		Repair heart septum defect
33684	C		Repair heart septum defect
33688	C		Repair heart septum defect
33690	C		Reinforce pulmonary artery
33692	C		Repair of heart defects
33694	C		Repair of heart defects
33697	C		Repair of heart defects
33702	C		Repair of heart defects
33710	C		Repair of heart defects
33720	C		Repair of heart defect
33722	C		Repair of heart defect
33730	C		Repair heart-vein defect(s)
33732	C		Repair heart-vein defect
33735	C		Revision of heart chamber
33736	C		Revision of heart chamber
33737	C		Revision of heart chamber
33750	C		Major vessel shunt
33755	C		Major vessel shunt
33762	C		Major vessel shunt
33764	C		Major vessel shunt & graft
33766	C		Major vessel shunt
33767	C		Major vessel shunt
33770	C		Repair great vessels defect
33771	C		Repair great vessels defect
33774	C		Repair great vessels defect
33775	C		Repair great vessels defect
33776	C		Repair great vessels defect
33777	C		Repair great vessels defect
33778	C		Repair great vessels defect
33779	C		Repair great vessels defect
33780	C		Repair great vessels defect
33781	C		Repair great vessels defect
33786	C		Repair arterial trunk
33788	C		Revision of pulmonary artery
33800	C		Aortic suspension
33802	C		Repair vessel defect
33803	C		Repair vessel defect
33813	C		Repair septal defect
33814	C		Repair septal defect
33820	C		Revise major vessel
33822	C		Revise major vessel
33824	C		Revise major vessel
33840	C		Remove aorta constriction
33845	C		Remove aorta constriction
33851	C		Remove aorta constriction
33852	C		Repair septal defect
33853	C		Repair septal defect
33860	C		Ascending aortic graft
33861	C		Ascending aortic graft
33863	C		Ascending aortic graft
33870	C		Transverse aortic arch graft
33875	C		Thoracic aortic graft
33877	C		Thoracoabdominal graft
33910	C		Remove lung artery emboli
33915	C		Remove lung artery emboli
33916	C		Surgery of great vessel
33917	C		Repair pulmonary artery
33918	C		Repair pulmonary atresia
33919	C		Repair pulmonary atresia
33920	C		Repair pulmonary atresia
33922	C		Transect pulmonary artery
33924	C		Remove pulmonary shunt
33930	C		Removal of donor heart/lung
33935	C		Transplantation, heart/lung
33940	C		Removal of donor heart
33945	C		Transplantation of heart
33960	C		External circulation assist
33961	C		External circulation assist
33967	C		Insert ia percut device
33968	C		Remove aortic assist device
33970	C		Aortic circulation assist
33971	C		Aortic circulation assist
33973	C		Insert balloon device
33974	C		Remove intra-aortic balloon
33975	C		Implant ventricular device
33976	C		Implant ventricular device
33977	C		Remove ventricular device
33978	C		Remove ventricular device
33979	C		Insert intracorporeal device
33980	C		Remove intracorporeal device
33999	T		Cardiac surgery procedure	0070	3.1393	$170.43		$34.09
34001	C		Removal of artery clot
34051	C		Removal of artery clot
34101	T		Removal of artery clot	0088	34.6065	$1,878.75	$655.22	$375.75
34111	T		Removal of arm artery clot	0088	34.6065	$1,878.75	$655.22	$375.75
34151	C		Removal of artery clot
34201	T		Removal of artery clot	0088	34.6065	$1,878.75	$655.22	$375.75
34203	T		Removal of leg artery clot	0088	34.6065	$1,878.75	$655.22	$375.75
34401	C		Removal of vein clot
34421	T		Removal of vein clot	0088	34.6065	$1,878.75	$655.22	$375.75
34451	C		Removal of vein clot
34471	T		Removal of vein clot	0088	34.6065	$1,878.75	$655.22	$375.75
34490	T		Removal of vein clot	0088	34.6065	$1,878.75	$655.22	$375.75
34501	T		Repair valve, femoral vein	0088	34.6065	$1,878.75	$655.22	$375.75
34502	C		Reconstruct vena cava
34510	T		Transposition of vein valve	0088	34.6065	$1,878.75	$655.22	$375.75
34520	T		Cross-over vein graft	0088	34.6065	$1,878.75	$655.22	$375.75
34530	T		Leg vein fusion	0088	34.6065	$1,878.75	$655.22	$375.75
34800	C		Endovasc abdo repair w/tube
34802	C		Endovasc abdo repr w/device
34804	C		Endovasc abdo repr w/device
34808	C		Endovasc abdo occlud device
34812	C		Xpose for endoprosth, aortic
34813	C		Femoral endovas graft add-on
34820	C		Xpose for endoprosth, iliac
34825	C		Endovasc extend prosth, init
34826	C		Endovasc exten prosth, addl
34830	C		Open aortic tube prosth repr
34831	C		Open aortoiliac prosth repr
34832	C		Open aortofemor prosth repr
34833	C		Xpose for endoprosth, iliac
34834	C		Xpose, endoprosth, brachial
34900	C		Endovasc iliac repr w/graft
35001	C		Repair defect of artery
35002	C		Repair artery rupture, neck
35005	C		Repair defect of artery
35011	T		Repair defect of artery	0653	32.4880	$1,763.74		$352.75
35013	C		Repair artery rupture, arm
35021	C		Repair defect of artery
35022	C		Repair artery rupture, chest
35045	C		Repair defect of arm artery
35081	C		Repair defect of artery
35082	C		Repair artery rupture, aorta
35091	C		Repair defect of artery
35092	C		Repair artery rupture, aorta
35102	C		Repair defect of artery
35103	C		Repair artery rupture, groin
35111	C		Repair defect of artery
35112	C		Repair artery rupture,spleen
35121	C		Repair defect of artery
35122	C		Repair artery rupture, belly
35131	C		Repair defect of artery
35132	C		Repair artery rupture, groin
35141	C		Repair defect of artery
35142	C		Repair artery rupture, thigh
35151	C		Repair defect of artery
35152	C		Repair artery rupture, knee
35161	C		Repair defect of artery
35162	C		Repair artery rupture
35180	T		Repair blood vessel lesion	0093	20.6662	$1,121.95	$277.34	$224.39
35182	C		Repair blood vessel lesion
35184	T		Repair blood vessel lesion	0093	20.6662	$1,121.95	$277.34	$224.39
35188	T		Repair blood vessel lesion	0088	34.6065	$1,878.75	$655.22	$375.75
35189	C		Repair blood vessel lesion
35190	T		Repair blood vessel lesion	0093	20.6662	$1,121.95	$277.34	$224.39
35201	T		Repair blood vessel lesion	0093	20.6662	$1,121.95	$277.34	$224.39
35206	T		Repair blood vessel lesion	0093	20.6662	$1,121.95	$277.34	$224.39
35207	T		Repair blood vessel lesion	0088	34.6065	$1,878.75	$655.22	$375.75
35211	C		Repair blood vessel lesion
35216	C		Repair blood vessel lesion
35221	C		Repair blood vessel lesion
35226	T		Repair blood vessel lesion	0093	20.6662	$1,121.95	$277.34	$224.39
35231	T		Repair blood vessel lesion	0093	20.6662	$1,121.95	$277.34	$224.39
35236	T		Repair blood vessel lesion	0093	20.6662	$1,121.95	$277.34	$224.39
35241	C		Repair blood vessel lesion
35246	C		Repair blood vessel lesion
35251	C		Repair blood vessel lesion
35256	T		Repair blood vessel lesion	0093	20.6662	$1,121.95	$277.34	$224.39
35261	T		Repair blood vessel lesion	0653	32.4880	$1,763.74		$352.75
35266	T		Repair blood vessel lesion	0653	32.4880	$1,763.74		$352.75
35271	C		Repair blood vessel lesion
35276	C		Repair blood vessel lesion
35281	C		Repair blood vessel lesion
35286	T		Repair blood vessel lesion	0653	32.4880	$1,763.74		$352.75
35301	C		Rechanneling of artery
35311	C		Rechanneling of artery
35321	T		Rechanneling of artery	0093	20.6662	$1,121.95	$277.34	$224.39
35331	C		Rechanneling of artery
35341	C		Rechanneling of artery
35351	C		Rechanneling of artery
35355	C		Rechanneling of artery
35361	C		Rechanneling of artery
35363	C		Rechanneling of artery
35371	C		Rechanneling of artery
35372	C		Rechanneling of artery
35381	C		Rechanneling of artery
35390	C		Reoperation, carotid add-on
35400	C		Angioscopy
35450	C		Repair arterial blockage
35452	C		Repair arterial blockage
35454	C		Repair arterial blockage
35456	C		Repair arterial blockage
35458	T		Repair arterial blockage	0081	34.8355	$1,891.18		$378.24
35459	T		Repair arterial blockage	0081	34.8355	$1,891.18		$378.24
35460	T		Repair venous blockage	0081	34.8355	$1,891.18		$378.24
35470	T		Repair arterial blockage	0081	34.8355	$1,891.18		$378.24
35471	T		Repair arterial blockage	0081	34.8355	$1,891.18		$378.24
35472	T		Repair arterial blockage	0081	34.8355	$1,891.18		$378.24
35473	T		Repair arterial blockage	0081	34.8355	$1,891.18		$378.24
35474	T		Repair arterial blockage	0081	34.8355	$1,891.18		$378.24
35475	T		Repair arterial blockage	0081	34.8355	$1,891.18		$378.24
35476	T		Repair venous blockage	0081	34.8355	$1,891.18		$378.24
35480	C		Atherectomy, open
35481	C		Atherectomy, open
35482	C		Atherectomy, open
35483	C		Atherectomy, open
35484	T		Atherectomy, open	0081	34.8355	$1,891.18		$378.24
35485	T		Atherectomy, open	0081	34.8355	$1,891.18		$378.24
35490	T		Atherectomy, percutaneous	0081	34.8355	$1,891.18		$378.24
35491	T		Atherectomy, percutaneous	0081	34.8355	$1,891.18		$378.24
35492	T		Atherectomy, percutaneous	0081	34.8355	$1,891.18		$378.24
35493	T		Atherectomy, percutaneous	0081	34.8355	$1,891.18		$378.24
35494	T		Atherectomy, percutaneous	0081	34.8355	$1,891.18		$378.24
35495	T		Atherectomy, percutaneous	0081	34.8355	$1,891.18		$378.24
35500	T		Harvest vein for bypass	0081	34.8355	$1,891.18		$378.24
35501	C		Artery bypass graft
35506	C		Artery bypass graft
35507	C		Artery bypass graft
35508	C		Artery bypass graft
35509	C		Artery bypass graft
35511	C		Artery bypass graft
35515	C		Artery bypass graft
35516	C		Artery bypass graft
35518	C		Artery bypass graft
35521	C		Artery bypass graft
35526	C		Artery bypass graft
35531	C		Artery bypass graft
35533	C		Artery bypass graft
35536	C		Artery bypass graft
35541	C		Artery bypass graft
35546	C		Artery bypass graft
35548	C		Artery bypass graft
35549	C		Artery bypass graft
35551	C		Artery bypass graft
35556	C		Artery bypass graft
35558	C		Artery bypass graft
35560	C		Artery bypass graft
35563	C		Artery bypass graft
35565	C		Artery bypass graft
35566	C		Artery bypass graft
35571	C		Artery bypass graft
35572	N		Harvest femoropopliteal vein
35582	C		Vein bypass graft
35583	C		Vein bypass graft
35585	C		Vein bypass graft
35587	C		Vein bypass graft
35600	C		Harvest artery for cabg
35601	C		Artery bypass graft
35606	C		Artery bypass graft
35612	C		Artery bypass graft
35616	C		Artery bypass graft
35621	C		Artery bypass graft
35623	C		Bypass graft, not vein
35626	C		Artery bypass graft
35631	C		Artery bypass graft
35636	C		Artery bypass graft
35641	C		Artery bypass graft
35642	C		Artery bypass graft
35645	C		Artery bypass graft
35646	C		Artery bypass graft
35647	C		Artery bypass graft
35650	C		Artery bypass graft
35651	C		Artery bypass graft
35654	C		Artery bypass graft
35656	C		Artery bypass graft
35661	C		Artery bypass graft
35663	C		Artery bypass graft
35665	C		Artery bypass graft
35666	C		Artery bypass graft
35671	C		Artery bypass graft
35681	C		Composite bypass graft
35682	C		Composite bypass graft
35683	C		Composite bypass graft
35685	T		Bypass graft patency/patch	0093	20.6662	$1,121.95	$277.34	$224.39
35686	T		Bypass graft/av fist patency	0093	20.6662	$1,121.95	$277.34	$224.39
35691	C		Arterial transposition
35693	C		Arterial transposition
35694	C		Arterial transposition
35695	C		Arterial transposition
35700	C		Reoperation, bypass graft
35701	C		Exploration, carotid artery
35721	C		Exploration, femoral artery
35741	C		Exploration popliteal artery
35761	T		Exploration of artery/vein	0115	25.6233	$1,391.06	$459.35	$278.21
35800	C		Explore neck vessels
35820	C		Explore chest vessels
35840	C		Explore abdominal vessels
35860	T		Explore limb vessels	0093	20.6662	$1,121.95	$277.34	$224.39
35870	C		Repair vessel graft defect
35875	T		Removal of clot in graft	0088	34.6065	$1,878.75	$655.22	$375.75
35876	T		Removal of clot in graft	0088	34.6065	$1,878.75	$655.22	$375.75
35879	T		Revise graft w/vein	0088	34.6065	$1,878.75	$655.22	$375.75
35881	T		Revise graft w/vein	0088	34.6065	$1,878.75	$655.22	$375.75
35901	C		Excision, graft, neck
35903	T		Excision, graft, extremity	0115	25.6233	$1,391.06	$459.35	$278.21
35905	C		Excision, graft, thorax
35907	C		Excision, graft, abdomen
36000	N		Place needle in vein
36002	S		Pseudoaneurysm injection trt	0267	2.4805	$134.66	$65.52	$26.93
36005	N		Injection ext venography
36010	N		Place catheter in vein
36011	N		Place catheter in vein
36012	N		Place catheter in vein
36013	N		Place catheter in artery
36014	N		Place catheter in artery
36015	N		Place catheter in artery
36100	N		Establish access to artery
36120	N		Establish access to artery
36140	N		Establish access to artery
36145	N		Artery to vein shunt
36160	N		Establish access to aorta
36200	N		Place catheter in aorta
36215	N		Place catheter in artery
36216	N		Place catheter in artery
36217	N		Place catheter in artery
36218	N		Place catheter in artery
36245	N		Place catheter in artery
36246	N		Place catheter in artery
36247	N		Place catheter in artery
36248	N		Place catheter in artery
36260	T		Insertion of infusion pump	0119	129.8988	$7,052.08		$1,410.42
36261	T		Revision of infusion pump	0124	27.4545	$1,490.48	$298.10	$298.10
36262	T		Removal of infusion pump	0109	7.7075	$418.43	$131.49	$83.69
36299	N		Vessel injection procedure
36400	N		Bl draw < 3 yrs fem/jugular
36405	N		Bl draw < 3 yrs scalp vein
36406	N		Bl draw < 3 yrs other vein
36410	N		Non-routine bl draw > 3 yrs
36415	E		Drawing blood
36416	E		Capillary blood draw
36420	T		Vein access cutdown < 1 yr	0035	0.2236	$12.14	$3.51	$2.43
36425	T		Vein access cutdown > 1 yr	0035	0.2236	$12.14	$3.51	$2.43
36430	S		Blood transfusion service	0110	3.7128	$201.56		$40.31
36440	S		Bl push transfuse, 2 yr or <	0110	3.7128	$201.56		$40.31
36450	S		Bl exchange/transfuse, nb	0110	3.7128	$201.56		$40.31
36455	S		Bl exchange/transfuse non-nb	0110	3.7128	$201.56		$40.31
36460	S		Transfusion service, fetal	0110	3.7128	$201.56		$40.31
36468	T		Injection(s), spider veins	0098	1.1630	$63.14	$15.17	$12.63
36469	T		Injection(s), spider veins	0098	1.1630	$63.14	$15.17	$12.63
36470	T		Injection therapy of vein	0098	1.1630	$63.14	$15.17	$12.63
36471	T		Injection therapy of veins	0098	1.1630	$63.14	$15.17	$12.63
36481	N		Insertion of catheter, vein
36488	T		Insertion of catheter, vein	0032	11.5584	$627.49		$125.50
36489	T		Insertion of catheter, vein	0032	11.5584	$627.49		$125.50
36490	T		Insertion of catheter, vein	0032	11.5584	$627.49		$125.50
36491	T		Insertion of catheter, vein	0032	11.5584	$627.49		$125.50
36493	X		Repositioning of cvc	0187	4.4274	$240.36	$90.71	$48.07
36500	N		Insertion of catheter, vein
36510	C		Insertion of catheter, vein
36511	S		Apheresis wbc	0111	14.0169	$760.96	$211.96	$152.19
36512	S		Apheresis rbc	0111	14.0169	$760.96	$211.96	$152.19
36513	S		Apheresis platelets	0111	14.0169	$760.96	$211.96	$152.19
36514	S		Apheresis plasma	0111	14.0169	$760.96	$211.96	$152.19
36515	S		Apheresis, adsorp/reinfuse	0112	34.8318	$1,890.98	$609.71	$378.20
36516	S		Apheresis, selective	0112	34.8318	$1,890.98	$609.71	$378.20
36522	S		Photopheresis	0112	34.8318	$1,890.98	$609.71	$378.20
36530	T		Insertion of infusion pump	0119	129.8988	$7,052.08		$1,410.42
36531	T		Revision of infusion pump	0124	27.4545	$1,490.48	$298.10	$298.10
36532	T		Removal of infusion pump	0109	7.7075	$418.43	$131.49	$83.69
36533	T		Insertion of access device	0115	25.6233	$1,391.06	$459.35	$278.21
36534	T		Revision of access device	0109	7.7075	$418.43	$131.49	$83.69
36535	T		Removal of access device	0109	7.7075	$418.43	$131.49	$83.69
36536	T		Remove cva device obstruct	1541		$250.00		$50.00
36537	T		Remove cva lumen obstruct	1541		$250.00		$50.00
36540	N		Collect blood venous device
36550	T		Declot vascular device	0677	3.0769	$167.04		$33.41
36600	N		Withdrawal of arterial blood
36620	N		Insertion catheter, artery
36625	N		Insertion catheter, artery
36640	T		Insertion catheter, artery	0032	11.5584	$627.49		$125.50
36660	C		Insertion catheter, artery
36680	X		Insert needle, bone cavity	0340	0.6232	$33.83		$6.77
36800	T		Insertion of cannula	0115	25.6233	$1,391.06	$459.35	$278.21
36810	T		Insertion of cannula	0115	25.6233	$1,391.06	$459.35	$278.21
36815	T		Insertion of cannula	0115	25.6233	$1,391.06	$459.35	$278.21
36819	T		Av fusion/uppr arm vein	0088	34.6065	$1,878.75	$655.22	$375.75
36820	T		Av fusion/forearm vein	0088	34.6065	$1,878.75	$655.22	$375.75
36821	T		Av fusion direct any site	0088	34.6065	$1,878.75	$655.22	$375.75
36822	C		Insertion of cannula(s)
36823	C		Insertion of cannula(s)
36825	T		Artery-vein autograft	0088	34.6065	$1,878.75	$655.22	$375.75
36830	T		Artery-vein graft	0088	34.6065	$1,878.75	$655.22	$375.75
36831	T		Open thrombect av fistula	0088	34.6065	$1,878.75	$655.22	$375.75
36832	T		Av fistula revision, open	0088	34.6065	$1,878.75	$655.22	$375.75
36833	T		Av fistula revision	0088	34.6065	$1,878.75	$655.22	$375.75
36834	T		Repair A-V aneurysm	0088	34.6065	$1,878.75	$655.22	$375.75
36835	T		Artery to vein shunt	0115	25.6233	$1,391.06	$459.35	$278.21
36860	T		External cannula declotting	0103	12.1256	$658.29	$223.63	$131.66
36861	T		Cannula declotting	0115	25.6233	$1,391.06	$459.35	$278.21
36870	T		Percut thrombect av fistula	0653	32.4880	$1,763.74		$352.75
37140	C		Revision of circulation
37145	C		Revision of circulation
37160	C		Revision of circulation
37180	C		Revision of circulation
37181	C		Splice spleen/kidney veins
37182	C		Insert hepatic shunt (tips)
37183	C		Remove hepatic shunt (tips)
37195	C		Thrombolytic therapy, stroke
37200	T		Transcatheter biopsy	0685	4.8912	$265.54	$116.83	$53.11
37201	T		Transcatheter therapy infuse	0676	3.7505	$203.61	$55.06	$40.72
37202	T		Transcatheter therapy infuse	0677	3.0769	$167.04		$33.41
37203	T		Transcatheter retrieval	0103	12.1256	$658.29	$223.63	$131.66
37204	T		Transcatheter occlusion	0115	25.6233	$1,391.06	$459.35	$278.21
37205	T		Transcatheter stent	0229	59.4977	$3,230.07	$771.23	$646.01
37206	T		Transcatheter stent add-on	0229	59.4977	$3,230.07	$771.23	$646.01
37207	T		Transcatheter stent	0229	59.4977	$3,230.07	$771.23	$646.01
37208	T		Transcatheter stent add-on	0229	59.4977	$3,230.07	$771.23	$646.01
37209	T		Exchange arterial catheter	0103	12.1256	$658.29	$223.63	$131.66
37250	S		Iv us first vessel add-on	0670	26.5472	$1,441.22	$521.95	$288.24
37251	S		Iv us each add vessel add-on	0670	26.5472	$1,441.22	$521.95	$288.24
37500	T		Endoscopy ligate perf veins	0092	25.1347	$1,364.54	$505.37	$272.91
37501	T		Vascular endoscopy procedure	0092	25.1347	$1,364.54	$505.37	$272.91
37565	T		Ligation of neck vein	0093	20.6662	$1,121.95	$277.34	$224.39
37600	T		Ligation of neck artery	0093	20.6662	$1,121.95	$277.34	$224.39
37605	T		Ligation of neck artery	0091	28.5187	$1,548.25	$348.23	$309.65
37606	T		Ligation of neck artery	0091	28.5187	$1,548.25	$348.23	$309.65
37607	T		Ligation of a-v fistula	0092	25.1347	$1,364.54	$505.37	$272.91
37609	T		Temporal artery procedure	0021	14.5749	$791.26	$219.48	$158.25
37615	T		Ligation of neck artery	0091	28.5187	$1,548.25	$348.23	$309.65
37616	C		Ligation of chest artery
37617	C		Ligation of abdomen artery
37618	C		Ligation of extremity artery
37620	T		Revision of major vein	0091	28.5187	$1,548.25	$348.23	$309.65
37650	T		Revision of major vein	0091	28.5187	$1,548.25	$348.23	$309.65
37660	C		Revision of major vein
37700	T		Revise leg vein	0091	28.5187	$1,548.25	$348.23	$309.65
37720	T		Removal of leg vein	0092	25.1347	$1,364.54	$505.37	$272.91
37730	T		Removal of leg veins	0092	25.1347	$1,364.54	$505.37	$272.91
37735	T		Removal of leg veins/lesion	0092	25.1347	$1,364.54	$505.37	$272.91
37760	T		Revision of leg veins	0091	28.5187	$1,548.25	$348.23	$309.65
37780	T		Revision of leg vein	0091	28.5187	$1,548.25	$348.23	$309.65
37785	T		Revise secondary varicosity	0091	28.5187	$1,548.25	$348.23	$309.65
37788	C		Revascularization, penis
37790	T		Penile venous occlusion	0181	29.0094	$1,574.89	$621.82	$314.98
37799	T		Vascular surgery procedure	0035	0.2236	$12.14	$3.51	$2.43
38100	C		Removal of spleen, total
38101	C		Removal of spleen, partial
38102	C		Removal of spleen, total
38115	C		Repair of ruptured spleen
38120	T		Laparoscopy, splenectomy	0131	40.8955	$2,220.18	$1,001.89	$444.04
38129	T		Laparoscope proc, spleen	0130	32.5959	$1,769.60	$659.53	$353.92
38200	N		Injection for spleen x-ray
38204	E		Bl donor search management
38205	S		Harvest allogenic stem cells	0111	14.0169	$760.96	$211.96	$152.19
38206	S		Harvest auto stem cells	0111	14.0169	$760.96	$211.96	$152.19
38207	E		Cryopreserve stem cells
38208	E		Thaw preserved stem cells
38209	E		Wash harvest stem cells
38210	E		T-cell depletion of harvest
38211	E		Tumor cell deplete of harvst
38212	E		Rbc depletion of harvest
38213	E		Platelet deplete of harvest
38214	E		Volume deplete of harvest
38215	E		Harvest stem cell concentrte
38220	T		Bone marrow aspiration	0003	2.2627	$122.84		$24.57
38221	T		Bone marrow biopsy	0003	2.2627	$122.84		$24.57
38230	S		Bone marrow collection	0123	4.0076	$217.57		$43.51
38240	S		Bone marrow/stem transplant	0123	4.0076	$217.57		$43.51
38241	S		Bone marrow/stem transplant	0123	4.0076	$217.57		$43.51
38242	S		Lymphocyte infuse transplant	0111	14.0169	$760.96	$211.96	$152.19
38300	T		Drainage, lymph node lesion	0008	16.8303	$913.70		$182.74
38305	T		Drainage, lymph node lesion	0008	16.8303	$913.70		$182.74
38308	T		Incision of lymph channels	0113	19.9529	$1,083.22		$216.64
38380	C		Thoracic duct procedure
38381	C		Thoracic duct procedure
38382	C		Thoracic duct procedure
38500	T		Biopsy/removal, lymph nodes	0113	19.9529	$1,083.22		$216.64
38505	T		Needle biopsy, lymph nodes	0005	3.3675	$182.82	$71.59	$36.56
38510	T		Biopsy/removal, lymph nodes	0113	19.9529	$1,083.22		$216.64
38520	T		Biopsy/removal, lymph nodes	0113	19.9529	$1,083.22		$216.64
38525	T		Biopsy/removal, lymph nodes	0113	19.9529	$1,083.22		$216.64
38530	T		Biopsy/removal, lymph nodes	0113	19.9529	$1,083.22		$216.64
38542	T		Explore deep node(s), neck	0114	37.3583	$2,028.14	$485.91	$405.63
38550	T		Removal, neck/armpit lesion	0113	19.9529	$1,083.22		$216.64
38555	T		Removal, neck/armpit lesion	0113	19.9529	$1,083.22		$216.64
38562	C		Removal, pelvic lymph nodes
38564	C		Removal, abdomen lymph nodes
38570	T		Laparoscopy, lymph node biop	0131	40.8955	$2,220.18	$1,001.89	$444.04
38571	T		Laparoscopy, lymphadenectomy	0132	56.6318	$3,074.48	$1,239.22	$614.90
38572	T		Laparoscopy, lymphadenectomy	0131	40.8955	$2,220.18	$1,001.89	$444.04
38589	T		Laparoscope proc, lymphatic	0130	32.5959	$1,769.60	$659.53	$353.92
38700	T		Removal of lymph nodes, neck	0113	19.9529	$1,083.22		$216.64
38720	T		Removal of lymph nodes, neck	0113	19.9529	$1,083.22		$216.64
38724	C		Removal of lymph nodes, neck
38740	T		Remove armpit lymph nodes	0114	37.3583	$2,028.14	$485.91	$405.63
38745	T		Remove armpit lymph nodes	0114	37.3583	$2,028.14	$485.91	$405.63
38746	C		Remove thoracic lymph nodes
38747	C		Remove abdominal lymph nodes
38760	T		Remove groin lymph nodes	0113	19.9529	$1,083.22		$216.64
38765	C		Remove groin lymph nodes
38770	C		Remove pelvis lymph nodes
38780	C		Remove abdomen lymph nodes
38790	N		Inject for lymphatic x-ray
38792	N		Identify sentinel node
38794	N		Access thoracic lymph duct
38999	S		Blood/lymph system procedure	0110	3.7128	$201.56		$40.31
39000	C		Exploration of chest
39010	C		Exploration of chest
39200	C		Removal chest lesion
39220	C		Removal chest lesion
39400	T		Visualization of chest	0069	28.6334	$1,554.48	$591.64	$310.90
39499	C		Chest procedure
39501	C		Repair diaphragm laceration
39502	C		Repair paraesophageal hernia
39503	C		Repair of diaphragm hernia
39520	C		Repair of diaphragm hernia
39530	C		Repair of diaphragm hernia
39531	C		Repair of diaphragm hernia
39540	C		Repair of diaphragm hernia
39541	C		Repair of diaphragm hernia
39545	C		Revision of diaphragm
39560	C		Resect diaphragm, simple
39561	C		Resect diaphragm, complex
39599	C		Diaphragm surgery procedure
40490	T		Biopsy of lip	0251	1.8643	$101.21		$20.24
40500	T		Partial excision of lip	0253	15.1698	$823.55	$282.29	$164.71
40510	T		Partial excision of lip	0254	21.4368	$1,163.78	$321.35	$232.76
40520	T		Partial excision of lip	0253	15.1698	$823.55	$282.29	$164.71
40525	T		Reconstruct lip with flap	0254	21.4368	$1,163.78	$321.35	$232.76
40527	T		Reconstruct lip with flap	0254	21.4368	$1,163.78	$321.35	$232.76
40530	T		Partial removal of lip	0254	21.4368	$1,163.78	$321.35	$232.76
40650	T		Repair lip	0252	6.5416	$355.14	$113.41	$71.03
40652	T		Repair lip	0252	6.5416	$355.14	$113.41	$71.03
40654	T		Repair lip	0252	6.5416	$355.14	$113.41	$71.03
40700	T		Repair cleft lip/nasal	0256	35.0866	$1,904.82		$380.96
40701	T		Repair cleft lip/nasal	0256	35.0866	$1,904.82		$380.96
40702	T		Repair cleft lip/nasal	0256	35.0866	$1,904.82		$380.96
40720	T		Repair cleft lip/nasal	0256	35.0866	$1,904.82		$380.96
40761	T		Repair cleft lip/nasal	0256	35.0866	$1,904.82		$380.96
40799	T		Lip surgery procedure	0253	15.1698	$823.55	$282.29	$164.71
40800	T		Drainage of mouth lesion	0251	1.8643	$101.21		$20.24
40801	T		Drainage of mouth lesion	0252	6.5416	$355.14	$113.41	$71.03
40804	X		Removal, foreign body, mouth	0340	0.6232	$33.83		$6.77
40805	T		Removal, foreign body, mouth	0252	6.5416	$355.14	$113.41	$71.03
40806	T		Incision of lip fold	0251	1.8643	$101.21		$20.24
40808	T		Biopsy of mouth lesion	0251	1.8643	$101.21		$20.24
40810	T		Excision of mouth lesion	0253	15.1698	$823.55	$282.29	$164.71
40812	T		Excise/repair mouth lesion	0253	15.1698	$823.55	$282.29	$164.71
40814	T		Excise/repair mouth lesion	0253	15.1698	$823.55	$282.29	$164.71
40816	T		Excision of mouth lesion	0254	21.4368	$1,163.78	$321.35	$232.76
40818	T		Excise oral mucosa for graft	0251	1.8643	$101.21		$20.24
40819	T		Excise lip or cheek fold	0252	6.5416	$355.14	$113.41	$71.03
40820	T		Treatment of mouth lesion	0253	15.1698	$823.55	$282.29	$164.71
40830	T		Repair mouth laceration	0251	1.8643	$101.21		$20.24
40831	T		Repair mouth laceration	0252	6.5416	$355.14	$113.41	$71.03
40840	T		Reconstruction of mouth	0254	21.4368	$1,163.78	$321.35	$232.76
40842	T		Reconstruction of mouth	0254	21.4368	$1,163.78	$321.35	$232.76
40843	T		Reconstruction of mouth	0254	21.4368	$1,163.78	$321.35	$232.76
40844	T		Reconstruction of mouth	0256	35.0866	$1,904.82		$380.96
40845	T		Reconstruction of mouth	0256	35.0866	$1,904.82		$380.96
40899	T		Mouth surgery procedure	0252	6.5416	$355.14	$113.41	$71.03
41000	T		Drainage of mouth lesion	0253	15.1698	$823.55	$282.29	$164.71
41005	T		Drainage of mouth lesion	0251	1.8643	$101.21		$20.24
41006	T		Drainage of mouth lesion	0254	21.4368	$1,163.78	$321.35	$232.76
41007	T		Drainage of mouth lesion	0253	15.1698	$823.55	$282.29	$164.71
41008	T		Drainage of mouth lesion	0253	15.1698	$823.55	$282.29	$164.71
41009	T		Drainage of mouth lesion	0251	1.8643	$101.21		$20.24
41010	T		Incision of tongue fold	0253	15.1698	$823.55	$282.29	$164.71
41015	T		Drainage of mouth lesion	0251	1.8643	$101.21		$20.24
41016	T		Drainage of mouth lesion	0252	6.5416	$355.14	$113.41	$71.03
41017	T		Drainage of mouth lesion	0252	6.5416	$355.14	$113.41	$71.03
41018	T		Drainage of mouth lesion	0252	6.5416	$355.14	$113.41	$71.03
41100	T		Biopsy of tongue	0252	6.5416	$355.14	$113.41	$71.03
41105	T		Biopsy of tongue	0253	15.1698	$823.55	$282.29	$164.71
41108	T		Biopsy of floor of mouth	0252	6.5416	$355.14	$113.41	$71.03
41110	T		Excision of tongue lesion	0253	15.1698	$823.55	$282.29	$164.71
41112	T		Excision of tongue lesion	0253	15.1698	$823.55	$282.29	$164.71
41113	T		Excision of tongue lesion	0253	15.1698	$823.55	$282.29	$164.71
41114	T		Excision of tongue lesion	0254	21.4368	$1,163.78	$321.35	$232.76
41115	T		Excision of tongue fold	0252	6.5416	$355.14	$113.41	$71.03
41116	T		Excision of mouth lesion	0253	15.1698	$823.55	$282.29	$164.71
41120	T		Partial removal of tongue	0254	21.4368	$1,163.78	$321.35	$232.76
41130	C		Partial removal of tongue
41135	C		Tongue and neck surgery
41140	C		Removal of tongue
41145	C		Tongue removal, neck surgery
41150	C		Tongue, mouth, jaw surgery
41153	C		Tongue, mouth, neck surgery
41155	C		Tongue, jaw, & neck surgery
41250	T		Repair tongue laceration	0251	1.8643	$101.21		$20.24
41251	T		Repair tongue laceration	0252	6.5416	$355.14	$113.41	$71.03
41252	T		Repair tongue laceration	0252	6.5416	$355.14	$113.41	$71.03
41500	T		Fixation of tongue	0254	21.4368	$1,163.78	$321.35	$232.76
41510	T		Tongue to lip surgery	0253	15.1698	$823.55	$282.29	$164.71
41520	T		Reconstruction, tongue fold	0252	6.5416	$355.14	$113.41	$71.03
41599	T		Tongue and mouth surgery	0251	1.8643	$101.21		$20.24
41800	T		Drainage of gum lesion	0251	1.8643	$101.21		$20.24
41805	T		Removal foreign body, gum	0254	21.4368	$1,163.78	$321.35	$232.76
41806	T		Removal foreign body,jawbone	0253	15.1698	$823.55	$282.29	$164.71
41820	T		Excision, gum, each quadrant	0252	6.5416	$355.14	$113.41	$71.03
41821	T		Excision of gum flap	0252	6.5416	$355.14	$113.41	$71.03
41822	T		Excision of gum lesion	0253	15.1698	$823.55	$282.29	$164.71
41823	T		Excision of gum lesion	0254	21.4368	$1,163.78	$321.35	$232.76
41825	T		Excision of gum lesion	0253	15.1698	$823.55	$282.29	$164.71
41826	T		Excision of gum lesion	0253	15.1698	$823.55	$282.29	$164.71
41827	T		Excision of gum lesion	0254	21.4368	$1,163.78	$321.35	$232.76
41828	T		Excision of gum lesion	0253	15.1698	$823.55	$282.29	$164.71
41830	T		Removal of gum tissue	0253	15.1698	$823.55	$282.29	$164.71
41850	T		Treatment of gum lesion	0253	15.1698	$823.55	$282.29	$164.71
41870	T		Gum graft	0254	21.4368	$1,163.78	$321.35	$232.76
41872	T		Repair gum	0253	15.1698	$823.55	$282.29	$164.71
41874	T		Repair tooth socket	0254	21.4368	$1,163.78	$321.35	$232.76
41899	T		Dental surgery procedure	0253	15.1698	$823.55	$282.29	$164.71
42000	T		Drainage mouth roof lesion	0251	1.8643	$101.21		$20.24
42100	T		Biopsy roof of mouth	0252	6.5416	$355.14	$113.41	$71.03
42104	T		Excision lesion, mouth roof	0253	15.1698	$823.55	$282.29	$164.71
42106	T		Excision lesion, mouth roof	0253	15.1698	$823.55	$282.29	$164.71
42107	T		Excision lesion, mouth roof	0254	21.4368	$1,163.78	$321.35	$232.76
42120	T		Remove palate/lesion	0256	35.0866	$1,904.82		$380.96
42140	T		Excision of uvula	0252	6.5416	$355.14	$113.41	$71.03
42145	T		Repair palate, pharynx/uvula	0254	21.4368	$1,163.78	$321.35	$232.76
42160	T		Treatment mouth roof lesion	0253	15.1698	$823.55	$282.29	$164.71
42180	T		Repair palate	0251	1.8643	$101.21		$20.24
42182	T		Repair palate	0256	35.0866	$1,904.82		$380.96
42200	T		Reconstruct cleft palate	0256	35.0866	$1,904.82		$380.96
42205	T		Reconstruct cleft palate	0256	35.0866	$1,904.82		$380.96
42210	T		Reconstruct cleft palate	0256	35.0866	$1,904.82		$380.96
42215	T		Reconstruct cleft palate	0256	35.0866	$1,904.82		$380.96
42220	T		Reconstruct cleft palate	0256	35.0866	$1,904.82		$380.96
42225	T		Reconstruct cleft palate	0256	35.0866	$1,904.82		$380.96
42226	T		Lengthening of palate	0256	35.0866	$1,904.82		$380.96
42227	T		Lengthening of palate	0256	35.0866	$1,904.82		$380.96
42235	T		Repair palate	0253	15.1698	$823.55	$282.29	$164.71
42260	T		Repair nose to lip fistula	0254	21.4368	$1,163.78	$321.35	$232.76
42280	T		Preparation, palate mold	0251	1.8643	$101.21		$20.24
42281	T		Insertion, palate prosthesis	0253	15.1698	$823.55	$282.29	$164.71
42299	T		Palate/uvula surgery	0251	1.8643	$101.21		$20.24
42300	T		Drainage of salivary gland	0253	15.1698	$823.55	$282.29	$164.71
42305	T		Drainage of salivary gland	0253	15.1698	$823.55	$282.29	$164.71
42310	T		Drainage of salivary gland	0251	1.8643	$101.21		$20.24
42320	T		Drainage of salivary gland	0251	1.8643	$101.21		$20.24
42325	T		Create salivary cyst drain	0251	1.8643	$101.21		$20.24
42326	T		Create salivary cyst drain	0252	6.5416	$355.14	$113.41	$71.03
42330	T		Removal of salivary stone	0253	15.1698	$823.55	$282.29	$164.71
42335	T		Removal of salivary stone	0253	15.1698	$823.55	$282.29	$164.71
42340	T		Removal of salivary stone	0253	15.1698	$823.55	$282.29	$164.71
42400	T		Biopsy of salivary gland	0005	3.3675	$182.82	$71.59	$36.56
42405	T		Biopsy of salivary gland	0253	15.1698	$823.55	$282.29	$164.71
42408	T		Excision of salivary cyst	0253	15.1698	$823.55	$282.29	$164.71
42409	T		Drainage of salivary cyst	0253	15.1698	$823.55	$282.29	$164.71
42410	T		Excise parotid gland/lesion	0256	35.0866	$1,904.82		$380.96
42415	T		Excise parotid gland/lesion	0256	35.0866	$1,904.82		$380.96
42420	T		Excise parotid gland/lesion	0256	35.0866	$1,904.82		$380.96
42425	T		Excise parotid gland/lesion	0256	35.0866	$1,904.82		$380.96
42426	C		Excise parotid gland/lesion
42440	T		Excise submaxillary gland	0256	35.0866	$1,904.82		$380.96
42450	T		Excise sublingual gland	0254	21.4368	$1,163.78	$321.35	$232.76
42500	T		Repair salivary duct	0254	21.4368	$1,163.78	$321.35	$232.76
42505	T		Repair salivary duct	0256	35.0866	$1,904.82		$380.96
42507	T		Parotid duct diversion	0256	35.0866	$1,904.82		$380.96
42508	T		Parotid duct diversion	0256	35.0866	$1,904.82		$380.96
42509	T		Parotid duct diversion	0256	35.0866	$1,904.82		$380.96
42510	T		Parotid duct diversion	0256	35.0866	$1,904.82		$380.96
42550	N		Injection for salivary x-ray
42600	T		Closure of salivary fistula	0253	15.1698	$823.55	$282.29	$164.71
42650	T		Dilation of salivary duct	0252	6.5416	$355.14	$113.41	$71.03
42660	T		Dilation of salivary duct	0252	6.5416	$355.14	$113.41	$71.03
42665	T		Ligation of salivary duct	0254	21.4368	$1,163.78	$321.35	$232.76
42699	T		Salivary surgery procedure	0253	15.1698	$823.55	$282.29	$164.71
42700	T		Drainage of tonsil abscess	0251	1.8643	$101.21		$20.24
42720	T		Drainage of throat abscess	0253	15.1698	$823.55	$282.29	$164.71
42725	T		Drainage of throat abscess	0256	35.0866	$1,904.82		$380.96
42800	T		Biopsy of throat	0253	15.1698	$823.55	$282.29	$164.71
42802	T		Biopsy of throat	0253	15.1698	$823.55	$282.29	$164.71
42804	T		Biopsy of upper nose/throat	0253	15.1698	$823.55	$282.29	$164.71
42806	T		Biopsy of upper nose/throat	0254	21.4368	$1,163.78	$321.35	$232.76
42808	T		Excise pharynx lesion	0253	15.1698	$823.55	$282.29	$164.71
42809	X		Remove pharynx foreign body	0340	0.6232	$33.83		$6.77
42810	T		Excision of neck cyst	0254	21.4368	$1,163.78	$321.35	$232.76
42815	T		Excision of neck cyst	0256	35.0866	$1,904.82		$380.96
42820	T		Remove tonsils and adenoids	0258	21.0273	$1,141.55	$437.25	$228.31
42821	T		Remove tonsils and adenoids	0258	21.0273	$1,141.55	$437.25	$228.31
42825	T		Removal of tonsils	0258	21.0273	$1,141.55	$437.25	$228.31
42826	T		Removal of tonsils	0258	21.0273	$1,141.55	$437.25	$228.31
42830	T		Removal of adenoids	0258	21.0273	$1,141.55	$437.25	$228.31
42831	T		Removal of adenoids	0258	21.0273	$1,141.55	$437.25	$228.31
42835	T		Removal of adenoids	0258	21.0273	$1,141.55	$437.25	$228.31
42836	T		Removal of adenoids	0258	21.0273	$1,141.55	$437.25	$228.31
42842	T		Extensive surgery of throat	0254	21.4368	$1,163.78	$321.35	$232.76
42844	T		Extensive surgery of throat	0256	35.0866	$1,904.82		$380.96
42845	C		Extensive surgery of throat
42860	T		Excision of tonsil tags	0258	21.0273	$1,141.55	$437.25	$228.31
42870	T		Excision of lingual tonsil	0258	21.0273	$1,141.55	$437.25	$228.31
42890	T		Partial removal of pharynx	0256	35.0866	$1,904.82		$380.96
42892	T		Revision of pharyngeal walls	0256	35.0866	$1,904.82		$380.96
42894	C		Revision of pharyngeal walls
42900	T		Repair throat wound	0252	6.5416	$355.14	$113.41	$71.03
42950	T		Reconstruction of throat	0254	21.4368	$1,163.78	$321.35	$232.76
42953	C		Repair throat, esophagus
42955	T		Surgical opening of throat	0254	21.4368	$1,163.78	$321.35	$232.76
42960	T		Control throat bleeding	0250	1.5381	$83.50	$29.23	$16.70
42961	C		Control throat bleeding
42962	T		Control throat bleeding	0256	35.0866	$1,904.82		$380.96
42970	T		Control nose/throat bleeding	0250	1.5381	$83.50	$29.23	$16.70
42971	C		Control nose/throat bleeding
42972	T		Control nose/throat bleeding	0253	15.1698	$823.55	$282.29	$164.71
42999	T		Throat surgery procedure	0252	6.5416	$355.14	$113.41	$71.03
43020	T		Incision of esophagus	0252	6.5416	$355.14	$113.41	$71.03
43030	T		Throat muscle surgery	0253	15.1698	$823.55	$282.29	$164.71
43045	C		Incision of esophagus
43100	C		Excision of esophagus lesion
43101	C		Excision of esophagus lesion
43107	C		Removal of esophagus
43108	C		Removal of esophagus
43112	C		Removal of esophagus
43113	C		Removal of esophagus
43116	C		Partial removal of esophagus
43117	C		Partial removal of esophagus
43118	C		Partial removal of esophagus
43121	C		Partial removal of esophagus
43122	C		Partial removal of esophagus
43123	C		Partial removal of esophagus
43124	C		Removal of esophagus
43130	T		Removal of esophagus pouch	0254	21.4368	$1,163.78	$321.35	$232.76
43135	C		Removal of esophagus pouch
43200	T		Esophagus endoscopy	0141	7.8542	$426.40	$143.38	$85.28
43201	T		Esoph scope w/submucous inj	0141	7.8542	$426.40	$143.38	$85.28
43202	T		Esophagus endoscopy, biopsy	0141	7.8542	$426.40	$143.38	$85.28
43204	T		Esoph scope w/sclerosis inj	0141	7.8542	$426.40	$143.38	$85.28
43205	T		Esophagus endoscopy/ligation	0141	7.8542	$426.40	$143.38	$85.28
43215	T		Esophagus endoscopy	0141	7.8542	$426.40	$143.38	$85.28
43216	T		Esophagus endoscopy/lesion	0141	7.8542	$426.40	$143.38	$85.28
43217	T		Esophagus endoscopy	0141	7.8542	$426.40	$143.38	$85.28
43219	T		Esophagus endoscopy	0384	36.0040	$1,954.62	$424.53	$390.92
43220	T		Esoph endoscopy, dilation	0141	7.8542	$426.40	$143.38	$85.28
43226	T		Esoph endoscopy, dilation	0141	7.8542	$426.40	$143.38	$85.28
43227	T		Esoph endoscopy, repair	0141	7.8542	$426.40	$143.38	$85.28
43228	T		Esoph endoscopy, ablation	0141	7.8542	$426.40	$143.38	$85.28
43231	T		Esoph endoscopy w/us exam	0141	7.8542	$426.40	$143.38	$85.28
43232	T		Esoph endoscopy w/us fn bx	0141	7.8542	$426.40	$143.38	$85.28
43234	T		Upper GI endoscopy, exam	0141	7.8542	$426.40	$143.38	$85.28
43235	T		Uppr gi endoscopy, diagnosis	0141	7.8542	$426.40	$143.38	$85.28
43236	T		Uppr gi scope w/submuc inj	0141	7.8542	$426.40	$143.38	$85.28
43239	T		Upper GI endoscopy, biopsy	0141	7.8542	$426.40	$143.38	$85.28
43240	T		Esoph endoscope w/drain cyst	0141	7.8542	$426.40	$143.38	$85.28
43241	T		Upper GI endoscopy with tube	0141	7.8542	$426.40	$143.38	$85.28
43242	T		Uppr gi endoscopy w/us fn bx	0141	7.8542	$426.40	$143.38	$85.28
43243	T		Upper gi endoscopy & inject	0141	7.8542	$426.40	$143.38	$85.28
43244	T		Upper GI endoscopy/ligation	0141	7.8542	$426.40	$143.38	$85.28
43245	T		Uppr gi scope dilate strictr	0141	7.8542	$426.40	$143.38	$85.28
43246	T		Place gastrostomy tube	0141	7.8542	$426.40	$143.38	$85.28
43247	T		Operative upper GI endoscopy	0141	7.8542	$426.40	$143.38	$85.28
43248	T		Uppr gi endoscopy/guide wire	0141	7.8542	$426.40	$143.38	$85.28
43249	T		Esoph endoscopy, dilation	0141	7.8542	$426.40	$143.38	$85.28
43250	T		Upper GI endoscopy/tumor	0141	7.8542	$426.40	$143.38	$85.28
43251	T		Operative upper GI endoscopy	0141	7.8542	$426.40	$143.38	$85.28
43255	T		Operative upper GI endoscopy	0141	7.8542	$426.40	$143.38	$85.28
43256	T		Uppr gi endoscopy w stent	0384	36.0040	$1,954.62	$424.53	$390.92
43258	T		Operative upper GI endoscopy	0141	7.8542	$426.40	$143.38	$85.28
43259	T		Endoscopic ultrasound exam	0141	7.8542	$426.40	$143.38	$85.28
43260	T		Endo cholangiopancreatograph	0151	18.8763	$1,024.78	$245.46	$204.96
43261	T		Endo cholangiopancreatograph	0151	18.8763	$1,024.78	$245.46	$204.96
43262	T		Endo cholangiopancreatograph	0151	18.8763	$1,024.78	$245.46	$204.96
43263	T		Endo cholangiopancreatograph	0151	18.8763	$1,024.78	$245.46	$204.96
43264	T		Endo cholangiopancreatograph	0151	18.8763	$1,024.78	$245.46	$204.96
43265	T		Endo cholangiopancreatograph	0151	18.8763	$1,024.78	$245.46	$204.96
43267	T		Endo cholangiopancreatograph	0151	18.8763	$1,024.78	$245.46	$204.96
43268	T		Endo cholangiopancreatograph	0151	18.8763	$1,024.78	$245.46	$204.96
43269	T		Endo cholangiopancreatograph	0151	18.8763	$1,024.78	$245.46	$204.96
43271	T		Endo cholangiopancreatograph	0151	18.8763	$1,024.78	$245.46	$204.96
43272	T		Endo cholangiopancreatograph	0151	18.8763	$1,024.78	$245.46	$204.96
43280	T		Laparoscopy, fundoplasty	0132	56.6318	$3,074.48	$1,239.22	$614.90
43289	T		Laparoscope proc, esoph	0130	32.5959	$1,769.60	$659.53	$353.92
43300	C		Repair of esophagus
43305	C		Repair esophagus and fistula
43310	C		Repair of esophagus
43312	C		Repair esophagus and fistula
43313	C		Esophagoplasty congenital
43314	C		Tracheo-esophagoplasty cong
43320	C		Fuse esophagus & stomach
43324	C		Revise esophagus & stomach
43325	C		Revise esophagus & stomach
43326	C		Revise esophagus & stomach
43330	C		Repair of esophagus
43331	C		Repair of esophagus
43340	C		Fuse esophagus & intestine
43341	C		Fuse esophagus & intestine
43350	C		Surgical opening, esophagus
43351	C		Surgical opening, esophagus
43352	C		Surgical opening, esophagus
43360	C		Gastrointestinal repair
43361	C		Gastrointestinal repair
43400	C		Ligate esophagus veins
43401	C		Esophagus surgery for veins
43405	C		Ligate/staple esophagus
43410	C		Repair esophagus wound
43415	C		Repair esophagus wound
43420	C		Repair esophagus opening
43425	C		Repair esophagus opening
43450	T		Dilate esophagus	0140	6.3480	$344.63	$107.24	$68.93
43453	T		Dilate esophagus	0140	6.3480	$344.63	$107.24	$68.93
43456	T		Dilate esophagus	0140	6.3480	$344.63	$107.24	$68.93
43458	T		Dilate esophagus	0140	6.3480	$344.63	$107.24	$68.93
43460	C		Pressure treatment esophagus
43496	C		Free jejunum flap, microvasc
43499	T		Esophagus surgery procedure	0141	7.8542	$426.40	$143.38	$85.28
43500	C		Surgical opening of stomach
43501	C		Surgical repair of stomach
43502	C		Surgical repair of stomach
43510	C		Surgical opening of stomach
43520	C		Incision of pyloric muscle
43600	T		Biopsy of stomach	0141	7.8542	$426.40	$143.38	$85.28
43605	C		Biopsy of stomach
43610	C		Excision of stomach lesion
43611	C		Excision of stomach lesion
43620	C		Removal of stomach
43621	C		Removal of stomach
43622	C		Removal of stomach
43631	C		Removal of stomach, partial
43632	C		Removal of stomach, partial
43633	C		Removal of stomach, partial
43634	C		Removal of stomach, partial
43635	C		Removal of stomach, partial
43638	C		Removal of stomach, partial
43639	C		Removal of stomach, partial
43640	C		Vagotomy & pylorus repair
43641	C		Vagotomy & pylorus repair
43651	T		Laparoscopy, vagus nerve	0132	56.6318	$3,074.48	$1,239.22	$614.90
43652	T		Laparoscopy, vagus nerve	0132	56.6318	$3,074.48	$1,239.22	$614.90
43653	T		Laparoscopy, gastrostomy	0131	40.8955	$2,220.18	$1,001.89	$444.04
43659	T		Laparoscope proc, stom	0130	32.5959	$1,769.60	$659.53	$353.92
43750	T		Place gastrostomy tube	0141	7.8542	$426.40	$143.38	$85.28
43752	E		Nasal/orogastric w/stent
43760	T		Change gastrostomy tube	0121	2.2058	$119.75	$43.80	$23.95
43761	T		Reposition gastrostomy tube	0121	2.2058	$119.75	$43.80	$23.95
43800	C		Reconstruction of pylorus
43810	C		Fusion of stomach and bowel
43820	C		Fusion of stomach and bowel
43825	C		Fusion of stomach and bowel
43830	T		Place gastrostomy tube	0141	7.8542	$426.40	$143.38	$85.28
43831	T		Place gastrostomy tube	0141	7.8542	$426.40	$143.38	$85.28
43832	C		Place gastrostomy tube
43840	C		Repair of stomach lesion
43842	C		Gastroplasty for obesity
43843	C		Gastroplasty for obesity
43846	C		Gastric bypass for obesity
43847	C		Gastric bypass for obesity
43848	C		Revision gastroplasty
43850	C		Revise stomach-bowel fusion
43855	C		Revise stomach-bowel fusion
43860	C		Revise stomach-bowel fusion
43865	C		Revise stomach-bowel fusion
43870	T		Repair stomach opening	0141	7.8542	$426.40	$143.38	$85.28
43880	C		Repair stomach-bowel fistula
43999	T		Stomach surgery procedure	0141	7.8542	$426.40	$143.38	$85.28
44005	C		Freeing of bowel adhesion
44010	C		Incision of small bowel
44015	C		Insert needle cath bowel
44020	C		Explore small intestine
44021	C		Decompress small bowel
44025	C		Incision of large bowel
44050	C		Reduce bowel obstruction
44055	C		Correct malrotation of bowel
44100	T		Biopsy of bowel	0141	7.8542	$426.40	$143.38	$85.28
44110	C		Excise intestine lesion(s)
44111	C		Excision of bowel lesion(s)
44120	C		Removal of small intestine
44121	C		Removal of small intestine
44125	C		Removal of small intestine
44126	C		Enterectomy w/o taper, cong
44127	C		Enterectomy w/taper, cong
44128	C		Enterectomy cong, add-on
44130	C		Bowel to bowel fusion
44132	C		Enterectomy, cadaver donor
44133	C		Enterectomy, live donor
44135	C		Intestine transplnt, cadaver
44136	C		Intestine transplant, live
44139	C		Mobilization of colon
44140	C		Partial removal of colon
44141	C		Partial removal of colon
44143	C		Partial removal of colon
44144	C		Partial removal of colon
44145	C		Partial removal of colon
44146	C		Partial removal of colon
44147	C		Partial removal of colon
44150	C		Removal of colon
44151	C		Removal of colon/ileostomy
44152	C		Removal of colon/ileostomy
44153	C		Removal of colon/ileostomy
44155	C		Removal of colon/ileostomy
44156	C		Removal of colon/ileostomy
44160	C		Removal of colon
44200	T		Laparoscopy, enterolysis	0131	40.8955	$2,220.18	$1,001.89	$444.04
44201	T		Laparoscopy, jejunostomy	0131	40.8955	$2,220.18	$1,001.89	$444.04
44202	C		Lap resect s/intestine singl
44203	C		Lap resect s/intestine, addl
44204	C		Laparo partial colectomy
44205	C		Lap colectomy part w/ileum
44206	T		Lap part colectomy w/stoma	0132	56.6318	$3,074.48	$1,239.22	$614.90
44207	T		L colectomy/coloproctostomy	0132	56.6318	$3,074.48	$1,239.22	$614.90
44208	T		L colectomy/coloproctostomy	0132	56.6318	$3,074.48	$1,239.22	$614.90
44210	C		Laparo total proctocolectomy
44211	C		Laparo total proctocolectomy
44212	C		Laparo total proctocolectomy
44238	T		Laparoscope proc, intestine	0130	32.5959	$1,769.60	$659.53	$353.92
44239	T		Laparoscope proc, rectum	0130	32.5959	$1,769.60	$659.53	$353.92
44300	C		Open bowel to skin
44310	C		Ileostomy/jejunostomy
44312	T		Revision of ileostomy	0027	15.8319	$859.50	$329.72	$171.90
44314	C		Revision of ileostomy
44316	C		Devise bowel pouch
44320	C		Colostomy
44322	C		Colostomy with biopsies
44340	T		Revision of colostomy	0027	15.8319	$859.50	$329.72	$171.90
44345	C		Revision of colostomy
44346	C		Revision of colostomy
44360	T		Small bowel endoscopy	0142	9.0138	$489.35	$152.78	$97.87
44361	T		Small bowel endoscopy/biopsy	0142	9.0138	$489.35	$152.78	$97.87
44363	T		Small bowel endoscopy	0142	9.0138	$489.35	$152.78	$97.87
44364	T		Small bowel endoscopy	0142	9.0138	$489.35	$152.78	$97.87
44365	T		Small bowel endoscopy	0142	9.0138	$489.35	$152.78	$97.87
44366	T		Small bowel endoscopy	0142	9.0138	$489.35	$152.78	$97.87
44369	T		Small bowel endoscopy	0142	9.0138	$489.35	$152.78	$97.87
44370	T		Small bowel endoscopy/stent	0384	36.0040	$1,954.62	$424.53	$390.92
44372	T		Small bowel endoscopy	0142	9.0138	$489.35	$152.78	$97.87
44373	T		Small bowel endoscopy	0142	9.0138	$489.35	$152.78	$97.87
44376	T		Small bowel endoscopy	0142	9.0138	$489.35	$152.78	$97.87
44377	T		Small bowel endoscopy/biopsy	0142	9.0138	$489.35	$152.78	$97.87
44378	T		Small bowel endoscopy	0142	9.0138	$489.35	$152.78	$97.87
44379	T		S bowel endoscope w/stent	0384	36.0040	$1,954.62	$424.53	$390.92
44380	T		Small bowel endoscopy	0142	9.0138	$489.35	$152.78	$97.87
44382	T		Small bowel endoscopy	0142	9.0138	$489.35	$152.78	$97.87
44383	T		Ileoscopy w/stent	0384	36.0040	$1,954.62	$424.53	$390.92
44385	T		Endoscopy of bowel pouch	0143	8.3227	$451.83	$186.06	$90.37
44386	T		Endoscopy, bowel pouch/biop	0143	8.3227	$451.83	$186.06	$90.37
44388	T		Colon endoscopy	0143	8.3227	$451.83	$186.06	$90.37
44389	T		Colonoscopy with biopsy	0143	8.3227	$451.83	$186.06	$90.37
44390	T		Colonoscopy for foreign body	0143	8.3227	$451.83	$186.06	$90.37
44391	T		Colonoscopy for bleeding	0143	8.3227	$451.83	$186.06	$90.37
44392	T		Colonoscopy & polypectomy	0143	8.3227	$451.83	$186.06	$90.37
44393	T		Colonoscopy, lesion removal	0143	8.3227	$451.83	$186.06	$90.37
44394	T		Colonoscopy w/snare	0143	8.3227	$451.83	$186.06	$90.37
44397	T		Colonoscopy w/stent	0384	36.0040	$1,954.62	$424.53	$390.92
44500	T		Intro, gastrointestinal tube	0121	2.2058	$119.75	$43.80	$23.95
44602	C		Suture, small intestine
44603	C		Suture, small intestine
44604	C		Suture, large intestine
44605	C		Repair of bowel lesion
44615	C		Intestinal stricturoplasty
44620	C		Repair bowel opening
44625	C		Repair bowel opening
44626	C		Repair bowel opening
44640	C		Repair bowel-skin fistula
44650	C		Repair bowel fistula
44660	C		Repair bowel-bladder fistula
44661	C		Repair bowel-bladder fistula
44680	C		Surgical revision, intestine
44700	C		Suspend bowel w/prosthesis
44701	N		Intraop colon lavage add-on
44799	T		Intestine surgery procedure	0142	9.0138	$489.35	$152.78	$97.87
44800	C		Excision of bowel pouch
44820	C		Excision of mesentery lesion
44850	C		Repair of mesentery
44899	C		Bowel surgery procedure
44900	C		Drain app abscess, open
44901	C		Drain app abscess, percut
44950	C		Appendectomy
44955	C		Appendectomy add-on
44960	C		Appendectomy
44970	T		Laparoscopy, appendectomy	0130	32.5959	$1,769.60	$659.53	$353.92
44979	T		Laparoscope proc, app	0130	32.5959	$1,769.60	$659.53	$353.92
45000	T		Drainage of pelvic abscess	0149	16.8557	$915.08	$293.06	$183.02
45005	T		Drainage of rectal abscess	0148	4.1171	$223.51	$63.38	$44.70
45020	T		Drainage of rectal abscess	0149	16.8557	$915.08	$293.06	$183.02
45100	T		Biopsy of rectum	0149	16.8557	$915.08	$293.06	$183.02
45108	T		Removal of anorectal lesion	0150	22.2565	$1,208.28	$437.12	$241.66
45110	C		Removal of rectum
45111	C		Partial removal of rectum
45112	C		Removal of rectum
45113	C		Partial proctectomy
45114	C		Partial removal of rectum
45116	C		Partial removal of rectum
45119	C		Remove rectum w/reservoir
45120	C		Removal of rectum
45121	C		Removal of rectum and colon
45123	C		Partial proctectomy
45126	C		Pelvic exenteration
45130	C		Excision of rectal prolapse
45135	C		Excision of rectal prolapse
45136	C		Excise ileoanal reservior
45150	T		Excision of rectal stricture	0150	22.2565	$1,208.28	$437.12	$241.66
45160	T		Excision of rectal lesion	0150	22.2565	$1,208.28	$437.12	$241.66
45170	T		Excision of rectal lesion	0150	22.2565	$1,208.28	$437.12	$241.66
45190	T		Destruction, rectal tumor	0150	22.2565	$1,208.28	$437.12	$241.66
45300	T		Proctosigmoidoscopy dx	0146	3.9986	$217.08	$64.40	$43.42
45303	T		Proctosigmoidoscopy dilate	0146	3.9986	$217.08	$64.40	$43.42
45305	T		Proctosigmoidoscopy w/bx	0146	3.9986	$217.08	$64.40	$43.42
45307	T		Proctosigmoidoscopy fb	0146	3.9986	$217.08	$64.40	$43.42
45308	T		Proctosigmoidoscopy removal	0147	7.5876	$411.92		$82.38
45309	T		Proctosigmoidoscopy removal	0147	7.5876	$411.92		$82.38
45315	T		Proctosigmoidoscopy removal	0147	7.5876	$411.92		$82.38
45317	T		Proctosigmoidoscopy bleed	0146	3.9986	$217.08	$64.40	$43.42
45320	T		Proctosigmoidoscopy ablate	0147	7.5876	$411.92		$82.38
45321	T		Proctosigmoidoscopy volvul	0147	7.5876	$411.92		$82.38
45327	T		Proctosigmoidoscopy w/stent	0384	36.0040	$1,954.62	$424.53	$390.92
45330	T		Diagnostic sigmoidoscopy	0146	3.9986	$217.08	$64.40	$43.42
45331	T		Sigmoidoscopy and biopsy	0146	3.9986	$217.08	$64.40	$43.42
45332	T		Sigmoidoscopy w/fb removal	0146	3.9986	$217.08	$64.40	$43.42
45333	T		Sigmoidoscopy & polypectomy	0147	7.5876	$411.92		$82.38
45334	T		Sigmoidoscopy for bleeding	0147	7.5876	$411.92		$82.38
45335	T		Sigmoidoscope w/submuc inj	0147	7.5876	$411.92		$82.38
45337	T		Sigmoidoscopy & decompress	0147	7.5876	$411.92		$82.38
45338	T		Sigmoidoscpy w/tumr remove	0147	7.5876	$411.92		$82.38
45339	T		Sigmoidoscopy w/ablate tumr	0147	7.5876	$411.92		$82.38
45340	T		Sig w/balloon dilation	0147	7.5876	$411.92		$82.38
45341	T		Sigmoidoscopy w/ultrasound	0147	7.5876	$411.92		$82.38
45342	T		Sigmoidoscopy w/us guide bx	0147	7.5876	$411.92		$82.38
45345	T		Sigmoidoscopy w/stent	0384	36.0040	$1,954.62	$424.53	$390.92
45355	T		Surgical colonoscopy	0143	8.3227	$451.83	$186.06	$90.37
45378	T		Diagnostic colonoscopy	0143	8.3227	$451.83	$186.06	$90.37
45379	T		Colonoscopy w/fb removal	0143	8.3227	$451.83	$186.06	$90.37
45380	T		Colonoscopy and biopsy	0143	8.3227	$451.83	$186.06	$90.37
45381	T		Colonoscope, submucous inj	0143	8.3227	$451.83	$186.06	$90.37
45382	T		Colonoscopy/control bleeding	0143	8.3227	$451.83	$186.06	$90.37
45383	T		Lesion removal colonoscopy	0143	8.3227	$451.83	$186.06	$90.37
45384	T		Lesion remove colonoscopy	0143	8.3227	$451.83	$186.06	$90.37
45385	T		Lesion removal colonoscopy	0143	8.3227	$451.83	$186.06	$90.37
45386	T		Colonoscope dilate stricture	0143	8.3227	$451.83	$186.06	$90.37
45387	T		Colonoscopy w/stent	0384	36.0040	$1,954.62	$424.53	$390.92
45500	T		Repair of rectum	0150	22.2565	$1,208.28	$437.12	$241.66
45505	T		Repair of rectum	0150	22.2565	$1,208.28	$437.12	$241.66
45520	T		Treatment of rectal prolapse	0098	1.1630	$63.14	$15.17	$12.63
45540	C		Correct rectal prolapse
45541	C		Correct rectal prolapse
45550	C		Repair rectum/remove sigmoid
45560	T		Repair of rectocele	0150	22.2565	$1,208.28	$437.12	$241.66
45562	C		Exploration/repair of rectum
45563	C		Exploration/repair of rectum
45800	C		Repair rect/bladder fistula
45805	C		Repair fistula w/colostomy
45820	C		Repair rectourethral fistula
45825	C		Repair fistula w/colostomy
45900	T		Reduction of rectal prolapse	0148	4.1171	$223.51	$63.38	$44.70
45905	T		Dilation of anal sphincter	0149	16.8557	$915.08	$293.06	$183.02
45910	T		Dilation of rectal narrowing	0149	16.8557	$915.08	$293.06	$183.02
45915	T		Remove rectal obstruction	0148	4.1171	$223.51	$63.38	$44.70
45999	T		Rectum surgery procedure	0148	4.1171	$223.51	$63.38	$44.70
46020	T		Placement of seton	0148	4.1171	$223.51	$63.38	$44.70
46030	T		Removal of rectal marker	0148	4.1171	$223.51	$63.38	$44.70
46040	T		Incision of rectal abscess	0149	16.8557	$915.08	$293.06	$183.02
46045	T		Incision of rectal abscess	0150	22.2565	$1,208.28	$437.12	$241.66
46050	T		Incision of anal abscess	0148	4.1171	$223.51	$63.38	$44.70
46060	T		Incision of rectal abscess	0150	22.2565	$1,208.28	$437.12	$241.66
46070	T		Incision of anal septum	0155	9.9148	$538.26	$188.89	$107.65
46080	T		Incision of anal sphincter	0149	16.8557	$915.08	$293.06	$183.02
46083	T		Incise external hemorrhoid	0148	4.1171	$223.51	$63.38	$44.70
46200	T		Removal of anal fissure	0150	22.2565	$1,208.28	$437.12	$241.66
46210	T		Removal of anal crypt	0149	16.8557	$915.08	$293.06	$183.02
46211	T		Removal of anal crypts	0150	22.2565	$1,208.28	$437.12	$241.66
46220	T		Removal of anal tag	0149	16.8557	$915.08	$293.06	$183.02
46221	T		Ligation of hemorrhoid(s)	0148	4.1171	$223.51	$63.38	$44.70
46230	T		Removal of anal tags	0149	16.8557	$915.08	$293.06	$183.02
46250	T		Hemorrhoidectomy	0150	22.2565	$1,208.28	$437.12	$241.66
46255	T		Hemorrhoidectomy	0150	22.2565	$1,208.28	$437.12	$241.66
46257	T		Remove hemorrhoids & fissure	0150	22.2565	$1,208.28	$437.12	$241.66
46258	T		Remove hemorrhoids & fistula	0150	22.2565	$1,208.28	$437.12	$241.66
46260	T		Hemorrhoidectomy	0150	22.2565	$1,208.28	$437.12	$241.66
46261	T		Remove hemorrhoids & fissure	0150	22.2565	$1,208.28	$437.12	$241.66
46262	T		Remove hemorrhoids & fistula	0150	22.2565	$1,208.28	$437.12	$241.66
46270	T		Removal of anal fistula	0150	22.2565	$1,208.28	$437.12	$241.66
46275	T		Removal of anal fistula	0150	22.2565	$1,208.28	$437.12	$241.66
46280	T		Removal of anal fistula	0150	22.2565	$1,208.28	$437.12	$241.66
46285	T		Removal of anal fistula	0150	22.2565	$1,208.28	$437.12	$241.66
46288	T		Repair anal fistula	0150	22.2565	$1,208.28	$437.12	$241.66
46320	T		Removal of hemorrhoid clot	0148	4.1171	$223.51	$63.38	$44.70
46500	T		Injection into hemorrhoid(s)	0155	9.9148	$538.26	$188.89	$107.65
46600	X		Diagnostic anoscopy	0340	0.6232	$33.83		$6.77
46604	T		Anoscopy and dilation	0147	7.5876	$411.92		$82.38
46606	T		Anoscopy and biopsy	0147	7.5876	$411.92		$82.38
46608	T		Anoscopy, remove for body	0147	7.5876	$411.92		$82.38
46610	T		Anoscopy, remove lesion	0147	7.5876	$411.92		$82.38
46611	T		Anoscopy	0147	7.5876	$411.92		$82.38
46612	T		Anoscopy, remove lesions	0147	7.5876	$411.92		$82.38
46614	T		Anoscopy, control bleeding	0147	7.5876	$411.92		$82.38
46615	T		Anoscopy	0147	7.5876	$411.92		$82.38
46700	T		Repair of anal stricture	0150	22.2565	$1,208.28	$437.12	$241.66
46705	C		Repair of anal stricture
46706	T		Repr of anal fistula w/glue	0148	4.1171	$223.51	$63.38	$44.70
46715	C		Repair of anovaginal fistula
46716	C		Repair of anovaginal fistula
46730	C		Construction of absent anus
46735	C		Construction of absent anus
46740	C		Construction of absent anus
46742	C		Repair of imperforated anus
46744	C		Repair of cloacal anomaly
46746	C		Repair of cloacal anomaly
46748	C		Repair of cloacal anomaly
46750	T		Repair of anal sphincter	0150	22.2565	$1,208.28	$437.12	$241.66
46751	C		Repair of anal sphincter
46753	T		Reconstruction of anus	0150	22.2565	$1,208.28	$437.12	$241.66
46754	T		Removal of suture from anus	0149	16.8557	$915.08	$293.06	$183.02
46760	T		Repair of anal sphincter	0150	22.2565	$1,208.28	$437.12	$241.66
46761	T		Repair of anal sphincter	0150	22.2565	$1,208.28	$437.12	$241.66
46762	T		Implant artificial sphincter	0150	22.2565	$1,208.28	$437.12	$241.66
46900	T		Destruction, anal lesion(s)	0016	2.7343	$148.44	$57.31	$29.69
46910	T		Destruction, anal lesion(s)	0017	16.7332	$908.43	$227.84	$181.69
46916	T		Cryosurgery, anal lesion(s)	0013	1.1420	$62.00	$14.20	$12.40
46917	T		Laser surgery, anal lesions	0695	19.1377	$1,038.97	$266.59	$207.79
46922	T		Excision of anal lesion(s)	0695	19.1377	$1,038.97	$266.59	$207.79
46924	T		Destruction, anal lesion(s)	0695	19.1377	$1,038.97	$266.59	$207.79
46934	T		Destruction of hemorrhoids	0155	9.9148	$538.26	$188.89	$107.65
46935	T		Destruction of hemorrhoids	0155	9.9148	$538.26	$188.89	$107.65
46936	T		Destruction of hemorrhoids	0149	16.8557	$915.08	$293.06	$183.02
46937	T		Cryotherapy of rectal lesion	0149	16.8557	$915.08	$293.06	$183.02
46938	T		Cryotherapy of rectal lesion	0150	22.2565	$1,208.28	$437.12	$241.66
46940	T		Treatment of anal fissure	0149	16.8557	$915.08	$293.06	$183.02
46942	T		Treatment of anal fissure	0148	4.1171	$223.51	$63.38	$44.70
46945	T		Ligation of hemorrhoids	0155	9.9148	$538.26	$188.89	$107.65
46946	T		Ligation of hemorrhoids	0155	9.9148	$538.26	$188.89	$107.65
46999	T		Anus surgery procedure	0148	4.1171	$223.51	$63.38	$44.70
47000	T		Needle biopsy of liver	0685	4.8912	$265.54	$116.83	$53.11
47001	N		Needle biopsy, liver add-on
47010	C		Open drainage, liver lesion
47011	T		Percut drain, liver lesion	0005	3.3675	$182.82	$71.59	$36.56
47015	C		Inject/aspirate liver cyst
47100	C		Wedge biopsy of liver
47120	C		Partial removal of liver
47122	C		Extensive removal of liver
47125	C		Partial removal of liver
47130	C		Partial removal of liver
47133	C		Removal of donor liver
47134	C		Partial removal, donor liver
47135	C		Transplantation of liver
47136	C		Transplantation of liver
47300	C		Surgery for liver lesion
47350	C		Repair liver wound
47360	C		Repair liver wound
47361	C		Repair liver wound
47362	C		Repair liver wound
47370	T		Laparo ablate liver tumor rf	0130	32.5959	$1,769.60	$659.53	$353.92
47371	T		Laparo ablate liver cryosurg	0130	32.5959	$1,769.60	$659.53	$353.92
47379	T		Laparoscope procedure, liver	0130	32.5959	$1,769.60	$659.53	$353.92
47380	C		Open ablate liver tumor rf
47381	C		Open ablate liver tumor cryo
47382	T		Percut ablate liver rf	1557		$1,850.00		$370.00
47399	T		Liver surgery procedure	0005	3.3675	$182.82	$71.59	$36.56
47400	C		Incision of liver duct
47420	C		Incision of bile duct
47425	C		Incision of bile duct
47460	C		Incise bile duct sphincter
47480	C		Incision of gallbladder
47490	T		Incision of gallbladder	0152	8.2940	$450.27	$113.02	$90.05
47500	N		Injection for liver x-rays
47505	N		Injection for liver x-rays
47510	T		Insert catheter, bile duct	0152	8.2940	$450.27	$113.02	$90.05
47511	T		Insert bile duct drain	0152	8.2940	$450.27	$113.02	$90.05
47525	T		Change bile duct catheter	0122	8.4398	$458.19	$93.97	$91.64
47530	T		Revise/reinsert bile tube	0122	8.4398	$458.19	$93.97	$91.64
47550	C		Bile duct endoscopy add-on
47552	T		Biliary endoscopy thru skin	0152	8.2940	$450.27	$113.02	$90.05
47553	T		Biliary endoscopy thru skin	0152	8.2940	$450.27	$113.02	$90.05
47554	T		Biliary endoscopy thru skin	0152	8.2940	$450.27	$113.02	$90.05
47555	T		Biliary endoscopy thru skin	0152	8.2940	$450.27	$113.02	$90.05
47556	T		Biliary endoscopy thru skin	0152	8.2940	$450.27	$113.02	$90.05
47560	T		Laparoscopy w/cholangio	0130	32.5959	$1,769.60	$659.53	$353.92
47561	T		Laparo w/cholangio/biopsy	0130	32.5959	$1,769.60	$659.53	$353.92
47562	T		Laparoscopic cholecystectomy	0131	40.8955	$2,220.18	$1,001.89	$444.04
47563	T		Laparo cholecystectomy/graph	0131	40.8955	$2,220.18	$1,001.89	$444.04
47564	T		Laparo cholecystectomy/explr	0131	40.8955	$2,220.18	$1,001.89	$444.04
47570	C		Laparo cholecystoenterostomy
47579	T		Laparoscope proc, biliary	0130	32.5959	$1,769.60	$659.53	$353.92
47600	C		Removal of gallbladder
47605	C		Removal of gallbladder
47610	C		Removal of gallbladder
47612	C		Removal of gallbladder
47620	C		Removal of gallbladder
47630	T		Remove bile duct stone	0152	8.2940	$450.27	$113.02	$90.05
47700	C		Exploration of bile ducts
47701	C		Bile duct revision
47711	C		Excision of bile duct tumor
47712	C		Excision of bile duct tumor
47715	C		Excision of bile duct cyst
47716	C		Fusion of bile duct cyst
47720	C		Fuse gallbladder & bowel
47721	C		Fuse upper gi structures
47740	C		Fuse gallbladder & bowel
47741	C		Fuse gallbladder & bowel
47760	C		Fuse bile ducts and bowel
47765	C		Fuse liver ducts & bowel
47780	C		Fuse bile ducts and bowel
47785	C		Fuse bile ducts and bowel
47800	C		Reconstruction of bile ducts
47801	C		Placement, bile duct support
47802	C		Fuse liver duct & intestine
47900	C		Suture bile duct injury
47999	T		Bile tract surgery procedure	0152	8.2940	$450.27	$113.02	$90.05
48000	C		Drainage of abdomen
48001	C		Placement of drain, pancreas
48005	C		Resect/debride pancreas
48020	C		Removal of pancreatic stone
48100	C		Biopsy of pancreas, open
48102	T		Needle biopsy, pancreas	0685	4.8912	$265.54	$116.83	$53.11
48120	C		Removal of pancreas lesion
48140	C		Partial removal of pancreas
48145	C		Partial removal of pancreas
48146	C		Pancreatectomy
48148	C		Removal of pancreatic duct
48150	C		Partial removal of pancreas
48152	C		Pancreatectomy
48153	C		Pancreatectomy
48154	C		Pancreatectomy
48155	C		Removal of pancreas
48160	E		Pancreas removal/transplant
48180	C		Fuse pancreas and bowel
48400	C		Injection, intraop add-on
48500	C		Surgery of pancreatic cyst
48510	C		Drain pancreatic pseudocyst
48511	T		Drain pancreatic pseudocyst	0005	3.3675	$182.82	$71.59	$36.56
48520	C		Fuse pancreas cyst and bowel
48540	C		Fuse pancreas cyst and bowel
48545	C		Pancreatorrhaphy
48547	C		Duodenal exclusion
48550	E		Donor pancreatectomy
48554	E		Transpl allograft pancreas
48556	C		Removal, allograft pancreas
48999	T		Pancreas surgery procedure	0005	3.3675	$182.82	$71.59	$36.56
49000	C		Exploration of abdomen
49002	C		Reopening of abdomen
49010	C		Exploration behind abdomen
49020	C		Drain abdominal abscess
49021	C		Drain abdominal abscess
49040	C		Drain, open, abdom abscess
49041	C		Drain, percut, abdom abscess
49060	C		Drain, open, retrop abscess
49061	C		Drain, percut, retroper absc
49062	C		Drain to peritoneal cavity
49080	T		Puncture, peritoneal cavity	0070	3.1393	$170.43		$34.09
49081	T		Removal of abdominal fluid	0070	3.1393	$170.43		$34.09
49085	T		Remove abdomen foreign body	0153	21.2745	$1,154.97	$410.87	$230.99
49180	T		Biopsy, abdominal mass	0685	4.8912	$265.54	$116.83	$53.11
49200	T		Removal of abdominal lesion	0130	32.5959	$1,769.60	$659.53	$353.92
49201	C		Remove abdom lesion, complex
49215	C		Excise sacral spine tumor
49220	C		Multiple surgery, abdomen
49250	T		Excision of umbilicus	0153	21.2745	$1,154.97	$410.87	$230.99
49255	C		Removal of omentum
49320	T		Diag laparo separate proc	0130	32.5959	$1,769.60	$659.53	$353.92
49321	T		Laparoscopy, biopsy	0130	32.5959	$1,769.60	$659.53	$353.92
49322	T		Laparoscopy, aspiration	0130	32.5959	$1,769.60	$659.53	$353.92
49323	T		Laparo drain lymphocele	0130	32.5959	$1,769.60	$659.53	$353.92
49329	T		Laparo proc, abdm/per/oment	0130	32.5959	$1,769.60	$659.53	$353.92
49400	N		Air injection into abdomen
49419	T		Insrt abdom cath for chemotx	0119	129.8988	$7,052.08		$1,410.42
49420	T		Insert abdom drain, temp	0652	28.0692	$1,523.85		$304.77
49421	T		Insert abdom drain, perm	0652	28.0692	$1,523.85		$304.77
49422	T		Remove perm cannula/catheter	0105	18.9084	$1,026.52	$370.40	$205.30
49423	T		Exchange drainage catheter	0152	8.2940	$450.27	$113.02	$90.05
49424	N		Assess cyst, contrast inject
49425	C		Insert abdomen-venous drain
49426	T		Revise abdomen-venous shunt	0153	21.2745	$1,154.97	$410.87	$230.99
49427	N		Injection, abdominal shunt
49428	C		Ligation of shunt
49429	T		Removal of shunt	0105	18.9084	$1,026.52	$370.40	$205.30
49491	T		Rpr hern preemie reduc	0154	26.8861	$1,459.62	$464.85	$291.92
49492	T		Rpr ing hern premie, blocked	0154	26.8861	$1,459.62	$464.85	$291.92
49495	T		Rpr ing hernia baby, reduc	0154	26.8861	$1,459.62	$464.85	$291.92
49496	T		Rpr ing hernia baby, blocked	0154	26.8861	$1,459.62	$464.85	$291.92
49500	T		Rpr ing hernia, init, reduce	0154	26.8861	$1,459.62	$464.85	$291.92
49501	T		Rpr ing hernia, init blocked	0154	26.8861	$1,459.62	$464.85	$291.92
49505	T		Prp i/hern init reduc>5 yr	0154	26.8861	$1,459.62	$464.85	$291.92
49507	T		Prp i/hern init block>5 yr	0154	26.8861	$1,459.62	$464.85	$291.92
49520	T		Rerepair ing hernia, reduce	0154	26.8861	$1,459.62	$464.85	$291.92
49521	T		Rerepair ing hernia, blocked	0154	26.8861	$1,459.62	$464.85	$291.92
49525	T		Repair ing hernia, sliding	0154	26.8861	$1,459.62	$464.85	$291.92
49540	T		Repair lumbar hernia	0154	26.8861	$1,459.62	$464.85	$291.92
49550	T		Rpr rem hernia, init, reduce	0154	26.8861	$1,459.62	$464.85	$291.92
49553	T		Rpr fem hernia, init blocked	0154	26.8861	$1,459.62	$464.85	$291.92
49555	T		Rerepair fem hernia, reduce	0154	26.8861	$1,459.62	$464.85	$291.92
49557	T		Rerepair fem hernia, blocked	0154	26.8861	$1,459.62	$464.85	$291.92
49560	T		Rpr ventral hern init, reduc	0154	26.8861	$1,459.62	$464.85	$291.92
49561	T		Rpr ventral hern init, block	0154	26.8861	$1,459.62	$464.85	$291.92
49565	T		Rerepair ventrl hern, reduce	0154	26.8861	$1,459.62	$464.85	$291.92
49566	T		Rerepair ventrl hern, block	0154	26.8861	$1,459.62	$464.85	$291.92
49568	T		Hernia repair w/mesh	0154	26.8861	$1,459.62	$464.85	$291.92
49570	T		Rpr epigastric hern, reduce	0154	26.8861	$1,459.62	$464.85	$291.92
49572	T		Rpr epigastric hern, blocked	0154	26.8861	$1,459.62	$464.85	$291.92
49580	T		Rpr umbil hern, reduc < 5 yr	0154	26.8861	$1,459.62	$464.85	$291.92
49582	T		Rpr umbil hern, block < 5 yr	0154	26.8861	$1,459.62	$464.85	$291.92
49585	T		Rpr umbil hern, reduc > 5 yr	0154	26.8861	$1,459.62	$464.85	$291.92
49587	T		Rpr umbil hern, block > 5 yr	0154	26.8861	$1,459.62	$464.85	$291.92
49590	T		Repair spigilian hernia	0154	26.8861	$1,459.62	$464.85	$291.92
49600	T		Repair umbilical lesion	0154	26.8861	$1,459.62	$464.85	$291.92
49605	C		Repair umbilical lesion
49606	C		Repair umbilical lesion
49610	C		Repair umbilical lesion
49611	C		Repair umbilical lesion
49650	T		Laparo hernia repair initial	0131	40.8955	$2,220.18	$1,001.89	$444.04
49651	T		Laparo hernia repair recur	0131	40.8955	$2,220.18	$1,001.89	$444.04
49659	T		Laparo proc, hernia repair	0131	40.8955	$2,220.18	$1,001.89	$444.04
49900	C		Repair of abdominal wall
49904	C		Omental flap, extra-abdom
49905	C		Omental flap
49906	C		Free omental flap, microvasc
49999	T		Abdomen surgery procedure	0153	21.2745	$1,154.97	$410.87	$230.99
50010	C		Exploration of kidney
50020	C		Renal abscess, open drain
50021	T		Renal abscess, percut drain	0005	3.3675	$182.82	$71.59	$36.56
50040	C		Drainage of kidney
50045	C		Exploration of kidney
50060	C		Removal of kidney stone
50065	C		Incision of kidney
50070	C		Incision of kidney
50075	C		Removal of kidney stone
50080	T		Removal of kidney stone	0163	33.6435	$1,826.47		$365.29
50081	T		Removal of kidney stone	0163	33.6435	$1,826.47		$365.29
50100	C		Revise kidney blood vessels
50120	C		Exploration of kidney
50125	C		Explore and drain kidney
50130	C		Removal of kidney stone
50135	C		Exploration of kidney
50200	T		Biopsy of kidney	0685	4.8912	$265.54	$116.83	$53.11
50205	C		Biopsy of kidney
50220	C		Remove kidney, open
50225	C		Removal kidney open, complex
50230	C		Removal kidney open, radical
50234	C		Removal of kidney & ureter
50236	C		Removal of kidney & ureter
50240	C		Partial removal of kidney
50280	C		Removal of kidney lesion
50290	C		Removal of kidney lesion
50300	C		Removal of donor kidney
50320	C		Removal of donor kidney
50340	C		Removal of kidney
50360	C		Transplantation of kidney
50365	C		Transplantation of kidney
50370	C		Remove transplanted kidney
50380	C		Reimplantation of kidney
50390	T		Drainage of kidney lesion	0685	4.8912	$265.54	$116.83	$53.11
50392	T		Insert kidney drain	0161	16.5822	$900.23	$249.36	$180.05
50393	T		Insert ureteral tube	0161	16.5822	$900.23	$249.36	$180.05
50394	N		Injection for kidney x-ray
50395	T		Create passage to kidney	0161	16.5822	$900.23	$249.36	$180.05
50396	T		Measure kidney pressure	0164	1.2115	$65.77	$17.59	$13.15
50398	T		Change kidney tube	0122	8.4398	$458.19	$93.97	$91.64
50400	C		Revision of kidney/ureter
50405	C		Revision of kidney/ureter
50500	C		Repair of kidney wound
50520	C		Close kidney-skin fistula
50525	C		Repair renal-abdomen fistula
50526	C		Repair renal-abdomen fistula
50540	C		Revision of horseshoe kidney
50541	T		Laparo ablate renal cyst	0130	32.5959	$1,769.60	$659.53	$353.92
50542	T		Laparo ablate renal mass	0131	40.8955	$2,220.18	$1,001.89	$444.04
50543	T		Laparo partial nephrectomy	0131	40.8955	$2,220.18	$1,001.89	$444.04
50544	T		Laparoscopy, pyeloplasty	0130	32.5959	$1,769.60	$659.53	$353.92
50545	C		Laparo radical nephrectomy
50546	C		Laparoscopic nephrectomy
50547	C		Laparo removal donor kidney
50548	C		Laparo remove k/ureter
50549	T		Laparoscope proc, renal	0130	32.5959	$1,769.60	$659.53	$353.92
50551	T		Kidney endoscopy	0160	6.8152	$369.99	$105.06	$74.00
50553	T		Kidney endoscopy	0161	16.5822	$900.23	$249.36	$180.05
50555	T		Kidney endoscopy & biopsy	0160	6.8152	$369.99	$105.06	$74.00
50557	T		Kidney endoscopy & treatment	0162	21.8578	$1,186.64		$237.33
50559	T		Renal endoscopy/radiotracer	0160	6.8152	$369.99	$105.06	$74.00
50561	T		Kidney endoscopy & treatment	0161	16.5822	$900.23	$249.36	$180.05
50562	T		Renal scope w/tumor resect	0160	6.8152	$369.99	$105.06	$74.00
50570	C		Kidney endoscopy
50572	C		Kidney endoscopy
50574	C		Kidney endoscopy & biopsy
50575	C		Kidney endoscopy
50576	C		Kidney endoscopy & treatment
50578	C		Renal endoscopy/radiotracer
50580	C		Kidney endoscopy & treatment
50590	T		Fragmenting of kidney stone	0169	44.5329	$2,417.65	$1,115.69	$483.53
50600	C		Exploration of ureter
50605	C		Insert ureteral support
50610	C		Removal of ureter stone
50620	C		Removal of ureter stone
50630	C		Removal of ureter stone
50650	C		Removal of ureter
50660	C		Removal of ureter
50684	N		Injection for ureter x-ray
50686	T		Measure ureter pressure	0164	1.2115	$65.77	$17.59	$13.15
50688	T		Change of ureter tube	0122	8.4398	$458.19	$93.97	$91.64
50690	N		Injection for ureter x-ray
50700	C		Revision of ureter
50715	C		Release of ureter
50722	C		Release of ureter
50725	C		Release/revise ureter
50727	C		Revise ureter
50728	C		Revise ureter
50740	C		Fusion of ureter & kidney
50750	C		Fusion of ureter & kidney
50760	C		Fusion of ureters
50770	C		Splicing of ureters
50780	C		Reimplant ureter in bladder
50782	C		Reimplant ureter in bladder
50783	C		Reimplant ureter in bladder
50785	C		Reimplant ureter in bladder
50800	C		Implant ureter in bowel
50810	C		Fusion of ureter & bowel
50815	C		Urine shunt to intestine
50820	C		Construct bowel bladder
50825	C		Construct bowel bladder
50830	C		Revise urine flow
50840	C		Replace ureter by bowel
50845	C		Appendico-vesicostomy
50860	C		Transplant ureter to skin
50900	C		Repair of ureter
50920	C		Closure ureter/skin fistula
50930	C		Closure ureter/bowel fistula
50940	C		Release of ureter
50945	T		Laparoscopy ureterolithotomy	0131	40.8955	$2,220.18	$1,001.89	$444.04
50947	T		Laparo new ureter/bladder	0131	40.8955	$2,220.18	$1,001.89	$444.04
50948	T		Laparo new ureter/bladder	0131	40.8955	$2,220.18	$1,001.89	$444.04
50949	T		Laparoscope proc, ureter	0130	32.5959	$1,769.60	$659.53	$353.92
50951	T		Endoscopy of ureter	0160	6.8152	$369.99	$105.06	$74.00
50953	T		Endoscopy of ureter	0160	6.8152	$369.99	$105.06	$74.00
50955	T		Ureter endoscopy & biopsy	0161	16.5822	$900.23	$249.36	$180.05
50957	T		Ureter endoscopy & treatment	0161	16.5822	$900.23	$249.36	$180.05
50959	T		Ureter endoscopy & tracer	0161	16.5822	$900.23	$249.36	$180.05
50961	T		Ureter endoscopy & treatment	0161	16.5822	$900.23	$249.36	$180.05
50970	T		Ureter endoscopy	0160	6.8152	$369.99	$105.06	$74.00
50972	T		Ureter endoscopy & catheter	0160	6.8152	$369.99	$105.06	$74.00
50974	T		Ureter endoscopy & biopsy	0161	16.5822	$900.23	$249.36	$180.05
50976	T		Ureter endoscopy & treatment	0161	16.5822	$900.23	$249.36	$180.05
50978	T		Ureter endoscopy & tracer	0161	16.5822	$900.23	$249.36	$180.05
50980	T		Ureter endoscopy & treatment	0161	16.5822	$900.23	$249.36	$180.05
51000	T		Drainage of bladder	0165	14.0780	$764.28		$152.86
51005	T		Drainage of bladder	0164	1.2115	$65.77	$17.59	$13.15
51010	T		Drainage of bladder	0165	14.0780	$764.28		$152.86
51020	T		Incise & treat bladder	0162	21.8578	$1,186.64		$237.33
51030	T		Incise & treat bladder	0162	21.8578	$1,186.64		$237.33
51040	T		Incise & drain bladder	0162	21.8578	$1,186.64		$237.33
51045	T		Incise bladder/drain ureter	0160	6.8152	$369.99	$105.06	$74.00
51050	T		Removal of bladder stone	0162	21.8578	$1,186.64		$237.33
51060	C		Removal of ureter stone
51065	T		Remove ureter calculus	0162	21.8578	$1,186.64		$237.33
51080	T		Drainage of bladder abscess	0007	11.4943	$624.01		$124.80
51500	T		Removal of bladder cyst	0154	26.8861	$1,459.62	$464.85	$291.92
51520	T		Removal of bladder lesion	0162	21.8578	$1,186.64		$237.33
51525	C		Removal of bladder lesion
51530	C		Removal of bladder lesion
51535	C		Repair of ureter lesion
51550	C		Partial removal of bladder
51555	C		Partial removal of bladder
51565	C		Revise bladder & ureter(s)
51570	C		Removal of bladder
51575	C		Removal of bladder & nodes
51580	C		Remove bladder/revise tract
51585	C		Removal of bladder & nodes
51590	C		Remove bladder/revise tract
51595	C		Remove bladder/revise tract
51596	C		Remove bladder/create pouch
51597	C		Removal of pelvic structures
51600	N		Injection for bladder x-ray
51605	N		Preparation for bladder xray
51610	N		Injection for bladder x-ray
51700	T		Irrigation of bladder	0164	1.2115	$65.77	$17.59	$13.15
51701	N		Insert bladder catheter
51702	N		Insert temp bladder cath
51703	N		Insert bladder cath, complex
51705	T		Change of bladder tube	0121	2.2058	$119.75	$43.80	$23.95
51710	T		Change of bladder tube	0122	8.4398	$458.19	$93.97	$91.64
51715	T		Endoscopic injection/implant	0167	30.1066	$1,634.46	$555.84	$326.89
51720	T		Treatment of bladder lesion	0156	3.1438	$170.67	$46.55	$34.13
51725	T		Simple cystometrogram	0156	3.1438	$170.67	$46.55	$34.13
51726	T		Complex cystometrogram	0156	3.1438	$170.67	$46.55	$34.13
51736	T		Urine flow measurement	0164	1.2115	$65.77	$17.59	$13.15
51741	T		Electro-uroflowmetry, first	0164	1.2115	$65.77	$17.59	$13.15
51772	T		Urethra pressure profile	0164	1.2115	$65.77	$17.59	$13.15
51784	T		Anal/urinary muscle study	0164	1.2115	$65.77	$17.59	$13.15
51785	T		Anal/urinary muscle study	0164	1.2115	$65.77	$17.59	$13.15
51792	T		Urinary reflex study	0164	1.2115	$65.77	$17.59	$13.15
51795	T		Urine voiding pressure study	0164	1.2115	$65.77	$17.59	$13.15
51797	T		Intraabdominal pressure test	0164	1.2115	$65.77	$17.59	$13.15
51798	X		Us urine capacity measure	0340	0.6232	$33.83		$6.77
51800	C		Revision of bladder/urethra
51820	C		Revision of urinary tract
51840	C		Attach bladder/urethra
51841	C		Attach bladder/urethra
51845	C		Repair bladder neck
51860	C		Repair of bladder wound
51865	C		Repair of bladder wound
51880	T		Repair of bladder opening	0162	21.8578	$1,186.64		$237.33
51900	C		Repair bladder/vagina lesion
51920	C		Close bladder-uterus fistula
51925	C		Hysterectomy/bladder repair
51940	C		Correction of bladder defect
51960	C		Revision of bladder & bowel
51980	C		Construct bladder opening
51990	T		Laparo urethral suspension	0131	40.8955	$2,220.18	$1,001.89	$444.04
51992	T		Laparo sling operation	0132	56.6318	$3,074.48	$1,239.22	$614.90
52000	T		Cystoscopy	0160	6.8152	$369.99	$105.06	$74.00
52001	T		Cystoscopy, removal of clots	0160	6.8152	$369.99	$105.06	$74.00
52005	T		Cystoscopy & ureter catheter	0161	16.5822	$900.23	$249.36	$180.05
52007	T		Cystoscopy and biopsy	0161	16.5822	$900.23	$249.36	$180.05
52010	T		Cystoscopy & duct catheter	0160	6.8152	$369.99	$105.06	$74.00
52204	T		Cystoscopy	0161	16.5822	$900.23	$249.36	$180.05
52214	T		Cystoscopy and treatment	0162	21.8578	$1,186.64		$237.33
52224	T		Cystoscopy and treatment	0162	21.8578	$1,186.64		$237.33
52234	T		Cystoscopy and treatment	0162	21.8578	$1,186.64		$237.33
52235	T		Cystoscopy and treatment	0162	21.8578	$1,186.64		$237.33
52240	T		Cystoscopy and treatment	0162	21.8578	$1,186.64		$237.33
52250	T		Cystoscopy and radiotracer	0162	21.8578	$1,186.64		$237.33
52260	T		Cystoscopy and treatment	0161	16.5822	$900.23	$249.36	$180.05
52265	T		Cystoscopy and treatment	0160	6.8152	$369.99	$105.06	$74.00
52270	T		Cystoscopy & revise urethra	0161	16.5822	$900.23	$249.36	$180.05
52275	T		Cystoscopy & revise urethra	0161	16.5822	$900.23	$249.36	$180.05
52276	T		Cystoscopy and treatment	0161	16.5822	$900.23	$249.36	$180.05
52277	T		Cystoscopy and treatment	0162	21.8578	$1,186.64		$237.33
52281	T		Cystoscopy and treatment	0161	16.5822	$900.23	$249.36	$180.05
52282	T		Cystoscopy, implant stent	0385	66.4829	$3,609.29		$721.86
52283	T		Cystoscopy and treatment	0161	16.5822	$900.23	$249.36	$180.05
52285	T		Cystoscopy and treatment	0161	16.5822	$900.23	$249.36	$180.05
52290	T		Cystoscopy and treatment	0161	16.5822	$900.23	$249.36	$180.05
52300	T		Cystoscopy and treatment	0161	16.5822	$900.23	$249.36	$180.05
52301	T		Cystoscopy and treatment	0161	16.5822	$900.23	$249.36	$180.05
52305	T		Cystoscopy and treatment	0161	16.5822	$900.23	$249.36	$180.05
52310	T		Cystoscopy and treatment	0160	6.8152	$369.99	$105.06	$74.00
52315	T		Cystoscopy and treatment	0161	16.5822	$900.23	$249.36	$180.05
52317	T		Remove bladder stone	0162	21.8578	$1,186.64		$237.33
52318	T		Remove bladder stone	0162	21.8578	$1,186.64		$237.33
52320	T		Cystoscopy and treatment	0162	21.8578	$1,186.64		$237.33
52325	T		Cystoscopy, stone removal	0162	21.8578	$1,186.64		$237.33
52327	T		Cystoscopy, inject material	0162	21.8578	$1,186.64		$237.33
52330	T		Cystoscopy and treatment	0162	21.8578	$1,186.64		$237.33
52332	T		Cystoscopy and treatment	0162	21.8578	$1,186.64		$237.33
52334	T		Create passage to kidney	0162	21.8578	$1,186.64		$237.33
52341	T		Cysto w/ureter stricture tx	0162	21.8578	$1,186.64		$237.33
52342	T		Cysto w/up stricture tx	0162	21.8578	$1,186.64		$237.33
52343	T		Cysto w/renal stricture tx	0162	21.8578	$1,186.64		$237.33
52344	T		Cysto/uretero, stone remove	0162	21.8578	$1,186.64		$237.33
52345	T		Cysto/uretero w/up stricture	0162	21.8578	$1,186.64		$237.33
52346	T		Cystouretero w/renal strict	0162	21.8578	$1,186.64		$237.33
52347	T		Cystoscopy, resect ducts	0160	6.8152	$369.99	$105.06	$74.00
52351	T		Cystouretero & or pyeloscope	0160	6.8152	$369.99	$105.06	$74.00
52352	T		Cystouretero w/stone remove	0162	21.8578	$1,186.64		$237.33
52353	T		Cystouretero w/lithotripsy	0163	33.6435	$1,826.47		$365.29
52354	T		Cystouretero w/biopsy	0162	21.8578	$1,186.64		$237.33
52355	T		Cystouretero w/excise tumor	0162	21.8578	$1,186.64		$237.33
52400	T		Cystouretero w/congen repr	0162	21.8578	$1,186.64		$237.33
52450	T		Incision of prostate	0162	21.8578	$1,186.64		$237.33
52500	T		Revision of bladder neck	0162	21.8578	$1,186.64		$237.33
52510	T		Dilation prostatic urethra	0161	16.5822	$900.23	$249.36	$180.05
52601	T		Prostatectomy (TURP)	0163	33.6435	$1,826.47		$365.29
52606	T		Control postop bleeding	0162	21.8578	$1,186.64		$237.33
52612	T		Prostatectomy, first stage	0163	33.6435	$1,826.47		$365.29
52614	T		Prostatectomy, second stage	0163	33.6435	$1,826.47		$365.29
52620	T		Remove residual prostate	0163	33.6435	$1,826.47		$365.29
52630	T		Remove prostate regrowth	0163	33.6435	$1,826.47		$365.29
52640	T		Relieve bladder contracture	0162	21.8578	$1,186.64		$237.33
52647	T		Laser surgery of prostate	0163	33.6435	$1,826.47		$365.29
52648	T		Laser surgery of prostate	0163	33.6435	$1,826.47		$365.29
52700	T		Drainage of prostate abscess	0162	21.8578	$1,186.64		$237.33
53000	T		Incision of urethra	0166	16.8401	$914.23	$218.73	$182.85
53010	T		Incision of urethra	0166	16.8401	$914.23	$218.73	$182.85
53020	T		Incision of urethra	0166	16.8401	$914.23	$218.73	$182.85
53025	T		Incision of urethra	0166	16.8401	$914.23	$218.73	$182.85
53040	T		Drainage of urethra abscess	0166	16.8401	$914.23	$218.73	$182.85
53060	T		Drainage of urethra abscess	0166	16.8401	$914.23	$218.73	$182.85
53080	T		Drainage of urinary leakage	0166	16.8401	$914.23	$218.73	$182.85
53085	C		Drainage of urinary leakage
53200	T		Biopsy of urethra	0166	16.8401	$914.23	$218.73	$182.85
53210	T		Removal of urethra	0168	30.3485	$1,647.59	$405.60	$329.52
53215	T		Removal of urethra	0168	30.3485	$1,647.59	$405.60	$329.52
53220	T		Treatment of urethra lesion	0168	30.3485	$1,647.59	$405.60	$329.52
53230	T		Removal of urethra lesion	0168	30.3485	$1,647.59	$405.60	$329.52
53235	T		Removal of urethra lesion	0168	30.3485	$1,647.59	$405.60	$329.52
53240	T		Surgery for urethra pouch	0168	30.3485	$1,647.59	$405.60	$329.52
53250	T		Removal of urethra gland	0166	16.8401	$914.23	$218.73	$182.85
53260	T		Treatment of urethra lesion	0166	16.8401	$914.23	$218.73	$182.85
53265	T		Treatment of urethra lesion	0166	16.8401	$914.23	$218.73	$182.85
53270	T		Removal of urethra gland	0167	30.1066	$1,634.46	$555.84	$326.89
53275	T		Repair of urethra defect	0166	16.8401	$914.23	$218.73	$182.85
53400	T		Revise urethra, stage 1	0168	30.3485	$1,647.59	$405.60	$329.52
53405	T		Revise urethra, stage 2	0168	30.3485	$1,647.59	$405.60	$329.52
53410	T		Reconstruction of urethra	0168	30.3485	$1,647.59	$405.60	$329.52
53415	C		Reconstruction of urethra
53420	T		Reconstruct urethra, stage 1	0168	30.3485	$1,647.59	$405.60	$329.52
53425	T		Reconstruct urethra, stage 2	0168	30.3485	$1,647.59	$405.60	$329.52
53430	T		Reconstruction of urethra	0168	30.3485	$1,647.59	$405.60	$329.52
53431	T		Reconstruct urethra/bladder	0168	30.3485	$1,647.59	$405.60	$329.52
53440	T		Correct bladder function	0385	66.4829	$3,609.29		$721.86
53442	T		Remove perineal prosthesis	0166	16.8401	$914.23	$218.73	$182.85
53444	T		Insert tandem cuff	0385	66.4829	$3,609.29		$721.86
53445	T		Insert uro/ves nck sphincter	0386	118.8122	$6,450.20		$1,290.04
53446	T		Remove uro sphincter	0168	30.3485	$1,647.59	$405.60	$329.52
53447	T		Remove/replace ur sphincter	0386	118.8122	$6,450.20		$1,290.014
53448	C		Remov/replc ur sphinctr comp
53449	T		Repair uro sphincter	0168	30.3485	$1,647.59	$405.60	$329.52
53450	T		Revision of urethra	0168	30.3485	$1,647.59	$405.60	$329.52
53460	T		Revision of urethra	0168	30.3485	$1,647.59	$405.60	$329.52
53502	T		Repair of urethra injury	0166	16.8401	$914.23	$218.73	$182.85
53505	T		Repair of urethra injury	0167	30.1066	$1,634.46	$555.84	$326.89
53510	T		Repair of urethra injury	0166	16.8401	$914.23	$218.73	$182.85
53515	T		Repair of urethra injury	0168	30.3485	$1,647.59	$405.60	$329.52
53520	T		Repair of urethra defect	0168	30.3485	$1,647.59	$405.60	$329.52
53600	T		Dilate urethra stricture	0156	3.1438	$170.67	$46.55	$34.13
53601	T		Dilate urethra stricture	0164	1.2115	$65.77	$17.59	$13.15
53605	T		Dilate urethra stricture	0161	16.5822	$900.23	$249.36	$180.05
53620	T		Dilate urethra stricture	0165	14.0780	$764.28		$152.86
53621	T		Dilate urethra stricture	0164	1.2115	$65.77	$17.59	$13.15
53660	T		Dilation of urethra	0164	1.2115	$65.77	$17.59	$13.15
53661	T		Dilation of urethra	0164	1.2115	$65.77	$17.59	$13.15
53665	T		Dilation of urethra	0166	16.8401	$914.23	$218.73	$182.85
53850	T		Prostatic microwave thermotx	0675	49.3613	$2,679.78		$535.96
53852	T		Prostatic rf thermotx	0675	49.3613	$2,679.78		$535.96
53853	T		Prostatic water thermother	1550		$1,150.00		$230.00
53899	T		Urology surgery procedure	0164	1.2115	$65.77	$17.59	$13.15
54000	T		Slitting of prepuce	0166	16.8401	$914.23	$218.73	$182.85
54001	T		Slitting of prepuce	0166	16.8401	$914.23	$218.73	$182.85
54015	T		Drain penis lesion	0007	11.4943	$624.01		$124.80
54050	T		Destruction, penis lesion(s)	0013	1.1420	$62.00	$14.20	$12.40
54055	T		Destruction, penis lesion(s)	0017	16.7332	$908.43	$227.84	$181.69
54056	T		Cryosurgery, penis lesion(s)	0012	0.8203	$44.53	$11.18	$8.91
54057	T		Laser surg, penis lesion(s)	0017	16.7332	$908.43	$227.84	$181.69
54060	T		Excision of penis lesion(s)	0017	16.7332	$908.43	$227.84	$181.69
54065	T		Destruction, penis lesion(s)	0695	19.1377	$1,038.97	$266.59	$207.79
54100	T		Biopsy of penis	0021	14.5749	$791.26	$219.48	$158.25
54105	T		Biopsy of penis	0022	18.6725	$1,013.71	$354.45	$202.74
54110	T		Treatment of penis lesion	0181	29.0094	$1,574.89	$621.82	$314.98
54111	T		Treat penis lesion, graft	0181	29.0094	$1,574.89	$621.82	$314.98
54112	T		Treat penis lesion, graft	0181	29.0094	$1,574.89	$621.82	$314.98
54115	T		Treatment of penis lesion	0008	16.8303	$913.70		$182.74
54120	T		Partial removal of penis	0181	29.0094	$1,574.89	$621.82	$314.98
54125	C		Removal of penis
54130	C		Remove penis & nodes
54135	C		Remove penis & nodes
54150	T		Circumcision	0180	18.4967	$1,004.17	$304.87	$200.83
54152	T		Circumcision	0180	18.4967	$1,004.17	$304.87	$200.83
54160	T		Circumcision	0180	18.4967	$1,004.17	$304.87	$200.83
54161	T		Circumcision	0180	18.4967	$1,004.17	$304.87	$200.83
54162	T		Lysis penil circumic lesion	0180	18.4967	$1,004.17	$304.87	$200.83
54163	T		Repair of circumcision	0180	18.4967	$1,004.17	$304.87	$200.83
54164	T		Frenulotomy of penis	0180	18.4967	$1,004.17	$304.87	$200.83
54200	T		Treatment of penis lesion	0156	3.1438	$170.67	$46.55	$34.13
54205	T		Treatment of penis lesion	0181	29.0094	$1,574.89	$621.82	$314.98
54220	T		Treatment of penis lesion	0156	3.1438	$170.67	$46.55	$34.13
54230	N		Prepare penis study
54231	T		Dynamic cavernosometry	0165	14.0780	$764.28		$152.86
54235	T		Penile injection	0164	1.2115	$65.77	$17.59	$13.15
54240	T		Penis study	0164	1.2115	$65.77	$17.59	$13.15
54250	T		Penis study	0165	14.0780	$764.28		$152.86
54300	T		Revision of penis	0181	29.0094	$1,574.89	$621.82	$314.98
54304	T		Revision of penis	0181	29.0094	$1,574.89	$621.82	$314.98
54308	T		Reconstruction of urethra	0181	29.0094	$1,574.89	$621.82	$314.98
54312	T		Reconstruction of urethra	0181	29.0094	$1,574.89	$621.82	$314.98
54316	T		Reconstruction of urethra	0181	29.0094	$1,574.89	$621.82	$314.98
54318	T		Reconstruction of urethra	0181	29.0094	$1,574.89	$621.82	$314.98
54322	T		Reconstruction of urethra	0181	29.0094	$1,574.89	$621.82	$314.98
54324	T		Reconstruction of urethra	0181	29.0094	$1,574.89	$621.82	$314.98
54326	T		Reconstruction of urethra	0181	29.0094	$1,574.89	$621.82	$314.98
54328	T		Revise penis/urethra	0181	29.0094	$1,574.89	$621.82	$314.98
54332	C		Revise penis/urethra
54336	C		Revise penis/urethra
54340	T		Secondary urethral surgery	0181	29.0094	$1,574.89	$621.82	$314.98
54344	T		Secondary urethral surgery	0181	29.0094	$1,574.89	$621.82	$314.98
54348	T		Secondary urethral surgery	0181	29.0094	$1,574.89	$621.82	$314.98
54352	T		Reconstruct urethra/penis	0181	29.0094	$1,574.89	$621.82	$314.98
54360	T		Penis plastic surgery	0181	29.0094	$1,574.89	$621.82	$314.98
54380	T		Repair penis	0181	29.0094	$1,574.89	$621.82	$314.98
54385	T		Repair penis	0181	29.0094	$1,574.89	$621.82	$314.98
54390	C		Repair penis and bladder
54400	T		Insert semi-rigid prosthesis	0385	66.4829	$3,609.29		$721.86
54401	T		Insert self-contd prosthesis	0386	118.8122	$6,450.20		$1,240.04
54405	T		Insert multi-comp penis pros	0386	118.8122	$6,450.20		$1,240.04
54406	T		Remove muti-comp penis pros	0181	29.0094	$1,574.89	$621.82	$314.98
54408	T		Repair multi-comp penis pros	0181	29.0094	$1,574.89	$621.82	$314.98
54410	T		Remove/replace penis prosth	0386	118.8122	$6,450.20		$1,290.04
54411	C		Remov/replc penis pros, comp
54415	T		Remove self-contd penis pros	0181	29.0094	$1,574.89	$621.82	$314.98
54416	T		Remv/repl penis contain pros	0385	66.4829	$3,609.29		$721.86
54417	C		Remv/replc penis pros, compl
54420	T		Revision of penis	0181	29.0094	$1,574.89	$621.82	$314.98
54430	C		Revision of penis
54435	T		Revision of penis	0181	29.0094	$1,574.89	$621.82	$314.98
54440	T		Repair of penis	0181	29.0094	$1,574.89	$621.82	$314.98
54450	T		Preputial stretching	0156	3.1438	$170.67	$46.55	$34.13
54500	T		Biopsy of testis	0005	3.3675	$182.82	$71.59	$36.56
54505	T		Biopsy of testis	0183	21.7612	$1,181.39		$236.28
54512	T		Excise lesion testis	0183	21.7612	$1,181.39		$236.28
54520	T		Removal of testis	0183	21.7612	$1,181.39		$236.28
54522	T		Orchiectomy, partial	0183	21.7612	$1,181.39		$236.28
54530	T		Removal of testis	0154	26.8861	$1,459.62	$464.85	$291.92
54535	C		Extensive testis surgery
54550	T		Exploration for testis	0154	26.8861	$1,459.62	$464.85	$291.92
54560	C		Exploration for testis
54600	T		Reduce testis torsion	0183	21.7612	$1,181.39		$236.28
54620	T		Suspension of testis	0183	21.7612	$1,181.39		$236.28
54640	T		Suspension of testis	0154	26.8861	$1,459.62	$464.85	$291.92
54650	C		Orchiopexy (Fowler-Stephens)
54660	T		Revision of testis	0183	21.7612	$1,181.39		$236.28
54670	T		Repair testis injury	0183	21.7612	$1,181.39		$236.28
54680	T		Relocation of testis(es)	0183	21.7612	$1,181.39		$236.28
54690	T		Laparoscopy, orchiectomy	0131	40.8955	$2,220.18	$1,001.89	$444.04
54692	T		Laparoscopy, orchiopexy	0132	56.6318	$3,074.48	$1,239.22	$614.90
54699	T		Laparoscope proc, testis	0130	32.5959	$1,769.60	$659.53	$353.92
54700	T		Drainage of scrotum	0183	21.7612	$1,181.39		$236.28
54800	T		Biopsy of epididymis	0004	1.5774	$85.64	$22.10	$17.13
54820	T		Exploration of epididymis	0183	21.7612	$1,181.39		$236.28
54830	T		Remove epididymis lesion	0183	21.7612	$1,181.39		$236.28
54840	T		Remove epididymis lesion	0183	21.7612	$1,181.39		$236.28
54860	T		Removal of epididymis	0183	21.7612	$1,181.39		$236.28
54861	T		Removal of epididymis	0183	21.7612	$1,181.39		$236.28
54900	T		Fusion of spermatic ducts	0183	21.7612	$1,181.39		$236.28
54901	T		Fusion of spermatic ducts	0183	21.7612	$1,181.39		$236.28
55000	T		Drainage of hydrocele	0004	1.5774	$85.64	$22.10	$17.13
55040	T		Removal of hydrocele	0154	26.8861	$1,459.62	$464.85	$291.92
55041	T		Removal of hydroceles	0154	26.8861	$1,459.62	$464.85	$291.92
55060	T		Repair of hydrocele	0183	21.7612	$1,181.39		$236.28
55100	T		Drainage of scrotum abscess	0007	11.4943	$624.01		$124.80
55110	T		Explore scrotum	0183	21.7612	$1,181.39		$236.28
55120	T		Removal of scrotum lesion	0183	21.7612	$1,181.39		$236.28
55150	T		Removal of scrotum	0183	21.7612	$1,181.39		$236.28
55175	T		Revision of scrotum	0183	21.7612	$1,181.39		$236.28
55180	T		Revision of scrotum	0183	21.7612	$1,181.39		$236.28
55200	T		Incision of sperm duct	0183	21.7612	$1,181.39		$236.28
55250	T		Removal of sperm duct(s)	0183	21.7612	$1,181.39		$236.28
55300	N		Prepare, sperm duct x-ray
55400	T		Repair of sperm duct	0183	21.7612	$1,181.39		$236.28
55450	T		Ligation of sperm duct	0183	21.7612	$1,181.39		$236.28
55500	T		Removal of hydrocele	0183	21.7612	$1,181.39		$236.28
55520	T		Removal of sperm cord lesion	0183	21.7612	$1,181.39		$236.28
55530	T		Revise spermatic cord veins	0183	21.7612	$1,181.39		$236.28
55535	T		Revise spermatic cord veins	0154	26.8861	$1,459.62	$464.85	$291.92
55540	T		Revise hernia & sperm veins	0154	26.8861	$1,459.62	$464.85	$291.92
55550	T		Laparo ligate spermatic vein	0131	40.8955	$2,220.18	$1,001.89	$444.04
55559	T		Laparo proc, spermatic cord	0130	32.5959	$1,769.60	$659.53	$353.92
55600	C		Incise sperm duct pouch
55605	C		Incise sperm duct pouch
55650	C		Remove sperm duct pouch
55680	T		Remove sperm pouch lesion	0183	21.7612	$1,181.39		$236.28
55700	T		Biopsy of prostate	0184	3.8073	$206.69	$96.27	$41.34
55705	T		Biopsy of prostate	0184	3.8073	$206.69	$96.27	$41.34
55720	T		Drainage of prostate abscess	0162	21.8578	$1,186.64		$237.33
55725	T		Drainage of prostate abscess	0162	21.8578	$1,186.64		$237.33
55801	C		Removal of prostate
55810	C		Extensive prostate surgery
55812	C		Extensive prostate surgery
55815	C		Extensive prostate surgery
55821	C		Removal of prostate
55831	C		Removal of prostate
55840	C		Extensive prostate surgery
55842	C		Extensive prostate surgery
55845	C		Extensive prostate surgery
55859	T		Percut/needle insert, pros	0163	33.6435	$1,826.47		$365.29
55860	T		Surgical exposure, prostate	0165	14.0780	$764.28		$152.86
55862	C		Extensive prostate surgery
55865	C		Extensive prostate surgery
55866	C		Laparo radical prostatectomy
55870	T		Vag hyst w/enterocele repair	0197	5.1958	$282.07		$56.41
55873	T		Cryoablate prostate	0674	101.1198	$5,489.69		$1,097.94
55899	T		Genital surgery procedure	0164	1.2115	$65.77	$17.59	$13.15
55970	E		Sex transformation, M to F
55980	E		Sex transformation, F to M
56405	T		I & D of vulva/perineum	0192	2.6966	$146.40	$39.11	$29.28
56420	T		Drainage of gland abscess	0192	2.6966	$146.40	$39.11	$29.28
56440	T		Surgery for vulva lesion	0194	18.8194	$1,021.69	$397.84	$204.34
56441	T		Lysis of labial lesion(s)	0193	15.7365	$854.32	$171.13	$170.86
56501	T		Destroy, vulva lesions, sim	0017	16.7332	$908.43	$227.84	$181.69
56515	T		Destroy vulva lesion/s compl	0695	19.1377	$1,038.97	$266.59	$207.79
56605	T		Biopsy of vulva/perineum	0019	3.9807	$216.11	$71.87	$43.22
56606	T		Biopsy of vulva/perineum	0019	3.9807	$216.11	$71.87	$43.22
56620	T		Partial removal of vulva	0195	25.3207	$1,374.64	$483.80	$274.93
56625	T		Complete removal of vulva	0195	25.3207	$1,374.64	$483.80	$274.93
56630	C		Extensive vulva surgery
56631	C		Extensive vulva surgery
56632	C		Extensive vulva surgery
56633	C		Extensive vulva surgery
56634	C		Extensive vulva surgery
56637	C		Extensive vulva surgery
56640	C		Extensive vulva surgery
56700	T		Partial removal of hymen	0194	18.8194	$1,021.69	$397.84	$204.34
56720	T		Incision of hymen	0193	15.7365	$854.32	$171.13	$170.86
56740	T		Remove vagina gland lesion	0194	18.8194	$1,021.69	$397.84	$204.34
56800	T		Repair of vagina	0194	18.8194	$1,021.69	$397.84	$204.34
56805	T		Repair clitoris	0194	18.8194	$1,021.69	$397.84	$204.34
56810	T		Repair of perineum	0194	18.8194	$1,021.69	$397.84	$204.34
56820	T		Exam of vulva w/scope	0188	1.1079	$60.15		$12.03
56821	T		Exam/biopsy of vulva w/scope	0189	1.3207	$71.70	$16.70	$14.34
57000	T		Exploration of vagina	0194	18.8194	$1,021.69	$397.84	$204.34
57010	T		Drainage of pelvic abscess	0194	18.8194	$1,021.69	$397.84	$204.34
57020	T		Drainage of pelvic fluid	0192	2.6966	$146.40	$39.11	$29.28
57022	T		I & d vaginal hematoma, pp	0007	11.4943	$624.01		$124.80
57023	T		I & d vag hematoma, non-ob	0007	11.4943	$624.01		$124.80
57061	T		Destroy vag lesions, simple	0194	18.8194	$1,021.69	$397.84	$204.34
57065	T		Destroy vag lesions, complex	0194	18.8194	$1,021.69	$397.84	$204.34
57100	T		Biopsy of vagina	0192	2.6966	$146.40	$39.11	$29.28
57105	T		Biopsy of vagina	0194	18.8194	$1,021.69	$397.84	$204.34
57106	T		Remove vagina wall, partial	0194	18.8194	$1,021.69	$397.84	$204.34
57107	T		Remove vagina tissue, part	0195	25.3207	$1,374.64	$483.80	$274.93
57109	T		Vaginectomy partial w/nodes	0195	25.3207	$1,374.64	$483.80	$274.93
57110	C		Remove vagina wall, complete
57111	C		Remove vagina tissue, compl
57112	C		Vaginectomy w/nodes, compl
57120	T		Closure of vagina	0194	18.8194	$1,021.69	$397.84	$204.34
57130	T		Remove vagina lesion	0194	18.8194	$1,021.69	$397.84	$204.34
57135	T		Remove vagina lesion	0194	18.8194	$1,021.69	$397.84	$204.34
57150	T		Treat vagina infection	0191	0.1679	$9.12	$2.65	$1.82
57155	T		Insert uteri tandems/ovoids	0193	15.7365	$854.32	$171.13	$170.86
57160	T		Insert pessary/other device	0188	1.1079	$60.15		$12.03
57170	T		Fitting of diaphragm/cap	0191	0.1679	$9.12	$2.65	$1.82
57180	T		Treat vaginal bleeding	0192	2.6966	$146.40	$39.11	$29.28
57200	T		Repair of vagina	0194	18.8194	$1,021.69	$397.84	$204.34
57210	T		Repair vagina/perineum	0194	18.8194	$1,021.69	$397.84	$204.34
57220	T		Revision of urethra	0195	25.3207	$1,374.64	$483.80	$274.93
57230	T		Repair of urethral lesion	0194	18.8194	$1,021.69	$397.84	$204.34
57240	T		Repair bladder & vagina	0195	25.3207	$1,374.64	$483.80	$274.93
57250	T		Repair rectum & vagina	0195	25.3207	$1,374.64	$483.80	$274.93
57260	T		Repair of vagina	0195	25.3207	$1,374.64	$483.80	$274.93
57265	T		Extensive repair of vagina	0195	25.3207	$1,374.64	$483.80	$274.93
57268	T		Repair of bowel bulge	0195	25.3207	$1,374.64	$483.80	$274.93
57270	C		Repair of bowel pouch
57280	C		Suspension of vagina
57282	C		Repair of vaginal prolapse
57284	T		Repair paravaginal defect	0195	25.3207	$1,374.64	$483.80	$274.93
57287	T		Revise/remove sling repair	0202	38.8053	$2,106.70	$1,032.28	$421.34
57288	T		Repair bladder defect	0202	38.8053	$2,106.70	$1,032.28	$421.34
57289	T		Repair bladder & vagina	0195	25.3207	$1,374.64	$483.80	$274.93
57291	T		Construction of vagina	0195	25.3207	$1,374.64	$483.80	$274.93
57292	C		Construct vagina with graft
57300	T		Repair rectum-vagina fistula	0195	25.3207	$1,374.64	$483.80	$274.93
57305	C		Repair rectum-vagina fistula
57307	C		Fistula repair & colostomy
57308	C		Fistula repair, transperine
57310	T		Repair urethrovaginal lesion	0195	25.3207	$1,374.64	$483.80	$274.93
57311	C		Repair urethrovaginal lesion
57320	T		Repair bladder-vagina lesion	0195	25.3207	$1,374.64	$483.80	$274.93
57330	T		Repair bladder-vagina lesion	0195	25.3207	$1,374.64	$483.80	$274.93
57335	C		Repair vagina
57400	T		Dilation of vagina	0194	18.8194	$1,021.69	$397.84	$204.34
57410	T		Pelvic examination	0194	18.8194	$1,021.69	$397.84	$204.34
57415	T		Remove vaginal foreign body	0194	18.8194	$1,021.69	$397.84	$204.34
57420	T		Exam of vagina w/scope	0192	2.6966	$146.40	$39.11	$29.28
57421	T		Exam/biopsy of vag w/scope	0192	2.6966	$146.40	$39.11	$29.28
57452	T		Examination of vagina	0189	1.3207	$71.70	$16.70	$14.34
57454	T		Vagina examination & biopsy	0192	2.6966	$146.40	$39.11	$29.28
57455	T		Biopsy of cervix w/scope	0192	2.6966	$146.40	$39.11	$29.28
57456	T		Endocerv curettage w/scope	0192	2.6966	$146.40	$39.11	$29.28
57460	T		Cervix excision	0193	15.7365	$854.32	$171.13	$170.86
57461	T		Conz of cervix w/scope, leep	0194	18.8194	$1,021.69	$397.84	$204.34
57500	T		Biopsy of cervix	0192	2.6966	$146.40	$39.11	$29.28
57505	T		Endocervical curettage	0192	2.6966	$146.40	$39.11	$29.28
57510	T		Cauterization of cervix	0193	15.7365	$854.32	$171.13	$170.86
57511	T		Cryocautery of cervix	0189	1.3207	$71.70	$16.70	$14.34
57513	T		Laser surgery of cervix	0193	15.7365	$854.32	$171.13	$170.86
57520	T		Conization of cervix	0194	18.8194	$1,021.69	$397.84	$204.34
57522	T		Conization of cervix	0195	25.3207	$1,374.64	$483.80	$274.93
57530	T		Removal of cervix	0195	25.3207	$1,374.64	$483.80	$274.93
57531	C		Removal of cervix, radical
57540	C		Removal of residual cervix
57545	C		Remove cervix/repair pelvis
57550	T		Removal of residual cervix	0195	25.3207	$1,374.64	$483.80	$274.93
57555	T		Remove cervix/repair vagina	0195	25.3207	$1,374.64	$483.80	$274.93
57556	T		Remove cervix, repair bowel	0195	25.3207	$1,374.64	$483.80	$274.93
57700	T		Revision of cervix	0194	18.8194	$1,021.69	$397.84	$204.34
57720	T		Revision of cervix	0194	18.8194	$1,021.69	$397.84	$204.34
57800	T		Dilation of cervical canal	0193	15.7365	$854.32	$171.13	$170.86
57820	T		D & c of residual cervix	0196	16.1823	$878.52	$338.23	$175.70
58100	T		Biopsy of uterus lining	0188	1.1079	$60.15		$12.03
58120	T		Dilation and curettage	0196	16.1823	$878.52	$338.23	$175.70
58140	C		Removal of uterus lesion
58145	T		Myomectomy vag method	0195	25.3207	$1,374.64	$483.80	$274.93
58146	C		Myomectomy abdom complex
58150	C		Total hysterectomy
58152	C		Total hysterectomy
58180	C		Partial hysterectomy
58200	C		Extensive hysterectomy
58210	C		Extensive hysterectomy
58240	C		Removal of pelvis contents
58260	C		Vaginal hysterectomy
58262	C		Vag hyst including t/o
58263	C		Vag hyst w/t/o & vag repair
58267	C		Vag hyst w/urinary repair
58270	C		Vag hyst w/enterocele repair
58275	C		Hysterectomy/revise vagina
58280	C		Hysterectomy/revise vagina
58285	C		Extensive hysterectomy
58290	C		Vag hyst complex
58291	C		Vag hyst incl t/o, complex
58292	C		Vag hyst t/o & repair, compl
58293	C		Vag hyst w/uro repair, compl
58294	C		Vag hyst w/enterocele, compl
58300	E		Insert intrauterine device
58301	T		Remove intrauterine device	0189	1.3207	$71.70	$16.70	$14.34
58321	T		Artificial insemination	0197	5.1958	$282.07		$56.41
58322	T		Artificial insemination	0197	5.1958	$282.07		$56.41
58323	T		Sperm washing	0197	5.1958	$282.07		$56.41
58340	N		Catheter for hysterography
58345	T		Reopen fallopian tube	0194	18.8194	$1,021.69	$397.84	$204.34
58346	T		Insert heyman uteri capsule	0193	15.7365	$854.32	$171.13	$170.86
58350	T		Reopen fallopian tube	0194	18.8194	$1,021.69	$397.84	$204.34
58353	T		Endometr ablate, thermal	0195	25.3207	$1,374.64	$483.80	$274.93
58400	C		Suspension of uterus
58410	C		Suspension of uterus
58520	C		Repair of ruptured uterus
58540	C		Revision of uterus
58545	T		Laparoscopic myomectomy	0130	32.5959	$1,769.60	$659.53	$353.92
58546	T		Laparo-myomectomy, complex	0131	40.8955	$2,220.18	$1,001.89	$444.04
58550	T		Laparo-asst vag hysterectomy	0132	56.6318	$3,074.48	$1,239.22	$614.90
58552	T		Laparo-vag hyst incl t/o	0131	40.8955	$2,220.18	$1,001.89	$444.04
58553	T		Laparo-vag hyst, complex	0131	40.8955	$2,220.18	$1,001.89	$444.04
58554	T		Laparo-vag hyst w/t/o, compl	0131	40.8955	$2,220.18	$1,001.89	$444.04
58555	T		Hysteroscopy, dx, sep proc	0190	19.8088	$1,075.40	$424.28	$215.08
58558	T		Hysteroscopy, biopsy	0190	19.8088	$1,075.40	$424.28	$215.08
58559	T		Hysteroscopy, lysis	0190	19.8088	$1,075.40	$424.28	$215.08
58560	T		Hysteroscopy, resect septum	0387	28.5174	$1,548.18	$660.84	$309.64
58561	T		Hysteroscopy, remove myoma	0387	28.5174	$1,548.18	$660.84	$309.64
58562	T		Hysteroscopy, remove fb	0190	19.8088	$1,075.40	$424.28	$215.08
58563	T		Hysteroscopy, ablation	0387	28.5174	$1,548.18	$660.84	$309.64
58578	T		Laparo proc, uterus	0130	32.5959	$1,769.60	$659.53	$353.92
58579	T		Hysteroscope procedure	0190	19.8088	$1,075.40	$424.28	$215.08
58600	T		Division of fallopian tube	0194	18.8194	$1,021.69	$397.84	$204.34
58605	C		Division of fallopian tube
58611	C		Ligate oviduct(s) add-on
58615	T		Occlude fallopian tube(s)	0194	18.8194	$1,021.69	$397.84	$204.34
58660	T		Laparoscopy, lysis	0131	40.8955	$2,220.18	$1,001.89	$444.04
58661	T		Laparoscopy, remove adnexa	0131	40.8955	$2,220.18	$1,001.89	$444.04
58662	T		Laparoscopy, excise lesions	0131	40.8955	$2,220.18	$1,001.89	$444.04
58670	T		Laparoscopy, tubal cautery	0131	40.8955	$2,220.18	$1,001.89	$444.04
58671	T		Laparoscopy, tubal block	0131	40.8955	$2,220.18	$1,001.89	$444.04
58672	T		Laparoscopy, fimbrioplasty	0131	40.8955	$2,220.18	$1,001.89	$444.04
58673	T		Laparoscopy, salpingostomy	0131	40.8955	$2,220.18	$1,001.89	$444.04
58679	T		Laparo proc, oviduct-ovary	0130	32.5959	$1,769.60	$659.53	$353.92
58700	C		Removal of fallopian tube
58720	C		Removal of ovary/tube(s)
58740	C		Revise fallopian tube(s)
58750	C		Repair oviduct
58752	C		Revise ovarian tube(s)
58760	C		Remove tubal obstruction
58770	C		Create new tubal opening
58800	T		Drainage of ovarian cyst(s)	0195	25.3207	$1,374.64	$483.80	$274.93
58805	C		Drainage of ovarian cyst(s)
58820	T		Drain ovary abscess, open	0195	25.3207	$1,374.64	$483.80	$274.93
58822	C		Drain ovary abscess, percut
58823	T		Drain pelvic abscess, percut	0193	15.7365	$854.32	$171.13	$170.86
58825	C		Transposition, ovary(s)
58900	T		Biopsy of ovary(s)	0195	25.3207	$1,374.64	$483.80	$274.93
58920	T		Partial removal of ovary(s)	0195	25.3207	$1,374.64	$483.80	$274.93
58925	T		Removal of ovarian cyst(s)	0195	25.3207	$1,374.64	$483.80	$274.93
58940	C		Removal of ovary(s)
58943	C		Removal of ovary(s)
58950	C		Resect ovarian malignancy
58951	C		Resect ovarian malignancy
58952	C		Resect ovarian malignancy
58953	C		Tah, rad dissect for debulk
58954	C		Tah rad debulk/lymph remove
58960	C		Exploration of abdomen
58970	T		Retrieval of oocyte	0194	18.8194	$1,021.69	$397.84	$204.34
58974	T		Transfer of embryo	0197	5.1958	$282.07		$56.41
58976	T		Transfer of embryo	0197	5.1958	$282.07		$56.41
58999	T		Genital surgery procedure	0191	0.1679	$9.12	$2.65	$1.82
59000	T		Amniocentesis, diagnostic	0198	1.3718	$74.47	$32.19	$14.89
59001	T		Amniocentesis, therapeutic	0198	1.3718	$74.47	$32.19	$14.89
59012	T		Fetal cord puncture,prenatal	0198	1.3718	$74.47	$32.19	$14.89
59015	T		Chorion biopsy	0198	1.3718	$74.47	$32.19	$14.89
59020	T		Fetal contract stress test	0198	1.3718	$74.47	$32.19	$14.89
59025	T		Fetal non-stress test	0198	1.3718	$74.47	$32.19	$14.89
59030	T		Fetal scalp blood sample	0198	1.3718	$74.47	$32.19	$14.89
59050	E		Fetal monitor w/report
59051	E		Fetal monitor/interpret only
59100	C		Remove uterus lesion
59120	C		Treat ectopic pregnancy
59121	C		Treat ectopic pregnancy
59130	C		Treat ectopic pregnancy
59135	C		Treat ectopic pregnancy
59136	C		Treat ectopic pregnancy
59140	C		Treat ectopic pregnancy
59150	T		Treat ectopic pregnancy	0131	40.8955	$2,220.18	$1,001.89	$444.04
59151	T		Treat ectopic pregnancy	0131	40.8955	$2,220.18	$1,001.89	$444.04
59160	T		D & c after delivery	0196	16.1823	$878.52	$338.23	$175.70
59200	T		Insert cervical dilator	0189	1.3207	$71.70	$16.70	$14.34
59300	T		Episiotomy or vaginal repair	0193	15.7365	$854.32	$171.13	$170.86
59320	T		Revision of cervix	0194	18.8194	$1,021.69	$397.84	$204.34
59325	C		Revision of cervix
59350	C		Repair of uterus
59400	E		Obstetrical care
59409	T		Obstetrical care	0199	16.8630	$915.48		$183.10
59410	E		Obstetrical care
59412	T		Antepartum manipulation	0700	2.4359	$132.24	$37.03	$26.45
59414	T		Deliver placenta	0199	16.8630	$915.48		$183.10
59425	E		Antepartum care only
59426	E		Antepartum care only
59430	E		Care after delivery
59510	E		Cesarean delivery
59514	C		Cesarean delivery only
59515	E		Cesarean delivery
59525	C		Remove uterus after cesarean
59610	E		Vbac delivery
59612	T		Vbac delivery only	0199	16.8630	$915.48		$183.10
59614	E		Vbac care after delivery
59618	E		Attempted vbac delivery
59620	C		Attempted vbac delivery only
59622	E		Attempted vbac after care
59812	T		Treatment of miscarriage	0201	17.2803	$938.13	$329.65	$187.63
59820	T		Care of miscarriage	0201	17.2803	$938.13	$329.65	$187.63
59821	T		Treatment of miscarriage	0201	17.2803	$938.13	$329.65	$187.63
59830	C		Treat uterus infection
59840	T		Abortion	0200	18.3633	$996.93	$307.83	$199.39
59841	T		Abortion	0200	18.3633	$996.93	$307.83	$199.39
59850	C		Abortion
59851	C		Abortion
59852	C		Abortion
59855	C		Abortion
59856	C		Abortion
59857	C		Abortion
59866	T		Abortion (mpr)	0198	1.3718	$74.47	$32.19	$14.89
59870	T		Evacuate mole of uterus	0201	17.2803	$938.13	$329.65	$187.63
59871	T		Remove cerclage suture	0194	18.8194	$1,021.69	$397.84	$204.34
59898	T		Laparo proc, ob care/deliver	0130	32.5959	$1,769.60	$659.53	$353.92
59899	T		Maternity care procedure	0198	1.3718	$74.47	$32.19	$14.89
60000	T		Drain thyroid/tongue cyst	0252	6.5416	$355.14	$113.41	$71.03
60001	T		Aspirate/inject thyriod cyst	0004	1.5774	$85.64	$22.10	$17.13
60100	T		Biopsy of thyroid	0004	1.5774	$85.64	$22.10	$17.13
60200	T		Remove thyroid lesion	0114	37.3583	$2,028.14	$485.91	$405.63
60210	T		Partial thyroid excision	0114	37.3583	$2,028.14	$485.91	$405.63
60212	T		Partial thyroid excision	0114	37.3583	$2,028.14	$485.91	$405.63
60220	T		Partial removal of thyroid	0114	37.3583	$2,028.14	$485.91	$405.63
60225	T		Partial removal of thyroid	0114	37.3583	$2,028.14	$485.91	$405.63
60240	T		Removal of thyroid	0114	37.3583	$2,028.14	$485.91	$405.63
60252	T		Removal of thyroid	0256	35.0866	$1,904.82		$380.96
60254	C		Extensive thyroid surgery
60260	T		Repeat thyroid surgery	0256	35.0866	$1,904.82		$380.96
60270	C		Removal of thyroid
60271	C		Removal of thyroid
60280	T		Remove thyroid duct lesion	0114	37.3583	$2,028.14	$485.91	$405.63
60281	T		Remove thyroid duct lesion	0114	37.3583	$2,028.14	$485.91	$405.63
60500	T		Explore parathyroid glands	0256	35.0866	$1,904.82		$380.96
60502	C		Re-explore parathyroids
60505	C		Explore parathyroid glands
60512	T		Autotransplant parathyroid	0022	18.6725	$1,013.71	$354.45	$202.74
60520	C		Removal of thymus gland
60521	C		Removal of thymus gland
60522	C		Removal of thymus gland
60540	C		Explore adrenal gland
60545	C		Explore adrenal gland
60600	C		Remove carotid body lesion
60605	C		Remove carotid body lesion
60650	C		Laparoscopy adrenalectomy
60659	T		Laparo proc, endocrine	0130	32.5959	$1,769.60	$659.53	$353.92
60699	T		Endocrine surgery procedure	0114	37.3583	$2,028.14	$485.91	$405.63
61000	T		Remove cranial cavity fluid	0212	2.9989	$162.81	$74.92	$32.56
61001	T		Remove cranial cavity fluid	0212	2.9989	$162.81	$74.92	$32.56
61020	T		Remove brain cavity fluid	0212	2.9989	$162.81	$74.92	$32.56
61026	T		Injection into brain canal	0212	2.9989	$162.81	$74.92	$32.56
61050	T		Remove brain canal fluid	0212	2.9989	$162.81	$74.92	$32.56
61055	T		Injection into brain canal	0212	2.9989	$162.81	$74.92	$32.56
61070	T		Brain canal shunt procedure	0212	2.9989	$162.81	$74.92	$32.56
61105	C		Twist drill hole
61107	C		Drill skull for implantation
61108	C		Drill skull for drainage
61120	C		Burr hole for puncture
61140	C		Pierce skull for biopsy
61150	C		Pierce skull for drainage
61151	C		Pierce skull for drainage
61154	C		Pierce skull & remove clot
61156	C		Pierce skull for drainage
61210	C		Pierce skull, implant device
61215	T		Insert brain-fluid device	0224	34.0161	$1,846.70	$453.41	$369.34
61250	C		Pierce skull & explore
61253	C		Pierce skull & explore
61304	C		Open skull for exploration
61305	C		Open skull for exploration
61312	C		Open skull for drainage
61313	C		Open skull for drainage
61314	C		Open skull for drainage
61315	C		Open skull for drainage
61316	N		Implt cran bone flap to abdo
61320	C		Open skull for drainage
61321	C		Open skull for drainage
61322	C		Decompressive craniotomy
61323	C		Decompressive lobectomy
61330	T		Decompress eye socket	0256	35.0866	$1,904.82		$380.96
61332	C		Explore/biopsy eye socket
61333	C		Explore orbit/remove lesion
61334	C		Explore orbit/remove object
61340	C		Relieve cranial pressure
61343	C		Incise skull (press relief)
61345	C		Relieve cranial pressure
61440	C		Incise skull for surgery
61450	C		Incise skull for surgery
61458	C		Incise skull for brain wound
61460	C		Incise skull for surgery
61470	C		Incise skull for surgery
61480	C		Incise skull for surgery
61490	C		Incise skull for surgery
61500	C		Removal of skull lesion
61501	C		Remove infected skull bone
61510	C		Removal of brain lesion
61512	C		Remove brain lining lesion
61514	C		Removal of brain abscess
61516	C		Removal of brain lesion
61517	N		Implt brain chemotx add-on
61518	C		Removal of brain lesion
61519	C		Remove brain lining lesion
61520	C		Removal of brain lesion
61521	C		Removal of brain lesion
61522	C		Removal of brain abscess
61524	C		Removal of brain lesion
61526	C		Removal of brain lesion
61530	C		Removal of brain lesion
61531	C		Implant brain electrodes
61533	C		Implant brain electrodes
61534	C		Removal of brain lesion
61535	C		Remove brain electrodes
61536	C		Removal of brain lesion
61538	C		Removal of brain tissue
61539	C		Removal of brain tissue
61541	C		Incision of brain tissue
61542	C		Removal of brain tissue
61543	C		Removal of brain tissue
61544	C		Remove & treat brain lesion
61545	C		Excision of brain tumor
61546	C		Removal of pituitary gland
61548	C		Removal of pituitary gland
61550	C		Release of skull seams
61552	C		Release of skull seams
61556	C		Incise skull/sutures
61557	C		Incise skull/sutures
61558	C		Excision of skull/sutures
61559	C		Excision of skull/sutures
61563	C		Excision of skull tumor
61564	C		Excision of skull tumor
61570	C		Remove foreign body, brain
61571	C		Incise skull for brain wound
61575	C		Skull base/brainstem surgery
61576	C		Skull base/brainstem surgery
61580	C		Craniofacial approach, skull
61581	C		Craniofacial approach, skull
61582	C		Craniofacial approach, skull
61583	C		Craniofacial approach, skull
61584	C		Orbitocranial approach/skull
61585	C		Orbitocranial approach/skull
61586	C		Resect nasopharynx, skull
61590	C		Infratemporal approach/skull
61591	C		Infratemporal approach/skull
61592	C		Orbitocranial approach/skull
61595	C		Transtemporal approach/skull
61596	C		Transcochlear approach/skull
61597	C		Transcondylar approach/skull
61598	C		Transpetrosal approach/skull
61600	C		Resect/excise cranial lesion
61601	C		Resect/excise cranial lesion
61605	C		Resect/excise cranial lesion
61606	C		Resect/excise cranial lesion
61607	C		Resect/excise cranial lesion
61608	C		Resect/excise cranial lesion
61609	C		Transect artery, sinus
61610	C		Transect artery, sinus
61611	C		Transect artery, sinus
61612	C		Transect artery, sinus
61613	C		Remove aneurysm, sinus
61615	C		Resect/excise lesion, skull
61616	C		Resect/excise lesion, skull
61618	C		Repair dura
61619	C		Repair dura
61623	T		Endovasc tempory vessel occl	1555		$1,650.00		$330.00
61624	C		Occlusion/embolization cath
61626	T		Transcath occlusion, non-cns	0081	34.8355	$1,891.18		$378.24
61680	C		Intracranial vessel surgery
61682	C		Intracranial vessel surgery
61684	C		Intracranial vessel surgery
61686	C		Intracranial vessel surgery
61690	C		Intracranial vessel surgery
61692	C		Intracranial vessel surgery
61697	C		Brain aneurysm repr, complx
61698	C		Brain aneurysm repr, complx
61700	C		Brain aneurysm repr, simple
61702	C		Inner skull vessel surgery
61703	C		Clamp neck artery
61705	C		Revise circulation to head
61708	C		Revise circulation to head
61710	C		Revise circulation to head
61711	C		Fusion of skull arteries
61720	C		Incise skull/brain surgery
61735	C		Incise skull/brain surgery
61750	C		Incise skull/brain biopsy
61751	C		Brain biopsy w/ ct/mr guide
61760	C		Implant brain electrodes
61770	C		Incise skull for treatment
61790	T		Treat trigeminal nerve	0220	16.5293	$897.36		$179.47
61791	T		Treat trigeminal tract	0204	2.2209	$120.57	$40.13	$24.11
61793	E		Focus radiation beam
61795	S		Brain surgery using computer	0302	6.1992	$336.55	$127.49	$67.31
61850	C		Implant neuroelectrodes
61860	C		Implant neuroelectrodes
61862	C		Implant neurostimul, subcort
61870	C		Implant neuroelectrodes
61875	C		Implant neuroelectrodes
61880	T		Revise/remove neuroelectrode	0687	19.9913	$1,085.31	$499.24	$217.06
61885	T		Implant neurostim one array	0222	188.7735	$10,248.32		$2,049.66
61886	T		Implant neurostim arrays	0222	188.7735	$10,248.32		$2,049.66
61888	T		Revise/remove neuroreceiver	0688	42.5880	$2,312.06	$1,132.91	$462.41
62000	C		Treat skull fracture
62005	C		Treat skull fracture
62010	C		Treatment of head injury
62100	C		Repair brain fluid leakage
62115	C		Reduction of skull defect
62116	C		Reduction of skull defect
62117	C		Reduction of skull defect
62120	C		Repair skull cavity lesion
62121	C		Incise skull repair
62140	C		Repair of skull defect
62141	C		Repair of skull defect
62142	C		Remove skull plate/flap
62143	C		Replace skull plate/flap
62145	C		Repair of skull & brain
62146	C		Repair of skull with graft
62147	C		Repair of skull with graft
62148	N		Retr bone flap to fix skull
62160	N		Neuroendoscopy add-on
62161	C		Dissect brain w/scope
62162	C		Remove colloid cyst w/scope
62163	C		Neuroendoscopy w/fb removal
62164	C		Remove brain tumor w/scope
62165	C		Remove pituit tumor w/scope
62180	C		Establish brain cavity shunt
62190	C		Establish brain cavity shunt
62192	C		Establish brain cavity shunt
62194	T		Replace/irrigate catheter	0121	2.2058	$119.75	$43.80	$23.95
62200	C		Establish brain cavity shunt
62201	C		Establish brain cavity shunt
62220	C		Establish brain cavity shunt
62223	C		Establish brain cavity shunt
62225	T		Replace/irrigate catheter	0122	8.4398	$458.19	$93.97	$91.64
62230	T		Replace/revise brain shunt	0224	34.0161	$1,846.70	$453.41	$369.34
62252	S		Csf shunt reprogram	0691	2.9894	$162.29	$81.14	$32.46
62256	C		Remove brain cavity shunt
62258	C		Replace brain cavity shunt
62263	T		Lysis epidural adhesions	0203	11.8511	$643.38	$276.76	$128.68
62264	T		Epidural lysis on single day	0203	11.8511	$643.38	$276.76	$128.68
62268	T		Drain spinal cord cyst	0212	2.9989	$162.81	$74.92	$32.56
62269	T		Needle biopsy, spinal cord	0005	3.3675	$182.82	$71.59	$36.56
62270	T		Spinal fluid tap, diagnostic	0206	5.2584	$285.47	$75.55	$57.09
62272	T		Drain cerebro spinal fluid	0206	5.2584	$285.47	$75.55	$57.09
62273	T		Treat epidural spine lesion	0206	5.2584	$285.47	$75.55	$57.09
62280	T		Treat spinal cord lesion	0207	6.5998	$358.30	$123.69	$71.66
62281	T		Treat spinal cord lesion	0207	6.5998	$358.30	$123.69	$71.66
62282	T		Treat spinal canal lesion	0207	6.5998	$358.30	$123.69	$71.66
62284	N		Injection for myelogram
62287	T		Percutaneous diskectomy	0220	16.5293	$897.36		$179.47
62290	N		Inject for spine disk x-ray
62291	N		Inject for spine disk x-ray
62292	T		Injection into disk lesion	0212	2.9989	$162.81	$74.92	$32.56
62294	T		Injection into spinal artery	0212	2.9989	$162.81	$74.92	$32.56
62310	T		Inject spine c/t	0206	5.2584	$285.47	$75.55	$57.09
62311	T		Inject spine l/s (cd)	0206	5.2584	$285.47	$75.55	$57.09
62318	T		Inject spine w/cath, c/t	0206	5.2584	$285.47	$75.55	$57.09
62319	T		Inject spine w/cath l/s (cd)	0206	5.2584	$285.47	$75.55	$57.09
62350	T		Implant spinal canal cath	0223	26.0352	$1,413.42		$282.68
62351	T		Implant spinal canal cath	0208	40.6521	$2,206.96		$441.39
62355	T		Remove spinal canal catheter	0203	11.8511	$643.38	$276.76	$128.68
62360	T		Insert spine infusion device	0226	159.6795	$8,668.84		$1,733.77
62361	T		Implant spine infusion pump	0227	163.6124	$8,882.35		$1,776.47
62362	T		Implant spine infusion pump	0227	163.6124	$8,882.35		$1,776.47
62365	T		Remove spine infusion device	0203	11.8511	$643.38	$276.76	$128.68
62367	S		Analyze spine infusion pump	0691	2.9894	$162.29	$81.14	$32.46
62368	S		Analyze spine infusion pump	0691	2.9894	$162.29	$81.14	$32.46
63001	T		Removal of spinal lamina	0208	40.6521	$2,206.96		$441.39
63003	T		Removal of spinal lamina	0208	40.6521	$2,206.96		$441.39
63005	T		Removal of spinal lamina	0208	40.6521	$2,206.96		$441.39
63011	T		Removal of spinal lamina	0208	40.6521	$2,206.96		$441.39
63012	T		Removal of spinal lamina	0208	40.6521	$2,206.96		$441.39
63015	T		Removal of spinal lamina	0208	40.6521	$2,206.96		$441.39
63016	T		Removal of spinal lamina	0208	40.6521	$2,206.96		$441.39
63017	T		Removal of spinal lamina	0208	40.6521	$2,206.96		$441.39
63020	T		Neck spine disk surgery	0208	40.6521	$2,206.96		$441.39
63030	T		Low back disk surgery	0208	40.6521	$2,206.96		$441.39
63035	T		Spinal disk surgery add-on	0208	40.6521	$2,206.96		$441.39
63040	T		Laminotomy, single cervical	0208	40.6521	$2,206.96		$441.39
63042	T		Laminotomy, single lumbar	0208	40.6521	$2,206.96		$441.39
63043	C		Laminotomy, addl cervical
63044	C		Laminotomy, addl lumbar
63045	T		Removal of spinal lamina	0208	40.6521	$2,206.96		$441.39
63046	T		Removal of spinal lamina	0208	40.6521	$2,206.96		$441.39
63047	T		Removal of spinal lamina	0208	40.6521	$2,206.96		$441.39
63048	T		Remove spinal lamina add-on	0208	40.6521	$2,206.96		$441.39
63055	T		Decompress spinal cord	0208	40.6521	$2,206.96		$441.39
63056	T		Decompress spinal cord	0208	40.6521	$2,206.96		$441.39
63057	T		Decompress spine cord add-on	0208	40.6521	$2,206.96		$441.39
63064	T		Decompress spinal cord	0208	40.6521	$2,206.96		$441.39
63066	T		Decompress spine cord add-on	0208	40.6521	$2,206.96		$441.39
63075	C		Neck spine disk surgery
63076	C		Neck spine disk surgery
63077	C		Spine disk surgery, thorax
63078	C		Spine disk surgery, thorax
63081	C		Removal of vertebral body
63082	C		Remove vertebral body add-on
63085	C		Removal of vertebral body
63086	C		Remove vertebral body add-on
63087	C		Removal of vertebral body
63088	C		Remove vertebral body add-on
63090	C		Removal of vertebral body
63091	C		Remove vertebral body add-on
63170	C		Incise spinal cord tract(s)
63172	C		Drainage of spinal cyst
63173	C		Drainage of spinal cyst
63180	C		Revise spinal cord ligaments
63182	C		Revise spinal cord ligaments
63185	C		Incise spinal column/nerves
63190	C		Incise spinal column/nerves
63191	C		Incise spinal column/nerves
63194	C		Incise spinal column & cord
63195	C		Incise spinal column & cord
63196	C		Incise spinal column & cord
63197	C		Incise spinal column & cord
63198	C		Incise spinal column & cord
63199	C		Incise spinal column & cord
63200	C		Release of spinal cord
63250	C		Revise spinal cord vessels
63251	C		Revise spinal cord vessels
63252	C		Revise spinal cord vessels
63265	C		Excise intraspinal lesion
63266	C		Excise intraspinal lesion
63267	C		Excise intraspinal lesion
63268	C		Excise intraspinal lesion
63270	C		Excise intraspinal lesion
63271	C		Excise intraspinal lesion
63272	C		Excise intraspinal lesion
63273	C		Excise intraspinal lesion
63275	C		Biopsy/excise spinal tumor
63276	C		Biopsy/excise spinal tumor
63277	C		Biopsy/excise spinal tumor
63278	C		Biopsy/excise spinal tumor
63280	C		Biopsy/excise spinal tumor
63281	C		Biopsy/excise spinal tumor
63282	C		Biopsy/excise spinal tumor
63283	C		Biopsy/excise spinal tumor
63285	C		Biopsy/excise spinal tumor
63286	C		Biopsy/excise spinal tumor
63287	C		Biopsy/excise spinal tumor
63290	C		Biopsy/excise spinal tumor
63300	C		Removal of vertebral body
63301	C		Removal of vertebral body
63302	C		Removal of vertebral body
63303	C		Removal of vertebral body
63304	C		Removal of vertebral body
63305	C		Removal of vertebral body
63306	C		Removal of vertebral body
63307	C		Removal of vertebral body
63308	C		Remove vertebral body add-on
63600	T		Remove spinal cord lesion	0220	16.5293	$897.36		$179.47
63610	T		Stimulation of spinal cord	0220	16.5293	$897.36		$179.47
63615	T		Remove lesion of spinal cord	0220	16.5293	$897.36		$179.47
63650	S		Implant neuroelectrodes	0225	56.0375	$3,042.22		$608.44
63655	S		Implant neuroelectrodes	0225	56.0375	$3,042.22		$608.44
63660	T		Revise/remove neuroelectrode	0687	19.9913	$1,085.31	$499.24	$217.06
63685	T		Implant neuroreceiver	0222	188.7735	$10,248.32		$2,049.66
63688	T		Revise/remove neuroreceiver	0688	42.5880	$2,312.06	$1,132.91	$462.41
63700	C		Repair of spinal herniation
63702	C		Repair of spinal herniation
63704	C		Repair of spinal herniation
63706	C		Repair of spinal herniation
63707	C		Repair spinal fluid leakage
63709	C		Repair spinal fluid leakage
63710	C		Graft repair of spine defect
63740	C		Install spinal shunt
63741	T		Install spinal shunt	0228	51.1329	$2,775.95	$621.80	$555.19
63744	T		Revision of spinal shunt	0228	51.1329	$2,775.95	$621.80	$555.19
63746	T		Removal of spinal shunt	0109	7.7075	$418.43	$131.49	$83.69
64400	T		N block inj, trigeminal	0204	2.2209	$120.57	$40.13	$24.11
64402	T		N block inj, facial	0204	2.2209	$120.57	$40.13	$24.11
64405	T		N block inj, occipital	0204	2.2209	$120.57	$40.13	$24.11
64408	T		N block inj, vagus	0204	2.2209	$120.57	$40.13	$24.11
64410	T		N block inj, phrenic	0204	2.2209	$120.57	$40.13	$24.11
64412	T		N block inj, spinal accessor	0204	2.2209	$120.57	$40.13	$24.11
64413	T		N block inj, cervical plexus	0204	2.2209	$120.57	$40.13	$24.11
64415	T		Injection for nerve block	0204	2.2209	$120.57	$40.13	$24.11
64416	T		N block cont infuse, b plex	0204	2.2209	$120.57	$40.13	$24.11
64417	T		N block inj, axillary	0204	2.2209	$120.57	$40.13	$24.11
64418	T		N block inj, suprascapular	0204	2.2209	$120.57	$40.13	$24.11
64420	T		N block inj, intercost, sng	0207	6.5998	$358.30	$123.69	$71.66
64421	T		N block inj, intercost, mlt	0207	6.5998	$358.30	$123.69	$71.66
64425	T		N block inj ilio-ing/hypogi	0204	2.2209	$120.57	$40.13	$24.11
64430	T		N block inj, pudendal	0204	2.2209	$120.57	$40.13	$24.11
64435	T		N block inj, paracervical	0204	2.2209	$120.57	$40.13	$24.11
64445	T		Injection for nerve block	0204	2.2209	$120.57	$40.13	$24.11
64446	T		N blk inj, sciatic, cont inf	0204	2.2209	$120.57	$40.13	$24.11
64447	T		N block inj fem, single	0204	2.2209	$120.57	$40.13	$24.11
64448	T		N block inj fem, cont inf	0204	2.2209	$120.57	$40.13	$24.11
64450	T		N block, other peripheral	0204	2.2209	$120.57	$40.13	$24.11
64470	T		Inj paravertebral c/t	0207	6.5998	$358.30	$123.69	$71.66
64472	T		Inj paravertebral c/t add-on	0207	6.5998	$358.30	$123.69	$71.66
64475	T		Inj paravertebral l/s	0207	6.5998	$358.30	$123.69	$71.66
64476	T		Inj paravertebral l/s add-on	0207	6.5998	$358.30	$123.69	$71.66
64479	T		Inj foramen epidural c/t	0207	6.5998	$358.30	$123.69	$71.66
64480	T		Inj foramen epidural add-on	0207	6.5998	$358.30	$123.69	$71.66
64483	T		Inj foramen epidural l/s	0207	6.5998	$358.30	$123.69	$71.66
64484	T		Inj foramen epidural add-on	0207	6.5998	$358.30	$123.69	$71.66
64505	T		N block, spenopalatine gangl	0204	2.2209	$120.57	$40.13	$24.11
64508	T		N block, carotid sinus s/p	0204	2.2209	$120.57	$40.13	$24.11
64510	T		N block, stellate ganglion	0207	6.5998	$358.30	$123.69	$71.66
64520	T		N block, lumbar/thoracic	0207	6.5998	$358.30	$123.69	$71.66
64530	T		N block inj, celiac pelus	0207	6.5998	$358.30	$123.69	$71.66
64550	A		Apply neurostimulator
64553	S		Implant neuroelectrodes	0225	56.0375	$3,042.22		$608.44
64555	S		Implant neuroelectrodes	0225	56.0375	$3,042.22		$608.44
64560	S		Implant neuroelectrodes	0225	56.0375	$3,042.22		$608.44
64561	S		Implant neuroelectrodes	0225	56.0375	$3,042.22		$608.44
64565	S		Implant neuroelectrodes	0225	56.0375	$3,042.22		$608.44
64573	S		Implant neuroelectrodes	0225	56.0375	$3,042.22		$608.44
64575	S		Implant neuroelectrodes	0225	56.0375	$3,042.22		$608.44
64577	S		Implant neuroelectrodes	0225	56.0375	$3,042.22		$608.44
64580	S		Implant neuroelectrodes	0225	56.0375	$3,042.22		$608.44
64581	S		Implant neuroelectrodes	0225	56.0375	$3,042.22		$608.44
64585	T		Revise/remove neuroelectrode	0687	19.9913	$1,085.31	$499.24	$217.06
64590	T		Implant neuroreceiver	0222	188.7735	$10,248.32		$2,049.66
64595	T		Revise/remove neuroreceiver	0688	42.5880	$2,312.06	$1,132.91	$462.41
64600	T		Injection treatment of nerve	0203	11.8511	$643.38	$276.76	$128.68
64605	T		Injection treatment of nerve	0203	11.8511	$643.38	$276.76	$128.68
64610	T		Injection treatment of nerve	0203	11.8511	$643.38	$276.76	$128.68
64612	T		Destroy nerve, face muscle	0204	2.2209	$120.57	$40.13	$24.11
64613	T		Destroy nerve, spine muscle	0204	2.2209	$120.57	$40.13	$24.11
64614	T		Destroy nerve, extrem musc	0204	2.2209	$120.57	$40.13	$24.11
64620	T		Injection treatment of nerve	0203	11.8511	$643.38	$276.76	$128.68
64622	T		Destr paravertebrl nerve l/s	0203	11.8511	$643.38	$276.76	$128.68
64623	T		Destr paravertebral n add-on	0203	11.8511	$643.38	$276.76	$128.68
64626	T		Destr paravertebrl nerve c/t	0203	11.8511	$643.38	$276.76	$128.68
64627	T		Destr paravertebral n add-on	0203	11.8511	$643.38	$276.76	$128.68
64630	T		Injection treatment of nerve	0207	6.5998	$358.30	$123.69	$71.66
64640	T		Injection treatment of nerve	0207	6.5998	$358.30	$123.69	$71.66
64680	T		Injection treatment of nerve	0203	11.8511	$643.38	$276.76	$128.68
64702	T		Revise finger/toe nerve	0220	16.5293	$897.36		$179.47
64704	T		Revise hand/foot nerve	0220	16.5293	$897.36		$179.47
64708	T		Revise arm/leg nerve	0220	16.5293	$897.36		$179.47
64712	T		Revision of sciatic nerve	0220	16.5293	$897.36		$179.47
64713	T		Revision of arm nerve(s)	0220	16.5293	$897.36		$179.47
64714	T		Revise low back nerve(s)	0220	16.5293	$897.36		$179.47
64716	T		Revision of cranial nerve	0220	16.5293	$897.36		$179.47
64718	T		Revise ulnar nerve at elbow	0220	16.5293	$897.36		$179.47
64719	T		Revise ulnar nerve at wrist	0220	16.5293	$897.36		$179.47
64721	T		Carpal tunnel surgery	0220	16.5293	$897.36		$179.47
64722	T		Relieve pressure on nerve(s)	0220	16.5293	$897.36		$179.47
64726	T		Release foot/toe nerve	0220	16.5293	$897.36		$179.47
64727	T		Internal nerve revision	0220	16.5293	$897.36		$179.47
64732	T		Incision of brow nerve	0220	16.5293	$897.36		$179.47
64734	T		Incision of cheek nerve	0220	16.5293	$897.36		$179.47
64736	T		Incision of chin nerve	0220	16.5293	$897.36		$179.47
64738	T		Incision of jaw nerve	0220	16.5293	$897.36		$179.47
64740	T		Incision of tongue nerve	0220	16.5293	$897.36		$179.47
64742	T		Incision of facial nerve	0220	16.5293	$897.36		$179.47
64744	T		Incise nerve, back of head	0220	16.5293	$897.36		$179.47
64746	T		Incise diaphragm nerve	0220	16.5293	$897.36		$179.47
64752	C		Incision of vagus nerve
64755	C		Incision of stomach nerves
64760	C		Incision of vagus nerve
64761	T		Incision of pelvis nerve	0220	16.5293	$897.36		$179.47
64763	C		Incise hip/thigh nerve
64766	C		Incise hip/thigh nerve
64771	T		Sever cranial nerve	0220	16.5293	$897.36		$179.47
64772	T		Incision of spinal nerve	0220	16.5293	$897.36		$179.47
64774	T		Remove skin nerve lesion	0220	16.5293	$897.36		$179.47
64776	T		Remove digit nerve lesion	0220	16.5293	$897.36		$179.47
64778	T		Digit nerve surgery add-on	0220	16.5293	$897.36		$179.47
64782	T		Remove limb nerve lesion	0220	16.5293	$897.36		$179.47
64783	T		Limb nerve surgery add-on	0220	16.5293	$897.36		$179.47
64784	T		Remove nerve lesion	0220	16.5293	$897.36		$179.47
64786	T		Remove sciatic nerve lesion	0221	25.8194	$1,401.71	$463.62	$280.34
64787	T		Implant nerve end	0220	16.5293	$897.36		$179.47
64788	T		Remove skin nerve lesion	0220	16.5293	$897.36		$179.47
64790	T		Removal of nerve lesion	0220	16.5293	$897.36		$179.47
64792	T		Removal of nerve lesion	0221	25.8194	$1,401.71	$463.62	$280.34
64795	T		Biopsy of nerve	0220	16.5293	$897.36		$179.47
64802	T		Remove sympathetic nerves	0220	16.5293	$897.36		$179.47
64804	C		Remove sympathetic nerves
64809	C		Remove sympathetic nerves
64818	C		Remove sympathetic nerves
64820	T		Remove sympathetic nerves	0220	16.5293	$897.36		$179.47
64821	T		Remove sympathestic nerves	0054	24.2685	$1,317.51		$263.50
64822	T		Remove sympathetic nerves	0054	24.2685	$1,317.51		$263.50
64823	T		Remove sympathetic nerves	0054	24.2685	$1,317.51		$263.50
64831	T		Repair of digit nerve	0221	25.8194	$1,401.71	$463.62	$280.34
64832	T		Repair nerve add-on	0221	25.8194	$1,401.71	$463.62	$280.34
64834	T		Repair of hand or foot nerve	0221	25.8194	$1,401.71	$463.62	$280.34
64835	T		Repair of hand or foot nerve	0221	25.8194	$1,401.71	$463.62	$280.34
64836	T		Repair of hand or foot nerve	0221	25.8194	$1,401.71	$463.62	$280.34
64837	T		Repair nerve add-on	0221	25.8194	$1,401.71	$463.62	$280.34
64840	T		Repair of leg nerve	0221	25.8194	$1,401.71	$463.62	$280.34
64856	T		Repair/transpose nerve	0221	25.8194	$1,401.71	$463.62	$280.34
64857	T		Repair arm/leg nerve	0221	25.8194	$1,401.71	$463.62	$280.34
64858	T		Repair sciatic nerve	0221	25.8194	$1,401.71	$463.62	$280.34
64859	T		Nerve surgery	0221	25.8194	$1,401.71	$463.62	$280.34
64861	T		Repair of arm nerves	0221	25.8194	$1,401.71	$463.62	$280.34
64862	T		Repair of low back nerves	0221	25.8194	$1,401.71	$463.62	$280.34
64864	T		Repair of facial nerve	0221	25.8194	$1,401.71	$463.62	$280.34
64865	T		Repair of facial nerve	0221	25.8194	$1,401.71	$463.62	$280.34
64866	C		Fusion of facial/other nerve
64868	C		Fusion of facial/other nerve
64870	T		Fusion of facial/other nerve	0221	25.8194	$1,401.71	$463.62	$280.34
64872	T		Subsequent repair of nerve	0221	25.8194	$1,401.71	$463.62	$280.34
64874	T		Repair & revise nerve add-on	0221	25.8194	$1,401.71	$463.62	$280.34
64876	T		Repair nerve/shorten bone	0221	25.8194	$1,401.71	$463.62	$280.34
64885	T		Nerve graft, head or neck	0221	25.8194	$1,401.71	$463.62	$280.34
64886	T		Nerve graft, head or neck	0221	25.8194	$1,401.71	$463.62	$280.34
64890	T		Nerve graft, hand or foot	0221	25.8194	$1,401.71	$463.62	$280.34
64891	T		Nerve graft, hand or foot	0221	25.8194	$1,401.71	$463.62	$280.34
64892	T		Nerve graft, arm or leg	0221	25.8194	$1,401.71	$463.62	$280.34
64893	T		Nerve graft, arm or leg	0221	25.8194	$1,401.71	$463.62	$280.34
64895	T		Nerve graft, hand or foot	0221	25.8194	$1,401.71	$463.62	$280.34
64896	T		Nerve graft, hand or foot	0221	25.8194	$1,401.71	$463.62	$280.34
64897	T		Nerve graft, arm or leg	0221	25.8194	$1,401.71	$463.62	$280.34
64898	T		Nerve graft, arm or leg	0221	25.8194	$1,401.71	$463.62	$280.34
64901	T		Nerve graft add-on	0221	25.8194	$1,401.71	$463.62	$280.34
64902	T		Nerve graft add-on	0221	25.8194	$1,401.71	$463.62	$280.34
64905	T		Nerve pedicle transfer	0221	25.8194	$1,401.71	$463.62	$280.34
64907	T		Nerve pedicle transfer	0221	25.8194	$1,401.71	$463.62	$280.34
64999	T		Nervous system surgery	0204	2.2209	$120.57	$40.13	$24.11
65091	T		Revise eye	0242	29.2193	$1,586.29	$597.36	$317.26
65093	T		Revise eye with implant	0241	21.9830	$1,193.44	$384.47	$238.69
65101	T		Removal of eye	0242	29.2193	$1,586.29	$597.36	$317.26
65103	T		Remove eye/insert implant	0242	29.2193	$1,586.29	$597.36	$317.26
65105	T		Remove eye/attach implant	0242	29.2193	$1,586.29	$597.36	$317.26
65110	T		Removal of eye	0242	29.2193	$1,586.29	$597.36	$317.26
65112	T		Remove eye/revise socket	0242	29.2193	$1,586.29	$597.36	$317.26
65114	T		Remove eye/revise socket	0242	29.2193	$1,586.29	$597.36	$317.26
65125	T		Revise ocular implant	0240	17.3397	$941.35	$315.31	$188.27
65130	T		Insert ocular implant	0241	21.9830	$1,193.44	$384.47	$238.69
65135	T		Insert ocular implant	0241	21.9830	$1,193.44	$384.47	$238.69
65140	T		Attach ocular implant	0242	29.2193	$1,586.29	$597.36	$317.26
65150	T		Revise ocular implant	0241	21.9830	$1,193.44	$384.47	$238.69
65155	T		Reinsert ocular implant	0242	29.2193	$1,586.29	$597.36	$317.26
65175	T		Removal of ocular implant	0240	17.3397	$941.35	$315.31	$188.27
65205	S		Remove foreign body from eye	0698	0.9355	$50.79	$18.72	$10.16
65210	S		Remove foreign body from eye	0231	2.0880	$113.36	$50.94	$22.67
65220	S		Remove foreign body from eye	0231	2.0880	$113.36	$50.94	$22.67
65222	S		Remove foreign body from eye	0231	2.0880	$113.36	$50.94	$22.67
65235	T		Remove foreign body from eye	0233	14.5435	$789.55	$266.33	$157.91
65260	T		Remove foreign body from eye	0236	19.6866	$1,068.77		$213.75
65265	T		Remove foreign body from eye	0236	19.6866	$1,068.77		$213.75
65270	T		Repair of eye wound	0240	17.3397	$941.35	$315.31	$188.27
65272	T		Repair of eye wound	0233	14.5435	$789.55	$266.33	$157.91
65273	C		Repair of eye wound
65275	T		Repair of eye wound	0233	14.5435	$789.55	$266.33	$157.91
65280	T		Repair of eye wound	0234	21.5482	$1,169.83	$511.31	$233.97
65285	T		Repair of eye wound	0234	21.5482	$1,169.83	$511.31	$233.97
65286	T		Repair of eye wound	0233	14.5435	$789.55	$266.33	$157.91
65290	T		Repair of eye socket wound	0243	21.1035	$1,145.69	$431.39	$229.14
65400	T		Removal of eye lesion	0233	14.5435	$789.55	$266.33	$157.91
65410	T		Biopsy of cornea	0233	14.5435	$789.55	$266.33	$157.91
65420	T		Removal of eye lesion	0233	14.5435	$789.55	$266.33	$157.91
65426	T		Removal of eye lesion	0234	21.5482	$1,169.83	$511.31	$233.97
65430	S		Corneal smear	0230	0.7379	$40.06	$14.97	$8.01
65435	T		Curette/treat cornea	0239	6.2432	$338.94	$110.62	$67.79
65436	T		Curette/treat cornea	0233	14.5435	$789.55	$266.33	$157.91
65450	S		Treatment of corneal lesion	0231	2.0880	$113.36	$50.94	$22.67
65600	T		Revision of cornea	0240	17.3397	$941.35	$315.31	$188.27
65710	T		Corneal transplant	0244	37.4885	$2,035.21	$803.26	$407.04
65730	T		Corneal transplant	0244	37.4885	$2,035.21	$803.26	$407.04
65750	T		Corneal transplant	0244	37.4885	$2,035.21	$803.26	$407.04
65755	T		Corneal transplant	0244	37.4885	$2,035.21	$803.26	$407.04
65760	E		Revision of cornea
65765	E		Revision of cornea
65767	E		Corneal tissue transplant
65770	T		Revise cornea with implant	0244	37.4885	$2,035.21	$803.26	$407.04
65771	E		Radial keratotomy
65772	T		Correction of astigmatism	0233	14.5435	$789.55	$266.33	$157.91
65775	T		Correction of astigmatism	0233	14.5435	$789.55	$266.33	$157.91
65800	T		Drainage of eye	0233	14.5435	$789.55	$266.33	$157.91
65805	T		Drainage of eye	0233	14.5435	$789.55	$266.33	$157.91
65810	T		Drainage of eye	0234	21.5482	$1,169.83	$511.31	$233.97
65815	T		Drainage of eye	0234	21.5482	$1,169.83	$511.31	$233.97
65820	T		Relieve inner eye pressure	0232	4.9739	$270.03	$103.17	$54.01
65850	T		Incision of eye	0234	21.5482	$1,169.83	$511.31	$233.97
65855	T		Laser surgery of eye	0247	5.0192	$272.49	$104.31	$54.50
65860	T		Incise inner eye adhesions	0247	5.0192	$272.49	$104.31	$54.50
65865	T		Incise inner eye adhesions	0233	14.5435	$789.55	$266.33	$157.91
65870	T		Incise inner eye adhesions	0234	21.5482	$1,169.83	$511.31	$233.97
65875	T		Incise inner eye adhesions	0234	21.5482	$1,169.83	$511.31	$233.97
65880	T		Incise inner eye adhesions	0233	14.5435	$789.55	$266.33	$157.91
65900	T		Remove eye lesion	0233	14.5435	$789.55	$266.33	$157.91
65920	T		Remove implant of eye	0233	14.5435	$789.55	$266.33	$157.91
65930	T		Remove blood clot from eye	0234	21.5482	$1,169.83	$511.31	$233.97
66020	T		Injection treatment of eye	0233	14.5435	$789.55	$266.33	$157.91
66030	T		Injection treatment of eye	0233	14.5435	$789.55	$266.33	$157.91
66130	T		Remove eye lesion	0234	21.5482	$1,169.83	$511.31	$233.97
66150	T		Glaucoma surgery	0233	14.5435	$789.55	$266.33	$157.91
66155	T		Glaucoma surgery	0234	21.5482	$1,169.83	$511.31	$233.97
66160	T		Glaucoma surgery	0234	21.5482	$1,169.83	$511.31	$233.97
66165	T		Glaucoma surgery	0234	21.5482	$1,169.83	$511.31	$233.97
66170	T		Glaucoma surgery	0234	21.5482	$1,169.83	$511.31	$233.97
66172	T		Incision of eye	0673	26.7626	$1,452.91	$649.56	$290.58
66180	T		Implant eye shunt	0673	26.7626	$1,452.91	$649.56	$290.58
66185	T		Revise eye shunt	0673	26.7626	$1,452.91	$649.56	$290.58
66220	T		Repair eye lesion	0236	19.6866	$1,068.77		$213.75
66225	T		Repair/graft eye lesion	0673	26.7626	$1,452.91	$649.56	$290.58
66250	T		Follow-up surgery of eye	0233	14.5435	$789.55	$266.33	$157.91
66500	T		Incision of iris	0232	4.9739	$270.03	$103.17	$54.01
66505	T		Incision of iris	0232	4.9739	$270.03	$103.17	$54.01
66600	T		Remove iris and lesion	0233	14.5435	$789.55	$266.33	$157.91
66605	T		Removal of iris	0234	21.5482	$1,169.83	$511.31	$233.97
66625	T		Removal of iris	0233	14.5435	$789.55	$266.33	$157.91
66630	T		Removal of iris	0233	14.5435	$789.55	$266.33	$157.91
66635	T		Removal of iris	0234	21.5482	$1,169.83	$511.31	$233.97
66680	T		Repair iris & ciliary body	0234	21.5482	$1,169.83	$511.31	$233.97
66682	T		Repair iris & ciliary body	0234	21.5482	$1,169.83	$511.31	$233.97
66700	T		Destruction, ciliary body	0233	14.5435	$789.55	$266.33	$157.91
66710	T		Destruction, ciliary body	0233	14.5435	$789.55	$266.33	$157.91
66720	T		Destruction, ciliary body	0233	14.5435	$789.55	$266.33	$157.91
66740	T		Destruction, ciliary body	0233	14.5435	$789.55	$266.33	$157.91
66761	T		Revision of iris	0247	5.0192	$272.49	$104.31	$54.50
66762	T		Revision of iris	0247	5.0192	$272.49	$104.31	$54.50
66770	T		Removal of inner eye lesion	0247	5.0192	$272.49	$104.31	$54.50
66820	T		Incision, secondary cataract	0232	4.9739	$270.03	$103.17	$54.01
66821	T		After cataract laser surgery	0247	5.0192	$272.49	$104.31	$54.50
66825	T		Reposition intraocular lens	0234	21.5482	$1,169.83	$511.31	$233.97
66830	T		Removal of lens lesion	0232	4.9739	$270.03	$103.17	$54.01
66840	T		Removal of lens material	0245	12.5751	$682.69	$226.11	$136.54
66850	T		Removal of lens material	0249	28.3307	$1,538.05	$524.67	$307.61
66852	T		Removal of lens material	0249	28.3307	$1,538.05	$524.67	$307.61
66920	T		Extraction of lens	0249	28.3307	$1,538.05	$524.67	$307.61
66930	T		Extraction of lens	0249	28.3307	$1,538.05	$524.67	$307.61
66940	T		Extraction of lens	0245	12.5751	$682.69	$226.11	$136.54
66982	T		Cataract surgery, complex	0246	22.8428	$1,240.11	$495.96	$248.02
66983	T		Cataract surg w/iol, 1 stage	0246	22.8428	$1,240.11	$495.96	$248.02
66984	T		Cataract surg w/iol, 1 stage	0246	22.8428	$1,240.11	$495.96	$248.02
66985	T		Insert lens prosthesis	0246	22.8428	$1,240.11	$495.96	$248.02
66986	T		Exchange lens prosthesis	0246	22.8428	$1,240.11	$495.96	$248.02
66990	N		Ophthalmic endoscope add-on
66999	T		Eye surgery procedure	0232	4.9739	$270.03	$103.17	$54.01
67005	T		Partial removal of eye fluid	0237	34.0324	$1,847.58	$818.54	$369.52
67010	T		Partial removal of eye fluid	0237	34.0324	$1,847.58	$818.54	$369.52
67015	T		Release of eye fluid	0237	34.0324	$1,847.58	$818.54	$369.52
67025	T		Replace eye fluid	0236	19.6866	$1,068.77		$213.75
67027	T		Implant eye drug system	0237	34.0324	$1,847.58	$818.54	$369.52
67028	T		Injection eye drug	0235	4.9900	$270.90	$72.04	$54.18
67030	T		Incise inner eye strands	0236	19.6866	$1,068.77		$213.75
67031	T		Laser surgery, eye strands	0247	5.0192	$272.49	$104.31	$54.50
67036	T		Removal of inner eye fluid	0237	34.0324	$1,847.58	$818.54	$369.52
67038	T		Strip retinal membrane	0237	34.0324	$1,847.58	$818.54	$369.52
67039	T		Laser treatment of retina	0237	34.0324	$1,847.58	$818.54	$369.52
67040	T		Laser treatment of retina	0672	39.1363	$2,124.67	$988.43	$424.93
67101	T		Repair detached retina	0235	4.9900	$270.90	$72.04	$54.18
67105	T		Repair detached retina	0248	4.7544	$258.11	$95.08	$51.62
67107	T		Repair detached retina	0672	39.1363	$2,124.67	$988.43	$424.93
67108	T		Repair detached retina	0672	39.1363	$2,124.67	$988.43	$424.93
67110	T		Repair detached retina	0236	19.6866	$1,068.77		$213.75
67112	T		Rerepair detached retina	0672	39.1363	$2,124.67	$988.43	$424.93
67115	T		Release encircling material	0236	19.6866	$1,068.77		$213.75
67120	T		Remove eye implant material	0236	19.6866	$1,068.77		$213.75
67121	T		Remove eye implant material	0237	34.0324	$1,847.58	$818.54	$369.52
67141	T		Treatment of retina	0235	4.9900	$270.90	$72.04	$54.18
67145	T		Treatment of retina	0248	4.7544	$258.11	$95.08	$51.62
67208	T		Treatment of retinal lesion	0235	4.9900	$270.90	$72.04	$54.18
67210	T		Treatment of retinal lesion	0248	4.7544	$258.11	$95.08	$51.62
67218	T		Treatment of retinal lesion	0236	19.6866	$1,068.77		$213.75
67220	T		Treatment of choroid lesion	0235	4.9900	$270.90	$72.04	$54.18
67221	T		Ocular photodynamic ther	0235	4.9900	$270.90	$72.04	$54.18
67225	T		Eye photodynamic ther add-on	0235	4.9900	$270.90	$72.04	$54.18
67227	T		Treatment of retinal lesion	0235	4.9900	$270.90	$72.04	$54.18
67228	T		Treatment of retinal lesion	0248	4.7544	$258.11	$95.08	$51.62
67250	T		Reinforce eye wall	0240	17.3397	$941.35	$315.31	$188.27
67255	T		Reinforce/graft eye wall	0237	34.0324	$1,847.58	$818.54	$369.52
67299	T		Eye surgery procedure	0235	4.9900	$270.90	$72.04	$54.18
67311	T		Revise eye muscle	0243	21.1035	$1,145.69	$431.39	$229.14
67312	T		Revise two eye muscles	0243	21.1035	$1,145.69	$431.39	$229.14
67314	T		Revise eye muscle	0243	21.1035	$1,145.69	$431.39	$229.14
67316	T		Revise two eye muscles	0243	21.1035	$1,145.69	$431.39	$229.14
67318	T		Revise eye muscle(s)	0243	21.1035	$1,145.69	$431.39	$229.14
67320	T		Revise eye muscle(s) add-on	0243	21.1035	$1,145.69	$431.39	$229.14
67331	T		Eye surgery follow-up add-on	0243	21.1035	$1,145.69	$431.39	$229.14
67332	T		Rerevise eye muscles add-on	0243	21.1035	$1,145.69	$431.39	$229.14
67334	T		Revise eye muscle w/suture	0243	21.1035	$1,145.69	$431.39	$229.14
67335	T		Eye suture during surgery	0243	21.1035	$1,145.69	$431.39	$229.14
67340	T		Revise eye muscle add-on	0243	21.1035	$1,145.69	$431.39	$229.14
67343	T		Release eye tissue	0243	21.1035	$1,145.69	$431.39	$229.14
67345	T		Destroy nerve of eye muscle	0238	3.2016	$173.81	$58.96	$34.76
67350	T		Biopsy eye muscle	0699	2.2211	$120.58	$54.26	$24.12
67399	T		Eye muscle surgery procedure	0243	21.1035	$1,145.69	$431.39	$229.14
67400	T		Explore/biopsy eye socket	0241	21.9830	$1,193.44	$384.47	$238.69
67405	T		Explore/drain eye socket	0241	21.9830	$1,193.44	$384.47	$238.69
67412	T		Explore/treat eye socket	0241	21.9830	$1,193.44	$384.47	$238.69
67413	T		Explore/treat eye socket	0241	21.9830	$1,193.44	$384.47	$238.69
67414	T		Explr/decompress eye socket	0242	29.2193	$1,586.29	$597.36	$317.26
67415	T		Aspiration, orbital contents	0239	6.2432	$338.94	$110.62	$67.79
67420	T		Explore/treat eye socket	0242	29.2193	$1,586.29	$597.36	$317.26
67430	T		Explore/treat eye socket	0242	29.2193	$1,586.29	$597.36	$317.26
67440	T		Explore/drain eye socket	0242	29.2193	$1,586.29	$597.36	$317.26
67445	T		Explr/decompress eye socket	0242	29.2193	$1,586.29	$597.36	$317.26
67450	T		Explore/biopsy eye socket	0242	29.2193	$1,586.29	$597.36	$317.26
67500	S		Inject/treat eye socket	0231	2.0880	$113.36	$50.94	$22.67
67505	T		Inject/treat eye socket	0238	3.2016	$173.81	$58.96	$34.76
67515	T		Inject/treat eye socket	0239	6.2432	$338.94	$110.62	$67.79
67550	T		Insert eye socket implant	0242	29.2193	$1,586.29	$597.36	$317.26
67560	T		Revise eye socket implant	0241	21.9830	$1,193.44	$384.47	$238.69
67570	T		Decompress optic nerve	0242	29.2193	$1,586.29	$597.36	$317.26
67599	T		Orbit surgery procedure	0239	6.2432	$338.94	$110.62	$67.79
67700	T		Drainage of eyelid abscess	0238	3.2016	$173.81	$58.96	$34.76
67710	T		Incision of eyelid	0239	6.2432	$338.94	$110.62	$67.79
67715	T		Incision of eyelid fold	0240	17.3397	$941.35	$315.31	$188.27
67800	T		Remove eyelid lesion	0238	3.2016	$173.81	$58.96	$34.76
67801	T		Remove eyelid lesions	0239	6.2432	$338.94	$110.62	$67.79
67805	T		Remove eyelid lesions	0238	3.2016	$173.81	$58.96	$34.76
67808	T		Remove eyelid lesion(s)	0240	17.3397	$941.35	$315.31	$188.27
67810	T		Biopsy of eyelid	0238	3.2016	$173.81	$58.96	$34.76
67820	S		Revise eyelashes	0698	0.9355	$50.79	$18.72	$10.16
67825	T		Revise eyelashes	0238	3.2016	$173.81	$58.96	$34.76
67830	T		Revise eyelashes	0239	6.2432	$338.94	$110.62	$67.79
67835	T		Revise eyelashes	0240	17.3397	$941.35	$315.31	$188.27
67840	T		Remove eyelid lesion	0239	6.2432	$338.94	$110.62	$67.79
67850	T		Treat eyelid lesion	0239	6.2432	$338.94	$110.62	$67.79
67875	T		Closure of eyelid by suture	0239	6.2432	$338.94	$110.62	$67.79
67880	T		Revision of eyelid	0233	14.5435	$789.55	$266.33	$157.91
67882	T		Revision of eyelid	0240	17.3397	$941.35	$315.31	$188.27
67900	T		Repair brow defect	0240	17.3397	$941.35	$315.31	$188.27
67901	T		Repair eyelid defect	0240	17.3397	$941.35	$315.31	$188.27
67902	T		Repair eyelid defect	0240	17.3397	$941.35	$315.31	$188.27
67903	T		Repair eyelid defect	0240	17.3397	$941.35	$315.31	$188.27
67904	T		Repair eyelid defect	0240	17.3397	$941.35	$315.31	$188.27
67906	T		Repair eyelid defect	0240	17.3397	$941.35	$315.31	$188.27
67908	T		Repair eyelid defect	0240	17.3397	$941.35	$315.31	$188.27
67909	T		Revise eyelid defect	0240	17.3397	$941.35	$315.31	$188.27
67911	T		Revise eyelid defect	0240	17.3397	$941.35	$315.31	$188.27
67914	T		Repair eyelid defect	0240	17.3397	$941.35	$315.31	$188.27
67915	T		Repair eyelid defect	0239	6.2432	$338.94	$110.62	$67.79
67916	T		Repair eyelid defect	0240	17.3397	$941.35	$315.31	$188.27
67917	T		Repair eyelid defect	0240	17.3397	$941.35	$315.31	$188.27
67921	T		Repair eyelid defect	0240	17.3397	$941.35	$315.31	$188.27
67922	T		Repair eyelid defect	0239	6.2432	$338.94	$110.62	$67.79
67923	T		Repair eyelid defect	0240	17.3397	$941.35	$315.31	$188.27
67924	T		Repair eyelid defect	0240	17.3397	$941.35	$315.31	$188.27
67930	T		Repair eyelid wound	0240	17.3397	$941.35	$315.31	$188.27
67935	T		Repair eyelid wound	0240	17.3397	$941.35	$315.31	$188.27
67938	S		Remove eyelid foreign body	0698	0.9355	$50.79	$18.72	$10.16
67950	T		Revision of eyelid	0240	17.3397	$941.35	$315.31	$188.27
67961	T		Revision of eyelid	0240	17.3397	$941.35	$315.31	$188.27
67966	T		Revision of eyelid	0240	17.3397	$941.35	$315.31	$188.27
67971	T		Reconstruction of eyelid	0241	21.9830	$1,193.44	$384.47	$238.69
67973	T		Reconstruction of eyelid	0241	21.9830	$1,193.44	$384.47	$238.69
67974	T		Reconstruction of eyelid	0241	21.9830	$1,193.44	$384.47	$238.69
67975	T		Reconstruction of eyelid	0240	17.3397	$941.35	$315.31	$188.27
67999	T		Revision of eyelid	0240	17.3397	$941.35	$315.31	$188.27
68020	T		Incise/drain eyelid lining	0240	17.3397	$941.35	$315.31	$188.27
68040	S		Treatment of eyelid lesions	0698	0.9355	$50.79	$18.72	$10.16
68100	T		Biopsy of eyelid lining	0232	4.9739	$270.03	$103.17	$54.01
68110	T		Remove eyelid lining lesion	0699	2.2211	$120.58	$54.26	$24.12
68115	T		Remove eyelid lining lesion	0239	6.2432	$338.94	$110.62	$67.79
68130	T		Remove eyelid lining lesion	0233	14.5435	$789.55	$266.33	$157.91
68135	T		Remove eyelid lining lesion	0239	6.2432	$338.94	$110.62	$67.79
68200	S		Treat eyelid by injection	0698	0.9355	$50.79	$18.72	$10.16
68320	T		Revise/graft eyelid lining	0240	17.3397	$941.35	$315.31	$188.27
68325	T		Revise/graft eyelid lining	0242	29.2193	$1,586.29	$597.36	$317.26
68326	T		Revise/graft eyelid lining	0241	21.9830	$1,193.44	$384.47	$238.69
68328	T		Revise/graft eyelid lining	0241	21.9830	$1,193.44	$384.47	$238.69
68330	T		Revise eyelid lining	0233	14.5435	$789.55	$266.33	$157.91
68335	T		Revise/graft eyelid lining	0241	21.9830	$1,193.44	$384.47	$238.69
68340	T		Separate eyelid adhesions	0240	17.3397	$941.35	$315.31	$188.27
68360	T		Revise eyelid lining	0234	21.5482	$1,169.83	$511.31	$233.97
68362	T		Revise eyelid lining	0234	21.5482	$1,169.83	$511.31	$233.97
68399	T		Eyelid lining surgery	0239	6.2432	$338.94	$110.62	$67.79
68400	T		Incise/drain tear gland	0238	3.2016	$173.81	$58.96	$34.76
68420	T		Incise/drain tear sac	0240	17.3397	$941.35	$315.31	$188.27
68440	T		Incise tear duct opening	0238	3.2016	$173.81	$58.96	$34.76
68500	T		Removal of tear gland	0241	21.9830	$1,193.44	$384.47	$238.69
68505	T		Partial removal, tear gland	0241	21.9830	$1,193.44	$384.47	$238.69
68510	T		Biopsy of tear gland	0240	17.3397	$941.35	$315.31	$188.27
68520	T		Removal of tear sac	0241	21.9830	$1,193.44	$384.47	$238.69
68525	T		Biopsy of tear sac	0240	17.3397	$941.35	$315.31	$188.27
68530	T		Clearance of tear duct	0240	17.3397	$941.35	$315.31	$188.27
68540	T		Remove tear gland lesion	0241	21.9830	$1,193.44	$384.47	$238.69
68550	T		Remove tear gland lesion	0242	29.2193	$1,586.29	$597.36	$317.26
68700	T		Repair tear ducts	0241	21.9830	$1,193.44	$384.47	$238.69
68705	T		Revise tear duct opening	0238	3.2016	$173.81	$58.96	$34.76
68720	T		Create tear sac drain	0242	29.2193	$1,586.29	$597.36	$317.26
68745	T		Create tear duct drain	0241	21.9830	$1,193.44	$384.47	$238.69
68750	T		Create tear duct drain	0242	29.2193	$1,586.29	$597.36	$317.26
68760	S		Close tear duct opening	0698	0.9355	$50.79	$18.72	$10.16
68761	S		Close tear duct opening	0231	2.0880	$113.36	$50.94	$22.67
68770	T		Close tear system fistula	0240	17.3397	$941.35	$315.31	$188.27
68801	S		Dilate tear duct opening	0231	2.0880	$113.36	$50.94	$22.67
68810	T		Probe nasolacrimal duct	0699	2.2211	$120.58	$54.26	$24.12
68811	T		Probe nasolacrimal duct	0240	17.3397	$941.35	$315.31	$188.27
68815	T		Probe nasolacrimal duct	0240	17.3397	$941.35	$315.31	$188.27
68840	T		Explore/irrigate tear ducts	0699	2.2211	$120.58	$54.26	$24.12
68850	N		Injection for tear sac x-ray
68899	T		Tear duct system surgery	0699	2.2211	$120.58	$54.26	$24.12
69000	T		Drain external ear lesion	0006	1.7487	$94.94	$24.12	$18.99
69005	T		Drain external ear lesion	0007	11.4943	$624.01		$124.80
69020	T		Drain outer ear canal lesion	0006	1.7487	$94.94	$24.12	$18.99
69090	E		Pierce earlobes
69100	T		Biopsy of external ear	0019	3.9807	$216.11	$71.87	$43.22
69105	T		Biopsy of external ear canal	0253	15.1698	$823.55	$282.29	$164.71
69110	T		Remove external ear, partial	0021	14.5749	$791.26	$219.48	$158.25
69120	T		Removal of external ear	0254	21.4368	$1,163.78	$321.35	$232.76
69140	T		Remove ear canal lesion(s)	0254	21.4368	$1,163.78	$321.35	$232.76
69145	T		Remove ear canal lesion(s)	0021	14.5749	$791.26	$219.48	$158.25
69150	T		Extensive ear canal surgery	0252	6.5416	$355.14	$113.41	$71.03
69155	C		Extensive ear/neck surgery
69200	X		Clear outer ear canal	0340	0.6232	$33.83		$6.77
69205	T		Clear outer ear canal	0022	18.6725	$1,013.71	$354.45	$202.74
69210	X		Remove impacted ear wax	0340	0.6232	$33.83		$6.77
69220	T		Clean out mastoid cavity	0012	0.8203	$44.53	$11.18	$8.91
69222	T		Clean out mastoid cavity	0253	15.1698	$823.55	$282.29	$164.71
69300	T		Revise external ear	0254	21.4368	$1,163.78	$321.35	$232.76
69310	T		Rebuild outer ear canal	0256	35.0866	$1,904.82		$380.96
69320	T		Rebuild outer ear canal	0256	35.0866	$1,904.82		$380.96
69399	T		Outer ear surgery procedure	0251	1.8643	$101.21		$20.24
69400	T		Inflate middle ear canal	0251	1.8643	$101.21		$20.24
69401	T		Inflate middle ear canal	0251	1.8643	$101.21		$20.24
69405	T		Catheterize middle ear canal	0252	6.5416	$355.14	$113.41	$71.03
69410	T		Inset middle ear (baffle)	0252	6.5416	$355.14	$113.41	$71.03
69420	T		Incision of eardrum	0252	6.5416	$355.14	$113.41	$71.03
69421	T		Incision of eardrum	0253	15.1698	$823.55	$282.29	$164.71
69424	T		Remove ventilating tube	0252	6.5416	$355.14	$113.41	$71.03
69433	T		Create eardrum opening	0252	6.5416	$355.14	$113.41	$71.03
69436	T		Create eardrum opening	0253	15.1698	$823.55	$282.29	$164.71
69440	T		Exploration of middle ear	0254	21.4368	$1,163.78	$321.35	$232.76
69450	T		Eardrum revision	0256	35.0866	$1,904.82		$380.96
69501	T		Mastoidectomy	0256	35.0866	$1,904.82		$380.96
69502	T		Mastoidectomy	0254	21.4368	$1,163.78	$321.35	$232.76
69505	T		Remove mastoid structures	0256	35.0866	$1,904.82		$380.96
69511	T		Extensive mastoid surgery	0256	35.0866	$1,904.82		$380.96
69530	T		Extensive mastoid surgery	0256	35.0866	$1,904.82		$380.96
69535	C		Remove part of temporal bone
69540	T		Remove ear lesion	0253	15.1698	$823.55	$282.29	$164.71
69550	T		Remove ear lesion	0256	35.0866	$1,904.82		$380.96
69552	T		Remove ear lesion	0256	35.0866	$1,904.82		$380.96
69554	C		Remove ear lesion
69601	T		Mastoid surgery revision	0256	35.0866	$1,904.82		$380.96
69602	T		Mastoid surgery revision	0256	35.0866	$1,904.82		$380.96
69603	T		Mastoid surgery revision	0256	35.0866	$1,904.82		$380.96
69604	T		Mastoid surgery revision	0256	35.0866	$1,904.82		$380.96
69605	T		Mastoid surgery revision	0256	35.0866	$1,904.82		$380.96
69610	T		Repair of eardrum	0254	21.4368	$1,163.78	$321.35	$232.76
69620	T		Repair of eardrum	0254	21.4368	$1,163.78	$321.35	$232.76
69631	T		Repair eardrum structures	0256	35.0866	$1,904.82		$380.96
69632	T		Rebuild eardrum structures	0256	35.0866	$1,904.82		$380.96
69633	T		Rebuild eardrum structures	0256	35.0866	$1,904.82		$380.96
69635	T		Repair eardrum structures	0256	35.0866	$1,904.82		$380.96
69636	T		Rebuild eardrum structures	0256	35.0866	$1,904.82		$380.96
69637	T		Rebuild eardrum structures	0256	35.0866	$1,904.82		$380.96
69641	T		Revise middle ear & mastoid	0256	35.0866	$1,904.82		$380.96
69642	T		Revise middle ear & mastoid	0256	35.0866	$1,904.82		$380.96
69643	T		Revise middle ear & mastoid	0256	35.0866	$1,904.82		$380.96
69644	T		Revise middle ear & mastoid	0256	35.0866	$1,904.82		$380.96
69645	T		Revise middle ear & mastoid	0256	35.0866	$1,904.82		$380.96
69646	T		Revise middle ear & mastoid	0256	35.0866	$1,904.82		$380.96
69650	T		Release middle ear bone	0254	21.4368	$1,163.78	$321.35	$232.76
69660	T		Revise middle ear bone	0256	35.0866	$1,904.82		$380.96
69661	T		Revise middle ear bone	0256	35.0866	$1,904.82		$380.96
69662	T		Revise middle ear bone	0256	35.0866	$1,904.82		$380.96
69666	T		Repair middle ear structures	0256	35.0866	$1,904.82		$380.96
69667	T		Repair middle ear structures	0256	35.0866	$1,904.82		$380.96
69670	T		Remove mastoid air cells	0256	35.0866	$1,904.82		$380.96
69676	T		Remove middle ear nerve	0256	35.0866	$1,904.82		$380.96
69700	T		Close mastoid fistula	0256	35.0866	$1,904.82		$380.96
69710	E		Implant/replace hearing aid
69711	T		Remove/repair hearing aid	0256	35.0866	$1,904.82		$380.96
69714	T		Implant temple bone w/stimul	0256	35.0866	$1,904.82		$380.96
69715	T		Temple bne implnt w/stimulat	0256	35.0866	$1,904.82		$380.96
69717	T		Temple bone implant revision	0256	35.0866	$1,904.82		$380.96
69718	T		Revise temple bone implant	0256	35.0866	$1,904.82		$380.96
69720	T		Release facial nerve	0256	35.0866	$1,904.82		$380.96
69725	T		Release facial nerve	0256	35.0866	$1,904.82		$380.96
69740	T		Repair facial nerve	0256	35.0866	$1,904.82		$380.96
69745	T		Repair facial nerve	0256	35.0866	$1,904.82		$380.96
69799	T		Middle ear surgery procedure	0253	15.1698	$823.55	$282.29	$164.71
69801	T		Incise inner ear	0256	35.0866	$1,904.82		$380.96
69802	T		Incise inner ear	0256	35.0866	$1,904.82		$380.96
69805	T		Explore inner ear	0256	35.0866	$1,904.82		$380.96
69806	T		Explore inner ear	0256	35.0866	$1,904.82		$380.96
69820	T		Establish inner ear window	0256	35.0866	$1,904.82		$380.96
69840	T		Revise inner ear window	0256	35.0866	$1,904.82		$380.96
69905	T		Remove inner ear	0256	35.0866	$1,904.82		$380.96
69910	T		Remove inner ear & mastoid	0256	35.0866	$1,904.82		$380.96
69915	T		Incise inner ear nerve	0256	35.0866	$1,904.82		$380.96
69930	T		Implant cochlear device	0259	389.1764	$21,128.00	$9,394.83	$4,225.60
69949	T		Inner ear surgery procedure	0253	15.1698	$823.55	$282.29	$164.71
69950	C		Incise inner ear nerve
69955	T		Release facial nerve	0256	35.0866	$1,904.82		$380.96
69960	T		Release inner ear canal	0256	35.0866	$1,904.82		$380.96
69970	C		Remove inner ear lesion
69979	T		Temporal bone surgery	0251	1.8643	$101.21		$20.24
69990	N		Microsurgery add-on
70010	S		Contrast x-ray of brain	0274	3.5837	$194.56	$92.92	$38.91
70015	S		Contrast x-ray of brain	0274	3.5837	$194.56	$92.92	$38.91
70030	X		X-ray eye for foreign body	0260	0.7845	$42.59	$21.29	$8.52
70100	X		X-ray exam of jaw	0260	0.7845	$42.59	$21.29	$8.52
70110	X		X-ray exam of jaw	0260	0.7845	$42.59	$21.29	$8.52
70120	X		X-ray exam of mastoids	0260	0.7845	$42.59	$21.29	$8.52
70130	X		X-ray exam of mastoids	0260	0.7845	$42.59	$21.29	$8.52
70134	X		X-ray exam of middle ear	0261	1.3238	$71.87		$14.37
70140	X		X-ray exam of facial bones	0260	0.7845	$42.59	$21.29	$8.52
70150	X		X-ray exam of facial bones	0260	0.7845	$42.59	$21.29	$8.52
70160	X		X-ray exam of nasal bones	0260	0.7845	$42.59	$21.29	$8.52
70170	X		X-ray exam of tear duct	0263	2.1875	$118.76	$43.58	$23.75
70190	X		X-ray exam of eye sockets	0260	0.7845	$42.59	$21.29	$8.52
70200	X		X-ray exam of eye sockets	0260	0.7845	$42.59	$21.29	$8.52
70210	X		X-ray exam of sinuses	0260	0.7845	$42.59	$21.29	$8.52
70220	X		X-ray exam of sinuses	0260	0.7845	$42.59	$21.29	$8.52
70240	X		X-ray exam, pituitary saddle	0260	0.7845	$42.59	$21.29	$8.52
70250	X		X-ray exam of skull	0260	0.7845	$42.59	$21.29	$8.52
70260	X		X-ray exam of skull	0261	1.3238	$71.87		$14.37
70300	X		X-ray exam of teeth	0262	0.7851	$42.62	$9.82	$8.52
70310	X		X-ray exam of teeth	0262	0.7851	$42.62	$9.82	$8.52
70320	X		Full mouth x-ray of teeth	0262	0.7851	$42.62	$9.82	$8.52
70328	X		X-ray exam of jaw joint	0260	0.7845	$42.59	$21.29	$8.52
70330	X		X-ray exam of jaw joints	0260	0.7845	$42.59	$21.29	$8.52
70332	S		X-ray exam of jaw joint	0275	3.2967	$178.97	$69.09	$35.79
70336	S		Magnetic image, jaw joint	0335	6.4453	$349.91	$151.46	$69.98
70350	X		X-ray head for orthodontia	0260	0.7845	$42.59	$21.29	$8.52
70355	X		Panoramic x-ray of jaws	0260	0.7845	$42.59	$21.29	$8.52
70360	X		X-ray exam of neck	0260	0.7845	$42.59	$21.29	$8.52
70370	X		Throat x-ray & fluoroscopy	0272	1.4086	$76.47	$38.23	$15.29
70371	X		Speech evaluation, complex	0272	1.4086	$76.47	$38.23	$15.29
70373	X		Contrast x-ray of larynx	0263	2.1875	$118.76	$43.58	$23.75
70380	X		X-ray exam of salivary gland	0260	0.7845	$42.59	$21.29	$8.52
70390	X		X-ray exam of salivary duct	0264	3.0022	$162.99	$79.41	$32.60
70450	S		Ct head/brain w/o dye	0332	3.3916	$184.13	$91.27	$36.83
70460	S		Ct head/brain w/dye	0283	4.6121	$250.39	$125.19	$50.08
70470	S		Ct head/brain w/o&w dye	0333	5.4299	$294.78	$146.98	$58.96
70480	S		Ct orbit/ear/fossa w/o dye	0332	3.3916	$184.13	$91.27	$36.83
70481	S		Ct orbit/ear/fossa w/dye	0283	4.6121	$250.39	$125.19	$50.08
70482	S		Ct orbit/ear/fossa w/o&w dye	0333	5.4299	$294.78	$146.98	$58.96
70486	S		Ct maxillofacial w/o dye	0332	3.3916	$184.13	$91.27	$36.83
70487	S		Ct maxillofacial w/dye	0283	4.6121	$250.39	$125.19	$50.08
70488	S		Ct maxillofacial w/o&w dye	0333	5.4299	$294.78	$146.98	$58.96
70490	S		Ct soft tissue neck w/o dye	0332	3.3916	$184.13	$91.27	$36.83
70491	S		Ct soft tissue neck w/dye	0283	4.6121	$250.39	$125.19	$50.08
70492	S		Ct sft tsue nck w/o & w/dye	0333	5.4299	$294.78	$146.98	$58.96
70496	S		Ct angiography, head	0662	5.8751	$318.95	$156.47	$63.79
70498	S		Ct angiography, neck	0662	5.8751	$318.95	$156.47	$63.79
70540	S		Mri orbit/face/neck w/o dye	0336	6.4817	$351.89	$175.94	$70.38
70542	S		Mri orbit/face/neck w/dye	0284	7.0207	$381.15	$190.57	$76.23
70543	S		Mri orbt/fac/nck w/o&w dye	0337	9.3215	$506.05	$240.77	$101.21
70544	S		Mr angiography head w/o dye	0336	6.4817	$351.89	$175.94	$70.38
70545	S		Mr angiography head w/dye	0284	7.0207	$381.15	$190.57	$76.23
70546	S		Mr angiograph head w/o&w dye	0337	9.3215	$506.05	$240.77	$101.21
70547	S		Mr angiography neck w/o dye	0336	6.4817	$351.89	$175.94	$70.38
70548	S		Mr angiography neck w/dye	0284	7.0207	$381.15	$190.57	$76.23
70549	S		Mr angiograph neck w/o&w dye	0337	9.3215	$506.05	$240.77	$101.21
70551	S		Mri brain w/o dye	0336	6.4817	$351.89	$175.94	$70.38
70552	S		Mri brain w/dye	0284	7.0207	$381.15	$190.57	$76.23
70553	S		Mri brain w/o&w dye	0337	9.3215	$506.05	$240.77	$101.21
71010	X		Chest x-ray	0260	0.7845	$42.59	$21.29	$8.52
71015	X		Chest x-ray	0260	0.7845	$42.59	$21.29	$8.52
71020	X		Chest x-ray	0260	0.7845	$42.59	$21.29	$8.52
71021	X		Chest x-ray	0260	0.7845	$42.59	$21.29	$8.52
71022	X		Chest x-ray	0260	0.7845	$42.59	$21.29	$8.52
71023	X		Chest x-ray and fluoroscopy	0272	1.4086	$76.47	$38.23	$15.29
71030	X		Chest x-ray	0260	0.7845	$42.59	$21.29	$8.52
71034	X		Chest x-ray and fluoroscopy	0272	1.4086	$76.47	$38.23	$15.29
71035	X		Chest x-ray	0260	0.7845	$42.59	$21.29	$8.52
71040	X		Contrast x-ray of bronchi	0263	2.1875	$118.76	$43.58	$23.75
71060	X		Contrast x-ray of bronchi	0264	3.0022	$162.99	$79.41	$32.60
71090	X		X-ray & pacemaker insertion	0272	1.4086	$76.47	$38.23	$15.29
71100	X		X-ray exam of ribs	0260	0.7845	$42.59	$21.29	$8.52
71101	X		X-ray exam of ribs/chest	0260	0.7845	$42.59	$21.29	$8.52
71110	X		X-ray exam of ribs	0260	0.7845	$42.59	$21.29	$8.52
71111	X		X-ray exam of ribs/ chest	0261	1.3238	$71.87		$14.37
71120	X		X-ray exam of breastbone	0260	0.7845	$42.59	$21.29	$8.52
71130	X		X-ray exam of breastbone	0260	0.7845	$42.59	$21.29	$8.52
71250	S		Ct thorax w/o dye	0332	3.3916	$184.13	$91.27	$36.83
71260	S		Ct thorax w/dye	0283	4.6121	$250.39	$125.19	$50.08
71270	S		Ct thorax w/o&w dye	0333	5.4299	$294.78	$146.98	$58.96
71275	S		Ct angiography, chest	0662	5.8751	$318.95	$156.47	$63.79
71550	S		Mri chest w/o dye	0336	6.4817	$351.89	$175.94	$70.38
71551	S		Mri chest w/dye	0284	7.0207	$381.15	$190.57	$76.23
71552	S		Mri chest w/o&w/dye	0337	9.3215	$506.05	$240.77	$101.21
71555	E		Mri angio chest w or w/o dye
72010	X		X-ray exam of spine	0261	1.3238	$71.87		$14.37
72020	X		X-ray exam of spine	0260	0.7845	$42.59	$21.29	$8.52
72040	X		X-ray exam of neck spine	0260	0.7845	$42.59	$21.29	$8.52
72050	X		X-ray exam of neck spine	0261	1.3238	$71.87		$14.37
72052	X		X-ray exam of neck spine	0261	1.3238	$71.87		$14.37
72069	X		X-ray exam of trunk spine	0260	0.7845	$42.59	$21.29	$8.52
72070	X		X-ray exam of thoracic spine	0260	0.7845	$42.59	$21.29	$8.52
72072	X		X-ray exam of thoracic spine	0260	0.7845	$42.59	$21.29	$8.52
72074	X		X-ray exam of thoracic spine	0260	0.7845	$42.59	$21.29	$8.52
72080	X		X-ray exam of trunk spine	0260	0.7845	$42.59	$21.29	$8.52
72090	X		X-ray exam of trunk spine	0261	1.3238	$71.87		$14.37
72100	X		X-ray exam of lower spine	0260	0.7845	$42.59	$21.29	$8.52
72110	X		X-ray exam of lower spine	0261	1.3238	$71.87		$14.37
72114	X		X-ray exam of lower spine	0261	1.3238	$71.87		$14.37
72120	X		X-ray exam of lower spine	0260	0.7845	$42.59	$21.29	$8.52
72125	S		Ct neck spine w/o dye	0332	3.3916	$184.13	$91.27	$36.83
72126	S		Ct neck spine w/dye	0283	4.6121	$250.39	$125.19	$50.08
72127	S		Ct neck spine w/o&w/dye	0333	5.4299	$294.78	$146.98	$58.96
72128	S		Ct chest spine w/o dye	0332	3.3916	$184.13	$91.27	$36.83
72129	S		Ct chest spine w/dye	0283	4.6121	$250.39	$125.19	$50.08
72130	S		Ct chest spine w/o&w/dye	0333	5.4299	$294.78	$146.98	$58.96
72131	S		Ct lumbar spine w/o dye	0332	3.3916	$184.13	$91.27	$36.83
72132	S		Ct lumbar spine w/dye	0283	4.6121	$250.39	$125.19	$50.08
72133	S		Ct lumbar spine w/o&w/dye	0333	5.4299	$294.78	$146.98	$58.96
72141	S		Mri neck spine w/o dye	0336	6.4817	$351.89	$175.94	$70.38
72142	S		Mri neck spine w/dye	0284	7.0207	$381.15	$190.57	$76.23
72146	S		Mri chest spine w/o dye	0336	6.4817	$351.89	$175.94	$70.38
72147	S		Mri chest spine w/dye	0284	7.0207	$381.15	$190.57	$76.23
72148	S		Mri lumbar spine w/o dye	0336	6.4817	$351.89	$175.94	$70.38
72149	S		Mri lumbar spine w/dye	0284	7.0207	$381.15	$190.57	$76.23
72156	S		Mri neck spine w/o&w/dye	0337	9.3215	$506.05	$240.77	$101.21
72157	S		Mri chest spine w/o&w/dye	0337	9.3215	$506.05	$240.77	$101.21
72158	S		Mri lumbar spine w/o&w/dye	0337	9.3215	$506.05	$240.77	$101.21
72159	E		Mr angio spine w/o&w/dye
72170	X		X-ray exam of pelvis	0260	0.7845	$42.59	$21.29	$8.52
72190	X		X-ray exam of pelvis	0260	0.7845	$42.59	$21.29	$8.52
72191	S		Ct angiograph pelv w/o&w/dye	0662	5.8751	$318.95	$156.47	$63.79
72192	S		Ct pelvis w/o dye	0332	3.3916	$184.13	$91.27	$36.83
72193	S		Ct pelvis w/dye	0283	4.6121	$250.39	$125.19	$50.08
72194	S		Ct pelvis w/o&w/dye	0333	5.4299	$294.78	$146.98	$58.96
72195	S		Mri pelvis w/o dye	0336	6.4817	$351.89	$175.94	$70.38
72196	S		Mri pelvis w/dye	0284	7.0207	$381.15	$190.57	$76.23
72197	S		Mri pelvis w/o & w/dye	0337	9.3215	$506.05	$240.77	$101.21
72198	E		Mr angio pelvis w/o&w/dye
72200	X		X-ray exam sacroiliac joints	0260	0.7845	$42.59	$21.29	$8.52
72202	X		X-ray exam sacroiliac joints	0260	0.7845	$42.59	$21.29	$8.52
72220	X		X-ray exam of tailbone	0260	0.7845	$42.59	$21.29	$8.52
72240	S		Contrast x-ray of neck spine	0274	3.5837	$194.56	$92.92	$38.91
72255	S		Contrast x-ray, thorax spine	0274	3.5837	$194.56	$92.92	$38.91
72265	S		Contrast x-ray, lower spine	0274	3.5837	$194.56	$92.92	$38.91
72270	S		Contrast x-ray of spine	0274	3.5837	$194.56	$92.92	$38.91
72275	S		Epidurography	0274	3.5837	$194.56	$92.92	$38.91
72285	S		X-ray c/t spine disk	0388	11.7450	$637.62	$304.54	$127.52
72295	S		X-ray of lower spine disk	0388	11.7450	$637.62	$304.54	$127.52
73000	X		X-ray exam of collar bone	0260	0.7845	$42.59	$21.29	$8.52
73010	X		X-ray exam of shoulder blade	0260	0.7845	$42.59	$21.29	$8.52
73020	X		X-ray exam of shoulder	0260	0.7845	$42.59	$21.29	$8.52
73030	X		X-ray exam of shoulder	0260	0.7845	$42.59	$21.29	$8.52
73040	S		Contrast x-ray of shoulder	0275	3.2967	$178.97	$69.09	$35.79
73050	X		X-ray exam of shoulders	0260	0.7845	$42.59	$21.29	$8.52
73060	X		X-ray exam of humerus	0260	0.7845	$42.59	$21.29	$8.52
73070	X		X-ray exam of elbow	0260	0.7845	$42.59	$21.29	$8.52
73080	X		X-ray exam of elbow	0260	0.7845	$42.59	$21.29	$8.52
73085	S		Contrast x-ray of elbow	0275	3.2967	$178.97	$69.09	$35.79
73090	X		X-ray exam of forearm	0260	0.7845	$42.59	$21.29	$8.52
73092	X		X-ray exam of arm, infant	0260	0.7845	$42.59	$21.29	$8.52
73100	X		X-ray exam of wrist	0260	0.7845	$42.59	$21.29	$8.52
73110	X		X-ray exam of wrist	0260	0.7845	$42.59	$21.29	$8.52
73115	S		Contrast x-ray of wrist	0275	3.2967	$178.97	$69.09	$35.79
73120	X		X-ray exam of hand	0260	0.7845	$42.59	$21.29	$8.52
73130	X		X-ray exam of hand	0260	0.7845	$42.59	$21.29	$8.52
73140	X		X-ray exam of finger(s)	0260	0.7845	$42.59	$21.29	$8.52
73200	S		Ct upper extremity w/o dye	0332	3.3916	$184.13	$91.27	$36.83
73201	S		Ct upper extremity w/dye	0283	4.6121	$250.39	$125.19	$50.08
73202	S		Ct uppr extremity w/o&w/dye	0333	5.4299	$294.78	$146.98	$58.96
73206	S		Ct angio upr extrm w/o&w/dye	0662	5.8751	$318.95	$156.47	$63.79
73218	S		Mri upper extremity w/o dye	0336	6.4817	$351.89	$175.94	$70.38
73219	S		Mri upper extremity w/dye	0284	7.0207	$381.15	$190.57	$76.23
73220	S		Mri uppr extremity w/o&w/dye	0337	9.3215	$506.05	$240.77	$101.21
73221	S		Mri joint upr extrem w/o dye	0336	6.4817	$351.89	$175.94	$70.38
73222	S		Mri joint upr extrem w/dye	0284	7.0207	$381.15	$190.57	$76.23
73223	S		Mri joint upr extr w/o&w/dye	0337	9.3215	$506.05	$240.77	$101.21
73225	E		Mr angio upr extr w/o&w/dye
73500	X		X-ray exam of hip	0260	0.7845	$42.59	$21.29	$8.52
73510	X		X-ray exam of hip	0260	0.7845	$42.59	$21.29	$8.52
73520	X		X-ray exam of hips	0260	0.7845	$42.59	$21.29	$8.52
73525	S		Contrast x-ray of hip	0275	3.2967	$178.97	$69.09	$35.79
73530	X		X-ray exam of hip	0261	1.3238	$71.87		$14.37
73540	X		X-ray exam of pelvis & hips	0260	0.7845	$42.59	$21.29	$8.52
73542	S		X-ray exam, sacroiliac joint	0275	3.2967	$178.97	$69.09	$35.79
73550	X		X-ray exam of thigh	0260	0.7845	$42.59	$21.29	$8.52
73560	X		X-ray exam of knee, 1 or 2	0260	0.7845	$42.59	$21.29	$8.52
73562	X		X-ray exam of knee, 3	0260	0.7845	$42.59	$21.29	$8.52
73564	X		X-ray exam, knee, 4 or more	0260	0.7845	$42.59	$21.29	$8.52
73565	X		X-ray exam of knees	0260	0.7845	$42.59	$21.29	$8.52
73580	S		Contrast x-ray of knee joint	0275	3.2967	$178.97	$69.09	$35.79
73590	X		X-ray exam of lower leg	0260	0.7845	$42.59	$21.29	$8.52
73592	X		X-ray exam of leg, infant	0260	0.7845	$42.59	$21.29	$8.52
73600	X		X-ray exam of ankle	0260	0.7845	$42.59	$21.29	$8.52
73610	X		X-ray exam of ankle	0260	0.7845	$42.59	$21.29	$8.52
73615	S		Contrast x-ray of ankle	0275	3.2967	$178.97	$69.09	$35.79
73620	X		X-ray exam of foot	0260	0.7845	$42.59	$21.29	$8.52
73630	X		X-ray exam of foot	0260	0.7845	$42.59	$21.29	$8.52
73650	X		X-ray exam of heel	0260	0.7845	$42.59	$21.29	$8.52
73660	X		X-ray exam of toe(s)	0260	0.7845	$42.59	$21.29	$8.52
73700	S		Ct lower extremity w/o dye	0332	3.3916	$184.13	$91.27	$36.83
73701	S		Ct lower extremity w/dye	0283	4.6121	$250.39	$125.19	$50.08
73702	S		Ct lwr extremity w/o&w/dye	0333	5.4299	$294.78	$146.98	$58.96
73706	S		Ct angio lwr extr w/o&w/dye	0662	5.8751	$318.95	$156.47	$63.79
73718	S		Mri lower extremity w/o dye	0336	6.4817	$351.89	$175.94	$70.38
73719	S		Mri lower extremity w/dye	0284	7.0207	$381.15	$190.57	$76.23
73720	S		Mri lwr extremity w/o&w/dye	0337	9.3215	$506.05	$240.77	$101.21
73721	S		Mri jnt of lwr extre w/o dye	0336	6.4817	$351.89	$175.94	$70.38
73722	S		Mri joint of lwr extr w/dye	0284	7.0207	$381.15	$190.57	$76.23
73723	S		Mri joint lwr extr w/o&w/dye	0337	9.3215	$506.05	$240.77	$101.21
73725	E		Mr ang lwr ext w or w/o dye
74000	X		X-ray exam of abdomen	0260	0.7845	$42.59	$21.29	$8.52
74010	X		X-ray exam of abdomen	0260	0.7845	$42.59	$21.29	$8.52
74020	X		X-ray exam of abdomen	0260	0.7845	$42.59	$21.29	$8.52
74022	X		X-ray exam series, abdomen	0261	1.3238	$71.87		$14.37
74150	S		Ct abdomen w/o dye	0332	3.3916	$184.13	$91.27	$36.83
74160	S		Ct abdomen w/dye	0283	4.6121	$250.39	$125.19	$50.08
74170	S		Ct abdomen w/o&w/dye	0333	5.4299	$294.78	$146.98	$58.96
74175	S		Ct angio abdom w/o&w/dye	0662	5.8751	$318.95	$156.47	$63.79
74181	S		Mri abdomen w/o dye	0336	6.4817	$351.89	$175.94	$70.38
74182	S		Mri abdomen w/dye	0284	7.0207	$381.15	$190.57	$76.23
74183	S		Mri abdomen w/o&w/dye	0337	9.3215	$506.05	$240.77	$101.21
74185	E		Mri angio, abdom w or w/o dy
74190	X		X-ray exam of peritoneum	0263	2.1875	$118.76	$43.58	$23.75
74210	S		Contrst x-ray exam of throat	0276	1.6025	$87.00	$41.72	$17.40
74220	S		Contrast x-ray, esophagus	0276	1.6025	$87.00	$41.72	$17.40
74230	S		Cine/vid x-ray, throat/esoph	0276	1.6025	$87.00	$41.72	$17.40
74235	S		Remove esophagus obstruction	0296	3.1381	$170.36	$69.20	$34.07
74240	S		X-ray exam, upper gi tract	0276	1.6025	$87.00	$41.72	$17.40
74241	S		X-ray exam, upper gi tract	0276	1.6025	$87.00	$41.72	$17.40
74245	S		X-ray exam, upper gi tract	0277	2.4462	$132.80	$60.47	$26.56
74246	S		Contrst x-ray uppr gi tract	0276	1.6025	$87.00	$41.72	$17.40
74247	S		Contrst x-ray uppr gi tract	0276	1.6025	$87.00	$41.72	$17.40
74249	S		Contrst x-ray uppr gi tract	0277	2.4462	$132.80	$60.47	$26.56
74250	S		X-ray exam of small bowel	0276	1.6025	$87.00	$41.72	$17.40
74251	S		X-ray exam of small bowel	0277	2.4462	$132.80	$60.47	$26.56
74260	S		X-ray exam of small bowel	0277	2.4462	$132.80	$60.47	$26.56
74270	S		Contrast x-ray exam of colon	0276	1.6025	$87.00	$41.72	$17.40
74280	S		Contrast x-ray exam of colon	0277	2.4462	$132.80	$60.47	$26.56
74283	S		Contrast x-ray exam of colon	0276	1.6025	$87.00	$41.72	$17.40
74290	S		Contrast x-ray, gallbladder	0276	1.6025	$87.00	$41.72	$17.40
74291	S		Contrast x-rays, gallbladder	0276	1.6025	$87.00	$41.72	$17.40
74300	X		X-ray bile ducts/pancreas	0263	2.1875	$118.76	$43.58	$23.75
74301	X		X-rays at surgery add-on	0263	2.1875	$118.76	$43.58	$23.75
74305	X		X-ray bile ducts/pancreas	0263	2.1875	$118.76	$43.58	$23.75
74320	X		Contrast x-ray of bile ducts	0264	3.0022	$162.99	$79.41	$32.60
74327	S		X-ray bile stone removal	0296	3.1381	$170.36	$69.20	$34.07
74328	N		X-ray bile duct endoscopy
74329	N		X-ray for pancreas endoscopy
74330	N		X-ray bile/panc endoscopy
74340	X		X-ray guide for GI tube	0272	1.4086	$76.47	$38.23	$15.29
74350	X		X-ray guide, stomach tube	0263	2.1875	$118.76	$43.58	$23.75
74355	X		X-ray guide, intestinal tube	0263	2.1875	$118.76	$43.58	$23.75
74360	S		X-ray guide, GI dilation	0296	3.1381	$170.36	$69.20	$34.07
74363	S		X-ray, bile duct dilation	0297	8.1532	$442.63	$172.51	$88.53
74400	S		Contrst x-ray, urinary tract	0278	2.7365	$148.56	$66.07	$29.71
74410	S		Contrst x-ray, urinary tract	0278	2.7365	$148.56	$66.07	$29.71
74415	S		Contrst x-ray, urinary tract	0278	2.7365	$148.56	$66.07	$29.71
74420	S		Contrst x-ray, urinary tract	0278	2.7365	$148.56	$66.07	$29.71
74425	S		Contrst x-ray, urinary tract	0278	2.7365	$148.56	$66.07	$29.71
74430	S		Contrast x-ray, bladder	0278	2.7365	$148.56	$66.07	$29.71
74440	S		X-ray, male genital tract	0278	2.7365	$148.56	$66.07	$29.71
74445	S		X-ray exam of penis	0278	2.7365	$148.56	$66.07	$29.71
74450	S		X-ray, urethra/bladder	0278	2.7365	$148.56	$66.07	$29.71
74455	S		X-ray, urethra/bladder	0278	2.7365	$148.56	$66.07	$29.71
74470	X		X-ray exam of kidney lesion	0264	3.0022	$162.99	$79.41	$32.60
74475	S		X-ray control, cath insert	0297	8.1532	$442.63	$172.51	$88.53
74480	S		X-ray control, cath insert	0296	3.1381	$170.36	$69.20	$34.07
74485	S		X-ray guide, GU dilation	0296	3.1381	$170.36	$69.20	$34.07
74710	X		X-ray measurement of pelvis	0260	0.7845	$42.59	$21.29	$8.52
74740	X		X-ray, female genital tract	0264	3.0022	$162.99	$79.41	$32.60
74742	X		X-ray, fallopian tube	0263	2.1875	$118.76	$43.58	$23.75
74775	S		X-ray exam of perineum	0278	2.7365	$148.56	$66.07	$29.71
75552	S		Heart mri for morph w/o dye	0336	6.4817	$351.89	$175.94	$70.38
75553	S		Heart mri for morph w/dye	0284	7.0207	$381.15	$190.57	$76.23
75554	S		Cardiac MRI/function	0335	6.4453	$349.91	$151.46	$69.98
75555	S		Cardiac MRI/limited study	0335	6.4453	$349.91	$151.46	$69.98
75556	E		Cardiac MRI/flow mapping
75600	S		Contrast x-ray exam of aorta	0280	19.0237	$1,032.78	$353.85	$206.56
75605	S		Contrast x-ray exam of aorta	0280	19.0237	$1,032.78	$353.85	$206.56
75625	S		Contrast x-ray exam of aorta	0280	19.0237	$1,032.78	$353.85	$206.56
75630	S		X-ray aorta, leg arteries	0280	19.0237	$1,032.78	$353.85	$206.56
75635	S		Ct angio abdominal arteries	0662	5.8751	$318.95	$156.47	$63.79
75650	S		Artery x-rays, head & neck	0280	19.0237	$1,032.78	$353.85	$206.56
75658	S		Artery x-rays, arm	0280	19.0237	$1,032.78	$353.85	$206.56
75660	S		Artery x-rays, head & neck	0279	11.0678	$600.86	$174.57	$120.17
75662	S		Artery x-rays, head & neck	0279	11.0678	$600.86	$174.57	$120.17
75665	S		Artery x-rays, head & neck	0280	19.0237	$1,032.78	$353.85	$206.56
75671	S		Artery x-rays, head & neck	0280	19.0237	$1,032.78	$353.85	$206.56
75676	S		Artery x-rays, neck	0280	19.0237	$1,032.78	$353.85	$206.56
75680	S		Artery x-rays, neck	0280	19.0237	$1,032.78	$353.85	$206.56
75685	S		Artery x-rays, spine	0279	11.0678	$600.86	$174.57	$120.17
75705	S		Artery x-rays, spine	0279	11.0678	$600.86	$174.57	$120.17
75710	S		Artery x-rays, arm/leg	0280	19.0237	$1,032.78	$353.85	$206.56
75716	S		Artery x-rays, arms/legs	0280	19.0237	$1,032.78	$353.85	$206.56
75722	S		Artery x-rays, kidney	0280	19.0237	$1,032.78	$353.85	$206.56
75724	S		Artery x-rays, kidneys	0280	19.0237	$1,032.78	$353.85	$206.56
75726	S		Artery x-rays, abdomen	0280	19.0237	$1,032.78	$353.85	$206.56
75731	S		Artery x-rays, adrenal gland	0280	19.0237	$1,032.78	$353.85	$206.56
75733	S		Artery x-rays, adrenals	0280	19.0237	$1,032.78	$353.85	$206.56
75736	S		Artery x-rays, pelvis	0280	19.0237	$1,032.78	$353.85	$206.56
75741	S		Artery x-rays, lung	0279	11.0678	$600.86	$174.57	$120.17
75743	S		Artery x-rays, lungs	0280	19.0237	$1,032.78	$353.85	$206.56
75746	S		Artery x-rays, lung	0279	11.0678	$600.86	$174.57	$120.17
75756	S		Artery x-rays, chest	0279	11.0678	$600.86	$174.57	$120.17
75774	S		Artery x-ray, each vessel	0668	10.4896	$569.47	$237.76	$113.89
75790	S		Visualize A-V shunt	0281	6.6888	$363.13	$115.16	$72.63
75801	X		Lymph vessel x-ray, arm/leg	0264	3.0022	$162.99	$79.41	$32.60
75803	X		Lymph vessel x-ray,arms/legs	0264	3.0022	$162.99	$79.41	$32.60
75805	X		Lymph vessel x-ray, trunk	0264	3.0022	$162.99	$79.41	$32.60
75807	X		Lymph vessel x-ray, trunk	0264	3.0022	$162.99	$79.41	$32.60
75809	X		Nonvascular shunt, x-ray	0263	2.1875	$118.76	$43.58	$23.75
75810	S		Vein x-ray, spleen/liver	0279	11.0678	$600.86	$174.57	$120.17
75820	S		Vein x-ray, arm/leg	0281	6.6888	$363.13	$115.16	$72.63
75822	S		Vein x-ray, arms/legs	0281	6.6888	$363.13	$115.16	$72.63
75825	S		Vein x-ray, trunk	0279	11.0678	$600.86	$174.57	$120.17
75827	S		Vein x-ray, chest	0279	11.0678	$600.86	$174.57	$120.17
75831	S		Vein x-ray, kidney	0287	6.2829	$341.09	$107.20	$68.22
75833	S		Vein x-ray, kidneys	0279	11.0678	$600.86	$174.57	$120.17
75840	S		Vein x-ray, adrenal gland	0287	6.2829	$341.09	$107.20	$68.22
75842	S		Vein x-ray, adrenal glands	0287	6.2829	$341.09	$107.20	$68.22
75860	S		Vein x-ray, neck	0287	6.2829	$341.09	$107.20	$68.22
75870	S		Vein x-ray, skull	0287	6.2829	$341.09	$107.20	$68.22
75872	S		Vein x-ray, skull	0287	6.2829	$341.09	$107.20	$68.22
75880	S		Vein x-ray, eye socket	0287	6.2829	$341.09	$107.20	$68.22
75885	S		Vein x-ray, liver	0279	11.0678	$600.86	$174.57	$120.17
75887	S		Vein x-ray, liver	0280	19.0237	$1,032.78	$353.85	$206.56
75889	S		Vein x-ray, liver	0279	11.0678	$600.86	$174.57	$120.17
75891	S		Vein x-ray, liver	0279	11.0678	$600.86	$174.57	$120.17
75893	N		Venous sampling by catheter
75894	S		X-rays, transcath therapy	0297	8.1532	$442.63	$172.51	$88.53
75896	S		X-rays, transcath therapy	0297	8.1532	$442.63	$172.51	$88.53
75898	X		Follow-up angiography	0264	3.0022	$162.99	$79.41	$32.60
75900	C		Arterial catheter exchange
75901	X		Remove cva device obstruct	0264	3.0022	$162.99	$79.41	$32.60
75902	X		Remove cva lumen obstruct	0263	2.1875	$118.76	$43.58	$23.75
75940	X		X-ray placement, vein filter	0187	4.4274	$240.36	$90.71	$48.07
75945	S		Intravascular us	0267	2.4805	$134.66	$65.52	$26.93
75946	S		Intravascular us add-on	0267	2.4805	$134.66	$65.52	$26.93
75952	C		Endovasc repair abdom aorta
75953	C		Abdom aneurysm endovas rpr
75954	C		Iliac aneurysm endovas rpr
75960	S		Transcatheter intro, stent	0280	19.0237	$1,032.78	$353.85	$206.56
75961	S		Retrieval, broken catheter	0280	19.0237	$1,032.78	$353.85	$206.56
75962	S		Repair arterial blockage	0280	19.0237	$1,032.78	$353.85	$206.56
75964	S		Repair artery blockage, each	0280	19.0237	$1,032.78	$353.85	$206.56
75966	S		Repair arterial blockage	0280	19.0237	$1,032.78	$353.85	$206.56
75968	S		Repair artery blockage, each	0280	19.0237	$1,032.78	$353.85	$206.56
75970	S		Vascular biopsy	0280	19.0237	$1,032.78	$353.85	$206.56
75978	S		Repair venous blockage	0668	10.4896	$569.47	$237.76	$113.89
75980	S		Contrast xray exam bile duct	0296	3.1381	$170.36	$69.20	$34.07
75982	S		Contrast xray exam bile duct	0297	8.1532	$442.63	$172.51	$88.53
75984	X		Xray control catheter change	0264	3.0022	$162.99	$79.41	$32.60
75989	N		Abscess drainage under x-ray
75992	S		Atherectomy, x-ray exam	0280	19.0237	$1,032.78	$353.85	$206.56
75993	S		Atherectomy, x-ray exam	0280	19.0237	$1,032.78	$353.85	$206.56
75994	S		Atherectomy, x-ray exam	0280	19.0237	$1,032.78	$353.85	$206.56
75995	S		Atherectomy, x-ray exam	0280	19.0237	$1,032.78	$353.85	$206.56
75996	S		Atherectomy, x-ray exam	0280	19.0237	$1,032.78	$353.85	$206.56
76000	X		Fluoroscope examination	0272	1.4086	$76.47	$38.23	$15.29
76001	N		Fluoroscope exam, extensive
76003	N		Needle localization by x-ray
76005	N		Fluoroguide for spine inject
76006	X		X-ray stress view	0260	0.7845	$42.59	$21.29	$8.52
76010	X		X-ray, nose to rectum	0260	0.7845	$42.59	$21.29	$8.52
76012	S		Percut vertebroplasty fluor	0274	3.5837	$194.56	$92.92	$38.91
76013	S		Percut vertebroplasty, ct	0274	3.5837	$194.56	$92.92	$38.91
76020	X		X-rays for bone age	0260	0.7845	$42.59	$21.29	$8.52
76040	X		X-rays, bone evaluation	0260	0.7845	$42.59	$21.29	$8.52
76061	X		X-rays, bone survey	0261	1.3238	$71.87		$14.37
76062	X		X-rays, bone survey	0261	1.3238	$71.87		$14.37
76065	X		X-rays, bone evaluation	0261	1.3238	$71.87		$14.37
76066	X		Joint survey, single view	0260	0.7845	$42.59	$21.29	$8.52
76070	S		CT scan, bone density study	0288	1.2854	$69.78		$13.96
76071	S		Ct bone density, peripheral	0282	1.6813	$91.28	$44.51	$18.26
76075	S		Dexa, axial skeleton study	0288	1.2854	$69.78		$13.96
76076	S		Dexa, peripheral study	0665	0.7225	$39.22		$7.84
76078	X		Radiographic absorptiometry	0261	1.3238	$71.87		$14.37
76080	X		X-ray exam of fistula	0263	2.1875	$118.76	$43.58	$23.75
76085	A		Computer mammogram add-on
76086	X		X-ray of mammary duct	0263	2.1875	$118.76	$43.58	$23.75
76088	X		X-ray of mammary ducts	0263	2.1875	$118.76	$43.58	$23.75
76090	S		Mammogram, one breast	0271	0.6548	$35.55	$16.80	$7.11
76091	S		Mammogram, both breasts	0271	0.6548	$35.55	$16.80	$7.11
76092	A		Mammogram, screening
76093	E		Magnetic image, breast
76094	E		Magnetic image, both breasts
76095	X		Stereotactic breast biopsy	0187	4.4274	$240.36	$90.71	$48.07
76096	X		X-ray of needle wire, breast	0289	3.6386	$197.54	$44.80	$39.51
76098	X		X-ray exam, breast specimen	0260	0.7845	$42.59	$21.29	$8.52
76100	X		X-ray exam of body section	0261	1.3238	$71.87		$14.37
76101	X		Complex body section x-ray	0264	3.0022	$162.99	$79.41	$32.60
76102	X		Complex body section x-rays	0264	3.0022	$162.99	$79.41	$32.60
76120	X		Cine/video x-rays	0272	1.4086	$76.47	$38.23	$15.29
76125	X		Cine/video x-rays add-on	0260	0.7845	$42.59	$21.29	$8.52
76140	E		X-ray consultation
76150	X		X-ray exam, dry process	0260	0.7845	$42.59	$21.29	$8.52
76350	N		Special x-ray contrast study
76355	S		CAT scan for localization	0283	4.6121	$250.39	$125.19	$50.08
76360	S		CAT scan for needle biopsy	0283	4.6121	$250.39	$125.19	$50.08
76362	S		Cat scan for tissue ablation	0332	3.3916	$184.13	$91.27	$36.83
76370	S		CAT scan for therapy guide	0282	1.6813	$91.28	$44.51	$18.26
76375	S		3d/holograph reconstr add-on	0282	1.6813	$91.28	$44.51	$18.26
76380	S		CAT scan follow-up study	0282	1.6813	$91.28	$44.51	$18.26
76390	E		Mr spectroscopy
76393	S		Mr guidance for needle place	0335	6.4453	$349.91	$151.46	$69.98
76394	S		Mri for tissue ablation	0335	6.4453	$349.91	$151.46	$69.98
76400	S		Magnetic image, bone marrow	0335	6.4453	$349.91	$151.46	$69.98
76490	S		Us for tissue ablation	0268	1.2640	$68.62		$13.72
76496	X		Fluoroscopic procedure	0272	1.4086	$76.47	$38.23	$15.29
76497	S		Ct procedure	0282	1.6813	$91.28	$44.51	$18.26
76498	S		Mri procedure	0335	6.4453	$349.91	$151.46	$69.98
76499	X		Radiographic procedure	0260	0.7845	$42.59	$21.29	$8.52
76506	S		Echo exam of head	0266	1.6234	$88.13	$44.06	$17.63
76511	S		Echo exam of eye	0266	1.6234	$88.13	$44.06	$17.63
76512	S		Echo exam of eye	0266	1.6234	$88.13	$44.06	$17.63
76513	S		Echo exam of eye, water bath	0265	1.0245	$55.62	$27.81	$11.12
76516	S		Echo exam of eye	0266	1.6234	$88.13	$44.06	$17.63
76519	S		Echo exam of eye	0266	1.6234	$88.13	$44.06	$17.63
76529	S		Echo exam of eye	0265	1.0245	$55.62	$27.81	$11.12
76536	S		Us exam of head and neck	0266	1.6234	$88.13	$44.06	$17.63
76604	S		Us exam, chest, b-scan	0266	1.6234	$88.13	$44.06	$17.63
76645	S		Us exam, breast(s)	0265	1.0245	$55.62	$27.81	$11.12
76700	S		Us exam, abdom, complete	0266	1.6234	$88.13	$44.06	$17.63
76705	S		Echo exam of abdomen	0266	1.6234	$88.13	$44.06	$17.63
76770	S		Us exam abdo back wall, comp	0266	1.6234	$88.13	$44.06	$17.63
76775	S		Us eam abdo back wall, lim	0266	1.6234	$88.13	$44.06	$17.63
76778	S		Us exam kidney transplant	0266	1.6234	$88.13	$44.06	$17.63
76800	S		Us exam, spinal canal	0266	1.6234	$88.13	$44.06	$17.63
76801	S		Ob us < 14 wks, single fetus	0265	1.0245	$55.62	$27.81	$11.12
76802	S		Ob us < 14 wks, addl fetus	0265	1.0245	$55.62	$27.81	$11.12
76805	S		Us exam, pg uterus, compl	0266	1.6234	$88.13	$44.06	$17.63
76810	S		Us exam, pg uterus, mult	0265	1.0245	$55.62	$27.81	$11.12
76811	S		Ob us, detailed, sngl fetus	0267	2.4805	$134.66	$65.52	$26.93
76812	S		Ob us, detailed, addl fetus	0266	1.6234	$88.13	$44.06	$17.63
76815	S		Us exam, pg uterus limit	0265	1.0245	$55.62	$27.81	$11.12
76816	S		Us exam pg uterus repeat	0265	1.0245	$55.62	$27.81	$11.12
76817	S		Transvaginal us, obstetric	0265	1.0245	$55.62	$27.81	$11.12
76818	S		Fetal biophys profile w/nst	0266	1.6234	$88.13	$44.06	$17.63
76819	S		Fetal biophys profil w/o nst	0266	1.6234	$88.13	$44.06	$17.63
76825	S		Echo exam of fetal heart	0671	1.6392	$88.99	$44.49	$17.80
76826	S		Echo exam of fetal heart	0697	1.4621	$79.38	$39.69	$15.88
76827	S		Echo exam of fetal heart	0671	1.6392	$88.99	$44.49	$17.80
76828	S		Echo exam of fetal heart	0697	1.4621	$79.38	$39.69	$15.88
76830	S		Transvaginal us, non-ob	0266	1.6234	$88.13	$44.06	$17.63
76831	S		Echo exam, uterus	0266	1.6234	$88.13	$44.06	$17.63
76856	S		Us exam, pelvic, complete	0266	1.6234	$88.13	$44.06	$17.63
76857	S		Us exam, pelvic, limited	0265	1.0245	$55.62	$27.81	$11.12
76870	S		Us exam, scrotum	0266	1.6234	$88.13	$44.06	$17.63
76872	S		Echo exam, transrectal	0266	1.6234	$88.13	$44.06	$17.63
76873	S		Echograp trans r, pros study	0266	1.6234	$88.13	$44.06	$17.63
76880	S		Us exam, extremity	0266	1.6234	$88.13	$44.06	$17.63
76885	S		Us exam infant hips, dynamic	0266	1.6234	$88.13	$44.06	$17.63
76886	S		Us exam infant hips, static	0266	1.6234	$88.13	$44.06	$17.63
76930	S		Echo guide, cardiocentesis	0268	1.2640	$68.62		$13.72
76932	S		Echo guide for heart biopsy	0268	1.2640	$68.62		$13.72
76936	S		Echo guide for artery repair	0268	1.2640	$68.62		$13.72
76941	S		Echo guide for transfusion	0268	1.2640	$68.62		$13.72
76942	S		Echo guide for biopsy	0268	1.2640	$68.62		$13.72
76945	S		Echo guide, villus sampling	0268	1.2640	$68.62		$13.72
76946	S		Echo guide for amniocentesis	0268	1.2640	$68.62		$13.72
76948	S		Echo guide, ova aspiration	0268	1.2640	$68.62		$13.72
76950	S		Echo guidance radiotherapy	0268	1.2640	$68.62		$13.72
76965	S		Echo guidance radiotherapy	0268	1.2640	$68.62		$13.72
76970	S		Ultrasound exam follow-up	0265	1.0245	$55.62	$27.81	$11.12
76975	S		GI endoscopic ultrasound	0266	1.6234	$88.13	$44.06	$17.63
76977	X		Us bone density measure	0340	0.6232	$33.83		$6.77
76986	S		Ultrasound guide intraoper	0266	1.6234	$88.13	$44.06	$17.63
76999	S		Echo examination procedure	0265	1.0245	$55.62	$27.81	$11.12
77261	E		Radiation therapy planning
77262	E		Radiation therapy planning
77263	E		Radiation therapy planning
77280	X		Set radiation therapy field	0304	1.6599	$90.11	$41.52	$18.02
77285	X		Set radiation therapy field	0305	3.6649	$198.96	$91.38	$39.79
77290	X		Set radiation therapy field	0305	3.6649	$198.96	$91.38	$39.79
77295	X		Set radiation therapy field	0310	13.7085	$744.22	$325.27	$148.84
77299	E		Radiation therapy planning
77300	X		Radiation therapy dose plan	0304	1.6599	$90.11	$41.52	$18.02
77301	S		Radiotherapy dose plan, imrt	0413	6.0369	$327.74		$65.55
77305	X		Teletx isodose plan simple	0304	1.6599	$90.11	$41.52	$18.02
77310	X		Teletx isodose plan intermed	0304	1.6599	$90.11	$41.52	$18.02
77315	X		Teletx isodose plan complex	0305	3.6649	$198.96	$91.38	$39.79
77321	X		Special teletx port plan	0305	3.6649	$198.96	$91.38	$39.79
77326	X		Radiation therapy dose plan	0305	3.6649	$198.96	$91.38	$39.79
77327	X		Brachytx isodose calc interm	0305	3.6649	$198.96	$91.38	$39.79
77328	X		Brachytx isodose plan compl	0305	3.6649	$198.96	$91.38	$39.79
77331	X		Special radiation dosimetry	0304	1.6599	$90.11	$41.52	$18.02
77332	X		Radiation treatment aid(s)	0303	2.8636	$155.46	$66.95	$31.09
77333	X		Radiation treatment aid(s)	0303	2.8636	$155.46	$66.95	$31.09
77334	X		Radiation treatment aid(s)	0303	2.8636	$155.46	$66.95	$31.09
77336	X		Radiation physics consult	0304	1.6599	$90.11	$41.52	$18.02
77370	X		Radiation physics consult	0305	3.6649	$198.96	$91.38	$39.79
77399	X		External radiation dosimetry	0304	1.6599	$90.11	$41.52	$18.02
77401	S		Radiation treatment delivery	0300	1.5112	$82.04		$16.41
77402	S		Radiation treatment delivery	0300	1.5112	$82.04		$16.41
77403	S		Radiation treatment delivery	0300	1.5112	$82.04		$16.41
77404	S		Radiation treatment delivery	0300	1.5112	$82.04		$16.41
77406	S		Radiation treatment delivery	0300	1.5112	$82.04		$16.41
77407	S		Radiation treatment delivery	0300	1.5112	$82.04		$16.41
77408	S		Radiation treatment delivery	0300	1.5112	$82.04		$16.41
77409	S		Radiation treatment delivery	0300	1.5112	$82.04		$16.41
77411	S		Radiation treatment delivery	0300	1.5112	$82.04		$16.41
77412	S		Radiation treatment delivery	0301	2.1337	$115.84	$23.17	$23.17
77413	S		Radiation treatment delivery	0301	2.1337	$115.84	$23.17	$23.17
77414	S		Radiation treatment delivery	0301	2.1337	$115.84	$23.17	$23.17
77416	S		Radiation treatment delivery	0301	2.1337	$115.84	$23.17	$23.17
77417	X		Radiology port film(s)	0260	0.7845	$42.59	$21.29	$8.52
77418	S		Radiation tx delivery, imrt	0412	5.2832	$286.82		$57.36
77427	E		Radiation tx management, x5
77431	E		Radiation therapy management
77432	E		Stereotactic radiation trmt
77470	S		Special radiation treatment	0299	5.7427	$311.77	$62.36	$62.35
77499	E		Radiation therapy management
77520	S		Proton trmt, simple w/o comp	0664	9.6828	$525.67		$105.13
77522	S		Proton trmt, simple w/comp	0664	9.6828	$525.67		$105.13
77523	S		Proton trmt, intermediate	1511		$950.00		$190.00
77525	S		Proton treatment, complex	1511		$950.00		$190.00
77600	S		Hyperthermia treatment	0314	5.0930	$276.49	$101.77	$55.30
77605	S		Hyperthermia treatment	0314	5.0930	$276.49	$101.77	$55.30
77610	S		Hyperthermia treatment	0314	5.0930	$276.49	$101.77	$55.30
77615	S		Hyperthermia treatment	0314	5.0930	$276.49	$101.77	$55.30
77620	S		Hyperthermia treatment	0314	5.0930	$276.49	$101.77	$55.30
77750	S		Infuse radioactive materials	0300	1.5112	$82.04		$16.41
77761	S		Apply intrcav radiat simple	0312	3.6892	$200.28	$40.06	$40.06
77762	S		Apply intrcav radiat interm	0312	3.6892	$200.28	$40.06	$40.06
77763	S		Apply intrcav radiat compl	0312	3.6892	$200.28	$40.06	$40.06
77776	S		Apply interstit radiat simpl	0312	3.6892	$200.28	$40.06	$40.06
77777	S		Apply interstit radiat inter	0312	3.6892	$200.28	$40.06	$40.06
77778	S		Apply interstit radiat compl	0651	10.0459	$545.38	$109.08	$109.08
77781	S		High intensity brachytherapy	0313	13.1258	$712.59		$142.52
77782	S		High intensity brachytherapy	0313	13.1258	$712.59		$142.52
77783	S		High intensity brachytherapy	0313	13.1258	$712.59		$142.52
77784	S		High intensity brachytherapy	0313	13.1258	$712.59		$142.52
77789	S		Apply surface radiation	0300	1.5112	$82.04		$16.41
77790	N		Radiation handling
77799	S		Radium/radioisotope therapy	0313	13.1258	$712.59		$142.52
78000	S		Thyroid, single uptake	0389	1.6475	$89.44	$44.72	$17.89
78001	S		Thyroid, multiple uptakes	0389	1.6475	$89.44	$44.72	$17.89
78003	S		Thyroid suppress/stimul	0389	1.6475	$89.44	$44.72	$17.89
78006	S		Thyroid imaging with uptake	0390	2.8434	$154.37	$77.18	$30.87
78007	S		Thyroid image, mult uptakes	0391	3.7174	$201.81	$100.90	$40.36
78010	S		Thyroid imaging	0390	2.8434	$154.37	$77.18	$30.87
78011	S		Thyroid imaging with flow	0391	3.7174	$201.81	$100.90	$40.36
78015	S		Thyroid met imaging	0390	2.8434	$154.37	$77.18	$30.87
78016	S		Thyroid met imaging/studies	0390	2.8434	$154.37	$77.18	$30.87
78018	S		Thyroid met imaging, body	0391	3.7174	$201.81	$100.90	$40.36
78020	S		Thyroid met uptake	0389	1.6475	$89.44	$44.72	$17.89
78070	S		Parathyroid nuclear imaging	0391	3.7174	$201.81	$100.90	$40.36
78075	S		Adrenal nuclear imaging	0392	6.7081	$364.18	$182.08	$72.84
78099	S		Endocrine nuclear procedure	0389	1.6475	$89.44	$44.72	$17.89
78102	S		Bone marrow imaging, ltd	0400	3.8691	$210.05	$105.02	$42.01
78103	S		Bone marrow imaging, mult	0400	3.8691	$210.05	$105.02	$42.01
78104	S		Bone marrow imaging, body	0400	3.8691	$210.05	$105.02	$42.01
78110	S		Plasma volume, single	0393	4.0720	$221.06	$110.53	$44.21
78111	S		Plasma volume, multiple	0393	4.0720	$221.06	$110.53	$44.21
78120	S		Red cell mass, single	0393	4.0720	$221.06	$110.53	$44.21
78121	S		Red cell mass, multiple	0393	4.0720	$221.06	$110.53	$44.21
78122	S		Blood volume	0393	4.0720	$221.06	$110.53	$44.21
78130	S		Red cell survival study	0393	4.0720	$221.06	$110.53	$44.21
78135	S		Red cell survival kinetics	0393	4.0720	$221.06	$110.53	$44.21
78140	S		Red cell sequestration	0393	4.0720	$221.06	$110.53	$44.21
78160	S		Plasma iron turnover	0393	4.0720	$221.06	$110.53	$44.21
78162	S		Radioiron absorption exam	0393	4.0720	$221.06	$110.53	$44.21
78170	S		Red cell iron utilization	0393	4.0720	$221.06	$110.53	$44.21
78172	S		Total body iron estimation	0393	4.0720	$221.06	$110.53	$44.21
78185	S		Spleen imaging	0400	3.8691	$210.05	$105.02	$42.01
78190	S		Platelet survival, kinetics	0389	1.6475	$89.44	$44.72	$17.89
78191	S		Platelet survival	0389	1.6475	$89.44	$44.72	$17.89
78195	S		Lymph system imaging	0400	3.8691	$210.05	$105.02	$42.01
78199	S		Blood/lymph nuclear exam	0389	1.6475	$89.44	$44.72	$17.89
78201	S		Liver imaging	0394	4.4370	$240.88	$120.44	$48.18
78202	S		Liver imaging with flow	0394	4.4370	$240.88	$120.44	$48.18
78205	S		Liver imaging (3D)	0394	4.4370	$240.88	$120.44	$48.18
78206	S		Liver image (3d) with flow	0394	4.4370	$240.88	$120.44	$48.18
78215	S		Liver and spleen imaging	0394	4.4370	$240.88	$120.44	$48.18
78216	S		Liver & spleen image/flow	0394	4.4370	$240.88	$120.44	$48.18
78220	S		Liver function study	0394	4.4370	$240.88	$120.44	$48.18
78223	S		Hepatobiliary imaging	0394	4.4370	$240.88	$120.44	$48.18
78230	S		Salivary gland imaging	0395	3.9372	$213.75	$106.87	$42.75
78231	S		Serial salivary imaging	0395	3.9372	$213.75	$106.87	$42.75
78232	S		Salivary gland function exam	0395	3.9372	$213.75	$106.87	$42.75
78258	S		Esophageal motility study	0395	3.9372	$213.75	$106.87	$42.75
78261	S		Gastric mucosa imaging	0395	3.9372	$213.75	$106.87	$42.75
78262	S		Gastroesophageal reflux exam	0395	3.9372	$213.75	$106.87	$42.75
78264	S		Gastric emptying study	0395	3.9372	$213.75	$106.87	$42.75
78267	A		Breath tst attain/anal c-14
78268	A		Breath test analysis, c-14
78270	S		Vit B-12 absorption exam	0395	3.9372	$213.75	$106.87	$42.75
78271	S		Vit b-12 absrp exam, int fac	0395	3.9372	$213.75	$106.87	$42.75
78272	S		Vit B-12 absorp, combined	0395	3.9372	$213.75	$106.87	$42.75
78278	S		Acute GI blood loss imaging	0395	3.9372	$213.75	$106.87	$42.75
78282	S		GI protein loss exam	0395	3.9372	$213.75	$106.87	$42.75
78290	S		Meckel's divert exam	0395	3.9372	$213.75	$106.87	$42.75
78291	S		Leveen/shunt patency exam	0395	3.9372	$213.75	$106.87	$42.75
78299	S		GI nuclear procedure	0389	1.6475	$89.44	$44.72	$17.89
78300	S		Bone imaging, limited area	0396	4.2445	$230.43	$115.21	$46.09
78305	S		Bone imaging, multiple areas	0396	4.2445	$230.43	$115.21	$46.09
78306	S		Bone imaging, whole body	0396	4.2445	$230.43	$115.21	$46.09
78315	S		Bone imaging, 3 phase	0396	4.2445	$230.43	$115.21	$46.09
78320	S		Bone imaging (3D)	0396	4.2445	$230.43	$115.21	$46.09
78350	X		Bone mineral, single photon	0261	1.3238	$71.87		$14.37
78351	E		Bone mineral, dual photon
78399	S		Musculoskeletal nuclear exam	0389	1.6475	$89.44	$44.72	$17.89
78414	S		Non-imaging heart function	0397	2.4737	$134.29	$67.14	$26.86
78428	S		Cardiac shunt imaging	0398	6.6521	$361.14	$180.57	$72.23
78445	S		Vascular flow imaging	0397	2.4737	$134.29	$67.14	$26.86
78455	S		Venous thrombosis study	0397	2.4737	$134.29	$67.14	$26.86
78456	S		Acute venous thrombus image	0397	2.4737	$134.29	$67.14	$26.86
78457	S		Venous thrombosis imaging	0397	2.4737	$134.29	$67.14	$26.86
78458	S		Ven thrombosis images, bilat	0397	2.4737	$134.29	$67.14	$26.86
78459	S		Heart muscle imaging (PET)	0285	19.5044	$1,058.87	$409.56	$211.77
78460	S		Heart muscle blood, single	0398	6.6521	$361.14	$180.57	$72.23
78461	S		Heart muscle blood, multiple	0398	6.6521	$361.14	$180.57	$72.23
78464	S		Heart image (3d), single	0398	6.6521	$361.14	$180.57	$72.23
78465	S		Heart image (3d), multiple	0398	6.6521	$361.14	$180.57	$72.23
78466	S		Heart infarct image	0398	6.6521	$361.14	$180.57	$72.23
78468	S		Heart infarct image (ef)	0398	6.6521	$361.14	$180.57	$72.23
78469	S		Heart infarct image (3D)	0398	6.6521	$361.14	$180.57	$72.23
78472	S		Gated heart, planar, single	0398	6.6521	$361.14	$180.57	$72.23
78473	S		Gated heart, multiple	0398	6.6521	$361.14	$180.57	$72.23
78478	S		Heart wall motion add-on	0399	1.6033	$87.04	$43.52	$17.41
78480	S		Heart function add-on	0399	1.6033	$87.04	$43.52	$17.41
78481	S		Heart first pass, single	0398	6.6521	$361.14	$180.57	$72.23
78483	S		Heart first pass, multiple	0398	6.6521	$361.14	$180.57	$72.23
78491	E		Heart image (pet), single
78492	E		Heart image (pet), multiple
78494	S		Heart image, spect	0398	6.6521	$361.14	$180.57	$72.23
78496	S		Heart first pass add-on	0399	1.6033	$87.04	$43.52	$17.41
78499	S		Cardiovascular nuclear exam	0389	1.6475	$89.44	$44.72	$17.89
78580	S		Lung perfusion imaging	0401	4.9130	$266.72	$133.35	$53.34
78584	S		Lung V/Q image single breath	0401	4.9130	$266.72	$133.35	$53.34
78585	S		Lung V/Q imaging	0401	4.9130	$266.72	$133.35	$53.34
78586	S		Aerosol lung image, single	0401	4.9130	$266.72	$133.35	$53.34
78587	S		Aerosol lung image, multiple	0401	4.9130	$266.72	$133.35	$53.34
78588	S		Perfusion lung image	0401	4.9130	$266.72	$133.35	$53.34
78591	S		Vent image, 1 breath, 1 proj	0401	4.9130	$266.72	$133.35	$53.34
78593	S		Vent image, 1 proj, gas	0401	4.9130	$266.72	$133.35	$53.34
78594	S		Vent image, mult proj, gas	0401	4.9130	$266.72	$133.35	$53.34
78596	S		Lung differential function	0401	4.9130	$266.72	$133.35	$53.34
78599	S		Respiratory nuclear exam	0389	1.6475	$89.44	$44.72	$17.89
78600	S		Brain imaging, ltd static	0402	5.4818	$297.60	$148.79	$59.52
78601	S		Brain imaging, ltd w/ flow	0402	5.4818	$297.60	$148.79	$59.52
78605	S		Brain imaging, complete	0402	5.4818	$297.60	$148.79	$59.52
78606	S		Brain imaging, compl w/flow	0402	5.4818	$297.60	$148.79	$59.52
78607	S		Brain imaging (3D)	0402	5.4818	$297.60	$148.79	$59.52
78608	E		Brain imaging (PET)
78609	E		Brain imaging (PET)
78610	S		Brain flow imaging only	0402	5.4818	$297.60	$148.79	$59.52
78615	S		Cerebral vascular flow image	0402	5.4818	$297.60	$148.79	$59.52
78630	S		Cerebrospinal fluid scan	0403	3.9265	$213.17	$106.58	$42.63
78635	S		CSF ventriculography	0403	3.9265	$213.17	$106.58	$42.63
78645	S		CSF shunt evaluation	0403	3.9265	$213.17	$106.58	$42.63
78647	S		Cerebrospinal fluid scan	0403	3.9265	$213.17	$106.58	$42.63
78650	S		CSF leakage imaging	0403	3.9265	$213.17	$106.58	$42.63
78660	S		Nuclear exam of tear flow	0403	3.9265	$213.17	$106.58	$42.63
78699	S		Nervous system nuclear exam	0389	1.6475	$89.44	$44.72	$17.89
78700	S		Kidney imaging, static	0404	5.1538	$279.79	$139.89	$55.96
78701	S		Kidney imaging with flow	0404	5.1538	$279.79	$139.89	$55.96
78704	S		Imaging renogram	0404	5.1538	$279.79	$139.89	$55.96
78707	S		Kidney flow/function image	0404	5.1538	$279.79	$139.89	$55.96
78708	S		Kidney flow/function image	0404	5.1538	$279.79	$139.89	$55.96
78709	S		Kidney flow/function image	0404	5.1538	$279.79	$139.89	$55.96
78710	S		Kidney imaging (3D)	0404	5.1538	$279.79	$139.89	$55.96
78715	S		Renal vascular flow exam	0404	5.1538	$279.79	$139.89	$55.96
78725	S		Kidney function study	0389	1.6475	$89.44	$44.72	$17.89
78730	S		Urinary bladder retention	0405	0.7739	$42.01	$21.00	$8.40
78740	S		Ureteral reflux study	0405	0.7739	$42.01	$21.00	$8.40
78760	S		Testicular imaging	0405	0.7739	$42.01	$21.00	$8.40
78761	S		Testicular imaging/flow	0405	0.7739	$42.01	$21.00	$8.40
78799	S		Genitourinary nuclear exam	0389	1.6475	$89.44	$44.72	$17.89
78800	S		Tumor imaging, limited area	0406	4.7542	$258.10		$51.62
78801	S		Tumor imaging, mult areas	0406	4.7542	$258.10		$51.62
78802	S		Tumor imaging, whole body	0406	4.7542	$258.10		$51.62
78803	S		Tumor imaging (3D)	0406	4.7542	$258.10		$51.62
78805	S		Abscess imaging, ltd area	0406	4.7542	$258.10		$51.62
78806	S		Abscess imaging, whole body	0406	4.7542	$258.10		$51.62
78807	S		Nuclear localization/abscess	0406	4.7542	$258.10		$51.62
78810	E		Tumor imaging (PET)
78890	N		Nuclear medicine data proc
78891	N		Nuclear med data proc
78990	E		Provide diag radionuclide(s)
78999	S		Nuclear diagnostic exam	0389	1.6475	$89.44	$44.72	$17.89
79000	S		Init hyperthyroid therapy	0407	4.2797	$232.34	$116.17	$46.47
79001	S		Repeat hyperthyroid therapy	0407	4.2797	$232.34	$116.17	$46.47
79020	S		Thyroid ablation	0407	4.2797	$232.34	$116.17	$46.47
79030	S		Thyroid ablation, carcinoma	0407	4.2797	$232.34	$116.17	$46.47
79035	S		Thyroid metastatic therapy	0407	4.2797	$232.34	$116.17	$46.47
79100	S		Hematopoetic nuclear therapy	0408	4.0000	$217.16		$43.43
79200	S		Intracavitary nuclear trmt	0408	4.0000	$217.16		$43.43
79300	S		Interstitial nuclear therapy	0408	4.0000	$217.16		$43.43
79400	S		Nonhemato nuclear therapy	0408	4.0000	$217.16		$43.43
79420	S		Intravascular nuclear ther	0408	4.0000	$217.16		$43.43
79440	S		Nuclear joint therapy	0408	4.0000	$217.16		$43.43
79900	N		Provide ther radiopharm(s)
79999	S		Nuclear medicine therapy	0389	1.6475	$89.44	$44.72	$17.89
80048	A		Basic metabolic panel
80050	A		General health panel
80051	A		Electrolyte panel
80053	A		Comprehen metabolic panel
80055	A		Obstetric panel
80061	A		Lipid panel
80069	A		Renal function panel
80074	A		Acute hepatitis panel
80076	A		Hepatic function panel
80100	A		Drug screen, qualitate/multi
80101	A		Drug screen, single
80102	A		Drug confirmation
80103	N		Drug analysis, tissue prep
80150	A		Assay of amikacin
80152	A		Assay of amitriptyline
80154	A		Assay of benzodiazepines
80156	A		Assay, carbamazepine, total
80157	A		Assay, carbamazepine, free
80158	A		Assay of cyclosporine
80160	A		Assay of desipramine
80162	A		Assay of digoxin
80164	A		Assay, dipropylacetic acid
80166	A		Assay of doxepin
80168	A		Assay of ethosuximide
80170	A		Assay of gentamicin
80172	A		Assay of gold
80173	A		Assay of haloperidol
80174	A		Assay of imipramine
80176	A		Assay of lidocaine
80178	A		Assay of lithium
80182	A		Assay of nortriptyline
80184	A		Assay of phenobarbital
80185	A		Assay of phenytoin, total
80186	A		Assay of phenytoin, free
80188	A		Assay of primidone
80190	A		Assay of procainamide
80192	A		Assay of procainamide
80194	A		Assay of quinidine
80196	A		Assay of salicylate
80197	A		Assay of tacrolimus
80198	A		Assay of theophylline
80200	A		Assay of tobramycin
80201	A		Assay of topiramate
80202	A		Assay of vancomycin
80299	A		Quantitative assay, drug
80400	A		Acth stimulation panel
80402	A		Acth stimulation panel
80406	A		Acth stimulation panel
80408	A		Aldosterone suppression eval
80410	A		Calcitonin stimul panel
80412	A		CRH stimulation panel
80414	A		Testosterone response
80415	A		Estradiol response panel
80416	A		Renin stimulation panel
80417	A		Renin stimulation panel
80418	A		Pituitary evaluation panel
80420	A		Dexamethasone panel
80422	A		Glucagon tolerance panel
80424	A		Glucagon tolerance panel
80426	A		Gonadotropin hormone panel
80428	A		Growth hormone panel
80430	A		Growth hormone panel
80432	A		Insulin suppression panel
80434	A		Insulin tolerance panel
80435	A		Insulin tolerance panel
80436	A		Metyrapone panel
80438	A		TRH stimulation panel
80439	A		TRH stimulation panel
80440	A		TRH stimulation panel
80500	X		Lab pathology consultation	0343	0.4662	$25.31	$12.55	$5.06
80502	X		Lab pathology consultation	0342	0.2169	$11.78	$5.88	$2.36
81000	A		Urinalysis, nonauto w/scope
81001	A		Urinalysis, auto w/scope
81002	A		Urinalysis nonauto w/o scope
81003	A		Urinalysis, auto, w/o scope
81005	A		Urinalysis
81007	A		Urine screen for bacteria
81015	A		Microscopic exam of urine
81020	A		Urinalysis, glass test
81025	A		Urine pregnancy test
81050	A		Urinalysis, volume measure
81099	A		Urinalysis test procedure
82000	A		Assay of blood acetaldehyde
82003	A		Assay of acetaminophen
82009	A		Test for acetone/ketones
82010	A		Acetone assay
82013	A		Acetylcholinesterase assay
82016	A		Acylcarnitines, qual
82017	A		Acylcarnitines, quant
82024	A		Assay of acth
82030	A		Assay of adp & amp
82040	A		Assay of serum albumin
82042	A		Assay of urine albumin
82043	A		Microalbumin, quantitative
82044	A		Microalbumin, semiquant
82055	A		Assay of ethanol
82075	A		Assay of breath ethanol
82085	A		Assay of aldolase
82088	A		Assay of aldosterone
82101	A		Assay of urine alkaloids
82103	A		Alpha-1-antitrypsin, total
82104	A		Alpha-1-antitrypsin, pheno
82105	A		Alpha-fetoprotein, serum
82106	A		Alpha-fetoprotein, amniotic
82108	A		Assay of aluminum
82120	A		Amines, vaginal fluid qual
82127	A		Amino acid, single qual
82128	A		Amino acids, mult qual
82131	A		Amino acids, single quant
82135	A		Assay, aminolevulinic acid
82136	A		Amino acids, quant, 2-5
82139	A		Amino acids, quan, 6 or more
82140	A		Assay of ammonia
82143	A		Amniotic fluid scan
82145	A		Assay of amphetamines
82150	A		Assay of amylase
82154	A		Androstanediol glucuronide
82157	A		Assay of androstenedione
82160	A		Assay of androsterone
82163	A		Assay of angiotensin II
82164	A		Angiotensin I enzyme test
82172	A		Assay of apolipoprotein
82175	A		Assay of arsenic
82180	A		Assay of ascorbic acid
82190	A		Atomic absorption
82205	A		Assay of barbiturates
82232	A		Assay of beta-2 protein
82239	A		Bile acids, total
82240	A		Bile acids, cholylglycine
82247	A		Bilirubin, total
82248	A		Bilirubin, direct
82252	A		Fecal bilirubin test
82261	A		Assay of biotinidase
82270	A		Test for blood, feces
82273	A		Test for blood, other source
82274	A		Assay test for blood, fecal
82286	A		Assay of bradykinin
82300	A		Assay of cadmium
82306	A		Assay of vitamin D
82307	A		Assay of vitamin D
82308	A		Assay of calcitonin
82310	A		Assay of calcium
82330	A		Assay of calcium
82331	A		Calcium infusion test
82340	A		Assay of calcium in urine
82355	A		Calculus analysis, qual
82360	A		Calculus assay, quant
82365	A		Calculus spectroscopy
82370	A		X-ray assay, calculus
82373	A		Assay, c-d transfer measure
82374	A		Assay, blood carbon dioxide
82375	A		Assay, blood carbon monoxide
82376	A		Test for carbon monoxide
82378	A		Carcinoembryonic antigen
82379	A		Assay of carnitine
82380	A		Assay of carotene
82382	A		Assay, urine catecholamines
82383	A		Assay, blood catecholamines
82384	A		Assay, three catecholamines
82387	A		Assay of cathepsin-d
82390	A		Assay of ceruloplasmin
82397	A		Chemiluminescent assay
82415	A		Assay of chloramphenicol
82435	A		Assay of blood chloride
82436	A		Assay of urine chloride
82438	A		Assay, other fluid chlorides
82441	A		Test for chlorohydrocarbons
82465	A		Assay, bld/serum cholesterol
82480	A		Assay, serum cholinesterase
82482	A		Assay, rbc cholinesterase
82485	A		Assay, chondroitin sulfate
82486	A		Gas/liquid chromatography
82487	A		Paper chromatography
82488	A		Paper chromatography
82489	A		Thin layer chromatography
82491	A		Chromotography, quant, sing
82492	A		Chromotography, quant, mult
82495	A		Assay of chromium
82507	A		Assay of citrate
82520	A		Assay of cocaine
82523	A		Collagen crosslinks
82525	A		Assay of copper
82528	A		Assay of corticosterone
82530	A		Cortisol, free
82533	A		Total cortisol
82540	A		Assay of creatine
82541	A		Column chromotography, qual
82542	A		Column chromotography, quant
82543	A		Column chromotograph/isotope
82544	A		Column chromotograph/isotope
82550	A		Assay of ck (cpk)
82552	A		Assay of cpk in blood
82553	A		Creatine, MB fraction
82554	A		Creatine, isoforms
82565	A		Assay of creatinine
82570	A		Assay of urine creatinine
82575	A		Creatinine clearance test
82585	A		Assay of cryofibrinogen
82595	A		Assay of cryoglobulin
82600	A		Assay of cyanide
82607	A		Vitamin B-12
82608	A		B-12 binding capacity
82615	A		Test for urine cystines
82626	A		Dehydroepiandrosterone
82627	A		Dehydroepiandrosterone
82633	A		Desoxycorticosterone
82634	A		Deoxycortisol
82638	A		Assay of dibucaine number
82646	A		Assay of dihydrocodeinone
82649	A		Assay of dihydromorphinone
82651	A		Assay of dihydrotestosterone
82652	A		Assay of dihydroxyvitamin d
82654	A		Assay of dimethadione
82657	A		Enzyme cell activity
82658	A		Enzyme cell activity, ra
82664	A		Electrophoretic test
82666	A		Assay of epiandrosterone
82668	A		Assay of erythropoietin
82670	A		Assay of estradiol
82671	A		Assay of estrogens
82672	A		Assay of estrogen
82677	A		Assay of estriol
82679	A		Assay of estrone
82690	A		Assay of ethchlorvynol
82693	A		Assay of ethylene glycol
82696	A		Assay of etiocholanolone
82705	A		Fats/lipids, feces, qual
82710	A		Fats/lipids, feces, quant
82715	A		Assay of fecal fat
82725	A		Assay of blood fatty acids
82726	A		Long chain fatty acids
82728	A		Assay of ferritin
82731	A		Assay of fetal fibronectin
82735	A		Assay of fluoride
82742	A		Assay of flurazepam
82746	A		Blood folic acid serum
82747	A		Assay of folic acid, rbc
82757	A		Assay of semen fructose
82759	A		Assay of rbc galactokinase
82760	A		Assay of galactose
82775	A		Assay galactose transferase
82776	A		Galactose transferase test
82784	A		Assay of gammaglobulin igm
82785	A		Assay of gammaglobulin ige
82787	A		Igg 1, 2, 3 or 4, each
82800	A		Blood pH
82803	A		Blood gases: pH, pO2 & pCO2
82805	A		Blood gases W/02 saturation
82810	A		Blood gases, O2 sat only
82820	A		Hemoglobin-oxygen affinity
82926	A		Assay of gastric acid
82928	A		Assay of gastric acid
82938	A		Gastrin test
82941	A		Assay of gastrin
82943	A		Assay of glucagon
82945	A		Glucose other fluid
82946	A		Glucagon tolerance test
82947	A		Assay, glucose, blood quant
82948	A		Reagent strip/blood glucose
82950	A		Glucose test
82951	A		Glucose tolerance test (GTT)
82952	A		GTT-added samples
82953	A		Glucose-tolbutamide test
82955	A		Assay of g6pd enzyme
82960	A		Test for G6PD enzyme
82962	A		Glucose blood test
82963	A		Assay of glucosidase
82965	A		Assay of gdh enzyme
82975	A		Assay of glutamine
82977	A		Assay of GGT
82978	A		Assay of glutathione
82979	A		Assay, rbc glutathione
82980	A		Assay of glutethimide
82985	A		Glycated protein
83001	A		Gonadotropin (FSH)
83002	A		Gonadotropin (LH)
83003	A		Assay, growth hormone (hgh)
83008	A		Assay of guanosine
83010	A		Assay of haptoglobin, quant
83012	A		Assay of haptoglobins
83013	A		H pylori analysis
83014	A		H pylori drug admin/collect
83015	A		Heavy metal screen
83018	A		Quantitative screen, metals
83020	A		Hemoglobin electrophoresis
83021	A		Hemoglobin chromotography
83026	A		Hemoglobin, copper sulfate
83030	A		Fetal hemoglobin, chemical
83033	A		Fetal hemoglobin assay, qual
83036	A		Glycated hemoglobin test
83045	A		Blood methemoglobin test
83050	A		Blood methemoglobin assay
83051	A		Assay of plasma hemoglobin
83055	A		Blood sulfhemoglobin test
83060	A		Blood sulfhemoglobin assay
83065	A		Assay of hemoglobin heat
83068	A		Hemoglobin stability screen
83069	A		Assay of urine hemoglobin
83070	A		Assay of hemosiderin, qual
83071	A		Assay of hemosiderin, quant
83080	A		Assay of b hexosaminidase
83088	A		Assay of histamine
83090	A		Assay of homocystine
83150	A		Assay of for hva
83491	A		Assay of corticosteroids
83497	A		Assay of 5-hiaa
83498	A		Assay of progesterone
83499	A		Assay of progesterone
83500	A		Assay, free hydroxyproline
83505	A		Assay, total hydroxyproline
83516	A		Immunoassay, nonantibody
83518	A		Immunoassay, dipstick
83519	A		Immunoassay, nonantibody
83520	A		Immunoassay, RIA
83525	A		Assay of insulin
83527	A		Assay of insulin
83528	A		Assay of intrinsic factor
83540	A		Assay of iron
83550	A		Iron binding test
83570	A		Assay of idh enzyme
83582	A		Assay of ketogenic steroids
83586	A		Assay 17- ketosteroids
83593	A		Fractionation, ketosteroids
83605	A		Assay of lactic acid
83615	A		Lactate (LD) (LDH) enzyme
83625	A		Assay of ldh enzymes
83632	A		Placental lactogen
83633	A		Test urine for lactose
83634	A		Assay of urine for lactose
83655	A		Assay of lead
83661	A		L/s ratio, fetal lung
83662	A		Foam stability, fetal lung
83663	A		Fluoro polarize, fetal lung
83664	A		Lamellar bdy, fetal lung
83670	A		Assay of lap enzyme
83690	A		Assay of lipase
83715	A		Assay of blood lipoproteins
83716	A		Assay of blood lipoproteins
83718	A		Assay of lipoprotein
83719	A		Assay of blood lipoprotein
83721	A		Assay of blood lipoprotein
83727	A		Assay of lrh hormone
83735	A		Assay of magnesium
83775	A		Assay of md enzyme
83785	A		Assay of manganese
83788	A		Mass spectrometry qual
83789	A		Mass spectrometry quant
83805	A		Assay of meprobamate
83825	A		Assay of mercury
83835	A		Assay of metanephrines
83840	A		Assay of methadone
83857	A		Assay of methemalbumin
83858	A		Assay of methsuximide
83864	A		Mucopolysaccharides
83866	A		Mucopolysaccharides screen
83872	A		Assay synovial fluid mucin
83873	A		Assay of csf protein
83874	A		Assay of myoglobin
83880	A		Natriuretic peptide
83883	A		Assay, nephelometry not spec
83885	A		Assay of nickel
83887	A		Assay of nicotine
83890	A		Molecule isolate
83891	A		Molecule isolate nucleic
83892	A		Molecular diagnostics
83893	A		Molecule dot/slot/blot
83894	A		Molecule gel electrophor
83896	A		Molecular diagnostics
83897	A		Molecule nucleic transfer
83898	A		Molecule nucleic ampli
83901	A		Molecule nucleic ampli
83902	A		Molecular diagnostics
83903	A		Molecule mutation scan
83904	A		Molecule mutation identify
83905	A		Molecule mutation identify
83906	A		Molecule mutation identify
83912	A		Genetic examination
83915	A		Assay of nucleotidase
83916	A		Oligoclonal bands
83918	A		Organic acids, total, quant
83919	A		Organic acids, qual, each
83921	A		Organic acid, single, quant
83925	A		Assay of opiates
83930	A		Assay of blood osmolality
83935	A		Assay of urine osmolality
83937	A		Assay of osteocalcin
83945	A		Assay of oxalate
83950	A		Oncoprotein, her-2/neu
83970	A		Assay of parathormone
83986	A		Assay of body fluid acidity
83992	A		Assay for phencyclidine
84022	A		Assay of phenothiazine
84030	A		Assay of blood pku
84035	A		Assay of phenylketones
84060	A		Assay acid phosphatase
84061	A		Phosphatase, forensic exam
84066	A		Assay prostate phosphatase
84075	A		Assay alkaline phosphatase
84078	A		Assay alkaline phosphatase
84080	A		Assay alkaline phosphatases
84081	A		Amniotic fluid enzyme test
84085	A		Assay of rbc pg6d enzyme
84087	A		Assay phosphohexose enzymes
84100	A		Assay of phosphorus
84105	A		Assay of urine phosphorus
84106	A		Test for porphobilinogen
84110	A		Assay of porphobilinogen
84119	A		Test urine for porphyrins
84120	A		Assay of urine porphyrins
84126	A		Assay of feces porphyrins
84127	A		Assay of feces porphyrins
84132	A		Assay of serum potassium
84133	A		Assay of urine potassium
84134	A		Assay of prealbumin
84135	A		Assay of pregnanediol
84138	A		Assay of pregnanetriol
84140	A		Assay of pregnenolone
84143	A		Assay of 17-hydroxypregneno
84144	A		Assay of progesterone
84146	A		Assay of prolactin
84150	A		Assay of prostaglandin
84152	A		Assay of psa, complexed
84153	A		Assay of psa, total
84154	A		Assay of psa, free
84155	A		Assay of protein
84160	A		Assay of serum protein
84165	A		Assay of serum proteins
84181	A		Western blot test
84182	A		Protein, western blot test
84202	A		Assay RBC protoporphyrin
84203	A		Test RBC protoporphyrin
84206	A		Assay of proinsulin
84207	A		Assay of vitamin b-6
84210	A		Assay of pyruvate
84220	A		Assay of pyruvate kinase
84228	A		Assay of quinine
84233	A		Assay of estrogen
84234	A		Assay of progesterone
84235	A		Assay of endocrine hormone
84238	A		Assay, nonendocrine receptor
84244	A		Assay of renin
84252	A		Assay of vitamin b-2
84255	A		Assay of selenium
84260	A		Assay of serotonin
84270	A		Assay of sex hormone globul
84275	A		Assay of sialic acid
84285	A		Assay of silica
84295	A		Assay of serum sodium
84300	A		Assay of urine sodium
84302	A		Assay of sweat sodium
84305	A		Assay of somatomedin
84307	A		Assay of somatostatin
84311	A		Spectrophotometry
84315	A		Body fluid specific gravity
84375	A		Chromatogram assay, sugars
84376	A		Sugars, single, qual
84377	A		Sugars, multiple, qual
84378	A		Sugars single quant
84379	A		Sugars multiple quant
84392	A		Assay of urine sulfate
84402	A		Assay of testosterone
84403	A		Assay of total testosterone
84425	A		Assay of vitamin b-1
84430	A		Assay of thiocyanate
84432	A		Assay of thyroglobulin
84436	A		Assay of total thyroxine
84437	A		Assay of neonatal thyroxine
84439	A		Assay of free thyroxine
84442	A		Assay of thyroid activity
84443	A		Assay thyroid stim hormone
84445	A		Assay of tsi
84446	A		Assay of vitamin e
84449	A		Assay of transcortin
84450	A		Transferase (AST) (SGOT)
84460	A		Alanine amino (ALT) (SGPT)
84466	A		Assay of transferrin
84478	A		Assay of triglycerides
84479	A		Assay of thyroid (t3 or t4)
84480	A		Assay, triiodothyronine (t3)
84481	A		Free assay (FT-3)
84482	A		T3 reverse
84484	A		Assay of troponin, quant
84485	A		Assay duodenal fluid trypsin
84488	A		Test feces for trypsin
84490	A		Assay of feces for trypsin
84510	A		Assay of tyrosine
84512	A		Assay of troponin, qual
84520	A		Assay of urea nitrogen
84525	A		Urea nitrogen semi-quant
84540	A		Assay of urine/urea-n
84545	A		Urea-N clearance test
84550	A		Assay of blood/uric acid
84560	A		Assay of urine/uric acid
84577	A		Assay of feces/urobilinogen
84578	A		Test urine urobilinogen
84580	A		Assay of urine urobilinogen
84583	A		Assay of urine urobilinogen
84585	A		Assay of urine vma
84586	A		Assay of vip
84588	A		Assay of vasopressin
84590	A		Assay of vitamin a
84591	A		Assay of nos vitamin
84597	A		Assay of vitamin k
84600	A		Assay of volatiles
84620	A		Xylose tolerance test
84630	A		Assay of zinc
84681	A		Assay of c-peptide
84702	A		Chorionic gonadotropin test
84703	A		Chorionic gonadotropin assay
84830	A		Ovulation tests
84999	A		Clinical chemistry test
85002	A		Bleeding time test
85004	A		Automated diff wbc count
85007	A		Differential WBC count
85008	A		Nondifferential WBC count
85009	A		Differential WBC count
85013	A		Spun microhematocrit
85014	A		Hematocrit
85018	A		Hemoglobin
85025	A		Automated hemogram
85027	A		Automated hemogram
85032	A		Manual cell count, each
85041	A		Red blood cell (RBC) count
85044	A		Reticulocyte count
85045	A		Reticulocyte count
85046	A		Reticyte/hgb concentrate
85048	A		White blood cell (WBC) count
85049	A		Automated platelet count
85060	X		Blood smear interpretation	0342	0.2169	$11.78	$5.88	$2.36
85097	X		Bone marrow interpretation	0343	0.4662	$25.31	$12.55	$5.06
85130	A		Chromogenic substrate assay
85170	A		Blood clot retraction
85175	A		Blood clot lysis time
85210	A		Blood clot factor II test
85220	A		Blood clot factor V test
85230	A		Blood clot factor VII test
85240	A		Blood clot factor VIII test
85244	A		Blood clot factor VIII test
85245	A		Blood clot factor VIII test
85246	A		Blood clot factor VIII test
85247	A		Blood clot factor VIII test
85250	A		Blood clot factor IX test
85260	A		Blood clot factor X test
85270	A		Blood clot factor XI test
85280	A		Blood clot factor XII test
85290	A		Blood clot factor XIII test
85291	A		Blood clot factor XIII test
85292	A		Blood clot factor assay
85293	A		Blood clot factor assay
85300	A		Antithrombin III test
85301	A		Antithrombin III test
85302	A		Blood clot inhibitor antigen
85303	A		Blood clot inhibitor test
85305	A		Blood clot inhibitor assay
85306	A		Blood clot inhibitor test
85307	A		Assay activated protein c
85335	A		Factor inhibitor test
85337	A		Thrombomodulin
85345	A		Coagulation time
85347	A		Coagulation time
85348	A		Coagulation time
85360	A		Euglobulin lysis
85362	A		Fibrin degradation products
85366	A		Fibrinogen test
85370	A		Fibrinogen test
85378	A		Fibrin degradation
85379	A		Fibrin degradation, quant
85380	A		Fibrin degradation, vte
85384	A		Fibrinogen
85385	A		Fibrinogen
85390	A		Fibrinolysins screen
85400	A		Fibrinolytic plasmin
85410	A		Fibrinolytic antiplasmin
85415	A		Fibrinolytic plasminogen
85420	A		Fibrinolytic plasminogen
85421	A		Fibrinolytic plasminogen
85441	A		Heinz bodies, direct
85445	A		Heinz bodies, induced
85460	A		Hemoglobin, fetal
85461	A		Hemoglobin, fetal
85475	A		Hemolysin
85520	A		Heparin assay
85525	A		Heparin neutralization
85530	A		Heparin-protamine tolerance
85536	A		Iron stain peripheral blood
85540	A		Wbc alkaline phosphatase
85547	A		RBC mechanical fragility
85549	A		Muramidase
85555	A		RBC osmotic fragility
85557	A		RBC osmotic fragility
85576	A		Blood platelet aggregation
85597	A		Platelet neutralization
85610	A		Prothrombin time
85611	A		Prothrombin test
85612	A		Viper venom prothrombin time
85613	A		Russell viper venom, diluted
85635	A		Reptilase test
85651	A		Rbc sed rate, nonautomated
85652	A		Rbc sed rate, automated
85660	A		RBC sickle cell test
85670	A		Thrombin time, plasma
85675	A		Thrombin time, titer
85705	A		Thromboplastin inhibition
85730	A		Thromboplastin time, partial
85732	A		Thromboplastin time, partial
85810	A		Blood viscosity examination
85999	A		Hematology procedure
86000	A		Agglutinins, febrile
86001	A		Allergen specific igg
86003	A		Allergen specific IgE
86005	A		Allergen specific IgE
86021	A		WBC antibody identification
86022	A		Platelet antibodies
86023	A		Immunoglobulin assay
86038	A		Antinuclear antibodies
86039	A		Antinuclear antibodies (ANA)
86060	A		Antistreptolysin o, titer
86063	A		Antistreptolysin o, screen
86077	A		Physician blood bank service
86078	A		Physician blood bank service
86079	A		Physician blood bank service
86140	A		C-reactive protein
86141	A		C-reactive protein, hs
86146	A		Glycoprotein antibody
86147	A		Cardiolipin antibody
86148	A		Phospholipid antibody
86155	A		Chemotaxis assay
86156	A		Cold agglutinin, screen
86157	A		Cold agglutinin, titer
86160	A		Complement, antigen
86161	A		Complement/function activity
86162	A		Complement, total (CH50)
86171	A		Complement fixation, each
86185	A		Counterimmunoelectrophoresis
86215	A		Deoxyribonuclease, antibody
86225	A		DNA antibody
86226	A		DNA antibody, single strand
86235	A		Nuclear antigen antibody
86243	A		Fc receptor
86255	A		Fluorescent antibody, screen
86256	A		Fluorescent antibody, titer
86277	A		Growth hormone antibody
86280	A		Hemagglutination inhibition
86294	A		Immunoassay, tumor qual
86300	A		Immunoassay, tumor ca 15-3
86301	A		Immunoassay, tumor ca 19-9
86304	A		Immunoassay, tumor, ca 125
86308	A		Heterophile antibodies
86309	A		Heterophile antibodies
86310	A		Heterophile antibodies
86316	A		Immunoassay, tumor other
86317	A		Immunoassay,infectious agent
86318	A		Immunoassay,infectious agent
86320	A		Serum immunoelectrophoresis
86325	A		Other immunoelectrophoresis
86327	A		Immunoelectrophoresis assay
86329	A		Immunodiffusion
86331	A		Immunodiffusion ouchterlony
86332	A		Immune complex assay
86334	A		Immunofixation procedure
86336	A		Inhibin A
86337	A		Insulin antibodies
86340	A		Intrinsic factor antibody
86341	A		Islet cell antibody
86343	A		Leukocyte histamine release
86344	A		Leukocyte phagocytosis
86353	A		Lymphocyte transformation
86359	A		T cells, total count
86360	A		T cell, absolute count/ratio
86361	A		T cell, absolute count
86376	A		Microsomal antibody
86378	A		Migration inhibitory factor
86382	A		Neutralization test, viral
86384	A		Nitroblue tetrazolium dye
86403	A		Particle agglutination test
86406	A		Particle agglutination test
86430	A		Rheumatoid factor test
86431	A		Rheumatoid factor, quant
86485	X		Skin test, candida	0341	0.1468	$7.97	$3.08	$1.59
86490	X		Coccidioidomycosis skin test	0341	0.1468	$7.97	$3.08	$1.59
86510	X		Histoplasmosis skin test	0341	0.1468	$7.97	$3.08	$1.59
86580	X		TB intradermal test	0341	0.1468	$7.97	$3.08	$1.59
86585	X		TB tine test	0341	0.1468	$7.97	$3.08	$1.59
86586	X		Skin test, unlisted	0341	0.1468	$7.97	$3.08	$1.59
86590	A		Streptokinase, antibody
86592	A		Blood serology, qualitative
86593	A		Blood serology, quantitative
86602	A		Antinomyces antibody
86603	A		Adenovirus antibody
86606	A		Aspergillus antibody
86609	A		Bacterium antibody
86611	A		Bartonella antibody
86612	A		Blastomyces antibody
86615	A		Bordetella antibody
86617	A		Lyme disease antibody
86618	A		Lyme disease antibody
86619	A		Borrelia antibody
86622	A		Brucella antibody
86625	A		Campylobacter antibody
86628	A		Candida antibody
86631	A		Chlamydia antibody
86632	A		Chlamydia igm antibody
86635	A		Coccidioides antibody
86638	A		Q fever antibody
86641	A		Cryptococcus antibody
86644	A		CMV antibody
86645	A		CMV antibody, IgM
86648	A		Diphtheria antibody
86651	A		Encephalitis antibody
86652	A		Encephalitis antibody
86653	A		Encephalitis antibody
86654	A		Encephalitis antibody
86658	A		Enterovirus antibody
86663	A		Epstein-barr antibody
86664	A		Epstein-barr antibody
86665	A		Epstein-barr antibody
86666	A		Ehrlichia antibody
86668	A		Francisella tularensis
86671	A		Fungus antibody
86674	A		Giardia lamblia antibody
86677	A		Helicobacter pylori
86682	A		Helminth antibody
86684	A		Hemophilus influenza
86687	A		Htlv-i antibody
86688	A		Htlv-ii antibody
86689	A		HTLV/HIV confirmatory test
86692	A		Hepatitis, delta agent
86694	A		Herpes simplex test
86695	A		Herpes simplex test
86696	A		Herpes simplex type 2
86698	A		Histoplasma
86701	A		HIV-1
86702	A		HIV-2
86703	A		HIV-1/HIV-2, single assay
86704	A		Hep b core antibody, total
86705	A		Hep b core antibody, igm
86706	A		Hep b surface antibody
86707	A		Hep be antibody
86708	A		Hep a antibody, total
86709	A		Hep a antibody, igm
86710	A		Influenza virus antibody
86713	A		Legionella antibody
86717	A		Leishmania antibody
86720	A		Leptospira antibody
86723	A		Listeria monocytogenes ab
86727	A		Lymph choriomeningitis ab
86729	A		Lympho venereum antibody
86732	A		Mucormycosis antibody
86735	A		Mumps antibody
86738	A		Mycoplasma antibody
86741	A		Neisseria meningitidis
86744	A		Nocardia antibody
86747	A		Parvovirus antibody
86750	A		Malaria antibody
86753	A		Protozoa antibody nos
86756	A		Respiratory virus antibody
86757	A		Rickettsia antibody
86759	A		Rotavirus antibody
86762	A		Rubella antibody
86765	A		Rubeola antibody
86768	A		Salmonella antibody
86771	A		Shigella antibody
86774	A		Tetanus antibody
86777	A		Toxoplasma antibody
86778	A		Toxoplasma antibody, igm
86781	A		Treponema pallidum, confirm
86784	A		Trichinella antibody
86787	A		Varicella-zoster antibody
86790	A		Virus antibody nos
86793	A		Yersinia antibody
86800	A		Thyroglobulin antibody
86803	A		Hepatitis c ab test
86804	A		Hep c ab test, confirm
86805	A		Lymphocytotoxicity assay
86806	A		Lymphocytotoxicity assay
86807	A		Cytotoxic antibody screening
86808	A		Cytotoxic antibody screening
86812	A		HLA typing, A, B, or C
86813	A		HLA typing, A, B, or C
86816	A		HLA typing, DR/DQ
86817	A		HLA typing, DR/DQ
86821	A		Lymphocyte culture, mixed
86822	A		Lymphocyte culture, primed
86849	A		Immunology procedure
86850	X		RBC antibody screen	0345	0.2589	$14.06	$3.10	$2.81
86860	X		RBC antibody elution	0346	0.3877	$21.05	$5.31	$4.21
86870	X		RBC antibody identification	0346	0.3877	$21.05	$5.31	$4.21
86880	X		Coombs test, direct	0409	0.1385	$7.52	$2.31	$1.50
86885	X		Coombs test, indirect, qual	0409	0.1385	$7.52	$2.31	$1.50
86886	X		Coombs test, indirect, titer	0409	0.1385	$7.52	$2.31	$1.50
86890	X		Autologous blood process	0347	0.9646	$52.37	$13.19	$10.47
86891	X		Autologous blood, op salvage	0345	0.2589	$14.06	$3.10	$2.81
86900	X		Blood typing, ABO	0409	0.1385	$7.52	$2.31	$1.50
86901	X		Blood typing, Rh (D)	0409	0.1385	$7.52	$2.31	$1.50
86903	X		Blood typing, antigen screen	0345	0.2589	$14.06	$3.10	$2.81
86904	X		Blood typing, patient serum	0345	0.2589	$14.06	$3.10	$2.81
86905	X		Blood typing, RBC antigens	0345	0.2589	$14.06	$3.10	$2.81
86906	X		Blood typing, Rh phenotype	0345	0.2589	$14.06	$3.10	$2.81
86910	E		Blood typing, paternity test
86911	E		Blood typing, antigen system
86920	X		Compatibility test	0346	0.3877	$21.05	$5.31	$4.21
86921	X		Compatibility test	0345	0.2589	$14.06	$3.10	$2.81
86922	X		Compatibility test	0346	0.3877	$21.05	$5.31	$4.21
86927	X		Plasma, fresh frozen	0346	0.3877	$21.05	$5.31	$4.21
86930	X		Frozen blood prep	0347	0.9646	$52.37	$13.19	$10.47
86931	X		Frozen blood thaw	0347	0.9646	$52.37	$13.19	$10.47
86932	X		Frozen blood freeze/thaw	0347	0.9646	$52.37	$13.19	$10.47
86940	A		Hemolysins/agglutinins, auto
86941	A		Hemolysins/agglutinins
86945	X		Blood product/irradiation	0346	0.3877	$21.05	$5.31	$4.21
86950	X		Leukacyte transfusion	0347	0.9646	$52.37	$13.19	$10.47
86965	X		Pooling blood platelets	0346	0.3877	$21.05	$5.31	$4.21
86970	X		RBC pretreatment	0345	0.2589	$14.06	$3.10	$2.81
86971	X		RBC pretreatment	0345	0.2589	$14.06	$3.10	$2.81
86972	X		RBC pretreatment	0345	0.2589	$14.06	$3.10	$2.81
86975	X		RBC pretreatment, serum	0345	0.2589	$14.06	$3.10	$2.81
86976	X		RBC pretreatment, serum	0345	0.2589	$14.06	$3.10	$2.81
86977	X		RBC pretreatment, serum	0345	0.2589	$14.06	$3.10	$2.81
86978	X		RBC pretreatment, serum	0345	0.2589	$14.06	$3.10	$2.81
86985	X		Split blood or products	0347	0.9646	$52.37	$13.19	$10.47
86999	X		Transfusion procedure	0345	0.2589	$14.06	$3.10	$2.81
87001	A		Small animal inoculation
87003	A		Small animal inoculation
87015	A		Specimen concentration
87040	A		Blood culture for bacteria
87045	A		Feces culture, bacteria
87046	A		Stool cultr, bacteria, each
87070	A		Culture, bacteria, other
87071	A		Culture bacteri aerobic othr
87073	A		Culture bacteria anaerobic
87075	A		Culture bacteria anaerobic
87076	A		Culture anaerobe ident, each
87077	A		Culture aerobic identify
87081	A		Culture screen only
87084	A		Culture of specimen by kit
87086	A		Urine culture/colony count
87088	A		Urine bacteria culture
87101	A		Skin fungi culture
87102	A		Fungus isolation culture
87103	A		Blood fungus culture
87106	A		Fungi identification, yeast
87107	A		Fungi identification, mold
87109	A		Mycoplasma
87110	A		Chlamydia culture
87116	A		Mycobacteria culture
87118	A		Mycobacteric identification
87140	A		Culture type immunofluoresc
87143	A		Culture typing, glc/hplc
87147	A		Culture type, immunologic
87149	A		Culture type, nucleic acid
87152	A		Culture type pulse field gel
87158	A		Culture typing, added method
87164	A		Dark field examination
87166	A		Dark field examination
87168	A		Macroscopic exam arthropod
87169	A		Macroscopic exam parasite
87172	A		Pinworm exam
87176	A		Tissue homogenization, cultr
87177	A		Ova and parasites smears
87181	A		Microbe susceptible, diffuse
87184	A		Microbe susceptible, disk
87185	A		Microbe susceptible, enzyme
87186	A		Microbe susceptible, mic
87187	A		Microbe susceptible, mlc
87188	A		Microbe suscept, macrobroth
87190	A		Microbe suscept, mycobacteri
87197	A		Bactericidal level, serum
87205	A		Smear, gram stain
87206	A		Smear, fluorescent/acid stai
87207	A		Smear, special stain
87210	A		Smear, wet mount, saline/ink
87220	A		Tissue exam for fungi
87230	A		Assay, toxin or antitoxin
87250	A		Virus inoculate, eggs/animal
87252	A		Virus inoculation, tissue
87253	A		Virus inoculate tissue, addl
87254	A		Virus inoculation, shell via
87255	A		Genet virus isolate, hsv
87260	A		Adenovirus ag, if
87265	A		Pertussis ag, if
87267	A		Enterovirus antibody, dfa
87270	A		Chlamydia trachomatis ag, if
87271	A		Cryptosporidum/gardia ag, if
87272	A		Cryptosporidum/gardia ag, if
87273	A		Herpes simplex 2, ag, if
87274	A		Herpes simplex 1, ag, if
87275	A		Influenza b, ag, if
87276	A		Influenza a, ag, if
87277	A		Legionella micdadei, ag, if
87278	A		Legion pneumophilia ag, if
87279	A		Parainfluenza, ag, if
87280	A		Respiratory syncytial ag, if
87281	A		Pneumocystis carinii, ag, if
87283	A		Rubeola, ag, if
87285	A		Treponema pallidum, ag, if
87290	A		Varicella zoster, ag, if
87299	A		Antibody detection, nos, if
87300	A		Ag detection, polyval, if
87301	A		Adenovirus ag, eia
87320	A		Chylmd trach ag, eia
87324	A		Clostridium ag, eia
87327	A		Cryptococcus neoform ag, eia
87328	A		Cryptospor ag, eia
87332	A		Cytomegalovirus ag, eia
87335	A		E coli 0157 ag, eia
87336	A		Entamoeb hist dispr, ag, eia
87337	A		Entamoeb hist group, ag, eia
87338	A		Hpylori, stool, eia
87339	A		H pylori ag, eia
87340	A		Hepatitis b surface ag, eia
87341	A		Hepatitis b surface, ag, eia
87350	A		Hepatitis be ag, eia
87380	A		Hepatitis delta ag, eia
87385	A		Histoplasma capsul ag, eia
87390	A		Hiv-1 ag, eia
87391	A		Hiv-2 ag, eia
87400	A		Influenza a/b, ag, eia
87420	A		Resp syncytial ag, eia
87425	A		Rotavirus ag, eia
87427	A		Shiga-like toxin ag, eia
87430	A		Strep a ag, eia
87449	A		Ag detect nos, eia, mult
87450	A		Ag detect nos, eia, single
87451	A		Ag detect polyval, eia, mult
87470	A		Bartonella, dna, dir probe
87471	A		Bartonella, dna, amp probe
87472	A		Bartonella, dna, quant
87475	A		Lyme dis, dna, dir probe
87476	A		Lyme dis, dna, amp probe
87477	A		Lyme dis, dna, quant
87480	A		Candida, dna, dir probe
87481	A		Candida, dna, amp probe
87482	A		Candida, dna, quant
87485	A		Chylmd pneum, dna, dir probe
87486	A		Chylmd pneum, dna, amp probe
87487	A		Chylmd pneum, dna, quant
87490	A		Chylmd trach, dna, dir probe
87491	A		Chylmd trach, dna, amp probe
87492	A		Chylmd trach, dna, quant
87495	A		Cytomeg, dna, dir probe
87496	A		Cytomeg, dna, amp probe
87497	A		Cytomeg, dna, quant
87510	A		Gardner vag, dna, dir probe
87511	A		Gardner vag, dna, amp probe
87512	A		Gardner vag, dna, quant
87515	A		Hepatitis b, dna, dir probe
87516	A		Hepatitis b, dna, amp probe
87517	A		Hepatitis b, dna, quant
87520	A		Hepatitis c, rna, dir probe
87521	A		Hepatitis c, rna, amp probe
87522	A		Hepatitis c, rna, quant
87525	A		Hepatitis g, dna, dir probe
87526	A		Hepatitis g, dna, amp probe
87527	A		Hepatitis g, dna, quant
87528	A		Hsv, dna, dir probe
87529	A		Hsv, dna, amp probe
87530	A		Hsv, dna, quant
87531	A		Hhv-6, dna, dir probe
87532	A		Hhv-6, dna, amp probe
87533	A		Hhv-6, dna, quant
87534	A		Hiv-1, dna, dir probe
87535	A		Hiv-1, dna, amp probe
87536	A		Hiv-1, dna, quant
87537	A		Hiv-2, dna, dir probe
87538	A		Hiv-2, dna, amp probe
87539	A		Hiv-2, dna, quant
87540	A		Legion pneumo, dna, dir prob
87541	A		Legion pneumo, dna, amp prob
87542	A		Legion pneumo, dna, quant
87550	A		Mycobacteria, dna, dir probe
87551	A		Mycobacteria, dna, amp probe
87552	A		Mycobacteria, dna, quant
87555	A		M.tuberculo, dna, dir probe
87556	A		M.tuberculo, dna, amp probe
87557	A		M.tuberculo, dna, quant
87560	A		M.avium-intra, dna, dir prob
87561	A		M.avium-intra, dna, amp prob
87562	A		M.avium-intra, dna, quant
87580	A		M.pneumon, dna, dir probe
87581	A		M.pneumon, dna, amp probe
87582	A		M.pneumon, dna, quant
87590	A		N.gonorrhoeae, dna, dir prob
87591	A		N.gonorrhoeae, dna, amp prob
87592	A		N.gonorrhoeae, dna, quant
87620	A		Hpv, dna, dir probe
87621	A		Hpv, dna, amp probe
87622	A		Hpv, dna, quant
87650	A		Strep a, dna, dir probe
87651	A		Strep a, dna, amp probe
87652	A		Strep a, dna, quant
87797	A		Detect agent nos, dna, dir
87798	A		Detect agent nos, dna, amp
87799	A		Detect agent nos, dna, quant
87800	A		Detect agnt mult, dna, direc
87801	A		Detect agnt mult, dna, ampli
87802	A		Strep b assay w/optic
87803	A		Clostridium toxin a w/optic
87804	A		Influenza assay w/optic
87810	A		Chylmd trach assay w/optic
87850	A		N. gonorrhoeae assay w/optic
87880	A		Strep a assay w/optic
87899	A		Agent nos assay w/optic
87901	A		Genotype, dna, hiv reverse t
87902	A		Genotype, dna, hepatitis C
87903	A		Phenotype, dna hiv w/culture
87904	A		Phenotype, dna hiv w/clt add
87999	A		Microbiology procedure
88000	E		Autopsy (necropsy), gross
88005	E		Autopsy (necropsy), gross
88007	E		Autopsy (necropsy), gross
88012	E		Autopsy (necropsy), gross
88014	E		Autopsy (necropsy), gross
88016	E		Autopsy (necropsy), gross
88020	E		Autopsy (necropsy), complete
88025	E		Autopsy (necropsy), complete
88027	E		Autopsy (necropsy), complete
88028	E		Autopsy (necropsy), complete
88029	E		Autopsy (necropsy), complete
88036	E		Limited autopsy
88037	E		Limited autopsy
88040	E		Forensic autopsy (necropsy)
88045	E		Coroner's autopsy (necropsy)
88099	E		Necropsy (autopsy) procedure
88104	X		Cytopathology, fluids	0343	0.4662	$25.31	$12.55	$5.06
88106	X		Cytopathology, fluids	0343	0.4662	$25.31	$12.55	$5.06
88107	X		Cytopathology, fluids	0343	0.4662	$25.31	$12.55	$5.06
88108	X		Cytopath, concentrate tech	0343	0.4662	$25.31	$12.55	$5.06
88125	X		Forensic cytopathology	0342	0.2169	$11.78	$5.88	$2.36
88130	A		Sex chromatin identification
88140	A		Sex chromatin identification
88141	N		Cytopath, c/v, interpret
88142	A		Cytopath, c/v, thin layer
88143	A		Cytopath c/v thin layer redo
88147	A		Cytopath, c/v, automated
88148	A		Cytopath, c/v, auto rescreen
88150	A		Cytopath, c/v, manual
88152	A		Cytopath, c/v, auto redo
88153	A		Cytopath, c/v, redo
88154	A		Cytopath, c/v, select
88155	A		Cytopath, c/v, index add-on
88160	X		Cytopath smear, other source	0342	0.2169	$11.78	$5.88	$2.36
88161	X		Cytopath smear, other source	0343	0.4662	$25.31	$12.55	$5.06
88162	X		Cytopath smear, other source	0343	0.4662	$25.31	$12.55	$5.06
88164	A		Cytopath tbs, c/v, manual
88165	A		Cytopath tbs, c/v, redo
88166	A		Cytopath tbs, c/v, auto redo
88167	A		Cytopath tbs, c/v, select
88172	X		Cytopathology eval of fna	0343	0.4662	$25.31	$12.55	$5.06
88173	X		Cytopath eval, fna, report	0343	0.4662	$25.31	$12.55	$5.06
88174	A		Cytopath, c/v auto, in fluid
88175	A		Cytopath c/v auto fluid redo
88180	X		Cell marker study	0343	0.4662	$25.31	$12.55	$5.06
88182	X		Cell marker study	0344	0.6278	$34.08	$17.04	$6.82
88199	A		Cytopathology procedure
88230	A		Tissue culture, lymphocyte
88233	A		Tissue culture, skin/biopsy
88235	A		Tissue culture, placenta
88237	A		Tissue culture, bone marrow
88239	A		Tissue culture, tumor
88240	A		Cell cryopreserve/storage
88241	A		Frozen cell preparation
88245	A		Chromosome analysis, 20-25
88248	A		Chromosome analysis, 50-100
88249	A		Chromosome analysis, 100
88261	A		Chromosome analysis, 5
88262	A		Chromosome analysis, 15-20
88263	A		Chromosome analysis, 45
88264	A		Chromosome analysis, 20-25
88267	A		Chromosome analys, placenta
88269	A		Chromosome analys, amniotic
88271	A		Cytogenetics, dna probe
88272	A		Cytogenetics, 3-5
88273	A		Cytogenetics, 10-30
88274	A		Cytogenetics, 25-99
88275	A		Cytogenetics, 100-300
88280	A		Chromosome karyotype study
88283	A		Chromosome banding study
88285	A		Chromosome count, additional
88289	A		Chromosome study, additional
88291	A		Cyto/molecular report
88299	X		Cytogenetic study	0342	0.2169	$11.78	$5.88	$2.36
88300	X		Surgical path, gross	0342	0.2169	$11.78	$5.88	$2.36
88302	X		Tissue exam by pathologist	0342	0.2169	$11.78	$5.88	$2.36
88304	X		Tissue exam by pathologist	0343	0.4662	$25.31	$12.55	$5.06
88305	X		Tissue exam by pathologist	0343	0.4662	$25.31	$12.55	$5.06
88307	X		Tissue exam by pathologist	0344	0.6278	$34.08	$17.04	$6.82
88309	X		Tissue exam by pathologist	0344	0.6278	$34.08	$17.04	$6.82
88311	X		Decalcify tissue	0342	0.2169	$11.78	$5.88	$2.36
88312	X		Special stains	0342	0.2169	$11.78	$5.88	$2.36
88313	X		Special stains	0342	0.2169	$11.78	$5.88	$2.36
88314	X		Histochemical stain	0342	0.2169	$11.78	$5.88	$2.36
88318	X		Chemical histochemistry	0342	0.2169	$11.78	$5.88	$2.36
88319	X		Enzyme histochemistry	0342	0.2169	$11.78	$5.88	$2.36
88321	X		Microslide consultation	0342	0.2169	$11.78	$5.88	$2.36
88323	X		Microslide consultation	0343	0.4662	$25.31	$12.55	$5.06
88325	X		Comprehensive review of data	0344	0.6278	$34.08	$17.04	$6.82
88329	X		Path consult introp	0342	0.2169	$11.78	$5.88	$2.36
88331	X		Path consult intraop, 1 bloc	0343	0.4662	$25.31	$12.55	$5.06
88332	X		Path consult intraop, addl	0342	0.2169	$11.78	$5.88	$2.36
88342	X		Immunocytochemistry	0344	0.6278	$34.08	$17.04	$6.82
88346	X		Immunofluorescent study	0343	0.4662	$25.31	$12.55	$5.06
88347	X		Immunofluorescent study	0344	0.6278	$34.08	$17.04	$6.82
88348	X		Electron microscopy	0661	3.3215	$180.32	$90.16	$36.06
88349	X		Scanning electron microscopy	0661	3.3215	$180.32	$90.16	$36.06
88355	X		Analysis, skeletal muscle	0344	0.6278	$34.08	$17.04	$6.82
88356	X		Analysis, nerve	0344	0.6278	$34.08	$17.04	$6.82
88358	X		Analysis, tumor	0344	0.6278	$34.08	$17.04	$6.82
88362	X		Nerve teasing preparations	0343	0.4662	$25.31	$12.55	$5.06
88365	X		Tissue hybridization	0344	0.6278	$34.08	$17.04	$6.82
88371	A		Protein, western blot tissue
88372	A		Protein analysis w/probe
88380	A		Microdissection
88399	A		Surgical pathology procedure
88400	A		Bilirubin total transcut
89050	A		Body fluid cell count
89051	A		Body fluid cell count
89055	A		Leukocyte count, fecal
89060	A		Exam,synovial fluid crystals
89100	X		Sample intestinal contents	0360	1.7088	$92.77	$42.45	$18.55
89105	X		Sample intestinal contents	0360	1.7088	$92.77	$42.45	$18.55
89125	A		Specimen fat stain
89130	X		Sample stomach contents	0360	1.7088	$92.77	$42.45	$18.55
89132	X		Sample stomach contents	0360	1.7088	$92.77	$42.45	$18.55
89135	X		Sample stomach contents	0360	1.7088	$92.77	$42.45	$18.55
89136	X		Sample stomach contents	0360	1.7088	$92.77	$42.45	$18.55
89140	X		Sample stomach contents	0360	1.7088	$92.77	$42.45	$18.55
89141	X		Sample stomach contents	0360	1.7088	$92.77	$42.45	$18.55
89160	A		Exam feces for meat fibers
89190	A		Nasal smear for eosinophils
89250	X		Fertilization of oocyte	0348	1.2207	$66.27		$13.25
89251	X		Culture oocyte w/embryos	0348	1.2207	$66.27		$13.25
89252	X		Assist oocyte fertilization	0348	1.2207	$66.27		$13.25
89253	X		Embryo hatching	0348	1.2207	$66.27		$13.25
89254	X		Oocyte identification	0348	1.2207	$66.27		$13.25
89255	X		Prepare embryo for transfer	0348	1.2207	$66.27		$13.25
89256	X		Prepare cryopreserved embryo	0348	1.2207	$66.27		$13.25
89257	X		Sperm identification	0348	1.2207	$66.27		$13.25
89258	X		Cryopreservation, embryo	0348	1.2207	$66.27		$13.25
89259	X		Cryopreservation, sperm	0348	1.2207	$66.27		$13.25
89260	X		Sperm isolation, simple	0348	1.2207	$66.27		$13.25
89261	X		Sperm isolation, complex	0348	1.2207	$66.27		$13.25
89264	X		Identify sperm tissue	0348	1.2207	$66.27		$13.25
89300	A		Semen analysis w/huhner
89310	A		Semen analysis
89320	A		Semen analysis, complete
89321	A		Semen analysis & motility
89325	A		Sperm antibody test
89329	A		Sperm evaluation test
89330	A		Evaluation, cervical mucus
89350	X		Sputum specimen collection	0344	0.6278	$34.08	$17.04	$6.82
89355	A		Exam feces for starch
89360	X		Collect sweat for test	0344	0.6278	$34.08	$17.04	$6.82
89365	A		Water load test
89399	A		Pathology lab procedure
90281	E		Human ig, im
90283	E		Human ig, iv
90287	E		Botulinum antitoxin
90288	E		Botulism ig, iv
90291	E		Cmv ig, iv
90296	K		Diphtheria antitoxin	0356	0.4353	$23.63		$4.73
90371	E		Hep b ig, im
90375	K		Rabies ig, im/sc	0356	0.4353	$23.63		$4.73
90376	K		Rabies ig, heat treated	0356	0.4353	$23.63		$4.73
90378	E		Rsv ig, im, 50mg
90379	K		Rsv ig, iv	0356	0.4353	$23.63		$4.73
90384	E		Rh ig, full-dose, im
90385	N		Rh ig, minidose, im
90386	E		Rh ig, iv
90389	N		Tetanus ig, im
90393	N		Vaccina ig, im
90396	N		Varicella-zoster ig, im
90399	E		Immune globulin
90471	N		Immunization admin
90472	N		Immunization admin, each add
90473	E		Immune admin oral/nasal
90474	E		Immune admin oral/nasal addl
90476	N		Adenovirus vaccine, type 4
90477	N		Adenovirus vaccine, type 7
90581	K		Anthrax vaccine, sc	0356	0.4353	$23.63		$4.73
90585	N		Bcg vaccine, percut
90586	N		Bcg vaccine, intravesical
90632	N		Hep a vaccine, adult im
90633	N		Hep a vacc, ped/adol, 2 dose
90634	N		Hep a vacc, ped/adol, 3 dose
90636	K		Hep a/hep b vacc, adult im	0355	0.2667	$14.48		$2.90
90645	N		Hib vaccine, hboc, im
90646	N		Hib vaccine, prp-d, im
90647	N		Hib vaccine, prp-omp, im
90648	N		Hib vaccine, prp-t, im
90657	L		Flu vaccine, 6-35 mo, im
90658	L		Flu vaccine, 3 yrs, im
90659	L		Flu vaccine, whole, im
90660	E		Flu vaccine, nasal
90665	N		Lyme disease vaccine, im
90669	E		Pneumococcal vacc, ped <5
90675	N		Rabies vaccine, im
90676	N		Rabies vaccine, id
90680	N		Rotovirus vaccine, oral
90690	N		Typhoid vaccine, oral
90691	N		Typhoid vaccine, im
90692	N		Typhoid vaccine, h-p, sc/id
90693	K		Typhoid vaccine, akd, sc	0356	0.4353	$23.63		$4.73
90700	N		Dtap vaccine, im
90701	N		Dtp vaccine, im
90702	N		Dt vaccine < 7, im
90703	N		Tetanus vaccine, im
90704	N		Mumps vaccine, sc
90705	N		Measles vaccine, sc
90706	N		Rubella vaccine, sc
90707	N		Mmr vaccine, sc
90708	N		Measles-rubella vaccine, sc
90710	N		Mmrv vaccine, sc
90712	N		Oral poliovirus vaccine
90713	N		Poliovirus, ipv, sc
90716	N		Chicken pox vaccine, sc
90717	N		Yellow fever vaccine, sc
90718	N		Td vaccine > 7, im
90719	N		Diphtheria vaccine, im
90720	N		Dtp/hib vaccine, im
90721	N		Dtap/hib vaccine, im
90723	K		Dtap-hep b-ipv vaccine, im	0356	0.4353	$23.63		$4.73
90725	N		Cholera vaccine, injectable
90727	N		Plague vaccine, im
90732	L		Pneumococcal vaccine
90733	N		Meningococcal vaccine, sc
90735	N		Encephalitis vaccine, sc
90740	K		Hepb vacc, ill pat 3 dose im	0356	0.4353	$23.63		$4.73
90743	K		Hep b vacc, adol, 2 dose, im	0356	0.4353	$23.63		$4.73
90744	K		Hepb vacc ped/adol 3 dose im	0356	0.4353	$23.63		$4.73
90746	K		Hep b vaccine, adult, im	0356	0.4353	$23.63		$4.73
90747	K		Hepb vacc, ill pat 4 dose im	0356	0.4353	$23.63		$4.73
90748	K		Hep b/hib vaccine, im	0356	0.4353	$23.63		$4.73
90749	N		Vaccine toxoid
90780	E		IV infusion therapy, 1 hour
90781	E		IV infusion, additional hour
90782	X		Injection, sc/im	0353	0.4106	$22.29		$4.46
90783	X		Injection, ia	0359	0.8794	$47.74		$9.55
90784	X		Injection, iv	0359	0.8794	$47.74		$9.55
90788	X		Injection of antibiotic	0359	0.8794	$47.74		$9.55
90799	X		Ther/prophylactic/dx inject	0352	0.1076	$5.84		$1.17
90801	S		Psy dx interview	0323	1.7955	$97.48	$21.26	$19.50
90802	S		Intac psy dx interview	0323	1.7955	$97.48	$21.26	$19.50
90804	S		Psytx, office, 20-30 min	0322	1.3091	$71.07		$14.21
90805	S		Psytx, off, 20-30 min w/e&m	0322	1.3091	$71.07		$14.21
90806	S		Psytx, off, 45-50 min	0323	1.7955	$97.48	$21.26	$19.50
90807	S		Psytx, off, 45-50 min w/e&m	0323	1.7955	$97.48	$21.26	$19.50
90808	S		Psytx, office, 75-80 min	0323	1.7955	$97.48	$21.26	$19.50
90809	S		Psytx, off, 75-80, w/e&m	0323	1.7955	$97.48	$21.26	$19.50
90810	S		Intac psytx, off, 20-30 min	0322	1.3091	$71.07		$14.21
90811	S		Intac psytx, 20-30, w/e&m	0322	1.3091	$71.07		$14.21
90812	S		Intac psytx, off, 45-50 min	0323	1.7955	$97.48	$21.26	$19.50
90813	S		Intac psytx, 45-50 min w/e&m	0323	1.7955	$97.48	$21.26	$19.50
90814	S		Intac psytx, off, 75-80 min	0323	1.7955	$97.48	$21.26	$19.50
90815	S		Intac psytx, 75-80 w/e&m	0323	1.7955	$97.48	$21.26	$19.50
90816	S		Psytx, hosp, 20-30 min	0322	1.3091	$71.07		$14.21
90817	S		Psytx, hosp, 20-30 min w/e&m	0322	1.3091	$71.07		$14.21
90818	S		Psytx, hosp, 45-50 min	0323	1.7955	$97.48	$21.26	$19.50
90819	S		Psytx, hosp, 45-50 min w/e&m	0323	1.7955	$97.48	$21.26	$19.50
90821	S		Psytx, hosp, 75-80 min	0323	1.7955	$97.48	$21.26	$19.50
90822	S		Psytx, hosp, 75-80 min w/e&m	0323	1.7955	$97.48	$21.26	$19.50
90823	S		Intac psytx, hosp, 20-30 min	0322	1.3091	$71.07		$14.21
90824	S		Intac psytx, hsp 20-30 w/e&m	0322	1.3091	$71.07		$14.21
90826	S		Intac psytx, hosp, 45-50 min	0323	1.7955	$97.48	$21.26	$19.50
90827	S		Intac psytx, hsp 45-50 w/e&m	0323	1.7955	$97.48	$21.26	$19.50
90828	S		Intac psytx, hosp, 75-80 min	0323	1.7955	$97.48	$21.26	$19.50
90829	S		Intac psytx, hsp 75-80 w/e&m	0323	1.7955	$97.48	$21.26	$19.50
90845	S		Psychoanalysis	0323	1.7955	$97.48	$21.26	$19.50
90846	S		Family psytx w/o patient	0324	2.8219	$153.20		$30.64
90847	S		Family psytx w/patient	0324	2.8219	$153.20		$30.64
90849	S		Multiple family group psytx	0325	1.5820	$85.89	$18.27	$17.18
90853	S		Group psychotherapy	0325	1.5820	$85.89	$18.27	$17.18
90857	S		Intac group psytx	0325	1.5820	$85.89	$18.27	$17.18
90862	X		Medication management	0374	1.1062	$60.05		$12.01
90865	S		Narcosynthesis	0323	1.7955	$97.48	$21.26	$19.50
90870	S		Electroconvulsive therapy	0320	5.4480	$295.77	$80.06	$59.15
90871	E		Electroconvulsive therapy
90875	E		Psychophysiological therapy
90876	E		Psychophysiological therapy
90880	S		Hypnotherapy	0323	1.7955	$97.48	$21.26	$19.50
90882	E		Environmental manipulation
90885	N		Psy evaluation of records
90887	N		Consultation with family
90889	N		Preparation of report
90899	S		Psychiatric service/therapy	0322	1.3091	$71.07		$14.21
90901	S		Biofeedback train, any meth	0321	1.2462	$67.65	$21.78	$13.53
90911	S		Biofeedback peri/uro/rectal	0321	1.2462	$67.65	$21.78	$13.53
90918	A		ESRD related services, month
90919	A		ESRD related services, month
90920	A		ESRD related services, month
90921	A		ESRD related services, month
90922	A		ESRD related services, day
90923	A		Esrd related services, day
90924	A		Esrd related services, day
90925	A		Esrd related services, day
90935	S		Hemodialysis, one evaluation	0170	5.9427	$322.62		$64.52
90937	E		Hemodialysis, repeated eval
90939	N		Hemodialysis study, transcut
90940	N		Hemodialysis access study
90945	S		Dialysis, one evaluation	0170	5.9427	$322.62		$64.52
90947	E		Dialysis, repeated eval
90989	E		Dialysis training, complete
90993	E		Dialysis training, incompl
90997	E		Hemoperfusion
90999	E		Dialysis procedure
91000	X		Esophageal intubation	0361	3.5574	$193.13	$83.23	$38.63
91010	X		Esophagus motility study	0361	3.5574	$193.13	$83.23	$38.63
91011	X		Esophagus motility study	0361	3.5574	$193.13	$83.23	$38.63
91012	X		Esophagus motility study	0361	3.5574	$193.13	$83.23	$38.63
91020	X		Gastric motility	0361	3.5574	$193.13	$83.23	$38.63
91030	X		Acid perfusion of esophagus	0361	3.5574	$193.13	$83.23	$38.63
91032	X		Esophagus, acid reflux test	0361	3.5574	$193.13	$83.23	$38.63
91033	X		Prolonged acid reflux test	0361	3.5574	$193.13	$83.23	$38.63
91052	X		Gastric analysis test	0361	3.5574	$193.13	$83.23	$38.63
91055	X		Gastric intubation for smear	0360	1.7088	$92.77	$42.45	$18.55
91060	X		Gastric saline load test	0360	1.7088	$92.77	$42.45	$18.55
91065	X		Breath hydrogen test	0360	1.7088	$92.77	$42.45	$18.55
91100	X		Pass intestine bleeding tube	0360	1.7088	$92.77	$42.45	$18.55
91105	X		Gastric intubation treatment	0360	1.7088	$92.77	$42.45	$18.55
91122	T		Anal pressure record	0156	3.1438	$170.67	$46.55	$34.13
91123	N		Irrigate fecal impaction
91132	X		Electrogastrography	0360	1.7088	$92.77	$42.45	$18.55
91133	X		Electrogastrography w/test	0360	1.7088	$92.77	$42.45	$18.55
91299	X		Gastroenterology procedure	0360	1.7088	$92.77	$42.45	$18.55
92002	V		Eye exam, new patient	0601	1.0031	$54.46		$10.89
92004	V		Eye exam, new patient	0602	1.5603	$84.71		$16.94
92012	V		Eye exam established pat	0600	0.9376	$50.90		$10.18
92014	V		Eye exam & treatment	0602	1.5603	$84.71		$16.94
92015	E		Refraction
92018	T		New eye exam & treatment	0699	2.2211	$120.58	$54.26	$24.12
92019	S		Eye exam & treatment	0698	0.9355	$50.79	$18.72	$10.16
92020	S		Special eye evaluation	0230	0.7379	$40.06	$14.97	$8.01
92060	S		Special eye evaluation	0230	0.7379	$40.06	$14.97	$8.01
92065	S		Orthoptic/pleoptic training	0230	0.7379	$40.06	$14.97	$8.01
92070	N		Fitting of contact lens
92081	S		Visual field examination(s)	0230	0.7379	$40.06	$14.97	$8.01
92082	S		Visual field examination(s)	0698	0.9355	$50.79	$18.72	$10.16
92083	S		Visual field examination(s)	0698	0.9355	$50.79	$18.72	$10.16
92100	N		Serial tonometry exam(s)
92120	S		Tonography & eye evaluation	0230	0.7379	$40.06	$14.97	$8.01
92130	S		Water provocation tonography	0698	0.9355	$50.79	$18.72	$10.16
92135	S		Opthalmic dx imaging	0230	0.7379	$40.06	$14.97	$8.01
92136	S		Ophthalmic biometry	0230	0.7379	$40.06	$14.97	$8.01
92140	S		Glaucoma provocative tests	0698	0.9355	$50.79	$18.72	$10.16
92225	S		Special eye exam, initial	0698	0.9355	$50.79	$18.72	$10.16
92226	S		Special eye exam, subsequent	0698	0.9355	$50.79	$18.72	$10.16
92230	T		Eye exam with photos	0699	2.2211	$120.58	$54.26	$24.12
92235	T		Eye exam with photos	0699	2.2211	$120.58	$54.26	$24.12
92240	S		Icg angiography	0231	2.0880	$113.36	$50.94	$22.67
92250	S		Eye exam with photos	0230	0.7379	$40.06	$14.97	$8.01
92260	S		Ophthalmoscopy/dynamometry	0230	0.7379	$40.06	$14.97	$8.01
92265	S		Eye muscle evaluation	0231	2.0880	$113.36	$50.94	$22.67
92270	S		Electro-oculography	0698	0.9355	$50.79	$18.72	$10.16
92275	S		Electroretinography	0231	2.0880	$113.36	$50.94	$22.67
92283	S		Color vision examination	0230	0.7379	$40.06	$14.97	$8.01
92284	S		Dark adaptation eye exam	0698	0.9355	$50.79	$18.72	$10.16
92285	S		Eye photography	0230	0.7379	$40.06	$14.97	$8.01
92286	S		Internal eye photography	0698	0.9355	$50.79	$18.72	$10.16
92287	S		Internal eye photography	0231	2.0880	$113.36	$50.94	$22.67
92310	E		Contact lens fitting
92311	X		Contact lens fitting	0362	2.5384	$137.81		$27.56
92312	X		Contact lens fitting	0362	2.5384	$137.81		$27.56
92313	X		Contact lens fitting	0362	2.5384	$137.81		$27.56
92314	E		Prescription of contact lens
92315	X		Prescription of contact lens	0362	2.5384	$137.81		$27.56
92316	X		Prescription of contact lens	0362	2.5384	$137.81		$27.56
92317	X		Prescription of contact lens	0362	2.5384	$137.81		$27.56
92325	X		Modification of contact lens	0362	2.5384	$137.81		$27.56
92326	X		Replacement of contact lens	0362	2.5384	$137.81		$27.56
92330	S		Fitting of artificial eye	0230	0.7379	$40.06	$14.97	$8.01
92335	N		Fitting of artificial eye
92340	E		Fitting of spectacles
92341	E		Fitting of spectacles
92342	E		Fitting of spectacles
92352	X		Special spectacles fitting	0362	2.5384	$137.81		$27.56
92353	X		Special spectacles fitting	0362	2.5384	$137.81		$27.56
92354	X		Special spectacles fitting	0362	2.5384	$137.81		$27.56
92355	X		Special spectacles fitting	0362	2.5384	$137.81		$27.56
92358	X		Eye prosthesis service	0362	2.5384	$137.81		$27.56
92370	E		Repair & adjust spectacles
92371	X		Repair & adjust spectacles	0362	2.5384	$137.81		$27.56
92390	E		Supply of spectacles
92391	E		Supply of contact lenses
92392	E		Supply of low vision aids
92393	E		Supply of artificial eye
92395	E		Supply of spectacles
92396	E		Supply of contact lenses
92499	S		Eye service or procedure	0230	0.7379	$40.06	$14.97	$8.01
92502	T		Ear and throat examination	0251	1.8643	$101.21		$20.24
92504	N		Ear microscopy examination
92506	A		Speech/hearing evaluation
92507	A		Speech/hearing therapy
92508	A		Speech/hearing therapy
92510	A		Rehab for ear implant
92511	T		Nasopharyngoscopy	0071	0.9012	$48.93	$12.89	$9.79
92512	X		Nasal function studies	0363	0.8536	$46.34	$17.15	$9.27
92516	X		Facial nerve function test	0660	1.7330	$94.08	$30.66	$18.82
92520	X		Laryngeal function studies	0660	1.7330	$94.08	$30.66	$18.82
92526	A		Oral function therapy
92531	N		Spontaneous nystagmus study
92532	N		Positional nystagmus test
92533	N		Caloric vestibular test
92534	N		Optokinetic nystagmus test
92541	X		Spontaneous nystagmus test	0363	0.8536	$46.34	$17.15	$9.27
92542	X		Positional nystagmus test	0363	0.8536	$46.34	$17.15	$9.27
92543	X		Caloric vestibular test	0363	0.8536	$46.34	$17.15	$9.27
92544	X		Optokinetic nystagmus test	0363	0.8536	$46.34	$17.15	$9.27
92545	X		Oscillating tracking test	0363	0.8536	$46.34	$17.15	$9.27
92546	X		Sinusoidal rotational test	0660	1.7330	$94.08	$30.66	$18.82
92547	X		Supplemental electrical test	0363	0.8536	$46.34	$17.15	$9.27
92548	X		Posturography	0660	1.7330	$94.08	$30.66	$18.82
92551	E		Pure tone hearing test, air
92552	X		Pure tone audiometry, air	0364	0.4415	$23.97	$9.06	$4.79
92553	X		Audiometry, air & bone	0365	1.1915	$64.69	$18.95	$12.94
92555	X		Speech threshold audiometry	0364	0.4415	$23.97	$9.06	$4.79
92556	X		Speech audiometry, complete	0364	0.4415	$23.97	$9.06	$4.79
92557	X		Comprehensive hearing test	0365	1.1915	$64.69	$18.95	$12.94
92559	E		Group audiometric testing
92560	E		Bekesy audiometry, screen
92561	X		Bekesy audiometry, diagnosis	0365	1.1915	$64.69	$18.95	$12.94
92562	X		Loudness balance test	0364	0.4415	$23.97	$9.06	$4.79
92563	X		Tone decay hearing test	0364	0.4415	$23.97	$9.06	$4.79
92564	X		Sisi hearing test	0364	0.4415	$23.97	$9.06	$4.79
92565	X		Stenger test, pure tone	0364	0.4415	$23.97	$9.06	$4.79
92567	X		Tympanometry	0364	0.4415	$23.97	$9.06	$4.79
92568	X		Acoustic reflex testing	0364	0.4415	$23.97	$9.06	$4.79
92569	X		Acoustic reflex decay test	0364	0.4415	$23.97	$9.06	$4.79
92571	X		Filtered speech hearing test	0364	0.4415	$23.97	$9.06	$4.79
92572	X		Staggered spondaic word test	0364	0.4415	$23.97	$9.06	$4.79
92573	X		Lombard test	0364	0.4415	$23.97	$9.06	$4.79
92575	X		Sensorineural acuity test	0365	1.1915	$64.69	$18.95	$12.94
92576	X		Synthetic sentence test	0364	0.4415	$23.97	$9.06	$4.79
92577	X		Stenger test, speech	0365	1.1915	$64.69	$18.95	$12.94
92579	X		Visual audiometry (vra)	0365	1.1915	$64.69	$18.95	$12.94
92582	X		Conditioning play audiometry	0365	1.1915	$64.69	$18.95	$12.94
92583	X		Select picture audiometry	0364	0.4415	$23.97	$9.06	$4.79
92584	X		Electrocochleography	0660	1.7330	$94.08	$30.66	$18.82
92585	S		Auditor evoke potent, compre	0216	2.8332	$153.81	$67.98	$30.76
92586	S		Auditor evoke potent, limit	0218	1.1296	$61.32		$12.26
92587	X		Evoked auditory test	0363	0.8536	$46.34	$17.15	$9.27
92588	X		Evoked auditory test	0363	0.8536	$46.34	$17.15	$9.27
92589	X		Auditory function test(s)	0364	0.4415	$23.97	$9.06	$4.79
92590	E		Hearing aid exam, one ear
92591	E		Hearing aid exam, both ears
92592	E		Hearing aid check, one ear
92593	E		Hearing aid check, both ears
92594	E		Electro hearng aid test, one
92595	E		Electro hearng aid tst, both
92596	X		Ear protector evaluation	0365	1.1915	$64.69	$18.95	$12.94
92597	E		Voice Prosthetic Evaluation
92601	A		Cochlear implt f/up exam < 7
92602	A		Reprogram cochlear implt < 7
92603	A		Cochlear implt f/up exam 7 >
92604	A		Reprogram cochlear implt 7 >
92605	A		Eval for nonspeech device rx
92606	A		Non-speech device service
92607	A		Ex for speech device rx, 1hr
92608	A		Ex for speech device rx addl
92609	A		Use of speech device service
92610	A		Evaluate swallowing function
92611	A		Motion fluoroscopy/swallow
92612	A		Endoscopy swallow tst (fees)
92613	E		Endoscopy swallow tst (fees)
92614	A		Laryngoscopic sensory test
92615	E		Eval laryngoscopy sense tst
92616	A		Fees w/laryngeal sense test
92617	E		Interprt fees/laryngeal test
92700	X		Ent procedure/service	0364	0.4415	$23.97	$9.06	$4.79
92950	S		Heart/lung resuscitation cpr	0094	2.6412	$143.39	$48.46	$28.68
92953	S		Temporary external pacing	0094	2.6412	$143.39	$48.46	$28.68
92960	S		Cardioversion electric, ext	0679	5.4862	$297.84	$95.30	$59.57
92961	S		Cardioversion, electric, int	0679	5.4862	$297.84	$95.30	$59.57
92970	C		Cardioassist, internal
92971	C		Cardioassist, external
92973	T		Percut coronary thrombectomy	1541		$250.00		$50.00
92974	T		Cath place, cardio brachytx	1559		$2,250.00		$450.00
92975	C		Dissolve clot, heart vessel
92977	T		Dissolve clot, heart vessel	0676	3.7505	$203.61	$55.06	$40.72
92978	S		Intravasc us, heart add-on	0670	26.5472	$1,441.22	$521.95	$288.24
92979	S		Intravasc us, heart add-on	0670	26.5472	$1,441.22	$521.95	$288.24
92980	T		Insert intracoronary stent	0104	80.8877	$4,391.31		$878.26
92981	T		Insert intracoronary stent	0104	80.8877	$4,391.31		$878.26
92982	T		Coronary artery dilation	0083	59.3417	$3,221.60		$644.32
92984	T		Coronary artery dilation	0083	59.3417	$3,221.60		$644.32
92986	T		Revision of aortic valve	0083	59.3417	$3,221.60		$644.32
92987	T		Revision of mitral valve	0083	59.3417	$3,221.60		$644.32
92990	T		Revision of pulmonary valve	0083	59.3417	$3,221.60		$644.32
92992	C		Revision of heart chamber
92993	C		Revision of heart chamber
92995	T		Coronary atherectomy	0082	100.3996	$5,450.59	$1,293.59	$1,090.12
92996	T		Coronary atherectomy add-on	0082	100.3996	$5,450.59	$1,293.59	$1,090.12
92997	T		Pul art balloon repr, percut	0081	34.8355	$1,891.18		$378.24
92998	T		Pul art balloon repr, percut	0081	34.8355	$1,891.18		$378.24
93000	E		Electrocardiogram, complete
93005	S		Electrocardiogram, tracing	0099	0.3708	$20.13		$4.03
93010	A		Electrocardiogram report
93012	N		Transmission of ecg
93014	E		Report on transmitted ecg
93015	E		Cardiovascular stress test
93016	E		Cardiovascular stress test
93017	X		Cardiovascular stress test	0100	1.6726	$90.80	$41.44	$18.16
93018	E		Cardiovascular stress test
93024	X		Cardiac drug stress test	0100	1.6726	$90.80	$41.44	$18.16
93025	X		Microvolt t-wave assess	0100	1.6726	$90.80	$41.44	$18.16
93040	E		Rhythm ECG with report
93041	S		Rhythm ECG, tracing	0099	0.3708	$20.13		$4.03
93042	E		Rhythm ECG, report
93224	E		ECG monitor/report, 24 hrs
93225	X		ECG monitor/record, 24 hrs	0097	1.0565	$57.36	$23.80	$11.47
93226	X		ECG monitor/report, 24 hrs	0097	1.0565	$57.36	$23.80	$11.47
93227	E		ECG monitor/review, 24 hrs
93230	E		ECG monitor/report, 24 hrs
93231	X		Ecg monitor/record, 24 hrs	0097	1.0565	$57.36	$23.80	$11.47
93232	X		ECG monitor/report, 24 hrs	0097	1.0565	$57.36	$23.80	$11.47
93233	E		ECG monitor/review, 24 hrs
93235	E		ECG monitor/report, 24 hrs
93236	X		ECG monitor/report, 24 hrs	0097	1.0565	$57.36	$23.80	$11.47
93237	E		ECG monitor/review, 24 hrs
93268	E		ECG record/review
93270	X		ECG recording	0097	1.0565	$57.36	$23.80	$11.47
93271	X		Ecg/monitoring and analysis	0097	1.0565	$57.36	$23.80	$11.47
93272	E		Ecg/review, interpret only
93278	S		ECG/signal-averaged	0099	0.3708	$20.13		$4.03
93303	S		Echo transthoracic	0269	3.2517	$176.53	$87.24	$35.31
93304	S		Echo transthoracic	0697	1.4621	$79.38	$39.69	$15.88
93307	S		Echo exam of heart	0269	3.2517	$176.53	$87.24	$35.31
93308	S		Echo exam of heart	0697	1.4621	$79.38	$39.69	$15.88
93312	S		Echo transesophageal	0270	5.9057	$320.61	$146.79	$64.12
93313	S		Echo transesophageal	0270	5.9057	$320.61	$146.79	$64.12
93314	N		Echo transesophageal
93315	S		Echo transesophageal	0270	5.9057	$320.61	$146.79	$64.12
93316	S		Echo transesophageal	0270	5.9057	$320.61	$146.79	$64.12
93317	N		Echo transesophageal
93318	S		Echo transesophageal intraop	0270	5.9057	$320.61	$146.79	$64.12
93320	S		Doppler echo exam, heart	0671	1.6392	$88.99	$44.49	$17.80
93321	S		Doppler echo exam, heart	0697	1.4621	$79.38	$39.69	$15.88
93325	S		Doppler color flow add-on	0697	1.4621	$79.38	$39.69	$15.88
93350	S		Echo transthoracic	0269	3.2517	$176.53	$87.24	$35.31
93501	T		Right heart catheterization	0080	36.0982	$1,959.74	$838.92	$391.95
93503	T		Insert/place heart catheter	0103	12.1256	$658.29	$223.63	$131.66
93505	T		Biopsy of heart lining	0103	12.1256	$658.29	$223.63	$131.66
93508	T		Cath placement, angiography	0080	36.0982	$1,959.74	$838.92	$391.95
93510	T		Left heart catheterization	0080	36.0982	$1,959.74	$838.92	$391.95
93511	T		Left heart catheterization	0080	36.0982	$1,959.74	$838.92	$391.95
93514	T		Left heart catheterization	0080	36.0982	$1,959.74	$838.92	$391.95
93524	T		Left heart catheterization	0080	36.0982	$1,959.74	$838.92	$391.95
93526	T		Rt & Lt heart catheters	0080	36.0982	$1,959.74	$838.92	$391.95
93527	T		Rt & Lt heart catheters	0080	36.0982	$1,959.74	$838.92	$391.95
93528	T		Rt & Lt heart catheters	0080	36.0982	$1,959.74	$838.92	$391.95
93529	T		Rt, lt heart catheterization	0080	36.0982	$1,959.74	$838.92	$391.95
93530	T		Rt heart cath, congenital	0080	36.0982	$1,959.74	$838.92	$391.95
93531	T		R & l heart cath, congenital	0080	36.0982	$1,959.74	$838.92	$391.95
93532	T		R & l heart cath, congenital	0080	36.0982	$1,959.74	$838.92	$391.95
93533	T		R & l heart cath, congenital	0080	36.0982	$1,959.74	$838.92	$391.95
93539	N		Injection, cardiac cath
93540	N		Injection, cardiac cath
93541	N		Injection for lung angiogram
93542	N		Injection for heart x-rays
93543	N		Injection for heart x-rays
93544	N		Injection for aortography
93545	N		Inject for coronary x-rays
93555	N		Imaging, cardiac cath
93556	N		Imaging, cardiac cath
93561	N		Cardiac output measurement
93562	N		Cardiac output measurement
93571	N		Heart flow reserve measure
93572	N		Heart flow reserve measure
93580	T		Transcath closure of asd	1559		$2,250.00		$450.00
93581	T		Transcath closure of vsd	1559		$2,250.00		$450.00
93600	T		Bundle of His recording	0087	40.4579	$2,196.42		$439.28
93602	T		Intra-atrial recording	0087	40.4579	$2,196.42		$439.28
93603	T		Right ventricular recording	0087	40.4579	$2,196.42		$439.28
93609	T		Map tachycardia, add-on	0087	40.4579	$2,196.42		$439.28
93610	T		Intra-atrial pacing	0087	40.4579	$2,196.42		$439.28
93612	T		Intraventricular pacing	0087	40.4579	$2,196.42		$439.28
93613	T		Electrophys map 3d, add-on	0087	40.4579	$2,196.42		$439.28
93615	T		Esophageal recording	0087	40.4579	$2,196.42		$439.28
93616	T		Esophageal recording	0087	40.4579	$2,196.42		$439.28
93618	T		Heart rhythm pacing	0087	40.4579	$2,196.42		$439.28
93619	T		Electrophysiology evaluation	0085	36.3284	$1,972.23	$435.09	$394.45
93620	T		Electrophysiology evaluation	0085	36.3284	$1,972.23	$435.09	$394.45
93621	T		Electrophysiology evaluation	0085	36.3284	$1,972.23	$435.09	$394.45
93622	T		Electrophysiology evaluation	0085	36.3284	$1,972.23	$435.09	$394.45
93623	T		Stimulation, pacing heart	0087	40.4579	$2,196.42		$439.28
93624	S		Electrophysiologic study	0084	10.3392	$561.30		$112.26
93631	T		Heart pacing, mapping	0087	40.4579	$2,196.42		$439.28
93640	S		Evaluation heart device	0084	10.3392	$561.30		$112.26
93641	S		Electrophysiology evaluation	0084	10.3392	$561.30		$112.26
93642	S		Electrophysiology evaluation	0084	10.3392	$561.30		$112.26
93650	T		Ablate heart dysrhythm focus	0086	44.5652	$2,419.40	$822.28	$483.88
93651	T		Ablate heart dysrhythm focus	0086	44.5652	$2,419.40	$822.28	$483.88
93652	T		Ablate heart dysrhythm focus	0086	44.5652	$2,419.40	$822.28	$483.88
93660	S		Tilt table evaluation	0101	4.3675	$237.11	$105.27	$47.42
93662	S		Intracardiac ecg (ice)	0670	26.5472	$1,441.22	$521.95	$288.24
93668	E		Peripheral vascular rehab
93701	S		Bioimpedance, thoracic	0099	0.3708	$20.13		$4.03
93720	E		Total body plethysmography
93721	X		Plethysmography tracing	0368	0.9321	$50.60	$25.30	$10.12
93722	E		Plethysmography report
93724	S		Analyze pacemaker system	0690	0.3986	$21.64	$10.35	$4.33
93727	S		Analyze ilr system	0690	0.3986	$21.64	$10.35	$4.33
93731	S		Analyze pacemaker system	0690	0.3986	$21.64	$10.35	$4.33
93732	S		Analyze pacemaker system	0690	0.3986	$21.64	$10.35	$4.33
93733	S		Telephone analy, pacemaker	0690	0.3986	$21.64	$10.35	$4.33
93734	S		Analyze pacemaker system	0690	0.3986	$21.64	$10.35	$4.33
93735	S		Analyze pacemaker system	0690	0.3986	$21.64	$10.35	$4.33
93736	S		Telephone analy, pacemaker	0690	0.3986	$21.64	$10.35	$4.33
93740	X		Temperature gradient studies	0367	0.5828	$31.64	$15.16	$6.33
93741	S		Analyze ht pace device sngl	0689	0.5427	$29.46		$5.89
93742	S		Analyze ht pace device sngl	0689	0.5427	$29.46		$5.89
93743	S		Analyze ht pace device dual	0689	0.5427	$29.46		$5.89
93744	S		Analyze ht pace device dual	0689	0.5427	$29.46		$5.89
93760	E		Cephalic thermogram
93762	E		Peripheral thermogram
93770	N		Measure venous pressure
93784	E		Ambulatory BP monitoring
93786	X		Ambulatory BP recording	0097	1.0565	$57.36	$23.80	$11.47
93788	E		Ambulatory BP analysis
93790	E		Review/report BP recording
93797	S		Cardiac rehab	0095	0.5984	$32.49	$16.24	$6.50
93798	S		Cardiac rehab/monitor	0095	0.5984	$32.49	$16.24	$6.50
93799	S		Cardiovascular procedure	0096	1.7332	$94.09	$47.04	$18.82
93875	S		Extracranial study	0096	1.7332	$94.09	$47.04	$18.82
93880	S		Extracranial study	0267	2.4805	$134.66	$65.52	$26.93
93882	S		Extracranial study	0267	2.4805	$134.66	$65.52	$26.93
93886	S		Intracranial study	0267	2.4805	$134.66	$65.52	$26.93
93888	S		Intracranial study	0266	1.6234	$88.13	$44.06	$17.63
93922	S		Extremity study	0096	1.7332	$94.09	$47.04	$18.82
93923	S		Extremity study	0096	1.7332	$94.09	$47.04	$18.82
93924	S		Extremity study	0096	1.7332	$94.09	$47.04	$18.82
93925	S		Lower extremity study	0267	2.4805	$134.66	$65.52	$26.93
93926	S		Lower extremity study	0267	2.4805	$134.66	$65.52	$26.93
93930	S		Upper extremity study	0267	2.4805	$134.66	$65.52	$26.93
93931	S		Upper extremity study	0266	1.6234	$88.13	$44.06	$17.63
93965	S		Extremity study	0096	1.7332	$94.09	$47.04	$18.82
93970	S		Extremity study	0267	2.4805	$134.66	$65.52	$26.93
93971	S		Extremity study	0267	2.4805	$134.66	$65.52	$26.93
93975	S		Vascular study	0267	2.4805	$134.66	$65.52	$26.93
93976	S		Vascular study	0267	2.4805	$134.66	$65.52	$26.93
93978	S		Vascular study	0267	2.4805	$134.66	$65.52	$26.93
93979	S		Vascular study	0267	2.4805	$134.66	$65.52	$26.93
93980	S		Penile vascular study	0267	2.4805	$134.66	$65.52	$26.93
93981	S		Penile vascular study	0267	2.4805	$134.66	$65.52	$26.93
93990	S		Doppler flow testing	0267	2.4805	$134.66	$65.52	$26.93
94010	X		Breathing capacity test	0368	0.9321	$50.60	$25.30	$10.12
94014	X		Patient recorded spirometry	0367	0.5828	$31.64	$15.16	$6.33
94015	X		Patient recorded spirometry	0367	0.5828	$31.64	$15.16	$6.33
94016	A		Review patient spirometry
94060	X		Evaluation of wheezing	0368	0.9321	$50.60	$25.30	$10.12
94070	X		Evaluation of wheezing	0369	2.5282	$137.25	$44.18	$27.45
94150	X		Vital capacity test	0367	0.5828	$31.64	$15.16	$6.33
94200	X		Lung function test (MBC/MVV)	0367	0.5828	$31.64	$15.16	$6.33
94240	X		Residual lung capacity	0368	0.9321	$50.60	$25.30	$10.12
94250	X		Expired gas collection	0367	0.5828	$31.64	$15.16	$6.33
94260	X		Thoracic gas volume	0368	0.9321	$50.60	$25.30	$10.12
94350	X		Lung nitrogen washout curve	0368	0.9321	$50.60	$25.30	$10.12
94360	X		Measure airflow resistance	0367	0.5828	$31.64	$15.16	$6.33
94370	X		Breath airway closing volume	0367	0.5828	$31.64	$15.16	$6.33
94375	X		Respiratory flow volume loop	0367	0.5828	$31.64	$15.16	$6.33
94400	X		CO2 breathing response curve	0367	0.5828	$31.64	$15.16	$6.33
94450	X		Hypoxia response curve	0367	0.5828	$31.64	$15.16	$6.33
94620	X		Pulmonary stress test/simple	0368	0.9321	$50.60	$25.30	$10.12
94621	X		Pulm stress test/complex	0369	2.5282	$137.25	$44.18	$27.45
94640	S		Airway inhalation treatment	0077	0.2772	$15.05	$7.52	$3.01
94642	S		Aerosol inhalation treatment	0078	0.7731	$41.97	$14.55	$8.39
94656	S		Initial ventilator mgmt	0079	2.2837	$123.98		$24.80
94657	S		Continued ventilator mgmt	0079	2.2837	$123.98		$24.80
94660	S		Pos airway pressure, CPAP	0068	1.1234	$60.99	$30.49	$12.20
94662	S		Neg press ventilation, cnp	0079	2.2837	$123.98		$24.80
94664	S		Aerosol or vapor inhalations	0077	0.2772	$15.05	$7.52	$3.01
94667	S		Chest wall manipulation	0077	0.2772	$15.05	$7.52	$3.01
94668	S		Chest wall manipulation	0077	0.2772	$15.05	$7.52	$3.01
94680	X		Exhaled air analysis, o2	0367	0.5828	$31.64	$15.16	$6.33
94681	X		Exhaled air analysis, o2/co2	0368	0.9321	$50.60	$25.30	$10.12
94690	X		Exhaled air analysis	0367	0.5828	$31.64	$15.16	$6.33
94720	X		Monoxide diffusing capacity	0368	0.9321	$50.60	$25.30	$10.12
94725	X		Membrane diffusion capacity	0368	0.9321	$50.60	$25.30	$10.12
94750	X		Pulmonary compliance study	0367	0.5828	$31.64	$15.16	$6.33
94760	N		Measure blood oxygen level
94761	N		Measure blood oxygen level
94762	N		Measure blood oxygen level
94770	X		Exhaled carbon dioxide test	0367	0.5828	$31.64	$15.16	$6.33
94772	X		Breath recording, infant	0369	2.5282	$137.25	$44.18	$27.45
94799	X		Pulmonary service/procedure	0367	0.5828	$31.64	$15.16	$6.33
95004	X		Percut allergy skin tests	0370	0.8858	$48.09	$11.58	$9.62
95010	X		Percut allergy titrate test	0370	0.8858	$48.09	$11.58	$9.62
95015	X		Id allergy titrate-drug/bug	0370	0.8858	$48.09	$11.58	$9.62
95024	X		Id allergy test, drug/bug	0370	0.8858	$48.09	$11.58	$9.62
95027	X		Skin end point titration	0370	0.8858	$48.09	$11.58	$9.62
95028	X		Id allergy test-delayed type	0370	0.8858	$48.09	$11.58	$9.62
95044	X		Allergy patch tests	0370	0.8858	$48.09	$11.58	$9.62
95052	X		Photo patch test	0370	0.8858	$48.09	$11.58	$9.62
95056	X		Photosensitivity tests	0370	0.8858	$48.09	$11.58	$9.62
95060	X		Eye allergy tests	0370	0.8858	$48.09	$11.58	$9.62
95065	X		Nose allergy test	0370	0.8858	$48.09	$11.58	$9.62
95070	X		Bronchial allergy tests	0369	2.5282	$137.25	$44.18	$27.45
95071	X		Bronchial allergy tests	0369	2.5282	$137.25	$44.18	$27.45
95075	X		Ingestion challenge test	0361	3.5574	$193.13	$83.23	$38.63
95078	X		Provocative testing	0370	0.8858	$48.09	$11.58	$9.62
95115	X		Immunotherapy, one injection	0352	0.1076	$5.84		$1.17
95117	X		Immunotherapy injections	0353	0.4106	$22.29		$4.46
95120	E		Immunotherapy, one injection
95125	E		Immunotherapy, many antigens
95130	E		Immunotherapy, insect venom
95131	E		Immunotherapy, insect venoms
95132	E		Immunotherapy, insect venoms
95133	E		Immunotherapy, insect venoms
95134	E		Immunotherapy, insect venoms
95144	X		Antigen therapy services	0371	0.4084	$22.17	$4.44	$4.43
95145	X		Antigen therapy services	0371	0.4084	$22.17	$4.44	$4.43
95146	X		Antigen therapy services	0371	0.4084	$22.17	$4.44	$4.43
95147	X		Antigen therapy services	0371	0.4084	$22.17	$4.44	$4.43
95148	X		Antigen therapy services	0371	0.4084	$22.17	$4.44	$4.43
95149	X		Antigen therapy services	0371	0.4084	$22.17	$4.44	$4.43
95165	X		Antigen therapy services	0371	0.4084	$22.17	$4.44	$4.43
95170	X		Antigen therapy services	0371	0.4084	$22.17	$4.44	$4.43
95180	X		Rapid desensitization	0370	0.8858	$48.09	$11.58	$9.62
95199	X		Allergy immunology services	0370	0.8858	$48.09	$11.58	$9.62
95250	T		Glucose monitoring, cont	1540		$150.00		$30.00
95805	S		Multiple sleep latency test	0209	11.5352	$626.23	$280.58	$125.25
95806	S		Sleep study, unattended	0213	3.2422	$176.02	$70.41	$35.20
95807	S		Sleep study, attended	0209	11.5352	$626.23	$280.58	$125.25
95808	S		Polysomnography, 1-3	0209	11.5352	$626.23	$280.58	$125.25
95810	S		Polysomnography, 4 or more	0209	11.5352	$626.23	$280.58	$125.25
95811	S		Polysomnography w/cpap	0209	11.5352	$626.23	$280.58	$125.25
95812	S		Electroencephalogram (EEG)	0213	3.2422	$176.02	$70.41	$35.20
95813	S		Eeg, over 1 hour	0213	3.2422	$176.02	$70.41	$35.20
95816	S		Electroencephalogram (EEG)	0214	2.2459	$121.93	$58.12	$24.39
95819	S		Electroencephalogram (EEG)	0214	2.2459	$121.93	$58.12	$24.39
95822	S		Sleep electroencephalogram	0214	2.2459	$121.93	$58.12	$24.39
95824	S		Eeg, cerebral death only	0214	2.2459	$121.93	$58.12	$24.39
95827	S		Night electroencephalogram	0209	11.5352	$626.23	$280.58	$125.25
95829	S		Surgery electrocorticogram	0214	2.2459	$121.93	$58.12	$24.39
95830	E		Insert electrodes for EEG
95831	N		Limb muscle testing, manual
95832	N		Hand muscle testing, manual
95833	N		Body muscle testing, manual
95834	N		Body muscle testing, manual
95851	N		Range of motion measurements
95852	N		Range of motion measurements
95857	S		Tensilon test	0218	1.1296	$61.32		$12.26
95858	S		Tensilon test & myogram	0215	0.6390	$34.69	$15.76	$6.94
95860	S		Muscle test, one limb	0218	1.1296	$61.32		$12.26
95861	S		Muscle test, 2 limbs	0218	1.1296	$61.32		$12.26
95863	S		Muscle test, 3 limbs	0218	1.1296	$61.32		$12.26
95864	S		Muscle test, 4 limbs	0218	1.1296	$61.32		$12.26
95867	S		Muscle test, head or neck	0218	1.1296	$61.32		$12.26
95868	S		Muscle test cran nerve bilat	0218	1.1296	$61.32		$12.26
95869	S		Muscle test, thor paraspinal	0215	0.6390	$34.69	$15.76	$6.94
95870	S		Muscle test, nonparaspinal	0215	0.6390	$34.69	$15.76	$6.94
95872	S		Muscle test, one fiber	0218	1.1296	$61.32		$12.26
95875	S		Limb exercise test	0215	0.6390	$34.69	$15.76	$6.94
95900	S		Motor nerve conduction test	0215	0.6390	$34.69	$15.76	$6.94
95903	S		Motor nerve conduction test	0215	0.6390	$34.69	$15.76	$6.94
95904	S		Sense nerve conduction test	0215	0.6390	$34.69	$15.76	$6.94
95920	S		Intraop nerve test add-on	0216	2.8332	$153.81	$67.98	$30.76
95921	S		Autonomic nerv function test	0218	1.1296	$61.32		$12.26
95922	S		Autonomic nerv function test	0218	1.1296	$61.32		$12.26
95923	S		Autonomic nerv function test	0215	0.6390	$34.69	$15.76	$6.94
95925	S		Somatosensory testing	0216	2.8332	$153.81	$67.98	$30.76
95926	S		Somatosensory testing	0216	2.8332	$153.81	$67.98	$30.76
95927	S		Somatosensory testing	0216	2.8332	$153.81	$67.98	$30.76
95930	S		Visual evoked potential test	0218	1.1296	$61.32		$12.26
95933	S		Blink reflex test	0215	0.6390	$34.69	$15.76	$6.94
95934	S		H-reflex test	0215	0.6390	$34.69	$15.76	$6.94
95936	S		H-reflex test	0215	0.6390	$34.69	$15.76	$6.94
95937	S		Neuromuscular junction test	0218	1.1296	$61.32		$12.26
95950	S		Ambulatory eeg monitoring	0213	3.2422	$176.02	$70.41	$35.20
95951	S		EEG monitoring/videorecord	0209	11.5352	$626.23	$280.58	$125.25
95953	S		EEG monitoring/computer	0209	11.5352	$626.23	$280.58	$125.25
95954	S		EEG monitoring/giving drugs	0214	2.2459	$121.93	$58.12	$24.39
95955	S		EEG during surgery	0213	3.2422	$176.02	$70.41	$35.20
95956	S		Eeg monitoring, cable/radio	0214	2.2459	$121.93	$58.12	$24.39
95957	S		EEG digital analysis	0214	2.2459	$121.93	$58.12	$24.39
95958	S		EEG monitoring/function test	0213	3.2422	$176.02	$70.41	$35.20
95961	S		Electrode stimulation, brain	0216	2.8332	$153.81	$67.98	$30.76
95962	S		Electrode stim, brain add-on	0216	2.8332	$153.81	$67.98	$30.76
95965	S		Meg, spontaneous	1528		$5,250.00		$1,050.00
95966	S		Meg, evoked, single	1516		$1,450.00		$290.00
95967	S		Meg, evoked, each addl	1511		$950.00		$190.00
95970	S		Analyze neurostim, no prog	0692	0.9625	$52.25	$26.12	$10.45
95971	S		Analyze neurostim, simple	0692	0.9625	$52.25	$26.12	$10.45
95972	S		Analyze neurostim, complex	0692	0.9625	$52.25	$26.12	$10.45
95973	S		Analyze neurostim, complex	0692	0.9625	$52.25	$26.12	$10.45
95974	S		Cranial neurostim, complex	0692	0.9625	$52.25	$26.12	$10.45
95975	S		Cranial neurostim, complex	0692	0.9625	$52.25	$26.12	$10.45
95990	T		Spin/brain pump refil & main	0125	2.5105	$136.29		$27.26
95999	S		Neurological procedure	0215	0.6390	$34.69	$15.76	$6.94
96000	S		Motion analysis, video/3d	1503		$150.00		$30.00
96001	S		Motion test w/ft press meas	1503		$150.00		$30.00
96002	S		Dynamic surface emg	1503		$150.00		$30.00
96003	S		Dynamic fine wire emg	1503		$150.00		$30.00
96004	E		Phys review of motion tests
96100	X		Psychological testing	0373	2.1165	$114.90	$22.98	$22.98
96105	X		Assessment of aphasia	0373	2.1165	$114.90	$22.98	$22.98
96110	X		Developmental test, lim	0373	2.1165	$114.90	$22.98	$22.98
96111	X		Developmental test, extend	0373	2.1165	$114.90	$22.98	$22.98
96115	X		Neurobehavior status exam	0373	2.1165	$114.90	$22.98	$22.98
96117	X		Neuropsych test battery	0373	2.1165	$114.90	$22.98	$22.98
96150	S		Assess lth/behave, init	0322	1.3091	$71.07		$14.21
96151	S		Assess hlth/behave, subseq	0322	1.3091	$71.07		$14.21
96152	S		Intervene hlth/behave, indiv	0322	1.3091	$71.07		$14.21
96153	S		Intervene hlth/behave, group	0322	1.3091	$71.07		$14.21
96154	S		Interv hlth/behav, fam w/pt	0322	1.3091	$71.07		$14.21
96155	S		Interv hlth/behav fam no pt	0322	1.3091	$71.07		$14.21
96400	E		Chemotherapy, sc/im
96405	E		Intralesional chemo admin
96406	E		Intralesional chemo admin
96408	E		Chemotherapy, push technique
96410	E		Chemotherapy, infusion method
96412	E		Chemo, infuse method add-on
96414	E		Chemo, infuse method add-on
96420	E		Chemotherapy, push technique
96422	E		Chemotherapy,infusion method
96423	E		Chemo, infuse method add-on
96425	E		Chemotherapy, infusion method
96440	E		Chemotherapy, intracavitary
96445	E		Chemotherapy, intracavitary
96450	E		Chemotherapy, into CNS
96520	T		Port pump refill & main	0125	2.5105	$136.29		$27.26
96530	T		Pump refilling, maintenance	0125	2.5105	$136.29		$27.26
96542	E		Chemotherapy injection
96545	E		Provide chemotherapy agent
96549	E		Chemotherapy, unspecified
96567	T		Photodynamic tx, skin	1540		$150.00		$30.00
96570	T		Photodynamic tx, 30 min	1541		$250.00		$50.00
96571	T		Photodynamic tx, addl 15 min	1541		$250.00		$50.00
96900	S		Ultraviolet light therapy	0001	0.3940	$21.39	$7.09	$4.28
96902	N		Trichogram
96910	S		Photochemotherapy with UV-B	0001	0.3940	$21.39	$7.09	$4.28
96912	S		Photochemotherapy with UV-A	0001	0.3940	$21.39	$7.09	$4.28
96913	S		Photochemotherapy, UV-A or B	0683	1.7915	$97.26	$35.01	$19.45
96920	T		Laser tx, skin < 250 sq cm	0012	0.8203	$44.53	$11.18	$8.91
96921	T		Laser tx, skin 250-500 sq cm	0012	0.8203	$44.53	$11.18	$8.91
96922	T		Laser tx, skin > 500 sq cm	0013	1.1420	$62.00	$14.20	$12.40
96999	T		Dermatological procedure	0010	0.6806	$36.95	$10.08	$7.39
97001	A		Pt evaluation
97002	A		Pt re-evaluation
97003	A		Ot evaluation
97004	A		Ot re-evaluation
97005	E		Athletic train eval
97006	E		Athletic train reeval
97010	A		Hot or cold packs therapy
97012	A		Mechanical traction therapy
97014	E		Electric stimulation therapy
97016	A		Vasopneumatic device therapy
97018	A		Paraffin bath therapy
97020	A		Microwave therapy
97022	A		Whirlpool therapy
97024	A		Diathermy treatment
97026	A		Infrared therapy
97028	A		Ultraviolet therapy
97032	A		Electrical stimulation
97033	A		Electric current therapy
97034	A		Contrast bath therapy
97035	A		Ultrasound therapy
97036	A		Hydrotherapy
97039	A		Physical therapy treatment
97110	A		Therapeutic exercises
97112	A		Neuromuscular reeducation
97113	A		Aquatic therapy/exercises
97116	A		Gait training therapy
97124	A		Massage therapy
97139	A		Physical medicine procedure
97140	A		Manual therapy
97150	A		Group therapeutic procedures
97504	A		Orthotic training
97520	A		Prosthetic training
97530	A		Therapeutic activities
97532	A		Cognitive skills development
97533	A		Sensory integration
97535	A		Self care mngment training
97537	A		Community/work reintegration
97542	A		Wheelchair mngment training
97545	A		Work hardening
97546	A		Work hardening add-on
97601	A		Wound(s) care, selective
97602	N		Wound(s) care non-selective
97703	A		Prosthetic checkout
97750	A		Physical performance test
97780	E		Acupuncture w/o stimul
97781	E		Acupuncture w/stimul
97799	A		Physical medicine procedure
97802	A		Medical nutrition, indiv, in
97803	A		Med nutrition, indiv, subseq
97804	A		Medical nutrition, group
98925	S		Osteopathic manipulation	0060	0.3151	$17.11	$3.43	$3.42
98926	S		Osteopathic manipulation	0060	0.3151	$17.11	$3.43	$3.42
98927	S		Osteopathic manipulation	0060	0.3151	$17.11	$3.43	$3.42
98928	S		Osteopathic manipulation	0060	0.3151	$17.11	$3.43	$3.42
98929	S		Osteopathic manipulation	0060	0.3151	$17.11	$3.43	$3.42
98940	S		Chiropractic manipulation	0060	0.3151	$17.11	$3.43	$3.42
98941	S		Chiropractic manipulation	0060	0.3151	$17.11	$3.43	$3.42
98942	S		Chiropractic manipulation	0060	0.3151	$17.11	$3.43	$3.42
98943	E		Chiropractic manipulation
99000	E		Specimen handling
99001	E		Specimen handling
99002	E		Device handling
99024	E		Postop follow-up visit
99025	E		Initial surgical evaluation
99026	E		In-hospital on call service
99027	E		Out-of-hosp on call service
99050	E		Medical services after hrs
99052	E		Medical services at night
99054	E		Medical servcs, unusual hrs
99056	E		Non-office medical services
99058	E		Office emergency care
99070	E		Special supplies
99071	E		Patient education materials
99075	E		Medical testimony
99078	N		Group health education
99080	E		Special reports or forms
99082	E		Unusual physician travel
99090	E		Computer data analysis
99091	E		Collect/review data from pt
99100	E		Special anesthesia service
99116	E		Anesthesia with hypothermia
99135	E		Special anesthesia procedure
99140	E		Emergency anesthesia
99141	N		Sedation, iv/im or inhalant
99142	N		Sedation, oral/rectal/nasal
99170	T		Anogenital exam, child	0191	0.1679	$9.12	$2.65	$1.82
99172	E		Ocular function screen
99173	E		Visual acuity screen
99175	N		Induction of vomiting
99183	E		Hyperbaric oxygen therapy
99185	N		Regional hypothermia
99186	N		Total body hypothermia
99190	C		Special pump services
99191	C		Special pump services
99192	C		Special pump services
99195	X		Phlebotomy	0372	0.5529	$30.02	$10.09	$6.00
99199	E		Special service/proc/report
99201	V		Office/outpatient visit, new	0600	0.9376	$50.90		$10.18
99202	V		Office/outpatient visit, new	0600	0.9376	$50.90		$10.18
99203	V		Office/outpatient visit, new	0601	1.0031	$54.46		$10.89
99204	V		Office/outpatient visit, new	0602	1.5603	$84.71		$16.94
99205	V		Office/outpatient visit, new	0602	1.5603	$84.71		$16.94
99211	V		Office/outpatient visit, est	0600	0.9376	$50.90		$10.18
99212	V		Office/outpatient visit, est	0600	0.9376	$50.90		$10.18
99213	V		Office/outpatient visit, est	0601	1.0031	$54.46		$10.89
99214	V		Office/outpatient visit, est	0602	1.5603	$84.71		$16.94
99215	V		Office/outpatient visit, est	0602	1.5603	$84.71		$16.94
99217	N		Observation care discharge
99218	N		Observation care
99219	N		Observation care
99220	N		Observation care
99221	E		Initial hospital care
99222	E		Initial hospital care
99223	E		Initial hospital care
99231	E		Subsequent hospital care
99232	E		Subsequent hospital care
99233	E		Subsequent hospital care
99234	N		Observ/hosp same date
99235	N		Observ/hosp same date
99236	N		Observ/hosp same date
99238	E		Hospital discharge day
99239	E		Hospital discharge day
99241	V		Office consultation	0600	0.9376	$50.90		$10.18
99242	V		Office consultation	0600	0.9376	$50.90		$10.18
99243	V		Office consultation	0601	1.0031	$54.46		$10.89
99244	V		Office consultation	0602	1.5603	$84.71		$16.94
99245	V		Office consultation	0602	1.5603	$84.71		$16.94
99251	C		Initial inpatient consult
99252	C		Initial inpatient consult
99253	C		Initial inpatient consult
99254	C		Initial inpatient consult
99255	C		Initial inpatient consult
99261	C		Follow-up inpatient consult
99262	C		Follow-up inpatient consult
99263	C		Follow-up inpatient consult
99271	V		Confirmatory consultation	0600	0.9376	$50.90		$10.18
99272	V		Confirmatory consultation	0600	0.9376	$50.90		$10.18
99273	V		Confirmatory consultation	0601	1.0031	$54.46		$10.89
99274	V		Confirmatory consultation	0602	1.5603	$84.71		$16.94
99275	V		Confirmatory consultation	0602	1.5603	$84.71		$16.94
99281	V		Emergency dept visit	0610	1.4146	$76.80	$19.57	$15.36
99282	V		Emergency dept visit	0610	1.4146	$76.80	$19.57	$15.36
99283	V		Emergency dept visit	0611	2.4881	$135.08	$36.47	$27.02
99284	V		Emergency dept visit	0612	4.3235	$234.72	$54.14	$46.94
99285	V		Emergency dept visit	0612	4.3235	$234.72	$54.14	$46.94
99288	E		Direct advanced life support
99289	N		Pt transport, 30-74 min
99290	N		Pt transport, addl 30 min
99291	S		Critical care, first hour	0620	9.2657	$503.03	$145.78	$100.61
99292	N		Critical care, addl 30 min
99293	C		Ped critical care, initial
99294	C		Ped critical care, subseq
99295	C		Neonatal critical care
99296	C		Neonatal critical care
99298	C		Neonatal critical care
99299	C		Ic, lbw infant 1500-2500 gm
99301	E		Nursing facility care
99302	E		Nursing facility care
99303	E		Nursing facility care
99311	E		Nursing fac care, subseq
99312	E		Nursing fac care, subseq
99313	E		Nursing fac care, subseq
99315	E		Nursing fac discharge day
99316	E		Nursing fac discharge day
99321	E		Rest home visit, new patient
99322	E		Rest home visit, new patient
99323	E		Rest home visit, new patient
99331	E		Rest home visit, est pat
99332	E		Rest home visit, est pat
99333	E		Rest home visit, est pat
99341	E		Home visit, new patient
99342	E		Home visit, new patient
99343	E		Home visit, new patient
99344	E		Home visit, new patient
99345	E		Home visit, new patient
99347	E		Home visit, est patient
99348	E		Home visit, est patient
99349	E		Home visit, est patient
99350	E		Home visit, est patient
99354	N		Prolonged service, office
99355	N		Prolonged service, office
99356	C		Prolonged service, inpatient
99357	C		Prolonged service, inpatient
99358	N		Prolonged serv, w/o contact
99359	N		Prolonged serv, w/o contact
99360	E		Physician standby services
99361	E		Physician/team conference
99362	E		Physician/team conference
99371	E		Physician phone consultation
99372	E		Physician phone consultation
99373	E		Physician phone consultation
99374	E		Home health care supervision
99377	E		Hospice care supervision
99379	E		Nursing fac care supervision
99380	E		Nursing fac care supervision
99381	E		Prev visit, new, infant
99382	E		Prev visit, new, age 1-4
99383	E		Prev visit, new, age 5-11
99384	E		Prev visit, new, age 12-17
99385	E		Prev visit, new, age 18-39
99386	E		Prev visit, new, age 40-64
99387	E		Prev visit, new, 65 & over
99391	E		Prev visit, est, infant
99392	E		Prev visit, est, age 1-4
99393	E		Prev visit, est, age 5-11
99394	E		Prev visit, est, age 12-17
99395	E		Prev visit, est, age 18-39
99396	E		Prev visit, est, age 40-64
99397	E		Prev visit, est, 65 & over
99401	E		Preventive counseling, indiv
99402	E		Preventive counseling, indiv
99403	E		Preventive counseling, indiv
99404	E		Preventive counseling, indiv
99411	E		Preventive counseling, group
99412	E		Preventive counseling, group
99420	E		Health risk assessment test
99429	E		Unlisted preventive service
99431	V		Initial care, normal newborn	0600	0.9376	$50.90		$10.18
99432	N		Newborn care, not in hosp
99433	C		Normal newborn care/hospital
99435	E		Newborn discharge day hosp
99436	N		Attendance, birth
99440	S		Newborn resuscitation	0094	2.6412	$143.39	$48.46	$28.68
99450	E		Life/disability evaluation
99455	E		Disability examination
99456	E		Disability examination
99499	E		Unlisted e&m service
99500	E		Home visit, prenatal
99501	E		Home visit, postnatal
99502	E		Home visit, nb care
99503	E		Home visit, resp therapy
99504	E		Home visit mech ventilator
99505	E		Home visit, stoma care
99506	E		Home visit, im injection
99507	E		Home visit, cath maintain
99509	E		Home visit day life activity
99510	E		Home visit, sing/m/fam couns
99511	E		Home visit, fecal/enema mgmt
99512	E		Home visit, hemodialysis
99551	E		Home infus, pain mgmt, iv/sc
99552	E		Hm infus pain mgmt, epid/ith
99553	E		Home infuse, tocolytic tx
99554	E		Home infus, hormone/platelet
99555	E		Home infuse, chemotheraphy
99556	E		Home infus, antibio/fung/vir
99557	E		Home infuse, anticoagulant
99558	E		Home infuse, immunotherapy
99559	E		Home infus, periton dialysis
99560	E		Home infus, entero nutrition
99561	E		Home infuse, hydration tx
99562	E		Home infus, parent nutrition
99563	E		Home admin, pentamidine
99564	E		Hme infus, antihemophil agnt
99565	E		Home infus, proteinase inhib
99566	E		Home infuse, iv therapy
99567	E		Home infuse, sympath agent
99568	E		Home infus, misc drug, daily
99569	E		Home infuse, each addl tx
99600	E		Home visit nos
A0021	E		Outside state ambulance serv
A0080	E		Noninterest escort in non er
A0090	E		Interest escort in non er
A0100	E		Nonemergency transport taxi
A0110	E		Nonemergency transport bus
A0120	E		Noner transport mini-bus
A0130	E		Noner transport wheelch van
A0140	E		Nonemergency transport air
A0160	E		Noner transport case worker
A0170	E		Noner transport parking fees
A0180	E		Noner transport lodgng recip
A0190	E		Noner transport meals recip
A0200	E		Noner transport lodgng escrt
A0210	E		Noner transport meals escort
A0225	A		Neonatal emergency transport
A0380	A		Basic life support mileage
A0382	A		Basic support routine suppls
A0384	A		Bls defibrillation supplies
A0390	A		Advanced life support mileag
A0392	A		Als defibrillation supplies
A0394	A		Als IV drug therapy supplies
A0396	A		Als esophageal intub suppls
A0398	A		Als routine disposble suppls
A0420	A		Ambulance waiting 1/2 hr
A0422	A		Ambulance 02 life sustaining
A0424	A		Extra ambulance attendant
A0425	A		Ground mileage
A0426	A		Als 1
A0427	A		ALS1-emergency
A0428	A		bls
A0429	A		BLS-emergency
A0430	A		Fixed wing air transport
A0431	A		Rotary wing air transport
A0432	A		PI volunteer ambulance co
A0433	A		als 2
A0434	A		Specialty care transport
A0435	A		Fixed wing air mileage
A0436	A		Rotary wing air mileage
A0888	E		Noncovered ambulance mileage
A0999	A		Unlisted ambulance service
A4206	A		1 CC sterile syringe&needle
A4207	A		2 CC sterile syringe&needle
A4208	A		3 CC sterile syringe&needle
A4209	E		5+ CC sterile syringe&needle
A4210	E		Nonneedle injection device
A4211	E		Supp for self-adm injections
A4212	E		Non coring needle or stylet
A4213	E		20+ CC syringe only
A4214	A		30 CC sterile water/saline
A4215	E		Sterile needle
A4220	A		Infusion pump refill kit
A4221	A		Maint drug infus cath per wk
A4222	A		Drug infusion pump supplies
A4230	A		Infus insulin pump non needl
A4231	A		Infusion insulin pump needle
A4232	E		Syringe w/needle insulin 3cc
A4244	E		Alcohol or peroxide per pint
A4245	E		Alcohol wipes per box
A4246	E		Betadine/phisohex solution
A4247	E		Betadine/iodine swabs/wipes
A4250	E		Urine reagent strips/tablets
A4253	A		Blood glucose/reagent strips
A4254	A		Battery for glucose monitor
A4255	A		Glucose monitor platforms
A4256	A		Calibrator solution/chips
A4257	A		Replace Lensshield Cartridge
A4258	A		Lancet device each
A4259	A		Lancets per box
A4260	E		Levonorgestrel implant
A4261	E		Cervical cap contraceptive
A4262	N		Temporary tear duct plug
A4263	N		Permanent tear duct plug
A4265	A		Paraffin
A4266	E		Diaphragm
A4267	E		Male condom
A4268	E		Female condom
A4269	E		Spermicide
A4270	A		Disposable endoscope sheath
A4280	A		Brst prsths adhsv attchmnt
A4281	E		Replacement breastpump tube
A4282	E		Replacement breastpump adpt
A4283	E		Replacement breastpump cap
A4284	E		Replcmnt breast pump shield
A4285	E		Replcmnt breast pump bottle
A4286	E		Replcmnt breastpump lok ring
A4290	E		Sacral nerve stim test lead
A4300	N		Cath impl vasc access portal
A4301	N		Implantable access syst perc
A4305	A		Drug delivery system >=50 ML
A4306	A		Drug delivery system <=5 ML
A4310	A		Insert tray w/o bag/cath
A4311	A		Catheter w/o bag 2-way latex
A4312	A		Cath w/o bag 2-way silicone
A4313	A		Catheter w/bag 3-way
A4314	A		Cath w/drainage 2-way latex
A4315	A		Cath w/drainage 2-way silcne
A4316	A		Cath w/drainage 3-way
A4319	A		Sterile H2O irrigation solut
A4320	A		Irrigation tray
A4321	A		Cath therapeutic irrig agent
A4322	A		Irrigation syringe
A4323	A		Saline irrigation solution
A4324	A		Male ext cath w/adh coating
A4325	A		Male ext cath w/adh strip
A4326	A		Male external catheter
A4327	A		Fem urinary collect dev cup
A4328	A		Fem urinary collect pouch
A4330	A		Stool collection pouch
A4331	A		Extension drainage tubing
A4332	A		Lubricant for cath insertion
A4333	A		Urinary cath anchor device
A4334	A		Urinary cath leg strap
A4335	A		Incontinence supply
A4338	A		Indwelling catheter latex
A4340	A		Indwelling catheter special
A4344	A		Cath indw foley 2 way silicn
A4346	A		Cath indw foley 3 way
A4347	A		Male external catheter
A4348	A		Male ext cath extended wear
A4351	A		Straight tip urine catheter
A4352	A		Coude tip urinary catheter
A4353	A		Intermittent urinary cath
A4354	A		Cath insertion tray w/bag
A4355	A		Bladder irrigation tubing
A4356	A		Ext ureth clmp or compr dvc
A4357	A		Bedside drainage bag
A4358	A		Urinary leg or abdomen bag
A4359	A		Urinary suspensory w/o leg b
A4361	A		Ostomy face plate
A4362	A		Solid skin barrier
A4364	A		Adhesive, liquid or equal
A4365	A		Adhesive remover wipes
A4367	A		Ostomy belt
A4368	A		Ostomy filter
A4369	A		Skin barrier liquid per oz
A4371	A		Skin barrier powder per oz
A4372	A		Skin barrier solid 4x4 equiv
A4373	A		Skin barrier with flange
A4375	A		Drainable plastic pch w fcpl
A4376	A		Drainable rubber pch w fcplt
A4377	A		Drainable plstic pch w/o fp
A4378	A		Drainable rubber pch w/o fp
A4379	A		Urinary plastic pouch w fcpl
A4380	A		Urinary rubber pouch w fcplt
A4381	A		Urinary plastic pouch w/o fp
A4382	A		Urinary hvy plstc pch w/o fp
A4383	A		Urinary rubber pouch w/o fp
A4384	A		Ostomy faceplt/silicone ring
A4385	A		Ost skn barrier sld ext wear
A4387	A		Ost clsd pouch w att st barr
A4388	A		Drainable pch w ex wear barr
A4389	A		Drainable pch w st wear barr
A4390	A		Drainable pch ex wear convex
A4391	A		Urinary pouch w ex wear barr
A4392	A		Urinary pouch w st wear barr
A4393	A		Urine pch w ex wear bar conv
A4394	A		Ostomy pouch liq deodorant
A4395	A		Ostomy pouch solid deodorant
A4396	A		Peristomal hernia supprt blt
A4397	A		Irrigation supply sleeve
A4398	A		Ostomy irrigation bag
A4399	A		Ostomy irrig cone/cath w brs
A4400	A		Ostomy irrigation set
A4402	A		Lubricant per ounce
A4404	A		Ostomy ring each
A4405	A		Nonpectin based ostomy paste
A4406	A		Pectin based ostomy paste
A4407	A		Ext wear ost skn barr <=4sq″
A4408	A		Ext wear ost skn barr >4sq″
A4409	A		Ost skn barr w flng <=4 ″
A4410	A		Ost skn barr w flng >4sq″
A4413	A		2 pc drainable ost pouch
A4414	A		Ostomy sknbarr w flng <=4sq″
A4415	A		Ostomy skn barr w flng >4sq″
A4421	A		Ostomy supply misc
A4422	A		Ost pouch absorbent material
A4450	A		Non-waterproof tape
A4452	A		Waterproof tape
A4455	A		Adhesive remover per ounce
A4458	E		Reusable enema bag
A4462	A		Abdmnl drssng holder/binder
A4465	A		Non-elastic extremity binder
A4470	A		Gravlee jet washer
A4480	A		Vabra aspirator
A4481	A		Tracheostoma filter
A4483	A		Moisture exchanger
A4490	E		Above knee surgical stocking
A4495	E		Thigh length surg stocking
A4500	E		Below knee surgical stocking
A4510	E		Full length surg stocking
A4521	E		Adult size diaper sm each
A4522	E		Adult size diaper med each
A4523	E		Adult size diaper lg each
A4524	E		Adult size diaper xl each
A4525	E		Adult size brief sm each
A4526	E		Adult size brief med each
A4527	E		Adult size brief lg each
A4528	E		Adult size brief xl each
A4529	E		Child size diaper sm/med ea
A4530	E		Child size diaper lg each
A4531	E		Child size brief sm/med each
A4532	E		Child size brief lg each
A4533	E		Youth size diaper each
A4534	E		Youth size brief each
A4535	E		Disp incont liner/shield ea
A4536	E		Prot underwr wshbl any sz ea
A4537	E		Under pad reusable any sz ea
A4538	E		Diaper sv ea reusable diaper
A4550	E		Surgical trays
A4554	E		Disposable underpads
A4556	A		Electrodes, pair
A4557	A		Lead wires, pair
A4558	A		Conductive paste or gel
A4561	N		Pessary rubber, any type
A4562	N		Pessary, non rubber,any type
A4565	A		Slings
A4570	N		Splint
A4575	E		Hyperbaric o2 chamber disps
A4580	N		Cast supplies (plaster)
A4590	N		Special casting material
A4595	A		TENS suppl 2 lead per month
A4606	A		Oxygen probe used w oximeter
A4608	A		Transtracheal oxygen cath
A4609	A		Trach suction cath clsed sys
A4610	A		Trach sctn cath 72h clsedsys
A4611	A		Heavy duty battery
A4612	A		Battery cables
A4613	A		Battery charger
A4614	A		Hand-held PEFR meter
A4615	A		Cannula nasal
A4616	A		Tubing (oxygen) per foot
A4617	A		Mouth piece
A4618	A		Breathing circuits
A4619	A		Face tent
A4620	A		Variable concentration mask
A4621	A		Tracheotomy mask or collar
A4622	A		Tracheostomy or larngectomy
A4623	A		Tracheostomy inner cannula
A4624	A		Tracheal suction tube
A4625	A		Trach care kit for new trach
A4626	A		Tracheostomy cleaning brush
A4627	E		Spacer bag/reservoir
A4628	A		Oropharyngeal suction cath
A4629	A		Tracheostomy care kit
A4630	A		Repl bat t.e.n.s. own by pt
A4631	A		Wheelchair battery
A4632	E		Infus pump rplcemnt battery
A4633	A		Uvl replacement bulb
A4634	A		Replacement bulb th lightbox
A4635	A		Underarm crutch pad
A4636	A		Handgrip for cane etc
A4637	A		Repl tip cane/crutch/walker
A4639	A		Infrared ht sys replcmnt pad
A4640	A		Alternating pressure pad
A4641	N		Diagnostic imaging agent
A4642	K		Satumomab pendetide per dose	0704	2.9212	$158.59		$31.72
A4643	N		High dose contrast MRI
A4644	N		Contrast 100-199 MGs iodine
A4645	N		Contrast 200-299 MGs iodine
A4646	N		Contrast 300-399 MGs iodine
A4647	N		Supp- paramagnetic contr mat
A4649	A		Surgical supplies
A4651	A		Calibrated microcap tube
A4652	A		Microcapillary tube sealant
A4653	A		PD catheter anchor belt
A4656	A		Dialysis needle
A4657	A		Dialysis syringe w/wo needle
A4660	A		Sphyg/bp app w cuff and stet
A4663	A		Dialysis blood pressure cuff
A4670	E		Automatic bp monitor, dial
A4680	A		Activated carbon filter, ea
A4690	A		Dialyzer, each
A4706	A		Bicarbonate conc sol per gal
A4707	A		Bicarbonate conc pow per pac
A4708	A		Acetate conc sol per gallon
A4709	A		Acid conc sol per gallon
A4712	A		Sterile water inj per 10 ml
A4714	A		Treated water per gallon
A4719	A		“Y set” tubing
A4720	A		Dialysat sol fld vol > 249cc
A4721	A		Dialysat sol fld vol > 999cc
A4722	A		Dialys sol fld vol > 1999cc
A4723	A		Dialys sol fld vol > 2999cc
A4724	A		Dialys sol fld vol > 3999cc
A4725	A		Dialys sol fld vol > 999cc
A4726	A		Dialys sol fld vol > 5999cc
A4730	A		Fistula cannulation set, ea
A4736	A		Topical anesthetic, per gram
A4737	A		Inj anesthetic per 10 ml
A4740	A		Shunt accessory
A4750	A		Art or venous blood tubing
A4755	A		Comb art/venous blood tubing
A4760	A		Dialysate sol test kit, each
A4765	A		Dialysate conc pow per pack
A4766	A		Dialysate conc sol add 10 ml
A4770	A		Blood collection tube/vacuum
A4771	A		Serum clotting time tube
A4772	A		Blood glucose test strips
A4773	A		Occult blood test strips
A4774	A		Ammonia test strips
A4802	A		Protamine sulfate per 50 mg
A4860	A		Disposable catheter tips
A4870	A		Plumb/elec wk hm hemo equip
A4890	A		Repair/maint cont hemo equip
A4911	A		Drain bag/bottle
A4913	A		Misc dialysis supplies noc
A4918	A		Venous pressure clamp
A4927	A		Non-sterile gloves
A4928	A		Surgical mask
A4929	A		Tourniquet for dialysis, ea
A4930	A		Sterile, gloves per pair
A4931	A		Reusable oral thermometer
A4932	E		Reusable rectal thermometer
A5051	A		Pouch clsd w barr attached
A5052	A		Clsd ostomy pouch w/o barr
A5053	A		Clsd ostomy pouch faceplate
A5054	A		Clsd ostomy pouch w/flange
A5055	A		Stoma cap
A5061	A		Pouch drainable w barrier at
A5062	A		Drnble ostomy pouch w/o barr
A5063	A		Drain ostomy pouch w/flange
A5071	A		Urinary pouch w/barrier
A5072	A		Urinary pouch w/o barrier
A5073	A		Urinary pouch on barr w/flng
A5081	A		Continent stoma plug
A5082	A		Continent stoma catheter
A5093	A		Ostomy accessory convex inse
A5102	A		Bedside drain btl w/wo tube
A5105	A		Urinary suspensory
A5112	A		Urinary leg bag
A5113	A		Latex leg strap
A5114	A		Foam/fabric leg strap
A5119	A		Skin barrier wipes box pr 50
A5121	A		Solid skin barrier 6x6
A5122	A		Solid skin barrier 8x8
A5126	A		Disk/foam pad +or- adhesive
A5131	A		Appliance cleaner
A5200	A		Percutaneous catheter anchor
A5500	A		Diab shoe for density insert
A5501	A		Diabetic custom molded shoe
A5503	A		Diabetic shoe w/roller/rockr
A5504	A		Diabetic shoe with wedge
A5505	A		Diab shoe w/metatarsal bar
A5506	A		Diabetic shoe w/off set heel
A5507	A		Modification diabetic shoe
A5508	A		Diabetic deluxe shoe
A5509	A		Direct heat form shoe insert
A5510	A		Compression form shoe insert
A5511	A		Custom fab molded shoe inser
A6000	E		Wound warming wound cover
A6010	A		Collagen based wound filler
A6011	A		Collagen gel/paste wound fil
A6021	A		Collagen dressing <=16 sq in
A6022	A		Collagen drsg>6<=48 sq in
A6023	A		Collagen dressing >48 sq in
A6024	A		Collagen dsg wound filler
A6025	E		Silicone gel sheet, each
A6154	A		Wound pouch each
A6196	A		Alginate dressing <=16 sq in
A6197	A		Alginate drsg >16 <=48 sq in
A6198	A		alginate dressing > 48 sq in
A6199	A		Alginate drsg wound filler
A6200	A		Compos drsg <=16 no border
A6201	A		Compos drsg >16<=48 no bdr
A6202	A		Compos drsg >48 no border
A6203	A		Composite drsg <= 16 sq in
A6204	A		Composite drsg >16<=48 sq in
A6205	A		Composite drsg > 48 sq in
A6206	A		Contact layer <= 16 sq in
A6207	A		Contact layer >16<= 48 sq in
A6208	A		Contact layer > 48 sq in
A6209	A		Foam drsg <=16 sq in w/o bdr
A6210	A		Foam drg >16<=48 sq in w/o b
A6211	A		Foam drg > 48 sq in w/o brdr
A6212	A		Foam drg <=16 sq in w/border
A6213	A		Foam drg >16<=48 sq in w/bdr
A6214	A		Foam drg > 48 sq in w/border
A6215	A		Foam dressing wound filler
A6216	A		Non-sterile gauze<=16 sq in
A6217	A		Non-sterile gauze>16<=48 sq
A6218	A		Non-sterile gauze > 48 sq in
A6219	A		Gauze <= 16 sq in w/border
A6220	A		Gauze >16 <=48 sq in w/bordr
A6221	A		Gauze > 48 sq in w/border
A6222	A		Gauze <=16 in no w/sal w/o b
A6223	A		Gauze >16<=48 no w/sal w/o b
A6224	A		Gauze > 48 in no w/sal w/o b
A6228	A		Gauze <= 16 sq in water/sal
A6229	A		Gauze >16<=48 sq in watr/sal
A6230	A		Gauze > 48 sq in water/salne
A6231	A		Hydrogel dsg<=16 sq in
A6232	A		Hydrogel dsg>16<=48 sq in
A6233	A		Hydrogel dressing >48 sq in
A6234	A		Hydrocolld drg <=16 w/o bdr
A6235	A		Hydrocolld drg >16<=48 w/o b
A6236	A		Hydrocolld drg > 48 in w/o b
A6237	A		Hydrocolld drg <=16 in w/bdr
A6238	A		Hydrocolld drg >16<=48 w/bdr
A6239	A		Hydrocolld drg > 48 in w/bdr
A6240	A		Hydrocolld drg filler paste
A6241	A		Hydrocolloid drg filler dry
A6242	A		Hydrogel drg <=16 in w/o bdr
A6243	A		Hydrogel drg >16<=48 w/o bdr
A6244	A		Hydrogel drg >48 in w/o bdr
A6245	A		Hydrogel drg <= 16 in w/bdr
A6246	A		Hydrogel drg >16<=48 in w/b
A6247	A		Hydrogel drg > 48 sq in w/b
A6248	A		Hydrogel drsg gel filler
A6250	A		Skin seal protect moisturizr
A6251	A		Absorpt drg <=16 sq in w/o b
A6252	A		Absorpt drg >16 <=48 w/o bdr
A6253	A		Absorpt drg > 48 sq in w/o b
A6254	A		Absorpt drg <=16 sq in w/bdr
A6255	A		Absorpt drg >16<=48 in w/bdr
A6256	A		Absorpt drg > 48 sq in w/bdr
A6257	A		Transparent film <= 16 sq in
A6258	A		Transparent film >16<=48 in
A6259	A		Transparent film > 48 sq in
A6260	A		Wound cleanser any type/size
A6261	A		Wound filler gel/paste /oz
A6262	A		Wound filler dry form / gram
A6266	A		Impreg gauze no h20/sal/yard
A6402	A		Sterile gauze <= 16 sq in
A6403	A		Sterile gauze>16 <= 48 sq in
A6404	A		Sterile gauze > 48 sq in
A6410	A		Sterile eye pad
A6411	A		Non-sterile eye pad
A6412	E		Occlusive eye patch
A6421	A		Pad bandage >=3 <5in w /roll
A6422	A		Conf bandage ns >=3<5“w/roll
A6424	A		Conf bandage ns >=5“w /roll
A6426	A		Conf bandage s >=3<5“ w/roll
A6428	A		Conf bandage s >=5“ w /roll
A6430	A		Lt compres bdg >=3<5“w /roll
A6432	A		Lt compres bdg >=5“w /roll
A6434	A		Mo compres bdg >=3<5“w /roll
A6436	A		Hi compres bdg >=3<5“w /roll
A6438	A		Self-adher bdg >=3<5“w /roll
A6440	A		Zinc paste bdg >=3<5“w /roll
A6501	A		Compres burngarment bodysuit
A6502	A		Compres burngarment chinstrp
A6503	A		Compres burngarment facehood
A6504	A		Cmprsburngarment glove-wrist
A6505	A		Cmprsburngarment glove-elbow
A6506	A		Cmprsburngrmnt glove-axilla
A6507	A		Cmprs burngarment foot-knee
A6508	A		Cmprs burngarment foot-thigh
A6509	A		Compres burn garment jacket
A6510	A		Compres burn garment leotard
A6511	A		Compres burn garment panty
A6512	A		Compres burn garment, noc
A7000	A		Disposable canister for pump
A7001	A		Nondisposable pump canister
A7002	A		Tubing used w suction pump
A7003	A		Nebulizer administration set
A7004	A		Disposable nebulizer sml vol
A7005	A		Nondisposable nebulizer set
A7006	A		Filtered nebulizer admin set
A7007	A		Lg vol nebulizer disposable
A7008	A		Disposable nebulizer prefill
A7009	A		Nebulizer reservoir bottle
A7010	A		Disposable corrugated tubing
A7011	A		Nondispos corrugated tubing
A7012	A		Nebulizer water collec devic
A7013	A		Disposable compressor filter
A7014	A		Compressor nondispos filter
A7015	A		Aerosol mask used w nebulize
A7016	A		Nebulizer dome & mouthpiece
A7017	A		Nebulizer not used w oxygen
A7018	A		Water distilled w/nebulizer
A7019	A		Saline solution dispenser
A7020	A		Sterile H2O or NSS w lgv neb
A7025	A		Replace chest compress vest
A7026	A		Replace chst cmprss sys hose
A7030	A		CPAP full face mask
A7031	A		Replacement facemask interfa
A7032	A		Replacement nasal cushion
A7033	A		Replacement nasal pillows
A7034	A		Nasal application device
A7035	A		Pos airway press headgear
A7036	A		Pos airway press chinstrap
A7037	A		Pos airway pressure tubing
A7038	A		Pos airway pressure filter
A7039	A		Filter, non disposable w pap
A7042	A		Implanted pleural catheter
A7043	A		Vacuum drainagebottle/tubing
A7044	A		PAP oral interface
A7501	A		Tracheostoma valve w diaphra
A7502	A		Replacement diaphragm/fplate
A7503	A		HMES filter holder or cap
A7504	A		Tracheostoma HMES filter
A7505	A		HMES or trach valve housing
A7506	A		HMES/trachvalve adhesivedisk
A7507	A		Integrated filter & holder
A7508	A		Housing & Integrated Adhesiv
A7509	A		Heat & moisture exchange sys
A9150	E		Misc/exper non-prescript dru
A9270	E		Non-covered item or service
A9300	E		Exercise equipment
A9500	N		Technetium TC 99m sestamibi
A9502	N		Technetium TC99M tetrofosmin
A9503	N		Technetium TC 99m medronate
A9504	N		Technetium tc 99m apcitide
A9505	N		Thallous chloride TL 201/mci
A9507	K		Indium/111 capromab pendetid	1604	12.4029	$673.34		$134.67
A9508	K		Iobenguane sulfate I-131, per 0.5 mCi	1045	2.9293	$159.03		$31.81
A9510	N		Technetium TC99m Disofenin
A9511	K		Technetium TC 99m depreotide	1095	3.7042	$201.10		$40.22
A9512	N		Technetiumtc99mpertechnetate
A9513	N		Technetium tc-99m mebrofenin
A9514	N		Technetiumtc99mpyrophosphate
A9515	N		Technetium tc-99m pentetate
A9516	N		I-123 sodium iodide capsule
A9517	K		I-131 sodium iodide capsule	1064	0.1007	$5.47		$1.09
A9518	K		I-131 sodium iodide solution	1065	0.0002	$.01
A9519	N		Technetiumtc-99mmacroag albu
A9520	N		Technetiumtc-99m sulfur clld
A9521	K		Technetiumtc-99m exametazine	1096	3.8103	$206.86		$41.37
A9522	K		Indium111ibritumomabtiuxetan	9118	38.3972	$2,084.55		$416.91
A9523	K		Yttrium90ibritumomabtiuxetan	9117	332.7763	$18,066.09		$3,613.22
A9524	K		Iodinated I-131 serumalbumin, per 5uci	9100	0.0071	$.39		$.08
A9600	K		Strontium-89 chloride	0701	7.4586	$404.92		$80.98
A9605	K		Samarium sm153 lexidronamm	0702	16.1415	$876.31		$175.26
A9699	N		Noc therapeutic radiopharm
A9700	E		Echocardiography Contrast
A9900	A		Supply/accessory/service
A9901	A		Delivery/set up/dispensing
B4034	A		Enter feed supkit syr by day
B4035	A		Enteral feed supp pump per d
B4036	A		Enteral feed sup kit grav by
B4081	A		Enteral ng tubing w/ stylet
B4082	A		Enteral ng tubing w/o stylet
B4083	A		Enteral stomach tube levine
B4086	A		Gastrostomy/jejunostomy tube
B4100	E		Food thickener oral
B4150	A		Enteral formulae category i
B4151	A		Enteral formulae cat1natural
B4152	A		Enteral formulae category ii
B4153	A		Enteral formulae categoryIII
B4154	A		Enteral formulae category IV
B4155	A		Enteral formulae category v
B4156	A		Enteral formulae category vi
B4164	A		Parenteral 50% dextrose solu
B4168	A		Parenteral sol amino acid 3.
B4172	A		Parenteral sol amino acid 5.
B4176	A		Parenteral sol amino acid 7-
B4178	A		Parenteral sol amino acid >
B4180	A		Parenteral sol carb > 50%
B4184	A		Parenteral sol lipids 10%
B4186	A		Parenteral sol lipids 20%
B4189	A		Parenteral sol amino acid &
B4193	A		Parenteral sol 52-73 gm prot
B4197	A		Parenteral sol 74-100 gm pro
B4199	A		Parenteral sol > 100gm prote
B4216	A		Parenteral nutrition additiv
B4220	A		Parenteral supply kit premix
B4222	A		Parenteral supply kit homemi
B4224	A		Parenteral administration ki
B5000	A		Parenteral sol renal-amirosy
B5100	A		Parenteral sol hepatic-fream
B5200	A		Parenteral sol stres-brnch c
B9000	A		Enter infusion pump w/o alrm
B9002	A		Enteral infusion pump w/ ala
B9004	A		Parenteral infus pump portab
B9006	A		Parenteral infus pump statio
B9998	A		Enteral supp not otherwise c
B9999	A		Parenteral supp not othrws c
C1010	K		Blood, L/R, CMV-NEG	1010	2.1361	$115.97		$23.19
C1011	K		Platelets, HLA-m, L/R, unit	1011	8.2851	$449.79		$89.96
C1015	K		Plt, pher,L/R,CMV, irrad	1020	9.6266	$522.62		$104.52
C1016	K		BLOOD,L/R,FROZ/DEGLY/Washed	1016	5.0012	$271.51		$54.30
C1017	K		Plt, APH/PHER,L/R,CMV-NEG	1017	6.5175	$353.83		$70.77
C1018	K		Blood, L/R, IRRADIATED	1018	2.1950	$119.16		$23.83
C1020	K		RBC, frz/deg/wsh, L/R, irrad	1021	6.5287	$354.44		$70.89
C1021	K		RBC, L/R, CMV neg, irrad	1022	3.9139	$212.48		$42.50
C1022	K		Plasma, frz within 24 hour	0955	1.5750	$85.51		$17.10
C1079	N		CO 57/58 per 0.5 uCi
C1088	T		LASER OPTIC TR Sys	1557		$1,850.00		$370.00
C1091	K		IN111 oxyquinoline,per0.5mCi	1091	4.0535	$220.06		$44.01
C1092	K		IN 111 pentetate per 0.5 mCi	1092	4.0824	$221.63		$44.33
C1122	K		Tc 99M ARCITUMOMAB PER VIAL	1122	9.6556	$524.19		$104.84
C1166	N		CYTARABINE LIPOSOMAL, 10 mg
C1167	K		EPIRUBICIN HCL, 2 mg	1167	0.3597	$19.53		$3.91
C1178	K		BUSULFAN IV, 6 Mg	1178	6.0245	$327.06		$65.41
C1200	N		TC 99M Sodium Glucoheptonat
C1201	N		TC 99M SUCCIMER, PER Vial
C1300	S		HYPERBARIC Oxygen	0659	3.2220	$174.92		$34.98
C1305	K		Apligraf	1305	11.2075	$608.44		$121.69
C1716	K		Brachytx source, Gold 198	1716	1.3399	$72.74		$14.55
C1718	K		Brachytx source, Iodine 125	1718	0.6695	$36.35		$7.27
C1719	K		Brachytx sour,Non-HDR Ir-192	1719	0.3053	$16.57		$3.31
C1720	K		Brachytx sour, Palladium 103	1720	0.8104	$44.00		$8.80
C1765	N		Adhesion barrier
C1774	K		Darbepoetin alfa, 1 mcg	0734	0.0463	$2.51		$.50
C1775	K		FDG, per dose (4-40 mCi/ml)	1775	5.8606	$318.17		$63.63
C1783	H		Ocular imp, aqueous drain dev	1783
C1814	H		Retinal tamp, silicone oil	1814
C1818	H		Integrated keratoprosthesis	1818
C1900	H		Lead coronary venous	1900
C2614	H		Probe, perc lumb disc	2614
C2616	K		Brachytx source, Yttrium-90	2616	163.4011	$8,870.88		$1,774.18
C2618	N		Probe, cryoablation
C2632	H		Brachytx sol, I-125, per mCi	2632
C8900	S		MRA w/cont, abd	0284	7.0207	$381.15	$190.57	$76.23
C8901	S		MRA w/o cont, abd	0336	6.4817	$351.89	$175.94	$70.38
C8902	S		MRA w/o fol w/cont, abd	0337	9.3215	$506.05	$240.77	$101.21
C8903	S		MRI w/cont, breast, uni	0284	7.0207	$381.15	$190.57	$76.23
C8904	S		MRI w/o cont, breast, uni	0336	6.4817	$351.89	$175.94	$70.38
C8905	S		MRI w/o fol w/cont, brst, un	0337	9.3215	$506.05	$240.77	$101.21
C8906	S		MRI w/cont, breast, bi	0284	7.0207	$381.15	$190.57	$76.23
C8907	S		MRI w/o cont, breast, bi	0336	6.4817	$351.89	$175.94	$70.38
C8908	S		MRI w/o fol w/cont, breast,	0337	9.3215	$506.05	$240.77	$101.21
C8909	S		MRA w/cont, chest	0284	7.0207	$381.15	$190.57	$76.23
C8910	S		MRA w/o cont, chest	0336	6.4817	$351.89	$175.94	$70.38
C8911	S		MRA w/o fol w/cont, chest	0337	9.3215	$506.05	$240.77	$101.21
C8912	S		MRA w/cont, lwr ext	0284	7.0207	$381.15	$190.57	$76.23
C8913	S		MRA w/o cont, lwr ext	0336	6.4817	$351.89	$175.94	$70.38
C8914	S		MRA w/o fol w/cont, lwr ext	0337	9.3215	$506.05	$240.77	$101.21
C8918	S		MRA w/cont, pelvis	0284	7.0207	$381.15	$190.57	$76.23
C8919	S		MRA w/o cont, pelvis	0336	6.4817	$351.89	$175.94	$70.38
C8920	S		MRA w/o fol w/cont, pelvis	0337	9.3215	$506.05	$240.77	$101.21
C9000	K		Na chromateCr51, per 0.25mCi	9000	1.2631	$68.57		$13.71
C9003	K		Palivizumab, per 50 mg	9003	6.3850	$346.64		$69.33
C9007	N		Baclofen Intrathecal kit-1am
C9008	N		Baclofen Refill Kit-500mcg
C9009	K		Baclofen Refill Kit-2000mcg	9009	0.7478	$40.60		$8.12
C9010	K		Baclofen Refill Kit--4000mcg	9010	0.7340	$39.85		$7.97
C9013	N		Co 57 cobaltous chloride
C9102	N		51 Na Chromate, 50mCi
C9103	N		Na Iothalamate I-125, 10 uCi
C9105	K		Hep B imm glob, per 1 ml	9105	1.5621	$84.80		$16.96
C9109	K		Tirofiban hcl, 6.25 mg	9109	2.2328	$121.22		$24.24
C9111	G		Inj, bivalirudin, 250mg vial	9111		$397.81		$59.46
C9112	G		Perflutren lipid micro, 2ml	9112		$148.20		$22.15
C9113	G		Inj pantoprazole sodium, via	9113		$22.80		$3.41
C9116	G		Ertapenem sodium, per 1 gm	9116		$45.31		$6.77
C9120	G		Injection, fulvestrant	9120		$175.16		$26.18
C9121	G		Injection, argatroban	9121		$14.25		$2.13
C9200	G		Orcel, per 36 cm2	9200		$1,135.25		$169.69
C9201	K		Dermagraft, per 37.5 sq cm	9201	7.9288	$430.45		$86.09
C9202	K		Octafluoropropane	9202	2.1253	$115.38		$23.08
C9203	G		Perflexane lipid micro	9203		$142.50		$21.30
C9204	G		Ziprasidone mesylate	9204		$41.56		$6.21
C9205	G		Oxaliplatin	9205		$94.46		$14.12
C9503	K		Fresh frozen plasma, ea unit	9503	1.1560	$62.76		$12.55
C9701	T		Stretta System	1557		$1,850.00		$370.00
C9703	T		Bard Endoscopic Suturing Sys	1555		$1,650.00		$330.00
C9711	T		H.E.L.P. Apheresis System	1552		$1,350.00		$270.00
D0120	E		Periodic oral evaluation
D0140	E		Limit oral eval problm focus
D0150	S		Comprehensve oral evaluation	0330	0.5609	$30.45	$6.09	$6.09
D0160	E		Extensv oral eval prob focus
D0170	E		Re-eval,est pt,problem focus
D0180	E		Comp periodontal evaluation
D0210	E		Intraor complete film series
D0220	E		Intraoral periapical first f
D0230	E		Intraoral periapical ea add
D0240	S		Intraoral occlusal film	0330	0.5609	$30.45	$6.09	$6.09
D0250	S		Extraoral first film	0330	0.5609	$30.45	$6.09	$6.09
D0260	S		Extraoral ea additional film	0330	0.5609	$30.45	$6.09	$6.09
D0270	S		Dental bitewing single film	0330	0.5609	$30.45	$6.09	$6.09
D0272	S		Dental bitewings two films	0330	0.5609	$30.45	$6.09	$6.09
D0274	S		Dental bitewings four films	0330	0.5609	$30.45	$6.09	$6.09
D0277	S		Vert bitewings-sev to eight	0330	0.5609	$30.45	$6.09	$6.09
D0290	E		Dental film skull/facial bon
D0310	E		Dental saliography
D0320	E		Dental tmj arthrogram incl i
D0321	E		Dental other tmj films
D0322	E		Dental tomographic survey
D0330	E		Dental panoramic film
D0340	E		Dental cephalometric film
D0350	E		Oral/facial images
D0415	E		Bacteriologic study
D0425	E		Caries susceptibility test
D0460	S		Pulp vitality test	0330	0.5609	$30.45	$6.09	$6.09
D0470	E		Diagnostic casts
D0472	S		Gross exam, prep & report	0330	0.5609	$30.45	$6.09	$6.09
D0473	S		Micro exam, prep & report	0330	0.5609	$30.45	$6.09	$6.09
D0474	S		Micro w exam of surg margins	0330	0.5609	$30.45	$6.09	$6.09
D0480	S		Cytopath smear prep & report	0330	0.5609	$30.45	$6.09	$6.09
D0502	S		Other oral pathology procedu	0330	0.5609	$30.45	$6.09	$6.09
D0999	S		Unspecified diagnostic proce	0330	0.5609	$30.45	$6.09	$6.09
D1110	E		Dental prophylaxis adult
D1120	E		Dental prophylaxis child
D1201	E		Topical fluor w prophy child
D1203	E		Topical fluor w/o prophy chi
D1204	E		Topical fluor w/o prophy adu
D1205	E		Topical fluoride w/ prophy a
D1310	E		Nutri counsel-control caries
D1320	E		Tobacco counseling
D1330	E		Oral hygiene instruction
D1351	E		Dental sealant per tooth
D1510	S		Space maintainer fxd unilat	0330	0.5609	$30.45	$6.09	$6.09
D1515	S		Fixed bilat space maintainer	0330	0.5609	$30.45	$6.09	$6.09
D1520	S		Remove unilat space maintain	0330	0.5609	$30.45	$6.09	$6.09
D1525	S		Remove bilat space maintain	0330	0.5609	$30.45	$6.09	$6.09
D1550	S		Recement space maintainer	0330	0.5609	$30.45	$6.09	$6.09
D2140	E		Amalgam one surface permanen
D2150	E		Amalgam two surfaces permane
D2160	E		Amalgam three surfaces perma
D2161	E		Amalgam 4 or > surfaces perm
D2330	E		Resin one surface-anterior
D2331	E		Resin two surfaces-anterior
D2332	E		Resin three surfaces-anterio
D2335	E		Resin 4/> surf or w incis an
D2390	E		Ant resin-based cmpst crown
D2391	E		Post 1 srfc resinbased cmpst
D2392	E		Post 2 srfc resinbased cmpst
D2393	E		Post 3 srfc resinbased cmpst
D2394	E		Post >=4srfc resinbase cmpst
D2410	E		Dental gold foil one surface
D2420	E		Dental gold foil two surface
D2430	E		Dental gold foil three surfa
D2510	E		Dental inlay metalic 1 surf
D2520	E		Dental inlay metallic 2 surf
D2530	E		Dental inlay metl 3/more sur
D2542	E		Dental onlay metallic 2 surf
D2543	E		Dental onlay metallic 3 surf
D2544	E		Dental onlay metl 4/more sur
D2610	E		Inlay porcelain/ceramic 1 su
D2620	E		Inlay porcelain/ceramic 2 su
D2630	E		Dental onlay porc 3/more sur
D2642	E		Dental onlay porcelin 2 surf
D2643	E		Dental onlay porcelin 3 surf
D2644	E		Dental onlay porc 4/more sur
D2650	E		Inlay composite/resin one su
D2651	E		Inlay composite/resin two su
D2652	E		Dental inlay resin 3/mre sur
D2662	E		Dental onlay resin 2 surface
D2663	E		Dental onlay resin 3 surface
D2664	E		Dental onlay resin 4/mre sur
D2710	E		Crown resin laboratory
D2720	E		Crown resin w/ high noble me
D2721	E		Crown resin w/ base metal
D2722	E		Crown resin w/ noble metal
D2740	E		Crown porcelain/ceramic subs
D2750	E		Crown porcelain w/ h noble m
D2751	E		Crown porcelain fused base m
D2752	E		Crown porcelain w/ noble met
D2780	E		Crown 3/4 cast hi noble met
D2781	E		Crown 3/4 cast base metal
D2782	E		Crown 3/4 cast noble metal
D2783	E		Crown 3/4 porcelain/ceramic
D2790	E		Crown full cast high noble m
D2791	E		Crown full cast base metal
D2792	E		Crown full cast noble metal
D2799	E		Provisional crown
D2910	E		Dental recement inlay
D2920	E		Dental recement crown
D2930	E		Prefab stnlss steel crwn pri
D2931	E		Prefab stnlss steel crown pe
D2932	E		Prefabricated resin crown
D2933	E		Prefab stainless steel crown
D2940	E		Dental sedative filling
D2950	E		Core build-up incl any pins
D2951	E		Tooth pin retention
D2952	E		Post and core cast + crown
D2953	E		Each addtnl cast post
D2954	E		Prefab post/core + crown
D2955	E		Post removal
D2957	E		Each addtnl prefab post
D2960	E		Laminate labial veneer
D2961	E		Lab labial veneer resin
D2962	E		Lab labial veneer porcelain
D2970	S		Temporary- fractured tooth	0330	0.5609	$30.45	$6.09	$6.09
D2980	E		Crown repair
D2999	S		Dental unspec restorative pr	0330	0.5609	$30.45	$6.09	$6.09
D3110	E		Pulp cap direct
D3120	E		Pulp cap indirect
D3220	E		Therapeutic pulpotomy
D3221	E		Gross pulpal debridement
D3230	E		Pulpal therapy anterior prim
D3240	E		Pulpal therapy posterior pri
D3310	E		Anterior
D3320	E		Root canal therapy 2 canals
D3330	E		Root canal therapy 3 canals
D3331	E		Non-surg tx root canal obs
D3332	E		Incomplete endodontic tx
D3333	E		Internal root repair
D3346	E		Retreat root canal anterior
D3347	E		Retreat root canal bicuspid
D3348	E		Retreat root canal molar
D3351	E		Apexification/recalc initial
D3352	E		Apexification/recalc interim
D3353	E		Apexification/recalc final
D3410	E		Apicoect/perirad surg anter
D3421	E		Root surgery bicuspid
D3425	E		Root surgery molar
D3426	E		Root surgery ea add root
D3430	E		Retrograde filling
D3450	E		Root amputation
D3460	S		Endodontic endosseous implan	0330	0.5609	$30.45	$6.09	$6.09
D3470	E		Intentional replantation
D3910	E		Isolation- tooth w rubb dam
D3920	E		Tooth splitting
D3950	E		Canal prep/fitting of dowel
D3999	S		Endodontic procedure	0330	0.5609	$30.45	$6.09	$6.09
D4210	E		Gingivectomy/plasty per quad
D4211	E		Gingivectomy/plasty per toot
D4240	E		Gingival flap proc w/ planin
D4241	E		Gngvl flap w rootplan 1-3 th
D4245	E		Apically positioned flap
D4249	E		Crown lengthen hard tissue
D4260	S		Osseous surgery per quadrant	0330	0.5609	$30.45	$6.09	$6.09
D4261	E		Osseous surgl-3teethperquad
D4263	S		Bone replce graft first site	0330	0.5609	$30.45	$6.09	$6.09
D4264	S		Bone replce graft each add	0330	0.5609	$30.45	$6.09	$6.09
D4265	E		Bio mtrls to aid soft/os reg
D4266	E		Guided tiss regen resorble
D4267	E		Guided tiss regen nonresorb
D4268	S		Surgical revision procedure	0330	0.5609	$30.45	$6.09	$6.09
D4270	S		Pedicle soft tissue graft pr	0330	0.5609	$30.45	$6.09	$6.09
D4271	S		Free soft tissue graft proc	0330	0.5609	$30.45	$6.09	$6.09
D4273	S		Subepithelial tissue graft	0330	0.5609	$30.45	$6.09	$6.09
D4274	E		Distal/proximal wedge proc
D4275	E		Soft tissue allograft
D4276	E		Con tissue w dble ped graft
D4320	E		Provision splnt intracoronal
D4321	E		Provisional splint extracoro
D4341	E		Periodontal scaling & root
D4342	E		Periodontal scaling 1-3teeth
D4355	S		Full mouth debridement	0330	0.5609	$30.45	$6.09	$6.09
D4381	S		Localized chemo delivery	0330	0.5609	$30.45	$6.09	$6.09
D4910	E		Periodontal maint procedures
D4920	E		Unscheduled dressing change
D4999	E		Unspecified periodontal proc
D5110	E		Dentures complete maxillary
D5120	E		Dentures complete mandible
D5130	E		Dentures immediat maxillary
D5140	E		Dentures immediat mandible
D5211	E		Dentures maxill part resin
D5212	E		Dentures mand part resin
D5213	E		Dentures maxill part metal
D5214	E		Dentures mandibl part metal
D5281	E		Removable partial denture
D5410	E		Dentures adjust cmplt maxil
D5411	E		Dentures adjust cmplt mand
D5421	E		Dentures adjust part maxill
D5422	E		Dentures adjust part mandbl
D5510	E		Dentur repr broken compl bas
D5520	E		Replace denture teeth complt
D5610	E		Dentures repair resin base
D5620	E		Rep part denture cast frame
D5630	E		Rep partial denture clasp
D5640	E		Replace part denture teeth
D5650	E		Add tooth to partial denture
D5660	E		Add clasp to partial denture
D5670	E		Replc tth&acrlc on mtl frmwk
D5671	E		Replc tth&acrlc mandibular
D5710	E		Dentures rebase cmplt maxil
D5711	E		Dentures rebase cmplt mand
D5720	E		Dentures rebase part maxill
D5721	E		Dentures rebase part mandbl
D5730	E		Denture reln cmplt maxil ch
D5731	E		Denture reln cmplt mand chr
D5740	E		Denture reln part maxil chr
D5741	E		Denture reln part mand chr
D5750	E		Denture reln cmplt max lab
D5751	E		Denture reln cmplt mand lab
D5760	E		Denture reln part maxil lab
D5761	E		Denture reln part mand lab
D5810	E		Denture interm cmplt maxill
D5811	E		Denture interm cmplt mandbl
D5820	E		Denture interm part maxill
D5821	E		Denture interm part mandbl
D5850	E		Denture tiss conditn maxill
D5851	E		Denture tiss condtin mandbl
D5860	E		Overdenture complete
D5861	E		Overdenture partial
D5862	E		Precision attachment
D5867	E		Replacement of precision att
D5875	E		Prosthesis modification
D5899	E		Removable prosthodontic proc
D5911	S		Facial moulage sectional	0330	0.5609	$30.45	$6.09	$6.09
D5912	S		Facial moulage complete	0330	0.5609	$30.45	$6.09	$6.09
D5913	E		Nasal prosthesis
D5914	E		Auricular prosthesis
D5915	E		Orbital prosthesis
D5916	E		Ocular prosthesis
D5919	E		Facial prosthesis
D5922	E		Nasal septal prosthesis
D5923	E		Ocular prosthesis interim
D5924	E		Cranial prosthesis
D5925	E		Facial augmentation implant
D5926	E		Replacement nasal prosthesis
D5927	E		Auricular replacement
D5928	E		Orbital replacement
D5929	E		Facial replacement
D5931	E		Surgical obturator
D5932	E		Postsurgical obturator
D5933	E		Refitting of obturator
D5934	E		Mandibular flange prosthesis
D5935	E		Mandibular denture prosth
D5936	E		Temp obturator prosthesis
D5937	E		Trismus appliance
D5951	E		Feeding aid
D5952	E		Pediatric speech aid
D5953	E		Adult speech aid
D5954	E		Superimposed prosthesis
D5955	E		Palatal lift prosthesis
D5958	E		Intraoral con def inter plt
D5959	E		Intraoral con def mod palat
D5960	E		Modify speech aid prosthesis
D5982	E		Surgical stent
D5983	S		Radiation applicator	0330	0.5609	$30.45	$6.09	$6.09
D5984	S		Radiation shield	0330	0.5609	$30.45	$6.09	$6.09
D5985	S		Radiation cone locator	0330	0.5609	$30.45	$6.09	$6.09
D5986	E		Fluoride applicator
D5987	S		Commissure splint	0330	0.5609	$30.45	$6.09	$6.09
D5988	E		Surgical splint
D5999	E		Maxillofacial prosthesis
D6010	E		Odontics endosteal implant
D6020	E		Odontics abutment placement
D6040	E		Odontics eposteal implant
D6050	E		Odontics transosteal implnt
D6053	E		Implnt/abtmnt spprt remv dnt
D6054	E		Implnt/abtmnt spprt remvprtl
D6055	E		Implant connecting bar
D6056	E		Prefabricated abutment
D6057	E		Custom abutment
D6058	E		Abutment supported crown
D6059	E		Abutment supported mtl crown
D6060	E		Abutment supported mtl crown
D6061	E		Abutment supported mtl crown
D6062	E		Abutment supported mtl crown
D6063	E		Abutment supported mtl crown
D6064	E		Abutment supported mtl crown
D6065	E		Implant supported crown
D6066	E		Implant supported mtl crown
D6067	E		Implant supported mtl crown
D6068	E		Abutment supported retainer
D6069	E		Abutment supported retainer
D6070	E		Abutment supported retainer
D6071	E		Abutment supported retainer
D6072	E		Abutment supported retainer
D6073	E		Abutment supported retainer
D6074	E		Abutment supported retainer
D6075	E		Implant supported retainer
D6076	E		Implant supported retainer
D6077	E		Implant supported retainer
D6078	E		Implnt/abut suprtd fixd dent
D6079	E		Implnt/abut suprtd fixd dent
D6080	E		Implant maintenance
D6090	E		Repair implant
D6095	E		Odontics repr abutment
D6100	E		Removal of implant
D6199	E		Implant procedure
D6210	E		Prosthodont high noble metal
D6211	E		Bridge base metal cast
D6212	E		Bridge noble metal cast
D6240	E		Bridge porcelain high noble
D6241	E		Bridge porcelain base metal
D6242	E		Bridge porcelain nobel metal
D6245	E		Bridge porcelain/ceramic
D6250	E		Bridge resin w/high noble
D6251	E		Bridge resin base metal
D6252	E		Bridge resin w/noble metal
D6253	E		Provisional pontic
D6545	E		Dental retainr cast metl
D6548	E		Porcelain/ceramic retainer
D6600	E		Porcelain/ceramic inlay 2srf
D6601	E		Porc/ceram inlay >= 3 surfac
D6602	E		Cst hgh nble mtl inlay 2 srf
D6603	E		Cst hgh nble mtl inlay >=3sr
D6604	E		Cst bse mtl inlay 2 surfaces
D6605	E		Cst bse mtl inlay >= 3 surfa
D6606	E		Cast noble metal inlay 2 sur
D6607	E		Cst noble mtl inlay >=3 surf
D6608	E		Onlay porc/crmc 2 surfaces
D6609	E		Onlay porc/crmc >=3 surfaces
D6610	E		Onlay cst hgh nbl mtl 2 srfc
D6611	E		Onlay cst hgh nbl mtl >=3srf
D6612	E		Onlay cst base mtl 2 surface
D6613	E		Onlay cst base mtl >=3 surfa
D6614	E		Onlay cst nbl mtl 2 surfaces
D6615	E		Onlay cst nbl mtl >=3 surfac
D6720	E		Retain crown resin w hi nble
D6721	E		Crown resin w/base metal
D6722	E		Crown resin w/noble metal
D6740	E		Crown porcelain/ceramic
D6750	E		Crown porcelain high noble
D6751	E		Crown porcelain base metal
D6752	E		Crown porcelain noble metal
D6780	E		Crown 3/4 high noble metal
D6781	E		Crown 3/4 cast based metal
D6782	E		Crown 3/4 cast noble metal
D6783	E		Crown 3/4 porcelain/ceramic
D6790	E		Crown full high noble metal
D6791	E		Crown full base metal cast
D6792	E		Crown full noble metal cast
D6793	E		Provisional retainer crown
D6920	S		Dental connector bar	0330	0.5609	$30.45	$6.09	$6.09
D6930	E		Dental recement bridge
D6940	E		Stress breaker
D6950	E		Precision attachment
D6970	E		Post & core plus retainer
D6971	E		Cast post bridge retainer
D6972	E		Prefab post & core plus reta
D6973	E		Core build up for retainer
D6975	E		Coping metal
D6976	E		Each addtnl cast post
D6977	E		Each addtl prefab post
D6980	E		Bridge repair
D6985	E		Pediatric partial denture fx
D6999	E		Fixed prosthodontic proc
D7111	S		Coronal remnants deciduous t	0330	0.5609	$30.45	$6.09	$6.09
D7140	S		Extraction erupted tooth/exr	0330	0.5609	$30.45	$6.09	$6.09
D7210	S		Rem imp tooth w mucoper flp	0330	0.5609	$30.45	$6.09	$6.09
D7220	S		Impact tooth remov soft tiss	0330	0.5609	$30.45	$6.09	$6.09
D7230	S		Impact tooth remov part bony	0330	0.5609	$30.45	$6.09	$6.09
D7240	S		Impact tooth remov comp bony	0330	0.5609	$30.45	$6.09	$6.09
D7241	S		Impact tooth rem bony w/comp	0330	0.5609	$30.45	$6.09	$6.09
D7250	S		Tooth root removal	0330	0.5609	$30.45	$6.09	$6.09
D7260	S		Oral antral fistula closure	0330	0.5609	$30.45	$6.09	$6.09
D7261	S		Primary closure sinus perf	0330	0.5609	$30.45	$6.09	$6.09
D7270	E		Tooth reimplantation
D7272	E		Tooth transplantation
D7280	E		Exposure impact tooth orthod
D7281	E		Exposure tooth aid eruption
D7282	E		Mobilize erupted/malpos toot
D7285	E		Biopsy of oral tissue hard
D7286	E		Biopsy of oral tissue soft
D7287	E		Cytology sample collection
D7290	E		Repositioning of teeth
D7291	S		Transseptal fiberotomy	0330	0.5609	$30.45	$6.09	$6.09
D7310	E		Alveoplasty w/ extraction
D7320	E		Alveoplasty w/o extraction
D7340	E		Vestibuloplasty ridge extens
D7350	E		Vestibuloplasty exten graft
D7410	E		Rad exc lesion up to 1.25 cm
D7411	E		Excision benign lesion>1.25c
D7412	E		Excision benign lesion compl
D7413	E		Excision malig lesion<=1.25c
D7414	E		Excision malig lesion>1.25cm
D7415	E		Excision malig les complicat
D7440	E		Malig tumor exc to 1.25 cm
D7441	E		Malig tumor > 1.25 cm
D7450	E		Rem odontogen cyst to 1.25cm
D7451	E		Rem odontogen cyst > 1.25 cm
D7460	E		Rem nonodonto cyst to 1.25cm
D7461	E		Rem nonodonto cyst > 1.25 cm
D7465	E		Lesion destruction
D7471	E		Rem exostosis any site
D7472	E		Removal of torus palatinus
D7473	E		Remove torus mandibularis
D7485	E		Surg reduct osseoustuberosit
D7490	E		Mandible resection
D7510	E		I&d absc intraoral soft tiss
D7520	E		I&d abscess extraoral
D7530	E		Removal fb skin/areolar tiss
D7540	E		Removal of fb reaction
D7550	E		Removal of sloughed off bone
D7560	E		Maxillary sinusotomy
D7610	E		Maxilla open reduct simple
D7620	E		Clsd reduct simpl maxilla fx
D7630	E		Open red simpl mandible fx
D7640	E		Clsd red simpl mandible fx
D7650	E		Open red simp malar/zygom fx
D7660	E		Clsd red simp malar/zygom fx
D7670	E		Closd rductn splint alveolus
D7671	E		Alveolus open reduction
D7680	E		Reduct simple facial bone fx
D7710	E		Maxilla open reduct compound
D7720	E		Clsd reduct compd maxilla fx
D7730	E		Open reduct compd mandble fx
D7740	E		Clsd reduct compd mandble fx
D7750	E		Open red comp malar/zygma fx
D7760	E		Clsd red comp malar/zygma fx
D7770	E		Open reduc compd alveolus fx
D7771	E		Alveolus clsd reduc stblz te
D7780	E		Reduct compnd facial bone fx
D7810	E		Tmj open reduct-dislocation
D7820	E		Closed tmp manipulation
D7830	E		Tmj manipulation under anest
D7840	E		Removal of tmj condyle
D7850	E		Tmj meniscectomy
D7852	E		Tmj repair of joint disc
D7854	E		Tmj excisn of joint membrane
D7856	E		Tmj cutting of a muscle
D7858	E		Tmj reconstruction
D7860	E		Tmj cutting into joint
D7865	E		Tmj reshaping components
D7870	E		Tmj aspiration joint fluid
D7871	E		Lysis + lavage w catheters
D7872	E		Tmj diagnostic arthroscopy
D7873	E		Tmj arthroscopy lysis adhesn
D7874	E		Tmj arthroscopy disc reposit
D7875	E		Tmj arthroscopy synovectomy
D7876	E		Tmj arthroscopy discectomy
D7877	E		Tmj arthroscopy debridement
D7880	E		Occlusal orthotic appliance
D7899	E		Tmj unspecified therapy
D7910	E		Dent sutur recent wnd to 5cm
D7911	E		Dental suture wound to 5 cm
D7912	E		Suture complicate wnd > 5 cm
D7920	E		Dental skin graft
D7940	S		Reshaping bone orthognathic	0330	0.5609	$30.45	$6.09	$6.09
D7941	E		Bone cutting ramus closed
D7943	E		Cutting ramus open w/graft
D7944	E		Bone cutting segmented
D7945	E		Bone cutting body mandible
D7946	E		Reconstruction maxilla total
D7947	E		Reconstruct maxilla segment
D7948	E		Reconstruct midface no graft
D7949	E		Reconstruct midface w/graft
D7950	E		Mandible graft
D7955	E		Repair maxillofacial defects
D7960	E		Frenulectomy/frenulotomy
D7970	E		Excision hyperplastic tissue
D7971	E		Excision pericoronal gingiva
D7972	E		Surg redct fibrous tuberosit
D7980	E		Sialolithotomy
D7981	E		Excision of salivary gland
D7982	E		Sialodochoplasty
D7983	E		Closure of salivary fistula
D7990	E		Emergency tracheotomy
D7991	E		Dental coronoidectomy
D7995	E		Synthetic graft facial bones
D7996	E		Implant mandible for augment
D7997	E		Appliance removal
D7999	E		Oral surgery procedure
D8010	E		Limited dental tx primary
D8020	E		Limited dental tx transition
D8030	E		Limited dental tx adolescent
D8040	E		Limited dental tx adult
D8050	E		Intercep dental tx primary
D8060	E		Intercep dental tx transitn
D8070	E		Compre dental tx transition
D8080	E		Compre dental tx adolescent
D8090	E		Compre dental tx adult
D8210	E		Orthodontic rem appliance tx
D8220	E		Fixed appliance therapy habt
D8660	E		Preorthodontic tx visit
D8670	E		Periodic orthodontc tx visit
D8680	E		Orthodontic retention
D8690	E		Orthodontic treatment
D8691	E		Repair ortho appliance
D8692	E		Replacement retainer
D8999	E		Orthodontic procedure
D9110	N		Tx dental pain minor proc
D9210	E		Dent anesthesia w/o surgery
D9211	E		Regional block anesthesia
D9212	E		Trigeminal block anesthesia
D9215	E		Local anesthesia
D9220	E		General anesthesia
D9221	E		General anesthesia ea ad 15m
D9230	N		Analgesia
D9241	E		Intravenous sedation
D9242	E		IV sedation ea ad 30 m
D9248	N		Sedation (non-iv)
D9310	E		Dental consultation
D9410	E		Dental house call
D9420	E		Hospital call
D9430	E		Office visit during hours
D9440	E		Office visit after hours
D9450	E		Case presentation tx plan
D9610	E		Dent therapeutic drug inject
D9630	S		Other drugs/medicaments	0330	0.5609	$30.45	$6.09	$6.09
D9910	E		Dent appl desensitizing med
D9911	E		Appl desensitizing resin
D9920	E		Behavior management
D9930	S		Treatment of complications	0330	0.5609	$30.45	$6.09	$6.09
D9940	S		Dental occlusal guard	0330	0.5609	$30.45	$6.09	$6.09
D9941	E		Fabrication athletic guard
D9950	S		Occlusion analysis	0330	0.5609	$30.45	$6.09	$6.09
D9951	S		Limited occlusal adjustment	0330	0.5609	$30.45	$6.09	$6.09
D9952	S		Complete occlusal adjustment	0330	0.5609	$30.45	$6.09	$6.09
D9970	E		Enamel microabrasion
D9971	E		Odontoplasty 1-2 teeth
D9972	E		Extrnl bleaching per arch
D9973	E		Extrnl bleaching per tooth
D9974	E		Intrnl bleaching per tooth
D9999	E		Adjunctive procedure
E0100	A		Cane adjust/fixed with tip
E0105	A		Cane adjust/fixed quad/3 pro
E0110	A		Crutch forearm pair
E0111	A		Crutch forearm each
E0112	A		Crutch underarm pair wood
E0113	A		Crutch underarm each wood
E0114	A		Crutch underarm pair no wood
E0116	A		Crutch underarm each no wood
E0117	A		Underarm springassist crutch
E0130	A		Walker rigid adjust/fixed ht
E0135	A		Walker folding adjust/fixed
E0141	A		Rigid walker wheeled wo seat
E0142	A		Walker rigid wheeled with se
E0143	A		Walker folding wheeled w/o s
E0144	A		Enclosed walker w rear seat
E0145	A		Walker whled seat/crutch att
E0146	A		Folding walker wheels w seat
E0147	A		Walker variable wheel resist
E0148	A		Heavyduty walker no wheels
E0149	A		Heavy duty wheeled walker
E0153	A		Forearm crutch platform atta
E0154	A		Walker platform attachment
E0155	A		Walker wheel attachment,pair
E0156	A		Walker seat attachment
E0157	A		Walker crutch attachment
E0158	A		Walker leg extenders set of4
E0159	A		Brake for wheeled walker
E0160	A		Sitz type bath or equipment
E0161	A		Sitz bath/equipment w/faucet
E0162	A		Sitz bath chair
E0163	A		Commode chair stationry fxd
E0164	A		Commode chair mobile fixed a
E0165	A		Commode chair stationry det
E0166	A		Commode chair mobile detach
E0167	A		Commode chair pail or pan
E0168	A		Heavyduty/wide commode chair
E0169	A		Seatlift incorp commodechair
E0175	A		Commode chair foot rest
E0176	A		Air pressre pad/cushion nonp
E0177	A		Water press pad/cushion nonp
E0178	A		Gel pressre pad/cushion nonp
E0179	A		Dry pressre pad/cushion nonp
E0180	A		Press pad alternating w pump
E0181	A		Press pad alternating w/ pum
E0182	A		Pressure pad alternating pum
E0184	A		Dry pressure mattress
E0185	A		Gel pressure mattress pad
E0186	A		Air pressure mattress
E0187	A		Water pressure mattress
E0188	E		Synthetic sheepskin pad
E0189	E		Lambswool sheepskin pad
E0191	A		Protector heel or elbow
E0192	A		Pad wheelchr low press/posit
E0193	A		Powered air flotation bed
E0194	A		Air fluidized bed
E0196	A		Gel pressure mattress
E0197	A		Air pressure pad for mattres
E0198	A		Water pressure pad for mattr
E0199	A		Dry pressure pad for mattres
E0200	A		Heat lamp without stand
E0202	A		Phototherapy light w/ photom
E0203	A		Therapeutic lightbox tabletp
E0205	A		Heat lamp with stand
E0210	A		Electric heat pad standard
E0215	A		Electric heat pad moist
E0217	A		Water circ heat pad w pump
E0218	E		Water circ cold pad w pump
E0220	A		Hot water bottle
E0221	A		Infrared heating pad system
E0225	A		Hydrocollator unit
E0230	A		Ice cap or collar
E0231	E		Wound warming device
E0232	E		Warming card for NWT
E0235	A		Paraffin bath unit portable
E0236	A		Pump for water circulating p
E0238	A		Heat pad non-electric moist
E0239	A		Hydrocollator unit portable
E0241	E		Bath tub wall rail
E0242	E		Bath tub rail floor
E0243	E		Toilet rail
E0244	E		Toilet seat raised
E0245	E		Tub stool or bench
E0246	E		Transfer tub rail attachment
E0249	A		Pad water circulating heat u
E0250	A		Hosp bed fixed ht w/ mattres
E0251	A		Hosp bed fixd ht w/o mattres
E0255	A		Hospital bed var ht w/ mattr
E0256	A		Hospital bed var ht w/o matt
E0260	A		Hosp bed semi-electr w/ matt
E0261	A		Hosp bed semi-electr w/o mat
E0265	A		Hosp bed total electr w/ mat
E0266	A		Hosp bed total elec w/o matt
E0270	E		Hospital bed institutional t
E0271	A		Mattress innerspring
E0272	A		Mattress foam rubber
E0273	E		Bed board
E0274	E		Over-bed table
E0275	A		Bed pan standard
E0276	A		Bed pan fracture
E0277	A		Powered pres-redu air mattrs
E0280	A		Bed cradle
E0290	A		Hosp bed fx ht w/o rails w/m
E0291	A		Hosp bed fx ht w/o rail w/o
E0292	A		Hosp bed var ht w/o rail w/o
E0293	A		Hosp bed var ht w/o rail w/
E0294	A		Hosp bed semi-elect w/ mattr
E0295	A		Hosp bed semi-elect w/o matt
E0296	A		Hosp bed total elect w/ matt
E0297	A		Hosp bed total elect w/o mat
E0305	A		Rails bed side half length
E0310	A		Rails bed side full length
E0315	E		Bed accessory brd/tbl/supprt
E0316	A		Bed safety enclosure
E0325	A		Urinal male jug-type
E0326	A		Urinal female jug-type
E0350	E		Control unit bowel system
E0352	E		Disposable pack w/bowel syst
E0370	E		Air elevator for heel
E0371	A		Nonpower mattress overlay
E0372	A		Powered air mattress overlay
E0373	A		Nonpowered pressure mattress
E0424	A		Stationary compressed gas 02
E0425	E		Gas system stationary compre
E0430	E		Oxygen system gas portable
E0431	A		Portable gaseous 02
E0434	A		Portable liquid 02
E0435	E		Oxygen system liquid portabl
E0439	A		Stationary liquid 02
E0440	E		Oxygen system liquid station
E0441	A		Oxygen contents, gaseous
E0442	A		Oxygen contents, liquid
E0443	A		Portable 02 contents, gas
E0444	A		Portable 02 contents, liquid
E0445	A		Oximeter non-invasive
E0450	A		Volume vent stationary/porta
E0454	A		Pressure ventilator
E0455	A		Oxygen tent excl croup/ped t
E0457	A		Chest shell
E0459	A		Chest wrap
E0460	A		Neg press vent portabl/statn
E0461	A		Vol vent noninvasive interfa
E0462	A		Rocking bed w/ or w/o side r
E0480	A		Percussor elect/pneum home m
E0481	E		Intrpulmnry percuss vent sys
E0482	A		Cough stimulating device
E0483	A		Chest compression gen system
E0484	A		Non-elec oscillatory pep dvc
E0500	A		Ippb all types
E0550	A		Humidif extens supple w ippb
E0555	A		Humidifier for use w/ regula
E0560	A		Humidifier supplemental w/ i
E0565	A		Compressor air power source
E0570	A		Nebulizer with compression
E0571	A		Aerosol compressor for svneb
E0572	A		Aerosol compressor adjust pr
E0574	A		Ultrasonic generator w svneb
E0575	A		Nebulizer ultrasonic
E0580	A		Nebulizer for use w/ regulat
E0585	A		Nebulizer w/ compressor & he
E0590	A		Dispensing fee dme neb drug
E0600	A		Suction pump portab hom modl
E0601	A		Cont airway pressure device
E0602	E		Manual breast pump
E0603	A		Electric breast pump
E0604	A		Hosp grade elec breast pump
E0605	A		Vaporizer room type
E0606	A		Drainage board postural
E0607	A		Blood glucose monitor home
E0610	A		Pacemaker monitr audible/vis
E0615	A		Pacemaker monitr digital/vis
E0616	N		Cardiac event recorder
E0617	A		Automatic ext defibrillator
E0618	A		Apnea monitor
E0619	A		Apnea monitor w recorder
E0620	A		Cap bld skin piercing laser
E0621	A		Patient lift sling or seat
E0625	E		Patient lift bathroom or toi
E0627	A		Seat lift incorp lift-chair
E0628	A		Seat lift for pt furn-electr
E0629	A		Seat lift for pt furn-non-el
E0630	A		Patient lift hydraulic
E0635	A		Patient lift electric
E0636	A		PT support & positioning sys
E0650	A		Pneuma compresor non-segment
E0651	A		Pneum compressor segmental
E0652	A		Pneum compres w/cal pressure
E0655	A		Pneumatic appliance half arm
E0660	A		Pneumatic appliance full leg
E0665	A		Pneumatic appliance full arm
E0666	A		Pneumatic appliance half leg
E0667	A		Seg pneumatic appl full leg
E0668	A		Seg pneumatic appl full arm
E0669	A		Seg pneumatic appli half leg
E0671	A		Pressure pneum appl full leg
E0672	A		Pressure pneum appl full arm
E0673	A		Pressure pneum appl half leg
E0691	A		Uvl pnl 2 sq ft or less
E0692	A		Uvl sys panel 4 ft
E0693	A		Uvl sys panel 6 ft
E0694	A		Uvl md cabinet sys 6 ft
E0700	E		Safety equipment
E0701	A		Helmet w face guard prefab
E0710	E		Restraints any type
E0720	A		Tens two lead
E0730	A		Tens four lead
E0731	A		Conductive garment for tens/
E0740	E		Incontinence treatment systm
E0744	A		Neuromuscular stim for scoli
E0745	A		Neuromuscular stim for shock
E0746	E		Electromyograph biofeedback
E0747	A		Elec osteogen stim not spine
E0748	A		Elec osteogen stim spinal
E0749	N		Elec osteogen stim implanted
E0752	N		Neurostimulator electrode
E0754	A		Pulsegenerator pt programmer
E0755	E		Electronic salivary reflex s
E0756	N		Implantable pulse generator
E0757	N		Implantable RF receiver
E0758	A		External RF transmitter
E0759	A		Replace rdfrquncy transmittr
E0760	E		Osteogen ultrasound stimltor
E0761	E		Nontherm electromgntc device
E0765	E		Nerve stimulator for tx n&v
E0776	A		Iv pole
E0779	A		Amb infusion pump mechanical
E0780	A		Mech amb infusion pump <8hrs
E0781	A		External ambulatory infus pu
E0782	N		Non-programble infusion pump
E0783	N		Programmable infusion pump
E0784	A		Ext amb infusn pump insulin
E0785	N		Replacement impl pump cathet
E0786	N		Implantable pump replacement
E0791	A		Parenteral infusion pump sta
E0830	N		Ambulatory traction device
E0840	A		Tract frame attach headboard
E0850	A		Traction stand free standing
E0855	A		Cervical traction equipment
E0860	A		Tract equip cervical tract
E0870	A		Tract frame attach footboard
E0880	A		Trac stand free stand extrem
E0890	A		Traction frame attach pelvic
E0900	A		Trac stand free stand pelvic
E0910	A		Trapeze bar attached to bed
E0920	A		Fracture frame attached to b
E0930	A		Fracture frame free standing
E0935	A		Exercise device passive moti
E0940	A		Trapeze bar free standing
E0941	A		Gravity assisted traction de
E0942	A		Cervical head harness/halter
E0943	A		Cervical pillow
E0944	A		Pelvic belt/harness/boot
E0945	A		Belt/harness extremity
E0946	A		Fracture frame dual w cross
E0947	A		Fracture frame attachmnts pe
E0948	A		Fracture frame attachmnts ce
E0950	E		Tray
E0951	E		Loop heel
E0952	E		Loop tie
E0953	E		Pneumatic tire
E0954	E		Wheelchair semi-pneumatic ca
E0958	A		Whlchr att- conv 1 arm drive
E0959	E		Amputee adapter
E0961	E		Wheelchair brake extension
E0962	A		Wheelchair 1 inch cushion
E0963	A		Wheelchair 2 inch cushion
E0964	A		Wheelchair 3 inch cushion
E0965	A		Wheelchair 4 inch cushion
E0966	E		Wheelchair head rest extensi
E0967	E		Wheelchair hand rims
E0968	A		Wheelchair commode seat
E0969	E		Wheelchair narrowing device
E0970	E		Wheelchair no. 2 footplates
E0971	E		Wheelchair anti-tipping devi
E0972	A		Transfer board or device
E0973	E		Wheelchair adjustabl height
E0974	E		Wheelchair grade-aid
E0975	E		Wheelchair reinforced seat u
E0976	E		Wheelchair reinforced back u
E0977	E		Wheelchair wedge cushion
E0978	E		Wheelchair belt w/airplane b
E0979	E		Wheelchair belt with velcro
E0980	E		Wheelchair safety vest
E0990	E		Whellchair elevating leg res
E0991	E		Wheelchair upholstry seat
E0992	E		Wheelchair solid seat insert
E0993	E		Wheelchair back upholstery
E0994	E		Wheelchair arm rest
E0995	E		Wheelchair calf rest
E0996	E		Wheelchair tire solid
E0997	E		Wheelchair caster w/ a fork
E0998	E		Wheelchair caster w/o a fork
E0999	E		Wheelchr pneumatic tire w/wh
E1000	E		Wheelchair tire pneumatic ca
E1001	E		Wheelchair wheel
E1011	A		Ped wc modify width adjustm
E1012	A		Int seat sys planar ped w/c
E1013	A		Int seat sys contour ped w/c
E1014	A		Reclining back add ped w/c
E1015	A		Shock absorber for man w/c
E1016	A		Shock absorber for power w/c
E1017	A		HD shck absrbr for hd man wc
E1018	A		HD shck absrber for hd powwc
E1020	A		Residual limb support system
E1025	A		Pedwc lat/thor sup nocontour
E1026	A		Pedwc contoured lat/thor sup
E1027	A		Ped wc lat/ant support
E1031	A		Rollabout chair with casters
E1035	E		Patient transfer system
E1037	A		Transport chair, ped size
E1038	A		Transport chair, adult size
E1050	A		Whelchr fxd full length arms
E1060	A		Wheelchair detachable arms
E1065	E		Wheelchair power attachment
E1066	E		Wheelchair battery charger
E1069	E		Wheelchair deep cycle batter
E1070	A		Wheelchair detachable foot r
E1083	A		Hemi-wheelchair fixed arms
E1084	A		Hemi-wheelchair detachable a
E1085	A		Hemi-wheelchair fixed arms
E1086	A		Hemi-wheelchair detachable a
E1087	A		Wheelchair lightwt fixed arm
E1088	A		Wheelchair lightweight det a
E1089	A		Wheelchair lightwt fixed arm
E1090	A		Wheelchair lightweight det a
E1091	A		Wheelchair youth
E1092	A		Wheelchair wide w/ leg rests
E1093	A		Wheelchair wide w/ foot rest
E1100	A		Whchr s-recl fxd arm leg res
E1110	A		Wheelchair semi-recl detach
E1130	A		Whlchr stand fxd arm ft rest
E1140	A		Wheelchair standard detach a
E1150	A		Wheelchair standard w/ leg r
E1160	A		Wheelchair fixed arms
E1161	A		Manual adult wc w tiltinspac
E1170	A		Whlchr ampu fxd arm leg rest
E1171	A		Wheelchair amputee w/o leg r
E1172	A		Wheelchair amputee detach ar
E1180	A		Wheelchair amputee w/ foot r
E1190	A		Wheelchair amputee w/ leg re
E1195	A		Wheelchair amputee heavy dut
E1200	A		Wheelchair amputee fixed arm
E1210	A		Whlchr moto ful arm leg rest
E1211	A		Wheelchair motorized w/ det
E1212	A		Wheelchair motorized w full
E1213	A		Wheelchair motorized w/ det
E1220	A		Whlchr special size/constrc
E1221	A		Wheelchair spec size w foot
E1222	A		Wheelchair spec size w/ leg
E1223	A		Wheelchair spec size w foot
E1224	A		Wheelchair spec size w/ leg
E1225	A		Wheelchair spec sz semi-recl
E1226	E		Wheelchair spec sz full-recl
E1227	E		Wheelchair spec sz spec ht a
E1228	A		Wheelchair spec sz spec ht b
E1230	A		Power operated vehicle
E1231	A		Rigid ped w/c tilt-in-space
E1232	A		Folding ped wc tilt-in-space
E1233	A		Rig ped wc tltnspc w/o seat
E1234	A		Fld ped wc tltnspc w/o seat
E1235	A		Rigid ped wc adjustable
E1236	A		Folding ped wc adjustable
E1237	A		Rgd ped wc adjstabl w/o seat
E1238	A		Fld ped wc adjstabl w/o seat
E1240	A		Whchr litwt det arm leg rest
E1250	A		Wheelchair lightwt fixed arm
E1260	A		Wheelchair lightwt foot rest
E1270	A		Wheelchair lightweight leg r
E1280	A		Whchr h-duty det arm leg res
E1285	A		Wheelchair heavy duty fixed
E1290	A		Wheelchair hvy duty detach a
E1295	A		Wheelchair heavy duty fixed
E1296	A		Wheelchair special seat heig
E1297	A		Wheelchair special seat dept
E1298	A		Wheelchair spec seat depth/w
E1300	E		Whirlpool portable
E1310	A		Whirlpool non-portable
E1340	A		Repair for DME, per 15 min
E1353	A		Oxygen supplies regulator
E1355	A		Oxygen supplies stand/rack
E1372	A		Oxy suppl heater for nebuliz
E1390	A		Oxygen concentrator
E1399	A		Durable medical equipment mi
E1405	A		O2/water vapor enrich w/heat
E1406	A		O2/water vapor enrich w/o he
E1500	A		Centrifuge
E1510	A		Kidney dialysate delivry sys
E1520	A		Heparin infusion pump
E1530	A		Replacement air bubble detec
E1540	A		Replacement pressure alarm
E1550	A		Bath conductivity meter
E1560	A		Replace blood leak detector
E1570	A		Adjustable chair for esrd pt
E1575	A		Transducer protect/fld bar
E1580	A		Unipuncture control system
E1590	A		Hemodialysis machine
E1592	A		Auto interm peritoneal dialy
E1594	A		Cycler dialysis machine
E1600	A		Deli/install chrg hemo equip
E1610	A		Reverse osmosis h2o puri sys
E1615	A		Deionizer H2O puri system
E1620	A		Replacement blood pump
E1625	A		Water softening system
E1630	A		Reciprocating peritoneal dia
E1632	A		Wearable artificial kidney
E1635	A		Compact travel hemodialyzer
E1636	A		Sorbent cartridges per 10
E1637	A		Hemostats for dialysis, each
E1639	A		Dialysis scale
E1699	A		Dialysis equipment noc
E1700	A		Jaw motion rehab system
E1701	A		Repl cushions for jaw motion
E1702	A		Repl measr scales jaw motion
E1800	A		Adjust elbow ext/flex device
E1801	A		SPS elbow device
E1802	A		Adjst forearm pro/sup device
E1805	A		Adjust wrist ext/flex device
E1806	A		SPS wrist device
E1810	A		Adjust knee ext/flex device
E1811	A		SPS knee device
E1815	A		Adjust ankle ext/flex device
E1816	A		SPS ankle device
E1818	A		SPS forearm device
E1820	A		Soft interface material
E1821	A		Replacement interface SPSD
E1825	A		Adjust finger ext/flex devc
E1830	A		Adjust toe ext/flex device
E1840	A		Adj shoulder ext/flex device
E1902	A		AAC non-electronic board
E2000	A		Gastric suction pump hme mdl
E2100	A		Bld glucose monitor w voice
E2101	A		Bld glucose monitor w lance
G0001	A		Drawing blood for specimen
G0008	L		Admin influenza virus vac
G0009	L		Admin pneumococcal vaccine
G0010	K		Admin hepatitis b vaccine	0355	0.2667	$14.48		$2.90
G0025	N		Collagen skin test kit
G0030	S		PET imaging prev PET single	0285	19.5044	$1,058.87	$409.56	$211.77
G0031	S		PET imaging prev PET multple	0285	19.5044	$1,058.87	$409.56	$211.77
G0032	S		PET follow SPECT 78464 singl	0285	19.5044	$1,058.87	$409.56	$211.77
G0033	S		PET follow SPECT 78464 mult	0285	19.5044	$1,058.87	$409.56	$211.77
G0034	S		PET follow SPECT 76865 singl	0285	19.5044	$1,058.87	$409.56	$211.77
G0035	S		PET follow SPECT 78465 mult	0285	19.5044	$1,058.87	$409.56	$211.77
G0036	S		PET follow cornry angio sing	0285	19.5044	$1,058.87	$409.56	$211.77
G0037	S		PET follow cornry angio mult	0285	19.5044	$1,058.87	$409.56	$211.77
G0038	S		PET follow myocard perf sing	0285	19.5044	$1,058.87	$409.56	$211.77
G0039	S		PET follow myocard perf mult	0285	19.5044	$1,058.87	$409.56	$211.77
G0040	S		PET follow stress echo singl	0285	19.5044	$1,058.87	$409.56	$211.77
G0041	S		PET follow stress echo mult	0285	19.5044	$1,058.87	$409.56	$211.77
G0042	S		PET follow ventriculogm sing	0285	19.5044	$1,058.87	$409.56	$211.77
G0043	S		PET follow ventriculogm mult	0285	19.5044	$1,058.87	$409.56	$211.77
G0044	S		PET following rest ECG singl	0285	19.5044	$1,058.87	$409.56	$211.77
G0045	S		PET following rest ECG mult	0285	19.5044	$1,058.87	$409.56	$211.77
G0046	S		PET follow stress ECG singl	0285	19.5044	$1,058.87	$409.56	$211.77
G0047	S		PET follow stress ECG mult	0285	19.5044	$1,058.87	$409.56	$211.77
G0101	V		CA screen;pelvic/breast exam	0600	0.9376	$50.90		$10.18
G0102	N		Prostate ca screening; dre
G0103	A		Psa, total screening
G0104	S		CA screen;flexi sigmoidscope	0159	2.7168	$147.49	$36.87	$29.50
G0105	T		Colorectal scrn; hi risk ind	0158	7.4187	$402.75	$100.69	$80.55
G0106	S		Colon CA screen;barium enema	0157	2.4771	$134.48		$26.90
G0107	A		CA screen; fecal blood test
G0108	A		Diab manage trn per indiv
G0109	A		Diab manage trn ind/group
G0110	A		Nett pulm-rehab educ; ind
G0111	A		Nett pulm-rehab educ; group
G0112	A		Nett;nutrition guid, initial
G0113	A		Nett;nutrition guid,subseqnt
G0114	A		Nett; psychosocial consult
G0115	A		Nett; psychological testing
G0116	A		Nett; psychosocial counsel
G0117	S		Glaucoma scrn hgh risk direc	0230	0.7379	$40.06	$14.97	$8.01
G0118	S		Glaucoma scrn hgh risk direc	0230	0.7379	$40.06	$14.97	$8.01
G0120	S		Colon ca scrn; barium enema	0157	2.4771	$134.48		$26.90
G0121	T		Colon ca scrn not hi rsk ind	0158	7.4187	$402.75	$100.69	$80.55
G0122	E		Colon ca scrn; barium enema
G0123	A		Screen cerv/vag thin layer
G0124	A		Screen c/v thin layer by MD
G0125	S		PET img WhBD sgl pulm ring	1516		$1,450.00		$290.00
G0127	T		Trim nail(s)	0009	0.6597	$35.81	$8.34	$7.16
G0128	E		CORF skilled nursing service
G0129	P		Partial hosp prog service	0033	3.8397	$208.45	$41.83	$41.69
G0130	X		Single energy x-ray study	0260	0.7845	$42.59	$21.29	$8.52
G0141	E		Scr c/v cyto,autosys and md
G0143	A		Scr c/v cyto,thinlayer,rescr
G0144	A		Scr c/v cyto,thinlayer,rescr
G0145	A		Scr c/v cyto,thinlayer,rescr
G0147	A		Scr c/v cyto, automated sys
G0148	A		Scr c/v cyto, autosys, rescr
G0151	E		HHCP-serv of pt,ea 15 min
G0152	E		HHCP-serv of ot,ea 15 min
G0153	E		HHCP-svs of s/l path,ea 15mn
G0154	E		HHCP-svs of rn,ea 15 min
G0155	E		HHCP-svs of csw,ea 15 min
G0156	E		HHCP-svs of aide,ea 15 min
G0166	T		Extrnl counterpulse, per tx	0678	2.0622	$111.95		$22.39
G0167	E		Hyperbaric oz tx;no md reqrd
G0168	X		Wound closure by adhesive	0340	0.6232	$33.83		$6.77
G0173	S		Stereo radoisurgery,complete	1528		$5,250.00		$1,050.00
G0175	V		OPPS Service,sched team conf	0602	1.5603	$84.71		$16.94
G0176	P		OPPS/PHP;activity therapy	0033	3.8397	$208.45	$41.83	$41.69
G0177	P		OPPS/PHP; train & educ serv	0033	3.8397	$208.45	$41.83	$41.69
G0179	E		MD recertification HHA PT
G0180	E		MD certification HHA patient
G0181	E		Home health care supervision
G0182	E		Hospice care supervision
G0186	T		Dstry eye lesn,fdr vssl tech	0235	4.9900	$270.90	$72.04	$54.18
G0202	A		Screeningmammographydigital
G0204	S		Diagnosticmammographydigital	0669	0.9111	$49.46		$9.89
G0206	S		Diagnosticmammographydigital	0669	0.9111	$49.46		$9.89
G0210	S		PET img whbd ring dxlung ca	1516		$1,450.00		$290.00
G0211	S		PET img whbd ring init lung	1516		$1,450.00		$290.00
G0212	S		PET img whbd ring restag lun	1516		$1,450.00		$290.00
G0213	S		PET img whbd ring dx colorec	1516		$1,450.00		$290.00
G0214	S		PET img whbd ring init colre	1516		$1,450.00		$290.00
G0215	S		PET img whbd restag col	1516		$1,450.00		$290.00
G0216	S		PET img whbd ring dx melanom	1516		$1,450.00		$290.00
G0217	S		PET img whbd ring init melan	1516		$1,450.00		$290.00
G0218	S		PET img whbd ring restag mel	1516		$1,450.00		$290.00
G0219	E		PET img whbd ring noncov ind
G0220	S		PET img whbd ring dx lymphom	1516		$1,450.00		$290.00
G0221	S		PET img whbd ring init lymph	1516		$1,450.00		$290.00
G0222	S		PET img whbd ring resta lymp	1516		$1,450.00		$290.00
G0223	S		PET img whbd reg ring dx hea	1516		$1,450.00		$290.00
G0224	S		PETimg whbd reg ring ini hea	1516		$1,450.00		$290.00
G0225	S		PET img whbd ring restag hea	1516		$1,450.00		$290.00
G0226	S		PET img whbd dx esophag	1516		$1,450.00		$290.00
G0227	S		PET img whbd ring ini esopha	1516		$1,450.00		$290.00
G0228	S		PET img whbd ring restg esop	1516		$1,450.00		$290.00
G0229	S		PET img metabolic brain ring	1516		$1,450.00		$290.00
G0230	S		PET myocard viability ring	1516		$1,450.00		$290.00
G0231	S		PET WhBD colorec; gamma cam	1516		$1,450.00		$290.00
G0232	S		PET whbd lymphoma; gamma cam	1516		$1,450.00		$290.00
G0233	S		PET whbd melanoma; gamma cam	1516		$1,450.00		$290.00
G0234	S		PET WhBD pulm nod; gamma cam	1516		$1,450.00		$290.00
G0236	S		Digital film convert diag ma	0410	0.1473	$8.00		$1.60
G0237	S		Therapeutic procd strg endur	0411	0.4207	$22.84		$4.57
G0238	S		Oth resp proc, indiv	0411	0.4207	$22.84		$4.57
G0239	S		Oth resp proc, group	0411	0.4207	$22.84		$4.57
G0242	S		Multisource photon ster plan	1516		$1,450.00		$290.00
G0243	S		Multisour photon stero treat	1528		$5,250.00		$1,050.00
G0244	S		Observ care by facility topt	0339	7.2016	$390.97		$78.19
G0245	V		Initial Foot Exam PTLOPS	0600	0.9376	$50.90		$10.18
G0246	V		Follow-up Eval of Foot PTLOPS	0600	0.9376	$50.90		$10.18
G0247	T		Routine footcare w LOPS	0009	0.6597	$35.81	$8.34	$7.16
G0248	S		Demonstrate use home INR mon	1503		$150.00		$30.00
G0249	S		Provide test material,equipm	1503		$150.00		$30.00
G0250	E		MD review interpret of test
G0251	S		Linear acc based stero radio	1513		$1,150.00		$230.00
G0252	E		PET imaging initial dx
G0253	S		PET image brst dection recur	1516		$1,450.00		$290.00
G0254	S		PET image brst eval to tx	1516		$1,450.00		$290.00
G0255	E		Current percep threshold tst
G0256	T		Prostate brachy w palladium	0649	119.0281	$6,461.92		$1,292.38
G0257	S		Unsched dialysis ESRD pt hos	0170	5.9427	$322.62		$64.52
G0259	N		Inject for sacroiliac joint
G0260	T		Inj for sacroiliac jt anesth	0204	2.2209	$120.57	$40.13	$24.11
G0261	T		Prostate brachy w iodine see	0684	104.7194	$5,685.11		$1,137.02
G0262	S		Sm intestinal image capsule	1508		$650.00		$130.00
G0263	N		Adm with CHF, CP, asthma
G0264	V		Assmt otr CHF, CP, asthma	0600	0.9376	$50.90		$10.18
G0265	A		Cryopresevation Freeze+stora
G0266	A		Thawing + expansion froz cel
G0267	S		Bone marrow or psc harvest	0110	3.7128	$201.56		$40.31
G0268	X		Removal of impacted wax md	0340	0.6232	$33.83		$6.77
G0269	N		Occlusive device in vein art
G0270	A		MNT subs tx for change dx
G0271	A		Group MNT 2 or more 30 mins
G0272	X		Naso/oro gastric tube pl MD	0272	1.4086	$76.47	$38.23	$15.29
G0273	S		Pretx planning, non-Hodgkins	0406	4.7542	$258.10		$51.62
G0274	S		Radiopharm tx, non-Hodgkins	0408	4.0000	$217.16		$43.43
G0275	N		Renal angio, cardiac cath
G0278	N		Iliac art angio,cardiac cath
G0279	A		Excorp shock tx, elbow epi
G0280	A		Excorp shock tx other than
G0281	A		Elec stim unattend for press
G0282	A		Elect stim wound care not pd
G0283	A		Elec stim other than wound
G0288	S		Recon, CTA for surg plan	0414	4.8012	$260.65		$52.13
G0289	N		Arthro, loose body + chondro
G0290	T		Drug-eluting stents, single	0656	101.3662	$5,503.07		$1,100.61
G0291	T		Drug-eluting stents,each add	0656	101.3662	$5,503.07		$1,100.61
G0292	S		Adm exp drugs,clinical trial	1503		$150.00		$30.00
G0293	S		Non-cov surg proc,clin trial	1505		$350.00		$70.00
G0294	S		Non-cov proc, clinical trial	1502		$75.00		$15.00
G0295	E		Electromagnetic therapy onc
G9001	E		MCCD, initial rate
G9002	E		MCCD,maintenance rate
G9003	E		MCCD, risk adj hi, initial
G9004	E		MCCD, risk adj lo, initial
G9005	E		MCCD, risk adj, maintenance
G9006	E		MCCD, Home monitoring
G9007	E		MCCD, sch team conf
G9008	E		Mccd,phys coor-care ovrsght
G9009	E		MCCD, risk adj, level 3
G9010	E		MCCD, risk adj, level 4
G9011	E		MCCD, risk adj, level 5
G9012	E		Other Specified Case Mgmt
G9016	A		Demo-smoking cessation coun
GXXX1	S		Infusion, pkgd noncancer	0382	4.6839	$254.28		$50.86
GXXX3	S		Pkgd cancer chemo, other	0376	2.1479	$116.61		$23.32
GXXX4	S		Infusion of pkgd cancer	0378	4.3955	$238.63		$47.73
GXXX5	S		Pkgd cancer chemo, both	0380	5.1857	$281.53		$56.31
GYYY1	S		Infusion, separate noncancer	0383	1.8419	$99.99		$20.00
GYYY3	S		Sep cancer chemo, other	0377	0.6673	$36.23		$7.25
GYYY4	S		Infusion, separate cancer	0379	2.4298	$131.91		$26.38
GYYY5	S		Sep cancer chemo, both	0381	2.1596	$117.24		$23.45
H0001	E		Alcohol and/or drug assess
H0002	E		Alcohol and/or drug screenin
H0003	E		Alcohol and/or drug screenin
H0004	E		Alcohol and/or drug services
H0005	E		Alcohol and/or drug services
H0006	E		Alcohol and/or drug services
H0007	E		Alcohol and/or drug services
H0008	E		Alcohol and/or drug services
H0009	E		Alcohol and/or drug services
H0010	E		Alcohol and/or drug services
H0011	E		Alcohol and/or drug services
H0012	E		Alcohol and/or drug services
H0013	E		Alcohol and/or drug services
H0014	E		Alcohol and/or drug services
H0015	E		Alcohol and/or drug services
H0016	E		Alcohol and/or drug services
H0017	E		Alcohol and/or drug services
H0018	E		Alcohol and/or drug services
H0019	E		Alcohol and/or drug services
H0020	E		Alcohol and/or drug services
H0021	E		Alcohol and/or drug training
H0022	E		Alcohol and/or drug interven
H0023	E		Alcohol and/or drug outreach
H0024	E		Alcohol and/or drug preventi
H0025	E		Alcohol and/or drug preventi
H0026	E		Alcohol and/or drug preventi
H0027	E		Alcohol and/or drug preventi
H0028	E		Alcohol and/or drug preventi
H0029	E		Alcohol and/or drug preventi
H0030	E		Alcohol and/or drug hotline
H0031	E		MH health assess by non-md
H0032	E		MH svc plan dev by non-md
H0033	E		Oral med adm direct observe
H0034	E		Med trng & support per 15min
H0035	E		MH partial hosp tx under 24h
H0036	E		Comm psy face-face per 15min
H0037	E		Comm psy sup tx pgm per diem
H0038	E		Self-help/peer svc per 15min
H0039	E		Asser com tx face-face/15min
H0040	E		Assert comm tx pgm per diem
H0041	E		Fos c chld non-ther per diem
H0042	E		Fos c chld non-ther per mon
H0043	E		Supported housing, per diem
H0044	E		Supported housing, per month
H0045	E		Respite not-in-home per diem
H0046	E		Mental health service, nos
H0047	E		Alcohol/drug abuse svc nos
H0048	E		Spec coll non-blood:a/d test
H1000	A		Prenatal care atrisk assessm
H1001	A		Antepartum management
H1002	A		Carecoordination prenatal
H1003	A		Prenatal at risk education
H1004	A		Follow up home visit/prental
H1005	A		Prenatalcare enhanced srv pk
H1010	E		Nonmed family planning ed
H1011	E		Family assessment
H2000	E		Comp multidisipln evaluation
H2001	E		Rehabilitation program 1/2 d
J0120	N		Tetracyclin injection
J0130	K		Abciximab injection	1605	5.2806	$286.68		$57.34
J0150	N		Injection adenosine 6 MG
J0151	K		Adenosine injection	0917	2.3474	$127.44		$25.49
J0170	N		Adrenalin epinephrin inject
J0190	N		Inj biperiden lactate/5 mg
J0200	N		Alatrofloxacin mesylate
J0205	K		Alglucerase injection	0900	0.5473	$29.71		$5.94
J0207	K		Amifostine	7000	3.9932	$216.79		$43.36
J0210	N		Methyldopate hcl injection
J0256	K		Alpha 1 proteinase inhibitor	0901	0.0214	$1.16		$.23
J0270	E		Alprostadil for injection
J0275	E		Alprostadil urethral suppos
J0280	N		Aminophyllin 250 MG inj
J0282	N		Amiodarone HCl
J0285	N		Amphotericin B
J0287	K		Amphotericin b lipid complex	9024	0.4174	$22.66		$4.53
J0288	N		Ampho b cholesteryl sulfate
J0289	N		Amphotericin b liposome inj
J0290	N		Ampicillin 500 MG inj
J0295	N		Ampicillin sodium per 1.5 gm
J0300	N		Amobarbital 125 MG inj
J0330	N		Succinycholine chloride inj
J0350	K		Injection anistreplase 30 u	1606	25.3116	$1,374.14		$274.83
J0360	N		Hydralazine hcl injection
J0380	N		Inj metaraminol bitartrate
J0390	N		Chloroquine injection
J0395	N		Arbutamine HCl injection
J0456	N		Azithromycin
J0460	N		Atropine sulfate injection
J0470	N		Dimecaprol injection
J0475	N		Baclofen 10 MG injection
J0476	E		Baclofen intrathecal trial
J0500	N		Dicyclomine injection
J0515	N		Inj benztropine mesylate
J0520	N		Bethanechol chloride inject
J0530	N		Penicillin g benzathine inj
J0540	N		Penicillin g benzathine inj
J0550	N		Penicillin g benzathine inj
J0560	N		Penicillin g benzathine inj
J0570	N		Penicillin g benzathine inj
J0580	N		Penicillin g benzathine inj
J0585	K		Botulinum toxin a per unit	0902	0.0460	$2.50		$.50
J0587	K		Botulinum toxin type B	9018	0.1272	$6.91		$1.38
J0592	N		Buprenorphine hydrochloride
J0600	N		Edetate calcium disodium inj
J0610	N		Calcium gluconate injection
J0620	N		Calcium glycer & lact/10 ML
J0630	N		Calcitonin salmon injection
J0636	N		Inj calcitriol per 0.1 mcg
J0637	K		Caspofungin acetate	9019	0.5334	$28.96		$5.79
J0640	N		Leucovorin calcium injection
J0670	N		Inj mepivacaine HCL/10 ml
J0690	N		Cefazolin sodium injection
J0692	N		Cefepime HCl for injection
J0694	N		Cefoxitin sodium injection
J0696	N		Ceftriaxone sodium injection
J0697	N		Sterile cefuroxime injection
J0698	N		Cefotaxime sodium injection
J0702	N		Betamethasone acet&sod phosp
J0704	N		Betamethasone sod phosp/4 MG
J0706	N		Caffeine citrate injection
J0710	N		Cephapirin sodium injection
J0713	N		Inj ceftazidime per 500 mg
J0715	N		Ceftizoxime sodium / 500 MG
J0720	N		Chloramphenicol sodium injec
J0725	N		Chorionic gonadotropin/1000u
J0735	N		Clonidine hydrochloride
J0740	N		Cidofovir injection
J0743	N		Cilastatin sodium injection
J0744	N		Ciprofloxacin iv
J0745	N		Inj codeine phosphate /30 MG
J0760	N		Colchicine injection
J0770	N		Colistimethate sodium inj
J0780	N		Prochlorperazine injection
J0800	N		Corticotropin injection
J0835	N		Inj cosyntropin per 0.25 MG
J0850	K		Cytomegalovirus imm IV /vial	0903	5.0754	$275.54		$55.11
J0880	E		Darbepoetin alfa injection
J0895	N		Deferoxamine mesylate inj
J0900	N		Testosterone enanthate inj
J0945	N		Brompheniramine maleate inj
J0970	N		Estradiol valerate injection
J1000	N		Depo-estradiol cypionate inj
J1020	N		Methylprednisolone 20 MG inj
J1030	N		Methylprednisolone 40 MG inj
J1040	N		Methylprednisolone 80 MG inj
J1051	N		Medroxyprogesterone inj
J1055	E		Medrxyprogester acetate inj
J1056	E		MA/EC contraceptiveinjection
J1060	N		Testosterone cypionate 1 ML
J1070	N		Testosterone cypionat 100 MG
J1080	N		Testosterone cypionat 200 MG
J1094	N		Inj dexamethasone acetate
J1100	N		Dexamethasone sodium phos
J1110	N		Inj dihydroergotamine mesylt
J1120	N		Acetazolamid sodium injectio
J1160	N		Digoxin injection
J1165	N		Phenytoin sodium injection
J1170	N		Hydromorphone injection
J1180	N		Dyphylline injection
J1190	K		Dexrazoxane HCl injection	0726	1.9860	$107.82		$21.56
J1200	N		Diphenhydramine hcl injectio
J1205	N		Chlorothiazide sodium inj
J1212	N		Dimethyl sulfoxide 50% 50 ML
J1230	N		Methadone injection
J1240	N		Dimenhydrinate injection
J1245	N		Dipyridamole injection
J1250	N		Inj dobutamine HCL/250 mg
J1260	N		Dolasetron mesylate
J1270	N		Injection, doxercalciferol
J1320	N		Amitriptyline injection
J1325	N		Epoprostenol injection
J1327	K		Eptifibatide injection	1607	0.1426	$7.74		$1.55
J1330	N		Ergonovine maleate injection
J1364	N		Erythro lactobionate /500 MG
J1380	N		Estradiol valerate 10 MG inj
J1390	N		Estradiol valerate 20 MG inj
J1410	N		Inj estrogen conjugate 25 MG
J1435	N		Injection estrone per 1 MG
J1436	N		Etidronate disodium inj
J1438	N		Etanercept injection
J1440	K		Filgrastim 300 mcg injection	0728	2.2544	$122.39		$24.48
J1441	K		Filgrastim 480 mcg injection	7049	3.1998	$173.71		$34.74
J1450	N		Fluconazole
J1452	N		Intraocular Fomivirsen na
J1455	N		Foscarnet sodium injection
J1460	N		Gamma globulin 1 CC inj
J1470	E		Gamma globulin 2 CC inj
J1480	E		Gamma globulin 3 CC inj
J1490	E		Gamma globulin 4 CC inj
J1500	E		Gamma globulin 5 CC inj
J1510	E		Gamma globulin 6 CC inj
J1520	E		Gamma globulin 7 CC inj
J1530	E		Gamma globulin 8 CC inj
J1540	E		Gamma globulin 9 CC inj
J1550	E		Gamma globulin 10 CC inj
J1560	E		Gamma globulin > 10 CC inj
J1563	K		Immune globulin, 1 g	0905	0.8103	$43.99		$8.80
J1564	K		Immune globulin 10 mg	9021	0.0080	$.43		$.09
J1565	K		RSV-ivig	0906	6.0142	$326.50		$65.30
J1570	N		Ganciclovir sodium injection
J1580	N		Garamycin gentamicin inj
J1590	N		Gatifloxacin injection
J1600	N		Gold sodium thiomaleate inj
J1610	N		Glucagon hydrochloride/1 MG
J1620	N		Gonadorelin hydroch/ 100 mcg
J1626	N		Granisetron HCl injection
J1630	N		Haloperidol injection
J1631	N		Haloperidol decanoate inj
J1642	N		Inj heparin sodium per 10 u
J1644	N		Inj heparin sodium per 1000u
J1645	N		Dalteparin sodium
J1650	N		Inj enoxaparin sodium
J1652	N		Fondaparinux sodium
J1655	N		Tinzaparin sodium injection
J1670	N		Tetanus immune globulin inj
J1700	N		Hydrocortisone acetate inj
J1710	N		Hydrocortisone sodium ph inj
J1720	N		Hydrocortisone sodium succ i
J1730	N		Diazoxide injection
J1742	N		Ibutilide fumarate injection
J1745	K		Infliximab injection	7043	0.6841	$37.14		$7.43
J1750	N		Iron dextran
J1756	N		Iron sucrose injection
J1785	K		Injection imiglucerase /unit	0916	0.0531	$2.88		$.58
J1790	N		Droperidol injection
J1800	N		Propranolol injection
J1810	E		Droperidol/fentanyl inj
J1815	N		Insulin injection
J1817	N		Insulin for insulin pump use
J1825	K		Interferon beta-1a	0909	2.8010	$152.06		$30.41
J1830	K		Interferon beta-1b / .25 MG	0910	1.9843	$107.73		$21.55
J1835	N		Itraconazole injection
J1840	N		Kanamycin sulfate 500 MG inj
J1850	N		Kanamycin sulfate 75 MG inj
J1885	N		Ketorolac tromethamine inj
J1890	N		Cephalothin sodium injection
J1910	N		Kutapressin injection
J1940	N		Furosemide injection
J1950	K		Leuprolide acetate /3.75 MG	0800	3.3020	$179.26		$35.85
J1955	E		Inj levocarnitine per 1 gm
J1956	N		Levofloxacin injection
J1960	N		Levorphanol tartrate inj
J1980	N		Hyoscyamine sulfate inj
J1990	N		Chlordiazepoxide injection
J2000	N		Lidocaine injection
J2010	N		Lincomycin injection
J2020	N		Linezolid injection
J2060	N		Lorazepam injection
J2150	N		Mannitol injection
J2175	N		Meperidine hydrochl /100 MG
J2180	N		Meperidine/promethazine inj
J2210	N		Methylergonovin maleate inj
J2250	N		Inj midazolam hydrochloride
J2260	N		Inj milrinone lactate, per 5 mg
J2270	N		Morphine sulfate injection
J2271	N		Morphine so4 injection 100mg
J2275	N		Morphine sulfate injection
J2300	N		Inj nalbuphine hydrochloride
J2310	N		Inj naloxone hydrochloride
J2320	N		Nandrolone decanoate 50 MG
J2321	N		Nandrolone decanoate 100 MG
J2322	N		Nandrolone decanoate 200 MG
J2324	G		Nesiritide, per 0.5 mg vial	9114		$144.40		$21.58
J2352	K		Octreotide acetate injection	7031	1.0339	$56.13		$11.23
J2355	K		Oprelvekin injection	7011	2.7246	$147.92		$29.58
J2360	N		Orphenadrine injection
J2370	N		Phenylephrine hcl injection
J2400	N		Chloroprocaine hcl injection
J2405	N		Ondansetron hcl injection
J2410	N		Oxymorphone hcl injection
J2430	K		Pamidronate disodium /30 MG	0730	2.0537	$111.49		$22.30
J2440	N		Papaverin hcl injection
J2460	N		Oxytetracycline injection
J2501	N		Paricalcitol
J2510	N		Penicillin g procaine inj
J2515	N		Pentobarbital sodium inj
J2540	N		Penicillin g potassium inj
J2543	N		Piperacillin/tazobactam
J2545	A		Pentamidine isethionte/300mg
J2550	N		Promethazine hcl injection
J2560	N		Phenobarbital sodium inj
J2590	N		Oxytocin injection
J2597	N		Inj desmopressin acetate
J2650	N		Prednisolone acetate inj
J2670	N		Totazoline hcl injection
J2675	N		Inj progesterone per 50 MG
J2680	N		Fluphenazine decanoate 25 MG
J2690	N		Procainamide hcl injection
J2700	N		Oxacillin sodium injeciton
J2710	N		Neostigmine methylslfte inj
J2720	N		Inj protamine sulfate/10 MG
J2725	N		Inj protirelin per 250 mcg
J2730	N		Pralidoxime chloride inj
J2760	N		Phentolaine mesylate inj
J2765	N		Metoclopramide hcl injection
J2770	N		Quinupristin/dalfopristin
J2780	N		Ranitidine hydrochloride inj
J2788	K		Rho d immune globulin 50 mcg	9023	0.0523	$2.84		$.57
J2790	K		Rho d immune globulin inj	0884	0.2312	$12.55		$2.51
J2792	K		Rho(D) immune globulin h, sd	1609	0.1863	$10.11		$2.02
J2795	N		Ropivacaine HCl injection
J2800	N		Methocarbamol injection
J2810	N		Inj theophylline per 40 MG
J2820	N		Sargramostim injection
J2910	N		Aurothioglucose injeciton
J2912	N		Sodium chloride injection
J2916	N		Na ferric gluconate complex
J2920	N		Methylprednisolone injection
J2930	N		Methylprednisolone injection
J2940	N		Somatrem injection
J2941	K		Somatropin injection	7034	0.9206	$49.98		$10.00
J2950	N		Promazine hcl injection
J2993	K		Reteplase injection	9005	10.1332	$550.12		$110.02
J2995	K		Inj streptokinase /250000 IU	0911	1.6055	$87.16		$17.43
J2997	N		Alteplase recombinant
J3000	N		Streptomycin injection
J3010	N		Fentanyl citrate injeciton
J3030	N		Sumatriptan succinate / 6 MG
J3070	N		Pentazocine hcl injection
J3100	K		Tenecteplase injection	9002	23.2303	$1,261.15		$252.23
J3105	N		Terbutaline sulfate inj
J3120	N		Testosterone enanthate inj
J3130	N		Testosterone enanthate inj
J3140	N		Testosterone suspension inj
J3150	N		Testosteron propionate inj
J3230	N		Chlorpromazine hcl injection
J3240	K		Thyrotropin injection	9108	6.6059	$358.63		$71.73
J3245	K		Tirofiban hydrochloride	7041	4.2976	$233.31		$46.66
J3250	N		Trimethobenzamide hcl inj
J3260	N		Tobramycin sulfate injection
J3265	N		Injection torsemide 10 mg/ml
J3280	N		Thiethylperazine maleate inj
J3301	N		Triamcinolone acetonide inj
J3302	N		Triamcinolone diacetate inj
J3303	N		Triamcinolone hexacetonl inj
J3305	K		Inj trimetrexate glucoronate	7045	1.2099	$65.68		$13.14
J3310	N		Perphenazine injeciton
J3315	G		Triptorelin pamoate	9122		$415.24		$62.07
J3320	N		Spectinomycn di-hcl inj
J3350	N		Urea injection
J3360	N		Diazepam injection
J3364	N		Urokinase 5000 IU injection
J3365	K		Urokinase 250,000 IU inj	7036	5.1032	$277.05		$55.41
J3370	N		Vancomycin hcl injection
J3395	K		Verteporfin injection	1203	16.1946	$879.19		$175.84
J3400	N		Triflupromazine hcl inj
J3410	N		Hydroxyzine hcl injection
J3420	N		Vitamin b12 injection
J3430	N		Vitamin k phytonadione inj
J3470	N		Hyaluronidase injection
J3475	N		Inj magnesium sulfate
J3480	N		Inj potassium chloride
J3485	N		Zidovudine
J3487	G		Zoledronic acid	9115		$203.40		$30.40
J3490	N		Drugs unclassified injection
J3520	E		Edetate disodium per 150 mg
J3530	N		Nasal vaccine inhalation
J3535	E		Metered dose inhaler drug
J3570	E		Laetrile amygdalin vit B17
J3590	N		Unclassified biologics
J7030	N		Normal saline solution infus
J7040	N		Normal saline solution infus
J7042	N		5% dextrose/normal saline
J7050	N		Normal saline solution infus
J7051	N		Sterile saline/water
J7060	N		5% dextrose/water
J7070	N		D5w infusion
J7100	N		Dextran 40 infusion
J7110	N		Dextran 75 infusion
J7120	N		Ringers lactate infusion
J7130	N		Hypertonic saline solution
J7190	K		Factor viii	0925	0.0085	$.46		$.09
J7191	K		Factor VIII (porcine)	0926	0.0253	$1.37		$.27
J7192	K		Factor viii recombinant	0927	0.0168	$.91		$.18
J7193	K		Factor IX non-recombinant	0931	0.0104	$.56		$.11
J7194	K		Factor ix complex	0928	0.0085	$.46		$.09
J7195	K		Factor IX recombinant	0932	0.0168	$.91		$.18
J7197	K		Antithrombin iii injection	0930	0.0117	$.64		$.13
J7198	K		Anti-inhibitor	0929	0.0168	$.91		$.18
J7199	E		Hemophilia clot factor noc
J7300	E		Intraut copper contraceptive
J7302	E		Levonorgestrel iu contracept
J7308	N		Aminolevulinic acid hcl top
J7310	N		Ganciclovir long act implant
J7317	N		Sodium hyaluronate injection
J7320	K		Hylan G-F 20 injection	1611	2.1566	$117.08		$23.42
J7330	E		Cultured chondrocytes implnt
J7340	E		Metabolic active D/E tissue
J7342	N		Metabolically active tissue
J7350	N		Injectable human tissue
J7500	N		Azathioprine oral 50mg
J7501	N		Azathioprine parenteral
J7502	K		Cyclosporine oral 100 mg	0888	0.0482	$2.62		$.52
J7504	K		Lymphocyte immune globulin	0890	2.1958	$119.21		$23.84
J7505	K		Monoclonal antibodies	7038	5.8452	$317.33		$63.47
J7506	N		Prednisone oral
J7507	K		Tacrolimus oral per 1 MG	0891	0.0236	$1.28		$.26
J7508	E		Tacrolimus oral per 5 MG
J7509	N		Methylprednisolone oral
J7510	N		Prednisolone oral per 5 mg
J7511	K		Antithymocyte globuln rabbit	9104	2.9801	$161.79		$32.36
J7513	K		Daclizumab, parenteral	1612	3.7304	$202.52		$40.50
J7515	N		Cyclosporine oral 25 mg
J7516	N		Cyclosporin parenteral 250mg
J7517	K		Mycophenolate mofetil oral	9015	0.0373	$2.02		$.40
J7520	K		Sirolimus, oral	9020	0.0520	$2.82		$.56
J7525	N		Tacrolimus injection
J7599	E		Immunosuppressive drug noc
J7608	A		Acetylcysteine inh sol u d
J7618	A		Albuterol inh sol con
J7619	A		Albuterol inh sol u d
J7622	A		Beclomethasone inhalatn sol
J7624	A		Betamethasone inhalation sol
J7626	A		Budesonide inhalation sol
J7628	A		Bitolterol mes inhal sol con
J7629	A		Bitolterol mes inh sol u d
J7631	A		Cromolyn sodium inh sol u d
J7633	N		Budesonide concentrated sol
J7635	A		Atropine inhal sol con
J7636	A		Atropine inhal sol unit dose
J7637	A		Dexamethasone inhal sol con
J7638	A		Dexamethasone inhal sol u d
J7639	A		Dornase alpha inhal sol u d
J7641	A		Flunisolide, inhalation sol
J7642	A		Glycopyrrolate inhal sol con
J7643	A		Glycopyrrolate inhal sol u d
J7644	A		Ipratropium brom inh sol u d
J7648	A		Isoetharine hcl inh sol con
J7649	A		Isoetharine hcl inh sol u d
J7658	A		Isoproterenolhcl inh sol con
J7659	A		Isoproterenol hcl inh sol ud
J7668	A		Metaproterenol inh sol con
J7669	A		Metaproterenol inh sol u d
J7680	A		Terbutaline so4 inh sol con
J7681	A		Terbutaline so4 inh sol u d
J7682	A		Tobramycin inhalation sol
J7683	A		Triamcinolone inh sol con
J7684	A		Triamcinolone inh sol u d
J7699	A		Inhalation solution for DME
J7799	A		Non-inhalation drug for DME
J8499	E		Oral prescrip drug non chemo
J8510	K		Oral busulfan	7015	0.0263	$1.43		$.29
J8520	K		Capecitabine, oral, 150 mg	7042	0.0290	$1.57		$.31
J8521	E		Capecitabine, oral, 500 mg
J8530	N		Cyclophosphamide oral 25 MG
J8560	K		Etoposide oral 50 MG	0802	0.4830	$26.22		$5.24
J8600	N		Melphalan oral 2 MG
J8610	N		Methotrexate oral 2.5 MG
J8700	K		Temozolmide	1086	0.0643	$3.49		$.70
J8999	E		Oral prescription drug chemo
J9000	N		Doxorubic hcl 10 MG vl chemo
J9001	K		Doxorubicin hcl liposome inj	7046	4.6362	$251.69		$50.34
J9010	K		Alemtuzumab injection	9110	7.6422	$414.89		$82.98
J9015	K		Aldesleukin/single use vial	0807	7.0936	$385.10		$77.02
J9017	K		Arsenic trioxide	9012	0.4837	$26.26		$5.25
J9020	N		Asparaginase injection
J9031	N		Bcg live intravesical vac
J9040	K		Bleomycin sulfate injection	0857	2.2352	$121.35		$24.27
J9045	K		Carboplatin injection	0811	1.5475	$84.01		$16.80
J9050	K		Carmus bischl nitro inj	0812	0.9972	$54.14		$10.83
J9060	K		Cisplatin 10 MG injection	0813	0.3594	$19.51		$3.90
J9062	E		Cisplatin 50 MG injection
J9065	K		Inj cladribine per 1 MG	0858	0.7031	$38.17		$7.63
J9070	N		Cyclophosphamide 100 MG inj
J9080	E		Cyclophosphamide 200 MG inj
J9090	E		Cyclophosphamide 500 MG inj
J9091	E		Cyclophosphamide 1.0 grm inj
J9092	E		Cyclophosphamide 2.0 grm inj
J9093	N		Cyclophosphamide lyophilized
J9094	E		Cyclophosphamide lyophilized
J9095	E		Cyclophosphamide lyophilized
J9096	E		Cyclophosphamide lyophilized
J9097	E		Cyclophosphamide lyophilized
J9100	N		Cytarabine hcl 100 MG inj
J9110	E		Cytarabine hcl 500 MG inj
J9120	N		Dactinomycin actinomycin d
J9130	N		Dacarbazine 10 MG inj
J9140	E		Dacarbazine 200 MG inj
J9150	K		Daunorubicin	0820	.6052	$32.86		$6.57
J9151	K		Daunorubicin citrate liposom	0821	2.9697	$161.22		$32.24
J9160	K		Denileukin diftitox, 300 mcg	1084	15.0913	$819.29		$163.86
J9165	K		Diethylstilbestrol injection	0822	1.3274	$72.06		$14.41
J9170	K		Docetaxel	0823	4.0041	$217.38		$43.48
J9180	E		Epirubicin HCl injection
J9181	N		Etoposide 10 MG inj
J9182	E		Etoposide 100 MG inj
J9185	K		Fludarabine phosphate inj	0842	3.6854	$200.08		$40.02
J9190	N		Fluorouracil injection
J9200	K		Floxuridine injection	0827	2.1836	$118.55		$23.71
J9201	K		Gemcitabine HCl	0828	1.4523	$78.84		$15.77
J9202	K		Goserelin acetate implant	0810	4.9549	$269.00		$53.80
J9206	K		Irinotecan injection	0830	1.8626	$101.12		$20.22
J9208	K		Ifosfomide injection	0831	1.1616	$63.06		$12.61
J9209	K		Mesna injection	0732	0.4908	$26.65		$5.33
J9211	K		Idarubicin hcl injection	0832	3.2438	$176.10		$35.22
J9212	N		Interferon alfacon-1
J9213	N		Interferon alfa-2a inj
J9214	K		Interferon alfa-2b inj	0836	0.2000	$10.86		$2.17
J9215	K		Interferon alfa-n3 inj	0865	1.5823	$85.90		$17.18
J9216	K		Interferon gamma 1-b inj	0838	2.4742	$134.32		$26.86
J9217	K		Leuprolide acetate suspnsion	9217	5.5128	$299.28		$59.86
J9218	K		Leuprolide acetate injeciton	0861	0.8223	$44.64		$8.93
J9219	K		Leuprolide acetate implant	7051	68.9392	$3,742.64		$748.53
J9230	N		Mechlorethamine hcl inj
J9245	K		Inj melphalan hydrochl 50 MG	0840	4.4072	$239.26		$47.85
J9250	N		Methotrexate sodium inj
J9260	E		Methotrexate sodium inj
J9265	K		Paclitaxel injection	0863	1.2674	$68.81		$13.76
J9266	K		Pegaspargase/singl dose vial	0843	5.7621	$312.82		$62.56
J9268	K		Pentostatin injection	0844	17.4201	$945.72		$189.14
J9270	N		Plicamycin (mithramycin) inj
J9280	K		Mitomycin 5 MG inj	0862	0.9557	$51.88		$10.38
J9290	E		Mitomycin 20 MG inj
J9291	E		Mitomycin 40 MG inj
J9293	K		Mitoxantrone hydrochl / 5 MG	0864	3.1513	$171.08		$34.22
J9300	K		Gemtuzumab ozogamicin	9004	17.5020	$950.17		$190.03
J9310	K		Rituximab cancer treatment	0849	5.5636	$302.04		$60.41
J9320	K		Streptozocin injection	0850	1.3942	$75.69		$15.14
J9340	N		Thiotepa injection
J9350	K		Topotecan	0852	7.9075	$429.29		$85.86
J9355	K		Trastuzumab	1613	0.7384	$40.09		$8.02
J9357	K		Valrubicin, 200 mg	1614	9.6183	$522.17		$104.43
J9360	N		Vinblastine sulfate inj
J9370	N		Vincristine sulfate 1 MG inj
J9375	E		Vincristine sulfate 2 MG inj
J9380	E		Vincristine sulfate 5 MG inj
J9390	K		Vinorelbine tartrate/10 mg	0855	1.1683	$63.43		$12.69
J9600	K		Porfimer sodium	0856	25.3788	$1,377.79		$275.56
J9999	N		Chemotherapy drug
K0001	A		Standard wheelchair
K0002	A		Stnd hemi (low seat) whlchr
K0003	A		Lightweight wheelchair
K0004	A		High strength ltwt whlchr
K0005	A		Ultralightweight wheelchair
K0006	A		Heavy duty wheelchair
K0007	A		Extra heavy duty wheelchair
K0009	A		Other manual wheelchair/base
K0010	A		Stnd wt frame power whlchr
K0011	A		Stnd wt pwr whlchr w control
K0012	A		Ltwt portbl power whlchr
K0014	A		Other power whlchr base
K0015	A		Detach non-adjus hght armrst
K0016	A		Detach adjust armrst cmplete
K0017	A		Detach adjust armrest base
K0018	A		Detach adjust armrst upper
K0019	A		Arm pad each
K0020	A		Fixed adjust armrest pair
K0022	A		Reinforced back upholstery
K0023	A		Planr back insrt foam w/strp
K0024	A		Plnr back insrt foam w/hrdwr
K0025	A		Hook-on headrest extension
K0026	A		Back upholst lgtwt whlchr
K0027	A		Back upholst other whlchr
K0028	A		Manual fully reclining back
K0029	A		Reinforced seat upholstery
K0030	A		Solid plnr seat sngl dnsfoam
K0031	A		Safety belt/pelvic strap
K0032	A		Seat uphols lgtwt whlchr
K0033	A		Seat upholstery other whlchr
K0035	A		Heel loop with ankle strap
K0036	A		Toe loop each
K0037	A		High mount flip-up footrest
K0038	A		Leg strap each
K0039	A		Leg strap h style each
K0040	A		Adjustable angle footplate
K0041	A		Large size footplate each
K0042	A		Standard size footplate each
K0043	A		Ftrst lower extension tube
K0044	A		Ftrst upper hanger bracket
K0045	A		Footrest complete assembly
K0046	A		Elevat legrst low extension
K0047	A		Elevat legrst up hangr brack
K0048	A		Elevate legrest complete
K0049	A		Calf pad each
K0050	A		Ratchet assembly
K0051	A		Cam relese assem ftrst/lgrst
K0052	A		Swingaway detach footrest
K0053	A		Elevate footrest articulate
K0054	A		Seat wdth 10-12/15/17/20 wc
K0055	A		Seat dpth 15/17/18 ltwt wc
K0056	A		Seat ht >17 or <=21 ltwt wc
K0057	A		Seat wdth 19/20 hvy dty wc
K0058	A		Seat dpth 17/18 power wc
K0059	A		Plastic coated handrim each
K0060	A		Steel handrim each
K0061	A		Aluminum handrim each
K0062	A		Handrim 8-10 vert/obliq proj
K0063	A		Hndrm 12-16 vert/obliq proj
K0064	A		Zero pressure tube flat free
K0065	A		Spoke protectors
K0066	A		Solid tire any size each
K0067	A		Pneumatic tire any size each
K0068	A		Pneumatic tire tube each
K0069	A		Rear whl complete solid tire
K0070	A		Rear whl compl pneum tire
K0071	A		Front castr compl pneum tire
K0072	A		Frnt cstr cmpl sem-pneum tir
K0073	A		Caster pin lock each
K0074	A		Pneumatic caster tire each
K0075	A		Semi-pneumatic caster tire
K0076	A		Solid caster tire each
K0077	A		Front caster assem complete
K0078	A		Pneumatic caster tire tube
K0079	A		Wheel lock extension pair
K0080	A		Anti-rollback device pair
K0081	A		Wheel lock assembly complete
K0082	A		22 nf deep cycl acid battery
K0083	A		22 nf gel cell battery each
K0084	A		Grp 24 deep cycl acid battry
K0085	A		Group 24 gel cell battery
K0086	A		U-1 lead acid battery each
K0087	A		U-1 gel cell battery each
K0088	A		Battry chrgr acid/gel cell
K0089	A		Battery charger dual mode
K0090	A		Rear tire power wheelchair
K0091	A		Rear tire tube power whlchr
K0092	A		Rear assem cmplt powr whlchr
K0093	A		Rear zero pressure tire tube
K0094	A		Wheel tire for power base
K0095	A		Wheel tire tube each base
K0096	A		Wheel assem powr base complt
K0097	A		Wheel zero presure tire tube
K0098	A		Drive belt power wheelchair
K0099	A		Pwr wheelchair front caster
K0100	A		Amputee adapter pair
K0102	A		Crutch and cane holder
K0103	A		Transfer board < 25≧
K0104	A		Cylinder tank carrier
K0105	A		Iv hanger
K0106	A		Arm trough each
K0107	A		Wheelchair tray
K0108	A		W/c component-accessory NOS
K0112	A		Trunk vest supprt innr frame
K0113	A		Trunk vest suprt w/o inr frm
K0114	A		Whlchr back suprt inr frame
K0115	A		Back module orthotic system
K0116	A		Back & seat modul orthot sys
K0195	A		Elevating whlchair leg rests
K0268	A		Humidifier nonheated w PAP
K0415	E		RX antiemetic drg, oral NOS
K0416	E		Rx antiemetic drg,rectal NOS
K0452	A		Wheelchair bearings
K0455	A		Pump uninterrupted infusion
K0460	A		WC power add-on joystick
K0461	A		WC power add-on tiller cntrl
K0462	A		Temporary replacement eqpmnt
K0531	A		Heated humidifier used w pap
K0532	A		Noninvasive assist wo backup
K0533	A		Noninvasive assist w backup
K0534	A		Invasive assist w backup
K0538	A		Neg pressure wnd thrpy pump
K0539	A		Neg pres wnd thrpy dsg set
K0540	A		Neg pres wnd thrp canister
K0541	A		SGD prerecorded msg <= 8 min
K0542	A		SGD prerecorded msg > 8 min
K0543	A		SGD msg formed by spelling
K0544	A		SGD w multi methods msg/accs
K0545	A		SGD sftwre prgrm for PC/PDA
K0546	A		SGD accessory,mounting systm
K0547	A		SGD accessory NOC
K0548	A		Insulin lispro
K0549	A		Hosp bed hvy dty xtra wide
K0550	A		Hosp bed xtra hvy dty x wide
K0556	A		Socket insert w lock mech
K0557	A		Socket insert w/o lock mech
K0558	A		Intl custm cong/atyp insert
K0559	A		Initial custom socket insert
K0560	N		Mcp joint 2-piece for implant
K0581	A		Ost pch clsd w barrier/filtr
K0582	A		Ost pch w bar/bltinconv/fltr
K0583	A		Ost pch clsd w/o bar w filtr
K0584	A		Ost pch for bar w flange/flt
K0585	A		Ost pch clsd for bar w lk fl
K0586	A		Ost pch for bar w lk fl/fltr
K0587	A		Ost pch drain w bar & filter
K0588	A		Ost pch drain for barrier fl
K0589	A		Ost pch drain 2 piece system
K0590	A		Ost pch drain/barr lk flng/f
K0591	A		Urine ost pouch w faucet/tap
K0592	A		Urine ost pouch w bltinconv
K0593	A		Ost urine pch w b/bltin conv
K0594	A		Ost pch urine w barrier/tapv
K0595	A		Os pch urine w bar/fange/tap
K0596	A		Urine ost pch bar w lock fln
K0597	A		Ost pch urine w lock flng/ft
K0600	A		Functional neuromuscular stim
K0601	A		Repl batt silver oxide 1.5 v
K0602	A		Repl batt silver oxide 3 v
K0603	A		Repl batt alkaline 1.5 v
K0604	A		Repl batt lithium 3.6 v
K0605	A		Repl batt lithium 4.5 v
K0606	A		AED garment w/elec analysis
K0607	A		Repl batt for AED device
K0608	A		Repl garment for AED
K0609	A		Repl electrode for AED
K0610	A		Peritoneal dialysis clamp
K0611	A		Disposable cycler set
K0612	A		Drainage ext line, dialysis
K0613	A		Ext line w/easy lock connect
K0614	A		Chem/antiseptic solution, 8oz
K0615	A		SGD prerec mes >8min <20min
K0616	A		SGD prerec mes >20min <40min
K0617	A		SGD prerec mes >40min
K0618	A		TLSO 2 piece rigid shell
K0619	A		TLSO 3 piece rigid shell
K0620	A		Tubular elastic dressing
K0621	A		Gauze, non-impreg pack strip
L0100	A		Cranial orthosis/helmet mold
L0110	A		Cranial orthosis/helmet nonm
L0120	A		Cerv flexible non-adjustable
L0130	A		Flex thermoplastic collar mo
L0140	A		Cervical semi-rigid adjustab
L0150	A		Cerv semi-rig adj molded chn
L0160	A		Cerv semi-rig wire occ/mand
L0170	A		Cervical collar molded to pt
L0172	A		Cerv col thermplas foam 2 pi
L0174	A		Cerv col foam 2 piece w thor
L0180	A		Cer post col occ/man sup adj
L0190	A		Cerv collar supp adj cerv ba
L0200	A		Cerv col supp adj bar & thor
L0210	A		Thoracic rib belt
L0220	A		Thor rib belt custom fabrica
L0450	A		TLSO flex prefab thoracic
L0452	A		tlso flex custom fab thoraci
L0454	A		TLSO flex prefab sacrococ-T9
L0456	A		TLSO flex prefab
L0458	A		TLSO 2Mod symphis-xipho pre
L0460	A		TLSO2Mod symphysis-stern pre
L0462	A		TLSO 3Mod sacro-scap pre
L0464	A		TLSO 4Mod sacro-scap pre
L0466	A		TLSO rigid frame pre soft ap
L0468	A		TLSO rigid frame prefab pelv
L0470	A		TLSO rigid frame pre subclav
L0472	A		TLSO rigid frame hyperex pre
L0474	A		TLSO rigid frame pre pelvic
L0476	A		TLSO flexion compres jac pre
L0478	A		TLSO flexion compres jac cus
L0480	A		TLSO rigid plastic custom fa
L0482	A		TLSO rigid lined custom fab
L0484	A		TLSO rigid plastic cust fab
L0486	A		TLSO rigidlined cust fab two
L0488	A		TLSO rigid lined pre one pie
L0490	A		TLSO rigid plastic pre one
L0500	A		Lso flex surgical support
L0510	A		Lso flexible custom fabricat
L0515	A		Lso flex elas w/ rig post pa
L0520	A		Lso a-p-l control with apron
L0530	A		Lso ant-pos control w apron
L0540	A		Lso lumbar flexion a-p-l
L0550	A		Lso a-p-l control molded
L0560	A		Lso a-p-l w interface
L0561	A		Prefab lso
L0565	A		Lso a-p-l control custom
L0600	A		Sacroiliac flex surg support
L0610	A		Sacroiliac flexible custm fa
L0620	A		Sacroiliac semi-rig w apron
L0700	A		Ctlso a-p-l control molded
L0710	A		Ctlso a-p-l control w/ inter
L0810	A		Halo cervical into jckt vest
L0820	A		Halo cervical into body jack
L0830	A		Halo cerv into milwaukee typ
L0860	A		Magnetic resonanc image comp
L0960	A		Post surgical support pads
L0970	A		Tlso corset front
L0972	A		Lso corset front
L0974	A		Tlso full corset
L0976	A		Lso full corset
L0978	A		Axillary crutch extension
L0980	A		Peroneal straps pair
L0982	A		Stocking supp grips set of f
L0984	A		Protective body sock each
L0999	A		Add to spinal orthosis NOS
L1000	A		Ctlso milwauke initial model
L1005	A		Tension based scoliosis orth
L1010	A		Ctlso axilla sling
L1020	A		Kyphosis pad
L1025	A		Kyphosis pad floating
L1030	A		Lumbar bolster pad
L1040	A		Lumbar or lumbar rib pad
L1050	A		Sternal pad
L1060	A		Thoracic pad
L1070	A		Trapezius sling
L1080	A		Outrigger
L1085	A		Outrigger bil w/ vert extens
L1090	A		Lumbar sling
L1100	A		Ring flange plastic/leather
L1110	A		Ring flange plas/leather mol
L1120	A		Covers for upright each
L1200	A		Furnsh initial orthosis only
L1210	A		Lateral thoracic extension
L1220	A		Anterior thoracic extension
L1230	A		Milwaukee type superstructur
L1240	A		Lumbar derotation pad
L1250	A		Anterior asis pad
L1260	A		Anterior thoracic derotation
L1270	A		Abdominal pad
L1280	A		Rib gusset (elastic) each
L1290	A		Lateral trochanteric pad
L1300	A		Body jacket mold to patient
L1310	A		Post-operative body jacket
L1499	A		Spinal orthosis NOS
L1500	A		Thkao mobility frame
L1510	A		Thkao standing frame
L1520	A		Thkao swivel walker
L1600	A		Abduct hip flex frejka w cvr
L1610	A		Abduct hip flex frejka covr
L1620	A		Abduct hip flex pavlik harne
L1630	A		Abduct control hip semi-flex
L1640	A		Pelv band/spread bar thigh c
L1650	A		HO abduction hip adjustable
L1652	A		HO bi thighcuffs w sprdr bar
L1660	A		HO abduction static plastic
L1680	A		Pelvic & hip control thigh c
L1685	A		Post-op hip abduct custom fa
L1686	A		HO post-op hip abduction
L1690	A		Combination bilateral HO
L1700	A		Leg perthes orth toronto typ
L1710	A		Legg perthes orth newington
L1720	A		Legg perthes orthosis trilat
L1730	A		Legg perthes orth scottish r
L1750	A		Legg perthes sling
L1755	A		Legg perthes patten bottom t
L1800	A		Knee orthoses elas w stays
L1810	A		Ko elastic with joints
L1815	A		Elastic with condylar pads
L1820	A		Ko elas w/ condyle pads & jo
L1825	A		Ko elastic knee cap
L1830	A		Ko immobilizer canvas longit
L1832	A		KO adj jnt pos rigid support
L1834	A		Ko w/0 joint rigid molded to
L1836	A		Rigid KO wo joints
L1840	A		Ko derot ant cruciate custom
L1843	A		KO single upright custom fit
L1844	A		Ko w/adj jt rot cntrl molded
L1845	A		Ko w/ adj flex/ext rotat cus
L1846	A		Ko w adj flex/ext rotat mold
L1847	A		KO adjustable w air chambers
L1850	A		Ko swedish type
L1855	A		Ko plas doub upright jnt mol
L1858	A		Ko polycentric pneumatic pad
L1860	A		Ko supracondylar socket mold
L1870	A		Ko doub upright lacers molde
L1880	A		Ko doub upright cuffs/lacers
L1885	A		Knee upright w/resistance
L1900	A		Afo sprng wir drsflx calf bd
L1901	A		Prefab ankle orthosis
L1902	A		Afo ankle gauntlet
L1904	A		Afo molded ankle gauntlet
L1906	A		Afo multiligamentus ankle su
L1910	A		Afo sing bar clasp attach sh
L1920	A		Afo sing upright w/ adjust s
L1930	A		Afo plastic
L1940	A		Afo molded to patient plasti
L1945	A		Afo molded plas rig ant tib
L1950	A		Afo spiral molded to pt plas
L1960	A		Afo pos solid ank plastic mo
L1970	A		Afo plastic molded w/ankle j
L1980	A		Afo sing solid stirrup calf
L1990	A		Afo doub solid stirrup calf
L2000	A		Kafo sing fre stirr thi/calf
L2010	A		Kafo sng solid stirrup w/o j
L2020	A		Kafo dbl solid stirrup band/
L2030	A		Kafo dbl solid stirrup w/o j
L2035	A		KAFO plastic pediatric size
L2036	A		Kafo plas doub free knee mol
L2037	A		Kafo plas sing free knee mol
L2038	A		Kafo w/o joint multi-axis an
L2039	A		KAFO,plstic,medlat rotat con
L2040	A		Hkafo torsion bil rot straps
L2050	A		Hkafo torsion cable hip pelv
L2060	A		Hkafo torsion ball bearing j
L2070	A		Hkafo torsion unilat rot str
L2080	A		Hkafo unilat torsion cable
L2090	A		Hkafo unilat torsion ball br
L2102	E		Afo tibial fx cast plstr mol
L2104	E		Afo tib fx cast synthetic mo
L2106	A		Afo tib fx cast plaster mold
L2108	A		Afo tib fx cast molded to pt
L2112	A		Afo tibial fracture soft
L2114	A		Afo tib fx semi-rigid
L2116	A		Afo tibial fracture rigid
L2122	E		Kafo fem fx cast plaster mol
L2124	E		Kafo fem fx cast synthet mol
L2126	A		Kafo fem fx cast thermoplas
L2128	A		Kafo fem fx cast molded to p
L2132	A		Kafo femoral fx cast soft
L2134	A		Kafo fem fx cast semi-rigid
L2136	A		Kafo femoral fx cast rigid
L2180	A		Plas shoe insert w ank joint
L2182	A		Drop lock knee
L2184	A		Limited motion knee joint
L2186	A		Adj motion knee jnt lerman t
L2188	A		Quadrilateral brim
L2190	A		Waist belt
L2192	A		Pelvic band & belt thigh fla
L2200	A		Limited ankle motion ea jnt
L2210	A		Dorsiflexion assist each joi
L2220	A		Dorsi & plantar flex ass/res
L2230	A		Split flat caliper stirr & p
L2240	A		Round caliper and plate atta
L2250	A		Foot plate molded stirrup at
L2260	A		Reinforced solid stirrup
L2265	A		Long tongue stirrup
L2270	A		Varus/valgus strap padded/li
L2275	A		Plastic mod low ext pad/line
L2280	A		Molded inner boot
L2300	A		Abduction bar jointed adjust
L2310	A		Abduction bar-straight
L2320	A		Non-molded lacer
L2330	A		Lacer molded to patient mode
L2335	A		Anterior swing band
L2340	A		Pre-tibial shell molded to p
L2350	A		Prosthetic type socket molde
L2360	A		Extended steel shank
L2370	A		Patten bottom
L2375	A		Torsion ank & half solid sti
L2380	A		Torsion straight knee joint
L2385	A		Straight knee joint heavy du
L2390	A		Offset knee joint each
L2395	A		Offset knee joint heavy duty
L2397	A		Suspension sleeve lower ext
L2405	A		Knee joint drop lock ea jnt
L2415	A		Knee joint cam lock each joi
L2425	A		Knee disc/dial lock/adj flex
L2430	A		Knee jnt ratchet lock ea jnt
L2435	A		Knee joint polycentric joint
L2492	A		Knee lift loop drop lock rin
L2500	A		Thi/glut/ischia wgt bearing
L2510	A		Th/wght bear quad-lat brim m
L2520	A		Th/wght bear quad-lat brim c
L2525	A		Th/wght bear nar m-l brim mo
L2526	A		Th/wght bear nar m-l brim cu
L2530	A		Thigh/wght bear lacer non-mo
L2540	A		Thigh/wght bear lacer molded
L2550	A		Thigh/wght bear high roll cu
L2570	A		Hip clevis type 2 posit jnt
L2580	A		Pelvic control pelvic sling
L2600	A		Hip clevis/thrust bearing fr
L2610	A		Hip clevis/thrust bearing lo
L2620	A		Pelvic control hip heavy dut
L2622	A		Hip joint adjustable flexion
L2624	A		Hip adj flex ext abduct cont
L2627	A		Plastic mold recipro hip & c
L2628	A		Metal frame recipro hip & ca
L2630	A		Pelvic control band & belt u
L2640	A		Pelvic control band & belt b
L2650	A		Pelv & thor control gluteal
L2660	A		Thoracic control thoracic ba
L2670	A		Thorac cont paraspinal uprig
L2680	A		Thorac cont lat support upri
L2750	A		Plating chrome/nickel pr bar
L2755	A		Carbon graphite lamination
L2760	A		Extension per extension per
L2768	A		Ortho sidebar disconnect
L2770	A		Low ext orthosis per bar/jnt
L2780	A		Non-corrosive finish
L2785	A		Drop lock retainer each
L2795	A		Knee control full kneecap
L2800	A		Knee cap medial or lateral p
L2810	A		Knee control condylar pad
L2820	A		Soft interface below knee se
L2830	A		Soft interface above knee se
L2840	A		Tibial length sock fx or equ
L2850	A		Femoral lgth sock fx or equa
L2860	A		Torsion mechanism knee/ankle
L2999	A		Lower extremity orthosis NOS
L3000	E		Ft insert ucb berkeley shell
L3001	E		Foot insert remov molded spe
L3002	E		Foot insert plastazote or eq
L3003	E		Foot insert silicone gel eac
L3010	E		Foot longitudinal arch suppo
L3020	E		Foot longitud/metatarsal sup
L3030	E		Foot arch support remov prem
L3040	E		Ft arch suprt premold longit
L3050	E		Foot arch supp premold metat
L3060	E		Foot arch supp longitud/meta
L3070	E		Arch suprt att to sho longit
L3080	E		Arch supp att to shoe metata
L3090	E		Arch supp att to shoe long/m
L3100	E		Hallus-valgus nght dynamic s
L3140	E		Abduction rotation bar shoe
L3150	E		Abduct rotation bar w/o shoe
L3160	E		Shoe styled positioning dev
L3170	E		Foot plastic heel stabilizer
L3201	E		Oxford w supinat/pronat inf
L3202	E		Oxford w/ supinat/pronator c
L3203	E		Oxford w/ supinator/pronator
L3204	E		Hightop w/ supp/pronator inf
L3206	E		Hightop w/ supp/pronator chi
L3207	E		Hightop w/ supp/pronator jun
L3208	E		Surgical boot each infant
L3209	E		Surgical boot each child
L3211	E		Surgical boot each junior
L3212	E		Benesch boot pair infant
L3213	E		Benesch boot pair child
L3214	E		Benesch boot pair junior
L3215	E		Orthopedic ftwear ladies oxf
L3216	E		Orthoped ladies shoes dpth i
L3217	E		Ladies shoes hightop depth i
L3219	E		Orthopedic mens shoes oxford
L3221	E		Orthopedic mens shoes dpth i
L3222	E		Mens shoes hightop depth inl
L3224	A		Woman's shoe oxford brace
L3225	A		Man's shoe oxford brace
L3230	E		Custom shoes depth inlay
L3250	E		Custom mold shoe remov prost
L3251	E		Shoe molded to pt silicone s
L3252	E		Shoe molded plastazote cust
L3253	E		Shoe molded plastazote cust
L3254	E		Orth foot non-stndard size/w
L3255	E		Orth foot non-standard size/
L3257	E		Orth foot add charge split s
L3260	E		Ambulatory surgical boot eac
L3265	E		Plastazote sandal each
L3300	E		Sho lift taper to metatarsal
L3310	E		Shoe lift elev heel/sole neo
L3320	E		Shoe lift elev heel/sole cor
L3330	E		Lifts elevation metal extens
L3332	E		Shoe lifts tapered to one-ha
L3334	E		Shoe lifts elevation heel /i
L3340	E		Shoe wedge sach
L3350	E		Shoe heel wedge
L3360	E		Shoe sole wedge outside sole
L3370	E		Shoe sole wedge between sole
L3380	E		Shoe clubfoot wedge
L3390	E		Shoe outflare wedge
L3400	E		Shoe metatarsal bar wedge ro
L3410	E		Shoe metatarsal bar between
L3420	E		Full sole/heel wedge btween
L3430	E		Sho heel count plast reinfor
L3440	E		Heel leather reinforced
L3450	E		Shoe heel sach cushion type
L3455	E		Shoe heel new leather standa
L3460	E		Shoe heel new rubber standar
L3465	E		Shoe heel thomas with wedge
L3470	E		Shoe heel thomas extend to b
L3480	E		Shoe heel pad & depress for
L3485	E		Shoe heel pad removable for
L3500	E		Ortho shoe add leather insol
L3510	E		Orthopedic shoe add rub insl
L3520	E		O shoe add felt w leath insl
L3530	E		Ortho shoe add half sole
L3540	E		Ortho shoe add full sole
L3550	E		O shoe add standard toe tap
L3560	E		O shoe add horseshoe toe tap
L3570	E		O shoe add instep extension
L3580	E		O shoe add instep velcro clo
L3590	E		O shoe convert to sof counte
L3595	E		Ortho shoe add march bar
L3600	E		Trans shoe calip plate exist
L3610	E		Trans shoe caliper plate new
L3620	E		Trans shoe solid stirrup exi
L3630	E		Trans shoe solid stirrup new
L3640	E		Shoe dennis browne splint bo
L3649	E		Orthopedic shoe modifica NOS
L3650	A		Shlder fig 8 abduct restrain
L3651	A		Prefab shoulder orthosis
L3652	A		Prefab dbl shoulder orthosis
L3660	A		Abduct restrainer canvas&web
L3670	A		Acromio/clavicular canvas&we
L3675	A		Canvas vest SO
L3677	E		SO hard plastic stabilizer
L3700	A		Elbow orthoses elas w stays
L3701	A		Prefab elbow orthosis
L3710	A		Elbow elastic with metal joi
L3720	A		Forearm/arm cuffs free motio
L3730	A		Forearm/arm cuffs ext/flex a
L3740	A		Cuffs adj lock w/ active con
L3760	A		EO withjoint, Prefabricated
L3762	A		Rigid EO wo joints
L3800	A		Whfo short opponen no attach
L3805	A		Whfo long opponens no attach
L3807	A		WHFO,no joint, prefabricated
L3810	A		Whfo thumb abduction bar
L3815	A		Whfo second m.p. abduction a
L3820	A		Whfo ip ext asst w/ mp ext s
L3825	A		Whfo m.p. extension stop
L3830	A		Whfo m.p. extension assist
L3835	A		Whfo m.p. spring extension a
L3840	A		Whfo spring swivel thumb
L3845	A		Whfo thumb ip ext ass w/ mp
L3850	A		Action wrist w/ dorsiflex as
L3855	A		Whfo adj m.p. flexion contro
L3860	A		Whfo adj m.p. flex ctrl & i.
L3890	E		Torsion mechanism wrist/elbo
L3900	A		Hinge extension/flex wrist/f
L3901	A		Hinge ext/flex wrist finger
L3902	A		Whfo ext power compress gas
L3904	A		Whfo electric custom fitted
L3906	A		Wrist gauntlet molded to pt
L3907	A		Whfo wrst gauntlt thmb spica
L3908	A		Wrist cock-up non-molded
L3909	A		Prefab wrist orthosis
L3910	A		Whfo swanson design
L3911	A		Prefab hand finger orthosis
L3912	A		Flex glove w/elastic finger
L3914	A		WHO wrist extension cock-up
L3916	A		Whfo wrist extens w/ outrigg
L3918	A		HFO knuckle bender
L3920	A		Knuckle bender with outrigge
L3922	A		Knuckle bend 2 seg to flex j
L3923	A		HFO, no joint, prefabricated
L3924	A		Oppenheimer
L3926	A		Thomas suspension
L3928	A		Finger extension w/ clock sp
L3930	A		Finger extension with wrist
L3932	A		Safety pin spring wire
L3934	A		Safety pin modified
L3936	A		Palmer
L3938	A		Dorsal wrist
L3940	A		Dorsal wrist w/ outrigger at
L3942	A		Reverse knuckle bender
L3944	A		Reverse knuckle bend w/ outr
L3946	A		HFO composite elastic
L3948	A		Finger knuckle bender
L3950	A		Oppenheimer w/ knuckle bend
L3952	A		Oppenheimer w/ rev knuckle 2
L3954	A		Spreading hand
L3956	A		Add joint upper ext orthosis
L3960	A		Sewho airplan desig abdu pos
L3962	A		Sewho erbs palsey design abd
L3963	A		Molded w/ articulating elbow
L3964	A		Seo mobile arm sup att to wc
L3965	A		Arm supp att to wc rancho ty
L3966	A		Mobile arm supports reclinin
L3968	A		Friction dampening arm supp
L3969	A		Monosuspension arm/hand supp
L3970	A		Elevat proximal arm support
L3972	A		Offset/lat rocker arm w/ ela
L3974	A		Mobile arm support supinator
L3980	A		Upp ext fx orthosis humeral
L3982	A		Upper ext fx orthosis rad/ul
L3984	A		Upper ext fx orthosis wrist
L3985	A		Forearm hand fx orth w/ wr h
L3986	A		Humeral rad/ulna wrist fx or
L3995	A		Sock fracture or equal each
L3999	A		Upper limb orthosis NOS
L4000	A		Repl girdle milwaukee orth
L4010	A		Replace trilateral socket br
L4020	A		Replace quadlat socket brim
L4030	A		Replace socket brim cust fit
L4040	A		Replace molded thigh lacer
L4045	A		Replace non-molded thigh lac
L4050	A		Replace molded calf lacer
L4055	A		Replace non-molded calf lace
L4060	A		Replace high roll cuff
L4070	A		Replace prox & dist upright
L4080	A		Repl met band kafo-afo prox
L4090	A		Repl met band kafo-afo calf/
L4100	A		Repl leath cuff kafo prox th
L4110	A		Repl leath cuff kafo-afo cal
L4130	A		Replace pretibial shell
L4205	A		Ortho dvc repair per 15 min
L4210	A		Orth dev repair/repl minor p
L4350	A		Pneumatic ankle cntrl splint
L4360	A		Pneumatic walking splint
L4370	A		Pneumatic full leg splint
L4380	A		Pneumatic knee splint
L4386	A		Non-pneumatic walking splint
L4392	A		Replace AFO soft interface
L4394	A		Replace foot drop spint
L4396	A		Static AFO
L4398	A		Foot drop splint recumbent
L5000	A		Sho insert w arch toe filler
L5010	A		Mold socket ank hgt w/ toe f
L5020	A		Tibial tubercle hgt w/ toe f
L5050	A		Ank symes mold sckt sach ft
L5060	A		Symes met fr leath socket ar
L5100	A		Molded socket shin sach foot
L5105	A		Plast socket jts/thgh lacer
L5150	A		Mold sckt ext knee shin sach
L5160	A		Mold socket bent knee shin s
L5200	A		Kne sing axis fric shin sach
L5210	A		No knee/ankle joints w/ ft b
L5220	A		No knee joint with artic ali
L5230	A		Fem focal defic constant fri
L5250	A		Hip canad sing axi cons fric
L5270	A		Tilt table locking hip sing
L5280	A		Hemipelvect canad sing axis
L5301	A		BK mold socket SACH ft endo
L5311	A		Knee disart, SACH ft, endo
L5321	A		AK open end SACH
L5331	A		Hip disart canadian SACH ft
L5341	A		Hemipelvectomy canadian SACH
L5400	A		Postop dress & 1 cast chg bk
L5410	A		Postop dsg bk ea add cast ch
L5420	A		Postop dsg & 1 cast chg ak/d
L5430	A		Postop dsg ak ea add cast ch
L5450	A		Postop app non-wgt bear dsg
L5460	A		Postop app non-wgt bear dsg
L5500	A		Init bk ptb plaster direct
L5505	A		Init ak ischal plstr direct
L5510	A		Prep BK ptb plaster molded
L5520	A		Perp BK ptb thermopls direct
L5530	A		Prep BK ptb thermopls molded
L5535	A		Prep BK ptb open end socket
L5540	A		Prep BK ptb laminated socket
L5560	A		Prep AK ischial plast molded
L5570	A		Prep AK ischial direct form
L5580	A		Prep AK ischial thermo mold
L5585	A		Prep AK ischial open end
L5590	A		Prep AK ischial laminated
L5595	A		Hip disartic sach thermopls
L5600	A		Hip disart sach laminat mold
L5610	A		Above knee hydracadence
L5611	A		Ak 4 bar link w/fric swing
L5613	A		Ak 4 bar ling w/hydraul swig
L5614	A		4-bar link above knee w/swng
L5616	A		Ak univ multiplex sys frict
L5617	A		AK/BK self-aligning unit ea
L5618	A		Test socket symes
L5620	A		Test socket below knee
L5622	A		Test socket knee disarticula
L5624	A		Test socket above knee
L5626	A		Test socket hip disarticulat
L5628	A		Test socket hemipelvectomy
L5629	A		Below knee acrylic socket
L5630	A		Syme typ expandabl wall sckt
L5631	A		Ak/knee disartic acrylic soc
L5632	A		Symes type ptb brim design s
L5634	A		Symes type poster opening so
L5636	A		Symes type medial opening so
L5637	A		Below knee total contact
L5638	A		Below knee leather socket
L5639	A		Below knee wood socket
L5640	A		Knee disarticulat leather so
L5642	A		Above knee leather socket
L5643	A		Hip flex inner socket ext fr
L5644	A		Above knee wood socket
L5645	A		Bk flex inner socket ext fra
L5646	A		Below knee air cushion socke
L5647	A		Below knee suction socket
L5648	A		Above knee air cushion socke
L5649	A		Isch containmt/narrow m-l so
L5650	A		Tot contact ak/knee disart s
L5651	A		Ak flex inner socket ext fra
L5652	A		Suction susp ak/knee disart
L5653	A		Knee disart expand wall sock
L5654	A		Socket insert symes
L5655	A		Socket insert below knee
L5656	A		Socket insert knee articulat
L5658	A		Socket insert above knee
L5661	A		Multi-durometer symes
L5665	A		Multi-durometer below knee
L5666	A		Below knee cuff suspension
L5668	A		Socket insert w/o lock lower
L5670	A		Bk molded supracondylar susp
L5671	A		BK/AK locking mechanism
L5672	A		Bk removable medial brim sus
L5674	A		Bk suspension sleeve
L5675	A		Bk heavy duty susp sleeve
L5676	A		Bk knee joints single axis p
L5677	A		Bk knee joints polycentric p
L5678	A		Bk joint covers pair
L5680	A		Bk thigh lacer non-molded
L5682	A		Bk thigh lacer glut/ischia m
L5684	A		Bk fork strap
L5686	A		Bk back check
L5688	A		Bk waist belt webbing
L5690	A		Bk waist belt padded and lin
L5692	A		Ak pelvic control belt light
L5694	A		Ak pelvic control belt pad/l
L5695	A		Ak sleeve susp neoprene/equa
L5696	A		Ak/knee disartic pelvic join
L5697	A		Ak/knee disartic pelvic band
L5698	A		Ak/knee disartic silesian ba
L5699	A		Shoulder harness
L5700	A		Replace socket below knee
L5701	A		Replace socket above knee
L5702	A		Replace socket hip
L5704	A		Custom shape cover BK
L5705	A		Custom shape cover AK
L5706	A		Custom shape cvr knee disart
L5707	A		Custom shape cvr hip disart
L5710	A		Kne-shin exo sng axi mnl loc
L5711	A		Knee-shin exo mnl lock ultra
L5712	A		Knee-shin exo frict swg & st
L5714	A		Knee-shin exo variable frict
L5716	A		Knee-shin exo mech stance ph
L5718	A		Knee-shin exo frct swg & sta
L5722	A		Knee-shin pneum swg frct exo
L5724	A		Knee-shin exo fluid swing ph
L5726	A		Knee-shin ext jnts fld swg e
L5728	A		Knee-shin fluid swg & stance
L5780	A		Knee-shin pneum/hydra pneum
L5781	A		Lower limb pros vacuum pump
L5782	A		HD low limb pros vacuum pump
L5785	A		Exoskeletal bk ultralt mater
L5790	A		Exoskeletal ak ultra-light m
L5795	A		Exoskel hip ultra-light mate
L5810	A		Endoskel knee-shin mnl lock
L5811	A		Endo knee-shin mnl lck ultra
L5812	A		Endo knee-shin frct swg & st
L5814	A		Endo knee-shin hydral swg ph
L5816	A		Endo knee-shin polyc mch sta
L5818	A		Endo knee-shin frct swg & st
L5822	A		Endo knee-shin pneum swg frc
L5824	A		Endo knee-shin fluid swing p
L5826	A		Miniature knee joint
L5828	A		Endo knee-shin fluid swg/sta
L5830	A		Endo knee-shin pneum/swg pha
L5840	A		Multi-axial knee/shin system
L5845	A		Knee-shin sys stance flexion
L5846	A		Knee-shin sys microprocessor
L5847	A		Microprocessor cntrl feature
L5848	A		Knee-shin sys hydraul stance
L5850	A		Endo ak/hip knee extens assi
L5855	A		Mech hip extension assist
L5910	A		Endo below knee alignable sy
L5920	A		Endo ak/hip alignable system
L5925	A		Above knee manual lock
L5930	A		High activity knee frame
L5940	A		Endo bk ultra-light material
L5950	A		Endo ak ultra-light material
L5960	A		Endo hip ultra-light materia
L5962	A		Below knee flex cover system
L5964	A		Above knee flex cover system
L5966	A		Hip flexible cover system
L5968	A		Multiaxial ankle w dorsiflex
L5970	A		Foot external keel sach foot
L5972	A		Flexible keel foot
L5974	A		Foot single axis ankle/foot
L5975	A		Combo ankle/foot prosthesis
L5976	A		Energy storing foot
L5978	A		Ft prosth multiaxial ankl/ft
L5979	A		Multi-axial ankle/ft prosth
L5980	A		Flex foot system
L5981	A		Flex-walk sys low ext prosth
L5982	A		Exoskeletal axial rotation u
L5984	A		Endoskeletal axial rotation
L5985	A		Lwr ext dynamic prosth pylon
L5986	A		Multi-axial rotation unit
L5987	A		Shank ft w vert load pylon
L5988	A		Vertical shock reducing pylo
L5989	A		Pylon w elctrnc force sensor
L5990	A		User adjustable heel height
L5995	A		Lower ext pros heavyduty fea
L5999	A		Lowr extremity prosthes NOS
L6000	A		Par hand robin-aids thum rem
L6010	A		Hand robin-aids little/ring
L6020	A		Part hand robin-aids no fing
L6025	A		Part hand disart myoelectric
L6050	A		Wrst MLd sck flx hng tri pad
L6055	A		Wrst mold sock w/exp interfa
L6100	A		Elb mold sock flex hinge pad
L6110	A		Elbow mold sock suspension t
L6120	A		Elbow mold doub splt soc ste
L6130	A		Elbow stump activated lock h
L6200	A		Elbow mold outsid lock hinge
L6205	A		Elbow molded w/ expand inter
L6250	A		Elbow inter loc elbow forarm
L6300	A		Shlder disart int lock elbow
L6310	A		Shoulder passive restor comp
L6320	A		Shoulder passive restor cap
L6350	A		Thoracic intern lock elbow
L6360	A		Thoracic passive restor comp
L6370	A		Thoracic passive restor cap
L6380	A		Postop dsg cast chg wrst/elb
L6382	A		Postop dsg cast chg elb dis/
L6384	A		Postop dsg cast chg shlder/t
L6386	A		Postop ea cast chg & realign
L6388	A		Postop applicat rigid dsg on
L6400	A		Below elbow prosth tiss shap
L6450	A		Elb disart prosth tiss shap
L6500	A		Above elbow prosth tiss shap
L6550	A		Shldr disar prosth tiss shap
L6570	A		Scap thorac prosth tiss shap
L6580	A		Wrist/elbow bowden cable mol
L6582	A		Wrist/elbow bowden cbl dir f
L6584	A		Elbow fair lead cable molded
L6586	A		Elbow fair lead cable dir fo
L6588	A		Shdr fair lead cable molded
L6590	A		Shdr fair lead cable direct
L6600	A		Polycentric hinge pair
L6605	A		Single pivot hinge pair
L6610	A		Flexible metal hinge pair
L6615	A		Disconnect locking wrist uni
L6616	A		Disconnect insert locking wr
L6620	A		Flexion-friction wrist unit
L6623	A		Spring-ass rot wrst w/ latch
L6625	A		Rotation wrst w/ cable lock
L6628	A		Quick disconn hook adapter o
L6629	A		Lamination collar w/ couplin
L6630	A		Stainless steel any wrist
L6632	A		Latex suspension sleeve each
L6635	A		Lift assist for elbow
L6637	A		Nudge control elbow lock
L6638	A		Elec lock on manual pw elbow
L6640	A		Shoulder abduction joint pai
L6641	A		Excursion amplifier pulley t
L6642	A		Excursion amplifier lever ty
L6645	A		Shoulder flexion-abduction j
L6646	A		Multipo locking shoulder jnt
L6647	A		Shoulder lock actuator
L6648	A		Ext pwrd shlder lock/unlock
L6650	A		Shoulder universal joint
L6655	A		Standard control cable extra
L6660	A		Heavy duty control cable
L6665	A		Teflon or equal cable lining
L6670	A		Hook to hand cable adapter
L6672	A		Harness chest/shlder saddle
L6675	A		Harness figure of 8 sing con
L6676	A		Harness figure of 8 dual con
L6680	A		Test sock wrist disart/bel e
L6682	A		Test sock elbw disart/above
L6684	A		Test socket shldr disart/tho
L6686	A		Suction socket
L6687	A		Frame typ socket bel elbow/w
L6688	A		Frame typ sock above elb/dis
L6689	A		Frame typ socket shoulder di
L6690	A		Frame typ sock interscap-tho
L6691	A		Removable insert each
L6692	A		Silicone gel insert or equal
L6693	A		Lockingelbow forearm cntrbal
L6700	A		Terminal device model #3
L6705	A		Terminal device model #5
L6710	A		Terminal device model #5x
L6715	A		Terminal device model #5xa
L6720	A		Terminal device model #6
L6725	A		Terminal device model #7
L6730	A		Terminal device model #7lo
L6735	A		Terminal device model #8
L6740	A		Terminal device model #8x
L6745	A		Terminal device model #88x
L6750	A		Terminal device model #10p
L6755	A		Terminal device model #10x
L6765	A		Terminal device model #12p
L6770	A		Terminal device model #99x
L6775	A		Terminal device model#555
L6780	A		Terminal device model #ss555
L6790	A		Hooks-accu hook or equal
L6795	A		Hooks-2 load or equal
L6800	A		Hooks-aprl vc or equal
L6805	A		Modifier wrist flexion unit
L6806	A		Trs grip vc or equal
L6807	A		Term device grip1/2 or equal
L6808	A		Term device infant or child
L6809	A		Trs super sport passive
L6810	A		Pincher tool otto bock or eq
L6825	A		Hands dorrance vo
L6830	A		Hand aprl vc
L6835	A		Hand sierra vo
L6840	A		Hand becker imperial
L6845	A		Hand becker lock grip
L6850	A		Term dvc-hand becker plylite
L6855	A		Hand robin-aids vo
L6860	A		Hand robin-aids vo soft
L6865	A		Hand passive hand
L6867	A		Hand detroit infant hand
L6868	A		Passive inf hand steeper/hos
L6870	A		Hand child mitt
L6872	A		Hand nyu child hand
L6873	A		Hand mech inf steeper or equ
L6875	A		Hand bock vc
L6880	A		Hand bock vo
L6881	A		Autograsp feature ul term dv
L6882	A		Microprocessor control uplmb
L6890	A		Production glove
L6895	A		Custom glove
L6900	A		Hand restorat thumb/1 finger
L6905	A		Hand restoration multiple fi
L6910	A		Hand restoration no fingers
L6915	A		Hand restoration replacmnt g
L6920	A		Wrist disarticul switch ctrl
L6925	A		Wrist disart myoelectronic c
L6930	A		Below elbow switch control
L6935	A		Below elbow myoelectronic ct
L6940	A		Elbow disarticulation switch
L6945	A		Elbow disart myoelectronic c
L6950	A		Above elbow switch control
L6955	A		Above elbow myoelectronic ct
L6960	A		Shldr disartic switch contro
L6965	A		Shldr disartic myoelectronic
L6970	A		Interscapular-thor switch ct
L6975	A		Interscap-thor myoelectronic
L7010	A		Hand otto back steeper/eq sw
L7015	A		Hand sys teknik village swit
L7020	A		Electronic greifer switch ct
L7025	A		Electron hand myoelectronic
L7030	A		Hand sys teknik vill myoelec
L7035	A		Electron greifer myoelectro
L7040	A		Prehensile actuator hosmer s
L7045	A		Electron hook child michigan
L7170	A		Electronic elbow hosmer swit
L7180	A		Electronic elbow utah myoele
L7185	A		Electron elbow adolescent sw
L7186	A		Electron elbow child switch
L7190	A		Elbow adolescent myoelectron
L7191	A		Elbow child myoelectronic ct
L7260	A		Electron wrist rotator otto
L7261	A		Electron wrist rotator utah
L7266	A		Servo control steeper or equ
L7272	A		Analogue control unb or equa
L7274	A		Proportional ctl 12 volt uta
L7360	A		Six volt bat otto bock/eq ea
L7362	A		Battery chrgr six volt otto
L7364	A		Twelve volt battery utah/equ
L7366	A		Battery chrgr 12 volt utah/e
L7367	A		Replacemnt lithium ionbatter
L7368	A		Lithium ion battery charger
L7499	A		Upper extremity prosthes NOS
L7500	A		Prosthetic dvc repair hourly
L7510	A		Prosthetic device repair rep
L7520	A		Repair prosthesis per 15 min
L7900	A		Vacuum erection system
L8000	A		Mastectomy bra
L8001	A		Breast prosthesis bra & form
L8002	A		Brst prsth bra & bilat form
L8010	A		Mastectomy sleeve
L8015	A		Ext breastprosthesis garment
L8020	A		Mastectomy form
L8030	A		Breast prosthesis silicone/e
L8035	A		Custom breast prosthesis
L8039	A		Breast prosthesis NOS
L8040	A		Nasal prosthesis
L8041	A		Midfacial prosthesis
L8042	A		Orbital prosthesis
L8043	A		Upper facial prosthesis
L8044	A		Hemi-facial prosthesis
L8045	A		Auricular prosthesis
L8046	A		Partial facial prosthesis
L8047	A		Nasal septal prosthesis
L8048	A		Unspec maxillofacial prosth
L8049	A		Repair maxillofacial prosth
L8100	E		Compression stocking BK18-30
L8110	E		Compression stocking BK30-40
L8120	E		Compression stocking BK40-50
L8130	E		Gc stocking thighlngth 18-30
L8140	E		Gc stocking thighlngth 30-40
L8150	E		Gc stocking thighlngth 40-50
L8160	E		Gc stocking full lngth 18-30
L8170	E		Gc stocking full lngth 30-40
L8180	E		Gc stocking full lngth 40-50
L8190	E		Gc stocking waistlngth 18-30
L8195	E		Gc stocking waistlngth 30-40
L8200	E		Gc stocking waistlngth 40-50
L8210	E		Gc stocking custom made
L8220	E		Gc stocking lymphedema
L8230	E		Gc stocking garter belt
L8239	E		G compression stocking NOS
L8300	A		Truss single w/ standard pad
L8310	A		Truss double w/ standard pad
L8320	A		Truss addition to std pad wa
L8330	A		Truss add to std pad scrotal
L8400	A		Sheath below knee
L8410	A		Sheath above knee
L8415	A		Sheath upper limb
L8417	A		Pros sheath/sock w gel cushn
L8420	A		Prosthetic sock multi ply BK
L8430	A		Prosthetic sock multi ply AK
L8435	A		Pros sock multi ply upper lm
L8440	A		Shrinker below knee
L8460	A		Shrinker above knee
L8465	A		Shrinker upper limb
L8470	A		Pros sock single ply BK
L8480	A		Pros sock single ply AK
L8485	A		Pros sock single ply upper l
L8490	A		Air seal suction reten systm
L8499	A		Unlisted misc prosthetic ser
L8500	A		Artificial larynx
L8501	A		Tracheostomy speaking valve
L8505	A		Artificial larynx, accessory
L8507	A		Trach-esoph voice pros pt in
L8509	A		Trach-esoph voice pros md in
L8510	A		Voice amplifier
L8600	N		Implant breast silicone/eq
L8603	N		Collagen imp urinary 2.5 ml
L8606	N		Synthetic implnt urinary 1ml
L8610	N		Ocular implant
L8612	N		Aqueous shunt prosthesis
L8613	N		Ossicular implant
L8614	E		Cochlear device/system
L8619	A		Replace cochlear processor
L8630	N		Metacarpophalangeal implant
L8641	N		Metatarsal joint implant
L8642	N		Hallux implant
L8658	N		Interphalangeal joint implnt
L8670	N		Vascular graft, synthetic
L8699	N		Prosthetic implant NOS
L9900	A		O&P supply/accessory/service
M0064	X		Visit for drug monitoring	0374	1.1062	$60.05		$12.01
M0075	E		Cellular therapy
M0076	E		Prolotherapy
M0100	E		Intragastric hypothermia
M0300	E		IV chelationtherapy
M0301	E		Fabric wrapping of aneurysm
P2028	A		Cephalin floculation test
P2029	A		Congo red blood test
P2031	E		Hair analysis
P2033	A		Blood thymol turbidity
P2038	A		Blood mucoprotein
P3000	A		Screen pap by tech w md supv
P3001	E		Screening pap smear by phys
P7001	E		Culture bacterial urine
P9010	K		Whole blood for transfusion	0950	1.4575	$79.13		$15.83
P9011	K		Blood split unit	0957	0.6870	$37.30		$7.46
P9012	K		Cryoprecipitate each unit	0952	0.4860	$26.38		$5.28
P9016	K		RBC leukocytes reduced	0954	1.9770	$107.33		$21.47
P9017	K		One donor fresh frozn plasma	0955	1.5750	$85.51		$17.10
P9019	K		Platelets, each unit	0957	0.6870	$37.30		$7.46
P9020	K		Plaelet rich plasma unit	0958	1.1296	$61.32		$12.26
P9021	K		Red blood cells unit	0959	1.4326	$77.77		$15.55
P9022	K		Washed red blood cells unit	0960	2.6638	$144.62		$28.92
P9023	K		Frozen plasma, pooled, sd	0949	2.0608	$111.88		$22.38
P9031	K		Platelets leukocytes reduced	1013	0.9101	$49.41		$9.88
P9032	K		Platelets, irradiated	9500	1.2398	$67.31		$13.46
P9033	K		Platelets leukoreduced irrad	0954	1.9770	$107.33		$21.47
P9034	K		Platelets, pheresis	9501	6.7772	$367.93		$73.59
P9035	K		Platelet pheres leukoreduced	9501	6.7772	$367.93		$73.59
P9036	K		Platelet pheresis irradiated	9502	7.3552	$399.31		$79.86
P9037	K		Plate pheres leukoredu irrad	1019	6.7353	$365.65		$73.13
P9038	K		RBC irradiated	9505	1.8011	$97.78		$19.56
P9039	K		RBC deglycerolized	9504	3.9764	$215.87		$43.17
P9040	K		RBC leukoreduced irradiated	9504	3.9764	$215.87		$43.17
P9041	K		Albumin (human),5%, 50ml	0961	0.7319	$39.73		$7.95
P9043	K		Plasma protein fract,5%,50ml	0956	1.5414	$83.68		$16.74
P9044	K		Cryoprecipitatereducedplasma	1009	0.9447	$51.29		$10.26
P9045	K		Albumin (human), 5%, 250 ml	0963	3.4713	$188.45		$37.69
P9046	K		Albumin (human), 25%, 20 ml	0964	0.7911	$42.95		$8.59
P9047	K		Albumin (human), 25%, 50ml	0965	1.9432	$105.49		$21.10
P9048	K		Plasmaprotein fract,5%,250ml	0966	7.7071	$418.41		$83.68
P9050	K		Granulocytes, pheresis unit	9506	20.7004	$1,123.80		$224.76
P9603	A		One-way allow prorated miles
P9604	A		One-way allow prorated trip
P9612	N		Catheterize for urine spec
P9615	N		Urine specimen collect mult
Q0035	X		Cardiokymography	0100	1.6726	$90.80	$41.44	$18.16
Q0081	E		Infusion ther other than che
Q0083	E		Chemo by other than infusion
Q0084	E		Chemotherapy by infusion
Q0085	E		Chemo by both infusion and o
Q0086	A		Physical therapy evaluation/
Q0091	T		Obtaining screen pap smear	0191	0.1679	$9.12	$2.65	$1.82
Q0092	N		Set up port xray equipment
Q0111	A		Wet mounts/ w preparations
Q0112	A		Potassium hydroxide preps
Q0113	A		Pinworm examinations
Q0114	A		Fern test
Q0115	A		Post-coital mucous exam
Q0136	K		Non esrd epoetin alpha inj	0733	0.1782	$9.67		$1.93
Q0144	E		Azithromycin dihydrate, oral
Q0163	N		Diphenhydramine HCl 50mg
Q0164	N		Prochlorperazine maleate 5mg
Q0165	E		Prochlorperazine maleate10mg
Q0166	N		Granisetron HCl 1 mg oral
Q0167	N		Dronabinol 2.5mg oral
Q0168	E		Dronabinol 5mg oral
Q0169	N		Promethazine HCl 12.5mg oral
Q0170	E		Promethazine HCl 25 mg oral
Q0171	N		Chlorpromazine HCl 10mg oral
Q0172	E		Chlorpromazine HCl 25mg oral
Q0173	N		Trimethobenzamide HCl 250mg
Q0174	N		Thiethylperazine maleate10mg
Q0175	N		Perphenazine 4mg oral
Q0176	E		Perphenazine 8mg oral
Q0177	N		Hydroxyzine pamoate 25mg
Q0178	E		Hydroxyzine pamoate 50mg
Q0179	N		Ondansetron HCl 8mg oral
Q0180	N		Dolasetron mesylate oral
Q0181	E		Unspecified oral anti-emetic
Q0183	N		Nonmetabolic active tissue
Q0187	K		Factor viia recombinant	1409	17.9693	$975.54		$195.11
Q1001	N		Ntiol category 1
Q1002	N		Ntiol category 2
Q1003	N		Ntiol category 3
Q1004	N		Ntiol category 4
Q1005	N		Ntiol category 5
Q2001	N		Oral cabergoline 0.5 mg
Q2002	N		Elliotts b solution per ml
Q2003	N		Aprotinin, 10,000 kiu
Q2004	N		Bladder calculi irrig sol
Q2005	K		Corticorelin ovine triflutat	7024	3.4880	$189.36		$37.87
Q2006	K		Digoxin immune fab (ovine)	7025	4.4789	$243.16		$48.63
Q2007	N		Ethanolamine oleate 100 mg
Q2008	K		Fomepizole, 15 mg	7027	0.2215	$12.03		$2.41
Q2009	N		Fosphenytoin, 50 mg
Q2010	N		Glatiramer acetate, per dose
Q2011	K		Hemin, per 1 mg	7030	0.0119	$.65		$.13
Q2012	N		Pegademase bovine, 25 iu
Q2013	N		Pentastarch 10% solution
Q2014	N		Sermorelin acetate, 0.5 mg
Q2017	K		Teniposide, 50 mg	7035	1.5530	$84.31		$16.86
Q2018	K		Urofollitropin, 75 iu	7037	1.1321	$61.46		$12.29
Q2019	K		Basiliximab	1615	11.2007	$608.07		$121.61
Q2020	E		Histrelin acetate
Q2021	N		Lepirudin
Q2022	K		VonWillebrandFactrCmplxperIU	1618	0.0168	$.91		$.18
Q3000	K		Rubidium-Rb-82	9025	2.5939	$140.82		$28.16
Q3001	N		Brachytherapy Radioelements
Q3002	N		Gallium ga 67
Q3003	K		Technetium tc99m bicisate	1620	3.3106	$179.73		$35.95
Q3004	N		Xenon xe 133
Q3005	N		Technetium tc99m mertiatide
Q3006	N		Technetium tc99m glucepatate
Q3007	N		Sodium phosphate p32
Q3008	K		Indium 111-in pentetreotide	1625	6.8170	$370.09		$74.02
Q3009	N		Technetium tc99m oxidronate
Q3010	N		Technetium tc99mlabeledrbcs
Q3011	K		Chromic phosphate p32	1628	2.0103	$109.14		$21.83
Q3012	N		Cyanocobalamin cobalt co57
Q3014	A		Telehealth facility fee
Q3019	A		ALS emer trans no ALS serv
Q3020	A		ALS nonemer trans no ALS se
Q3021	E		Ped hepatitis b vaccine inj
Q3022	E		Hepatitis b vaccine adult ds
Q3023	E		Injection hepatitis Bvaccine
Q3025	K		IM inj interferon beta 1-a	9022	0.9417	$51.12		$10.22
Q3026	N		Subc inj interferon beta-1a
Q4001	A		Cast sup body cast plaster
Q4002	A		Cast sup body cast fiberglas
Q4003	A		Cast sup shoulder cast plstr
Q4004	A		Cast sup shoulder cast fbrgl
Q4005	A		Cast sup long arm adult plst
Q4006	A		Cast sup long arm adult fbrg
Q4007	A		Cast sup long arm ped plster
Q4008	A		Cast sup long arm ped fbrgls
Q4009	A		Cast sup sht arm adult plstr
Q4010	A		Cast sup sht arm adult fbrgl
Q4011	A		Cast sup sht arm ped plaster
Q4012	A		Cast sup sht arm ped fbrglas
Q4013	A		Cast sup gauntlet plaster
Q4014	A		Cast sup gauntlet fiberglass
Q4015	A		Cast sup gauntlet ped plster
Q4016	A		Cast sup gauntlet ped fbrgls
Q4017	A		Cast sup lng arm splint plst
Q4018	A		Cast sup lng arm splint fbrg
Q4019	A		Cast sup lng arm splnt ped p
Q4020	A		Cast sup lng arm splnt ped f
Q4021	A		Cast sup sht arm splint plst
Q4022	A		Cast sup sht arm splint fbrg
Q4023	A		Cast sup sht arm splnt ped p
Q4024	A		Cast sup sht arm splnt ped f
Q4025	A		Cast sup hip spica plaster
Q4026	A		Cast sup hip spica fiberglas
Q4027	A		Cast sup hip spica ped plstr
Q4028	A		Cast sup hip spica ped fbrgl
Q4029	A		Cast sup long leg plaster
Q4030	A		Cast sup long leg fiberglass
Q4031	A		Cast sup lng leg ped plaster
Q4032	A		Cast sup lng leg ped fbrgls
Q4033	A		Cast sup lng leg cylinder pl
Q4034	A		Cast sup lng leg cylinder fb
Q4035	A		Cast sup lngleg cylndr ped p
Q4036	A		Cast sup lngleg cylndr ped f
Q4037	A		Cast sup shrt leg plaster
Q4038	A		Cast sup shrt leg fiberglass
Q4039	A		Cast sup shrt leg ped plster
Q4040	A		Cast sup shrt leg ped fbrgls
Q4041	A		Cast sup lng leg splnt plstr
Q4042	A		Cast sup lng leg splnt fbrgl
Q4043	A		Cast sup lng leg splnt ped p
Q4044	A		Cast sup lng leg splnt ped f
Q4045	A		Cast sup sht leg splnt plstr
Q4046	A		Cast sup sht leg splnt fbrgl
Q4047	A		Cast sup sht leg splnt ped p
Q4048	A		Cast sup sht leg splnt ped f
Q4049	A		Finger splint, static
Q4050	A		Cast supplies unlisted
Q4051	A		Splint supplies misc
Q4052	K		Octreotide injection, depot	1207	1.1849	$64.33		$12.87
Q4053	G		Pegfilgrastim, per 1 mg	9119		$467.09		$69.82
Q9920	A		Epoetin with hct <= 20
Q9921	A		Epoetin with hct = 21
Q9922	A		Epoetin with hct = 22
Q9923	A		Epoetin with hct = 23
Q9924	A		Epoetin with hct = 24
Q9925	A		Epoetin with hct = 25
Q9926	A		Epoetin with hct = 26
Q9927	A		Epoetin with hct = 27
Q9928	A		Epoetin with hct = 28
Q9929	A		Epoetin with hct = 29
Q9930	A		Epoetin with hct = 30
Q9931	A		Epoetin with hct = 31
Q9932	A		Epoetin with hct = 32
Q9933	A		Epoetin with hct = 33
Q9934	A		Epoetin with hct = 34
Q9935	A		Epoetin with hct = 35
Q9936	A		Epoetin with hct = 36
Q9937	A		Epoetin with hct = 37
Q9938	A		Epoetin with hct = 38
Q9939	A		Epoetin with hct = 39
Q9940	A		Epoetin with hct >= 40
R0070	N		Transport portable x-ray
R0075	N		Transport port x-ray multipl
R0076	N		Transport portable EKG
T1015	E		Clinic service
T1016	E		Case management
T1017	E		Targeted case management
T1018	E		School-based IEP ser bundled
T1019	E		Personal care ser per 15 min
T1020	E		Personal care ser per diem
T1021	E		HH Aide or cn aide per visit
T1022	E		Contracted services per day
T1023	E		Program intake assessment
T1024	E		Team evaluation & management
T1025	E		Ped compr care pkg, per diem
T1026	E		Ped compr care pkg, per hour
T1027	E		Family training & counseling
T1028	E		Home environment assessment
T1029	E		Dwelling lead investigation
T1030	E		RN home care per diem
T1031	E		LPN home care per diem
T1500	E		Reusable diaper/pant
T1502	E		Medication admin visit
T1999	E		NOC retail items andsupplies
T2001	E		N-et; patient attend/escort
T2002	E		N-et; per diem
T2003	E		N-et; encounter/trip
T2004	E		N-et; commerc carrier pass
T2005	E		N-et; stretcher van
T2006	E		Amb response & trt, no trans
T2007	E		Non-emer transport wait time
V2020	A		Vision svcs frames purchases
V2025	E		Eyeglasses delux frames
V2100	A		Lens spher single plano 4.00
V2101	A		Single visn sphere 4.12-7.00
V2102	A		Singl visn sphere 7.12-20.00
V2103	A		Spherocylindr 4.00d/12-2.00d
V2104	A		Spherocylindr 4.00d/2.12-4d
V2105	A		Spherocylinder 4.00d/4.25-6d
V2106	A		Spherocylinder 4.00d/>6.00d
V2107	A		Spherocylinder 4.25d/12-2d
V2108	A		Spherocylinder 4.25d/2.12-4d
V2109	A		Spherocylinder 4.25d/4.25-6d
V2110	A		Spherocylinder 4.25d/over 6d
V2111	A		Spherocylindr 7.25d/.25-2.25
V2112	A		Spherocylindr 7.25d/2.25-4d
V2113	A		Spherocylindr 7.25d/4.25-6d
V2114	A		Spherocylinder over 12.00d
V2115	A		Lens lenticular bifocal
V2116	A		Nonaspheric lens bifocal
V2117	A		Aspheric lens bifocal
V2118	A		Lens aniseikonic single
V2199	A		Lens single vision not oth c
V2200	A		Lens spher bifoc plano 4.00d
V2201	A		Lens sphere bifocal 4.12-7.0
V2202	A		Lens sphere bifocal 7.12-20.
V2203	A		Lens sphcyl bifocal 4.00d/.1
V2204	A		Lens sphcy bifocal 4.00d/2.1
V2205	A		Lens sphcy bifocal 4.00d/4.2
V2206	A		Lens sphcy bifocal 4.00d/ove
V2207	A		Lens sphcy bifocal 4.25-7d/.
V2208	A		Lens sphcy bifocal 4.25-7/2.
V2209	A		Lens sphcy bifocal 4.25-7/4.
V2210	A		Lens sphcy bifocal 4.25-7/ov
V2211	A		Lens sphcy bifo 7.25-12/.25-
V2212	A		Lens sphcyl bifo 7.25-12/2.2
V2213	A		Lens sphcyl bifo 7.25-12/4.2
V2214	A		Lens sphcyl bifocal over 12.
V2215	A		Lens lenticular bifocal
V2216	A		Lens lenticular nonaspheric
V2217	A		Lens lenticular aspheric bif
V2218	A		Lens aniseikonic bifocal
V2219	A		Lens bifocal seg width over
V2220	A		Lens bifocal add over 3.25d
V2299	A		Lens bifocal speciality
V2300	A		Lens sphere trifocal 4.00d
V2301	A		Lens sphere trifocal 4.12-7.
V2302	A		Lens sphere trifocal 7.12-20
V2303	A		Lens sphcy trifocal 4.0/.12-
V2304	A		Lens sphcy trifocal 4.0/2.25
V2305	A		Lens sphcy trifocal 4.0/4.25
V2306	A		Lens sphcyl trifocal 4.00/>6
V2307	A		Lens sphcy trifocal 4.25-7/.
V2308	A		Lens sphc trifocal 4.25-7/2.
V2309	A		Lens sphc trifocal 4.25-7/4.
V2310	A		Lens sphc trifocal 4.25-7/>6
V2311	A		Lens sphc trifo 7.25-12/.25-
V2312	A		Lens sphc trifo 7.25-12/2.25
V2313	A		Lens sphc trifo 7.25-12/4.25
V2314	A		Lens sphcyl trifocal over 12
V2315	A		Lens lenticular trifocal
V2316	A		Lens lenticular nonaspheric
V2317	A		Lens lenticular aspheric tri
V2318	A		Lens aniseikonic trifocal
V2319	A		Lens trifocal seg width > 28
V2320	A		Lens trifocal add over 3.25d
V2399	A		Lens trifocal speciality
V2410	A		Lens variab asphericity sing
V2430	A		Lens variable asphericity bi
V2499	A		Variable asphericity lens
V2500	A		Contact lens pmma spherical
V2501	A		Cntct lens pmma-toric/prism
V2502	A		Contact lens pmma bifocal
V2503	A		Cntct lens pmma color vision
V2510	A		Cntct gas permeable sphericl
V2511	A		Cntct toric prism ballast
V2512	A		Cntct lens gas permbl bifocl
V2513	A		Contact lens extended wear
V2520	A		Contact lens hydrophilic
V2521	A		Cntct lens hydrophilic toric
V2522	A		Cntct lens hydrophil bifocl
V2523	A		Cntct lens hydrophil extend
V2530	A		Contact lens gas impermeable
V2531	A		Contact lens gas permeable
V2599	A		Contact lens/es other type
V2600	A		Hand held low vision aids
V2610	A		Single lens spectacle mount
V2615	A		Telescop/othr compound lens
V2623	A		Plastic eye prosth custom
V2624	A		Polishing artifical eye
V2625	A		Enlargemnt of eye prosthesis
V2626	A		Reduction of eye prosthesis
V2627	A		Scleral cover shell
V2628	A		Fabrication & fitting
V2629	A		Prosthetic eye other type
V2630	N		Anter chamber intraocul lens
V2631	N		Iris support intraoclr lens
V2632	N		Post chmbr intraocular lens
V2700	A		Balance lens
V2710	A		Glass/plastic slab off prism
V2715	A		Prism lens/es
V2718	A		Fresnell prism press-on lens
V2730	A		Special base curve
V2740	A		Rose tint plastic
V2741	A		Non-rose tint plastic
V2742	A		Rose tint glass
V2743	A		Non-rose tint glass
V2744	A		Tint photochromatic lens/es
V2750	A		Anti-reflective coating
V2755	A		UV lens/es
V2760	A		Scratch resistant coating
V2770	A		Occluder lens/es
V2780	A		Oversize lens/es
V2781	E		Progressive lens per lens
V2785	F		Corneal tissue processing
V2790	N		Amniotic membrane
V2799	A		Miscellaneous vision service
V5008	E		Hearing screening
V5010	E		Assessment for hearing aid
V5011	E		Hearing aid fitting/checking
V5014	E		Hearing aid repair/modifying
V5020	E		Conformity evaluation
V5030	E		Body-worn hearing aid air
V5040	E		Body-worn hearing aid bone
V5050	E		Hearing aid monaural in ear
V5060	E		Behind ear hearing aid
V5070	E		Glasses air conduction
V5080	E		Glasses bone conduction
V5090	E		Hearing aid dispensing fee
V5095	E		Implant mid ear hearing pros
V5100	E		Body-worn bilat hearing aid
V5110	E		Hearing aid dispensing fee
V5120	E		Body-worn binaur hearing aid
V5130	E		In ear binaural hearing aid
V5140	E		Behind ear binaur hearing ai
V5150	E		Glasses binaural hearing aid
V5160	E		Dispensing fee binaural
V5170	E		Within ear cros hearing aid
V5180	E		Behind ear cros hearing aid
V5190	E		Glasses cros hearing aid
V5200	E		Cros hearing aid dispens fee
V5210	E		In ear bicros hearing aid
V5220	E		Behind ear bicros hearing ai
V5230	E		Glasses bicros hearing aid
V5240	E		Dispensing fee bicros
V5241	E		Dispensing fee, monaural
V5242	E		Hearing aid, monaural, cic
V5243	E		Hearing aid, monaural, itc
V5244	E		Hearing aid, prog, mon, cic
V5245	E		Hearing aid, prog, mon, itc
V5246	E		Hearing aid, prog, mon, ite
V5247	E		Hearing aid, prog, mon, bte
V5248	E		Hearing aid, binaural, cic
V5249	E		Hearing aid, binaural, itc
V5250	E		Hearing aid, prog, bin, cic
V5251	E		Hearing aid, prog, bin, itc
V5252	E		Hearing aid, prog, bin, ite
V5253	E		Hearing aid, prog, bin, bte
V5254	E		Hearing id, digit, mon, cic
V5255	E		Hearing aid, digit, mon, itc
V5256	E		Hearing aid, digit, mon, ite
V5257	E		Hearing aid, digit, mon, bte
V5258	E		Hearing aid, digit, bin, cic
V5259	E		Hearing aid, digit, bin, itc
V5260	E		Hearing aid, digit, bin, ite
V5261	E		Hearing aid, digit, bin, bte
V5262	E		Hearing aid, disp, monaural
V5263	E		Hearing aid, disp, binaural
V5264	E		Ear mold/insert
V5265	E		Ear mold/insert, disp
V5266	E		Battery for hearing device
V5267	E		Hearing aid supply/accessory
V5268	E		ALD Telephone Amplifier
V5269	E		Alerting device, any type
V5270	E		ALD, TV amplifier, any type
V5271	E		ALD, TV caption decoder
V5272	E		Tdd
V5273	E		ALD for cochlear implant
V5274	E		ALD unspecified
V5275	E		Ear impression
V5298	E		Hearing aid noc
V5299	E		Hearing service
V5336	E		Repair communication device
V5362	A		Speech screening
V5363	A		Language screening
V5364	A		Dysphagia screening
CPT codes and escriptions only are copyright American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
Copyright American Dental Association. All right reserved.

     

 

Addendum D.—Payment Status Indicators for the Hospital Outpatient Prospective Payment System

Indicator	Service	Status
A	Services Paid under a Fee Schedule Other than OPPS, e.g., Clinical Diagnostic Laboratory Services; Physical, Occupational and Speech Therapy; and Screening Mammography	Paid under a Payment System other than OPPS.
C	Inpatient Procedures	Not Paid under OPPS; Admit Patient; Bill as Inpatient.
D	Deleted Code	Not Paid under Medicare.
E	Non-Covered Items and Services; Codes not Payable in Hospital Outpatient Setting; Codes Not Recognized by OPPS but for Which an Alternate Code may be Applicable.	Not Covered under Medicare, or not an Allowed Code when Performed in a Hospital Outpatient Setting.
F	Corneal Tissue Acquisition	Paid at Reasonable Cost.
G	Drug/Biological Pass-Through	Paid under OPPS; Separate APC Payment Includes Pass-Through Amount.
H	Device Category Pass-Through	Paid under OPPS; Separate Cost-Based Pass-Through Payment.
K	Non Pass-Through Drug/Biological, Radiopharmaceutical Agent, Certain Brachytherapy Sources	Paid under OPPS; Separate APC.
L	Influenza Vaccine; Pneumococcal Pneumonia Vaccine	Paid at Reasonable Cost; Not Subject to Deductible or Coinsurance.
N	Items and Services Packaged into APC Rate	Paid under OPPS; Payment is Packaged into Payment for Other Services.
P	Partial Hospitalization	Paid under OPPS; Per Diem APC.
S	Significant Procedure, Not Discounted when Multiple	Paid under OPPS; Separate APC.
T	Significant Procedure, Multiple Procedure Reduction Applies	Paid under OPPS; Separate APC.
V	Clinic or Emergency Department Visit	Paid under OPPS; Separate APC.
X	Ancillary Service	Paid under OPPS; Separate APC.

 

 

 

 

 

 

 

 

—————————— CPT codes and descriptions only are copyright American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. Copyright American Dental Association. All rights reserved.

Addendum E.—CPT Codes Which Would Be Paid Only as Inpatient Procedures

[Calendar Year 2004]

CPT/HCPCS	Status indicator	Description
0001T	C	Endovas repr abdo ao aneurys
0002T	C	Endovas repr abdo ao aneurys
0005T	C	Perc cath stent/brain cv art
0006T	C	Perc cath stent/brain cv art
0007T	C	Perc cath stent/brain cv art
00174	C	Anesth, pharyngeal surgery
00176	C	Anesth, pharyngeal surgery
00192	C	Anesth, facial bone surgery
00214	C	Anesth, skull drainage
00215	C	Anesth, skull repair/fract
0021T	C	Fetal oximetry, trnsvag/cerv
0024T	C	Transcath cardiac reduction
0033T	C	Endovasc taa repr incl subcl
0034T	C	Endovasc taa repr w/o subcl
0035T	C	Insert endovasc prosth, taa
0036T	C	Endovasc prosth, taa, add-on
0037T	C	Artery transpose/endovas taa
0038T	C	Rad endovasc taa rpr w/cover
0039T	C	Rad s/i, endovasc taa repair
00404	C	Anesth, surgery of breast
00406	C	Anesth, surgery of breast
0040T	C	Rad s/i, endovasc taa prosth
00452	C	Anesth, surgery of shoulder
00474	C	Anesth, surgery of rib(s)
00524	C	Anesth, chest drainage
00540	C	Anesth, chest surgery
00542	C	Anesth, release of lung
00544	C	Anesth, chest lining removal
00546	C	Anesth, lung,chest wall surg
00560	C	Anesth, open heart surgery
00562	C	Anesth, open heart surgery
00580	C	Anesth, heart/lung transplnt
00604	C	Anesth, sitting procedure
00622	C	Anesth, removal of nerves
00632	C	Anesth, removal of nerves
00634	C	Anesth for chemonucleolysis
00670	C	Anesth, spine, cord surgery
00792	C	Anesth, hemorr/excise liver
00794	C	Anesth, pancreas removal
00796	C	Anesth, for liver transplant
00802	C	Anesth, fat layer removal
00844	C	Anesth, pelvis surgery
00846	C	Anesth, hysterectomy
00848	C	Anesth, pelvic organ surg
00864	C	Anesth, removal of bladder
00865	C	Anesth, removal of prostate
00866	C	Anesth, removal of adrenal
00868	C	Anesth, kidney transplant
00882	C	Anesth, major vein ligation
00904	C	Anesth, perineal surgery
00908	C	Anesth, removal of prostate
00928	C	Anesth, removal of testis
00932	C	Anesth, amputation of penis
00934	C	Anesth, penis, nodes removal
00936	C	Anesth, penis, nodes removal
00944	C	Anesth, vaginal hysterectomy
01140	C	Anesth, amputation at pelvis
01150	C	Anesth, pelvic tumor surgery
01190	C	Anesth, pelvis nerve removal
01212	C	Anesth, hip disarticulation
01214	C	Anesth, hip arthroplasty
01232	C	Anesth, amputation of femur
01234	C	Anesth, radical femur surg
01272	C	Anesth, femoral artery surg
01274	C	Anesth, femoral embolectomy
01402	C	Anesth, knee arthroplasty
01404	C	Anesth, amputation at knee
01442	C	Anesth, knee artery surg
01444	C	Anesth, knee artery repair
01486	C	Anesth, ankle replacement
01502	C	Anesth, lwr leg embolectomy
01632	C	Anesth, surgery of shoulder
01634	C	Anesth, shoulder joint amput
01636	C	Anesth, forequarter amput
31225	C	Removal of upper jaw
31230	C	Removal of upper jaw
31290	C	Nasal/sinus endoscopy, surg
31291	C	Nasal/sinus endoscopy, surg
31292	C	Nasal/sinus endoscopy, surg
31293	C	Nasal/sinus endoscopy, surg
31294	C	Nasal/sinus endoscopy, surg
31360	C	Removal of larynx
31365	C	Removal of larynx
31367	C	Partial removal of larynx
31368	C	Partial removal of larynx
31370	C	Partial removal of larynx
31375	C	Partial removal of larynx
31380	C	Partial removal of larynx
31382	C	Partial removal of larynx
31390	C	Removal of larynx & pharynx
31395	C	Reconstruct larynx & pharynx
31584	C	Treat larynx fracture
31587	C	Revision of larynx
31725	C	Clearance of airways
31760	C	Repair of windpipe
31766	C	Reconstruction of windpipe
31770	C	Repair/graft of bronchus
31775	C	Reconstruct bronchus
31780	C	Reconstruct windpipe
31781	C	Reconstruct windpipe
31786	C	Remove windpipe lesion
31800	C	Repair of windpipe injury
31805	C	Repair of windpipe injury
32035	C	Exploration of chest
32036	C	Exploration of chest
32095	C	Biopsy through chest wall
32100	C	Exploration/biopsy of chest
32110	C	Explore/repair chest
32120	C	Re-exploration of chest
32124	C	Explore chest free adhesions
32140	C	Removal of lung lesion(s)
32141	C	Remove/treat lung lesions
32150	C	Removal of lung lesion(s)
32151	C	Remove lung foreign body
32160	C	Open chest heart massage
32200	C	Drain, open, lung lesion
32215	C	Treat chest lining
32220	C	Release of lung
32225	C	Partial release of lung
32310	C	Removal of chest lining
32320	C	Free/remove chest lining
32402	C	Open biopsy chest lining
32440	C	Removal of lung
32442	C	Sleeve pneumonectomy
32445	C	Removal of lung
32480	C	Partial removal of lung
32482	C	Bilobectomy
32484	C	Segmentectomy
32486	C	Sleeve lobectomy
32488	C	Completion pneumonectomy
32491	C	Lung volume reduction
32500	C	Partial removal of lung
32501	C	Repair bronchus add-on
32520	C	Remove lung & revise chest
32522	C	Remove lung & revise chest
32525	C	Remove lung & revise chest
32540	C	Removal of lung lesion
32650	C	Thoracoscopy, surgical
32651	C	Thoracoscopy, surgical
32652	C	Thoracoscopy, surgical
32653	C	Thoracoscopy, surgical
32654	C	Thoracoscopy, surgical
32655	C	Thoracoscopy, surgical
32656	C	Thoracoscopy, surgical
32657	C	Thoracoscopy, surgical
32658	C	Thoracoscopy, surgical
32659	C	Thoracoscopy, surgical
32660	C	Thoracoscopy, surgical
32661	C	Thoracoscopy, surgical
32662	C	Thoracoscopy, surgical
32663	C	Thoracoscopy, surgical
32664	C	Thoracoscopy, surgical
32665	C	Thoracoscopy, surgical
32800	C	Repair lung hernia
32810	C	Close chest after drainage
01638	C	Anesth, shoulder replacement
01652	C	Anesth, shoulder vessel surg
01654	C	Anesth, shoulder vessel surg
01656	C	Anesth, arm-leg vessel surg
01756	C	Anesth, radical humerus surg
01990	C	Support for organ donor
15756	C	Free muscle flap, microvasc
15757	C	Free skin flap, microvasc
15758	C	Free fascial flap, microvasc
16035	C	Incision of burn scab, initi
16036	C	Incise burn scab, addl incis
19200	C	Removal of breast
19220	C	Removal of breast
19271	C	Revision of chest wall
19272	C	Extensive chest wall surgery
19361	C	Breast reconstruction
19364	C	Breast reconstruction
19367	C	Breast reconstruction
19368	C	Breast reconstruction
19369	C	Breast reconstruction
20660	C	Apply, rem fixation device
20661	C	Application of head brace
20662	C	Application of pelvis brace
20663	C	Application of thigh brace
20664	C	Halo brace application
20802	C	Replantation, arm, complete
20805	C	Replant forearm, complete
20808	C	Replantation hand, complete
20816	C	Replantation digit, complete
20822	C	Replantation digit, complete
20824	C	Replantation thumb, complete
20827	C	Replantation thumb, complete
20838	C	Replantation foot, complete
20930	C	Spinal bone allograft
20931	C	Spinal bone allograft
20936	C	Spinal bone autograft
20937	C	Spinal bone autograft
20938	C	Spinal bone autograft
20955	C	Fibula bone graft, microvasc
20956	C	Iliac bone graft, microvasc
20957	C	Mt bone graft, microvasc
20962	C	Other bone graft, microvasc
20969	C	Bone/skin graft, microvasc
20970	C	Bone/skin graft, iliac crest
20972	C	Bone/skin graft, metatarsal
20973	C	Bone/skin graft, great toe
21045	C	Extensive jaw surgery
21141	C	Reconstruct midface, lefort
21142	C	Reconstruct midface, lefort
21143	C	Reconstruct midface, lefort
21145	C	Reconstruct midface, lefort
21146	C	Reconstruct midface, lefort
21147	C	Reconstruct midface, lefort
21150	C	Reconstruct midface, lefort
21151	C	Reconstruct midface, lefort
21154	C	Reconstruct midface, lefort
21155	C	Reconstruct midface, lefort
21159	C	Reconstruct midface, lefort
21160	C	Reconstruct midface, lefort
21172	C	Reconstruct orbit/forehead
21175	C	Reconstruct orbit/forehead
21179	C	Reconstruct entire forehead
21180	C	Reconstruct entire forehead
21182	C	Reconstruct cranial bone
21183	C	Reconstruct cranial bone
21184	C	Reconstruct cranial bone
21188	C	Reconstruction of midface
21193	C	Reconst lwr jaw w/o graft
21194	C	Reconst lwr jaw w/graft
21195	C	Reconst lwr jaw w/o fixation
21196	C	Reconst lwr jaw w/fixation
21247	C	Reconstruct lower jaw bone
21255	C	Reconstruct lower jaw bone
21256	C	Reconstruction of orbit
21268	C	Revise eye sockets
21343	C	Treatment of sinus fracture
21344	C	Treatment of sinus fracture
21346	C	Treat nose/jaw fracture
21347	C	Treat nose/jaw fracture
21348	C	Treat nose/jaw fracture
21356	C	Treat cheek bone fracture
21360	C	Treat cheek bone fracture
21365	C	Treat cheek bone fracture
21366	C	Treat cheek bone fracture
21385	C	Treat eye socket fracture
21386	C	Treat eye socket fracture
21387	C	Treat eye socket fracture
21395	C	Treat eye socket fracture
21408	C	Treat eye socket fracture
21422	C	Treat mouth roof fracture
21423	C	Treat mouth roof fracture
21431	C	Treat craniofacial fracture
21432	C	Treat craniofacial fracture
21433	C	Treat craniofacial fracture
21435	C	Treat craniofacial fracture
21436	C	Treat craniofacial fracture
21495	C	Treat hyoid bone fracture
21510	C	Drainage of bone lesion
21557	C	Remove tumor, neck/chest
21615	C	Removal of rib
21616	C	Removal of rib and nerves
21620	C	Partial removal of sternum
21627	C	Sternal debridement
21630	C	Extensive sternum surgery
21632	C	Extensive sternum surgery
21705	C	Revision of neck muscle/rib
21740	C	Reconstruction of sternum
21750	C	Repair of sternum separation
21810	C	Treatment of rib fracture(s)
21825	C	Treat sternum fracture
22110	C	Remove part of neck vertebra
22112	C	Remove part, thorax vertebra
22114	C	Remove part, lumbar vertebra
22116	C	Remove extra spine segment
22210	C	Revision of neck spine
22212	C	Revision of thorax spine
22214	C	Revision of lumbar spine
22216	C	Revise, extra spine segment
22220	C	Revision of neck spine
22222	C	Revision of thorax spine
22224	C	Revision of lumbar spine
22226	C	Revise, extra spine segment
22318	C	Treat odontoid fx w/o graft
22319	C	Treat odontoid fx w/graft
22325	C	Treat spine fracture
22326	C	Treat neck spine fracture
22327	C	Treat thorax spine fracture
22328	C	Treat each add spine fx
22548	C	Neck spine fusion
22554	C	Neck spine fusion
22556	C	Thorax spine fusion
22558	C	Lumbar spine fusion
22585	C	Additional spinal fusion
22590	C	Spine & skull spinal fusion
22595	C	Neck spinal fusion
22600	C	Neck spine fusion
22610	C	Thorax spine fusion
22630	C	Lumbar spine fusion
22632	C	Spine fusion, extra segment
22800	C	Fusion of spine
22802	C	Fusion of spine
22804	C	Fusion of spine
22808	C	Fusion of spine
22810	C	Fusion of spine
22812	C	Fusion of spine
22818	C	Kyphectomy, 1-2 segments
22819	C	Kyphectomy, 3 or more
22830	C	Exploration of spinal fusion
22840	C	Insert spine fixation device
22841	C	Insert spine fixation device
22842	C	Insert spine fixation device
22843	C	Insert spine fixation device
22844	C	Insert spine fixation device
22845	C	Insert spine fixation device
22846	C	Insert spine fixation device
22847	C	Insert spine fixation device
22848	C	Insert pelv fixation device
22849	C	Reinsert spinal fixation
22850	C	Remove spine fixation device
22851	C	Apply spine prosth device
22852	C	Remove spine fixation device
22855	C	Remove spine fixation device
23200	C	Removal of collar bone
23210	C	Removal of shoulder blade
23220	C	Partial removal of humerus
23221	C	Partial removal of humerus
23222	C	Partial removal of humerus
23332	C	Remove shoulder foreign body
23472	C	Reconstruct shoulder joint
23900	C	Amputation of arm & girdle
23920	C	Amputation at shoulder joint
24149	C	Radical resection of elbow
24900	C	Amputation of upper arm
24920	C	Amputation of upper arm
24930	C	Amputation follow-up surgery
24931	C	Amputate upper arm & implant
24940	C	Revision of upper arm
25900	C	Amputation of forearm
25905	C	Amputation of forearm
25909	C	Amputation follow-up surgery
25915	C	Amputation of forearm
25920	C	Amputate hand at wrist
25924	C	Amputation follow-up surgery
25927	C	Amputation of hand
25931	C	Amputation follow-up surgery
26551	C	Great toe-hand transfer
26553	C	Single transfer, toe-hand
26554	C	Double transfer, toe-hand
26556	C	Toe joint transfer
26992	C	Drainage of bone lesion
27005	C	Incision of hip tendon
27006	C	Incision of hip tendons
27025	C	Incision of hip/thigh fascia
27030	C	Drainage of hip joint
27036	C	Excision of hip joint/muscle
27054	C	Removal of hip joint lining
27070	C	Partial removal of hip bone
27071	C	Partial removal of hip bone
27075	C	Extensive hip surgery
27076	C	Extensive hip surgery
27077	C	Extensive hip surgery
27078	C	Extensive hip surgery
27079	C	Extensive hip surgery
27090	C	Removal of hip prosthesis
27091	C	Removal of hip prosthesis
27120	C	Reconstruction of hip socket
27122	C	Reconstruction of hip socket
27125	C	Partial hip replacement
27130	C	Total hip arthroplasty
27132	C	Total hip arthroplasty
27134	C	Revise hip joint replacement
27137	C	Revise hip joint replacement
27138	C	Revise hip joint replacement
27140	C	Transplant femur ridge
27146	C	Incision of hip bone
27147	C	Revision of hip bone
27151	C	Incision of hip bones
27156	C	Revision of hip bones
27158	C	Revision of pelvis
27161	C	Incision of neck of femur
27165	C	Incision/fixation of femur
27170	C	Repair/graft femur head/neck
27175	C	Treat slipped epiphysis
27176	C	Treat slipped epiphysis
27177	C	Treat slipped epiphysis
27178	C	Treat slipped epiphysis
27179	C	Revise head/neck of femur
27181	C	Treat slipped epiphysis
27185	C	Revision of femur epiphysis
27187	C	Reinforce hip bones
27215	C	Treat pelvic fracture(s)
27217	C	Treat pelvic ring fracture
27218	C	Treat pelvic ring fracture
27222	C	Treat hip socket fracture
27226	C	Treat hip wall fracture
27227	C	Treat hip fracture(s)
27228	C	Treat hip fracture(s)
27232	C	Treat thigh fracture
27236	C	Treat thigh fracture
27240	C	Treat thigh fracture
27244	C	Treat thigh fracture
27245	C	Treat thigh fracture
27248	C	Treat thigh fracture
27253	C	Treat hip dislocation
27254	C	Treat hip dislocation
27258	C	Treat hip dislocation
27259	C	Treat hip dislocation
27280	C	Fusion of sacroiliac joint
27282	C	Fusion of pubic bones
27284	C	Fusion of hip joint
27286	C	Fusion of hip joint
27290	C	Amputation of leg at hip
27295	C	Amputation of leg at hip
27303	C	Drainage of bone lesion
27365	C	Extensive leg surgery
27445	C	Revision of knee joint
27447	C	Total knee arthroplasty
27448	C	Incision of thigh
27450	C	Incision of thigh
27454	C	Realignment of thigh bone
27455	C	Realignment of knee
27457	C	Realignment of knee
27465	C	Shortening of thigh bone
27466	C	Lengthening of thigh bone
27468	C	Shorten/lengthen thighs
27470	C	Repair of thigh
27472	C	Repair/graft of thigh
27475	C	Surgery to stop leg growth
27477	C	Surgery to stop leg growth
27479	C	Surgery to stop leg growth
27485	C	Surgery to stop leg growth
27486	C	Revise/replace knee joint
27487	C	Revise/replace knee joint
27488	C	Removal of knee prosthesis
27495	C	Reinforce thigh
27506	C	Treatment of thigh fracture
27507	C	Treatment of thigh fracture
27511	C	Treatment of thigh fracture
27513	C	Treatment of thigh fracture
27514	C	Treatment of thigh fracture
27519	C	Treat thigh fx growth plate
27535	C	Treat knee fracture
27536	C	Treat knee fracture
27540	C	Treat knee fracture
27556	C	Treat knee dislocation
27557	C	Treat knee dislocation
27558	C	Treat knee dislocation
27580	C	Fusion of knee
27590	C	Amputate leg at thigh
27591	C	Amputate leg at thigh
27592	C	Amputate leg at thigh
27596	C	Amputation follow-up surgery
27598	C	Amputate lower leg at knee
27645	C	Extensive lower leg surgery
27646	C	Extensive lower leg surgery
27702	C	Reconstruct ankle joint
27703	C	Reconstruction, ankle joint
27712	C	Realignment of lower leg
27715	C	Revision of lower leg
27720	C	Repair of tibia
27722	C	Repair/graft of tibia
27724	C	Repair/graft of tibia
27725	C	Repair of lower leg
27727	C	Repair of lower leg
27880	C	Amputation of lower leg
27881	C	Amputation of lower leg
27882	C	Amputation of lower leg
27886	C	Amputation follow-up surgery
27888	C	Amputation of foot at ankle
28800	C	Amputation of midfoot
28805	C	Amputation thru metatarsal
32815	C	Close bronchial fistula
32820	C	Reconstruct injured chest
32850	C	Donor pneumonectomy
32851	C	Lung transplant, single
32852	C	Lung transplant with bypass
32853	C	Lung transplant, double
32854	C	Lung transplant with bypass
32900	C	Removal of rib(s)
32905	C	Revise & repair chest wall
32906	C	Revise & repair chest wall
32940	C	Revision of lung
32997	C	Total lung lavage
33015	C	Incision of heart sac
33020	C	Incision of heart sac
33025	C	Incision of heart sac
33030	C	Partial removal of heart sac
33031	C	Partial removal of heart sac
33050	C	Removal of heart sac lesion
33120	C	Removal of heart lesion
33130	C	Removal of heart lesion
33140	C	Heart revascularize (tmr)
33141	C	Heart tmr w/other procedure
33200	C	Insertion of heart pacemaker
33201	C	Insertion of heart pacemaker
33236	C	Remove electrode/thoracotomy
33237	C	Remove electrode/thoracotomy
33238	C	Remove electrode/thoracotomy
33243	C	Remove eltrd/thoracotomy
33245	C	Insert epic eltrd pace-defib
33246	C	Insert epic eltrd/generator
33250	C	Ablate heart dysrhythm focus
33251	C	Ablate heart dysrhythm focus
33253	C	Reconstruct atria
33261	C	Ablate heart dysrhythm focus
33300	C	Repair of heart wound
33305	C	Repair of heart wound
33310	C	Exploratory heart surgery
33315	C	Exploratory heart surgery
33320	C	Repair major blood vessel(s)
33321	C	Repair major vessel
33322	C	Repair major blood vessel(s)
33330	C	Insert major vessel graft
33332	C	Insert major vessel graft
33335	C	Insert major vessel graft
33400	C	Repair of aortic valve
33401	C	Valvuloplasty, open
33403	C	Valvuloplasty, w/cp bypass
33404	C	Prepare heart-aorta conduit
33405	C	Replacement of aortic valve
33406	C	Replacement of aortic valve
33410	C	Replacement of aortic valve
33411	C	Replacement of aortic valve
33412	C	Replacement of aortic valve
33413	C	Replacement of aortic valve
33414	C	Repair of aortic valve
33415	C	Revision, subvalvular tissue
33416	C	Revise ventricle muscle
33417	C	Repair of aortic valve
33420	C	Revision of mitral valve
33422	C	Revision of mitral valve
33425	C	Repair of mitral valve
33426	C	Repair of mitral valve
33427	C	Repair of mitral valve
33430	C	Replacement of mitral valve
33460	C	Revision of tricuspid valve
33463	C	Valvuloplasty, tricuspid
33464	C	Valvuloplasty, tricuspid
33465	C	Replace tricuspid valve
33468	C	Revision of tricuspid valve
33470	C	Revision of pulmonary valve
33471	C	Valvotomy, pulmonary valve
33472	C	Revision of pulmonary valve
33474	C	Revision of pulmonary valve
33475	C	Replacement, pulmonary valve
33476	C	Revision of heart chamber
33478	C	Revision of heart chamber
33496	C	Repair, prosth valve clot
33500	C	Repair heart vessel fistula
33501	C	Repair heart vessel fistula
33502	C	Coronary artery correction
33503	C	Coronary artery graft
33504	C	Coronary artery graft
33505	C	Repair artery w/tunnel
33506	C	Repair artery, translocation
33510	C	CABG, vein, single
33511	C	CABG, vein, two
33512	C	CABG, vein, three
33513	C	CABG, vein, four
33514	C	CABG, vein, five
33516	C	Cabg, vein, six or more
33517	C	CABG, artery-vein, single
33518	C	CABG, artery-vein, two
33519	C	CABG, artery-vein, three
33521	C	CABG, artery-vein, four
33522	C	CABG, artery-vein, five
33523	C	Cabg, art-vein, six or more
33530	C	Coronary artery, bypass/reop
33533	C	CABG, arterial, single
33534	C	CABG, arterial, two
33535	C	CABG, arterial, three
33536	C	Cabg, arterial, four or more
33542	C	Removal of heart lesion
33545	C	Repair of heart damage
33572	C	Open coronary endarterectomy
33600	C	Closure of valve
33602	C	Closure of valve
33606	C	Anastomosis/artery-aorta
33608	C	Repair anomaly w/conduit
33610	C	Repair by enlargement
33611	C	Repair double ventricle
33612	C	Repair double ventricle
33615	C	Repair, modified fontan
33617	C	Repair single ventricle
33619	C	Repair single ventricle
33641	C	Repair heart septum defect
33645	C	Revision of heart veins
33647	C	Repair heart septum defects
33660	C	Repair of heart defects
33665	C	Repair of heart defects
33670	C	Repair of heart chambers
33681	C	Repair heart septum defect
33684	C	Repair heart septum defect
33688	C	Repair heart septum defect
33690	C	Reinforce pulmonary artery
33692	C	Repair of heart defects
33694	C	Repair of heart defects
33697	C	Repair of heart defects
33702	C	Repair of heart defects
33710	C	Repair of heart defects
33720	C	Repair of heart defect
33722	C	Repair of heart defect
33730	C	Repair heart-vein defect(s)
33732	C	Repair heart-vein defect
33735	C	Revision of heart chamber
33736	C	Revision of heart chamber
33737	C	Revision of heart chamber
33750	C	Major vessel shunt
33755	C	Major vessel shunt
33762	C	Major vessel shunt
33764	C	Major vessel shunt & graft
33766	C	Major vessel shunt
33767	C	Major vessel shunt
33770	C	Repair great vessels defect
33771	C	Repair great vessels defect
33774	C	Repair great vessels defect
33775	C	Repair great vessels defect
33776	C	Repair great vessels defect
33777	C	Repair great vessels defect
33778	C	Repair great vessels defect
33779	C	Repair great vessels defect
33780	C	Repair great vessels defect
33781	C	Repair great vessels defect
33786	C	Repair arterial trunk
33788	C	Revision of pulmonary artery
33800	C	Aortic suspension
33802	C	Repair vessel defect
33803	C	Repair vessel defect
33813	C	Repair septal defect
33814	C	Repair septal defect
33820	C	Revise major vessel
33822	C	Revise major vessel
33824	C	Revise major vessel
33840	C	Remove aorta constriction
33845	C	Remove aorta constriction
33851	C	Remove aorta constriction
33852	C	Repair septal defect
33853	C	Repair septal defect
33860	C	Ascending aortic graft
33861	C	Ascending aortic graft
33863	C	Ascending aortic graft
33870	C	Transverse aortic arch graft
33875	C	Thoracic aortic graft
33877	C	Thoracoabdominal graft
33910	C	Remove lung artery emboli
33915	C	Remove lung artery emboli
33916	C	Surgery of great vessel
33917	C	Repair pulmonary artery
33918	C	Repair pulmonary atresia
33919	C	Repair pulmonary atresia
33920	C	Repair pulmonary atresia
33922	C	Transect pulmonary artery
33924	C	Remove pulmonary shunt
33930	C	Removal of donor heart/lung
33935	C	Transplantation, heart/lung
33940	C	Removal of donor heart
33945	C	Transplantation of heart
33960	C	External circulation assist
33961	C	External circulation assist
33967	C	Insert ia percut device
33968	C	Remove aortic assist device
33970	C	Aortic circulation assist
33971	C	Aortic circulation assist
33973	C	Insert balloon device
33974	C	Remove intra-aortic balloon
33975	C	Implant ventricular device
33976	C	Implant ventricular device
33977	C	Remove ventricular device
33978	C	Remove ventricular device
33979	C	Insert intracorporeal device
33980	C	Remove intracorporeal device
34001	C	Removal of artery clot
34051	C	Removal of artery clot
34151	C	Removal of artery clot
34401	C	Removal of vein clot
34451	C	Removal of vein clot
34502	C	Reconstruct vena cava
34800	C	Endovasc abdo repair w/tube
34802	C	Endovasc abdo repr w/device
34804	C	Endovasc abdo repr w/device
34808	C	Endovasc abdo occlud device
34812	C	Xpose for endoprosth, aortic
34813	C	Femoral endovas graft add-on
34820	C	Xpose for endoprosth, iliac
34825	C	Endovasc extend prosth, init
34826	C	Endovasc exten prosth, addl
34830	C	Open aortic tube prosth repr
34831	C	Open aortoiliac prosth repr
34832	C	Open aortofemor prosth repr
34833	C	Xpose for endoprosth, iliac
34834	C	Xpose, endoprosth, brachial
34900	C	Endovasc iliac repr w/graft
35001	C	Repair defect of artery
35002	C	Repair artery rupture, neck
35005	C	Repair defect of artery
35013	C	Repair artery rupture, arm
35021	C	Repair defect of artery
35022	C	Repair artery rupture, chest
35045	C	Repair defect of arm artery
35081	C	Repair defect of artery
35082	C	Repair artery rupture, aorta
35091	C	Repair defect of artery
35092	C	Repair artery rupture, aorta
35102	C	Repair defect of artery
35103	C	Repair artery rupture, groin
35111	C	Repair defect of artery
35112	C	Repair artery rupture,spleen
35121	C	Repair defect of artery
35122	C	Repair artery rupture, belly
35131	C	Repair defect of artery
35132	C	Repair artery rupture, groin
35141	C	Repair defect of artery
35142	C	Repair artery rupture, thigh
35151	C	Repair defect of artery
35152	C	Repair artery rupture, knee
35161	C	Repair defect of artery
35162	C	Repair artery rupture
35182	C	Repair blood vessel lesion
35189	C	Repair blood vessel lesion
35211	C	Repair blood vessel lesion
35216	C	Repair blood vessel lesion
35221	C	Repair blood vessel lesion
35241	C	Repair blood vessel lesion
35246	C	Repair blood vessel lesion
35251	C	Repair blood vessel lesion
35271	C	Repair blood vessel lesion
35276	C	Repair blood vessel lesion
35281	C	Repair blood vessel lesion
35301	C	Rechanneling of artery
35311	C	Rechanneling of artery
35331	C	Rechanneling of artery
35341	C	Rechanneling of artery
35351	C	Rechanneling of artery
35355	C	Rechanneling of artery
35361	C	Rechanneling of artery
35363	C	Rechanneling of artery
35371	C	Rechanneling of artery
35372	C	Rechanneling of artery
35381	C	Rechanneling of artery
35390	C	Reoperation, carotid add-on
35400	C	Angioscopy
35450	C	Repair arterial blockage
35452	C	Repair arterial blockage
35454	C	Repair arterial blockage
35456	C	Repair arterial blockage
35480	C	Atherectomy, open
35481	C	Atherectomy, open
35482	C	Atherectomy, open
35483	C	Atherectomy, open
35501	C	Artery bypass graft
35506	C	Artery bypass graft
35507	C	Artery bypass graft
35508	C	Artery bypass graft
35509	C	Artery bypass graft
35511	C	Artery bypass graft
35515	C	Artery bypass graft
35516	C	Artery bypass graft
35518	C	Artery bypass graft
35521	C	Artery bypass graft
35526	C	Artery bypass graft
35531	C	Artery bypass graft
35533	C	Artery bypass graft
35536	C	Artery bypass graft
35541	C	Artery bypass graft
35546	C	Artery bypass graft
35548	C	Artery bypass graft
35549	C	Artery bypass graft
35551	C	Artery bypass graft
35556	C	Artery bypass graft
35558	C	Artery bypass graft
35560	C	Artery bypass graft
35563	C	Artery bypass graft
35565	C	Artery bypass graft
35566	C	Artery bypass graft
35571	C	Artery bypass graft
35582	C	Vein bypass graft
35583	C	Vein bypass graft
35585	C	Vein bypass graft
35587	C	Vein bypass graft
35600	C	Harvest artery for cabg
35601	C	Artery bypass graft
35606	C	Artery bypass graft
35612	C	Artery bypass graft
35616	C	Artery bypass graft
35621	C	Artery bypass graft
35623	C	Bypass graft, not vein
35626	C	Artery bypass graft
35631	C	Artery bypass graft
35636	C	Artery bypass graft
35641	C	Artery bypass graft
35642	C	Artery bypass graft
35645	C	Artery bypass graft
35646	C	Artery bypass graft
35647	C	Artery bypass graft
35650	C	Artery bypass graft
35651	C	Artery bypass graft
35654	C	Artery bypass graft
35656	C	Artery bypass graft
35661	C	Artery bypass graft
35663	C	Artery bypass graft
35665	C	Artery bypass graft
35666	C	Artery bypass graft
35671	C	Artery bypass graft
35681	C	Composite bypass graft
35682	C	Composite bypass graft
35683	C	Composite bypass graft
35691	C	Arterial transposition
35693	C	Arterial transposition
35694	C	Arterial transposition
35695	C	Arterial transposition
35700	C	Reoperation, bypass graft
35701	C	Exploration, carotid artery
35721	C	Exploration, femoral artery
35741	C	Exploration popliteal artery
35800	C	Explore neck vessels
35820	C	Explore chest vessels
35840	C	Explore abdominal vessels
35870	C	Repair vessel graft defect
35901	C	Excision, graft, neck
35905	C	Excision, graft, thorax
35907	C	Excision, graft, abdomen
36510	C	Insertion of catheter, vein
36660	C	Insertion catheter, artery
36822	C	Insertion of cannula(s)
36823	C	Insertion of cannula(s)
37140	C	Revision of circulation
37145	C	Revision of circulation
37160	C	Revision of circulation
37180	C	Revision of circulation
37181	C	Splice spleen/kidney veins
37182	C	Insert hepatic shunt (tips)
37183	C	Remove hepatic shunt (tips)
37195	C	Thrombolytic therapy, stroke
37616	C	Ligation of chest artery
37617	C	Ligation of abdomen artery
37618	C	Ligation of extremity artery
37660	C	Revision of major vein
37788	C	Revascularization, penis
38100	C	Removal of spleen, total
38101	C	Removal of spleen, partial
38102	C	Removal of spleen, total
38115	C	Repair of ruptured spleen
38380	C	Thoracic duct procedure
38381	C	Thoracic duct procedure
38382	C	Thoracic duct procedure
38562	C	Removal, pelvic lymph nodes
38564	C	Removal, abdomen lymph nodes
38724	C	Removal of lymph nodes, neck
38746	C	Remove thoracic lymph nodes
38747	C	Remove abdominal lymph nodes
38765	C	Remove groin lymph nodes
38770	C	Remove pelvis lymph nodes
38780	C	Remove abdomen lymph nodes
39000	C	Exploration of chest
39010	C	Exploration of chest
39200	C	Removal chest lesion
39220	C	Removal chest lesion
39499	C	Chest procedure
39501	C	Repair diaphragm laceration
39502	C	Repair paraesophageal hernia
39503	C	Repair of diaphragm hernia
39520	C	Repair of diaphragm hernia
39530	C	Repair of diaphragm hernia
39531	C	Repair of diaphragm hernia
39540	C	Repair of diaphragm hernia
39541	C	Repair of diaphragm hernia
39545	C	Revision of diaphragm
39560	C	Resect diaphragm, simple
39561	C	Resect diaphragm, complex
39599	C	Diaphragm surgery procedure
41130	C	Partial removal of tongue
41135	C	Tongue and neck surgery
41140	C	Removal of tongue
41145	C	Tongue removal, neck surgery
41150	C	Tongue, mouth, jaw surgery
41153	C	Tongue, mouth, neck surgery
41155	C	Tongue, jaw, & neck surgery
42426	C	Excise parotid gland/lesion
42845	C	Extensive surgery of throat
42894	C	Revision of pharyngeal walls
42953	C	Repair throat, esophagus
42961	C	Control throat bleeding
42971	C	Control nose/throat bleeding
43045	C	Incision of esophagus
43100	C	Excision of esophagus lesion
43101	C	Excision of esophagus lesion
43107	C	Removal of esophagus
43108	C	Removal of esophagus
43112	C	Removal of esophagus
43113	C	Removal of esophagus
43116	C	Partial removal of esophagus
43117	C	Partial removal of esophagus
43118	C	Partial removal of esophagus
43121	C	Partial removal of esophagus
43122	C	Partial removal of esophagus
43123	C	Partial removal of esophagus
43124	C	Removal of esophagus
43135	C	Removal of esophagus pouch
43300	C	Repair of esophagus
43305	C	Repair esophagus and fistula
43310	C	Repair of esophagus
43312	C	Repair esophagus and fistula
43313	C	Esophagoplasty congenital
43314	C	Tracheo-esophagoplasty cong
43320	C	Fuse esophagus & stomach
43324	C	Revise esophagus & stomach
43325	C	Revise esophagus & stomach
43326	C	Revise esophagus & stomach
43330	C	Repair of esophagus
43331	C	Repair of esophagus
43340	C	Fuse esophagus & intestine
43341	C	Fuse esophagus & intestine
43350	C	Surgical opening, esophagus
43351	C	Surgical opening, esophagus
43352	C	Surgical opening, esophagus
43360	C	Gastrointestinal repair
43361	C	Gastrointestinal repair
43400	C	Ligate esophagus veins
43401	C	Esophagus surgery for veins
43405	C	Ligate/staple esophagus
43410	C	Repair esophagus wound
43415	C	Repair esophagus wound
43420	C	Repair esophagus opening
43425	C	Repair esophagus opening
43460	C	Pressure treatment esophagus
43496	C	Free jejunum flap, microvasc
43500	C	Surgical opening of stomach
43501	C	Surgical repair of stomach
43502	C	Surgical repair of stomach
43510	C	Surgical opening of stomach
43520	C	Incision of pyloric muscle
43605	C	Biopsy of stomach
43610	C	Excision of stomach lesion
43611	C	Excision of stomach lesion
43620	C	Removal of stomach
43621	C	Removal of stomach
43622	C	Removal of stomach
43631	C	Removal of stomach, partial
43632	C	Removal of stomach, partial
43633	C	Removal of stomach, partial
43634	C	Removal of stomach, partial
43635	C	Removal of stomach, partial
43638	C	Removal of stomach, partial
43639	C	Removal of stomach, partial
43640	C	Vagotomy & pylorus repair
43641	C	Vagotomy & pylorus repair
43800	C	Reconstruction of pylorus
43810	C	Fusion of stomach and bowel
43820	C	Fusion of stomach and bowel
43825	C	Fusion of stomach and bowel
43832	C	Place gastrostomy tube
43840	C	Repair of stomach lesion
43842	C	Gastroplasty for obesity
43843	C	Gastroplasty for obesity
43846	C	Gastric bypass for obesity
43847	C	Gastric bypass for obesity
43848	C	Revision gastroplasty
43850	C	Revise stomach-bowel fusion
43855	C	Revise stomach-bowel fusion
43860	C	Revise stomach-bowel fusion
43865	C	Revise stomach-bowel fusion
43880	C	Repair stomach-bowel fistula
44005	C	Freeing of bowel adhesion
44010	C	Incision of small bowel
44015	C	Insert needle cath bowel
44020	C	Explore small intestine
44021	C	Decompress small bowel
44025	C	Incision of large bowel
44050	C	Reduce bowel obstruction
44055	C	Correct malrotation of bowel
44110	C	Excise intestine lesion(s)
44111	C	Excision of bowel lesion(s)
44120	C	Removal of small intestine
44121	C	Removal of small intestine
44125	C	Removal of small intestine
44126	C	Enterectomy w/o taper, cong
44127	C	Enterectomy w/taper, cong
44128	C	Enterectomy cong, add-on
44130	C	Bowel to bowel fusion
44132	C	Enterectomy, cadaver donor
44133	C	Enterectomy, live donor
44135	C	Intestine transplnt, cadaver
44136	C	Intestine transplant, live
44139	C	Mobilization of colon
44140	C	Partial removal of colon
44141	C	Partial removal of colon
44143	C	Partial removal of colon
44144	C	Partial removal of colon
44145	C	Partial removal of colon
44146	C	Partial removal of colon
44147	C	Partial removal of colon
44150	C	Removal of colon
44151	C	Removal of colon/ileostomy
44152	C	Removal of colon/ileostomy
44153	C	Removal of colon/ileostomy
44155	C	Removal of colon/ileostomy
44156	C	Removal of colon/ileostomy
44160	C	Removal of colon
44202	C	Lap resect s/intestine singl
44203	C	Lap resect s/intestine, addl
44204	C	Laparo partial colectomy
44205	C	Lap colectomy part w/ileum
44210	C	Laparo total proctocolectomy
44211	C	Laparo total proctocolectomy
44212	C	Laparo total proctocolectomy
44300	C	Open bowel to skin
44310	C	Ileostomy/jejunostomy
44314	C	Revision of ileostomy
44316	C	Devise bowel pouch
44320	C	Colostomy
44322	C	Colostomy with biopsies
44345	C	Revision of colostomy
44346	C	Revision of colostomy
44602	C	Suture, small intestine
44603	C	Suture, small intestine
44604	C	Suture, large intestine
44605	C	Repair of bowel lesion
44615	C	Intestinal stricturoplasty
44620	C	Repair bowel opening
44625	C	Repair bowel opening
44626	C	Repair bowel opening
44640	C	Repair bowel-skin fistula
44650	C	Repair bowel fistula
44660	C	Repair bowel-bladder fistula
44661	C	Repair bowel-bladder fistula
44680	C	Surgical revision, intestine
44700	C	Suspend bowel w/prosthesis
44800	C	Excision of bowel pouch
44820	C	Excision of mesentery lesion
44850	C	Repair of mesentery
44899	C	Bowel surgery procedure
44900	C	Drain app abscess, open
44901	C	Drain app abscess, percut
44950	C	Appendectomy
44955	C	Appendectomy add-on
44960	C	Appendectomy
45110	C	Removal of rectum
45111	C	Partial removal of rectum
45112	C	Removal of rectum
45113	C	Partial proctectomy
45114	C	Partial removal of rectum
45116	C	Partial removal of rectum
45119	C	Remove rectum w/reservoir
45120	C	Removal of rectum
45121	C	Removal of rectum and colon
45123	C	Partial proctectomy
45126	C	Pelvic exenteration
45130	C	Excision of rectal prolapse
45135	C	Excision of rectal prolapse
45136	C	Excise ileoanal reservior
45540	C	Correct rectal prolapse
45541	C	Correct rectal prolapse
45550	C	Repair rectum/remove sigmoid
45562	C	Exploration/repair of rectum
45563	C	Exploration/repair of rectum
45800	C	Repair rect/bladder fistula
45805	C	Repair fistula w/colostomy
45820	C	Repair rectourethral fistula
45825	C	Repair fistula w/colostomy
46705	C	Repair of anal stricture
46715	C	Repair of anovaginal fistula
46716	C	Repair of anovaginal fistula
46730	C	Construction of absent anus
46735	C	Construction of absent anus
46740	C	Construction of absent anus
46742	C	Repair of imperforated anus
46744	C	Repair of cloacal anomaly
46746	C	Repair of cloacal anomaly
46748	C	Repair of cloacal anomaly
46751	C	Repair of anal sphincter
47010	C	Open drainage, liver lesion
47015	C	Inject/aspirate liver cyst
47100	C	Wedge biopsy of liver
47120	C	Partial removal of liver
47122	C	Extensive removal of liver
47125	C	Partial removal of liver
47130	C	Partial removal of liver
47133	C	Removal of donor liver
47134	C	Partial removal, donor liver
47135	C	Transplantation of liver
47136	C	Transplantation of liver
47300	C	Surgery for liver lesion
47350	C	Repair liver wound
47360	C	Repair liver wound
47361	C	Repair liver wound
47362	C	Repair liver wound
47380	C	Open ablate liver tumor rf
47381	C	Open ablate liver tumor cryo
47400	C	Incision of liver duct
47420	C	Incision of bile duct
47425	C	Incision of bile duct
47460	C	Incise bile duct sphincter
47480	C	Incision of gallbladder
47550	C	Bile duct endoscopy add-on
47570	C	Laparo cholecystoenterostomy
47600	C	Removal of gallbladder
47605	C	Removal of gallbladder
47610	C	Removal of gallbladder
47612	C	Removal of gallbladder
47620	C	Removal of gallbladder
47700	C	Exploration of bile ducts
47701	C	Bile duct revision
47711	C	Excision of bile duct tumor
47712	C	Excision of bile duct tumor
47715	C	Excision of bile duct cyst
47716	C	Fusion of bile duct cyst
47720	C	Fuse gallbladder & bowel
47721	C	Fuse upper gi structures
47740	C	Fuse gallbladder & bowel
47741	C	Fuse gallbladder & bowel
47760	C	Fuse bile ducts and bowel
47765	C	Fuse liver ducts & bowel
47780	C	Fuse bile ducts and bowel
47785	C	Fuse bile ducts and bowel
47800	C	Reconstruction of bile ducts
47801	C	Placement, bile duct support
47802	C	Fuse liver duct & intestine
47900	C	Suture bile duct injury
48000	C	Drainage of abdomen
48001	C	Placement of drain, pancreas
48005	C	Resect/debride pancreas
48020	C	Removal of pancreatic stone
48100	C	Biopsy of pancreas, open
48120	C	Removal of pancreas lesion
48140	C	Partial removal of pancreas
48145	C	Partial removal of pancreas
48146	C	Pancreatectomy
48148	C	Removal of pancreatic duct
48150	C	Partial removal of pancreas
48152	C	Pancreatectomy
48153	C	Pancreatectomy
48154	C	Pancreatectomy
48155	C	Removal of pancreas
48180	C	Fuse pancreas and bowel
48400	C	Injection, intraop add-on
48500	C	Surgery of pancreatic cyst
48510	C	Drain pancreatic pseudocyst
48520	C	Fuse pancreas cyst and bowel
48540	C	Fuse pancreas cyst and bowel
48545	C	Pancreatorrhaphy
48547	C	Duodenal exclusion
48556	C	Removal, allograft pancreas
49000	C	Exploration of abdomen
49002	C	Reopening of abdomen
49010	C	Exploration behind abdomen
49020	C	Drain abdominal abscess
49021	C	Drain abdominal abscess
49040	C	Drain, open, abdom abscess
49041	C	Drain, percut, abdom abscess
49060	C	Drain, open, retrop abscess
49061	C	Drain, percut, retroper absc
49062	C	Drain to peritoneal cavity
49201	C	Remove abdom lesion, complex
49215	C	Excise sacral spine tumor
49220	C	Multiple surgery, abdomen
49255	C	Removal of omentum
49425	C	Insert abdomen-venous drain
49428	C	Ligation of shunt
49605	C	Repair umbilical lesion
49606	C	Repair umbilical lesion
49610	C	Repair umbilical lesion
49611	C	Repair umbilical lesion
49900	C	Repair of abdominal wall
49904	C	Omental flap, extra-abdom
49905	C	Omental flap
49906	C	Free omental flap, microvasc
50010	C	Exploration of kidney
50020	C	Renal abscess, open drain
50040	C	Drainage of kidney
50045	C	Exploration of kidney
50060	C	Removal of kidney stone
50065	C	Incision of kidney
50070	C	Incision of kidney
50075	C	Removal of kidney stone
50100	C	Revise kidney blood vessels
50120	C	Exploration of kidney
50125	C	Explore and drain kidney
50130	C	Removal of kidney stone
50135	C	Exploration of kidney
50205	C	Biopsy of kidney
50220	C	Remove kidney, open
50225	C	Removal kidney open, complex
50230	C	Removal kidney open, radical
50234	C	Removal of kidney & ureter
50236	C	Removal of kidney & ureter
50240	C	Partial removal of kidney
50280	C	Removal of kidney lesion
50290	C	Removal of kidney lesion
50300	C	Removal of donor kidney
50320	C	Removal of donor kidney
50340	C	Removal of kidney
50360	C	Transplantation of kidney
50365	C	Transplantation of kidney
50370	C	Remove transplanted kidney
50380	C	Reimplantation of kidney
50400	C	Revision of kidney/ureter
50405	C	Revision of kidney/ureter
50500	C	Repair of kidney wound
50520	C	Close kidney-skin fistula
50525	C	Repair renal-abdomen fistula
50526	C	Repair renal-abdomen fistula
50540	C	Revision of horseshoe kidney
50545	C	Laparo radical nephrectomy
50546	C	Laparoscopic nephrectomy
50547	C	Laparo removal donor kidney
50548	C	Laparo remove k/ureter
50570	C	Kidney endoscopy
50572	C	Kidney endoscopy
50574	C	Kidney endoscopy & biopsy
50575	C	Kidney endoscopy
50576	C	Kidney endoscopy & treatment
50578	C	Renal endoscopy/radiotracer
50580	C	Kidney endoscopy & treatment
50600	C	Exploration of ureter
50605	C	Insert ureteral support
50610	C	Removal of ureter stone
50620	C	Removal of ureter stone
50630	C	Removal of ureter stone
50650	C	Removal of ureter
50660	C	Removal of ureter
50700	C	Revision of ureter
50715	C	Release of ureter
50722	C	Release of ureter
50725	C	Release/revise ureter
50727	C	Revise ureter
50728	C	Revise ureter
50740	C	Fusion of ureter & kidney
50750	C	Fusion of ureter & kidney
50760	C	Fusion of ureters
50770	C	Splicing of ureters
50780	C	Reimplant ureter in bladder
50782	C	Reimplant ureter in bladder
50783	C	Reimplant ureter in bladder
50785	C	Reimplant ureter in bladder
50800	C	Implant ureter in bowel
50810	C	Fusion of ureter & bowel
50815	C	Urine shunt to intestine
50820	C	Construct bowel bladder
50825	C	Construct bowel bladder
50830	C	Revise urine flow
50840	C	Replace ureter by bowel
50845	C	Appendico-vesicostomy
50860	C	Transplant ureter to skin
50900	C	Repair of ureter
50920	C	Closure ureter/skin fistula
50930	C	Closure ureter/bowel fistula
50940	C	Release of ureter
51060	C	Removal of ureter stone
51525	C	Removal of bladder lesion
51530	C	Removal of bladder lesion
51535	C	Repair of ureter lesion
51550	C	Partial removal of bladder
51555	C	Partial removal of bladder
51565	C	Revise bladder & ureter(s)
51570	C	Removal of bladder
51575	C	Removal of bladder & nodes
51580	C	Remove bladder/revise tract
51585	C	Removal of bladder & nodes
51590	C	Remove bladder/revise tract
51595	C	Remove bladder/revise tract
51596	C	Remove bladder/create pouch
51597	C	Removal of pelvic structures
51800	C	Revision of bladder/urethra
51820	C	Revision of urinary tract
51840	C	Attach bladder/urethra
51841	C	Attach bladder/urethra
51845	C	Repair bladder neck
51860	C	Repair of bladder wound
51865	C	Repair of bladder wound
51900	C	Repair bladder/vagina lesion
51920	C	Close bladder-uterus fistula
51925	C	Hysterectomy/bladder repair
51940	C	Correction of bladder defect
51960	C	Revision of bladder & bowel
51980	C	Construct bladder opening
53085	C	Drainage of urinary leakage
53415	C	Reconstruction of urethra
53448	C	Remov/replc ur sphinctr comp
54125	C	Removal of penis
54130	C	Remove penis & nodes
54135	C	Remove penis & nodes
54332	C	Revise penis/urethra
54336	C	Revise penis/urethra
54390	C	Repair penis and bladder
54411	C	Remov/replc penis pros, comp
54417	C	Remv/replc penis pros, compl
54430	C	Revision of penis
54535	C	Extensive testis surgery
54560	C	Exploration for testis
54650	C	Orchiopexy (Fowler-Stephens)
55600	C	Incise sperm duct pouch
55605	C	Incise sperm duct pouch
55650	C	Remove sperm duct pouch
55801	C	Removal of prostate
55810	C	Extensive prostate surgery
55812	C	Extensive prostate surgery
55815	C	Extensive prostate surgery
55821	C	Removal of prostate
55831	C	Removal of prostate
55840	C	Extensive prostate surgery
55842	C	Extensive prostate surgery
55845	C	Extensive prostate surgery
55862	C	Extensive prostate surgery
55865	C	Extensive prostate surgery
55866	C	Laparo radical prostatectomy
56630	C	Extensive vulva surgery
56631	C	Extensive vulva surgery
56632	C	Extensive vulva surgery
56633	C	Extensive vulva surgery
56634	C	Extensive vulva surgery
56637	C	Extensive vulva surgery
56640	C	Extensive vulva surgery
57110	C	Remove vagina wall, complete
57111	C	Remove vagina tissue, compl
57112	C	Vaginectomy w/nodes, compl
57270	C	Repair of bowel pouch
57280	C	Suspension of vagina
57282	C	Repair of vaginal prolapse
57292	C	Construct vagina with graft
57305	C	Repair rectum-vagina fistula
57307	C	Fistula repair & colostomy
57308	C	Fistula repair, transperine
57311	C	Repair urethrovaginal lesion
57335	C	Repair vagina
57531	C	Removal of cervix, radical
57540	C	Removal of residual cervix
57545	C	Remove cervix/repair pelvis
58140	C	Removal of uterus lesion
58146	C	Myomectomy abdom complex
58150	C	Total hysterectomy
58152	C	Total hysterectomy
58180	C	Partial hysterectomy
58200	C	Extensive hysterectomy
58210	C	Extensive hysterectomy
58240	C	Removal of pelvis contents
58260	C	Vaginal hysterectomy
58262	C	Vag hyst including t/o
58263	C	Vag hyst w/t/o & vag repair
58267	C	Vag hyst w/urinary repair
58270	C	Vag hyst w/enterocele repair
58275	C	Hysterectomy/revise vagina
58280	C	Hysterectomy/revise vagina
58285	C	Extensive hysterectomy
58290	C	Vag hyst complex
58291	C	Vag hyst incl t/o, complex
58292	C	Vag hyst t/o & repair, compl
58293	C	Vag hyst w/uro repair, compl
58294	C	Vag hyst w/enterocele, compl
58400	C	Suspension of uterus
58410	C	Suspension of uterus
58520	C	Repair of ruptured uterus
58540	C	Revision of uterus
58605	C	Division of fallopian tube
58611	C	Ligate oviduct(s) add-on
58700	C	Removal of fallopian tube
58720	C	Removal of ovary/tube(s)
58740	C	Revise fallopian tube(s)
58750	C	Repair oviduct
58752	C	Revise ovarian tube(s)
58760	C	Remove tubal obstruction
58770	C	Create new tubal opening
58805	C	Drainage of ovarian cyst(s)
58822	C	Drain ovary abscess, percut
58825	C	Transposition, ovary(s)
58940	C	Removal of ovary(s)
58943	C	Removal of ovary(s)
58950	C	Resect ovarian malignancy
58951	C	Resect ovarian malignancy
58952	C	Resect ovarian malignancy
58953	C	Tah, rad dissect for debulk
58954	C	Tah rad debulk/lymph remove
58960	C	Exploration of abdomen
59100	C	Remove uterus lesion
59120	C	Treat ectopic pregnancy
59121	C	Treat ectopic pregnancy
59130	C	Treat ectopic pregnancy
59135	C	Treat ectopic pregnancy
59136	C	Treat ectopic pregnancy
59140	C	Treat ectopic pregnancy
59325	C	Revision of cervix
59350	C	Repair of uterus
59514	C	Cesarean delivery only
59525	C	Remove uterus after cesarean
59620	C	Attempted vbac delivery only
59830	C	Treat uterus infection
59850	C	Abortion
59851	C	Abortion
59852	C	Abortion
59855	C	Abortion
59856	C	Abortion
59857	C	Abortion
60254	C	Extensive thyroid surgery
60270	C	Removal of thyroid
60271	C	Removal of thyroid
60502	C	Re-explore parathyroids
60505	C	Explore parathyroid glands
60520	C	Removal of thymus gland
60521	C	Removal of thymus gland
60522	C	Removal of thymus gland
60540	C	Explore adrenal gland
60545	C	Explore adrenal gland
60600	C	Remove carotid body lesion
60605	C	Remove carotid body lesion
60650	C	Laparoscopy adrenalectomy
61105	C	Twist drill hole
61107	C	Drill skull for implantation
61108	C	Drill skull for drainage
61120	C	Burr hole for puncture
61140	C	Pierce skull for biopsy
61150	C	Pierce skull for drainage
61151	C	Pierce skull for drainage
61154	C	Pierce skull & remove clot
61156	C	Pierce skull for drainage
61210	C	Pierce skull, implant device
61250	C	Pierce skull & explore
61253	C	Pierce skull & explore
61304	C	Open skull for exploration
61305	C	Open skull for exploration
61312	C	Open skull for drainage
61313	C	Open skull for drainage
61314	C	Open skull for drainage
61315	C	Open skull for drainage
61320	C	Open skull for drainage
61321	C	Open skull for drainage
61322	C	Decompressive craniotomy
61323	C	Decompressive lobectomy
61332	C	Explore/biopsy eye socket
61333	C	Explore orbit/remove lesion
61334	C	Explore orbit/remove object
61340	C	Relieve cranial pressure
61343	C	Incise skull (press relief)
61345	C	Relieve cranial pressure
61440	C	Incise skull for surgery
61450	C	Incise skull for surgery
61458	C	Incise skull for brain wound
61460	C	Incise skull for surgery
61470	C	Incise skull for surgery
61480	C	Incise skull for surgery
61490	C	Incise skull for surgery
61500	C	Removal of skull lesion
61501	C	Remove infected skull bone
61510	C	Removal of brain lesion
61512	C	Remove brain lining lesion
61514	C	Removal of brain abscess
61516	C	Removal of brain lesion
61518	C	Removal of brain lesion
61519	C	Remove brain lining lesion
61520	C	Removal of brain lesion
61521	C	Removal of brain lesion
61522	C	Removal of brain abscess
61524	C	Removal of brain lesion
61526	C	Removal of brain lesion
61530	C	Removal of brain lesion
61531	C	Implant brain electrodes
61533	C	Implant brain electrodes
61534	C	Removal of brain lesion
61535	C	Remove brain electrodes
61536	C	Removal of brain lesion
61538	C	Removal of brain tissue
61539	C	Removal of brain tissue
61541	C	Incision of brain tissue
61542	C	Removal of brain tissue
61543	C	Removal of brain tissue
61544	C	Remove & treat brain lesion
61545	C	Excision of brain tumor
61546	C	Removal of pituitary gland
61548	C	Removal of pituitary gland
61550	C	Release of skull seams
61552	C	Release of skull seams
61556	C	Incise skull/sutures
61557	C	Incise skull/sutures
61558	C	Excision of skull/sutures
61559	C	Excision of skull/sutures
61563	C	Excision of skull tumor
61564	C	Excision of skull tumor
61570	C	Remove foreign body, brain
61571	C	Incise skull for brain wound
61575	C	Skull base/brainstem surgery
61576	C	Skull base/brainstem surgery
61580	C	Craniofacial approach, skull
61581	C	Craniofacial approach, skull
61582	C	Craniofacial approach, skull
61583	C	Craniofacial approach, skull
61584	C	Orbitocranial approach/skull
61585	C	Orbitocranial approach/skull
61586	C	Resect nasopharynx, skull
61590	C	Infratemporal approach/skull
61591	C	Infratemporal approach/skull
61592	C	Orbitocranial approach/skull
61595	C	Transtemporal approach/skull
61596	C	Transcochlear approach/skull
61597	C	Transcondylar approach/skull
61598	C	Transpetrosal approach/skull
61600	C	Resect/excise cranial lesion
61601	C	Resect/excise cranial lesion
61605	C	Resect/excise cranial lesion
61606	C	Resect/excise cranial lesion
61607	C	Resect/excise cranial lesion
61608	C	Resect/excise cranial lesion
61609	C	Transect artery, sinus
61610	C	Transect artery, sinus
61611	C	Transect artery, sinus
61612	C	Transect artery, sinus
61613	C	Remove aneurysm, sinus
61615	C	Resect/excise lesion, skull
61616	C	Resect/excise lesion, skull
61618	C	Repair dura
61619	C	Repair dura
61624	C	Occlusion/embolization cath
61680	C	Intracranial vessel surgery
61682	C	Intracranial vessel surgery
61684	C	Intracranial vessel surgery
61686	C	Intracranial vessel surgery
61690	C	Intracranial vessel surgery
61692	C	Intracranial vessel surgery
61697	C	Brain aneurysm repr, complx
61698	C	Brain aneurysm repr, complx
61700	C	Brain aneurysm repr, simple
61702	C	Inner skull vessel surgery
61703	C	Clamp neck artery
61705	C	Revise circulation to head
61708	C	Revise circulation to head
61710	C	Revise circulation to head
61711	C	Fusion of skull arteries
61720	C	Incise skull/brain surgery
61735	C	Incise skull/brain surgery
61750	C	Incise skull/brain biopsy
61751	C	Brain biopsy w/ ct/mr guide
61760	C	Implant brain electrodes
61770	C	Incise skull for treatment
61850	C	Implant neuroelectrodes
61860	C	Implant neuroelectrodes
61862	C	Implant neurostimul, subcort
61870	C	Implant neuroelectrodes
61875	C	Implant neuroelectrodes
62000	C	Treat skull fracture
62005	C	Treat skull fracture
62010	C	Treatment of head injury
62100	C	Repair brain fluid leakage
62115	C	Reduction of skull defect
62116	C	Reduction of skull defect
62117	C	Reduction of skull defect
62120	C	Repair skull cavity lesion
62121	C	Incise skull repair
62140	C	Repair of skull defect
62141	C	Repair of skull defect
62142	C	Remove skull plate/flap
62143	C	Replace skull plate/flap
62145	C	Repair of skull & brain
62146	C	Repair of skull with graft
62147	C	Repair of skull with graft
62161	C	Dissect brain w/scope
62162	C	Remove colloid cyst w/scope
62163	C	Neuroendoscopy w/fb removal
62164	C	Remove brain tumor w/scope
62165	C	Remove pituit tumor w/scope
62180	C	Establish brain cavity shunt
62190	C	Establish brain cavity shunt
62192	C	Establish brain cavity shunt
62200	C	Establish brain cavity shunt
62201	C	Establish brain cavity shunt
62220	C	Establish brain cavity shunt
62223	C	Establish brain cavity shunt
62256	C	Remove brain cavity shunt
62258	C	Replace brain cavity shunt
63043	C	Laminotomy, addl cervical
63044	C	Laminotomy, addl lumbar
63075	C	Neck spine disk surgery
63076	C	Neck spine disk surgery
63077	C	Spine disk surgery, thorax
63078	C	Spine disk surgery, thorax
63081	C	Removal of vertebral body
63082	C	Remove vertebral body add-on
63085	C	Removal of vertebral body
63086	C	Remove vertebral body add-on
63087	C	Removal of vertebral body
63088	C	Remove vertebral body add-on
63090	C	Removal of vertebral body
63091	C	Remove vertebral body add-on
63170	C	Incise spinal cord tract(s)
63172	C	Drainage of spinal cyst
63173	C	Drainage of spinal cyst
63180	C	Revise spinal cord ligaments
63182	C	Revise spinal cord ligaments
63185	C	Incise spinal column/nerves
63190	C	Incise spinal column/nerves
63191	C	Incise spinal column/nerves
63194	C	Incise spinal column & cord
63195	C	Incise spinal column & cord
63196	C	Incise spinal column & cord
63197	C	Incise spinal column & cord
63198	C	Incise spinal column & cord
63199	C	Incise spinal column & cord
63200	C	Release of spinal cord
63250	C	Revise spinal cord vessels
63251	C	Revise spinal cord vessels
63252	C	Revise spinal cord vessels
63265	C	Excise intraspinal lesion
63266	C	Excise intraspinal lesion
63267	C	Excise intraspinal lesion
63268	C	Excise intraspinal lesion
63270	C	Excise intraspinal lesion
63271	C	Excise intraspinal lesion
63272	C	Excise intraspinal lesion
63273	C	Excise intraspinal lesion
63275	C	Biopsy/excise spinal tumor
63276	C	Biopsy/excise spinal tumor
63277	C	Biopsy/excise spinal tumor
63278	C	Biopsy/excise spinal tumor
63280	C	Biopsy/excise spinal tumor
63281	C	Biopsy/excise spinal tumor
63282	C	Biopsy/excise spinal tumor
63283	C	Biopsy/excise spinal tumor
63285	C	Biopsy/excise spinal tumor
63286	C	Biopsy/excise spinal tumor
63287	C	Biopsy/excise spinal tumor
63290	C	Biopsy/excise spinal tumor
63300	C	Removal of vertebral body
63301	C	Removal of vertebral body
63302	C	Removal of vertebral body
63303	C	Removal of vertebral body
63304	C	Removal of vertebral body
63305	C	Removal of vertebral body
63306	C	Removal of vertebral body
63307	C	Removal of vertebral body
63308	C	Remove vertebral body add-on
63700	C	Repair of spinal herniation
63702	C	Repair of spinal herniation
63704	C	Repair of spinal herniation
63706	C	Repair of spinal herniation
63707	C	Repair spinal fluid leakage
63709	C	Repair spinal fluid leakage
63710	C	Graft repair of spine defect
63740	C	Install spinal shunt
64752	C	Incision of vagus nerve
64755	C	Incision of stomach nerves
64760	C	Incision of vagus nerve
64763	C	Incise hip/thigh nerve
64766	C	Incise hip/thigh nerve
64804	C	Remove sympathetic nerves
64809	C	Remove sympathetic nerves
64818	C	Remove sympathetic nerves
64866	C	Fusion of facial/other nerve
64868	C	Fusion of facial/other nerve
65273	C	Repair of eye wound
69155	C	Extensive ear/neck surgery
69535	C	Remove part of temporal bone
69554	C	Remove ear lesion
69950	C	Incise inner ear nerve
69970	C	Remove inner ear lesion
75900	C	Arterial catheter exchange
75952	C	Endovasc repair abdom aorta
75953	C	Abdom aneurysm endovas rpr
75954	C	Iliac aneurysm endovas rpr
92970	C	Cardioassist, internal
92971	C	Cardioassist, external
92975	C	Dissolve clot, heart vessel
92992	C	Revision of heart chamber
92993	C	Revision of heart chamber
99190	C	Special pump services
99191	C	Special pump services
99192	C	Special pump services
99251	C	Initial inpatient consult
99252	C	Initial inpatient consult
99253	C	Initial inpatient consult
99254	C	Initial inpatient consult
99255	C	Initial inpatient consult
99261	C	Follow-up inpatient consult
99262	C	Follow-up inpatient consult
99263	C	Follow-up inpatient consult
99293	C	Ped critical care, initial
99294	C	Ped critical care, subseq
99295	C	Neonatal critical care
99296	C	Neonatal critical care
99298	C	Neonatal critical care
99299	C	Ic, lbw infant 1500-2500 gm
99356	C	Prolonged service, inpatient
99357	C	Prolonged service, inpatient
99433	C	Normal newborn care/hospital
CPT codes and escriptions only are copyright American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
Copyright American Dental Association. All right reserved.

     

 

Addendum H.—Wage Index for Urban Areas

Urban area (constituent counties)	Wage index
0040 Abilene, TX	0.7678
Taylor, TX
0060 Aguadilla, PR	0.4335
Aguada, PR
Aguadilla, PR
Moca, PR
0080 Akron, OH	0.9445
Portage, OH
Summit, OH
0120 Albany, GA	1.0838
Dougherty, GA
Lee, GA
0160 Albany-Schenectady-Troy, NY	0.8693
Albany, NY
Montgomery, NY
Rensselaer, NY
Saratoga, NY
Schenectady, NY
Schoharie, NY
0200 Albuquerque, NM	0.9431
Bernalillo, NM
Sandoval, NM
Valencia, NM
0220 Alexandria, LA	0.8087
Rapides, LA
0240 Allentown-Bethlehem-Easton, PA	0.9576
Carbon, PA
Lehigh, PA
Northampton, PA
0280 Altoona, PA	0.8886
Blair, PA
0320 Amarillo, TX	0.8968
Potter, TX
Randall, TX
0380 Anchorage, AK	1.2433
Anchorage, AK
0440 Ann Arbor, MI	1.1069
Lenawee, MI
Livingston, MI
Washtenaw, MI
0450 Anniston, AL	0.8140
Calhoun, AL
0460 Appleton-Oshkosh-Neenah, WI 2	0.9130
Calumet, WI
Outagamie, WI
Winnebago, WI
0470 Arecibo, PR	0.4130
Arecibo, PR
Camuy, PR
Hatillo, PR
0480 Asheville, NC	0.9697
Buncombe, NC
Madison, NC
0500 Athens, GA	0.9664
Clarke, GA
Madison, GA
Oconee, GA
0520 Atlanta, GA 1	1.0027
Barrow, GA
Bartow, GA
Carroll, GA
Cherokee, GA
Clayton, GA
Cobb, GA
Coweta, GA
DeKalb, GA
Douglas, GA
Fayette, GA
Forsyth, GA
Fulton, GA
Gwinnett, GA
Henry, GA
Newton, GA
Paulding, GA
Pickens, GA
Rockdale, GA
Spalding, GA
Walton, GA
0560 Atlantic-Cape May, NJ	1.0862
Atlantic, NJ
Cape May, NJ
0580 Auburn-Opelika, AL	0.8540
Lee, AL
0600 Augusta-Aiken, GA-SC	0.9725
Columbia, GA
McDuffie, GA
Richmond, GA
Aiken, SC
Edgefield, SC
0640 Austin-San Marcos, TX 1	0.9551
Bastrop, TX
Caldwell, TX
Hays, TX
Travis, TX
Williamson, TX
0680 Bakersfield, CA 2	0.9907
Kern, CA
0720 Baltimore, MD 1	0.9951
Anne Arundel, MD
Baltimore, MD
Baltimore City, MD
Carroll, MD
Harford, MD
Howard, MD
Queen Anne's, MD
0733 Bangor, ME	0.9750
Penobscot, ME
0743 Barnstable-Yarmouth, MA	1.2893
Barnstable, MA
0760 Baton Rouge, LA	0.8271
Ascension, LA
East Baton Rouge, LA
Livingston, LA
West Baton Rouge, LA
0840 Beaumont-Port Arthur, TX	0.8503
Hardin, TX
Jefferson, TX
Orange, TX
0860 Bellingham, WA	1.1834
Whatcom, WA
0870 Benton Harbor, MI	0.8949
Berrien, MI
0875 Bergen-Passaic, NJ 1	1.1655
Bergen, NJ
Passaic, NJ
0880 Billings, MT	0.8889
Yellowstone, MT
0920 Biloxi-Gulfport-Pascagoula, MS	0.9089
Hancock, MS
Harrison, MS
Jackson, MS
0960 Binghamton, NY 2	0.8530
Broome, NY
Tioga, NY
1000 Birmingham, AL	0.9251
Blount, AL
Jefferson, AL
St. Clair, AL
Shelby, AL
1010 Bismarck, ND	0.8101
Burleigh, ND
Morton, ND
1020 Bloomington, IN	0.8968
Monroe, IN
1040 Bloomington-Normal, IL	0.8954
McLean, IL
1080 Boise City, ID	0.9295
Ada, ID
Canyon, ID
1123 Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH 1	1.1269
Bristol, MA
Essex, MA
Middlesex, MA
Norfolk, MA
Plymouth, MA
Suffolk, MA
Worcester, MA
Hillsborough, NH
Merrimack, NH
Rockingham, NH
Strafford, NH
1125 Boulder-Longmont, CO	1.0119
Boulder, CO
1145 Brazoria, TX	0.8324
Brazoria, TX
1150 Bremerton, WA	1.0601
Kitsap, WA
1240 Brownsville-Harlingen-San Benito, TX	21.0231
Cameron, TX
1260 Bryan-College Station, TX
Brazos, TX
0.9044
1280 Buffalo-Niagara Falls, NY 1	0.9600
Erie, NY
Niagara, NY
1303 Burlington, VT	0.9768
Chittenden, VT
Franklin, VT
Grand Isle, VT
1310 Caguas, PR	0.4229
Caguas, PR
Cayey, PR
Cidra, PR
Gurabo, PR
San Lorenzo, PR
1320 Canton-Massillon, OH	0.9128
Carroll, OH
Stark, OH
1350 Casper, WY	0.9239
Natrona, WY
1360 Cedar Rapids, IA	0.8933
Linn, IA
1400 Champaign-Urbana, IL	0.9907
Champaign, IL
1440 Charleston-North Charleston, SC	0.9307
Berkeley, SC
Charleston, SC
Dorchester, SC
1480 Charleston, WV	0.8753
Kanawha, WV
Putnam, WV
1520 Charlotte-Gastonia-Rock Hill, NC-SC 1	0.9766
Cabarrus, NC
Gaston, NC
Lincoln, NC
Mecklenburg, NC
Rowan, NC
Stanly, NC
Union, NC
York, SC
1540 Charlottesville, VA	1.0092
Albemarle, VA
Charlottesville City, VA
Fluvanna, VA
Greene, VA
1560 Chattanooga, TN-GA	0.8985
Catoosa, GA
Dade, GA
Walker, GA
Hamilton, TN
Marion, TN
1580 Cheyenne, WY 2	0.9137
Laramie, WY
1600 Chicago, IL 1	1.1012
Cook, IL
DeKalb, IL
DuPage, IL
Grundy, IL
Kane, IL
Kendall, IL
Lake, IL
McHenry, IL
Will, IL
1620 Chico-Paradise, CA	1.0147
Butte, CA
1640 Cincinnati, OH-KY-IN 1	0.9452
Dearborn, IN
Ohio, IN
Boone, KY
Campbell, KY
Gallatin, KY
Grant, KY
Kenton, KY
Pendleton, KY
Brown, OH
Clermont, OH
Hamilton, OH
Warren, OH
1660 Clarksville-Hopkinsville, TN-KY	0.8410
Christian, KY
Montgomery, TN
1680 Cleveland-Lorain-Elyria, OH 1	0.9686
Ashtabula, OH
Cuyahoga, OH
Geauga, OH
Lake, OH
Lorain, OH
Medina, OH
1720 Colorado Springs, CO 2	0.8897
El Paso, CO
1740 Columbia, MO	0.8745
Boone, MO
1760 Columbia, SC	0.8958
Lexington, SC
Richland, SC
1800 Columbus, GA-AL	0.8700
Russell, AL
Chattahoochee, GA
Harris, GA
Muscogee, GA
1840 Columbus, OH 1	0.9649
Delaware, OH
Fairfield, OH
Franklin, OH
Licking, OH
Madison, OH
Pickaway, OH
1880 Corpus Christi, TX	0.8565
Nueces, TX
San Patricio, TX
1890 Corvallis, OR	1.1593
Benton, OR
1900 Cumberland, MD-WV 2 (MD Hospitals)	0.9175
Allegany, MD
Mineral, WV
1900 Cumberland, MD-WV (WV Hospitals)	0.8224
Allegany, MD
Mineral, WV
1920 Dallas, TX 1	0.9733
Collin, TX
Dallas, TX
Denton, TX
Ellis, TX
Henderson, TX
Hunt, TX
Kaufman, TX
Rockwall, TX
1950 Danville, VA	0.9095
Danville City, VA
Pittsylvania, VA
1960 Davenport-Moline-Rock Island, IA-IL	0.8727
Scott, IA
Henry, IL
Rock Island, IL
2000 Dayton-Springfield, OH	0.9432
Clark, OH
Greene, OH
Miami, OH
Montgomery, OH
2020 Daytona Beach, FL	0.9208
Flagler, FL
Volusia, FL
2030 Decatur, AL	0.8882
Lawrence, AL
Morgan, AL
2040 Decatur, IL 2	0.8282
Macon, IL
2080 Denver, CO 1	1.0776
Adams, CO
Arapahoe, CO
Broomfield, CO
Denver, CO
Douglas, CO
Jefferson, CO
2120 Des Moines, IA	0.9053
Dallas, IA
Polk, IA
Warren, IA
2160 Detroit, MI 1	1.0097
Lapeer, MI
Macomb, MI
Monroe, MI
Oakland, MI
St. Clair, MI
Wayne, MI
2180 Dothan, AL	0.7931
Dale, AL
Houston, AL
2190 Dover, DE	0.9870
Kent, DE
2200 Dubuque, IA	0.8946
Dubuque, IA
2240 Duluth-Superior, MN-WI	1.0133
St. Louis, MN
Douglas, WI
2281 Dutchess County, NY	1.0966
Dutchess, NY
2290 Eau Claire, WI	0.9141
Chippewa, WI
Eau Claire, WI
2320 El Paso, TX	0.9267
El Paso, TX
2330 Elkhart-Goshen, IN	0.9848
Elkhart, IN
2335 Elmira, NY 2	0.8530
Chemung, NY
2340 Enid, OK	0.8616
Garfield, OK
2360 Erie, PA	0.8636
Erie, PA
2400 Eugene-Springfield, OR	1.1212
Lane, OR
2440 Evansville-Henderson, IN-KY 2 (IN Hospitals)	0.8770
Posey, IN
Vanderburgh, IN
Warrick, IN
Henderson, KY
2440 Evansville-Henderson, IN-KY (KY Hospitals)	0.8442
Posey, IN
Vanderburgh, IN
Warrick, IN
Henderson, KY
2520 Fargo-Moorhead, ND-MN	0.9650
Clay, MN
Cass, ND
2560 Fayetteville, NC	0.8957
Cumberland, NC
2580 Fayetteville-Springdale-Rogers, AR	0.8038
Benton, AR
Washington, AR
2620 Flagstaff, AZ-UT	1.1283
Coconino, AZ
Kane, UT
2640 Flint, MI	1.0929
Genesee, MI
2650 Florence, AL	0.7824
Colbert, AL
Lauderdale, AL
2655 Florence, SC	0.8763
Florence, SC
2670 Fort Collins-Loveland, CO	1.0201
Larimer, CO
2680 Ft. Lauderdale, FL 1	1.0534
Broward, FL
2700 Fort Myers-Cape Coral, FL	0.9877
Lee, FL
2710 Fort Pierce-Port St. Lucie, FL	1.0227
Martin, FL
St. Lucie, FL
2720 Fort Smith, AR-OK 2 (AR Hospitals)	0.7746
Crawford, AR
Sebastian, AR
Sequoyah, OK
2720 Fort Smith, AR-OK (OK Hospitals)	0.7740
Crawford, AR
Sebastian, AR
Sequoyah, OK
2750 Fort Walton Beach, FL	0.8929
Okaloosa, FL
2760 Fort Wayne, IN	0.9674
Adams, IN
Allen, IN
De Kalb, IN
Huntington, IN
Wells, IN
Whitley, IN
2800 Forth Worth-Arlington, TX 1	0.9268
Hood, TX
Johnson, TX
Parker, TX
Tarrant, TX
2840 Fresno, CA	1.0157
Fresno, CA
Madera, CA
2880 Gadsden, AL	0.8295
Etowah, AL
2900 Gainesville, FL 2	0.8782
Alachua, FL
2920 Galveston-Texas City, TX	0.9360
Galveston, TX
2960 Gary, IN	0.9462
Lake, IN
Porter, IN
2975 Glens Falls, NY 2	0.8530
Warren, NY
Washington, NY
2980 Goldsboro, NC	0.8679
Wayne, NC
2985 Grand Forks, ND-MN (ND Hospitals)	0.9031
Polk, MN
Grand Forks, ND
2985 Grand Forks, ND-MN 2 (MN Hospitals)	0.9243
Polk, MN
Grand Forks, ND
2995 Grand Junction, CO	0.9940
Mesa, CO
3000 Grand Rapids-Muskegon-Holland, MI 1	0.9406
Allegan, MI
Kent, MI
Muskegon, MI
Ottawa, MI
3040 Great Falls, MT	0.8977
Cascade, MT
3060 Greeley, CO	0.9516
Weld, CO
3080 Green Bay, WI	0.9524
Brown, WI
3120 Greensboro-Winston-Salem-High Point, NC 1	0.8533
Alamance, NC
Davidson, NC
Davie, NC
Forsyth, NC
Guilford, NC
Randolph, NC
Stokes, NC
Yadkin, NC
3150 Greenville, NC	0.9621
Pitt, NC
3160 Greenville-Spartanburg-Anderson, SC	0.9289
Anderson, SC
Cherokee, SC
Greenville, SC
Pickens, SC
Spartanburg, SC
3180 Hagerstown, MD	0.9233
Washington, MD
3200 Hamilton-Middletown, OH	0.9236
Butler, OH
3240 Harrisburg-Lebanon-Carlisle, PA	0.9178
Cumberland, PA
Dauphin, PA
Lebanon, PA
Perry, PA
3283 Hartford, CT 1, 2	1.2199
Hartford, CT
Litchfield, CT
Middlesex, CT
Tolland, CT
3285 Hattiesburg, MS 2	0.7810
Forrest, MS
Lamar, MS
3290 Hickory-Morganton-Lenoir, NC	0.9090
Alexander, NC
Burke, NC
Caldwell, NC
Catawba, NC
3320 Honolulu, HI	1.1176
Honolulu, HI
3350 Houma, LA	0.7763
Lafourche, LA
Terrebonne, LA
3360 Houston, TX 1	0.9591
Chambers, TX
Fort Bend, TX
Harris, TX
Liberty, TX
Montgomery, TX
Waller, TX
3400 Huntington-Ashland, WV-KY-OH	0.9620
Boyd, KY
Carter, KY
Greenup, KY
Lawrence, OH
Cabell, WV
Wayne, WV
3440 Huntsville, AL	0.9238
Limestone, AL
Madison, AL
3480 Indianapolis, IN 1	0.9934
Boone, IN
Hamilton, IN
Hancock, IN
Hendricks, IN
Johnson, IN
Madison, IN
Marion, IN
Morgan, IN
Shelby, IN
3500 Iowa City, IA	0.9605
Johnson, IA
3520 Jackson, MI	0.9043
Jackson, MI
3560 Jackson, MS	0.8459
Hinds, MS
Madison, MS
Rankin, MS
3580 Jackson, TN	0.8602
Madison, TN
Chester, TN
3600 Jacksonville, FL 1	0.9426
Clay, FL
Duval, FL
Nassau, FL
St. Johns, FL
3605 Jacksonville, NC	0.8589
Onslow, NC
3610 Jamestown, NY 2	0.8530
Chautauqua, NY
3620 Janesville-Beloit, WI	0.9344
Rock, WI
3640 Jersey City, NJ	1.1203
Hudson, NJ
3660 Johnson City-Kingsport-Bristol, TN-VA (TN Hospitals)	0.8371
Carter, TN
Hawkins, TN
Sullivan, TN
Unicoi, TN
Washington, TN
Bristol City, VA
Scott, VA
Washington, VA
3660 Johnson City-Kingsport-Bristol, TN-VA 2 (VA Hospitals)	0.8542
Carter, TN
Hawkins, TN
Sullivan, TN
Unicoi, TN
Washington, TN
Bristol City, VA
Scott, VA
Washington, VA
3680 Johnstown, PA 2	0.8429
Cambria, PA
Somerset, PA
3700 Jonesboro, AR 2	0.7755
Craighead, AR
3710 Joplin, MO	0.8739
Jasper, MO
Newton, MO
3720 Kalamazoo-Battlecreek, MI	1.0554
Calhoun, MI
Kalamazoo, MI
Van Buren, MI
3740 Kankakee, IL	1.1074
Kankakee, IL
3760 Kansas City, KS-MO 1	0.9551
Johnson, KS
Leavenworth, KS
Miami, KS
Wyandotte, KS
Cass, MO
Clay, MO
Clinton, MO
Jackson, MO
Lafayette, MO
Platte, MO
Ray, MO
3800 Kenosha, WI	0.9826
Kenosha, WI
3810 Killeen-Temple, TX	0.9221
Bell, TX
Coryell, TX
3840 Knoxville, TN	0.8987
Anderson, TN
Blount, TN
Knox, TN
Loudon, TN
Sevier, TN
Union, TN
3850 Kokomo, IN	0.8963
Howard, IN
Tipton, IN
3870 La Crosse, WI-MN	0.9259
Houston, MN
La Crosse, WI
3880 Lafayette, LA	0.8271
Acadia, LA
Lafayette, LA
St. Landry, LA
St. Martin, LA
3920 Lafayette, IN	0.9052
Clinton, IN
Tippecanoe, IN
3960 Lake Charles, LA	0.8460
Calcasieu, LA
3980 Lakeland-Winter Haven, FL 2	0.8782
Polk, FL
4000 Lancaster, PA	0.9325
Lancaster, PA
4040 Lansing-East Lansing, MI	0.9270
Clinton, MI
Eaton, MI
Ingham, MI
4080 Laredo, TX	0.8145
Webb, TX
4100 Las Cruces, NM	0.8532
Dona Ana, NM
4120 Las Vegas, NV-AZ 1	1.1457
Mohave, AZ
Clark, NV
Nye, NV
4150 Lawrence, KS 2	0.7860
Douglas, KS
4200 Lawton, OK	0.8322
Comanche, OK
4243 Lewiston-Auburn, ME	0.9389
Androscoggin, ME
4280 Lexington, KY	0.8622
Bourbon, KY
Clark, KY
Fayette, KY
Jessamine, KY
Madison, KY
Scott, KY
Woodford, KY
4320 Lima, OH	0.9457
Allen, OH
Auglaize, OH
4360 Lincoln, NE	1.0101
Lancaster, NE
4400 Little Rock-North Little Rock, AR	0.8905
Faulkner, AR
Lonoke, AR
Pulaski, AR
Saline, AR
4420 Longview-Marshall, TX	0.9141
Gregg, TX
Harrison, TX
Upshur, TX
4480 Los Angeles-Long Beach, CA 1	1.1656
Los Angeles, CA
4520 Louisville, KY-IN 1	0.9174
Clark, IN
Floyd, IN
Harrison, IN
Scott, IN
Bullitt, KY
Jefferson, KY
Oldham, KY
4600 Lubbock, TX	0.8330
Lubbock, TX
4640 Lynchburg, VA	0.9202
Amherst, VA
Bedford, VA
Bedford City, VA
Campbell, VA
Lynchburg City, VA
4680 Macon, GA	0.9011
Bibb, GA
Houston, GA
Jones, GA
Peach, GA
Twiggs, GA
4720 Madison, WI	1.0235
Dane, WI
4800 Mansfield, OH	0.9059
Crawford, OH
Richland, OH
4840 Mayaguez, PR	0.4780
Anasco, PR
Cabo Rojo, PR
Hormigueros, PR
Mayaguez, PR
Sabana Grande, PR
San German, PR
4880 McAllen-Edinburg-Mission, TX	0.9084
Hidalgo, TX
4890 Medford-Ashland, OR	1.0844
Jackson, OR
4900 Melbourne-Titusville-Palm Bay, FL	0.9837
Brevard, Fl
4920 Memphis, TN-AR-MS 1	0.9325
Crittenden, AR
DeSoto, MS
Fayette, TN
Shelby, TN
Tipton, TN
4940 Merced, CA 2	0.9907
Merced, CA
5000 Miami, FL 1	0.9888
Dade, FL
5015 Middlesex-Somerset-Hunterdon, NJ 1	1.1437
Hunterdon, NJ
Middlesex, NJ
Somerset, NJ
5080 Milwaukee-Waukesha, WI 1	0.9888
Milwaukee, WI
Ozaukee, WI
Washington, WI
Waukesha, WI
5120 Minneapolis-St. Paul, MN-WI 1	1.1064
Anoka, MN
Carver, MN
Chisago, MN
Dakota, MN
Hennepin, MN
Isanti, MN
Ramsey, MN
Scott, MN
Sherburne, MN
Washington, MN
Wright, MN
Pierce, WI
St. Croix, WI
5140 Missoula, MT	0.8943
Missoula, MT
5160 Mobile, AL	0.7948
Baldwin, AL
Mobile, AL
5170 Modesto, CA	1.1344
Stanislaus, CA
5190 Monmouth-Ocean, NJ 1	1.1094
Monmouth, NJ
Ocean, NJ
5200 Monroe, LA	0.7978
Ouachita, LA
5240 Montgomery, AL	0.7856
Autauga, AL
Elmore, AL
Montgomery, AL
5280 Muncie, IN 2	0.8770
Delaware, IN
5330 Myrtle Beach, SC	0.8950
Horry, SC
5345 Naples, FL	0.9866
Collier, FL
5360 Nashville, TN 1	0.9836
Cheatham, TN
Davidson, TN
Dickson, TN
Robertson, TN
Rutherford TN
Sumner, TN
Williamson, TN
Wilson, TN
5380 Nassau-Suffolk, NY 1	1.3011
Nassau, NY
Suffolk, NY
5483 New Haven-Bridgeport-Stamford-Waterbury-Danbury, CT 1	1.2525
Fairfield, CT
New Haven, CT
5523 New London-Norwich, CT 2	1.2199
New London, CT
5560 New Orleans, LA 1	0.9167
Jefferson, LA
Orleans, LA
Plaquemines, LA
St. Bernard, LA
St. Charles, LA
St. James, LA
St. John The Baptist, LA
St. Tammany, LA
5600 New York, NY 1	1.3867
Bronx, NY
Kings, NY
New York, NY
Putnam, NY
Queens, NY
Richmond, NY
Rockland, NY
Westchester, NY
5640 Newark, NJ 1	1.1417
Essex, NJ
Morris, NJ
Sussex, NJ
Union, NJ
Warren, NJ
5660 Newburgh, NY-PA	1.1377
Orange, NY
Pike, PA
5720 Norfolk-Virginia Beach-Newport News, VA-NC 1	0.8659
Currituck, NC
Chesapeake City, VA
Gloucester, VA
Hampton City, VA
Isle of Wight, VA
James City, VA
Mathews, VA
Newport News City, VA
Norfolk City, VA
Poquoson City, VA
Portsmouth City, VA
Suffolk City, VA
Virginia Beach City VA
Williamsburg City, VA
York, VA
5775 Oakland, CA 1	1.5204
Alameda, CA
Contra Costa, CA
5790 Ocala, FL	0.9788
Marion, FL
5800 Odessa-Midland, TX	0.9447
Ector, TX
Midland, TX
5880 Oklahoma City, OK 1	0.9027
Canadian, OK
Cleveland, OK
Logan, OK
McClain, OK
Oklahoma, OK
Pottawatomie, OK
5910 Olympia, WA	1.1030
Thurston, WA
5920 Omaha, NE-IA	0.9744
Pottawattamie, IA
Cass, NE
Douglas, NE
Sarpy, NE
Washington, NE
5945 Orange County, CA 1	1.1235
Orange, CA
5960 Orlando, FL 1	0.9612
Lake, FL
Orange, FL
Osceola, FL
Seminole, FL
5990 Owensboro, KY	0.8429
Daviess, KY
6015 Panama City, FL 2	0.8782
Bay, FL
6020 Parkersburg-Marietta, WV-OH (WV Hospitals)	0.8093
Washington, OH
Wood, WV
6020 Parkersburg-Marietta, WV-OH 2 (OH Hospitals)	0.8756
Washington, OH
Wood, WV
6080 Pensacola, FL 2	0.8782
Escambia, FL
Santa Rosa, FL
6120 Peoria-Pekin, IL	0.8811
Peoria, IL
Tazewell, IL
Woodford, IL
6160 Philadelphia, PA-NJ 1	1.0947
Burlington, NJ
Camden, NJ
Gloucester, NJ
Salem, NJ
Bucks, PA
Chester, PA
Delaware, PA
Montgomery, PA
Philadelphia, PA
6200 Phoenix-Mesa, AZ 1	1.0213
Maricopa, AZ
Pinal, AZ
6240 Pine Bluff, AR	0.7753
Jefferson, AR
6280 Pittsburgh, PA 1	0.8788
Allegheny, PA
Beaver, PA
Butler, PA
Fayette, PA
Washington, PA
Westmoreland, PA
6323 Pittsfield, MA 2	1.1234
Berkshire, MA
6340 Pocatello, ID	0.9103
Bannock, ID
6360 Ponce, PR	0.4762
Guayanilla, PR
Juana Diaz, PR
Penuelas, PR
Ponce, PR
Villalba, PR
Yauco, PR
6403 Portland, ME	0.9985
Cumberland, ME
Sagadahoc, ME
York, ME
6440 Portland-Vancouver, OR-WA 1	1.1193
Clackamas, OR
Columbia, OR
Multnomah, OR
Washington, OR
Yamhill, OR
Clark, WA
6483 Providence-Warwick-Pawtucket, RI 1	1.1025
Bristol, RI
Kent, RI
Newport, RI
Providence, RI
Washington, RI
6520 Provo-Orem, UT	1.0043
Utah, UT
6560 Pueblo, CO 2	0.8897
Pueblo, CO
6580 Punta Gorda, FL	0.9518
Charlotte, FL
6600 Racine, WI 2	0.9130
Racine, WI
6640 Raleigh-Durham-Chapel Hill, NC 1	1.0084
Chatham, NC
Durham, NC
Franklin, NC
Johnston, NC
Orange, NC
Wake, NC
6660 Rapid City, SD	0.8865
Pennington, SD
6680 Reading, PA	0.9042
Berks, PA
6690 Redding, CA	1.1357
Shasta, CA
6720 Reno, NV	1.0758
Washoe, NV
6740 Richland-Kennewick-Pasco, WA	1.0639
Benton, WA
Franklin, WA
6760 Richmond-Petersburg, VA	0.9402
Charles City County, VA
Chesterfield, VA
Colonial Heights City, VA
Dinwiddie, VA
Goochland, VA
Hanover, VA
Henrico, VA
Hopewell City, VA
New Kent, VA
Petersburg City, VA
Powhatan, VA
Prince George, VA
Richmond City, VA
6780 Riverside-San Bernardino, CA 1	1.1318
Riverside, CA
San Bernardino, CA
6800 Roanoke, VA	0.8759
Botetourt, VA
Roanoke, VA
Roanoke City, VA
Salem City, VA
6820 Rochester, MN	1.1802
Olmsted, MN
6840 Rochester, NY 1	0.9556
Genesee, NY
Livingston, NY
Monroe, NY
Ontario, NY
Orleans, NY
Wayne, NY
6880 Rockford, IL	0.9730
Boone, IL
Ogle, IL
Winnebago, IL
6895 Rocky Mount, NC	0.9058
Edgecombe, NC
Nash, NC
6920 Sacramento, CA 1	1.1911
El Dorado, CA
Placer, CA
Sacramento, CA
6960 Saginaw-Bay City-Midland, MI	0.9620
Bay, MI
Midland, MI
Saginaw, MI
6980 St. Cloud, MN	0.9723
Benton, MN
Stearns, MN
7000 St. Joseph, MO 2	0.7793
Andrew, MO
Buchanan, MO
7040 St. Louis, MO-IL 1	0.9049
Clinton, IL
Jersey, IL
Madison, IL
Monroe, IL
St. Clair, IL
Franklin, MO
Jefferson, MO
Lincoln, MO
St. Charles, MO
St. Louis, MO
St. Louis City, MO
Warren, MO
7080 Salem, OR	1.0594
Marion, OR
Polk, OR
7120 Salinas, CA	1.4435
Monterey, CA
7160 Salt Lake City-Ogden, UT 1	0.9899
Davis, UT
Salt Lake, UT
Weber, UT
7200 San Angelo, TX	0.8288
Tom Green, TX
7240 San Antonio, TX 1	0.8876
Bexar, TX
Comal, TX
Guadalupe, TX
Wilson, TX
7320 San Diego, CA 1	1.1206
San Diego, CA
7360 San Francisco, CA 1	1.4349
Marin, CA
San Francisco, CA
San Mateo, CA
7400 San Jose, CA 1	1.4642
Santa Clara, CA
7440 San Juan-Bayamon, PR 1	0.4904
Aguas Buenas, PR
Barceloneta, PR
Bayamon, PR
Canovanas, PR
Carolina, PR
Catano, PR
Ceiba, PR
Comerio, PR
Corozal, PR
Dorado, PR
Fajardo, PR
Florida, PR
Guaynabo, PR
Humacao, PR
Juncos, PR
Los Piedras, PR
Loiza, PR
Luguillo, PR
Manati, PR
Morovis, PR
Naguabo, PR
Naranjito, PR
Rio Grande, PR
San Juan, PR
Toa Alta, PR
Toa Baja, PR
Trujillo Alto, PR
Vega Alta, PR
Vega Baja, PR
Yabucoa, PR
7460 San Luis Obispo-Atascadero-Paso Robles, CA	1.1484
San Luis Obispo, CA
7480 Santa Barbara-Santa Maria-Lompoc, CA	1.0511
Santa Barbara, CA
7485 Santa Cruz-Watsonville, CA	1.3012
Santa Cruz, CA
7490 Santa Fe, NM	1.0639
Los Alamos, NM
Santa Fe, NM
7500 Santa Rosa, CA	1.2836
Sonoma, CA
7510 Sarasota-Bradenton, FL	0.9834
Manatee, FL
Sarasota, FL
7520 Savannah, GA	0.9556
Bryan, GA
Chatham, GA
Effingham, GA
7560 Scranton—Wilkes-Barre—Hazleton, PA 2	0.8429
Columbia, PA
Lackawanna, PA
Luzerne, PA
Wyoming, PA
7600 Seattle-Bellevue-Everett, WA 1	1.1557
Island, WA
King, WA
Snohomish, WA
7610 Sharon, PA 2	0.8429
Mercer, PA
7620 Sheboygan, WI 2	0.9130
Sheboygan, WI
7640 Sherman-Denison, TX	0.9508
Grayson, TX
7680 Shreveport-Bossier City, LA	0.9127
Bossier, LA
Caddo, LA
Webster, LA
7720 Sioux City, IA-NE	0.9052
Woodbury, IA
Dakota, NE
7760 Sioux Falls, SD	0.9371
Lincoln, SD
Minnehaha, SD
7800 South Bend, IN	0.9887
St. Joseph, IN
7840 Spokane, WA	1.0954
Spokane, WA
7880 Springfield, IL	0.9004
Menard, IL
Sangamon, IL
7920 Springfield, MO	0.8470
Christian, MO
Greene, MO
Webster, MO
8003 Springfield, MA 2	1.1234
Hampden, MA
Hampshire, MA
8050 State College, PA	0.8798
Centre, PA
8080 Steubenville-Weirton, OH-WV	0.8454
Jefferson, OH
Brooke, WV
Hancock, WV
8120 Stockton-Lodi, CA	1.1168
San Joaquin, CA
8140 Sumter, SC 2	0.8489
Sumter, SC
8160 Syracuse, NY	0.9482
Cayuga, NY
Madison, NY
Onondaga, NY
Oswego, NY
8200 Tacoma, WA 2	1.0242
Pierce, WA
8240 Tallahassee, FL 2	0.8782
Gadsden, FL
Leon, FL
8280 Tampa-St. Petersburg-Clearwater, FL 1	0.9111
Hernando, FL
Hillsborough, FL
Pasco, FL
Pinellas, FL
8320 Terre Haute, IN 2	0.8770
Clay, IN
Vermillion, IN
Vigo, IN
8360 Texarkana, AR-Texarkana, TX	0.8198
Miller, AR
Bowie, TX
8400 Toledo, OH	0.9551
Fulton, OH
Lucas, OH
Wood, OH
8440 Topeka, KS	0.9021
Shawnee, KS
8480 Trenton, NJ	1.0556
Mercer, NJ
8520 Tucson, AZ	0.8958
Pima, AZ
8560 Tulsa, OK	0.9093
Creek, OK
Osage, OK
Rogers, OK
Tulsa, OK
Wagoner, OK
8600 Tuscaloosa, AL	0.8239
Tuscaloosa, AL
8640 Tyler, TX	0.8789
Smith, TX
8680 Utica-Rome, NY 2	0.8530
Herkimer, NY
Oneida, NY
8720 Vallejo-Fairfield-Napa, CA	1.3500
Napa, CA
Solano, CA
8735 Ventura, CA	1.0472
Ventura, CA
8750 Victoria, TX	0.8105
Victoria, TX
8760 Vineland-Millville-Bridgeton, NJ	1.0475
Cumberland, NJ
8780 Visalia-Tulare-Porterville, CA 2	0.9907
Tulare, CA
8800 Waco, TX	0.8449
McLennan, TX
8840 Washington, DC-MD-VA-WV 1	1.0707
District of Columbia, DC
Calvert, MD
Charles, MD
Frederick, MD
Montgomery, MD
Prince Georges, MD
Alexandria City, VA
Arlington, VA
Clarke, VA
Culpepper, VA
Fairfax, VA
Fairfax City, VA
Falls Church City, VA
Fauquier, VA
Fredericksburg City, VA
King George, VA
Loudoun, VA
Manassas City, VA
Manassas Park City, VA
Prince William, VA
Spotsylvania, VA
Stafford, VA
Warren, VA
Berkeley, WV
Jefferson, WV
8920 Waterloo-Cedar Falls, IA	0.8422
Black Hawk, IA
8940 Wausau, WI	0.9806
Marathon, WI
8960 West Palm Beach-Boca Raton, FL 1	0.9784
Palm Beach, FL
9000 Wheeling, WV-OH 2 (WV Hospitals)	0.8008
Belmont, OH
Marshall, WV
Ohio, WV
9000 Wheeling, WV-OH 2 (OH Hospitals)	0.8756
Belmont, OH
Marshall, WV
Ohio, WV
9040 Wichita, KS	0.9300
Butler, KS
Harvey, KS
Sedgwick, KS
9080 Wichita Falls, TX	0.8407
Archer, TX
Wichita, TX
9140 Williamsport, PA 2	0.8429
Lycoming, PA
9160 Wilmington-Newark, DE-MD	1.0955
New Castle, DE
Cecil, MD
9200 Wilmington, NC	0.9604
New Hanover, NC
Brunswick, NC
9260 Yakima, WA	1.0320
Yakima, WA
9270Yolo, CA 2	0.9907
Yolo, CA
9280 York, PA	0.9154
York, PA
9320 Youngstown-Warren, OH	0.9273
Columbiana, OH
Mahoning, OH
Trumbull, OH
9340 Yuba City, CA	1.0264
Sutter, CA
Yuba, CA
9360 Yuma, AZ	0.8954
Yuma, AZ
1 Large urban area.
2 Hospitals geographically located in the area are assigned the statewide rural wage index for FY 2004.

Addendum I.—Wage Index for Rural Areas

Nonurban area	Wage index
Alaska	1.1958
Arizona	0.8906
Arkansas	0.7746
California	0.9907
Colorado	0.8897
Connecticut	1.2199
Delaware	0.9669
Florida	0.8782
Georgia	0.8365
Hawaii	0.9896
Idaho	0.8907
Illinois	0.8282
Indiana	0.8770
Iowa	0.8278
Kansas	0.7860
Kentucky	0.7924
Louisiana	0.7565
Maine	0.8995
Maryland	0.9175
Massachusetts	1.1234
Michigan	0.8807
Minnesota	0.9243
Mississippi	0.7810
Missouri	0.7793
Montana	0.8530
Nebraska	0.8326
Nevada	0.9758
New Hampshire	0.9944
New Jersey1
New Mexico	0.8314
New York	0.8530
North Carolina	0.8355
North Dakota	0.7536
Ohio	0.8756
Oklahoma	0.7577
Oregon	0.9939
Pennsylvania	0.8429
Puerto Rico	0.4037
Rhode Island1
South Carolina	0.8489
South Dakota	0.8093
Tennessee	0.7945
Texas	0.7673
Utah	0.9034
Vermont	0.9401
Virginia	0.8542
Washington	1.0242
West Virginia	0.8008
Wisconsin	0.9130
Wyoming	0.9137
1 All counties within the State are classified as urban.

Addendum J.—Wage Index for Hospitals That are Reclassified

Area	Wage index
Akron, OH	0.9445
Albany, GA	1.0643
Albuquerque, NM	0.9431
Alexandria, LA	0.8087
Altoona, PA	0.8886
Amarillo, TX	0.8814
Anchorage, AK	1.2433
Ann Arbor, MI	1.0859
Anniston, AL	0.8025
Asheville, NC	0.9503
Athens, GA	0.9437
Atlanta, GA	0.9912
Atlantic-Cape May, NJ	1.0597
Augusta-Aiken, GA-SC	0.9491
Austin-San Marcos, TX	0.9551
Bangor, ME	0.9750
Barnstable-Yarmouth, MA	1.2703
Baton Rouge, LA	0.8271
Bellingham, WA	1.1834
Benton Harbor, MI	0.8949
Bergen-Passaic, NJ	1.1655
Billings, MT	0.8889
Biloxi-Gulfport-Pascagoula, MS	0.8449
Binghamton, NY	0.8433
Birmingham, AL	0.9251
Bismarck, ND	0.8101
Bloomington-Normal, IL	0.8954
Boise City, ID	0.9295
Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH	1.1269
Burlington, VT	0.9442
Caguas, PR	0.4229
Casper, WY	0.9239
Champaign-Urbana, IL	0.9385
Charleston-North Charleston, SC	0.9307
Charleston, WV (WV Hospitals)	0.8510
Charleston, WV (OH Hospitals)	0.8756
Charlotte-Gastonia-Rock Hill, NC-SC	0.9636
Charlottesville, VA	0.9946
Chattanooga, TN-GA	0.8985
Chicago, IL	1.0863
Cincinnati, OH-KY-IN	0.9452
Clarksville-Hopkinsville, TN-KY	0.8410
Cleveland-Lorain-Elyria, OH	0.9686
Columbia, MO	0.8607
Columbia, SC	0.8958
Columbus, GA-AL	0.8505
Columbus, OH	0.9649
Corpus Christi, TX	0.8565
Corvallis, OR	1.1316
Dallas, TX	0.9733
Davenport-Moline-Rock Island, IA-IL	0.8727
Dayton-Springfield, OH	0.9432
Decatur, AL	0.8633
Denver, CO	1.0581
Des Moines, IA	0.9053
Detroit, MI	1.0097
Dothan, AL	0.7931
Dover, DE	0.9669
Duluth-Superior, MN-WI	1.0133
Dutchess County, NY	1.0769
Eau Claire, WI	0.9141
Elkhart-Goshen, IN	0.9613
Erie, PA	0.8530
Eugene-Springfield, OR	1.0889
Fargo-Moorhead, ND-MN	0.9444
Fayetteville, NC	0.8957
Flagstaff, AZ-UT	1.1086
Flint, MI	1.0929
Florence, AL	0.7824
Florence, SC	0.8763
Fort Collins-Loveland, CO	1.0201
Ft. Lauderdale, FL	1.0534
Fort Pierce-Port St. Lucie, FL	1.0227
Fort Smith, AR-OK	0.7577
Fort Walton Beach, FL	0.8700
Forth Worth-Arlington, TX	0.9268
Gadsden, AL	0.8295
Grand Forks, ND-MN (ND Hospitals)	0.9031
Grand Forks, ND-MN (MN Hospitals)	0.9243
Grand Junction, CO	0.9940
Grand Rapids-Muskegon-Holland, MI	0.9406
Great Falls, MT	0.8977
Greeley, CO	0.9516
Green Bay, WI	0.9201
Greensboro-Winston-Salem-High Point, NC (NC Hospitals)	0.8533
Greensboro-Winston-Salem-High Point, NC (VA Hospitals)	0.8542
Greenville, NC	0.9621
Hamilton-Middletown, OH	0.9236
Harrisburg-Lebanon-Carlisle, PA	0.9178
Hartford, CT (MA Hospitals)	1.1234
Hartford, CT (NY Hospitals)	1.1211
Hattiesburg, MS	0.7810
Hickory-Morganton-Lenoir, NC	0.8987
Honolulu, HI	1.1176
Houston, TX	0.9591
Huntington-Ashland, WV-KY-OH	0.9080
Huntsville, AL	0.8954
Indianapolis, IN	0.9934
Iowa City, IA	0.9460
Jackson, MS	0.8459
Jackson, TN	0.8602
Jacksonville, FL	0.9426
Johnson City-Kingsport-Bristol, TN-VA (VA Hospitals)	0.8542
Johnson City-Kingsport-Bristol, TN-VA (KY Hospitals)	0.8371
Jonesboro, AR (AR Hospitals)	0.7755
Jonesboro, AR (MO Hospitals)	0.7793
Joplin, MO	0.8621
Kalamazoo-Battlecreek, MI	1.0554
Kansas City, KS-MO	0.9551
Knoxville, TN	0.8987
Kokomo, IN	0.8963
Lafayette, LA	0.8271
Lakeland-Winter Haven, FL	0.8782
Las Vegas, NV-AZ	1.1341
Lawton, OK	0.8194
Lexington, KY	0.8424
Lima, OH	0.9457
Lincoln, NE	0.9613
Little Rock-North Little Rock, AR	0.8905
Longview-Marshall, TX	0.8969
Los Angeles-Long Beach, CA	1.1656
Louisville, KY-IN	0.9056
Lubbock, TX	0.8330
Lynchburg, VA	0.9004
Macon, GA	0.9011
Madison, WI	1.0108
Medford-Ashland, OR	1.0494
Melbourne-Titusville-Palm Bay, FL	0.9837
Memphis, TN-AR-MS	0.9010
Miami, FL	0.9888
Milwaukee-Waukesha, WI	0.9760
Minneapolis-St. Paul, MN-WI	1.1064
Missoula, MT	0.8943
Mobile, AL	0.7948
Modesto, CA	1.1183
Monmouth-Ocean, NJ	1.1094
Monroe, LA	0.7978
Montgomery, AL	0.7856
Nashville, TN	0.9582
New Haven-Bridgeport-Stamford-Waterbury-Danbury, CT	1.2525
New Orleans, LA	0.9167
New York, NY	1.3867
Newark, NJ	1.1417
Newburgh, NY-PA	1.1377
Norfolk-Virginia Beach-Newport News, VA-NC	0.8659
Oakland, CA	1.5204
Ocala, FL	0.9646
Odessa-Midland, TX	0.9156
Oklahoma City, OK	0.9027
Olympia, WA	1.1030
Omaha, NE-IA	0.9744
Orange County, CA	1.1235
Orlando, FL	0.9612
Peoria-Pekin, IL	0.8811
Philadelphia, PA-NJ	1.0947
Phoenix-Mesa, AZ	1.0213
Pine Bluff, AR	0.7810
Pittsburgh, PA	0.8788
Pittsfield, MA	0.9861
Pocatello, ID (ID Hospitals)	0.9103
Pocatello, ID (WY Hospitals)	0.9137
Portland, ME	0.9784
Portland-Vancouver, OR-WA	1.1193
Provo-Orem, UT	0.9912
Raleigh-Durham-Chapel Hill, NC	0.9756
Rapid City, SD	0.8865
Reading, PA	0.8910
Redding, CA	1.1357
Reno, NV	1.0758
Richland-Kennewick-Pasco, WA	1.0639
Richmond-Petersburg, VA	0.9402
Roanoke, VA	0.8759
Rochester, MN	1.1802
Rockford, IL	0.9500
Sacramento, CA	1.1911
Saginaw-Bay City-Midland, MI	0.9470
St. Cloud, MN	0.9723
St. Joseph, MO	0.9694
St. Louis, MO-IL	0.9049
Salinas, CA	1.4435
Salt Lake City-Ogden, UT	0.9899
San Antonio, TX	0.8876
Santa Fe, NM	0.9543
Santa Rosa, CA	1.2836
Sarasota-Bradenton, FL	0.9834
Savannah, GA	0.9556
Seattle-Bellevue-Everett, WA	1.1557
Sherman-Denison, TX	0.9084
Shreveport-Bossier City, LA	0.9127
Sioux City, IA-NE	0.8806
Sioux Falls, SD	0.9246
South Bend, IN	0.9780
Spokane, WA	1.0770
Springfield, IL	0.9004
Springfield, MO	0.8269
Stockton-Lodi, CA	1.1168
Syracuse, NY	0.9381
Tampa-St. Petersburg-Clearwater, FL	0.9111
Texarkana, AR-Texarkana, TX	0.8018
Toledo, OH	0.9551
Topeka, KS	0.8791
Tucson, AZ	0.8958
Tulsa, OK	0.8876
Tuscaloosa, AL	0.8134
Tyler, TX	0.8789
Vallejo-Fairfield-Napa, CA	1.3500
Victoria, TX	0.8105
Waco, TX	0.8449
Washington, DC-MD-VA-WV	1.0707
Waterloo-Cedar Falls, IA	0.8422
Wausau, WI	0.9806
West Palm Beach-Boca Raton, FL	0.9784
Wichita, KS	0.9053
Wichita Falls, TX	0.8407
Wilmington-Newark, DE-MD	1.0782
Wilmington, NC	0.9402
York, PA	0.9154
Youngstown-Warren, OH	0.9273
Rural Alabama	0.7517
Rural Florida	0.8782
Rural Illinois	0.8282
Rural Kentucky	0.7924
Rural Louisiana	0.7565
Rural Michigan	0.8807
Rural Minnesota	0.9243
Rural Mississippi	0.7810
Rural Missouri	0.7793
Rural Nebraska	0.8326
Rural New Hampshire	0.9944
Rural Texas	0.7673
Rural Washington	1.0242
Rural Wyoming	0.9020

Addendum L.—Packaged Nonchemotherapy Infusion Drugs Calendar Year 2004

HCPCS	Descriptor
J0706	Caffeine citrate injection
J1260	Dolasetron mesylate
J1325	Epoprostenol injection
J1436	Etidronate disodium inj
J1570	Ganciclovir sodium injection
J1626	Granisetron HCl injection
J2020	Linezolid injection
J2260	Inj milrinone lactate, per 5
J2275	Morphine sulfate injection
J2405	Ondansetron hcl injection
J2765	Metoclopramide hcl injection
J2770	Quinupristin/dalfopristin
J2820	Sargramostim injection
J2997	Alteplase recombinant
J3010	Fentanyl citrate injeciton
J7501	Azathioprine parenteral
J7516	Cyclosporin parenteral 250mg
J7525	Tacrolimus injection
Q2003	Aprotinin, 10,000 kiu
Q2007	Ethanolamine oleate 100 mg
Q2009	Fosphenytoin, 50 mg
Q2013	Pentastarch 10% solution
Q2021	Lepirudin

Addendum M.—Separately Paid Nonchemotology Infusion Drugs Calendar Year 2004

HCPCS	Descriptor
C1178	BUSULFAN IV, 6 Mg
C9019	Caspofungin acetate, 5 mg
C9109	Tirofiban hcl, 6.25 mg
J0130	Abciximab injection
J0151	Adenosine injection
J0286	Amphotericin B lipid complex
J0350	Injection anistreplase 30 u
J0850	Cytomegalovirus imm IV /vial
J1327	Eptifibatide injection
J1440	Filgrastim 300 mcg injection
J1441	Filgrastim 480 mcg injection
J1561	Immune globulin 500 mg
J1563	Immune globulin, 1 g
J1564	Immune globulin 10 mg
J1565	RSV-ivig
J1745	Infliximab injection
J2792	Rho(D) immune globulin h, sd
J2993	Reteplase injection
J2995	Inj streptokinase /250000 IU
J3245	Tirofiban hydrochloride
J3305	Inj trimetrexate glucoronate
J3365	Urokinase 250,000 IU inj
J3395	Verteporfin injection
J7197	Antithrombin iii injection
J7504	Lymphocyte immune globulin
J7511	Antithymocyte globuln rabbit
J9200	Floxuridine injection
J9600	Porfimer sodium
P9041	Albumin (human),5%, 50ml
P9045	Albumin (human), 5%, 250 ml
P9046	Albumin (human), 25%, 20 ml
P9047	Albumin (human), 25%, 50ml
Q2006	Digoxin immune fab (ovine)
Q2008	Fomepizole, 15 mg
Q2011	Hemin, per 1 mg

Addendum N.—Packaged Chemotherapy Drug Other Than Infusion Calendar Year 2004

HCPCS	Short descriptor
J9000	Doxorubic hcl 10 MG vl chemo
J9190	Fluorouracil injection
J9212	Interferon alfacon-1
J9213	Interferon alfa-2a inj
J9230	Mechlorethamine hcl inj
J9250	Methotrexate sodium inj
J9360	Vinblastine sulfate inj
J9370	Vincristine sulfate 1 MG inj

Addendum O.—Separately Paid Chemotherapy Drugs Other than Infusion Calendar Year 2004

HCPCS	Short descriptor
J2352	Octreotide acetate injection
J9202	Goserelin acetate implant
J9214	Interferon alfa-2b inj
J9217	Leuprolide acetate suspnsion
J9218	Leuprolide acetate inj
J9219	Leuprolide acetate implant

Addendum P.—Packaged Chemotherapy Drugs Infusion Only Calendar Year 2004

HCPCS	Short descriptor
C1166	CYTARABINE LIPOSOMAL, 10 mg
J1620	Gonadorelin hydroch/100 mcg
J9020	Asparaginase injection
J9031	Bcg live intravesical vac
J9070	Cyclophosphamide 100 MG inj
J9093	Cyclophosphamide lyophilized
J9100	Cytarabine hcl 100 MG inj
J9120	Dactinomycin actinomycin d
J9130	Dacarbazine 10 MG inj
J9181	Etoposide 10 MG inj
J9270	Plicamycin (mithramycin) inj
J9340	Thiotepa injection

Addendum Q.—Separately Paid Chemotherapy Drugs Infusion Only Calendar Year 2004

HCPCS	Short descriptor
C1167	EPIRUBICIN HCL, 2 mg
C1207	OCTREOTIDE ACETATE DEPOT 1mg
C9110	Alemtuzumab, per 10mg/ml
J0207	Amifostine
J1190	Dexrazoxane HCl injection
J1950	Leuprolide acetate /3.75 MG
J2355	Oprelvekin injection
J2430	Pamidronate disodium /30 MG
J9001	Doxorubicin hcl liposome inj
J9015	Aldesleukin/single use vial
J9017	Arsenic trioxide
J9040	Bleomycin sulfate injection
J9045	Carboplatin injection
J9050	Carmus bischl nitro inj
J9060	Cisplatin 10 MG injection
J9065	Inj cladribine per 1 MG
J9150	Daunorubicin
J9151	Daunorubicin citrate liposom
J9160	Denileukin diftitox, 300 mcg
J9165	Diethylstilbestrol injection
J9170	Docetaxel
J9185	Fludarabine phosphate inj
J9201	Gemcitabine HCl
J9206	Irinotecan injection
J9208	Ifosfomide injection
J9209	Mesna injection
J9211	Idarubicin hcl injection
J9245	Inj melphalan hydrochl 50 MG
J9265	Paclitaxel injection
J9266	Pegaspargase/singl dose vial
J9268	Pentostatin injection
J9280	Mitomycin 5 MG inj
J9293	Mitoxantrone hydrochl/5 MG
J9300	Gemtuzumab ozogamicin
J9310	Rituximab cancer treatment
J9320	Streptozocin injection
J9350	Topotecan
J9355	Trastuzumab
J9357	Valrubicin, 200 mg
J9390	Vinorelbine tartrate/10 mg
Q2017	Teniposide, 50 mg