03-20662. Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004
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AGENCY:
Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION:
Proposed rule.
SUMMARY:
This proposed rule would refine the resource-based practice expense relative value units (RVUs) and make other changes to Medicare Part B payment policy. The policy changes concern: Medicare Economic Index, practice expense for professional component services, definition of diabetes for diabetes self-management training, supplemental survey data for practice expense, geographic practice cost indices, and several coding issues.
We are proposing these changes to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We solicit comments on these proposed policy changes.
We also discuss the non-physician work-pool, the 5-year review of anesthesia services, and outpatient therapy services performed “incident to” physician services.
DATES:
We will consider comments if we receive them at the address, provided below, no later than 5 p.m. on October 7, 2003.
ADDRESSES:
In commenting, please refer to file code CMS-1476-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-1476-P, P.O. Box 8013, Baltimore, MD 21244-8013. Please allow sufficient time for us to receive mailed comments on time in the event of delivery delays.
If you prefer, you may deliver (by hand or courier) your written comments (one original and two copies) to one of the following addresses: Room 445-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201, or Room C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244-1850.
(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.
For information on viewing public comments, see the beginning of the SUPPLEMENTARY INFORMATION section.
Start Further InfoFOR FURTHER INFORMATION CONTACT:
Gail Addis (410) 786-4522 (for issues related to repricing of supplies for practice expense inputs.)
Pam West (410) 786-2302 (for issues related to Practice Expense Advisory Committee (PEAC) recommendations.)
Jim Menas (410) 786-4507 (for issues related to anesthesia).
Rick Ensor (410) 786-5617 (for issues related to Geographic Cost Price Index (GPCI)).
Mary Stojak (410) 786-6939 (for issues related to the definition of diabetes for diabetes self-management training (DSMT)).
Shannon Martin (410) 786-7939 (for issues related to rebasing of the Medicare Economic Index (MEI)).
Dorothy Shannon (410) 786-3396 (for issues related to the “Incident To” Therapy Discussion).
Diane Milstead (410) 786-3355, Latesha Walker (410) 786-1101, or Gaysha Brooks (410) 786-3355 (for all other issues).
End Further Info End Preamble Start Supplemental InformationSUPPLEMENTARY INFORMATION:
Inspection of Public Comments: Comments received timely will be available for public inspection as they are processed, generally beginning approximately 3 weeks after publication of a document, at the headquarters of the Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, Maryland 21244, Monday through Friday of each week from 8:30 a.m. to 4 p.m. To schedule an appointment to view public comments, phone (410) 786-7197.
Copies: To order copies of the Federal Register containing this document, send your request to: New Orders, Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify the date of the issue requested and enclose a check or money order payable to the Superintendent of Documents, or enclose your Visa or Master Card number and expiration date. Credit card orders can also be placed by calling the order desk at (202) 512-1800 (or toll-free at 1-888-293-6498) or by faxing to (202) 512-2250. The cost for each copy is $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.
Information on the physician fee schedule can be found on our homepage. You can access this data by using the following directions:
1. Go to the CMS homepage (http://www.cms.hhs.gov).
2. Place your cursor over the word “Professionals” in the blue area near the top of the page. Select “physicians” from the drop-down menu.
3. Under “Policies/Regulations” select “Physician Fee Schedule.”
Or, you can go directly to the Physician Fee Schedule page by typing the following: http://www.cms.hhs.gov/physicians/pfs.
To assist readers in referencing sections contained in this preamble, we are providing the following table of contents. Some of the issues discussed in this preamble affect the payment policies but do not require changes to the regulations in the Code of Federal Regulations. Information on the regulation's impact appears throughout the preamble and is not exclusively in section VII.
Table of Contents
I. Background
A. Legislative History
B. Published Changes to the Fee Schedule
II. Provisions of the Proposed Regulation
A. Resource-Based Practice Expense Relative Value Units
1. Resource-Based Practice Expense Legislation
2. Current Methodology
3. Practice Expense Proposals for Calendar Year 2004
B. Geographic Practice Cost Indices (GPCIs)
C. Coding Issues
III. Other Issues
A. Rebasing of the Medicare Economic Index (MEI)
B. Definition of Diabetes for Diabetes Self-Management Training (DSMT)
C. Outpatient Therapy Services Performed “Incident To” Physicians Services
D. Status of Anesthesia Work and 5-Year Review
E. Payment Policies for Anesthesia ServicesStart Printed Page 49031
F. Technical Correction
IV. Collection of Information Requirements
V. Response to Comments
VI. Regulatory Impact Analysis
Addendum A—Explanation and Use of Addendum B
Addendum B—2004 Relative Value Units and Related Information Used in Determining Medicare Payments for 2004.
Addendum C—Codes for Which We Received PEAC Recommendations on Practice Expense Direct Cost Inputs.
Addendum D—Proposed Changes to Practice Expense Supply Description and Pricing.
In addition, because of the many organizations and terms to which we refer by acronym in this proposed rule, we are listing these acronyms and their corresponding terms in alphabetical order below:
AMA American Medical Association
BBA Balanced Budget Act of 1997
BBRA Balanced Budget Refinement Act of 1999
CF Conversion factor
CFR Code of Federal Regulations
CMS Centers for Medicare & Medicaid Services
CNS Clinical Nurse Specialist
CPT [Physicians'] Current Procedural Terminology [4th Edition, 2002, copyrighted by the American Medical Association]
CPEP Clinical Practice Expert Panel
CRNA Certified Registered Nurse Anesthetist
E/M Evaluation and management
FMR Fair market rental
GAF Geographic adjustment factor
GPCI Geographic practice cost index
HCPCS Healthcare Common Procedure Coding System
HHA Home health agency
HHS [Department of] Health and Human Services
IDTFs Independent Diagnostic Testing Facilities
MCM Medicare Carrier Manual
MedPAC Medicare Payment Advisory Commission
MEI Medicare Economic Index
MGMA Medical Group Management Association
MPFS Medicare Physician Fee Schedule
MSA Metropolitan Statistical Area
NAMCS National Ambulatory Medical Care Survey
PC Professional component
PEAC Practice Expense Advisory Committee
PPS Prospective payment system
RUC [AMA's Specialty Society] Relative [Value] Update Committee
RVU Relative value unit
SGR Sustainable growth rate
SMS [AMA's] Socioeconomic Monitoring System
SNF Skilled Nursing Facility
TC Technical component
I. Background
A. Legislative History
Since January 1, 1992, Medicare has paid for physicians' services under section 1848 of the Social Security Act (the Act), “Payment for Physicians' Services.” This section provides for three major elements: (1) A fee schedule for the payment of physicians' services; (2) limits on the amounts that nonparticipating physicians can charge beneficiaries; and (3) a sustainable growth rate for the rates of increase in Medicare expenditures for physicians' services. The Act requires that payments under the fee schedule be based on national uniform relative value units (RVUs) based on the resources used in furnishing a service. Section 1848(c) of the Act requires that national RVUs be established for physician work, practice expense, and malpractice expense. Section 1848(c)(2)(B)(ii)(II) of the Act provides that adjustments in RVUs may not cause total physician fee schedule payments to differ by more than $20 million from what they would have been had the adjustments not been made. If adjustments to RVUs cause expenditures to change by more than $20 million, we must make adjustments to ensure that they do not increase or decrease by more than $20 million.
B. Published Changes to the Fee Schedule
In the July 2000 proposed rule, (65 FR 44177), we listed all of the final rules published through November 1999. In the August 2001 proposed rule (66 FR 40372) we discussed the November 2000 final rule relating to the updates to the RVUs and revisions to payment policies under the physician fee schedule.
In the November 2001 final rule with comment period (66 FR 55246), we made revisions to resource-based practice expense RVUs; services and supplies incident to a physician's professional service; anesthesia base unit variations; recognition of CPT tracking codes; and nurse practitioners, physician assistants, and clinical nurse specialists performing screening sigmoidoscopies. We also addressed comments received on the June 8, 2001 proposed notice (66 FR 31028) for the 5-year review of work RVUs and finalized these work RVUs. In addition, we acknowledged comments received in response to a discussion of modifier-62, which is used to report the work of co-surgeons. The November 2001 final rule also updated the list of services that are subject to the physician self-referral prohibitions in order to reflect CPT and Healthcare Common Procedure Coding System (HCPCS) code changes that were effective January 1, 2002. All these revisions ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. This final rule also conformed our regulations to reflect statutory provisions of Medicare, Medicaid, and State Child Health Insurance Program (SCHIP) Benefits Improvement and Protection Act of 2000 (Pub. L. 106-554) (BIPA) concerning: The mammography screening benefit; biennial screening pelvic examinations for certain beneficiaries; expanded coverage for screening colonoscopies to all beneficiaries; provided for annual glaucoma screenings for high-risk beneficiaries; established coverage for medical nutrition therapy services for certain beneficiaries; expanded payment for telehealth services; required certain Indian Health Service providers to be paid for some services under the physician fee schedule; and revised the payment for certain physician pathology services.
In the December 31, 2002 final rule with comment period (67 FR 79966), we refined resource-based practice expense RVUs and made other changes to Medicare Part B policy. These included: The pricing of the technical component for positron emission tomography (PET) scans, Medicare qualifications for clinical nurse specialists, a process to add or delete services to the definition of telehealth, the definition for ZZZ global periods, global period for surface radiation, and application of endoscopic reduction rules for certain codes. In addition, this rule: Updated the codes subject to physician self-referral prohibitions, expanded the definition of a screening fecal-occult blood test, and modified our regulations to expand coverage for additional colorectal cancer screening tests through our national coverage determination process. We also made revisions to the sustainable growth rate, the anesthesia conversion factor (CF), and the work values for some gastroenterologic services. We finalized the CY 2002 interim RVUs and assigned interim RVUs for new and revised procedure codes for calendar year CY 2003, clarified the enrollment of therapists in private practice and the policy regarding services and supplies incident to a physician's professional services, and made technical changes to the definition of outpatient rehabilitation services.
This final rule also revised the regulations at 42 CFR 485.618 to allow registered nurses (RNs) to provide Start Printed Page 49032emergency care in certain critical access hospitals (CAHs) in frontier areas (an area with fewer than six residents per square mile) or remote locations (locations designated in a State's rural health plan that we have approved).
As required by statute this final rule also announced that the physician fee schedule update for CY 2003 was −4.4 percent, the initial estimate of the sustainable growth rate (SGR) for CY 2003 was 7.6 percent, and the CF for CY 2003 was $34.5920, effective March 1, 2003. However, on February 28, 2003 (68 FR 9567), after enactment of the Consolidated Appropriations Resolution of 2003 (Pub. L. 108-7), we published a final rule that revised the estimates used to establish the SGRs for fiscal years 1998 and 1999 and announced a 1.6 percent increase in the CY 2003 physician fee schedule CF for March 1 to December 31, 2003. The CF from March 1 to December 31, 2003 is $36.7856. The anesthesia CF for this period is $17.05. All other provisions of the December 31, 2002 final rule were unchanged by the rule published February 28, 2003.
II. Provisions of the Proposed Rule
This proposed rule would affect the regulations set forth at Part 410, Supplementary medical insurance (SMI) benefits and part 414, Payment for Part B and other health services.
A. Resource-Based Practice Expense Relative Value Units
1. Resource-Based Practice Expense Legislation
Section 121 of the Social Security Act Amendments of 1994 (Pub. L. 103-432), enacted on October 31, 1994, required us to develop a methodology for a resource-based system for determining practice expense RVUs for each physician's service beginning in 1998. In developing the methodology, we were to consider the staff, equipment, and supplies used in providing medical and surgical services in various settings. The legislation specifically required that, in implementing the new system of practice expense RVUs, we apply the same budget-neutrality provisions that we apply to other adjustments under the physician fee schedule.
Section 4505(a) of the Balanced Budget Act of 1997 (BBA) (Pub. L. 105-33), enacted on August 5, 1997, amended section 1848(c)(2)(ii) of the Act and delayed the effective date of the resource-based practice expense RVU system until January 1, 1999. In addition, section 4505(b) of the BBA provided for a 4-year transition period from charge-based practice expense RVUs to resource-based RVUs.
Further legislation affecting resource-based practice expense RVUs was included in the Medicare, Medicaid and State Child Health Insurance Program (SCHIP) Balanced Budget Refinement Act of 1999 (BBRA) (Pub. L. 106-113) enacted on November 29, 1999. Section 212 of the BBRA amended section 1848(c)(2)(ii) of the Act by directing us to establish a process under which we accept and use, to the maximum extent practicable and consistent with sound data practices, data collected or developed by entities and organizations. These data would supplement the data we normally collect in determining the practice expense component of the physician fee schedule for payments in CY 2001 and CY 2002. (In the 1999 final rule (64 FR 59380), we extended, for an additional 2 years, the period during which we would accept supplementary data.)
2. Current Methodology for Computing the Practice Expense Relative Value Unit System
Effective with services furnished on or after January 1, 1999, we established a new methodology for computing resource-based practice expense RVUs that used the two significant sources of actual practice expense data we have available—the Clinical Practice Expert Panel (CPEP) data and the American Medical Association's (AMA) Socioeconomic Monitoring System (SMS) data. The methodology was based on an assumption that current aggregate specialty practice costs are a reasonable way to establish initial estimates of relative resource costs for physicians' services across specialties. The methodology allocated these aggregate specialty practice costs to specific procedures and, thus, can be seen as a “top-down” approach.
a. Major Steps
A brief discussion of the major steps involved in the determination of the practice expense RVUs follows. (Please see the November 1, 2001 final rule (66 FR 55249) for a more detailed explanation of the top-down methodology.)
- Step 1—Determine the specialty specific practice expense per hour of physician direct patient care. We used the AMA's SMS survey of actual aggregate cost data by specialty to determine the practice expenses per hour for each specialty. We calculated the practice expenses per hour for the specialty by dividing the aggregate practice expenses for the specialty by the total number of hours spent in patient care activities.
- Step 2—Create a specialty specific practice expense pool of practice expense costs for treating Medicare patients. To calculate the total number of hours spent treating Medicare patients for each specialty, we used the physician time assigned to each procedure code and the Medicare utilization data. We then calculated the specialty specific practice expense pools by multiplying the specialty practice expenses per hour by the total physician hours.
- Step 3—Allocate the specialty specific practice expense pool to the specific services performed by each specialty. For each specialty, we divided the practice expense pool into two groups based on whether direct or indirect costs were involved and used a different allocation basis for each group.
(i) Direct costs—For direct costs (which include clinical labor, medical supplies, and medical equipment), we used the procedure specific CPEP data on the staff time, supplies, and equipment as the allocation basis.
(ii) Indirect costs—To allocate the cost pools for indirect costs, including administrative labor, office expenses, and all other expenses, we used the total direct costs combined with the physician fee schedule work RVUs. We converted the work RVUs to dollars using the Medicare CF (expressed in 1995 dollars for consistency with the SMS survey years).
- Step 4—For procedures performed by more than one specialty, the final procedure code allocation was a weighted average of allocations for the specialties that perform the procedure, with the weights being the frequency with which each specialty performs the procedure on Medicare patients.
b. Other Methodological Issues
(i) Non-Physician Work Pool
For services with physician work RVUs equal to zero (including the technical components of radiology services and other diagnostic tests), we created a separate practice expense pool using the average clinical staff time from the CPEP data and the “all physicians” practice expense per hour.
We then used the adjusted 1998 practice expense RVUs to allocate this pool to each service. We have removed services from the non-physician work pool if the requesting specialty predominates utilization of the service. Also, for all radiology services that are assigned physician work RVUs, we used the adjusted 1998 practice expense RVUs for radiology services as an Start Printed Page 49033interim measure to allocate the direct practice expense cost pool for radiology.
(ii) Crosswalks for Specialties Without Practice Expense Survey Data
Since many specialties identified in our claims data did not correspond exactly to the specialties included in the SMS survey data, it was necessary to crosswalk these specialties to the most appropriate SMS specialty.
(iii) Physical Therapy Services
Because we believe that most physical therapy services furnished in physicians' offices are performed by physical therapists, we crosswalked all utilization for therapy services in the CPT 97000 series to the physical and occupational therapy practice expense pool.
3. Practice Expense Proposals for Calendar Year 2004
a. Non-Physician Work Pool
The non-physician work pool was created as an interim measure until we could further analyze the effect of the top-down methodology on the Medicare payment for services that do not have physician work RVUs (see the November 1998 final rule (63 FR 58841)).
In the June 28, 2002 proposed rule (67 FR 43849), we discussed alternatives that we have considered to address the non-physician work pool issue, including ideas raised by the Lewin Group as well as recommendations in a 2001 GAO report. While we have not reached a final resolution on how to best address this issue, we are continuing to study the alternatives that are available. We also believe that our proposal extending the deadline for the submission of supplemental survey data (see following discussion) will provide an opportunity for specialties whose services are affected by the non-physician work pool to submit practice expense data that can be used for determining practice expense RVUs under the physician fee schedule. Any modifications to the non-physician work pool would be published in proposed rulemaking.
b. Supplemental Practice Expense Survey Data
As required by the BBRA, we established criteria to evaluate data collected by organizations to supplement the data normally used in determining the practice expense component of the physician fee schedule. Due to the time constraints imposed by the statute for publication of the physician fee schedule final rule, we have required supplementary survey data to be submitted by August 1 to be considered for computing practice expense RVUs for the following year. We are proposing to change the required submission date to March 1. This would allow us to publish our decisions regarding survey data in the proposed rule and would provide an opportunity for public comment on survey results.
To continue to ensure the maximum opportunity for specialties to submit supplementary practice expense data, we are again proposing to extend for an additional 2 years the period for accepting survey data that meets the criteria set forth in the November 2000 final rule (as modified in the December 31, 2002 final rule). The deadline for submission of the supplemental data to be considered in CY 2005 and CY 2006 are March 1, 2004 and March 1, 2005, respectively.
In the December 31, 2002 final rule (67 FR 79979), we responded to comments expressing concern about the impact of making the technical component the difference between the global and professional component practice expense RVUs for services that are not affected by the non-physician work pool calculations. We agreed to a one-year moratorium on implementation of the proposed change for pathology services paid under the physician fee schedule to allow for a supplemental survey of independent laboratories. Consistent with the change to making the survey deadline March 1, we are considering whether to extend the moratorium by one additional year. By extending the moratorium, we can show the impact of the independent laboratory survey in the 2004 proposed rule and allow public comment on its results prior to making changes to the practice expense RVUs on January 1, 2005. We welcome public comment on whether we should adopt the proposed change for 2004 in this year's final rule or extend the moratorium by 1 year.
c. Oncology Survey Data
In the December 31, 2002 final rule (67 FR 79973), we indicated that the American Society of Clinical Oncology (ASCO) submitted a supplemental practice expense survey. Our contractor, the Lewin Group, raised specific concerns to us about the survey results. Consequently, we did not incorporate the survey into the practice expense methodology but indicated that we would further examine its results with the Lewin Group and confer with ASCO about our concerns. We have discussed the oncology survey together with the Lewin Group and ASCO. These discussions were useful in providing us with more information upon which to make a final decision regarding incorporation of the oncology survey into the practice expense methodology. We expect to make our decision known in a subsequent proposed rule that will address Medicare payment for drugs currently paid based on 95 percent of the average wholesale price.
d. Practice Expense for a Professional Component Service
Since the inception of the resource-based practice expense methodology, we have assigned all staff equipment and supply costs for services with professional and technical components (PC and TC) to the technical portion of the service. We have done this because we believe that generally all of these direct cost inputs are associated with obtaining the diagnostic information and there would be no direct costs associated with the physician interpretation. However, we now believe that there may be limited exceptions where it is appropriate to assign direct inputs to a PC service. For instance, the Practice Expense Advisory Committee (PEAC) recommended that we include clinical staff time in certain codes that have both a PC and TC component for activities such as scheduling the procedure and educating the patient when the procedure is done in the facility setting. We accepted these recommendations but, because the practice expense methodology currently does not assign direct inputs to PC services and the TC is not paid in the facility setting, these procedures were not credited with the recommended practice expense inputs.
We propose to modify the practice expense methodology to allow direct inputs to be added to PC services when these inputs are clearly associated with the professional service, including when the PEAC makes such recommendations. We are proposing to add the PEAC recommended staff times to the PC of the following cardiac services: CPT codes 93508, 93510, 93511, 93514, 93524, 93526, 93527, 93528, 93529, 93530, 93531, 93532, 93533 and 93624. The practice expense RVUs for these codes will increase slightly from this change resulting in minor reductions in practice expense RVUs for some other services performed by cardiologists. There will be no impact on the practice expense RVUs for any other specialty.
e. Utilization Data
We use Medicare utilization data in the development of specialty-specific practice expense RVUs that are then weight averaged to determine a single practice expense RVU per code. Prior to Start Printed Page 490342003, we used the most recent complete year of utilization data to determine the practice expense RVUs. For instance, we determined the 2001 practice expense RVUs using Medicare utilization data from 1999 for most procedure codes. However, if a procedure code was new in 2000, we did not have any 1999 utilization data to determine its 2001 practice expense RVU and could not use specialty-specific data until 2000 utilization data was available to us. In some cases, the new code was clearly related to an older code or codes and we were able to use an estimation of the probable specialty utilization for 2001 until actual specialty-specific utilization was available for 2002. Where we were not able to determine the probable specialty-specific utilization we assigned the “all physician” average practice expenses to the service until we obtained specialty-specific utilization. Thus, in this case, we used the “all physician average” to determine the code's 2001 practice expense RVU and specialty-specific utilization to determine the 2002 practice expense RVU.
In the December 31, 2002 final rule (67 FR 79982), we adopted a policy of using the 1997 through 2000 Medicare utilization in the practice expense methodology. For new codes created since 2000, there are no Medicare utilization data in the 1997 through 2000 period upon which to determine specialty-specific practice expenses. We are proposing to follow a similar practice to the one described above and use specialty-specific Medicare utilization data for codes created after 2000 at the first opportunity they become available to us. Therefore, we are proposing to use 1997 through 2000 Medicare utilization data for all codes that were in existence at that time. If a code did not exist during the 1997 through 2000 period, we propose using the first available utilization data for the code in order to develop the practice expense RVU. Since we will not have any utilization data at the time we first establish practice expense RVUs for a new code, we propose that we continue, whenever possible, to make an assumption about the specialty that will likely provide the service or to use the “all physician” average when we do not have sufficient information to assign any given specialty. We will make available on the CMS web site (http://cms.hhs.gov) files containing the data that we will use in determining the proposed rule practice expense RVUs. We propose in each year's proposed rule to substitute actual for estimated utilization once the data become available. For instance, in this proposed rule, we will substitute actual 2002 utilization data for estimated 2002 utilization data to determine the 2004 practice expense RVUs for codes that were new in 2002. Practice expense RVUs may change as we make updates to the utilization data that we use in the practice expense methodology. We encourage the AMA's Specialty Society Relative Value Update Committee (RUC) and other interested parties to provide information on the specialties that will likely perform a new service to minimize the potential changes to the practice expense RVUs that will occur when we substitute actual for estimated utilization.
For the proposed rule, the utilization data from the prior year are 96 percent complete. In the past, we used 100 percent complete data from a prior year in the proposed rule (for example, we used 2000 utilization data to simulate impacts for the June 28, 2002 proposed rule) and did not use the preceding year's utilization data until the final rule (for example, we used 2001 utilization data to simulate impacts for the December 31, 2002 final rule). Beginning with this year's proposed rule, we are using the prior year's utilization data for developing practice expense RVUs and simulating impacts. Because the utilization file that we are using for the proposed rule is only 96 percent complete, there may be minor changes to the payment impacts and practice expense RVUs between the proposed rule and the final rule for which we will use 100 percent complete data from the prior year.
f. Practice Expense Advisory Committee (PEAC)
Recommendations on CPEP Inputs for 2004
The PEAC, a subcommittee of the RUC, has, since 1999, been providing us with recommendations for refining the direct practice expense inputs (clinical staff, supplies, and equipment) for existing CPT codes. In the past, our actions on these PEAC recommendations have been incorporated into the physician fee schedule final rule and have been used as interim values for services provided in the following calendar year. We have accepted comments on these refinements and addressed them in rulemaking the following year. This year we are including the PEAC recommendations in the proposed rule, which will enable specialty groups to assess the impact of these changes on their services and make comments on the recommendations before the final rule.
These PEAC recommendations are the result of meetings held in September of 2002 and January 2003 and account for approximately 772 codes from many specialties. (A list of these codes can be found in Addendum C.) The PEAC has also submitted recommendations on the refinements to the clinical staff time for all 90-day global services (accounting for a further 3,604 CPT codes).
This massive refinement was possible because the PEAC adopted a standardized approach to the refinement of the clinical staff times for 90-day global codes. The PEAC has recommended that the following standard clinical staff times be applied to all 90-day codes, except for those in which the specialty argued for an exception to the standard:
- Pre-service time—35 minutes of pre-service clinical staff time in the office and 60 minutes for services performed in the facility setting;
- Discharge day management time—6 minutes of clinical staff time if the procedure is performed predominantly in the outpatient facility setting and 12 minutes if performed predominantly in the inpatient setting. (This standard is also recommended for all of the 10-day global procedures); and
- Post-service office visit time—equal to the clinical staff times associated with the evaluation and management visit codes assigned to each service.
Several specialties, including the neurosurgeons/spine surgeons, thoracic surgeons and colorectal surgeons requested and received increased pre-service times for some of their services. There were also a few services that are usually performed on an emergent basis when the pre-service time was reduced or omitted altogether. We believe that the standards recommended by the PEAC are appropriate and that the exceptions to these standards are also reasonable. Therefore, we are proposing to use the PEAC's recommendations for the clinical staff time for these global codes.
In addition, the PEAC convened a workgroup to make recommendations on the refinement of all the 116 remaining evaluation and management codes. These are important achievements that have significantly advanced the pace of the refinement process. A total of 5358 codes have been refined; these codes represent 87 percent of physician fee schedule dollars. We greatly appreciate the dedication and hard work of the specialty societies and the AMA that are helping to ensure that this refinement process is successful. Start Printed Page 49035
We have reviewed the submitted PEAC recommendations and propose to accept them. The complete PEAC recommendations and the revised CPEP database can be found on our web site. (See the Supplementary Information section of this proposed rule for directions on accessing our web site.)
g. Repricing of Clinical Practice Expense Inputs—Supplies
We use the practice expense inputs (the clinical staff, supplies, and equipment assigned to each procedure) to allocate the specialty-specific practice expense cost pools to the procedures performed by each specialty. The costs of the original inputs assigned by the CPEP were determined by our contractor, Abt Associates, based primarily on 1994 and 1995 pricing data from supply catalogs. In addition, for many items on the equipment and supply list, the associated costs were based on the recommendations of a CPEP panel member, rather than on actual catalog prices. Subsequent to the CPEP panels, equipment and supply items have also been added to the CPEP data, with the costs of the inputs provided by the relevant specialty society.
In the August 2, 2001 proposed rule (66 FR 40378), we proposed updates and revisions to the clinical staff salary data which were finalized in the final rule published November 1, 2001 (66 FR 55255). In that final rule, we also indicated that in future rulemaking we would be proposing updates to the supply and equipment inputs that are used in the CPEP database. We, therefore, contracted with a consultant to assist us in obtaining the current price for each supply item in our CPEP database. The consultant has been able to determine the current prices for most of the supply inputs and has submitted documentation for the proposed new pricing from vendor catalogs or websites. Whenever possible, multiple sources were obtained for frequently used supplies so that a typical price could be determined.
In addition, we asked the consultant to help identify and clarify those supplies for which the original descriptions in the CPEP database are too general to price (for example “laser” or “antigen”) or are otherwise unidentifiable. Our consultant worked closely with the specialty societies to ensure that accurate information was obtained in identifying as many of these supplies as possible.
Addendum D contains the proposed new unit prices for supply items when current pricing was obtained, as well as new descriptions when needed. A more detailed spreadsheet can be found on our Web site, (http://www.cms.hhs.gov/physicians/pfs), that contains additional information regarding the sources used to price each item.
There are items that have either not yet been identified or for which pricing information has not yet been found. These supply items are included in Table 1 below. In this table we have identified the supply code (if assigned), the existing item description, unit and price, the procedures or specialties associated with the item, as well as the proposed new description and standardized unit of use. We have also identified items for deletion from the database. We are requesting that commenters, particularly the relevant specialty groups, provide us with the needed pricing information with appropriate documentation. Whenever possible, multiple sources of documentation should be provided so that a typical price can be determined. If we are not able to obtain any verified pricing information for an item, we may eliminate it from the database.
Start Printed Page 49036 Start Printed Page 49037 Start Printed Page 49038In addition to reviewing and updating the cost information for supplies in the database, our contractor also recommended database revisions to provide uniformity and consistency in the CPEP supply database. All of the following recommendations are noted in Addendum D:
- Assignment of supply categories. In the original CPEP data, a number was assigned to each supply. The contractor has recommended that each supply item also be assigned a “category” to allow for easier selection and sorting of items. We agree and are proposing that supplies be assigned to one of the following 14 categories:
Accessory, Diagnostics;
Accessory, Equipment;
Accessory, Procedure;
Booklets/Forms;
Cutters, Closures/Cautery;
Gown, Drape;
Hypodermic/IV;
Infection Control;
Kit, Pack, Tray;
Lab;
Office, Grocery;
Pharmacy, NonRx;
Pharmacy, Rx; and
Wound Care, Dressings.
These categories could also be used to establish a new numbering system for supplies. We would assign a letter to each supply category and use this in conjunction with a number (000 through 999) to identify each supply. This would enable specialty groups to identify more easily whether a supply has already been included in the CPEP database and would help ensure uniformity in the items used for calculating practice expenses. If we proceed in the final rule with this proposed method for categorizing supplies, we will assign new identifying numbers to each supply input item and these will be available on our website.
- Consolidation/standardization of item descriptions.
When items appear to be duplicative, we are proposing to combine the items. For example, “Mayo stand cover” and “drape, sterile Mayo” have both been changed to “drape, sterile, for Mayo stand”. We also have attempted to better describe the supply items in a way that will make identification easier, using a key first word when possible. For example, all catheters are described as “catheter, * * *”, all needles are described as “needle * * *.” In addition, references to proprietary or trademark names for multisource items have been included as parenthetical references (for example, “Polibar TM” is renamed barium suspension “(Polibar TM).”
- Standardization of unit descriptions.
The current CPEP database contains over 72 unit descriptions associated with supplies (for example, item, gram, and cup). To provide consistency and ensure that inputs in the database accurately reflect the quantity of an item used, we are proposing to standardize the unit description of items. If an item is intended for single use, even if it is not completely used, we propose to identify this by indicating the item size followed by “uou” (unit of use). For example “soap bath” has been renamed “bath soap (one bar uou)” and “bacitracin unit dose pack, 9g” has been renamed “bacitracin oint (0.9 gm uou)”.
We welcome any comments on the proposed pricing and all other proposed revisions. To help us evaluate the information provided, comments should include documentation such as information from a supply catalog or website or from a current invoice.
h. Miscellaneous Practice Expense Issues
Hyperbaric Oxygen Services
We have received a request from a freestanding hyperbaric oxygen center to price the service in the office setting, so that those providing this service in a nonfacility can receive an appropriate payment. Therefore, we are proposing to assign on an interim basis the following practice expense inputs to CPT code 99183, Physician attendance and supervision of hyperbaric oxygen therapy, per session:
Staff: Respiratory Therapist for 135 minutes (for a 2 hour treatment).
Supplies: Minimum Visit Supply Package, 180 liters of oxygen, 187 cubic feet of air.
Equipment: Hyperbaric chamber.
We will request that the Practice Expense Advisory Committee review these inputs at a meeting in the near future.
Maxillofacial Prosthetics PE/hour
In the November 2, 1998 final rule (63 FR 58824), we created a special practice expense pool for maxillofacial prosthetics (CPT codes 21076 through 21087) using the “all physician” practice expense per hour. Because the practice expense survey submitted in 1998 by the American Academy of Maxillofacial Prosthetics (AAMP) differed significantly in format and content from the SMS survey, we were not able to use the submitted data to calculate a practice expense per hour for maxillofacial prosthetics. AAMP has contended that the “all physician” rate underestimates the high costs for the staff, supplies and equipment associated with the provision of maxillofacial prosthetic services.
We have asked our contractor, The Lewin Group, to analyze the submitted survey data to determine if the data would or would not support a change in the crosswalk for this specialty. The Lewin Group's finding suggests, “the all-physician average may underestimate the practice expense per hour for maxillofacial prosthodontists.” Based on the Lewin Group's finding, we reviewed the Medicare utilization of the maxillofacial prosthetics codes. Oral surgeons (specialty code 19) and maxillofacial surgeons (specialty code 85) overwhelmingly provide these services. We believe the practice expenses for these practitioners are likely to be similar to otolaryngologists since these physicians also provide office procedures affecting the head and face. We are proposing to eliminate the special practice expense pool for procedure codes 21076 through 21087 and use otolaryngology as the crosswalk for oral surgeons and maxillofacial surgeons as a more appropriate approximation of the specialties' practice expense per hour. This proposal will increase payment for the maxillofacial prosthetics and other services that are predominantly billed by oral and maxillofacial surgeons. There will be no impact on payment for services provided by any other specialty from this change.
Holter Monitoring Codes
A representative of an independent diagnostic testing facility has communicated to us that their review of the practice expense inputs for the holter monitoring codes, CPT 93225, 93226, 93231, and 93232 has revealed the inclusion of items that are not needed to perform these services. The correspondent suggested the following deletions:
- For CPT codes 93225 and 93231 delete the ECG electrodes and laser paper, as well as the electric bed, computer and holter monitor; and
- For CPT codes 93226 and 93232 delete the razor, nonsterile gloves, alcohol swab and tape, as well as the electric bed and exam table.
We agree that these revisions appear reasonable and will make the above deletions on an interim basis until the PEAC can review these codes. It should be noted these codes are currently in the nonphysician work pool and that the CPEP data is not currently used to calculate their practice expense RVUs. Therefore, these changes will not at this time have any effect on the payment for these codes. Start Printed Page 49039
B. Geographic Practice Cost Index Changes
1. Background
The Act requires that payments vary among Medicare physician fee schedule (MPFS) areas according to the extent that resource costs vary as measured by the Geographic Practice Cost Indices (GPCIs). In general, the MPFS areas that existed under the prior reasonable charge system were retained under the MPFS from calendar years 1992 through 1996. We implemented a comprehensive revision in MPFS payment areas (localities) in 1997, reducing the number of localities from 210 to 89. Thirty-four states have a single statewide locality. In contrast, under the hospital inpatient prospective payment system (IPPS), costs are adjusted across more than 350 metropolitan statistical areas (MSAs).
A detailed discussion of the MPFS payment localities can be found in the July 2, 1996 proposed rule (61 FR 34615) and the November 22, 1996 final rule (61 FR 59494).
2. Implication of GPCIs for Rural Areas
The GPCIs do not affect total national payments under the MPFS, but instead distribute payments among areas according to area cost differences. In general, the data show that urban areas usually have higher costs, while rural areas have generally lower costs. Thus, on average the costs associated with operating a private medical practice, as measured by factors such as wages and rent, are higher in urban areas. Alternatively, the average costs associated with the operation of a private medical practice in a rural area are lower. Since the costs associated with operating a private medical practice are measurably different based upon geographic location, varying payments according to the GPCIs will benefit lower cost areas, usually rural, since the law provides that only one-quarter of the area cost difference in physician work, the largest of the three fee schedule GPCI components, be recognized. We believe this was an attempt by the Congress to shift payments to rural areas. Thus, about 40 percent of MPFS payments (.75 × .52) are by statute not adjusted for area cost differences. Additionally, one component of the practice expense GPCI, supplies, equipment and other, is also, by statute, not adjusted for area cost differences. Supplies, equipment and other represent about 13 percent of total physician resource costs. This means that, effectively, there is a nationwide MPFS for about 53 percent of the average physician payment (40 percent physician work, 13 percent supplies, equipment and other). That is, only about 47 percent of overall physician payment is adjusted for area resource cost differences. In addition, 34 states are statewide payment localities in which all physicians, whether urban or rural, are paid the same. All of these factors shift payments from higher cost, usually urban, areas to lower cost, usually rural areas.
3. GPCI Composition
Section 1848(e)(1)(C) of the Act requires us to review, and if necessary, adjust the GPCIs at least every 3 years. This section of the Act also requires us to phase in the adjustment over 2 years and implement only one-half of any adjustment if more than 1 year has elapsed since the last GPCI revision. The GPCIs were first implemented in 1992. The first review and revision was implemented in 1995, the second review was implemented in 1998, and the third review was implemented in 2001. The next GPCI review and revision is scheduled for implementation in 2004. However, as will be discussed in more detail, because the work and practice expense GPCIs rely primarily on special tabulations of U.S. Census data not yet available, review and revision of only the malpractice GPCI component will be implemented in 2004. Review and revision of the work and practice expense GPCIs will be implemented in 2005.
Currently, only one data source is available for the practice expense GPCI (relative cost of office rent space collected by the Department of Housing and Urban Development (HUD)). Since we have not received the primary data upon which practice expense GPCIs are calculated and since the office rent component of the practice expense GPCI has proven not to be very substantial in past GPCI updates (it accounts for approximately 11.0 percent of the total GPCI calculation and is phased in over a two year period), we have decided not to revise the practice expense GPCIs for 2004. The work GPCI relies solely on data collected from the 2000 U.S. Census that is not yet available, so we are not able to propose updates to the work GPCI in this proposed rule.
Although there are general discussions of both the background and composition of all three GPCI components in this proposed rule, a detailed discussion of only the 2004 revised malpractice GPCI is included in this proposal while a detailed discussion of the revised work and practice expense GPCIs will be included in the 2005 proposed rule.
4. Development of the Geographic Practice Cost Indices
The GPCIs were developed by a joint effort of the Urban Institute and the Center for Health Economics Research under contract to CMS. The resource inputs and their weights are obtained from the AMA's Socioeconomic Characteristics of Medical Practices Survey. Indices were developed that measured the relative cost differences among areas compared to the national average in a “market basket” of goods. In this case, the market basket consists of the resources involved in operating a private medical practice. The resource inputs are physician work or net income; employee wages; office rents; medical equipment, supplies, other miscellaneous expenses; and malpractice insurance. Employee wages, rents, and miscellaneous expenses are combined to comprise the practice expense component of the GPCI. Table 2 below illustrates the cost share weights that have been utilized for each GPCI update:
Table 2.—GPCI (Medicare Economic Index) Cost Share Weights
Expense category 1992-94* 1995-97** 1998-00** 2001-03*** 2004-07**** Physician Earnings 54.2 54.2 54.2 54.5 52.466 Practice Expenses 40.2 41.0 41.0 42.3 43.669 Employee Wages 15.7 16.3 16.3 16.8 18.654 Rents 11.1 10.3 10.3 11.6 12.209 Equip., Supplies, Other 13.4 14.4 14.4 13.9 12.807 Malpractice Insurance 5.6 4.8 4.8 3.2 3.865 100.0 100.0 100.0 100.0 100.000 *Weights from 1987 AMA survey. Start Printed Page 49040 **Weights from 1989 AMA survey. ***Weights from 1997 AMA survey ****Weights from Physician Socioeconomic Statistics, 2000-2002 Edition (SMS Survey), Physician Socioeconomic Statistics, 2003 Edition (PCPS Survey), Center for Health Policy Research, American Medical Association; 2003 Employment Cost Index, U.S. Department of Labor, Bureau of Labor Statistics; U.S. Department of Commerce, Bureau Economic Analysis 1997 Benchmark Input Output Tables, and U.S. Department of Commerce, Bureau of the Census, 2002 Current Population Survey. (See section III.A. Rebasing and Revising of the Medicare Economic Index.) The Medicare economic index (MEI) is a measure of the average increases in the price of inputs used in operating a private medical practice and is used in the annual update of the MPFS CF. Because the GPCIs and the MEI use the same resource inputs to measure the costs of a private medical practice (the GPCIs measure relative costs among areas while the MEI measures the national average rate of increase in prices), as in the past, the same weights will be used for both the MEI and the GPCIs.
Once the components and their weights were determined, we had to find data sources that were widely and consistently available to measure costs in all MPFS payment areas. After examining many sources, the following proxies were selected as the best available sources for measuring each component of the original 1992 through 1994 GPCIs:
- Physician work—The median hourly earnings, based on a 20 percent sample of 1980 census data, of workers in six professional specialty occupation categories (engineers, surveyors, and architects; natural scientists and mathematicians; teachers, counselors, and librarians; social scientists, social workers, and lawyers; registered nurses and pharmacists; writers, artists, and editors) with 5 or more years of college. Adjustments were made to produce a standard occupational mix in each area. The actual reported earnings of physicians were not used to adjust geographical differences in fees because these fees are, in large part, the determinants of the earnings. We believe that the earnings of physicians will vary among areas to the same degree that the earnings of other professionals vary.
- Employee wages—Median hourly wages of clerical workers, registered nurses, licensed practical nurses, and health technicians were also based on a 20 percent sample of 1980 census data.
- Office rents—Residential apartment rental data produced annually by the Department of Housing and Urban Development (HUD) were used because there were insufficient data on commercial rents across all physician fee schedule areas.
- Equipment, supplies, other expenses—The Urban Institute and the Center for Health Economics research assumed that a national market represents this component and that costs do not vary appreciably among areas. This component's index is 1.000 for all areas to indicate no variation from the national average.
- Malpractice—Premiums in 1985 and 1986 for a mature “claims made” policy (a policy that covers malpractice claims made during the covered period) providing $100,000 to $300,000 of coverage were used. Adjustments were made to incorporate the costs of $1 million to $3 million coverage and mandatory patient compensation fund (PCF) requirements. Some States legally require physicians to join a PCF that provides coverage for catastrophic claims. Premium data were collected for physicians in three risk classes: low-risk (general practitioners who do not perform surgery), moderate risk (general surgeons), and high-risk (orthopedic surgeons).
The areas selected for measurement purposes were the MSAs. Non-MSA areas within a State were aggregated into one residual area. Using MSAs for measurement satisfied our criteria to have (1) areas in which resource input prices were homogenous, and (2) areas of a large enough size so that market areas are self-contained to minimize border crossing; that is, physicians would probably not move their offices a few miles to secure higher payments and patients who would tend to receive services within their area.
The Act requires, however, that the GPCIs reflect cost differences among MPFS payment areas. Thus, it was necessary to map Medicare localities to the MSA and non-MSA aggregation of GPCI data. Where localities crossed MSA boundaries, MSA indices were converted to Medicare locality indices by population weights.
Detailed discussions of the methodology and data sources of the 1992 through 1994 GPCIs can be obtained by requesting studies from the National Technical Information Service by calling 1-800-553-NTIS, or, for residents of Springfield, Virginia, (703) 487-4650. The studies are as follows:
- The Urban Institute report “The Geographic Medicare Index: Alternative Approaches,” NTIS PB89-216592;
- The supplement to “The Geographic Medicare Index: Alternative Approaches,” NTIS PB91-113506. This was published in the Federal Register in the September 4, 1990 notice (55 FR 36238) for the model fee schedule; and
- The Urban Institute report, “Refining the Malpractice Geographic Practice Cost Index,” February 1991, NTIS PB91-155218. The related diskette is NTIS PB91-507491. This is the final version of the 1992 through 1994 GPCIs as published in the Federal Register in the November 25, 1991 final rule (56 FR 59785).
5. Revised 1995 Through 1997 Geographic Practice Cost Indices
The main criticism of the original GPCIs, that existed from 1992 until 1994, was that they were outdated because they were based on old data; for example, 1980 census data and 1985 and 1986 malpractice premium data, was the most recent data available when the GPCIs were established. The revised 1995 through 1997 GPCIs were based on the most current data available when they were developed in 1993 and 1994. We also made some minor changes from the original GPCI methodology in calculating some of the revised 1995 through 1997 indices.
One methodological change was made that applied across all indices. As mentioned earlier, under the original GPCIs, where Medicare payment localities crossed MSA boundaries, MSA indices were converted to locality indices by population weights. Medicare expenditure weights were not used because the expenditures under the reasonable charge system contained large differences unrelated to actual resource cost differences among areas. In calculating the revised GPCIs, where payment localities crossed MSA boundaries, locality indices were calculated by weights based on full MPFS RVUs, which reflect resource cost differences among areas. Full MPFS RVUs were used rather than actual 1993 payments because 1993 fee schedule payments still reflected some reasonable charge payment levels. The advantages of RVU weighting are (1) the GPCIs will more closely reflect physician practice costs in the area where the services are provided rather than where the population lives, and (2) budget neutrality is preserved when we combine multiple payment localities into larger areas, such as statewide localities. Start Printed Page 49041
a. Work Geographic Practice Cost Indices
Data from the 20 percent sample of census data of median hourly earnings for the same six categories of professional specialty occupations as used in the 1992 through 1994 work GPCIs were used in calculating the 1995 through 1997 work GPCIs. The 1992 through 1994 work GPCIs were calculated using 1980 census data of earnings for professionals with 5 or more years of college. That sample was no longer available with the 1990 census. The 1990 census educational classifications are by highest degree earned, rather than the 1980 census classification by years of schooling. Thus, it was not possible to obtain earnings data exactly comparable to the 1980 data.
For 1990, data were available for all-education and advanced-degree samples, but not for 5 or more years of college. We elected to use the all-education sample because its larger sample sizes made it more stable and accurate in the less populous areas. Although it could be argued that physicians' earnings might more closely approximate the earnings of professionals with advanced degrees, the differences between the all-education and advanced-degree indices were negligible in all but a few of the smallest localities. We believed that the small sample sizes of advanced-degree occupations in these small localities would produce inaccurate results.
The 1992 through 1994 work GPCIs used metropolitan-wide median wages for each county within an MSA. That is, all counties within an MSA were assigned the MSA-wide median wage even if there were wage variations within the MSA. We believed that this was appropriate for all but Consolidated Metropolitan Statistical Areas (CMSAs), the largest of the MSAs, such as New York. In these CMSAs, we replaced metropolitan-wide earnings with county-specific earnings. We believed this change was appropriate because costs were, in fact, higher in central city areas (for example, Manhattan and San Francisco) than in the rest of the CMSA. County earnings were a better account of the cost variation within these large metropolitan areas.
b. Practice Expense Geographic Practice Cost Indices
(1) Employee Wage Indices.
Data from the 20 percent sample of census data of median hourly earnings for the same categories of medical and clerical occupations used in the 1992 through 1994 practice expense GPCIs were also used in the 1995 through 1997 practice expense GPCIs. The 1995 through 1997 practice expense GPCIs used 1990 rather than 1980 census data. As with the work GPCIs, county level data were used for CMSAs to better reflect the cost variations within these large metropolitan areas.
(2) Rent Indices.
As with the original rent indices, the HUD fair market rental (FMR) data for residential rents were again used as the proxy for physician office rents. The 1995 through 1997 practice expense GPCIs reflect 1994 HUD FMRs. Like the work GPCI and the employee wage index of the practice expense GPCIs, county level data were used in CMSAs to recognize the variations within the CMSA.
The major criticism of the rent indices was that residential rather than commercial rent data were used. As mentioned earlier, for constructing the GPCIs we needed data that were widely and consistently available across all physician fee schedule areas.
As with the original GPCIs, we again searched for private sources of commercial rent data that were widely and consistently available. The private sources we found were not adequate. None of the sources collected data for non-metropolitan areas, nor did any collect data for all metropolitan areas. The sources did not reflect the average commercial space in the area, but rather the particular type of space most relevant to the needs of a particular source's clients. In addition, the sample sizes were small. A comparison of the average rental for any particular city showed significant variation depending upon the source. Also, the private commercial rent data tended to be for very high priced real estate of the type likely to be used by large institutions such as banks, insurance companies, or financial firms and not for the type of office space most likely used by physicians.
Among the sources of commercial rent data that were available, the most promising were data from the Building Owners and Managers Association, the General Services Administration, and the U.S. Postal Service. These data were analyzed in depth. We did not use data from the Building Owners and Managers Association and the General Services Administration because of poor geographic coverage, especially outside of large metropolitan areas. That is, data were not widely and consistently available for all physician fee schedule areas. The U.S. Postal Service data had much better geographic coverage, but sample sizes in many areas were unacceptably small and could have led to erroneous results.
No acceptable national commercial rent data were readily available for physician office rents. Thus, some proxy needed to be used for this portion of the index. In addition, commercial rent data were not available for all areas from published statistical sources. We believed that the HUD FMR data remained the best available data for constructing the office rental index. HUD FMR data were available for all areas, were updated on an annual basis, and were consistent among areas and from year to year. Moreover, we believed that physicians frequently locate in areas and office space that are residential rather than commercial, for example, in apartment complexes and small strip commercial centers adjacent to residential areas. Residential rents may, in fact, be a better measure of the differences among areas in the physician office market than a general commercial rental index.
(3) Medical Equipment, Supplies, and Miscellaneous Expenses.
Consistent with the original 1992 through 1994 update for medical equipment, supplies, and miscellaneous, this index assumes a national market in which input prices do not vary among geographic areas. We were unable to find any data sources that demonstrated price differences by geographic area. Anecdotal and interview data with suppliers and manufacturers were inconclusive. While some price differences may exist, we believed they were more likely to be based on volume discounts rather than on geographic areas. Generally, it appears that manufacturers' prices do not vary among areas except for shipping costs. Since manufacturers and suppliers are located all over the country, shipping costs do not vary significantly.
c. Malpractice Geographic Practice Cost Indices
Again, malpractice premium data for a $1 million to $3 million mature “claims made” policy were collected, with mandatory Patient Compensation Funds (PCFs) considered. Some States have legally required physicians to join PCFs that provide coverage for catastrophic claims. The PCF charges a premium or surcharge just as any other insurer. However, more recent and more comprehensive malpractice insurance data were used in calculating the 1995 through 1997 malpractice GPCIs. The 1995 through 1997 malpractice GPCIs were based on 1990 through 1992 malpractice premium data. Since malpractice premiums may change Start Printed Page 49042significantly from year to year, we decided to use the most recent 3-year average available rather than just the most recent single year to smooth out this volatility and present a more accurate indication of malpractice premium trends over time.
We collected data on more specialties and from more insurers. We collected data on 20 specialties, rather than on only 3 as in the 1992 through 1994 malpractice GPCIs. The 1992 through 1994 malpractice GPCI data were largely drawn from a single nationwide insurer (St. Paul Fire and Marine) and were supplemented by several State-specific carriers in States in which St. Paul did not offer coverage. Subsequent analyses suggest that these data may not be representative of insurers operating in many States. For the revised malpractice GPCI, data were collected from insurers that, on average, represented 82 percent of the market in each State, with the lowest State market share being 60 percent. We believed that the more recent and much more comprehensive data greatly improved the accuracy of the malpractice GPCIs for 1995 through 1997.
Detailed discussions of the methodology and data sources of the 1995 through 1997 GPCIs can be obtained by requesting the following studies from NTIS by calling 1-800-553-NTIS, or (703) 487-4650 in Springfield, Virginia:
- “Updating the Geographic Practice Cost Index: Revised Cost Shares.” Debra A. Dayhoff, John E. Schneider, and Gregory C. Pope. NTIS PB94-161072.
- “Updating the Geographic Practice Cost Index: The Physician Work GPCI.” Gregory C. Pope and Deborah A. Dayhoff. NTIS PB94-161080.
- “Updating the Geographic Practice Cost Index: The Practice Expense GPCI.” Gregory C. Pope, Deborah A. Dayhoff, Angella R. Merrill, and Killard W. Adamache. NTIS PB94-161098.
“Updating the Geographic Practice Cost Index: The Malpractice GPCI.” Stephen Zuckerman and Stephen Norton. NTIS PB94-161106.
6. Revised 1998 Through 2000 Geographic Practice Cost Indices
The same data sources and methodology used for the 1995 through 1997 GPCIs were also used for the revised 1998 through 2000 GPCIs with a few very minor modifications. No acceptable additional data sources were found. The cost shares were the same as in the 1995 through 1997 GPCIs because no changes were made in the MEI weights. Indices for fee schedule areas were based on the indices for the individual counties within the fee schedule area. Fee schedule RVUs were again used to weight the county indices (to reflect volumes of services within counties) when mapping to MPFS payment areas and in constructing the national average indices. However, we used more recent data, 1994 rather than 1992 RVUs, in the county, locality, and national mapping for the proposed GPCIs. The payment effect of using more current RVU weights was negligible in most cases and generally resulted in changes at the third decimal point if at all.
a. Work Geographic Practice Cost Indices
The work GPCIs were based on the decennial census. The 1992 through 1994 work GPCIs were based on 1980 census data, because 1990 census data were not yet available. The work GPCIs were revised in 1995 with new data from the 1990 census. New census data will not be available again until sometime after the 2000 census is compiled. We searched for other data that would enable us to update the work GPCIs between the decennial censuses. No acceptable data sources were found. The most promising sources of data were the hospital wage data collected by us to calculate the IPPS hospital wage index and the payroll per worker data collected by the U.S. Bureau of Labor Statistics from State unemployment insurance agencies (the ES-202 data).
The IPPS hospital wage data were examined when we constructed the original GPCIs. They were rejected as a physician fee schedule data source in favor of census data because of their lack of an occupation mix adjustment and their unrepresentative occupational composition (hospital employees rather than professionals or physician office employees). ES-202 data consist of total payroll divided by counts of wage and salary workers. The major disadvantage we identified was that they do not measure hourly earnings, only payroll per employee, and no occupational detail is available. Also, they did not adjust for part-time or full-time and hours worked, and the numbers of workers was too small for certain States, all of which led to unstable estimates of payroll per worker. We compared the changes by State from 1989 to 1993 in the IPPS wage data and the ES-202 data to see if there was any correlation between the two series. The correlation between the two was only moderate, 0.55. The changes indicated by both series were generally small, for example, a few percentage points. The difference between the two series by State was in many cases as large as or greater than the change indicated by either series. The average difference between the two series (2.1 percent) is as large as the change indicated by either series. In addition, changes for particular States were substantially different between the two series. For example, Indiana relative wages rose by 1.9 percent according to the IPPS data, but fell 5.7 percent according to the ES-202 data.
Since we were unable to find an acceptable data source for updating the work GPCIs, we examined the consequences of not updating the work GPCIs between the decennial censuses. We compared the changes between the 1992 through 1994 work GPCIs, based on the 1980 census, and the 1995 through 1997 GPCIs, based on the 1990 census. On average, the full variation in State work GPCIs changed by about 5 percent. This translates to about a 1.2 percent change in the one-quarter work GPCI calculation prescribed by law. Since work makes up about one-half of the GPCI cost shares, this translated into an average payment change per State of about 0.6 percent from updating the work GPCI based on the 10-year change in relative wages indicated by the census data. Even the maximum change in the full variation in State work GPCIs from the 1992 through 1994 to the 1995 through 1997 GPCIs of 14 percent translates into only about a 1.8 percent change in payments. The largest full work GPCI changes for individual payment areas were from 16 to 20 percent, or about a 4 to 5 percent change in the one-quarter work GPCI, or about a 2.4 percent change in payments. However, 80 percent of payment areas experienced payment changes of less than 1 percent, and 50 percent of payment localities experienced payment changes of less than 0.5 percent as a result of changes in the census data from 1980 to 1990.
We, therefore, made no changes in the 1998 through 2000 work GPCIs from the 1995 through 1997 work GPCIs, other than the generally negligible changes resulting from using 1994, rather than 1992, RVUs for this GPCI update because we were unable to find acceptable data for use between the decennial censuses. We believed it is preferable that we make no changes rather than make inaccurate changes based on inappropriate data. We felt that this was a reasonable position given the generally small magnitude of the changes in payments resulting from the changes in the work GPCIs from the 1980 to the 1990 census data.
b. Practice Expense Geographic Practice Cost Indices
(1) Employee Wage Indices. Start Printed Page 49043
As with the work GPCIs, the employee wage portion of the practice expense GPCIs were also based on decennial census data. For the same reasons discussed above pertaining to the work GPCIs, we made no changes in the employee wage indices during the 1998 through 2000 GPCI update. The average change from the 1992 through 1994 to 1995 through 1997 employee wage indices across States was about 6 percent. Since the employee wage index has a weight of about 16 percent in the GPCI cost shares, this translates into a 1 percent average change in payments. The maximum payment change in any payment area resulting from changes from the 1992 through 1994 to 1995 through 1997 employee wage indices was about 3.2 percent. Payment changes in over two-thirds of the payment areas were less than 1 percent.
(2) Rent Indices.
The office rental indices were again based on HUD residential rent data. The rental indices were based on 1996 HUD data as opposed to 1994 HUD data in the 1995 through 1997 GPCIs. HUD made two small methodological changes in developing the data. First, HUD used the 40th percentile of area rents rather than the 45th percentile. This did not materially affect the GPCIs, which measure relative rents among areas. Second, HUD established a rental floor for rural counties at the statewide rural average. This had the effect of raising the office rental indices slightly in rural areas.
We made one methodological change in the rent indices. HUD publishes FMRs only for metropolitan areas as a whole. For the 1995 through 1997 GPCIs, HUD used a special tabulation of the 1990 census data to allocate rents by county within CMSAs. In some metropolitan areas, this had the effect of reducing the central city index below the suburban index, probably because of lower unmeasured housing quality in central cities than in suburbs. We did not feel that this was a representative indicator of relative physician rents, since the GPCIs are intended to measure rental costs for offices of similar quality in different areas. The metropolitan-wide rent was most appropriate for measuring the cost of space of an average quality across the metropolitan area, which is why HUD publishes only metropolitan-wide FMRs. Also, the census county adjustments can be updated only once every 10 years. For this reason, we believed that the county-specific adjustment should not be made for all large metropolitan areas but should be retained only for the New York City Primary Metropolitan Statistical Area. Available evidence suggests that rents vary substantially among the boroughs of New York City and that, given the current locality configuration, the county-specific rental adjustment appropriately reflects these patterns in the New York City area, especially the higher rents in Manhattan.
(3) Medical Equipment, Supplies, and Miscellaneous Expenses. As with the 1992 through 1994 and 1995 through 1997 GPCIs, this component was given a national value of 1.000, indicating no measurable difference among areas in costs.
c. Malpractice Geographic Practice Cost Indices.
Again, malpractice premium data were collected for a mature “claims made” policy with $1 million to $3 million limits of coverage, with adjustments made for mandatory patient compensation funds. As with the 1995 through 1997 GPCIs, data were collected for the 20 largest Medicare-billing physician specialties. The premium data represent at least 50 percent of the market in each State. Again, we used an average of the 3 most recent premium years to smooth out the considerable year-to-year fluctuations that can occur in malpractice premiums. The revised 1998 through 2000 malpractice indices were based on 1992 through 1994 premium data, the latest years available when this revision was being conducted in 1995 through 1996, compared to the 1990 through 1992 data used in the current 1995 through 1997 indices. Another change from the 1995 through 1997 indices is that the specialty shares of the 20 specialties were weighted by fee schedule RVUs rather than allowed charges.
Detailed discussions of the methodology and data sources of the 1998 through 2000 GPCIs may be obtained by requesting the following study from NTIS by calling 1-800-533-NTIS, or, for residents of Springfield, Virginia, (703) 487-4650: “Second Update of the Geographic Practice Cost Index.” Gregory C. Pope and Killard W. Adamache.
7. Revised 2001-2003 Geographic Practice Cost Indices
The same data sources and methodology used for the 1998 through 2000 GPCIs were used for the 2001 through 2003 GPCIs. No acceptable additional data sources were found. The only changes from the 1998 through 2000 GPCI were in the cost shares and RVU weighting. As shown in the cost share table in the discussion of the development of the GPCIs, the cost shares were changed to reflect the revisions in the MEI. This does not affect the work or malpractice GPCIs since they are stand-alone indices (not composed of multiple indices). This cost share revision has a slight effect on the practice expense GPCIs because it changes slightly the weights among the employee wage, rents and miscellaneous components of the practice expense index. We used more recent RVU data, 1998 rather than 1994, in the county, locality, and national mapping in the proposed GPCIs. The payment effect of this was generally negligible.
a. Work Geographic Practice Cost Indices.
For the same reasons discussed in the section on the 1998 through 2000 work GPCIs, no changes were proposed in the work GPCIs, other than the generally negligible changes resulting from the use of 1998 rather than 1994 RVUs for weighting, because we were unable to find acceptable data for use between the decennial census.
b. Practice Expense Geographic Practice Cost Indices
(1) Employee Wage Indices.
As with the work GPCIs, the employee wage indices were based on decennial census data. For the same reasons discussed above pertaining to the work GPCIs, we proposed no changes in the employee wage indices during this GPCI update.
(2) Rent Indices.
The office rental indices were again based on HUD residential rent data. No changes were made in the methodology. The proposed rental indices were based on 2000 rather than 1994 HUD data.
(3) Medical Equipment, Supplies, and Miscellaneous Expenses. As with all previous GPCIs, this component is given a national value of 1.000, indicating no measurable differences among areas in costs.
c. Malpractice Geographic Practice Cost Indices
The same methodology described in the 1998 through 2000 malpractice GPCI section was used in the revision of malpractice GPCIs section for 2001 through 2003, the only difference being the use of more recent data. The malpractice indices were based on 1996 through 1998 malpractice premium data rather than the 1992 through 1994 malpractice premium data that was used in the previous GPCI update.
8. Proposed 2004 through 2007 Geographic Practice Cost Indices
The main criticism of the 2001 through 2003 GPCIs was that they were Start Printed Page 49044outdated because they were based on old data; for example, 1990 decennial census data and 1996 through 1998 malpractice premiums, the most recent data available when the GPCIs for 2001 through 2003 were established. The calculation of the proposed 2004 through 2007 GPCIs will be based upon the same data sources and methodology, but the 2004 through 2007 GPCIs will utilize more current data: 2000 decennial census data, 2000 HUD fair market rental (FMR) data for residential rents, and 1999 through 2003 malpractice premium data. This should address the criticism of the 2001 through 2003 GPCIs being out of date.
a. Proposed Work Geographic Practice Cost Indices
We have not yet received the 2000 decennial census data that will be utilized for the revision of the work GPCIs. For this reason, revisions to the work GPCIs will be included in the proposed rule for calendar year 2005.
b. Proposed Practice Expense Geographic Practice Cost Indices
We have not yet received the 2000 decennial census data that will be utilized for the revision of the majority of the practice expense GPCI. We have obtained 2000 HUD fair market rental (FMR) data for residential rents that is utilized for a portion of the practice expense revision. Since we have not received the primary data upon which practice expense GPCIs are calculated and since the office rent component of the practice expense GPCI has not proven to be a substantially variable component in past GPCI updates and accounts for only approximately 12.0 percent of the total GPCI calculation (phased in over a two year period), we have decided not to revise the practice expense GPCIs now based on our limited data. For these reasons, revisions to the practice expense GPCIs will be included in the proposed rule for calendar year 2005.
c. Proposed Malpractice Geographic Practice Cost Indices
The malpractice GPCI is the most volatile of the three indexes with relatively large variations existing between localities. Malpractice premium data for a $1 million to $3 million mature “claims made” policy were collected, with mandatory patient compensation funds considered. However, due to the recent concerns regarding the escalating cost of professional liability insurance, especially in 2002 and 2003, we will be collecting more recent malpractice premium data. We propose using actual 1999 through 2002 malpractice premium data and projecting the malpractice premium rates for 2003. The methodology for forecasting 2003 medical malpractice premiums will consist of calculating the geometric mean rate of growth between 1999 through 2002 and applying that rate to the 2002 premium. We will also obtain a national aggregate malpractice premium series with which to benchmark the 2003 forecast. At this point, we are still collecting the 2002 malpractice premium data and are thus unable to project 2003 malpractice premium data in this proposed rule. We are proposing to base the malpractice GPCIs upon actual 2001 and 2002 malpractice premium data and projected 2003 malpractice premium data by January 1, 2004. These revised malpractice GPCIs will be published in this year's final physician fee schedule regulation. They will be considered interim and subject to public comment.
9. Payment Localities
We are also interested in receiving comments on the composition of the current Medicare physician payment localities (89 separate payment localities) to which the GPCIs are applied. For additional information regarding the composition of the 89 Medicare physician payment localities please refer to both the July 2, 1996 proposed rule (61 FR 34615) and the November 22, 1996 final rule (61 FR 59494) for the Medicare physician fee schedule.
C. Coding Issues
1. Payment Policy for CPT Tracking Codes
In the November 1, 2001 final rule (66 FR 55269), we stated that carriers have discretion for coverage and payment of services described by CPT tracking codes, also known as CPT Category III codes, unless we have made a national coverage determination (NCD). (These CPT Category III codes are distinct from the HCPCS Level III codes used by local claims processors which are to be discontinued under HIPAA implementation.) We have received several requests to create national payment amounts for some CPT tracking codes even if there has been no NCD with respect to the services. After review of these requests, we are proposing to change our policy regarding payment for CPT tracking codes.
We propose to create national payment policy and determine national payment amounts for CPT tracking codes when there is a significant programmatic need for us to do so. Such a need could arise, for example, if we receive requests from carrier medical directors that we establish a national payment amount because of carrier inability to do so. This policy change would not change the contractor's discretion over coverage for the CPT tracking codes, but would establish a payment level if the contractor finds that coverage is warranted. Carriers do not need to establish a payment amount for a tracking code until they receive a claim for the code.
2. Excision of Benign and Malignant Lesions
In the CPT 2003 book, the definitions for excision of benign lesions (CPT codes 11400 through 11446 inclusive) and excision of malignant lesions (CPT codes 11600 through 11646 inclusive) were substantively changed. Starting in 2003, these codes are to be reported based on the excised diameter (actual skin removed) rather than on the size of the lesion. We have reviewed the new code descriptors and are proposing to make the work RVUs the same for removal of all skin lesions with the same excised diameters that are from the same area of the body, whether the lesions are benign or malignant For example, the work RVUs for the removal of benign skin lesions from the trunk, arms or legs with excised diameter 1.1-2.0 cm, CPT code 11402, would be the same as the work RVUs for CPT code 11602, which is the removal of malignant skin lesions from trunk, arms or legs with excised diameter of 1.1-2.0 cm. Therefore, to retain budget neutrality within each code pair, the total work RVUs associated with each code pair will be constant both before and after the work adjustment. We will accomplish this by dividing the total 2003 work RVUs (2003 work RVUs for a given code pair multiplied by 2002 utilization) by the total 2002 utilization for the given code pair. For example:
CPT code 2002 utilization 2003 work RVU Total work RVUs 11400 69,041 × 0.85 = 58,685 Start Printed Page 49045 11600 13,768 × 1.31 = 18,036 Total 82,809 76,721 76,721 divided by 82,809 = 0.93 work RVU The proposed work RVUs for these codes follow:
Start Printed Page 49046 Start Printed Page 490473. Create G Codes for Monitoring Heart Rhythms
Technological advances have made cardiac telemetry equipment, typically used in hospitals, available in the home setting. It is now possible to discharge patients with arrhythmias to a home setting and have them monitored at home in a manner similar to hospital monitoring. This monitoring can be used to diagnose arrhythmias or to monitor patients with known arrhythmias to determine, on a real-time basis, whether the patient is having ongoing arrhythmias. The equipment consists of patient leads and a home telemetry station that is connected to a distant monitoring station via the telephone. The monitoring station is attended twenty-four hours a day, seven days a week by a technician. Upon receipt of rhythm strips, the technician records and formats the strips and faxes them to the treating physician.
This equipment automatically records the patient's heart rhythm and is not triggered by the patient (for example, his response to symptoms). The equipment is pre-set with parameters (for example, heart rate of over 120) that trigger it to transmit the patient's cardiac rhythm to monitoring station. Additionally, the technician at the monitoring station can interrogate the home station and have it transmit rhythm strips upon request even when no arrhythmia has triggered an automatic transmission. These latter transmissions are at the discretion of the technician and may or may not be faxed to the treating physician based on previous orders.
Depending on the clinical need, patients may be monitored by this equipment for varying lengths of time. Furthermore, the frequency of transmission of cardiac rhythms varies, as does the amount of material that must be reviewed by the physician. For example, a patient may have no cardiac rhythms transmitted for one or more days while on other days the patient may have several minutes of arrhythmias transmitted for physician review.
To ensure this technology is available to Medicare beneficiaries for covered indications (coverage is currently at the discretion of the local Medicare contractors because there is no national coverage determination for this service) we are creating several HCPCS G codes to describe this service and are establishing national payment amounts for these services. Currently Medicare contractors are requiring both the PC and TC of this service to be billed under CPT code 93799, Unlisted cardiovascular procedure or service. This service is covered under the diagnostic test benefit category at section 1861(s)(3) of the Act.
Medicare is establishing the following HCPCS codes to describe this service:
GXXX1—Electrocardiographic monitoring for diagnosis of arrhythmias, utilizing a home computerized telemetry station and trans-telephonic transmission, with automatic activation and real time notification of monitoring station, 24-hour attended monitoring, per 30-day period of time; includes recording, monitoring, receipt of transmissions, analysis, and physician review and interpretation. (global)
GXXX2—Electrocardiographic monitoring for diagnosis of arrhythmias, utilizing a home computerized telemetry station and trans-telephonic transmission, with automatic activation and real time notification of monitoring station, 24-hour attended monitoring, per 30-day period of time; recording (includes hook-up, recording and disconnection)
GXXX3—Electrocardiographic monitoring for diagnosis of arrhythmias, utilizing a home computerized telemetry station and trans-telephonic transmission, with automatic activation and real time notification of monitoring station, 24-hour attended monitoring, per 30-day period of time; monitoring, receipt of transmissions, and analysis
GXXX4—Electrocardiographic monitoring for diagnosis of arrhythmias, utilizing a home computerized telemetry station and trans-telephonic transmission, with automatic activation and real time notification of monitoring station, 24-hour attended monitoring, per 30-day period of time; physician review and interpretation.
We are establishing the following payment amounts for these codes:
GXXX1—We are assigning 0.52 physician work RVUs and 0.24 malpractice RVUs which is equivalent to CPT Code, 93268 Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; includes transmission physician review and interpretation. We are also crosswalking the practice expense inputs from CPT Code 93268.
GXXX2—We are assigning 0.07 malpractice RVUs which is equivalent to CPT Code 93270, Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; recording (includes hook-up, recording, and disconnection) and crosswalking the practice expense inputs from CPT Code 93270.
GXXX3—We are assigning 0.15 malpractice RVUs which is equivalent to CPT Code 93271, Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; monitoring, receipt of transmission, and analysis and also are crosswalking the practice expense inputs from CPT Code 93271.
GXXX4—We are assigning 0.52 physician work RVUs and 0.02 malpractice RVUs which is equivalent to CPT Code 93272 Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; physician review and interpretation only. We are also crosswalking the practice expense inputs, from CPT Code 93272.
We believe these proposed RVUs and crosswalks are appropriate as the services provided in the new codes are very similar in terms of physician work, resource use, and malpractice risk to the existing CPT Codes.
4. CPT Code 88180 (Flow Cytometry; Each Cell Surface, Cytoplasmic or Nuclear Marker)
Flow cytometry is a technique to analyze single cell suspensions from blood, bone marrow, body fluids, lymph nodes, and other tissues. The technique, currently coded as CPT code 88180, Flow cytometry, each cell surface, cytoplasmic or nuclear marker, quantifies cell surface, cytoplasmic, and nuclear antigens. The results are frequently used to diagnose lymphomas and leukemias. They are also used to monitor lymphocyte subpopulations in patients with HIV infection or solid organ transplantation. For example, in patients with HIV infection, physicians evaluate CD4+ lymphocytes as a measure of the severity of the infection (some physicians also measure other markers although their clinical relevance is not as well established). In patients with solid organ transplantation, physicians measure various lymphocyte subpopulations to help assess early rejection, identify bone marrow toxicity during immunosuppressive therapy, and differentiate infections from transplant rejection. In these cases the treating physician, not the pathologist, makes the diagnosis. It is inappropriate for the pathologist to report the professional component (PC) of this service. In general, flow cytometry results must be utilized along with clinical data to make Start Printed Page 49048a diagnosis. Other clinical situations where flow cytometry tests have some value include stem cell transplantation, paroxysmal nocturnal hemoglobinuria, immune deficiency disorders, etc.
When flow cytometry is performed to diagnose lymphoma or leukemia, there is a single interpretation based on the quantification of all markers tested. There is not an interpretation of each marker individually.
Moreover, for a given clinical indication (for example, diagnosis of lymphoma based on lymph node examination) there is variation in the number of markers performed. The number of markers that are necessary depends, in part, on the pathologic information available to the pathologist at the time he/she orders flow cytometry. Therefore, for a given clinical indication (for example, diagnosis of lymphoma from a lymph node) a pathologist who chooses to perform flow cytometry before performing a microscopic examination of the tissue specimen (for example, a lymph node) may order more markers than a pathologist who orders flow cytometry after performing a microscopic examination of the tissue specimen.
The current coding scheme (payment on a per marker basis) may encourage the performance of more markers than may be medically necessary because the pathologist determines what markers to perform and when to perform them.
Our review of flow cytometry reports confirms that markers are interpreted (and reported) on a panel basis. From our review, physicians do not typically interpret individual markers. This is consistent with most of the clinical indications for flow cytometry that require performance of several markers to make a diagnosis. There may also be clinical situations where no professional component is performed although it is appropriate to perform the technical component (TC) (for example, monitoring of HIV infected patients, monitoring of solid organ transplantations).
The fact that markers are generally analyzed on a “panel” basis, not an “individual” basis, means that the current practice and use of flow cytometry is not appropriately reflected by the PC of CPT code 88180.
However, we do believe that it is appropriate to pay for the TC of each marker separately, although at a lower rate of payment (due to economies of scale) when multiple markers are performed. A coding scheme that pays per marker for the TC and per panel for the PC would more accurately reflect the actual practice of flow cytometry.
The laboratory community is aware of our concerns about the coding of flow cytometery and will review this issue and consider whether changes should be made to the current coding for the procedure. If no changes in coding are forthcoming, we would consider creating HCPCS codes for flow cytometry. We welcome comments and recommendations on appropriate values for the procedure that we could use in developing any future proposal.
5. Create G Codes for Dialysis Patient Seeing the Doctor
We have reviewed our current payment policy for the monthly dialysis capitation, CPT codes 90918 through 90921 in response to concerns that have been raised over whether our payment policy is consistent with current medical practice.
Specifically, we understand that physician involvement in dialysis for end stage renal disease (ESRD) varies based on a patient's condition, response to dialysis, and comorbidities. A physician involvement for a single patient may also vary from month to month. It is our intent to ensure that beneficiaries with ESRD receive the highest quality dialysis care available and that physician involvement in dialysis for ESRD patients is appropriate and consistent with the needs of the patient in any month.
Observers of the quality of care for dialysis patients have noted that some dialysis patients may benefit from being evaluated by their physician frequently. A recent international comparison study suggested that longer physician-patient contact time in hemodialysis facilities was associated with lower mortality risk.
To align the payment incentives with the frequency of the physician personally evaluating the dialysis patient, we are proposing to make CPT codes 90918, 90919, 90920, 90921 invalid for Medicare and to create G codes. We are proposing to create 3 new G codes in place of each CPT code with higher payments associated with providing more visits within each month to an ESRD patient. Under our proposal, there will be separate codes when the physician provides 1 visit per month, 2-3 visits per month and 4 or more visits per month. The code for 1 visit per month will have the lowest payment while a higher payment will be provided for 2 to 3 visits per month and the highest payment for 4 or more visits per month. Our methodology for determining payment is described below. These new codes will be reported once per month for services performed in an outpatient setting and related to the patient's ESRD. These physician services will continue to include the establishment of a dialyzing cycle, outpatient evaluation and management of the dialysis visits, telephone calls, and patient management, provided during a full month. These codes would not be used if a hospitalization occurred during the month.
GXXX5—End Stage Renal Disease (ESRD) related services per full month, for patients under 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month.
GXXX6—End Stage Renal Disease (ESRD) related services per full month, for patients under 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2 or 3 face-to-face physician visits per month.
GXXX7—End Stage Renal Disease (ESRD) related services per full month, for patients under 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month.
GXXX8—End Stage Renal Disease (ESRD) related services per full month, for patients between 2 and 11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month.
GXXX9—End Stage Renal Disease (ESRD) related services per full month, for patients between 2 and 11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2 or 3 face-to-face physician visits per month.
GXX10—End Stage Renal Disease (ESRD) related services per full month, for patients between 2 and 11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month.
GXX11—End Stage Renal Disease (ESRD) related services per full month, for patients between 12 and 19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and Start Printed Page 49049counseling of parents; with 4 or more face-to-face physician visits per month.
GXX12—End Stage Renal Disease (ESRD) related services per full month, for patients between 12 and 19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2 or 3 face-to-face physician visits per month.
GXX13—End Stage Renal Disease (ESRD) related services per full month, for patients between 12 and 19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month.
GXX14—End Stage Renal Disease (ESRD) related services per full month, for patients 20 years of age and over; with 4 or more face-to-face physician visits per month.
GXX15—End Stage Renal Disease (ESRD) related services per full month, for patients 20 years of age and over; with 2 or 3 face-to-face physician visits per month.
GXX16—End Stage Renal Disease (ESRD) related services per full month, for patients 20 years of age and over; with 1 face-to-face physician visit per month.
We are assuming that most physicians will provide 4 or more visits to their ESRD patients and a small proportion will provide 2-3 visits or only 1 visit per month. Using these assumptions and Medicare utilization data from 2002, we developed relative value units for the new G codes that will make the Medicare's aggregate payments for ESRD related services under the physician fee schedule approximately equal to current payments that are occurring using procedure codes 90918 to 90921. Relative to our current payments, we are proposing to lower payment when the physician provides 1 visit per month or 2-3 visits per month. Since we are proposing to lower payment if the physician provides fewer than 4 visits per month, in order to maintain the same aggregate payments for ESRD related services, we are proposing to increase payment if the physician provides 4 or more visits per month. Using these assumptions, the proposed work, practice expense and malpractice RVUs for procedure codes GXXX5 through GXXX16 are shown below:
Table 4
Code Physician work Practice expense Malpractice GXXX5 12.92 8.70 0.60 GXXX6 5.19 3.49 0.24 GXXX7 3.39 2.29 0.16 GXXX8 9.91 4.86 0.43 GXXX9 3.55 1.74 0.15 GXX10 2.32 1.14 0.10 GXX11 8.47 4.54 0.35 GXX12 3.14 1.68 0.13 GXX13 2.05 1.10 0.08 GXX14 5.16 2.94 0.22 GXX15 1.94 1.10 0.08 GXX16 1.27 0.73 0.06 We believe that stratifying payment amounts by physician face-to-face involvement would be an improvement over the current method, but still may not be optimal to foster improved outcomes.
Both the Institute of Medicine and Medicare Payment Advisory Commission (MedPAC) have advocated an increased role for CMS in encouraging improved quality outcomes. In their June 2003 Report to Congress (Variation and Innovation in Medicare), MedPAC recommended “the Secretary should conduct demonstrations to evaluate provider payment differentials and structures that reward and improve quality.”
We responded to this call by increasing the focus of our Quality Improvement Organizations (formerly called Peer Review Organizations) and ESRD Networks on developing quality measures and also performing or assisting providers with the performance of quality improvement activities. We have also implemented initiatives to address the quality of care provided in various settings. These include: The Home Health Quality Initiative; the Hospital Quality Initiative; the Nursing Home Quality Initiative; the Home Health Quality Initiative and Doctors Office Quality Project (see http://cms.hhs.gov/quality/ for more information).
Additionally, we have developed various demonstration projects that provide incentives to improve quality. For example, as part of an ongoing effort to achieve improved patient outcomes, we announced the ESRD Disease Management Demonstration in the Federal Register on June 4, 2003. The goal of this demonstration is to achieve improved patient outcomes through disease management services and quality incentives. This demonstration does not directly involve renal physicians, but we are considering the use of quality incentives in potential future payment systems for them as well. Renal physicians play a central role in leading the interdisciplinary team charged with managing an ESRD patient's care.
Thus, we are seeking comment on how to further revise our payment methodology to improve quality of care and outcomes. We are also interested in information that could help us design future demonstrations that would incorporate both dimensions of care (quality and utilization) and help ensure that payment is based on appropriate patient-specific care that has been shown to lead to improved outcomes for this complex patient population.
6. Extracorporeal Shock Wave Lithotripsy for Musculoskeletal Conditions
We received several comments on the G codes for extracorporeal shock wave lithotripsy created in the December 31, 2002 final rule. We will be responding to those comments as part of this year's final rule, but we would appreciate any additional information on the physician work, practice expenses, and duration of treatment and intensity or energy of the shock waves applied for various conditions at various anatomic sites.
7. Late RUC recommendations for 2003 CPT codes.
RUC recommendations for RVUs for approximately 20 new CPT codes for 2003 were received too late for incorporation in the December 31, 2002 final rule. We proposed interim RVUs for these codes and, as with all interim values, these were subject to comment. In their comments on the December 2002 final rule, the AMA-RUC requested that we consider their late recommendations for these codes. We will be addressing these, as well as other comments received on the interim RVUs in the upcoming final rule.
III. Other Issues
A. Rebasing and Revising of the Medicare Economic Index
1. Background
The Medicare Economic Index (MEI) is required by section 1842(b)(3) of the Act, which states that prevailing charge levels beginning after June 30, 1973 may not exceed the level from the previous year except to the extent that the Secretary finds, on the basis of appropriate economic index data, that the higher level is justified by year-to-year economic changes. Beginning July 1, 1975, and continuing through today, the MEI has met this requirement by reflecting the weighted sum of the annual price changes of the inputs used Start Printed Page 49050to produce physicians' services. As such, the MEI attempts to be an equitable measure of price changes associated with physician time and operating expenses.
The current form of the MEI was detailed in the November 25, 1992 Federal Register (57 FR 55896) and was based in part on the recommendations of a Congressionally-mandated meeting of experts held in March 1987. Since that time, the structure of the MEI has remained essentially unchanged, with two exceptions. First, the MEI was rebased in 1998 (63 FR 58845), which moved the cost structure of the index from 1992 data to 1996 data. Second, the methodology for the productivity adjustment was revised in 2002 (67 FR 80019) to reflect the percentage change in the 10-year moving average of economy-wide multifactor productivity.
We are proposing to rebase and revise the MEI for the 2004 physician fee schedule update. The terms “rebasing” and “revising”, while often used interchangeably, actually denote different activities. Rebasing means moving the base year for the structure of costs of an input price index, while revising means changing data sources, cost categories, or price proxies used in the input price index. As is always the case with a rebasing and revising exercise, we have attempted to use the most recently available, relevant, and appropriate information to develop the MEI cost category weights and price proxies. We detail below the updated cost weights for the MEI expense categories, our rationale for selecting the price proxies in the MEI, and the results of the proposed rebasing and revising of the MEI.
2. Use of More Current Data
The MEI was last rebased and revised in 1998 for the 1999 physician fee schedule update (63 FR 58845). The current base year for the MEI is 1996, which means that the cost weights in the index reflect physicians' expenses in 1996. However, we believe it is desirable to periodically rebase and revise the index so that the expense shares and proxies reflect more current conditions. For this reason, we propose to rebase the MEI to reflect physicians' expenses in 2000. In addition, we are proposing to revise the cost categories in the MEI and to change three of the proxies we currently use to ensure that the index is appropriately reflecting price changes. We will continue to adjust the MEI for economy-wide multifactor productivity.
The expense categories in the proposed MEI were primarily derived from the 2003 AMA Physician Socioeconomic Characteristics publication (2003 Patient Care Physician Survey data), which measures physicians' earnings and overall practice expenses for 2000. The AMA data were used to determine expenditure weights for total expenses, physicians' earnings, and malpractice expenses, the only information detailed in this survey. To further disaggregate into subcategories reflecting more detailed expenses, we used data from previous AMA surveys, the 1997 Bureau of Economic Analysis Benchmark Input-Output table (I/O), the 2003 Bureau of Labor Statistics (BLS) Employment Cost Index (ECI), and the 2002 Bureau of the Census Current Population Survey (CPS).
3. Rebasing and Revising Expense Categories in the MEI
a. Developing the Weights For Use in the MEI
Developing a rebased and revised MEI requires selecting a base year and determining the number and composition of expense categories. We are proposing to rebase the MEI to CY 2000. CY 2000 was chosen as the base year for two main reasons: (1) CY 2000 was the most recent year for which data were available from the AMA, and (2) we believed that the CY 2000 data were representative of the changing distribution of physicians' earnings and practice expenses over time.
We determined the number and composition of expense categories based on the criteria used to develop the current MEI and other CMS input price index expenditure weights. These criteria are timeliness, reliability, relevance, and public availability. For more information on these criteria, see the May 9, 2002 Federal Register (67 FR 31444) and the detail later in this preamble. Table 5 lists the set of mutually exclusive and exhaustive cost categories that make up the proposed rebased and revised MEI.
Table 5.—Proposed Revised Medicare Economic Index Expenditure Categories, Weights, and Price Proxies
Expense category Proposed 2000—Expense weights 12 1996 Expense weights Proposed price proxies Total 100.000 100.000 Physician Earnings 3 52.466 54.460 Wages and Salaries 42.730 44.197 AHE—Private. Benefits 4 9.735 10.263 ECI—Ben: Private. Physician Practice Expenses 47.534 45.540 Nonphysician Employee Compensation 18.654 16.812 Employee Wages and Salaries 13.809 12.424 Prof/Tech Wages 5.887 5.662 ECI-W/S: Private P&T. Managerial Wages 3.333 2.410 ECI-W/S: Private Admin. Clerical Wages 3.892 3.830 ECI-W/S: Private Clerical. Services Wages 0.696 0.522 ECI-W/S: Private Service. Employee Benefits 4 4.845 4.388 ECI-Ben: Priv. White Collar. Office Expenses 12.209 11.581 CPI(U)—Housing Professional Liability Insurance 3.865 3.152 CMS—Prof. Liab. Phys. Premiums. Medical Equipment 2.055 1.878 PPI—Medical Instruments & Equip. Pharmaceuticals and Medical Materials and Supplies 4.320 4.516 Medical Materials and Supplies 2.011 PPI Surg. Appliances and Supplies/CPI(U) Med Supplies. Pharmaceuticals 2.308 PPI Ethical Prescription Preparations. Other Professional Expenses 6.433 7.601 CPI-U All Items Less Food and Energy. 1 Due to rounding, weights may not sum to 100.000 percent. Start Printed Page 49051 2 Sources: Physician Socioeconomic Statistics, 2000-2002 Edition (SMS Survey), Physician Socioeconomic Statistics, 2003 Edition (PCPS Survey), Center for Health Policy Research, American Medical Association; 2003 Employment Cost Index, U.S. Department of Labor, Bureau of Labor Statistics; U.S. Department of Commerce, Bureau of Economic Analysis 1997 Benchmark Input Output Tables, and U.S. Department of Commerce, Bureau of the Census, 2002 Current Population Survey. 3 Includes employee physician payroll. 4 Includes paid leave. To determine the expenditure weights for the proposed rebased and revised MEI, we used currently available and statistically valid data sources on physician earnings and practice expenses. While we consulted numerous data sources, we used five data sources to determine proposed MEI expenditure weights: (1) The 2003 AMA Physician Socioeconomic Statistics (2000 survey data) for self-employed physicians, (2) the 2000-2002 AMA Physician Socioeconomic Statistics (1998 data) for self-employed physicians, (3) the March 2003 BLS Employment Cost Index, (4) the 2002 Bureau of the Census CPS, and (5) the Bureau of Economic Analysis (BEA) 1997 Benchmark Input-Output tables (I/O). No one data source provided all of the information needed to determine expenditure weights according to our criteria. The development of each of the cost categories using these sources is described in detail below.
b. Physician Earnings
Like the current MEI, the proposed rebased and revised MEI will use AMA data on mean physician net income (physician earnings) for self-employed physicians to develop a weight for physician earnings. The weight for this expense category was based on AMA data for 2000 and was calculated as a percentage of total mean expenses (physician earnings and practice expenses, including malpractice). The physician earnings expenditure category also includes employee physician compensation. Currently, physician earnings and overhead expenses generated by employee physicians are included in the AMA practice expenses category. However, we believe it is appropriate, for our purposes, to place employee physician compensation in the MEI cost category of physician earnings since employee physician compensation represents actual expenditures made in the delivery of services. In addition, including employee physician payroll in physician earnings in the MEI is consistent with the current payment methodologies in accordance with the physician fee schedule, where the work RVU is computed based on what service is provided and not on who provides the service. Since employee physicians perform the same services as self-employed physicians, employee physician time is reflected in the work RVU. By including the compensation of employee physicians in the physician earnings expense category, these expenses will be adjusted by the appropriate price proxies for a physician's own time.
To obtain further detail for both wages/salaries and benefits, the ratio between these categories for 1996 (based on current MEI) was updated to 2000 using the growth in the overall employment cost index for private employees for wages/salaries and benefits. Alternative data for determining this split were not readily available from any other source. The main shortcoming of this method is that any changes in quantity and intensity (mix of physicians) are not reflected. However, faced with the lack of alternative data, we deemed this approach to be the most feasible, and the results appear to be consistent with anecdotal evidence on this ratio. Its application resulted in a wage-fringe benefit split of 81.4 and 18.6 percent, respectively, in the proposed revised and rebased MEI compared with a wage-fringe benefit split of 81.2 and 18.8 percent, respectively in the 1996-based MEI.
c. Physician Practice Expenses
To determine the remaining individual practice expense weights, we updated AMA expense data from 1998 to 2000 using the relative price change in an appropriate price index. After the levels were updated to 2000 values, it was necessary to normalize these levels to equal the 2000 mean total expense data provided by the 2003 AMA survey. The detailed explanations for the derivation of the individual weights are listed below.
(i) Nonphysician Employee Compensation
The cost share for nonphysician employee compensation was developed by updating the 1998 AMA Socioeconomic Survey data on nonphysician employee compensation costs for self-employed physicians to 2000, using the current proxy for this category, and dividing the resulting amount into total expenses (physician earnings plus practice expenses) for 2000 from the AMA survey. We further divided this cost share into wages/salaries and benefits using BLS Employment Cost Index data. The ECI survey contains data on the proportion of total compensation accounted for by wages/salaries and benefits (including paid leave) by private industry health services occupational category. These proportions can be used to distribute the total non-physician employee compensation weight to wages/salaries and benefits for non-physician employees. We used 2000 data from the March 2003 publication. Although this survey does not contain data specifically for offices of physicians, data are available on wage/fringe shares for private industry health services, which include hospitals, nursing homes, offices of physicians, and offices of dentists. We believe the data for health services from the survey do provide a reasonable estimate of the split between wages and fringe benefits for employees in physicians' offices. Data for 2000 in the ECI survey for total health services indicate that wages and fringe benefits are 74.02 percent and 25.98 percent of compensation, respectively.
As in the 1996-based MEI, we are proposing to use CPS data on earnings by occupation to develop cost shares for wages for nonphysician occupational groups shown in Table 6. To arrive at a distribution for these separate categories, we multiplied the overall share for nonphysician employee wages/salaries by each of the occupational proportions from the 2000 CPS. The proposed distribution and the distribution in the current MEI are presented in Table 6.
Start Printed Page 49052Table 6.—Percent Distribution of Nonphysician Payroll Expense by Occupational Group: 2000 and 1996
BLS Occupational Group 2000 Expenditure Shares 1996 Expenditure Shares Total 100.000 100.000 Professional & Technical Workers 42.635 45.573 Managers 24.138 19.398 Clerical Workers 28.187 30.827 Service Workers 5.040 4.202 Note: Values may not sum to 100 due to rounding. (ii) Professional Liability Expense
The weight for professional liability expense was derived from the 2003 AMA survey (2000 data) and was calculated as the mean professional liability expense expressed as a percentage of total expenses (physician earnings plus practice expenses). This calculation resulted in a 3.865 percent share of total costs in 2000 compared to a 3.152 percent share in the 1996-based index. The increase in weight for professional liability insurance represents the increases in premiums and increases in the amount of coverage purchased by physicians in 2000 compared to 1996. Since the data do not reflect any changes caused by increases in these expenses in 2001 and 2002, they do not take into account the recent acceleration in the growth in premiums that physicians have experienced and, therefore, the weights will not reflect these changes. However, the proxy that we currently use in the 1996-based index—and will continue to use in the proposed rebased and revised index—does reflect the price increases associated with the recent rise in malpractice costs.
(iii) Office, Medical Equipment, Pharmaceuticals and Medical Materials and Supplies Expenses, and All Other Expenses
The 2003 AMA survey provides less detail for expenses with respect to prior years' publications. Therefore, we calculated the share of each of the above categories by updating the AMA data for 1998 to 2000 using an appropriate price proxy. The primary reason for using the price proxy was that we lacked other data to develop cost weights for each of these categories. As stated previously, the main deficiency of this method is that it does not account for any changes in the quantity or intensity effects associated with these expenses. Our belief, however, was that it was important to continue using these detailed breakouts so that each would be proxied by an appropriate price index and that the quantity/intensity effects over a short period of time are not likely to be large. In fact, we have found that even over longer periods of time, the distribution of costs tends to be relatively similar.
Office expenses and medical equipment levels were moved to 2000 using the growth from 1998 to 2000 in their respective MEI price proxies. In the case of office expenses, we used the growth in the CPI-U Housing; for medical equipment expenses, we used the growth in the PPI for Medical Instruments and Equipment.
The share for pharmaceuticals (prescription drugs) and medical materials and supplies was calculated by separating out pharmaceuticals and other medical materials and supplies using 1997 BEA Benchmark Input-Output data. First, the sum of all the pharmaceuticals and medical supplies categories from the Benchmark Input-Output tables for 1997 was calculated. The share of pharmaceuticals and medical supplies was then calculated as a percentage of this total and applied to the 1997 AMA medical supplies data. These calculated levels were then inflated to 2000 using the growth in an appropriate price proxy. We thought it was important and appropriate to account for each of these categories separately so that differences in relative price growth between pharmaceuticals (prescription drugs) and other medical materials and supplies would be more accurately represented. The resulting 2000 data for the two separate categories were then aggregated (summed) together to form the overall total for the share for the pharmaceuticals and medical materials and supplies category in the rebased and revised MEI. The pharmaceuticals category was inflated using the Producer Price Index (PPI) for ethical prescription preparations and the medical materials and supplies category was updated using the PPI for surgical appliances and supplies.
Finally, the All Other Expense category was calculated as a residual (total expenses less the percentage of all categories currently accounted for). The additional detail for transportation expenses found in the prior MEI was removed because the data were not readily available for measurement of a cost share for 2000. The effect on the MEI of removing the detail is negligible.
4. Selection of Price Proxies for Use in the MEI
After the 2000 cost weights for the rebased and revised MEI were developed, we reviewed the current set of price proxies to determine whether they were still the most appropriate for each expenditure category. As was the case in the development of the 1996-based MEI (57 FR 55901), most of the indicators we considered are based on BLS data and are grouped into one of the following five categories:
Producer Price Indices (PPIs)
PPIs measure price changes for goods sold in other than retail markets. They are the preferred proxies for physician purchases at the wholesale level. These fixed-weight indices are a measure of price change at the producer or at the intermediate stage of production, a more likely mode of purchase for physicians.
Consumer Price Indices (CPIs)
CPIs measure change in the prices of final goods and services purchased by consumers. Like the PPIs, they are fixed-weight. Since they may not represent the price changes faced by producers, CPIs were used if there were no appropriate PPI or if the expenditure category was similar to expenditure of retail consumers in general.
Average Hourly Earnings (AHEs)
AHEs are available for production and nonsupervisory workers for specific industries as well as for the nonfarm business economy. They are calculated by dividing gross payrolls for wages/salaries by total hours. The series reflects shifts in employment mix and, thus, is representative of actual changes in hourly earnings for industries or for the nonfarm business economy.
ECIs for Wages/Salaries
These ECIs measure the rate of change in employee wage rates per hour worked. These fixed-weight indices are not affected by shifts in industry or occupation employment levels and measure only the pure rate of change in wages.
ECIs for Employee Benefits
These ECIs measure the rate of change in employer costs of employee benefits, such as the employer's share of Social Security taxes, pension and other retirement plans, insurance benefits (life, health, disability, and accident), and paid leave. Like ECIs for wages/salaries, the ECIs for employee benefits are not affected by changes in industry output or occupational shifts.
When choosing wage and price proxies for each expense category, we evaluate the strengths and weaknesses of each proxy variable using four criteria. The first criterion is relevance. The price variable should appropriately represent price changes for specific goods or services within the expense category. Relevance may encompass judgments about relative efficiency of the market generating the price and wage increases.
The second criterion is reliability or low sampling variability. If the proxy wage-price variable has a high sampling variability or inexplicable erratic patterns over time, its value is greatly diminished, since it is unlikely to accurately reflect price changes in its associated expenditure category. Low sampling variability can conflict with relevance, since the more specifically a price variable is defined in terms of Start Printed Page 49053service, commodity, or geographic area, the higher the possibility of sampling variability. The length of time the time-series data have been published is also important. A well-established time series is needed to assess the reasonableness of the series and to provide a solid base from which to forecast future price changes in the series. We need to forecast the MEI to make Federal budget and Trustees Report estimates.
The third criterion is timeliness of actual published data. For this reason, we prefer monthly and quarterly data to annual data.
The fourth criterion is public availability. We prefer to use data sources that are publicly available for our indices so that the public may track each of the individual components in the MEI.
The BLS price proxy categories previously described meet the criteria of relevance, reliability and timeliness, and public availability. Below we discuss the price-wage proxies for the rebased and revised MEI (shown in Table 1).
(a) Expense Categories in the MEI
Physician Time
In the proposed revised and rebased MEI, we are using the AHE for the private nonfarm economy as the proxy for the physician wages/salaries component; this is the same price measure used in the 1996-based MEI. In our judgment, this proxy still most closely comports with Congressional intent as expressed in the Senate Finance Committee's 1972 report (S. Rept. No. 92-1230 at 191 (1972)). AHEs change in accordance with changes in the type and mix of workers.
As we discussed extensively in the November 2, 1998 final rule (63 FR 58848) and again in the December 31, 2002 final rule (67 FR 80019), we believe that the current price proxy for physicians' earnings—AHE in the nonfarm business economy—is the most appropriate proxy to use in the MEI. The AHE for the nonfarm business economy reflects the impacts of supply, demand, and economy-wide productivity for the average worker in the economy. Using this measure as the proxy for physicians' earnings captures the parity in the rate of change in wages for the average worker and for physicians. In addition, use of this proxy is consistent with the original legislative intent that the change in the physicians' earnings portion of the MEI parallel the change in general earnings for the economy. Since earnings are expressed per hour, a constant quantity of labor input per unit of time is reflected. The use of the AHE data is also consistent with our using the BLS economy-wide multifactor productivity measures since economy-wide wage increases reflect economy-wide productivity increases.
Using the ECI for professional and technical workers or other occupational-specific wage proxies has a major shortcoming; in many instances, occupations such as engineering, computer science, and nursing have unique characteristics that are not representative of the overall economy or the physician market. Specifically, wage changes for such occupations can be influenced by excess supply or demand for these types of workers. We believe it would not be appropriate to proxy the physician earnings portion of the MEI with a wage proxy that reflects these other occupation's unique characteristics.
The current MEI uses the ECI for fringe benefits for total private industry as the price proxy for physician fringe benefits. We are proposing to use the same proxy for the 2000-based MEI. This means that both the wage and fringe benefit proxies for physician earnings are derived from the nonfarm private sector and are computed on a per-hour basis.
Nonphysician Employee Compensation
As in the 1996-based MEI, we are proposing to use Current Population Survey data on earnings and employment by occupation to develop labor cost shares for the nonphysician occupational groups shown in Table 6. BLS maintains an ECI for each occupational group, and we propose to use these ECIs as price proxies for nonphysician employee wages in the same manner they are used in the current MEI.
The skill mix shift in employees of physician offices in the last few years has been towards managerial occupations. While these skill mix shifts are captured in the expenditure weights, they are appropriately held constant in a Laspeyres price index such as the MEI. Skill mix shifts, which may reflect the changing intensity of services provided in physicians' offices, are accounted for in the payment system outside of the MEI.
The current MEI uses the ECI for fringe benefits for white collar employees in the private sector as a proxy for nonphysician benefits. Since most nonphysician employees in physicians' offices are white-collar employees, we are again proposing to use the ECI for benefits for white collar employees in the proposed rebased and revised MEI.
Office Expense
Office expenses include rent or mortgage for office space, furnishings, insurance, utilities, and telephone. We are proposing the continued use of the CPI-U for housing because it is a comprehensive measure of the cost of housing, including rent, owner's equivalent rent, and the types of goods and services associated with running an office. This proxy covers about 80 percent of the population.
Pharmaceuticals and Medical Materials and Supplies
This cost category includes drugs, outside laboratory work, x-ray films, and other related services. There is not one price proxy that includes this complete mix of materials and supplies. In the absence of one index, we are proposing to separately account for pharmaceuticals and medical materials and supplies in the 2000-based MEI.
- Medical Materials and Supplies
We equally weighted two proxies together (the PPI Surgical Appliances and Supplies and the CPI-U for Medical Equipment and Supplies) since one proxy does not accurately measure the price change associated with these types of products used nor the mode of purchase used in physicians' offices. While both indexes include such items as bandages, dressings, catheters, I.V. equipment, syringes, and other general disposable medical supplies and nonprescription equipment, the indexes reflect significant differences in the mode of purchase. The PPI measures actual transaction prices at the wholesale level, the mode most likely used by physicians, while the CPI measures prices at the retail level or the final stage of production. The price movements in these two indexes can be different and we believe that it is appropriate to combine these indexes into one proxy since physicians likely use both purchasing methods when obtaining medical supplies.
- Pharmaceuticals
The PPI for ethical prescription drugs is used to proxy pharmaceutical prices in other CMS market baskets and reflects the price change associated with the average mix of pharmaceuticals purchased economy-wide. We propose to use the PPI for ethical prescription drugs, rather than the CPI for prescription drugs, because physicians generally purchase drugs directly from a wholesaler. The PPIs that we use measure price changes at the final stage of production. Start Printed Page 49054
Professional Liability Insurance
It is vital that the MEI accurately reflect the price changes associated with professional liability costs. Accordingly, we continue to incorporate into the MEI a price proxy that accomplishes this goal by making the maximum use of available data on professional liability premiums.
Each year, we solicit professional liability premium data for physicians from a small sample of commercial carriers. This information is not collected through a survey form, but instead is requested, on a voluntary basis, from a few national commercial carriers via letter. Generally between 5 and 8 carriers volunteer this information. While the sample size certainly does not cover the entire professional liability insurance market, we have attempted to maximize the market share in terms of both national coverage and coverage within States.
As we require for our other price proxies, the professional liability price proxy should reflect the pure price change associated with this particular cost category. Thus, it should not capture changes in the mix or level of liability coverage. To accomplish this result, we obtain premium information from commercial carriers for a fixed level of coverage, currently $1 million per occurrence and a $3 million annual limit. This information is collected for every State by physician specialty and risk class. Finally, the State-level, physician-specialty data are aggregated by effective premium date to compute a national total, using counts of physicians by State and specialty as provided in the AMA publication, Physician Characteristics and Distribution in the U.S.
The resulting data provide a quarterly time series, indexed to a base year consistent with the MEI and reflect the national trend in the average professional liability premium for a given level of coverage. From this series, quarterly and annual percent changes in professional liability insurance are estimated for inclusion in the MEI.
The most comprehensive data on professional liability costs are held by the State insurance commissioners but these data are available only with a substantial time lag and, therefore, the data currently incorporated into the MEI are much more timely. We believe that, given the limited data available on professional liability premiums, this methodology adequately reflects the price trends facing physicians.
Medical Equipment
Medical equipment includes depreciation, leases, and rent on medical equipment. We propose to use the PPI for medical instruments and equipment as the price proxy for this category, consistent with the price proxy used in the 1996-based MEI and other CMS input price indexes.
Other Professional Expenses
This category includes the residual subcategory of other professional expenses such as accounting services, legal services, office management services, continuing education, professional association memberships, journals, professional car expenses, and other professional expenses. In the absence of one price proxy or even a group of price proxies that might reflect this heterogeneous mix of goods and services, we use the CPI-U for all items, less food and energy, consistent with the price proxy used in the 1996-based MEI. We also propose to condense the structure used in the previous 1996-based MEI because we lack the data to develop a representative weight for transportation, as discussed above. This change would result in only a negligible effect on the overall MEI over the past 8 years; the average increase differs by less than a tenth of a percentage point over that time.
(b) Productivity Adjustment to the MEI
In the December 2002 final rule, we indicated that we were changing the methodology for adjusting for productivity in the MEI. The MEI used for the 2003 physician payment update reflected changes in the 10-year moving average of private nonfarm business (economy-wide) multifactor productivity applied to the entire index; we had previously used economy-wide private nonfarm business labor productivity applied to the labor portions of the index. We will continue to use the method of adjusting for multifactor productivity applied to the entire index in the proposed rebased and revised MEI.
As described in the December 31, 2002 final rule, we used multifactor productivity because: (1) it is theoretically more appropriate to explicitly reflect the productivity gains associated with all inputs (both labor and nonlabor); (2) the recent growth rate in economy-wide multifactor productivity appears to be more consistent with the current market conditions facing physicians; and (3) the MEI still uses economy-wide wage changes as a proxy for physician wage changes. We believe that using a 10-year moving average change in economy-wide multifactor productivity produces a stable and predictable adjustment and is consistent with the moving-average methodology used in the current 1996-based MEI. The adjustment will be based on the latest available actual historical economy-wide multifactor productivity data, as measured by BLS.
5. Results of Rebasing
Updating the MEI from a 1996 base year to a 2000 base year resulted in small changes in expense category weights. Physicians' earnings dropped slightly, from 54.5 percent of the index in 1996 to 52.5 percent in 2000. The expense shares for non-physician employee compensation, office expenses, professional liability insurance, and medical equipment all rose slightly, while expense shares for medical materials and supplies and all other expenses declined.
The rebased and revised MEI is similar in structure to the current MEI. Except for two-tenths of a percentage point difference in 2000, the annual percent change in the rebased and revised MEI was within one-tenth of a percentage point of the percent change in the 1996-based MEI each year between 1996 and 2003. Therefore, the revision and rebasing proposed in this rule, while making the expense shares more timely, has little impact on the percent changes in the MEI as a whole. Table 7 below shows the average calendar-year percent change from 1996 to 2003 for both the 1996- and 2000-based MEIs.
Table 7.—Annual Percent Change in the Current and Proposed Revised and Rebased Medicare Economic Index
Update year (A) Proposed 2000-based MEI Current 1996-based MEI 1996 1.7 1.8 1997 1.9 1.9 Start Printed Page 49055 1998 2.4 2.4 1999 2.7 2.6 2000 2.9 2.7 2001 2.8 2.8 2002 3.3 3.3 2003 3.1 3.0 Avg Change 1996-2003 2.6 2.6 (A) Update year based on historical data through the second quarter of the prior calendar year. For example, the 2003 update is based on historical data through the second quarter 2002. The forecast of the proposed rebased and revised MEI for the 2004 Physician Fee Schedule is an increase of 2.5 percent, nearly identical to the forecasted increase using the previous 1996-based MEI. In the final rule we will incorporate historical data through the second quarter of 2003; therefore, the current estimated increase of 2.5 percent for 2004 may differ in the final rule.
Start Printed Page 49056 Start Printed Page 49057 Start Printed Page 490586. Adjustments to RVUs To Match the New MEI Weights
As described in the previous section, we are proposing to rebase the MEI and establish new weights for physician work, practice expense and malpractice. Based on 2002 Medicare utilization data, we compared the proportion of total RVUs attributable to physician work, practice expense and malpractice to the new MEI weights. We show the proportion of total RVUs attributable to work, practice expense and malpractice and their respective proposed new MEI weights across all physicians' services in the following table:
Table 10
Proposed MEI weight 2002 RVUs Physician Work 52.466% 52.649% Practice Expense 43.669% 44.175% Malpractice 3.865% 3.176% The MEI weights for physician work and practice expense are lower than the proportion of 2002 aggregate RVUS attributable to these categories. The malpractice weight within the MEI is higher than its share of total aggregate 2002 RVUs. (The 2002 shares from the Medicare utilization do not match the 1996 MEI weights because deviations occur over time based on changes in the mix of services billed by physicians and other factors).
We believe there is merit in adjusting the RVUs to match the revised MEI weights. By giving more weight to malpractice and less weight to physician work and practice expenses, Medicare's payments will better reflect each component of physician practice expenses. Section 1848(c)(2)(B)(ii)(II) of the Act requires that increases or decreases in RVUs may not cause the amount of expenditures for the year to differ by more than $20 million from what expenditures would have been in the absence of these changes. If this threshold is exceeded, we make across-the-board adjustments to preserve budget neutrality. Therefore, if we adjust the work, practice expense and malpractice RVUs to match the new MEI weights, we are required by statute to ensure that the adjustments do not increase or decrease Medicare expenditures by more than $20 million. To meet the requirements of the statute and ensure that aggregate pools of RVUs match the proposed new MEI weights, we considered two options. We considered making no adjustments to the physician work RVUs and adjusting only the practice expense and malpractice RVUs or adjusting all 3 categories of RVUs. We considered the first option because the medical community, in the past, has expressed interest in avoiding adjustments to physician work RVUs. However, we could only meet the requirements of section 1848(c)(2)(B)(ii)(II) if we reduced the physician fee schedule conversion factor by an additional 0.3 percentage points in addition to the −4.2 percent reduction we are already forecasting. We believe a small reduction to the physician work RVUs is preferable to a reducing the conversion factor by an additional 0.3 percent. For this reason, we are proposing to reduce the physician work RVUs by 0.35 percent (0.9965) and the practice expense RVUs by 1.15 percent (0.9885) and increase the malpractice RVUs by 21.7 percent (1.217) to match the rebased MEI weights. The effects of these adjustments to the RVUs are included in the RVUs shown in Addendum B of this proposed rule and, as explained previously, would not require a compensating adjustment to the conversion factor.
B. Definition of Diabetes for Diabetes Self-Management Training
Section 4105(a) of the Balanced Budget Act of 1997 (BBA) (Pub. L. 105-33, enacted on August 5, 1997) provides coverage for outpatient diabetes self-management training in outpatient settings without limiting this coverage to hospital outpatient departments. The BBA provided that the services would be provided “to an individual with diabetes.” In the December 29, 2000, final rule entitled, “Expanded Coverage for Outpatient Diabetes Self-Management Training and Diabetes Outcome Measurements”, (65 FR 83129) we established criteria to define “an individual with diabetes.” At that time, we did not have a definition of diabetes that had been widely accepted. Therefore, we established a set of medical conditions to determine who should receive the service.
In § 410.141(d), we stated that any beneficiary who has one or more of the following medical conditions occurring within the 12-month period before the physician's order for the training would be eligible for Medicare coverage for training from an approved entity:
- New onset diabetes.
- Inadequate glycemic control as evidenced by a glycosylated hemoglobin (HbA1C) level of 8.5 percent or more on two consecutive HbA1C determinations 3 or more months apart in the year before the beneficiary begins receiving training.
- A change in treatment regimen from no diabetes medications to any diabetes medication, or from oral diabetes medication to insulin.
- High risk for complications based on inadequate glycemic control (documented acute episodes of severe hyperglycemia or acute severe hyperglycemia occurring in the past year during which the beneficiary needed emergency room visits or hospitalization).
- High risk based on at least one of the following documented complications:
—Lack of feeling in the foot or other foot complications such as foot ulcers, deformities, or amputation;
—Pre-proliferative or proliferative retinopathy or prior laser treatment of the eye; and
—Kidney complications related to diabetes, when manifested by albuminuria, without other cause, or elevated creatinine.
These requirements have been shown to be burdensome to the public and to Medicare contractors. Therefore, we are proposing that the requirements be streamlined to use the definition of diabetes that was established in a later regulation at § 410.130 and is used to determine beneficiary eligibility for Medical Nutrition Therapy when the beneficiary has a diagnosis of diabetes. The definition is:
Diabetes means diabetes mellitus consisting of two types. Type 1 is an autoimmune disease that destroys the beta cells of the pancreas, leading to insulin deficiency. Type 2 is familial hyperglycemia that occurs primarily in adults but can also occur in children Start Printed Page 49059and adolescents. It is caused by an insulin resistance whose etiology is multiple and not totally understood. Gestational diabetes is any degree of glucose intolerance with onset or first recognition during pregnancy. The diagnostic criterion for a diagnosis of diabetes for a fasting glucose intolerance test is greater than or equal to 126 mg/dL.
C. Outpatient Therapy Services Performed “Incident To” Physicians' Services—Discussion Only
In almost all settings, our policy provides that outpatient therapy services can be delivered only by physical therapists, occupational therapists, physical therapy assistants, occupational therapy assistants, and speech and language pathologists as defined by our regulations at § 484.4. While there are currently no national standards for qualifications of individuals providing outpatient therapy services incident to physicians' services, we believe that standards similar to those in § 484.4 are appropriate. Section 1862(a)(20) of the Act requires that any therapy services furnished incident to a physician's professional services must meet the standards and conditions that would apply to such therapy services if they were furnished by a therapist, with the exception of the licensing requirement.
The OIG conducted a study in March of 1994 (OEI-02-09-00590) which revealed that 78 percent of “incident to” physical therapy services did represent therapy services covered under Medicare (that is, reasonable and necessary as defined in section 1862(a)(1)(A) of the Act). The study also questioned the training of staff providing these services. Also, in 2002 we contracted for a report on the utilization of therapy services. The text of that report is available at www.cms.hhs.gov/medlearn/therapy under Research Tools for Specific Therapy Topics, DynCorp Report—Outpatient Therapy Utilization September 2002. The study found that 25 percent of the beneficiaries in 2000 were treated in the offices of physicians and nonphysician practitioners. There is currently no process to ensure the quality of the services provided in those settings.
The pending implementation of financial limitations on outpatient therapy services emphasizes the need to define the qualifications of those providing therapy services. The limited therapy services covered by Medicare must be provided by people who meet qualifications needed to render skilled services.
In order to conform to section 1862(a)(20) of the Act, we are considering adopting the existing qualification and training standards (with the exception of licensure) in § 484.4 for individuals providing therapy services independently and incident to physicians' services. We are not proposing a change at this time, but are interested in receiving comments from the public, particularly physicians and staff who would be affected, on adoption of the existing standards in § 484.4, to services of independent therapists and “incident to” services as well as alternatives that we might use to ensure that qualified staff are providing “incident to” therapy services. These comments would assist us in the development of any future proposal concerning this issue.
D. Status of Anesthesia Work and Five-Year Review
In the December 2002 final rule, we modestly increased the work of anesthesia services. These changes were based on the analysis submitted by the RUC of its review of the work of 19 high-volume anesthesia codes. The RUC had provided us with its analysis but did not furnish us with a definitive recommendation. The increase in anesthesia work resulted in an increase in the national anesthesia conversion factor. (We increased the physician work component of the anesthesia conversion factor by 2.10 percent to reflect a 9.13 percent increase in anesthesia work applied to 23 percent of anesthesia allowed charges represented by the 19 codes. We applied a 1.6 percent increase to the anesthesia CF.)
The American Society of Anesthesiologists expressed concerns about the completeness of the review of anesthesia under the five-year review, and, in February 2003, we asked the RUC to continue its review of anesthesia work values; we expected to develop a final recommendation for a change in the anesthesia CF involving all anesthesia codes. We asked that the RUC complete this analysis in 2003. The RUC is considering our request and will respond to us about what action they plan to take on this issue.
E. Payment Policies for Anesthesia Services
Currently there are different payment policies for teaching anesthesiologists and teaching certified registered nurse anesthetists (CRNAs). We are seeking comments on the appropriateness of applying the CRNA teaching/resident policy to teaching anesthesiologists.
F. Technical Correction
CPT Code 96155 (Health and behavior intervention, each 15 minutes, face-to-face; family (without the patient present)).
This code describes a visit with a patient's family without the patient being present and was first included in the November 1, 2001 final rule. It was incorrectly listed as an active code for which payment could be made under the physician fee schedule. Our longstanding payment policy is that we do not pay for visits with family where the patient is not present. Payment for such visits is included in the pre- and post-service work of a visit where the patient is present. Consistent with this policy, this code is non-payable under the physician fee schedule.
IV. Collection of Information Requirements
This document does not impose information collection and recordkeeping requirements. Consequently, it need not be reviewed by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995.
V. Response to Comments
Because of the large number of items of correspondence we normally receive on Federal Register documents published for comment, we are not able to acknowledge or respond to them individually. We will consider all comments we receive by the date and time specified in the “DATES” section of this preamble, and, if we proceed with a subsequent document, we will respond to the major comments in the preamble to that document.
VI. Regulatory Impact Analysis
We have examined the impact of this rule as required by Executive Order 12866 (September 1993, Regulatory Planning and Review), the Regulatory Flexibility Act (RFA) (September 16, 1980 Pub. L. 96-354), section 1102(b) of the Social Security Act, the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4), and Executive Order 13132.
Executive Order 12866 directs agencies to assess all costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis must be prepared for proposed rules with economically significant effects (that is, a proposed rule that would have an annual effect on the economy of $100 million or more in any Start Printed Page 490601 year, or would adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities). We have simulated the effect of the proposed changes to the practice expense RVUs described earlier. The net effect of the changes we are proposing will not materially increase or decrease Medicare expenditures for physicians' services because the statute requires that changes to RVUs cannot increase or decrease expenditures more than $20 million. Since increases in payments resulting from RVU changes must be offset by decreases in payments for other services, the proposed practice expense changes will result in a redistribution of payments among physician specialties. The RVU changes in this proposed rule have an estimated aggregate redistributive effect of approximately $190 million dollars. (Tables 11 and 12 which appear later in this section reflect the estimated specialty impacts.) Therefore, we are considering this proposed rule to be a major rule because it is economically significant, and, thus, we have prepared a regulatory impact analysis.
The RFA requires that we analyze regulatory options for small businesses and other entities. We prepare a Regulatory Flexibility Analysis unless we certify that a rule would not have a significant economic impact on a substantial number of small entities. The analysis must include a justification concerning the reason action is being taken, the kinds and number of small entities the rule affects, and an explanation of any meaningful options that achieve the objectives and less significant adverse economic impact on the small entities.
Section 1102(b) of the Act requires us to prepare a regulatory impact analysis for any proposed rule that may have a significant impact on the operations of a substantial number of small rural hospitals. This analysis must conform to the provisions of section 603 of the RFA. For purposes of section 1102(b) of the Act, we define a small rural hospital as a hospital that is located outside a Metropolitan Statistical Area and has fewer than 100 beds.
For purposes of the RFA, physicians, nonphysicians, and suppliers are considered small businesses if they generate revenues of $6 million or less. Approximately 95 percent of physicians (except mental health specialists) are considered to be small entities. There are about 700,000 physicians, other practitioners and medical suppliers that receive Medicare payment under the physician fee schedule. The analysis and discussion provided in this section as well as elsewhere in this proposed rule is intended to comply with the RFA requirements.
Section 202 of the Unfunded Mandates Reform Act of 1995 also requires that agencies assess anticipated costs and benefits before issuing any rule that may result in expenditure in any 1 year by State, local, or tribal governments, in the aggregate, or by the private sector, of $110 million. This proposed rule would not impose unfunded mandates on State, local, or tribal governments, or on the private sector of more than $110 million dollars.
We have examined this proposed rule in accordance with Executive Order 13132 and have determined that this regulation would not have any significant impact on the rights, roles, or responsibilities of State, local, or tribal governments.
We have prepared the following analysis, which together with the rest of this preamble, meets all assessment requirements. It explains the rationale for, and purposes of, the rule, details the costs and benefits of the rule, analyzes alternatives, and presents the measures we propose to use to minimize the burden on small entities. As indicated elsewhere in this proposed rule, we propose to make changes to the Medicare Economic Index, refine resource-based practice based practice expense RVUs and make a variety of other minor changes to our regulations, payments or payment policy to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We provide information for each of the proposed policy changes in the relevant sections in this proposed rule. As discussed elsewhere in this proposed rule, the provisions of this proposed rule, if adopted, would only change Medicare payment rates for physician fee schedule services. While this rule would revise the definition of diabetes for the purposes of outpatient diabetes self-management training, it does not impose reporting, record-keeping and other compliance requirements. We are unaware of any relevant Federal rules that duplicate, overlap or conflict with this proposed rule. The relevant sections of this proposed rule contain a description of significant alternatives.
A. Resource-Based Practice Expense Relative Value Units
Under section 1848(c)(2) of the Act, adjustments to RVUs may not cause the amount of expenditures to differ by more than $20 million from the amount of expenditures that would have resulted without such adjustments. We are proposing several changes that would result in a change of expenditures that would exceed $20 million if we made no offsetting adjustments to either the conversion factor or RVUs.
With respect to practice expense, our policy has been to meet the budget neutrality requirements in the statute by incorporating a rescaling adjustment in the practice expense methodology. That is, we estimate the aggregate number of practice expense relative values that will be paid under current and proposed policy in CY 2004. We apply a uniform adjustment factor to make the aggregate number of proposed practice expense relative values equal the number estimated that would be paid under current policy.
Table 11 shows the specialty level impact on payment of changes being proposed for CY 2004. The payment impacts reflect averages for each specialty based on Medicare utilization. The payment impact for an individual physician would be different from the average, based on the mix of services the physician provides. The average change in total revenues would be less than the impact displayed here since physicians furnish services to both Medicare and non-Medicare patients and specialties may receive substantial Medicare revenues for services that are not paid under the physician fee schedule. For instance, independent laboratories receive more than 80 percent of their Medicare revenues from clinical laboratory services that are not paid under the physician fee schedules. The table shows only the payment impact on physician fee schedule services.
We modeled the impact of four changes to the practice expense methodology and illustrated the effect in table 11 below. The column labeled “Utilization Data” shows the effect of updating the practice expense methodology to add 2002 utilization data for codes that did not exist in the 1997-2000 period. In general, updating the methodology with the latest utilization data will have the largest impact on payment for a new service where a code was established in 2002. In some cases, the practice expense RVU will increase (for example, 64561—Implant Neuroelectrodes and 52001, Cystoscopy Removal of Clots). In other cases, they will go down (96567—photodynamic treatment skin and G0249—Providing test materials and equipment for home INR Monitoring, 77418—Radiation Treatment Delivery—Intensity Modulated Radiation). For most specialties, new codes represent a Start Printed Page 49061small proportion of the specialties' revenues and updating the practice expense RVUs with utilization will have little impact on payment across all of the services the specialty provides. However, updating the practice expense methodology with the 2002 utilization data will reduce payment to radiation oncologists by approximately 1 percent. The payment reduction occurs because the practice expense RVUs for radiotherapy dose planning and radiation treatment by intensity modulated radiation are going down. Because this service represents 8 percent of Medicare revenues to radiation oncology in 2002, there is a somewhat larger impact on this specialty than will generally occur for most specialties.
The column labeled “Practice Expense Refinements” shows the impact on payment from proposed refinements to the practice expense RVUs. In general, the largest impact of the refinements is occurring to surgical procedures with 10 and 90-day global periods. Most of the impacts on these procedures will occur because of the standardization of the intra and post period time for clinical staff. There are also modest impacts on some specialties in the non-facility practice expense RVUs from the refinements to clinical staff and medical supplies. Orthopedic surgery and hand surgery will experience an approximate reduction of 2 percent from the practice expense refinements while payments to otolaryngology will increase by nearly 2 percent. There will be more modest payment increases or decreases for all other specialties from the practice expense refinements.
The column labeled “Maxillofacial Prosthetics” shows the impact on payment from changing the specialty practice expense per hour crosswalk for oral surgery (specialty 19) and maxillofacial surgery (specialty 85) to otolaryngology. Payments to these specialties will increase from this change and there will be virtually no impact on payment to any other specialty.
As indicated earlier, we are also adding clinical staff time to the professional component of several cardiac catheterization services increasing payments for these services by a small amount. The proposed change will cause minor payment reductions for a few other cardiology services. All other services are unaffected by this proposal. The column labeled “Professional Component of a Diagnostic Test” shows the payment impact of the proposed change.
The column labeled “Total” in table 11 below shows the payment impact by specialty of all the changes described above. If we change any of these proposals following our consideration of comments, these figures may change.
Start Printed Page 49062 Start Printed Page 49063 Start Printed Page 49064 Start Printed Page 49065The statutory methodology for updating physician fee schedule conversion factor is specified in section 1848(d)(4) of the Act. Consistent with the requirements of section 1848(d)(1)(E) of the Act, we made an estimate of the physician fee schedule update for CY 2004 available to the Medicare Payment Advisory Commission (MedPAC) and the public in March of this year. Using our point estimate of −4.2 percent, on table 12, we are showing the estimated change in average payments by specialty based on provisions of this proposed rule and the estimated physician fee schedule update. As indicated above, figures will change if we change any of our proposals following consideration of public comment. Further, we believe it is highly likely that our estimate of the 2004 physician fee schedule update will change before we determine the final figure later this year.
Start Printed Page 49066 Start Printed Page 49067Table 13 shows the impact on payments for selected high volume procedures of all of the changes previously discussed. This table shows the combined impact of the change in the practice expense RVUs and the estimated physician fee schedule update on total payment for the procedure. There are separate columns that show the change in the facility rates and the non-facility rates. For an explanation of facility and non-facility practice expense refer to § 414.22(b)(5)(i). The table shows the estimated change in payment rates based on provisions of this proposed rule and the estimated physician fee schedule update. If we change any of the provisions following the consideration of public comments, these figures may change. Further, the payment amounts shown for 2003 will change once we determine the final figure for the physician fee schedule update.
Start Printed Page 49068 Start Printed Page 49069B. Geographic Practice Cost Indices
As discussed in section II.B., we are proposing to revise the malpractice GPCIs based upon actual 2001 and 2002 malpractice premium data and projected 2003 malpractice premium data. Data collection is not yet complete therefore we were unable to include the proposed malpractice GPCIs in this proposed rule. The revised malpractice GPCIs in the final rule will be subject to public comment. Any changes in the GPCIs will redistribute payments among geographic areas and will not increase or decrease Medicare expenditures. Because the malpractice RVUs only represent 3.9 percent on total payments on average across all physician fee schedule services, we expect any payment impact to be modest. We will illustrate the change in the GPCIs from use of the new malpractice data in the final rule.
C. Tracking Codes
We are proposing a change in policy that will allow CMS to create national payment policy and determine national payment amounts for CPT tracking codes regardless of whether a national coverage determination for a specific service has been made. This proposal will have no effect on Medicare expenditures but will allow for more flexibility in determining payment rates for new services.
D. Excision of Lesions
We are proposing to make the work RVUs the same for removal of benign and malignant skin lesions that have the same excised diameters that are from similar locations (for example, torso, arms, and legs). This would result in minor redistribution in payment of these services. Any impact on payment from this proposal is included in the specialty and code level impacts shown above.
E. G Codes for Monitoring Heart Rhythms
As discussed earlier, we are creating several HCPCS G codes and establishing national payment for new technology services that allow patients with cardiac arrhythmias to be monitored in a home setting. Currently, Medicare is making payment for these services under CPT code 93799, Unlisted cardiovascular procedure or service. Medicare carriers make local payment determinations for unlisted procedure codes. Our proposal will have no impact on Medicare payment for these services since national payment will replace local carrier payment.
F. G Codes for Managing Dialysis Patients
As we previously discussed in section II.C., we have reviewed our current payment policy for the monthly dialysis capitation payment in response to concerns that have been raised over whether our payment policy is consistent with current medical practice. We are proposing new G codes for these services that would allow us to align the payment incentives to match the frequency of the physician personally evaluating the dialysis patient. We believe that this restructuring of payment will assist in assuring that beneficiaries with ESRD receive the highest quality dialysis care available as the proposed codes provide for reimbursement for physician involvement that is consistent with the needs of the patient in any specific month. Our proposal will not increase or decrease Medicare payments for Start Printed Page 49070treatment of dialysis patients. We are decreasing our current payment to the physician for providing fewer than four visits per month. If the physician provides four or more visits per month, we are increasing our current payment.
G. Rebasing and Revising the MEI
As indicated in section III.A. of this proposed rule, we are proposing to rebase and revise the MEI for the CY 2004 physician fee schedule. Substituting the 2000 MEI weights in place of the 1996 weights currently in use will increase the MEI by approximately 0.1 percent for 2004. Based on our current estimates, we expect no impact from this proposal on any subsequent year MEI.
H. Definition of Diabetes for Diabetes Self-Management Training
We are proposing to revise the definition of diabetes for purposes of the Outpatient Diabetes Self-Management Training benefit and use the definition established to determine beneficiary eligibility for Medical Nutrition Therapy when the beneficiary has a diagnosis of diabetes. The streamlining of the beneficiary eligibility requirements for Outpatient Diabetes Self-Management Training will reduce administrative burden for the referring physician or qualified non-physician practitioner and for the accredited Outpatient Diabetes Self-Management Training programs by simplifying documentation requirements and eliminating the need for reconsiderations and appeals to clarify that the requirements have been met. As indicated in the February 28, 2003 Federal Register (68 FR 9572), we incorporated an adjustment to the SGR consistent with our original estimates of expenditures associated with this new benefit. Our experience is that expenditures have been less than originally estimated. We expect that simplifying administrative requirements associated with this new benefit will make it more likely that expenditures for diabetes self-management training will be consistent with original estimates and there will be no increase in Medicare expenditures from making these modifications.
I. Alternatives Considered
This proposed rule contains a range of policies. The preamble identifies those policies when discretion has been exercised and presents rationale for our decisions, including a presentation of nonselected options.
J. Impact on Beneficiaries
Although changes in physicians' payments were large when the physician fee schedule was implemented in 1992, we detected no problems with beneficiary access to care. We do not believe that there would be any problem with access to care as a result of the proposed changes in this rule. While it has been suggested that the negative update for 2004 may affect beneficiary access to care, we note that the formula to determine this update is set by statute and this regulation cannot, and does not, change it. Furthermore, since beginning our transition to a resource-based practice expense system in CY 1999, we have not found that there are problems with beneficiary access to care.
In accordance with the provisions of Executive Order 12866, this regulation was reviewed by the Office of Management and Budget.
Start List of SubjectsList of Subjects
42 CFR Part 410
- Health facilities
- Health professions
- Kidney diseases
- Laboratories
- Medicare
- Rural areas
- X-rays
42 CFR Part 414
End List of SubjectsAdministrative practice and procedure, Health facilities, Health professions, Kidney diseases, Medicare, Reporting and recordkeeping requirements, Rural areas, X-rays.
For the reasons set forth in the preamble, the Centers for Medicare & Medicaid Services proposes to amend 42 CFR chapter IV as follows:
Start PartPART 410—SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
1. The authority citation for part 410 continues to read as follows:
2. Section 410.140 is amended by adding the definition of “Diabetes” to read as follows:
Definitions.* * * * *Diabetes means diabetes mellitus consisting of two types. Type 1 is an autoimmune disease that destroys the beta cells of the pancreas, leading to insulin deficiency. Type 2 is familial hyperglycemia that occurs primarily in adults but can also occur in children and adolescents. It is caused by an insulin resistance whose etiology is multiple and not totally understood. Gestational diabetes is any degree of glucose intolerance with onset or first recognition during pregnancy. The diagnostic criterion for a diagnosis of diabetes for a fasting glucose intolerance test is greater than or equal to 126 mg/dL.
* * * * *3. Section 410.141 is amended by adding paragraph (f) to read as follows:
Outpatient diabetes self-management training.* * * * *(f) Beneficiaries who may be covered. Medicare Part B covers outpatient diabetes self-management training for a beneficiary who has been diagnosed with diabetes.
* * * * *PART 414—PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
1. The authority citation for part 414 continues to read as follows:
2. Section 414.22(b)(6)(iii) is revised to read as follows:
Relative value units.* * * * *(b) * * *
(6) * * *
(iii) CMS will consider for use in determining practice expense RVUs for the physician fee schedule survey data and related materials submitted to CMS by March 1, 2004 to determine CY 2005 practice expense RVUs.
* * * * *(Catalog of Federal Domestic Assistance Program No. 93.774, Medicare—Supplementary Medical Insurance Program)
Dated: June 20, 2003.
Thomas A Scully,
Administrator, Centers for Medicare & Medicaid Services.
Approved: July 22, 2003.End SignatureTommy G. Thompson,
Secretary.
Addendum A—Explanation and Use of Addenda B
The addenda on the following pages provide various data pertaining to the Medicare fee schedule for physicians' services furnished in 2003. Addendum B contains the RVUs for work, non-facility practice expense, facility practice expense, and malpractice expense, and other information for all services included in the physician fee schedule.
In previous years, we have listed many services in Addendum B that are not paid under the physician fee schedule. To avoid publishing as many pages of codes for these services, we are not including clinical laboratory codes Start Printed Page 49071and most alpha-numeric codes (Healthcare Common Procedure Coding System (HCPCS) codes not included in CPT) in Addendum B.
Addendum B—2003 Relative Value Units and Related Information Used in Determining Medicare Payments for 2003
This addendum contains the following information for each CPT code and alphanumeric HCPCS code, except for alphanumeric codes beginning with B (enteral and parenteral therapy), E (durable medical equipment), K (temporary codes for nonphysicians' services or items), or L (orthotics), and codes for anesthesiology.
1. CPT/HCPCS code. This is the CPT or alphanumeric HCPCS number for the service. Alphanumeric HCPCS codes are included at the end of this addendum.
2. Modifier. A modifier is shown if there is a technical component (modifier TC) and a professional component (PC) (modifier -26) for the service. If there is a PC and a TC for the service, Addendum B contains three entries for the code: One for the global values (both professional and technical); one for modifier -26 (PC); and one for modifier TC. The global service is not designated by a modifier, and physicians must bill using the code without a modifier if the physician furnishes both the PC and the TC of the service.
Modifier -53 is shown for a discontinued procedure. There will be RVUs for the code (CPT code 45378) with this modifier.
3. Status indicator. This indicator shows whether the CPT/HCPCS code is in the physician fee schedule and whether it is separately payable if the service is covered.
A = Active code. These codes are separately payable under the fee schedule if covered. There will be RVUs for codes with this status. The presence of an “A” indicator does not mean that Medicare has made a national decision regarding the coverage of the service. Carriers remain responsible for coverage decisions in the absence of a national Medicare policy.
B = Bundled code. Payment for covered services is always bundled into payment for other services not specified. If RVUs are shown, they are not used for Medicare payment. If these services are covered, payment for them is subsumed by the payment for the services to which they are incident. (An example is a telephone call from a hospital nurse regarding care of a patient.)
C = Carrier-priced code. Carriers will establish RVUs and payment amounts for these services, generally on a case-by-case basis following review of documentation, such as an operative report.
D = Deleted code. These codes are deleted effective with the beginning of the calendar year.
E = Excluded from physician fee schedule by regulation. These codes are for items or services that we chose to exclude from the physician fee schedule payment by regulation. No RVUs are shown, and no payment may be made under the physician fee schedule for these codes. Payment for them, if they are covered, continues under reasonable charge or other payment procedures.
F = Deleted/discontinued codes. Code not subject to a 90-day grace period.
G = Code not valid for Medicare purposes. Medicare does not recognize codes assigned this status. Medicare uses another code for reporting of, and payment for, these services.
H = Deleted modifier. Either the TC or PC component shown for the code has been deleted, and the deleted component is shown in the data base with the H status indicator. (Code subject to a 90-day grace period.)
I = Not valid for Medicare purposes. Medicare uses another code for the reporting of, and the payment for these services. (Code NOT subject to a 90-day grace period.)
N = Noncovered service. These codes are noncovered services. Medicare payment may not be made for these codes. If RVUs are shown, they are not used for Medicare payment.
P = Bundled or excluded code. There are no RVUs for these services. No separate payment should be made for them under the physician fee schedule.
End Part— If the item or service is covered as incident to a physician's service and is furnished on the same day as a physician's service, payment for it is bundled into the payment for the physician's service to which it is incident (an example is an elastic bandage furnished by a physician incident to a physician's service).
— If the item or service is covered as other than incident to a physician's service, it is excluded from the physician fee schedule (for example, colostomy supplies) and is paid under the other payment provisions of the Act.
R = Restricted coverage. Special coverage instructions apply. If the service is covered and no RVUs are shown, it is carrier-priced.
T = Injections. There are RVUs for these services, but they are only paid if there are no other services payable under the physician fee schedule billed on the same date by the same provider. If any other services payable under the physician fee schedule are billed on the same date by the same provider, these services are bundled into the service(s) for which payment is made.
X = Exclusion by law. These codes represent an item or service that is not within the definition of “physicians’ services” for physician fee schedule payment purposes. No RVUs are shown for these codes, and no payment may be made under the physician fee schedule. (Examples are ambulance services and clinical diagnostic laboratory services.)
4. Description of code. This is an abbreviated version of the narrative description of the code.
5. Physician work RVUs. These are the RVUs for the physician work for this service in 2003. Codes that are not used for Medicare payment are identified with a “+.”
6. Facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for facility settings.
7. Non-facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for non-facility settings.
8. Malpractice expense RVUs. These are the RVUs for the malpractice expense for the service for 2003.
9. Facility total. This is the sum of the work, fully implemented facility practice expense, and malpractice expense RVUs.
10. Non-facility total. This is the sum of the work, fully implemented non-facility practice expense, and malpractice expense RVUs.
11. Global period. This indicator shows the number of days in the global period for the code (0, 10, or 90 days). An explanation of the alpha codes follows:
MMM = The code describes a service furnished in uncomplicated maternity cases including antepartum care, delivery, and postpartum care. The usual global surgical concept does not apply. See the 1999 Physicians' Current Procedural Terminology for specific definitions.
XXX = The global concept does not apply.
YYY = The global period is to be set by the carrier (for example, unlisted surgery codes).
ZZZ = Code related to another service that is always included in the global period of the other service. (Note: Physician work and practice expense are associated with intra service time and in some instances the post service time.)
—————————— 1 CPT codes and descriptions only are copyright American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 Copyright American Dental Association. All rights reserved.Start Printed Page 49072Start Printed Page 49257Addendum B.—Relative Value Units (RVUS) and Related Information
1 CPT/2 HCPCS MOD Status Description Physician work RVUs Non- facility PE RVUs Facility PE RVUs Malpractice RVUs Non- facility total Facility total Global 0001T C Endovas repr abdo ao aneurys 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0002T C Endovas repr abdo ao aneurys 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0003T C Cervicography 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0005T C Perc cath stent/brain cv art 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0006T C Perc cath stent/brain cv art 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0007T C Perc cath stent/brain cv art 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0008T C Upper gi endoscopy w/suture 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0009T C Endometrial cryoablation 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0010T C Tb test, gamma interferon 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0012T C Osteochondral knee autograft 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0013T C Osteochondral knee allograft 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0014T C Meniscal transplant, knee 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0016T C Thermotx choroid vasc lesion 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0017T C Photocoagulat macular drusen 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0018T C Transcranial magnetic stimul 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0019T I Extracorp shock wave tx, ms 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0020T C Extracorp shock wave tx, ft 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0021T C Fetal oximetry, trnsvag/cerv 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0023T C Phenotype drug test, hiv 1 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0024T C Transcath cardiac reduction 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0025T C Ultrasonic pachymetry 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0026T C Measure remnant lipoproteins 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0027T C Endoscopic epidural lysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0028T C Dexa body composition study 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0029T C Magnetic tx for incontinence 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0030T C Antiprothrombin antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0031T C Speculoscopy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0032T C Speculoscopy w/direct sample 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0033T C Endovasc taa repr incl subcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0034T C Endovasc taa repr w/o subcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0035T C Insert endovasc prosth, taa 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0036T C Endovasc prosth, taa, add-on 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0037T C Artery transpose/endovas taa 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0038T C Rad endovasc taa rpr w/cover 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0039T C Rad s/i, endovasc taa repair 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0040T C Rad s/i, endovasc taa prosth 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0041T C Detect ur infect agnt w/cpas 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49073 0042T C Ct perfusion w/contrast, cbf 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0043T C Co expired gas analysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0044T C Whole body photography 0.00 0.00 0.00 0.00 0.00 0.00 XXX 10021 A Fna w/o image 1.27 2.24 0.55 0.07 3.58 1.89 XXX 10022 A Fna w/image 1.27 2.67 0.43 0.05 3.99 1.75 XXX 10040 A Acne surgery 1.18 1.03 0.69 0.05 2.26 1.92 010 10060 A Drainage of skin abscess 1.17 0.97 0.48 0.08 2.22 1.73 010 10061 A Drainage of skin abscess 2.40 1.85 1.54 0.17 4.42 4.11 010 10080 A Drainage of pilonidal cyst 1.17 3.11 1.17 0.09 4.37 2.43 010 10081 A Drainage of pilonidal cyst 2.45 4.08 1.53 0.19 6.72 4.17 010 10120 A Remove foreign body 1.22 1.50 0.42 0.10 2.82 1.74 010 10121 A Remove foreign body 2.69 3.39 1.91 0.25 6.33 4.85 010 10140 A Drainage of hematoma/fluid 1.53 1.54 0.92 0.15 3.22 2.60 010 10160 A Puncture drainage of lesion 1.20 0.74 0.47 0.11 2.05 1.78 010 10180 A Complex drainage, wound 2.25 3.28 2.10 0.25 5.78 4.60 010 11000 A Debride infected skin 0.60 0.58 0.22 0.05 1.23 0.87 000 11001 A Debride infected skin add-on 0.30 0.23 0.11 0.02 0.55 0.43 ZZZ 11010 A Debride skin, fx 4.20 6.85 2.37 0.45 11.50 7.02 010 11011 A Debride skin/muscle, fx 4.95 8.17 2.41 0.53 13.65 7.89 000 11012 A Debride skin/muscle/bone, fx 6.88 12.07 3.93 0.89 19.84 11.70 000 11040 A Debride skin, partial 0.50 0.54 0.21 0.05 1.09 0.76 000 11041 A Debride skin, full 0.82 0.68 0.33 0.06 1.56 1.21 000 11042 A Debride skin/tissue 1.12 1.01 0.47 0.09 2.22 1.68 000 11043 A Debride tissue/muscle 2.38 3.52 2.64 0.24 6.14 5.26 010 11044 A Debride tissue/muscle/bone 3.06 4.64 3.81 0.34 8.04 7.21 010 11055 R Trim skin lesion 0.43 0.58 0.17 0.02 1.03 0.62 000 11056 R Trim skin lesions, 2 to 4 0.61 0.66 0.24 0.03 1.30 0.88 000 11057 R Trim skin lesions, over 4 0.79 0.76 0.31 0.04 1.59 1.14 000 11100 A Biopsy of skin lesion 0.81 1.29 0.37 0.04 2.14 1.22 000 11101 A Biopsy, skin add-on 0.41 0.34 0.19 0.02 0.77 0.62 ZZZ 11200 A Removal of skin tags 0.77 1.08 0.78 0.04 1.89 1.59 010 11201 A Remove skin tags add-on 0.29 0.16 0.12 0.02 0.47 0.43 ZZZ 11300 A Shave skin lesion 0.51 1.03 0.22 0.03 1.57 0.76 000 11301 A Shave skin lesion 0.85 1.15 0.39 0.04 2.04 1.28 000 11302 A Shave skin lesion 1.05 1.34 0.47 0.05 2.44 1.57 000 11303 A Shave skin lesion 1.24 1.63 0.53 0.06 2.93 1.83 000 11305 A Shave skin lesion 0.67 0.86 0.27 0.04 1.57 0.98 000 11306 A Shave skin lesion 0.99 1.13 0.43 0.05 2.17 1.47 000 11307 A Shave skin lesion 1.14 1.32 0.50 0.05 2.51 1.69 000 11308 A Shave skin lesion 1.41 1.48 0.61 0.07 2.96 2.09 000 11310 A Shave skin lesion 0.73 1.16 0.33 0.04 1.93 1.10 000 11311 A Shave skin lesion 1.05 1.27 0.50 0.05 2.37 1.60 000 11312 A Shave skin lesion 1.20 1.47 0.57 0.06 2.73 1.83 000 11313 A Shave skin lesion 1.62 1.86 0.73 0.09 3.57 2.44 000 11400 A Exc tr-ext b9+marg 0.5 < cm 0.93 2.10 0.94 0.06 3.09 1.93 010 11401 A Exc tr-ext b9+marg 0.6-1 cm 1.44 2.22 1.12 0.09 3.75 2.65 010 11402 A Exc tr-ext b9+marg 1.1-2 cm 1.72 2.39 1.19 0.12 4.23 3.03 010 11403 A Exc tr-ext b9+marg 2.1-3 cm 1.97 2.55 1.42 0.16 4.68 3.55 010 11404 A Exc tr-ext b9+marg 3.1-4 cm 2.21 2.86 1.48 0.18 5.25 3.87 010 11406 A Exc tr-ext b9+marg > 4.0 cm 3.03 3.27 1.79 0.25 6.55 5.07 010 11420 A Exc h-f-nk-sp b9+marg 0.5 < 1.01 1.83 0.96 0.08 2.92 2.05 010 11421 A Exc h-f-nk-sp b9+marg 0.6-1 1.55 2.19 1.19 0.11 3.85 2.85 010 Start Printed Page 49074 11422 A Exc h-f-nk-sp b9+marg 1.1-2 1.84 2.42 1.45 0.14 4.40 3.43 010 11423 A Exc h-f-nk-sp b9+marg 2.1-3 2.28 2.78 1.59 0.17 5.23 4.04 010 11424 A Exc h-f-nk-sp b9+marg 3.1-4 2.72 3.01 1.75 0.21 5.94 4.68 010 11426 A Exc h-f-nk-sp b9+marg > 4 cm 4.03 3.71 2.24 0.34 8.08 6.61 010 11440 A Exc face-mm b9+marg 0.5 < cm 1.16 2.38 1.40 0.08 3.62 2.64 010 11441 A Exc face-mm b9+marg 0.6-1 cm 1.89 2.64 1.72 0.11 4.64 3.72 010 11442 A Exc face-mm b9+marg 1.1-2 cm 2.31 2.92 1.87 0.14 5.37 4.32 010 11443 A Exc face-mm b9+marg 2.1-3 cm 2.86 3.30 2.11 0.18 6.34 5.15 010 11444 A Exc face-mm b9+marg 3.1-4 cm 3.78 3.93 2.52 0.25 7.96 6.55 010 11446 A Exc face-mm b9+marg > 4 cm 5.57 4.70 3.32 0.30 10.57 9.19 010 11450 A Removal, sweat gland lesion 2.73 5.22 2.04 0.26 8.21 5.03 090 11451 A Removal, sweat gland lesion 3.95 6.87 2.57 0.39 11.21 6.91 090 11462 A Removal, sweat gland lesion 2.51 5.31 2.02 0.23 8.05 4.76 090 11463 A Removal, sweat gland lesion 3.95 7.12 2.71 0.40 11.47 7.06 090 11470 A Removal, sweat gland lesion 3.25 5.25 2.28 0.30 8.80 5.83 090 11471 A Removal, sweat gland lesion 4.41 7.03 2.80 0.40 11.84 7.61 090 11600 A Exc tr-ext mlg+marg 0.5 < cm 0.93 2.58 0.84 0.09 3.60 1.86 010 11601 A Exc tr-ext mlg+marg 0.6-1 cm 1.44 2.63 1.10 0.12 4.19 2.66 010 11602 A Exc tr-ext mlg+marg 1.1-2 cm 1.72 2.82 1.20 0.13 4.67 3.05 010 11603 A Exc tr-ext mlg+marg 2.1-3 cm 1.97 3.08 1.27 0.16 5.21 3.40 010 11604 A Exc tr-ext mlg+marg 3.1-4 cm 2.21 3.41 1.35 0.18 5.80 3.74 010 11606 A Exc tr-ext mlg+marg > 4 cm 3.03 4.02 1.62 0.28 7.33 4.93 010 11620 A Exc h-f-nk-sp mlg+marg 0.5 < 1.01 2.62 0.90 0.09 3.72 2.00 010 11621 A Exc h-f-nk-sp mlg+marg 0.6-1 1.55 2.70 1.18 0.12 4.37 2.85 010 11622 A Exc h-f-nk-sp mlg+marg 1.1-2 1.84 2.95 1.31 0.15 4.94 3.30 010 11623 A Exc h-f-nk-sp mlg+marg 2.1-3 2.28 3.30 1.48 0.20 5.78 3.96 010 11624 A Exc h-f-nk-sp mlg+marg 3.1-4 2.72 3.72 1.67 0.25 6.69 4.64 010 11626 A Exc h-f-nk-sp mlg+mar > 4 cm 4.03 4.67 2.33 0.35 9.05 6.71 010 11640 A Exc face-mm malig+marg 0.5 < 1.16 2.68 1.06 0.10 3.94 2.32 010 11641 A Exc face-mm malig+marg 0.6-1 1.89 3.01 1.44 0.15 5.05 3.48 010 11642 A Exc face-mm malig+marg 1.1-2 2.31 3.39 1.63 0.18 5.88 4.12 010 11643 A Exc face-mm malig+marg 2.1-3 2.86 3.82 1.89 0.24 6.92 4.99 010 11644 A Exc face-mm malig+marg 3.1-4 3.78 4.72 2.40 0.33 8.83 6.51 010 Start Printed Page 49075 11646 A Exc face-mm mlg+marg > 4 cm 5.57 5.76 3.38 0.46 11.79 9.41 010 11719 R Trim nail(s) 0.17 0.25 0.07 0.01 0.43 0.25 000 11720 A Debride nail, 1-5 0.32 0.34 0.13 0.02 0.68 0.47 000 11721 A Debride nail, 6 or more 0.54 0.44 0.21 0.04 1.02 0.79 000 11730 A Removal of nail plate 1.13 1.05 0.44 0.09 2.27 1.66 000 11732 A Remove nail plate, add-on 0.57 0.45 0.23 0.05 1.07 0.85 ZZZ 11740 A Drain blood from under nail 0.37 0.87 0.15 0.03 1.27 0.55 000 11750 A Removal of nail bed 1.86 2.18 1.76 0.16 4.20 3.78 010 11752 A Remove nail bed/finger tip 2.67 2.50 1.92 0.33 5.50 4.92 010 11755 A Biopsy, nail unit 1.31 1.12 0.56 0.06 2.49 1.93 000 11760 A Repair of nail bed 1.58 1.88 1.24 0.17 3.63 2.99 010 11762 A Reconstruction of nail bed 2.89 2.32 1.86 0.32 5.53 5.07 010 11765 A Excision of nail fold, toe 0.69 1.18 0.53 0.05 1.92 1.27 010 11770 A Removal of pilonidal lesion 2.61 3.50 1.53 0.24 6.35 4.38 010 11771 A Removal of pilonidal lesion 5.74 5.80 3.35 0.56 12.10 9.65 090 11772 A Removal of pilonidal lesion 6.98 7.34 3.91 0.68 15.00 11.57 090 11900 A Injection into skin lesions 0.52 0.67 0.22 0.02 1.21 0.76 000 11901 A Added skin lesions injection 0.80 0.68 0.36 0.03 1.51 1.19 000 11920 R Correct skin color defects 1.61 2.03 0.79 0.17 3.81 2.57 000 11921 R Correct skin color defects 1.93 2.41 1.00 0.21 4.55 3.14 000 11922 R Correct skin color defects 0.49 0.38 0.25 0.05 0.92 0.79 ZZZ 11950 R Therapy for contour defects 0.84 1.18 0.42 0.06 2.08 1.32 000 11951 R Therapy for contour defects 1.19 1.53 0.52 0.10 2.82 1.81 000 11952 R Therapy for contour defects 1.69 1.90 0.70 0.17 3.76 2.56 000 11954 R Therapy for contour defects 1.85 2.48 0.92 0.19 4.52 2.96 000 11960 A Insert tissue expander(s) 9.08 N/A 10.74 0.88 N/A 20.70 090 11970 A Replace tissue expander 7.06 N/A 6.22 0.77 N/A 14.05 090 11971 A Remove tissue expander(s) 2.13 7.24 4.84 0.21 9.58 7.18 090 11975 N Insert contraceptive cap 1.48 1.50 0.57 0.14 3.12 2.19 XXX 11976 R Removal of contraceptive cap 1.78 1.74 0.70 0.17 3.69 2.65 000 11977 N Removal/reinsert contra cap 3.30 2.42 1.28 0.31 6.03 4.89 XXX 11980 A Implant hormone pellet(s) 1.48 1.12 0.56 0.10 2.70 2.14 000 11981 A Insert drug implant device 1.48 1.77 0.70 0.14 3.39 2.32 XXX 11982 A Remove drug implant device 1.78 2.01 0.86 0.17 3.96 2.81 XXX 11983 A Remove/insert drug implant 3.30 2.37 1.50 0.31 5.98 5.11 XXX 12001 A Repair superficial wound(s) 1.70 2.07 0.50 0.13 3.90 2.33 010 12002 A Repair superficial wound(s) 1.86 2.14 0.95 0.15 4.15 2.96 010 12004 A Repair superficial wound(s) 2.24 2.43 1.06 0.17 4.84 3.47 010 12005 A Repair superficial wound(s) 2.86 2.94 1.25 0.23 6.03 4.34 010 12006 A Repair superficial wound(s) 3.67 3.53 1.57 0.31 7.51 5.55 010 12007 A Repair superficial wound(s) 4.12 3.97 1.87 0.37 8.46 6.36 010 12011 A Repair superficial wound(s) 1.76 2.24 0.51 0.14 4.14 2.41 010 12013 A Repair superficial wound(s) 1.99 2.39 0.99 0.16 4.54 3.14 010 12014 A Repair superficial wound(s) 2.46 2.69 1.11 0.18 5.33 3.75 010 Start Printed Page 49076 12015 A Repair superficial wound(s) 3.19 3.28 1.31 0.24 6.71 4.74 010 12016 A Repair superficial wound(s) 3.93 3.70 1.59 0.32 7.95 5.84 010 12017 A Repair superficial wound(s) 4.71 N/A 1.95 0.39 N/A 7.05 010 12018 A Repair superficial wound(s) 5.53 N/A 2.32 0.46 N/A 8.31 010 12020 A Closure of split wound 2.62 2.74 1.77 0.24 5.60 4.63 010 12021 A Closure of split wound 1.84 1.81 1.43 0.19 3.84 3.46 010 12031 A Layer closure of wound(s) 2.15 2.36 0.83 0.15 4.66 3.13 010 12032 A Layer closure of wound(s) 2.47 3.88 1.87 0.15 6.50 4.49 010 12034 A Layer closure of wound(s) 2.92 3.24 1.44 0.21 6.37 4.57 010 12035 A Layer closure of wound(s) 3.43 5.27 2.22 0.30 9.00 5.95 010 12036 A Layer closure of wound(s) 4.05 5.53 2.42 0.41 9.99 6.88 010 12037 A Layer closure of wound(s) 4.67 6.62 2.83 0.49 11.78 7.99 010 12041 A Layer closure of wound(s) 2.37 2.53 0.88 0.17 5.07 3.42 010 12042 A Layer closure of wound(s) 2.74 3.28 1.40 0.17 6.19 4.31 010 12044 A Layer closure of wound(s) 3.14 3.28 1.59 0.24 6.66 4.97 010 12045 A Layer closure of wound(s) 3.64 3.79 2.21 0.34 7.77 6.19 010 12046 A Layer closure of wound(s) 4.25 6.61 2.82 0.40 11.26 7.47 010 12047 A Layer closure of wound(s) 4.65 6.50 3.15 0.41 11.56 8.21 010 12051 A Layer closure of wound(s) 2.47 3.30 1.39 0.16 5.93 4.02 010 12052 A Layer closure of wound(s) 2.77 3.24 1.37 0.17 6.18 4.31 010 12053 A Layer closure of wound(s) 3.12 3.29 1.53 0.20 6.61 4.85 010 12054 A Layer closure of wound(s) 3.46 3.63 1.63 0.25 7.34 5.34 010 12055 A Layer closure of wound(s) 4.43 4.63 2.18 0.35 9.41 6.96 010 12056 A Layer closure of wound(s) 5.24 6.92 3.13 0.43 12.59 8.80 010 12057 A Layer closure of wound(s) 5.96 6.27 3.84 0.50 12.73 10.30 010 13100 A Repair of wound or lesion 3.12 3.59 1.81 0.21 6.92 5.14 010 13101 A Repair of wound or lesion 3.92 3.83 2.26 0.22 7.97 6.40 010 13102 A Repair wound/lesion add-on 1.24 0.75 0.58 0.10 2.09 1.92 ZZZ 13120 A Repair of wound or lesion 3.30 3.69 1.85 0.23 7.22 5.38 010 13121 A Repair of wound or lesion 4.33 4.05 2.36 0.25 8.63 6.94 010 13122 A Repair wound/lesion add-on 1.44 0.88 0.64 0.12 2.44 2.20 ZZZ 13131 A Repair of wound or lesion 3.79 3.96 2.18 0.25 8.00 6.22 010 13132 A Repair of wound or lesion 5.95 4.78 3.23 0.32 11.05 9.50 010 13133 A Repair wound/lesion add-on 2.19 1.22 1.05 0.17 3.58 3.41 ZZZ 13150 A Repair of wound or lesion 3.81 5.62 2.65 0.29 9.72 6.75 010 13151 A Repair of wound or lesion 4.45 5.52 3.10 0.28 10.25 7.83 010 13152 A Repair of wound or lesion 6.33 6.21 4.01 0.38 12.92 10.72 010 13153 A Repair wound/lesion add-on 2.38 1.37 1.17 0.18 3.93 3.73 ZZZ 13160 A Late closure of wound 10.48 N/A 7.24 1.19 N/A 18.91 090 14000 A Skin tissue rearrangement 5.89 8.69 5.21 0.46 15.04 11.56 090 14001 A Skin tissue rearrangement 8.47 10.16 6.70 0.65 19.28 15.82 090 14020 A Skin tissue rearrangement 6.59 9.35 6.10 0.50 16.44 13.19 090 14021 A Skin tissue rearrangement 10.06 10.67 7.88 0.69 21.42 18.63 090 14040 A Skin tissue rearrangement 7.87 8.44 7.01 0.55 16.86 15.43 090 14041 A Skin tissue rearrangement 11.49 10.87 8.87 0.71 23.07 21.07 090 14060 A Skin tissue rearrangement 8.50 9.27 7.82 0.59 18.36 16.91 090 14061 A Skin tissue rearrangement 12.29 11.90 9.69 0.75 24.94 22.73 090 14300 A Skin tissue rearrangement 11.76 11.41 9.32 0.88 24.05 21.96 090 14350 A Skin tissue rearrangement 9.61 N/A 7.26 1.09 N/A 17.96 090 15000 A Skin graft 4.00 3.89 2.24 0.37 8.26 6.61 000 15001 A Skin graft add-on 1.00 1.39 0.42 0.11 2.50 1.53 ZZZ 15050 A Skin pinch graft 4.30 6.08 4.81 0.46 10.84 9.57 090 15100 A Skin split graft 9.05 12.83 7.89 0.94 22.82 17.88 090 15101 A Skin split graft add-on 1.72 3.89 1.69 0.18 5.79 3.59 ZZZ 15120 A Skin split graft 9.83 11.04 7.95 0.90 21.77 18.68 090 15121 A Skin split graft add-on 2.67 4.66 1.91 0.27 7.60 4.85 ZZZ 15200 A Skin full graft 8.03 10.93 6.11 0.73 19.69 14.87 090 15201 A Skin full graft add-on 1.32 1.06 0.63 0.14 2.52 2.09 ZZZ Start Printed Page 49077 15220 A Skin full graft 7.87 10.82 6.55 0.68 19.37 15.10 090 15221 A Skin full graft add-on 1.19 0.92 0.58 0.12 2.23 1.89 ZZZ 15240 A Skin full graft 9.04 10.38 7.80 0.80 20.22 17.64 090 15241 A Skin full graft add-on 1.86 1.48 0.93 0.17 3.51 2.96 ZZZ 15260 A Skin full graft 10.06 10.10 8.80 0.63 20.79 19.49 090 15261 A Skin full graft add-on 2.23 2.78 1.45 0.17 5.18 3.85 ZZZ 15342 A Cultured skin graft, 25 cm 1.00 1.84 0.56 0.09 2.93 1.65 010 15343 A Culture skn graft addl 25 cm 0.25 0.27 0.10 0.02 0.54 0.37 ZZZ 15350 A Skin homograft 4.00 8.37 4.90 0.42 12.79 9.32 090 15351 A Skin homograft add-on 1.00 0.95 0.40 0.11 2.06 1.51 ZZZ 15400 A Skin heterograft 4.00 4.28 4.21 0.40 8.68 8.61 090 15401 A Skin heterograft add-on 1.00 1.23 0.45 0.11 2.34 1.56 ZZZ 15570 A Form skin pedicle flap 9.21 9.27 6.55 0.96 19.44 16.72 090 15572 A Form skin pedicle flap 9.27 8.58 6.27 0.93 18.78 16.47 090 15574 A Form skin pedicle flap 9.88 8.98 7.08 0.92 19.78 17.88 090 15576 A Form skin pedicle flap 8.69 9.61 6.55 0.72 19.02 15.96 090 15600 A Skin graft 1.91 7.24 2.75 0.19 9.34 4.85 090 15610 A Skin graft 2.42 3.83 3.09 0.25 6.50 5.76 090 15620 A Skin graft 2.94 7.64 3.75 0.28 10.86 6.97 090 15630 A Skin graft 3.27 7.00 4.02 0.28 10.55 7.57 090 15650 A Transfer skin pedicle flap 3.97 6.86 4.10 0.36 11.19 8.43 090 15732 A Muscle-skin graft, head/neck 17.84 18.42 12.48 1.50 37.76 31.82 090 15734 A Muscle-skin graft, trunk 17.79 18.28 12.55 1.91 37.98 32.25 090 15736 A Muscle-skin graft, arm 16.27 18.50 11.43 1.78 36.55 29.48 090 15738 A Muscle-skin graft, leg 17.92 18.28 11.95 1.95 38.15 31.82 090 15740 A Island pedicle flap graft 10.25 9.97 7.91 0.62 20.84 18.78 090 15750 A Neurovascular pedicle graft 11.41 N/A 9.16 1.16 N/A 21.73 090 15756 A Free myo/skin flap microvasc 35.23 N/A 21.18 3.11 N/A 59.52 090 15757 A Free skin flap, microvasc 35.23 N/A 22.24 3.37 N/A 60.84 090 15758 A Free fascial flap, microvasc 35.10 N/A 22.23 3.52 N/A 60.85 090 15760 A Composite skin graft 8.74 9.95 7.16 0.72 19.41 16.62 090 15770 A Derma-fat-fascia graft 7.52 N/A 6.84 0.78 N/A 15.14 090 15775 R Hair transplant punch grafts 3.96 2.83 1.35 0.43 7.22 5.74 000 15776 R Hair transplant punch grafts 5.54 5.49 2.87 0.60 11.63 9.01 000 15780 A Abrasion treatment of skin 7.29 7.23 7.23 0.41 14.93 14.93 090 15781 A Abrasion treatment of skin 4.85 5.46 5.46 0.27 10.58 10.58 090 15782 A Abrasion treatment of skin 4.32 4.44 4.44 0.21 8.97 8.97 090 15783 A Abrasion treatment of skin 4.29 5.04 4.26 0.26 9.59 8.81 090 15786 A Abrasion, lesion, single 2.03 1.66 1.30 0.11 3.80 3.44 010 15787 A Abrasion, lesions, add-on 0.33 0.32 0.16 0.02 0.67 0.51 ZZZ 15788 R Chemical peel, face, epiderm 2.09 3.39 2.24 0.11 5.59 4.44 090 15789 R Chemical peel, face, dermal 4.92 6.54 5.06 0.27 11.73 10.25 090 15792 R Chemical peel, nonfacial 1.86 3.22 2.82 0.10 5.18 4.78 090 15793 A Chemical peel, nonfacial 3.74 N/A 4.25 0.17 N/A 8.16 090 15810 A Salabrasion 4.74 3.99 3.99 0.42 9.15 9.15 090 15811 A Salabrasion 5.39 6.43 5.62 0.52 12.34 11.53 090 15819 A Plastic surgery, neck 9.38 N/A 7.36 0.77 N/A 17.51 090 15820 A Revision of lower eyelid 5.15 7.01 5.48 0.30 12.46 10.93 090 15821 A Revision of lower eyelid 5.72 7.40 5.64 0.31 13.43 11.67 090 15822 A Revision of upper eyelid 4.45 5.93 4.45 0.22 10.60 9.12 090 15823 A Revision of upper eyelid 7.05 7.93 6.35 0.32 15.30 13.72 090 15824 R Removal of forehead wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 000 15825 R Removal of neck wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 000 15826 R Removal of brow wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 000 15828 R Removal of face wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 000 15829 R Removal of skin wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 000 Start Printed Page 49078 15831 A Excise excessive skin tissue 12.40 N/A 8.36 1.30 N/A 22.06 090 15832 A Excise excessive skin tissue 11.59 N/A 8.52 1.21 N/A 21.32 090 15833 A Excise excessive skin tissue 10.64 N/A 8.22 1.17 N/A 20.03 090 15834 A Excise excessive skin tissue 10.85 N/A 7.80 1.18 N/A 19.83 090 15835 A Excise excessive skin tissue 11.67 11.70 7.76 1.13 24.50 20.56 090 15836 A Excise excessive skin tissue 9.34 N/A 6.92 0.95 N/A 17.21 090 15837 A Excise excessive skin tissue 8.43 8.10 7.12 0.78 17.31 16.33 090 15838 A Excise excessive skin tissue 7.13 N/A 6.23 0.58 N/A 13.94 090 15839 A Excise excessive skin tissue 9.38 8.02 6.31 0.88 18.28 16.57 090 15840 A Graft for face nerve palsy 13.26 N/A 10.32 1.15 N/A 24.73 090 15841 A Graft for face nerve palsy 23.26 N/A 15.38 2.65 N/A 41.29 090 15842 A Flap for face nerve palsy 37.96 N/A 23.49 3.99 N/A 65.44 090 15845 A Skin and muscle repair, face 12.57 N/A 9.34 0.80 N/A 22.71 090 15850 B Removal of sutures 0.78 1.62 0.30 0.04 2.44 1.12 XXX 15851 A Removal of sutures 0.86 1.78 0.34 0.05 2.69 1.25 000 15852 A Dressing change,not for burn 0.86 1.90 0.36 0.07 2.83 1.29 000 15860 A Test for blood flow in graft 1.95 1.30 0.80 0.13 3.38 2.88 000 15876 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 0.00 0.00 000 15877 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 0.00 0.00 000 15878 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 0.00 0.00 000 15879 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 0.00 0.00 000 15920 A Removal of tail bone ulcer 7.95 N/A 5.68 0.83 N/A 14.46 090 15922 A Removal of tail bone ulcer 9.90 N/A 7.50 1.06 N/A 18.46 090 15931 A Remove sacrum pressure sore 9.24 N/A 5.83 0.95 N/A 16.02 090 15933 A Remove sacrum pressure sore 10.85 N/A 8.07 1.14 N/A 20.06 090 15934 A Remove sacrum pressure sore 12.69 N/A 8.35 1.35 N/A 22.39 090 15935 A Remove sacrum pressure sore 14.57 N/A 10.51 1.56 N/A 26.64 090 15936 A Remove sacrum pressure sore 12.38 N/A 8.66 1.32 N/A 22.36 090 15937 A Remove sacrum pressure sore 14.21 N/A 10.23 1.51 N/A 25.95 090 15940 A Remove hip pressure sore 9.34 N/A 6.33 0.98 N/A 16.65 090 15941 A Remove hip pressure sore 11.43 N/A 9.75 1.23 N/A 22.41 090 15944 A Remove hip pressure sore 11.46 N/A 8.87 1.21 N/A 21.54 090 15945 A Remove hip pressure sore 12.69 N/A 9.92 1.38 N/A 23.99 090 15946 A Remove hip pressure sore 21.57 N/A 14.86 2.32 N/A 38.75 090 15950 A Remove thigh pressure sore 7.54 N/A 5.54 0.80 N/A 13.88 090 15951 A Remove thigh pressure sore 10.72 N/A 8.08 1.14 N/A 19.94 090 15952 A Remove thigh pressure sore 11.39 N/A 7.81 1.19 N/A 20.39 090 15953 A Remove thigh pressure sore 12.63 N/A 9.22 1.38 N/A 23.23 090 15956 A Remove thigh pressure sore 15.52 N/A 10.96 1.64 N/A 28.12 090 15958 A Remove thigh pressure sore 15.48 N/A 11.24 1.66 N/A 28.38 090 15999 C Removal of pressure sore 0.00 0.00 0.00 0.00 0.00 0.00 YYY 16000 A Initial treatment of burn(s) 0.89 0.89 0.27 0.06 1.84 1.22 000 16010 A Treatment of burn(s) 0.87 0.68 0.65 0.07 1.62 1.59 000 Start Printed Page 49079 16015 A Treatment of burn(s) 2.35 N/A 1.18 0.22 N/A 3.75 000 16020 A Treatment of burn(s) 0.80 1.31 0.62 0.06 2.17 1.48 000 16025 A Treatment of burn(s) 1.85 1.82 0.99 0.16 3.83 3.00 000 16030 A Treatment of burn(s) 2.08 2.24 1.14 0.18 4.50 3.40 000 16035 A Incision of burn scab, initi 3.75 N/A 1.49 0.36 N/A 5.60 090 16036 A Incise burn scab, addl incis 1.50 N/A 0.61 0.11 N/A 2.22 ZZZ 17000 A Destroy benign/premlg lesion 0.60 1.00 0.32 0.03 1.63 0.95 010 17003 A Destroy lesions, 2-14 0.15 0.11 0.07 0.01 0.27 0.23 ZZZ 17004 A Destroy lesions, 15 or more 2.79 2.37 1.32 0.12 5.28 4.23 010 17106 A Destruction of skin lesions 4.59 5.01 3.29 0.28 9.88 8.16 090 17107 A Destruction of skin lesions 9.16 7.69 5.45 0.53 17.38 15.14 090 17108 A Destruction of skin lesions 13.20 9.82 7.72 0.89 23.91 21.81 090 17110 A Destruct lesion, 1-14 0.65 1.68 0.51 0.04 2.37 1.20 010 17111 A Destruct lesion, 15 or more 0.92 1.73 0.61 0.04 2.69 1.57 010 17250 A Chemical cautery, tissue 0.50 1.26 0.35 0.04 1.80 0.89 000 17260 A Destruction of skin lesions 0.91 1.32 0.46 0.04 2.27 1.41 010 17261 A Destruction of skin lesions 1.17 1.66 0.60 0.05 2.88 1.82 010 17262 A Destruction of skin lesions 1.58 1.94 0.80 0.07 3.59 2.45 010 17263 A Destruction of skin lesions 1.79 2.12 0.87 0.08 3.99 2.74 010 17264 A Destruction of skin lesions 1.94 2.28 0.90 0.08 4.30 2.92 010 17266 A Destruction of skin lesions 2.34 2.58 1.01 0.11 5.03 3.46 010 17270 A Destruction of skin lesions 1.32 1.75 0.65 0.06 3.13 2.03 010 17271 A Destruction of skin lesions 1.49 1.83 0.76 0.06 3.38 2.31 010 17272 A Destruction of skin lesions 1.77 2.05 0.90 0.07 3.89 2.74 010 17273 A Destruction of skin lesions 2.05 2.26 1.01 0.09 4.40 3.15 010 17274 A Destruction of skin lesions 2.59 2.63 1.23 0.11 5.33 3.93 010 17276 A Destruction of skin lesions 3.20 3.03 1.47 0.15 6.38 4.82 010 17280 A Destruction of skin lesions 1.17 1.66 0.58 0.05 2.88 1.80 010 17281 A Destruction of skin lesions 1.72 1.96 0.87 0.07 3.75 2.66 010 17282 A Destruction of skin lesions 2.04 2.21 1.03 0.09 4.34 3.16 010 17283 A Destruction of skin lesions 2.64 2.61 1.28 0.11 5.36 4.03 010 17284 A Destruction of skin lesions 3.21 3.01 1.55 0.14 6.36 4.90 010 17286 A Destruction of skin lesions 4.44 3.79 2.24 0.22 8.45 6.90 010 17304 A 1 stage mohs, up to 5 spec 7.60 8.28 3.65 0.31 16.19 11.56 000 17305 A 2 stage mohs, up to 5 spec 2.85 3.90 1.37 0.12 6.87 4.34 000 17306 A 3 stage mohs, up to 5 spec 2.85 3.92 1.38 0.12 6.89 4.35 000 17307 A Mohs addl stage up to 5 spec 2.85 3.87 1.40 0.12 6.84 4.37 000 17310 A Mohs any stage > 5 spec each 0.62 1.51 0.31 0.05 2.18 0.98 ZZZ 17340 A Cryotherapy of skin 0.76 0.38 0.31 0.04 1.18 1.11 010 17360 A Skin peel therapy 1.43 1.50 0.77 0.06 2.99 2.26 010 17380 R Hair removal by electrolysis 0.00 0.00 0.00 0.00 0.00 0.00 000 17999 C Skin tissue procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 19000 A Drainage of breast lesion 0.84 2.06 0.36 0.07 2.97 1.27 000 19001 A Drain breast lesion add-on 0.42 0.80 0.14 0.03 1.25 0.59 ZZZ 19020 A Incision of breast lesion 3.57 6.13 2.84 0.35 10.05 6.76 090 19030 A Injection for breast x-ray 1.53 3.40 0.51 0.07 5.00 2.11 000 19100 A Bx breast percut w/o image 1.27 2.17 0.43 0.10 3.54 1.80 000 19101 A Biopsy of breast, open 3.18 4.74 1.71 0.20 8.12 5.09 010 19102 A Bx breast percut w/image 2.00 4.02 0.67 0.13 6.15 2.80 000 19103 A Bx breast percut w/device 3.70 12.24 1.26 0.16 16.10 5.12 000 19110 A Nipple exploration 4.30 7.47 3.21 0.44 12.21 7.95 090 19112 A Excise breast duct fistula 3.67 7.85 2.74 0.38 11.90 6.79 090 19120 A Removal of breast lesion 5.56 4.64 3.11 0.56 10.76 9.23 090 19125 A Excision, breast lesion 6.06 4.88 3.34 0.61 11.55 10.01 090 Start Printed Page 49080 19126 A Excision, addl breast lesion 2.93 N/A 1.02 0.30 N/A 4.25 ZZZ 19140 A Removal of breast tissue 5.14 7.35 3.44 0.52 13.01 9.10 090 19160 A Removal of breast tissue 5.99 N/A 3.48 0.61 N/A 10.08 090 19162 A Remove breast tissue, nodes 13.53 N/A 6.46 1.38 N/A 21.37 090 19180 A Removal of breast 8.80 N/A 5.11 0.88 N/A 14.79 090 19182 A Removal of breast 7.73 N/A 4.84 0.79 N/A 13.36 090 19200 A Removal of breast 15.49 N/A 8.12 1.51 N/A 25.12 090 19220 A Removal of breast 15.72 N/A 8.39 1.56 N/A 25.67 090 19240 A Removal of breast 16.00 N/A 8.37 1.62 N/A 25.99 090 19260 A Removal of chest wall lesion 15.44 N/A 11.09 1.64 N/A 28.17 090 19271 A Revision of chest wall 18.90 N/A 17.48 2.27 N/A 38.65 090 19272 A Extensive chest wall surgery 21.55 N/A 18.27 2.54 N/A 42.36 090 19290 A Place needle wire, breast 1.27 3.03 0.43 0.06 4.36 1.76 000 19291 A Place needle wire, breast 0.63 1.76 0.21 0.03 2.42 0.87 ZZZ 19295 A Place breast clip, percut 0.00 2.83 N/A 0.01 2.84 N/A ZZZ 19316 A Suspension of breast 10.69 N/A 7.83 1.15 N/A 19.67 090 19318 A Reduction of large breast 15.62 N/A 11.42 1.69 N/A 28.73 090 19324 A Enlarge breast 5.85 N/A 5.01 0.63 N/A 11.49 090 19325 A Enlarge breast with implant 8.45 N/A 6.71 0.90 N/A 16.06 090 19328 A Removal of breast implant 5.68 N/A 5.17 0.61 N/A 11.46 090 19330 A Removal of implant material 7.59 N/A 6.09 0.81 N/A 14.49 090 19340 A Immediate breast prosthesis 6.33 N/A 3.18 0.68 N/A 10.19 ZZZ 19342 A Delayed breast prosthesis 11.20 N/A 8.95 1.21 N/A 21.36 090 19350 A Breast reconstruction 8.92 14.46 7.25 0.95 24.33 17.12 090 19355 A Correct inverted nipple(s) 7.57 13.06 5.12 0.80 21.43 13.49 090 19357 A Breast reconstruction 18.16 N/A 14.13 1.96 N/A 34.25 090 19361 A Breast reconstruction 19.26 N/A 12.01 2.08 N/A 33.35 090 19364 A Breast reconstruction 41.00 N/A 24.08 3.91 N/A 68.99 090 19366 A Breast reconstruction 21.28 N/A 11.44 2.27 N/A 34.99 090 19367 A Breast reconstruction 25.73 N/A 16.89 2.78 N/A 45.40 090 19368 A Breast reconstruction 32.42 N/A 20.65 3.51 N/A 56.58 090 19369 A Breast reconstruction 29.82 N/A 20.17 3.24 N/A 53.23 090 19370 A Surgery of breast capsule 8.05 N/A 6.98 0.86 N/A 15.89 090 19371 A Removal of breast capsule 9.35 N/A 8.02 1.01 N/A 18.38 090 19380 A Revise breast reconstruction 9.14 N/A 7.90 0.98 N/A 18.02 090 19396 A Design custom breast implant 2.17 5.91 1.01 0.23 8.31 3.41 000 19499 C Breast surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 20000 A Incision of abscess 2.12 2.44 1.63 0.17 4.73 3.92 010 20005 A Incision of deep abscess 3.42 3.44 2.15 0.34 7.20 5.91 010 20100 A Explore wound, neck 10.08 5.92 4.44 0.99 16.99 15.51 010 20101 A Explore wound, chest 3.22 3.02 1.61 0.24 6.48 5.07 010 20102 A Explore wound, abdomen 3.94 3.57 1.82 0.35 7.86 6.11 010 20103 A Explore wound, extremity 5.30 4.25 3.28 0.57 10.12 9.15 010 20150 A Excise epiphyseal bar 13.69 N/A 7.37 0.96 N/A 22.02 090 20200 A Muscle biopsy 1.46 3.20 0.79 0.17 4.83 2.42 000 20205 A Deep muscle biopsy 2.35 4.21 1.23 0.23 6.79 3.81 000 20206 A Needle biopsy, muscle 0.99 3.23 0.35 0.06 4.28 1.40 000 20220 A Bone biopsy, trocar/needle 1.27 4.83 2.80 0.06 6.16 4.13 000 20225 A Bone biopsy, trocar/needle 1.87 4.37 2.95 0.11 6.35 4.93 000 20240 A Bone biopsy, excisional 3.23 N/A 2.56 0.33 N/A 6.12 010 20245 A Bone biopsy, excisional 7.78 N/A 6.39 0.44 N/A 14.61 010 20250 A Open bone biopsy 5.03 N/A 4.61 0.50 N/A 10.14 010 20251 A Open bone biopsy 5.56 N/A 5.26 0.79 N/A 11.61 010 20500 A Injection of sinus tract 1.23 6.00 3.86 0.10 7.33 5.19 010 20501 A Inject sinus tract for x-ray 0.76 3.04 0.25 0.03 3.83 1.04 000 20520 A Removal of foreign body 1.85 2.28 1.82 0.17 4.30 3.84 010 20525 A Removal of foreign body 3.50 3.44 2.68 0.40 7.34 6.58 010 Start Printed Page 49081 20526 A Ther injection, carp tunnel 0.94 0.98 0.52 0.06 1.98 1.52 000 20550 A Inj tendon sheath/ligament 0.75 0.73 0.24 0.06 1.54 1.05 000 20551 A Inject tendon origin/insert 0.75 0.70 0.34 0.06 1.51 1.15 000 20552 A Inject trigger point, 1 or 2 0.66 0.74 0.21 0.06 1.46 0.93 000 20553 A Inject trigger points, =/> 3 0.75 0.85 0.22 0.06 1.66 1.03 000 20600 A Drain/inject, joint/bursa 0.66 0.66 0.36 0.06 1.38 1.08 000 20605 A Drain/inject, joint/bursa 0.68 0.77 0.37 0.06 1.51 1.11 000 20610 A Drain/inject, joint/bursa 0.79 0.96 0.42 0.08 1.83 1.29 000 20612 A Aspirate/inj ganglion cyst 0.70 0.73 0.34 0.06 1.49 1.10 000 20615 A Treatment of bone cyst 2.28 2.59 1.82 0.19 5.06 4.29 010 20650 A Insert and remove bone pin 2.23 2.47 1.97 0.28 4.98 4.48 010 20660 A Apply, rem fixation device 2.51 3.12 1.74 0.48 6.11 4.73 000 20661 A Application of head brace 4.89 N/A 5.05 0.92 N/A 10.86 090 20662 A Application of pelvis brace 6.07 N/A 5.54 0.81 N/A 12.42 090 20663 A Application of thigh brace 5.43 N/A 4.86 0.77 N/A 11.06 090 20664 A Halo brace application 8.06 N/A 7.16 1.49 N/A 16.71 090 20665 A Removal of fixation device 1.31 1.98 1.32 0.17 3.46 2.80 010 20670 A Removal of support implant 1.74 6.83 3.98 0.23 8.80 5.95 010 20680 A Removal of support implant 3.35 3.44 3.44 0.46 7.25 7.25 090 20690 A Apply bone fixation device 3.52 N/A 2.51 0.47 N/A 6.50 090 20692 A Apply bone fixation device 6.41 N/A 3.80 0.60 N/A 10.81 090 20693 A Adjust bone fixation device 5.86 N/A 8.43 0.85 N/A 15.14 090 20694 A Remove bone fixation device 4.16 7.10 4.64 0.57 11.83 9.37 090 20802 A Replantation, arm, complete 41.15 N/A 21.97 5.81 N/A 68.93 090 20805 A Replant forearm, complete 50.00 N/A 35.96 3.95 N/A 89.91 090 20808 A Replantation hand, complete 61.65 N/A 44.22 6.49 N/A 112.36 090 20816 A Replantation digit, complete 30.94 N/A 40.19 3.01 N/A 74.14 090 20822 A Replantation digit, complete 25.59 N/A 36.64 3.07 N/A 65.30 090 20824 A Replantation thumb, complete 30.94 N/A 38.92 3.48 N/A 73.34 090 20827 A Replantation thumb, complete 26.41 N/A 38.68 3.21 N/A 68.30 090 20838 A Replantation foot, complete 41.41 N/A 22.96 5.85 N/A 70.22 090 20900 A Removal of bone for graft 5.58 7.43 5.57 0.77 13.78 11.92 090 20902 A Removal of bone for graft 7.55 N/A 7.06 1.06 N/A 15.67 090 20910 A Remove cartilage for graft 5.34 7.19 5.51 0.50 13.03 11.35 090 20912 A Remove cartilage for graft 6.35 N/A 6.21 0.55 N/A 13.11 090 20920 A Removal of fascia for graft 5.31 N/A 4.48 0.54 N/A 10.33 090 20922 A Removal of fascia for graft 6.61 6.90 5.18 0.88 14.39 12.67 090 20924 A Removal of tendon for graft 6.48 N/A 6.00 0.82 N/A 13.30 090 20926 A Removal of tissue for graft 5.53 N/A 5.06 0.73 N/A 11.32 090 20931 A Spinal bone allograft 1.81 N/A 0.95 0.34 N/A 3.10 ZZZ 20937 A Spinal bone autograft 2.79 N/A 1.49 0.43 N/A 4.71 ZZZ 20938 A Spinal bone autograft 3.02 N/A 1.59 0.52 N/A 5.13 ZZZ 20950 A Fluid pressure, muscle 1.26 1.39 1.02 0.16 2.81 2.44 000 20955 A Fibula bone graft, microvasc 39.21 N/A 25.69 4.35 N/A 69.25 090 20956 A Iliac bone graft, microvasc 39.27 N/A 25.40 5.77 N/A 70.44 090 20957 A Mt bone graft, microvasc 40.65 N/A 19.47 5.74 N/A 65.86 090 20962 A Other bone graft, microvasc 39.27 N/A 26.91 5.19 N/A 71.37 090 20969 A Bone/skin graft, microvasc 43.92 N/A 28.25 4.34 N/A 76.51 090 20970 A Bone/skin graft, iliac crest 43.06 N/A 26.58 4.64 N/A 74.28 090 20972 A Bone/skin graft, metatarsal 42.99 21.88 20.34 6.07 70.94 69.40 090 20973 A Bone/skin graft, great toe 45.76 N/A 25.64 4.65 N/A 76.05 090 20974 A Electrical bone stimulation 0.62 0.63 0.56 0.09 1.34 1.27 000 Start Printed Page 49082 20975 A Electrical bone stimulation 2.60 N/A 1.76 0.42 N/A 4.78 000 20979 A Us bone stimulation 0.62 0.78 0.34 0.04 1.44 1.00 000 20999 C Musculoskeletal surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 21010 A Incision of jaw joint 10.14 N/A 7.41 0.54 N/A 18.09 090 21015 A Resection of facial tumor 5.29 N/A 5.73 0.52 N/A 11.54 090 21025 A Excision of bone, lower jaw 10.06 10.50 8.40 0.79 21.35 19.25 090 21026 A Excision of facial bone(s) 4.85 7.20 5.70 0.40 12.45 10.95 090 21029 A Contour of face bone lesion 7.71 8.89 6.44 0.74 17.34 14.89 090 21030 A Excise max/zygoma b9 tumor 3.89 5.93 4.17 0.60 10.42 8.66 090 21031 A Remove exostosis, mandible 3.24 4.74 3.18 0.28 8.26 6.70 090 21032 A Remove exostosis, maxilla 3.24 4.78 3.29 0.27 8.29 6.80 090 21034 A Excise max/zygoma mlg tumor 16.17 13.91 11.51 1.37 31.45 29.05 090 21040 A Excise mandible lesion 3.89 5.79 3.84 0.19 9.87 7.92 090 21044 A Removal of jaw bone lesion 11.86 N/A 8.95 0.87 N/A 21.68 090 21045 A Extensive jaw surgery 16.17 N/A 11.75 1.20 N/A 29.12 090 21046 A Remove mandible cyst complex 13.00 N/A 13.21 1.01 N/A 27.22 090 21047 A Excise lwr jaw cyst w/repair 18.75 N/A 13.84 1.53 N/A 34.12 090 21048 A Remove maxilla cyst complex 13.50 N/A 13.50 1.01 N/A 28.01 090 21049 A Excis uppr jaw cyst w/repair 18.00 N/A 13.41 1.01 N/A 32.42 090 21050 A Removal of jaw joint 10.77 N/A 10.66 0.84 N/A 22.27 090 21060 A Remove jaw joint cartilage 10.23 N/A 10.18 1.16 N/A 21.57 090 21070 A Remove coronoid process 8.20 N/A 7.25 0.67 N/A 16.12 090 21076 A Prepare face/oral prosthesis 13.42 13.19 10.52 1.36 27.97 25.30 010 21077 A Prepare face/oral prosthesis 33.75 33.45 27.14 3.43 70.63 64.32 090 21079 A Prepare face/oral prosthesis 22.34 23.11 18.12 1.59 47.04 42.05 090 21080 A Prepare face/oral prosthesis 25.10 26.21 20.48 2.55 53.86 48.13 090 21081 A Prepare face/oral prosthesis 22.88 23.87 18.42 1.87 48.62 43.17 090 21082 A Prepare face/oral prosthesis 20.87 20.66 16.57 1.46 42.99 38.90 090 21083 A Prepare face/oral prosthesis 19.30 20.13 15.24 1.96 41.39 36.50 090 21084 A Prepare face/oral prosthesis 22.51 23.94 18.60 1.57 48.02 42.68 090 21085 A Prepare face/oral prosthesis 9.00 8.84 7.11 0.65 18.49 16.76 010 21086 A Prepare face/oral prosthesis 24.92 25.25 20.19 1.86 52.03 46.97 090 21087 A Prepare face/oral prosthesis 24.92 24.82 20.06 2.22 51.96 47.20 090 21088 C Prepare face/oral prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 090 21089 C Prepare face/oral prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 090 21100 A Maxillofacial fixation 4.22 5.72 4.67 0.18 10.12 9.07 090 21110 A Interdental fixation 5.21 7.23 5.78 0.28 12.72 11.27 090 21116 A Injection, jaw joint x-ray 0.81 5.67 0.34 0.05 6.53 1.20 000 21120 A Reconstruction of chin 4.93 9.00 5.39 0.29 14.22 10.61 090 21121 A Reconstruction of chin 7.64 10.71 6.82 0.56 18.91 15.02 090 21122 A Reconstruction of chin 8.52 N/A 7.35 0.59 N/A 16.46 090 21123 A Reconstruction of chin 11.16 N/A 8.49 1.16 N/A 20.81 090 Start Printed Page 49083 21125 A Augmentation, lower jaw bone 10.62 12.09 8.47 0.72 23.43 19.81 090 21127 A Augmentation, lower jaw bone 11.12 14.95 9.29 0.76 26.83 21.17 090 21137 A Reduction of forehead 9.82 N/A 7.62 0.53 N/A 17.97 090 21138 A Reduction of forehead 12.19 N/A 9.53 1.47 N/A 23.19 090 21139 A Reduction of forehead 14.61 N/A 10.04 1.02 N/A 25.67 090 21141 A Reconstruct midface, lefort 18.10 N/A 14.30 1.63 N/A 34.03 090 21142 A Reconstruct midface, lefort 18.81 N/A 13.41 1.16 N/A 33.38 090 21143 A Reconstruct midface, lefort 19.58 N/A 14.55 0.90 N/A 35.03 090 21145 A Reconstruct midface, lefort 19.94 N/A 14.57 2.09 N/A 36.60 090 21146 A Reconstruct midface, lefort 20.71 N/A 16.02 2.13 N/A 38.86 090 21147 A Reconstruct midface, lefort 21.77 N/A 15.70 1.52 N/A 38.99 090 21150 A Reconstruct midface, lefort 25.24 N/A 14.42 1.09 N/A 40.75 090 21151 A Reconstruct midface, lefort 28.30 N/A 17.70 1.98 N/A 47.98 090 21154 A Reconstruct midface, lefort 30.52 N/A 20.75 4.86 N/A 56.13 090 21155 A Reconstruct midface, lefort 34.45 N/A 21.92 5.48 N/A 61.85 090 21159 A Reconstruct midface, lefort 42.38 N/A 25.08 6.74 N/A 74.20 090 21160 A Reconstruct midface, lefort 46.44 N/A 24.97 4.39 N/A 75.80 090 21172 A Reconstruct orbit/forehead 27.80 N/A 14.45 1.91 N/A 44.16 090 21175 A Reconstruct orbit/forehead 33.17 N/A 18.80 5.16 N/A 57.13 090 21179 A Reconstruct entire forehead 22.25 N/A 15.41 2.48 N/A 40.14 090 21180 A Reconstruct entire forehead 25.19 N/A 16.64 2.15 N/A 43.98 090 21181 A Contour cranial bone lesion 9.90 N/A 7.69 0.97 N/A 18.56 090 21182 A Reconstruct cranial bone 32.19 N/A 20.18 2.53 N/A 54.90 090 21183 A Reconstruct cranial bone 35.31 N/A 21.89 2.75 N/A 59.95 090 21184 A Reconstruct cranial bone 38.24 N/A 22.40 4.12 N/A 64.76 090 21188 A Reconstruction of midface 22.46 N/A 15.69 1.85 N/A 40.00 090 21193 A Reconst lwr jaw w/o graft 17.15 N/A 13.39 1.53 N/A 32.07 090 21194 A Reconst lwr jaw w/graft 19.84 N/A 14.47 1.39 N/A 35.70 090 21195 A Reconst lwr jaw w/o fixation 17.24 N/A 13.70 1.20 N/A 32.14 090 21196 A Reconst lwr jaw w/fixation 18.91 N/A 14.31 1.62 N/A 34.84 090 21198 A Reconstr lwr jaw segment 14.16 N/A 11.32 1.05 N/A 26.53 090 21199 A Reconstr lwr jaw w/advance 16.00 N/A 9.40 1.26 N/A 26.66 090 21206 A Reconstruct upper jaw bone 14.10 N/A 11.14 1.01 N/A 26.25 090 21208 A Augmentation of facial bones 10.23 14.95 9.40 0.92 26.10 20.55 090 21209 A Reduction of facial bones 6.72 12.17 7.28 0.60 19.49 14.60 090 21210 A Face bone graft 10.23 14.17 9.66 0.88 25.28 20.77 090 21215 A Lower jaw bone graft 10.77 13.96 9.86 1.04 25.77 21.67 090 21230 A Rib cartilage graft 10.77 N/A 8.86 0.96 N/A 20.59 090 21235 A Ear cartilage graft 6.72 11.67 7.25 0.52 18.91 14.49 090 21240 A Reconstruction of jaw joint 14.05 N/A 13.17 1.15 N/A 28.37 090 21242 A Reconstruction of jaw joint 12.95 N/A 12.63 1.40 N/A 26.98 090 21243 A Reconstruction of jaw joint 20.79 N/A 18.48 1.85 N/A 41.12 090 21244 A Reconstruction of lower jaw 11.86 N/A 10.35 0.95 N/A 23.16 090 21245 A Reconstruction of jaw 11.86 16.69 10.05 0.88 29.43 22.79 090 21246 A Reconstruction of jaw 12.47 15.05 10.13 1.21 28.73 23.81 090 21247 A Reconstruct lower jaw bone 22.63 N/A 18.53 2.21 N/A 43.37 090 21248 A Reconstruction of jaw 11.48 13.46 9.59 1.01 25.95 22.08 090 21249 A Reconstruction of jaw 17.52 17.12 13.05 1.39 36.03 31.96 090 21255 A Reconstruct lower jaw bone 16.72 N/A 12.98 1.13 N/A 30.83 090 21256 A Reconstruction of orbit 16.19 N/A 12.47 1.04 N/A 29.70 090 21260 A Revise eye sockets 16.52 N/A 9.13 1.25 N/A 26.90 090 21261 A Revise eye sockets 31.49 N/A 19.67 2.20 N/A 53.36 090 21263 A Revise eye sockets 28.42 N/A 13.14 2.16 N/A 43.72 090 21267 A Revise eye sockets 18.90 N/A 13.58 1.35 N/A 33.83 090 Start Printed Page 49084 21268 A Revise eye sockets 24.48 N/A 15.66 0.79 N/A 40.93 090 21270 A Augmentation, cheek bone 10.23 12.35 8.36 0.73 23.31 19.32 090 21275 A Revision, orbitofacial bones 11.24 N/A 9.10 1.03 N/A 21.37 090 21280 A Revision of eyelid 6.03 N/A 6.18 0.27 N/A 12.48 090 21282 A Revision of eyelid 3.49 N/A 4.84 0.21 N/A 8.54 090 21295 A Revision of jaw muscle/bone 1.53 N/A 3.02 0.13 N/A 4.68 090 21296 A Revision of jaw muscle/bone 4.25 N/A 4.65 0.30 N/A 9.20 090 21299 C Cranio/maxillofacial surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 21300 A Treatment of skull fracture 0.72 2.48 0.26 0.09 3.29 1.07 000 21310 A Treatment of nose fracture 0.58 2.44 0.15 0.05 3.07 0.78 000 21315 A Treatment of nose fracture 1.51 3.18 1.31 0.12 4.81 2.94 010 21320 A Treatment of nose fracture 1.85 4.44 1.89 0.15 6.44 3.89 010 21325 A Treatment of nose fracture 3.77 N/A 3.84 0.31 N/A 7.92 090 21330 A Treatment of nose fracture 5.38 N/A 5.44 0.48 N/A 11.30 090 21335 A Treatment of nose fracture 8.61 N/A 7.02 0.64 N/A 16.27 090 21336 A Treat nasal septal fracture 5.72 N/A 6.18 0.45 N/A 12.35 090 21337 A Treat nasal septal fracture 2.70 5.27 3.75 0.22 8.19 6.67 090 21338 A Treat nasoethmoid fracture 6.46 N/A 6.14 0.53 N/A 13.13 090 21339 A Treat nasoethmoid fracture 8.09 N/A 6.90 0.76 N/A 15.75 090 21340 A Treatment of nose fracture 10.77 N/A 8.99 0.85 N/A 20.61 090 21343 A Treatment of sinus fracture 12.95 N/A 10.37 1.06 N/A 24.38 090 21344 A Treatment of sinus fracture 19.72 N/A 14.00 1.72 N/A 35.44 090 21345 A Treat nose/jaw fracture 8.16 12.01 8.21 0.60 20.77 16.97 090 21346 A Treat nose/jaw fracture 10.61 13.67 9.41 0.85 25.13 20.87 090 21347 A Treat nose/jaw fracture 12.69 N/A 10.02 1.14 N/A 23.85 090 21348 A Treat nose/jaw fracture 16.69 N/A 11.60 1.50 N/A 29.79 090 21355 A Treat cheek bone fracture 3.77 4.86 2.43 0.29 8.92 6.49 010 21356 A Treat cheek bone fracture 4.15 12.21 3.31 0.36 16.72 7.82 010 21360 A Treat cheek bone fracture 6.46 14.59 6.32 0.52 21.57 13.30 090 21365 A Treat cheek bone fracture 14.95 N/A 12.08 1.30 N/A 28.33 090 21366 A Treat cheek bone fracture 17.77 N/A 11.97 1.41 N/A 31.15 090 21385 A Treat eye socket fracture 9.16 N/A 7.32 0.64 N/A 17.12 090 21386 A Treat eye socket fracture 9.16 N/A 7.73 0.76 N/A 17.65 090 21387 A Treat eye socket fracture 9.70 N/A 7.81 0.78 N/A 18.29 090 21390 A Treat eye socket fracture 10.13 N/A 8.27 0.70 N/A 19.10 090 21395 A Treat eye socket fracture 12.68 N/A 9.62 1.09 N/A 23.39 090 21400 A Treat eye socket fracture 1.40 3.80 2.10 0.12 5.32 3.62 090 21401 A Treat eye socket fracture 3.26 5.11 3.84 0.34 8.71 7.44 090 21406 A Treat eye socket fracture 7.01 N/A 6.58 0.59 N/A 14.18 090 21407 A Treat eye socket fracture 8.61 N/A 7.38 0.67 N/A 16.66 090 21408 A Treat eye socket fracture 12.38 N/A 9.49 1.24 N/A 23.11 090 21421 A Treat mouth roof fracture 5.14 10.22 6.31 0.42 15.78 11.87 090 21422 A Treat mouth roof fracture 8.32 11.73 7.38 0.69 20.74 16.39 090 21423 A Treat mouth roof fracture 10.40 N/A 8.72 0.95 N/A 20.07 090 21431 A Treat craniofacial fracture 7.05 11.10 7.15 0.58 18.73 14.78 090 21432 A Treat craniofacial fracture 8.61 N/A 6.53 0.55 N/A 15.69 090 21433 A Treat craniofacial fracture 25.35 N/A 17.38 2.46 N/A 45.19 090 21435 A Treat craniofacial fracture 17.25 N/A 13.41 1.66 N/A 32.32 090 21436 A Treat craniofacial fracture 28.04 N/A 18.94 2.32 N/A 49.30 090 21440 A Treat dental ridge fracture 2.70 8.32 4.22 0.22 11.24 7.14 090 21445 A Treat dental ridge fracture 5.38 10.81 6.48 0.55 16.74 12.41 090 21450 A Treat lower jaw fracture 2.97 11.00 3.86 0.23 14.20 7.06 090 21451 A Treat lower jaw fracture 4.87 9.15 6.00 0.39 14.41 11.26 090 21452 A Treat lower jaw fracture 1.98 8.19 3.81 0.14 10.31 5.93 090 21453 A Treat lower jaw fracture 5.54 10.89 7.07 0.49 16.92 13.10 090 21454 A Treat lower jaw fracture 6.46 N/A 6.62 0.55 N/A 13.63 090 21461 A Treat lower jaw fracture 8.09 12.99 8.58 0.73 21.81 17.40 090 21462 A Treat lower jaw fracture 9.79 14.58 9.31 0.80 25.17 19.90 090 Start Printed Page 49085 21465 A Treat lower jaw fracture 11.91 N/A 10.16 0.84 N/A 22.91 090 21470 A Treat lower jaw fracture 15.34 N/A 12.41 1.36 N/A 29.11 090 21480 A Reset dislocated jaw 0.61 2.06 0.19 0.05 2.72 0.85 000 21485 A Reset dislocated jaw 3.99 6.15 4.92 0.31 10.45 9.22 090 21490 A Repair dislocated jaw 11.86 N/A 10.03 1.31 N/A 23.20 090 21493 A Treat hyoid bone fracture 1.27 N/A 2.96 0.10 N/A 4.33 090 21494 A Treat hyoid bone fracture 6.28 N/A 5.91 0.44 N/A 12.63 090 21495 A Treat hyoid bone fracture 5.69 N/A 6.18 0.41 N/A 12.28 090 21497 A Interdental wiring 3.86 6.77 5.16 0.31 10.94 9.33 090 21499 C Head surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 21501 A Drain neck/chest lesion 3.81 4.79 3.95 0.36 8.96 8.12 090 21502 A Drain chest lesion 7.12 N/A 5.71 0.79 N/A 13.62 090 21510 A Drainage of bone lesion 5.74 N/A 5.65 0.67 N/A 12.06 090 21550 A Biopsy of neck/chest 2.06 3.65 1.75 0.13 5.84 3.94 010 21555 A Remove lesion, neck/chest 4.35 5.15 3.21 0.41 9.91 7.97 090 21556 A Remove lesion, neck/chest 5.57 N/A 4.09 0.51 N/A 10.17 090 21557 A Remove tumor, neck/chest 8.88 N/A 5.68 0.85 N/A 15.41 090 21600 A Partial removal of rib 6.89 N/A 5.79 0.81 N/A 13.49 090 21610 A Partial removal of rib 14.61 N/A 9.25 1.85 N/A 25.71 090 21615 A Removal of rib 9.87 N/A 6.63 1.20 N/A 17.70 090 21616 A Removal of rib and nerves 12.04 N/A 8.00 1.31 N/A 21.35 090 21620 A Partial removal of sternum 6.79 N/A 6.09 0.77 N/A 13.65 090 21627 A Sternal debridement 6.81 N/A 6.82 0.82 N/A 14.45 090 21630 A Extensive sternum surgery 17.38 N/A 11.99 1.95 N/A 31.32 090 21632 A Extensive sternum surgery 18.14 N/A 10.78 2.16 N/A 31.08 090 21700 A Revision of neck muscle 6.19 6.23 4.88 0.31 12.73 11.38 090 21705 A Revision of neck muscle/rib 9.60 N/A 5.79 0.92 N/A 16.31 090 21720 A Revision of neck muscle 5.68 5.68 4.78 0.80 12.16 11.26 090 21725 A Revision of neck muscle 6.99 N/A 5.72 0.90 N/A 13.61 090 21740 A Reconstruction of sternum 16.50 N/A 8.67 2.03 N/A 27.20 090 21742 C Repair stern/nuss w/o scope 0.00 0.00 0.00 0.00 0.00 0.00 090 21743 C Repair sternum/nuss w/scope 0.00 0.00 0.00 0.00 0.00 0.00 090 21750 A Repair of sternum separation 10.77 N/A 6.16 1.35 N/A 18.28 090 21800 A Treatment of rib fracture 0.96 2.15 1.43 0.09 3.20 2.48 090 21805 A Treatment of rib fracture 2.75 N/A 3.31 0.29 N/A 6.35 090 21810 A Treatment of rib fracture(s) 6.86 N/A 5.04 0.60 N/A 12.50 090 21820 A Treat sternum fracture 1.28 2.68 1.85 0.15 4.11 3.28 090 21825 A Treat sternum fracture 7.41 N/A 6.48 0.84 N/A 14.73 090 21899 C Neck/chest surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 21920 A Biopsy soft tissue of back 2.06 3.27 1.50 0.12 5.45 3.68 010 21925 A Biopsy soft tissue of back 4.49 9.16 3.44 0.44 14.09 8.37 090 21930 A Remove lesion, back or flank 5.00 5.49 3.42 0.49 10.98 8.91 090 21935 A Remove tumor, back 17.96 N/A 10.50 1.87 N/A 30.33 090 22100 A Remove part of neck vertebra 9.73 N/A 7.82 1.55 N/A 19.10 090 22101 A Remove part, thorax vertebra 9.81 N/A 8.04 1.51 N/A 19.36 090 22102 A Remove part, lumbar vertebra 9.81 N/A 8.30 1.46 N/A 19.57 090 22103 A Remove extra spine segment 2.34 N/A 1.24 0.37 N/A 3.95 ZZZ 22110 A Remove part of neck vertebra 12.74 N/A 9.54 2.20 N/A 24.48 090 22112 A Remove part, thorax vertebra 12.81 N/A 9.56 1.96 N/A 24.33 090 22114 A Remove part, lumbar vertebra 12.81 N/A 9.58 1.98 N/A 24.37 090 22116 A Remove extra spine segment 2.32 N/A 1.19 0.40 N/A 3.91 ZZZ 22210 A Revision of neck spine 23.82 N/A 15.88 4.23 N/A 43.93 090 Start Printed Page 49086 22212 A Revision of thorax spine 19.42 N/A 13.57 2.78 N/A 35.77 090 22214 A Revision of lumbar spine 19.45 N/A 14.04 2.78 N/A 36.27 090 22216 A Revise, extra spine segment 6.04 N/A 3.20 0.98 N/A 10.22 ZZZ 22220 A Revision of neck spine 21.37 N/A 14.10 3.65 N/A 39.12 090 22222 A Revision of thorax spine 21.52 N/A 11.93 3.08 N/A 36.53 090 22224 A Revision of lumbar spine 21.52 N/A 14.60 3.20 N/A 39.32 090 22226 A Revise, extra spine segment 6.04 N/A 3.16 1.01 N/A 10.21 ZZZ 22305 A Treat spine process fracture 2.05 3.25 2.43 0.29 5.59 4.77 090 22310 A Treat spine fracture 2.61 4.98 4.20 0.37 7.96 7.18 090 22315 A Treat spine fracture 8.84 18.69 7.74 1.37 28.90 17.95 090 22318 A Treat odontoid fx w/o graft 21.50 N/A 13.81 4.26 N/A 39.57 090 22319 A Treat odontoid fx w/graft 24.00 N/A 15.33 4.76 N/A 44.09 090 22325 A Treat spine fracture 18.30 N/A 12.41 2.61 N/A 33.32 090 22326 A Treat neck spine fracture 19.59 N/A 13.20 3.54 N/A 36.33 090 22327 A Treat thorax spine fracture 19.20 N/A 12.71 2.75 N/A 34.66 090 22328 A Treat each add spine fx 4.61 N/A 2.32 0.66 N/A 7.59 ZZZ 22505 A Manipulation of spine 1.87 N/A 0.95 0.27 N/A 3.09 010 22520 A Percut vertebroplasty thor 8.91 104.96 4.40 0.99 114.86 14.30 010 22521 A Percut vertebroplasty lumb 8.34 93.70 4.24 0.93 102.97 13.51 010 22522 A Percut vertebroplasty addl 4.31 N/A 1.72 0.33 N/A 6.36 ZZZ 22548 A Neck spine fusion 25.82 N/A 16.15 4.98 N/A 46.95 090 22554 A Neck spine fusion 18.62 N/A 12.57 3.51 N/A 34.70 090 22556 A Thorax spine fusion 23.46 N/A 14.91 3.78 N/A 42.15 090 22558 A Lumbar spine fusion 22.28 N/A 13.45 3.18 N/A 38.91 090 22585 A Additional spinal fusion 5.53 N/A 2.86 0.98 N/A 9.37 ZZZ 22590 A Spine & skull spinal fusion 20.51 N/A 13.57 3.81 N/A 37.89 090 22595 A Neck spinal fusion 19.39 N/A 13.06 3.62 N/A 36.07 090 22600 A Neck spine fusion 16.14 N/A 11.37 2.89 N/A 30.40 090 22610 A Thorax spine fusion 16.02 N/A 11.55 2.66 N/A 30.23 090 22612 A Lumbar spine fusion 21.00 N/A 14.36 3.28 N/A 38.64 090 22614 A Spine fusion, extra segment 6.44 N/A 3.43 1.04 N/A 10.91 ZZZ 22630 A Lumbar spine fusion 20.84 N/A 13.82 3.79 N/A 38.45 090 22632 A Spine fusion, extra segment 5.23 N/A 2.73 0.90 N/A 8.86 ZZZ 22800 A Fusion of spine 18.25 N/A 12.88 2.71 N/A 33.84 090 22802 A Fusion of spine 30.88 N/A 19.84 4.42 N/A 55.14 090 22804 A Fusion of spine 36.27 N/A 23.00 5.23 N/A 64.50 090 22808 A Fusion of spine 26.27 N/A 16.55 4.36 N/A 47.18 090 22810 A Fusion of spine 30.27 N/A 18.61 4.49 N/A 53.37 090 22812 A Fusion of spine 32.70 N/A 20.21 4.67 N/A 57.58 090 22818 A Kyphectomy, 1-2 segments 31.83 N/A 19.30 5.01 N/A 56.14 090 22819 A Kyphectomy, 3 or more 36.44 N/A 20.38 5.20 N/A 62.02 090 22830 A Exploration of spinal fusion 10.85 N/A 8.13 1.73 N/A 20.71 090 22840 A Insert spine fixation device 12.54 N/A 6.64 2.03 N/A 21.21 ZZZ 22842 A Insert spine fixation device 12.58 N/A 6.66 2.04 N/A 21.28 ZZZ 22843 A Insert spine fixation device 13.46 N/A 6.75 2.10 N/A 22.31 ZZZ 22844 A Insert spine fixation device 16.44 N/A 8.95 2.42 N/A 27.81 ZZZ 22845 A Insert spine fixation device 11.96 N/A 6.22 2.22 N/A 20.40 ZZZ 22846 A Insert spine fixation device 12.42 N/A 6.48 2.26 N/A 21.16 ZZZ 22847 A Insert spine fixation device 13.80 N/A 7.19 2.36 N/A 23.35 ZZZ 22848 A Insert pelv fixation device 6.00 N/A 3.26 0.88 N/A 10.14 ZZZ 22849 A Reinsert spinal fixation 18.51 N/A 12.17 2.87 N/A 33.55 090 22850 A Remove spine fixation device 9.52 N/A 7.28 1.51 N/A 18.31 090 22851 A Apply spine prosth device 6.71 N/A 3.44 1.11 N/A 11.26 ZZZ 22852 A Remove spine fixation device 9.01 N/A 7.06 1.40 N/A 17.47 090 22855 A Remove spine fixation device 15.13 N/A 10.02 2.74 N/A 27.89 090 22899 C Spine surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY Start Printed Page 49087 22900 A Remove abdominal wall lesion 5.80 N/A 3.32 0.58 N/A 9.70 090 22999 C Abdomen surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 23000 A Removal of calcium deposits 4.36 5.59 4.74 0.50 10.45 9.60 090 23020 A Release shoulder joint 8.93 N/A 7.82 1.23 N/A 17.98 090 23030 A Drain shoulder lesion 3.43 3.07 2.97 0.42 6.92 6.82 010 23031 A Drain shoulder bursa 2.74 2.73 2.73 0.33 5.80 5.80 010 23035 A Drain shoulder bone lesion 8.61 N/A 9.12 1.19 N/A 18.92 090 23040 A Exploratory shoulder surgery 9.20 N/A 8.20 1.28 N/A 18.68 090 23044 A Exploratory shoulder surgery 7.12 N/A 6.80 0.97 N/A 14.89 090 23065 A Biopsy shoulder tissues 2.27 2.88 1.55 0.14 5.29 3.96 010 23066 A Biopsy shoulder tissues 4.16 5.19 4.18 0.50 9.85 8.84 090 23075 A Removal of shoulder lesion 2.39 2.27 1.82 0.25 4.91 4.46 010 23076 A Removal of shoulder lesion 7.63 N/A 5.88 0.87 N/A 14.38 090 23077 A Remove tumor of shoulder 16.09 N/A 11.03 1.81 N/A 28.93 090 23100 A Biopsy of shoulder joint 6.03 N/A 5.89 0.81 N/A 12.73 090 23101 A Shoulder joint surgery 5.58 N/A 5.68 0.77 N/A 12.03 090 23105 A Remove shoulder joint lining 8.23 N/A 7.41 1.13 N/A 16.77 090 23106 A Incision of collarbone joint 5.96 N/A 5.93 0.82 N/A 12.71 090 23107 A Explore treat shoulder joint 8.62 N/A 7.63 1.19 N/A 17.44 090 23120 A Partial removal, collar bone 7.11 N/A 6.70 0.99 N/A 14.80 090 23125 A Removal of collar bone 9.39 N/A 7.85 1.27 N/A 18.51 090 23130 A Remove shoulder bone, part 7.55 N/A 7.23 1.06 N/A 15.84 090 23140 A Removal of bone lesion 6.89 N/A 5.56 0.82 N/A 13.27 090 23145 A Removal of bone lesion 9.09 N/A 7.92 1.24 N/A 18.25 090 23146 A Removal of bone lesion 7.83 N/A 7.39 1.11 N/A 16.33 090 23150 A Removal of humerus lesion 8.48 N/A 7.19 1.14 N/A 16.81 090 23155 A Removal of humerus lesion 10.35 N/A 8.64 1.20 N/A 20.19 090 23156 A Removal of humerus lesion 8.68 N/A 7.63 1.18 N/A 17.49 090 23170 A Remove collar bone lesion 6.86 N/A 6.60 0.84 N/A 14.30 090 23172 A Remove shoulder blade lesion 6.90 N/A 6.70 0.95 N/A 14.55 090 23174 A Remove humerus lesion 9.51 N/A 8.63 1.30 N/A 19.44 090 23180 A Remove collar bone lesion 8.53 N/A 9.76 1.18 N/A 19.47 090 23182 A Remove shoulder blade lesion 8.15 N/A 9.36 1.08 N/A 18.59 090 23184 A Remove humerus lesion 9.38 N/A 10.12 1.24 N/A 20.74 090 23190 A Partial removal of scapula 7.24 N/A 6.34 0.97 N/A 14.55 090 23195 A Removal of head of humerus 9.81 N/A 8.00 1.38 N/A 19.19 090 23200 A Removal of collar bone 12.08 N/A 9.24 1.48 N/A 22.80 090 23210 A Removal of shoulder blade 12.49 N/A 9.61 1.61 N/A 23.71 090 23220 A Partial removal of humerus 14.56 N/A 11.28 2.03 N/A 27.87 090 23221 A Partial removal of humerus 17.74 N/A 12.23 2.51 N/A 32.48 090 23222 A Partial removal of humerus 23.92 N/A 16.44 3.37 N/A 43.73 090 23330 A Remove shoulder foreign body 1.85 2.08 1.89 0.18 4.11 3.92 010 23331 A Remove shoulder foreign body 7.38 N/A 7.02 1.02 N/A 15.42 090 23332 A Remove shoulder foreign body 11.62 N/A 9.49 1.62 N/A 22.73 090 Start Printed Page 49088 23350 A Injection for shoulder x-ray 1.00 3.88 0.34 0.05 4.93 1.39 000 23395 A Muscle transfer,shoulder/arm 16.85 N/A 12.87 2.29 N/A 32.01 090 23397 A Muscle transfers 16.13 N/A 11.59 2.24 N/A 29.96 090 23400 A Fixation of shoulder blade 13.54 N/A 10.42 1.91 N/A 25.87 090 23405 A Incision of tendon & muscle 8.37 N/A 7.08 1.12 N/A 16.57 090 23406 A Incise tendon(s) & muscle(s) 10.79 N/A 8.66 1.48 N/A 20.93 090 23410 A Repair rotator cuff, acute 12.45 N/A 9.69 1.72 N/A 23.86 090 23412 A Repair rotator cuff, chronic 13.31 N/A 10.19 1.86 N/A 25.36 090 23415 A Release of shoulder ligament 9.97 N/A 8.12 1.39 N/A 19.48 090 23420 A Repair of shoulder 13.30 N/A 11.08 1.86 N/A 26.24 090 23430 A Repair biceps tendon 9.98 N/A 8.36 1.40 N/A 19.74 090 23440 A Remove/transplant tendon 10.48 N/A 8.55 1.47 N/A 20.50 090 23450 A Repair shoulder capsule 13.40 N/A 10.16 1.86 N/A 25.42 090 23455 A Repair shoulder capsule 14.37 N/A 10.75 2.01 N/A 27.13 090 23460 A Repair shoulder capsule 15.37 N/A 11.58 2.17 N/A 29.12 090 23462 A Repair shoulder capsule 15.30 N/A 11.08 2.16 N/A 28.54 090 23465 A Repair shoulder capsule 15.85 N/A 11.52 1.61 N/A 28.98 090 23466 A Repair shoulder capsule 14.22 N/A 11.48 2.00 N/A 27.70 090 23470 A Reconstruct shoulder joint 17.15 N/A 12.30 2.40 N/A 31.85 090 23472 A Reconstruct shoulder joint 21.10 N/A 14.54 2.37 N/A 38.01 090 23480 A Revision of collar bone 11.18 N/A 9.04 1.56 N/A 21.78 090 23485 A Revision of collar bone 13.43 N/A 10.19 1.84 N/A 25.46 090 23490 A Reinforce clavicle 11.86 N/A 8.96 1.11 N/A 21.93 090 23491 A Reinforce shoulder bones 14.21 N/A 10.90 2.00 N/A 27.11 090 23500 A Treat clavicle fracture 2.08 3.73 2.61 0.26 6.07 4.95 090 23505 A Treat clavicle fracture 3.69 5.52 3.92 0.50 9.71 8.11 090 23515 A Treat clavicle fracture 7.41 N/A 6.65 1.03 N/A 15.09 090 23520 A Treat clavicle dislocation 2.16 3.73 2.76 0.26 6.15 5.18 090 23525 A Treat clavicle dislocation 3.60 5.35 3.95 0.44 9.39 7.99 090 23530 A Treat clavicle dislocation 7.31 N/A 6.08 0.85 N/A 14.24 090 23532 A Treat clavicle dislocation 8.01 N/A 7.05 1.13 N/A 16.19 090 23540 A Treat clavicle dislocation 2.23 4.34 2.51 0.24 6.81 4.98 090 23545 A Treat clavicle dislocation 3.25 4.59 3.45 0.39 8.23 7.09 090 23550 A Treat clavicle dislocation 7.24 N/A 6.51 0.94 N/A 14.69 090 23552 A Treat clavicle dislocation 8.45 N/A 7.40 1.18 N/A 17.03 090 23570 A Treat shoulder blade fx 2.23 3.74 2.92 0.29 6.26 5.44 090 23575 A Treat shoulder blade fx 4.06 5.87 4.33 0.53 10.46 8.92 090 23585 A Treat scapula fracture 8.96 N/A 7.74 1.25 N/A 17.95 090 23600 A Treat humerus fracture 2.93 5.73 3.80 0.39 9.05 7.12 090 23605 A Treat humerus fracture 4.87 7.03 5.36 0.67 12.57 10.90 090 23615 A Treat humerus fracture 9.35 N/A 8.86 1.31 N/A 19.52 090 23616 A Treat humerus fracture 21.27 N/A 14.39 2.98 N/A 38.64 090 23620 A Treat humerus fracture 2.40 5.29 3.29 0.32 8.01 6.01 090 23625 A Treat humerus fracture 3.93 6.54 4.74 0.53 11.00 9.20 090 23630 A Treat humerus fracture 7.35 N/A 6.71 1.03 N/A 15.09 090 23650 A Treat shoulder dislocation 3.39 4.87 2.99 0.31 8.57 6.69 090 23655 A Treat shoulder dislocation 4.57 N/A 4.17 0.52 N/A 9.26 090 23660 A Treat shoulder dislocation 7.49 N/A 6.48 1.01 N/A 14.98 090 23665 A Treat dislocation/fracture 4.47 6.81 5.13 0.60 11.88 10.20 090 23670 A Treat dislocation/fracture 7.90 N/A 6.95 1.10 N/A 15.95 090 23675 A Treat dislocation/fracture 6.05 7.70 6.17 0.83 14.58 13.05 090 23680 A Treat dislocation/fracture 10.06 N/A 8.24 1.39 N/A 19.69 090 23700 A Fixation of shoulder 2.52 N/A 2.39 0.35 N/A 5.26 010 23800 A Fusion of shoulder joint 14.16 N/A 10.76 1.97 N/A 26.89 090 23802 A Fusion of shoulder joint 16.60 N/A 10.49 2.34 N/A 29.43 090 23900 A Amputation of arm & girdle 19.72 N/A 12.21 2.47 N/A 34.40 090 23920 A Amputation at shoulder joint 14.61 N/A 10.45 1.92 N/A 26.98 090 23921 A Amputation follow-up surgery 5.49 5.32 5.32 0.78 11.59 11.59 090 23929 C Shoulder surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY Start Printed Page 49089 23930 A Drainage of arm lesion 2.94 3.07 2.50 0.32 6.33 5.76 010 23931 A Drainage of arm bursa 1.79 2.76 2.31 0.21 4.76 4.31 010 23935 A Drain arm/elbow bone lesion 6.09 N/A 6.74 0.84 N/A 13.67 090 24000 A Exploratory elbow surgery 5.82 N/A 5.56 0.77 N/A 12.15 090 24006 A Release elbow joint 9.31 N/A 7.93 1.27 N/A 18.51 090 24065 A Biopsy arm/elbow soft tissue 2.08 2.45 1.94 0.14 4.67 4.16 010 24066 A Biopsy arm/elbow soft tissue 5.21 5.90 4.41 0.61 11.72 10.23 090 24075 A Remove arm/elbow lesion 3.92 5.18 3.79 0.43 9.53 8.14 090 24076 A Remove arm/elbow lesion 6.30 N/A 5.17 0.70 N/A 12.17 090 24077 A Remove tumor of arm/elbow 11.76 N/A 8.97 1.32 N/A 22.05 090 24100 A Biopsy elbow joint lining 4.93 N/A 4.72 0.62 N/A 10.27 090 24101 A Explore/treat elbow joint 6.13 N/A 6.07 0.84 N/A 13.04 090 24102 A Remove elbow joint lining 8.03 N/A 7.05 1.09 N/A 16.17 090 24105 A Removal of elbow bursa 3.61 N/A 4.53 0.49 N/A 8.63 090 24110 A Remove humerus lesion 7.39 N/A 6.93 0.99 N/A 15.31 090 24115 A Remove/graft bone lesion 9.63 N/A 7.58 1.15 N/A 18.36 090 24116 A Remove/graft bone lesion 11.81 N/A 9.34 1.66 N/A 22.81 090 24120 A Remove elbow lesion 6.65 N/A 6.08 0.87 N/A 13.60 090 24125 A Remove/graft bone lesion 7.89 N/A 6.38 0.88 N/A 15.15 090 24126 A Remove/graft bone lesion 8.31 N/A 7.19 0.90 N/A 16.40 090 24130 A Removal of head of radius 6.25 N/A 6.16 0.87 N/A 13.28 090 24134 A Removal of arm bone lesion 9.73 N/A 9.79 1.31 N/A 20.83 090 24136 A Remove radius bone lesion 7.99 N/A 7.66 0.85 N/A 16.50 090 24138 A Remove elbow bone lesion 8.05 N/A 7.71 1.12 N/A 16.88 090 24140 A Partial removal of arm bone 9.18 N/A 10.17 1.23 N/A 20.58 090 24145 A Partial removal of radius 7.58 N/A 8.80 1.01 N/A 17.39 090 24147 A Partial removal of elbow 7.54 N/A 9.19 1.04 N/A 17.77 090 24149 A Radical resection of elbow 14.20 N/A 11.53 1.90 N/A 27.63 090 24150 A Extensive humerus surgery 13.27 N/A 10.47 1.81 N/A 25.55 090 24151 A Extensive humerus surgery 15.58 N/A 12.08 2.19 N/A 29.85 090 24152 A Extensive radius surgery 10.06 N/A 8.27 1.19 N/A 19.52 090 24153 A Extensive radius surgery 11.54 N/A 6.08 0.64 N/A 18.26 090 24155 A Removal of elbow joint 11.73 N/A 8.62 1.42 N/A 21.77 090 24160 A Remove elbow joint implant 7.83 N/A 6.85 1.07 N/A 15.75 090 24164 A Remove radius head implant 6.23 N/A 5.77 0.84 N/A 12.84 090 24200 A Removal of arm foreign body 1.76 2.38 1.82 0.15 4.29 3.73 010 24201 A Removal of arm foreign body 4.56 5.84 4.46 0.56 10.96 9.58 090 24220 A Injection for elbow x-ray 1.31 7.42 0.45 0.07 8.80 1.83 000 24300 A Manipulate elbow w/anesth 3.75 N/A 5.70 0.49 N/A 9.94 090 24301 A Muscle/tendon transfer 10.20 N/A 8.40 1.30 N/A 19.90 090 24305 A Arm tendon lengthening 7.45 N/A 6.87 0.98 N/A 15.30 090 24310 A Revision of arm tendon 5.98 N/A 5.90 0.74 N/A 12.62 090 24320 A Repair of arm tendon 10.56 N/A 7.95 1.00 N/A 19.51 090 24330 A Revision of arm muscles 9.60 N/A 8.09 1.21 N/A 18.90 090 24331 A Revision of arm muscles 10.65 N/A 8.75 1.41 N/A 20.81 090 24332 A Tenolysis, triceps 7.45 N/A 6.76 0.77 N/A 14.98 090 24340 A Repair of biceps tendon 7.89 N/A 7.11 1.08 N/A 16.08 090 24341 A Repair arm tendon/muscle 7.90 N/A 7.86 1.08 N/A 16.84 090 24342 A Repair of ruptured tendon 10.62 N/A 8.68 1.48 N/A 20.78 090 24343 A Repr elbow lat ligmnt w/tiss 8.65 N/A 8.21 1.13 N/A 17.99 090 Start Printed Page 49090 24344 A Reconstruct elbow lat ligmnt 14.00 N/A 11.53 1.83 N/A 27.36 090 24345 A Repr elbw med ligmnt w/tissu 8.65 N/A 8.11 1.13 N/A 17.89 090 24346 A Reconstruct elbow med ligmnt 14.00 N/A 11.38 1.83 N/A 27.21 090 24350 A Repair of tennis elbow 5.25 N/A 5.68 0.72 N/A 11.65 090 24351 A Repair of tennis elbow 5.91 N/A 6.04 0.82 N/A 12.77 090 24352 A Repair of tennis elbow 6.43 N/A 6.30 0.90 N/A 13.63 090 24354 A Repair of tennis elbow 6.48 N/A 6.26 0.88 N/A 13.62 090 24356 A Revision of tennis elbow 6.68 N/A 6.44 0.90 N/A 14.02 090 24360 A Reconstruct elbow joint 12.34 N/A 9.48 1.69 N/A 23.51 090 24361 A Reconstruct elbow joint 14.08 N/A 10.56 1.95 N/A 26.59 090 24362 A Reconstruct elbow joint 14.99 N/A 10.12 1.92 N/A 27.03 090 24363 A Replace elbow joint 18.49 N/A 13.78 2.52 N/A 34.79 090 24365 A Reconstruct head of radius 8.39 N/A 7.16 1.11 N/A 16.66 090 24366 A Reconstruct head of radius 9.13 N/A 7.51 1.28 N/A 17.92 090 24400 A Revision of humerus 11.06 N/A 9.14 1.53 N/A 21.73 090 24410 A Revision of humerus 14.82 N/A 10.69 1.89 N/A 27.40 090 24420 A Revision of humerus 13.44 N/A 11.04 1.82 N/A 26.30 090 24430 A Repair of humerus 12.81 N/A 10.01 1.80 N/A 24.62 090 24435 A Repair humerus with graft 13.17 N/A 11.10 1.84 N/A 26.11 090 24470 A Revision of elbow joint 8.74 N/A 7.83 1.23 N/A 17.80 090 24495 A Decompression of forearm 8.12 N/A 9.09 0.92 N/A 18.13 090 24498 A Reinforce humerus 11.92 N/A 9.52 1.67 N/A 23.11 090 24500 A Treat humerus fracture 3.21 5.40 3.59 0.41 9.02 7.21 090 24505 A Treat humerus fracture 5.17 7.64 5.58 0.72 13.53 11.47 090 24515 A Treat humerus fracture 11.65 N/A 9.48 1.63 N/A 22.76 090 24516 A Treat humerus fracture 11.65 N/A 9.45 1.63 N/A 22.73 090 24530 A Treat humerus fracture 3.50 5.59 4.11 0.47 9.56 8.08 090 24535 A Treat humerus fracture 6.87 8.54 6.53 0.96 16.37 14.36 090 24538 A Treat humerus fracture 9.43 N/A 8.85 1.25 N/A 19.53 090 24545 A Treat humerus fracture 10.46 N/A 8.55 1.47 N/A 20.48 090 24546 A Treat humerus fracture 15.69 N/A 11.63 2.18 N/A 29.50 090 24560 A Treat humerus fracture 2.80 5.07 3.19 0.35 8.22 6.34 090 24565 A Treat humerus fracture 5.56 7.42 5.50 0.74 13.72 11.80 090 24566 A Treat humerus fracture 7.79 N/A 8.36 1.10 N/A 17.25 090 24575 A Treat humerus fracture 10.66 N/A 8.42 1.44 N/A 20.52 090 24576 A Treat humerus fracture 2.86 4.94 3.57 0.38 8.18 6.81 090 24577 A Treat humerus fracture 5.79 7.70 5.80 0.81 14.30 12.40 090 24579 A Treat humerus fracture 11.60 N/A 9.10 1.62 N/A 22.32 090 24582 A Treat humerus fracture 8.55 N/A 9.17 1.20 N/A 18.92 090 24586 A Treat elbow fracture 15.21 N/A 11.19 2.12 N/A 28.52 090 24587 A Treat elbow fracture 15.16 N/A 11.00 2.14 N/A 28.30 090 24600 A Treat elbow dislocation 4.23 5.86 3.74 0.49 10.58 8.46 090 24605 A Treat elbow dislocation 5.42 N/A 5.16 0.72 N/A 11.30 090 24615 A Treat elbow dislocation 9.42 N/A 7.84 1.31 N/A 18.57 090 24620 A Treat elbow fracture 6.98 N/A 6.23 0.90 N/A 14.11 090 24635 A Treat elbow fracture 13.19 N/A 14.76 1.84 N/A 29.79 090 24640 A Treat elbow dislocation 1.20 2.06 0.91 0.11 3.37 2.22 010 24650 A Treat radius fracture 2.16 4.64 2.79 0.28 7.08 5.23 090 24655 A Treat radius fracture 4.40 6.89 4.78 0.58 11.87 9.76 090 24665 A Treat radius fracture 8.14 N/A 7.62 1.13 N/A 16.89 090 24666 A Treat radius fracture 9.49 N/A 8.30 1.32 N/A 19.11 090 24670 A Treat ulnar fracture 2.54 4.52 3.07 0.33 7.39 5.94 090 24675 A Treat ulnar fracture 4.72 6.94 5.01 0.65 12.31 10.38 090 24685 A Treat ulnar fracture 8.80 N/A 7.77 1.23 N/A 17.80 090 24800 A Fusion of elbow joint 11.20 N/A 8.95 1.41 N/A 21.56 090 24802 A Fusion/graft of elbow joint 13.69 N/A 10.59 1.89 N/A 26.17 090 24900 A Amputation of upper arm 9.60 N/A 7.53 1.18 N/A 18.31 090 24920 A Amputation of upper arm 9.54 N/A 7.88 1.22 N/A 18.64 090 24925 A Amputation follow-up surgery 7.07 N/A 6.45 0.95 N/A 14.47 090 Start Printed Page 49091 24930 A Amputation follow-up surgery 10.25 N/A 7.78 1.23 N/A 19.26 090 24931 A Amputate upper arm & implant 12.72 N/A 6.31 1.56 N/A 20.59 090 24935 A Revision of amputation 15.56 N/A 8.64 1.58 N/A 25.78 090 24940 C Revision of upper arm 0.00 0.00 0.00 0.00 0.00 0.00 090 24999 C Upper arm/elbow surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 25000 A Incision of tendon sheath 3.38 N/A 6.95 0.45 N/A 10.78 090 25001 A Incise flexor carpi radialis 3.38 N/A 4.29 0.45 N/A 8.12 090 25020 A Decompress forearm 1 space 5.92 N/A 10.24 0.76 N/A 16.92 090 25023 A Decompress forearm 1 space 12.96 N/A 15.71 1.52 N/A 30.19 090 25024 A Decompress forearm 2 spaces 9.50 N/A 7.63 1.24 N/A 18.37 090 25025 A Decompress forarm 2 spaces 16.54 N/A 10.25 2.18 N/A 28.97 090 25028 A Drainage of forearm lesion 5.25 N/A 8.79 0.61 N/A 14.65 090 25031 A Drainage of forearm bursa 4.14 N/A 8.65 0.50 N/A 13.29 090 25035 A Treat forearm bone lesion 7.36 N/A 14.64 0.98 N/A 22.98 090 25040 A Explore/treat wrist joint 7.18 N/A 7.68 0.96 N/A 15.82 090 25065 A Biopsy forearm soft tissues 1.99 2.89 2.89 0.12 5.00 5.00 010 25066 A Biopsy forearm soft tissues 4.13 N/A 7.43 0.49 N/A 12.05 090 25075 A Removel forearm lesion subcu 3.74 N/A 6.28 0.40 N/A 10.42 090 25076 A Removel forearm lesion deep 4.92 N/A 10.35 0.59 N/A 15.86 090 25077 A Remove tumor, forearm/wrist 9.76 N/A 12.98 1.10 N/A 23.84 090 25085 A Incision of wrist capsule 5.50 N/A 7.81 0.71 N/A 14.02 090 25100 A Biopsy of wrist joint 3.90 N/A 5.67 0.50 N/A 10.07 090 25101 A Explore/treat wrist joint 4.69 N/A 6.25 0.60 N/A 11.54 090 25105 A Remove wrist joint lining 5.85 N/A 7.88 0.77 N/A 14.50 090 25107 A Remove wrist joint cartilage 6.43 N/A 8.83 0.82 N/A 16.08 090 25110 A Remove wrist tendon lesion 3.92 N/A 7.46 0.48 N/A 11.86 090 25111 A Remove wrist tendon lesion 3.39 N/A 5.08 0.42 N/A 8.89 090 25112 A Reremove wrist tendon lesion 4.53 N/A 5.69 0.54 N/A 10.76 090 25115 A Remove wrist/forearm lesion 8.82 N/A 14.84 1.11 N/A 24.77 090 25116 A Remove wrist/forearm lesion 7.11 N/A 13.82 0.90 N/A 21.83 090 25118 A Excise wrist tendon sheath 4.37 N/A 6.17 0.55 N/A 11.09 090 25119 A Partial removal of ulna 6.04 N/A 8.17 0.80 N/A 15.01 090 25120 A Removal of forearm lesion 6.10 N/A 12.83 0.81 N/A 19.74 090 25125 A Remove/graft forearm lesion 7.48 N/A 13.61 1.02 N/A 22.11 090 25126 A Remove/graft forearm lesion 7.55 N/A 13.69 1.00 N/A 22.24 090 25130 A Removal of wrist lesion 5.26 N/A 6.72 0.66 N/A 12.64 090 25135 A Remove & graft wrist lesion 6.89 N/A 7.75 0.89 N/A 15.53 090 25136 A Remove & graft wrist lesion 5.97 N/A 6.87 0.58 N/A 13.42 090 25145 A Remove forearm bone lesion 6.37 N/A 12.84 0.82 N/A 20.03 090 25150 A Partial removal of ulna 7.09 N/A 8.85 0.96 N/A 16.90 090 25151 A Partial removal of radius 7.39 N/A 13.46 0.93 N/A 21.78 090 25170 A Extensive forearm surgery 11.09 N/A 15.81 1.52 N/A 28.42 090 25210 A Removal of wrist bone 5.95 N/A 7.10 0.73 N/A 13.78 090 25215 A Removal of wrist bones 7.89 N/A 9.32 1.02 N/A 18.23 090 Start Printed Page 49092 25230 A Partial removal of radius 5.23 N/A 6.51 0.66 N/A 12.40 090 25240 A Partial removal of ulna 5.17 N/A 7.59 0.69 N/A 13.45 090 25246 A Injection for wrist x-ray 1.45 7.16 0.49 0.07 8.68 2.01 000 25248 A Remove forearm foreign body 5.14 N/A 9.00 0.54 N/A 14.68 090 25250 A Removal of wrist prosthesis 6.60 N/A 6.06 0.84 N/A 13.50 090 25251 A Removal of wrist prosthesis 9.57 N/A 7.95 1.15 N/A 18.67 090 25259 A Manipulate wrist w/anesthes 3.75 N/A 5.70 0.50 N/A 9.95 090 25260 A Repair forearm tendon/muscle 7.80 N/A 14.22 0.97 N/A 22.99 090 25263 A Repair forearm tendon/muscle 7.82 N/A 14.09 0.94 N/A 22.85 090 25265 A Repair forearm tendon/muscle 9.88 N/A 14.98 1.19 N/A 26.05 090 25270 A Repair forearm tendon/muscle 6.00 N/A 12.99 0.76 N/A 19.75 090 25272 A Repair forearm tendon/muscle 7.04 N/A 13.70 0.89 N/A 21.63 090 25274 A Repair forearm tendon/muscle 8.75 N/A 14.41 1.14 N/A 24.30 090 25275 A Repair forearm tendon sheath 8.50 N/A 7.72 1.13 N/A 17.35 090 25280 A Revise wrist/forearm tendon 7.22 N/A 13.39 0.91 N/A 21.52 090 25290 A Incise wrist/forearm tendon 5.29 N/A 16.39 0.66 N/A 22.34 090 25295 A Release wrist/forearm tendon 6.55 N/A 12.95 0.86 N/A 20.36 090 25300 A Fusion of tendons at wrist 8.80 N/A 8.66 1.07 N/A 18.53 090 25301 A Fusion of tendons at wrist 8.40 N/A 8.38 1.08 N/A 17.86 090 25310 A Transplant forearm tendon 8.14 N/A 13.81 1.01 N/A 22.96 090 25312 A Transplant forearm tendon 9.57 N/A 14.72 1.22 N/A 25.51 090 25315 A Revise palsy hand tendon(s) 10.20 N/A 15.32 1.26 N/A 26.78 090 25316 A Revise palsy hand tendon(s) 12.33 N/A 16.98 1.74 N/A 31.05 090 25320 A Repair/revise wrist joint 10.77 N/A 11.40 1.32 N/A 23.49 090 25332 A Revise wrist joint 11.41 N/A 9.18 1.46 N/A 22.05 090 25335 A Realignment of hand 12.88 N/A 11.90 1.66 N/A 26.44 090 25337 A Reconstruct ulna/radioulnar 10.17 N/A 11.55 1.31 N/A 23.03 090 25350 A Revision of radius 8.78 N/A 14.68 1.17 N/A 24.63 090 25355 A Revision of radius 10.17 N/A 15.36 1.44 N/A 26.97 090 25360 A Revision of ulna 8.43 N/A 14.59 1.17 N/A 24.19 090 25365 A Revise radius & ulna 12.40 N/A 16.32 1.67 N/A 30.39 090 25370 A Revise radius or ulna 13.36 N/A 16.54 1.88 N/A 31.78 090 25375 A Revise radius & ulna 13.04 N/A 17.15 1.84 N/A 32.03 090 25390 A Shorten radius or ulna 10.40 N/A 15.34 1.38 N/A 27.12 090 25391 A Lengthen radius or ulna 13.65 N/A 17.22 1.73 N/A 32.60 090 25392 A Shorten radius & ulna 13.95 N/A 16.31 1.73 N/A 31.99 090 25393 A Lengthen radius & ulna 15.87 N/A 18.23 1.87 N/A 35.97 090 25394 A Repair carpal bone, shorten 10.40 N/A 8.53 1.40 N/A 20.33 090 25400 A Repair radius or ulna 10.92 N/A 15.93 1.50 N/A 28.35 090 25405 A Repair/graft radius or ulna 14.38 N/A 17.96 1.95 N/A 34.29 090 25415 A Repair radius & ulna 13.35 N/A 17.20 1.87 N/A 32.42 090 25420 A Repair/graft radius & ulna 16.33 N/A 18.97 2.20 N/A 37.50 090 25425 A Repair/graft radius or ulna 13.21 N/A 23.02 1.61 N/A 37.84 090 25426 A Repair/graft radius & ulna 15.82 N/A 17.55 2.23 N/A 35.60 090 25430 A Vasc graft into carpal bone 9.25 N/A 7.54 1.07 N/A 17.86 090 25431 A Repair nonunion carpal bone 10.44 N/A 8.52 0.56 N/A 19.52 090 Start Printed Page 49093 25440 A Repair/graft wrist bone 10.44 N/A 9.69 1.41 N/A 21.54 090 25441 A Reconstruct wrist joint 12.90 N/A 10.01 1.83 N/A 24.74 090 25442 A Reconstruct wrist joint 10.85 N/A 8.88 1.24 N/A 20.97 090 25443 A Reconstruct wrist joint 10.39 N/A 8.76 1.30 N/A 20.45 090 25444 A Reconstruct wrist joint 11.15 N/A 9.07 1.43 N/A 21.65 090 25445 A Reconstruct wrist joint 9.69 N/A 8.02 1.26 N/A 18.97 090 25446 A Wrist replacement 16.55 N/A 11.98 2.20 N/A 30.73 090 25447 A Repair wrist joint(s) 10.37 N/A 8.64 1.34 N/A 20.35 090 25449 A Remove wrist joint implant 14.49 N/A 10.72 1.77 N/A 26.98 090 25450 A Revision of wrist joint 7.87 N/A 10.71 0.88 N/A 19.46 090 25455 A Revision of wrist joint 9.49 N/A 11.66 1.07 N/A 22.22 090 25490 A Reinforce radius 9.54 N/A 14.46 1.19 N/A 25.19 090 25491 A Reinforce ulna 9.96 N/A 15.21 1.41 N/A 26.58 090 25492 A Reinforce radius and ulna 12.33 N/A 15.97 1.62 N/A 29.92 090 25500 A Treat fracture of radius 2.45 4.06 2.77 0.28 6.79 5.50 090 25505 A Treat fracture of radius 5.21 7.36 5.34 0.69 13.26 11.24 090 25515 A Treat fracture of radius 9.18 N/A 7.70 1.22 N/A 18.10 090 25520 A Treat fracture of radius 6.26 7.58 5.98 0.85 14.69 13.09 090 25525 A Treat fracture of radius 12.24 N/A 10.12 1.68 N/A 24.04 090 25526 A Treat fracture of radius 12.98 N/A 13.93 1.80 N/A 28.71 090 25530 A Treat fracture of ulna 2.09 4.22 2.85 0.27 6.58 5.21 090 25535 A Treat fracture of ulna 5.14 6.98 5.27 0.68 12.80 11.09 090 25545 A Treat fracture of ulna 8.90 N/A 7.90 1.23 N/A 18.03 090 25560 A Treat fracture radius & ulna 2.44 4.12 2.70 0.27 6.83 5.41 090 25565 A Treat fracture radius & ulna 5.63 7.49 5.41 0.76 13.88 11.80 090 25574 A Treat fracture radius & ulna 7.01 N/A 7.26 0.96 N/A 15.23 090 25575 A Treat fracture radius/ulna 10.45 N/A 9.57 1.46 N/A 21.48 090 25600 A Treat fracture radius/ulna 2.63 4.56 3.00 0.34 7.53 5.97 090 25605 A Treat fracture radius/ulna 5.81 8.18 6.13 0.81 14.80 12.75 090 25611 A Treat fracture radius/ulna 7.77 N/A 8.90 1.08 N/A 17.75 090 25620 A Treat fracture radius/ulna 8.55 N/A 7.51 1.17 N/A 17.23 090 25622 A Treat wrist bone fracture 2.61 4.63 3.10 0.33 7.57 6.04 090 25624 A Treat wrist bone fracture 4.53 7.10 5.00 0.61 12.24 10.14 090 25628 A Treat wrist bone fracture 8.43 N/A 8.05 1.14 N/A 17.62 090 25630 A Treat wrist bone fracture 2.88 4.65 3.00 0.37 7.90 6.25 090 25635 A Treat wrist bone fracture 4.39 6.87 3.96 0.39 11.65 8.74 090 25645 A Treat wrist bone fracture 7.25 N/A 7.01 0.93 N/A 15.19 090 25650 A Treat wrist bone fracture 3.05 4.82 3.21 0.37 8.24 6.63 090 25651 A Pin ulnar styloid fracture 5.36 N/A 5.62 0.72 N/A 11.70 090 25652 A Treat fracture ulnar styloid 7.60 N/A 7.11 1.02 N/A 15.73 090 25660 A Treat wrist dislocation 4.76 N/A 4.75 0.59 N/A 10.10 090 25670 A Treat wrist dislocation 7.92 N/A 7.31 1.07 N/A 16.30 090 25671 A Pin radioulnar dislocation 6.00 N/A 6.23 0.81 N/A 13.04 090 25675 A Treat wrist dislocation 4.67 6.62 4.69 0.57 11.86 9.93 090 25676 A Treat wrist dislocation 8.04 N/A 7.56 1.10 N/A 16.70 090 25680 A Treat wrist fracture 5.99 N/A 4.99 0.61 N/A 11.59 090 25685 A Treat wrist fracture 9.78 N/A 8.12 1.25 N/A 19.15 090 25690 A Treat wrist dislocation 5.50 N/A 5.69 0.78 N/A 11.97 090 25695 A Treat wrist dislocation 8.34 N/A 7.43 1.07 N/A 16.84 090 25800 A Fusion of wrist joint 9.76 N/A 9.35 1.30 N/A 20.41 090 25805 A Fusion/graft of wrist joint 11.28 N/A 10.42 1.51 N/A 23.21 090 25810 A Fusion/graft of wrist joint 10.57 N/A 10.15 1.37 N/A 22.09 090 25820 A Fusion of hand bones 7.45 N/A 8.10 0.96 N/A 16.51 090 25825 A Fuse hand bones with graft 9.27 N/A 9.37 1.20 N/A 19.84 090 25830 A Fusion, radioulnar jnt/ulna 10.06 N/A 15.11 1.27 N/A 26.44 090 25900 A Amputation of forearm 9.01 N/A 13.06 1.08 N/A 23.15 090 25905 A Amputation of forearm 9.12 N/A 13.13 1.06 N/A 23.31 090 25907 A Amputation follow-up surgery 7.80 N/A 12.59 1.01 N/A 21.40 090 25909 A Amputation follow-up surgery 8.96 N/A 13.10 1.07 N/A 23.13 090 25915 A Amputation of forearm 17.08 N/A 20.05 2.41 N/A 39.54 090 Start Printed Page 49094 25920 A Amputate hand at wrist 8.68 N/A 8.22 1.06 N/A 17.96 090 25922 A Amputate hand at wrist 7.42 N/A 7.25 0.93 N/A 15.60 090 25924 A Amputation follow-up surgery 8.46 N/A 8.46 1.07 N/A 17.99 090 25927 A Amputation of hand 8.80 N/A 12.40 1.02 N/A 22.22 090 25929 A Amputation follow-up surgery 7.59 N/A 6.13 0.89 N/A 14.61 090 25931 A Amputation follow-up surgery 7.81 N/A 12.40 0.88 N/A 21.09 090 25999 C Forearm or wrist surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 26010 A Drainage of finger abscess 1.54 5.85 1.70 0.14 7.53 3.38 010 26011 A Drainage of finger abscess 2.19 9.22 2.35 0.25 11.66 4.79 010 26020 A Drain hand tendon sheath 4.67 N/A 5.61 0.59 N/A 10.87 090 26025 A Drainage of palm bursa 4.82 N/A 5.45 0.60 N/A 10.87 090 26030 A Drainage of palm bursa(s) 5.93 N/A 6.11 0.72 N/A 12.76 090 26034 A Treat hand bone lesion 6.23 N/A 6.33 0.79 N/A 13.35 090 26035 A Decompress fingers/hand 9.51 N/A 8.21 1.12 N/A 18.84 090 26037 A Decompress fingers/hand 7.25 N/A 6.72 0.87 N/A 14.84 090 26040 A Release palm contracture 3.33 N/A 4.00 0.45 N/A 7.78 090 26045 A Release palm contracture 5.56 N/A 5.60 0.74 N/A 11.90 090 26055 A Incise finger tendon sheath 2.69 14.74 3.86 0.36 17.79 6.91 090 26060 A Incision of finger tendon 2.81 N/A 3.52 0.35 N/A 6.68 090 26070 A Explore/treat hand joint 3.69 N/A 3.39 0.35 N/A 7.43 090 26075 A Explore/treat finger joint 3.79 N/A 3.80 0.40 N/A 7.99 090 26080 A Explore/treat finger joint 4.24 N/A 4.82 0.52 N/A 9.58 090 26100 A Biopsy hand joint lining 3.67 N/A 4.12 0.45 N/A 8.24 090 26105 A Biopsy finger joint lining 3.71 N/A 4.20 0.45 N/A 8.36 090 26110 A Biopsy finger joint lining 3.53 N/A 4.00 0.44 N/A 7.97 090 26115 A Removel hand lesion subcut 3.86 13.55 4.71 0.48 17.89 9.05 090 26116 A Removel hand lesion, deep 5.53 N/A 5.98 0.69 N/A 12.20 090 26117 A Remove tumor, hand/finger 8.55 N/A 7.15 1.01 N/A 16.71 090 26121 A Release palm contracture 7.54 N/A 7.02 0.94 N/A 15.50 090 26123 A Release palm contracture 9.29 N/A 8.90 1.17 N/A 19.36 090 26125 A Release palm contracture 4.61 N/A 2.50 0.57 N/A 7.68 ZZZ 26130 A Remove wrist joint lining 5.42 N/A 5.35 0.65 N/A 11.42 090 26135 A Revise finger joint, each 6.96 N/A 6.47 0.87 N/A 14.30 090 26140 A Revise finger joint, each 6.17 N/A 6.03 0.76 N/A 12.96 090 26145 A Tendon excision, palm/finger 6.32 N/A 6.04 0.77 N/A 13.13 090 26160 A Remove tendon sheath lesion 3.15 12.95 4.11 0.39 16.49 7.65 090 26170 A Removal of palm tendon, each 4.77 N/A 4.97 0.60 N/A 10.34 090 26180 A Removal of finger tendon 5.18 N/A 5.40 0.64 N/A 11.22 090 26185 A Remove finger bone 5.25 N/A 6.01 0.67 N/A 11.93 090 26200 A Remove hand bone lesion 5.51 N/A 5.39 0.71 N/A 11.61 090 26205 A Remove/graft bone lesion 7.70 N/A 6.91 0.95 N/A 15.56 090 26210 A Removal of finger lesion 5.15 N/A 5.41 0.64 N/A 11.20 090 26215 A Remove/graft finger lesion 7.10 N/A 6.31 0.77 N/A 14.18 090 26230 A Partial removal of hand bone 6.33 N/A 5.96 0.84 N/A 13.13 090 26235 A Partial removal, finger bone 6.19 N/A 5.85 0.78 N/A 12.82 090 26236 A Partial removal, finger bone 5.32 N/A 5.37 0.66 N/A 11.35 090 26250 A Extensive hand surgery 7.55 N/A 6.46 0.92 N/A 14.93 090 26255 A Extensive hand surgery 12.43 N/A 9.49 1.05 N/A 22.97 090 26260 A Extensive finger surgery 7.03 N/A 6.20 0.83 N/A 14.06 090 26261 A Extensive finger surgery 9.09 N/A 6.35 0.84 N/A 16.28 090 26262 A Partial removal of finger 5.67 N/A 5.39 0.70 N/A 11.76 090 26320 A Removal of implant from hand 3.98 N/A 4.28 0.49 N/A 8.75 090 Start Printed Page 49095 26340 A Manipulate finger w/anesth 2.50 N/A 4.95 0.30 N/A 7.75 090 26350 A Repair finger/hand tendon 5.99 N/A 16.02 0.73 N/A 22.74 090 26352 A Repair/graft hand tendon 7.68 N/A 16.69 0.93 N/A 25.30 090 26356 A Repair finger/hand tendon 8.07 N/A 19.20 0.99 N/A 28.26 090 26357 A Repair finger/hand tendon 8.58 N/A 17.14 1.02 N/A 26.74 090 26358 A Repair/graft hand tendon 9.14 N/A 17.96 1.07 N/A 28.17 090 26370 A Repair finger/hand tendon 7.11 N/A 16.57 0.90 N/A 24.58 090 26372 A Repair/graft hand tendon 8.76 N/A 17.97 1.06 N/A 27.79 090 26373 A Repair finger/hand tendon 8.16 N/A 17.54 0.98 N/A 26.68 090 26390 A Revise hand/finger tendon 9.19 N/A 14.34 1.09 N/A 24.62 090 26392 A Repair/graft hand tendon 10.26 N/A 18.34 1.26 N/A 29.86 090 26410 A Repair hand tendon 4.63 N/A 13.17 0.57 N/A 18.37 090 26412 A Repair/graft hand tendon 6.31 N/A 14.43 0.80 N/A 21.54 090 26415 A Excision, hand/finger tendon 8.34 N/A 12.79 0.77 N/A 21.90 090 26416 A Graft hand or finger tendon 9.37 N/A 15.71 1.20 N/A 26.28 090 26418 A Repair finger tendon 4.25 N/A 13.34 0.50 N/A 18.09 090 26420 A Repair/graft finger tendon 6.77 N/A 14.78 0.83 N/A 22.38 090 26426 A Repair finger/hand tendon 6.15 N/A 14.25 0.77 N/A 21.17 090 26428 A Repair/graft finger tendon 7.21 N/A 15.06 0.84 N/A 23.11 090 26432 A Repair finger tendon 4.02 N/A 11.13 0.48 N/A 15.63 090 26433 A Repair finger tendon 4.56 N/A 11.83 0.56 N/A 16.95 090 26434 A Repair/graft finger tendon 6.09 N/A 12.43 0.71 N/A 19.23 090 26437 A Realignment of tendons 5.82 N/A 12.34 0.74 N/A 18.90 090 26440 A Release palm/finger tendon 5.02 N/A 14.83 0.62 N/A 20.47 090 26442 A Release palm & finger tendon 8.16 N/A 17.10 0.94 N/A 26.20 090 26445 A Release hand/finger tendon 4.31 N/A 14.59 0.54 N/A 19.44 090 26449 A Release forearm/hand tendon 7.00 N/A 16.90 0.84 N/A 24.74 090 26450 A Incision of palm tendon 3.67 N/A 7.79 0.46 N/A 11.92 090 26455 A Incision of finger tendon 3.64 N/A 7.71 0.47 N/A 11.82 090 26460 A Incise hand/finger tendon 3.46 N/A 7.52 0.44 N/A 11.42 090 26471 A Fusion of finger tendons 5.73 N/A 12.00 0.73 N/A 18.46 090 26474 A Fusion of finger tendons 5.32 N/A 12.20 0.69 N/A 18.21 090 26476 A Tendon lengthening 5.18 N/A 11.71 0.62 N/A 17.51 090 26477 A Tendon shortening 5.15 N/A 11.87 0.60 N/A 17.62 090 26478 A Lengthening of hand tendon 5.80 N/A 12.62 0.77 N/A 19.19 090 26479 A Shortening of hand tendon 5.74 N/A 12.45 0.76 N/A 18.95 090 26480 A Transplant hand tendon 6.69 N/A 16.27 0.84 N/A 23.80 090 26483 A Transplant/graft hand tendon 8.29 N/A 16.72 1.03 N/A 26.04 090 26485 A Transplant palm tendon 7.70 N/A 16.60 0.94 N/A 25.24 090 26489 A Transplant/graft palm tendon 9.55 N/A 13.02 0.98 N/A 23.55 090 26490 A Revise thumb tendon 8.41 N/A 13.55 1.05 N/A 23.01 090 26492 A Tendon transfer with graft 9.62 N/A 14.30 1.19 N/A 25.11 090 26494 A Hand tendon/muscle transfer 8.47 N/A 13.78 1.13 N/A 23.38 090 26496 A Revise thumb tendon 9.59 N/A 13.97 1.17 N/A 24.73 090 26497 A Finger tendon transfer 9.57 N/A 14.36 1.17 N/A 25.10 090 26498 A Finger tendon transfer 14.00 N/A 16.90 1.74 N/A 32.64 090 26499 A Revision of finger 8.98 N/A 13.90 0.94 N/A 23.82 090 26500 A Hand tendon reconstruction 5.96 N/A 12.48 0.66 N/A 19.10 090 26502 A Hand tendon reconstruction 7.14 N/A 12.95 0.87 N/A 20.96 090 26504 A Hand tendon reconstruction 7.47 N/A 13.06 0.84 N/A 21.37 090 26508 A Release thumb contracture 6.01 N/A 12.48 0.76 N/A 19.25 090 26510 A Thumb tendon transfer 5.43 N/A 12.16 0.71 N/A 18.30 090 Start Printed Page 49096 26516 A Fusion of knuckle joint 7.15 N/A 13.02 0.90 N/A 21.07 090 26517 A Fusion of knuckle joints 8.83 N/A 14.37 0.96 N/A 24.16 090 26518 A Fusion of knuckle joints 9.02 N/A 14.19 1.13 N/A 24.34 090 26520 A Release knuckle contracture 5.30 N/A 15.21 0.65 N/A 21.16 090 26525 A Release finger contracture 5.33 N/A 15.33 0.66 N/A 21.32 090 26530 A Revise knuckle joint 6.69 N/A 6.13 0.86 N/A 13.68 090 26531 A Revise knuckle with implant 7.91 N/A 7.07 1.01 N/A 15.99 090 26535 A Revise finger joint 5.24 N/A 3.76 0.66 N/A 9.66 090 26536 A Revise/implant finger joint 6.37 N/A 10.06 0.80 N/A 17.23 090 26540 A Repair hand joint 6.43 N/A 12.73 0.81 N/A 19.97 090 26541 A Repair hand joint with graft 8.62 N/A 14.25 1.12 N/A 23.99 090 26542 A Repair hand joint with graft 6.78 N/A 12.78 0.87 N/A 20.43 090 26545 A Reconstruct finger joint 6.92 N/A 13.16 0.79 N/A 20.87 090 26546 A Repair nonunion hand 8.92 N/A 15.44 1.14 N/A 25.50 090 26548 A Reconstruct finger joint 8.03 N/A 13.81 0.98 N/A 22.82 090 26550 A Construct thumb replacement 21.24 N/A 18.80 1.80 N/A 41.84 090 26551 A Great toe-hand transfer 46.58 N/A 32.79 6.57 N/A 85.94 090 26553 A Single transfer, toe-hand 46.27 N/A 23.66 1.99 N/A 71.92 090 26554 A Double transfer, toe-hand 54.95 N/A 35.88 7.76 N/A 98.59 090 26555 A Positional change of finger 16.63 N/A 19.12 2.13 N/A 37.88 090 26556 A Toe joint transfer 47.26 N/A 30.96 6.67 N/A 84.89 090 26560 A Repair of web finger 5.38 N/A 10.71 0.60 N/A 16.69 090 26561 A Repair of web finger 10.92 N/A 13.30 0.69 N/A 24.91 090 26562 A Repair of web finger 15.00 N/A 17.99 0.98 N/A 33.97 090 26565 A Correct metacarpal flaw 6.74 N/A 12.83 0.84 N/A 20.41 090 26567 A Correct finger deformity 6.82 N/A 12.76 0.84 N/A 20.42 090 26568 A Lengthen metacarpal/finger 9.08 N/A 16.65 1.10 N/A 26.83 090 26580 A Repair hand deformity 18.18 N/A 14.08 1.46 N/A 33.72 090 26587 A Reconstruct extra finger 14.05 N/A 9.30 1.12 N/A 24.47 090 26590 A Repair finger deformity 17.96 N/A 14.84 1.32 N/A 34.12 090 26591 A Repair muscles of hand 3.25 N/A 10.88 0.37 N/A 14.50 090 26593 A Release muscles of hand 5.31 N/A 11.84 0.64 N/A 17.79 090 26596 A Excision constricting tissue 8.95 N/A 9.20 0.87 N/A 19.02 090 26600 A Treat metacarpal fracture 1.96 4.15 2.69 0.25 6.36 4.90 090 26605 A Treat metacarpal fracture 2.85 5.45 3.74 0.38 8.68 6.97 090 26607 A Treat metacarpal fracture 5.36 N/A 6.65 0.70 N/A 12.71 090 26608 A Treat metacarpal fracture 5.36 N/A 6.56 0.73 N/A 12.65 090 26615 A Treat metacarpal fracture 5.33 N/A 5.83 0.70 N/A 11.86 090 26641 A Treat thumb dislocation 3.94 5.59 3.72 0.42 9.95 8.08 090 26645 A Treat thumb fracture 4.41 6.31 4.34 0.54 11.26 9.29 090 26650 A Treat thumb fracture 5.72 N/A 6.88 0.77 N/A 13.37 090 26665 A Treat thumb fracture 7.60 N/A 7.02 0.97 N/A 15.59 090 26670 A Treat hand dislocation 3.69 5.17 3.21 0.36 9.22 7.26 090 26675 A Treat hand dislocation 4.64 6.26 4.41 0.56 11.46 9.61 090 26676 A Pin hand dislocation 5.52 N/A 6.92 0.76 N/A 13.20 090 26685 A Treat hand dislocation 6.98 N/A 6.57 0.95 N/A 14.50 090 26686 A Treat hand dislocation 7.94 N/A 7.26 1.05 N/A 16.25 090 26700 A Treat knuckle dislocation 3.69 4.74 3.02 0.35 8.78 7.06 090 26705 A Treat knuckle dislocation 4.19 6.05 4.24 0.50 10.74 8.93 090 26706 A Pin knuckle dislocation 5.12 N/A 5.19 0.64 N/A 10.95 090 26715 A Treat knuckle dislocation 5.74 N/A 6.02 0.75 N/A 12.51 090 26720 A Treat finger fracture, each 1.66 3.97 2.65 0.20 5.83 4.51 090 26725 A Treat finger fracture, each 3.33 6.20 4.11 0.43 9.96 7.87 090 26727 A Treat finger fracture, each 5.23 N/A 6.62 0.69 N/A 12.54 090 26735 A Treat finger fracture, each 5.98 N/A 6.17 0.77 N/A 12.92 090 26740 A Treat finger fracture, each 1.94 3.63 2.74 0.24 5.81 4.92 090 26742 A Treat finger fracture, each 3.85 6.11 4.11 0.49 10.45 8.45 090 26746 A Treat finger fracture, each 5.81 N/A 6.22 0.74 N/A 12.77 090 26750 A Treat finger fracture, each 1.70 3.29 2.19 0.19 5.18 4.08 090 26755 A Treat finger fracture, each 3.10 4.89 3.11 0.37 8.36 6.58 090 Start Printed Page 49097 26756 A Pin finger fracture, each 4.39 N/A 6.24 0.56 N/A 11.19 090 26765 A Treat finger fracture, each 4.17 N/A 5.05 0.51 N/A 9.73 090 26770 A Treat finger dislocation 3.02 4.49 2.60 0.27 7.78 5.89 090 26775 A Treat finger dislocation 3.71 5.87 3.82 0.43 10.01 7.96 090 26776 A Pin finger dislocation 4.80 N/A 6.41 0.63 N/A 11.84 090 26785 A Treat finger dislocation 4.21 N/A 5.09 0.54 N/A 9.84 090 26820 A Thumb fusion with graft 8.26 N/A 14.03 1.11 N/A 23.40 090 26841 A Fusion of thumb 7.13 N/A 13.84 0.97 N/A 21.94 090 26842 A Thumb fusion with graft 8.24 N/A 14.11 1.10 N/A 23.45 090 26843 A Fusion of hand joint 7.61 N/A 13.01 0.99 N/A 21.61 090 26844 A Fusion/graft of hand joint 8.73 N/A 14.07 1.12 N/A 23.92 090 26850 A Fusion of knuckle 6.97 N/A 12.93 0.89 N/A 20.79 090 26852 A Fusion of knuckle with graft 8.46 N/A 13.62 1.05 N/A 23.13 090 26860 A Fusion of finger joint 4.69 N/A 11.90 0.60 N/A 17.19 090 26861 A Fusion of finger jnt, add-on 1.74 N/A 0.95 0.22 N/A 2.91 ZZZ 26862 A Fusion/graft of finger joint 7.37 N/A 13.10 0.92 N/A 21.39 090 26863 A Fuse/graft added joint 3.90 N/A 2.16 0.51 N/A 6.57 ZZZ 26910 A Amputate metacarpal bone 7.60 N/A 12.03 0.90 N/A 20.53 090 26951 A Amputation of finger/thumb 4.59 N/A 10.94 0.56 N/A 16.09 090 26952 A Amputation of finger/thumb 6.31 N/A 12.51 0.74 N/A 19.56 090 26989 C Hand/finger surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 26990 A Drainage of pelvis lesion 7.48 N/A 8.16 0.92 N/A 16.56 090 26991 A Drainage of pelvis bursa 6.68 7.77 6.24 0.85 15.30 13.77 090 26992 A Drainage of bone lesion 13.02 N/A 11.57 1.75 N/A 26.34 090 27000 A Incision of hip tendon 5.62 N/A 5.49 0.76 N/A 11.87 090 27001 A Incision of hip tendon 6.94 N/A 6.36 0.95 N/A 14.25 090 27003 A Incision of hip tendon 7.34 N/A 6.77 0.93 N/A 15.04 090 27005 A Incision of hip tendon 9.66 N/A 8.09 1.36 N/A 19.11 090 27006 A Incision of hip tendons 9.68 N/A 8.25 1.33 N/A 19.26 090 27025 A Incision of hip/thigh fascia 11.16 N/A 8.73 1.38 N/A 21.27 090 27030 A Drainage of hip joint 13.01 N/A 9.94 1.81 N/A 24.76 090 27033 A Exploration of hip joint 13.39 N/A 10.21 1.87 N/A 25.47 090 27035 A Denervation of hip joint 16.69 N/A 12.66 1.70 N/A 31.05 090 27036 A Excision of hip joint/muscle 12.88 N/A 10.41 1.80 N/A 25.09 090 27040 A Biopsy of soft tissues 2.87 2.92 2.20 0.21 6.00 5.28 010 27041 A Biopsy of soft tissues 9.89 N/A 6.83 1.01 N/A 17.73 090 27047 A Remove hip/pelvis lesion 7.45 6.66 5.07 0.79 14.90 13.31 090 27048 A Remove hip/pelvis lesion 6.25 N/A 5.19 0.73 N/A 12.17 090 27049 A Remove tumor, hip/pelvis 13.66 N/A 9.20 1.60 N/A 24.46 090 27050 A Biopsy of sacroiliac joint 4.36 N/A 4.64 0.53 N/A 9.53 090 27052 A Biopsy of hip joint 6.23 N/A 6.19 0.85 N/A 13.27 090 27054 A Removal of hip joint lining 8.54 N/A 7.71 1.17 N/A 17.42 090 27060 A Removal of ischial bursa 5.43 N/A 4.99 0.60 N/A 11.02 090 27062 A Remove femur lesion/bursa 5.37 N/A 5.42 0.74 N/A 11.53 090 27065 A Removal of hip bone lesion 5.90 N/A 5.73 0.76 N/A 12.39 090 27066 A Removal of hip bone lesion 10.33 N/A 8.76 1.42 N/A 20.51 090 27067 A Remove/graft hip bone lesion 13.83 N/A 10.97 1.95 N/A 26.75 090 27070 A Partial removal of hip bone 10.72 N/A 10.40 1.36 N/A 22.48 090 27071 A Partial removal of hip bone 11.46 N/A 11.32 1.51 N/A 24.29 090 27075 A Extensive hip surgery 35.00 N/A 20.42 2.22 N/A 57.64 090 27076 A Extensive hip surgery 22.12 N/A 15.35 2.86 N/A 40.33 090 27077 A Extensive hip surgery 40.00 N/A 23.94 3.18 N/A 67.12 090 27078 A Extensive hip surgery 13.44 N/A 10.81 1.67 N/A 25.92 090 27079 A Extensive hip surgery 13.75 N/A 10.45 1.86 N/A 26.06 090 Start Printed Page 49098 27080 A Removal of tail bone 6.39 N/A 5.24 0.80 N/A 12.43 090 27086 A Remove hip foreign body 1.87 2.33 2.03 0.17 4.37 4.07 010 27087 A Remove hip foreign body 8.54 N/A 6.84 1.09 N/A 16.47 090 27090 A Removal of hip prosthesis 11.15 N/A 8.81 1.55 N/A 21.51 090 27091 A Removal of hip prosthesis 22.14 N/A 14.12 3.11 N/A 39.37 090 27093 A Injection for hip x-ray 1.30 8.65 0.49 0.09 10.04 1.88 000 27095 A Injection for hip x-ray 1.50 7.80 0.53 0.10 9.40 2.13 000 27096 A Inject sacroiliac joint 1.40 6.89 0.33 0.08 8.37 1.81 000 27097 A Revision of hip tendon 8.80 N/A 6.65 1.22 N/A 16.67 090 27098 A Transfer tendon to pelvis 8.83 N/A 7.28 1.24 N/A 17.35 090 27100 A Transfer of abdominal muscle 11.08 N/A 8.97 1.57 N/A 21.62 090 27105 A Transfer of spinal muscle 11.77 N/A 9.45 1.66 N/A 22.88 090 27110 A Transfer of iliopsoas muscle 13.26 N/A 9.66 1.38 N/A 24.30 090 27111 A Transfer of iliopsoas muscle 12.15 N/A 9.31 1.48 N/A 22.94 090 27120 A Reconstruction of hip socket 18.01 N/A 11.96 2.45 N/A 32.42 090 27122 A Reconstruction of hip socket 14.98 N/A 11.06 2.08 N/A 28.12 090 27125 A Partial hip replacement 14.69 N/A 10.63 2.05 N/A 27.37 090 27130 A Total hip arthroplasty 20.12 N/A 13.41 2.82 N/A 36.35 090 27132 A Total hip arthroplasty 23.30 N/A 15.78 3.26 N/A 42.34 090 27134 A Revise hip joint replacement 28.52 N/A 18.03 3.97 N/A 50.52 090 27137 A Revise hip joint replacement 21.17 N/A 14.08 2.97 N/A 38.22 090 27138 A Revise hip joint replacement 22.17 N/A 14.55 3.11 N/A 39.83 090 27140 A Transplant femur ridge 12.24 N/A 9.66 1.67 N/A 23.57 090 27146 A Incision of hip bone 17.43 N/A 12.65 2.27 N/A 32.35 090 27147 A Revision of hip bone 20.58 N/A 13.76 2.61 N/A 36.95 090 27151 A Incision of hip bones 22.51 N/A 8.40 3.12 N/A 34.03 090 27156 A Revision of hip bones 24.63 N/A 16.52 3.48 N/A 44.63 090 27158 A Revision of pelvis 19.74 N/A 11.58 2.60 N/A 33.92 090 27161 A Incision of neck of femur 16.71 N/A 12.28 2.32 N/A 31.31 090 27165 A Incision/fixation of femur 17.91 N/A 13.07 2.51 N/A 33.49 090 27170 A Repair/graft femur head/neck 16.07 N/A 11.68 2.20 N/A 29.95 090 27175 A Treat slipped epiphysis 8.46 N/A 6.70 1.19 N/A 16.35 090 27176 A Treat slipped epiphysis 12.05 N/A 9.03 1.68 N/A 22.76 090 27177 A Treat slipped epiphysis 15.08 N/A 10.90 2.11 N/A 28.09 090 27178 A Treat slipped epiphysis 11.99 N/A 8.45 1.68 N/A 22.12 090 27179 A Revise head/neck of femur 12.98 N/A 9.84 1.84 N/A 24.66 090 27181 A Treat slipped epiphysis 14.68 N/A 10.31 1.74 N/A 26.73 090 27185 A Revision of femur epiphysis 9.18 N/A 7.81 1.29 N/A 18.28 090 27187 A Reinforce hip bones 13.54 N/A 10.60 1.89 N/A 26.03 090 27193 A Treat pelvic ring fracture 5.56 6.99 5.41 0.77 13.32 11.74 090 27194 A Treat pelvic ring fracture 9.65 8.92 7.65 1.32 19.89 18.62 090 27200 A Treat tail bone fracture 1.84 3.09 2.22 0.22 5.15 4.28 090 27202 A Treat tail bone fracture 7.04 N/A 18.09 0.69 N/A 25.82 090 27215 A Treat pelvic fracture(s) 10.05 N/A 7.46 1.37 N/A 18.88 090 27216 A Treat pelvic ring fracture 15.19 N/A 10.14 2.15 N/A 27.48 090 27217 A Treat pelvic ring fracture 14.11 N/A 10.42 1.95 N/A 26.48 090 27218 A Treat pelvic ring fracture 20.15 N/A 11.78 2.85 N/A 34.78 090 27220 A Treat hip socket fracture 6.18 7.18 5.62 0.85 14.21 12.65 090 27222 A Treat hip socket fracture 12.70 N/A 9.82 1.77 N/A 24.29 090 27226 A Treat hip wall fracture 14.91 N/A 8.11 2.07 N/A 25.09 090 27227 A Treat hip fracture(s) 23.45 N/A 15.72 3.24 N/A 42.41 090 27228 A Treat hip fracture(s) 27.16 N/A 17.99 3.77 N/A 48.92 090 27230 A Treat thigh fracture 5.50 6.64 5.14 0.73 12.87 11.37 090 27232 A Treat thigh fracture 10.68 N/A 7.53 1.45 N/A 19.66 090 27235 A Treat thigh fracture 12.16 N/A 9.54 1.71 N/A 23.41 090 27236 A Treat thigh fracture 15.60 N/A 11.14 2.18 N/A 28.92 090 Start Printed Page 49099 27238 A Treat thigh fracture 5.52 N/A 5.19 0.76 N/A 11.47 090 27240 A Treat thigh fracture 12.50 N/A 9.45 1.69 N/A 23.64 090 27244 A Treat thigh fracture 15.94 N/A 11.44 2.23 N/A 29.61 090 27245 A Treat thigh fracture 20.31 N/A 13.92 2.85 N/A 37.08 090 27246 A Treat thigh fracture 4.71 5.87 4.60 0.66 11.24 9.97 090 27248 A Treat thigh fracture 10.45 N/A 8.31 1.45 N/A 20.21 090 27250 A Treat hip dislocation 6.95 N/A 4.79 0.68 N/A 12.42 090 27252 A Treat hip dislocation 10.39 N/A 7.53 1.37 N/A 19.29 090 27253 A Treat hip dislocation 12.92 N/A 9.87 1.81 N/A 24.60 090 27254 A Treat hip dislocation 18.26 N/A 12.23 2.52 N/A 33.01 090 27256 A Treat hip dislocation 4.12 3.50 2.13 0.49 8.11 6.74 010 27257 A Treat hip dislocation 5.22 N/A 3.02 0.56 N/A 8.80 010 27258 A Treat hip dislocation 15.43 N/A 11.19 2.06 N/A 28.68 090 27259 A Treat hip dislocation 21.55 N/A 14.53 2.99 N/A 39.07 090 27265 A Treat hip dislocation 5.05 N/A 4.85 0.65 N/A 10.55 090 27266 A Treat hip dislocation 7.49 N/A 6.39 1.04 N/A 14.92 090 27275 A Manipulation of hip joint 2.27 N/A 2.25 0.31 N/A 4.83 010 27280 A Fusion of sacroiliac joint 13.39 N/A 10.56 1.98 N/A 25.93 090 27282 A Fusion of pubic bones 11.34 N/A 8.44 1.14 N/A 20.92 090 27284 A Fusion of hip joint 23.45 N/A 15.39 2.36 N/A 41.20 090 27286 A Fusion of hip joint 23.45 N/A 16.28 2.37 N/A 42.10 090 27290 A Amputation of leg at hip 23.28 N/A 14.30 2.94 N/A 40.52 090 27295 A Amputation of leg at hip 18.65 N/A 11.79 2.35 N/A 32.79 090 27299 C Pelvis/hip joint surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 27301 A Drain thigh/knee lesion 6.49 7.81 6.33 0.80 15.10 13.62 090 27303 A Drainage of bone lesion 8.28 N/A 7.85 1.14 N/A 17.27 090 27305 A Incise thigh tendon & fascia 5.92 N/A 5.58 0.77 N/A 12.27 090 27306 A Incision of thigh tendon 4.62 N/A 4.96 0.62 N/A 10.20 090 27307 A Incision of thigh tendons 5.80 N/A 5.69 0.78 N/A 12.27 090 27310 A Exploration of knee joint 9.27 N/A 8.10 1.29 N/A 18.66 090 27315 A Partial removal, thigh nerve 6.97 N/A 4.81 0.79 N/A 12.57 090 27320 A Partial removal, thigh nerve 6.30 N/A 5.12 0.78 N/A 12.20 090 27323 A Biopsy, thigh soft tissues 2.28 2.54 2.07 0.17 4.99 4.52 010 27324 A Biopsy, thigh soft tissues 4.90 N/A 4.50 0.59 N/A 9.99 090 27327 A Removal of thigh lesion 4.47 5.47 4.03 0.50 10.44 9.00 090 27328 A Removal of thigh lesion 5.57 N/A 4.71 0.66 N/A 10.94 090 27329 A Remove tumor, thigh/knee 14.14 N/A 9.91 1.68 N/A 25.73 090 27330 A Biopsy, knee joint lining 4.97 N/A 4.82 0.66 N/A 10.45 090 27331 A Explore/treat knee joint 5.88 N/A 5.81 0.81 N/A 12.50 090 27332 A Removal of knee cartilage 8.27 N/A 7.30 1.15 N/A 16.72 090 27333 A Removal of knee cartilage 7.30 N/A 6.83 1.03 N/A 15.16 090 27334 A Remove knee joint lining 8.70 N/A 7.72 1.21 N/A 17.63 090 27335 A Remove knee joint lining 10.00 N/A 8.54 1.41 N/A 19.95 090 27340 A Removal of kneecap bursa 4.18 N/A 4.71 0.58 N/A 9.47 090 27345 A Removal of knee cyst 5.92 N/A 5.80 0.81 N/A 12.53 090 27347 A Remove knee cyst 5.78 N/A 5.70 0.76 N/A 12.24 090 27350 A Removal of kneecap 8.17 N/A 7.43 1.15 N/A 16.75 090 27355 A Remove femur lesion 7.65 N/A 7.03 1.07 N/A 15.75 090 27356 A Remove femur lesion/graft 9.48 N/A 8.13 1.29 N/A 18.90 090 27357 A Remove femur lesion/graft 10.53 N/A 8.87 1.48 N/A 20.88 090 27358 A Remove femur lesion/fixation 4.74 N/A 2.58 0.67 N/A 7.99 ZZZ 27360 A Partial removal, leg bone(s) 10.50 N/A 10.59 1.42 N/A 22.51 090 27365 A Extensive leg surgery 16.27 N/A 12.20 2.26 N/A 30.73 090 27370 A Injection for knee x-ray 0.96 8.43 0.33 0.06 9.45 1.35 000 27372 A Removal of foreign body 5.07 6.19 4.84 0.62 11.88 10.53 090 27380 A Repair of kneecap tendon 7.16 N/A 7.38 1.00 N/A 15.54 090 27381 A Repair/graft kneecap tendon 10.34 N/A 9.21 1.44 N/A 20.99 090 27385 A Repair of thigh muscle 7.76 N/A 7.73 1.09 N/A 16.58 090 27386 A Repair/graft of thigh muscle 10.56 N/A 9.64 1.49 N/A 21.69 090 Start Printed Page 49100 27390 A Incision of thigh tendon 5.33 N/A 5.32 0.69 N/A 11.34 090 27391 A Incision of thigh tendons 7.20 N/A 6.62 0.99 N/A 14.81 090 27392 A Incision of thigh tendons 9.20 N/A 7.83 1.23 N/A 18.26 090 27393 A Lengthening of thigh tendon 6.39 N/A 5.93 0.90 N/A 13.22 090 27394 A Lengthening of thigh tendons 8.50 N/A 7.38 1.17 N/A 17.05 090 27395 A Lengthening of thigh tendons 11.73 N/A 9.53 1.63 N/A 22.89 090 27396 A Transplant of thigh tendon 7.86 N/A 7.26 1.11 N/A 16.23 090 27397 A Transplants of thigh tendons 11.28 N/A 9.27 1.58 N/A 22.13 090 27400 A Revise thigh muscles/tendons 9.02 N/A 7.54 1.18 N/A 17.74 090 27403 A Repair of knee cartilage 8.33 N/A 7.32 1.16 N/A 16.81 090 27405 A Repair of knee ligament 8.65 N/A 7.77 1.21 N/A 17.63 090 27407 A Repair of knee ligament 10.28 N/A 8.53 1.38 N/A 20.19 090 27409 A Repair of knee ligaments 12.90 N/A 10.16 1.75 N/A 24.81 090 27418 A Repair degenerated kneecap 10.85 N/A 9.09 1.51 N/A 21.45 090 27420 A Revision of unstable kneecap 9.83 N/A 8.27 1.38 N/A 19.48 090 27422 A Revision of unstable kneecap 9.78 N/A 8.29 1.37 N/A 19.44 090 27424 A Revision/removal of kneecap 9.81 N/A 8.26 1.38 N/A 19.45 090 27425 A Lat retinacular release open 5.22 N/A 5.62 0.73 N/A 11.57 090 27427 A Reconstruction, knee 9.36 N/A 7.94 1.29 N/A 18.59 090 27428 A Reconstruction, knee 14.00 N/A 11.36 1.95 N/A 27.31 090 27429 A Reconstruction, knee 15.52 N/A 12.54 2.18 N/A 30.24 090 27430 A Revision of thigh muscles 9.67 N/A 8.18 1.35 N/A 19.20 090 27435 A Incision of knee joint 9.49 N/A 8.55 1.33 N/A 19.37 090 27437 A Revise kneecap 8.46 N/A 7.20 1.18 N/A 16.84 090 27438 A Revise kneecap with implant 11.23 N/A 8.58 1.56 N/A 21.37 090 27440 A Revision of knee joint 10.43 N/A 6.08 1.42 N/A 17.93 090 27441 A Revision of knee joint 10.82 N/A 6.77 1.49 N/A 19.08 090 27442 A Revision of knee joint 11.89 N/A 8.97 1.68 N/A 22.54 090 27443 A Revision of knee joint 10.93 N/A 8.75 1.52 N/A 21.20 090 27445 A Revision of knee joint 17.68 N/A 12.41 2.49 N/A 32.58 090 27446 A Revision of knee joint 15.84 N/A 11.36 2.22 N/A 29.42 090 27447 A Total knee arthroplasty 21.48 N/A 14.72 3.00 N/A 39.20 090 27448 A Incision of thigh 11.06 N/A 8.88 1.51 N/A 21.45 090 27450 A Incision of thigh 13.98 N/A 10.76 1.96 N/A 26.70 090 27454 A Realignment of thigh bone 17.56 N/A 12.80 2.46 N/A 32.82 090 27455 A Realignment of knee 12.82 N/A 9.94 1.78 N/A 24.54 090 27457 A Realignment of knee 13.45 N/A 9.91 1.88 N/A 25.24 090 27465 A Shortening of thigh bone 13.87 N/A 10.50 1.86 N/A 26.23 090 27466 A Lengthening of thigh bone 16.33 N/A 12.17 1.92 N/A 30.42 090 27468 A Shorten/lengthen thighs 18.97 N/A 12.59 2.68 N/A 34.24 090 27470 A Repair of thigh 16.07 N/A 12.13 2.24 N/A 30.44 090 27472 A Repair/graft of thigh 17.72 N/A 13.04 2.49 N/A 33.25 090 27475 A Surgery to stop leg growth 8.64 N/A 7.43 1.13 N/A 17.20 090 27477 A Surgery to stop leg growth 9.85 N/A 7.95 1.31 N/A 19.11 090 27479 A Surgery to stop leg growth 12.80 N/A 10.12 1.81 N/A 24.73 090 27485 A Surgery to stop leg growth 8.84 N/A 7.59 1.24 N/A 17.67 090 27486 A Revise/replace knee joint 19.27 N/A 13.59 2.70 N/A 35.56 090 27487 A Revise/replace knee joint 25.27 N/A 16.72 3.54 N/A 45.53 090 27488 A Removal of knee prosthesis 15.74 N/A 11.76 2.21 N/A 29.71 090 27495 A Reinforce thigh 15.55 N/A 11.75 2.18 N/A 29.48 090 27496 A Decompression of thigh/knee 6.11 N/A 5.77 0.77 N/A 12.65 090 27497 A Decompression of thigh/knee 7.17 N/A 5.80 0.84 N/A 13.81 090 Start Printed Page 49101 27498 A Decompression of thigh/knee 7.99 N/A 6.15 0.97 N/A 15.11 090 27499 A Decompression of thigh/knee 9.00 N/A 7.07 1.18 N/A 17.25 090 27500 A Treatment of thigh fracture 5.92 7.24 5.18 0.80 13.96 11.90 090 27501 A Treatment of thigh fracture 5.92 7.82 5.87 0.83 14.57 12.62 090 27502 A Treatment of thigh fracture 10.58 N/A 8.36 1.49 N/A 20.43 090 27503 A Treatment of thigh fracture 10.58 N/A 8.52 1.49 N/A 20.59 090 27506 A Treatment of thigh fracture 17.45 N/A 12.81 2.33 N/A 32.59 090 27507 A Treatment of thigh fracture 13.99 N/A 10.13 1.95 N/A 26.07 090 27508 A Treatment of thigh fracture 5.83 7.10 5.42 0.80 13.73 12.05 090 27509 A Treatment of thigh fracture 7.71 N/A 8.04 1.08 N/A 16.83 090 27510 A Treatment of thigh fracture 9.13 N/A 7.31 1.26 N/A 17.70 090 27511 A Treatment of thigh fracture 13.64 N/A 11.39 1.91 N/A 26.94 090 27513 A Treatment of thigh fracture 17.92 N/A 14.08 2.51 N/A 34.51 090 27514 A Treatment of thigh fracture 17.30 N/A 13.44 2.41 N/A 33.15 090 27516 A Treat thigh fx growth plate 5.37 7.41 5.48 0.74 13.52 11.59 090 27517 A Treat thigh fx growth plate 8.78 9.06 7.49 1.22 19.06 17.49 090 27519 A Treat thigh fx growth plate 15.02 N/A 11.83 2.09 N/A 28.94 090 27520 A Treat kneecap fracture 2.86 5.32 3.48 0.38 8.56 6.72 090 27524 A Treat kneecap fracture 10.00 N/A 8.29 1.40 N/A 19.69 090 27530 A Treat knee fracture 3.78 5.99 4.35 0.51 10.28 8.64 090 27532 A Treat knee fracture 7.30 7.86 6.27 1.02 16.18 14.59 090 27535 A Treat knee fracture 11.50 N/A 10.27 1.61 N/A 23.38 090 27536 A Treat knee fracture 15.65 N/A 11.70 2.19 N/A 29.54 090 27538 A Treat knee fracture(s) 4.87 7.20 5.17 0.67 12.74 10.71 090 27540 A Treat knee fracture 13.10 N/A 9.64 1.80 N/A 24.54 090 27550 A Treat knee dislocation 5.76 6.71 5.02 0.68 13.15 11.46 090 27552 A Treat knee dislocation 7.90 N/A 6.99 1.10 N/A 15.99 090 27556 A Treat knee dislocation 14.41 N/A 12.07 2.01 N/A 28.49 090 27557 A Treat knee dislocation 16.77 N/A 13.47 2.37 N/A 32.61 090 27558 A Treat knee dislocation 17.72 N/A 13.52 2.51 N/A 33.75 090 27560 A Treat kneecap dislocation 3.82 5.68 3.35 0.40 9.90 7.57 090 27562 A Treat kneecap dislocation 5.79 N/A 4.87 0.69 N/A 11.35 090 27566 A Treat kneecap dislocation 12.23 N/A 9.43 1.73 N/A 23.39 090 27570 A Fixation of knee joint 1.74 N/A 1.91 0.24 N/A 3.89 010 27580 A Fusion of knee 19.37 N/A 15.13 2.70 N/A 37.20 090 27590 A Amputate leg at thigh 12.03 N/A 7.33 1.35 N/A 20.71 090 27591 A Amputate leg at thigh 12.68 N/A 9.27 1.63 N/A 23.58 090 27592 A Amputate leg at thigh 10.02 N/A 6.84 1.17 N/A 18.03 090 27594 A Amputation follow-up surgery 6.92 N/A 5.56 0.82 N/A 13.30 090 27596 A Amputation follow-up surgery 10.60 N/A 7.44 1.24 N/A 19.28 090 27598 A Amputate lower leg at knee 10.53 N/A 7.49 1.24 N/A 19.26 090 27599 C Leg surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 27600 A Decompression of lower leg 5.65 N/A 4.79 0.68 N/A 11.12 090 27601 A Decompression of lower leg 5.64 N/A 5.07 0.69 N/A 11.40 090 27602 A Decompression of lower leg 7.35 N/A 5.36 0.85 N/A 13.56 090 27603 A Drain lower leg lesion 4.94 11.05 5.10 0.56 16.55 10.60 090 27604 A Drain lower leg bursa 4.47 8.90 4.78 0.54 13.91 9.79 090 27605 A Incision of achilles tendon 2.87 9.17 2.51 0.38 12.42 5.76 010 27606 A Incision of achilles tendon 4.14 10.43 3.57 0.57 15.14 8.28 010 27607 A Treat lower leg bone lesion 7.97 N/A 7.19 1.08 N/A 16.24 090 27610 A Explore/treat ankle joint 8.34 N/A 7.38 1.15 N/A 16.87 090 27612 A Exploration of ankle joint 7.33 N/A 6.24 1.01 N/A 14.58 090 27613 A Biopsy lower leg soft tissue 2.17 4.03 1.90 0.16 6.36 4.23 010 27614 A Biopsy lower leg soft tissue 5.66 8.99 4.77 0.62 15.27 11.05 090 27615 A Remove tumor, lower leg 12.56 N/A 10.91 1.39 N/A 24.86 090 Start Printed Page 49102 27618 A Remove lower leg lesion 5.09 9.29 4.35 0.54 14.92 9.98 090 27619 A Remove lower leg lesion 8.40 10.82 6.34 1.01 20.23 15.75 090 27620 A Explore/treat ankle joint 5.98 N/A 5.69 0.83 N/A 12.50 090 27625 A Remove ankle joint lining 8.30 N/A 6.83 1.16 N/A 16.29 090 27626 A Remove ankle joint lining 8.91 N/A 7.31 1.23 N/A 17.45 090 27630 A Removal of tendon lesion 4.80 9.26 4.62 0.60 14.66 10.02 090 27635 A Remove lower leg bone lesion 7.78 N/A 7.16 1.06 N/A 16.00 090 27637 A Remove/graft leg bone lesion 9.85 N/A 8.60 1.38 N/A 19.83 090 27638 A Remove/graft leg bone lesion 10.57 N/A 8.74 1.47 N/A 20.78 090 27640 A Partial removal of tibia 11.37 N/A 11.19 1.54 N/A 24.10 090 27641 A Partial removal of fibula 9.24 N/A 9.22 1.22 N/A 19.68 090 27645 A Extensive lower leg surgery 14.17 N/A 12.76 1.98 N/A 28.91 090 27646 A Extensive lower leg surgery 12.66 N/A 11.72 1.55 N/A 25.93 090 27647 A Extensive ankle/heel surgery 12.24 N/A 8.09 1.64 N/A 21.97 090 27648 A Injection for ankle x-ray 0.96 6.70 0.34 0.05 7.71 1.35 000 27650 A Repair achilles tendon 9.69 N/A 7.65 1.35 N/A 18.69 090 27652 A Repair/graft achilles tendon 10.33 N/A 8.08 1.45 N/A 19.86 090 27654 A Repair of achilles tendon 10.02 N/A 7.45 1.41 N/A 18.88 090 27656 A Repair leg fascia defect 4.57 10.22 4.12 0.48 15.27 9.17 090 27658 A Repair of leg tendon, each 4.98 9.50 5.12 0.68 15.16 10.78 090 27659 A Repair of leg tendon, each 6.81 11.61 6.08 0.96 19.38 13.85 090 27664 A Repair of leg tendon, each 4.59 11.66 5.10 0.63 16.88 10.32 090 27665 A Repair of leg tendon, each 5.40 11.37 5.45 0.75 17.52 11.60 090 27675 A Repair lower leg tendons 7.18 N/A 5.99 1.01 N/A 14.18 090 27676 A Repair lower leg tendons 8.42 N/A 7.00 1.15 N/A 16.57 090 27680 A Release of lower leg tendon 5.74 N/A 5.47 0.80 N/A 12.01 090 27681 A Release of lower leg tendons 6.82 N/A 6.17 0.92 N/A 13.91 090 27685 A Revision of lower leg tendon 6.50 8.31 5.69 0.91 15.72 13.10 090 27686 A Revise lower leg tendons 7.46 12.79 6.81 1.05 21.30 15.32 090 27687 A Revision of calf tendon 6.24 N/A 5.61 0.88 N/A 12.73 090 27690 A Revise lower leg tendon 8.71 N/A 6.73 1.22 N/A 16.66 090 27691 A Revise lower leg tendon 9.96 N/A 8.05 1.40 N/A 19.41 090 27692 A Revise additional leg tendon 1.87 N/A 0.95 0.26 N/A 3.08 ZZZ 27695 A Repair of ankle ligament 6.51 N/A 6.22 0.90 N/A 13.63 090 27696 A Repair of ankle ligaments 8.27 N/A 6.79 1.16 N/A 16.22 090 27698 A Repair of ankle ligament 9.36 N/A 7.20 1.31 N/A 17.87 090 27700 A Revision of ankle joint 9.29 N/A 5.75 1.24 N/A 16.28 090 27702 A Reconstruct ankle joint 13.67 N/A 10.46 1.92 N/A 26.05 090 27703 A Reconstruction, ankle joint 15.87 N/A 11.30 2.24 N/A 29.41 090 27704 A Removal of ankle implant 7.62 N/A 5.62 0.61 N/A 13.85 090 27705 A Incision of tibia 10.38 N/A 8.49 1.44 N/A 20.31 090 27707 A Incision of fibula 4.37 N/A 5.21 0.60 N/A 10.18 090 27709 A Incision of tibia & fibula 9.95 N/A 8.41 1.39 N/A 19.75 090 27712 A Realignment of lower leg 14.25 N/A 11.02 2.00 N/A 27.27 090 27715 A Revision of lower leg 14.39 N/A 11.15 2.00 N/A 27.54 090 27720 A Repair of tibia 11.79 N/A 9.73 1.66 N/A 23.18 090 27722 A Repair/graft of tibia 11.82 N/A 9.49 1.65 N/A 22.96 090 27724 A Repair/graft of tibia 18.20 N/A 13.00 2.10 N/A 33.30 090 27725 A Repair of lower leg 15.59 N/A 12.31 2.20 N/A 30.10 090 27727 A Repair of lower leg 14.01 N/A 10.70 1.84 N/A 26.55 090 27730 A Repair of tibia epiphysis 7.41 18.67 6.64 0.75 26.83 14.80 090 27732 A Repair of fibula epiphysis 5.32 11.91 5.28 0.63 17.86 11.23 090 27734 A Repair lower leg epiphyses 8.48 N/A 6.62 0.85 N/A 15.95 090 27740 A Repair of leg epiphyses 9.30 21.05 8.18 1.31 31.66 18.79 090 Start Printed Page 49103 27742 A Repair of leg epiphyses 10.30 12.74 7.41 1.55 24.59 19.26 090 27745 A Reinforce tibia 10.07 N/A 8.46 1.38 N/A 19.91 090 27750 A Treatment of tibia fracture 3.19 5.47 3.84 0.43 9.09 7.46 090 27752 A Treatment of tibia fracture 5.84 7.62 5.70 0.82 14.28 12.36 090 27756 A Treatment of tibia fracture 6.78 N/A 6.85 0.94 N/A 14.57 090 27758 A Treatment of tibia fracture 11.67 N/A 9.36 1.52 N/A 22.55 090 27759 A Treatment of tibia fracture 13.76 N/A 10.62 1.93 N/A 26.31 090 27760 A Treatment of ankle fracture 3.01 5.35 3.60 0.39 8.75 7.00 090 27762 A Treatment of ankle fracture 5.25 7.26 5.26 0.71 13.22 11.22 090 27766 A Treatment of ankle fracture 8.36 N/A 7.30 1.17 N/A 16.83 090 27780 A Treatment of fibula fracture 2.65 5.02 3.27 0.33 8.00 6.25 090 27781 A Treatment of fibula fracture 4.40 6.47 4.58 0.57 11.44 9.55 090 27784 A Treatment of fibula fracture 7.11 N/A 6.58 0.98 N/A 14.67 090 27786 A Treatment of ankle fracture 2.84 5.19 3.38 0.37 8.40 6.59 090 27788 A Treatment of ankle fracture 4.45 6.59 4.58 0.61 11.65 9.64 090 27792 A Treatment of ankle fracture 7.66 N/A 7.03 1.07 N/A 15.76 090 27808 A Treatment of ankle fracture 2.83 5.89 3.76 0.38 9.10 6.97 090 27810 A Treatment of ankle fracture 5.13 7.18 5.19 0.71 13.02 11.03 090 27814 A Treatment of ankle fracture 10.68 N/A 8.81 1.50 N/A 20.99 090 27816 A Treatment of ankle fracture 2.89 5.18 3.55 0.37 8.44 6.81 090 27818 A Treatment of ankle fracture 5.50 7.29 5.23 0.74 13.53 11.47 090 27822 A Treatment of ankle fracture 11.00 N/A 10.92 1.29 N/A 23.21 090 27823 A Treatment of ankle fracture 13.00 N/A 11.80 1.65 N/A 26.45 090 27824 A Treat lower leg fracture 2.89 5.77 3.90 0.39 9.05 7.18 090 27825 A Treat lower leg fracture 6.19 8.55 6.18 0.85 15.59 13.22 090 27826 A Treat lower leg fracture 8.54 N/A 9.12 1.19 N/A 18.85 090 27827 A Treat lower leg fracture 14.06 N/A 12.94 1.96 N/A 28.96 090 27828 A Treat lower leg fracture 16.23 N/A 14.01 2.27 N/A 32.51 090 27829 A Treat lower leg joint 5.49 N/A 6.89 0.77 N/A 13.15 090 27830 A Treat lower leg dislocation 3.79 5.23 3.90 0.44 9.46 8.13 090 27831 A Treat lower leg dislocation 4.56 N/A 4.52 0.61 N/A 9.69 090 27832 A Treat lower leg dislocation 6.49 N/A 6.27 0.91 N/A 13.67 090 27840 A Treat ankle dislocation 4.58 N/A 3.96 0.47 N/A 9.01 090 27842 A Treat ankle dislocation 6.21 N/A 5.09 0.76 N/A 12.06 090 27846 A Treat ankle dislocation 9.79 N/A 8.17 1.36 N/A 19.32 090 27848 A Treat ankle dislocation 11.20 N/A 9.89 1.55 N/A 22.64 090 27860 A Fixation of ankle joint 2.34 N/A 2.20 0.31 N/A 4.85 010 27870 A Fusion of ankle joint, open 13.91 N/A 10.90 1.95 N/A 26.76 090 27871 A Fusion of tibiofibular joint 9.17 N/A 7.86 1.29 N/A 18.32 090 27880 A Amputation of lower leg 11.85 N/A 7.60 1.38 N/A 20.83 090 27881 A Amputation of lower leg 12.34 N/A 9.23 1.59 N/A 23.16 090 27882 A Amputation of lower leg 8.94 N/A 7.17 1.03 N/A 17.14 090 27884 A Amputation follow-up surgery 8.21 N/A 6.28 0.95 N/A 15.44 090 27886 A Amputation follow-up surgery 9.32 N/A 6.98 1.13 N/A 17.43 090 27888 A Amputation of foot at ankle 9.67 N/A 7.81 1.26 N/A 18.74 090 27889 A Amputation of foot at ankle 9.98 N/A 6.87 1.19 N/A 18.04 090 Start Printed Page 49104 27892 A Decompression of leg 7.39 N/A 5.92 0.86 N/A 14.17 090 27893 A Decompression of leg 7.35 N/A 5.83 0.90 N/A 14.08 090 27894 A Decompression of leg 10.49 N/A 7.96 1.25 N/A 19.70 090 27899 C Leg/ankle surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 28001 A Drainage of bursa of foot 2.73 5.98 3.58 0.31 9.02 6.62 010 28002 A Treatment of foot infection 4.62 7.39 4.72 0.56 12.57 9.90 010 28003 A Treatment of foot infection 8.41 7.93 6.42 1.03 17.37 15.86 090 28005 A Treat foot bone lesion 8.68 N/A 6.70 1.14 N/A 16.52 090 28008 A Incision of foot fascia 4.45 5.87 3.77 0.56 10.88 8.78 090 28010 A Incision of toe tendon 2.84 5.69 3.09 0.39 8.92 6.32 090 28011 A Incision of toe tendons 4.14 7.63 4.50 0.58 12.35 9.22 090 28020 A Exploration of foot joint 5.01 7.29 4.42 0.64 12.94 10.07 090 28022 A Exploration of foot joint 4.67 6.27 4.13 0.62 11.56 9.42 090 28024 A Exploration of toe joint 4.38 6.39 4.20 0.50 11.27 9.08 090 28030 A Removal of foot nerve 6.15 N/A 3.75 0.85 N/A 10.75 090 28035 A Decompression of tibia nerve 5.09 7.07 4.28 0.71 12.87 10.08 090 28043 A Excision of foot lesion 3.54 5.94 3.40 0.45 9.93 7.39 090 28045 A Excision of foot lesion 4.72 6.30 3.89 0.62 11.64 9.23 090 28046 A Resection of tumor, foot 10.18 9.67 7.59 1.13 20.98 18.90 090 28050 A Biopsy of foot joint lining 4.25 5.95 3.86 0.55 10.75 8.66 090 28052 A Biopsy of foot joint lining 3.94 6.16 3.76 0.51 10.61 8.21 090 28054 A Biopsy of toe joint lining 3.45 6.00 3.56 0.45 9.90 7.46 090 28060 A Partial removal, foot fascia 5.23 6.57 4.21 0.69 12.49 10.13 090 28062 A Removal of foot fascia 6.52 7.34 4.36 0.85 14.71 11.73 090 28070 A Removal of foot joint lining 5.10 6.13 4.08 0.68 11.91 9.86 090 28072 A Removal of foot joint lining 4.58 6.62 4.56 0.64 11.84 9.78 090 28080 A Removal of foot lesion 3.58 6.10 3.84 0.50 10.18 7.92 090 28086 A Excise foot tendon sheath 4.78 9.75 4.96 0.66 15.19 10.40 090 28088 A Excise foot tendon sheath 3.86 7.26 4.24 0.52 11.64 8.62 090 28090 A Removal of foot lesion 4.41 6.20 3.73 0.57 11.18 8.71 090 28092 A Removal of toe lesions 3.64 6.52 3.82 0.46 10.62 7.92 090 28100 A Removal of ankle/heel lesion 5.66 9.50 5.04 0.76 15.92 11.46 090 28102 A Remove/graft foot lesion 7.73 N/A 6.29 0.97 N/A 14.99 090 28103 A Remove/graft foot lesion 6.50 8.72 4.97 0.89 16.11 12.36 090 28104 A Removal of foot lesion 5.12 6.54 4.29 0.69 12.35 10.10 090 28106 A Remove/graft foot lesion 7.16 N/A 4.76 1.01 N/A 12.93 090 28107 A Remove/graft foot lesion 5.56 7.46 4.52 0.74 13.76 10.82 090 28108 A Removal of toe lesions 4.16 5.60 3.52 0.52 10.28 8.20 090 28110 A Part removal of metatarsal 4.08 6.24 3.94 0.49 10.81 8.51 090 28111 A Part removal of metatarsal 5.01 7.45 4.45 0.63 13.09 10.09 090 28112 A Part removal of metatarsal 4.49 6.93 4.35 0.60 12.02 9.44 090 28113 A Part removal of metatarsal 4.79 7.01 4.85 0.63 12.43 10.27 090 28114 A Removal of metatarsal heads 9.79 12.25 8.83 1.36 23.40 19.98 090 28116 A Revision of foot 7.75 7.38 5.38 1.03 16.16 14.16 090 28118 A Removal of heel bone 5.96 7.33 4.73 0.79 14.08 11.48 090 28119 A Removal of heel spur 5.39 6.38 4.03 0.74 12.51 10.16 090 28120 A Part removal of ankle/heel 5.40 9.04 5.48 0.69 15.13 11.57 090 28122 A Partial removal of foot bone 7.29 8.15 6.01 0.96 16.40 14.26 090 28124 A Partial removal of toe 4.81 6.30 4.35 0.65 11.76 9.81 090 28126 A Partial removal of toe 3.52 5.52 3.79 0.49 9.53 7.80 090 28130 A Removal of ankle bone 8.11 N/A 6.92 1.11 N/A 16.14 090 28140 A Removal of metatarsal 6.91 8.47 5.19 0.84 16.22 12.94 090 28150 A Removal of toe 4.09 6.19 4.05 0.52 10.80 8.66 090 28153 A Partial removal of toe 3.66 5.59 3.27 0.49 9.74 7.42 090 28160 A Partial removal of toe 3.74 5.88 4.14 0.51 10.13 8.39 090 28171 A Extensive foot surgery 9.60 N/A 5.90 1.13 N/A 16.63 090 28173 A Extensive foot surgery 8.80 8.49 5.86 1.04 18.33 15.70 090 28175 A Extensive foot surgery 6.05 6.89 4.26 0.75 13.69 11.06 090 28190 A Removal of foot foreign body 1.96 6.71 3.55 0.16 8.83 5.67 010 Start Printed Page 49105 28192 A Removal of foot foreign body 4.64 6.61 3.85 0.52 11.77 9.01 090 28193 A Removal of foot foreign body 5.73 6.53 4.28 0.63 12.89 10.64 090 28200 A Repair of foot tendon 4.60 6.13 3.94 0.59 11.32 9.13 090 28202 A Repair/graft of foot tendon 6.84 8.30 4.82 0.86 16.00 12.52 090 28208 A Repair of foot tendon 4.37 5.91 3.67 0.59 10.87 8.63 090 28210 A Repair/graft of foot tendon 6.35 7.33 4.36 0.77 14.45 11.48 090 28220 A Release of foot tendon 4.53 5.73 3.78 0.63 10.89 8.94 090 28222 A Release of foot tendons 5.62 6.13 4.49 0.77 12.52 10.88 090 28225 A Release of foot tendon 3.66 5.43 3.28 0.50 9.59 7.44 090 28226 A Release of foot tendons 4.53 5.78 4.11 0.62 10.93 9.26 090 28230 A Incision of foot tendon(s) 4.24 5.81 4.08 0.59 10.64 8.91 090 28232 A Incision of toe tendon 3.39 5.85 3.72 0.48 9.72 7.59 090 28234 A Incision of foot tendon 3.37 6.01 3.66 0.46 9.84 7.49 090 28238 A Revision of foot tendon 7.73 8.19 5.27 1.08 17.00 14.08 090 28240 A Release of big toe 4.36 5.77 3.88 0.61 10.74 8.85 090 28250 A Revision of foot fascia 5.92 6.73 4.50 0.81 13.46 11.23 090 28260 A Release of midfoot joint 7.96 7.27 5.34 1.08 16.31 14.38 090 28261 A Revision of foot tendon 11.73 9.14 7.59 1.66 22.53 20.98 090 28262 A Revision of foot and ankle 15.83 14.73 11.92 2.22 32.78 29.97 090 28264 A Release of midfoot joint 10.35 8.74 8.19 1.46 20.55 20.00 090 28270 A Release of foot contracture 4.76 6.09 4.43 0.67 11.52 9.86 090 28272 A Release of toe joint, each 3.80 5.31 3.22 0.52 9.63 7.54 090 28280 A Fusion of toes 5.19 7.46 4.76 0.72 13.37 10.67 090 28285 A Repair of hammertoe 4.59 6.14 4.05 0.64 11.37 9.28 090 28286 A Repair of hammertoe 4.56 5.93 3.91 0.64 11.13 9.11 090 28288 A Partial removal of foot bone 4.74 6.88 5.53 0.65 12.27 10.92 090 28289 A Repair hallux rigidus 7.04 9.24 6.53 0.96 17.24 14.53 090 28290 A Correction of bunion 5.66 7.23 5.59 0.79 13.68 12.04 090 28292 A Correction of bunion 7.04 8.00 5.93 0.98 16.02 13.95 090 28293 A Correction of bunion 9.15 10.19 6.16 1.28 20.62 16.59 090 28294 A Correction of bunion 8.56 7.87 5.28 1.16 17.59 15.00 090 28296 A Correction of bunion 9.18 8.38 6.04 1.28 18.84 16.50 090 28297 A Correction of bunion 9.18 9.38 7.08 1.31 19.87 17.57 090 28298 A Correction of bunion 7.94 7.52 5.64 1.12 16.58 14.70 090 28299 A Correction of bunion 10.58 8.95 6.66 1.24 20.77 18.48 090 28300 A Incision of heel bone 9.54 13.40 7.28 1.31 24.25 18.13 090 28302 A Incision of ankle bone 9.55 13.39 7.16 1.15 24.09 17.86 090 28304 A Incision of midfoot bones 9.16 8.36 5.97 1.00 18.52 16.13 090 28305 A Incise/graft midfoot bones 10.50 11.12 6.95 0.55 22.17 18.00 090 28306 A Incision of metatarsal 5.86 7.40 4.45 0.81 14.07 11.12 090 28307 A Incision of metatarsal 6.33 11.84 5.50 0.71 18.88 12.54 090 28308 A Incision of metatarsal 5.29 6.22 3.89 0.74 12.25 9.92 090 28309 A Incision of metatarsals 12.78 N/A 8.33 1.64 N/A 22.75 090 28310 A Revision of big toe 5.43 6.45 4.19 0.76 12.64 10.38 090 28312 A Revision of toe 4.55 6.18 4.40 0.62 11.35 9.57 090 28313 A Repair deformity of toe 5.01 6.65 5.91 0.68 12.34 11.60 090 28315 A Removal of sesamoid bone 4.86 6.03 3.89 0.66 11.55 9.41 090 28320 A Repair of foot bones 9.18 N/A 6.97 1.27 N/A 17.42 090 28322 A Repair of metatarsals 8.34 10.37 6.52 1.17 19.88 16.03 090 28340 A Resect enlarged toe tissue 6.98 7.25 4.59 0.98 15.21 12.55 090 28341 A Resect enlarged toe 8.41 7.43 5.13 1.18 17.02 14.72 090 28344 A Repair extra toe(s) 4.26 6.93 3.89 0.60 11.79 8.75 090 28345 A Repair webbed toe(s) 5.92 7.19 5.01 0.84 13.95 11.77 090 28360 A Reconstruct cleft foot 13.34 N/A 10.87 1.88 N/A 26.09 090 28400 A Treatment of heel fracture 2.16 4.63 3.31 0.29 7.08 5.76 090 28405 A Treatment of heel fracture 4.57 5.77 4.82 0.63 10.97 10.02 090 28406 A Treatment of heel fracture 6.31 N/A 7.02 0.87 N/A 14.20 090 28415 A Treat heel fracture 15.97 N/A 13.49 2.24 N/A 31.70 090 28420 A Treat/graft heel fracture 16.64 N/A 13.20 2.29 N/A 32.13 090 28430 A Treatment of ankle fracture 2.09 4.33 2.81 0.27 6.69 5.17 090 Start Printed Page 49106 28435 A Treatment of ankle fracture 3.40 4.74 3.90 0.47 8.61 7.77 090 28436 A Treatment of ankle fracture 4.71 N/A 6.11 0.66 N/A 11.48 090 28445 A Treat ankle fracture 15.62 N/A 11.42 1.29 N/A 28.33 090 28450 A Treat midfoot fracture, each 1.90 4.31 2.72 0.25 6.46 4.87 090 28455 A Treat midfoot fracture, each 3.09 4.22 3.76 0.43 7.74 7.28 090 28456 A Treat midfoot fracture 2.68 N/A 4.37 0.36 N/A 7.41 090 28465 A Treat midfoot fracture, each 7.01 N/A 6.49 0.87 N/A 14.37 090 28470 A Treat metatarsal fracture 1.99 3.95 2.53 0.26 6.20 4.78 090 28475 A Treat metatarsal fracture 2.97 4.20 3.34 0.41 7.58 6.72 090 28476 A Treat metatarsal fracture 3.38 N/A 5.09 0.46 N/A 8.93 090 28485 A Treat metatarsal fracture 5.71 N/A 5.72 0.80 N/A 12.23 090 28490 A Treat big toe fracture 1.09 2.33 1.83 0.13 3.55 3.05 090 28495 A Treat big toe fracture 1.58 2.60 2.18 0.19 4.37 3.95 090 28496 A Treat big toe fracture 2.33 9.95 3.78 0.32 12.60 6.43 090 28505 A Treat big toe fracture 3.81 9.95 4.86 0.50 14.26 9.17 090 28510 A Treatment of toe fracture 1.09 2.08 1.78 0.13 3.30 3.00 090 28515 A Treatment of toe fracture 1.46 2.44 2.10 0.17 4.07 3.73 090 28525 A Treat toe fracture 3.32 9.54 4.41 0.44 13.30 8.17 090 28530 A Treat sesamoid bone fracture 1.06 2.26 1.69 0.13 3.45 2.88 090 28531 A Treat sesamoid bone fracture 2.35 9.22 2.63 0.33 11.90 5.31 090 28540 A Treat foot dislocation 2.04 3.03 2.88 0.24 5.31 5.16 090 28545 A Treat foot dislocation 2.45 2.99 2.99 0.33 5.77 5.77 090 28546 A Treat foot dislocation 3.20 8.11 4.92 0.46 11.77 8.58 090 28555 A Repair foot dislocation 6.30 11.76 6.66 0.88 18.94 13.84 090 28570 A Treat foot dislocation 1.66 3.12 2.60 0.22 5.00 4.48 090 28575 A Treat foot dislocation 3.31 4.54 4.21 0.45 8.30 7.97 090 28576 A Treat foot dislocation 4.17 10.43 5.60 0.56 15.16 10.33 090 28585 A Repair foot dislocation 7.99 8.30 6.66 1.13 17.42 15.78 090 28600 A Treat foot dislocation 1.89 3.49 2.90 0.24 5.62 5.03 090 28605 A Treat foot dislocation 2.71 3.88 3.77 0.35 6.94 6.83 090 28606 A Treat foot dislocation 4.90 16.30 6.12 0.68 21.88 11.70 090 28615 A Repair foot dislocation 7.77 N/A 8.13 1.09 N/A 16.99 090 28630 A Treat toe dislocation 1.70 1.41 1.18 0.17 3.28 3.05 010 28635 A Treat toe dislocation 1.91 1.77 1.61 0.24 3.92 3.76 010 28636 A Treat toe dislocation 2.77 6.41 3.16 0.39 9.57 6.32 010 28645 A Repair toe dislocation 4.22 5.78 3.58 0.58 10.58 8.38 090 28660 A Treat toe dislocation 1.23 1.79 1.23 0.11 3.13 2.57 010 28665 A Treat toe dislocation 1.92 1.76 1.73 0.24 3.92 3.89 010 28666 A Treat toe dislocation 2.66 6.13 2.28 0.38 9.17 5.32 010 28675 A Repair of toe dislocation 2.92 8.97 3.84 0.41 12.30 7.17 090 28705 A Fusion of foot bones 18.80 N/A 12.85 2.13 N/A 33.78 090 28715 A Fusion of foot bones 13.10 N/A 10.11 1.84 N/A 25.05 090 28725 A Fusion of foot bones 11.61 N/A 8.63 1.63 N/A 21.87 090 28730 A Fusion of foot bones 10.76 N/A 8.72 1.51 N/A 20.99 090 28735 A Fusion of foot bones 10.85 N/A 8.18 1.51 N/A 20.54 090 28737 A Revision of foot bones 9.64 N/A 7.13 1.36 N/A 18.13 090 28740 A Fusion of foot bones 8.02 11.91 6.72 1.13 21.06 15.87 090 28750 A Fusion of big toe joint 7.30 13.32 6.90 1.03 21.65 15.23 090 28755 A Fusion of big toe joint 4.74 7.04 4.11 0.66 12.44 9.51 090 28760 A Fusion of big toe joint 7.75 8.25 5.78 1.07 17.07 14.60 090 28800 A Amputation of midfoot 8.21 N/A 6.17 0.98 N/A 15.36 090 28805 A Amputation thru metatarsal 8.39 N/A 6.01 0.97 N/A 15.37 090 28810 A Amputation toe & metatarsal 6.21 N/A 4.90 0.70 N/A 11.81 090 28820 A Amputation of toe 4.41 8.64 4.18 0.51 13.56 9.10 090 28825 A Partial amputation of toe 3.59 8.09 3.88 0.43 12.11 7.90 090 28899 C Foot/toes surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY Start Printed Page 49107 29000 A Application of body cast 2.25 3.18 1.75 0.30 5.73 4.30 000 29010 A Application of body cast 2.06 3.36 1.75 0.27 5.69 4.08 000 29015 A Application of body cast 2.41 3.06 1.61 0.21 5.68 4.23 000 29020 A Application of body cast 2.11 3.33 1.43 0.16 5.60 3.70 000 29025 A Application of body cast 2.40 3.31 1.87 0.26 5.97 4.53 000 29035 A Application of body cast 1.77 3.52 1.57 0.24 5.53 3.58 000 29040 A Application of body cast 2.22 2.63 1.53 0.35 5.20 4.10 000 29044 A Application of body cast 2.12 3.87 1.88 0.29 6.28 4.29 000 29046 A Application of body cast 2.41 3.34 2.06 0.34 6.09 4.81 000 29049 A Application of figure eight 0.89 1.27 0.55 0.12 2.28 1.56 000 29055 A Application of shoulder cast 1.78 2.87 1.46 0.24 4.89 3.48 000 29058 A Application of shoulder cast 1.31 1.53 0.74 0.14 2.98 2.19 000 29065 A Application of long arm cast 0.87 1.29 0.75 0.12 2.28 1.74 000 29075 A Application of forearm cast 0.77 1.23 0.68 0.11 2.11 1.56 000 29085 A Apply hand/wrist cast 0.87 1.26 0.64 0.11 2.24 1.62 000 29086 A Apply finger cast 0.62 0.95 0.52 0.06 1.63 1.20 000 29105 A Apply long arm splint 0.87 1.21 0.53 0.11 2.19 1.51 000 29125 A Apply forearm splint 0.59 1.01 0.41 0.06 1.66 1.06 000 29126 A Apply forearm splint 0.77 1.22 0.48 0.06 2.05 1.31 000 29130 A Application of finger splint 0.50 0.47 0.17 0.05 1.02 0.72 000 29131 A Application of finger splint 0.55 0.75 0.25 0.03 1.33 0.83 000 29200 A Strapping of chest 0.65 0.75 0.36 0.04 1.44 1.05 000 29220 A Strapping of low back 0.64 0.73 0.40 0.07 1.44 1.11 000 29240 A Strapping of shoulder 0.71 0.88 0.38 0.05 1.64 1.14 000 29260 A Strapping of elbow or wrist 0.55 0.76 0.34 0.04 1.35 0.93 000 29280 A Strapping of hand or finger 0.51 0.83 0.34 0.04 1.38 0.89 000 29305 A Application of hip cast 2.03 3.24 1.74 0.29 5.56 4.06 000 29325 A Application of hip casts 2.32 3.43 1.93 0.31 6.06 4.56 000 29345 A Application of long leg cast 1.40 1.72 1.06 0.19 3.31 2.65 000 29355 A Application of long leg cast 1.53 1.68 1.12 0.20 3.41 2.85 000 29358 A Apply long leg cast brace 1.43 2.00 1.09 0.19 3.62 2.71 000 29365 A Application of long leg cast 1.18 1.61 0.94 0.17 2.96 2.29 000 29405 A Apply short leg cast 0.86 1.20 0.71 0.12 2.18 1.69 000 29425 A Apply short leg cast 1.01 1.21 0.74 0.14 2.36 1.89 000 29435 A Apply short leg cast 1.18 1.52 0.92 0.17 2.87 2.27 000 29440 A Addition of walker to cast 0.57 0.68 0.28 0.07 1.32 0.92 000 29445 A Apply rigid leg cast 1.78 1.78 0.98 0.24 3.80 3.00 000 29450 A Application of leg cast 2.08 1.48 1.11 0.13 3.69 3.32 000 29505 A Application, long leg splint 0.69 1.18 0.48 0.06 1.93 1.23 000 29515 A Application lower leg splint 0.73 0.87 0.49 0.07 1.67 1.29 000 29520 A Strapping of hip 0.54 0.90 0.47 0.02 1.46 1.03 000 29530 A Strapping of knee 0.57 0.81 0.35 0.04 1.42 0.96 000 29540 A Strapping of ankle and/or ft 0.51 0.42 0.32 0.04 0.97 0.87 000 29550 A Strapping of toes 0.47 0.42 0.28 0.05 0.94 0.80 000 29580 A Application of paste boot 0.57 0.66 0.36 0.05 1.28 0.98 000 29590 A Application of foot splint 0.76 0.52 0.30 0.06 1.34 1.12 000 29700 A Removal/revision of cast 0.57 0.88 0.29 0.07 1.52 0.93 000 29705 A Removal/revision of cast 0.76 0.81 0.39 0.10 1.67 1.25 000 29710 A Removal/revision of cast 1.34 1.51 0.71 0.17 3.02 2.22 000 29715 A Removal/revision of cast 0.94 1.15 0.41 0.08 2.17 1.43 000 29720 A Repair of body cast 0.68 1.12 0.39 0.10 1.90 1.17 000 29730 A Windowing of cast 0.75 0.80 0.36 0.10 1.65 1.21 000 29740 A Wedging of cast 1.12 1.13 0.50 0.15 2.40 1.77 000 29750 A Wedging of clubfoot cast 1.26 1.06 0.59 0.16 2.48 2.01 000 29799 C Casting/strapping procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 29800 A Jaw arthroscopy/surgery 6.43 N/A 7.28 0.84 N/A 14.55 090 29804 A Jaw arthroscopy/surgery 8.14 N/A 8.75 0.66 N/A 17.55 090 29805 A Shoulder arthroscopy, dx 5.89 N/A 5.82 0.84 N/A 12.55 090 Start Printed Page 49108 29806 A Shoulder arthroscopy/surgery 14.37 N/A 11.30 2.00 N/A 27.67 090 29807 A Shoulder arthroscopy/surgery 13.90 N/A 11.12 1.94 N/A 26.96 090 29819 A Shoulder arthroscopy/surgery 7.62 N/A 6.73 1.07 N/A 15.42 090 29820 A Shoulder arthroscopy/surgery 7.07 N/A 6.23 0.99 N/A 14.29 090 29821 A Shoulder arthroscopy/surgery 7.72 N/A 6.75 1.08 N/A 15.55 090 29822 A Shoulder arthroscopy/surgery 7.43 N/A 6.63 1.04 N/A 15.10 090 29823 A Shoulder arthroscopy/surgery 8.17 N/A 7.22 1.15 N/A 16.54 090 29824 A Shoulder arthroscopy/surgery 8.25 N/A 7.47 1.15 N/A 16.87 090 29825 A Shoulder arthroscopy/surgery 7.62 N/A 6.71 1.06 N/A 15.39 090 29826 A Shoulder arthroscopy/surgery 8.99 N/A 7.50 1.26 N/A 17.75 090 29827 A Arthroscop rotator cuff repr 15.36 N/A 11.53 1.86 N/A 28.75 090 29830 A Elbow arthroscopy 5.76 N/A 5.30 0.79 N/A 11.85 090 29834 A Elbow arthroscopy/surgery 6.28 N/A 5.83 0.86 N/A 12.97 090 29835 A Elbow arthroscopy/surgery 6.48 N/A 5.88 0.88 N/A 13.24 090 29836 A Elbow arthroscopy/surgery 7.55 N/A 6.73 1.06 N/A 15.34 090 29837 A Elbow arthroscopy/surgery 6.87 N/A 6.13 0.96 N/A 13.96 090 29838 A Elbow arthroscopy/surgery 7.71 N/A 6.84 1.07 N/A 15.62 090 29840 A Wrist arthroscopy 5.54 N/A 5.34 0.69 N/A 11.57 090 29843 A Wrist arthroscopy/surgery 6.01 N/A 5.64 0.82 N/A 12.47 090 29844 A Wrist arthroscopy/surgery 6.37 N/A 5.82 0.86 N/A 13.05 090 29845 A Wrist arthroscopy/surgery 7.52 N/A 6.46 0.84 N/A 14.82 090 29846 A Wrist arthroscopy/surgery 6.75 N/A 6.06 0.89 N/A 13.70 090 29847 A Wrist arthroscopy/surgery 7.08 N/A 6.21 0.91 N/A 14.20 090 29848 A Wrist endoscopy/surgery 5.44 N/A 5.59 0.72 N/A 11.75 090 29850 A Knee arthroscopy/surgery 8.19 N/A 5.13 0.74 N/A 14.06 090 29851 A Knee arthroscopy/surgery 13.10 N/A 9.85 1.81 N/A 24.76 090 29855 A Tibial arthroscopy/surgery 10.62 N/A 8.77 1.50 N/A 20.89 090 29856 A Tibial arthroscopy/surgery 14.14 N/A 10.71 2.00 N/A 26.85 090 29860 A Hip arthroscopy, dx 8.05 N/A 6.95 1.14 N/A 16.14 090 29861 A Hip arthroscopy/surgery 9.15 N/A 7.36 1.29 N/A 17.80 090 29862 A Hip arthroscopy/surgery 9.90 N/A 8.55 1.39 N/A 19.84 090 29863 A Hip arthroscopy/surgery 9.90 N/A 8.49 1.40 N/A 19.79 090 29870 A Knee arthroscopy, dx 5.07 N/A 4.84 0.67 N/A 10.58 090 29871 A Knee arthroscopy/drainage 6.55 N/A 5.87 0.88 N/A 13.30 090 29873 A Knee arthroscopy/surgery 6.00 N/A 6.49 0.73 N/A 13.22 090 29874 A Knee arthroscopy/surgery 7.05 N/A 6.08 0.87 N/A 14.00 090 29875 A Knee arthroscopy/surgery 6.31 N/A 5.84 0.88 N/A 13.03 090 29876 A Knee arthroscopy/surgery 7.92 N/A 7.01 1.11 N/A 16.04 090 29877 A Knee arthroscopy/surgery 7.35 N/A 6.72 1.03 N/A 15.10 090 29879 A Knee arthroscopy/surgery 8.04 N/A 7.10 1.13 N/A 16.27 090 29880 A Knee arthroscopy/surgery 8.50 N/A 7.35 1.19 N/A 17.04 090 29881 A Knee arthroscopy/surgery 7.76 N/A 6.94 1.09 N/A 15.79 090 29882 A Knee arthroscopy/surgery 8.65 N/A 7.24 1.09 N/A 16.98 090 29883 A Knee arthroscopy/surgery 11.05 N/A 9.07 1.33 N/A 21.45 090 29884 A Knee arthroscopy/surgery 7.33 N/A 6.68 1.03 N/A 15.04 090 29885 A Knee arthroscopy/surgery 9.09 N/A 7.90 1.27 N/A 18.26 090 29886 A Knee arthroscopy/surgery 7.54 N/A 6.82 1.06 N/A 15.42 090 29887 A Knee arthroscopy/surgery 9.04 N/A 7.87 1.27 N/A 18.18 090 29888 A Knee arthroscopy/surgery 13.90 N/A 10.27 1.95 N/A 26.12 090 29889 A Knee arthroscopy/surgery 16.00 N/A 12.45 2.11 N/A 30.56 090 29891 A Ankle arthroscopy/surgery 8.40 N/A 7.48 1.17 N/A 17.05 090 29892 A Ankle arthroscopy/surgery 9.00 N/A 7.73 1.26 N/A 17.99 090 29893 A Scope, plantar fasciotomy 5.22 6.44 4.02 0.74 12.40 9.98 090 29894 A Ankle arthroscopy/surgery 7.21 N/A 5.49 1.01 N/A 13.71 090 29895 A Ankle arthroscopy/surgery 6.99 N/A 5.49 0.97 N/A 13.45 090 Start Printed Page 49109 29897 A Ankle arthroscopy/surgery 7.18 N/A 5.90 1.01 N/A 14.09 090 29898 A Ankle arthroscopy/surgery 8.32 N/A 6.19 1.14 N/A 15.65 090 29899 A Ankle arthroscopy/surgery 13.91 N/A 10.02 1.95 N/A 25.88 090 29900 A Mcp joint arthroscopy, dx 5.42 N/A 5.95 0.75 N/A 12.12 090 29901 A Mcp joint arthroscopy, surg 6.13 N/A 6.34 0.85 N/A 13.32 090 29902 A Mcp joint arthroscopy, surg 6.70 N/A 6.63 0.93 N/A 14.26 090 29999 C Arthroscopy of joint 0.00 0.00 0.00 0.00 0.00 0.00 YYY 30000 A Drainage of nose lesion 1.43 4.27 1.45 0.10 5.80 2.98 010 30020 A Drainage of nose lesion 1.43 3.43 1.53 0.08 4.94 3.04 010 30100 A Intranasal biopsy 0.94 2.16 0.83 0.06 3.16 1.83 000 30110 A Removal of nose polyp(s) 1.63 3.48 1.63 0.12 5.23 3.38 010 30115 A Removal of nose polyp(s) 4.35 N/A 4.19 0.31 N/A 8.85 090 30117 A Removal of intranasal lesion 3.16 4.79 3.40 0.22 8.17 6.78 090 30118 A Removal of intranasal lesion 9.69 N/A 7.53 0.66 N/A 17.88 090 30120 A Revision of nose 5.27 5.71 5.63 0.41 11.39 11.31 090 30124 A Removal of nose lesion 3.10 N/A 3.12 0.20 N/A 6.42 090 30125 A Removal of nose lesion 7.16 N/A 6.10 0.54 N/A 13.80 090 30130 A Removal of turbinate bones 3.38 N/A 3.67 0.22 N/A 7.27 090 30140 A Removal of turbinate bones 3.43 N/A 4.16 0.24 N/A 7.83 090 30150 A Partial removal of nose 9.14 N/A 7.88 0.76 N/A 17.78 090 30160 A Removal of nose 9.58 N/A 7.89 0.78 N/A 18.25 090 30200 A Injection treatment of nose 0.78 1.79 0.79 0.06 2.63 1.63 000 30210 A Nasal sinus therapy 1.08 2.22 1.36 0.08 3.38 2.52 010 30220 A Insert nasal septal button 1.54 4.67 1.59 0.11 6.32 3.24 010 30300 A Remove nasal foreign body 1.04 4.27 1.91 0.07 5.38 3.02 010 30310 A Remove nasal foreign body 1.96 N/A 2.93 0.14 N/A 5.03 010 30320 A Remove nasal foreign body 4.52 N/A 4.65 0.36 N/A 9.53 090 30400 R Reconstruction of nose 9.83 N/A 9.35 0.80 N/A 19.98 090 30410 R Reconstruction of nose 12.98 N/A 11.13 1.08 N/A 25.19 090 30420 R Reconstruction of nose 15.88 N/A 12.70 1.24 N/A 29.82 090 30430 R Revision of nose 7.21 N/A 8.16 0.62 N/A 15.99 090 30435 R Revision of nose 11.71 N/A 10.78 1.10 N/A 23.59 090 30450 R Revision of nose 18.65 N/A 14.35 1.53 N/A 34.53 090 30460 A Revision of nose 9.96 N/A 8.07 0.85 N/A 18.88 090 30462 A Revision of nose 19.57 N/A 14.00 1.92 N/A 35.49 090 30465 A Repair nasal stenosis 11.64 N/A 7.88 0.97 N/A 20.49 090 30520 A Repair of nasal septum 5.70 N/A 5.37 0.41 N/A 11.48 090 30540 A Repair nasal defect 7.75 N/A 5.81 0.53 N/A 14.09 090 30545 A Repair nasal defect 11.38 N/A 8.93 0.80 N/A 21.11 090 30560 A Release of nasal adhesions 1.26 4.38 1.99 0.09 5.73 3.34 010 30580 A Repair upper jaw fistula 6.69 7.43 6.34 0.50 14.62 13.53 090 30600 A Repair mouth/nose fistula 6.02 6.51 5.69 0.70 13.23 12.41 090 30620 A Intranasal reconstruction 5.97 N/A 6.01 0.45 N/A 12.43 090 30630 A Repair nasal septum defect 7.12 N/A 6.43 0.51 N/A 14.06 090 30801 A Cauterization, inner nose 1.09 2.29 2.17 0.08 3.46 3.34 010 30802 A Cauterization, inner nose 2.03 2.85 2.70 0.15 5.03 4.88 010 30901 A Control of nosebleed 1.21 1.41 0.33 0.09 2.71 1.63 000 30903 A Control of nosebleed 1.54 2.92 0.51 0.12 4.58 2.17 000 30905 A Control of nosebleed 1.97 3.73 0.78 0.15 5.85 2.90 000 30906 A Repeat control of nosebleed 2.45 4.12 1.23 0.17 6.74 3.85 000 30915 A Ligation, nasal sinus artery 7.20 N/A 6.07 0.50 N/A 13.77 090 30920 A Ligation, upper jaw artery 9.83 N/A 7.76 0.69 N/A 18.28 090 30930 A Therapy, fracture of nose 1.26 N/A 1.69 0.09 N/A 3.04 010 30999 C Nasal surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY Start Printed Page 49110 31000 A Irrigation, maxillary sinus 1.15 2.99 1.46 0.08 4.22 2.69 010 31002 A Irrigation, sphenoid sinus 1.91 N/A 3.10 0.14 N/A 5.15 010 31020 A Exploration, maxillary sinus 2.94 4.31 3.66 0.20 7.45 6.80 090 31030 A Exploration, maxillary sinus 5.92 5.82 4.95 0.42 12.16 11.29 090 31032 A Explore sinus, remove polyps 6.57 N/A 5.82 0.47 N/A 12.86 090 31040 A Exploration behind upper jaw 9.42 N/A 6.44 0.71 N/A 16.57 090 31050 A Exploration, sphenoid sinus 5.28 N/A 4.68 0.39 N/A 10.35 090 31051 A Sphenoid sinus surgery 7.11 N/A 6.08 0.55 N/A 13.74 090 31070 A Exploration of frontal sinus 4.28 N/A 4.40 0.30 N/A 8.98 090 31075 A Exploration of frontal sinus 9.16 N/A 7.48 0.64 N/A 17.28 090 31080 A Removal of frontal sinus 11.42 N/A 8.68 0.78 N/A 20.88 090 31081 A Removal of frontal sinus 12.75 N/A 9.70 1.84 N/A 24.29 090 31084 A Removal of frontal sinus 13.51 N/A 10.36 0.96 N/A 24.83 090 31085 A Removal of frontal sinus 14.20 N/A 10.72 1.18 N/A 26.10 090 31086 A Removal of frontal sinus 12.86 N/A 10.18 0.90 N/A 23.94 090 31087 A Removal of frontal sinus 13.10 N/A 10.10 1.15 N/A 24.35 090 31090 A Exploration of sinuses 9.53 N/A 8.91 0.66 N/A 19.10 090 31200 A Removal of ethmoid sinus 4.97 N/A 5.15 0.25 N/A 10.37 090 31201 A Removal of ethmoid sinus 8.37 N/A 7.09 0.58 N/A 16.04 090 31205 A Removal of ethmoid sinus 10.24 N/A 7.83 0.58 N/A 18.65 090 31225 A Removal of upper jaw 19.23 N/A 14.19 1.38 N/A 34.80 090 31230 A Removal of upper jaw 21.94 N/A 15.60 1.57 N/A 39.11 090 31231 A Nasal endoscopy, dx 1.10 2.92 0.93 0.08 4.10 2.11 000 31233 A Nasal/sinus endoscopy, dx 2.18 3.67 1.54 0.16 6.01 3.88 000 31235 A Nasal/sinus endoscopy, dx 2.64 4.13 1.79 0.18 6.95 4.61 000 31237 A Nasal/sinus endoscopy, surg 2.98 4.41 1.95 0.21 7.60 5.14 000 31238 A Nasal/sinus endoscopy, surg 3.26 4.42 2.16 0.23 7.91 5.65 000 31239 A Nasal/sinus endoscopy, surg 8.70 N/A 7.86 0.46 N/A 17.02 010 31240 A Nasal/sinus endoscopy, surg 2.61 N/A 1.79 0.18 N/A 4.58 000 31254 A Revision of ethmoid sinus 4.65 N/A 2.94 0.32 N/A 7.91 000 31255 A Removal of ethmoid sinus 6.96 N/A 4.24 0.49 N/A 11.69 000 31256 A Exploration maxillary sinus 3.29 N/A 2.19 0.23 N/A 5.71 000 31267 A Endoscopy, maxillary sinus 5.46 N/A 3.40 0.38 N/A 9.24 000 31276 A Sinus endoscopy, surgical 8.85 N/A 5.27 0.62 N/A 14.74 000 31287 A Nasal/sinus endoscopy, surg 3.92 N/A 2.54 0.27 N/A 6.73 000 31288 A Nasal/sinus endoscopy, surg 4.58 N/A 2.91 0.32 N/A 7.81 000 31290 A Nasal/sinus endoscopy, surg 17.24 N/A 11.74 1.20 N/A 30.18 010 31291 A Nasal/sinus endoscopy, surg 18.19 N/A 12.23 1.73 N/A 32.15 010 31292 A Nasal/sinus endoscopy, surg 14.76 N/A 10.33 0.99 N/A 26.08 010 31293 A Nasal/sinus endoscopy, surg 16.21 N/A 11.16 0.97 N/A 28.34 010 31294 A Nasal/sinus endoscopy, surg 19.06 N/A 12.69 1.04 N/A 32.79 010 31299 C Sinus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 31300 A Removal of larynx lesion 14.29 N/A 12.71 0.99 N/A 27.99 090 31320 A Diagnostic incision, larynx 5.26 N/A 7.77 0.40 N/A 13.43 090 31360 A Removal of larynx 17.08 N/A 14.71 1.20 N/A 32.99 090 31365 A Removal of larynx 24.16 N/A 18.45 1.72 N/A 44.33 090 31367 A Partial removal of larynx 21.86 N/A 18.32 1.57 N/A 41.75 090 31368 A Partial removal of larynx 27.09 N/A 22.10 1.90 N/A 51.09 090 31370 A Partial removal of larynx 21.38 N/A 17.91 1.51 N/A 40.80 090 Start Printed Page 49111 31375 A Partial removal of larynx 20.21 N/A 16.14 1.43 N/A 37.78 090 31380 A Partial removal of larynx 20.21 N/A 16.08 1.40 N/A 37.69 090 31382 A Partial removal of larynx 20.52 N/A 17.46 1.44 N/A 39.42 090 31390 A Removal of larynx & pharynx 27.53 N/A 22.31 1.95 N/A 51.79 090 31395 A Reconstruct larynx & pharynx 31.09 N/A 26.49 2.27 N/A 59.85 090 31400 A Revision of larynx 10.31 N/A 10.68 0.72 N/A 21.71 090 31420 A Removal of epiglottis 10.22 N/A 10.51 0.71 N/A 21.44 090 31500 A Insert emergency airway 2.33 N/A 0.67 0.15 N/A 3.15 000 31502 A Change of windpipe airway 0.65 1.52 0.26 0.04 2.21 0.95 000 31505 A Diagnostic laryngoscopy 0.61 1.52 0.64 0.04 2.17 1.29 000 31510 A Laryngoscopy with biopsy 1.92 3.36 1.31 0.15 5.43 3.38 000 31511 A Remove foreign body, larynx 2.16 3.19 1.13 0.16 5.51 3.45 000 31512 A Removal of larynx lesion 2.07 3.26 1.42 0.16 5.49 3.65 000 31513 A Injection into vocal cord 2.10 N/A 1.52 0.15 N/A 3.77 000 31515 A Laryngoscopy for aspiration 1.80 3.41 1.11 0.12 5.33 3.03 000 31520 A Diagnostic laryngoscopy 2.56 N/A 1.63 0.17 N/A 4.36 000 31525 A Diagnostic laryngoscopy 2.63 3.61 1.72 0.18 6.42 4.53 000 31526 A Diagnostic laryngoscopy 2.57 N/A 1.78 0.18 N/A 4.53 000 31527 A Laryngoscopy for treatment 3.27 N/A 1.94 0.21 N/A 5.42 000 31528 A Laryngoscopy and dilation 2.37 N/A 1.47 0.16 N/A 4.00 000 31529 A Laryngoscopy and dilation 2.68 N/A 1.75 0.18 N/A 4.61 000 31530 A Operative laryngoscopy 3.39 N/A 2.01 0.24 N/A 5.64 000 31531 A Operative laryngoscopy 3.59 N/A 2.36 0.25 N/A 6.20 000 31535 A Operative laryngoscopy 3.16 N/A 2.06 0.22 N/A 5.44 000 31536 A Operative laryngoscopy 3.56 N/A 2.33 0.25 N/A 6.14 000 31540 A Operative laryngoscopy 4.13 N/A 2.63 0.29 N/A 7.05 000 31541 A Operative laryngoscopy 4.53 N/A 2.87 0.32 N/A 7.72 000 31560 A Operative laryngoscopy 5.46 N/A 3.22 0.38 N/A 9.06 000 31561 A Operative laryngoscopy 6.00 N/A 3.44 0.42 N/A 9.86 000 31570 A Laryngoscopy with injection 3.87 5.44 2.47 0.24 9.55 6.58 000 31571 A Laryngoscopy with injection 4.27 N/A 2.69 0.30 N/A 7.26 000 31575 A Diagnostic laryngoscopy 1.10 1.95 0.92 0.08 3.13 2.10 000 31576 A Laryngoscopy with biopsy 1.97 3.52 1.34 0.13 5.62 3.44 000 31577 A Remove foreign body, larynx 2.47 3.65 1.60 0.17 6.29 4.24 000 31578 A Removal of larynx lesion 2.84 4.15 1.59 0.20 7.19 4.63 000 31579 A Diagnostic laryngoscopy 2.26 3.30 1.55 0.16 5.72 3.97 000 31580 A Revision of larynx 12.38 N/A 11.78 0.87 N/A 25.03 090 31582 A Revision of larynx 21.62 N/A 18.17 1.52 N/A 41.31 090 31584 A Treat larynx fracture 19.64 N/A 15.25 1.42 N/A 36.31 090 31585 A Treat larynx fracture 4.64 N/A 6.01 0.30 N/A 10.95 090 31586 A Treat larynx fracture 8.03 N/A 8.90 0.56 N/A 17.49 090 31587 A Revision of larynx 11.99 N/A 10.61 0.88 N/A 23.48 090 31588 A Revision of larynx 13.11 N/A 13.80 0.92 N/A 27.83 090 31590 A Reinnervate larynx 6.97 N/A 9.29 0.50 N/A 16.76 090 31595 A Larynx nerve surgery 8.34 N/A 8.09 0.62 N/A 17.05 090 31599 C Larynx surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 31600 A Incision of windpipe 7.18 N/A 3.24 0.34 N/A 10.76 000 31601 A Incision of windpipe 4.45 N/A 2.44 0.39 N/A 7.28 000 31603 A Incision of windpipe 4.15 N/A 1.75 0.35 N/A 6.25 000 31605 A Incision of windpipe 3.58 N/A 1.21 0.33 N/A 5.12 000 31610 A Incision of windpipe 8.76 N/A 7.72 0.69 N/A 17.17 090 31611 A Surgery/speech prosthesis 5.64 N/A 6.31 0.40 N/A 12.35 090 31612 A Puncture/clear windpipe 0.91 1.16 0.36 0.06 2.13 1.33 000 31613 A Repair windpipe opening 4.59 N/A 5.60 0.37 N/A 10.56 090 31614 A Repair windpipe opening 7.12 N/A 8.18 0.51 N/A 15.81 090 31615 A Visualization of windpipe 2.09 2.68 1.22 0.14 4.91 3.45 000 31622 A Dx bronchoscope/wash 2.78 4.30 0.90 0.14 7.22 3.82 000 Start Printed Page 49112 31623 A Dx bronchoscope/brush 2.88 5.16 0.91 0.14 8.18 3.93 000 31624 A Dx bronchoscope/lavage 2.88 4.37 0.91 0.13 7.38 3.92 000 31625 A Bronchoscopy w/biopsy(s) 3.37 9.22 1.06 0.16 12.75 4.59 000 31628 A Bronchoscopy/lung bx, each 3.81 3.05 1.40 0.14 7.00 5.35 000 31629 A Bronchoscopy/needle bx, each 3.37 N/A 1.28 0.13 N/A 4.78 000 31630 A Bronchoscopy dilate/fx repr 3.82 N/A 2.00 0.30 N/A 6.12 000 31631 A Bronchoscopy, dilate w/stent 4.37 N/A 2.03 0.31 N/A 6.71 000 31635 A Bronchoscopy w/fb removal 3.68 N/A 1.69 0.21 N/A 5.58 000 31640 A Bronchoscopy w/tumor excise 4.94 N/A 2.35 0.37 N/A 7.66 000 31641 A Bronchoscopy, treat blockage 5.03 N/A 2.14 0.30 N/A 7.47 000 31643 A Diag bronchoscope/catheter 3.50 N/A 1.33 0.15 N/A 4.98 000 31645 A Bronchoscopy, clear airways 3.16 N/A 1.22 0.13 N/A 4.51 000 31646 A Bronchoscopy, reclear airway 2.72 N/A 1.09 0.12 N/A 3.93 000 31656 A Bronchoscopy, inj for x-ray 2.17 N/A 0.93 0.10 N/A 3.20 000 31700 A Insertion of airway catheter 1.34 2.12 0.69 0.07 3.53 2.10 000 31708 A Instill airway contrast dye 1.41 N/A 0.59 0.06 N/A 2.06 000 31710 A Insertion of airway catheter 1.30 N/A 0.71 0.06 N/A 2.07 000 31715 A Injection for bronchus x-ray 1.11 N/A 0.60 0.06 N/A 1.77 000 31717 A Bronchial brush biopsy 2.12 2.92 0.88 0.09 5.13 3.09 000 31720 A Clearance of airways 1.06 1.51 0.33 0.06 2.63 1.45 000 31725 A Clearance of airways 1.96 1.82 0.59 0.10 3.88 2.65 000 31730 A Intro, windpipe wire/tube 2.85 2.27 1.10 0.15 5.27 4.10 000 31750 A Repair of windpipe 13.02 N/A 12.06 1.02 N/A 26.10 090 31755 A Repair of windpipe 15.93 N/A 14.74 1.15 N/A 31.82 090 31760 A Repair of windpipe 22.35 N/A 10.51 1.48 N/A 34.34 090 31766 A Reconstruction of windpipe 30.43 N/A 13.60 3.16 N/A 47.19 090 31770 A Repair/graft of bronchus 22.51 N/A 10.16 2.27 N/A 34.94 090 31775 A Reconstruct bronchus 23.54 N/A 11.78 2.91 N/A 38.23 090 31780 A Reconstruct windpipe 17.72 N/A 11.12 1.55 N/A 30.39 090 31781 A Reconstruct windpipe 23.53 N/A 12.15 2.04 N/A 37.72 090 31785 A Remove windpipe lesion 17.23 N/A 10.46 1.36 N/A 29.05 090 31786 A Remove windpipe lesion 23.98 N/A 13.24 2.20 N/A 39.42 090 31800 A Repair of windpipe injury 7.43 N/A 4.92 0.67 N/A 13.02 090 31805 A Repair of windpipe injury 13.13 N/A 7.17 1.45 N/A 21.75 090 31820 A Closure of windpipe lesion 4.49 5.80 5.15 0.35 10.64 9.99 090 31825 A Repair of windpipe defect 6.81 7.97 7.40 0.50 15.28 14.71 090 31830 A Revise windpipe scar 4.50 5.92 5.47 0.36 10.78 10.33 090 31899 C Airways surgical procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 32000 A Drainage of chest 1.54 3.16 0.49 0.07 4.77 2.10 000 32002 A Treatment of collapsed lung 2.19 3.39 0.85 0.11 5.69 3.15 000 32005 A Treat lung lining chemically 2.19 6.47 0.70 0.17 8.83 3.06 000 32020 A Insertion of chest tube 3.98 N/A 1.46 0.36 N/A 5.80 000 32035 A Exploration of chest 8.67 N/A 5.72 1.02 N/A 15.41 090 32036 A Exploration of chest 9.68 N/A 6.24 1.20 N/A 17.12 090 32095 A Biopsy through chest wall 8.36 N/A 5.27 0.99 N/A 14.62 090 32100 A Exploration/biopsy of chest 15.24 N/A 7.73 1.45 N/A 24.42 090 32110 A Explore/repair chest 23.00 N/A 10.63 1.63 N/A 35.26 090 32120 A Re-exploration of chest 11.54 N/A 6.93 1.42 N/A 19.89 090 Start Printed Page 49113 32124 A Explore chest free adhesions 12.72 N/A 7.10 1.51 N/A 21.33 090 32140 A Removal of lung lesion(s) 13.93 N/A 7.57 1.68 N/A 23.18 090 32141 A Remove/treat lung lesions 14.00 N/A 7.45 1.72 N/A 23.17 090 32150 A Removal of lung lesion(s) 14.15 N/A 7.54 1.60 N/A 23.29 090 32151 A Remove lung foreign body 14.21 N/A 7.94 1.49 N/A 23.64 090 32160 A Open chest heart massage 9.30 N/A 5.32 1.01 N/A 15.63 090 32200 A Drain, open, lung lesion 15.29 N/A 8.50 1.46 N/A 25.25 090 32201 A Drain, percut, lung lesion 4.00 N/A 5.60 0.18 N/A 9.78 000 32215 A Treat chest lining 11.33 N/A 6.84 1.34 N/A 19.51 090 32220 A Release of lung 24.00 N/A 12.61 2.39 N/A 39.00 090 32225 A Partial release of lung 13.96 N/A 7.64 1.70 N/A 23.30 090 32310 A Removal of chest lining 13.44 N/A 7.38 1.65 N/A 22.47 090 32320 A Free/remove chest lining 24.00 N/A 11.97 2.50 N/A 38.47 090 32400 A Needle biopsy chest lining 1.76 1.73 0.56 0.07 3.56 2.39 000 32402 A Open biopsy chest lining 7.56 N/A 5.11 0.91 N/A 13.58 090 32405 A Biopsy, lung or mediastinum 1.93 2.14 0.64 0.09 4.16 2.66 000 32420 A Puncture/clear lung 2.18 N/A 0.84 0.11 N/A 3.13 000 32440 A Removal of lung 25.00 N/A 12.61 2.56 N/A 40.17 090 32442 A Sleeve pneumonectomy 26.24 N/A 14.34 3.12 N/A 43.70 090 32445 A Removal of lung 25.09 N/A 13.75 3.11 N/A 41.95 090 32480 A Partial removal of lung 23.75 N/A 11.81 2.24 N/A 37.80 090 32482 A Bilobectomy 25.00 N/A 12.68 2.35 N/A 40.03 090 32484 A Segmentectomy 20.69 N/A 11.12 2.54 N/A 34.35 090 32486 A Sleeve lobectomy 23.92 N/A 12.89 3.00 N/A 39.81 090 32488 A Completion pneumonectomy 25.71 N/A 13.44 3.18 N/A 42.33 090 32491 R Lung volume reduction 21.25 N/A 12.23 2.66 N/A 36.14 090 32500 A Partial removal of lung 22.00 N/A 12.02 1.77 N/A 35.79 090 32501 A Repair bronchus add-on 4.69 N/A 1.54 0.56 N/A 6.79 ZZZ 32520 A Remove lung & revise chest 21.68 N/A 11.01 2.71 N/A 35.40 090 32522 A Remove lung & revise chest 24.20 N/A 11.84 2.84 N/A 38.88 090 32525 A Remove lung & revise chest 26.50 N/A 12.54 3.25 N/A 42.29 090 32540 A Removal of lung lesion 14.64 N/A 9.35 1.84 N/A 25.83 090 32601 A Thoracoscopy, diagnostic 5.46 N/A 2.37 0.63 N/A 8.46 000 32602 A Thoracoscopy, diagnostic 5.96 N/A 2.54 0.70 N/A 9.20 000 32603 A Thoracoscopy, diagnostic 7.81 N/A 3.07 0.76 N/A 11.64 000 32604 A Thoracoscopy, diagnostic 8.78 N/A 3.49 0.97 N/A 13.24 000 32605 A Thoracoscopy, diagnostic 6.93 N/A 2.91 0.86 N/A 10.70 000 32606 A Thoracoscopy, diagnostic 8.40 N/A 3.35 0.99 N/A 12.74 000 32650 A Thoracoscopy, surgical 10.75 N/A 6.58 1.25 N/A 18.58 090 32651 A Thoracoscopy, surgical 12.91 N/A 7.10 1.50 N/A 21.51 090 32652 A Thoracoscopy, surgical 18.66 N/A 9.91 2.30 N/A 30.87 090 32653 A Thoracoscopy, surgical 12.87 N/A 6.82 1.55 N/A 21.24 090 32654 A Thoracoscopy, surgical 12.44 N/A 7.31 1.51 N/A 21.26 090 32655 A Thoracoscopy, surgical 13.10 N/A 7.12 1.53 N/A 21.75 090 32656 A Thoracoscopy, surgical 12.91 N/A 7.68 1.61 N/A 22.20 090 32657 A Thoracoscopy, surgical 13.65 N/A 7.51 1.64 N/A 22.80 090 32658 A Thoracoscopy, surgical 11.63 N/A 7.11 1.47 N/A 20.21 090 32659 A Thoracoscopy, surgical 11.59 N/A 7.23 1.39 N/A 20.21 090 32660 A Thoracoscopy, surgical 17.43 N/A 9.20 2.09 N/A 28.72 090 32661 A Thoracoscopy, surgical 13.25 N/A 7.57 1.66 N/A 22.48 090 32662 A Thoracoscopy, surgical 16.44 N/A 8.60 2.01 N/A 27.05 090 32663 A Thoracoscopy, surgical 18.47 N/A 10.45 2.28 N/A 31.20 090 32664 A Thoracoscopy, surgical 14.20 N/A 7.54 1.70 N/A 23.44 090 32665 A Thoracoscopy, surgical 15.54 N/A 8.06 1.79 N/A 25.39 090 32800 A Repair lung hernia 13.69 N/A 7.48 1.51 N/A 22.68 090 32810 A Close chest after drainage 13.05 N/A 7.54 1.55 N/A 22.14 090 32815 A Close bronchial fistula 23.15 N/A 10.90 2.84 N/A 36.89 090 32820 A Reconstruct injured chest 21.48 N/A 12.20 2.31 N/A 35.99 090 32851 A Lung transplant, single 38.63 N/A 22.54 4.90 N/A 66.07 090 Start Printed Page 49114 32852 A Lung transplant with bypass 41.80 N/A 26.19 5.17 N/A 73.16 090 32853 A Lung transplant, double 47.81 N/A 26.09 6.13 N/A 80.03 090 32854 A Lung transplant with bypass 50.98 N/A 28.63 6.41 N/A 86.02 090 32900 A Removal of rib(s) 20.27 N/A 9.96 2.42 N/A 32.65 090 32905 A Revise & repair chest wall 20.75 N/A 10.15 2.54 N/A 33.44 090 32906 A Revise & repair chest wall 26.77 N/A 12.07 3.30 N/A 42.14 090 32940 A Revision of lung 19.43 N/A 9.39 2.47 N/A 31.29 090 32960 A Therapeutic pneumothorax 1.84 1.82 0.57 0.12 3.78 2.53 000 32997 A Total lung lavage 6.00 N/A 1.93 0.55 N/A 8.48 000 32999 C Chest surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 33010 A Drainage of heart sac 2.24 N/A 0.98 0.13 N/A 3.35 000 33011 A Repeat drainage of heart sac 2.24 N/A 1.01 0.13 N/A 3.38 000 33015 A Incision of heart sac 6.80 N/A 4.85 0.64 N/A 12.29 090 33020 A Incision of heart sac 12.61 N/A 6.83 1.50 N/A 20.94 090 33025 A Incision of heart sac 12.09 N/A 6.39 1.50 N/A 19.98 090 33030 A Partial removal of heart sac 18.71 N/A 9.43 2.40 N/A 30.54 090 33031 A Partial removal of heart sac 21.79 N/A 10.01 2.78 N/A 34.58 090 33050 A Removal of heart sac lesion 14.36 N/A 7.80 1.73 N/A 23.89 090 33120 A Removal of heart lesion 24.56 N/A 11.60 3.06 N/A 39.22 090 33130 A Removal of heart lesion 21.39 N/A 10.15 2.51 N/A 34.05 090 33140 A Heart revascularize (tmr) 20.00 N/A 10.62 2.27 N/A 32.89 090 33141 A Heart tmr w/other procedure 4.84 N/A 1.56 0.55 N/A 6.95 ZZZ 33200 A Insertion of heart pacemaker 12.48 N/A 6.96 1.17 N/A 20.61 090 33201 A Insertion of heart pacemaker 10.18 N/A 6.59 1.21 N/A 17.98 090 33206 A Insertion of heart pacemaker 6.67 N/A 4.60 0.50 N/A 11.77 090 33207 A Insertion of heart pacemaker 8.04 N/A 4.89 0.57 N/A 13.50 090 33208 A Insertion of heart pacemaker 8.13 N/A 5.03 0.54 N/A 13.70 090 33210 A Insertion of heart electrode 3.30 N/A 1.28 0.17 N/A 4.75 000 33211 A Insertion of heart electrode 3.40 N/A 1.34 0.17 N/A 4.91 000 33212 A Insertion of pulse generator 5.52 N/A 3.50 0.44 N/A 9.46 090 33213 A Insertion of pulse generator 6.37 N/A 3.88 0.46 N/A 10.71 090 33214 A Upgrade of pacemaker system 7.75 N/A 5.07 0.52 N/A 13.34 090 33215 A Reposition pacing-defib lead 4.76 N/A 3.21 0.36 N/A 8.33 090 33216 A Insert lead pace-defib, one 5.78 N/A 4.32 0.36 N/A 10.46 090 33217 A Insert lead pace-defib, dual 5.75 N/A 4.40 0.36 N/A 10.51 090 33218 A Repair lead pace-defib, one 5.44 N/A 4.36 0.40 N/A 10.20 090 33220 A Repair lead pace-defib, dual 5.52 N/A 4.35 0.39 N/A 10.26 090 33222 A Revise pocket, pacemaker 4.96 N/A 4.27 0.39 N/A 9.62 090 33223 A Revise pocket, pacing-defib 6.46 N/A 4.74 0.44 N/A 11.64 090 33224 A Insert pacing lead & connect 9.05 N/A 4.08 0.36 N/A 13.49 000 33225 A L ventric pacing lead add-on 8.34 N/A 3.28 0.36 N/A 11.98 ZZZ 33226 A Reposition l ventric lead 8.69 N/A 3.94 0.36 N/A 12.99 000 33233 A Removal of pacemaker system 3.29 N/A 3.39 0.22 N/A 6.90 090 Start Printed Page 49115 33234 A Removal of pacemaker system 7.82 N/A 5.04 0.56 N/A 13.42 090 33235 A Removal pacemaker electrode 9.40 N/A 6.92 0.68 N/A 17.00 090 33236 A Remove electrode/thoracotomy 12.60 N/A 7.28 1.49 N/A 21.37 090 33237 A Remove electrode/thoracotomy 13.71 N/A 7.67 1.57 N/A 22.95 090 33238 A Remove electrode/thoracotomy 15.22 N/A 8.10 1.56 N/A 24.88 090 33240 A Insert pulse generator 7.60 N/A 4.74 0.53 N/A 12.87 090 33241 A Remove pulse generator 3.24 N/A 3.08 0.21 N/A 6.53 090 33243 A Remove eltrd/thoracotomy 22.64 N/A 11.13 2.53 N/A 36.30 090 33244 A Remove eltrd, transven 13.76 N/A 8.81 1.05 N/A 23.62 090 33245 A Insert epic eltrd pace-defib 14.30 N/A 8.00 1.28 N/A 23.58 090 33246 A Insert epic eltrd/generator 20.71 N/A 10.31 2.22 N/A 33.24 090 33249 A Eltrd/insert pace-defib 14.23 N/A 8.63 0.80 N/A 23.66 090 33250 A Ablate heart dysrhythm focus 21.85 N/A 11.61 1.01 N/A 34.47 090 33251 A Ablate heart dysrhythm focus 24.88 N/A 11.56 2.41 N/A 38.85 090 33253 A Reconstruct atria 31.06 N/A 13.68 3.68 N/A 48.42 090 33261 A Ablate heart dysrhythm focus 24.88 N/A 11.68 2.82 N/A 39.38 090 33282 A Implant pat-active ht record 4.17 N/A 4.21 0.39 N/A 8.77 090 33284 A Remove pat-active ht record 2.50 N/A 3.77 0.23 N/A 6.50 090 33300 A Repair of heart wound 17.92 N/A 9.28 1.91 N/A 29.11 090 33305 A Repair of heart wound 21.44 N/A 10.50 2.68 N/A 34.62 090 33310 A Exploratory heart surgery 18.51 N/A 9.47 2.26 N/A 30.24 090 33315 A Exploratory heart surgery 22.37 N/A 10.74 2.90 N/A 36.01 090 33320 A Repair major blood vessel(s) 16.79 N/A 8.36 1.66 N/A 26.81 090 33321 A Repair major vessel 20.20 N/A 9.73 2.70 N/A 32.63 090 33322 A Repair major blood vessel(s) 20.62 N/A 10.29 2.51 N/A 33.42 090 33330 A Insert major vessel graft 21.43 N/A 10.26 2.49 N/A 34.18 090 33332 A Insert major vessel graft 23.96 N/A 10.59 2.45 N/A 37.00 090 33335 A Insert major vessel graft 30.01 N/A 13.22 3.79 N/A 47.02 090 33400 A Repair of aortic valve 28.50 N/A 15.23 3.09 N/A 46.82 090 33401 A Valvuloplasty, open 23.91 N/A 13.30 2.71 N/A 39.92 090 33403 A Valvuloplasty, w/cp bypass 24.89 N/A 13.94 2.48 N/A 41.31 090 33404 A Prepare heart-aorta conduit 28.54 N/A 14.10 3.31 N/A 45.95 090 33405 A Replacement of aortic valve 35.00 N/A 17.75 3.86 N/A 56.61 090 33406 A Replacement of aortic valve 37.50 N/A 18.55 4.07 N/A 60.12 090 33410 A Replacement of aortic valve 32.46 N/A 16.19 4.11 N/A 52.76 090 33411 A Replacement of aortic valve 36.25 N/A 18.20 4.16 N/A 58.61 090 33412 A Replacement of aortic valve 42.00 N/A 19.94 4.66 N/A 66.60 090 33413 A Replacement of aortic valve 43.50 N/A 20.31 4.26 N/A 68.07 090 33414 A Repair of aortic valve 30.35 N/A 13.85 3.79 N/A 47.99 090 33415 A Revision, subvalvular tissue 27.15 N/A 11.87 3.25 N/A 42.27 090 33416 A Revise ventricle muscle 30.35 N/A 13.34 3.85 N/A 47.54 090 33417 A Repair of aortic valve 28.53 N/A 13.33 3.58 N/A 45.44 090 33420 A Revision of mitral valve 22.70 N/A 9.76 1.48 N/A 33.94 090 33422 A Revision of mitral valve 25.94 N/A 13.21 3.30 N/A 42.45 090 33425 A Repair of mitral valve 27.00 N/A 12.70 3.00 N/A 42.70 090 33426 A Repair of mitral valve 33.00 N/A 16.66 3.87 N/A 53.53 090 Start Printed Page 49116 33427 A Repair of mitral valve 40.00 N/A 18.85 4.30 N/A 63.15 090 33430 A Replacement of mitral valve 33.50 N/A 16.79 3.95 N/A 54.24 090 33460 A Revision of tricuspid valve 23.60 N/A 11.13 3.02 N/A 37.75 090 33463 A Valvuloplasty, tricuspid 25.62 N/A 12.74 3.17 N/A 41.53 090 33464 A Valvuloplasty, tricuspid 27.33 N/A 13.32 3.47 N/A 44.12 090 33465 A Replace tricuspid valve 28.79 N/A 12.81 3.61 N/A 45.21 090 33468 A Revision of tricuspid valve 30.12 N/A 13.40 4.00 N/A 47.52 090 33470 A Revision of pulmonary valve 20.81 N/A 10.78 2.81 N/A 34.40 090 33471 A Valvotomy, pulmonary valve 22.25 N/A 9.80 3.00 N/A 35.05 090 33472 A Revision of pulmonary valve 22.25 N/A 11.63 2.92 N/A 36.80 090 33474 A Revision of pulmonary valve 23.04 N/A 10.79 2.84 N/A 36.67 090 33475 A Replacement, pulmonary valve 33.00 N/A 15.09 2.64 N/A 50.73 090 33476 A Revision of heart chamber 25.77 N/A 11.97 2.40 N/A 40.14 090 33478 A Revision of heart chamber 26.74 N/A 12.70 3.56 N/A 43.00 090 33496 A Repair, prosth valve clot 27.25 N/A 12.64 3.44 N/A 43.33 090 33500 A Repair heart vessel fistula 25.55 N/A 11.34 2.80 N/A 39.69 090 33501 A Repair heart vessel fistula 17.78 N/A 8.28 2.05 N/A 28.11 090 33502 A Coronary artery correction 21.04 N/A 11.04 2.51 N/A 34.59 090 33503 A Coronary artery graft 21.78 N/A 9.91 1.42 N/A 33.11 090 33504 A Coronary artery graft 24.66 N/A 11.76 3.04 N/A 39.46 090 33505 A Repair artery w/tunnel 26.84 N/A 12.97 1.52 N/A 41.33 090 33506 A Repair artery, translocation 35.50 N/A 14.56 3.19 N/A 53.25 090 33508 A Endoscopic vein harvest 0.31 N/A 0.10 0.03 N/A 0.44 ZZZ 33510 A CABG, vein, single 29.00 N/A 15.82 3.13 N/A 47.95 090 33511 A CABG, vein, two 30.00 N/A 16.54 3.34 N/A 49.88 090 33512 A CABG, vein, three 31.80 N/A 17.07 3.70 N/A 52.57 090 33513 A CABG, vein, four 32.00 N/A 17.23 3.99 N/A 53.22 090 33514 A CABG, vein, five 32.75 N/A 17.49 4.37 N/A 54.61 090 33516 A Cabg, vein, six or more 35.00 N/A 18.24 4.62 N/A 57.86 090 33517 A CABG, artery-vein, single 2.57 N/A 0.83 0.32 N/A 3.72 ZZZ 33518 A CABG, artery-vein, two 4.85 N/A 1.57 0.61 N/A 7.03 ZZZ 33519 A CABG, artery-vein, three 7.12 N/A 2.31 0.89 N/A 10.32 ZZZ 33521 A CABG, artery-vein, four 9.40 N/A 3.05 1.18 N/A 13.63 ZZZ 33522 A CABG, artery-vein, five 11.67 N/A 3.78 1.48 N/A 16.93 ZZZ 33523 A Cabg, art-vein, six or more 13.95 N/A 4.48 1.78 N/A 20.21 ZZZ 33530 A Coronary artery, bypass/reop 5.86 N/A 1.89 0.73 N/A 8.48 ZZZ 33533 A CABG, arterial, single 30.00 N/A 15.96 3.24 N/A 49.20 090 33534 A CABG, arterial, two 32.20 N/A 17.15 3.63 N/A 52.98 090 33535 A CABG, arterial, three 34.50 N/A 17.62 3.97 N/A 56.09 090 33536 A Cabg, arterial, four or more 37.50 N/A 17.89 3.29 N/A 58.68 090 33542 A Removal of heart lesion 28.85 N/A 12.98 3.61 N/A 45.44 090 33545 A Repair of heart damage 36.78 N/A 15.69 4.40 N/A 56.87 090 33572 A Open coronary endarterectomy 4.45 N/A 1.44 0.55 N/A 6.44 ZZZ 33600 A Closure of valve 29.51 N/A 12.64 2.30 N/A 44.45 090 33602 A Closure of valve 28.54 N/A 12.79 2.90 N/A 44.23 090 33606 A Anastomosis/artery-aorta 30.74 N/A 13.65 3.59 N/A 47.98 090 33608 A Repair anomaly w/conduit 31.09 N/A 13.82 4.17 N/A 49.08 090 33610 A Repair by enlargement 30.61 N/A 14.17 4.02 N/A 48.80 090 33611 A Repair double ventricle 34.00 N/A 13.95 3.28 N/A 51.23 090 33612 A Repair double ventricle 35.00 N/A 15.01 4.44 N/A 54.45 090 33615 A Repair, modified fontan 34.00 N/A 15.11 3.15 N/A 52.26 090 33617 A Repair single ventricle 37.00 N/A 15.82 4.09 N/A 56.91 090 33619 A Repair single ventricle 45.00 N/A 20.08 4.71 N/A 69.79 090 33641 A Repair heart septum defect 21.39 N/A 9.47 2.67 N/A 33.53 090 33645 A Revision of heart veins 24.82 N/A 11.50 3.27 N/A 39.59 090 Start Printed Page 49117 33647 A Repair heart septum defects 28.73 N/A 13.55 3.37 N/A 45.65 090 33660 A Repair of heart defects 30.00 N/A 13.24 2.82 N/A 46.06 090 33665 A Repair of heart defects 28.60 N/A 13.36 3.81 N/A 45.77 090 33670 A Repair of heart chambers 35.00 N/A 13.57 2.18 N/A 50.75 090 33681 A Repair heart septum defect 30.61 N/A 14.28 3.53 N/A 48.42 090 33684 A Repair heart septum defect 29.65 N/A 13.47 3.77 N/A 46.89 090 33688 A Repair heart septum defect 30.62 N/A 11.91 3.89 N/A 46.42 090 33690 A Reinforce pulmonary artery 19.55 N/A 10.07 2.56 N/A 32.18 090 33692 A Repair of heart defects 30.75 N/A 13.89 3.77 N/A 48.41 090 33694 A Repair of heart defects 34.00 N/A 14.42 4.27 N/A 52.69 090 33697 A Repair of heart defects 36.00 N/A 14.66 4.54 N/A 55.20 090 33702 A Repair of heart defects 26.54 N/A 12.29 3.45 N/A 42.28 090 33710 A Repair of heart defects 29.71 N/A 13.90 3.85 N/A 47.46 090 33720 A Repair of heart defect 26.56 N/A 12.15 3.21 N/A 41.92 090 33722 A Repair of heart defect 28.41 N/A 13.38 3.80 N/A 45.59 090 33730 A Repair heart-vein defect(s) 34.25 N/A 14.28 2.85 N/A 51.38 090 33732 A Repair heart-vein defect 28.16 N/A 13.45 2.78 N/A 44.39 090 33735 A Revision of heart chamber 21.39 N/A 10.24 1.12 N/A 32.75 090 33736 A Revision of heart chamber 23.52 N/A 11.80 2.70 N/A 38.02 090 33737 A Revision of heart chamber 21.76 N/A 11.01 2.93 N/A 35.70 090 33750 A Major vessel shunt 21.41 N/A 10.46 1.74 N/A 33.61 090 33755 A Major vessel shunt 21.79 N/A 9.31 2.93 N/A 34.03 090 33762 A Major vessel shunt 21.79 N/A 10.49 1.59 N/A 33.87 090 33764 A Major vessel shunt & graft 21.79 N/A 10.31 1.93 N/A 34.03 090 33766 A Major vessel shunt 22.76 N/A 11.29 3.04 N/A 37.09 090 33767 A Major vessel shunt 24.50 N/A 11.72 3.14 N/A 39.36 090 33770 A Repair great vessels defect 37.00 N/A 14.71 4.49 N/A 56.20 090 33771 A Repair great vessels defect 34.65 N/A 12.79 4.67 N/A 52.11 090 33774 A Repair great vessels defect 30.98 N/A 13.75 4.18 N/A 48.91 090 33775 A Repair great vessels defect 32.20 N/A 14.58 4.34 N/A 51.12 090 33776 A Repair great vessels defect 34.04 N/A 15.38 4.58 N/A 54.00 090 33777 A Repair great vessels defect 33.46 N/A 15.26 4.51 N/A 53.23 090 33778 A Repair great vessels defect 40.00 N/A 16.75 4.83 N/A 61.58 090 33779 A Repair great vessels defect 36.21 N/A 15.62 2.40 N/A 54.23 090 33780 A Repair great vessels defect 41.75 N/A 18.87 5.21 N/A 65.83 090 33781 A Repair great vessels defect 36.45 N/A 13.94 4.91 N/A 55.30 090 33786 A Repair arterial trunk 39.00 N/A 16.66 4.69 N/A 60.35 090 33788 A Revision of pulmonary artery 26.62 N/A 12.19 3.32 N/A 42.13 090 33800 A Aortic suspension 16.24 N/A 7.87 1.11 N/A 25.22 090 33802 A Repair vessel defect 17.66 N/A 9.04 1.56 N/A 28.26 090 33803 A Repair vessel defect 19.60 N/A 9.61 2.63 N/A 31.84 090 33813 A Repair septal defect 20.65 N/A 10.59 2.78 N/A 34.02 090 33814 A Repair septal defect 25.77 N/A 12.38 2.52 N/A 40.67 090 33820 A Revise major vessel 16.29 N/A 8.13 2.10 N/A 26.52 090 33822 A Revise major vessel 17.32 N/A 8.71 2.33 N/A 28.36 090 33824 A Revise major vessel 19.52 N/A 9.87 2.61 N/A 32.00 090 33840 A Remove aorta constriction 20.63 N/A 10.08 2.36 N/A 33.07 090 33845 A Remove aorta constriction 22.12 N/A 11.07 2.90 N/A 36.09 090 33851 A Remove aorta constriction 21.27 N/A 10.45 2.86 N/A 34.58 090 33852 A Repair septal defect 23.71 N/A 11.32 3.19 N/A 38.22 090 Start Printed Page 49118 33853 A Repair septal defect 31.72 N/A 14.46 4.23 N/A 50.41 090 33860 A Ascending aortic graft 38.00 N/A 16.22 4.30 N/A 58.52 090 33861 A Ascending aortic graft 42.00 N/A 17.49 4.24 N/A 63.73 090 33863 A Ascending aortic graft 45.00 N/A 18.45 4.60 N/A 68.05 090 33870 A Transverse aortic arch graft 44.00 N/A 18.16 5.09 N/A 67.25 090 33875 A Thoracic aortic graft 33.06 N/A 14.04 4.08 N/A 51.18 090 33877 A Thoracoabdominal graft 42.60 N/A 16.81 5.07 N/A 64.48 090 33910 A Remove lung artery emboli 24.59 N/A 11.37 3.06 N/A 39.02 090 33915 A Remove lung artery emboli 21.02 N/A 9.78 1.20 N/A 32.00 090 33916 A Surgery of great vessel 25.83 N/A 11.48 3.04 N/A 40.35 090 33917 A Repair pulmonary artery 24.50 N/A 11.96 3.17 N/A 39.63 090 33918 A Repair pulmonary atresia 26.45 N/A 12.37 3.42 N/A 42.24 090 33919 A Repair pulmonary atresia 40.00 N/A 17.32 3.48 N/A 60.80 090 33920 A Repair pulmonary atresia 31.95 N/A 13.90 3.61 N/A 49.46 090 33922 A Transect pulmonary artery 23.52 N/A 10.91 2.30 N/A 36.73 090 33924 A Remove pulmonary shunt 5.50 N/A 1.82 0.74 N/A 8.06 ZZZ 33935 R Transplantation, heart/lung 60.96 N/A 25.80 8.15 N/A 94.91 090 33945 R Transplantation of heart 42.10 N/A 18.74 5.42 N/A 66.26 090 33960 A External circulation assist 19.36 N/A 4.93 2.14 N/A 26.43 000 33961 A External circulation assist 10.93 N/A 3.63 1.47 N/A 16.03 ZZZ 33967 A Insert ia percut device 4.85 N/A 1.87 0.28 N/A 7.00 000 33968 A Remove aortic assist device 0.64 N/A 0.23 0.07 N/A 0.94 000 33970 A Aortic circulation assist 6.75 N/A 2.28 0.70 N/A 9.73 000 33971 A Aortic circulation assist 9.69 N/A 6.06 0.97 N/A 16.72 090 33973 A Insert balloon device 9.76 N/A 3.30 1.01 N/A 14.07 000 33974 A Remove intra-aortic balloon 14.41 N/A 8.04 1.48 N/A 23.93 090 33975 A Implant ventricular device 21.00 N/A 6.25 1.72 N/A 28.97 XXX 33976 A Implant ventricular device 23.00 N/A 7.50 2.82 N/A 33.32 XXX 33977 A Remove ventricular device 19.29 N/A 10.79 2.44 N/A 32.52 090 33978 A Remove ventricular device 21.73 N/A 11.66 2.66 N/A 36.05 090 33979 A Insert intracorporeal device 46.00 N/A 14.79 3.98 N/A 64.77 XXX 33980 A Remove intracorporeal device 56.25 N/A 24.81 4.60 N/A 85.66 090 33999 C Cardiac surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 34001 A Removal of artery clot 12.91 N/A 6.72 1.46 N/A 21.09 090 34051 A Removal of artery clot 15.21 N/A 7.62 1.90 N/A 24.73 090 34101 A Removal of artery clot 10.00 N/A 5.40 1.11 N/A 16.51 090 34111 A Removal of arm artery clot 10.00 N/A 5.42 0.85 N/A 16.27 090 34151 A Removal of artery clot 25.00 N/A 10.63 1.84 N/A 37.47 090 34201 A Removal of artery clot 10.03 N/A 5.50 1.02 N/A 16.55 090 34203 A Removal of leg artery clot 16.50 N/A 8.15 1.37 N/A 26.02 090 34401 A Removal of vein clot 25.00 N/A 10.82 1.20 N/A 37.02 090 34421 A Removal of vein clot 12.00 N/A 6.38 0.95 N/A 19.33 090 34451 A Removal of vein clot 27.00 N/A 11.53 1.59 N/A 40.12 090 34471 A Removal of vein clot 10.18 N/A 5.44 0.90 N/A 16.52 090 34490 A Removal of vein clot 9.86 N/A 5.51 0.73 N/A 16.10 090 34501 A Repair valve, femoral vein 16.00 N/A 8.44 1.37 N/A 25.81 090 34502 A Reconstruct vena cava 26.95 N/A 12.31 2.99 N/A 42.25 090 34510 A Transposition of vein valve 18.95 N/A 9.42 1.60 N/A 29.97 090 34520 A Cross-over vein graft 17.95 N/A 8.86 1.41 N/A 28.22 090 34530 A Leg vein fusion 16.64 N/A 8.67 2.06 N/A 27.37 090 34800 A Endovasc abdo repair w/tube 20.75 N/A 9.23 1.49 N/A 31.47 090 34802 A Endovasc abdo repr w/device 23.00 N/A 9.93 1.65 N/A 34.58 090 34804 A Endovasc abdo repr w/device 23.00 N/A 9.92 1.65 N/A 34.57 090 34808 A Endovasc abdo occlud device 4.13 N/A 1.39 0.29 N/A 5.81 ZZZ Start Printed Page 49119 34812 A Xpose for endoprosth, femorl 6.75 N/A 2.27 0.49 N/A 9.51 000 34813 A Femoral endovas graft add-on 4.80 N/A 1.59 0.34 N/A 6.73 ZZZ 34820 A Xpose for endoprosth, iliac 9.75 N/A 3.29 0.70 N/A 13.74 000 34825 A Endovasc extend prosth, init 12.00 N/A 6.21 0.86 N/A 19.07 090 34826 A Endovasc exten prosth, addl 4.13 N/A 1.40 0.29 N/A 5.82 ZZZ 34830 A Open aortic tube prosth repr 32.59 N/A 13.76 2.34 N/A 48.69 090 34831 A Open aortoiliac prosth repr 35.34 N/A 11.91 2.53 N/A 49.78 090 34832 A Open aortofemor prosth repr 35.34 N/A 14.76 2.53 N/A 52.63 090 34833 A Xpose for endoprosth, iliac 12.00 N/A 4.58 0.70 N/A 17.28 000 34834 A Xpose, endoprosth, brachial 5.35 N/A 2.26 0.49 N/A 8.10 000 34900 A Endovasc iliac repr w/graft 16.38 N/A 7.96 1.49 N/A 25.83 090 35001 A Repair defect of artery 19.64 N/A 9.52 2.44 N/A 31.60 090 35002 A Repair artery rupture, neck 21.00 N/A 9.79 1.82 N/A 32.61 090 35005 A Repair defect of artery 18.12 N/A 8.86 1.35 N/A 28.33 090 35011 A Repair defect of artery 18.00 N/A 8.07 1.30 N/A 27.37 090 35013 A Repair artery rupture, arm 22.00 N/A 9.76 1.91 N/A 33.67 090 35021 A Repair defect of artery 19.65 N/A 9.29 1.93 N/A 30.87 090 35022 A Repair artery rupture, chest 23.18 N/A 10.08 1.99 N/A 35.25 090 35045 A Repair defect of arm artery 17.57 N/A 7.73 1.25 N/A 26.55 090 35081 A Repair defect of artery 28.01 N/A 11.52 3.20 N/A 42.73 090 35082 A Repair artery rupture, aorta 38.50 N/A 15.52 4.07 N/A 58.09 090 35091 A Repair defect of artery 35.40 N/A 13.78 4.09 N/A 53.27 090 35092 A Repair artery rupture, aorta 45.00 N/A 17.92 4.31 N/A 67.23 090 35102 A Repair defect of artery 30.76 N/A 12.60 3.44 N/A 46.80 090 35103 A Repair artery rupture, groin 40.50 N/A 16.13 3.79 N/A 60.42 090 35111 A Repair defect of artery 25.00 N/A 10.58 1.81 N/A 37.39 090 35112 A Repair artery rupture,spleen 30.00 N/A 12.22 1.95 N/A 44.17 090 35121 A Repair defect of artery 30.00 N/A 12.57 2.93 N/A 45.50 090 35122 A Repair artery rupture, belly 35.00 N/A 14.09 3.54 N/A 52.63 090 35131 A Repair defect of artery 25.00 N/A 10.89 2.11 N/A 38.00 090 35132 A Repair artery rupture, groin 30.00 N/A 12.58 2.48 N/A 45.06 090 35141 A Repair defect of artery 20.00 N/A 9.01 1.65 N/A 30.66 090 35142 A Repair artery rupture, thigh 23.30 N/A 10.48 1.75 N/A 35.53 090 35151 A Repair defect of artery 22.64 N/A 10.11 1.93 N/A 34.68 090 35152 A Repair artery rupture, knee 25.62 N/A 11.43 1.93 N/A 38.98 090 35161 A Repair defect of artery 18.76 N/A 9.16 2.21 N/A 30.13 090 35162 A Repair artery rupture 19.78 N/A 9.64 2.21 N/A 31.63 090 35180 A Repair blood vessel lesion 13.62 N/A 7.02 1.44 N/A 22.08 090 35182 A Repair blood vessel lesion 30.00 N/A 12.93 1.88 N/A 44.81 090 35184 A Repair blood vessel lesion 18.00 N/A 8.38 1.34 N/A 27.72 090 35188 A Repair blood vessel lesion 14.28 N/A 7.60 1.53 N/A 23.41 090 35189 A Repair blood vessel lesion 28.00 N/A 12.09 2.12 N/A 42.21 090 35190 A Repair blood vessel lesion 12.75 N/A 6.54 1.33 N/A 20.62 090 35201 A Repair blood vessel lesion 16.14 N/A 8.01 1.17 N/A 25.32 090 35206 A Repair blood vessel lesion 13.25 N/A 6.72 1.04 N/A 21.01 090 35207 A Repair blood vessel lesion 10.15 N/A 7.85 1.15 N/A 19.15 090 35211 A Repair blood vessel lesion 22.12 N/A 10.47 2.83 N/A 35.42 090 35216 A Repair blood vessel lesion 18.75 N/A 8.95 2.17 N/A 29.87 090 35221 A Repair blood vessel lesion 24.39 N/A 10.20 1.79 N/A 36.38 090 35226 A Repair blood vessel lesion 14.50 N/A 7.72 0.84 N/A 23.06 090 Start Printed Page 49120 35231 A Repair blood vessel lesion 20.00 N/A 9.91 1.32 N/A 31.23 090 35236 A Repair blood vessel lesion 17.11 N/A 8.08 1.19 N/A 26.38 090 35241 A Repair blood vessel lesion 23.12 N/A 10.91 2.90 N/A 36.93 090 35246 A Repair blood vessel lesion 26.45 N/A 11.40 2.22 N/A 40.07 090 35251 A Repair blood vessel lesion 30.20 N/A 12.11 1.87 N/A 44.18 090 35256 A Repair blood vessel lesion 18.36 N/A 8.44 1.32 N/A 28.12 090 35261 A Repair blood vessel lesion 17.80 N/A 8.10 1.34 N/A 27.24 090 35266 A Repair blood vessel lesion 14.91 N/A 7.16 1.16 N/A 23.23 090 35271 A Repair blood vessel lesion 22.12 N/A 10.37 2.77 N/A 35.26 090 35276 A Repair blood vessel lesion 24.25 N/A 11.17 2.37 N/A 37.79 090 35281 A Repair blood vessel lesion 28.00 N/A 11.93 1.82 N/A 41.75 090 35286 A Repair blood vessel lesion 16.16 N/A 8.18 1.36 N/A 25.70 090 35301 A Rechanneling of artery 18.70 N/A 8.49 2.23 N/A 29.42 090 35311 A Rechanneling of artery 27.00 N/A 11.61 2.75 N/A 41.36 090 35321 A Rechanneling of artery 16.00 N/A 7.41 1.36 N/A 24.77 090 35331 A Rechanneling of artery 26.20 N/A 11.37 2.71 N/A 40.28 090 35341 A Rechanneling of artery 25.11 N/A 11.02 2.87 N/A 39.00 090 35351 A Rechanneling of artery 23.00 N/A 9.80 2.29 N/A 35.09 090 35355 A Rechanneling of artery 18.50 N/A 8.28 1.80 N/A 28.58 090 35361 A Rechanneling of artery 28.20 N/A 11.91 2.66 N/A 42.77 090 35363 A Rechanneling of artery 30.20 N/A 12.73 2.77 N/A 45.70 090 35371 A Rechanneling of artery 14.72 N/A 7.08 1.32 N/A 23.12 090 35372 A Rechanneling of artery 18.00 N/A 8.20 1.53 N/A 27.73 090 35381 A Rechanneling of artery 15.81 N/A 7.85 1.80 N/A 25.46 090 35390 A Reoperation, carotid add-on 3.19 N/A 1.07 0.38 N/A 4.64 ZZZ 35400 A Angioscopy 3.00 N/A 1.05 0.34 N/A 4.39 ZZZ 35450 A Repair arterial blockage 10.07 N/A 4.07 0.84 N/A 14.98 000 35452 A Repair arterial blockage 6.91 N/A 3.17 0.76 N/A 10.84 000 35454 A Repair arterial blockage 6.04 N/A 2.85 0.67 N/A 9.56 000 35456 A Repair arterial blockage 7.35 N/A 3.29 0.82 N/A 11.46 000 35458 A Repair arterial blockage 9.49 N/A 4.00 1.09 N/A 14.58 000 35459 A Repair arterial blockage 8.63 N/A 3.66 0.96 N/A 13.25 000 35460 A Repair venous blockage 6.04 N/A 2.70 0.66 N/A 9.40 000 35470 A Repair arterial blockage 8.63 N/A 3.89 0.50 N/A 13.02 000 35471 A Repair arterial blockage 10.07 N/A 4.51 0.50 N/A 15.08 000 35472 A Repair arterial blockage 6.91 N/A 3.27 0.39 N/A 10.57 000 35473 A Repair arterial blockage 6.04 N/A 2.94 0.34 N/A 9.32 000 35474 A Repair arterial blockage 7.36 N/A 2.92 0.40 N/A 10.68 000 35475 R Repair arterial blockage 9.49 N/A 4.10 0.47 N/A 14.06 000 35476 A Repair venous blockage 6.04 N/A 2.87 0.27 N/A 9.18 000 35480 A Atherectomy, open 11.08 N/A 4.55 1.13 N/A 16.76 000 35481 A Atherectomy, open 7.61 N/A 3.46 0.84 N/A 11.91 000 35482 A Atherectomy, open 6.65 N/A 3.10 0.75 N/A 10.50 000 35483 A Atherectomy, open 8.10 N/A 3.55 0.81 N/A 12.46 000 35484 A Atherectomy, open 10.44 N/A 4.26 1.13 N/A 15.83 000 35485 A Atherectomy, open 9.49 N/A 4.08 1.06 N/A 14.63 000 35490 A Atherectomy, percutaneous 11.08 N/A 4.78 0.55 N/A 16.41 000 35491 A Atherectomy, percutaneous 7.61 N/A 3.34 0.49 N/A 11.44 000 35492 A Atherectomy, percutaneous 6.65 N/A 3.22 0.43 N/A 10.30 000 35493 A Atherectomy, percutaneous 8.10 N/A 3.85 0.47 N/A 12.42 000 35494 A Atherectomy, percutaneous 10.44 N/A 4.44 0.48 N/A 15.36 000 35495 A Atherectomy, percutaneous 9.49 N/A 4.45 0.51 N/A 14.45 000 35500 A Harvest vein for bypass 6.45 N/A 2.06 0.63 N/A 9.14 ZZZ 35501 A Artery bypass graft 19.19 N/A 8.45 2.33 N/A 29.97 090 35506 A Artery bypass graft 19.67 N/A 9.38 2.33 N/A 31.38 090 35507 A Artery bypass graft 19.67 N/A 9.36 2.27 N/A 31.30 090 35508 A Artery bypass graft 18.65 N/A 9.27 2.34 N/A 30.26 090 35509 A Artery bypass graft 18.07 N/A 8.75 2.12 N/A 28.94 090 35511 A Artery bypass graft 21.20 N/A 9.43 1.74 N/A 32.37 090 Start Printed Page 49121 35515 A Artery bypass graft 18.65 N/A 9.22 2.26 N/A 30.13 090 35516 A Artery bypass graft 16.32 N/A 6.81 1.88 N/A 25.01 090 35518 A Artery bypass graft 21.20 N/A 9.12 1.78 N/A 32.10 090 35521 A Artery bypass graft 22.20 N/A 9.94 1.82 N/A 33.96 090 35526 A Artery bypass graft 29.95 N/A 12.49 2.18 N/A 44.62 090 35531 A Artery bypass graft 36.20 N/A 14.73 2.91 N/A 53.84 090 35533 A Artery bypass graft 28.00 N/A 11.91 2.35 N/A 42.26 090 35536 A Artery bypass graft 31.70 N/A 13.21 2.62 N/A 47.53 090 35541 A Artery bypass graft 25.80 N/A 11.28 2.74 N/A 39.82 090 35546 A Artery bypass graft 25.54 N/A 10.99 2.84 N/A 39.37 090 35548 A Artery bypass graft 21.57 N/A 9.54 2.45 N/A 33.56 090 35549 A Artery bypass graft 23.35 N/A 10.39 2.77 N/A 36.51 090 35551 A Artery bypass graft 26.67 N/A 11.52 3.19 N/A 41.38 090 35556 A Artery bypass graft 21.76 N/A 9.82 2.48 N/A 34.06 090 35558 A Artery bypass graft 21.20 N/A 9.64 1.58 N/A 32.42 090 35560 A Artery bypass graft 32.00 N/A 13.46 2.73 N/A 48.19 090 35563 A Artery bypass graft 24.20 N/A 10.67 1.68 N/A 36.55 090 35565 A Artery bypass graft 23.20 N/A 10.31 1.71 N/A 35.22 090 35566 A Artery bypass graft 26.92 N/A 11.51 3.02 N/A 41.45 090 35571 A Artery bypass graft 24.06 N/A 11.25 2.14 N/A 37.45 090 35572 A Harvest femoropopliteal vein 6.82 N/A 2.37 0.63 N/A 9.82 ZZZ 35582 A Vein bypass graft 27.13 N/A 11.67 3.11 N/A 41.91 090 35583 A Vein bypass graft 22.37 N/A 10.37 2.53 N/A 35.27 090 35585 A Vein bypass graft 28.39 N/A 12.61 3.21 N/A 44.21 090 35587 A Vein bypass graft 24.75 N/A 11.88 2.17 N/A 38.80 090 35600 A Harvest artery for cabg 4.95 N/A 1.61 0.60 N/A 7.16 ZZZ 35601 A Artery bypass graft 17.50 N/A 8.58 2.08 N/A 28.16 090 35606 A Artery bypass graft 18.71 N/A 8.96 2.17 N/A 29.84 090 35612 A Artery bypass graft 15.76 N/A 7.82 1.72 N/A 25.30 090 35616 A Artery bypass graft 15.70 N/A 8.00 1.84 N/A 25.54 090 35621 A Artery bypass graft 20.00 N/A 8.86 1.68 N/A 30.54 090 35623 A Bypass graft, not vein 24.00 N/A 10.64 1.91 N/A 36.55 090 35626 A Artery bypass graft 27.75 N/A 11.90 2.89 N/A 42.54 090 35631 A Artery bypass graft 34.00 N/A 14.07 2.83 N/A 50.90 090 35636 A Artery bypass graft 29.50 N/A 12.60 2.37 N/A 44.47 090 35641 A Artery bypass graft 24.57 N/A 11.10 2.83 N/A 38.50 090 35642 A Artery bypass graft 17.98 N/A 8.74 1.84 N/A 28.56 090 35645 A Artery bypass graft 17.47 N/A 8.39 1.91 N/A 27.77 090 35646 A Artery bypass graft 31.00 N/A 13.16 3.63 N/A 47.79 090 35647 A Artery bypass graft 28.00 N/A 11.84 3.28 N/A 43.12 090 35650 A Artery bypass graft 19.00 N/A 8.46 1.64 N/A 29.10 090 35651 A Artery bypass graft 25.04 N/A 10.96 2.53 N/A 38.53 090 35654 A Artery bypass graft 25.00 N/A 10.84 2.10 N/A 37.94 090 35656 A Artery bypass graft 19.53 N/A 8.73 2.21 N/A 30.47 090 35661 A Artery bypass graft 19.00 N/A 9.00 1.50 N/A 29.50 090 35663 A Artery bypass graft 22.00 N/A 10.09 1.55 N/A 33.64 090 35665 A Artery bypass graft 21.00 N/A 9.61 1.76 N/A 32.37 090 35666 A Artery bypass graft 22.19 N/A 11.02 2.19 N/A 35.40 090 35671 A Artery bypass graft 19.33 N/A 9.72 1.68 N/A 30.73 090 35681 A Composite bypass graft 1.60 N/A 0.54 0.18 N/A 2.32 ZZZ 35682 A Composite bypass graft 7.20 N/A 2.43 0.83 N/A 10.46 ZZZ 35683 A Composite bypass graft 8.50 N/A 2.87 0.98 N/A 12.35 ZZZ 35685 A Bypass graft patency/patch 4.05 N/A 1.38 0.25 N/A 5.68 ZZZ 35686 A Bypass graft/av fist patency 3.35 N/A 1.15 0.21 N/A 4.71 ZZZ 35691 A Arterial transposition 18.05 N/A 8.50 2.06 N/A 28.61 090 35693 A Arterial transposition 15.36 N/A 7.70 1.80 N/A 24.86 090 35694 A Arterial transposition 19.16 N/A 8.73 2.13 N/A 30.02 090 35695 A Arterial transposition 19.16 N/A 8.65 2.19 N/A 30.00 090 35700 A Reoperation, bypass graft 3.08 N/A 1.03 0.36 N/A 4.47 ZZZ 35701 A Exploration, carotid artery 8.50 N/A 5.22 0.64 N/A 14.36 090 35721 A Exploration, femoral artery 7.18 N/A 4.52 0.59 N/A 12.29 090 35741 A Exploration popliteal artery 8.00 N/A 4.79 0.60 N/A 13.39 090 35761 A Exploration of artery/vein 5.37 N/A 4.10 0.60 N/A 10.07 090 Start Printed Page 49122 35800 A Explore neck vessels 7.02 N/A 4.64 0.79 N/A 12.45 090 35820 A Explore chest vessels 12.88 N/A 6.96 1.61 N/A 21.45 090 35840 A Explore abdominal vessels 9.77 N/A 5.41 1.06 N/A 16.24 090 35860 A Explore limb vessels 5.55 N/A 4.07 0.63 N/A 10.25 090 35870 A Repair vessel graft defect 22.17 N/A 10.15 2.47 N/A 34.79 090 35875 A Removal of clot in graft 10.13 N/A 5.35 0.97 N/A 16.45 090 35876 A Removal of clot in graft 17.00 N/A 7.75 1.88 N/A 26.63 090 35879 A Revise graft w/vein 16.00 N/A 7.80 1.35 N/A 25.15 090 35881 A Revise graft w/vein 18.00 N/A 8.75 1.44 N/A 28.19 090 35901 A Excision, graft, neck 8.19 N/A 5.35 0.90 N/A 14.44 090 35903 A Excision, graft, extremity 9.39 N/A 6.24 1.03 N/A 16.66 090 35905 A Excision, graft, thorax 31.25 N/A 13.30 2.15 N/A 46.70 090 35907 A Excision, graft, abdomen 35.00 N/A 14.57 2.17 N/A 51.74 090 36000 A Place needle in vein 0.18 0.62 0.05 0.01 0.81 0.24 XXX 36002 A Pseudoaneurysm injection trt 1.96 2.92 1.00 0.10 4.98 3.06 000 36005 A Injection ext venography 0.95 8.45 0.32 0.04 9.44 1.31 000 36010 A Place catheter in vein 2.43 N/A 0.80 0.16 N/A 3.39 XXX 36011 A Place catheter in vein 3.14 N/A 1.05 0.17 N/A 4.36 XXX 36012 A Place catheter in vein 3.52 N/A 1.18 0.17 N/A 4.87 XXX 36013 A Place catheter in artery 2.52 N/A 0.66 0.17 N/A 3.35 XXX 36014 A Place catheter in artery 3.02 N/A 1.01 0.14 N/A 4.17 XXX 36015 A Place catheter in artery 3.52 N/A 1.18 0.16 N/A 4.86 XXX 36100 A Establish access to artery 3.02 N/A 1.12 0.18 N/A 4.32 XXX 36120 A Establish access to artery 2.01 N/A 0.66 0.11 N/A 2.78 XXX 36140 A Establish access to artery 2.01 N/A 0.65 0.12 N/A 2.78 XXX 36145 A Artery to vein shunt 2.01 N/A 0.67 0.10 N/A 2.78 XXX 36160 A Establish access to aorta 2.52 N/A 0.86 0.20 N/A 3.58 XXX 36200 A Place catheter in aorta 3.02 72.76 1.04 0.15 75.93 4.21 XXX 36215 A Place catheter in artery 4.68 N/A 1.61 0.22 N/A 6.51 XXX 36216 A Place catheter in artery 5.28 N/A 1.79 0.24 N/A 7.31 XXX 36217 A Place catheter in artery 6.30 N/A 2.18 0.32 N/A 8.80 XXX 36218 A Place catheter in artery 1.01 N/A 0.35 0.05 N/A 1.41 ZZZ 36245 A Place catheter in artery 4.68 N/A 1.68 0.23 N/A 6.59 XXX 36246 A Place catheter in artery 5.28 N/A 1.82 0.26 N/A 7.36 XXX 36247 A Place catheter in artery 6.30 N/A 2.15 0.32 N/A 8.77 XXX 36248 A Place catheter in artery 1.01 N/A 0.35 0.06 N/A 1.42 ZZZ 36260 A Insertion of infusion pump 9.71 N/A 5.04 1.00 N/A 15.75 090 36261 A Revision of infusion pump 5.45 N/A 3.66 0.50 N/A 9.61 090 36262 A Removal of infusion pump 4.02 N/A 2.83 0.43 N/A 7.28 090 36299 C Vessel injection procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 36400 A Bl draw < 3 yrs fem/jugular 0.38 0.28 0.09 0.01 0.67 0.48 XXX 36405 A Bl draw < 3 yrs scalp vein 0.31 0.26 0.08 0.01 0.58 0.40 XXX 36406 A Bl draw < 3 yrs other vein 0.18 0.30 0.05 0.01 0.49 0.24 XXX 36410 A Non-routine bl draw > 3 yrs 0.18 0.30 0.05 0.01 0.49 0.24 XXX 36415 I Routine venipuncture 0.00 0.00 0.00 0.00 0.00 0.00 XXX 36416 I Capillary blood draw 0.00 0.00 0.00 0.00 0.00 0.00 XXX 36420 A Vein access cutdown < 1 yr 1.01 3.18 0.28 0.09 4.28 1.38 XXX 36425 A Vein access cutdown > 1 yr 0.76 N/A 0.22 0.05 N/A 1.03 XXX 36430 A Blood transfusion service 0.00 1.01 N/A 0.05 1.06 N/A XXX 36440 A Bl push transfuse, 2 yr or < 1.03 N/A 0.29 0.08 N/A 1.40 XXX 36450 A Bl exchange/transfuse, nb 2.23 N/A 0.71 0.16 N/A 3.10 XXX 36455 A Bl exchange/transfuse non-nb 2.43 N/A 0.84 0.10 N/A 3.37 XXX 36460 A Transfusion service, fetal 6.59 N/A 2.26 0.56 N/A 9.41 XXX 36468 R Injection(s), spider veins 0.00 0.00 0.00 0.00 0.00 0.00 000 36469 R Injection(s), spider veins 0.00 0.00 0.00 0.00 0.00 0.00 000 36470 A Injection therapy of vein 1.09 2.75 0.45 0.10 3.94 1.64 010 36471 A Injection therapy of veins 1.57 3.10 0.61 0.15 4.82 2.33 010 36481 A Insertion of catheter, vein 6.99 7.02 2.76 0.40 14.41 10.15 000 36488 A Insertion of catheter, vein 1.35 3.45 0.75 0.09 4.89 2.19 000 Start Printed Page 49123 36489 A Insertion of catheter, vein 2.50 4.13 1.06 0.08 6.71 3.64 000 36490 A Insertion of catheter, vein 1.67 4.06 0.85 0.17 5.90 2.69 000 36491 A Insertion of catheter, vein 1.43 3.41 0.78 0.13 4.97 2.34 000 36493 A Repositioning of cvc 1.21 4.11 0.86 0.06 5.38 2.13 000 36500 A Insertion of catheter, vein 3.52 N/A 1.25 0.14 N/A 4.91 000 36510 A Insertion of catheter, vein 1.09 3.83 0.63 0.06 4.98 1.78 000 36511 A Apheresis wbc 1.74 N/A 0.70 0.06 N/A 2.50 000 36512 A Apheresis rbc 1.74 N/A 0.70 0.06 N/A 2.50 000 36513 A Apheresis platelets 1.74 N/A 0.70 0.06 N/A 2.50 000 36514 A Apheresis plasma 1.74 N/A 0.70 0.06 N/A 2.50 000 36515 A Apheresis, adsorp/reinfuse 1.74 N/A 0.76 0.06 N/A 2.56 000 36516 A Apheresis, selective 1.74 N/A 0.76 0.06 N/A 2.56 000 36522 A Photopheresis 1.67 6.78 1.15 0.07 8.52 2.89 000 36530 R Insertion of infusion pump 6.20 N/A 3.93 0.56 N/A 10.69 010 36531 R Revision of infusion pump 4.87 N/A 3.45 0.44 N/A 8.76 010 36532 R Removal of infusion pump 3.30 N/A 1.64 0.34 N/A 5.28 010 36533 A Insertion of access device 5.32 14.77 3.65 0.49 20.58 9.46 010 36534 A Revision of access device 2.80 N/A 1.58 0.19 N/A 4.57 010 36535 A Removal of access device 2.27 2.96 1.99 0.21 5.44 4.47 010 36536 A Remove cva device obstruct 3.60 18.73 1.47 0.23 22.56 5.30 000 36537 A Remove cva lumen obstruct 0.75 4.44 0.49 0.04 5.23 1.28 000 36550 A Declot vascular device 0.00 0.41 N/A 0.31 0.72 N/A XXX 36600 A Withdrawal of arterial blood 0.32 0.49 0.09 0.02 0.83 0.43 XXX 36620 A Insertion catheter, artery 1.15 N/A 0.24 0.06 N/A 1.45 000 36625 A Insertion catheter, artery 2.11 N/A 0.53 0.16 N/A 2.80 000 36640 A Insertion catheter, artery 2.10 N/A 1.04 0.18 N/A 3.32 000 36660 A Insertion catheter, artery 1.40 N/A 0.44 0.08 N/A 1.92 000 36680 A Insert needle, bone cavity 1.20 N/A 0.50 0.08 N/A 1.78 000 36800 A Insertion of cannula 2.43 N/A 1.81 0.17 N/A 4.41 000 36810 A Insertion of cannula 3.97 N/A 1.70 0.40 N/A 6.07 000 36815 A Insertion of cannula 2.62 N/A 1.18 0.26 N/A 4.06 000 36819 A Av fusion/uppr arm vein 14.00 N/A 6.45 1.56 N/A 22.01 090 36820 A Av fusion/forearm vein 14.00 N/A 6.45 1.56 N/A 22.01 090 36821 A Av fusion direct any site 8.93 N/A 4.74 0.97 N/A 14.64 090 36822 A Insertion of cannula(s) 5.42 N/A 4.31 0.63 N/A 10.36 090 36823 A Insertion of cannula(s) 21.00 N/A 9.51 2.18 N/A 32.69 090 36825 A Artery-vein autograft 9.84 N/A 5.17 1.09 N/A 16.10 090 36830 A Artery-vein nonautograft 12.00 N/A 5.39 1.32 N/A 18.71 090 36831 A Open thrombect av fistula 8.00 N/A 4.06 0.79 N/A 12.85 090 36832 A Av fistula revision, open 10.50 N/A 4.89 1.13 N/A 16.52 090 36833 A Av fistula revision 11.95 N/A 5.37 1.29 N/A 18.61 090 36834 A Repair A-V aneurysm 9.93 N/A 4.79 1.06 N/A 15.78 090 36835 A Artery to vein shunt 7.15 N/A 4.35 0.80 N/A 12.30 090 36860 A External cannula declotting 2.01 2.54 1.35 0.10 4.65 3.46 000 36861 A Cannula declotting 2.52 N/A 1.48 0.14 N/A 4.14 000 36870 A Percut thrombect av fistula 5.16 47.67 3.15 0.23 53.06 8.54 090 37140 A Revision of circulation 23.60 N/A 10.65 1.21 N/A 35.46 090 37145 A Revision of circulation 24.61 N/A 11.19 2.48 N/A 38.28 090 37160 A Revision of circulation 21.60 N/A 9.46 2.16 N/A 33.22 090 37180 A Revision of circulation 24.61 N/A 10.56 2.63 N/A 37.80 090 37181 A Splice spleen/kidney veins 26.68 N/A 11.22 2.67 N/A 40.57 090 37182 A Insert hepatic shunt (tips) 17.00 N/A 6.37 1.49 N/A 24.86 000 37183 A Remove hepatic shunt (tips) 8.00 N/A 3.13 0.43 N/A 11.56 000 37195 A Thrombolytic therapy, stroke 0.00 8.06 N/A 0.38 8.44 N/A XXX 37200 A Transcatheter biopsy 4.56 N/A 1.53 0.19 N/A 6.28 000 37201 A Transcatheter therapy infuse 5.00 N/A 2.53 0.24 N/A 7.77 000 37202 A Transcatheter therapy infuse 5.68 N/A 2.30 0.38 N/A 8.36 000 37203 A Transcatheter retrieval 5.03 N/A 2.54 0.23 N/A 7.80 000 Start Printed Page 49124 37204 A Transcatheter occlusion 18.14 N/A 6.05 0.91 N/A 25.10 000 37205 A Transcatheter stent 8.28 N/A 3.78 0.43 N/A 12.49 000 37206 A Transcatheter stent add-on 4.13 N/A 1.47 0.22 N/A 5.82 ZZZ 37207 A Transcatheter stent 8.28 N/A 3.20 0.89 N/A 12.37 000 37208 A Transcatheter stent add-on 4.13 N/A 1.41 0.44 N/A 5.98 ZZZ 37209 A Exchange arterial catheter 2.27 N/A 0.76 0.11 N/A 3.14 000 37250 A Iv us first vessel add-on 2.10 N/A 0.76 0.17 N/A 3.03 ZZZ 37251 A Iv us each add vessel add-on 1.60 N/A 0.57 0.14 N/A 2.31 ZZZ 37500 A Endoscopy ligate perf veins 11.00 N/A 7.10 0.40 N/A 18.50 090 37501 C Vascular endoscopy procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 37565 A Ligation of neck vein 10.88 N/A 5.71 0.45 N/A 17.04 090 37600 A Ligation of neck artery 11.25 N/A 6.79 0.40 N/A 18.44 090 37605 A Ligation of neck artery 13.11 N/A 7.05 0.77 N/A 20.93 090 37606 A Ligation of neck artery 6.28 N/A 4.64 0.79 N/A 11.71 090 37607 A Ligation of a-v fistula 6.16 N/A 3.64 0.67 N/A 10.47 090 37609 A Temporal artery procedure 3.00 4.62 2.00 0.21 7.83 5.21 010 37615 A Ligation of neck artery 5.73 N/A 4.23 0.57 N/A 10.53 090 37616 A Ligation of chest artery 16.49 N/A 8.14 1.93 N/A 26.56 090 37617 A Ligation of abdomen artery 22.06 N/A 9.48 1.69 N/A 33.23 090 37618 A Ligation of extremity artery 4.84 N/A 3.77 0.54 N/A 9.15 090 37620 A Revision of major vein 10.56 N/A 5.84 0.75 N/A 17.15 090 37650 A Revision of major vein 7.80 N/A 4.76 0.56 N/A 13.12 090 37660 A Revision of major vein 21.00 N/A 9.37 1.17 N/A 31.54 090 37700 A Revise leg vein 3.73 N/A 2.95 0.40 N/A 7.08 090 37720 A Removal of leg vein 5.66 N/A 3.74 0.61 N/A 10.01 090 37730 A Removal of leg veins 7.33 N/A 4.48 0.77 N/A 12.58 090 37735 A Removal of leg veins/lesion 10.53 N/A 5.75 1.17 N/A 17.45 090 37760 A Ligation, leg veins, open 10.47 N/A 5.59 1.11 N/A 17.17 090 37780 A Revision of leg vein 3.84 N/A 2.91 0.41 N/A 7.16 090 37785 A Revise secondary varicosity 3.84 7.05 2.93 0.41 11.30 7.18 090 37788 A Revascularization, penis 22.01 N/A 10.07 1.35 N/A 33.43 090 37790 A Penile venous occlusion 8.34 N/A 5.07 0.63 N/A 14.04 090 37799 C Vascular surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 38100 A Removal of spleen, total 14.50 N/A 6.30 1.30 N/A 22.10 090 38101 A Removal of spleen, partial 15.31 N/A 6.66 1.38 N/A 23.35 090 38102 A Removal of spleen, total 4.80 N/A 1.67 0.49 N/A 6.96 ZZZ 38115 A Repair of ruptured spleen 15.82 N/A 6.78 1.40 N/A 24.00 090 38120 A Laparoscopy, splenectomy 17.00 N/A 7.49 1.73 N/A 26.22 090 38129 C Laparoscope proc, spleen 0.00 0.00 0.00 0.00 0.00 0.00 YYY 38200 A Injection for spleen x-ray 2.64 N/A 0.91 0.12 N/A 3.67 000 38205 R Harvest allogenic stem cells 1.50 N/A 0.61 0.05 N/A 2.16 000 38206 R Harvest auto stem cells 1.50 N/A 0.61 0.05 N/A 2.16 000 38207 I Cryopreserve stem cells 0.00 0.00 0.00 0.00 0.00 0.00 XXX 38208 I Thaw preserved stem cells 0.00 0.00 0.00 0.00 0.00 0.00 XXX 38209 I Wash harvest stem cells 0.00 0.00 0.00 0.00 0.00 0.00 XXX 38210 I T-cell depletion of harvest 0.00 0.00 0.00 0.00 0.00 0.00 XXX 38211 I Tumor cell deplete of harvst 0.00 0.00 0.00 0.00 0.00 0.00 XXX 38212 I Rbc depletion of harvest 0.00 0.00 0.00 0.00 0.00 0.00 XXX 38213 I Platelet deplete of harvest 0.00 0.00 0.00 0.00 0.00 0.00 XXX 38214 I Volume deplete of harvest 0.00 0.00 0.00 0.00 0.00 0.00 XXX 38215 I Harvest stem cell concentrte 0.00 0.00 0.00 0.00 0.00 0.00 XXX 38220 A Bone marrow aspiration 1.08 3.99 0.43 0.03 5.10 1.54 XXX 38221 A Bone marrow biopsy 1.37 4.17 0.54 0.04 5.58 1.95 XXX 38230 R Bone marrow collection 4.54 N/A 2.53 0.25 N/A 7.32 010 Start Printed Page 49125 38240 R Bone marrow/stem transplant 2.24 N/A 0.83 0.08 N/A 3.15 XXX 38241 R Bone marrow/stem transplant 2.24 N/A 0.83 0.08 N/A 3.15 XXX 38242 A Lymphocyte infuse transplant 1.71 N/A 0.69 0.05 N/A 2.45 000 38300 A Drainage, lymph node lesion 1.99 4.39 2.10 0.15 6.53 4.24 010 38305 A Drainage, lymph node lesion 6.00 6.12 4.44 0.36 12.48 10.80 090 38308 A Incision of lymph channels 6.45 5.87 3.83 0.51 12.83 10.79 090 38380 A Thoracic duct procedure 7.46 N/A 5.73 0.68 N/A 13.87 090 38381 A Thoracic duct procedure 12.88 N/A 6.89 1.58 N/A 21.35 090 38382 A Thoracic duct procedure 10.08 N/A 6.10 1.08 N/A 17.26 090 38500 A Biopsy/removal, lymph nodes 3.75 3.84 2.13 0.28 7.87 6.16 010 38505 A Needle biopsy, lymph nodes 1.14 2.19 0.79 0.09 3.42 2.02 000 38510 A Biopsy/removal, lymph nodes 6.43 5.77 3.57 0.38 12.58 10.38 010 38520 A Biopsy/removal, lymph nodes 6.67 N/A 4.10 0.52 N/A 11.29 090 38525 A Biopsy/removal, lymph nodes 6.07 N/A 3.39 0.48 N/A 9.94 090 38530 A Biopsy/removal, lymph nodes 7.98 N/A 4.44 0.63 N/A 13.05 090 38542 A Explore deep node(s), neck 5.91 N/A 4.55 0.50 N/A 10.96 090 38550 A Removal, neck/armpit lesion 6.92 N/A 3.94 0.69 N/A 11.55 090 38555 A Removal, neck/armpit lesion 14.14 N/A 8.46 1.46 N/A 24.06 090 38562 A Removal, pelvic lymph nodes 10.49 N/A 5.84 0.97 N/A 17.30 090 38564 A Removal, abdomen lymph nodes 10.83 N/A 5.35 1.06 N/A 17.24 090 38570 A Laparoscopy, lymph node biop 9.25 N/A 4.02 0.89 N/A 14.16 010 38571 A Laparoscopy, lymphadenectomy 14.68 N/A 5.73 0.80 N/A 21.21 010 38572 A Laparoscopy, lymphadenectomy 16.59 N/A 7.29 1.32 N/A 25.20 010 38589 C Laparoscope proc, lymphatic 0.00 0.00 0.00 0.00 0.00 0.00 YYY 38700 A Removal of lymph nodes, neck 8.24 N/A 8.46 0.60 N/A 17.30 090 38720 A Removal of lymph nodes, neck 13.61 N/A 11.49 1.03 N/A 26.13 090 38724 A Removal of lymph nodes, neck 14.54 N/A 12.02 1.10 N/A 27.66 090 38740 A Remove armpit lymph nodes 10.03 N/A 5.04 0.69 N/A 15.76 090 38745 A Remove armpit lymph nodes 13.10 N/A 6.36 0.90 N/A 20.36 090 38746 A Remove thoracic lymph nodes 4.89 N/A 1.60 0.55 N/A 7.04 ZZZ 38747 A Remove abdominal lymph nodes 4.89 N/A 1.70 0.50 N/A 7.09 ZZZ 38760 A Remove groin lymph nodes 12.95 N/A 6.31 0.88 N/A 20.14 090 38765 A Remove groin lymph nodes 19.98 N/A 9.27 1.50 N/A 30.75 090 38770 A Remove pelvis lymph nodes 13.23 N/A 5.97 0.99 N/A 20.19 090 38780 A Remove abdomen lymph nodes 16.59 N/A 8.47 1.60 N/A 26.66 090 Start Printed Page 49126 38790 A Inject for lymphatic x-ray 1.29 7.56 0.80 0.09 8.94 2.18 000 38792 A Identify sentinel node 0.52 N/A 0.45 0.04 N/A 1.01 000 38794 A Access thoracic lymph duct 4.45 N/A 3.41 0.17 N/A 8.03 090 38999 C Blood/lymph system procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 39000 A Exploration of chest 6.10 N/A 4.65 0.73 N/A 11.48 090 39010 A Exploration of chest 11.79 N/A 6.43 1.46 N/A 19.68 090 39200 A Removal chest lesion 13.62 N/A 6.64 1.65 N/A 21.91 090 39220 A Removal chest lesion 17.42 N/A 8.32 2.10 N/A 27.84 090 39400 A Visualization of chest 5.61 N/A 4.66 0.69 N/A 10.96 010 39499 C Chest procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 39501 A Repair diaphragm laceration 13.19 N/A 6.60 1.38 N/A 21.17 090 39502 A Repair paraesophageal hernia 16.33 N/A 7.33 1.68 N/A 25.34 090 39503 A Repair of diaphragm hernia 95.00 N/A 34.01 3.52 N/A 132.53 090 39520 A Repair of diaphragm hernia 16.10 N/A 8.04 1.83 N/A 25.97 090 39530 A Repair of diaphragm hernia 15.41 N/A 7.24 1.66 N/A 24.31 090 39531 A Repair of diaphragm hernia 16.42 N/A 7.49 1.83 N/A 25.74 090 39540 A Repair of diaphragm hernia 13.32 N/A 6.40 1.38 N/A 21.10 090 39541 A Repair of diaphragm hernia 14.41 N/A 6.73 1.52 N/A 22.66 090 39545 A Revision of diaphragm 13.37 N/A 7.48 1.55 N/A 22.40 090 39560 A Resect diaphragm, simple 12.00 N/A 6.42 1.35 N/A 19.77 090 39561 A Resect diaphragm, complex 17.50 N/A 9.40 1.97 N/A 28.87 090 39599 C Diaphragm surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 40490 A Biopsy of lip 1.22 1.89 0.62 0.06 3.17 1.90 000 40500 A Partial excision of lip 4.28 6.22 5.00 0.31 10.81 9.59 090 40510 A Partial excision of lip 4.70 7.10 5.01 0.38 12.18 10.09 090 40520 A Partial excision of lip 4.67 7.60 5.26 0.42 12.69 10.35 090 40525 A Reconstruct lip with flap 7.55 N/A 7.10 0.68 N/A 15.33 090 40527 A Reconstruct lip with flap 9.13 N/A 8.10 0.82 N/A 18.05 090 40530 A Partial removal of lip 5.40 6.75 5.35 0.47 12.62 11.22 090 40650 A Repair lip 3.64 5.71 3.89 0.31 9.66 7.84 090 40652 A Repair lip 4.26 6.69 5.36 0.39 11.34 10.01 090 40654 A Repair lip 5.31 7.34 6.12 0.48 13.13 11.91 090 40700 A Repair cleft lip/nasal 12.79 N/A 9.77 0.93 N/A 23.49 090 40701 A Repair cleft lip/nasal 15.85 N/A 12.08 1.36 N/A 29.29 090 40702 A Repair cleft lip/nasal 13.04 N/A 8.62 1.01 N/A 22.67 090 40720 A Repair cleft lip/nasal 13.55 N/A 10.75 1.31 N/A 25.61 090 40761 A Repair cleft lip/nasal 14.72 N/A 11.17 1.41 N/A 27.30 090 40799 C Lip surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 40800 A Drainage of mouth lesion 1.17 2.32 1.18 0.09 3.58 2.44 010 40801 A Drainage of mouth lesion 2.53 3.32 2.09 0.18 6.03 4.80 010 40804 A Removal, foreign body, mouth 1.24 2.66 1.14 0.09 3.99 2.47 010 40805 A Removal, foreign body, mouth 2.69 3.57 2.03 0.17 6.43 4.89 010 40806 A Incision of lip fold 0.31 1.42 0.97 0.02 1.75 1.30 000 40808 A Biopsy of mouth lesion 0.96 2.42 1.11 0.07 3.45 2.14 010 40810 A Excision of mouth lesion 1.31 2.50 1.25 0.09 3.90 2.65 010 40812 A Excise/repair mouth lesion 2.31 3.40 1.82 0.17 5.88 4.30 010 40814 A Excise/repair mouth lesion 3.42 4.95 3.38 0.26 8.63 7.06 090 40816 A Excision of mouth lesion 3.67 5.13 3.49 0.27 9.07 7.43 090 40818 A Excise oral mucosa for graft 2.41 5.37 3.64 0.14 7.92 6.19 090 40819 A Excise lip or cheek fold 2.41 4.61 3.09 0.17 7.19 5.67 090 40820 A Treatment of mouth lesion 1.28 2.80 2.45 0.08 4.16 3.81 010 Start Printed Page 49127 40830 A Repair mouth laceration 1.76 3.17 2.57 0.14 5.07 4.47 010 40831 A Repair mouth laceration 2.46 3.74 3.16 0.21 6.41 5.83 010 40840 R Reconstruction of mouth 8.73 8.83 7.54 0.79 18.35 17.06 090 40842 R Reconstruction of mouth 8.73 8.94 7.28 0.65 18.32 16.66 090 40843 R Reconstruction of mouth 12.10 11.25 8.89 0.84 24.19 21.83 090 40844 R Reconstruction of mouth 16.01 14.16 12.01 1.63 31.80 29.65 090 40845 R Reconstruction of mouth 18.58 16.30 13.91 1.47 36.35 33.96 090 40899 C Mouth surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 41000 A Drainage of mouth lesion 1.30 2.57 1.45 0.09 3.96 2.84 010 41005 A Drainage of mouth lesion 1.26 2.79 1.67 0.09 4.14 3.02 010 41006 A Drainage of mouth lesion 3.24 4.57 3.62 0.25 8.06 7.11 090 41007 A Drainage of mouth lesion 3.10 4.40 3.46 0.22 7.72 6.78 090 41008 A Drainage of mouth lesion 3.37 4.73 3.66 0.24 8.34 7.27 090 41009 A Drainage of mouth lesion 3.59 5.04 3.99 0.25 8.88 7.83 090 41010 A Incision of tongue fold 1.06 3.57 3.57 0.06 4.69 4.69 010 41015 A Drainage of mouth lesion 3.96 5.56 4.19 0.29 9.81 8.44 090 41016 A Drainage of mouth lesion 4.07 5.64 4.21 0.28 9.99 8.56 090 41017 A Drainage of mouth lesion 4.07 5.55 4.28 0.32 9.94 8.67 090 41018 A Drainage of mouth lesion 5.10 6.00 4.40 0.35 11.45 9.85 090 41100 A Biopsy of tongue 1.63 2.67 1.46 0.12 4.42 3.21 010 41105 A Biopsy of tongue 1.42 2.58 1.35 0.10 4.10 2.87 010 41108 A Biopsy of floor of mouth 1.05 2.32 1.16 0.08 3.45 2.29 010 41110 A Excision of tongue lesion 1.51 2.63 1.37 0.11 4.25 2.99 010 41112 A Excision of tongue lesion 2.73 4.44 2.79 0.20 7.37 5.72 090 41113 A Excision of tongue lesion 3.19 4.81 3.06 0.23 8.23 6.48 090 41114 A Excision of tongue lesion 8.47 9.08 6.46 0.64 18.19 15.57 090 41115 A Excision of tongue fold 1.74 3.59 2.68 0.13 5.46 4.55 010 41116 A Excision of mouth lesion 2.44 4.41 2.93 0.17 7.02 5.54 090 41120 A Partial removal of tongue 9.77 N/A 7.88 0.70 N/A 18.35 090 41130 A Partial removal of tongue 11.15 N/A 8.67 0.81 N/A 20.63 090 41135 A Tongue and neck surgery 23.09 N/A 15.27 1.66 N/A 40.02 090 41140 A Removal of tongue 25.50 N/A 16.53 1.85 N/A 43.88 090 41145 A Tongue removal, neck surgery 30.06 N/A 19.74 2.11 N/A 51.91 090 41150 A Tongue, mouth, jaw surgery 23.04 N/A 16.02 1.67 N/A 40.73 090 41153 A Tongue, mouth, neck surgery 23.77 N/A 16.50 1.71 N/A 41.98 090 41155 A Tongue, jaw, & neck surgery 27.72 N/A 18.57 2.02 N/A 48.31 090 41250 A Repair tongue laceration 1.91 3.19 1.66 0.15 5.25 3.72 010 41251 A Repair tongue laceration 2.27 3.70 2.00 0.18 6.15 4.45 010 41252 A Repair tongue laceration 2.97 4.33 2.35 0.23 7.53 5.55 010 41500 A Fixation of tongue 3.71 N/A 3.80 0.26 N/A 7.77 090 41510 A Tongue to lip surgery 3.42 N/A 3.31 0.24 N/A 6.97 090 41520 A Reconstruction, tongue fold 2.73 4.22 3.35 0.19 7.14 6.27 090 41599 C Tongue and mouth surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 41800 A Drainage of gum lesion 1.17 2.76 1.49 0.09 4.02 2.75 010 41805 A Removal foreign body, gum 1.24 2.83 2.42 0.09 4.16 3.75 010 41806 A Removal foreign body,jawbone 2.69 3.74 3.25 0.22 6.65 6.16 010 41820 R Excision, gum, each quadrant 0.00 0.00 0.00 0.00 0.00 0.00 000 41821 R Excision of gum flap 0.00 0.00 0.00 0.00 0.00 0.00 000 41822 R Excision of gum lesion 2.31 4.25 1.36 0.24 6.80 3.91 010 41823 R Excision of gum lesion 3.30 6.07 4.28 0.29 9.66 7.87 090 41825 A Excision of gum lesion 1.31 3.42 2.46 0.10 4.83 3.87 010 41826 A Excision of gum lesion 2.31 4.00 3.01 0.17 6.48 5.49 010 41827 A Excision of gum lesion 3.42 5.80 3.98 0.25 9.47 7.65 090 41828 R Excision of gum lesion 3.09 4.57 3.46 0.22 7.88 6.77 010 41830 R Removal of gum tissue 3.35 5.10 3.71 0.23 8.68 7.29 010 41850 R Treatment of gum lesion 0.00 0.00 0.00 0.00 0.00 0.00 000 41870 R Gum graft 0.00 0.00 0.00 0.00 0.00 0.00 000 Start Printed Page 49128 41872 R Repair gum 2.59 4.77 3.63 0.18 7.54 6.40 090 41874 R Repair tooth socket 3.09 4.82 3.36 0.23 8.14 6.68 090 41899 C Dental surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 42000 A Drainage mouth roof lesion 1.23 2.83 1.29 0.10 4.16 2.62 010 42100 A Biopsy roof of mouth 1.31 2.40 1.40 0.10 3.81 2.81 010 42104 A Excision lesion, mouth roof 1.64 2.89 1.61 0.12 4.65 3.37 010 42106 A Excision lesion, mouth roof 2.10 3.88 2.94 0.16 6.14 5.20 010 42107 A Excision lesion, mouth roof 4.44 6.29 4.33 0.32 11.05 9.09 090 42120 A Remove palate/lesion 6.17 N/A 5.78 0.44 N/A 12.39 090 42140 A Excision of uvula 1.62 2.66 2.52 0.12 4.40 4.26 090 42145 A Repair palate, pharynx/uvula 8.05 N/A 6.88 0.56 N/A 15.49 090 42160 A Treatment mouth roof lesion 1.80 3.84 2.78 0.13 5.77 4.71 010 42180 A Repair palate 2.50 3.55 2.19 0.19 6.24 4.88 010 42182 A Repair palate 3.83 4.43 3.14 0.27 8.53 7.24 010 42200 A Reconstruct cleft palate 12.00 N/A 9.28 0.97 N/A 22.25 090 42205 A Reconstruct cleft palate 13.29 N/A 9.62 0.82 N/A 23.73 090 42210 A Reconstruct cleft palate 14.50 N/A 10.83 1.24 N/A 26.57 090 42215 A Reconstruct cleft palate 8.82 N/A 7.78 0.96 N/A 17.56 090 42220 A Reconstruct cleft palate 7.02 N/A 5.83 0.41 N/A 13.26 090 42225 A Reconstruct cleft palate 9.54 N/A 7.90 0.75 N/A 18.19 090 42226 A Lengthening of palate 10.01 N/A 8.16 0.73 N/A 18.90 090 42227 A Lengthening of palate 9.52 N/A 7.56 0.70 N/A 17.78 090 42235 A Repair palate 7.87 N/A 5.48 0.49 N/A 13.84 090 42260 A Repair nose to lip fistula 9.80 9.48 7.61 0.85 20.13 18.26 090 42280 A Preparation, palate mold 1.54 2.08 0.90 0.12 3.74 2.56 010 42281 A Insertion, palate prosthesis 1.93 3.07 1.95 0.14 5.14 4.02 010 42299 C Palate/uvula surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 42300 A Drainage of salivary gland 1.93 3.09 1.88 0.15 5.17 3.96 010 42305 A Drainage of salivary gland 6.07 N/A 5.12 0.46 N/A 11.65 090 42310 A Drainage of salivary gland 1.56 2.43 1.59 0.11 4.10 3.26 010 42320 A Drainage of salivary gland 2.35 3.70 2.17 0.17 6.22 4.69 010 42325 A Create salivary cyst drain 2.75 3.66 2.19 0.17 6.58 5.11 090 42326 A Create salivary cyst drain 3.78 4.70 3.02 0.34 8.82 7.14 090 42330 A Removal of salivary stone 2.21 3.44 1.91 0.16 5.81 4.28 010 42335 A Removal of salivary stone 3.31 4.06 3.53 0.23 7.60 7.07 090 42340 A Removal of salivary stone 4.60 5.35 4.47 0.34 10.29 9.41 090 42400 A Biopsy of salivary gland 0.78 1.82 0.73 0.06 2.66 1.57 000 42405 A Biopsy of salivary gland 3.29 4.33 2.54 0.24 7.86 6.07 010 42408 A Excision of salivary cyst 4.54 5.25 4.23 0.34 10.13 9.11 090 42409 A Drainage of salivary cyst 2.81 3.70 3.25 0.20 6.71 6.26 090 42410 A Excise parotid gland/lesion 9.34 N/A 6.85 0.77 N/A 16.96 090 42415 A Excise parotid gland/lesion 16.89 N/A 11.60 1.26 N/A 29.75 090 42420 A Excise parotid gland/lesion 19.59 N/A 13.15 1.45 N/A 34.19 090 42425 A Excise parotid gland/lesion 13.02 N/A 9.37 0.98 N/A 23.37 090 42426 A Excise parotid gland/lesion 21.26 N/A 13.82 1.57 N/A 36.65 090 42440 A Excise submaxillary gland 6.97 N/A 5.25 0.51 N/A 12.73 090 42450 A Excise sublingual gland 4.62 5.90 4.42 0.34 10.86 9.38 090 42500 A Repair salivary duct 4.30 5.69 4.37 0.30 10.29 8.97 090 42505 A Repair salivary duct 6.18 7.18 5.58 0.44 13.80 12.20 090 42507 A Parotid duct diversion 6.11 N/A 5.40 0.66 N/A 12.17 090 42508 A Parotid duct diversion 9.10 N/A 7.30 0.64 N/A 17.04 090 42509 A Parotid duct diversion 11.54 N/A 8.48 1.24 N/A 21.26 090 42510 A Parotid duct diversion 8.15 N/A 6.30 0.57 N/A 15.02 090 42550 A Injection for salivary x-ray 1.25 10.77 0.42 0.06 12.08 1.73 000 42600 A Closure of salivary fistula 4.82 6.09 4.70 0.34 11.25 9.86 090 42650 A Dilation of salivary duct 0.77 1.23 0.73 0.06 2.06 1.56 000 42660 A Dilation of salivary duct 1.13 1.56 0.85 0.07 2.76 2.05 000 42665 A Ligation of salivary duct 2.53 3.73 3.12 0.17 6.43 5.82 090 42699 C Salivary surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 42700 A Drainage of tonsil abscess 1.62 2.90 1.79 0.12 4.64 3.53 010 Start Printed Page 49129 42720 A Drainage of throat abscess 5.42 5.24 3.93 0.39 11.05 9.74 010 42725 A Drainage of throat abscess 10.72 N/A 8.26 0.80 N/A 19.78 090 42800 A Biopsy of throat 1.39 2.35 1.45 0.10 3.84 2.94 010 42802 A Biopsy of throat 1.54 3.17 1.62 0.11 4.82 3.27 010 42804 A Biopsy of upper nose/throat 1.24 3.16 1.54 0.09 4.49 2.87 010 42806 A Biopsy of upper nose/throat 1.58 3.17 1.66 0.12 4.87 3.36 010 42808 A Excise pharynx lesion 2.30 3.31 1.99 0.17 5.78 4.46 010 42809 A Remove pharynx foreign body 1.81 2.46 1.40 0.13 4.40 3.34 010 42810 A Excision of neck cyst 3.25 5.05 3.53 0.25 8.55 7.03 090 42815 A Excision of neck cyst 7.07 N/A 5.63 0.53 N/A 13.23 090 42820 A Remove tonsils and adenoids 3.91 N/A 3.63 0.28 N/A 7.82 090 42821 A Remove tonsils and adenoids 4.29 N/A 3.81 0.30 N/A 8.40 090 42825 A Removal of tonsils 3.42 N/A 3.43 0.24 N/A 7.09 090 42826 A Removal of tonsils 3.38 N/A 3.33 0.23 N/A 6.94 090 42830 A Removal of adenoids 2.57 N/A 2.68 0.18 N/A 5.43 090 42831 A Removal of adenoids 2.71 N/A 2.94 0.19 N/A 5.84 090 42835 A Removal of adenoids 2.30 N/A 2.72 0.17 N/A 5.19 090 42836 A Removal of adenoids 3.18 N/A 3.26 0.22 N/A 6.66 090 42842 A Extensive surgery of throat 8.76 N/A 7.01 0.61 N/A 16.38 090 42844 A Extensive surgery of throat 14.31 N/A 10.36 1.04 N/A 25.71 090 42845 A Extensive surgery of throat 24.29 N/A 16.60 1.76 N/A 42.65 090 42860 A Excision of tonsil tags 2.22 N/A 2.68 0.16 N/A 5.06 090 42870 A Excision of lingual tonsil 5.40 N/A 5.02 0.38 N/A 10.80 090 42890 A Partial removal of pharynx 12.94 N/A 9.67 0.91 N/A 23.52 090 42892 A Revision of pharyngeal walls 15.83 N/A 11.27 1.14 N/A 28.24 090 42894 A Revision of pharyngeal walls 22.88 N/A 15.55 1.64 N/A 40.07 090 42900 A Repair throat wound 5.25 N/A 3.79 0.39 N/A 9.43 010 42950 A Reconstruction of throat 8.10 N/A 6.82 0.58 N/A 15.50 090 42953 A Repair throat, esophagus 8.96 N/A 7.77 0.73 N/A 17.46 090 42955 A Surgical opening of throat 7.39 N/A 5.73 0.63 N/A 13.75 090 42960 A Control throat bleeding 2.33 N/A 2.08 0.17 N/A 4.58 010 42961 A Control throat bleeding 5.59 N/A 5.02 0.40 N/A 11.01 090 42962 A Control throat bleeding 7.14 N/A 5.91 0.51 N/A 13.56 090 42970 A Control nose/throat bleeding 5.43 N/A 3.72 0.37 N/A 9.52 090 42971 A Control nose/throat bleeding 6.21 N/A 5.17 0.45 N/A 11.83 090 42972 A Control nose/throat bleeding 7.20 N/A 5.64 0.54 N/A 13.38 090 42999 C Throat surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43020 A Incision of esophagus 8.09 N/A 5.75 0.70 N/A 14.54 090 43030 A Throat muscle surgery 7.69 N/A 6.00 0.60 N/A 14.29 090 43045 A Incision of esophagus 20.12 N/A 10.51 2.15 N/A 32.78 090 43100 A Excision of esophagus lesion 9.19 N/A 6.31 0.79 N/A 16.29 090 43101 A Excision of esophagus lesion 16.24 N/A 7.83 1.81 N/A 25.88 090 43107 A Removal of esophagus 40.00 N/A 17.03 3.29 N/A 60.32 090 43108 A Removal of esophagus 34.19 N/A 14.36 3.78 N/A 52.33 090 43112 A Removal of esophagus 43.50 N/A 18.14 3.67 N/A 65.31 090 43113 A Removal of esophagus 35.27 N/A 15.19 4.33 N/A 54.79 090 43116 A Partial removal of esophagus 31.22 N/A 17.10 2.62 N/A 50.94 090 43117 A Partial removal of esophagus 40.00 N/A 16.27 3.51 N/A 59.78 090 43118 A Partial removal of esophagus 33.20 N/A 13.89 3.56 N/A 50.65 090 Start Printed Page 49130 43121 A Partial removal of esophagus 29.19 N/A 12.58 3.44 N/A 45.21 090 43122 A Partial removal of esophagus 40.00 N/A 16.47 3.27 N/A 59.74 090 43123 A Partial removal of esophagus 33.20 N/A 14.10 3.96 N/A 51.26 090 43124 A Removal of esophagus 27.32 N/A 13.15 2.95 N/A 43.42 090 43130 A Removal of esophagus pouch 11.75 N/A 7.69 1.06 N/A 20.50 090 43135 A Removal of esophagus pouch 16.10 N/A 8.04 1.85 N/A 25.99 090 43200 A Esophagus endoscopy 1.59 4.49 1.11 0.11 6.19 2.81 000 43201 A Esoph scope w/submucous inj 2.09 4.92 1.29 0.12 7.13 3.50 000 43202 A Esophagus endoscopy, biopsy 1.89 5.61 0.98 0.12 7.62 2.99 000 43204 A Esoph scope w/sclerosis inj 3.77 N/A 1.57 0.18 N/A 5.52 000 43205 A Esophagus endoscopy/ligation 3.79 N/A 1.58 0.17 N/A 5.54 000 43215 A Esophagus endoscopy 2.60 N/A 1.24 0.17 N/A 4.01 000 43216 A Esophagus endoscopy/lesion 2.40 N/A 1.21 0.15 N/A 3.76 000 43217 A Esophagus endoscopy 2.90 6.99 1.24 0.17 10.06 4.31 000 43219 A Esophagus endoscopy 2.80 N/A 1.39 0.16 N/A 4.35 000 43220 A Esoph endoscopy, dilation 2.10 N/A 1.00 0.12 N/A 3.22 000 43226 A Esoph endoscopy, dilation 2.34 N/A 1.07 0.12 N/A 3.53 000 43227 A Esoph endoscopy, repair 3.60 N/A 1.50 0.18 N/A 5.28 000 43228 A Esoph endoscopy, ablation 3.77 N/A 1.60 0.25 N/A 5.62 000 43231 A Esoph endoscopy w/us exam 3.19 N/A 1.35 0.20 N/A 4.74 000 43232 A Esoph endoscopy w/us fn bx 4.48 N/A 1.87 0.26 N/A 6.61 000 43234 A Upper GI endoscopy, exam 2.01 5.37 0.91 0.13 7.51 3.05 000 43235 A Uppr gi endoscopy, diagnosis 2.39 5.18 1.06 0.13 7.70 3.58 000 43236 A Uppr gi scope w/submuc inj 2.92 6.11 1.26 0.14 9.17 4.32 000 43239 A Upper GI endoscopy, biopsy 2.87 5.73 1.23 0.14 8.74 4.24 000 43240 A Esoph endoscope w/drain cyst 6.86 N/A 2.68 0.36 N/A 9.90 000 43241 A Upper GI endoscopy with tube 2.59 N/A 1.14 0.14 N/A 3.87 000 43242 A Uppr gi endoscopy w/us fn bx 7.31 N/A 2.81 0.29 N/A 10.41 000 43243 A Upper gi endoscopy & inject 4.57 N/A 1.85 0.21 N/A 6.63 000 43244 A Upper GI endoscopy/ligation 5.05 N/A 2.02 0.21 N/A 7.28 000 43245 A Uppr gi scope dilate strictr 3.18 N/A 1.34 0.18 N/A 4.70 000 43246 A Place gastrostomy tube 4.33 N/A 1.75 0.24 N/A 6.32 000 43247 A Operative upper GI endoscopy 3.39 N/A 1.42 0.17 N/A 4.98 000 43248 A Uppr gi endoscopy/guide wire 3.15 N/A 1.35 0.15 N/A 4.65 000 43249 A Esoph endoscopy, dilation 2.90 N/A 1.25 0.15 N/A 4.30 000 43250 A Upper GI endoscopy/tumor 3.20 N/A 1.35 0.17 N/A 4.72 000 43251 A Operative upper GI endoscopy 3.70 N/A 1.53 0.19 N/A 5.42 000 43255 A Operative upper GI endoscopy 4.82 N/A 1.94 0.20 N/A 6.96 000 43256 A Uppr gi endoscopy w stent 4.35 N/A 1.77 0.23 N/A 6.35 000 Start Printed Page 49131 43258 A Operative upper GI endoscopy 4.55 N/A 1.84 0.22 N/A 6.61 000 43259 A Endoscopic ultrasound exam 4.89 N/A 1.95 0.22 N/A 7.06 000 43260 A Endo cholangiopancreatograph 5.96 N/A 2.35 0.27 N/A 8.58 000 43261 A Endo cholangiopancreatograph 6.27 N/A 2.46 0.29 N/A 9.02 000 43262 A Endo cholangiopancreatograph 7.39 N/A 2.86 0.34 N/A 10.59 000 43263 A Endo cholangiopancreatograph 7.29 N/A 2.84 0.28 N/A 10.41 000 43264 A Endo cholangiopancreatograph 8.90 N/A 3.40 0.41 N/A 12.71 000 43265 A Endo cholangiopancreatograph 10.02 N/A 3.80 0.42 N/A 14.24 000 43267 A Endo cholangiopancreatograph 7.39 N/A 2.86 0.34 N/A 10.59 000 43268 A Endo cholangiopancreatograph 7.39 N/A 2.96 0.34 N/A 10.69 000 43269 A Endo cholangiopancreatograph 8.21 N/A 3.16 0.28 N/A 11.65 000 43271 A Endo cholangiopancreatograph 7.39 N/A 2.86 0.34 N/A 10.59 000 43272 A Endo cholangiopancreatograph 7.39 N/A 2.87 0.34 N/A 10.60 000 43280 A Laparoscopy, fundoplasty 17.25 N/A 7.53 1.76 N/A 26.54 090 43289 C Laparoscope proc, esoph 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43300 A Repair of esophagus 9.14 N/A 6.59 0.85 N/A 16.58 090 43305 A Repair esophagus and fistula 17.39 N/A 10.98 1.36 N/A 29.73 090 43310 A Repair of esophagus 25.39 N/A 11.21 3.18 N/A 39.78 090 43312 A Repair esophagus and fistula 28.42 N/A 12.16 3.38 N/A 43.96 090 43313 A Esophagoplasty congenital 45.28 N/A 20.57 5.43 N/A 71.28 090 43314 A Tracheo-esophagoplasty cong 50.27 N/A 22.50 5.53 N/A 78.30 090 43320 A Fuse esophagus & stomach 19.93 N/A 9.30 1.59 N/A 30.82 090 43324 A Revise esophagus & stomach 20.57 N/A 8.98 1.72 N/A 31.27 090 43325 A Revise esophagus & stomach 20.06 N/A 8.96 1.65 N/A 30.67 090 43326 A Revise esophagus & stomach 19.74 N/A 9.27 1.84 N/A 30.85 090 43330 A Repair of esophagus 19.77 N/A 8.73 1.52 N/A 30.02 090 43331 A Repair of esophagus 20.13 N/A 9.75 1.93 N/A 31.81 090 43340 A Fuse esophagus & intestine 19.61 N/A 9.08 1.53 N/A 30.22 090 43341 A Fuse esophagus & intestine 20.85 N/A 10.02 2.14 N/A 33.01 090 43350 A Surgical opening, esophagus 15.78 N/A 8.57 1.15 N/A 25.50 090 43351 A Surgical opening, esophagus 18.35 N/A 9.69 1.51 N/A 29.55 090 Start Printed Page 49132 43352 A Surgical opening, esophagus 15.26 N/A 8.45 1.28 N/A 24.99 090 43360 A Gastrointestinal repair 35.70 N/A 15.16 3.00 N/A 53.86 090 43361 A Gastrointestinal repair 40.50 N/A 16.97 3.52 N/A 60.99 090 43400 A Ligate esophagus veins 21.20 N/A 9.64 0.99 N/A 31.83 090 43401 A Esophagus surgery for veins 22.09 N/A 9.72 1.73 N/A 33.54 090 43405 A Ligate/staple esophagus 20.01 N/A 9.56 1.63 N/A 31.20 090 43410 A Repair esophagus wound 13.47 N/A 7.66 1.15 N/A 22.28 090 43415 A Repair esophagus wound 25.00 N/A 11.70 1.92 N/A 38.62 090 43420 A Repair esophagus opening 14.35 N/A 7.63 0.86 N/A 22.84 090 43425 A Repair esophagus opening 21.03 N/A 9.94 2.03 N/A 33.00 090 43450 A Dilate esophagus 1.38 2.54 0.72 0.07 3.99 2.17 000 43453 A Dilate esophagus 1.51 6.12 0.79 0.08 7.71 2.38 000 43456 A Dilate esophagus 2.57 14.11 1.17 0.14 16.82 3.88 000 43458 A Dilate esophagus 3.06 6.73 1.36 0.17 9.96 4.59 000 43460 A Pressure treatment esophagus 3.80 N/A 1.51 0.21 N/A 5.52 000 43496 C Free jejunum flap, microvasc 0.00 0.00 0.00 0.00 0.00 0.00 090 43499 C Esophagus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43500 A Surgical opening of stomach 11.05 N/A 5.23 0.84 N/A 17.12 090 43501 A Surgical repair of stomach 20.04 N/A 8.63 1.55 N/A 30.22 090 43502 A Surgical repair of stomach 23.13 N/A 9.79 1.83 N/A 34.75 090 43510 A Surgical opening of stomach 13.08 N/A 6.84 0.90 N/A 20.82 090 43520 A Incision of pyloric muscle 9.99 N/A 5.44 0.84 N/A 16.27 090 43600 A Biopsy of stomach 1.91 N/A 1.04 0.11 N/A 3.06 000 43605 A Biopsy of stomach 11.98 N/A 5.54 0.93 N/A 18.45 090 43610 A Excision of stomach lesion 14.60 N/A 6.47 1.14 N/A 22.21 090 43611 A Excision of stomach lesion 17.84 N/A 7.88 1.38 N/A 27.10 090 43620 A Removal of stomach 30.04 N/A 12.22 2.29 N/A 44.55 090 43621 A Removal of stomach 30.73 N/A 12.43 2.36 N/A 45.52 090 43622 A Removal of stomach 32.53 N/A 13.03 2.48 N/A 48.04 090 43631 A Removal of stomach, partial 22.59 N/A 9.49 1.99 N/A 34.07 090 43632 A Removal of stomach, partial 22.59 N/A 9.50 2.00 N/A 34.09 090 43633 A Removal of stomach, partial 23.10 N/A 9.67 2.05 N/A 34.82 090 43634 A Removal of stomach, partial 25.12 N/A 10.43 2.18 N/A 37.73 090 43635 A Removal of stomach, partial 2.06 N/A 0.72 0.21 N/A 2.99 ZZZ 43638 A Removal of stomach, partial 29.00 N/A 12.20 2.24 N/A 43.44 090 43639 A Removal of stomach, partial 29.65 N/A 12.03 2.31 N/A 43.99 090 43640 A Vagotomy & pylorus repair 17.02 N/A 7.56 1.51 N/A 26.09 090 43641 A Vagotomy & pylorus repair 17.27 N/A 7.66 1.53 N/A 26.46 090 43651 A Laparoscopy, vagus nerve 10.15 N/A 4.82 1.03 N/A 16.00 090 43652 A Laparoscopy, vagus nerve 12.15 N/A 5.53 1.25 N/A 18.93 090 43653 A Laparoscopy, gastrostomy 7.73 N/A 4.43 0.78 N/A 12.94 090 43659 C Laparoscope proc, stom 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43750 A Place gastrostomy tube 4.49 N/A 2.75 0.33 N/A 7.57 010 43760 A Change gastrostomy tube 1.10 1.68 0.46 0.07 2.85 1.63 000 43761 A Reposition gastrostomy tube 2.01 N/A 0.80 0.10 N/A 2.91 000 43800 A Reconstruction of pylorus 13.69 N/A 6.20 1.07 N/A 20.96 090 43810 A Fusion of stomach and bowel 14.65 N/A 6.50 1.10 N/A 22.25 090 43820 A Fusion of stomach and bowel 15.37 N/A 6.74 1.18 N/A 23.29 090 Start Printed Page 49133 43825 A Fusion of stomach and bowel 19.22 N/A 8.33 1.50 N/A 29.05 090 43830 A Place gastrostomy tube 9.53 N/A 5.10 0.69 N/A 15.32 090 43831 A Place gastrostomy tube 7.84 N/A 4.65 0.81 N/A 13.30 090 43832 A Place gastrostomy tube 15.60 N/A 7.19 1.13 N/A 23.92 090 43840 A Repair of stomach lesion 15.56 N/A 7.05 1.20 N/A 23.81 090 43842 A Gastroplasty for obesity 18.47 N/A 8.44 1.51 N/A 28.42 090 43843 A Gastroplasty for obesity 18.65 N/A 8.38 1.53 N/A 28.56 090 43846 A Gastric bypass for obesity 24.05 N/A 10.70 1.96 N/A 36.71 090 43847 A Gastric bypass for obesity 26.92 N/A 11.69 2.14 N/A 40.75 090 43848 A Revision gastroplasty 29.39 N/A 12.62 2.39 N/A 44.40 090 43850 A Revise stomach-bowel fusion 24.72 N/A 10.17 1.97 N/A 36.86 090 43855 A Revise stomach-bowel fusion 26.16 N/A 10.74 2.01 N/A 38.91 090 43860 A Revise stomach-bowel fusion 25.00 N/A 10.33 2.03 N/A 37.36 090 43865 A Revise stomach-bowel fusion 26.52 N/A 10.86 2.15 N/A 39.53 090 43870 A Repair stomach opening 9.69 N/A 4.80 0.71 N/A 15.20 090 43880 A Repair stomach-bowel fistula 24.65 N/A 10.31 1.94 N/A 36.90 090 43999 C Stomach surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44005 A Freeing of bowel adhesion 16.23 N/A 6.91 1.39 N/A 24.53 090 44010 A Incision of small bowel 12.52 N/A 5.65 1.05 N/A 19.22 090 44015 A Insert needle cath bowel 2.62 N/A 0.90 0.25 N/A 3.77 ZZZ 44020 A Explore small intestine 13.99 N/A 6.11 1.20 N/A 21.30 090 44021 A Decompress small bowel 14.08 N/A 6.18 1.18 N/A 21.44 090 44025 A Incision of large bowel 14.28 N/A 6.20 1.21 N/A 21.69 090 44050 A Reduce bowel obstruction 14.03 N/A 6.13 1.15 N/A 21.31 090 44055 A Correct malrotation of bowel 22.00 N/A 8.96 1.32 N/A 32.28 090 44100 A Biopsy of bowel 2.01 N/A 1.11 0.12 N/A 3.24 000 44110 A Excise intestine lesion(s) 11.81 N/A 5.40 1.00 N/A 18.21 090 44111 A Excision of bowel lesion(s) 14.29 N/A 6.35 1.22 N/A 21.86 090 44120 A Removal of small intestine 17.00 N/A 7.23 1.46 N/A 25.69 090 44121 A Removal of small intestine 4.45 N/A 1.55 0.46 N/A 6.46 ZZZ 44125 A Removal of small intestine 17.54 N/A 7.41 1.49 N/A 26.44 090 44126 A Enterectomy w/o taper, cong 35.50 N/A 14.38 0.36 N/A 50.24 090 44127 A Enterectomy w/taper, cong 41.00 N/A 18.39 0.41 N/A 59.80 090 44128 A Enterectomy cong, add-on 4.45 N/A 1.58 0.45 N/A 6.48 ZZZ 44130 A Bowel to bowel fusion 14.49 N/A 6.35 1.23 N/A 22.07 090 44132 R Enterectomy, cadaver donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44133 R Enterectomy, live donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44135 R Intestine transplnt, cadaver 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44136 R Intestine transplant, live 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44139 A Mobilization of colon 2.23 N/A 0.78 0.21 N/A 3.22 ZZZ 44140 A Partial removal of colon 21.00 N/A 8.83 2.14 N/A 31.97 090 44141 A Partial removal of colon 19.51 N/A 10.29 1.95 N/A 31.75 090 44143 A Partial removal of colon 22.99 N/A 10.91 2.02 N/A 35.92 090 44144 A Partial removal of colon 21.53 N/A 9.76 1.89 N/A 33.18 090 44145 A Partial removal of colon 26.42 N/A 11.05 2.22 N/A 39.69 090 44146 A Partial removal of colon 27.54 N/A 13.15 2.20 N/A 42.89 090 44147 A Partial removal of colon 20.71 N/A 8.85 1.74 N/A 31.30 090 44150 A Removal of colon 23.95 N/A 12.30 2.05 N/A 38.30 090 44151 A Removal of colon/ileostomy 26.88 N/A 13.73 1.97 N/A 42.58 090 44152 A Removal of colon/ileostomy 27.83 N/A 11.88 2.36 N/A 42.07 090 44153 A Removal of colon/ileostomy 30.59 N/A 14.77 2.33 N/A 47.69 090 Start Printed Page 49134 44155 A Removal of colon/ileostomy 27.86 N/A 13.64 2.26 N/A 43.76 090 44156 A Removal of colon/ileostomy 30.79 N/A 15.33 2.19 N/A 48.31 090 44160 A Removal of colon 18.62 N/A 7.91 1.86 N/A 28.39 090 44200 A Laparoscopy, enterolysis 14.44 N/A 6.32 1.46 N/A 22.22 090 44201 A Laparoscopy, jejunostomy 9.78 N/A 4.74 0.97 N/A 15.49 090 44202 A Lap resect s/intestine singl 22.04 N/A 9.12 2.16 N/A 33.32 090 44203 A Lap resect s/intestine, addl 4.45 N/A 1.53 0.46 N/A 6.44 ZZZ 44204 A Laparo partial colectomy 25.08 N/A 10.15 2.55 N/A 37.78 090 44205 A Lap colectomy part w/ileum 22.23 N/A 9.02 2.23 N/A 33.48 090 44206 A Lap part colectomy w/stoma 27.00 N/A 11.54 2.02 N/A 40.56 090 44207 A L colectomy/coloproctostomy 30.00 N/A 11.78 2.22 N/A 44.00 090 44208 A L colectomy/coloproctostomy 32.00 N/A 13.48 2.20 N/A 47.68 090 44210 A Laparo total proctocolectomy 28.00 N/A 12.21 2.05 N/A 42.26 090 44211 A Laparo total proctocolectomy 35.00 N/A 14.98 2.33 N/A 52.31 090 44212 A Laparo total proctocolectomy 32.50 N/A 14.09 2.26 N/A 48.85 090 44238 C Laparoscope proc, intestine 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44239 C Laparoscope proc, rectum 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44300 A Open bowel to skin 12.11 N/A 5.59 0.88 N/A 18.58 090 44310 A Ileostomy/jejunostomy 15.95 N/A 6.84 1.13 N/A 23.92 090 44312 A Revision of ileostomy 8.02 N/A 4.08 0.54 N/A 12.64 090 44314 A Revision of ileostomy 15.05 N/A 6.71 0.99 N/A 22.75 090 44316 A Devise bowel pouch 21.09 N/A 8.73 1.41 N/A 31.23 090 44320 A Colostomy 17.64 N/A 7.83 1.28 N/A 26.75 090 44322 A Colostomy with biopsies 11.98 N/A 8.80 1.18 N/A 21.96 090 44340 A Revision of colostomy 7.72 N/A 4.36 0.56 N/A 12.64 090 44345 A Revision of colostomy 15.43 N/A 7.03 1.11 N/A 23.57 090 44346 A Revision of colostomy 16.99 N/A 7.54 1.20 N/A 25.73 090 44360 A Small bowel endoscopy 2.59 N/A 1.14 0.14 N/A 3.87 000 44361 A Small bowel endoscopy/biopsy 2.87 N/A 1.24 0.15 N/A 4.26 000 44363 A Small bowel endoscopy 3.50 N/A 1.43 0.19 N/A 5.12 000 44364 A Small bowel endoscopy 3.74 N/A 1.55 0.21 N/A 5.50 000 44365 A Small bowel endoscopy 3.31 N/A 1.41 0.18 N/A 4.90 000 44366 A Small bowel endoscopy 4.41 N/A 1.79 0.22 N/A 6.42 000 44369 A Small bowel endoscopy 4.52 N/A 1.79 0.23 N/A 6.54 000 44370 A Small bowel endoscopy/stent 4.80 N/A 2.03 0.21 N/A 7.04 000 44372 A Small bowel endoscopy 4.41 N/A 1.78 0.27 N/A 6.46 000 44373 A Small bowel endoscopy 3.50 N/A 1.47 0.19 N/A 5.16 000 44376 A Small bowel endoscopy 5.26 N/A 2.08 0.29 N/A 7.63 000 44377 A Small bowel endoscopy/biopsy 5.53 N/A 2.20 0.28 N/A 8.01 000 44378 A Small bowel endoscopy 7.13 N/A 2.77 0.37 N/A 10.27 000 44379 A S bowel endoscope w/stent 7.47 N/A 2.99 0.38 N/A 10.84 000 44380 A Small bowel endoscopy 1.05 N/A 0.58 0.08 N/A 1.71 000 44382 A Small bowel endoscopy 1.27 N/A 0.66 0.09 N/A 2.02 000 44383 A Ileoscopy w/stent 2.94 N/A 1.31 0.13 N/A 4.38 000 44385 A Endoscopy of bowel pouch 1.82 5.20 0.98 0.12 7.14 2.92 000 44386 A Endoscopy, bowel pouch/biop 2.12 6.70 1.13 0.15 8.97 3.40 000 44388 A Colon endoscopy 2.82 5.29 1.19 0.18 8.29 4.19 000 44389 A Colonoscopy with biopsy 3.13 6.68 1.31 0.18 9.99 4.62 000 44390 A Colonoscopy for foreign body 3.83 6.92 1.54 0.22 10.97 5.59 000 Start Printed Page 49135 44391 A Colonoscopy for bleeding 4.32 8.97 1.75 0.23 13.52 6.30 000 44392 A Colonoscopy & polypectomy 3.82 6.74 1.54 0.23 10.79 5.59 000 44393 A Colonoscopy, lesion removal 4.84 7.09 1.92 0.27 12.20 7.03 000 44394 A Colonoscopy w/snare 4.43 7.95 1.78 0.26 12.64 6.47 000 44397 A Colonoscopy w/stent 4.71 N/A 2.10 0.28 N/A 7.09 000 44500 A Intro, gastrointestinal tube 0.49 N/A 0.36 0.02 N/A 0.87 000 44602 A Suture, small intestine 16.03 N/A 6.53 1.07 N/A 23.63 090 44603 A Suture, small intestine 18.66 N/A 7.43 1.39 N/A 27.48 090 44604 A Suture, large intestine 16.03 N/A 6.60 1.42 N/A 24.05 090 44605 A Repair of bowel lesion 19.53 N/A 8.59 1.54 N/A 29.66 090 44615 A Intestinal stricturoplasty 15.93 N/A 6.82 1.39 N/A 24.14 090 44620 A Repair bowel opening 12.20 N/A 5.44 1.05 N/A 18.69 090 44625 A Repair bowel opening 15.05 N/A 6.44 1.30 N/A 22.79 090 44626 A Repair bowel opening 25.36 N/A 10.02 2.53 N/A 37.91 090 44640 A Repair bowel-skin fistula 21.65 N/A 8.76 1.46 N/A 31.87 090 44650 A Repair bowel fistula 22.57 N/A 9.07 1.49 N/A 33.13 090 44660 A Repair bowel-bladder fistula 21.36 N/A 8.55 1.14 N/A 31.05 090 44661 A Repair bowel-bladder fistula 24.81 N/A 9.77 1.53 N/A 36.11 090 44680 A Surgical revision, intestine 15.40 N/A 6.59 1.37 N/A 23.36 090 44700 A Suspend bowel w/prosthesis 16.11 N/A 6.81 1.21 N/A 24.13 090 44701 A Intraop colon lavage add-on 3.10 N/A 1.08 0.21 N/A 4.39 ZZZ 44799 C Intestine surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44800 A Excision of bowel pouch 11.23 N/A 5.49 1.11 N/A 17.83 090 44820 A Excision of mesentery lesion 12.09 N/A 5.60 1.03 N/A 18.72 090 44850 A Repair of mesentery 10.74 N/A 5.09 0.99 N/A 16.82 090 44899 C Bowel surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44900 A Drain app abscess, open 10.14 N/A 4.80 0.84 N/A 15.78 090 44901 A Drain app abscess, percut 3.38 N/A 4.61 0.17 N/A 8.16 000 44950 A Appendectomy 10.00 N/A 4.41 0.88 N/A 15.29 090 44955 A Appendectomy add-on 1.53 N/A 0.55 0.16 N/A 2.24 ZZZ 44960 A Appendectomy 12.34 N/A 5.46 1.09 N/A 18.89 090 44970 A Laparoscopy, appendectomy 8.70 N/A 4.30 0.88 N/A 13.88 090 44979 C Laparoscope proc, app 0.00 0.00 0.00 0.00 0.00 0.00 YYY 45000 A Drainage of pelvic abscess 4.52 N/A 3.01 0.37 N/A 7.90 090 45005 A Drainage of rectal abscess 1.99 4.92 1.71 0.18 7.09 3.88 010 45020 A Drainage of rectal abscess 4.72 N/A 3.34 0.41 N/A 8.47 090 45100 A Biopsy of rectum 3.68 N/A 2.42 0.33 N/A 6.43 090 45108 A Removal of anorectal lesion 4.76 N/A 2.95 0.46 N/A 8.17 090 45110 A Removal of rectum 28.00 N/A 12.69 2.26 N/A 42.95 090 45111 A Partial removal of rectum 16.48 N/A 7.33 1.60 N/A 25.41 090 45112 A Removal of rectum 30.54 N/A 12.03 2.35 N/A 44.92 090 45113 A Partial proctectomy 30.58 N/A 12.92 2.13 N/A 45.63 090 45114 A Partial removal of rectum 27.32 N/A 11.18 2.28 N/A 40.78 090 45116 A Partial removal of rectum 24.58 N/A 10.26 2.00 N/A 36.84 090 45119 A Remove rectum w/reservoir 30.84 N/A 12.77 2.13 N/A 45.74 090 45120 A Removal of rectum 24.60 N/A 10.36 2.28 N/A 37.24 090 45121 A Removal of rectum and colon 27.04 N/A 11.34 2.66 N/A 41.04 090 45123 A Partial proctectomy 16.71 N/A 7.01 1.04 N/A 24.76 090 45126 A Pelvic exenteration 45.16 N/A 19.84 3.23 N/A 68.23 090 45130 A Excision of rectal prolapse 16.44 N/A 6.92 1.12 N/A 24.48 090 45135 A Excision of rectal prolapse 19.28 N/A 8.57 1.52 N/A 29.37 090 45136 A Excise ileoanal reservior 27.30 N/A 12.70 2.72 N/A 42.72 090 45150 A Excision of rectal stricture 5.67 N/A 3.01 0.46 N/A 9.14 090 Start Printed Page 49136 45160 A Excision of rectal lesion 15.32 N/A 6.79 1.07 N/A 23.18 090 45170 A Excision of rectal lesion 11.49 N/A 5.35 0.89 N/A 17.73 090 45190 A Destruction, rectal tumor 9.74 N/A 4.71 0.76 N/A 15.21 090 45300 A Proctosigmoidoscopy dx 0.38 1.50 0.31 0.05 1.93 0.74 000 45303 A Proctosigmoidoscopy dilate 0.44 19.74 0.35 0.06 20.24 0.85 000 45305 A Proctosigmoidoscopy w/bx 1.01 2.62 0.53 0.09 3.72 1.63 000 45307 A Proctosigmoidoscopy fb 0.94 3.07 0.51 0.15 4.16 1.60 000 45308 A Proctosigmoidoscopy removal 0.83 1.97 0.47 0.13 2.93 1.43 000 45309 A Proctosigmoidoscopy removal 2.01 2.82 0.87 0.17 5.00 3.05 000 45315 A Proctosigmoidoscopy removal 1.40 2.85 0.67 0.20 4.45 2.27 000 45317 A Proctosigmoidoscopy bleed 1.50 2.43 0.69 0.20 4.13 2.39 000 45320 A Proctosigmoidoscopy ablate 1.58 2.89 0.74 0.20 4.67 2.52 000 45321 A Proctosigmoidoscopy volvul 1.17 N/A 0.59 0.17 N/A 1.93 000 45327 A Proctosigmoidoscopy w/stent 1.65 N/A 0.71 0.10 N/A 2.46 000 45330 A Diagnostic sigmoidoscopy 0.96 2.25 0.53 0.05 3.26 1.54 000 45331 A Sigmoidoscopy and biopsy 1.15 2.90 0.64 0.07 4.12 1.86 000 45332 A Sigmoidoscopy w/fb removal 1.79 4.86 0.86 0.11 6.76 2.76 000 45333 A Sigmoidoscopy & polypectomy 1.79 4.81 0.86 0.12 6.72 2.77 000 45334 A Sigmoidoscopy for bleeding 2.73 N/A 1.21 0.16 N/A 4.10 000 45335 A Sigmoidoscope w/submuc inj 1.36 3.27 0.66 0.07 4.70 2.09 000 45337 A Sigmoidoscopy & decompress 2.36 N/A 1.06 0.15 N/A 3.57 000 45338 A Sigmoidoscpy w/tumr remove 2.34 5.13 1.07 0.15 7.62 3.56 000 45339 A Sigmoidoscopy w/ablate tumr 3.14 3.36 1.35 0.17 6.67 4.66 000 45340 A Sig w/balloon dilation 1.66 6.60 0.76 0.07 8.33 2.49 000 45341 A Sigmoidoscopy w/ultrasound 2.60 N/A 1.15 0.20 N/A 3.95 000 45342 A Sigmoidoscopy w/us guide bx 4.06 N/A 1.62 0.23 N/A 5.91 000 45345 A Sigmoidoscopy w/stent 2.92 N/A 1.22 0.15 N/A 4.29 000 45355 A Surgical colonoscopy 3.52 N/A 1.43 0.26 N/A 5.21 000 45378 A Diagnostic colonoscopy 3.70 6.30 1.68 0.20 10.20 5.58 000 45378 53 A Diagnostic colonoscopy 0.96 2.25 0.53 0.05 3.26 1.54 000 45379 A Colonoscopy w/fb removal 4.69 7.83 1.94 0.25 12.77 6.88 000 45380 A Colonoscopy and biopsy 4.44 7.26 1.81 0.21 11.91 6.46 000 45381 A Colonoscope, submucous inj 4.20 8.00 1.72 0.21 12.41 6.13 000 45382 A Colonoscopy/control bleeding 5.69 10.03 2.32 0.27 15.99 8.28 000 45383 A Lesion removal colonoscopy 5.87 8.05 2.31 0.32 14.24 8.50 000 45384 A Lesion remove colonoscopy 4.70 6.87 1.91 0.24 11.81 6.85 000 45385 A Lesion removal colonoscopy 5.31 7.90 2.12 0.28 13.49 7.71 000 45386 A Colonoscope dilate stricture 4.58 14.09 1.86 0.21 18.88 6.65 000 45387 A Colonoscopy w/stent 5.91 N/A 2.40 0.33 N/A 8.64 000 45500 A Repair of rectum 7.29 N/A 3.63 0.56 N/A 11.48 090 45505 A Repair of rectum 7.58 N/A 3.87 0.50 N/A 11.95 090 45520 A Treatment of rectal prolapse 0.55 0.86 0.19 0.04 1.45 0.78 000 Start Printed Page 49137 45540 A Correct rectal prolapse 16.27 N/A 6.96 1.17 N/A 24.40 090 45541 A Correct rectal prolapse 13.40 N/A 6.06 0.88 N/A 20.34 090 45550 A Repair rectum/remove sigmoid 23.00 N/A 9.40 1.58 N/A 33.98 090 45560 A Repair of rectocele 10.58 N/A 5.22 0.73 N/A 16.53 090 45562 A Exploration/repair of rectum 15.38 N/A 7.07 1.15 N/A 23.60 090 45563 A Exploration/repair of rectum 23.47 N/A 10.69 1.84 N/A 36.00 090 45800 A Repair rect/bladder fistula 17.77 N/A 7.57 1.14 N/A 26.48 090 45805 A Repair fistula w/colostomy 20.78 N/A 9.71 1.47 N/A 31.96 090 45820 A Repair rectourethral fistula 18.48 N/A 7.76 1.17 N/A 27.41 090 45825 A Repair fistula w/colostomy 21.25 N/A 9.99 0.97 N/A 32.21 090 45900 A Reduction of rectal prolapse 2.61 N/A 1.35 0.17 N/A 4.13 010 45905 A Dilation of anal sphincter 2.30 10.78 1.25 0.14 13.22 3.69 010 45910 A Dilation of rectal narrowing 2.80 15.08 1.46 0.14 18.02 4.40 010 45915 A Remove rectal obstruction 3.14 4.88 1.19 0.17 8.19 4.50 010 45999 C Rectum surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 46020 A Placement of seton 2.90 2.30 1.88 0.22 5.42 5.00 010 46030 A Removal of rectal marker 1.23 1.37 0.72 0.11 2.71 2.06 010 46040 A Incision of rectal abscess 4.96 5.33 3.17 0.48 10.77 8.61 090 46045 A Incision of rectal abscess 4.32 N/A 2.88 0.40 N/A 7.60 090 46050 A Incision of anal abscess 1.19 2.61 0.87 0.11 3.91 2.17 010 46060 A Incision of rectal abscess 5.69 N/A 3.31 0.52 N/A 9.52 090 46070 A Incision of anal septum 2.71 N/A 2.02 0.27 N/A 5.00 090 46080 A Incision of anal sphincter 2.49 2.42 1.15 0.23 5.14 3.87 010 46083 A Incise external hemorrhoid 1.40 2.57 0.96 0.12 4.09 2.48 010 46200 A Removal of anal fissure 3.42 3.66 2.40 0.30 7.38 6.12 090 46210 A Removal of anal crypt 2.67 4.85 2.14 0.26 7.78 5.07 090 46211 A Removal of anal crypts 4.25 5.11 2.91 0.37 9.73 7.53 090 46220 A Removal of anal tag 1.56 2.31 0.95 0.14 4.01 2.65 010 46221 A Ligation of hemorrhoid(s) 2.04 1.64 1.14 0.12 3.80 3.30 010 46230 A Removal of anal tags 2.57 3.10 1.30 0.22 5.89 4.09 010 46250 A Hemorrhoidectomy 3.89 4.97 2.48 0.43 9.29 6.80 090 46255 A Hemorrhoidectomy 4.60 5.52 2.71 0.51 10.63 7.82 090 46257 A Remove hemorrhoids & fissure 5.40 N/A 2.91 0.59 N/A 8.90 090 46258 A Remove hemorrhoids & fistula 5.73 N/A 3.27 0.64 N/A 9.64 090 46260 A Hemorrhoidectomy 6.37 N/A 3.29 0.68 N/A 10.34 090 46261 A Remove hemorrhoids & fissure 7.08 N/A 3.67 0.70 N/A 11.45 090 46262 A Remove hemorrhoids & fistula 7.50 N/A 3.81 0.76 N/A 12.07 090 46270 A Removal of anal fistula 3.72 4.73 2.40 0.36 8.81 6.48 090 46275 A Removal of anal fistula 4.56 4.43 2.61 0.40 9.39 7.57 090 46280 A Removal of anal fistula 5.98 N/A 3.32 0.50 N/A 9.80 090 46285 A Removal of anal fistula 4.09 3.67 2.39 0.34 8.10 6.82 090 46288 A Repair anal fistula 7.13 N/A 3.75 0.60 N/A 11.48 090 46320 A Removal of hemorrhoid clot 1.61 2.16 0.87 0.14 3.91 2.62 010 46500 A Injection into hemorrhoid(s) 1.61 2.83 0.63 0.12 4.56 2.36 010 46600 A Diagnostic anoscopy 0.50 1.64 0.39 0.04 2.18 0.93 000 46604 A Anoscopy and dilation 1.31 9.68 0.65 0.09 11.08 2.05 000 46606 A Anoscopy and biopsy 0.81 3.94 0.45 0.07 4.82 1.33 000 46608 A Anoscopy, remove for body 1.51 4.58 0.70 0.13 6.22 2.34 000 46610 A Anoscopy, remove lesion 1.32 4.17 0.65 0.12 5.61 2.09 000 46611 A Anoscopy 1.81 3.45 0.81 0.15 5.41 2.77 000 46612 A Anoscopy, remove lesions 2.34 5.30 1.02 0.18 7.82 3.54 000 46614 A Anoscopy, control bleeding 2.01 2.33 0.88 0.14 4.48 3.03 000 46615 A Anoscopy 2.68 2.57 1.11 0.23 5.48 4.02 000 46700 A Repair of anal stricture 9.13 N/A 4.29 0.56 N/A 13.98 090 Start Printed Page 49138 46705 A Repair of anal stricture 6.90 N/A 3.71 0.73 N/A 11.34 090 46706 A Repr of anal fistula w/glue 2.39 N/A 1.27 0.17 N/A 3.83 010 46715 A Repair of anovaginal fistula 7.20 N/A 3.65 0.76 N/A 11.61 090 46716 A Repair of anovaginal fistula 15.07 N/A 8.18 1.30 N/A 24.55 090 46730 A Construction of absent anus 26.75 N/A 12.31 2.03 N/A 41.09 090 46735 A Construction of absent anus 32.17 N/A 14.15 2.64 N/A 48.96 090 46740 A Construction of absent anus 30.00 N/A 13.53 1.99 N/A 45.52 090 46742 A Repair of imperforated anus 35.80 N/A 17.84 2.63 N/A 56.27 090 46744 A Repair of cloacal anomaly 52.63 N/A 21.45 2.27 N/A 76.35 090 46746 A Repair of cloacal anomaly 58.22 N/A 25.92 2.51 N/A 86.65 090 46748 A Repair of cloacal anomaly 64.21 N/A 25.76 2.77 N/A 92.74 090 46750 A Repair of anal sphincter 10.25 N/A 5.17 0.69 N/A 16.11 090 46751 A Repair of anal sphincter 8.77 N/A 5.39 0.78 N/A 14.94 090 46753 A Reconstruction of anus 8.29 N/A 3.90 0.58 N/A 12.77 090 46754 A Removal of suture from anus 2.20 3.73 1.72 0.12 6.05 4.04 010 46760 A Repair of anal sphincter 14.43 N/A 7.13 0.86 N/A 22.42 090 46761 A Repair of anal sphincter 13.84 N/A 6.16 0.84 N/A 20.84 090 46762 A Implant artificial sphincter 12.71 N/A 5.59 0.71 N/A 19.01 090 46900 A Destruction, anal lesion(s) 1.91 3.60 0.81 0.13 5.64 2.85 010 46910 A Destruction, anal lesion(s) 1.86 2.75 1.12 0.14 4.75 3.12 010 46916 A Cryosurgery, anal lesion(s) 1.86 3.14 1.44 0.09 5.09 3.39 010 46917 A Laser surgery, anal lesions 1.86 14.08 1.15 0.16 16.10 3.17 010 46922 A Excision of anal lesion(s) 1.86 3.38 1.10 0.17 5.41 3.13 010 46924 A Destruction, anal lesion(s) 2.76 12.56 1.39 0.20 15.52 4.35 010 46934 A Destruction of hemorrhoids 3.51 5.18 2.81 0.26 8.95 6.58 090 46935 A Destruction of hemorrhoids 2.43 3.55 1.23 0.17 6.15 3.83 010 46936 A Destruction of hemorrhoids 3.69 4.61 2.38 0.30 8.60 6.37 090 46937 A Cryotherapy of rectal lesion 2.69 2.79 1.25 0.12 5.60 4.06 010 46938 A Cryotherapy of rectal lesion 4.66 4.28 2.74 0.40 9.34 7.80 090 46940 A Treatment of anal fissure 2.32 2.04 1.11 0.17 4.53 3.60 010 46942 A Treatment of anal fissure 2.04 1.87 1.02 0.14 4.05 3.20 010 46945 A Ligation of hemorrhoids 1.84 3.60 1.91 0.17 5.61 3.92 090 46946 A Ligation of hemorrhoids 2.58 4.34 1.92 0.22 7.14 4.72 090 46999 C Anus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47000 A Needle biopsy of liver 1.90 3.29 0.64 0.09 5.28 2.63 000 47001 A Needle biopsy, liver add-on 1.90 N/A 0.66 0.18 N/A 2.74 ZZZ 47010 A Open drainage, liver lesion 16.01 N/A 8.75 0.65 N/A 25.41 090 47011 A Percut drain, liver lesion 3.70 N/A 4.42 0.17 N/A 8.29 000 47015 A Inject/aspirate liver cyst 15.11 N/A 7.70 0.86 N/A 23.67 090 47100 A Wedge biopsy of liver 11.67 N/A 6.22 0.75 N/A 18.64 090 47120 A Partial removal of liver 35.50 N/A 15.57 2.29 N/A 53.36 090 47122 A Extensive removal of liver 55.13 N/A 22.07 3.60 N/A 80.80 090 47125 A Partial removal of liver 49.19 N/A 20.05 3.18 N/A 72.42 090 47130 A Partial removal of liver 53.35 N/A 21.54 3.47 N/A 78.36 090 47134 R Partial removal, donor liver 39.15 N/A 13.51 3.98 N/A 56.64 XXX 47135 R Transplantation of liver 81.52 N/A 32.18 8.13 N/A 121.83 090 47136 R Transplantation of liver 68.60 N/A 29.48 6.93 N/A 105.01 090 47300 A Surgery for liver lesion 15.08 N/A 7.44 0.97 N/A 23.49 090 47350 A Repair liver wound 19.56 N/A 9.10 1.25 N/A 29.91 090 47360 A Repair liver wound 26.92 N/A 11.93 1.71 N/A 40.56 090 47361 A Repair liver wound 47.12 N/A 19.02 3.11 N/A 69.25 090 47362 A Repair liver wound 18.51 N/A 9.02 1.22 N/A 28.75 090 Start Printed Page 49139 47370 A Laparo ablate liver tumor rf 19.69 N/A 8.31 0.85 N/A 28.85 090 47371 A Laparo ablate liver cryosurg 19.69 N/A 8.43 0.85 N/A 28.97 090 47379 C Laparoscope procedure, liver 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47380 A Open ablate liver tumor rf 23.00 N/A 9.55 0.85 N/A 33.40 090 47381 A Open ablate liver tumor cryo 23.27 N/A 9.86 0.85 N/A 33.98 090 47382 A Percut ablate liver rf 15.19 N/A 6.00 1.14 N/A 22.33 010 47399 C Liver surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47400 A Incision of liver duct 32.49 N/A 13.86 1.82 N/A 48.17 090 47420 A Incision of bile duct 19.88 N/A 8.99 1.70 N/A 30.57 090 47425 A Incision of bile duct 19.83 N/A 9.04 1.60 N/A 30.47 090 47460 A Incise bile duct sphincter 18.04 N/A 8.61 1.24 N/A 27.89 090 47480 A Incision of gallbladder 10.82 N/A 6.13 0.85 N/A 17.80 090 47490 A Incision of gallbladder 7.23 N/A 5.97 0.33 N/A 13.53 090 47500 A Injection for liver x-rays 1.96 N/A 0.65 0.09 N/A 2.70 000 47505 A Injection for liver x-rays 0.76 2.59 0.25 0.03 3.38 1.04 000 47510 A Insert catheter, bile duct 7.83 N/A 5.02 0.36 N/A 13.21 090 47511 A Insert bile duct drain 10.50 N/A 5.12 0.47 N/A 16.09 090 47525 A Change bile duct catheter 5.55 N/A 3.26 0.24 N/A 9.05 010 47530 A Revise/reinsert bile tube 5.85 N/A 4.30 0.29 N/A 10.44 090 47550 A Bile duct endoscopy add-on 3.02 N/A 1.05 0.30 N/A 4.37 ZZZ 47552 A Biliary endoscopy thru skin 6.04 N/A 2.43 0.42 N/A 8.89 000 47553 A Biliary endoscopy thru skin 6.35 N/A 2.62 0.30 N/A 9.27 000 47554 A Biliary endoscopy thru skin 9.06 N/A 3.43 0.74 N/A 13.23 000 47555 A Biliary endoscopy thru skin 7.56 N/A 3.04 0.35 N/A 10.95 000 47556 A Biliary endoscopy thru skin 8.56 N/A 3.37 0.38 N/A 12.31 000 47560 A Laparoscopy w/cholangio 4.89 N/A 1.85 0.49 N/A 7.23 000 47561 A Laparo w/cholangio/biopsy 5.18 N/A 2.16 0.49 N/A 7.83 000 47562 A Laparoscopic cholecystectomy 11.09 N/A 5.04 1.13 N/A 17.26 090 47563 A Laparo cholecystectomy/graph 11.94 N/A 5.35 1.21 N/A 18.50 090 47564 A Laparo cholecystectomy/explr 14.23 N/A 6.06 1.44 N/A 21.73 090 47570 A Laparo cholecystoenterostomy 12.58 N/A 5.47 1.28 N/A 19.33 090 47579 C Laparoscope proc, biliary 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47600 A Removal of gallbladder 13.58 N/A 6.36 1.16 N/A 21.10 090 47605 A Removal of gallbladder 14.69 N/A 6.72 1.25 N/A 22.66 090 47610 A Removal of gallbladder 18.82 N/A 8.20 1.61 N/A 28.63 090 47612 A Removal of gallbladder 18.78 N/A 8.14 1.60 N/A 28.52 090 47620 A Removal of gallbladder 20.64 N/A 8.79 1.77 N/A 31.20 090 47630 A Remove bile duct stone 9.11 N/A 4.81 0.46 N/A 14.38 090 47700 A Exploration of bile ducts 15.62 N/A 7.60 1.40 N/A 24.62 090 47701 A Bile duct revision 27.81 N/A 11.87 3.00 N/A 42.68 090 47711 A Excision of bile duct tumor 23.03 N/A 10.22 1.98 N/A 35.23 090 47712 A Excision of bile duct tumor 30.24 N/A 12.77 2.67 N/A 45.68 090 47715 A Excision of bile duct cyst 18.80 N/A 8.66 1.59 N/A 29.05 090 47716 A Fusion of bile duct cyst 16.44 N/A 8.09 1.41 N/A 25.94 090 47720 A Fuse gallbladder & bowel 15.91 N/A 7.69 1.37 N/A 24.97 090 47721 A Fuse upper gi structures 19.12 N/A 8.81 1.63 N/A 29.56 090 47740 A Fuse gallbladder & bowel 18.48 N/A 8.61 1.59 N/A 28.68 090 47741 A Fuse gallbladder & bowel 21.34 N/A 9.54 1.82 N/A 32.70 090 47760 A Fuse bile ducts and bowel 25.85 N/A 11.13 2.21 N/A 39.19 090 47765 A Fuse liver ducts & bowel 24.88 N/A 11.16 2.18 N/A 38.22 090 47780 A Fuse bile ducts and bowel 26.50 N/A 11.50 2.27 N/A 40.27 090 47785 A Fuse bile ducts and bowel 31.18 N/A 13.32 2.69 N/A 47.19 090 47800 A Reconstruction of bile ducts 23.30 N/A 10.33 1.95 N/A 35.58 090 47801 A Placement, bile duct support 15.17 N/A 8.43 0.69 N/A 24.29 090 47802 A Fuse liver duct & intestine 21.55 N/A 9.99 1.84 N/A 33.38 090 Start Printed Page 49140 47900 A Suture bile duct injury 19.90 N/A 9.11 1.65 N/A 30.66 090 47999 C Bile tract surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 48000 A Drainage of abdomen 28.07 N/A 11.83 1.32 N/A 41.22 090 48001 A Placement of drain, pancreas 35.45 N/A 14.27 1.90 N/A 51.62 090 48005 A Resect/debride pancreas 42.17 N/A 16.95 2.26 N/A 61.38 090 48020 A Removal of pancreatic stone 15.70 N/A 7.52 1.36 N/A 24.58 090 48100 A Biopsy of pancreas, open 12.23 N/A 5.82 1.08 N/A 19.13 090 48102 A Needle biopsy, pancreas 4.68 9.01 2.47 0.20 13.89 7.35 010 48120 A Removal of pancreas lesion 15.85 N/A 7.10 1.35 N/A 24.30 090 48140 A Partial removal of pancreas 22.94 N/A 9.79 2.12 N/A 34.85 090 48145 A Partial removal of pancreas 24.02 N/A 10.14 2.25 N/A 36.41 090 48146 A Pancreatectomy 26.40 N/A 12.29 2.43 N/A 41.12 090 48148 A Removal of pancreatic duct 17.34 N/A 7.88 1.61 N/A 26.83 090 48150 A Partial removal of pancreas 48.00 N/A 20.04 4.43 N/A 72.47 090 48152 A Pancreatectomy 43.75 N/A 18.70 4.07 N/A 66.52 090 48153 A Pancreatectomy 47.89 N/A 20.15 4.40 N/A 72.44 090 48154 A Pancreatectomy 44.10 N/A 18.76 4.10 N/A 66.96 090 48155 A Removal of pancreas 24.64 N/A 12.08 2.30 N/A 39.02 090 48180 A Fuse pancreas and bowel 24.72 N/A 10.46 2.24 N/A 37.42 090 48400 A Injection, intraop add-on 1.95 N/A 0.66 0.10 N/A 2.71 ZZZ 48500 A Surgery of pancreatic cyst 15.28 N/A 7.57 1.35 N/A 24.20 090 48510 A Drain pancreatic pseudocyst 14.31 N/A 7.67 1.07 N/A 23.05 090 48511 A Drain pancreatic pseudocyst 4.00 N/A 3.75 0.17 N/A 7.92 000 48520 A Fuse pancreas cyst and bowel 15.59 N/A 6.94 1.41 N/A 23.94 090 48540 A Fuse pancreas cyst and bowel 19.72 N/A 8.37 1.82 N/A 29.91 090 48545 A Pancreatorrhaphy 18.18 N/A 8.23 1.61 N/A 28.02 090 48547 A Duodenal exclusion 25.83 N/A 10.76 2.30 N/A 38.89 090 48554 R Transpl allograft pancreas 34.17 N/A 16.00 3.30 N/A 53.47 090 48556 A Removal, allograft pancreas 15.71 N/A 7.81 1.52 N/A 25.04 090 48999 C Pancreas surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 49000 A Exploration of abdomen 11.68 N/A 5.44 1.17 N/A 18.29 090 49002 A Reopening of abdomen 10.49 N/A 5.10 1.06 N/A 16.65 090 49010 A Exploration behind abdomen 12.28 N/A 5.96 1.22 N/A 19.46 090 49020 A Drain abdominal abscess 22.84 N/A 10.32 1.31 N/A 34.47 090 49021 A Drain abdominal abscess 3.38 N/A 5.37 0.16 N/A 8.91 000 49040 A Drain, open, abdom abscess 13.52 N/A 6.54 0.84 N/A 20.90 090 49041 A Drain, percut, abdom abscess 4.00 N/A 5.69 0.18 N/A 9.87 000 49060 A Drain, open, retrop abscess 15.86 N/A 7.56 0.77 N/A 24.19 090 49061 A Drain, percut, retroper absc 3.70 N/A 5.68 0.17 N/A 9.55 000 49062 A Drain to peritoneal cavity 11.36 N/A 5.59 1.08 N/A 18.03 090 49080 A Puncture, peritoneal cavity 1.35 4.18 0.46 0.07 5.60 1.88 000 49081 A Removal of abdominal fluid 1.26 2.68 0.58 0.06 4.00 1.90 000 49085 A Remove abdomen foreign body 12.14 N/A 5.62 0.88 N/A 18.64 090 49180 A Biopsy, abdominal mass 1.73 3.34 0.58 0.08 5.15 2.39 000 Start Printed Page 49141 49200 A Removal of abdominal lesion 10.25 N/A 5.12 0.92 N/A 16.29 090 49201 A Remove abdom lesion, complex 14.84 N/A 7.23 1.47 N/A 23.54 090 49215 A Excise sacral spine tumor 33.50 N/A 14.50 2.48 N/A 50.48 090 49220 A Multiple surgery, abdomen 14.88 N/A 6.74 1.51 N/A 23.13 090 49250 A Excision of umbilicus 8.35 N/A 4.35 0.84 N/A 13.54 090 49255 A Removal of omentum 11.14 N/A 5.74 1.12 N/A 18.00 090 49320 A Diag laparo separate proc 5.10 N/A 2.60 0.50 N/A 8.20 010 49321 A Laparoscopy, biopsy 5.40 N/A 2.61 0.53 N/A 8.54 010 49322 A Laparoscopy, aspiration 5.70 N/A 2.94 0.57 N/A 9.21 010 49323 A Laparo drain lymphocele 9.48 N/A 4.49 0.88 N/A 14.85 090 49329 C Laparo proc, abdm/per/oment 0.00 0.00 0.00 0.00 0.00 0.00 YYY 49400 A Air injection into abdomen 1.88 N/A 0.79 0.11 N/A 2.78 000 49419 A Insrt abdom cath for chemotx 6.65 N/A 3.60 0.55 N/A 10.80 090 49420 A Insert abdom drain, temp 2.22 N/A 1.13 0.13 N/A 3.48 000 49421 A Insert abdom drain, perm 5.54 N/A 3.18 0.55 N/A 9.27 090 49422 A Remove perm cannula/catheter 6.25 N/A 2.90 0.63 N/A 9.78 010 49423 A Exchange drainage catheter 1.46 N/A 0.67 0.07 N/A 2.20 000 49424 A Assess cyst, contrast inject 0.76 N/A 0.44 0.03 N/A 1.23 000 49425 A Insert abdomen-venous drain 11.37 N/A 5.62 1.21 N/A 18.20 090 49426 A Revise abdomen-venous shunt 9.63 N/A 4.82 0.93 N/A 15.38 090 49427 A Injection, abdominal shunt 0.89 N/A 0.48 0.05 N/A 1.42 000 49428 A Ligation of shunt 6.06 N/A 3.33 0.31 N/A 9.70 010 49429 A Removal of shunt 7.40 N/A 3.53 0.81 N/A 11.74 010 49491 A Rpr hern preemie reduc 11.13 N/A 5.30 1.10 N/A 17.53 090 49492 A Rpr ing hern premie, blocked 14.03 N/A 6.29 1.47 N/A 21.79 090 49495 A Rpr ing hernia baby, reduc 5.89 N/A 3.07 0.58 N/A 9.54 090 49496 A Rpr ing hernia baby, blocked 8.79 N/A 4.42 0.92 N/A 14.13 090 49500 A Rpr ing hernia, init, reduce 5.48 N/A 3.20 0.46 N/A 9.14 090 49501 A Rpr ing hernia, init blocked 8.88 N/A 4.29 0.76 N/A 13.93 090 49505 A Prp i/hern init reduc>5 yr 7.60 4.04 3.83 0.65 12.29 12.08 090 49507 A Prp i/hern init block>5 yr 9.57 N/A 4.67 0.83 N/A 15.07 090 49520 A Rerepair ing hernia, reduce 9.63 N/A 4.63 0.84 N/A 15.10 090 49521 A Rerepair ing hernia, blocked 11.97 N/A 5.36 1.04 N/A 18.37 090 49525 A Repair ing hernia, sliding 8.57 N/A 4.23 0.74 N/A 13.54 090 49540 A Repair lumbar hernia 10.39 N/A 4.91 0.90 N/A 16.20 090 49550 A Rpr rem hernia, init, reduce 8.63 N/A 4.22 0.75 N/A 13.60 090 49553 A Rpr fem hernia, init blocked 9.44 N/A 4.55 0.83 N/A 14.82 090 49555 A Rerepair fem hernia, reduce 9.03 N/A 4.42 0.79 N/A 14.24 090 49557 A Rerepair fem hernia, blocked 11.15 N/A 5.14 0.97 N/A 17.26 090 49560 A Rpr ventral hern init, reduc 11.57 N/A 5.32 1.00 N/A 17.89 090 49561 A Rpr ventral hern init, block 14.25 N/A 6.24 1.23 N/A 21.72 090 49565 A Rerepair ventrl hern, reduce 11.57 N/A 5.39 1.00 N/A 17.96 090 49566 A Rerepair ventrl hern, block 14.40 N/A 6.31 1.24 N/A 21.95 090 49568 A Hernia repair w/mesh 4.89 N/A 1.71 0.50 N/A 7.10 ZZZ 49570 A Rpr epigastric hern, reduce 5.69 N/A 3.23 0.50 N/A 9.42 090 49572 A Rpr epigastric hern, blocked 6.73 N/A 3.59 0.58 N/A 10.90 090 Start Printed Page 49142 49580 A Rpr umbil hern, reduc < 5 yr 4.11 N/A 2.68 0.34 N/A 7.13 090 49582 A Rpr umbil hern, block < 5 yr 6.65 N/A 3.65 0.57 N/A 10.87 090 49585 A Rpr umbil hern, reduc > 5 yr 6.23 N/A 3.43 0.53 N/A 10.19 090 49587 A Rpr umbil hern, block > 5 yr 7.56 N/A 3.83 0.65 N/A 12.04 090 49590 A Repair spigilian hernia 8.54 N/A 4.23 0.74 N/A 13.51 090 49600 A Repair umbilical lesion 10.96 N/A 5.39 1.13 N/A 17.48 090 49605 A Repair umbilical lesion 76.00 N/A 29.13 2.57 N/A 107.70 090 49606 A Repair umbilical lesion 18.60 N/A 7.89 2.22 N/A 28.71 090 49610 A Repair umbilical lesion 10.50 N/A 5.42 0.77 N/A 16.69 090 49611 A Repair umbilical lesion 8.92 N/A 6.51 0.65 N/A 16.08 090 49650 A Laparo hernia repair initial 6.27 N/A 3.22 0.64 N/A 10.13 090 49651 A Laparo hernia repair recur 8.24 N/A 4.14 0.84 N/A 13.22 090 49659 C Laparo proc, hernia repair 0.00 0.00 0.00 0.00 0.00 0.00 YYY 49900 A Repair of abdominal wall 12.28 N/A 6.35 1.23 N/A 19.86 090 49904 A Omental flap, extra-abdom 20.00 N/A 15.88 1.91 N/A 37.79 090 49905 A Omental flap, intra-abdom 6.55 N/A 2.33 0.61 N/A 9.49 ZZZ 49906 C Free omental flap, microvasc 0.00 0.00 0.00 0.00 0.00 0.00 090 49999 C Abdomen surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 50010 A Exploration of kidney 10.98 N/A 5.69 0.79 N/A 17.46 090 50020 A Renal abscess, open drain 14.66 N/A 9.32 0.80 N/A 24.78 090 50021 A Renal abscess, percut drain 3.38 N/A 1.45 0.15 N/A 4.98 000 50040 A Drainage of kidney 14.94 N/A 8.84 0.82 N/A 24.60 090 50045 A Exploration of kidney 15.46 N/A 7.12 1.06 N/A 23.64 090 50060 A Removal of kidney stone 19.30 N/A 8.41 1.14 N/A 28.85 090 50065 A Incision of kidney 20.79 N/A 6.40 1.13 N/A 28.32 090 50070 A Incision of kidney 20.32 N/A 8.81 1.20 N/A 30.33 090 50075 A Removal of kidney stone 25.34 N/A 10.62 1.51 N/A 37.47 090 50080 A Removal of kidney stone 14.71 N/A 8.29 0.86 N/A 23.86 090 50081 A Removal of kidney stone 21.80 N/A 10.79 1.30 N/A 33.89 090 50100 A Revise kidney blood vessels 16.09 N/A 8.17 1.64 N/A 25.90 090 50120 A Exploration of kidney 15.91 N/A 7.33 1.04 N/A 24.28 090 50125 A Explore and drain kidney 16.52 N/A 7.50 1.07 N/A 25.09 090 50130 A Removal of kidney stone 17.29 N/A 7.73 1.04 N/A 26.06 090 50135 A Exploration of kidney 19.18 N/A 8.36 1.18 N/A 28.72 090 50200 A Biopsy of kidney 2.63 N/A 0.92 0.12 N/A 3.67 000 50205 A Biopsy of kidney 11.31 N/A 5.47 0.94 N/A 17.72 090 50220 A Remove kidney, open 17.15 N/A 7.77 1.16 N/A 26.08 090 50225 A Removal kidney open, complex 20.23 N/A 8.73 1.26 N/A 30.22 090 50230 A Removal kidney open, radical 22.07 N/A 9.22 1.35 N/A 32.64 090 50234 A Removal of kidney & ureter 22.40 N/A 9.43 1.37 N/A 33.20 090 50236 A Removal of kidney & ureter 24.86 N/A 11.85 1.50 N/A 38.21 090 50240 A Partial removal of kidney 22.00 N/A 10.92 1.36 N/A 34.28 090 50280 A Removal of kidney lesion 15.67 N/A 7.22 0.99 N/A 23.88 090 50290 A Removal of kidney lesion 14.73 N/A 6.92 1.11 N/A 22.76 090 50320 A Removal of donor kidney 22.21 N/A 9.47 1.78 N/A 33.46 090 50340 A Removal of kidney 12.15 N/A 7.14 1.15 N/A 20.44 090 50360 A Transplantation of kidney 31.53 N/A 14.85 2.97 N/A 49.35 090 50365 A Transplantation of kidney 36.81 N/A 17.60 3.51 N/A 57.92 090 50370 A Remove transplanted kidney 13.72 N/A 7.75 1.26 N/A 22.73 090 50380 A Reimplantation of kidney 20.76 N/A 12.31 1.80 N/A 34.87 090 50390 A Drainage of kidney lesion 1.96 N/A 0.65 0.09 N/A 2.70 000 50392 A Insert kidney drain 3.38 N/A 1.12 0.15 N/A 4.65 000 50393 A Insert ureteral tube 4.16 N/A 1.38 0.18 N/A 5.72 000 Start Printed Page 49143 50394 A Injection for kidney x-ray 0.76 2.52 0.25 0.04 3.32 1.05 000 50395 A Create passage to kidney 3.38 N/A 1.12 0.16 N/A 4.66 000 50396 A Measure kidney pressure 2.09 N/A 0.87 0.10 N/A 3.06 000 50398 A Change kidney tube 1.46 1.21 0.49 0.07 2.74 2.02 000 50400 A Revision of kidney/ureter 19.50 N/A 8.46 1.21 N/A 29.17 090 50405 A Revision of kidney/ureter 23.93 N/A 10.80 1.45 N/A 36.18 090 50500 A Repair of kidney wound 19.57 N/A 9.01 1.45 N/A 30.03 090 50520 A Close kidney-skin fistula 17.23 N/A 9.11 1.26 N/A 27.60 090 50525 A Repair renal-abdomen fistula 22.27 N/A 10.50 1.51 N/A 34.28 090 50526 A Repair renal-abdomen fistula 24.02 N/A 11.18 1.62 N/A 36.82 090 50540 A Revision of horseshoe kidney 19.93 N/A 8.83 1.28 N/A 30.04 090 50541 A Laparo ablate renal cyst 16.00 N/A 6.55 0.99 N/A 23.54 090 50542 A Laparo ablate renal mass 20.00 N/A 8.32 1.36 N/A 29.68 090 50543 A Laparo partial nephrectomy 25.50 N/A 10.50 1.36 N/A 37.36 090 50544 A Laparoscopy, pyeloplasty 22.40 N/A 8.66 1.41 N/A 32.47 090 50545 A Laparo radical nephrectomy 24.00 N/A 9.44 1.53 N/A 34.97 090 50546 A Laparoscopic nephrectomy 20.48 N/A 8.40 1.37 N/A 30.25 090 50547 A Laparo removal donor kidney 25.50 N/A 10.33 2.04 N/A 37.87 090 50548 A Laparo remove k/ureter 24.40 N/A 9.30 1.49 N/A 35.19 090 50549 C Laparoscope proc, renal 0.00 0.00 0.00 0.00 0.00 0.00 YYY 50551 A Kidney endoscopy 5.60 5.03 1.83 0.33 10.96 7.76 000 50553 A Kidney endoscopy 5.99 18.93 1.99 0.35 25.27 8.33 000 50555 A Kidney endoscopy & biopsy 6.53 19.59 2.16 0.38 26.50 9.07 000 50557 A Kidney endoscopy & treatment 6.62 20.38 2.17 0.39 27.39 9.18 000 50559 A Renal endoscopy/radiotracer 6.78 N/A 2.24 0.27 N/A 9.29 000 50561 A Kidney endoscopy & treatment 7.59 18.03 2.49 0.44 26.06 10.52 000 50562 A Renal scope w/tumor resect 10.92 N/A 3.93 0.84 N/A 15.69 090 50570 A Kidney endoscopy 9.54 N/A 3.12 0.56 N/A 13.22 000 50572 A Kidney endoscopy 10.35 N/A 3.39 0.64 N/A 14.38 000 50574 A Kidney endoscopy & biopsy 11.02 N/A 3.62 0.65 N/A 15.29 000 50575 A Kidney endoscopy 13.98 N/A 4.58 0.84 N/A 19.40 000 50576 A Kidney endoscopy & treatment 10.99 N/A 3.59 0.66 N/A 15.24 000 50578 A Renal endoscopy/radiotracer 11.35 N/A 3.71 0.67 N/A 15.73 000 50580 A Kidney endoscopy & treatment 11.86 N/A 3.88 0.70 N/A 16.44 000 50590 A Fragmenting of kidney stone 9.09 10.52 4.93 0.54 20.15 14.56 090 50600 A Exploration of ureter 15.84 N/A 7.33 0.99 N/A 24.16 090 50605 A Insert ureteral support 15.46 N/A 7.31 1.13 N/A 23.90 090 50610 A Removal of ureter stone 15.92 N/A 7.60 1.08 N/A 24.60 090 50620 A Removal of ureter stone 15.16 N/A 6.97 0.91 N/A 23.04 090 50630 A Removal of ureter stone 14.94 N/A 6.90 0.90 N/A 22.74 090 50650 A Removal of ureter 17.41 N/A 7.87 1.07 N/A 26.35 090 50660 A Removal of ureter 19.55 N/A 8.61 1.19 N/A 29.35 090 50684 A Injection for ureter x-ray 0.76 10.78 0.25 0.04 11.58 1.05 000 50686 A Measure ureter pressure 1.51 4.66 0.66 0.09 6.26 2.26 000 50688 A Change of ureter tube 1.17 N/A 1.72 0.06 N/A 2.95 010 50690 A Injection for ureter x-ray 1.16 10.98 0.38 0.06 12.20 1.60 000 50700 A Revision of ureter 15.21 N/A 7.59 0.86 N/A 23.66 090 50715 A Release of ureter 18.90 N/A 9.55 1.68 N/A 30.13 090 50722 A Release of ureter 16.35 N/A 8.38 1.41 N/A 26.14 090 50725 A Release/revise ureter 18.49 N/A 8.73 1.44 N/A 28.66 090 Start Printed Page 49144 50727 A Revise ureter 8.18 N/A 5.44 0.51 N/A 14.13 090 50728 A Revise ureter 12.02 N/A 6.96 0.88 N/A 19.86 090 50740 A Fusion of ureter & kidney 18.42 N/A 8.27 1.49 N/A 28.18 090 50750 A Fusion of ureter & kidney 19.51 N/A 8.66 1.24 N/A 29.41 090 50760 A Fusion of ureters 18.42 N/A 8.30 1.25 N/A 27.97 090 50770 A Splicing of ureters 19.51 N/A 8.62 1.25 N/A 29.38 090 50780 A Reimplant ureter in bladder 18.36 N/A 8.22 1.20 N/A 27.78 090 50782 A Reimplant ureter in bladder 19.54 N/A 9.91 1.13 N/A 30.58 090 50783 A Reimplant ureter in bladder 20.55 N/A 9.67 1.35 N/A 31.57 090 50785 A Reimplant ureter in bladder 20.52 N/A 8.96 1.30 N/A 30.78 090 50800 A Implant ureter in bowel 14.52 N/A 7.34 0.92 N/A 22.78 090 50810 A Fusion of ureter & bowel 20.05 N/A 9.89 1.78 N/A 31.72 090 50815 A Urine shunt to intestine 19.93 N/A 9.34 1.31 N/A 30.58 090 50820 A Construct bowel bladder 21.89 N/A 9.50 1.38 N/A 32.77 090 50825 A Construct bowel bladder 28.18 N/A 12.20 1.81 N/A 42.19 090 50830 A Revise urine flow 31.28 N/A 13.12 2.20 N/A 46.60 090 50840 A Replace ureter by bowel 20.00 N/A 9.32 1.26 N/A 30.58 090 50845 A Appendico-vesicostomy 20.89 N/A 9.08 1.26 N/A 31.23 090 50860 A Transplant ureter to skin 15.36 N/A 7.23 1.01 N/A 23.60 090 50900 A Repair of ureter 13.62 N/A 6.66 0.98 N/A 21.26 090 50920 A Closure ureter/skin fistula 14.33 N/A 7.09 0.84 N/A 22.26 090 50930 A Closure ureter/bowel fistula 18.72 N/A 8.53 1.57 N/A 28.82 090 50940 A Release of ureter 14.51 N/A 6.96 1.04 N/A 22.51 090 50945 A Laparoscopy ureterolithotomy 17.00 N/A 7.11 1.15 N/A 25.26 090 50947 A Laparo new ureter/bladder 24.50 N/A 10.14 1.99 N/A 36.63 090 50948 A Laparo new ureter/bladder 22.50 N/A 9.11 1.83 N/A 33.44 090 50949 C Laparoscope proc, ureter 0.00 0.00 0.00 0.00 0.00 0.00 YYY 50951 A Endoscopy of ureter 5.84 5.45 1.91 0.35 11.64 8.10 000 50953 A Endoscopy of ureter 6.24 18.93 2.05 0.37 25.54 8.66 000 50955 A Ureter endoscopy & biopsy 6.75 19.81 2.25 0.38 26.94 9.38 000 50957 A Ureter endoscopy & treatment 6.79 18.54 2.23 0.40 25.73 9.42 000 50959 A Ureter endoscopy & tracer 4.40 N/A 1.40 0.18 N/A 5.98 000 50961 A Ureter endoscopy & treatment 6.05 25.86 1.98 0.35 32.26 8.38 000 50970 A Ureter endoscopy 7.14 N/A 2.35 0.43 N/A 9.92 000 50972 A Ureter endoscopy & catheter 6.89 N/A 2.31 0.39 N/A 9.59 000 50974 A Ureter endoscopy & biopsy 9.17 N/A 2.99 0.53 N/A 12.69 000 50976 A Ureter endoscopy & treatment 9.04 N/A 2.97 0.53 N/A 12.54 000 50978 A Ureter endoscopy & tracer 5.10 N/A 1.73 0.30 N/A 7.13 000 50980 A Ureter endoscopy & treatment 6.85 N/A 2.25 0.41 N/A 9.51 000 51000 A Drainage of bladder 0.78 2.03 0.24 0.05 2.86 1.07 000 51005 A Drainage of bladder 1.02 3.41 0.34 0.08 4.51 1.44 000 51010 A Drainage of bladder 3.53 5.88 1.94 0.23 9.64 5.70 010 51020 A Incise & treat bladder 6.71 N/A 4.27 0.42 N/A 11.40 090 51030 A Incise & treat bladder 6.77 N/A 4.37 0.42 N/A 11.56 090 51040 A Incise & drain bladder 4.40 N/A 3.12 0.27 N/A 7.79 090 51045 A Incise bladder/drain ureter 6.77 N/A 4.33 0.47 N/A 11.57 090 51050 A Removal of bladder stone 6.92 N/A 4.01 0.42 N/A 11.35 090 51060 A Removal of ureter stone 8.85 N/A 4.93 0.54 N/A 14.32 090 51065 A Remove ureter calculus 8.85 N/A 4.77 0.53 N/A 14.15 090 51080 A Drainage of bladder abscess 5.96 N/A 3.97 0.35 N/A 10.28 090 51500 A Removal of bladder cyst 10.14 N/A 5.24 0.88 N/A 16.26 090 51520 A Removal of bladder lesion 9.29 N/A 5.10 0.58 N/A 14.97 090 Start Printed Page 49145 51525 A Removal of bladder lesion 13.97 N/A 6.59 0.85 N/A 21.41 090 51530 A Removal of bladder lesion 12.38 N/A 6.18 0.82 N/A 19.38 090 51535 A Repair of ureter lesion 12.57 N/A 6.56 0.90 N/A 20.03 090 51550 A Partial removal of bladder 15.66 N/A 7.17 1.05 N/A 23.88 090 51555 A Partial removal of bladder 21.23 N/A 9.18 1.37 N/A 31.78 090 51565 A Revise bladder & ureter(s) 21.62 N/A 9.51 1.40 N/A 32.53 090 51570 A Removal of bladder 24.24 N/A 10.35 1.59 N/A 36.18 090 51575 A Removal of bladder & nodes 30.45 N/A 12.71 1.88 N/A 45.04 090 51580 A Remove bladder/revise tract 31.08 N/A 13.17 1.94 N/A 46.19 090 51585 A Removal of bladder & nodes 35.23 N/A 14.42 2.18 N/A 51.83 090 51590 A Remove bladder/revise tract 32.66 N/A 13.30 2.01 N/A 47.97 090 51595 A Remove bladder/revise tract 37.14 N/A 14.86 2.23 N/A 54.23 090 51596 A Remove bladder/create pouch 39.52 N/A 16.01 2.39 N/A 57.92 090 51597 A Removal of pelvic structures 38.35 N/A 15.57 2.49 N/A 56.41 090 51600 A Injection for bladder x-ray 0.88 5.84 0.29 0.04 6.76 1.21 000 51605 A Preparation for bladder xray 0.64 6.11 0.35 0.04 6.79 1.03 000 51610 A Injection for bladder x-ray 1.05 1.71 0.61 0.05 2.81 1.71 000 51700 A Irrigation of bladder 0.88 1.69 0.29 0.05 2.62 1.22 000 51701 A Insert bladder catheter 0.50 1.68 0.19 0.03 2.21 0.72 000 51702 A Insert temp bladder cath 0.50 2.39 0.26 0.03 2.92 0.79 000 51703 A Insert bladder cath, complex 1.47 3.11 0.58 0.09 4.67 2.14 000 51705 A Change of bladder tube 1.02 2.39 0.63 0.06 3.47 1.71 010 51710 A Change of bladder tube 1.49 3.51 0.79 0.09 5.09 2.37 010 51715 A Endoscopic injection/implant 3.74 4.09 1.39 0.24 8.07 5.37 000 51720 A Treatment of bladder lesion 1.96 1.82 0.72 0.12 3.90 2.80 000 51725 A Simple cystometrogram 1.51 5.90 N/A 0.13 7.54 N/A 000 51725 26 A Simple cystometrogram 1.51 0.51 0.51 0.10 2.12 2.12 000 51725 TC A Simple cystometrogram 0.00 5.40 N/A 0.03 5.43 N/A 000 51726 A Complex cystometrogram 1.71 7.93 N/A 0.15 9.79 N/A 000 51726 26 A Complex cystometrogram 1.71 0.57 0.57 0.11 2.39 2.39 000 51726 TC A Complex cystometrogram 0.00 7.36 N/A 0.04 7.40 N/A 000 51736 A Urine flow measurement 0.61 0.61 N/A 0.05 1.27 N/A 000 51736 26 A Urine flow measurement 0.61 0.20 0.20 0.04 0.85 0.85 000 51736 TC A Urine flow measurement 0.00 0.40 N/A 0.01 0.41 N/A 000 51741 A Electro-uroflowmetry, first 1.14 0.83 N/A 0.09 2.06 N/A 000 51741 26 A Electro-uroflowmetry, first 1.14 0.38 0.38 0.07 1.59 1.59 000 51741 TC A Electro-uroflowmetry, first 0.00 0.45 N/A 0.02 0.47 N/A 000 51772 A Urethra pressure profile 1.61 5.89 N/A 0.16 7.66 N/A 000 51772 26 A Urethra pressure profile 1.61 0.56 0.56 0.12 2.29 2.29 000 51772 TC A Urethra pressure profile 0.00 5.33 N/A 0.04 5.37 N/A 000 51784 A Anal/urinary muscle study 1.53 4.18 N/A 0.13 5.84 N/A 000 51784 26 A Anal/urinary muscle study 1.53 0.52 0.52 0.10 2.15 2.15 000 51784 TC A Anal/urinary muscle study 0.00 3.66 N/A 0.03 3.69 N/A 000 51785 A Anal/urinary muscle study 1.53 4.69 N/A 0.12 6.34 N/A 000 51785 26 A Anal/urinary muscle study 1.53 0.51 0.51 0.09 2.13 2.13 000 51785 TC A Anal/urinary muscle study 0.00 4.17 N/A 0.03 4.20 N/A 000 51792 A Urinary reflex study 1.10 6.13 N/A 0.20 7.43 N/A 000 51792 26 A Urinary reflex study 1.10 0.42 0.42 0.09 1.61 1.61 000 51792 TC A Urinary reflex study 0.00 5.70 N/A 0.11 5.81 N/A 000 51795 A Urine voiding pressure study 1.53 7.72 N/A 0.18 9.43 N/A 000 51795 26 A Urine voiding pressure study 1.53 0.51 0.51 0.10 2.14 2.14 000 51795 TC A Urine voiding pressure study 0.00 7.20 N/A 0.08 7.28 N/A 000 Start Printed Page 49146 51797 A Intraabdominal pressure test 1.60 6.08 N/A 0.14 7.82 N/A 000 51797 26 A Intraabdominal pressure test 1.60 0.54 0.54 0.10 2.24 2.24 000 51797 TC A Intraabdominal pressure test 0.00 5.54 N/A 0.04 5.58 N/A 000 51798 A Us urine capacity measure 0.00 0.36 N/A 0.07 0.43 N/A XXX 51800 A Revision of bladder/urethra 17.42 N/A 8.05 1.17 N/A 26.64 090 51820 A Revision of urinary tract 17.89 N/A 8.71 1.45 N/A 28.05 090 51840 A Attach bladder/urethra 10.71 N/A 5.66 0.87 N/A 17.24 090 51841 A Attach bladder/urethra 13.03 N/A 6.49 1.04 N/A 20.56 090 51845 A Repair bladder neck 9.73 N/A 5.18 0.62 N/A 15.53 090 51860 A Repair of bladder wound 12.02 N/A 6.18 0.89 N/A 19.09 090 51865 A Repair of bladder wound 15.04 N/A 7.14 1.01 N/A 23.19 090 51880 A Repair of bladder opening 7.66 N/A 4.35 0.54 N/A 12.55 090 51900 A Repair bladder/vagina lesion 12.97 N/A 6.53 0.87 N/A 20.37 090 51920 A Close bladder-uterus fistula 11.81 N/A 6.05 0.86 N/A 18.72 090 51925 A Hysterectomy/bladder repair 15.58 N/A 9.02 1.48 N/A 26.08 090 51940 A Correction of bladder defect 28.43 N/A 12.86 1.97 N/A 43.26 090 51960 A Revision of bladder & bowel 23.01 N/A 10.37 1.41 N/A 34.79 090 51980 A Construct bladder opening 11.36 N/A 5.81 0.74 N/A 17.91 090 51990 A Laparo urethral suspension 12.50 N/A 6.23 1.02 N/A 19.75 090 51992 A Laparo sling operation 14.01 N/A 6.27 0.93 N/A 21.21 090 52000 A Cystoscopy 2.01 3.45 0.78 0.12 5.58 2.91 000 52001 A Cystoscopy, removal of clots 5.45 5.28 1.91 0.32 11.05 7.68 000 52005 A Cystoscopy & ureter catheter 2.37 6.17 0.92 0.15 8.69 3.44 000 52007 A Cystoscopy and biopsy 3.02 N/A 1.18 0.18 N/A 4.38 000 52010 A Cystoscopy & duct catheter 3.02 N/A 1.16 0.18 N/A 4.36 000 52204 A Cystoscopy 2.37 3.70 0.93 0.15 6.22 3.45 000 52214 A Cystoscopy and treatment 3.71 N/A 1.36 0.22 N/A 5.29 000 52224 A Cystoscopy and treatment 3.14 N/A 1.18 0.18 N/A 4.50 000 52234 A Cystoscopy and treatment 4.63 N/A 1.67 0.27 N/A 6.57 000 52235 A Cystoscopy and treatment 5.45 N/A 1.95 0.32 N/A 7.72 000 52240 A Cystoscopy and treatment 9.72 N/A 3.37 0.58 N/A 13.67 000 52250 A Cystoscopy and radiotracer 4.50 N/A 1.70 0.27 N/A 6.47 000 52260 A Cystoscopy and treatment 3.92 N/A 1.46 0.23 N/A 5.61 000 52265 A Cystoscopy and treatment 2.94 3.83 1.14 0.18 6.95 4.26 000 52270 A Cystoscopy & revise urethra 3.37 N/A 1.28 0.20 N/A 4.85 000 52275 A Cystoscopy & revise urethra 4.70 N/A 1.71 0.28 N/A 6.69 000 52276 A Cystoscopy and treatment 5.00 N/A 1.83 0.30 N/A 7.13 000 52277 A Cystoscopy and treatment 6.17 N/A 2.31 0.38 N/A 8.86 000 52281 A Cystoscopy and treatment 2.80 7.56 1.11 0.17 10.53 4.08 000 52282 A Cystoscopy, implant stent 6.40 N/A 2.29 0.38 N/A 9.07 000 52283 A Cystoscopy and treatment 3.74 4.11 1.42 0.22 8.07 5.38 000 52285 A Cystoscopy and treatment 3.61 4.18 1.37 0.22 8.01 5.20 000 52290 A Cystoscopy and treatment 4.59 N/A 1.70 0.27 N/A 6.56 000 52300 A Cystoscopy and treatment 5.31 N/A 1.96 0.32 N/A 7.59 000 52301 A Cystoscopy and treatment 5.51 N/A 2.04 0.39 N/A 7.94 000 52305 A Cystoscopy and treatment 5.31 N/A 1.90 0.31 N/A 7.52 000 52310 A Cystoscopy and treatment 2.81 3.60 1.06 0.17 6.58 4.04 000 52315 A Cystoscopy and treatment 5.21 N/A 1.88 0.31 N/A 7.40 000 52317 A Remove bladder stone 6.72 N/A 2.33 0.40 N/A 9.45 000 52318 A Remove bladder stone 9.19 N/A 3.17 0.54 N/A 12.90 000 Start Printed Page 49147 52320 A Cystoscopy and treatment 4.70 N/A 1.68 0.28 N/A 6.66 000 52325 A Cystoscopy, stone removal 6.16 N/A 2.16 0.37 N/A 8.69 000 52327 A Cystoscopy, inject material 5.19 N/A 1.87 0.32 N/A 7.38 000 52330 A Cystoscopy and treatment 5.04 N/A 1.79 0.30 N/A 7.13 000 52332 A Cystoscopy and treatment 2.83 N/A 1.08 0.17 N/A 4.08 000 52334 A Create passage to kidney 4.83 N/A 1.80 0.28 N/A 6.91 000 52341 A Cysto w/ureter stricture tx 6.00 N/A 2.27 0.37 N/A 8.64 000 52342 A Cysto w/up stricture tx 6.50 N/A 2.41 0.40 N/A 9.31 000 52343 A Cysto w/renal stricture tx 7.20 N/A 2.69 0.44 N/A 10.33 000 52344 A Cysto/uretero, stone remove 7.70 N/A 2.87 0.47 N/A 11.04 000 52345 A Cysto/uretero w/up stricture 8.20 N/A 3.03 0.50 N/A 11.73 000 52346 A Cystouretero w/renal strict 9.23 N/A 3.38 0.57 N/A 13.18 000 52347 A Cystoscopy, resect ducts 5.28 N/A 1.76 0.33 N/A 7.37 000 52351 A Cystouretero & or pyeloscope 5.86 N/A 2.20 0.36 N/A 8.42 000 52352 A Cystouretero w/stone remove 6.88 N/A 2.57 0.42 N/A 9.87 000 52353 A Cystouretero w/lithotripsy 7.97 N/A 2.93 0.49 N/A 11.39 000 52354 A Cystouretero w/biopsy 7.34 N/A 2.74 0.45 N/A 10.53 000 52355 A Cystouretero w/excise tumor 8.82 N/A 3.22 0.55 N/A 12.59 000 52400 A Cystouretero w/congen repr 9.68 N/A 4.06 0.60 N/A 14.34 090 52450 A Incision of prostate 7.64 N/A 3.80 0.46 N/A 11.90 090 52500 A Revision of bladder neck 8.47 N/A 4.06 0.50 N/A 13.03 090 52510 A Dilation prostatic urethra 6.72 N/A 3.31 0.40 N/A 10.43 090 52601 A Prostatectomy (TURP) 12.37 N/A 5.27 0.74 N/A 18.38 090 52606 A Control postop bleeding 8.13 N/A 3.67 0.49 N/A 12.29 090 52612 A Prostatectomy, first stage 7.98 N/A 3.87 0.48 N/A 12.33 090 52614 A Prostatectomy, second stage 6.84 N/A 3.47 0.41 N/A 10.72 090 52620 A Remove residual prostate 6.61 N/A 3.18 0.39 N/A 10.18 090 52630 A Remove prostate regrowth 7.26 N/A 3.38 0.43 N/A 11.07 090 52640 A Relieve bladder contracture 6.62 N/A 3.15 0.39 N/A 10.16 090 52647 A Laser surgery of prostate 10.36 33.53 4.68 0.61 44.50 15.65 090 52648 A Laser surgery of prostate 11.21 N/A 4.95 0.66 N/A 16.82 090 52700 A Drainage of prostate abscess 6.80 N/A 3.37 0.41 N/A 10.58 090 53000 A Incision of urethra 2.28 N/A 1.59 0.13 N/A 4.00 010 53010 A Incision of urethra 3.64 N/A 3.15 0.20 N/A 6.99 090 53020 A Incision of urethra 1.77 3.15 0.69 0.11 5.03 2.57 000 53025 A Incision of urethra 1.13 3.93 0.52 0.07 5.13 1.72 000 53040 A Drainage of urethra abscess 6.40 11.79 6.71 0.41 18.60 13.52 090 53060 A Drainage of urethra abscess 2.63 N/A 1.49 0.23 N/A 4.35 010 53080 A Drainage of urinary leakage 6.29 N/A 6.49 0.42 N/A 13.20 090 53085 A Drainage of urinary leakage 10.27 N/A 8.00 0.67 N/A 18.94 090 53200 A Biopsy of urethra 2.59 4.40 1.00 0.17 7.16 3.76 000 53210 A Removal of urethra 12.57 N/A 6.41 0.81 N/A 19.79 090 53215 A Removal of urethra 15.58 N/A 7.22 0.93 N/A 23.73 090 53220 A Treatment of urethra lesion 7.00 N/A 4.24 0.44 N/A 11.68 090 53230 A Removal of urethra lesion 9.58 N/A 5.15 0.60 N/A 15.33 090 53235 A Removal of urethra lesion 10.14 N/A 5.34 0.60 N/A 16.08 090 53240 A Surgery for urethra pouch 6.45 N/A 4.01 0.42 N/A 10.88 090 53250 A Removal of urethra gland 5.89 N/A 3.65 0.35 N/A 9.89 090 53260 A Treatment of urethra lesion 2.98 3.36 1.84 0.23 6.57 5.05 010 Start Printed Page 49148 53265 A Treatment of urethra lesion 3.12 N/A 1.88 0.20 N/A 5.20 010 53270 A Removal of urethra gland 3.09 N/A 1.92 0.21 N/A 5.22 010 53275 A Repair of urethra defect 4.53 N/A 2.33 0.28 N/A 7.14 010 53400 A Revise urethra, stage 1 12.77 N/A 6.52 0.85 N/A 20.14 090 53405 A Revise urethra, stage 2 14.48 N/A 6.90 0.91 N/A 22.29 090 53410 A Reconstruction of urethra 16.44 N/A 7.67 0.99 N/A 25.10 090 53415 A Reconstruction of urethra 19.41 N/A 7.87 1.16 N/A 28.44 090 53420 A Reconstruct urethra, stage 1 14.08 N/A 6.84 0.90 N/A 21.82 090 53425 A Reconstruct urethra, stage 2 15.98 N/A 7.50 0.97 N/A 24.45 090 53430 A Reconstruction of urethra 16.34 N/A 7.59 1.01 N/A 24.94 090 53431 A Reconstruct urethra/bladder 19.89 N/A 8.59 1.30 N/A 29.78 090 53440 A Male sling procedure 13.62 N/A 6.27 0.73 N/A 20.62 090 53442 A Remove/revise male sling 11.57 N/A 5.72 0.55 N/A 17.84 090 53444 A Insert tandem cuff 13.40 N/A 6.05 0.88 N/A 20.33 090 53445 A Insert uro/ves nck sphincter 14.06 N/A 7.72 0.84 N/A 22.62 090 53446 A Remove uro sphincter 10.23 N/A 5.40 0.67 N/A 16.30 090 53447 A Remove/replace ur sphincter 13.49 N/A 6.63 0.79 N/A 20.91 090 53448 A Remov/replc ur sphinctr comp 21.15 N/A 9.32 1.39 N/A 31.86 090 53449 A Repair uro sphincter 9.70 N/A 5.17 0.57 N/A 15.44 090 53450 A Revision of urethra 6.14 N/A 3.79 0.37 N/A 10.30 090 53460 A Revision of urethra 7.12 N/A 4.21 0.43 N/A 11.76 090 53502 A Repair of urethra injury 7.63 N/A 4.50 0.50 N/A 12.63 090 53505 A Repair of urethra injury 7.63 N/A 4.37 0.46 N/A 12.46 090 53510 A Repair of urethra injury 10.11 N/A 5.60 0.60 N/A 16.31 090 53515 A Repair of urethra injury 13.31 N/A 6.38 0.83 N/A 20.52 090 53520 A Repair of urethra defect 8.68 N/A 4.91 0.53 N/A 14.12 090 53600 A Dilate urethra stricture 1.21 1.20 0.45 0.07 2.48 1.73 000 53601 A Dilate urethra stricture 0.98 1.33 0.39 0.06 2.37 1.43 000 53605 A Dilate urethra stricture 1.28 N/A 0.42 0.08 N/A 1.78 000 53620 A Dilate urethra stricture 1.62 2.09 0.62 0.10 3.81 2.34 000 53621 A Dilate urethra stricture 1.35 2.17 0.51 0.08 3.60 1.94 000 53660 A Dilation of urethra 0.71 1.38 0.33 0.04 2.13 1.08 000 53661 A Dilation of urethra 0.72 1.37 0.31 0.04 2.13 1.07 000 53665 A Dilation of urethra 0.76 N/A 0.26 0.05 N/A 1.07 000 53850 A Prostatic microwave thermotx 9.45 100.81 4.41 0.56 110.82 14.42 090 53852 A Prostatic rf thermotx 9.88 94.95 4.80 0.58 105.41 15.26 090 53853 A Prostatic water thermother 5.24 58.79 3.25 0.27 64.30 8.76 090 53899 C Urology surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 54000 A Slitting of prepuce 1.54 N/A 1.37 0.10 N/A 3.01 010 54001 A Slitting of prepuce 2.19 4.39 1.54 0.14 6.72 3.87 010 54015 A Drain penis lesion 5.32 N/A 2.64 0.33 N/A 8.29 010 54050 A Destruction, penis lesion(s) 1.24 1.72 1.07 0.07 3.03 2.38 010 54055 A Destruction, penis lesion(s) 1.22 1.64 0.82 0.07 2.93 2.11 010 54056 A Cryosurgery, penis lesion(s) 1.24 2.53 1.40 0.06 3.83 2.70 010 54057 A Laser surg, penis lesion(s) 1.24 N/A 0.89 0.08 N/A 2.21 010 54060 A Excision of penis lesion(s) 1.93 3.96 1.48 0.12 6.01 3.53 010 54065 A Destruction, penis lesion(s) 2.42 N/A 1.74 0.13 N/A 4.29 010 54100 A Biopsy of penis 1.90 2.93 0.84 0.10 4.93 2.84 000 54105 A Biopsy of penis 3.50 N/A 2.01 0.21 N/A 5.72 010 54110 A Treatment of penis lesion 10.13 N/A 5.97 0.60 N/A 16.70 090 54111 A Treat penis lesion, graft 13.57 N/A 7.05 0.79 N/A 21.41 090 54112 A Treat penis lesion, graft 15.86 N/A 8.07 0.94 N/A 24.87 090 54115 A Treatment of penis lesion 6.15 8.78 4.66 0.39 15.32 11.20 090 54120 A Partial removal of penis 9.97 N/A 5.93 0.60 N/A 16.50 090 Start Printed Page 49149 54125 A Removal of penis 13.53 N/A 7.11 0.81 N/A 21.45 090 54130 A Remove penis & nodes 20.14 N/A 9.50 1.19 N/A 30.83 090 54135 A Remove penis & nodes 26.36 N/A 11.54 1.58 N/A 39.48 090 54150 A Circumcision 1.81 N/A 1.00 0.17 N/A 2.98 010 54152 A Circumcision 2.31 N/A 1.23 0.16 N/A 3.70 010 54160 A Circumcision 2.48 N/A 1.13 0.16 N/A 3.77 010 54161 A Circumcision 3.27 N/A 1.61 0.20 N/A 5.08 010 54162 A Lysis penil circumic lesion 3.00 N/A 2.05 0.20 N/A 5.25 010 54163 A Repair of circumcision 3.00 N/A 2.07 0.20 N/A 5.27 010 54164 A Frenulotomy of penis 2.50 N/A 1.89 0.16 N/A 4.55 010 54200 A Treatment of penis lesion 1.06 1.88 1.02 0.06 3.00 2.14 010 54205 A Treatment of penis lesion 7.93 N/A 5.14 0.47 N/A 13.54 090 54220 A Treatment of penis lesion 2.42 4.03 0.98 0.15 6.60 3.55 000 54230 A Prepare penis study 1.34 1.14 0.64 0.08 2.56 2.06 000 54231 A Dynamic cavernosometry 2.04 1.43 0.89 0.14 3.61 3.07 000 54235 A Penile injection 1.19 1.00 0.60 0.07 2.26 1.86 000 54240 A Penis study 1.31 1.04 N/A 0.13 2.48 N/A 000 54240 26 A Penis study 1.31 0.44 0.44 0.08 1.83 1.83 000 54240 TC A Penis study 0.00 0.61 N/A 0.05 0.66 N/A 000 54250 A Penis study 2.22 0.94 N/A 0.16 3.32 N/A 000 54250 26 A Penis study 2.22 0.73 0.73 0.14 3.09 3.09 000 54250 TC A Penis study 0.00 0.22 N/A 0.02 0.24 N/A 000 54300 A Revision of penis 10.41 N/A 6.17 0.64 N/A 17.22 090 54304 A Revision of penis 12.49 N/A 7.07 0.74 N/A 20.30 090 54308 A Reconstruction of urethra 11.83 N/A 6.67 0.70 N/A 19.20 090 54312 A Reconstruction of urethra 13.57 N/A 7.74 0.81 N/A 22.12 090 54316 A Reconstruction of urethra 16.82 N/A 8.75 1.00 N/A 26.57 090 54318 A Reconstruction of urethra 11.25 N/A 6.61 1.15 N/A 19.01 090 54322 A Reconstruction of urethra 13.01 N/A 6.99 0.77 N/A 20.77 090 54324 A Reconstruction of urethra 16.31 N/A 8.78 1.03 N/A 26.12 090 54326 A Reconstruction of urethra 15.72 N/A 8.48 0.93 N/A 25.13 090 54328 A Revise penis/urethra 15.65 N/A 7.99 0.92 N/A 24.56 090 54332 A Revise penis/urethra 17.08 N/A 8.47 1.01 N/A 26.56 090 54336 A Revise penis/urethra 20.04 N/A 11.27 1.90 N/A 33.21 090 54340 A Secondary urethral surgery 8.91 N/A 5.61 0.72 N/A 15.24 090 54344 A Secondary urethral surgery 15.94 N/A 8.46 1.10 N/A 25.50 090 54348 A Secondary urethral surgery 17.15 N/A 9.20 1.02 N/A 27.37 090 54352 A Reconstruct urethra/penis 24.74 N/A 12.15 1.62 N/A 38.51 090 54360 A Penis plastic surgery 11.93 N/A 6.53 0.72 N/A 19.18 090 54380 A Repair penis 13.18 N/A 7.23 1.16 N/A 21.57 090 54385 A Repair penis 15.39 N/A 8.84 0.71 N/A 24.94 090 54390 A Repair penis and bladder 21.61 N/A 10.73 1.28 N/A 33.62 090 54400 A Insert semi-rigid prosthesis 8.99 N/A 4.78 0.53 N/A 14.30 090 54401 A Insert self-contd prosthesis 10.28 N/A 6.09 0.61 N/A 16.98 090 54405 A Insert multi-comp penis pros 13.43 N/A 6.49 0.80 N/A 20.72 090 54406 A Remove muti-comp penis pros 12.10 N/A 5.59 0.75 N/A 18.44 090 54408 A Repair multi-comp penis pros 12.75 N/A 5.91 0.79 N/A 19.45 090 54410 A Remove/replace penis prosth 15.50 N/A 6.82 0.96 N/A 23.28 090 54411 A Remov/replc penis pros, comp 16.00 N/A 7.25 0.80 N/A 24.05 090 54415 A Remove self-contd penis pros 8.20 N/A 4.33 0.54 N/A 13.07 090 54416 A Remv/repl penis contain pros 10.87 N/A 5.54 0.55 N/A 16.96 090 54417 A Remv/replc penis pros, compl 14.19 N/A 6.36 0.55 N/A 21.10 090 54420 A Revision of penis 11.42 N/A 6.39 0.72 N/A 18.53 090 54430 A Revision of penis 10.15 N/A 5.97 0.60 N/A 16.72 090 54435 A Revision of penis 6.12 N/A 4.41 0.36 N/A 10.89 090 Start Printed Page 49150 54440 C Repair of penis 0.00 0.00 0.00 0.00 0.00 0.00 090 54450 A Preputial stretching 1.12 1.13 0.48 0.07 2.32 1.67 000 54500 A Biopsy of testis 1.31 0.62 0.58 0.08 2.01 1.97 000 54505 A Biopsy of testis 3.46 N/A 1.98 0.21 N/A 5.65 010 54512 A Excise lesion testis 8.58 N/A 4.37 0.56 N/A 13.51 090 54520 A Removal of testis 5.23 N/A 3.01 0.33 N/A 8.57 090 54522 A Orchiectomy, partial 9.50 N/A 5.12 0.62 N/A 15.24 090 54530 A Removal of testis 8.58 N/A 4.52 0.53 N/A 13.63 090 54535 A Extensive testis surgery 12.16 N/A 5.96 0.83 N/A 18.95 090 54550 A Exploration for testis 7.78 N/A 4.12 0.49 N/A 12.39 090 54560 A Exploration for testis 11.13 N/A 5.56 0.79 N/A 17.48 090 54600 A Reduce testis torsion 7.01 N/A 3.79 0.45 N/A 11.25 090 54620 A Suspension of testis 4.90 N/A 2.52 0.31 N/A 7.73 010 54640 A Suspension of testis 6.90 N/A 3.97 0.49 N/A 11.36 090 54650 A Orchiopexy (Fowler-Stephens) 11.45 N/A 5.83 0.81 N/A 18.09 090 54660 A Revision of testis 5.11 N/A 3.19 0.35 N/A 8.65 090 54670 A Repair testis injury 6.41 N/A 3.70 0.41 N/A 10.52 090 54680 A Relocation of testis(es) 12.65 N/A 6.51 0.94 N/A 20.10 090 54690 A Laparoscopy, orchiectomy 10.96 N/A 5.45 0.99 N/A 17.40 090 54692 A Laparoscopy, orchiopexy 12.88 N/A 5.57 0.87 N/A 19.32 090 54699 C Laparoscope proc, testis 0.00 0.00 0.00 0.00 0.00 0.00 YYY 54700 A Drainage of scrotum 3.43 N/A 2.00 0.23 N/A 5.66 010 54800 A Biopsy of epididymis 2.33 0.97 0.92 0.14 3.44 3.39 000 54820 A Exploration of epididymis 5.14 N/A 3.16 0.33 N/A 8.63 090 54830 A Remove epididymis lesion 5.38 N/A 3.25 0.34 N/A 8.97 090 54840 A Remove epididymis lesion 5.20 N/A 3.01 0.31 N/A 8.52 090 54860 A Removal of epididymis 6.32 N/A 3.61 0.38 N/A 10.31 090 54861 A Removal of epididymis 8.90 N/A 4.55 0.52 N/A 13.97 090 54900 A Fusion of spermatic ducts 13.20 N/A 6.13 1.34 N/A 20.67 090 54901 A Fusion of spermatic ducts 17.94 N/A 8.12 1.83 N/A 27.89 090 55000 A Drainage of hydrocele 1.43 2.15 0.66 0.10 3.68 2.19 000 55040 A Removal of hydrocele 5.36 N/A 3.07 0.35 N/A 8.78 090 55041 A Removal of hydroceles 7.74 N/A 4.14 0.50 N/A 12.38 090 55060 A Repair of hydrocele 5.52 N/A 3.25 0.37 N/A 9.14 090 55100 A Drainage of scrotum abscess 2.13 3.85 1.62 0.15 6.13 3.90 010 55110 A Explore scrotum 5.70 N/A 3.31 0.36 N/A 9.37 090 55120 A Removal of scrotum lesion 5.09 8.73 3.11 0.33 14.15 8.53 090 55150 A Removal of scrotum 7.22 N/A 4.10 0.47 N/A 11.79 090 55175 A Revision of scrotum 5.24 N/A 3.24 0.33 N/A 8.81 090 55180 A Revision of scrotum 10.72 N/A 5.69 0.72 N/A 17.13 090 55200 A Incision of sperm duct 4.24 9.10 2.60 0.25 13.59 7.09 090 55250 A Removal of sperm duct(s) 3.29 9.29 2.89 0.21 12.79 6.39 090 55300 A Prepare, sperm duct x-ray 3.51 N/A 1.34 0.20 N/A 5.05 000 55400 A Repair of sperm duct 8.49 N/A 4.38 0.50 N/A 13.37 090 55450 A Ligation of sperm duct 4.12 7.34 1.92 0.24 11.70 6.28 010 55500 A Removal of hydrocele 5.59 N/A 3.28 0.43 N/A 9.30 090 55520 A Removal of sperm cord lesion 6.03 N/A 3.41 0.56 N/A 10.00 090 55530 A Revise spermatic cord veins 5.66 N/A 3.24 0.36 N/A 9.26 090 55535 A Revise spermatic cord veins 6.56 N/A 3.63 0.42 N/A 10.61 090 55540 A Revise hernia & sperm veins 7.67 N/A 3.96 0.74 N/A 12.37 090 55550 A Laparo ligate spermatic vein 6.57 N/A 3.63 0.47 N/A 10.67 090 55559 C Laparo proc, spermatic cord 0.00 0.00 0.00 0.00 0.00 0.00 YYY 55600 A Incise sperm duct pouch 6.38 N/A 3.63 0.38 N/A 10.39 090 55605 A Incise sperm duct pouch 7.96 N/A 4.55 0.54 N/A 13.05 090 55650 A Remove sperm duct pouch 11.80 N/A 5.58 0.72 N/A 18.10 090 55680 A Remove sperm pouch lesion 5.19 N/A 3.19 0.31 N/A 8.69 090 Start Printed Page 49151 55700 A Biopsy of prostate 1.57 4.42 0.73 0.10 6.09 2.40 000 55705 A Biopsy of prostate 4.57 N/A 2.37 0.26 N/A 7.20 010 55720 A Drainage of prostate abscess 7.64 N/A 4.32 0.44 N/A 12.40 090 55725 A Drainage of prostate abscess 8.68 N/A 4.97 0.51 N/A 14.16 090 55801 A Removal of prostate 17.80 N/A 8.10 1.08 N/A 26.98 090 55810 A Extensive prostate surgery 22.58 N/A 9.58 1.35 N/A 33.51 090 55812 A Extensive prostate surgery 27.51 N/A 11.67 1.69 N/A 40.87 090 55815 A Extensive prostate surgery 30.46 N/A 12.61 1.84 N/A 44.91 090 55821 A Removal of prostate 14.25 N/A 6.66 0.85 N/A 21.76 090 55831 A Removal of prostate 15.62 N/A 7.12 0.94 N/A 23.68 090 55840 A Extensive prostate surgery 22.69 N/A 9.94 1.37 N/A 34.00 090 55842 A Extensive prostate surgery 24.38 N/A 10.50 1.48 N/A 36.36 090 55845 A Extensive prostate surgery 28.55 N/A 11.73 1.71 N/A 41.99 090 55859 A Percut/needle insert, pros 12.52 N/A 6.23 0.74 N/A 19.49 090 55860 A Surgical exposure, prostate 14.45 N/A 6.71 0.82 N/A 21.98 090 55862 A Extensive prostate surgery 18.39 N/A 8.36 1.14 N/A 27.89 090 55865 A Extensive prostate surgery 22.87 N/A 9.79 1.37 N/A 34.03 090 55866 A Laparo radical prostatectomy 30.74 N/A 12.08 1.37 N/A 44.19 090 55870 A Electroejaculation 2.58 1.59 1.11 0.14 4.31 3.83 000 55873 A Cryoablate prostate 19.47 N/A 9.34 1.02 N/A 29.83 090 55899 C Genital surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 56405 A I & D of vulva/perineum 1.44 1.37 1.18 0.14 2.95 2.76 010 56420 A Drainage of gland abscess 1.39 2.37 1.11 0.13 3.89 2.63 010 56440 A Surgery for vulva lesion 2.84 N/A 1.75 0.28 N/A 4.87 010 56441 A Lysis of labial lesion(s) 1.97 1.87 1.46 0.17 4.01 3.60 010 56501 A Destroy, vulva lesions, sim 1.53 1.84 1.30 0.15 3.52 2.98 010 56515 A Destroy vulva lesion/s compl 2.76 2.63 1.88 0.18 5.57 4.82 010 56605 A Biopsy of vulva/perineum 1.10 1.12 0.47 0.11 2.33 1.68 000 56606 A Biopsy of vulva/perineum 0.55 0.51 0.22 0.06 1.12 0.83 ZZZ 56620 A Partial removal of vulva 7.47 N/A 5.16 0.76 N/A 13.39 090 56625 A Complete removal of vulva 8.40 N/A 5.81 0.84 N/A 15.05 090 56630 A Extensive vulva surgery 12.36 N/A 7.40 1.23 N/A 20.99 090 56631 A Extensive vulva surgery 16.20 N/A 9.64 1.63 N/A 27.47 090 56632 A Extensive vulva surgery 20.29 N/A 10.11 2.03 N/A 32.43 090 56633 A Extensive vulva surgery 16.47 N/A 9.24 1.66 N/A 27.37 090 56634 A Extensive vulva surgery 17.88 N/A 10.31 1.78 N/A 29.97 090 56637 A Extensive vulva surgery 21.97 N/A 11.98 2.18 N/A 36.13 090 56640 A Extensive vulva surgery 22.17 N/A 11.35 2.26 N/A 35.78 090 56700 A Partial removal of hymen 2.52 N/A 1.78 0.24 N/A 4.54 010 56720 A Incision of hymen 0.68 N/A 0.41 0.07 N/A 1.16 000 56740 A Remove vagina gland lesion 4.57 N/A 2.53 0.37 N/A 7.47 010 56800 A Repair of vagina 3.89 N/A 2.25 0.37 N/A 6.51 010 56805 A Repair clitoris 18.86 N/A 9.80 1.82 N/A 30.48 090 56810 A Repair of perineum 4.13 N/A 2.36 0.41 N/A 6.90 010 56820 A Exam of vulva w/scope 1.50 1.39 0.65 0.10 2.99 2.25 000 56821 A Exam/biopsy of vulva w/scope 2.05 1.82 0.92 0.13 4.00 3.10 000 57000 A Exploration of vagina 2.97 N/A 1.78 0.28 N/A 5.03 010 57010 A Drainage of pelvic abscess 6.03 N/A 4.07 0.57 N/A 10.67 090 57020 A Drainage of pelvic fluid 1.50 0.98 0.61 0.15 2.63 2.26 000 57022 A I & d vaginal hematoma, pp 2.56 N/A 1.55 0.24 N/A 4.35 010 57023 A I & d vag hematoma, non-ob 4.75 N/A 2.66 0.24 N/A 7.65 010 57061 A Destroy vag lesions, simple 1.25 1.72 1.17 0.13 3.10 2.55 010 57065 A Destroy vag lesions, complex 2.61 2.38 1.76 0.26 5.25 4.63 010 57100 A Biopsy of vagina 1.20 1.14 0.49 0.10 2.44 1.79 000 Start Printed Page 49152 57105 A Biopsy of vagina 1.69 2.01 1.38 0.17 3.87 3.24 010 57106 A Remove vagina wall, partial 6.36 N/A 4.46 0.58 N/A 11.40 090 57107 A Remove vagina tissue, part 23.00 N/A 10.90 2.17 N/A 36.07 090 57109 A Vaginectomy partial w/nodes 27.00 N/A 11.82 1.97 N/A 40.79 090 57110 A Remove vagina wall, complete 14.29 N/A 7.63 1.43 N/A 23.35 090 57111 A Remove vagina tissue, compl 27.00 N/A 13.01 2.71 N/A 42.72 090 57112 A Vaginectomy w/nodes, compl 29.00 N/A 12.66 2.19 N/A 43.85 090 57120 A Closure of vagina 7.41 N/A 4.88 0.75 N/A 13.04 090 57130 A Remove vagina lesion 2.43 2.24 1.60 0.23 4.90 4.26 010 57135 A Remove vagina lesion 2.67 2.33 1.70 0.26 5.26 4.63 010 57150 A Treat vagina infection 0.55 1.14 0.22 0.06 1.75 0.83 000 57155 A Insert uteri tandems/ovoids 6.27 N/A 4.04 0.59 N/A 10.90 090 57160 A Insert pessary/other device 0.89 1.12 0.40 0.09 2.10 1.38 000 57170 A Fitting of diaphragm/cap 0.91 1.54 0.34 0.09 2.54 1.34 000 57180 A Treat vaginal bleeding 1.58 2.28 1.35 0.16 4.02 3.09 010 57200 A Repair of vagina 3.94 N/A 2.97 0.38 N/A 7.29 090 57210 A Repair vagina/perineum 5.17 N/A 3.51 0.50 N/A 9.18 090 57220 A Revision of urethra 4.31 N/A 3.18 0.42 N/A 7.91 090 57230 A Repair of urethral lesion 5.64 N/A 3.47 0.50 N/A 9.61 090 57240 A Repair bladder & vagina 6.07 N/A 3.94 0.53 N/A 10.54 090 57250 A Repair rectum & vagina 5.53 N/A 3.65 0.54 N/A 9.72 090 57260 A Repair of vagina 8.27 N/A 4.98 0.83 N/A 14.08 090 57265 A Extensive repair of vagina 11.34 N/A 6.21 1.14 N/A 18.69 090 57268 A Repair of bowel bulge 6.76 N/A 4.33 0.66 N/A 11.75 090 57270 A Repair of bowel pouch 12.11 N/A 6.44 1.17 N/A 19.72 090 57280 A Suspension of vagina 15.04 N/A 7.58 1.44 N/A 24.06 090 57282 A Repair of vaginal prolapse 8.86 N/A 5.43 0.86 N/A 15.15 090 57284 A Repair paravaginal defect 12.70 N/A 7.30 1.17 N/A 21.17 090 57287 A Revise/remove sling repair 10.71 N/A 5.65 0.74 N/A 17.10 090 57288 A Repair bladder defect 13.02 N/A 6.09 0.86 N/A 19.97 090 57289 A Repair bladder & vagina 11.58 N/A 6.22 0.95 N/A 18.75 090 57291 A Construction of vagina 7.95 N/A 5.08 0.78 N/A 13.81 090 57292 A Construct vagina with graft 13.09 N/A 7.17 1.29 N/A 21.55 090 57300 A Repair rectum-vagina fistula 7.61 N/A 4.37 0.70 N/A 12.68 090 57305 A Repair rectum-vagina fistula 13.77 N/A 6.40 1.33 N/A 21.50 090 57307 A Fistula repair & colostomy 15.93 N/A 7.18 1.59 N/A 24.70 090 57308 A Fistula repair, transperine 9.94 N/A 5.28 0.91 N/A 16.13 090 57310 A Repair urethrovaginal lesion 6.78 N/A 4.22 0.45 N/A 11.45 090 57311 A Repair urethrovaginal lesion 7.98 N/A 4.70 0.51 N/A 13.19 090 57320 A Repair bladder-vagina lesion 8.01 N/A 4.77 0.60 N/A 13.38 090 57330 A Repair bladder-vagina lesion 12.35 N/A 6.17 0.86 N/A 19.38 090 57335 A Repair vagina 18.73 N/A 9.53 1.66 N/A 29.92 090 57400 A Dilation of vagina 2.27 N/A 1.16 0.22 N/A 3.65 000 57410 A Pelvic examination 1.75 2.10 0.91 0.14 3.99 2.80 000 57415 A Remove vaginal foreign body 2.17 N/A 1.47 0.19 N/A 3.83 010 57420 A Exam of vagina w/scope 1.60 1.43 0.69 0.10 3.13 2.39 000 57421 A Exam/biopsy of vag w/scope 2.20 1.91 0.98 0.13 4.24 3.31 000 57452 A Exam of cervix w/scope 1.50 1.45 0.64 0.10 3.05 2.24 000 57454 A Bx/curett of cervix w/scope 2.33 1.80 1.02 0.13 4.26 3.48 000 57455 A Biopsy of cervix w/scope 1.99 1.79 0.89 0.13 3.91 3.01 000 Start Printed Page 49153 57456 A Endocerv curettage w/scope 1.85 1.72 0.84 0.13 3.70 2.82 000 57460 A Bx of cervix w/scope, leep 2.83 6.23 1.25 0.28 9.34 4.36 000 57461 A Conz of cervix w/scope, leep 3.44 6.48 1.43 0.28 10.20 5.15 000 57500 A Biopsy of cervix 0.97 2.76 0.48 0.10 3.83 1.55 000 57505 A Endocervical curettage 1.14 1.52 1.14 0.12 2.78 2.40 010 57510 A Cauterization of cervix 1.90 1.61 1.07 0.18 3.69 3.15 010 57511 A Cryocautery of cervix 1.90 1.88 1.42 0.18 3.96 3.50 010 57513 A Laser surgery of cervix 1.90 1.93 1.45 0.19 4.02 3.54 010 57520 A Conization of cervix 4.04 5.05 2.86 0.41 9.50 7.31 090 57522 A Conization of cervix 3.36 4.55 2.81 0.34 8.25 6.51 090 57530 A Removal of cervix 4.79 N/A 3.67 0.48 N/A 8.94 090 57531 A Removal of cervix, radical 28.00 N/A 13.74 2.46 N/A 44.20 090 57540 A Removal of residual cervix 12.22 N/A 6.55 1.21 N/A 19.98 090 57545 A Remove cervix/repair pelvis 13.03 N/A 7.00 1.30 N/A 21.33 090 57550 A Removal of residual cervix 5.53 N/A 4.08 0.55 N/A 10.16 090 57555 A Remove cervix/repair vagina 8.95 N/A 5.39 0.89 N/A 15.23 090 57556 A Remove cervix, repair bowel 8.37 N/A 5.13 0.80 N/A 14.30 090 57700 A Revision of cervix 3.55 N/A 3.28 0.33 N/A 7.16 090 57720 A Revision of cervix 4.13 N/A 3.36 0.41 N/A 7.90 090 57800 A Dilation of cervical canal 0.77 0.79 0.49 0.08 1.64 1.34 000 57820 A D & c of residual cervix 1.67 1.52 1.17 0.17 3.36 3.01 010 58100 A Biopsy of uterus lining 1.53 1.37 0.74 0.07 2.97 2.34 000 58120 A Dilation and curettage 3.27 2.37 1.92 0.33 5.97 5.52 010 58140 A Myomectomy abdom method 14.60 N/A 7.39 1.46 N/A 23.45 090 58145 A Myomectomy vag method 8.04 N/A 5.08 0.80 N/A 13.92 090 58146 A Myomectomy abdom complex 19.00 N/A 8.97 1.46 N/A 29.43 090 58150 A Total hysterectomy 15.24 N/A 7.70 1.57 N/A 24.51 090 58152 A Total hysterectomy 20.60 N/A 10.09 1.52 N/A 32.21 090 58180 A Partial hysterectomy 15.29 N/A 7.67 1.54 N/A 24.50 090 58200 A Extensive hysterectomy 21.59 N/A 10.36 2.15 N/A 34.10 090 58210 A Extensive hysterectomy 28.85 N/A 13.72 2.91 N/A 45.48 090 58240 A Removal of pelvis contents 38.39 N/A 18.32 3.76 N/A 60.47 090 58260 A Vaginal hysterectomy 12.98 N/A 6.87 1.23 N/A 21.08 090 58262 A Vag hyst including t/o 14.77 N/A 7.63 1.42 N/A 23.82 090 58263 A Vag hyst w/t/o & vag repair 16.06 N/A 8.15 1.55 N/A 25.76 090 58267 A Vag hyst w/urinary repair 17.04 N/A 8.57 1.51 N/A 27.12 090 58270 A Vag hyst w/enterocele repair 14.26 N/A 7.25 1.37 N/A 22.88 090 58275 A Hysterectomy/revise vagina 15.76 N/A 7.92 1.51 N/A 25.19 090 58280 A Hysterectomy/revise vagina 17.01 N/A 8.42 1.54 N/A 26.97 090 58285 A Extensive hysterectomy 22.26 N/A 10.45 1.88 N/A 34.59 090 58290 A Vag hyst complex 19.00 N/A 9.07 1.23 N/A 29.30 090 58291 A Vag hyst incl t/o, complex 20.79 N/A 10.10 1.42 N/A 32.31 090 58292 A Vag hyst t/o & repair, compl 22.08 N/A 10.64 1.55 N/A 34.27 090 58293 A Vag hyst w/uro repair, compl 23.06 N/A 11.15 1.51 N/A 35.72 090 58294 A Vag hyst w/enterocele, compl 20.28 N/A 9.89 1.37 N/A 31.54 090 58300 N Insert intrauterine device 1.01 1.55 0.39 0.10 2.66 1.50 XXX 58301 A Remove intrauterine device 1.27 1.37 0.49 0.13 2.77 1.89 000 58321 A Artificial insemination 0.92 1.19 0.38 0.10 2.21 1.40 000 58322 A Artificial insemination 1.10 1.25 0.43 0.11 2.46 1.64 000 58323 A Sperm washing 0.23 0.24 0.10 0.02 0.49 0.35 000 Start Printed Page 49154 58340 A Catheter for hysterography 0.88 3.09 0.66 0.08 4.05 1.62 000 58345 A Reopen fallopian tube 4.66 N/A 2.48 0.36 N/A 7.50 010 58346 A Insert heyman uteri capsule 6.75 N/A 4.03 0.64 N/A 11.42 090 58350 A Reopen fallopian tube 1.01 1.54 0.95 0.10 2.65 2.06 010 58353 A Endometr ablate, thermal 3.56 2.93 2.13 0.37 6.86 6.06 010 58400 A Suspension of uterus 6.36 N/A 4.21 0.62 N/A 11.19 090 58410 A Suspension of uterus 12.73 N/A 6.75 1.09 N/A 20.57 090 58520 A Repair of ruptured uterus 11.92 N/A 6.27 1.17 N/A 19.36 090 58540 A Revision of uterus 14.64 N/A 7.23 1.28 N/A 23.15 090 58545 A Laparoscopic myomectomy 14.60 N/A 7.53 1.45 N/A 23.58 090 58546 A Laparo-myomectomy, complex 19.00 N/A 9.38 1.45 N/A 29.83 090 58550 A Laparo-asst vag hysterectomy 14.19 N/A 7.61 1.44 N/A 23.24 090 58552 A Laparo-vag hyst incl t/o 14.19 N/A 7.54 1.44 N/A 23.17 090 58553 A Laparo-vag hyst, complex 19.00 N/A 9.35 1.23 N/A 29.58 090 58554 A Laparo-vag hyst w/t/o, compl 19.00 N/A 9.58 1.23 N/A 29.81 090 58555 A Hysteroscopy, dx, sep proc 3.33 2.12 1.49 0.34 5.79 5.16 000 58558 A Hysteroscopy, biopsy 4.75 N/A 2.11 0.49 N/A 7.35 000 58559 A Hysteroscopy, lysis 6.17 N/A 2.68 0.62 N/A 9.47 000 58560 A Hysteroscopy, resect septum 7.00 N/A 3.03 0.71 N/A 10.74 000 58561 A Hysteroscopy, remove myoma 10.00 N/A 4.26 1.02 N/A 15.28 000 58562 A Hysteroscopy, remove fb 5.21 N/A 2.26 0.52 N/A 7.99 000 58563 A Hysteroscopy, ablation 6.17 N/A 2.69 0.62 N/A 9.48 000 58578 C Laparo proc, uterus 0.00 0.00 0.00 0.00 0.00 0.00 YYY 58579 C Hysteroscope procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 58600 A Division of fallopian tube 5.60 N/A 3.56 0.39 N/A 9.55 090 58605 A Division of fallopian tube 5.00 N/A 3.36 0.33 N/A 8.69 090 58611 A Ligate oviduct(s) add-on 1.45 N/A 0.58 0.07 N/A 2.10 ZZZ 58615 A Occlude fallopian tube(s) 3.90 N/A 2.78 0.40 N/A 7.08 010 58660 A Laparoscopy, lysis 11.29 N/A 5.50 1.14 N/A 17.93 090 58661 A Laparoscopy, remove adnexa 11.05 N/A 5.26 1.12 N/A 17.43 010 58662 A Laparoscopy, excise lesions 11.79 N/A 6.05 1.18 N/A 19.02 090 58670 A Laparoscopy, tubal cautery 5.60 N/A 3.38 0.55 N/A 9.53 090 58671 A Laparoscopy, tubal block 5.60 N/A 3.40 0.56 N/A 9.56 090 58672 A Laparoscopy, fimbrioplasty 12.88 N/A 6.51 1.22 N/A 20.61 090 58673 A Laparoscopy, salpingostomy 13.74 N/A 6.92 1.40 N/A 22.06 090 58679 C Laparo proc, oviduct-ovary 0.00 0.00 0.00 0.00 0.00 0.00 YYY 58700 A Removal of fallopian tube 12.05 N/A 6.24 0.64 N/A 18.93 090 58720 A Removal of ovary/tube(s) 11.36 N/A 6.07 1.14 N/A 18.57 090 58740 A Revise fallopian tube(s) 14.00 N/A 7.46 0.59 N/A 22.05 090 58750 A Repair oviduct 14.84 N/A 7.69 1.52 N/A 24.05 090 58752 A Revise ovarian tube(s) 14.84 N/A 7.35 1.51 N/A 23.70 090 58760 A Remove tubal obstruction 13.13 N/A 7.01 1.34 N/A 21.48 090 58770 A Create new tubal opening 13.97 N/A 7.23 1.42 N/A 22.62 090 58800 A Drainage of ovarian cyst(s) 4.14 4.80 3.16 0.36 9.30 7.66 090 58805 A Drainage of ovarian cyst(s) 5.88 N/A 3.71 0.56 N/A 10.15 090 58820 A Drain ovary abscess, open 4.22 N/A 3.49 0.29 N/A 8.00 090 58822 A Drain ovary abscess, percut 10.13 N/A 5.44 0.92 N/A 16.49 090 58823 A Drain pelvic abscess, percut 3.38 N/A 1.54 0.18 N/A 5.10 000 58825 A Transposition, ovary(s) 10.98 N/A 6.08 0.62 N/A 17.68 090 58900 A Biopsy of ovary(s) 5.99 N/A 3.79 0.56 N/A 10.34 090 Start Printed Page 49155 58920 A Partial removal of ovary(s) 11.36 N/A 5.83 0.68 N/A 17.87 090 58925 A Removal of ovarian cyst(s) 11.36 N/A 5.92 1.14 N/A 18.42 090 58940 A Removal of ovary(s) 7.29 N/A 4.32 0.73 N/A 12.34 090 58943 A Removal of ovary(s) 18.43 N/A 9.16 1.86 N/A 29.45 090 58950 A Resect ovarian malignancy 16.93 N/A 8.94 1.55 N/A 27.42 090 58951 A Resect ovarian malignancy 22.38 N/A 11.07 2.20 N/A 35.65 090 58952 A Resect ovarian malignancy 25.01 N/A 12.40 2.57 N/A 39.98 090 58953 A Tah, rad dissect for debulk 32.00 N/A 15.03 3.30 N/A 50.33 090 58954 A Tah rad debulk/lymph remove 35.00 N/A 16.19 3.56 N/A 54.75 090 58960 A Exploration of abdomen 14.65 N/A 7.90 1.47 N/A 24.02 090 58970 A Retrieval of oocyte 3.53 2.37 1.53 0.36 6.26 5.42 000 58974 C Transfer of embryo 0.00 0.00 0.00 0.00 0.00 0.00 000 58976 A Transfer of embryo 3.83 2.69 1.87 0.39 6.91 6.09 000 58999 C Genital surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 59000 A Amniocentesis, diagnostic 1.30 2.17 0.70 0.23 3.70 2.23 000 59001 A Amniocentesis, therapeutic 3.00 N/A 1.44 0.23 N/A 4.67 000 59012 A Fetal cord puncture,prenatal 3.45 N/A 1.59 0.62 N/A 5.66 000 59015 A Chorion biopsy 2.20 1.61 1.08 0.40 4.21 3.68 000 59020 A Fetal contract stress test 0.66 0.79 N/A 0.20 1.65 N/A 000 59020 26 A Fetal contract stress test 0.66 0.27 0.27 0.12 1.05 1.05 000 59020 TC A Fetal contract stress test 0.00 0.52 N/A 0.08 0.60 N/A 000 59025 A Fetal non-stress test 0.53 0.45 N/A 0.12 1.10 N/A 000 59025 26 A Fetal non-stress test 0.53 0.21 0.21 0.10 0.84 0.84 000 59025 TC A Fetal non-stress test 0.00 0.23 N/A 0.02 0.25 N/A 000 59030 A Fetal scalp blood sample 1.99 N/A 1.07 0.36 N/A 3.42 000 59050 A Fetal monitor w/report 0.89 N/A 0.36 0.16 N/A 1.41 XXX 59051 A Fetal monitor/interpret only 0.74 N/A 0.30 0.14 N/A 1.18 XXX 59100 A Remove uterus lesion 12.35 N/A 6.74 2.21 N/A 21.30 090 59120 A Treat ectopic pregnancy 11.49 N/A 6.54 2.06 N/A 20.09 090 59121 A Treat ectopic pregnancy 11.67 N/A 6.61 2.09 N/A 20.37 090 59130 A Treat ectopic pregnancy 14.22 N/A 6.31 2.54 N/A 23.07 090 59135 A Treat ectopic pregnancy 13.88 N/A 7.39 2.49 N/A 23.76 090 59136 A Treat ectopic pregnancy 13.18 N/A 6.92 2.36 N/A 22.46 090 59140 A Treat ectopic pregnancy 5.46 5.39 3.72 0.98 11.83 10.16 090 59150 A Treat ectopic pregnancy 11.67 N/A 6.31 1.23 N/A 19.21 090 59151 A Treat ectopic pregnancy 11.49 N/A 6.30 1.41 N/A 19.20 090 59160 A D & c after delivery 2.71 3.35 2.17 0.49 6.55 5.37 010 59200 A Insert cervical dilator 0.79 1.25 0.31 0.15 2.19 1.25 000 59300 A Episiotomy or vaginal repair 2.41 2.21 0.98 0.43 5.05 3.82 000 59320 A Revision of cervix 2.48 N/A 1.29 0.45 N/A 4.22 000 59325 A Revision of cervix 4.07 N/A 1.96 0.73 N/A 6.76 000 59350 A Repair of uterus 4.95 N/A 2.00 0.88 N/A 7.83 000 59400 A Obstetrical care 23.06 N/A 15.87 4.14 N/A 43.07 MMM 59409 A Obstetrical care 13.50 N/A 5.42 2.42 N/A 21.34 MMM 59410 A Obstetrical care 14.78 N/A 6.46 2.65 N/A 23.89 MMM 59412 A Antepartum manipulation 1.71 N/A 0.83 0.31 N/A 2.85 MMM 59414 A Deliver placenta 1.61 N/A 0.64 0.29 N/A 2.54 MMM 59425 A Antepartum care only 4.81 4.38 1.90 0.86 10.05 7.57 MMM 59426 A Antepartum care only 8.28 7.85 3.29 1.49 17.62 13.06 MMM 59430 A Care after delivery 2.13 1.27 0.96 0.38 3.78 3.47 MMM 59510 A Cesarean delivery 26.22 N/A 17.86 4.70 N/A 48.78 MMM 59514 A Cesarean delivery only 15.97 N/A 6.35 2.86 N/A 25.18 MMM 59515 A Cesarean delivery 17.37 N/A 8.03 3.12 N/A 28.52 MMM 59525 A Remove uterus after cesarean 8.54 N/A 3.38 1.53 N/A 13.45 ZZZ 59610 A Vbac delivery 24.62 N/A 16.44 4.41 N/A 45.47 MMM 59612 A Vbac delivery only 15.06 N/A 6.18 2.70 N/A 23.94 MMM 59614 A Vbac care after delivery 16.34 N/A 7.10 2.93 N/A 26.37 MMM 59618 A Attempted vbac delivery 27.78 N/A 18.97 4.98 N/A 51.73 MMM Start Printed Page 49156 59620 A Attempted vbac delivery only 17.53 N/A 6.91 3.15 N/A 27.59 MMM 59622 A Attempted vbac after care 18.93 N/A 8.85 3.39 N/A 31.17 MMM 59812 A Treatment of miscarriage 4.01 N/A 2.62 0.58 N/A 7.21 090 59820 A Care of miscarriage 4.01 N/A 3.62 0.72 N/A 8.35 090 59821 A Treatment of miscarriage 4.47 N/A 3.52 0.80 N/A 8.79 090 59830 A Treat uterus infection 6.11 N/A 4.10 1.10 N/A 11.31 090 59840 R Abortion 3.01 N/A 2.18 0.54 N/A 5.73 010 59841 R Abortion 5.24 3.59 3.05 0.94 9.77 9.23 010 59850 R Abortion 5.91 N/A 3.33 1.06 N/A 10.30 090 59851 R Abortion 5.93 N/A 3.89 1.06 N/A 10.88 090 59852 R Abortion 8.24 N/A 5.39 1.48 N/A 15.11 090 59855 R Abortion 6.12 N/A 3.72 1.10 N/A 10.94 090 59856 R Abortion 7.48 N/A 4.29 1.34 N/A 13.11 090 59857 R Abortion 9.29 N/A 4.78 1.66 N/A 15.73 090 59866 R Abortion (mpr) 4.00 N/A 1.86 0.72 N/A 6.58 000 59870 A Evacuate mole of uterus 6.01 N/A 4.62 0.77 N/A 11.40 090 59871 A Remove cerclage suture 2.13 1.81 1.16 0.38 4.32 3.67 000 59898 C Laparo proc, ob care/deliver 0.00 0.00 0.00 0.00 0.00 0.00 YYY 59899 C Maternity care procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 60000 A Drain thyroid/tongue cyst 1.76 2.23 2.09 0.14 4.13 3.99 010 60001 A Aspirate/inject thyriod cyst 0.97 1.54 0.35 0.06 2.57 1.38 000 60100 A Biopsy of thyroid 1.56 1.45 0.54 0.05 3.06 2.15 000 60200 A Remove thyroid lesion 9.55 N/A 6.24 0.84 N/A 16.63 090 60210 A Partial thyroid excision 10.88 N/A 5.94 1.01 N/A 17.83 090 60212 A Partial thyroid excision 16.03 N/A 7.96 1.51 N/A 25.50 090 60220 A Partial removal of thyroid 11.90 N/A 6.47 0.97 N/A 19.34 090 60225 A Partial removal of thyroid 14.19 N/A 7.67 1.31 N/A 23.17 090 60240 A Removal of thyroid 16.06 N/A 7.95 1.50 N/A 25.51 090 60252 A Removal of thyroid 20.57 N/A 10.51 1.63 N/A 32.71 090 60254 A Extensive thyroid surgery 26.99 N/A 14.72 1.96 N/A 43.67 090 60260 A Repeat thyroid surgery 17.47 N/A 9.09 1.39 N/A 27.95 090 60270 A Removal of thyroid 20.27 N/A 10.69 1.78 N/A 32.74 090 60271 A Removal of thyroid 16.83 N/A 8.98 1.35 N/A 27.16 090 60280 A Remove thyroid duct lesion 5.87 N/A 4.95 0.45 N/A 11.27 090 60281 A Remove thyroid duct lesion 8.53 N/A 6.14 0.67 N/A 15.34 090 60500 A Explore parathyroid glands 16.23 N/A 7.66 1.61 N/A 25.50 090 60502 A Re-explore parathyroids 20.35 N/A 9.59 2.00 N/A 31.94 090 60505 A Explore parathyroid glands 21.49 N/A 11.12 2.14 N/A 34.75 090 60512 A Autotransplant parathyroid 4.45 N/A 1.66 0.44 N/A 6.55 ZZZ 60520 A Removal of thymus gland 16.81 N/A 8.37 1.84 N/A 27.02 090 60521 A Removal of thymus gland 18.87 N/A 9.39 2.34 N/A 30.60 090 60522 A Removal of thymus gland 23.09 N/A 11.11 2.83 N/A 37.03 090 60540 A Explore adrenal gland 17.03 N/A 7.79 1.42 N/A 26.24 090 60545 A Explore adrenal gland 19.88 N/A 8.76 1.75 N/A 30.39 090 60600 A Remove carotid body lesion 17.93 N/A 10.94 1.87 N/A 30.74 090 60605 A Remove carotid body lesion 20.24 N/A 12.95 2.28 N/A 35.47 090 60650 A Laparoscopy adrenalectomy 20.00 N/A 8.13 1.98 N/A 30.11 090 60659 C Laparo proc, endocrine 0.00 0.00 0.00 0.00 0.00 0.00 YYY 60699 C Endocrine surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 61000 A Remove cranial cavity fluid 1.58 N/A 0.98 0.13 N/A 2.69 000 61001 A Remove cranial cavity fluid 1.49 N/A 1.09 0.15 N/A 2.73 000 61020 A Remove brain cavity fluid 1.51 N/A 1.39 0.26 N/A 3.16 000 61026 A Injection into brain canal 1.69 N/A 1.45 0.21 N/A 3.35 000 61050 A Remove brain canal fluid 1.51 N/A 1.28 0.13 N/A 2.92 000 61055 A Injection into brain canal 2.10 N/A 1.43 0.13 N/A 3.66 000 61070 A Brain canal shunt procedure 0.89 N/A 1.05 0.09 N/A 2.03 000 61105 A Twist drill hole 5.14 N/A 4.03 1.05 N/A 10.22 090 Start Printed Page 49157 61107 A Drill skull for implantation 5.00 N/A 3.39 1.02 N/A 9.41 000 61108 A Drill skull for drainage 10.19 N/A 7.29 2.04 N/A 19.52 090 61120 A Burr hole for puncture 8.76 N/A 6.11 1.81 N/A 16.68 090 61140 A Pierce skull for biopsy 15.90 N/A 10.09 3.15 N/A 29.14 090 61150 A Pierce skull for drainage 17.57 N/A 10.62 3.52 N/A 31.71 090 61151 A Pierce skull for drainage 12.42 N/A 7.99 2.45 N/A 22.86 090 61154 A Pierce skull & remove clot 14.99 N/A 9.68 3.05 N/A 27.72 090 61156 A Pierce skull for drainage 16.32 N/A 10.04 3.42 N/A 29.78 090 61210 A Pierce skull, implant device 5.84 N/A 3.79 1.16 N/A 10.79 000 61215 A Insert brain-fluid device 4.89 N/A 4.08 0.99 N/A 9.96 090 61250 A Pierce skull & explore 10.42 N/A 6.99 2.02 N/A 19.43 090 61253 A Pierce skull & explore 12.36 N/A 7.87 2.26 N/A 22.49 090 61304 A Open skull for exploration 21.96 N/A 13.14 4.33 N/A 39.43 090 61305 A Open skull for exploration 26.61 N/A 15.66 5.25 N/A 47.52 090 61312 A Open skull for drainage 24.57 N/A 15.39 4.99 N/A 44.95 090 61313 A Open skull for drainage 24.93 N/A 15.16 5.07 N/A 45.16 090 61314 A Open skull for drainage 24.23 N/A 13.32 4.00 N/A 41.55 090 61315 A Open skull for drainage 27.68 N/A 16.37 5.62 N/A 49.67 090 61316 A Implt cran bone flap to abdo 1.39 N/A 0.57 0.43 N/A 2.39 ZZZ 61320 A Open skull for drainage 25.62 N/A 15.11 5.20 N/A 45.93 090 61321 A Open skull for drainage 28.50 N/A 16.49 5.35 N/A 50.34 090 61322 A Decompressive craniotomy 29.50 N/A 14.57 4.99 N/A 49.06 090 61323 A Decompressive lobectomy 31.00 N/A 14.76 4.99 N/A 50.75 090 61330 A Decompress eye socket 23.32 N/A 14.05 2.58 N/A 39.95 090 61332 A Explore/biopsy eye socket 27.28 N/A 15.97 4.15 N/A 47.40 090 61333 A Explore orbit/remove lesion 27.95 N/A 15.97 2.24 N/A 46.16 090 61334 A Explore orbit/remove object 18.27 N/A 10.91 3.02 N/A 32.20 090 61340 A Subtemporal decompression 18.66 N/A 11.39 3.66 N/A 33.71 090 61343 A Incise skull (press relief) 29.77 N/A 17.43 6.04 N/A 53.24 090 61345 A Relieve cranial pressure 27.20 N/A 15.98 5.23 N/A 48.41 090 61440 A Incise skull for surgery 26.63 N/A 14.76 5.57 N/A 46.96 090 61450 A Incise skull for surgery 25.95 N/A 14.84 5.11 N/A 45.90 090 61458 A Incise skull for brain wound 27.29 N/A 16.05 5.28 N/A 48.62 090 61460 A Incise skull for surgery 28.39 N/A 16.96 5.13 N/A 50.48 090 61470 A Incise skull for surgery 26.06 N/A 14.40 4.65 N/A 45.11 090 61480 A Incise skull for surgery 26.49 N/A 15.23 5.54 N/A 47.26 090 61490 A Incise skull for surgery 25.66 N/A 14.87 5.37 N/A 45.90 090 61500 A Removal of skull lesion 17.92 N/A 11.26 3.26 N/A 32.44 090 61501 A Remove infected skull bone 14.84 N/A 9.62 2.63 N/A 27.09 090 61510 A Removal of brain lesion 28.45 N/A 17.22 5.77 N/A 51.44 090 61512 A Remove brain lining lesion 35.09 N/A 20.36 7.14 N/A 62.59 090 61514 A Removal of brain abscess 25.26 N/A 14.95 5.12 N/A 45.33 090 61516 A Removal of brain lesion 24.61 N/A 14.78 4.94 N/A 44.33 090 61517 A Implt brain chemotx add-on 1.38 N/A 0.57 0.08 N/A 2.03 ZZZ 61518 A Removal of brain lesion 37.32 N/A 21.82 7.53 N/A 66.67 090 61519 A Remove brain lining lesion 41.39 N/A 23.44 8.15 N/A 72.98 090 61520 A Removal of brain lesion 54.84 N/A 31.26 10.10 N/A 96.20 090 61521 A Removal of brain lesion 44.48 N/A 25.05 8.85 N/A 78.38 090 61522 A Removal of brain abscess 29.45 N/A 17.03 5.30 N/A 51.78 090 61524 A Removal of brain lesion 27.86 N/A 16.26 5.01 N/A 49.13 090 61526 A Removal of brain lesion 52.17 N/A 30.38 6.72 N/A 89.27 090 61530 A Removal of brain lesion 43.86 N/A 25.88 6.17 N/A 75.91 090 61531 A Implant brain electrodes 14.63 N/A 9.51 2.84 N/A 26.98 090 61533 A Implant brain electrodes 19.71 N/A 11.98 3.80 N/A 35.49 090 61534 A Removal of brain lesion 20.97 N/A 12.62 4.15 N/A 37.74 090 61535 A Remove brain electrodes 11.63 N/A 7.82 2.29 N/A 21.74 090 61536 A Removal of brain lesion 35.52 N/A 20.47 6.68 N/A 62.67 090 Start Printed Page 49158 61538 A Removal of brain tissue 26.81 N/A 15.95 5.38 N/A 48.14 090 61539 A Removal of brain tissue 32.08 N/A 18.43 6.62 N/A 57.13 090 61541 A Incision of brain tissue 28.85 N/A 16.77 5.50 N/A 51.12 090 61542 A Removal of brain tissue 31.02 N/A 18.46 6.49 N/A 55.97 090 61543 A Removal of brain tissue 29.22 N/A 16.98 6.11 N/A 52.31 090 61544 A Remove & treat brain lesion 25.50 N/A 14.21 4.91 N/A 44.62 090 61545 A Excision of brain tumor 43.80 N/A 24.99 8.88 N/A 77.67 090 61546 A Removal of pituitary gland 31.30 N/A 18.13 6.06 N/A 55.49 090 61548 A Removal of pituitary gland 21.53 N/A 13.29 3.63 N/A 38.45 090 61550 A Release of skull seams 14.65 N/A 7.34 1.14 N/A 23.13 090 61552 A Release of skull seams 19.56 N/A 9.68 0.88 N/A 30.12 090 61556 A Incise skull/sutures 22.26 N/A 11.81 3.57 N/A 37.64 090 61557 A Incise skull/sutures 22.38 N/A 13.91 4.68 N/A 40.97 090 61558 A Excision of skull/sutures 25.58 N/A 14.75 2.61 N/A 42.94 090 61559 A Excision of skull/sutures 32.79 N/A 19.61 6.86 N/A 59.26 090 61563 A Excision of skull tumor 26.83 N/A 15.80 4.46 N/A 47.09 090 61564 A Excision of skull tumor 33.83 N/A 18.74 7.08 N/A 59.65 090 61570 A Remove foreign body, brain 24.60 N/A 14.32 4.60 N/A 43.52 090 61571 A Incise skull for brain wound 26.39 N/A 15.58 5.23 N/A 47.20 090 61575 A Skull base/brainstem surgery 34.36 N/A 20.34 5.02 N/A 59.72 090 61576 A Skull base/brainstem surgery 52.43 N/A 30.42 4.68 N/A 87.53 090 61580 A Craniofacial approach, skull 30.35 N/A 24.85 2.75 N/A 57.95 090 61581 A Craniofacial approach, skull 34.60 N/A 22.57 3.37 N/A 60.54 090 61582 A Craniofacial approach, skull 31.66 N/A 26.65 6.30 N/A 64.61 090 61583 A Craniofacial approach, skull 36.21 N/A 25.03 6.94 N/A 68.18 090 61584 A Orbitocranial approach/skull 34.65 N/A 24.40 6.53 N/A 65.58 090 61585 A Orbitocranial approach/skull 38.61 N/A 26.37 6.19 N/A 71.17 090 61586 A Resect nasopharynx, skull 25.10 N/A 21.80 3.52 N/A 50.42 090 61590 A Infratemporal approach/skull 41.78 N/A 29.48 4.28 N/A 75.54 090 61591 A Infratemporal approach/skull 43.68 N/A 30.38 5.26 N/A 79.32 090 61592 A Orbitocranial approach/skull 39.64 N/A 27.03 7.55 N/A 74.22 090 61595 A Transtemporal approach/skull 29.57 N/A 23.10 3.05 N/A 55.72 090 61596 A Transcochlear approach/skull 35.63 N/A 25.14 4.25 N/A 65.02 090 61597 A Transcondylar approach/skull 37.96 N/A 23.44 6.65 N/A 68.05 090 61598 A Transpetrosal approach/skull 33.41 N/A 23.82 4.60 N/A 61.83 090 61600 A Resect/excise cranial lesion 25.85 N/A 20.35 3.12 N/A 49.32 090 61601 A Resect/excise cranial lesion 27.89 N/A 20.88 5.29 N/A 54.06 090 61605 A Resect/excise cranial lesion 29.33 N/A 22.75 2.51 N/A 54.59 090 61606 A Resect/excise cranial lesion 38.83 N/A 25.68 6.81 N/A 71.32 090 61607 A Resect/excise cranial lesion 36.27 N/A 24.32 5.69 N/A 66.28 090 61608 A Resect/excise cranial lesion 42.10 N/A 27.11 8.31 N/A 77.52 090 61609 A Transect artery, sinus 9.89 N/A 4.89 2.07 N/A 16.85 ZZZ Start Printed Page 49159 61610 A Transect artery, sinus 29.67 N/A 13.44 3.52 N/A 46.63 ZZZ 61611 A Transect artery, sinus 7.42 N/A 3.39 1.55 N/A 12.36 ZZZ 61612 A Transect artery, sinus 27.88 N/A 13.62 3.55 N/A 45.05 ZZZ 61613 A Remove aneurysm, sinus 40.86 N/A 26.77 8.32 N/A 75.95 090 61615 A Resect/excise lesion, skull 32.07 N/A 23.28 4.64 N/A 59.99 090 61616 A Resect/excise lesion, skull 43.33 N/A 29.31 7.02 N/A 79.66 090 61618 A Repair dura 16.99 N/A 10.91 2.92 N/A 30.82 090 61619 A Repair dura 20.71 N/A 12.75 3.42 N/A 36.88 090 61623 A Endovasc tempory vessel occl 9.96 N/A 4.31 0.50 N/A 14.77 000 61624 A Transcath occlusion, cns 20.15 N/A 7.07 1.15 N/A 28.37 000 61626 A Transcath occlusion, non-cns 16.62 N/A 5.65 0.84 N/A 23.11 000 61680 A Intracranial vessel surgery 30.71 N/A 18.07 6.04 N/A 54.82 090 61682 A Intracranial vessel surgery 61.57 N/A 33.24 12.69 N/A 107.50 090 61684 A Intracranial vessel surgery 39.81 N/A 22.75 7.87 N/A 70.43 090 61686 A Intracranial vessel surgery 64.49 N/A 35.77 13.20 N/A 113.46 090 61690 A Intracranial vessel surgery 29.31 N/A 17.38 5.51 N/A 52.20 090 61692 A Intracranial vessel surgery 51.87 N/A 28.42 10.17 N/A 90.46 090 61697 A Brain aneurysm repr, complx 50.52 N/A 28.82 10.31 N/A 89.65 090 61698 A Brain aneurysm repr, complx 48.41 N/A 27.46 9.99 N/A 85.86 090 61700 A Brain aneurysm repr, simple 50.52 N/A 28.64 10.18 N/A 89.34 090 61702 A Inner skull vessel surgery 48.41 N/A 26.91 9.75 N/A 85.07 090 61703 A Clamp neck artery 17.47 N/A 10.94 3.62 N/A 32.03 090 61705 A Revise circulation to head 36.20 N/A 19.88 6.67 N/A 62.75 090 61708 A Revise circulation to head 35.30 N/A 15.61 2.18 N/A 53.09 090 61710 A Revise circulation to head 29.67 N/A 14.10 2.42 N/A 46.19 090 61711 A Fusion of skull arteries 36.33 N/A 20.47 7.39 N/A 64.19 090 61720 A Incise skull/brain surgery 16.77 N/A 10.43 3.51 N/A 30.71 090 61735 A Incise skull/brain surgery 20.43 N/A 12.62 4.16 N/A 37.21 090 61750 A Incise skull/brain biopsy 18.20 N/A 11.04 3.71 N/A 32.95 090 61751 A Brain biopsy w/ct/mr guide 17.62 N/A 11.21 3.57 N/A 32.40 090 61760 A Implant brain electrodes 22.27 N/A 8.96 4.59 N/A 35.82 090 61770 A Incise skull for treatment 21.44 N/A 12.69 4.09 N/A 38.22 090 61790 A Treat trigeminal nerve 10.86 N/A 6.21 1.82 N/A 18.89 090 61791 A Treat trigeminal tract 14.61 N/A 9.29 3.03 N/A 26.93 090 61793 A Focus radiation beam 17.24 N/A 10.56 3.51 N/A 31.31 090 61795 A Brain surgery using computer 4.04 N/A 2.08 0.81 N/A 6.93 ZZZ 61850 A Implant neuroelectrodes 12.39 N/A 7.96 2.23 N/A 22.58 090 61860 A Implant neuroelectrodes 20.87 N/A 12.51 4.04 N/A 37.42 090 61862 A Implant neurostimul, subcort 19.34 N/A 12.47 3.97 N/A 35.78 090 61870 A Implant neuroelectrodes 14.94 N/A 10.15 1.70 N/A 26.79 090 61875 A Implant neuroelectrodes 15.06 N/A 8.97 2.42 N/A 26.45 090 61880 A Revise/remove neuroelectrode 6.29 N/A 4.84 1.31 N/A 12.44 090 61885 A Implant neurostim one array 5.85 N/A 5.51 1.22 N/A 12.58 090 61886 A Implant neurostim arrays 8.00 N/A 6.57 1.64 N/A 16.21 090 61888 A Revise/remove neuroreceiver 5.07 N/A 3.97 1.04 N/A 10.08 010 62000 A Treat skull fracture 12.53 N/A 5.97 0.87 N/A 19.37 090 62005 A Treat skull fracture 16.17 N/A 9.28 2.33 N/A 27.78 090 62010 A Treatment of head injury 19.81 N/A 12.15 4.05 N/A 36.01 090 62100 A Repair brain fluid leakage 22.03 N/A 13.31 4.07 N/A 39.41 090 62115 A Reduction of skull defect 21.66 N/A 12.02 4.53 N/A 38.21 090 62116 A Reduction of skull defect 23.59 N/A 13.80 4.85 N/A 42.24 090 62117 A Reduction of skull defect 26.60 N/A 15.64 5.56 N/A 47.80 090 62120 A Repair skull cavity lesion 23.35 N/A 14.71 3.07 N/A 41.13 090 62121 A Incise skull repair 21.58 N/A 13.17 2.47 N/A 37.22 090 62140 A Repair of skull defect 13.51 N/A 8.69 2.60 N/A 24.80 090 62141 A Repair of skull defect 14.91 N/A 9.48 2.85 N/A 27.24 090 Start Printed Page 49160 62142 A Remove skull plate/flap 10.79 N/A 7.34 2.10 N/A 20.23 090 62143 A Replace skull plate/flap 13.05 N/A 8.44 2.55 N/A 24.04 090 62145 A Repair of skull & brain 18.82 N/A 11.38 3.81 N/A 34.01 090 62146 A Repair of skull with graft 16.12 N/A 10.08 2.94 N/A 29.14 090 62147 A Repair of skull with graft 19.34 N/A 11.84 3.64 N/A 34.82 090 62148 A Retr bone flap to fix skull 2.00 N/A 0.83 0.43 N/A 3.26 ZZZ 62160 A Neuroendoscopy add-on 3.00 N/A 1.16 0.52 N/A 4.68 ZZZ 62161 A Dissect brain w/scope 20.00 N/A 9.73 3.70 N/A 33.43 090 62162 A Remove colloid cyst w/scope 25.25 N/A 11.90 5.77 N/A 42.92 090 62163 A Neuroendoscopy w/fb removal 15.50 N/A 7.98 3.70 N/A 27.18 090 62164 A Remove brain tumor w/scope 27.50 N/A 13.13 5.77 N/A 46.40 090 62165 A Remove pituit tumor w/scope 22.00 N/A 10.69 3.63 N/A 36.32 090 62180 A Establish brain cavity shunt 21.06 N/A 12.73 4.32 N/A 38.11 090 62190 A Establish brain cavity shunt 11.07 N/A 7.40 2.18 N/A 20.65 090 62192 A Establish brain cavity shunt 12.25 N/A 7.96 2.46 N/A 22.67 090 62194 A Replace/irrigate catheter 5.03 N/A 2.84 0.50 N/A 8.37 010 62200 A Establish brain cavity shunt 18.32 N/A 11.26 3.70 N/A 33.28 090 62201 A Brain cavity shunt w/scope 14.86 N/A 9.79 2.52 N/A 27.17 090 62220 A Establish brain cavity shunt 13.00 N/A 8.32 2.53 N/A 23.85 090 62223 A Establish brain cavity shunt 12.87 N/A 8.55 2.58 N/A 24.00 090 62225 A Replace/irrigate catheter 5.41 N/A 4.30 1.09 N/A 10.80 090 62230 A Replace/revise brain shunt 10.54 N/A 6.75 2.10 N/A 19.39 090 62252 A Csf shunt reprogram 0.74 1.48 N/A 0.18 2.40 N/A XXX 62252 26 A Csf shunt reprogram 0.74 0.38 0.38 0.16 1.28 1.28 XXX 62252 TC A Csf shunt reprogram 0.00 1.10 N/A 0.02 1.12 N/A XXX 62256 A Remove brain cavity shunt 6.60 N/A 4.96 1.34 N/A 12.90 090 62258 A Replace brain cavity shunt 14.54 N/A 9.03 2.91 N/A 26.48 090 62263 A Epidural lysis mult sessions 6.14 12.34 2.41 0.42 18.90 8.97 010 62264 A Epidural lysis on single day 4.43 7.85 1.42 0.30 12.58 6.15 010 62268 A Drain spinal cord cyst 4.74 10.78 2.21 0.29 15.81 7.24 000 62269 A Needle biopsy, spinal cord 5.02 12.44 2.04 0.29 17.75 7.35 000 62270 A Spinal fluid tap, diagnostic 1.13 3.10 0.50 0.06 4.29 1.69 000 62272 A Drain cerebro spinal fluid 1.35 3.72 0.65 0.13 5.20 2.13 000 62273 A Treat epidural spine lesion 2.15 2.83 0.58 0.14 5.12 2.87 000 62280 A Treat spinal cord lesion 2.63 6.81 0.89 0.17 9.61 3.69 010 62281 A Treat spinal cord lesion 2.66 5.96 0.78 0.16 8.78 3.60 010 62282 A Treat spinal canal lesion 2.33 8.37 0.80 0.14 10.84 3.27 010 62284 A Injection for myelogram 1.54 4.98 0.61 0.10 6.62 2.25 000 62287 A Percutaneous diskectomy 8.08 N/A 5.75 0.66 N/A 14.49 090 62290 A Inject for spine disk x-ray 3.00 6.94 1.30 0.20 10.14 4.50 000 62291 A Inject for spine disk x-ray 2.91 5.81 1.15 0.17 8.89 4.23 000 62292 A Injection into disk lesion 7.86 N/A 4.60 0.65 N/A 13.11 090 62294 A Injection into spinal artery 11.83 N/A 5.79 0.85 N/A 18.47 090 62310 A Inject spine c/t 1.91 5.02 0.51 0.11 7.04 2.53 000 62311 A Inject spine l/s (cd) 1.54 5.08 0.45 0.09 6.71 2.08 000 62318 A Inject spine w/cath, c/t 2.04 5.72 0.52 0.12 7.88 2.68 000 62319 A Inject spine w/cath l/s (cd) 1.87 5.01 0.48 0.11 6.99 2.46 000 62350 A Implant spinal canal cath 6.87 N/A 4.06 0.64 N/A 11.57 090 62351 A Implant spinal canal cath 10.00 N/A 7.26 1.79 N/A 19.05 090 62355 A Remove spinal canal catheter 5.45 N/A 3.26 0.47 N/A 9.18 090 62360 A Insert spine infusion device 2.62 N/A 2.76 0.21 N/A 5.59 090 Start Printed Page 49161 62361 A Implant spine infusion pump 5.42 N/A 3.99 0.50 N/A 9.91 090 62362 A Implant spine infusion pump 7.04 N/A 4.48 0.86 N/A 12.38 090 62365 A Remove spine infusion device 5.42 N/A 3.66 0.58 N/A 9.66 090 62367 C Analyze spine infusion pump 0.00 0.00 0.00 0.00 0.00 0.00 XXX 62367 26 A Analyze spine infusion pump 0.48 0.13 0.13 0.03 0.64 0.64 XXX 62367 TC C Analyze spine infusion pump 0.00 0.00 0.00 0.00 0.00 0.00 XXX 62368 C Analyze spine infusion pump 0.00 0.00 0.00 0.00 0.00 0.00 XXX 62368 26 A Analyze spine infusion pump 0.75 0.19 0.19 0.05 0.99 0.99 XXX 62368 TC C Analyze spine infusion pump 0.00 0.00 0.00 0.00 0.00 0.00 XXX 63001 A Removal of spinal lamina 15.82 N/A 9.72 3.03 N/A 28.57 090 63003 A Removal of spinal lamina 15.95 N/A 10.06 2.98 N/A 28.99 090 63005 A Removal of spinal lamina 14.92 N/A 10.13 2.62 N/A 27.67 090 63011 A Removal of spinal lamina 14.52 N/A 8.39 1.43 N/A 24.34 090 63012 A Removal of spinal lamina 15.40 N/A 10.25 2.71 N/A 28.36 090 63015 A Removal of spinal lamina 19.35 N/A 12.14 3.84 N/A 35.33 090 63016 A Removal of spinal lamina 19.20 N/A 12.00 3.62 N/A 34.82 090 63017 A Removal of spinal lamina 15.94 N/A 10.57 2.91 N/A 29.42 090 63020 A Neck spine disk surgery 14.81 N/A 9.87 2.89 N/A 27.57 090 63030 A Low back disk surgery 12.00 N/A 8.56 2.21 N/A 22.77 090 63035 A Spinal disk surgery add-on 3.15 N/A 1.62 0.57 N/A 5.34 ZZZ 63040 A Laminotomy, single cervical 18.81 N/A 11.70 3.36 N/A 33.87 090 63042 A Laminotomy, single lumbar 17.47 N/A 11.53 3.11 N/A 32.11 090 63043 C Laminotomy, addl cervical 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 63044 C Laminotomy, addl lumbar 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 63045 A Removal of spinal lamina 16.50 N/A 10.54 3.19 N/A 30.23 090 63046 A Removal of spinal lamina 15.80 N/A 10.34 2.89 N/A 29.03 090 63047 A Removal of spinal lamina 14.61 N/A 10.04 2.61 N/A 27.26 090 63048 A Remove spinal lamina add-on 3.26 N/A 1.70 0.58 N/A 5.54 ZZZ 63055 A Decompress spinal cord 21.99 N/A 13.38 4.09 N/A 39.46 090 63056 A Decompress spinal cord 20.36 N/A 12.76 3.34 N/A 36.46 090 63057 A Decompress spine cord add-on 5.26 N/A 2.70 0.81 N/A 8.77 ZZZ 63064 A Decompress spinal cord 24.61 N/A 14.71 4.72 N/A 44.04 090 63066 A Decompress spine cord add-on 3.26 N/A 1.70 0.63 N/A 5.59 ZZZ 63075 A Neck spine disk surgery 19.41 N/A 12.33 3.73 N/A 35.47 090 63076 A Neck spine disk surgery 4.05 N/A 2.10 0.78 N/A 6.93 ZZZ 63077 A Spine disk surgery, thorax 21.44 N/A 12.92 3.44 N/A 37.80 090 63078 A Spine disk surgery, thorax 3.28 N/A 1.67 0.50 N/A 5.45 ZZZ 63081 A Removal of vertebral body 23.73 N/A 14.59 4.46 N/A 42.78 090 63082 A Remove vertebral body add-on 4.37 N/A 2.28 0.82 N/A 7.47 ZZZ 63085 A Removal of vertebral body 26.92 N/A 15.67 4.70 N/A 47.29 090 63086 A Remove vertebral body add-on 3.19 N/A 1.62 0.55 N/A 5.36 ZZZ 63087 A Removal of vertebral body 35.57 N/A 19.78 5.87 N/A 61.22 090 63088 A Remove vertebral body add-on 4.33 N/A 2.23 0.77 N/A 7.33 ZZZ 63090 A Removal of vertebral body 28.16 N/A 16.27 4.27 N/A 48.70 090 63091 A Remove vertebral body add-on 3.03 N/A 1.49 0.45 N/A 4.97 ZZZ 63170 A Incise spinal cord tract(s) 19.83 N/A 12.38 3.89 N/A 36.10 090 63172 A Drainage of spinal cyst 17.66 N/A 11.22 3.46 N/A 32.34 090 63173 A Drainage of spinal cyst 21.99 N/A 13.39 4.14 N/A 39.52 090 Start Printed Page 49162 63180 A Revise spinal cord ligaments 18.27 N/A 11.52 3.83 N/A 33.62 090 63182 A Revise spinal cord ligaments 20.50 N/A 11.44 3.48 N/A 35.42 090 63185 A Incise spinal column/nerves 15.04 N/A 8.46 2.08 N/A 25.58 090 63190 A Incise spinal column/nerves 17.45 N/A 10.59 2.88 N/A 30.92 090 63191 A Incise spinal column/nerves 17.54 N/A 11.04 3.50 N/A 32.08 090 63194 A Incise spinal column & cord 19.19 N/A 12.05 4.01 N/A 35.25 090 63195 A Incise spinal column & cord 18.84 N/A 11.56 3.44 N/A 33.84 090 63196 A Incise spinal column & cord 22.30 N/A 12.34 4.66 N/A 39.30 090 63197 A Incise spinal column & cord 21.11 N/A 12.55 4.42 N/A 38.08 090 63198 A Incise spinal column & cord 25.38 N/A 9.91 5.31 N/A 40.60 090 63199 A Incise spinal column & cord 26.89 N/A 15.19 5.62 N/A 47.70 090 63200 A Release of spinal cord 19.18 N/A 11.78 3.61 N/A 34.57 090 63250 A Revise spinal cord vessels 40.76 N/A 20.52 7.65 N/A 68.93 090 63251 A Revise spinal cord vessels 41.20 N/A 23.24 7.98 N/A 72.42 090 63252 A Revise spinal cord vessels 41.19 N/A 22.89 7.75 N/A 71.83 090 63265 A Excise intraspinal lesion 21.56 N/A 13.18 4.29 N/A 39.03 090 63266 A Excise intraspinal lesion 22.30 N/A 13.61 4.47 N/A 40.38 090 63267 A Excise intraspinal lesion 17.95 N/A 11.45 3.50 N/A 32.90 090 63268 A Excise intraspinal lesion 18.52 N/A 10.73 3.18 N/A 32.43 090 63270 A Excise intraspinal lesion 26.80 N/A 15.94 5.41 N/A 48.15 090 63271 A Excise intraspinal lesion 26.92 N/A 16.05 5.56 N/A 48.53 090 63272 A Excise intraspinal lesion 25.32 N/A 15.15 5.07 N/A 45.54 090 63273 A Excise intraspinal lesion 24.29 N/A 14.75 5.08 N/A 44.12 090 63275 A Biopsy/excise spinal tumor 23.68 N/A 14.21 4.68 N/A 42.57 090 63276 A Biopsy/excise spinal tumor 23.45 N/A 14.11 4.63 N/A 42.19 090 63277 A Biopsy/excise spinal tumor 20.83 N/A 12.92 4.03 N/A 37.78 090 63278 A Biopsy/excise spinal tumor 20.56 N/A 12.78 4.02 N/A 37.36 090 63280 A Biopsy/excise spinal tumor 28.35 N/A 16.81 5.80 N/A 50.96 090 63281 A Biopsy/excise spinal tumor 28.05 N/A 16.66 5.67 N/A 50.38 090 63282 A Biopsy/excise spinal tumor 26.39 N/A 15.80 5.33 N/A 47.52 090 63283 A Biopsy/excise spinal tumor 25.00 N/A 15.12 5.12 N/A 45.24 090 63285 A Biopsy/excise spinal tumor 36.00 N/A 20.53 7.31 N/A 63.84 090 63286 A Biopsy/excise spinal tumor 35.63 N/A 20.48 7.07 N/A 63.18 090 63287 A Biopsy/excise spinal tumor 36.70 N/A 21.04 7.48 N/A 65.22 090 63290 A Biopsy/excise spinal tumor 37.38 N/A 21.20 7.65 N/A 66.23 090 63300 A Removal of vertebral body 24.43 N/A 14.75 4.78 N/A 43.96 090 63301 A Removal of vertebral body 27.60 N/A 15.96 5.03 N/A 48.59 090 63302 A Removal of vertebral body 27.81 N/A 16.28 5.25 N/A 49.34 090 63303 A Removal of vertebral body 30.50 N/A 17.39 5.21 N/A 53.10 090 63304 A Removal of vertebral body 30.33 N/A 17.80 4.72 N/A 52.85 090 63305 A Removal of vertebral body 32.03 N/A 18.47 5.39 N/A 55.89 090 63306 A Removal of vertebral body 32.22 N/A 18.10 2.39 N/A 52.71 090 63307 A Removal of vertebral body 31.63 N/A 17.31 4.23 N/A 53.17 090 63308 A Remove vertebral body add-on 5.25 N/A 2.67 1.01 N/A 8.93 ZZZ 63600 A Remove spinal cord lesion 14.02 N/A 5.59 1.22 N/A 20.83 090 63610 A Stimulation of spinal cord 8.73 56.96 2.32 0.43 66.12 11.48 000 63615 A Remove lesion of spinal cord 16.28 N/A 9.52 2.85 N/A 28.65 090 63650 A Implant neuroelectrodes 6.74 N/A 3.30 0.48 N/A 10.52 090 63655 A Implant neuroelectrodes 10.29 N/A 7.17 1.85 N/A 19.31 090 63660 A Revise/remove neuroelectrode 6.16 N/A 3.80 0.65 N/A 10.61 090 63685 A Implant neuroreceiver 7.04 N/A 4.34 0.96 N/A 12.34 090 Start Printed Page 49163 63688 A Revise/remove neuroreceiver 5.39 N/A 3.75 0.70 N/A 9.84 090 63700 A Repair of spinal herniation 16.53 N/A 10.63 2.69 N/A 29.85 090 63702 A Repair of spinal herniation 18.48 N/A 11.00 1.36 N/A 30.84 090 63704 A Repair of spinal herniation 21.18 N/A 13.14 3.84 N/A 38.16 090 63706 A Repair of spinal herniation 24.11 N/A 14.00 4.73 N/A 42.84 090 63707 A Repair spinal fluid leakage 11.26 N/A 7.99 1.96 N/A 21.21 090 63709 A Repair spinal fluid leakage 14.32 N/A 9.71 2.49 N/A 26.52 090 63710 A Graft repair of spine defect 14.07 N/A 9.36 2.61 N/A 26.04 090 63740 A Install spinal shunt 11.36 N/A 7.63 2.15 N/A 21.14 090 63741 A Install spinal shunt 8.25 N/A 4.96 1.05 N/A 14.26 090 63744 A Revision of spinal shunt 8.10 N/A 5.49 1.51 N/A 15.10 090 63746 A Removal of spinal shunt 6.43 N/A 3.96 1.15 N/A 11.54 090 64400 A N block inj, trigeminal 1.11 2.06 0.37 0.06 3.23 1.54 000 64402 A N block inj, facial 1.25 1.79 0.54 0.07 3.11 1.86 000 64405 A N block inj, occipital 1.32 1.55 0.40 0.08 2.95 1.80 000 64408 A N block inj, vagus 1.41 1.63 0.67 0.09 3.13 2.17 000 64410 A N block inj, phrenic 1.43 2.67 0.40 0.08 4.18 1.91 000 64412 A N block inj, spinal accessor 1.18 2.80 0.37 0.08 4.06 1.63 000 64413 A N block inj, cervical plexus 1.40 1.95 0.44 0.09 3.44 1.93 000 64415 A N block inj, brachial plexus 1.48 2.95 0.40 0.08 4.51 1.96 000 64416 A N block cont infuse, b plex 3.50 N/A 0.73 0.08 N/A 4.31 010 64417 A N block inj, axillary 1.44 3.19 0.43 0.09 4.72 1.96 000 64418 A N block inj, suprascapular 1.32 2.76 0.37 0.07 4.15 1.76 000 64420 A N block inj, intercost, sng 1.18 3.62 0.36 0.07 4.87 1.61 000 64421 A N block inj, intercost, mlt 1.68 5.53 0.46 0.10 7.31 2.24 000 64425 A N block inj ilio-ing/hypogi 1.75 1.74 0.48 0.11 3.60 2.34 000 64430 A N block inj, pudendal 1.46 2.66 0.50 0.11 4.23 2.07 000 64435 A N block inj, paracervical 1.45 2.67 0.64 0.15 4.27 2.24 000 64445 A N block inj, sciatic, sng 1.48 2.78 0.38 0.08 4.34 1.94 000 64446 A N blk inj, sciatic, cont inf 3.25 N/A 1.21 0.08 N/A 4.54 010 64447 A N block inj fem, single 1.50 N/A 0.52 0.08 N/A 2.10 000 64448 A N block inj fem, cont inf 3.00 N/A 1.04 0.08 N/A 4.12 010 64450 A N block, other peripheral 1.27 1.30 0.42 0.08 2.65 1.77 000 64470 A Inj paravertebral c/t 1.85 4.97 0.57 0.12 6.94 2.54 000 64472 A Inj paravertebral c/t add-on 1.29 1.99 0.31 0.09 3.37 1.69 ZZZ 64475 A Inj paravertebral l/s 1.41 4.67 0.48 0.09 6.17 1.98 000 64476 A Inj paravertebral l/s add-on 0.98 1.87 0.25 0.06 2.91 1.29 ZZZ 64479 A Inj foramen epidural c/t 2.20 7.22 0.73 0.14 9.56 3.07 000 64480 A Inj foramen epidural add-on 1.54 2.46 0.48 0.09 4.09 2.11 ZZZ 64483 A Inj foramen epidural l/s 1.90 7.74 0.66 0.12 9.76 2.68 000 64484 A Inj foramen epidural add-on 1.33 2.88 0.38 0.08 4.29 1.79 ZZZ 64505 A N block, spenopalatine gangl 1.36 1.26 0.48 0.08 2.70 1.92 000 64508 A N block, carotid sinus s/p 1.12 3.18 0.52 0.06 4.36 1.70 000 64510 A N block, stellate ganglion 1.22 3.32 0.38 0.07 4.61 1.67 000 64520 A N block, lumbar/thoracic 1.35 4.67 0.42 0.08 6.10 1.85 000 64530 A N block inj, celiac pelus 1.58 4.08 0.48 0.09 5.75 2.15 000 64550 A Apply neurostimulator 0.18 0.28 0.05 0.01 0.47 0.24 000 64553 A Implant neuroelectrodes 2.31 2.95 1.90 0.17 5.43 4.38 010 64555 A Implant neuroelectrodes 2.27 3.22 1.23 0.11 5.60 3.61 010 64560 A Implant neuroelectrodes 2.36 2.73 1.34 0.17 5.26 3.87 010 64561 A Implant neuroelectrodes 6.74 N/A 3.23 0.11 N/A 10.08 010 64565 A Implant neuroelectrodes 1.76 3.38 1.29 0.08 5.22 3.13 010 64573 A Implant neuroelectrodes 7.50 N/A 5.43 1.48 N/A 14.41 090 64575 A Implant neuroelectrodes 4.35 N/A 2.94 0.37 N/A 7.66 090 64577 A Implant neuroelectrodes 4.62 N/A 3.43 0.50 N/A 8.55 090 64580 A Implant neuroelectrodes 4.12 N/A 3.78 0.21 N/A 8.11 090 64581 A Implant neuroelectrodes 13.50 N/A 5.53 0.37 N/A 19.40 090 64585 A Revise/remove neuroelectrode 2.06 11.73 1.75 0.29 14.08 4.10 010 64590 A Implant neuroreceiver 2.40 7.41 1.94 0.40 10.21 4.74 010 Start Printed Page 49164 64595 A Revise/remove neuroreceiver 1.73 10.90 1.52 0.22 12.85 3.47 010 64600 A Injection treatment of nerve 3.45 7.83 1.60 0.28 11.56 5.33 010 64605 A Injection treatment of nerve 5.61 9.33 2.08 0.53 15.47 8.22 010 64610 A Injection treatment of nerve 7.16 7.94 3.65 1.12 16.22 11.93 010 64612 A Destroy nerve, face muscle 1.96 2.67 1.09 0.09 4.72 3.14 010 64613 A Destroy nerve, spine muscle 1.96 3.04 1.01 0.10 5.10 3.07 010 64614 A Destroy nerve, extrem musc 2.20 3.30 1.13 0.09 5.59 3.42 010 64620 A Injection treatment of nerve 2.84 4.72 1.19 0.17 7.73 4.20 010 64622 A Destr paravertebrl nerve l/s 3.00 7.63 1.25 0.17 10.80 4.42 010 64623 A Destr paravertebral n add-on 0.99 2.44 0.23 0.06 3.49 1.28 ZZZ 64626 A Destr paravertebrl nerve c/t 3.28 6.63 1.86 0.22 10.13 5.36 010 64627 A Destr paravertebral n add-on 1.16 2.63 0.27 0.08 3.87 1.51 ZZZ 64630 A Injection treatment of nerve 3.00 2.80 1.29 0.16 5.96 4.45 010 64640 A Injection treatment of nerve 2.76 4.29 1.68 0.11 7.16 4.55 010 64680 A Injection treatment of nerve 2.62 6.18 1.28 0.15 8.95 4.05 010 64702 A Revise finger/toe nerve 4.23 N/A 4.22 0.51 N/A 8.96 090 64704 A Revise hand/foot nerve 4.57 N/A 3.48 0.59 N/A 8.64 090 64708 A Revise arm/leg nerve 6.12 N/A 5.21 0.82 N/A 12.15 090 64712 A Revision of sciatic nerve 7.75 N/A 5.29 0.54 N/A 13.58 090 64713 A Revision of arm nerve(s) 11.00 N/A 6.10 1.01 N/A 18.11 090 64714 A Revise low back nerve(s) 10.33 N/A 4.40 0.64 N/A 15.37 090 64716 A Revision of cranial nerve 6.31 N/A 5.54 0.59 N/A 12.44 090 64718 A Revise ulnar nerve at elbow 5.99 N/A 6.22 0.87 N/A 13.08 090 64719 A Revise ulnar nerve at wrist 4.85 N/A 4.90 0.63 N/A 10.38 090 64721 A Carpal tunnel surgery 4.29 5.25 5.25 0.59 10.13 10.13 090 64722 A Relieve pressure on nerve(s) 4.70 N/A 3.29 0.32 N/A 8.31 090 64726 A Release foot/toe nerve 4.18 N/A 3.04 0.57 N/A 7.79 090 64727 A Internal nerve revision 3.10 N/A 1.53 0.40 N/A 5.03 ZZZ 64732 A Incision of brow nerve 4.41 N/A 3.76 0.77 N/A 8.94 090 64734 A Incision of cheek nerve 4.92 N/A 4.30 0.83 N/A 10.05 090 64736 A Incision of chin nerve 4.60 N/A 4.27 0.71 N/A 9.58 090 64738 A Incision of jaw nerve 5.73 N/A 4.87 0.84 N/A 11.44 090 64740 A Incision of tongue nerve 5.59 N/A 4.63 0.43 N/A 10.65 090 64742 A Incision of facial nerve 6.22 N/A 5.06 0.69 N/A 11.97 090 64744 A Incise nerve, back of head 5.24 N/A 4.02 0.98 N/A 10.24 090 64746 A Incise diaphragm nerve 5.93 N/A 4.63 0.75 N/A 11.31 090 64752 A Incision of vagus nerve 7.06 N/A 4.43 0.83 N/A 12.32 090 64755 A Incision of stomach nerves 13.52 N/A 5.91 1.16 N/A 20.59 090 64760 A Incision of vagus nerve 6.96 N/A 3.72 0.51 N/A 11.19 090 64761 A Incision of pelvis nerve 6.41 N/A 3.82 0.26 N/A 10.49 090 64763 A Incise hip/thigh nerve 6.93 N/A 5.66 0.77 N/A 13.36 090 64766 A Incise hip/thigh nerve 8.67 N/A 5.53 0.99 N/A 15.19 090 64771 A Sever cranial nerve 7.35 N/A 5.83 1.32 N/A 14.50 090 64772 A Incision of spinal nerve 7.21 N/A 5.19 1.20 N/A 13.60 090 64774 A Remove skin nerve lesion 5.17 N/A 4.11 0.60 N/A 9.88 090 64776 A Remove digit nerve lesion 5.12 N/A 4.00 0.63 N/A 9.75 090 64778 A Digit nerve surgery add-on 3.11 N/A 1.53 0.38 N/A 5.02 ZZZ 64782 A Remove limb nerve lesion 6.23 N/A 3.98 0.79 N/A 11.00 090 Start Printed Page 49165 64783 A Limb nerve surgery add-on 3.72 N/A 1.88 0.48 N/A 6.08 ZZZ 64784 A Remove nerve lesion 9.82 N/A 6.96 1.17 N/A 17.95 090 64786 A Remove sciatic nerve lesion 15.46 N/A 10.36 2.22 N/A 28.04 090 64787 A Implant nerve end 4.30 N/A 2.17 0.56 N/A 7.03 ZZZ 64788 A Remove skin nerve lesion 4.61 N/A 3.75 0.54 N/A 8.90 090 64790 A Removal of nerve lesion 11.31 N/A 7.57 1.68 N/A 20.56 090 64792 A Removal of nerve lesion 14.92 N/A 9.20 1.88 N/A 26.00 090 64795 A Biopsy of nerve 3.01 N/A 1.62 0.40 N/A 5.03 000 64802 A Remove sympathetic nerves 9.15 N/A 5.27 0.87 N/A 15.29 090 64804 A Remove sympathetic nerves 14.64 N/A 7.25 1.79 N/A 23.68 090 64809 A Remove sympathetic nerves 13.67 N/A 5.94 0.96 N/A 20.57 090 64818 A Remove sympathetic nerves 10.30 N/A 5.42 1.08 N/A 16.80 090 64820 A Remove sympathetic nerves 10.37 N/A 7.35 1.17 N/A 18.89 090 64821 A Remove sympathestic nerves 8.75 N/A 7.60 0.99 N/A 17.34 090 64822 A Remove sympathetic nerves 8.75 N/A 7.53 0.99 N/A 17.27 090 64823 A Remove sympathetic nerves 10.37 N/A 8.45 1.17 N/A 19.99 090 64831 A Repair of digit nerve 9.44 N/A 7.53 1.14 N/A 18.11 090 64832 A Repair nerve add-on 5.66 N/A 3.00 0.68 N/A 9.34 ZZZ 64834 A Repair of hand or foot nerve 10.19 N/A 7.56 1.23 N/A 18.98 090 64835 A Repair of hand or foot nerve 10.94 N/A 8.16 1.36 N/A 20.46 090 64836 A Repair of hand or foot nerve 10.94 N/A 8.13 1.32 N/A 20.39 090 64837 A Repair nerve add-on 6.26 N/A 3.31 0.80 N/A 10.37 ZZZ 64840 A Repair of leg nerve 13.02 N/A 8.70 0.86 N/A 22.58 090 64856 A Repair/transpose nerve 13.80 N/A 9.68 1.71 N/A 25.19 090 64857 A Repair arm/leg nerve 14.49 N/A 10.15 1.76 N/A 26.40 090 64858 A Repair sciatic nerve 16.49 N/A 11.15 2.78 N/A 30.42 090 64859 A Nerve surgery 4.26 N/A 2.24 0.50 N/A 7.00 ZZZ 64861 A Repair of arm nerves 19.24 N/A 12.13 2.45 N/A 33.82 090 64862 A Repair of low back nerves 19.44 N/A 12.18 2.47 N/A 34.09 090 64864 A Repair of facial nerve 12.55 N/A 8.52 1.13 N/A 22.20 090 64865 A Repair of facial nerve 15.24 N/A 10.23 1.37 N/A 26.84 090 64866 A Fusion of facial/other nerve 15.74 N/A 10.06 1.06 N/A 26.86 090 64868 A Fusion of facial/other nerve 14.04 N/A 9.22 1.40 N/A 24.66 090 64870 A Fusion of facial/other nerve 15.99 N/A 9.10 1.08 N/A 26.17 090 64872 A Subsequent repair of nerve 1.99 N/A 1.10 0.24 N/A 3.33 ZZZ 64874 A Repair & revise nerve add-on 2.98 N/A 1.57 0.34 N/A 4.89 ZZZ 64876 A Repair nerve/shorten bone 3.38 N/A 1.31 0.39 N/A 5.08 ZZZ 64885 A Nerve graft, head or neck 17.53 N/A 11.26 1.51 N/A 30.30 090 64886 A Nerve graft, head or neck 20.75 N/A 13.13 1.73 N/A 35.61 090 64890 A Nerve graft, hand or foot 15.15 N/A 10.52 1.74 N/A 27.41 090 64891 A Nerve graft, hand or foot 16.14 N/A 7.97 1.38 N/A 25.49 090 64892 A Nerve graft, arm or leg 14.65 N/A 9.31 1.65 N/A 25.61 090 64893 A Nerve graft, arm or leg 15.60 N/A 10.30 1.77 N/A 27.67 090 64895 A Nerve graft, hand or foot 19.25 N/A 10.06 2.04 N/A 31.35 090 64896 A Nerve graft, hand or foot 20.49 N/A 11.53 1.85 N/A 33.87 090 64897 A Nerve graft, arm or leg 18.24 N/A 11.19 2.64 N/A 32.07 090 64898 A Nerve graft, arm or leg 19.50 N/A 12.29 2.71 N/A 34.50 090 64901 A Nerve graft add-on 10.22 N/A 5.39 0.99 N/A 16.60 ZZZ Start Printed Page 49166 64902 A Nerve graft add-on 11.83 N/A 6.10 1.10 N/A 19.03 ZZZ 64905 A Nerve pedicle transfer 14.02 N/A 8.98 1.52 N/A 24.52 090 64907 A Nerve pedicle transfer 18.83 N/A 12.64 1.79 N/A 33.26 090 64999 C Nervous system surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 65091 A Revise eye 6.46 N/A 9.88 0.26 N/A 16.60 090 65093 A Revise eye with implant 6.87 N/A 10.25 0.28 N/A 17.40 090 65101 A Removal of eye 7.03 N/A 10.83 0.28 N/A 18.14 090 65103 A Remove eye/insert implant 7.57 N/A 11.04 0.30 N/A 18.91 090 65105 A Remove eye/attach implant 8.49 N/A 11.70 0.34 N/A 20.53 090 65110 A Removal of eye 13.95 N/A 14.98 0.68 N/A 29.61 090 65112 A Remove eye/revise socket 16.38 N/A 17.38 0.96 N/A 34.72 090 65114 A Remove eye/revise socket 17.53 N/A 17.50 0.94 N/A 35.97 090 65125 A Revise ocular implant 3.12 9.35 3.02 0.15 12.62 6.29 090 65130 A Insert ocular implant 7.15 N/A 10.42 0.28 N/A 17.85 090 65135 A Insert ocular implant 7.33 N/A 10.59 0.29 N/A 18.21 090 65140 A Attach ocular implant 8.02 N/A 11.06 0.31 N/A 19.39 090 65150 A Revise ocular implant 6.26 N/A 9.43 0.25 N/A 15.94 090 65155 A Reinsert ocular implant 8.66 N/A 11.80 0.40 N/A 20.86 090 65175 A Removal of ocular implant 6.28 N/A 9.81 0.26 N/A 16.35 090 65205 A Remove foreign body from eye 0.71 0.61 0.19 0.03 1.35 0.93 000 65210 A Remove foreign body from eye 0.84 0.75 0.30 0.03 1.62 1.17 000 65220 A Remove foreign body from eye 0.71 0.61 0.18 0.05 1.37 0.94 000 65222 A Remove foreign body from eye 0.93 0.77 0.27 0.04 1.74 1.24 000 65235 A Remove foreign body from eye 7.57 N/A 7.41 0.30 N/A 15.28 090 65260 A Remove foreign body from eye 10.96 N/A 11.71 0.43 N/A 23.10 090 65265 A Remove foreign body from eye 12.59 N/A 12.91 0.50 N/A 26.00 090 65270 A Repair of eye wound 1.90 3.90 2.28 0.08 5.88 4.26 010 65272 A Repair of eye wound 3.82 5.89 5.30 0.16 9.87 9.28 090 65273 A Repair of eye wound 4.36 N/A 5.63 0.17 N/A 10.16 090 65275 A Repair of eye wound 5.34 5.78 5.78 0.27 11.39 11.39 090 65280 A Repair of eye wound 7.66 N/A 8.32 0.30 N/A 16.28 090 65285 A Repair of eye wound 12.90 N/A 12.77 0.51 N/A 26.18 090 65286 A Repair of eye wound 5.51 8.57 7.65 0.21 14.29 13.37 090 65290 A Repair of eye socket wound 5.41 N/A 6.61 0.26 N/A 12.28 090 65400 A Removal of eye lesion 6.06 8.78 7.60 0.24 15.08 13.90 090 65410 A Biopsy of cornea 1.47 1.74 0.66 0.06 3.27 2.19 000 65420 A Removal of eye lesion 4.17 7.65 6.84 0.17 11.99 11.18 090 65426 A Removal of eye lesion 5.25 7.62 6.66 0.20 13.07 12.11 090 65430 A Corneal smear 1.47 5.02 0.67 0.06 6.55 2.20 000 65435 A Curette/treat cornea 0.92 1.35 0.40 0.04 2.31 1.36 000 65436 A Curette/treat cornea 4.19 5.95 5.31 0.17 10.31 9.67 090 65450 A Treatment of corneal lesion 3.27 7.32 6.43 0.13 10.72 9.83 090 65600 A Revision of cornea 3.40 5.73 3.17 0.14 9.27 6.71 090 65710 A Corneal transplant 12.35 N/A 12.72 0.49 N/A 25.56 090 65730 A Corneal transplant 14.25 N/A 12.08 0.56 N/A 26.89 090 65750 A Corneal transplant 15.00 N/A 13.75 0.59 N/A 29.34 090 65755 A Corneal transplant 14.89 N/A 13.66 0.58 N/A 29.13 090 65770 A Revise cornea with implant 17.56 N/A 14.78 0.69 N/A 33.03 090 65772 A Correction of astigmatism 4.29 7.17 6.46 0.17 11.63 10.92 090 65775 A Correction of astigmatism 5.79 N/A 7.65 0.22 N/A 13.66 090 65800 A Drainage of eye 1.91 2.31 1.14 0.08 4.30 3.13 000 65805 A Drainage of eye 1.91 2.31 1.15 0.08 4.30 3.14 000 65810 A Drainage of eye 4.87 N/A 8.08 0.19 N/A 13.14 090 65815 A Drainage of eye 5.05 8.41 7.51 0.20 13.66 12.76 090 65820 A Relieve inner eye pressure 8.13 N/A 10.62 0.32 N/A 19.07 090 Start Printed Page 49167 65850 A Incision of eye 10.52 N/A 9.71 0.41 N/A 20.64 090 65855 A Laser surgery of eye 3.85 5.29 4.12 0.17 9.31 8.14 010 65860 A Incise inner eye adhesions 3.55 4.02 3.36 0.14 7.71 7.05 090 65865 A Incise inner eye adhesions 5.60 N/A 6.65 0.22 N/A 12.47 090 65870 A Incise inner eye adhesions 6.27 N/A 7.32 0.24 N/A 13.83 090 65875 A Incise inner eye adhesions 6.54 N/A 7.62 0.25 N/A 14.41 090 65880 A Incise inner eye adhesions 7.09 N/A 7.87 0.28 N/A 15.24 090 65900 A Remove eye lesion 10.93 N/A 11.89 0.46 N/A 23.28 090 65920 A Remove implant of eye 8.40 N/A 8.87 0.33 N/A 17.60 090 65930 A Remove blood clot from eye 7.44 N/A 8.12 0.29 N/A 15.85 090 66020 A Injection treatment of eye 1.59 2.42 1.61 0.07 4.08 3.27 010 66030 A Injection treatment of eye 1.25 2.25 1.45 0.05 3.55 2.75 010 66130 A Remove eye lesion 7.69 7.61 7.04 0.31 15.61 15.04 090 66150 A Glaucoma surgery 8.30 N/A 10.07 0.33 N/A 18.70 090 66155 A Glaucoma surgery 8.29 N/A 10.04 0.32 N/A 18.65 090 66160 A Glaucoma surgery 10.17 N/A 10.90 0.41 N/A 21.48 090 66165 A Glaucoma surgery 8.01 N/A 9.92 0.31 N/A 18.24 090 66170 A Glaucoma surgery 12.16 N/A 12.62 0.48 N/A 25.26 090 66172 A Incision of eye 15.04 N/A 15.19 0.59 N/A 30.82 090 66180 A Implant eye shunt 14.55 N/A 11.87 0.57 N/A 26.99 090 66185 A Revise eye shunt 8.14 N/A 8.42 0.32 N/A 16.88 090 66220 A Repair eye lesion 7.77 N/A 9.00 0.32 N/A 17.09 090 66225 A Repair/graft eye lesion 11.05 N/A 9.57 0.44 N/A 21.06 090 66250 A Follow-up surgery of eye 5.98 7.84 6.66 0.23 14.05 12.87 090 66500 A Incision of iris 3.71 N/A 5.08 0.15 N/A 8.94 090 66505 A Incision of iris 4.08 N/A 5.37 0.17 N/A 9.62 090 66600 A Remove iris and lesion 8.68 N/A 8.96 0.34 N/A 17.98 090 66605 A Removal of iris 12.79 N/A 11.57 0.61 N/A 24.97 090 66625 A Removal of iris 5.13 7.07 6.33 0.20 12.40 11.66 090 66630 A Removal of iris 6.16 N/A 7.48 0.24 N/A 13.88 090 66635 A Removal of iris 6.25 N/A 6.79 0.24 N/A 13.28 090 66680 A Repair iris & ciliary body 5.44 N/A 6.20 0.21 N/A 11.85 090 66682 A Repair iris & ciliary body 6.21 N/A 7.48 0.24 N/A 13.93 090 66700 A Destruction, ciliary body 4.78 5.44 4.13 0.19 10.41 9.10 090 66710 A Destruction, ciliary body 4.78 5.31 3.92 0.18 10.27 8.88 090 66720 A Destruction, ciliary body 4.78 5.76 4.69 0.19 10.73 9.66 090 66740 A Destruction, ciliary body 4.78 5.47 4.30 0.18 10.43 9.26 090 66761 A Revision of iris 4.07 5.65 4.31 0.16 9.88 8.54 090 66762 A Revision of iris 4.58 5.73 4.30 0.18 10.49 9.06 090 66770 A Removal of inner eye lesion 5.18 6.16 4.81 0.20 11.54 10.19 090 66820 A Incision, secondary cataract 3.89 N/A 7.12 0.16 N/A 11.17 090 66821 A After cataract laser surgery 2.35 4.04 3.95 0.10 6.49 6.40 090 66825 A Reposition intraocular lens 8.23 N/A 10.05 0.32 N/A 18.60 090 66830 A Removal of lens lesion 8.20 N/A 7.26 0.32 N/A 15.78 090 66840 A Removal of lens material 7.91 N/A 7.17 0.31 N/A 15.39 090 66850 A Removal of lens material 9.11 N/A 7.89 0.36 N/A 17.36 090 66852 A Removal of lens material 9.97 N/A 8.35 0.39 N/A 18.71 090 66920 A Extraction of lens 8.86 N/A 7.62 0.35 N/A 16.83 090 66930 A Extraction of lens 10.18 N/A 8.72 0.41 N/A 19.31 090 66940 A Extraction of lens 8.93 N/A 8.17 0.35 N/A 17.45 090 66982 A Cataract surgery, complex 13.50 N/A 10.10 0.56 N/A 24.16 090 66983 A Cataract surg w/iol, 1 stage 8.99 N/A 6.31 0.37 N/A 15.67 090 66984 A Cataract surg w/iol, 1 stage 10.23 N/A 7.81 0.41 N/A 18.45 090 66985 A Insert lens prosthesis 8.39 N/A 7.60 0.33 N/A 16.32 090 66986 A Exchange lens prosthesis 12.28 N/A 9.38 0.49 N/A 22.15 090 66990 A Ophthalmic endoscope add-on 1.51 N/A 0.70 0.06 N/A 2.27 ZZZ 66999 C Eye surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67005 A Partial removal of eye fluid 5.70 N/A 4.47 0.22 N/A 10.39 090 67010 A Partial removal of eye fluid 6.87 N/A 5.02 0.27 N/A 12.16 090 Start Printed Page 49168 67015 A Release of eye fluid 6.92 N/A 7.66 0.27 N/A 14.85 090 67025 A Replace eye fluid 6.84 14.24 7.49 0.27 21.35 14.60 090 67027 A Implant eye drug system 10.85 12.86 8.86 0.46 24.17 20.17 090 67028 A Injection eye drug 2.52 6.59 1.16 0.11 9.22 3.79 000 67030 A Incise inner eye strands 4.84 N/A 6.78 0.19 N/A 11.81 090 67031 A Laser surgery, eye strands 3.67 4.77 4.11 0.15 8.59 7.93 090 67036 A Removal of inner eye fluid 11.89 N/A 9.53 0.47 N/A 21.89 090 67038 A Strip retinal membrane 21.24 N/A 16.17 0.84 N/A 38.25 090 67039 A Laser treatment of retina 14.52 N/A 12.87 0.57 N/A 27.96 090 67040 A Laser treatment of retina 17.23 N/A 14.33 0.68 N/A 32.24 090 67101 A Repair detached retina 7.53 10.08 8.31 0.29 17.90 16.13 090 67105 A Repair detached retina 7.41 8.14 6.35 0.29 15.84 14.05 090 67107 A Repair detached retina 14.84 N/A 13.11 0.58 N/A 28.53 090 67108 A Repair detached retina 20.82 N/A 17.42 0.82 N/A 39.06 090 67110 A Repair detached retina 8.81 15.63 9.41 0.35 24.79 18.57 090 67112 A Rerepair detached retina 16.86 N/A 14.89 0.66 N/A 32.41 090 67115 A Release encircling material 4.99 N/A 7.07 0.19 N/A 12.25 090 67120 A Remove eye implant material 5.98 12.34 6.90 0.23 18.55 13.11 090 67121 A Remove eye implant material 10.67 N/A 11.45 0.42 N/A 22.54 090 67141 A Treatment of retina 5.20 7.28 6.51 0.20 12.68 11.91 090 67145 A Treatment of retina 5.37 5.87 5.04 0.21 11.45 10.62 090 67208 A Treatment of retinal lesion 6.70 6.06 5.48 0.26 13.02 12.44 090 67210 A Treatment of retinal lesion 8.82 6.37 5.90 0.35 15.54 15.07 090 67218 A Treatment of retinal lesion 18.53 N/A 14.52 0.53 N/A 33.58 090 67220 A Treatment of choroid lesion 13.13 10.02 9.01 0.51 23.66 22.65 090 67221 R Ocular photodynamic ther 4.01 4.77 1.84 0.16 8.94 6.01 000 67225 A Eye photodynamic ther add-on 0.47 0.26 0.22 0.01 0.74 0.70 ZZZ 67227 A Treatment of retinal lesion 6.58 6.55 5.48 0.26 13.39 12.32 090 67228 A Treatment of retinal lesion 12.74 11.10 8.55 0.50 24.34 21.79 090 67250 A Reinforce eye wall 8.66 N/A 10.53 0.36 N/A 19.55 090 67255 A Reinforce/graft eye wall 8.90 N/A 11.13 0.35 N/A 20.38 090 67299 C Eye surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67311 A Revise eye muscle 6.65 N/A 6.52 0.27 N/A 13.44 090 67312 A Revise two eye muscles 8.54 N/A 7.54 0.35 N/A 16.43 090 67314 A Revise eye muscle 7.52 N/A 7.25 0.30 N/A 15.07 090 67316 A Revise two eye muscles 9.66 N/A 8.23 0.40 N/A 18.29 090 67318 A Revise eye muscle(s) 7.85 N/A 7.63 0.31 N/A 15.79 090 67320 A Revise eye muscle(s) add-on 4.33 N/A 2.00 0.17 N/A 6.50 ZZZ 67331 A Eye surgery follow-up add-on 4.06 N/A 1.95 0.17 N/A 6.18 ZZZ 67332 A Rerevise eye muscles add-on 4.49 N/A 2.07 0.18 N/A 6.74 ZZZ 67334 A Revise eye muscle w/suture 3.98 N/A 1.84 0.16 N/A 5.98 ZZZ 67335 A Eye suture during surgery 2.49 N/A 1.15 0.10 N/A 3.74 ZZZ 67340 A Revise eye muscle add-on 4.93 N/A 2.27 0.19 N/A 7.39 ZZZ 67343 A Release eye tissue 7.35 N/A 7.33 0.30 N/A 14.98 090 67345 A Destroy nerve of eye muscle 2.96 4.46 1.40 0.13 7.55 4.49 010 67350 A Biopsy eye muscle 2.87 N/A 1.91 0.13 N/A 4.91 000 67399 C Eye muscle surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67400 A Explore/biopsy eye socket 9.76 N/A 12.74 0.43 N/A 22.93 090 67405 A Explore/drain eye socket 7.93 N/A 11.44 0.36 N/A 19.73 090 67412 A Explore/treat eye socket 9.50 N/A 13.20 0.41 N/A 23.11 090 67413 A Explore/treat eye socket 10.00 N/A 12.38 0.43 N/A 22.81 090 67414 A Explr/decompress eye socket 11.13 N/A 14.33 0.48 N/A 25.94 090 67415 A Aspiration, orbital contents 1.76 N/A 0.78 0.09 N/A 2.63 000 67420 A Explore/treat eye socket 20.06 N/A 19.13 0.84 N/A 40.03 090 Start Printed Page 49169 67430 A Explore/treat eye socket 13.39 N/A 15.97 0.97 N/A 30.33 090 67440 A Explore/drain eye socket 13.09 N/A 15.80 0.58 N/A 29.47 090 67445 A Explr/decompress eye socket 14.42 N/A 16.00 0.63 N/A 31.05 090 67450 A Explore/biopsy eye socket 13.51 N/A 16.16 0.56 N/A 30.23 090 67500 A Inject/treat eye socket 0.79 0.84 0.19 0.04 1.67 1.02 000 67505 A Inject/treat eye socket 0.82 0.93 0.21 0.04 1.79 1.07 000 67515 A Inject/treat eye socket 0.61 0.84 0.28 0.02 1.47 0.91 000 67550 A Insert eye socket implant 10.19 N/A 12.61 0.50 N/A 23.30 090 67560 A Revise eye socket implant 10.60 N/A 12.57 0.47 N/A 23.64 090 67570 A Decompress optic nerve 13.58 N/A 15.48 0.69 N/A 29.75 090 67599 C Orbit surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67700 A Drainage of eyelid abscess 1.35 4.90 0.64 0.06 6.31 2.05 010 67710 A Incision of eyelid 1.02 5.06 0.54 0.04 6.12 1.60 010 67715 A Incision of eyelid fold 1.22 4.64 0.63 0.05 5.91 1.90 010 67800 A Remove eyelid lesion 1.38 2.53 0.70 0.06 3.97 2.14 010 67801 A Remove eyelid lesions 1.88 5.41 0.94 0.08 7.37 2.90 010 67805 A Remove eyelid lesions 2.22 5.56 1.09 0.09 7.87 3.40 010 67808 A Remove eyelid lesion(s) 3.80 N/A 5.28 0.17 N/A 9.25 090 67810 A Biopsy of eyelid 1.48 3.71 0.69 0.06 5.25 2.23 000 67820 A Revise eyelashes 0.89 1.13 0.38 0.04 2.06 1.31 000 67825 A Revise eyelashes 1.38 1.61 1.09 0.06 3.05 2.53 010 67830 A Revise eyelashes 1.70 7.58 1.99 0.07 9.35 3.76 010 67835 A Revise eyelashes 5.56 N/A 5.10 0.22 N/A 10.88 090 67840 A Remove eyelid lesion 2.04 5.39 1.01 0.08 7.51 3.13 010 67850 A Treat eyelid lesion 1.69 6.17 1.93 0.07 7.93 3.69 010 67875 A Closure of eyelid by suture 1.35 7.71 1.26 0.06 9.12 2.67 000 67880 A Revision of eyelid 3.80 9.81 4.38 0.16 13.77 8.34 090 67882 A Revision of eyelid 5.07 11.09 5.50 0.21 16.37 10.78 090 67900 A Repair brow defect 6.14 10.72 6.39 0.30 17.16 12.83 090 67901 A Repair eyelid defect 6.97 N/A 6.54 0.32 N/A 13.83 090 67902 A Repair eyelid defect 7.03 N/A 6.61 0.34 N/A 13.98 090 67903 A Repair eyelid defect 6.37 11.50 6.81 0.39 18.26 13.57 090 67904 A Repair eyelid defect 6.26 12.71 7.30 0.26 19.23 13.82 090 67906 A Repair eyelid defect 6.79 9.26 6.12 0.42 16.47 13.33 090 67908 A Repair eyelid defect 5.13 8.99 5.78 0.20 14.32 11.11 090 67909 A Revise eyelid defect 5.40 9.55 6.19 0.25 15.20 11.84 090 67911 A Revise eyelid defect 5.27 N/A 6.16 0.23 N/A 11.66 090 67914 A Repair eyelid defect 3.68 9.44 4.02 0.16 13.28 7.86 090 67915 A Repair eyelid defect 3.18 8.02 2.63 0.13 11.33 5.94 090 67916 A Repair eyelid defect 5.31 11.98 5.80 0.22 17.51 11.33 090 67917 A Repair eyelid defect 6.02 9.90 6.26 0.25 16.17 12.53 090 67921 A Repair eyelid defect 3.40 9.24 3.82 0.14 12.78 7.36 090 67922 A Repair eyelid defect 3.06 7.97 3.55 0.13 11.16 6.74 090 67923 A Repair eyelid defect 5.88 11.44 5.91 0.24 17.56 12.03 090 67924 A Repair eyelid defect 5.79 9.26 5.76 0.23 15.28 11.78 090 67930 A Repair eyelid wound 3.61 8.54 3.00 0.17 12.32 6.78 010 67935 A Repair eyelid wound 6.22 11.46 5.97 0.29 17.97 12.48 090 67938 A Remove eyelid foreign body 1.33 5.90 0.57 0.06 7.29 1.96 010 67950 A Revision of eyelid 5.82 8.42 6.70 0.30 14.54 12.82 090 67961 A Revision of eyelid 5.69 10.32 5.79 0.26 16.27 11.74 090 67966 A Revision of eyelid 6.57 8.50 5.78 0.33 15.40 12.68 090 67971 A Reconstruction of eyelid 9.79 N/A 7.41 0.42 N/A 17.62 090 67973 A Reconstruction of eyelid 12.87 N/A 9.41 0.59 N/A 22.87 090 67974 A Reconstruction of eyelid 12.84 N/A 9.32 0.54 N/A 22.70 090 67975 A Reconstruction of eyelid 9.13 N/A 7.08 0.38 N/A 16.59 090 67999 C Revision of eyelid 0.00 0.00 0.00 0.00 0.00 0.00 YYY 68020 A Incise/drain eyelid lining 1.37 5.77 0.69 0.06 7.20 2.12 010 68040 A Treatment of eyelid lesions 0.85 4.88 0.39 0.03 5.76 1.27 000 68100 A Biopsy of eyelid lining 1.35 5.08 0.62 0.06 6.49 2.03 000 68110 A Remove eyelid lining lesion 1.77 6.14 1.43 0.07 7.98 3.27 010 Start Printed Page 49170 68115 A Remove eyelid lining lesion 2.36 5.63 1.16 0.10 8.09 3.62 010 68130 A Remove eyelid lining lesion 4.93 8.01 4.03 0.19 13.13 9.15 090 68135 A Remove eyelid lining lesion 1.84 5.39 0.92 0.07 7.30 2.83 010 68200 A Treat eyelid by injection 0.49 0.74 0.23 0.02 1.25 0.74 000 68320 A Revise/graft eyelid lining 5.37 6.68 5.51 0.21 12.26 11.09 090 68325 A Revise/graft eyelid lining 7.36 N/A 6.52 0.30 N/A 14.18 090 68326 A Revise/graft eyelid lining 7.15 N/A 6.39 0.30 N/A 13.84 090 68328 A Revise/graft eyelid lining 8.18 N/A 7.13 0.40 N/A 15.71 090 68330 A Revise eyelid lining 4.83 7.37 6.16 0.19 12.39 11.18 090 68335 A Revise/graft eyelid lining 7.19 N/A 6.92 0.29 N/A 14.40 090 68340 A Separate eyelid adhesions 4.17 10.96 4.83 0.17 15.30 9.17 090 68360 A Revise eyelid lining 4.37 6.72 5.68 0.17 11.26 10.22 090 68362 A Revise eyelid lining 7.34 N/A 7.86 0.29 N/A 15.49 090 68399 C Eyelid lining surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 68400 A Incise/drain tear gland 1.69 7.73 2.09 0.07 9.49 3.85 010 68420 A Incise/drain tear sac 2.30 8.07 2.38 0.10 10.47 4.78 010 68440 A Incise tear duct opening 0.94 5.00 0.50 0.04 5.98 1.48 010 68500 A Removal of tear gland 11.02 N/A 10.36 0.60 N/A 21.98 090 68505 A Partial removal, tear gland 10.94 N/A 11.40 0.57 N/A 22.91 090 68510 A Biopsy of tear gland 4.61 8.57 2.14 0.19 13.37 6.94 000 68520 A Removal of tear sac 7.51 N/A 7.94 0.33 N/A 15.78 090 68525 A Biopsy of tear sac 4.43 N/A 2.06 0.18 N/A 6.67 000 68530 A Clearance of tear duct 3.66 9.59 2.90 0.16 13.41 6.72 010 68540 A Remove tear gland lesion 10.60 N/A 10.03 0.46 N/A 21.09 090 68550 A Remove tear gland lesion 13.26 N/A 12.03 0.66 N/A 25.95 090 68700 A Repair tear ducts 6.60 N/A 7.42 0.27 N/A 14.29 090 68705 A Revise tear duct opening 2.06 5.52 1.02 0.08 7.66 3.16 010 68720 A Create tear sac drain 8.96 N/A 8.43 0.38 N/A 17.77 090 68745 A Create tear duct drain 8.63 N/A 8.40 0.38 N/A 17.41 090 68750 A Create tear duct drain 8.66 N/A 8.85 0.37 N/A 17.88 090 68760 A Close tear duct opening 1.73 4.05 1.26 0.07 5.85 3.06 010 68761 A Close tear duct opening 1.36 3.48 1.00 0.06 4.90 2.42 010 68770 A Close tear system fistula 7.02 12.97 6.93 0.28 20.27 14.23 090 68801 A Dilate tear duct opening 0.94 0.95 0.61 0.04 1.93 1.59 010 68810 A Probe nasolacrimal duct 1.90 2.36 0.94 0.08 4.34 2.92 010 68811 A Probe nasolacrimal duct 2.35 N/A 2.40 0.10 N/A 4.85 010 68815 A Probe nasolacrimal duct 3.20 8.29 2.73 0.14 11.63 6.07 010 68840 A Explore/irrigate tear ducts 1.25 1.67 0.98 0.05 2.97 2.28 010 68850 A Injection for tear sac x-ray 0.80 12.84 0.30 0.03 13.67 1.13 000 68899 C Tear duct system surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69000 A Drain external ear lesion 1.45 3.11 1.44 0.10 4.66 2.99 010 69005 A Drain external ear lesion 2.11 3.10 1.90 0.16 5.37 4.17 010 69020 A Drain outer ear canal lesion 1.48 3.11 1.91 0.11 4.70 3.50 010 69100 A Biopsy of external ear 0.81 1.78 0.40 0.04 2.63 1.25 000 69105 A Biopsy of external ear canal 0.85 1.96 0.78 0.06 2.87 1.69 000 69110 A Remove external ear, partial 3.44 4.17 3.11 0.24 7.85 6.79 090 69120 A Removal of external ear 4.05 N/A 4.11 0.31 N/A 8.47 090 69140 A Remove ear canal lesion(s) 7.97 N/A 6.99 0.56 N/A 15.52 090 69145 A Remove ear canal lesion(s) 2.62 3.73 2.69 0.18 6.53 5.49 090 69150 A Extensive ear canal surgery 13.43 N/A 10.23 1.07 N/A 24.73 090 69155 A Extensive ear/neck surgery 20.80 N/A 14.88 1.51 N/A 37.19 090 69200 A Clear outer ear canal 0.77 1.64 0.59 0.05 2.46 1.41 000 69205 A Clear outer ear canal 1.20 N/A 1.31 0.09 N/A 2.60 010 69210 A Remove impacted ear wax 0.61 0.66 0.24 0.04 1.31 0.89 000 69220 A Clean out mastoid cavity 0.83 1.72 0.75 0.06 2.61 1.64 000 69222 A Clean out mastoid cavity 1.40 3.23 1.86 0.10 4.73 3.36 010 Start Printed Page 49171 69300 R Revise external ear 6.36 N/A 4.35 0.43 N/A 11.14 YYY 69310 A Rebuild outer ear canal 10.79 N/A 8.70 0.77 N/A 20.26 090 69320 A Rebuild outer ear canal 16.96 N/A 12.52 1.17 N/A 30.65 090 69399 C Outer ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69400 A Inflate middle ear canal 0.83 2.14 0.69 0.06 3.03 1.58 000 69401 A Inflate middle ear canal 0.63 1.04 0.66 0.04 1.71 1.33 000 69405 A Catheterize middle ear canal 2.63 3.32 2.37 0.18 6.13 5.18 010 69410 A Inset middle ear (baffle) 0.33 1.41 0.50 0.02 1.76 0.85 000 69420 A Incision of eardrum 1.33 2.49 1.64 0.10 3.92 3.07 010 69421 A Incision of eardrum 1.73 N/A 1.89 0.13 N/A 3.75 010 69424 A Remove ventilating tube 0.85 1.58 0.70 0.06 2.49 1.61 000 69433 A Create eardrum opening 1.52 2.48 1.71 0.11 4.11 3.34 010 69436 A Create eardrum opening 1.96 N/A 2.02 0.14 N/A 4.12 010 69440 A Exploration of middle ear 7.57 N/A 6.54 0.53 N/A 14.64 090 69450 A Eardrum revision 5.57 N/A 5.26 0.39 N/A 11.22 090 69501 A Mastoidectomy 9.07 N/A 7.34 0.65 N/A 17.06 090 69502 A Mastoidectomy 12.38 N/A 9.61 0.86 N/A 22.85 090 69505 A Remove mastoid structures 12.99 N/A 9.87 0.92 N/A 23.78 090 69511 A Extensive mastoid surgery 13.52 N/A 10.21 0.96 N/A 24.69 090 69530 A Extensive mastoid surgery 19.19 N/A 13.44 1.32 N/A 33.95 090 69535 A Remove part of temporal bone 36.14 N/A 22.99 2.59 N/A 61.72 090 69540 A Remove ear lesion 1.20 3.17 1.75 0.09 4.46 3.04 010 69550 A Remove ear lesion 10.99 N/A 8.64 0.80 N/A 20.43 090 69552 A Remove ear lesion 19.46 N/A 13.33 1.36 N/A 34.15 090 69554 A Remove ear lesion 33.16 N/A 21.44 2.32 N/A 56.92 090 69601 A Mastoid surgery revision 13.24 N/A 10.40 0.92 N/A 24.56 090 69602 A Mastoid surgery revision 13.58 N/A 10.32 0.94 N/A 24.84 090 69603 A Mastoid surgery revision 14.02 N/A 10.54 1.00 N/A 25.56 090 69604 A Mastoid surgery revision 14.02 N/A 10.52 0.98 N/A 25.52 090 69605 A Mastoid surgery revision 18.49 N/A 13.24 1.29 N/A 33.02 090 69610 A Repair of eardrum 4.43 4.59 3.36 0.31 9.33 8.10 010 69620 A Repair of eardrum 5.89 6.46 4.59 0.40 12.75 10.88 090 69631 A Repair eardrum structures 9.86 N/A 8.18 0.69 N/A 18.73 090 69632 A Rebuild eardrum structures 12.75 N/A 10.12 0.89 N/A 23.76 090 69633 A Rebuild eardrum structures 12.10 N/A 9.78 0.84 N/A 22.72 090 69635 A Repair eardrum structures 13.33 N/A 9.73 0.87 N/A 23.93 090 69636 A Rebuild eardrum structures 15.22 N/A 11.58 1.07 N/A 27.87 090 69637 A Rebuild eardrum structures 15.11 N/A 11.52 1.06 N/A 27.69 090 69641 A Revise middle ear & mastoid 12.71 N/A 9.84 0.89 N/A 23.44 090 69642 A Revise middle ear & mastoid 16.84 N/A 12.56 1.18 N/A 30.58 090 69643 A Revise middle ear & mastoid 15.32 N/A 11.58 1.08 N/A 27.98 090 69644 A Revise middle ear & mastoid 16.97 N/A 12.50 1.19 N/A 30.66 090 69645 A Revise middle ear & mastoid 16.38 N/A 12.14 1.16 N/A 29.68 090 69646 A Revise middle ear & mastoid 17.99 N/A 13.08 1.26 N/A 32.33 090 69650 A Release middle ear bone 9.66 N/A 7.69 0.68 N/A 18.03 090 69660 A Revise middle ear bone 11.90 N/A 8.92 0.84 N/A 21.66 090 69661 A Revise middle ear bone 15.74 N/A 11.46 1.10 N/A 28.30 090 69662 A Revise middle ear bone 15.44 N/A 11.17 1.08 N/A 27.69 090 69666 A Repair middle ear structures 9.75 N/A 7.77 0.68 N/A 18.20 090 69667 A Repair middle ear structures 9.76 N/A 7.75 0.72 N/A 18.23 090 Start Printed Page 49172 69670 A Remove mastoid air cells 11.51 N/A 8.97 0.78 N/A 21.26 090 69676 A Remove middle ear nerve 9.52 N/A 7.92 0.69 N/A 18.13 090 69700 A Close mastoid fistula 8.23 N/A 6.03 0.55 N/A 14.81 090 69711 A Remove/repair hearing aid 10.44 N/A 8.37 0.62 N/A 19.43 090 69714 A Implant temple bone w/stimul 14.00 N/A 10.18 1.01 N/A 25.19 090 69715 A Temple bne implnt w/stimulat 18.25 N/A 12.72 1.32 N/A 32.29 090 69717 A Temple bone implant revision 14.98 N/A 9.79 1.08 N/A 25.85 090 69718 A Revise temple bone implant 18.50 N/A 12.61 1.34 N/A 32.45 090 69720 A Release facial nerve 14.38 N/A 11.18 1.03 N/A 26.59 090 69725 A Release facial nerve 25.38 N/A 17.37 1.78 N/A 44.53 090 69740 A Repair facial nerve 15.96 N/A 10.68 1.13 N/A 27.77 090 69745 A Repair facial nerve 16.69 N/A 11.71 1.00 N/A 29.40 090 69799 C Middle ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69801 A Incise inner ear 8.56 N/A 7.09 0.60 N/A 16.25 090 69802 A Incise inner ear 13.10 N/A 9.96 0.91 N/A 23.97 090 69805 A Explore inner ear 13.82 N/A 10.38 0.97 N/A 25.17 090 69806 A Explore inner ear 12.35 N/A 9.52 0.86 N/A 22.73 090 69820 A Establish inner ear window 10.34 N/A 8.08 0.66 N/A 19.08 090 69840 A Revise inner ear window 10.26 N/A 7.05 0.64 N/A 17.95 090 69905 A Remove inner ear 11.10 N/A 8.63 0.77 N/A 20.50 090 69910 A Remove inner ear & mastoid 13.63 N/A 10.06 0.94 N/A 24.63 090 69915 A Incise inner ear nerve 21.23 N/A 14.59 1.54 N/A 37.36 090 69930 A Implant cochlear device 16.81 N/A 12.16 1.19 N/A 30.16 090 69949 C Inner ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69950 A Incise inner ear nerve 25.64 N/A 16.47 2.90 N/A 45.01 090 69955 A Release facial nerve 27.04 N/A 18.10 1.89 N/A 47.03 090 69960 A Release inner ear canal 27.04 N/A 17.53 2.43 N/A 47.00 090 69970 A Remove inner ear lesion 30.04 N/A 18.82 2.34 N/A 51.20 090 69979 C Temporal bone surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69990 R Microsurgery add-on 3.47 N/A 1.83 0.56 N/A 5.86 ZZZ 70010 A Contrast x-ray of brain 1.19 4.74 N/A 0.24 6.17 N/A XXX 70010 26 A Contrast x-ray of brain 1.19 0.40 0.40 0.06 1.65 1.65 XXX 70010 TC A Contrast x-ray of brain 0.00 4.33 N/A 0.18 4.51 N/A XXX 70015 A Contrast x-ray of brain 1.19 1.76 N/A 0.12 3.07 N/A XXX 70015 26 A Contrast x-ray of brain 1.19 0.40 0.40 0.05 1.64 1.64 XXX 70015 TC A Contrast x-ray of brain 0.00 1.35 N/A 0.07 1.42 N/A XXX 70030 A X-ray eye for foreign body 0.17 0.47 N/A 0.03 0.67 N/A XXX 70030 26 A X-ray eye for foreign body 0.17 0.06 0.06 0.01 0.24 0.24 XXX 70030 TC A X-ray eye for foreign body 0.00 0.42 N/A 0.02 0.44 N/A XXX 70100 A X-ray exam of jaw 0.18 0.58 N/A 0.03 0.79 N/A XXX 70100 26 A X-ray exam of jaw 0.18 0.06 0.06 0.01 0.25 0.25 XXX 70100 TC A X-ray exam of jaw 0.00 0.52 N/A 0.02 0.54 N/A XXX 70110 A X-ray exam of jaw 0.25 0.70 N/A 0.04 0.99 N/A XXX 70110 26 A X-ray exam of jaw 0.25 0.08 0.08 0.01 0.34 0.34 XXX 70110 TC A X-ray exam of jaw 0.00 0.62 N/A 0.03 0.65 N/A XXX 70120 A X-ray exam of mastoids 0.18 0.68 N/A 0.04 0.90 N/A XXX 70120 26 A X-ray exam of mastoids 0.18 0.06 0.06 0.01 0.25 0.25 XXX 70120 TC A X-ray exam of mastoids 0.00 0.62 N/A 0.03 0.65 N/A XXX 70130 A X-ray exam of mastoids 0.34 0.90 N/A 0.05 1.29 N/A XXX 70130 26 A X-ray exam of mastoids 0.34 0.11 0.11 0.01 0.46 0.46 XXX 70130 TC A X-ray exam of mastoids 0.00 0.78 N/A 0.04 0.82 N/A XXX 70134 A X-ray exam of middle ear 0.34 0.85 N/A 0.05 1.24 N/A XXX 70134 26 A X-ray exam of middle ear 0.34 0.11 0.11 0.01 0.46 0.46 XXX 70134 TC A X-ray exam of middle ear 0.00 0.73 N/A 0.04 0.77 N/A XXX 70140 A X-ray exam of facial bones 0.19 0.68 N/A 0.04 0.91 N/A XXX 70140 26 A X-ray exam of facial bones 0.19 0.06 0.06 0.01 0.26 0.26 XXX 70140 TC A X-ray exam of facial bones 0.00 0.62 N/A 0.03 0.65 N/A XXX 70150 A X-ray exam of facial bones 0.26 0.87 N/A 0.05 1.18 N/A XXX 70150 26 A X-ray exam of facial bones 0.26 0.09 0.09 0.01 0.36 0.36 XXX Start Printed Page 49173 70150 TC A X-ray exam of facial bones 0.00 0.78 N/A 0.04 0.82 N/A XXX 70160 A X-ray exam of nasal bones 0.17 0.58 N/A 0.03 0.78 N/A XXX 70160 26 A X-ray exam of nasal bones 0.17 0.06 0.06 0.01 0.24 0.24 XXX 70160 TC A X-ray exam of nasal bones 0.00 0.52 N/A 0.02 0.54 N/A XXX 70170 A X-ray exam of tear duct 0.30 1.05 N/A 0.06 1.41 N/A XXX 70170 26 A X-ray exam of tear duct 0.30 0.10 0.10 0.01 0.41 0.41 XXX 70170 TC A X-ray exam of tear duct 0.00 0.95 N/A 0.05 1.00 N/A XXX 70190 A X-ray exam of eye sockets 0.21 0.69 N/A 0.04 0.94 N/A XXX 70190 26 A X-ray exam of eye sockets 0.21 0.07 0.07 0.01 0.29 0.29 XXX 70190 TC A X-ray exam of eye sockets 0.00 0.62 N/A 0.03 0.65 N/A XXX 70200 A X-ray exam of eye sockets 0.28 0.88 N/A 0.05 1.21 N/A XXX 70200 26 A X-ray exam of eye sockets 0.28 0.09 0.09 0.01 0.38 0.38 XXX 70200 TC A X-ray exam of eye sockets 0.00 0.78 N/A 0.04 0.82 N/A XXX 70210 A X-ray exam of sinuses 0.17 0.68 N/A 0.04 0.89 N/A XXX 70210 26 A X-ray exam of sinuses 0.17 0.06 0.06 0.01 0.24 0.24 XXX 70210 TC A X-ray exam of sinuses 0.00 0.62 N/A 0.03 0.65 N/A XXX 70220 A X-ray exam of sinuses 0.25 0.87 N/A 0.05 1.17 N/A XXX 70220 26 A X-ray exam of sinuses 0.25 0.08 0.08 0.01 0.34 0.34 XXX 70220 TC A X-ray exam of sinuses 0.00 0.78 N/A 0.04 0.82 N/A XXX 70240 A X-ray exam, pituitary saddle 0.19 0.48 N/A 0.03 0.70 N/A XXX 70240 26 A X-ray exam, pituitary saddle 0.19 0.06 0.06 0.01 0.26 0.26 XXX 70240 TC A X-ray exam, pituitary saddle 0.00 0.42 N/A 0.02 0.44 N/A XXX 70250 A X-ray exam of skull 0.24 0.70 N/A 0.04 0.98 N/A XXX 70250 26 A X-ray exam of skull 0.24 0.08 0.08 0.01 0.33 0.33 XXX 70250 TC A X-ray exam of skull 0.00 0.62 N/A 0.03 0.65 N/A XXX 70260 A X-ray exam of skull 0.34 1.00 N/A 0.06 1.40 N/A XXX 70260 26 A X-ray exam of skull 0.34 0.11 0.11 0.01 0.46 0.46 XXX 70260 TC A X-ray exam of skull 0.00 0.89 N/A 0.05 0.94 N/A XXX 70300 A X-ray exam of teeth 0.10 0.31 N/A 0.03 0.44 N/A XXX 70300 26 A X-ray exam of teeth 0.10 0.05 0.05 0.01 0.16 0.16 XXX 70300 TC A X-ray exam of teeth 0.00 0.26 N/A 0.02 0.28 N/A XXX 70310 A X-ray exam of teeth 0.16 0.50 N/A 0.03 0.69 N/A XXX 70310 26 A X-ray exam of teeth 0.16 0.08 0.08 0.01 0.25 0.25 XXX 70310 TC A X-ray exam of teeth 0.00 0.42 N/A 0.02 0.44 N/A XXX 70320 A Full mouth x-ray of teeth 0.22 0.86 N/A 0.05 1.13 N/A XXX 70320 26 A Full mouth x-ray of teeth 0.22 0.08 0.08 0.01 0.31 0.31 XXX 70320 TC A Full mouth x-ray of teeth 0.00 0.78 N/A 0.04 0.82 N/A XXX 70328 A X-ray exam of jaw joint 0.18 0.55 N/A 0.03 0.76 N/A XXX 70328 26 A X-ray exam of jaw joint 0.18 0.06 0.06 0.01 0.25 0.25 XXX 70328 TC A X-ray exam of jaw joint 0.00 0.49 N/A 0.02 0.51 N/A XXX 70330 A X-ray exam of jaw joints 0.24 0.92 N/A 0.05 1.21 N/A XXX 70330 26 A X-ray exam of jaw joints 0.24 0.08 0.08 0.01 0.33 0.33 XXX 70330 TC A X-ray exam of jaw joints 0.00 0.84 N/A 0.04 0.88 N/A XXX 70332 A X-ray exam of jaw joint 0.54 2.30 N/A 0.12 2.96 N/A XXX 70332 26 A X-ray exam of jaw joint 0.54 0.20 0.20 0.02 0.76 0.76 XXX 70332 TC A X-ray exam of jaw joint 0.00 2.10 N/A 0.10 2.20 N/A XXX 70336 A Magnetic image, jaw joint 1.48 11.71 N/A 0.56 13.75 N/A XXX 70336 26 A Magnetic image, jaw joint 1.48 0.50 0.50 0.07 2.05 2.05 XXX 70336 TC A Magnetic image, jaw joint 0.00 11.21 N/A 0.49 11.70 N/A XXX 70350 A X-ray head for orthodontia 0.17 0.45 N/A 0.03 0.65 N/A XXX 70350 26 A X-ray head for orthodontia 0.17 0.07 0.07 0.01 0.25 0.25 XXX 70350 TC A X-ray head for orthodontia 0.00 0.38 N/A 0.02 0.40 N/A XXX 70355 A Panoramic x-ray of jaws 0.20 0.65 N/A 0.04 0.89 N/A XXX 70355 26 A Panoramic x-ray of jaws 0.20 0.08 0.08 0.01 0.29 0.29 XXX 70355 TC A Panoramic x-ray of jaws 0.00 0.57 N/A 0.03 0.60 N/A XXX 70360 A X-ray exam of neck 0.17 0.47 N/A 0.03 0.67 N/A XXX 70360 26 A X-ray exam of neck 0.17 0.06 0.06 0.01 0.24 0.24 XXX 70360 TC A X-ray exam of neck 0.00 0.42 N/A 0.02 0.44 N/A XXX 70370 A Throat x-ray & fluoroscopy 0.32 1.41 N/A 0.07 1.80 N/A XXX 70370 26 A Throat x-ray & fluoroscopy 0.32 0.11 0.11 0.01 0.44 0.44 XXX Start Printed Page 49174 70370 TC A Throat x-ray & fluoroscopy 0.00 1.31 N/A 0.06 1.37 N/A XXX 70371 A Speech evaluation, complex 0.84 2.38 N/A 0.14 3.36 N/A XXX 70371 26 A Speech evaluation, complex 0.84 0.28 0.28 0.04 1.16 1.16 XXX 70371 TC A Speech evaluation, complex 0.00 2.10 N/A 0.10 2.20 N/A XXX 70373 A Contrast x-ray of larynx 0.44 1.93 N/A 0.11 2.48 N/A XXX 70373 26 A Contrast x-ray of larynx 0.44 0.15 0.15 0.02 0.61 0.61 XXX 70373 TC A Contrast x-ray of larynx 0.00 1.78 N/A 0.09 1.87 N/A XXX 70380 A X-ray exam of salivary gland 0.17 0.72 N/A 0.04 0.93 N/A XXX 70380 26 A X-ray exam of salivary gland 0.17 0.06 0.06 0.01 0.24 0.24 XXX 70380 TC A X-ray exam of salivary gland 0.00 0.67 N/A 0.03 0.70 N/A XXX 70390 A X-ray exam of salivary duct 0.38 1.91 N/A 0.11 2.40 N/A XXX 70390 26 A X-ray exam of salivary duct 0.38 0.13 0.13 0.02 0.53 0.53 XXX 70390 TC A X-ray exam of salivary duct 0.00 1.78 N/A 0.09 1.87 N/A XXX 70450 A Ct head/brain w/o dye 0.85 5.00 N/A 0.25 6.10 N/A XXX 70450 26 A Ct head/brain w/o dye 0.85 0.28 0.28 0.04 1.17 1.17 XXX 70450 TC A Ct head/brain w/o dye 0.00 4.72 N/A 0.21 4.93 N/A XXX 70460 A Ct head/brain w/dye 1.13 6.04 N/A 0.30 7.47 N/A XXX 70460 26 A Ct head/brain w/dye 1.13 0.38 0.38 0.05 1.56 1.56 XXX 70460 TC A Ct head/brain w/dye 0.00 5.66 N/A 0.25 5.91 N/A XXX 70470 A Ct head/brain w/o&w dye 1.27 7.49 N/A 0.37 9.13 N/A XXX 70470 26 A Ct head/brain w/o&w dye 1.27 0.43 0.43 0.06 1.76 1.76 XXX 70470 TC A Ct head/brain w/o&w dye 0.00 7.07 N/A 0.31 7.38 N/A XXX 70480 A Ct orbit/ear/fossa w/o dye 1.28 5.15 N/A 0.27 6.70 N/A XXX 70480 26 A Ct orbit/ear/fossa w/o dye 1.28 0.43 0.43 0.06 1.77 1.77 XXX 70480 TC A Ct orbit/ear/fossa w/o dye 0.00 4.72 N/A 0.21 4.93 N/A XXX 70481 A Ct orbit/ear/fossa w/dye 1.38 6.12 N/A 0.31 7.81 N/A XXX 70481 26 A Ct orbit/ear/fossa w/dye 1.38 0.46 0.46 0.06 1.90 1.90 XXX 70481 TC A Ct orbit/ear/fossa w/dye 0.00 5.66 N/A 0.25 5.91 N/A XXX 70482 A Ct orbit/ear/fossa w/o&w dye 1.45 7.56 N/A 0.37 9.38 N/A XXX 70482 26 A Ct orbit/ear/fossa w/o&w dye 1.45 0.49 0.49 0.06 2.00 2.00 XXX 70482 TC A Ct orbit/ear/fossa w/o&w dye 0.00 7.07 N/A 0.31 7.38 N/A XXX 70486 A Ct maxillofacial w/o dye 1.14 5.10 N/A 0.26 6.50 N/A XXX 70486 26 A Ct maxillofacial w/o dye 1.14 0.38 0.38 0.05 1.57 1.57 XXX 70486 TC A Ct maxillofacial w/o dye 0.00 4.72 N/A 0.21 4.93 N/A XXX 70487 A Ct maxillofacial w/dye 1.30 6.09 N/A 0.31 7.70 N/A XXX 70487 26 A Ct maxillofacial w/dye 1.30 0.44 0.44 0.06 1.80 1.80 XXX 70487 TC A Ct maxillofacial w/dye 0.00 5.66 N/A 0.25 5.91 N/A XXX 70488 A Ct maxillofacial w/o&w dye 1.42 7.54 N/A 0.37 9.33 N/A XXX 70488 26 A Ct maxillofacial w/o&w dye 1.42 0.48 0.48 0.06 1.96 1.96 XXX 70488 TC A Ct maxillofacial w/o&w dye 0.00 7.07 N/A 0.31 7.38 N/A XXX 70490 A Ct soft tissue neck w/o dye 1.28 5.15 N/A 0.27 6.70 N/A XXX 70490 26 A Ct soft tissue neck w/o dye 1.28 0.43 0.43 0.06 1.77 1.77 XXX 70490 TC A Ct soft tissue neck w/o dye 0.00 4.72 N/A 0.21 4.93 N/A XXX 70491 A Ct soft tissue neck w/dye 1.38 6.12 N/A 0.31 7.81 N/A XXX 70491 26 A Ct soft tissue neck w/dye 1.38 0.46 0.46 0.06 1.90 1.90 XXX 70491 TC A Ct soft tissue neck w/dye 0.00 5.66 N/A 0.25 5.91 N/A XXX 70492 A Ct sft tsue nck w/o & w/dye 1.45 7.55 N/A 0.37 9.37 N/A XXX 70492 26 A Ct sft tsue nck w/o & w/dye 1.45 0.49 0.49 0.06 2.00 2.00 XXX Start Printed Page 49175 70492 TC A Ct sft tsue nck w/o & w/dye 0.00 7.07 N/A 0.31 7.38 N/A XXX 70496 A Ct angiography, head 1.75 11.19 N/A 0.56 13.50 N/A XXX 70496 26 A Ct angiography, head 1.75 0.59 0.59 0.08 2.42 2.42 XXX 70496 TC A Ct angiography, head 0.00 10.61 N/A 0.48 11.09 N/A XXX 70498 A Ct angiography, neck 1.75 11.20 N/A 0.56 13.51 N/A XXX 70498 26 A Ct angiography, neck 1.75 0.59 0.59 0.08 2.42 2.42 XXX 70498 TC A Ct angiography, neck 0.00 10.61 N/A 0.48 11.09 N/A XXX 70540 A Mri orbit/face/neck w/o dye 1.35 11.66 N/A 0.36 13.37 N/A XXX 70540 26 A Mri orbit/face/neck w/o dye 1.35 0.45 0.45 0.04 1.84 1.84 XXX 70540 TC A Mri orbit/face/neck w/o dye 0.00 11.21 N/A 0.32 11.53 N/A XXX 70542 A Mri orbit/face/neck w/dye 1.62 13.99 N/A 0.44 16.05 N/A XXX 70542 26 A Mri orbit/face/neck w/dye 1.62 0.55 0.55 0.05 2.22 2.22 XXX 70542 TC A Mri orbit/face/neck w/dye 0.00 13.44 N/A 0.39 13.83 N/A XXX 70543 A Mri orbt/fac/nck w/o&w dye 2.15 25.62 N/A 0.77 28.54 N/A XXX 70543 26 A Mri orbt/fac/nck w/o&w dye 2.15 0.72 0.72 0.07 2.94 2.94 XXX 70543 TC A Mri orbt/fac/nck w/o&w dye 0.00 24.89 N/A 0.70 25.59 N/A XXX 70544 A Mr angiography head w/o dye 1.20 11.61 N/A 0.54 13.35 N/A XXX 70544 26 A Mr angiography head w/o dye 1.20 0.40 0.40 0.05 1.65 1.65 XXX 70544 TC A Mr angiography head w/o dye 0.00 11.21 N/A 0.49 11.70 N/A XXX 70545 A Mr angiography head w/dye 1.20 11.61 N/A 0.54 13.35 N/A XXX 70545 26 A Mr angiography head w/dye 1.20 0.40 0.40 0.05 1.65 1.65 XXX 70545 TC A Mr angiography head w/dye 0.00 11.21 N/A 0.49 11.70 N/A XXX 70546 A Mr angiograph head w/o&w dye 1.80 23.02 N/A 0.57 25.39 N/A XXX 70546 26 A Mr angiograph head w/o&w dye 1.80 0.61 0.61 0.08 2.49 2.49 XXX 70546 TC A Mr angiograph head w/o&w dye 0.00 22.42 N/A 0.49 22.91 N/A XXX 70547 A Mr angiography neck w/o dye 1.20 11.61 N/A 0.54 13.35 N/A XXX 70547 26 A Mr angiography neck w/o dye 1.20 0.40 0.40 0.05 1.65 1.65 XXX 70547 TC A Mr angiography neck w/o dye 0.00 11.21 N/A 0.49 11.70 N/A XXX 70548 A Mr angiography neck w/dye 1.20 11.61 N/A 0.54 13.35 N/A XXX 70548 26 A Mr angiography neck w/dye 1.20 0.40 0.40 0.05 1.65 1.65 XXX 70548 TC A Mr angiography neck w/dye 0.00 11.21 N/A 0.49 11.70 N/A XXX 70549 A Mr angiograph neck w/o&w dye 1.80 23.03 N/A 0.57 25.40 N/A XXX 70549 26 A Mr angiograph neck w/o&w dye 1.80 0.61 0.61 0.08 2.49 2.49 XXX 70549 TC A Mr angiograph neck w/o&w dye 0.00 22.42 N/A 0.49 22.91 N/A XXX 70551 A Mri brain w/o dye 1.48 11.71 N/A 0.56 13.75 N/A XXX 70551 26 A Mri brain w/o dye 1.48 0.50 0.50 0.07 2.05 2.05 XXX 70551 TC A Mri brain w/o dye 0.00 11.21 N/A 0.49 11.70 N/A XXX 70552 A Mri brain w/dye 1.78 14.05 N/A 0.66 16.49 N/A XXX 70552 26 A Mri brain w/dye 1.78 0.61 0.61 0.08 2.47 2.47 XXX 70552 TC A Mri brain w/dye 0.00 13.44 N/A 0.58 14.02 N/A XXX 70553 A Mri brain w/o&w dye 2.36 25.69 N/A 1.19 29.24 N/A XXX 70553 26 A Mri brain w/o&w dye 2.36 0.79 0.79 0.10 3.25 3.25 XXX 70553 TC A Mri brain w/o&w dye 0.00 24.89 N/A 1.09 25.98 N/A XXX 71010 A Chest x-ray 0.18 0.53 N/A 0.03 0.74 N/A XXX Start Printed Page 49176 71010 26 A Chest x-ray 0.18 0.06 0.06 0.01 0.25 0.25 XXX 71010 TC A Chest x-ray 0.00 0.47 N/A 0.02 0.49 N/A XXX 71015 A Chest x-ray 0.21 0.59 N/A 0.03 0.83 N/A XXX 71015 26 A Chest x-ray 0.21 0.07 0.07 0.01 0.29 0.29 XXX 71015 TC A Chest x-ray 0.00 0.52 N/A 0.02 0.54 N/A XXX 71020 A Chest x-ray 0.22 0.69 N/A 0.04 0.95 N/A XXX 71020 26 A Chest x-ray 0.22 0.07 0.07 0.01 0.30 0.30 XXX 71020 TC A Chest x-ray 0.00 0.62 N/A 0.03 0.65 N/A XXX 71021 A Chest x-ray 0.27 0.83 N/A 0.05 1.15 N/A XXX 71021 26 A Chest x-ray 0.27 0.09 0.09 0.01 0.37 0.37 XXX 71021 TC A Chest x-ray 0.00 0.73 N/A 0.04 0.77 N/A XXX 71022 A Chest x-ray 0.31 0.84 N/A 0.06 1.21 N/A XXX 71022 26 A Chest x-ray 0.31 0.10 0.10 0.02 0.43 0.43 XXX 71022 TC A Chest x-ray 0.00 0.73 N/A 0.04 0.77 N/A XXX 71023 A Chest x-ray and fluoroscopy 0.38 0.92 N/A 0.06 1.36 N/A XXX 71023 26 A Chest x-ray and fluoroscopy 0.38 0.13 0.13 0.02 0.53 0.53 XXX 71023 TC A Chest x-ray and fluoroscopy 0.00 0.78 N/A 0.04 0.82 N/A XXX 71030 A Chest x-ray 0.31 0.89 N/A 0.05 1.25 N/A XXX 71030 26 A Chest x-ray 0.31 0.10 0.10 0.01 0.42 0.42 XXX 71030 TC A Chest x-ray 0.00 0.78 N/A 0.04 0.82 N/A XXX 71034 A Chest x-ray and fluoroscopy 0.46 1.60 N/A 0.09 2.15 N/A XXX 71034 26 A Chest x-ray and fluoroscopy 0.46 0.16 0.16 0.02 0.64 0.64 XXX 71034 TC A Chest x-ray and fluoroscopy 0.00 1.44 N/A 0.07 1.51 N/A XXX 71035 A Chest x-ray 0.18 0.58 N/A 0.03 0.79 N/A XXX 71035 26 A Chest x-ray 0.18 0.06 0.06 0.01 0.25 0.25 XXX 71035 TC A Chest x-ray 0.00 0.52 N/A 0.02 0.54 N/A XXX 71040 A Contrast x-ray of bronchi 0.58 1.65 N/A 0.10 2.33 N/A XXX 71040 26 A Contrast x-ray of bronchi 0.58 0.19 0.19 0.03 0.80 0.80 XXX 71040 TC A Contrast x-ray of bronchi 0.00 1.46 N/A 0.07 1.53 N/A XXX 71060 A Contrast x-ray of bronchi 0.74 2.45 N/A 0.14 3.33 N/A XXX 71060 26 A Contrast x-ray of bronchi 0.74 0.25 0.25 0.03 1.02 1.02 XXX 71060 TC A Contrast x-ray of bronchi 0.00 2.20 N/A 0.11 2.31 N/A XXX 71090 A X-ray & pacemaker insertion 0.54 1.89 N/A 0.11 2.54 N/A XXX 71090 26 A X-ray & pacemaker insertion 0.54 0.21 0.21 0.02 0.77 0.77 XXX 71090 TC A X-ray & pacemaker insertion 0.00 1.68 N/A 0.09 1.77 N/A XXX 71100 A X-ray exam of ribs 0.22 0.64 N/A 0.04 0.90 N/A XXX 71100 26 A X-ray exam of ribs 0.22 0.07 0.07 0.01 0.30 0.30 XXX 71100 TC A X-ray exam of ribs 0.00 0.57 N/A 0.03 0.60 N/A XXX 71101 A X-ray exam of ribs/chest 0.27 0.76 N/A 0.04 1.07 N/A XXX 71101 26 A X-ray exam of ribs/chest 0.27 0.09 0.09 0.01 0.37 0.37 XXX 71101 TC A X-ray exam of ribs/chest 0.00 0.67 N/A 0.03 0.70 N/A XXX 71110 A X-ray exam of ribs 0.27 0.87 N/A 0.05 1.19 N/A XXX 71110 26 A X-ray exam of ribs 0.27 0.09 0.09 0.01 0.37 0.37 XXX 71110 TC A X-ray exam of ribs 0.00 0.78 N/A 0.04 0.82 N/A XXX 71111 A X-ray exam of ribs/ chest 0.32 1.00 N/A 0.06 1.38 N/A XXX 71111 26 A X-ray exam of ribs/ chest 0.32 0.11 0.11 0.01 0.44 0.44 XXX 71111 TC A X-ray exam of ribs/ chest 0.00 0.89 N/A 0.05 0.94 N/A XXX 71120 A X-ray exam of breastbone 0.20 0.71 N/A 0.04 0.95 N/A XXX 71120 26 A X-ray exam of breastbone 0.20 0.07 0.07 0.01 0.28 0.28 XXX 71120 TC A X-ray exam of breastbone 0.00 0.65 N/A 0.03 0.68 N/A XXX 71130 A X-ray exam of breastbone 0.22 0.78 N/A 0.04 1.04 N/A XXX 71130 26 A X-ray exam of breastbone 0.22 0.07 0.07 0.01 0.30 0.30 XXX 71130 TC A X-ray exam of breastbone 0.00 0.71 N/A 0.03 0.74 N/A XXX 71250 A Ct thorax w/o dye 1.16 6.30 N/A 0.31 7.77 N/A XXX 71250 26 A Ct thorax w/o dye 1.16 0.39 0.39 0.05 1.60 1.60 XXX 71250 TC A Ct thorax w/o dye 0.00 5.91 N/A 0.26 6.17 N/A XXX 71260 A Ct thorax w/dye 1.24 7.48 N/A 0.36 9.08 N/A XXX Start Printed Page 49177 71260 26 A Ct thorax w/dye 1.24 0.41 0.41 0.05 1.70 1.70 XXX 71260 TC A Ct thorax w/dye 0.00 7.07 N/A 0.31 7.38 N/A XXX 71270 A Ct thorax w/o&w dye 1.38 9.31 N/A 0.44 11.13 N/A XXX 71270 26 A Ct thorax w/o&w dye 1.38 0.46 0.46 0.06 1.90 1.90 XXX 71270 TC A Ct thorax w/o&w dye 0.00 8.85 N/A 0.38 9.23 N/A XXX 71275 A Ct angiography, chest 1.92 13.03 N/A 0.38 15.33 N/A XXX 71275 26 A Ct angiography, chest 1.92 0.64 0.64 0.06 2.62 2.62 XXX 71275 TC A Ct angiography, chest 0.00 12.39 N/A 0.32 12.71 N/A XXX 71550 A Mri chest w/o dye 1.46 11.70 N/A 0.41 13.57 N/A XXX 71550 26 A Mri chest w/o dye 1.46 0.49 0.49 0.04 1.99 1.99 XXX 71550 TC A Mri chest w/o dye 0.00 11.21 N/A 0.37 11.58 N/A XXX 71551 A Mri chest w/dye 1.73 14.02 N/A 0.49 16.24 N/A XXX 71551 26 A Mri chest w/dye 1.73 0.58 0.58 0.06 2.37 2.37 XXX 71551 TC A Mri chest w/dye 0.00 13.44 N/A 0.43 13.87 N/A XXX 71552 A Mri chest w/o&w/dye 2.26 25.65 N/A 0.64 28.55 N/A XXX 71552 26 A Mri chest w/o&w/dye 2.26 0.76 0.76 0.08 3.10 3.10 XXX 71552 TC A Mri chest w/o&w/dye 0.00 24.89 N/A 0.56 25.45 N/A XXX 71555 R Mri angio chest w or w/o dye 1.81 11.82 N/A 0.57 14.20 N/A XXX 71555 26 R Mri angio chest w or w/o dye 1.81 0.61 0.61 0.08 2.50 2.50 XXX 71555 TC R Mri angio chest w or w/o dye 0.00 11.21 N/A 0.49 11.70 N/A XXX 72010 A X-ray exam of spine 0.45 1.18 N/A 0.08 1.71 N/A XXX 72010 26 A X-ray exam of spine 0.45 0.15 0.15 0.03 0.63 0.63 XXX 72010 TC A X-ray exam of spine 0.00 1.03 N/A 0.05 1.08 N/A XXX 72020 A X-ray exam of spine 0.15 0.47 N/A 0.03 0.65 N/A XXX 72020 26 A X-ray exam of spine 0.15 0.05 0.05 0.01 0.21 0.21 XXX 72020 TC A X-ray exam of spine 0.00 0.42 N/A 0.02 0.44 N/A XXX 72040 A X-ray exam of neck spine 0.22 0.67 N/A 0.04 0.93 N/A XXX 72040 26 A X-ray exam of neck spine 0.22 0.07 0.07 0.01 0.30 0.30 XXX 72040 TC A X-ray exam of neck spine 0.00 0.60 N/A 0.03 0.63 N/A XXX 72050 A X-ray exam of neck spine 0.31 0.99 N/A 0.07 1.37 N/A XXX 72050 26 A X-ray exam of neck spine 0.31 0.10 0.10 0.02 0.43 0.43 XXX 72050 TC A X-ray exam of neck spine 0.00 0.89 N/A 0.05 0.94 N/A XXX 72052 A X-ray exam of neck spine 0.36 1.25 N/A 0.07 1.68 N/A XXX 72052 26 A X-ray exam of neck spine 0.36 0.12 0.12 0.02 0.50 0.50 XXX 72052 TC A X-ray exam of neck spine 0.00 1.13 N/A 0.05 1.18 N/A XXX 72069 A X-ray exam of trunk spine 0.22 0.57 N/A 0.04 0.83 N/A XXX 72069 26 A X-ray exam of trunk spine 0.22 0.08 0.08 0.02 0.32 0.32 XXX 72069 TC A X-ray exam of trunk spine 0.00 0.49 N/A 0.02 0.51 N/A XXX 72070 A X-ray exam of thoracic spine 0.22 0.72 N/A 0.04 0.98 N/A XXX 72070 26 A X-ray exam of thoracic spine 0.22 0.07 0.07 0.01 0.30 0.30 XXX 72070 TC A X-ray exam of thoracic spine 0.00 0.65 N/A 0.03 0.68 N/A XXX 72072 A X-ray exam of thoracic spine 0.22 0.81 N/A 0.05 1.08 N/A XXX 72072 26 A X-ray exam of thoracic spine 0.22 0.07 0.07 0.01 0.30 0.30 XXX 72072 TC A X-ray exam of thoracic spine 0.00 0.73 N/A 0.04 0.77 N/A XXX 72074 A X-ray exam of thoracic spine 0.22 0.98 N/A 0.06 1.26 N/A XXX 72074 26 A X-ray exam of thoracic spine 0.22 0.07 0.07 0.01 0.30 0.30 XXX 72074 TC A X-ray exam of thoracic spine 0.00 0.91 N/A 0.05 0.96 N/A XXX 72080 A X-ray exam of trunk spine 0.22 0.74 N/A 0.05 1.01 N/A XXX 72080 26 A X-ray exam of trunk spine 0.22 0.07 0.07 0.02 0.31 0.31 XXX 72080 TC A X-ray exam of trunk spine 0.00 0.67 N/A 0.03 0.70 N/A XXX 72090 A X-ray exam of trunk spine 0.28 0.76 N/A 0.05 1.09 N/A XXX 72090 26 A X-ray exam of trunk spine 0.28 0.10 0.10 0.02 0.40 0.40 XXX 72090 TC A X-ray exam of trunk spine 0.00 0.67 N/A 0.03 0.70 N/A XXX 72100 A X-ray exam of lower spine 0.22 0.74 N/A 0.05 1.01 N/A XXX Start Printed Page 49178 72100 26 A X-ray exam of lower spine 0.22 0.07 0.07 0.02 0.31 0.31 XXX 72100 TC A X-ray exam of lower spine 0.00 0.67 N/A 0.03 0.70 N/A XXX 72110 A X-ray exam of lower spine 0.31 1.01 N/A 0.07 1.39 N/A XXX 72110 26 A X-ray exam of lower spine 0.31 0.10 0.10 0.02 0.43 0.43 XXX 72110 TC A X-ray exam of lower spine 0.00 0.91 N/A 0.05 0.96 N/A XXX 72114 A X-ray exam of lower spine 0.36 1.31 N/A 0.08 1.75 N/A XXX 72114 26 A X-ray exam of lower spine 0.36 0.12 0.12 0.03 0.51 0.51 XXX 72114 TC A X-ray exam of lower spine 0.00 1.19 N/A 0.05 1.24 N/A XXX 72120 A X-ray exam of lower spine 0.22 0.96 N/A 0.07 1.25 N/A XXX 72120 26 A X-ray exam of lower spine 0.22 0.07 0.07 0.02 0.31 0.31 XXX 72120 TC A X-ray exam of lower spine 0.00 0.89 N/A 0.05 0.94 N/A XXX 72125 A Ct neck spine w/o dye 1.16 6.30 N/A 0.31 7.77 N/A XXX 72125 26 A Ct neck spine w/o dye 1.16 0.39 0.39 0.05 1.60 1.60 XXX 72125 TC A Ct neck spine w/o dye 0.00 5.91 N/A 0.26 6.17 N/A XXX 72126 A Ct neck spine w/dye 1.22 7.48 N/A 0.36 9.06 N/A XXX 72126 26 A Ct neck spine w/dye 1.22 0.41 0.41 0.05 1.68 1.68 XXX 72126 TC A Ct neck spine w/dye 0.00 7.07 N/A 0.31 7.38 N/A XXX 72127 A Ct neck spine w/o&w/dye 1.27 9.28 N/A 0.44 10.99 N/A XXX 72127 26 A Ct neck spine w/o&w/dye 1.27 0.43 0.43 0.06 1.76 1.76 XXX 72127 TC A Ct neck spine w/o&w/dye 0.00 8.85 N/A 0.38 9.23 N/A XXX 72128 A Ct chest spine w/o dye 1.16 6.30 N/A 0.31 7.77 N/A XXX 72128 26 A Ct chest spine w/o dye 1.16 0.39 0.39 0.05 1.60 1.60 XXX 72128 TC A Ct chest spine w/o dye 0.00 5.91 N/A 0.26 6.17 N/A XXX 72129 A Ct chest spine w/dye 1.22 7.48 N/A 0.36 9.06 N/A XXX 72129 26 A Ct chest spine w/dye 1.22 0.41 0.41 0.05 1.68 1.68 XXX 72129 TC A Ct chest spine w/dye 0.00 7.07 N/A 0.31 7.38 N/A XXX 72130 A Ct chest spine w/o&w/dye 1.27 9.27 N/A 0.44 10.98 N/A XXX 72130 26 A Ct chest spine w/o&w/dye 1.27 0.43 0.43 0.06 1.76 1.76 XXX 72130 TC A Ct chest spine w/o&w/dye 0.00 8.85 N/A 0.38 9.23 N/A XXX 72131 A Ct lumbar spine w/o dye 1.16 6.30 N/A 0.31 7.77 N/A XXX 72131 26 A Ct lumbar spine w/o dye 1.16 0.39 0.39 0.05 1.60 1.60 XXX 72131 TC A Ct lumbar spine w/o dye 0.00 5.91 N/A 0.26 6.17 N/A XXX 72132 A Ct lumbar spine w/dye 1.22 7.48 N/A 0.37 9.07 N/A XXX 72132 26 A Ct lumbar spine w/dye 1.22 0.41 0.41 0.06 1.69 1.69 XXX 72132 TC A Ct lumbar spine w/dye 0.00 7.07 N/A 0.31 7.38 N/A XXX 72133 A Ct lumbar spine w/o&w/dye 1.27 9.28 N/A 0.44 10.99 N/A XXX 72133 26 A Ct lumbar spine w/o&w/dye 1.27 0.43 0.43 0.06 1.76 1.76 XXX 72133 TC A Ct lumbar spine w/o&w/dye 0.00 8.85 N/A 0.38 9.23 N/A XXX 72141 A Mri neck spine w/o dye 1.60 11.75 N/A 0.56 13.91 N/A XXX 72141 26 A Mri neck spine w/o dye 1.60 0.54 0.54 0.07 2.21 2.21 XXX 72141 TC A Mri neck spine w/o dye 0.00 11.21 N/A 0.49 11.70 N/A XXX 72142 A Mri neck spine w/dye 1.92 14.10 N/A 0.67 16.69 N/A XXX 72142 26 A Mri neck spine w/dye 1.92 0.66 0.66 0.09 2.67 2.67 XXX 72142 TC A Mri neck spine w/dye 0.00 13.44 N/A 0.58 14.02 N/A XXX 72146 A Mri chest spine w/o dye 1.60 12.98 N/A 0.60 15.18 N/A XXX 72146 26 A Mri chest spine w/o dye 1.60 0.54 0.54 0.07 2.21 2.21 XXX 72146 TC A Mri chest spine w/o dye 0.00 12.45 N/A 0.53 12.98 N/A XXX 72147 A Mri chest spine w/dye 1.92 14.09 N/A 0.67 16.68 N/A XXX 72147 26 A Mri chest spine w/dye 1.92 0.65 0.65 0.09 2.66 2.66 XXX 72147 TC A Mri chest spine w/dye 0.00 13.44 N/A 0.58 14.02 N/A XXX 72148 A Mri lumbar spine w/o dye 1.48 12.95 N/A 0.60 15.03 N/A XXX 72148 26 A Mri lumbar spine w/o dye 1.48 0.50 0.50 0.07 2.05 2.05 XXX 72148 TC A Mri lumbar spine w/o dye 0.00 12.45 N/A 0.53 12.98 N/A XXX 72149 A Mri lumbar spine w/dye 1.78 14.05 N/A 0.67 16.50 N/A XXX 72149 26 A Mri lumbar spine w/dye 1.78 0.61 0.61 0.09 2.48 2.48 XXX 72149 TC A Mri lumbar spine w/dye 0.00 13.44 N/A 0.58 14.02 N/A XXX 72156 A Mri neck spine w/o&w/dye 2.57 25.76 N/A 1.20 29.53 N/A XXX 72156 26 A Mri neck spine w/o&w/dye 2.57 0.87 0.87 0.11 3.55 3.55 XXX 72156 TC A Mri neck spine w/o&w/dye 0.00 24.89 N/A 1.09 25.98 N/A XXX 72157 A Mri chest spine w/o&w/dye 2.57 25.76 N/A 1.20 29.53 N/A XXX 72157 26 A Mri chest spine w/o&w/dye 2.57 0.86 0.86 0.11 3.54 3.54 XXX 72157 TC A Mri chest spine w/o&w/dye 0.00 24.89 N/A 1.09 25.98 N/A XXX Start Printed Page 49179 72158 A Mri lumbar spine w/o&w/dye 2.36 25.69 N/A 1.20 29.25 N/A XXX 72158 26 A Mri lumbar spine w/o&w/dye 2.36 0.79 0.79 0.11 3.26 3.26 XXX 72158 TC A Mri lumbar spine w/o&w/dye 0.00 24.89 N/A 1.09 25.98 N/A XXX 72159 N Mr angio spine w/o&w/dye 1.80 13.14 N/A 0.61 15.55 N/A XXX 72159 26 N Mr angio spine w/o&w/dye 1.80 0.70 0.70 0.08 2.58 2.58 XXX 72159 TC N Mr angio spine w/o&w/dye 0.00 12.45 N/A 0.53 12.98 N/A XXX 72170 A X-ray exam of pelvis 0.17 0.58 N/A 0.03 0.78 N/A XXX 72170 26 A X-ray exam of pelvis 0.17 0.06 0.06 0.01 0.24 0.24 XXX 72170 TC A X-ray exam of pelvis 0.00 0.52 N/A 0.02 0.54 N/A XXX 72190 A X-ray exam of pelvis 0.21 0.74 N/A 0.04 0.99 N/A XXX 72190 26 A X-ray exam of pelvis 0.21 0.07 0.07 0.01 0.29 0.29 XXX 72190 TC A X-ray exam of pelvis 0.00 0.67 N/A 0.03 0.70 N/A XXX 72191 A Ct angiograph pelv w/o&w/dye 1.81 12.64 N/A 0.38 14.83 N/A XXX 72191 26 A Ct angiograph pelv w/o&w/dye 1.81 0.61 0.61 0.06 2.48 2.48 XXX 72191 TC A Ct angiograph pelv w/o&w/dye 0.00 12.03 N/A 0.32 12.35 N/A XXX 72192 A Ct pelvis w/o dye 1.09 6.27 N/A 0.31 7.67 N/A XXX 72192 26 A Ct pelvis w/o dye 1.09 0.36 0.36 0.05 1.50 1.50 XXX 72192 TC A Ct pelvis w/o dye 0.00 5.91 N/A 0.26 6.17 N/A XXX 72193 A Ct pelvis w/dye 1.16 7.23 N/A 0.35 8.74 N/A XXX 72193 26 A Ct pelvis w/dye 1.16 0.39 0.39 0.05 1.60 1.60 XXX 72193 TC A Ct pelvis w/dye 0.00 6.85 N/A 0.30 7.15 N/A XXX 72194 A Ct pelvis w/o&w/dye 1.22 8.90 N/A 0.41 10.53 N/A XXX 72194 26 A Ct pelvis w/o&w/dye 1.22 0.41 0.41 0.05 1.68 1.68 XXX 72194 TC A Ct pelvis w/o&w/dye 0.00 8.49 N/A 0.36 8.85 N/A XXX 72195 A Mri pelvis w/o dye 1.46 11.70 N/A 0.42 13.58 N/A XXX 72195 26 A Mri pelvis w/o dye 1.46 0.49 0.49 0.05 2.00 2.00 XXX 72195 TC A Mri pelvis w/o dye 0.00 11.21 N/A 0.37 11.58 N/A XXX 72196 A Mri pelvis w/dye 1.73 14.02 N/A 0.48 16.23 N/A XXX 72196 26 A Mri pelvis w/dye 1.73 0.58 0.58 0.05 2.36 2.36 XXX 72196 TC A Mri pelvis w/dye 0.00 13.44 N/A 0.43 13.87 N/A XXX 72197 A Mri pelvis w/o & w/dye 2.26 25.65 N/A 0.84 28.75 N/A XXX 72197 26 A Mri pelvis w/o & w/dye 2.26 0.76 0.76 0.08 3.10 3.10 XXX 72197 TC A Mri pelvis w/o & w/dye 0.00 24.89 N/A 0.76 25.65 N/A XXX 72198 A Mr angio pelvis w/o&w/dye 1.80 11.91 N/A 0.57 14.28 N/A XXX 72198 26 A Mr angio pelvis w/o&w/dye 1.80 0.70 0.70 0.08 2.58 2.58 XXX 72198 TC A Mr angio pelvis w/o&w/dye 0.00 11.21 N/A 0.49 11.70 N/A XXX 72200 A X-ray exam sacroiliac joints 0.17 0.58 N/A 0.03 0.78 N/A XXX 72200 26 A X-ray exam sacroiliac joints 0.17 0.06 0.06 0.01 0.24 0.24 XXX 72200 TC A X-ray exam sacroiliac joints 0.00 0.52 N/A 0.02 0.54 N/A XXX 72202 A X-ray exam sacroiliac joints 0.19 0.68 N/A 0.04 0.91 N/A XXX 72202 26 A X-ray exam sacroiliac joints 0.19 0.06 0.06 0.01 0.26 0.26 XXX 72202 TC A X-ray exam sacroiliac joints 0.00 0.62 N/A 0.03 0.65 N/A XXX 72220 A X-ray exam of tailbone 0.17 0.63 N/A 0.04 0.84 N/A XXX 72220 26 A X-ray exam of tailbone 0.17 0.06 0.06 0.01 0.24 0.24 XXX 72220 TC A X-ray exam of tailbone 0.00 0.57 N/A 0.03 0.60 N/A XXX 72240 A Contrast x-ray of neck spine 0.91 5.04 N/A 0.25 6.20 N/A XXX 72240 26 A Contrast x-ray of neck spine 0.91 0.29 0.29 0.04 1.24 1.24 XXX 72240 TC A Contrast x-ray of neck spine 0.00 4.75 N/A 0.21 4.96 N/A XXX 72255 A Contrast x-ray, thorax spine 0.91 4.61 N/A 0.22 5.74 N/A XXX Start Printed Page 49180 72255 26 A Contrast x-ray, thorax spine 0.91 0.28 0.28 0.04 1.23 1.23 XXX 72255 TC A Contrast x-ray, thorax spine 0.00 4.33 N/A 0.18 4.51 N/A XXX 72265 A Contrast x-ray, lower spine 0.83 4.33 N/A 0.22 5.38 N/A XXX 72265 26 A Contrast x-ray, lower spine 0.83 0.26 0.26 0.04 1.13 1.13 XXX 72265 TC A Contrast x-ray, lower spine 0.00 4.07 N/A 0.18 4.25 N/A XXX 72270 A Contrast x-ray of spine 1.33 6.53 N/A 0.34 8.20 N/A XXX 72270 26 A Contrast x-ray of spine 1.33 0.43 0.43 0.07 1.83 1.83 XXX 72270 TC A Contrast x-ray of spine 0.00 6.10 N/A 0.27 6.37 N/A XXX 72275 A Epidurography 0.76 2.30 N/A 0.21 3.27 N/A XXX 72275 26 A Epidurography 0.76 0.20 0.20 0.03 0.99 0.99 XXX 72275 TC A Epidurography 0.00 2.10 N/A 0.18 2.28 N/A XXX 72285 A X-ray c/t spine disk 1.16 8.75 N/A 0.42 10.33 N/A XXX 72285 26 A X-ray c/t spine disk 1.16 0.36 0.36 0.06 1.58 1.58 XXX 72285 TC A X-ray c/t spine disk 0.00 8.38 N/A 0.36 8.74 N/A XXX 72295 A X-ray of lower spine disk 0.83 8.14 N/A 0.37 9.34 N/A XXX 72295 26 A X-ray of lower spine disk 0.83 0.27 0.27 0.04 1.14 1.14 XXX 72295 TC A X-ray of lower spine disk 0.00 7.86 N/A 0.33 8.19 N/A XXX 73000 A X-ray exam of collar bone 0.16 0.58 N/A 0.03 0.77 N/A XXX 73000 26 A X-ray exam of collar bone 0.16 0.05 0.05 0.01 0.22 0.22 XXX 73000 TC A X-ray exam of collar bone 0.00 0.52 N/A 0.02 0.54 N/A XXX 73010 A X-ray exam of shoulder blade 0.17 0.58 N/A 0.03 0.78 N/A XXX 73010 26 A X-ray exam of shoulder blade 0.17 0.06 0.06 0.01 0.24 0.24 XXX 73010 TC A X-ray exam of shoulder blade 0.00 0.52 N/A 0.02 0.54 N/A XXX 73020 A X-ray exam of shoulder 0.15 0.52 N/A 0.03 0.70 N/A XXX 73020 26 A X-ray exam of shoulder 0.15 0.05 0.05 0.01 0.21 0.21 XXX 73020 TC A X-ray exam of shoulder 0.00 0.47 N/A 0.02 0.49 N/A XXX 73030 A X-ray exam of shoulder 0.18 0.63 N/A 0.04 0.85 N/A XXX 73030 26 A X-ray exam of shoulder 0.18 0.06 0.06 0.01 0.25 0.25 XXX 73030 TC A X-ray exam of shoulder 0.00 0.57 N/A 0.03 0.60 N/A XXX 73040 A Contrast x-ray of shoulder 0.54 2.28 N/A 0.13 2.95 N/A XXX 73040 26 A Contrast x-ray of shoulder 0.54 0.18 0.18 0.03 0.75 0.75 XXX 73040 TC A Contrast x-ray of shoulder 0.00 2.10 N/A 0.10 2.20 N/A XXX 73050 A X-ray exam of shoulders 0.20 0.74 N/A 0.05 0.99 N/A XXX 73050 26 A X-ray exam of shoulders 0.20 0.07 0.07 0.02 0.29 0.29 XXX 73050 TC A X-ray exam of shoulders 0.00 0.67 N/A 0.03 0.70 N/A XXX 73060 A X-ray exam of humerus 0.17 0.63 N/A 0.04 0.84 N/A XXX 73060 26 A X-ray exam of humerus 0.17 0.06 0.06 0.01 0.24 0.24 XXX 73060 TC A X-ray exam of humerus 0.00 0.57 N/A 0.03 0.60 N/A XXX 73070 A X-ray exam of elbow 0.15 0.57 N/A 0.03 0.75 N/A XXX 73070 26 A X-ray exam of elbow 0.15 0.05 0.05 0.01 0.21 0.21 XXX 73070 TC A X-ray exam of elbow 0.00 0.52 N/A 0.02 0.54 N/A XXX 73080 A X-ray exam of elbow 0.17 0.63 N/A 0.04 0.84 N/A XXX 73080 26 A X-ray exam of elbow 0.17 0.06 0.06 0.01 0.24 0.24 XXX 73080 TC A X-ray exam of elbow 0.00 0.57 N/A 0.03 0.60 N/A XXX 73085 A Contrast x-ray of elbow 0.54 2.29 N/A 0.13 2.96 N/A XXX 73085 26 A Contrast x-ray of elbow 0.54 0.19 0.19 0.03 0.76 0.76 XXX 73085 TC A Contrast x-ray of elbow 0.00 2.10 N/A 0.10 2.20 N/A XXX 73090 A X-ray exam of forearm 0.16 0.58 N/A 0.03 0.77 N/A XXX 73090 26 A X-ray exam of forearm 0.16 0.05 0.05 0.01 0.22 0.22 XXX 73090 TC A X-ray exam of forearm 0.00 0.52 N/A 0.02 0.54 N/A XXX 73092 A X-ray exam of arm, infant 0.16 0.55 N/A 0.03 0.74 N/A XXX 73092 26 A X-ray exam of arm, infant 0.16 0.05 0.05 0.01 0.22 0.22 XXX 73092 TC A X-ray exam of arm, infant 0.00 0.49 N/A 0.02 0.51 N/A XXX 73100 A X-ray exam of wrist 0.16 0.55 N/A 0.04 0.75 N/A XXX 73100 26 A X-ray exam of wrist 0.16 0.06 0.06 0.02 0.24 0.24 XXX 73100 TC A X-ray exam of wrist 0.00 0.49 N/A 0.02 0.51 N/A XXX 73110 A X-ray exam of wrist 0.17 0.59 N/A 0.03 0.79 N/A XXX 73110 26 A X-ray exam of wrist 0.17 0.06 0.06 0.01 0.24 0.24 XXX 73110 TC A X-ray exam of wrist 0.00 0.53 N/A 0.02 0.55 N/A XXX 73115 A Contrast x-ray of wrist 0.54 1.76 N/A 0.11 2.41 N/A XXX 73115 26 A Contrast x-ray of wrist 0.54 0.19 0.19 0.03 0.76 0.76 XXX Start Printed Page 49181 73115 TC A Contrast x-ray of wrist 0.00 1.58 N/A 0.08 1.66 N/A XXX 73120 A X-ray exam of hand 0.16 0.55 N/A 0.03 0.74 N/A XXX 73120 26 A X-ray exam of hand 0.16 0.06 0.06 0.01 0.23 0.23 XXX 73120 TC A X-ray exam of hand 0.00 0.49 N/A 0.02 0.51 N/A XXX 73130 A X-ray exam of hand 0.17 0.59 N/A 0.03 0.79 N/A XXX 73130 26 A X-ray exam of hand 0.17 0.06 0.06 0.01 0.24 0.24 XXX 73130 TC A X-ray exam of hand 0.00 0.53 N/A 0.02 0.55 N/A XXX 73140 A X-ray exam of finger(s) 0.13 0.46 N/A 0.03 0.62 N/A XXX 73140 26 A X-ray exam of finger(s) 0.13 0.04 0.04 0.01 0.18 0.18 XXX 73140 TC A X-ray exam of finger(s) 0.00 0.42 N/A 0.02 0.44 N/A XXX 73200 A Ct upper extremity w/o dye 1.09 5.33 N/A 0.26 6.68 N/A XXX 73200 26 A Ct upper extremity w/o dye 1.09 0.37 0.37 0.05 1.51 1.51 XXX 73200 TC A Ct upper extremity w/o dye 0.00 4.96 N/A 0.21 5.17 N/A XXX 73201 A Ct upper extremity w/dye 1.16 6.30 N/A 0.31 7.77 N/A XXX 73201 26 A Ct upper extremity w/dye 1.16 0.39 0.39 0.05 1.60 1.60 XXX 73201 TC A Ct upper extremity w/dye 0.00 5.91 N/A 0.26 6.17 N/A XXX 73202 A Ct uppr extremity w/o&w/dye 1.22 7.84 N/A 0.38 9.44 N/A XXX 73202 26 A Ct uppr extremity w/o&w/dye 1.22 0.41 0.41 0.06 1.69 1.69 XXX 73202 TC A Ct uppr extremity w/o&w/dye 0.00 7.43 N/A 0.32 7.75 N/A XXX 73206 A Ct angio upr extrm w/o&w/dye 1.81 11.57 N/A 0.38 13.76 N/A XXX 73206 26 A Ct angio upr extrm w/o&w/dye 1.81 0.61 0.61 0.06 2.48 2.48 XXX 73206 TC A Ct angio upr extrm w/o&w/dye 0.00 10.97 N/A 0.32 11.29 N/A XXX 73218 A Mri upper extremity w/o dye 1.35 11.66 N/A 0.36 13.37 N/A XXX 73218 26 A Mri upper extremity w/o dye 1.35 0.45 0.45 0.04 1.84 1.84 XXX 73218 TC A Mri upper extremity w/o dye 0.00 11.21 N/A 0.32 11.53 N/A XXX 73219 A Mri upper extremity w/dye 1.62 13.99 N/A 0.44 16.05 N/A XXX 73219 26 A Mri upper extremity w/dye 1.62 0.55 0.55 0.05 2.22 2.22 XXX 73219 TC A Mri upper extremity w/dye 0.00 13.44 N/A 0.39 13.83 N/A XXX 73220 A Mri uppr extremity w/o&w/dye 2.15 25.62 N/A 0.78 28.55 N/A XXX 73220 26 A Mri uppr extremity w/o&w/dye 2.15 0.73 0.73 0.08 2.96 2.96 XXX 73220 TC A Mri uppr extremity w/o&w/dye 0.00 24.89 N/A 0.70 25.59 N/A XXX 73221 A Mri joint upr extrem w/o dye 1.35 11.66 N/A 0.36 13.37 N/A XXX 73221 26 A Mri joint upr extrem w/o dye 1.35 0.46 0.46 0.04 1.85 1.85 XXX 73221 TC A Mri joint upr extrem w/o dye 0.00 11.21 N/A 0.32 11.53 N/A XXX 73222 A Mri joint upr extrem w/dye 1.62 13.99 N/A 0.44 16.05 N/A XXX 73222 26 A Mri joint upr extrem w/dye 1.62 0.54 0.54 0.05 2.21 2.21 XXX 73222 TC A Mri joint upr extrem w/dye 0.00 13.44 N/A 0.39 13.83 N/A XXX 73223 A Mri joint upr extr w/o&w/dye 2.15 25.62 N/A 0.77 28.54 N/A XXX 73223 26 A Mri joint upr extr w/o&w/dye 2.15 0.73 0.73 0.07 2.95 2.95 XXX 73223 TC A Mri joint upr extr w/o&w/dye 0.00 24.89 N/A 0.70 25.59 N/A XXX 73225 N Mr angio upr extr w/o&w/dye 1.73 11.88 N/A 0.57 14.18 N/A XXX 73225 26 N Mr angio upr extr w/o&w/dye 1.73 0.67 0.67 0.08 2.48 2.48 XXX Start Printed Page 49182 73225 TC N Mr angio upr extr w/o&w/dye 0.00 11.21 N/A 0.49 11.70 N/A XXX 73500 A X-ray exam of hip 0.17 0.53 N/A 0.03 0.73 N/A XXX 73500 26 A X-ray exam of hip 0.17 0.06 0.06 0.01 0.24 0.24 XXX 73500 TC A X-ray exam of hip 0.00 0.47 N/A 0.02 0.49 N/A XXX 73510 A X-ray exam of hip 0.21 0.64 N/A 0.05 0.90 N/A XXX 73510 26 A X-ray exam of hip 0.21 0.07 0.07 0.02 0.30 0.30 XXX 73510 TC A X-ray exam of hip 0.00 0.57 N/A 0.03 0.60 N/A XXX 73520 A X-ray exam of hips 0.26 0.76 N/A 0.05 1.07 N/A XXX 73520 26 A X-ray exam of hips 0.26 0.09 0.09 0.02 0.37 0.37 XXX 73520 TC A X-ray exam of hips 0.00 0.67 N/A 0.03 0.70 N/A XXX 73525 A Contrast x-ray of hip 0.54 2.28 N/A 0.13 2.95 N/A XXX 73525 26 A Contrast x-ray of hip 0.54 0.18 0.18 0.03 0.75 0.75 XXX 73525 TC A Contrast x-ray of hip 0.00 2.10 N/A 0.10 2.20 N/A XXX 73530 A X-ray exam of hip 0.29 0.62 N/A 0.03 0.94 N/A XXX 73530 26 A X-ray exam of hip 0.29 0.10 0.10 0.01 0.40 0.40 XXX 73530 TC A X-ray exam of hip 0.00 0.52 N/A 0.02 0.54 N/A XXX 73540 A X-ray exam of pelvis & hips 0.20 0.64 N/A 0.05 0.89 N/A XXX 73540 26 A X-ray exam of pelvis & hips 0.20 0.07 0.07 0.02 0.29 0.29 XXX 73540 TC A X-ray exam of pelvis & hips 0.00 0.57 N/A 0.03 0.60 N/A XXX 73542 A X-ray exam, sacroiliac joint 0.59 2.26 N/A 0.13 2.98 N/A XXX 73542 26 A X-ray exam, sacroiliac joint 0.59 0.16 0.16 0.03 0.78 0.78 XXX 73542 TC A X-ray exam, sacroiliac joint 0.00 2.10 N/A 0.10 2.20 N/A XXX 73550 A X-ray exam of thigh 0.17 0.63 N/A 0.04 0.84 N/A XXX 73550 26 A X-ray exam of thigh 0.17 0.06 0.06 0.01 0.24 0.24 XXX 73550 TC A X-ray exam of thigh 0.00 0.57 N/A 0.03 0.60 N/A XXX 73560 A X-ray exam of knee, 1 or 2 0.17 0.58 N/A 0.04 0.79 N/A XXX 73560 26 A X-ray exam of knee, 1 or 2 0.17 0.06 0.06 0.02 0.25 0.25 XXX 73560 TC A X-ray exam of knee, 1 or 2 0.00 0.52 N/A 0.02 0.54 N/A XXX 73562 A X-ray exam of knee, 3 0.18 0.63 N/A 0.05 0.86 N/A XXX 73562 26 A X-ray exam of knee, 3 0.18 0.06 0.06 0.02 0.26 0.26 XXX 73562 TC A X-ray exam of knee, 3 0.00 0.57 N/A 0.03 0.60 N/A XXX 73564 A X-ray exam, knee, 4 or more 0.22 0.70 N/A 0.05 0.97 N/A XXX 73564 26 A X-ray exam, knee, 4 or more 0.22 0.08 0.08 0.02 0.32 0.32 XXX 73564 TC A X-ray exam, knee, 4 or more 0.00 0.62 N/A 0.03 0.65 N/A XXX 73565 A X-ray exam of knees 0.17 0.56 N/A 0.04 0.77 N/A XXX 73565 26 A X-ray exam of knees 0.17 0.06 0.06 0.02 0.25 0.25 XXX 73565 TC A X-ray exam of knees 0.00 0.49 N/A 0.02 0.51 N/A XXX 73580 A Contrast x-ray of knee joint 0.54 2.80 N/A 0.15 3.49 N/A XXX 73580 26 A Contrast x-ray of knee joint 0.54 0.18 0.18 0.03 0.75 0.75 XXX 73580 TC A Contrast x-ray of knee joint 0.00 2.62 N/A 0.12 2.74 N/A XXX 73590 A X-ray exam of lower leg 0.17 0.58 N/A 0.03 0.78 N/A XXX 73590 26 A X-ray exam of lower leg 0.17 0.06 0.06 0.01 0.24 0.24 XXX 73590 TC A X-ray exam of lower leg 0.00 0.52 N/A 0.02 0.54 N/A XXX 73592 A X-ray exam of leg, infant 0.16 0.55 N/A 0.03 0.74 N/A XXX 73592 26 A X-ray exam of leg, infant 0.16 0.06 0.06 0.01 0.23 0.23 XXX 73592 TC A X-ray exam of leg, infant 0.00 0.49 N/A 0.02 0.51 N/A XXX 73600 A X-ray exam of ankle 0.16 0.55 N/A 0.03 0.74 N/A XXX 73600 26 A X-ray exam of ankle 0.16 0.06 0.06 0.01 0.23 0.23 XXX 73600 TC A X-ray exam of ankle 0.00 0.49 N/A 0.02 0.51 N/A XXX 73610 A X-ray exam of ankle 0.17 0.59 N/A 0.03 0.79 N/A XXX Start Printed Page 49183 73610 26 A X-ray exam of ankle 0.17 0.06 0.06 0.01 0.24 0.24 XXX 73610 TC A X-ray exam of ankle 0.00 0.53 N/A 0.02 0.55 N/A XXX 73615 A Contrast x-ray of ankle 0.54 2.29 N/A 0.13 2.96 N/A XXX 73615 26 A Contrast x-ray of ankle 0.54 0.19 0.19 0.03 0.76 0.76 XXX 73615 TC A Contrast x-ray of ankle 0.00 2.10 N/A 0.10 2.20 N/A XXX 73620 A X-ray exam of foot 0.16 0.55 N/A 0.03 0.74 N/A XXX 73620 26 A X-ray exam of foot 0.16 0.05 0.05 0.01 0.22 0.22 XXX 73620 TC A X-ray exam of foot 0.00 0.49 N/A 0.02 0.51 N/A XXX 73630 A X-ray exam of foot 0.17 0.59 N/A 0.03 0.79 N/A XXX 73630 26 A X-ray exam of foot 0.17 0.06 0.06 0.01 0.24 0.24 XXX 73630 TC A X-ray exam of foot 0.00 0.53 N/A 0.02 0.55 N/A XXX 73650 A X-ray exam of heel 0.16 0.53 N/A 0.03 0.72 N/A XXX 73650 26 A X-ray exam of heel 0.16 0.05 0.05 0.01 0.22 0.22 XXX 73650 TC A X-ray exam of heel 0.00 0.47 N/A 0.02 0.49 N/A XXX 73660 A X-ray exam of toe(s) 0.13 0.46 N/A 0.03 0.62 N/A XXX 73660 26 A X-ray exam of toe(s) 0.13 0.04 0.04 0.01 0.18 0.18 XXX 73660 TC A X-ray exam of toe(s) 0.00 0.42 N/A 0.02 0.44 N/A XXX 73700 A Ct lower extremity w/o dye 1.09 5.33 N/A 0.26 6.68 N/A XXX 73700 26 A Ct lower extremity w/o dye 1.09 0.36 0.36 0.05 1.50 1.50 XXX 73700 TC A Ct lower extremity w/o dye 0.00 4.96 N/A 0.21 5.17 N/A XXX 73701 A Ct lower extremity w/dye 1.16 6.30 N/A 0.31 7.77 N/A XXX 73701 26 A Ct lower extremity w/dye 1.16 0.39 0.39 0.05 1.60 1.60 XXX 73701 TC A Ct lower extremity w/dye 0.00 5.91 N/A 0.26 6.17 N/A XXX 73702 A Ct lwr extremity w/o&w/dye 1.22 7.84 N/A 0.37 9.43 N/A XXX 73702 26 A Ct lwr extremity w/o&w/dye 1.22 0.41 0.41 0.05 1.68 1.68 XXX 73702 TC A Ct lwr extremity w/o&w/dye 0.00 7.43 N/A 0.32 7.75 N/A XXX 73706 A Ct angio lwr extr w/o&w/dye 1.90 11.60 N/A 0.38 13.88 N/A XXX 73706 26 A Ct angio lwr extr w/o&w/dye 1.90 0.64 0.64 0.06 2.60 2.60 XXX 73706 TC A Ct angio lwr extr w/o&w/dye 0.00 10.97 N/A 0.32 11.29 N/A XXX 73718 A Mri lower extremity w/o dye 1.35 11.66 N/A 0.36 13.37 N/A XXX 73718 26 A Mri lower extremity w/o dye 1.35 0.45 0.45 0.04 1.84 1.84 XXX 73718 TC A Mri lower extremity w/o dye 0.00 11.21 N/A 0.32 11.53 N/A XXX 73719 A Mri lower extremity w/dye 1.62 13.99 N/A 0.44 16.05 N/A XXX 73719 26 A Mri lower extremity w/dye 1.62 0.54 0.54 0.05 2.21 2.21 XXX 73719 TC A Mri lower extremity w/dye 0.00 13.44 N/A 0.39 13.83 N/A XXX 73720 A Mri lwr extremity w/o&w/dye 2.15 25.61 N/A 0.78 28.54 N/A XXX 73720 26 A Mri lwr extremity w/o&w/dye 2.15 0.72 0.72 0.08 2.95 2.95 XXX 73720 TC A Mri lwr extremity w/o&w/dye 0.00 24.89 N/A 0.70 25.59 N/A XXX 73721 A Mri jnt of lwr extre w/o dye 1.35 11.66 N/A 0.36 13.37 N/A XXX 73721 26 A Mri jnt of lwr extre w/o dye 1.35 0.46 0.46 0.04 1.85 1.85 XXX 73721 TC A Mri jnt of lwr extre w/o dye 0.00 11.21 N/A 0.32 11.53 N/A XXX 73722 A Mri joint of lwr extr w/dye 1.62 13.99 N/A 0.45 16.06 N/A XXX 73722 26 A Mri joint of lwr extr w/dye 1.62 0.55 0.55 0.06 2.23 2.23 XXX 73722 TC A Mri joint of lwr extr w/dye 0.00 13.44 N/A 0.39 13.83 N/A XXX 73723 A Mri joint lwr extr w/o&w/dye 2.15 25.62 N/A 0.77 28.54 N/A XXX 73723 26 A Mri joint lwr extr w/o&w/dye 2.15 0.73 0.73 0.07 2.95 2.95 XXX 73723 TC A Mri joint lwr extr w/o&w/dye 0.00 24.89 N/A 0.70 25.59 N/A XXX 73725 R Mr ang lwr ext w or w/o dye 1.82 11.82 N/A 0.57 14.21 N/A XXX 73725 26 R Mr ang lwr ext w or w/o dye 1.82 0.61 0.61 0.08 2.51 2.51 XXX Start Printed Page 49184 73725 TC R Mr ang lwr ext w or w/o dye 0.00 11.21 N/A 0.49 11.70 N/A XXX 74000 A X-ray exam of abdomen 0.18 0.58 N/A 0.03 0.79 N/A XXX 74000 26 A X-ray exam of abdomen 0.18 0.06 0.06 0.01 0.25 0.25 XXX 74000 TC A X-ray exam of abdomen 0.00 0.52 N/A 0.02 0.54 N/A XXX 74010 A X-ray exam of abdomen 0.23 0.65 N/A 0.04 0.92 N/A XXX 74010 26 A X-ray exam of abdomen 0.23 0.08 0.08 0.01 0.32 0.32 XXX 74010 TC A X-ray exam of abdomen 0.00 0.57 N/A 0.03 0.60 N/A XXX 74020 A X-ray exam of abdomen 0.27 0.71 N/A 0.04 1.02 N/A XXX 74020 26 A X-ray exam of abdomen 0.27 0.09 0.09 0.01 0.37 0.37 XXX 74020 TC A X-ray exam of abdomen 0.00 0.62 N/A 0.03 0.65 N/A XXX 74022 A X-ray exam series, abdomen 0.32 0.84 N/A 0.05 1.21 N/A XXX 74022 26 A X-ray exam series, abdomen 0.32 0.11 0.11 0.01 0.44 0.44 XXX 74022 TC A X-ray exam series, abdomen 0.00 0.73 N/A 0.04 0.77 N/A XXX 74150 A Ct abdomen w/o dye 1.19 6.06 N/A 0.30 7.55 N/A XXX 74150 26 A Ct abdomen w/o dye 1.19 0.40 0.40 0.05 1.64 1.64 XXX 74150 TC A Ct abdomen w/o dye 0.00 5.66 N/A 0.25 5.91 N/A XXX 74160 A Ct abdomen w/dye 1.27 7.27 N/A 0.36 8.90 N/A XXX 74160 26 A Ct abdomen w/dye 1.27 0.42 0.42 0.06 1.75 1.75 XXX 74160 TC A Ct abdomen w/dye 0.00 6.85 N/A 0.30 7.15 N/A XXX 74170 A Ct abdomen w/o&w/dye 1.40 8.96 N/A 0.42 10.78 N/A XXX 74170 26 A Ct abdomen w/o&w/dye 1.40 0.47 0.47 0.06 1.93 1.93 XXX 74170 TC A Ct abdomen w/o&w/dye 0.00 8.49 N/A 0.36 8.85 N/A XXX 74175 A Ct angio abdom w/o&w/dye 1.90 12.67 N/A 0.38 14.95 N/A XXX 74175 26 A Ct angio abdom w/o&w/dye 1.90 0.64 0.64 0.06 2.60 2.60 XXX 74175 TC A Ct angio abdom w/o&w/dye 0.00 12.03 N/A 0.32 12.35 N/A XXX 74181 A Mri abdomen w/o dye 1.46 11.70 N/A 0.43 13.59 N/A XXX 74181 26 A Mri abdomen w/o dye 1.46 0.49 0.49 0.06 2.01 2.01 XXX 74181 TC A Mri abdomen w/o dye 0.00 11.21 N/A 0.37 11.58 N/A XXX 74182 A Mri abdomen w/dye 1.73 14.02 N/A 0.49 16.24 N/A XXX 74182 26 A Mri abdomen w/dye 1.73 0.58 0.58 0.06 2.37 2.37 XXX 74182 TC A Mri abdomen w/dye 0.00 13.44 N/A 0.43 13.87 N/A XXX 74183 A Mri abdomen w/o&w/dye 2.26 25.65 N/A 0.84 28.75 N/A XXX 74183 26 A Mri abdomen w/o&w/dye 2.26 0.76 0.76 0.08 3.10 3.10 XXX 74183 TC A Mri abdomen w/o&w/dye 0.00 24.89 N/A 0.76 25.65 N/A XXX 74185 R Mri angio, abdom w or w/o dy 1.80 11.81 N/A 0.57 14.18 N/A XXX 74185 26 R Mri angio, abdom w or w/o dy 1.80 0.60 0.60 0.08 2.48 2.48 XXX 74185 TC R Mri angio, abdom w or w/o dy 0.00 11.21 N/A 0.49 11.70 N/A XXX 74190 A X-ray exam of peritoneum 0.48 1.47 N/A 0.08 2.03 N/A XXX 74190 26 A X-ray exam of peritoneum 0.48 0.16 0.16 0.02 0.66 0.66 XXX 74190 TC A X-ray exam of peritoneum 0.00 1.31 N/A 0.06 1.37 N/A XXX 74210 A Contrst x-ray exam of throat 0.36 1.31 N/A 0.07 1.74 N/A XXX 74210 26 A Contrst x-ray exam of throat 0.36 0.12 0.12 0.02 0.50 0.50 XXX 74210 TC A Contrst x-ray exam of throat 0.00 1.19 N/A 0.05 1.24 N/A XXX 74220 A Contrast x-ray, esophagus 0.46 1.34 N/A 0.07 1.87 N/A XXX 74220 26 A Contrast x-ray, esophagus 0.46 0.15 0.15 0.02 0.63 0.63 XXX 74220 TC A Contrast x-ray, esophagus 0.00 1.19 N/A 0.05 1.24 N/A XXX 74230 A Cine/vid x-ray, throat/esoph 0.53 1.48 N/A 0.08 2.09 N/A XXX 74230 26 A Cine/vid x-ray, throat/esoph 0.53 0.18 0.18 0.02 0.73 0.73 XXX 74230 TC A Cine/vid x-ray, throat/esoph 0.00 1.31 N/A 0.06 1.37 N/A XXX Start Printed Page 49185 74235 A Remove esophagus obstruction 1.19 3.02 N/A 0.17 4.38 N/A XXX 74235 26 A Remove esophagus obstruction 1.19 0.40 0.40 0.05 1.64 1.64 XXX 74235 TC A Remove esophagus obstruction 0.00 2.62 N/A 0.12 2.74 N/A XXX 74240 A X-ray exam, upper gi tract 0.69 1.69 N/A 0.10 2.48 N/A XXX 74240 26 A X-ray exam, upper gi tract 0.69 0.23 0.23 0.03 0.95 0.95 XXX 74240 TC A X-ray exam, upper gi tract 0.00 1.46 N/A 0.07 1.53 N/A XXX 74241 A X-ray exam, upper gi tract 0.69 1.72 N/A 0.10 2.51 N/A XXX 74241 26 A X-ray exam, upper gi tract 0.69 0.23 0.23 0.03 0.95 0.95 XXX 74241 TC A X-ray exam, upper gi tract 0.00 1.49 N/A 0.07 1.56 N/A XXX 74245 A X-ray exam, upper gi tract 0.91 2.68 N/A 0.15 3.74 N/A XXX 74245 26 A X-ray exam, upper gi tract 0.91 0.30 0.30 0.04 1.25 1.25 XXX 74245 TC A X-ray exam, upper gi tract 0.00 2.38 N/A 0.11 2.49 N/A XXX 74246 A Contrst x-ray uppr gi tract 0.69 1.87 N/A 0.11 2.67 N/A XXX 74246 26 A Contrst x-ray uppr gi tract 0.69 0.23 0.23 0.03 0.95 0.95 XXX 74246 TC A Contrst x-ray uppr gi tract 0.00 1.64 N/A 0.08 1.72 N/A XXX 74247 A Contrst x-ray uppr gi tract 0.69 1.91 N/A 0.12 2.72 N/A XXX 74247 26 A Contrst x-ray uppr gi tract 0.69 0.23 0.23 0.03 0.95 0.95 XXX 74247 TC A Contrst x-ray uppr gi tract 0.00 1.68 N/A 0.09 1.77 N/A XXX 74249 A Contrst x-ray uppr gi tract 0.91 2.88 N/A 0.16 3.95 N/A XXX 74249 26 A Contrst x-ray uppr gi tract 0.91 0.30 0.30 0.04 1.25 1.25 XXX 74249 TC A Contrst x-ray uppr gi tract 0.00 2.57 N/A 0.12 2.69 N/A XXX 74250 A X-ray exam of small bowel 0.47 1.46 N/A 0.08 2.01 N/A XXX 74250 26 A X-ray exam of small bowel 0.47 0.16 0.16 0.02 0.65 0.65 XXX 74250 TC A X-ray exam of small bowel 0.00 1.31 N/A 0.06 1.37 N/A XXX 74251 A X-ray exam of small bowel 0.69 1.54 N/A 0.09 2.32 N/A XXX 74251 26 A X-ray exam of small bowel 0.69 0.23 0.23 0.03 0.95 0.95 XXX 74251 TC A X-ray exam of small bowel 0.00 1.31 N/A 0.06 1.37 N/A XXX 74260 A X-ray exam of small bowel 0.50 1.66 N/A 0.09 2.25 N/A XXX 74260 26 A X-ray exam of small bowel 0.50 0.17 0.17 0.02 0.69 0.69 XXX 74260 TC A X-ray exam of small bowel 0.00 1.49 N/A 0.07 1.56 N/A XXX 74270 A Contrast x-ray exam of colon 0.69 1.93 N/A 0.12 2.74 N/A XXX 74270 26 A Contrast x-ray exam of colon 0.69 0.23 0.23 0.03 0.95 0.95 XXX 74270 TC A Contrast x-ray exam of colon 0.00 1.70 N/A 0.09 1.79 N/A XXX 74280 A Contrast x-ray exam of colon 0.99 2.57 N/A 0.15 3.71 N/A XXX 74280 26 A Contrast x-ray exam of colon 0.99 0.33 0.33 0.04 1.36 1.36 XXX 74280 TC A Contrast x-ray exam of colon 0.00 2.23 N/A 0.11 2.34 N/A XXX 74283 A Contrast x-ray exam of colon 2.02 3.24 N/A 0.21 5.47 N/A XXX 74283 26 A Contrast x-ray exam of colon 2.02 0.68 0.68 0.09 2.79 2.79 XXX 74283 TC A Contrast x-ray exam of colon 0.00 2.56 N/A 0.12 2.68 N/A XXX 74290 A Contrast x-ray, gallbladder 0.32 0.84 N/A 0.05 1.21 N/A XXX 74290 26 A Contrast x-ray, gallbladder 0.32 0.11 0.11 0.01 0.44 0.44 XXX 74290 TC A Contrast x-ray, gallbladder 0.00 0.73 N/A 0.04 0.77 N/A XXX 74291 A Contrast x-rays, gallbladder 0.20 0.48 N/A 0.03 0.71 N/A XXX 74291 26 A Contrast x-rays, gallbladder 0.20 0.07 0.07 0.01 0.28 0.28 XXX 74291 TC A Contrast x-rays, gallbladder 0.00 0.42 N/A 0.02 0.44 N/A XXX 74300 C X-ray bile ducts/pancreas 0.00 0.00 0.00 0.00 0.00 0.00 XXX 74300 26 A X-ray bile ducts/pancreas 0.36 0.12 0.12 0.02 0.50 0.50 XXX 74300 TC C X-ray bile ducts/pancreas 0.00 0.00 0.00 0.00 0.00 0.00 XXX 74301 C X-rays at surgery add-on 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 74301 26 A X-rays at surgery add-on 0.21 0.07 0.07 0.01 0.29 0.29 ZZZ 74301 TC C X-rays at surgery add-on 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ Start Printed Page 49186 74305 A X-ray bile ducts/pancreas 0.42 0.92 N/A 0.06 1.40 N/A XXX 74305 26 A X-ray bile ducts/pancreas 0.42 0.14 0.14 0.02 0.58 0.58 XXX 74305 TC A X-ray bile ducts/pancreas 0.00 0.78 N/A 0.04 0.82 N/A XXX 74320 A Contrast x-ray of bile ducts 0.54 3.33 N/A 0.16 4.03 N/A XXX 74320 26 A Contrast x-ray of bile ducts 0.54 0.18 0.18 0.02 0.74 0.74 XXX 74320 TC A Contrast x-ray of bile ducts 0.00 3.15 N/A 0.14 3.29 N/A XXX 74327 A X-ray bile stone removal 0.70 1.99 N/A 0.12 2.81 N/A XXX 74327 26 A X-ray bile stone removal 0.70 0.23 0.23 0.03 0.96 0.96 XXX 74327 TC A X-ray bile stone removal 0.00 1.76 N/A 0.09 1.85 N/A XXX 74328 A X-ray bile duct endoscopy 0.70 3.39 N/A 0.17 4.26 N/A XXX 74328 26 A X-ray bile duct endoscopy 0.70 0.24 0.24 0.03 0.97 0.97 XXX 74328 TC A X-ray bile duct endoscopy 0.00 3.15 N/A 0.14 3.29 N/A XXX 74329 A X-ray for pancreas endoscopy 0.70 3.39 N/A 0.17 4.26 N/A XXX 74329 26 A X-ray for pancreas endoscopy 0.70 0.23 0.23 0.03 0.96 0.96 XXX 74329 TC A X-ray for pancreas endoscopy 0.00 3.15 N/A 0.14 3.29 N/A XXX 74330 A X-ray bile/panc endoscopy 0.90 3.45 N/A 0.18 4.53 N/A XXX 74330 26 A X-ray bile/panc endoscopy 0.90 0.30 0.30 0.04 1.24 1.24 XXX 74330 TC A X-ray bile/panc endoscopy 0.00 3.15 N/A 0.14 3.29 N/A XXX 74340 A X-ray guide for GI tube 0.54 2.80 N/A 0.14 3.48 N/A XXX 74340 26 A X-ray guide for GI tube 0.54 0.18 0.18 0.02 0.74 0.74 XXX 74340 TC A X-ray guide for GI tube 0.00 2.62 N/A 0.12 2.74 N/A XXX 74350 A X-ray guide, stomach tube 0.76 3.41 N/A 0.17 4.34 N/A XXX 74350 26 A X-ray guide, stomach tube 0.76 0.25 0.25 0.03 1.04 1.04 XXX 74350 TC A X-ray guide, stomach tube 0.00 3.15 N/A 0.14 3.29 N/A XXX 74355 A X-ray guide, intestinal tube 0.76 2.87 N/A 0.15 3.78 N/A XXX 74355 26 A X-ray guide, intestinal tube 0.76 0.25 0.25 0.03 1.04 1.04 XXX 74355 TC A X-ray guide, intestinal tube 0.00 2.62 N/A 0.12 2.74 N/A XXX 74360 A X-ray guide, GI dilation 0.54 3.34 N/A 0.16 4.04 N/A XXX 74360 26 A X-ray guide, GI dilation 0.54 0.19 0.19 0.02 0.75 0.75 XXX 74360 TC A X-ray guide, GI dilation 0.00 3.15 N/A 0.14 3.29 N/A XXX 74363 A X-ray, bile duct dilation 0.88 6.39 N/A 0.31 7.58 N/A XXX 74363 26 A X-ray, bile duct dilation 0.88 0.29 0.29 0.04 1.21 1.21 XXX 74363 TC A X-ray, bile duct dilation 0.00 6.10 N/A 0.27 6.37 N/A XXX 74400 A Contrst x-ray, urinary tract 0.49 1.85 N/A 0.11 2.45 N/A XXX 74400 26 A Contrst x-ray, urinary tract 0.49 0.16 0.16 0.02 0.67 0.67 XXX 74400 TC A Contrst x-ray, urinary tract 0.00 1.68 N/A 0.09 1.77 N/A XXX 74410 A Contrst x-ray, urinary tract 0.49 2.12 N/A 0.11 2.72 N/A XXX 74410 26 A Contrst x-ray, urinary tract 0.49 0.16 0.16 0.02 0.67 0.67 XXX 74410 TC A Contrst x-ray, urinary tract 0.00 1.95 N/A 0.09 2.04 N/A XXX 74415 A Contrst x-ray, urinary tract 0.49 2.28 N/A 0.12 2.89 N/A XXX 74415 26 A Contrst x-ray, urinary tract 0.49 0.16 0.16 0.02 0.67 0.67 XXX 74415 TC A Contrst x-ray, urinary tract 0.00 2.12 N/A 0.10 2.22 N/A XXX 74420 A Contrst x-ray, urinary tract 0.36 2.74 N/A 0.14 3.24 N/A XXX 74420 26 A Contrst x-ray, urinary tract 0.36 0.12 0.12 0.02 0.50 0.50 XXX 74420 TC A Contrst x-ray, urinary tract 0.00 2.62 N/A 0.12 2.74 N/A XXX 74425 A Contrst x-ray, urinary tract 0.36 1.43 N/A 0.08 1.87 N/A XXX 74425 26 A Contrst x-ray, urinary tract 0.36 0.12 0.12 0.02 0.50 0.50 XXX 74425 TC A Contrst x-ray, urinary tract 0.00 1.31 N/A 0.06 1.37 N/A XXX 74430 A Contrast x-ray, bladder 0.32 1.16 N/A 0.07 1.55 N/A XXX 74430 26 A Contrast x-ray, bladder 0.32 0.11 0.11 0.02 0.45 0.45 XXX 74430 TC A Contrast x-ray, bladder 0.00 1.05 N/A 0.05 1.10 N/A XXX 74440 A X-ray, male genital tract 0.38 1.26 N/A 0.07 1.71 N/A XXX 74440 26 A X-ray, male genital tract 0.38 0.12 0.12 0.02 0.52 0.52 XXX 74440 TC A X-ray, male genital tract 0.00 1.13 N/A 0.05 1.18 N/A XXX 74445 A X-ray exam of penis 1.14 1.51 N/A 0.10 2.75 N/A XXX 74445 26 A X-ray exam of penis 1.14 0.38 0.38 0.05 1.57 1.57 XXX 74445 TC A X-ray exam of penis 0.00 1.13 N/A 0.05 1.18 N/A XXX 74450 A X-ray, urethra/bladder 0.33 1.57 N/A 0.09 1.99 N/A XXX 74450 26 A X-ray, urethra/bladder 0.33 0.11 0.11 0.02 0.46 0.46 XXX 74450 TC A X-ray, urethra/bladder 0.00 1.46 N/A 0.07 1.53 N/A XXX Start Printed Page 49187 74455 A X-ray, urethra/bladder 0.33 1.69 N/A 0.10 2.12 N/A XXX 74455 26 A X-ray, urethra/bladder 0.33 0.11 0.11 0.02 0.46 0.46 XXX 74455 TC A X-ray, urethra/bladder 0.00 1.58 N/A 0.08 1.66 N/A XXX 74470 A X-ray exam of kidney lesion 0.54 1.43 N/A 0.08 2.05 N/A XXX 74470 26 A X-ray exam of kidney lesion 0.54 0.18 0.18 0.02 0.74 0.74 XXX 74470 TC A X-ray exam of kidney lesion 0.00 1.25 N/A 0.06 1.31 N/A XXX 74475 A X-ray control, cath insert 0.54 4.25 N/A 0.20 4.99 N/A XXX 74475 26 A X-ray control, cath insert 0.54 0.18 0.18 0.02 0.74 0.74 XXX 74475 TC A X-ray control, cath insert 0.00 4.07 N/A 0.18 4.25 N/A XXX 74480 A X-ray control, cath insert 0.54 4.25 N/A 0.20 4.99 N/A XXX 74480 26 A X-ray control, cath insert 0.54 0.18 0.18 0.02 0.74 0.74 XXX 74480 TC A X-ray control, cath insert 0.00 4.07 N/A 0.18 4.25 N/A XXX 74485 A X-ray guide, GU dilation 0.54 3.33 N/A 0.17 4.04 N/A XXX 74485 26 A X-ray guide, GU dilation 0.54 0.18 0.18 0.03 0.75 0.75 XXX 74485 TC A X-ray guide, GU dilation 0.00 3.15 N/A 0.14 3.29 N/A XXX 74710 A X-ray measurement of pelvis 0.34 1.17 N/A 0.07 1.58 N/A XXX 74710 26 A X-ray measurement of pelvis 0.34 0.11 0.11 0.02 0.47 0.47 XXX 74710 TC A X-ray measurement of pelvis 0.00 1.05 N/A 0.05 1.10 N/A XXX 74740 A X-ray, female genital tract 0.38 1.43 N/A 0.08 1.89 N/A XXX 74740 26 A X-ray, female genital tract 0.38 0.13 0.13 0.02 0.53 0.53 XXX 74740 TC A X-ray, female genital tract 0.00 1.31 N/A 0.06 1.37 N/A XXX 74742 A X-ray, fallopian tube 0.61 3.36 N/A 0.16 4.13 N/A XXX 74742 26 A X-ray, fallopian tube 0.61 0.21 0.21 0.02 0.84 0.84 XXX 74742 TC A X-ray, fallopian tube 0.00 3.15 N/A 0.14 3.29 N/A XXX 74775 A X-ray exam of perineum 0.62 1.67 N/A 0.10 2.39 N/A XXX 74775 26 A X-ray exam of perineum 0.62 0.21 0.21 0.03 0.86 0.86 XXX 74775 TC A X-ray exam of perineum 0.00 1.46 N/A 0.07 1.53 N/A XXX 75552 A Heart mri for morph w/o dye 1.60 11.75 N/A 0.56 13.91 N/A XXX 75552 26 A Heart mri for morph w/o dye 1.60 0.54 0.54 0.07 2.21 2.21 XXX 75552 TC A Heart mri for morph w/o dye 0.00 11.21 N/A 0.49 11.70 N/A XXX 75553 A Heart mri for morph w/dye 2.00 11.88 N/A 0.58 14.46 N/A XXX 75553 26 A Heart mri for morph w/dye 2.00 0.67 0.67 0.09 2.76 2.76 XXX 75553 TC A Heart mri for morph w/dye 0.00 11.21 N/A 0.49 11.70 N/A XXX 75554 A Cardiac MRI/function 1.83 11.87 N/A 0.56 14.26 N/A XXX 75554 26 A Cardiac MRI/function 1.83 0.66 0.66 0.07 2.56 2.56 XXX 75554 TC A Cardiac MRI/function 0.00 11.21 N/A 0.49 11.70 N/A XXX 75555 A Cardiac MRI/limited study 1.74 11.86 N/A 0.56 14.16 N/A XXX 75555 26 A Cardiac MRI/limited study 1.74 0.65 0.65 0.07 2.46 2.46 XXX 75555 TC A Cardiac MRI/limited study 0.00 11.21 N/A 0.49 11.70 N/A XXX 75600 A Contrast x-ray exam of aorta 0.49 12.79 N/A 0.56 13.84 N/A XXX 75600 26 A Contrast x-ray exam of aorta 0.49 0.19 0.19 0.02 0.70 0.70 XXX 75600 TC A Contrast x-ray exam of aorta 0.00 12.60 N/A 0.54 13.14 N/A XXX 75605 A Contrast x-ray exam of aorta 1.14 13.01 N/A 0.59 14.74 N/A XXX 75605 26 A Contrast x-ray exam of aorta 1.14 0.41 0.41 0.05 1.60 1.60 XXX 75605 TC A Contrast x-ray exam of aorta 0.00 12.60 N/A 0.54 13.14 N/A XXX 75625 A Contrast x-ray exam of aorta 1.14 12.99 N/A 0.59 14.72 N/A XXX 75625 26 A Contrast x-ray exam of aorta 1.14 0.39 0.39 0.05 1.58 1.58 XXX 75625 TC A Contrast x-ray exam of aorta 0.00 12.60 N/A 0.54 13.14 N/A XXX Start Printed Page 49188 75630 A X-ray aorta, leg arteries 1.79 13.76 N/A 0.65 16.20 N/A XXX 75630 26 A X-ray aorta, leg arteries 1.79 0.63 0.63 0.08 2.50 2.50 XXX 75630 TC A X-ray aorta, leg arteries 0.00 13.13 N/A 0.57 13.70 N/A XXX 75635 A Ct angio abdominal arteries 2.40 16.73 N/A 0.41 19.54 N/A XXX 75635 26 A Ct angio abdominal arteries 2.40 0.81 0.81 0.09 3.30 3.30 XXX 75635 TC A Ct angio abdominal arteries 0.00 15.92 N/A 0.32 16.24 N/A XXX 75650 A Artery x-rays, head & neck 1.49 13.10 N/A 0.61 15.20 N/A XXX 75650 26 A Artery x-rays, head & neck 1.49 0.50 0.50 0.07 2.06 2.06 XXX 75650 TC A Artery x-rays, head & neck 0.00 12.60 N/A 0.54 13.14 N/A XXX 75658 A Artery x-rays, arm 1.31 13.08 N/A 0.60 14.99 N/A XXX 75658 26 A Artery x-rays, arm 1.31 0.48 0.48 0.06 1.85 1.85 XXX 75658 TC A Artery x-rays, arm 0.00 12.60 N/A 0.54 13.14 N/A XXX 75660 A Artery x-rays, head & neck 1.31 13.05 N/A 0.60 14.96 N/A XXX 75660 26 A Artery x-rays, head & neck 1.31 0.45 0.45 0.06 1.82 1.82 XXX 75660 TC A Artery x-rays, head & neck 0.00 12.60 N/A 0.54 13.14 N/A XXX 75662 A Artery x-rays, head & neck 1.66 13.21 N/A 0.62 15.49 N/A XXX 75662 26 A Artery x-rays, head & neck 1.66 0.61 0.61 0.08 2.35 2.35 XXX 75662 TC A Artery x-rays, head & neck 0.00 12.60 N/A 0.54 13.14 N/A XXX 75665 A Artery x-rays, head & neck 1.31 13.05 N/A 0.61 14.97 N/A XXX 75665 26 A Artery x-rays, head & neck 1.31 0.45 0.45 0.07 1.83 1.83 XXX 75665 TC A Artery x-rays, head & neck 0.00 12.60 N/A 0.54 13.14 N/A XXX 75671 A Artery x-rays, head & neck 1.66 13.16 N/A 0.62 15.44 N/A XXX 75671 26 A Artery x-rays, head & neck 1.66 0.56 0.56 0.08 2.30 2.30 XXX 75671 TC A Artery x-rays, head & neck 0.00 12.60 N/A 0.54 13.14 N/A XXX 75676 A Artery x-rays, neck 1.31 13.05 N/A 0.61 14.97 N/A XXX 75676 26 A Artery x-rays, neck 1.31 0.45 0.45 0.07 1.83 1.83 XXX 75676 TC A Artery x-rays, neck 0.00 12.60 N/A 0.54 13.14 N/A XXX 75680 A Artery x-rays, neck 1.66 13.16 N/A 0.62 15.44 N/A XXX 75680 26 A Artery x-rays, neck 1.66 0.56 0.56 0.08 2.30 2.30 XXX 75680 TC A Artery x-rays, neck 0.00 12.60 N/A 0.54 13.14 N/A XXX 75685 A Artery x-rays, spine 1.31 13.05 N/A 0.60 14.96 N/A XXX 75685 26 A Artery x-rays, spine 1.31 0.44 0.44 0.06 1.81 1.81 XXX 75685 TC A Artery x-rays, spine 0.00 12.60 N/A 0.54 13.14 N/A XXX 75705 A Artery x-rays, spine 2.18 13.35 N/A 0.65 16.18 N/A XXX 75705 26 A Artery x-rays, spine 2.18 0.75 0.75 0.11 3.04 3.04 XXX 75705 TC A Artery x-rays, spine 0.00 12.60 N/A 0.54 13.14 N/A XXX 75710 A Artery x-rays, arm/leg 1.14 13.00 N/A 0.60 14.74 N/A XXX 75710 26 A Artery x-rays, arm/leg 1.14 0.39 0.39 0.06 1.59 1.59 XXX 75710 TC A Artery x-rays, arm/leg 0.00 12.60 N/A 0.54 13.14 N/A XXX 75716 A Artery x-rays, arms/legs 1.31 13.04 N/A 0.60 14.95 N/A XXX 75716 26 A Artery x-rays, arms/legs 1.31 0.44 0.44 0.06 1.81 1.81 XXX 75716 TC A Artery x-rays, arms/legs 0.00 12.60 N/A 0.54 13.14 N/A XXX 75722 A Artery x-rays, kidney 1.14 13.01 N/A 0.59 14.74 N/A XXX 75722 26 A Artery x-rays, kidney 1.14 0.41 0.41 0.05 1.60 1.60 XXX 75722 TC A Artery x-rays, kidney 0.00 12.60 N/A 0.54 13.14 N/A XXX 75724 A Artery x-rays, kidneys 1.49 13.17 N/A 0.59 15.25 N/A XXX 75724 26 A Artery x-rays, kidneys 1.49 0.57 0.57 0.05 2.11 2.11 XXX 75724 TC A Artery x-rays, kidneys 0.00 12.60 N/A 0.54 13.14 N/A XXX 75726 A Artery x-rays, abdomen 1.14 12.98 N/A 0.59 14.71 N/A XXX 75726 26 A Artery x-rays, abdomen 1.14 0.38 0.38 0.05 1.57 1.57 XXX 75726 TC A Artery x-rays, abdomen 0.00 12.60 N/A 0.54 13.14 N/A XXX 75731 A Artery x-rays, adrenal gland 1.14 12.98 N/A 0.59 14.71 N/A XXX 75731 26 A Artery x-rays, adrenal gland 1.14 0.38 0.38 0.05 1.57 1.57 XXX 75731 TC A Artery x-rays, adrenal gland 0.00 12.60 N/A 0.54 13.14 N/A XXX 75733 A Artery x-rays, adrenals 1.31 13.05 N/A 0.60 14.96 N/A XXX 75733 26 A Artery x-rays, adrenals 1.31 0.45 0.45 0.06 1.82 1.82 XXX 75733 TC A Artery x-rays, adrenals 0.00 12.60 N/A 0.54 13.14 N/A XXX 75736 A Artery x-rays, pelvis 1.14 12.99 N/A 0.59 14.72 N/A XXX 75736 26 A Artery x-rays, pelvis 1.14 0.38 0.38 0.05 1.57 1.57 XXX 75736 TC A Artery x-rays, pelvis 0.00 12.60 N/A 0.54 13.14 N/A XXX Start Printed Page 49189 75741 A Artery x-rays, lung 1.31 13.04 N/A 0.60 14.95 N/A XXX 75741 26 A Artery x-rays, lung 1.31 0.44 0.44 0.06 1.81 1.81 XXX 75741 TC A Artery x-rays, lung 0.00 12.60 N/A 0.54 13.14 N/A XXX 75743 A Artery x-rays, lungs 1.66 13.16 N/A 0.61 15.43 N/A XXX 75743 26 A Artery x-rays, lungs 1.66 0.56 0.56 0.07 2.29 2.29 XXX 75743 TC A Artery x-rays, lungs 0.00 12.60 N/A 0.54 13.14 N/A XXX 75746 A Artery x-rays, lung 1.14 12.99 N/A 0.59 14.72 N/A XXX 75746 26 A Artery x-rays, lung 1.14 0.39 0.39 0.05 1.58 1.58 XXX 75746 TC A Artery x-rays, lung 0.00 12.60 N/A 0.54 13.14 N/A XXX 75756 A Artery x-rays, chest 1.14 13.06 N/A 0.58 14.78 N/A XXX 75756 26 A Artery x-rays, chest 1.14 0.46 0.46 0.04 1.64 1.64 XXX 75756 TC A Artery x-rays, chest 0.00 12.60 N/A 0.54 13.14 N/A XXX 75774 A Artery x-ray, each vessel 0.36 12.73 N/A 0.56 13.65 N/A ZZZ 75774 26 A Artery x-ray, each vessel 0.36 0.13 0.13 0.02 0.51 0.51 ZZZ 75774 TC A Artery x-ray, each vessel 0.00 12.60 N/A 0.54 13.14 N/A ZZZ 75790 A Visualize A-V shunt 1.84 1.97 N/A 0.16 3.97 N/A XXX 75790 26 A Visualize A-V shunt 1.84 0.62 0.62 0.09 2.55 2.55 XXX 75790 TC A Visualize A-V shunt 0.00 1.35 N/A 0.07 1.42 N/A XXX 75801 A Lymph vessel x-ray, arm/leg 0.81 5.69 N/A 0.29 6.79 N/A XXX 75801 26 A Lymph vessel x-ray, arm/leg 0.81 0.27 0.27 0.05 1.13 1.13 XXX 75801 TC A Lymph vessel x-ray, arm/leg 0.00 5.42 N/A 0.24 5.66 N/A XXX 75803 A Lymph vessel x-ray,arms/legs 1.17 5.81 N/A 0.29 7.27 N/A XXX 75803 26 A Lymph vessel x-ray,arms/legs 1.17 0.39 0.39 0.05 1.61 1.61 XXX 75803 TC A Lymph vessel x-ray,arms/legs 0.00 5.42 N/A 0.24 5.66 N/A XXX 75805 A Lymph vessel x-ray, trunk 0.81 6.38 N/A 0.31 7.50 N/A XXX 75805 26 A Lymph vessel x-ray, trunk 0.81 0.27 0.27 0.04 1.12 1.12 XXX 75805 TC A Lymph vessel x-ray, trunk 0.00 6.10 N/A 0.27 6.37 N/A XXX 75807 A Lymph vessel x-ray, trunk 1.17 6.49 N/A 0.32 7.98 N/A XXX 75807 26 A Lymph vessel x-ray, trunk 1.17 0.39 0.39 0.05 1.61 1.61 XXX 75807 TC A Lymph vessel x-ray, trunk 0.00 6.10 N/A 0.27 6.37 N/A XXX 75809 A Nonvascular shunt, x-ray 0.47 0.94 N/A 0.06 1.47 N/A XXX 75809 26 A Nonvascular shunt, x-ray 0.47 0.16 0.16 0.02 0.65 0.65 XXX 75809 TC A Nonvascular shunt, x-ray 0.00 0.78 N/A 0.04 0.82 N/A XXX 75810 A Vein x-ray, spleen/liver 1.14 12.98 N/A 0.60 14.72 N/A XXX 75810 26 A Vein x-ray, spleen/liver 1.14 0.38 0.38 0.06 1.58 1.58 XXX 75810 TC A Vein x-ray, spleen/liver 0.00 12.60 N/A 0.54 13.14 N/A XXX 75820 A Vein x-ray, arm/leg 0.70 1.18 N/A 0.08 1.96 N/A XXX 75820 26 A Vein x-ray, arm/leg 0.70 0.23 0.23 0.03 0.96 0.96 XXX 75820 TC A Vein x-ray, arm/leg 0.00 0.95 N/A 0.05 1.00 N/A XXX 75822 A Vein x-ray, arms/legs 1.06 1.83 N/A 0.12 3.01 N/A XXX 75822 26 A Vein x-ray, arms/legs 1.06 0.35 0.35 0.05 1.46 1.46 XXX 75822 TC A Vein x-ray, arms/legs 0.00 1.48 N/A 0.07 1.55 N/A XXX 75825 A Vein x-ray, trunk 1.14 12.98 N/A 0.60 14.72 N/A XXX 75825 26 A Vein x-ray, trunk 1.14 0.38 0.38 0.06 1.58 1.58 XXX 75825 TC A Vein x-ray, trunk 0.00 12.60 N/A 0.54 13.14 N/A XXX 75827 A Vein x-ray, chest 1.14 12.98 N/A 0.59 14.71 N/A XXX 75827 26 A Vein x-ray, chest 1.14 0.38 0.38 0.05 1.57 1.57 XXX 75827 TC A Vein x-ray, chest 0.00 12.60 N/A 0.54 13.14 N/A XXX 75831 A Vein x-ray, kidney 1.14 12.98 N/A 0.59 14.71 N/A XXX 75831 26 A Vein x-ray, kidney 1.14 0.38 0.38 0.05 1.57 1.57 XXX 75831 TC A Vein x-ray, kidney 0.00 12.60 N/A 0.54 13.14 N/A XXX 75833 A Vein x-ray, kidneys 1.49 13.10 N/A 0.61 15.20 N/A XXX 75833 26 A Vein x-ray, kidneys 1.49 0.50 0.50 0.07 2.06 2.06 XXX 75833 TC A Vein x-ray, kidneys 0.00 12.60 N/A 0.54 13.14 N/A XXX 75840 A Vein x-ray, adrenal gland 1.14 12.99 N/A 0.61 14.74 N/A XXX 75840 26 A Vein x-ray, adrenal gland 1.14 0.39 0.39 0.07 1.60 1.60 XXX 75840 TC A Vein x-ray, adrenal gland 0.00 12.60 N/A 0.54 13.14 N/A XXX 75842 A Vein x-ray, adrenal glands 1.49 13.10 N/A 0.61 15.20 N/A XXX 75842 26 A Vein x-ray, adrenal glands 1.49 0.50 0.50 0.07 2.06 2.06 XXX 75842 TC A Vein x-ray, adrenal glands 0.00 12.60 N/A 0.54 13.14 N/A XXX Start Printed Page 49190 75860 A Vein x-ray, neck 1.14 13.00 N/A 0.60 14.74 N/A XXX 75860 26 A Vein x-ray, neck 1.14 0.40 0.40 0.06 1.60 1.60 XXX 75860 TC A Vein x-ray, neck 0.00 12.60 N/A 0.54 13.14 N/A XXX 75870 A Vein x-ray, skull 1.14 13.00 N/A 0.60 14.74 N/A XXX 75870 26 A Vein x-ray, skull 1.14 0.40 0.40 0.06 1.60 1.60 XXX 75870 TC A Vein x-ray, skull 0.00 12.60 N/A 0.54 13.14 N/A XXX 75872 A Vein x-ray, skull 1.14 12.98 N/A 0.59 14.71 N/A XXX 75872 26 A Vein x-ray, skull 1.14 0.38 0.38 0.05 1.57 1.57 XXX 75872 TC A Vein x-ray, skull 0.00 12.60 N/A 0.54 13.14 N/A XXX 75880 A Vein x-ray, eye socket 0.70 1.18 N/A 0.08 1.96 N/A XXX 75880 26 A Vein x-ray, eye socket 0.70 0.24 0.24 0.03 0.97 0.97 XXX 75880 TC A Vein x-ray, eye socket 0.00 0.95 N/A 0.05 1.00 N/A XXX 75885 A Vein x-ray, liver 1.44 13.08 N/A 0.60 15.12 N/A XXX 75885 26 A Vein x-ray, liver 1.44 0.48 0.48 0.06 1.98 1.98 XXX 75885 TC A Vein x-ray, liver 0.00 12.60 N/A 0.54 13.14 N/A XXX 75887 A Vein x-ray, liver 1.44 13.08 N/A 0.60 15.12 N/A XXX 75887 26 A Vein x-ray, liver 1.44 0.48 0.48 0.06 1.98 1.98 XXX 75887 TC A Vein x-ray, liver 0.00 12.60 N/A 0.54 13.14 N/A XXX 75889 A Vein x-ray, liver 1.14 12.98 N/A 0.59 14.71 N/A XXX 75889 26 A Vein x-ray, liver 1.14 0.38 0.38 0.05 1.57 1.57 XXX 75889 TC A Vein x-ray, liver 0.00 12.60 N/A 0.54 13.14 N/A XXX 75891 A Vein x-ray, liver 1.14 12.98 N/A 0.59 14.71 N/A XXX 75891 26 A Vein x-ray, liver 1.14 0.38 0.38 0.05 1.57 1.57 XXX 75891 TC A Vein x-ray, liver 0.00 12.60 N/A 0.54 13.14 N/A XXX 75893 A Venous sampling by catheter 0.54 12.78 N/A 0.56 13.88 N/A XXX 75893 26 A Venous sampling by catheter 0.54 0.18 0.18 0.02 0.74 0.74 XXX 75893 TC A Venous sampling by catheter 0.00 12.60 N/A 0.54 13.14 N/A XXX 75894 A X-rays, transcath therapy 1.31 24.58 N/A 1.12 27.01 N/A XXX 75894 26 A X-rays, transcath therapy 1.31 0.44 0.44 0.07 1.82 1.82 XXX 75894 TC A X-rays, transcath therapy 0.00 24.14 N/A 1.05 25.19 N/A XXX 75896 A X-rays, transcath therapy 1.31 21.45 N/A 0.97 23.73 N/A XXX 75896 26 A X-rays, transcath therapy 1.31 0.46 0.46 0.06 1.83 1.83 XXX 75896 TC A X-rays, transcath therapy 0.00 20.99 N/A 0.91 21.90 N/A XXX 75898 A Follow-up angiography 1.65 1.62 N/A 0.12 3.39 N/A XXX 75898 26 A Follow-up angiography 1.65 0.56 0.56 0.07 2.28 2.28 XXX 75898 TC A Follow-up angiography 0.00 1.05 N/A 0.05 1.10 N/A XXX 75900 A Arterial catheter exchange 0.49 21.14 N/A 0.94 22.57 N/A XXX 75900 26 A Arterial catheter exchange 0.49 0.16 0.16 0.02 0.67 0.67 XXX 75900 TC A Arterial catheter exchange 0.00 20.98 N/A 0.92 21.90 N/A XXX 75901 A Remove cva device obstruct 0.49 1.47 N/A 0.71 2.67 N/A XXX 75901 26 A Remove cva device obstruct 0.49 0.16 0.16 0.02 0.67 0.67 XXX 75901 TC A Remove cva device obstruct 0.00 1.31 N/A 0.69 2.00 N/A XXX 75902 A Remove cva lumen obstruct 0.39 1.44 N/A 0.71 2.54 N/A XXX 75902 26 A Remove cva lumen obstruct 0.39 0.13 0.13 0.02 0.54 0.54 XXX 75902 TC A Remove cva lumen obstruct 0.00 1.31 N/A 0.69 2.00 N/A XXX 75940 A X-ray placement, vein filter 0.54 12.78 N/A 0.57 13.89 N/A XXX 75940 26 A X-ray placement, vein filter 0.54 0.18 0.18 0.03 0.75 0.75 XXX 75940 TC A X-ray placement, vein filter 0.00 12.60 N/A 0.54 13.14 N/A XXX 75945 A Intravascular us 0.40 4.71 N/A 0.23 5.34 N/A XXX 75945 26 A Intravascular us 0.40 0.14 0.14 0.03 0.57 0.57 XXX 75945 TC A Intravascular us 0.00 4.56 N/A 0.20 4.76 N/A XXX 75946 A Intravascular us add-on 0.40 2.43 N/A 0.14 2.97 N/A ZZZ 75946 26 A Intravascular us add-on 0.40 0.14 0.14 0.03 0.57 0.57 ZZZ 75946 TC A Intravascular us add-on 0.00 2.29 N/A 0.11 2.40 N/A ZZZ 75952 C Endovasc repair abdom aorta 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49191 75952 26 A Endovasc repair abdom aorta 4.50 1.52 1.52 0.68 6.70 6.70 XXX 75952 TC C Endovasc repair abdom aorta 0.00 0.00 0.00 0.00 0.00 0.00 XXX 75953 C Abdom aneurysm endovas rpr 0.00 0.00 0.00 0.00 0.00 0.00 XXX 75953 26 A Abdom aneurysm endovas rpr 1.36 0.46 0.46 0.68 2.50 2.50 XXX 75953 TC C Abdom aneurysm endovas rpr 0.00 0.00 0.00 0.00 0.00 0.00 XXX 75954 C Iliac aneurysm endovas rpr 0.00 0.00 0.00 0.00 0.00 0.00 XXX 75954 26 A Iliac aneurysm endovas rpr 1.36 0.48 0.48 0.68 2.52 2.52 XXX 75954 TC C Iliac aneurysm endovas rpr 0.00 0.00 0.00 0.00 0.00 0.00 XXX 75960 A Transcatheter intro, stent 0.82 15.19 N/A 0.68 16.69 N/A XXX 75960 26 A Transcatheter intro, stent 0.82 0.29 0.29 0.04 1.15 1.15 XXX 75960 TC A Transcatheter intro, stent 0.00 14.90 N/A 0.64 15.54 N/A XXX 75961 A Retrieval, broken catheter 4.25 11.93 N/A 0.64 16.82 N/A XXX 75961 26 A Retrieval, broken catheter 4.25 1.43 1.43 0.18 5.86 5.86 XXX 75961 TC A Retrieval, broken catheter 0.00 10.50 N/A 0.46 10.96 N/A XXX 75962 A Repair arterial blockage 0.54 15.93 N/A 0.72 17.19 N/A XXX 75962 26 A Repair arterial blockage 0.54 0.19 0.19 0.03 0.76 0.76 XXX 75962 TC A Repair arterial blockage 0.00 15.74 N/A 0.69 16.43 N/A XXX 75964 A Repair artery blockage, each 0.36 8.52 N/A 0.38 9.26 N/A ZZZ 75964 26 A Repair artery blockage, each 0.36 0.12 0.12 0.02 0.50 0.50 ZZZ 75964 TC A Repair artery blockage, each 0.00 8.39 N/A 0.36 8.75 N/A ZZZ 75966 A Repair arterial blockage 1.31 16.22 N/A 0.75 18.28 N/A XXX 75966 26 A Repair arterial blockage 1.31 0.47 0.47 0.06 1.84 1.84 XXX 75966 TC A Repair arterial blockage 0.00 15.74 N/A 0.69 16.43 N/A XXX 75968 A Repair artery blockage, each 0.36 8.53 N/A 0.37 9.26 N/A ZZZ 75968 26 A Repair artery blockage, each 0.36 0.13 0.13 0.01 0.50 0.50 ZZZ 75968 TC A Repair artery blockage, each 0.00 8.39 N/A 0.36 8.75 N/A ZZZ 75970 A Vascular biopsy 0.83 11.83 N/A 0.54 13.20 N/A XXX 75970 26 A Vascular biopsy 0.83 0.29 0.29 0.04 1.16 1.16 XXX 75970 TC A Vascular biopsy 0.00 11.55 N/A 0.50 12.05 N/A XXX 75978 A Repair venous blockage 0.54 15.92 N/A 0.71 17.17 N/A XXX 75978 26 A Repair venous blockage 0.54 0.18 0.18 0.02 0.74 0.74 XXX 75978 TC A Repair venous blockage 0.00 15.74 N/A 0.69 16.43 N/A XXX 75980 A Contrast xray exam bile duct 1.44 5.89 N/A 0.30 7.63 N/A XXX 75980 26 A Contrast xray exam bile duct 1.44 0.48 0.48 0.06 1.98 1.98 XXX 75980 TC A Contrast xray exam bile duct 0.00 5.42 N/A 0.24 5.66 N/A XXX 75982 A Contrast xray exam bile duct 1.44 6.58 N/A 0.33 8.35 N/A XXX 75982 26 A Contrast xray exam bile duct 1.44 0.48 0.48 0.06 1.98 1.98 XXX 75982 TC A Contrast xray exam bile duct 0.00 6.10 N/A 0.27 6.37 N/A XXX 75984 A Xray control catheter change 0.72 2.19 N/A 0.12 3.03 N/A XXX 75984 26 A Xray control catheter change 0.72 0.24 0.24 0.03 0.99 0.99 XXX 75984 TC A Xray control catheter change 0.00 1.95 N/A 0.09 2.04 N/A XXX 75989 A Abscess drainage under x-ray 1.19 3.55 N/A 0.19 4.93 N/A XXX Start Printed Page 49192 75989 26 A Abscess drainage under x-ray 1.19 0.40 0.40 0.05 1.64 1.64 XXX 75989 TC A Abscess drainage under x-ray 0.00 3.15 N/A 0.14 3.29 N/A XXX 75992 A Atherectomy, x-ray exam 0.54 15.94 N/A 0.71 17.19 N/A XXX 75992 26 A Atherectomy, x-ray exam 0.54 0.19 0.19 0.02 0.75 0.75 XXX 75992 TC A Atherectomy, x-ray exam 0.00 15.74 N/A 0.69 16.43 N/A XXX 75993 A Atherectomy, x-ray exam 0.36 8.53 N/A 0.37 9.26 N/A ZZZ 75993 26 A Atherectomy, x-ray exam 0.36 0.14 0.14 0.01 0.51 0.51 ZZZ 75993 TC A Atherectomy, x-ray exam 0.00 8.39 N/A 0.36 8.75 N/A ZZZ 75994 A Atherectomy, x-ray exam 1.31 16.22 N/A 0.75 18.28 N/A XXX 75994 26 A Atherectomy, x-ray exam 1.31 0.47 0.47 0.06 1.84 1.84 XXX 75994 TC A Atherectomy, x-ray exam 0.00 15.74 N/A 0.69 16.43 N/A XXX 75995 A Atherectomy, x-ray exam 1.31 16.23 N/A 0.75 18.29 N/A XXX 75995 26 A Atherectomy, x-ray exam 1.31 0.48 0.48 0.06 1.85 1.85 XXX 75995 TC A Atherectomy, x-ray exam 0.00 15.74 N/A 0.69 16.43 N/A XXX 75996 A Atherectomy, x-ray exam 0.36 8.52 N/A 0.37 9.25 N/A ZZZ 75996 26 A Atherectomy, x-ray exam 0.36 0.12 0.12 0.01 0.49 0.49 ZZZ 75996 TC A Atherectomy, x-ray exam 0.00 8.39 N/A 0.36 8.75 N/A ZZZ 76000 A Fluoroscope examination 0.17 1.36 N/A 0.07 1.60 N/A XXX 76000 26 A Fluoroscope examination 0.17 0.05 0.05 0.01 0.23 0.23 XXX 76000 TC A Fluoroscope examination 0.00 1.31 N/A 0.06 1.37 N/A XXX 76001 A Fluoroscope exam, extensive 0.67 2.85 N/A 0.15 3.67 N/A XXX 76001 26 A Fluoroscope exam, extensive 0.67 0.23 0.23 0.03 0.93 0.93 XXX 76001 TC A Fluoroscope exam, extensive 0.00 2.62 N/A 0.12 2.74 N/A XXX 76003 A Needle localization by x-ray 0.54 1.48 N/A 0.09 2.11 N/A XXX 76003 26 A Needle localization by x-ray 0.54 0.17 0.17 0.03 0.74 0.74 XXX 76003 TC A Needle localization by x-ray 0.00 1.31 N/A 0.06 1.37 N/A XXX 76005 A Fluoroguide for spine inject 0.60 1.46 N/A 0.09 2.15 N/A XXX 76005 26 A Fluoroguide for spine inject 0.60 0.16 0.16 0.03 0.79 0.79 XXX 76005 TC A Fluoroguide for spine inject 0.00 1.31 N/A 0.06 1.37 N/A XXX 76006 A X-ray stress view 0.41 0.19 0.19 0.04 0.64 0.64 XXX 76010 A X-ray, nose to rectum 0.18 0.58 N/A 0.03 0.79 N/A XXX 76010 26 A X-ray, nose to rectum 0.18 0.06 0.06 0.01 0.25 0.25 XXX 76010 TC A X-ray, nose to rectum 0.00 0.52 N/A 0.02 0.54 N/A XXX 76012 C Percut vertebroplasty fluor 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76012 26 A Percut vertebroplasty fluor 1.31 0.48 0.48 0.23 2.02 2.02 XXX 76012 TC C Percut vertebroplasty fluor 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76013 C Percut vertebroplasty, ct 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76013 26 A Percut vertebroplasty, ct 1.38 0.49 0.49 0.48 2.35 2.35 XXX 76013 TC C Percut vertebroplasty, ct 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76020 A X-rays for bone age 0.19 0.59 N/A 0.03 0.81 N/A XXX 76020 26 A X-rays for bone age 0.19 0.06 0.06 0.01 0.26 0.26 XXX 76020 TC A X-rays for bone age 0.00 0.52 N/A 0.02 0.54 N/A XXX 76040 A X-rays, bone evaluation 0.27 0.88 N/A 0.07 1.22 N/A XXX 76040 26 A X-rays, bone evaluation 0.27 0.09 0.09 0.03 0.39 0.39 XXX 76040 TC A X-rays, bone evaluation 0.00 0.78 N/A 0.04 0.82 N/A XXX 76061 A X-rays, bone survey 0.45 1.15 N/A 0.07 1.67 N/A XXX 76061 26 A X-rays, bone survey 0.45 0.15 0.15 0.02 0.62 0.62 XXX 76061 TC A X-rays, bone survey 0.00 1.00 N/A 0.05 1.05 N/A XXX 76062 A X-rays, bone survey 0.54 1.62 N/A 0.09 2.25 N/A XXX 76062 26 A X-rays, bone survey 0.54 0.18 0.18 0.02 0.74 0.74 XXX 76062 TC A X-rays, bone survey 0.00 1.44 N/A 0.07 1.51 N/A XXX 76065 A X-rays, bone evaluation 0.70 0.97 N/A 0.05 1.72 N/A XXX 76065 26 A X-rays, bone evaluation 0.70 0.24 0.24 0.01 0.95 0.95 XXX 76065 TC A X-rays, bone evaluation 0.00 0.73 N/A 0.04 0.77 N/A XXX 76066 A Joint survey, single view 0.31 1.22 N/A 0.07 1.60 N/A XXX Start Printed Page 49193 76066 26 A Joint survey, single view 0.31 0.11 0.11 0.02 0.44 0.44 XXX 76066 TC A Joint survey, single view 0.00 1.11 N/A 0.05 1.16 N/A XXX 76070 A Ct bone density, axial 0.25 3.03 N/A 0.14 3.42 N/A XXX 76070 26 A Ct bone density, axial 0.25 0.08 0.08 0.01 0.34 0.34 XXX 76070 TC A Ct bone density, axial 0.00 2.95 N/A 0.13 3.08 N/A XXX 76071 A Ct bone density, peripheral 0.22 3.02 N/A 0.05 3.29 N/A XXX 76071 26 A Ct bone density, peripheral 0.22 0.07 0.07 0.01 0.30 0.30 XXX 76071 TC A Ct bone density, peripheral 0.00 2.95 N/A 0.04 2.99 N/A XXX 76075 A Dexa, axial skeleton study 0.30 3.20 N/A 0.15 3.65 N/A XXX 76075 26 A Dexa, axial skeleton study 0.30 0.10 0.10 0.01 0.41 0.41 XXX 76075 TC A Dexa, axial skeleton study 0.00 3.09 N/A 0.14 3.23 N/A XXX 76076 A Dexa, peripheral study 0.22 0.83 N/A 0.05 1.10 N/A XXX 76076 26 A Dexa, peripheral study 0.22 0.08 0.08 0.01 0.31 0.31 XXX 76076 TC A Dexa, peripheral study 0.00 0.75 N/A 0.04 0.79 N/A XXX 76078 A Radiographic absorptiometry 0.20 0.83 N/A 0.05 1.08 N/A XXX 76078 26 A Radiographic absorptiometry 0.20 0.07 0.07 0.01 0.28 0.28 XXX 76078 TC A Radiographic absorptiometry 0.00 0.75 N/A 0.04 0.79 N/A XXX 76080 A X-ray exam of fistula 0.54 1.23 N/A 0.07 1.84 N/A XXX 76080 26 A X-ray exam of fistula 0.54 0.18 0.18 0.02 0.74 0.74 XXX 76080 TC A X-ray exam of fistula 0.00 1.05 N/A 0.05 1.10 N/A XXX 76085 A Computer mammogram add-on 0.06 0.44 N/A 0.02 0.52 N/A ZZZ 76085 26 A Computer mammogram add-on 0.06 0.02 0.02 0.01 0.09 0.09 ZZZ 76085 TC A Computer mammogram add-on 0.00 0.42 N/A 0.01 0.43 N/A ZZZ 76086 A X-ray of mammary duct 0.36 2.74 N/A 0.14 3.24 N/A XXX 76086 26 A X-ray of mammary duct 0.36 0.12 0.12 0.02 0.50 0.50 XXX 76086 TC A X-ray of mammary duct 0.00 2.62 N/A 0.12 2.74 N/A XXX 76088 A X-ray of mammary ducts 0.45 3.82 N/A 0.18 4.45 N/A XXX 76088 26 A X-ray of mammary ducts 0.45 0.15 0.15 0.02 0.62 0.62 XXX 76088 TC A X-ray of mammary ducts 0.00 3.67 N/A 0.16 3.83 N/A XXX 76090 A Mammogram, one breast 0.70 1.29 N/A 0.08 2.07 N/A XXX 76090 26 A Mammogram, one breast 0.70 0.23 0.23 0.03 0.96 0.96 XXX 76090 TC A Mammogram, one breast 0.00 1.05 N/A 0.05 1.10 N/A XXX 76091 A Mammogram, both breasts 0.87 1.60 N/A 0.09 2.56 N/A XXX 76091 26 A Mammogram, both breasts 0.87 0.29 0.29 0.03 1.19 1.19 XXX 76091 TC A Mammogram, both breasts 0.00 1.31 N/A 0.06 1.37 N/A XXX 76092 A Mammogram, screening 0.70 1.46 N/A 0.09 2.25 N/A XXX 76092 26 A Mammogram, screening 0.70 0.23 0.23 0.03 0.96 0.96 XXX 76092 TC A Mammogram, screening 0.00 1.23 N/A 0.06 1.29 N/A XXX 76093 A Magnetic image, breast 1.63 18.18 N/A 0.83 20.64 N/A XXX 76093 26 A Magnetic image, breast 1.63 0.55 0.55 0.07 2.25 2.25 XXX 76093 TC A Magnetic image, breast 0.00 17.63 N/A 0.76 18.39 N/A XXX 76094 A Magnetic image, both breasts 1.63 24.46 N/A 1.10 27.19 N/A XXX 76094 26 A Magnetic image, both breasts 1.63 0.55 0.55 0.07 2.25 2.25 XXX 76094 TC A Magnetic image, both breasts 0.00 23.92 N/A 1.03 24.95 N/A XXX 76095 A Stereotactic breast biopsy 1.59 7.70 N/A 0.40 9.69 N/A XXX 76095 26 A Stereotactic breast biopsy 1.59 0.54 0.54 0.09 2.22 2.22 XXX 76095 TC A Stereotactic breast biopsy 0.00 7.17 N/A 0.31 7.48 N/A XXX 76096 A X-ray of needle wire, breast 0.56 1.49 N/A 0.09 2.14 N/A XXX 76096 26 A X-ray of needle wire, breast 0.56 0.19 0.19 0.03 0.78 0.78 XXX 76096 TC A X-ray of needle wire, breast 0.00 1.31 N/A 0.06 1.37 N/A XXX Start Printed Page 49194 76098 A X-ray exam, breast specimen 0.16 0.47 N/A 0.03 0.66 N/A XXX 76098 26 A X-ray exam, breast specimen 0.16 0.05 0.05 0.01 0.22 0.22 XXX 76098 TC A X-ray exam, breast specimen 0.00 0.42 N/A 0.02 0.44 N/A XXX 76100 A X-ray exam of body section 0.58 1.44 N/A 0.09 2.11 N/A XXX 76100 26 A X-ray exam of body section 0.58 0.19 0.19 0.03 0.80 0.80 XXX 76100 TC A X-ray exam of body section 0.00 1.25 N/A 0.06 1.31 N/A XXX 76101 A Complex body section x-ray 0.58 1.62 N/A 0.10 2.30 N/A XXX 76101 26 A Complex body section x-ray 0.58 0.19 0.19 0.03 0.80 0.80 XXX 76101 TC A Complex body section x-ray 0.00 1.42 N/A 0.07 1.49 N/A XXX 76102 A Complex body section x-rays 0.58 1.93 N/A 0.12 2.63 N/A XXX 76102 26 A Complex body section x-rays 0.58 0.20 0.20 0.03 0.81 0.81 XXX 76102 TC A Complex body section x-rays 0.00 1.73 N/A 0.09 1.82 N/A XXX 76120 A Cine/video x-rays 0.38 1.19 N/A 0.07 1.64 N/A XXX 76120 26 A Cine/video x-rays 0.38 0.13 0.13 0.02 0.53 0.53 XXX 76120 TC A Cine/video x-rays 0.00 1.05 N/A 0.05 1.10 N/A XXX 76125 A Cine/video x-rays add-on 0.27 0.88 N/A 0.05 1.20 N/A ZZZ 76125 26 A Cine/video x-rays add-on 0.27 0.09 0.09 0.01 0.37 0.37 ZZZ 76125 TC A Cine/video x-rays add-on 0.00 0.78 N/A 0.04 0.82 N/A ZZZ 76140 I X-ray consultation 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76150 A X-ray exam, dry process 0.00 0.42 N/A 0.02 0.44 N/A XXX 76350 C Special x-ray contrast study 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76355 A CAT scan for localization 1.21 8.67 N/A 0.41 10.29 N/A XXX 76355 26 A CAT scan for localization 1.21 0.41 0.41 0.06 1.68 1.68 XXX 76355 TC A CAT scan for localization 0.00 8.26 N/A 0.35 8.61 N/A XXX 76360 A CAT scan for needle biopsy 1.16 8.65 N/A 0.40 10.21 N/A XXX 76360 26 A CAT scan for needle biopsy 1.16 0.39 0.39 0.05 1.60 1.60 XXX 76360 TC A CAT scan for needle biopsy 0.00 8.26 N/A 0.35 8.61 N/A XXX 76362 A Cat scan for tissue ablation 4.00 9.59 N/A 1.39 14.98 N/A XXX 76362 26 A Cat scan for tissue ablation 4.00 1.33 1.33 0.18 5.51 5.51 XXX 76362 TC A Cat scan for tissue ablation 0.00 8.26 N/A 1.21 9.47 N/A XXX 76370 A CAT scan for therapy guide 0.85 3.23 N/A 0.17 4.25 N/A XXX 76370 26 A CAT scan for therapy guide 0.85 0.28 0.28 0.04 1.17 1.17 XXX 76370 TC A CAT scan for therapy guide 0.00 2.95 N/A 0.13 3.08 N/A XXX 76375 A 3d/holograph reconstr add-on 0.16 3.59 N/A 0.16 3.91 N/A XXX 76375 26 A 3d/holograph reconstr add-on 0.16 0.05 0.05 0.01 0.22 0.22 XXX 76375 TC A 3d/holograph reconstr add-on 0.00 3.54 N/A 0.15 3.69 N/A XXX 76380 A CAT scan follow-up study 0.98 3.83 N/A 0.19 5.00 N/A XXX 76380 26 A CAT scan follow-up study 0.98 0.33 0.33 0.04 1.35 1.35 XXX 76380 TC A CAT scan follow-up study 0.00 3.50 N/A 0.15 3.65 N/A XXX 76390 N Mr spectroscopy 1.40 11.68 N/A 0.55 13.63 N/A XXX 76390 26 N Mr spectroscopy 1.40 0.47 0.47 0.06 1.93 1.93 XXX Start Printed Page 49195 76390 TC N Mr spectroscopy 0.00 11.21 N/A 0.49 11.70 N/A XXX 76393 A Mr guidance for needle place 1.50 11.72 N/A 0.53 13.75 N/A XXX 76393 26 A Mr guidance for needle place 1.50 0.51 0.51 0.07 2.08 2.08 XXX 76393 TC A Mr guidance for needle place 0.00 11.21 N/A 0.46 11.67 N/A XXX 76394 A Mri for tissue ablation 4.25 12.63 N/A 1.48 18.36 N/A XXX 76394 26 A Mri for tissue ablation 4.25 1.42 1.42 0.19 5.86 5.86 XXX 76394 TC A Mri for tissue ablation 0.00 11.21 N/A 1.29 12.50 N/A XXX 76400 A Magnetic image, bone marrow 1.60 11.74 N/A 0.56 13.90 N/A XXX 76400 26 A Magnetic image, bone marrow 1.60 0.54 0.54 0.07 2.21 2.21 XXX 76400 TC A Magnetic image, bone marrow 0.00 11.21 N/A 0.49 11.70 N/A XXX 76490 A Us for tissue ablation 4.00 2.85 N/A 0.35 7.20 N/A XXX 76490 26 A Us for tissue ablation 4.00 1.33 1.33 0.11 5.44 5.44 XXX 76490 TC A Us for tissue ablation 0.00 1.52 N/A 0.24 1.76 N/A XXX 76496 C Fluoroscopic procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76496 26 C Fluoroscopic procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76496 TC C Fluoroscopic procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76497 C Ct procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76497 26 C Ct procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76497 TC C Ct procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76498 C Mri procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76498 26 C Mri procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76498 TC C Mri procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76499 C Radiographic procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76499 26 C Radiographic procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76499 TC C Radiographic procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76506 A Echo exam of head 0.63 1.67 N/A 0.10 2.40 N/A XXX 76506 26 A Echo exam of head 0.63 0.25 0.25 0.03 0.91 0.91 XXX 76506 TC A Echo exam of head 0.00 1.42 N/A 0.07 1.49 N/A XXX 76511 A Echo exam of eye 0.94 1.12 N/A 0.08 2.14 N/A XXX 76511 26 A Echo exam of eye 0.94 0.41 0.41 0.02 1.37 1.37 XXX 76511 TC A Echo exam of eye 0.00 0.71 N/A 0.06 0.77 N/A XXX 76512 A Echo exam of eye 0.66 1.04 N/A 0.09 1.79 N/A XXX 76512 26 A Echo exam of eye 0.66 0.30 0.30 0.01 0.97 0.97 XXX 76512 TC A Echo exam of eye 0.00 0.74 N/A 0.08 0.82 N/A XXX 76513 A Echo exam of eye, water bath 0.66 1.12 N/A 0.09 1.87 N/A XXX 76513 26 A Echo exam of eye, water bath 0.66 0.30 0.30 0.01 0.97 0.97 XXX 76513 TC A Echo exam of eye, water bath 0.00 0.82 N/A 0.08 0.90 N/A XXX 76516 A Echo exam of eye 0.54 0.74 N/A 0.07 1.35 N/A XXX 76516 26 A Echo exam of eye 0.54 0.25 0.25 0.01 0.80 0.80 XXX 76516 TC A Echo exam of eye 0.00 0.49 N/A 0.06 0.55 N/A XXX 76519 A Echo exam of eye 0.54 0.83 N/A 0.07 1.44 N/A XXX 76519 26 A Echo exam of eye 0.54 0.25 0.25 0.01 0.80 0.80 XXX 76519 TC A Echo exam of eye 0.00 0.58 N/A 0.06 0.64 N/A XXX 76529 A Echo exam of eye 0.57 0.78 N/A 0.08 1.43 N/A XXX 76529 26 A Echo exam of eye 0.57 0.25 0.25 0.01 0.83 0.83 XXX 76529 TC A Echo exam of eye 0.00 0.53 N/A 0.07 0.60 N/A XXX 76536 A Us exam of head and neck 0.56 1.61 N/A 0.09 2.26 N/A XXX 76536 26 A Us exam of head and neck 0.56 0.19 0.19 0.02 0.77 0.77 XXX 76536 TC A Us exam of head and neck 0.00 1.42 N/A 0.07 1.49 N/A XXX 76604 A Us exam, chest, b-scan 0.55 1.49 N/A 0.08 2.12 N/A XXX 76604 26 A Us exam, chest, b-scan 0.55 0.18 0.18 0.02 0.75 0.75 XXX 76604 TC A Us exam, chest, b-scan 0.00 1.31 N/A 0.06 1.37 N/A XXX 76645 A Us exam, breast(s) 0.54 1.23 N/A 0.08 1.85 N/A XXX 76645 26 A Us exam, breast(s) 0.54 0.18 0.18 0.03 0.75 0.75 XXX Start Printed Page 49196 76645 TC A Us exam, breast(s) 0.00 1.05 N/A 0.05 1.10 N/A XXX 76700 A Us exam, abdom, complete 0.81 2.24 N/A 0.13 3.18 N/A XXX 76700 26 A Us exam, abdom, complete 0.81 0.27 0.27 0.04 1.12 1.12 XXX 76700 TC A Us exam, abdom, complete 0.00 1.97 N/A 0.09 2.06 N/A XXX 76705 A Echo exam of abdomen 0.59 1.62 N/A 0.10 2.31 N/A XXX 76705 26 A Echo exam of abdomen 0.59 0.20 0.20 0.03 0.82 0.82 XXX 76705 TC A Echo exam of abdomen 0.00 1.42 N/A 0.07 1.49 N/A XXX 76770 A Us exam abdo back wall, comp 0.74 2.22 N/A 0.12 3.08 N/A XXX 76770 26 A Us exam abdo back wall, comp 0.74 0.25 0.25 0.03 1.02 1.02 XXX 76770 TC A Us exam abdo back wall, comp 0.00 1.97 N/A 0.09 2.06 N/A XXX 76775 A Us eam abdo back wall, lim 0.58 1.62 N/A 0.10 2.30 N/A XXX 76775 26 A Us eam abdo back wall, lim 0.58 0.19 0.19 0.03 0.80 0.80 XXX 76775 TC A Us eam abdo back wall, lim 0.00 1.42 N/A 0.07 1.49 N/A XXX 76778 A Us exam kidney transplant 0.74 2.22 N/A 0.12 3.08 N/A XXX 76778 26 A Us exam kidney transplant 0.74 0.25 0.25 0.03 1.02 1.02 XXX 76778 TC A Us exam kidney transplant 0.00 1.97 N/A 0.09 2.06 N/A XXX 76800 A Us exam, spinal canal 1.13 1.77 N/A 0.11 3.01 N/A XXX 76800 26 A Us exam, spinal canal 1.13 0.35 0.35 0.04 1.52 1.52 XXX 76800 TC A Us exam, spinal canal 0.00 1.42 N/A 0.07 1.49 N/A XXX 76801 A Ob us < 14 wks, single fetus 0.99 2.45 N/A 0.14 3.58 N/A XXX 76801 26 A Ob us < 14 wks, single fetus 0.99 0.35 0.35 0.04 1.38 1.38 XXX 76801 TC A Ob us < 14 wks, single fetus 0.00 2.10 N/A 0.10 2.20 N/A XXX 76802 A Ob us < 14 wks, addl fetus 0.83 1.35 N/A 0.14 2.32 N/A ZZZ 76802 26 A Ob us < 14 wks, addl fetus 0.83 0.29 0.29 0.04 1.16 1.16 ZZZ 76802 TC A Ob us < 14 wks, addl fetus 0.00 1.05 N/A 0.10 1.15 N/A ZZZ 76805 A Ob us >/= 14 wks, sngl fetus 0.99 2.45 N/A 0.14 3.58 N/A XXX 76805 26 A Ob us >/= 14 wks, sngl fetus 0.99 0.35 0.35 0.04 1.38 1.38 XXX 76805 TC A Ob us >/= 14 wks, sngl fetus 0.00 2.10 N/A 0.10 2.20 N/A XXX 76810 A Ob us >/= 14 wks, addl fetus 0.98 1.41 N/A 0.25 2.64 N/A ZZZ 76810 26 A Ob us >/= 14 wks, addl fetus 0.98 0.35 0.35 0.07 1.40 1.40 ZZZ 76810 TC A Ob us >/= 14 wks, addl fetus 0.00 1.05 N/A 0.18 1.23 N/A ZZZ 76811 A Ob us, detailed, sngl fetus 1.90 4.20 N/A 0.51 6.61 N/A XXX 76811 26 A Ob us, detailed, sngl fetus 1.90 0.67 0.67 0.15 2.72 2.72 XXX 76811 TC A Ob us, detailed, sngl fetus 0.00 3.53 N/A 0.36 3.89 N/A XXX 76812 A Ob us, detailed, addl fetus 1.78 1.70 N/A 0.46 3.94 N/A ZZZ 76812 26 A Ob us, detailed, addl fetus 1.78 0.64 0.64 0.12 2.54 2.54 ZZZ 76812 TC A Ob us, detailed, addl fetus 0.00 1.05 N/A 0.34 1.39 N/A ZZZ 76815 A Ob us, limited, fetus(s) 0.65 1.66 N/A 0.09 2.40 N/A XXX 76815 26 A Ob us, limited, fetus(s) 0.65 0.24 0.24 0.02 0.91 0.91 XXX 76815 TC A Ob us, limited, fetus(s) 0.00 1.42 N/A 0.07 1.49 N/A XXX 76816 A Ob us, follow-up, per fetus 0.85 1.43 N/A 0.07 2.35 N/A XXX 76816 26 A Ob us, follow-up, per fetus 0.85 0.32 0.32 0.02 1.19 1.19 XXX 76816 TC A Ob us, follow-up, per fetus 0.00 1.11 N/A 0.05 1.16 N/A XXX 76817 A Transvaginal us, obstetric 0.75 1.80 N/A 0.07 2.62 N/A XXX 76817 26 A Transvaginal us, obstetric 0.75 0.28 0.28 0.02 1.05 1.05 XXX Start Printed Page 49197 76817 TC A Transvaginal us, obstetric 0.00 1.52 N/A 0.05 1.57 N/A XXX 76818 A Fetal biophys profile w/nst 1.05 2.01 N/A 0.12 3.18 N/A XXX 76818 26 A Fetal biophys profile w/nst 1.05 0.40 0.40 0.04 1.49 1.49 XXX 76818 TC A Fetal biophys profile w/nst 0.00 1.61 N/A 0.08 1.69 N/A XXX 76819 A Fetal biophys profil w/o nst 0.77 1.90 N/A 0.10 2.77 N/A XXX 76819 26 A Fetal biophys profil w/o nst 0.77 0.29 0.29 0.02 1.08 1.08 XXX 76819 TC A Fetal biophys profil w/o nst 0.00 1.61 N/A 0.08 1.69 N/A XXX 76825 A Echo exam of fetal heart 1.67 2.59 N/A 0.15 4.41 N/A XXX 76825 26 A Echo exam of fetal heart 1.67 0.62 0.62 0.06 2.35 2.35 XXX 76825 TC A Echo exam of fetal heart 0.00 1.97 N/A 0.09 2.06 N/A XXX 76826 A Echo exam of fetal heart 0.83 1.00 N/A 0.07 1.90 N/A XXX 76826 26 A Echo exam of fetal heart 0.83 0.30 0.30 0.03 1.16 1.16 XXX 76826 TC A Echo exam of fetal heart 0.00 0.71 N/A 0.04 0.75 N/A XXX 76827 A Echo exam of fetal heart 0.58 1.94 N/A 0.12 2.64 N/A XXX 76827 26 A Echo exam of fetal heart 0.58 0.22 0.22 0.02 0.82 0.82 XXX 76827 TC A Echo exam of fetal heart 0.00 1.72 N/A 0.10 1.82 N/A XXX 76828 A Echo exam of fetal heart 0.56 1.33 N/A 0.09 1.98 N/A XXX 76828 26 A Echo exam of fetal heart 0.56 0.22 0.22 0.02 0.80 0.80 XXX 76828 TC A Echo exam of fetal heart 0.00 1.11 N/A 0.07 1.18 N/A XXX 76830 A Transvaginal us, non-ob 0.69 1.75 N/A 0.11 2.55 N/A XXX 76830 26 A Transvaginal us, non-ob 0.69 0.23 0.23 0.03 0.95 0.95 XXX 76830 TC A Transvaginal us, non-ob 0.00 1.52 N/A 0.08 1.60 N/A XXX 76831 A Echo exam, uterus 0.72 1.78 N/A 0.10 2.60 N/A XXX 76831 26 A Echo exam, uterus 0.72 0.26 0.26 0.02 1.00 1.00 XXX 76831 TC A Echo exam, uterus 0.00 1.52 N/A 0.08 1.60 N/A XXX 76856 A Us exam, pelvic, complete 0.69 1.75 N/A 0.11 2.55 N/A XXX 76856 26 A Us exam, pelvic, complete 0.69 0.23 0.23 0.03 0.95 0.95 XXX 76856 TC A Us exam, pelvic, complete 0.00 1.52 N/A 0.08 1.60 N/A XXX 76857 A Us exam, pelvic, limited 0.38 1.68 N/A 0.07 2.13 N/A XXX 76857 26 A Us exam, pelvic, limited 0.38 0.13 0.13 0.02 0.53 0.53 XXX 76857 TC A Us exam, pelvic, limited 0.00 1.55 N/A 0.05 1.60 N/A XXX 76870 A Us exam, scrotum 0.64 1.73 N/A 0.11 2.48 N/A XXX 76870 26 A Us exam, scrotum 0.64 0.21 0.21 0.03 0.88 0.88 XXX 76870 TC A Us exam, scrotum 0.00 1.52 N/A 0.08 1.60 N/A XXX 76872 A Echo exam, transrectal 0.69 1.97 N/A 0.12 2.78 N/A XXX 76872 26 A Echo exam, transrectal 0.69 0.23 0.23 0.04 0.96 0.96 XXX 76872 TC A Echo exam, transrectal 0.00 1.75 N/A 0.08 1.83 N/A XXX 76873 A Echograp trans r, pros study 1.55 2.61 N/A 0.21 4.37 N/A XXX 76873 26 A Echograp trans r, pros study 1.55 0.51 0.51 0.08 2.14 2.14 XXX 76873 TC A Echograp trans r, pros study 0.00 2.10 N/A 0.13 2.23 N/A XXX 76880 A Us exam, extremity 0.59 1.62 N/A 0.10 2.31 N/A XXX 76880 26 A Us exam, extremity 0.59 0.20 0.20 0.03 0.82 0.82 XXX 76880 TC A Us exam, extremity 0.00 1.42 N/A 0.07 1.49 N/A XXX 76885 A Us exam infant hips, dynamic 0.74 1.77 N/A 0.11 2.62 N/A XXX 76885 26 A Us exam infant hips, dynamic 0.74 0.25 0.25 0.03 1.02 1.02 XXX 76885 TC A Us exam infant hips, dynamic 0.00 1.52 N/A 0.08 1.60 N/A XXX 76886 A Us exam infant hips, static 0.62 1.63 N/A 0.10 2.35 N/A XXX 76886 26 A Us exam infant hips, static 0.62 0.21 0.21 0.03 0.86 0.86 XXX 76886 TC A Us exam infant hips, static 0.00 1.42 N/A 0.07 1.49 N/A XXX 76930 A Echo guide, cardiocentesis 0.67 1.78 N/A 0.10 2.55 N/A XXX 76930 26 A Echo guide, cardiocentesis 0.67 0.26 0.26 0.02 0.95 0.95 XXX 76930 TC A Echo guide, cardiocentesis 0.00 1.52 N/A 0.08 1.60 N/A XXX 76932 A Echo guide for heart biopsy 0.67 1.78 N/A 0.10 2.55 N/A XXX 76932 26 A Echo guide for heart biopsy 0.67 0.26 0.26 0.02 0.95 0.95 XXX 76932 TC A Echo guide for heart biopsy 0.00 1.52 N/A 0.08 1.60 N/A XXX 76936 A Echo guide for artery repair 1.99 6.97 N/A 0.39 9.35 N/A XXX Start Printed Page 49198 76936 26 A Echo guide for artery repair 1.99 0.68 0.68 0.11 2.78 2.78 XXX 76936 TC A Echo guide for artery repair 0.00 6.30 N/A 0.28 6.58 N/A XXX 76941 A Echo guide for transfusion 1.34 2.01 N/A 0.13 3.48 N/A XXX 76941 26 A Echo guide for transfusion 1.34 0.49 0.49 0.06 1.89 1.89 XXX 76941 TC A Echo guide for transfusion 0.00 1.53 N/A 0.07 1.60 N/A XXX 76942 A Echo guide for biopsy 0.67 3.40 N/A 0.12 4.19 N/A XXX 76942 26 A Echo guide for biopsy 0.67 0.22 0.22 0.04 0.93 0.93 XXX 76942 TC A Echo guide for biopsy 0.00 3.18 N/A 0.08 3.26 N/A XXX 76945 A Echo guide, villus sampling 0.67 1.76 N/A 0.10 2.53 N/A XXX 76945 26 A Echo guide, villus sampling 0.67 0.23 0.23 0.03 0.93 0.93 XXX 76945 TC A Echo guide, villus sampling 0.00 1.53 N/A 0.07 1.60 N/A XXX 76946 A Echo guide for amniocentesis 0.38 1.66 N/A 0.09 2.13 N/A XXX 76946 26 A Echo guide for amniocentesis 0.38 0.14 0.14 0.01 0.53 0.53 XXX 76946 TC A Echo guide for amniocentesis 0.00 1.52 N/A 0.08 1.60 N/A XXX 76948 A Echo guide, ova aspiration 0.38 1.65 N/A 0.10 2.13 N/A XXX 76948 26 A Echo guide, ova aspiration 0.38 0.13 0.13 0.02 0.53 0.53 XXX 76948 TC A Echo guide, ova aspiration 0.00 1.52 N/A 0.08 1.60 N/A XXX 76950 A Echo guidance radiotherapy 0.58 1.49 N/A 0.09 2.16 N/A XXX 76950 26 A Echo guidance radiotherapy 0.58 0.19 0.19 0.03 0.80 0.80 XXX 76950 TC A Echo guidance radiotherapy 0.00 1.31 N/A 0.06 1.37 N/A XXX 76965 A Echo guidance radiotherapy 1.34 6.01 N/A 0.31 7.66 N/A XXX 76965 26 A Echo guidance radiotherapy 1.34 0.44 0.44 0.07 1.85 1.85 XXX 76965 TC A Echo guidance radiotherapy 0.00 5.57 N/A 0.24 5.81 N/A XXX 76970 A Ultrasound exam follow-up 0.40 1.19 N/A 0.07 1.66 N/A XXX 76970 26 A Ultrasound exam follow-up 0.40 0.14 0.14 0.02 0.56 0.56 XXX 76970 TC A Ultrasound exam follow-up 0.00 1.05 N/A 0.05 1.10 N/A XXX 76975 A GI endoscopic ultrasound 0.81 1.80 N/A 0.11 2.72 N/A XXX 76975 26 A GI endoscopic ultrasound 0.81 0.28 0.28 0.03 1.12 1.12 XXX 76975 TC A GI endoscopic ultrasound 0.00 1.52 N/A 0.08 1.60 N/A XXX 76977 A Us bone density measure 0.05 0.84 N/A 0.05 0.94 N/A XXX 76977 26 A Us bone density measure 0.05 0.02 0.02 0.01 0.08 0.08 XXX 76977 TC A Us bone density measure 0.00 0.82 N/A 0.04 0.86 N/A XXX 76986 A Ultrasound guide intraoper 1.20 3.03 N/A 0.19 4.42 N/A XXX 76986 26 A Ultrasound guide intraoper 1.20 0.41 0.41 0.07 1.68 1.68 XXX 76986 TC A Ultrasound guide intraoper 0.00 2.62 N/A 0.12 2.74 N/A XXX 76999 C Echo examination procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76999 26 C Echo examination procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76999 TC C Echo examination procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77261 A Radiation therapy planning 1.39 0.52 0.52 0.06 1.97 1.97 XXX 77262 A Radiation therapy planning 2.11 0.77 0.77 0.09 2.97 2.97 XXX 77263 A Radiation therapy planning 3.14 1.13 1.13 0.13 4.40 4.40 XXX 77280 A Set radiation therapy field 0.70 3.70 N/A 0.18 4.58 N/A XXX 77280 26 A Set radiation therapy field 0.70 0.23 0.23 0.03 0.96 0.96 XXX 77280 TC A Set radiation therapy field 0.00 3.47 N/A 0.15 3.62 N/A XXX 77285 A Set radiation therapy field 1.05 5.91 N/A 0.29 7.25 N/A XXX 77285 26 A Set radiation therapy field 1.05 0.34 0.34 0.04 1.43 1.43 XXX 77285 TC A Set radiation therapy field 0.00 5.57 N/A 0.25 5.82 N/A XXX 77290 A Set radiation therapy field 1.56 7.01 N/A 0.35 8.92 N/A XXX 77290 26 A Set radiation therapy field 1.56 0.50 0.50 0.06 2.12 2.12 XXX Start Printed Page 49199 77290 TC A Set radiation therapy field 0.00 6.51 N/A 0.29 6.80 N/A XXX 77295 A Set radiation therapy field 4.57 29.41 N/A 1.41 35.39 N/A XXX 77295 26 A Set radiation therapy field 4.57 1.48 1.48 0.18 6.23 6.23 XXX 77295 TC A Set radiation therapy field 0.00 27.94 N/A 1.23 29.17 N/A XXX 77299 C Radiation therapy planning 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77299 26 C Radiation therapy planning 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77299 TC C Radiation therapy planning 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77300 A Radiation therapy dose plan 0.62 1.54 N/A 0.09 2.25 N/A XXX 77300 26 A Radiation therapy dose plan 0.62 0.20 0.20 0.03 0.85 0.85 XXX 77300 TC A Radiation therapy dose plan 0.00 1.34 N/A 0.06 1.40 N/A XXX 77301 A Radiotherapy dose plan, imrt 8.00 30.52 N/A 1.41 39.93 N/A XXX 77301 26 A Radiotherapy dose plan, imrt 8.00 2.59 2.59 0.18 10.77 10.77 XXX 77301 TC A Radiotherapy dose plan, imrt 0.00 27.94 N/A 1.23 29.17 N/A XXX 77305 A Teletx isodose plan simple 0.70 2.08 N/A 0.12 2.90 N/A XXX 77305 26 A Teletx isodose plan simple 0.70 0.23 0.23 0.03 0.96 0.96 XXX 77305 TC A Teletx isodose plan simple 0.00 1.86 N/A 0.09 1.95 N/A XXX 77310 A Teletx isodose plan intermed 1.05 2.67 N/A 0.15 3.87 N/A XXX 77310 26 A Teletx isodose plan intermed 1.05 0.34 0.34 0.04 1.43 1.43 XXX 77310 TC A Teletx isodose plan intermed 0.00 2.33 N/A 0.11 2.44 N/A XXX 77315 A Teletx isodose plan complex 1.56 3.16 N/A 0.18 4.90 N/A XXX 77315 26 A Teletx isodose plan complex 1.56 0.50 0.50 0.06 2.12 2.12 XXX 77315 TC A Teletx isodose plan complex 0.00 2.66 N/A 0.12 2.78 N/A XXX 77321 A Special teletx port plan 0.95 4.35 N/A 0.21 5.51 N/A XXX 77321 26 A Special teletx port plan 0.95 0.31 0.31 0.04 1.30 1.30 XXX 77321 TC A Special teletx port plan 0.00 4.04 N/A 0.17 4.21 N/A XXX 77326 A Brachytx isodose calc simp 0.93 2.66 N/A 0.15 3.74 N/A XXX 77326 26 A Brachytx isodose calc simp 0.93 0.30 0.30 0.04 1.27 1.27 XXX 77326 TC A Brachytx isodose calc simp 0.00 2.36 N/A 0.11 2.47 N/A XXX 77327 A Brachytx isodose calc interm 1.39 3.92 N/A 0.21 5.52 N/A XXX 77327 26 A Brachytx isodose calc interm 1.39 0.45 0.45 0.06 1.90 1.90 XXX 77327 TC A Brachytx isodose calc interm 0.00 3.47 N/A 0.15 3.62 N/A XXX 77328 A Brachytx isodose plan compl 2.09 5.64 N/A 0.30 8.03 N/A XXX 77328 26 A Brachytx isodose plan compl 2.09 0.68 0.68 0.09 2.86 2.86 XXX 77328 TC A Brachytx isodose plan compl 0.00 4.96 N/A 0.21 5.17 N/A XXX 77331 A Special radiation dosimetry 0.87 0.78 N/A 0.06 1.71 N/A XXX 77331 26 A Special radiation dosimetry 0.87 0.28 0.28 0.04 1.19 1.19 XXX 77331 TC A Special radiation dosimetry 0.00 0.50 N/A 0.02 0.52 N/A XXX 77332 A Radiation treatment aid(s) 0.54 1.52 N/A 0.08 2.14 N/A XXX 77332 26 A Radiation treatment aid(s) 0.54 0.17 0.17 0.02 0.73 0.73 XXX 77332 TC A Radiation treatment aid(s) 0.00 1.34 N/A 0.06 1.40 N/A XXX 77333 A Radiation treatment aid(s) 0.84 2.17 N/A 0.13 3.14 N/A XXX 77333 26 A Radiation treatment aid(s) 0.84 0.27 0.27 0.04 1.15 1.15 XXX Start Printed Page 49200 77333 TC A Radiation treatment aid(s) 0.00 1.90 N/A 0.09 1.99 N/A XXX 77334 A Radiation treatment aid(s) 1.24 3.65 N/A 0.19 5.08 N/A XXX 77334 26 A Radiation treatment aid(s) 1.24 0.40 0.40 0.05 1.69 1.69 XXX 77334 TC A Radiation treatment aid(s) 0.00 3.25 N/A 0.14 3.39 N/A XXX 77336 A Radiation physics consult 0.00 2.98 N/A 0.13 3.11 N/A XXX 77370 A Radiation physics consult 0.00 3.49 N/A 0.15 3.64 N/A XXX 77399 C External radiation dosimetry 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77399 26 C External radiation dosimetry 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77399 TC C External radiation dosimetry 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77401 A Radiation treatment delivery 0.00 1.77 N/A 0.09 1.86 N/A XXX 77402 A Radiation treatment delivery 0.00 1.77 N/A 0.09 1.86 N/A XXX 77403 A Radiation treatment delivery 0.00 1.77 N/A 0.09 1.86 N/A XXX 77404 A Radiation treatment delivery 0.00 1.77 N/A 0.09 1.86 N/A XXX 77406 A Radiation treatment delivery 0.00 1.77 N/A 0.09 1.86 N/A XXX 77407 A Radiation treatment delivery 0.00 2.09 N/A 0.10 2.19 N/A XXX 77408 A Radiation treatment delivery 0.00 2.09 N/A 0.10 2.19 N/A XXX 77409 A Radiation treatment delivery 0.00 2.09 N/A 0.10 2.19 N/A XXX 77411 A Radiation treatment delivery 0.00 2.09 N/A 0.10 2.19 N/A XXX 77412 A Radiation treatment delivery 0.00 2.33 N/A 0.11 2.44 N/A XXX 77413 A Radiation treatment delivery 0.00 2.33 N/A 0.11 2.44 N/A XXX 77414 A Radiation treatment delivery 0.00 2.33 N/A 0.11 2.44 N/A XXX 77416 A Radiation treatment delivery 0.00 2.33 N/A 0.11 2.44 N/A XXX 77417 A Radiology port film(s) 0.00 0.59 N/A 0.03 0.62 N/A XXX 77418 A Radiation tx delivery, imrt 0.00 11.61 N/A 0.11 11.72 N/A XXX 77427 A Radiation tx management, x5 3.31 1.07 1.07 0.14 4.52 4.52 XXX 77431 A Radiation therapy management 1.81 0.69 0.69 0.07 2.57 2.57 XXX 77432 A Stereotactic radiation trmt 7.93 2.95 2.95 0.33 11.21 11.21 XXX 77470 A Special radiation treatment 2.09 11.82 N/A 0.58 14.49 N/A XXX 77470 26 A Special radiation treatment 2.09 0.67 0.67 0.09 2.85 2.85 XXX 77470 TC A Special radiation treatment 0.00 11.15 N/A 0.49 11.64 N/A XXX 77499 C Radiation therapy management 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77499 26 C Radiation therapy management 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77499 TC C Radiation therapy management 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77520 C Proton trmt, simple w/o comp 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77522 C Proton trmt, simple w/comp 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77523 C Proton trmt, intermediate 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77525 C Proton treatment, complex 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77600 R Hyperthermia treatment 1.56 3.55 N/A 0.21 5.32 N/A XXX 77600 26 R Hyperthermia treatment 1.56 0.50 0.50 0.08 2.14 2.14 XXX 77600 TC R Hyperthermia treatment 0.00 3.05 N/A 0.13 3.18 N/A XXX 77605 R Hyperthermia treatment 2.09 4.73 N/A 0.31 7.13 N/A XXX 77605 26 R Hyperthermia treatment 2.09 0.67 0.67 0.13 2.89 2.89 XXX 77605 TC R Hyperthermia treatment 0.00 4.06 N/A 0.18 4.24 N/A XXX Start Printed Page 49201 77610 R Hyperthermia treatment 1.56 3.56 N/A 0.20 5.32 N/A XXX 77610 26 R Hyperthermia treatment 1.56 0.52 0.52 0.07 2.15 2.15 XXX 77610 TC R Hyperthermia treatment 0.00 3.05 N/A 0.13 3.18 N/A XXX 77615 R Hyperthermia treatment 2.09 4.73 N/A 0.27 7.09 N/A XXX 77615 26 R Hyperthermia treatment 2.09 0.67 0.67 0.09 2.85 2.85 XXX 77615 TC R Hyperthermia treatment 0.00 4.06 N/A 0.18 4.24 N/A XXX 77620 R Hyperthermia treatment 1.56 3.57 N/A 0.19 5.32 N/A XXX 77620 26 R Hyperthermia treatment 1.56 0.53 0.53 0.06 2.15 2.15 XXX 77620 TC R Hyperthermia treatment 0.00 3.05 N/A 0.13 3.18 N/A XXX 77750 A Infuse radioactive materials 4.91 2.93 N/A 0.23 8.07 N/A 090 77750 26 A Infuse radioactive materials 4.91 1.60 1.60 0.17 6.68 6.68 090 77750 TC A Infuse radioactive materials 0.00 1.33 N/A 0.06 1.39 N/A 090 77761 A Apply intrcav radiat simple 3.81 3.62 N/A 0.28 7.71 N/A 090 77761 26 A Apply intrcav radiat simple 3.81 1.11 1.11 0.16 5.08 5.08 090 77761 TC A Apply intrcav radiat simple 0.00 2.50 N/A 0.12 2.62 N/A 090 77762 A Apply intrcav radiat interm 5.72 5.46 N/A 0.38 11.56 N/A 090 77762 26 A Apply intrcav radiat interm 5.72 1.86 1.86 0.22 7.80 7.80 090 77762 TC A Apply intrcav radiat interm 0.00 3.61 N/A 0.16 3.77 N/A 090 77763 A Apply intrcav radiat compl 8.57 7.26 N/A 0.53 16.36 N/A 090 77763 26 A Apply intrcav radiat compl 8.57 2.77 2.77 0.34 11.68 11.68 090 77763 TC A Apply intrcav radiat compl 0.00 4.49 N/A 0.19 4.68 N/A 090 77776 A Apply interstit radiat simpl 4.66 3.14 N/A 0.35 8.15 N/A 090 77776 26 A Apply interstit radiat simpl 4.66 0.97 0.97 0.24 5.87 5.87 090 77776 TC A Apply interstit radiat simpl 0.00 2.18 N/A 0.11 2.29 N/A 090 77777 A Apply interstit radiat inter 7.48 6.63 N/A 0.50 14.61 N/A 090 77777 26 A Apply interstit radiat inter 7.48 2.39 2.39 0.32 10.19 10.19 090 77777 TC A Apply interstit radiat inter 0.00 4.24 N/A 0.18 4.42 N/A 090 77778 A Apply interstit radiat compl 11.19 8.74 N/A 0.69 20.62 N/A 090 77778 26 A Apply interstit radiat compl 11.19 3.61 3.61 0.47 15.27 15.27 090 77778 TC A Apply interstit radiat compl 0.00 5.14 N/A 0.22 5.36 N/A 090 77781 A High intensity brachytherapy 1.66 20.85 N/A 0.95 23.46 N/A 090 77781 26 A High intensity brachytherapy 1.66 0.54 0.54 0.07 2.27 2.27 090 77781 TC A High intensity brachytherapy 0.00 20.31 N/A 0.88 21.19 N/A 090 77782 A High intensity brachytherapy 2.49 21.11 N/A 0.98 24.58 N/A 090 77782 26 A High intensity brachytherapy 2.49 0.81 0.81 0.10 3.40 3.40 090 77782 TC A High intensity brachytherapy 0.00 20.31 N/A 0.88 21.19 N/A 090 77783 A High intensity brachytherapy 3.73 21.51 N/A 1.03 26.27 N/A 090 77783 26 A High intensity brachytherapy 3.73 1.20 1.20 0.15 5.08 5.08 090 77783 TC A High intensity brachytherapy 0.00 20.31 N/A 0.88 21.19 N/A 090 77784 A High intensity brachytherapy 5.61 22.11 N/A 1.10 28.82 N/A 090 77784 26 A High intensity brachytherapy 5.61 1.81 1.81 0.22 7.64 7.64 090 77784 TC A High intensity brachytherapy 0.00 20.31 N/A 0.88 21.19 N/A 090 77789 A Apply surface radiation 1.12 0.83 N/A 0.05 2.00 N/A 000 77789 26 A Apply surface radiation 1.12 0.37 0.37 0.03 1.52 1.52 000 77789 TC A Apply surface radiation 0.00 0.45 N/A 0.02 0.47 N/A 000 77790 A Radiation handling 1.05 0.84 N/A 0.06 1.95 N/A XXX 77790 26 A Radiation handling 1.05 0.34 0.34 0.04 1.43 1.43 XXX 77790 TC A Radiation handling 0.00 0.50 N/A 0.02 0.52 N/A XXX 77799 C Radium/radioisotope therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49202 77799 26 C Radium/radioisotope therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77799 TC C Radium/radioisotope therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78000 A Thyroid, single uptake 0.19 1.03 N/A 0.06 1.28 N/A XXX 78000 26 A Thyroid, single uptake 0.19 0.07 0.07 0.01 0.27 0.27 XXX 78000 TC A Thyroid, single uptake 0.00 0.97 N/A 0.05 1.02 N/A XXX 78001 A Thyroid, multiple uptakes 0.26 1.40 N/A 0.07 1.73 N/A XXX 78001 26 A Thyroid, multiple uptakes 0.26 0.09 0.09 0.01 0.36 0.36 XXX 78001 TC A Thyroid, multiple uptakes 0.00 1.31 N/A 0.06 1.37 N/A XXX 78003 A Thyroid suppress/stimul 0.33 1.08 N/A 0.06 1.47 N/A XXX 78003 26 A Thyroid suppress/stimul 0.33 0.11 0.11 0.01 0.45 0.45 XXX 78003 TC A Thyroid suppress/stimul 0.00 0.97 N/A 0.05 1.02 N/A XXX 78006 A Thyroid imaging with uptake 0.49 2.55 N/A 0.13 3.17 N/A XXX 78006 26 A Thyroid imaging with uptake 0.49 0.17 0.17 0.02 0.68 0.68 XXX 78006 TC A Thyroid imaging with uptake 0.00 2.38 N/A 0.11 2.49 N/A XXX 78007 A Thyroid image, mult uptakes 0.50 2.74 N/A 0.14 3.38 N/A XXX 78007 26 A Thyroid image, mult uptakes 0.50 0.17 0.17 0.02 0.69 0.69 XXX 78007 TC A Thyroid image, mult uptakes 0.00 2.57 N/A 0.12 2.69 N/A XXX 78010 A Thyroid imaging 0.39 1.95 N/A 0.11 2.45 N/A XXX 78010 26 A Thyroid imaging 0.39 0.13 0.13 0.02 0.54 0.54 XXX 78010 TC A Thyroid imaging 0.00 1.82 N/A 0.09 1.91 N/A XXX 78011 A Thyroid imaging with flow 0.45 2.56 N/A 0.13 3.14 N/A XXX 78011 26 A Thyroid imaging with flow 0.45 0.16 0.16 0.02 0.63 0.63 XXX 78011 TC A Thyroid imaging with flow 0.00 2.41 N/A 0.11 2.52 N/A XXX 78015 A Thyroid met imaging 0.67 2.80 N/A 0.15 3.62 N/A XXX 78015 26 A Thyroid met imaging 0.67 0.23 0.23 0.03 0.93 0.93 XXX 78015 TC A Thyroid met imaging 0.00 2.57 N/A 0.12 2.69 N/A XXX 78016 A Thyroid met imaging/studies 0.82 3.77 N/A 0.18 4.77 N/A XXX 78016 26 A Thyroid met imaging/studies 0.82 0.29 0.29 0.03 1.14 1.14 XXX 78016 TC A Thyroid met imaging/studies 0.00 3.48 N/A 0.15 3.63 N/A XXX 78018 A Thyroid met imaging, body 0.86 5.73 N/A 0.27 6.86 N/A XXX 78018 26 A Thyroid met imaging, body 0.86 0.30 0.30 0.03 1.19 1.19 XXX 78018 TC A Thyroid met imaging, body 0.00 5.43 N/A 0.24 5.67 N/A XXX 78020 A Thyroid met uptake 0.60 1.52 N/A 0.14 2.26 N/A ZZZ 78020 26 A Thyroid met uptake 0.60 0.21 0.21 0.02 0.83 0.83 ZZZ 78020 TC A Thyroid met uptake 0.00 1.31 N/A 0.12 1.43 N/A ZZZ 78070 A Parathyroid nuclear imaging 0.82 2.10 N/A 0.12 3.04 N/A XXX 78070 26 A Parathyroid nuclear imaging 0.82 0.28 0.28 0.03 1.13 1.13 XXX 78070 TC A Parathyroid nuclear imaging 0.00 1.82 N/A 0.09 1.91 N/A XXX 78075 A Adrenal nuclear imaging 0.74 5.69 N/A 0.27 6.70 N/A XXX 78075 26 A Adrenal nuclear imaging 0.74 0.27 0.27 0.03 1.04 1.04 XXX 78075 TC A Adrenal nuclear imaging 0.00 5.43 N/A 0.24 5.67 N/A XXX 78099 C Endocrine nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78099 26 C Endocrine nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78099 TC C Endocrine nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78102 A Bone marrow imaging, ltd 0.55 2.24 N/A 0.12 2.91 N/A XXX 78102 26 A Bone marrow imaging, ltd 0.55 0.20 0.20 0.02 0.77 0.77 XXX 78102 TC A Bone marrow imaging, ltd 0.00 2.04 N/A 0.10 2.14 N/A XXX 78103 A Bone marrow imaging, mult 0.75 3.43 N/A 0.17 4.35 N/A XXX Start Printed Page 49203 78103 26 A Bone marrow imaging, mult 0.75 0.26 0.26 0.03 1.04 1.04 XXX 78103 TC A Bone marrow imaging, mult 0.00 3.17 N/A 0.14 3.31 N/A XXX 78104 A Bone marrow imaging, body 0.80 4.35 N/A 0.21 5.36 N/A XXX 78104 26 A Bone marrow imaging, body 0.80 0.28 0.28 0.03 1.11 1.11 XXX 78104 TC A Bone marrow imaging, body 0.00 4.07 N/A 0.18 4.25 N/A XXX 78110 A Plasma volume, single 0.19 1.02 N/A 0.06 1.27 N/A XXX 78110 26 A Plasma volume, single 0.19 0.07 0.07 0.01 0.27 0.27 XXX 78110 TC A Plasma volume, single 0.00 0.95 N/A 0.05 1.00 N/A XXX 78111 A Plasma volume, multiple 0.22 2.65 N/A 0.13 3.00 N/A XXX 78111 26 A Plasma volume, multiple 0.22 0.08 0.08 0.01 0.31 0.31 XXX 78111 TC A Plasma volume, multiple 0.00 2.57 N/A 0.12 2.69 N/A XXX 78120 A Red cell mass, single 0.23 1.81 N/A 0.10 2.14 N/A XXX 78120 26 A Red cell mass, single 0.23 0.08 0.08 0.01 0.32 0.32 XXX 78120 TC A Red cell mass, single 0.00 1.73 N/A 0.09 1.82 N/A XXX 78121 A Red cell mass, multiple 0.32 3.03 N/A 0.13 3.48 N/A XXX 78121 26 A Red cell mass, multiple 0.32 0.12 0.12 0.01 0.45 0.45 XXX 78121 TC A Red cell mass, multiple 0.00 2.91 N/A 0.12 3.03 N/A XXX 78122 A Blood volume 0.45 4.76 N/A 0.22 5.43 N/A XXX 78122 26 A Blood volume 0.45 0.16 0.16 0.02 0.63 0.63 XXX 78122 TC A Blood volume 0.00 4.60 N/A 0.20 4.80 N/A XXX 78130 A Red cell survival study 0.61 3.07 N/A 0.15 3.83 N/A XXX 78130 26 A Red cell survival study 0.61 0.21 0.21 0.03 0.85 0.85 XXX 78130 TC A Red cell survival study 0.00 2.85 N/A 0.12 2.97 N/A XXX 78135 A Red cell survival kinetics 0.64 5.10 N/A 0.24 5.98 N/A XXX 78135 26 A Red cell survival kinetics 0.64 0.22 0.22 0.03 0.89 0.89 XXX 78135 TC A Red cell survival kinetics 0.00 4.87 N/A 0.21 5.08 N/A XXX 78140 A Red cell sequestration 0.61 4.14 N/A 0.20 4.95 N/A XXX 78140 26 A Red cell sequestration 0.61 0.21 0.21 0.03 0.85 0.85 XXX 78140 TC A Red cell sequestration 0.00 3.94 N/A 0.17 4.11 N/A XXX 78160 A Plasma iron turnover 0.33 3.79 N/A 0.19 4.31 N/A XXX 78160 26 A Plasma iron turnover 0.33 0.12 0.12 0.03 0.48 0.48 XXX 78160 TC A Plasma iron turnover 0.00 3.67 N/A 0.16 3.83 N/A XXX 78162 A Radioiron absorption exam 0.45 3.39 N/A 0.15 3.99 N/A XXX 78162 26 A Radioiron absorption exam 0.45 0.19 0.19 0.01 0.65 0.65 XXX 78162 TC A Radioiron absorption exam 0.00 3.20 N/A 0.14 3.34 N/A XXX 78170 A Red cell iron utilization 0.41 5.45 N/A 0.27 6.13 N/A XXX 78170 26 A Red cell iron utilization 0.41 0.14 0.14 0.04 0.59 0.59 XXX 78170 TC A Red cell iron utilization 0.00 5.31 N/A 0.23 5.54 N/A XXX 78172 C Total body iron estimation 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78172 26 A Total body iron estimation 0.53 0.18 0.18 0.02 0.73 0.73 XXX 78172 TC C Total body iron estimation 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78185 A Spleen imaging 0.40 2.50 N/A 0.13 3.03 N/A XXX 78185 26 A Spleen imaging 0.40 0.14 0.14 0.02 0.56 0.56 XXX 78185 TC A Spleen imaging 0.00 2.36 N/A 0.11 2.47 N/A XXX 78190 A Platelet survival, kinetics 1.09 6.10 N/A 0.31 7.50 N/A XXX 78190 26 A Platelet survival, kinetics 1.09 0.39 0.39 0.06 1.54 1.54 XXX 78190 TC A Platelet survival, kinetics 0.00 5.72 N/A 0.25 5.97 N/A XXX 78191 A Platelet survival 0.61 7.55 N/A 0.34 8.50 N/A XXX 78191 26 A Platelet survival 0.61 0.21 0.21 0.03 0.85 0.85 XXX 78191 TC A Platelet survival 0.00 7.34 N/A 0.31 7.65 N/A XXX 78195 A Lymph system imaging 1.20 4.49 N/A 0.23 5.92 N/A XXX 78195 26 A Lymph system imaging 1.20 0.42 0.42 0.05 1.67 1.67 XXX 78195 TC A Lymph system imaging 0.00 4.07 N/A 0.18 4.25 N/A XXX 78199 C Blood/lymph nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78199 26 C Blood/lymph nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78199 TC C Blood/lymph nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78201 A Liver imaging 0.44 2.51 N/A 0.13 3.08 N/A XXX 78201 26 A Liver imaging 0.44 0.15 0.15 0.02 0.61 0.61 XXX 78201 TC A Liver imaging 0.00 2.36 N/A 0.11 2.47 N/A XXX 78202 A Liver imaging with flow 0.51 3.06 N/A 0.14 3.71 N/A XXX 78202 26 A Liver imaging with flow 0.51 0.18 0.18 0.02 0.71 0.71 XXX Start Printed Page 49204 78202 TC A Liver imaging with flow 0.00 2.88 N/A 0.12 3.00 N/A XXX 78205 A Liver imaging (3D) 0.71 6.16 N/A 0.29 7.16 N/A XXX 78205 26 A Liver imaging (3D) 0.71 0.25 0.25 0.03 0.99 0.99 XXX 78205 TC A Liver imaging (3D) 0.00 5.91 N/A 0.26 6.17 N/A XXX 78206 A Liver image (3d) with flow 0.96 6.25 N/A 0.13 7.34 N/A XXX 78206 26 A Liver image (3d) with flow 0.96 0.34 0.34 0.04 1.34 1.34 XXX 78206 TC A Liver image (3d) with flow 0.00 5.91 N/A 0.09 6.00 N/A XXX 78215 A Liver and spleen imaging 0.49 3.11 N/A 0.14 3.74 N/A XXX 78215 26 A Liver and spleen imaging 0.49 0.17 0.17 0.02 0.68 0.68 XXX 78215 TC A Liver and spleen imaging 0.00 2.94 N/A 0.12 3.06 N/A XXX 78216 A Liver & spleen image/flow 0.57 3.68 N/A 0.17 4.42 N/A XXX 78216 26 A Liver & spleen image/flow 0.57 0.20 0.20 0.02 0.79 0.79 XXX 78216 TC A Liver & spleen image/flow 0.00 3.48 N/A 0.15 3.63 N/A XXX 78220 A Liver function study 0.49 3.89 N/A 0.18 4.56 N/A XXX 78220 26 A Liver function study 0.49 0.17 0.17 0.02 0.68 0.68 XXX 78220 TC A Liver function study 0.00 3.72 N/A 0.16 3.88 N/A XXX 78223 A Hepatobiliary imaging 0.84 3.95 N/A 0.20 4.99 N/A XXX 78223 26 A Hepatobiliary imaging 0.84 0.29 0.29 0.04 1.17 1.17 XXX 78223 TC A Hepatobiliary imaging 0.00 3.67 N/A 0.16 3.83 N/A XXX 78230 A Salivary gland imaging 0.45 2.33 N/A 0.13 2.91 N/A XXX 78230 26 A Salivary gland imaging 0.45 0.15 0.15 0.02 0.62 0.62 XXX 78230 TC A Salivary gland imaging 0.00 2.18 N/A 0.11 2.29 N/A XXX 78231 A Serial salivary imaging 0.52 3.36 N/A 0.16 4.04 N/A XXX 78231 26 A Serial salivary imaging 0.52 0.19 0.19 0.02 0.73 0.73 XXX 78231 TC A Serial salivary imaging 0.00 3.17 N/A 0.14 3.31 N/A XXX 78232 A Salivary gland function exam 0.47 3.71 N/A 0.16 4.34 N/A XXX 78232 26 A Salivary gland function exam 0.47 0.17 0.17 0.01 0.65 0.65 XXX 78232 TC A Salivary gland function exam 0.00 3.54 N/A 0.15 3.69 N/A XXX 78258 A Esophageal motility study 0.74 3.13 N/A 0.15 4.02 N/A XXX 78258 26 A Esophageal motility study 0.74 0.25 0.25 0.03 1.02 1.02 XXX 78258 TC A Esophageal motility study 0.00 2.88 N/A 0.12 3.00 N/A XXX 78261 A Gastric mucosa imaging 0.69 4.35 N/A 0.21 5.25 N/A XXX 78261 26 A Gastric mucosa imaging 0.69 0.25 0.25 0.03 0.97 0.97 XXX 78261 TC A Gastric mucosa imaging 0.00 4.10 N/A 0.18 4.28 N/A XXX 78262 A Gastroesophageal reflux exam 0.68 4.49 N/A 0.21 5.38 N/A XXX 78262 26 A Gastroesophageal reflux exam 0.68 0.24 0.24 0.03 0.95 0.95 XXX 78262 TC A Gastroesophageal reflux exam 0.00 4.26 N/A 0.18 4.44 N/A XXX 78264 A Gastric emptying study 0.78 4.40 N/A 0.21 5.39 N/A XXX 78264 26 A Gastric emptying study 0.78 0.27 0.27 0.03 1.08 1.08 XXX 78264 TC A Gastric emptying study 0.00 4.13 N/A 0.18 4.31 N/A XXX 78270 A Vit B-12 absorption exam 0.20 1.62 N/A 0.09 1.91 N/A XXX 78270 26 A Vit B-12 absorption exam 0.20 0.07 0.07 0.01 0.28 0.28 XXX 78270 TC A Vit B-12 absorption exam 0.00 1.55 N/A 0.08 1.63 N/A XXX 78271 A Vit b-12 absrp exam, int fac 0.20 1.71 N/A 0.09 2.00 N/A XXX 78271 26 A Vit b-12 absrp exam, int fac 0.20 0.07 0.07 0.01 0.28 0.28 XXX 78271 TC A Vit b-12 absrp exam, int fac 0.00 1.64 N/A 0.08 1.72 N/A XXX 78272 A Vit B-12 absorp, combined 0.27 2.42 N/A 0.12 2.81 N/A XXX 78272 26 A Vit B-12 absorp, combined 0.27 0.10 0.10 0.01 0.38 0.38 XXX 78272 TC A Vit B-12 absorp, combined 0.00 2.32 N/A 0.11 2.43 N/A XXX 78278 A Acute GI blood loss imaging 0.99 5.21 N/A 0.25 6.45 N/A XXX 78278 26 A Acute GI blood loss imaging 0.99 0.34 0.34 0.04 1.37 1.37 XXX 78278 TC A Acute GI blood loss imaging 0.00 4.87 N/A 0.21 5.08 N/A XXX 78282 C GI protein loss exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78282 26 A GI protein loss exam 0.38 0.13 0.13 0.02 0.53 0.53 XXX Start Printed Page 49205 78282 TC C GI protein loss exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78290 A Meckel's divert exam 0.68 3.28 N/A 0.16 4.12 N/A XXX 78290 26 A Meckel's divert exam 0.68 0.23 0.23 0.03 0.94 0.94 XXX 78290 TC A Meckel's divert exam 0.00 3.05 N/A 0.13 3.18 N/A XXX 78291 A Leveen/shunt patency exam 0.88 3.37 N/A 0.17 4.42 N/A XXX 78291 26 A Leveen/shunt patency exam 0.88 0.31 0.31 0.04 1.23 1.23 XXX 78291 TC A Leveen/shunt patency exam 0.00 3.07 N/A 0.13 3.20 N/A XXX 78299 C GI nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78299 26 C GI nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78299 TC C GI nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78300 A Bone imaging, limited area 0.62 2.70 N/A 0.15 3.47 N/A XXX 78300 26 A Bone imaging, limited area 0.62 0.21 0.21 0.03 0.86 0.86 XXX 78300 TC A Bone imaging, limited area 0.00 2.49 N/A 0.12 2.61 N/A XXX 78305 A Bone imaging, multiple areas 0.83 3.95 N/A 0.19 4.97 N/A XXX 78305 26 A Bone imaging, multiple areas 0.83 0.28 0.28 0.03 1.14 1.14 XXX 78305 TC A Bone imaging, multiple areas 0.00 3.67 N/A 0.16 3.83 N/A XXX 78306 A Bone imaging, whole body 0.86 4.57 N/A 0.22 5.65 N/A XXX 78306 26 A Bone imaging, whole body 0.86 0.29 0.29 0.04 1.19 1.19 XXX 78306 TC A Bone imaging, whole body 0.00 4.27 N/A 0.18 4.45 N/A XXX 78315 A Bone imaging, 3 phase 1.02 5.13 N/A 0.25 6.40 N/A XXX 78315 26 A Bone imaging, 3 phase 1.02 0.35 0.35 0.04 1.41 1.41 XXX 78315 TC A Bone imaging, 3 phase 0.00 4.78 N/A 0.21 4.99 N/A XXX 78320 A Bone imaging (3D) 1.04 6.28 N/A 0.30 7.62 N/A XXX 78320 26 A Bone imaging (3D) 1.04 0.37 0.37 0.04 1.45 1.45 XXX 78320 TC A Bone imaging (3D) 0.00 5.91 N/A 0.26 6.17 N/A XXX 78350 A Bone mineral, single photon 0.22 0.83 N/A 0.05 1.10 N/A XXX 78350 26 A Bone mineral, single photon 0.22 0.08 0.08 0.01 0.31 0.31 XXX 78350 TC A Bone mineral, single photon 0.00 0.75 N/A 0.04 0.79 N/A XXX 78351 N Bone mineral, dual photon 0.30 1.76 0.12 0.01 2.07 0.43 XXX 78399 C Musculoskeletal nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78399 26 C Musculoskeletal nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78399 TC C Musculoskeletal nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78414 C Non-imaging heart function 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78414 26 A Non-imaging heart function 0.45 0.16 0.16 0.02 0.63 0.63 XXX 78414 TC C Non-imaging heart function 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78428 A Cardiac shunt imaging 0.78 2.55 N/A 0.14 3.47 N/A XXX 78428 26 A Cardiac shunt imaging 0.78 0.30 0.30 0.03 1.11 1.11 XXX 78428 TC A Cardiac shunt imaging 0.00 2.25 N/A 0.11 2.36 N/A XXX 78445 A Vascular flow imaging 0.49 2.03 N/A 0.11 2.63 N/A XXX 78445 26 A Vascular flow imaging 0.49 0.17 0.17 0.02 0.68 0.68 XXX 78445 TC A Vascular flow imaging 0.00 1.86 N/A 0.09 1.95 N/A XXX 78455 A Venous thrombosis study 0.73 4.24 N/A 0.20 5.17 N/A XXX 78455 26 A Venous thrombosis study 0.73 0.25 0.25 0.03 1.01 1.01 XXX 78455 TC A Venous thrombosis study 0.00 3.98 N/A 0.17 4.15 N/A XXX 78456 A Acute venous thrombus image 1.00 4.34 N/A 0.28 5.62 N/A XXX 78456 26 A Acute venous thrombus image 1.00 0.35 0.35 0.04 1.39 1.39 XXX 78456 TC A Acute venous thrombus image 0.00 3.98 N/A 0.24 4.22 N/A XXX Start Printed Page 49206 78457 A Venous thrombosis imaging 0.77 2.92 N/A 0.15 3.84 N/A XXX 78457 26 A Venous thrombosis imaging 0.77 0.27 0.27 0.03 1.07 1.07 XXX 78457 TC A Venous thrombosis imaging 0.00 2.66 N/A 0.12 2.78 N/A XXX 78458 A Ven thrombosis images, bilat 0.90 4.35 N/A 0.20 5.45 N/A XXX 78458 26 A Ven thrombosis images, bilat 0.90 0.33 0.33 0.03 1.26 1.26 XXX 78458 TC A Ven thrombosis images, bilat 0.00 4.02 N/A 0.17 4.19 N/A XXX 78459 C Heart muscle imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78459 26 R Heart muscle imaging (PET) 1.50 0.58 0.58 0.04 2.12 2.12 XXX 78459 TC C Heart muscle imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78460 A Heart muscle blood, single 0.86 2.66 N/A 0.14 3.66 N/A XXX 78460 26 A Heart muscle blood, single 0.86 0.30 0.30 0.03 1.19 1.19 XXX 78460 TC A Heart muscle blood, single 0.00 2.36 N/A 0.11 2.47 N/A XXX 78461 A Heart muscle blood, multiple 1.23 5.16 N/A 0.26 6.65 N/A XXX 78461 26 A Heart muscle blood, multiple 1.23 0.44 0.44 0.05 1.72 1.72 XXX 78461 TC A Heart muscle blood, multiple 0.00 4.72 N/A 0.21 4.93 N/A XXX 78464 A Heart image (3d), single 1.09 7.46 N/A 0.35 8.90 N/A XXX 78464 26 A Heart image (3d), single 1.09 0.39 0.39 0.04 1.52 1.52 XXX 78464 TC A Heart image (3d), single 0.00 7.07 N/A 0.31 7.38 N/A XXX 78465 A Heart image (3d), multiple 1.46 12.33 N/A 0.56 14.35 N/A XXX 78465 26 A Heart image (3d), multiple 1.46 0.53 0.53 0.05 2.04 2.04 XXX 78465 TC A Heart image (3d), multiple 0.00 11.80 N/A 0.51 12.31 N/A XXX 78466 A Heart infarct image 0.69 2.87 N/A 0.15 3.71 N/A XXX 78466 26 A Heart infarct image 0.69 0.25 0.25 0.03 0.97 0.97 XXX 78466 TC A Heart infarct image 0.00 2.62 N/A 0.12 2.74 N/A XXX 78468 A Heart infarct image (ef) 0.80 3.95 N/A 0.19 4.94 N/A XXX 78468 26 A Heart infarct image (ef) 0.80 0.28 0.28 0.03 1.11 1.11 XXX 78468 TC A Heart infarct image (ef) 0.00 3.67 N/A 0.16 3.83 N/A XXX 78469 A Heart infarct image (3D) 0.92 5.54 N/A 0.26 6.72 N/A XXX 78469 26 A Heart infarct image (3D) 0.92 0.32 0.32 0.03 1.27 1.27 XXX 78469 TC A Heart infarct image (3D) 0.00 5.22 N/A 0.23 5.45 N/A XXX 78472 A Gated heart, planar, single 0.98 5.86 N/A 0.29 7.13 N/A XXX 78472 26 A Gated heart, planar, single 0.98 0.35 0.35 0.04 1.37 1.37 XXX 78472 TC A Gated heart, planar, single 0.00 5.51 N/A 0.25 5.76 N/A XXX 78473 A Gated heart, multiple 1.47 8.78 N/A 0.40 10.65 N/A XXX 78473 26 A Gated heart, multiple 1.47 0.52 0.52 0.05 2.04 2.04 XXX 78473 TC A Gated heart, multiple 0.00 8.26 N/A 0.35 8.61 N/A XXX 78478 A Heart wall motion add-on 0.62 1.79 N/A 0.10 2.51 N/A XXX 78478 26 A Heart wall motion add-on 0.62 0.23 0.23 0.02 0.87 0.87 XXX 78478 TC A Heart wall motion add-on 0.00 1.56 N/A 0.08 1.64 N/A XXX 78480 A Heart function add-on 0.62 1.79 N/A 0.10 2.51 N/A XXX 78480 26 A Heart function add-on 0.62 0.23 0.23 0.02 0.87 0.87 XXX 78480 TC A Heart function add-on 0.00 1.56 N/A 0.08 1.64 N/A XXX 78481 A Heart first pass, single 0.98 5.59 N/A 0.26 6.83 N/A XXX 78481 26 A Heart first pass, single 0.98 0.37 0.37 0.03 1.38 1.38 XXX 78481 TC A Heart first pass, single 0.00 5.22 N/A 0.23 5.45 N/A XXX 78483 A Heart first pass, multiple 1.47 8.42 N/A 0.39 10.28 N/A XXX 78483 26 A Heart first pass, multiple 1.47 0.55 0.55 0.05 2.07 2.07 XXX 78483 TC A Heart first pass, multiple 0.00 7.87 N/A 0.34 8.21 N/A XXX 78491 I Heart image (pet), single 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78491 26 I Heart image (pet), single 1.50 0.60 0.60 0.05 2.15 2.15 XXX 78491 TC I Heart image (pet), single 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78492 I Heart image (pet), multiple 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78492 26 I Heart image (pet), multiple 1.87 0.75 0.75 0.06 2.68 2.68 XXX 78492 TC I Heart image (pet), multiple 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49207 78494 A Heart image, spect 1.19 7.49 N/A 0.29 8.97 N/A XXX 78494 26 A Heart image, spect 1.19 0.43 0.43 0.04 1.66 1.66 XXX 78494 TC A Heart image, spect 0.00 7.07 N/A 0.25 7.32 N/A XXX 78496 A Heart first pass add-on 0.50 7.25 N/A 0.27 8.02 N/A ZZZ 78496 26 A Heart first pass add-on 0.50 0.19 0.19 0.02 0.71 0.71 ZZZ 78496 TC A Heart first pass add-on 0.00 7.07 N/A 0.25 7.32 N/A ZZZ 78499 C Cardiovascular nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78499 26 C Cardiovascular nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78499 TC C Cardiovascular nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78580 A Lung perfusion imaging 0.74 3.69 N/A 0.18 4.61 N/A XXX 78580 26 A Lung perfusion imaging 0.74 0.25 0.25 0.03 1.02 1.02 XXX 78580 TC A Lung perfusion imaging 0.00 3.43 N/A 0.15 3.58 N/A XXX 78584 A Lung V/Q image single breath 0.99 3.53 N/A 0.18 4.70 N/A XXX 78584 26 A Lung V/Q image single breath 0.99 0.33 0.33 0.04 1.36 1.36 XXX 78584 TC A Lung V/Q image single breath 0.00 3.20 N/A 0.14 3.34 N/A XXX 78585 A Lung V/Q imaging 1.09 6.01 N/A 0.30 7.40 N/A XXX 78585 26 A Lung V/Q imaging 1.09 0.37 0.37 0.05 1.51 1.51 XXX 78585 TC A Lung V/Q imaging 0.00 5.64 N/A 0.25 5.89 N/A XXX 78586 A Aerosol lung image, single 0.40 2.73 N/A 0.14 3.27 N/A XXX 78586 26 A Aerosol lung image, single 0.40 0.13 0.13 0.02 0.55 0.55 XXX 78586 TC A Aerosol lung image, single 0.00 2.59 N/A 0.12 2.71 N/A XXX 78587 A Aerosol lung image, multiple 0.49 2.97 N/A 0.14 3.60 N/A XXX 78587 26 A Aerosol lung image, multiple 0.49 0.17 0.17 0.02 0.68 0.68 XXX 78587 TC A Aerosol lung image, multiple 0.00 2.80 N/A 0.12 2.92 N/A XXX 78588 A Perfusion lung image 1.09 3.57 N/A 0.20 4.86 N/A XXX 78588 26 A Perfusion lung image 1.09 0.37 0.37 0.05 1.51 1.51 XXX 78588 TC A Perfusion lung image 0.00 3.20 N/A 0.15 3.35 N/A XXX 78591 A Vent image, 1 breath, 1 proj 0.40 2.99 N/A 0.14 3.53 N/A XXX 78591 26 A Vent image, 1 breath, 1 proj 0.40 0.14 0.14 0.02 0.56 0.56 XXX 78591 TC A Vent image, 1 breath, 1 proj 0.00 2.85 N/A 0.12 2.97 N/A XXX 78593 A Vent image, 1 proj, gas 0.49 3.62 N/A 0.17 4.28 N/A XXX 78593 26 A Vent image, 1 proj, gas 0.49 0.17 0.17 0.02 0.68 0.68 XXX 78593 TC A Vent image, 1 proj, gas 0.00 3.45 N/A 0.15 3.60 N/A XXX 78594 A Vent image, mult proj, gas 0.53 5.17 N/A 0.23 5.93 N/A XXX 78594 26 A Vent image, mult proj, gas 0.53 0.18 0.18 0.02 0.73 0.73 XXX 78594 TC A Vent image, mult proj, gas 0.00 4.98 N/A 0.21 5.19 N/A XXX 78596 A Lung differential function 1.27 7.50 N/A 0.36 9.13 N/A XXX 78596 26 A Lung differential function 1.27 0.43 0.43 0.05 1.75 1.75 XXX 78596 TC A Lung differential function 0.00 7.07 N/A 0.31 7.38 N/A XXX 78599 C Respiratory nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78599 26 C Respiratory nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78599 TC C Respiratory nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78600 A Brain imaging, ltd static 0.44 3.04 N/A 0.14 3.62 N/A XXX 78600 26 A Brain imaging, ltd static 0.44 0.16 0.16 0.02 0.62 0.62 XXX 78600 TC A Brain imaging, ltd static 0.00 2.88 N/A 0.12 3.00 N/A XXX 78601 A Brain imaging, ltd w/ flow 0.51 3.58 N/A 0.17 4.26 N/A XXX 78601 26 A Brain imaging, ltd w/ flow 0.51 0.18 0.18 0.02 0.71 0.71 XXX 78601 TC A Brain imaging, ltd w/ flow 0.00 3.40 N/A 0.15 3.55 N/A XXX 78605 A Brain imaging, complete 0.53 3.59 N/A 0.17 4.29 N/A XXX 78605 26 A Brain imaging, complete 0.53 0.19 0.19 0.02 0.74 0.74 XXX 78605 TC A Brain imaging, complete 0.00 3.40 N/A 0.15 3.55 N/A XXX 78606 A Brain imaging, compl w/flow 0.64 4.09 N/A 0.20 4.93 N/A XXX Start Printed Page 49208 78606 26 A Brain imaging, compl w/flow 0.64 0.22 0.22 0.03 0.89 0.89 XXX 78606 TC A Brain imaging, compl w/flow 0.00 3.87 N/A 0.17 4.04 N/A XXX 78607 A Brain imaging (3D) 1.23 7.00 N/A 0.34 8.57 N/A XXX 78607 26 A Brain imaging (3D) 1.23 0.44 0.44 0.05 1.72 1.72 XXX 78607 TC A Brain imaging (3D) 0.00 6.56 N/A 0.29 6.85 N/A XXX 78608 N Brain imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78610 A Brain flow imaging only 0.30 1.69 N/A 0.09 2.08 N/A XXX 78610 26 A Brain flow imaging only 0.30 0.11 0.11 0.01 0.42 0.42 XXX 78610 TC A Brain flow imaging only 0.00 1.58 N/A 0.08 1.66 N/A XXX 78615 A Cerebral vascular flow image 0.42 4.00 N/A 0.19 4.61 N/A XXX 78615 26 A Cerebral vascular flow image 0.42 0.16 0.16 0.02 0.60 0.60 XXX 78615 TC A Cerebral vascular flow image 0.00 3.85 N/A 0.17 4.02 N/A XXX 78630 A Cerebrospinal fluid scan 0.68 5.27 N/A 0.25 6.20 N/A XXX 78630 26 A Cerebrospinal fluid scan 0.68 0.23 0.23 0.03 0.94 0.94 XXX 78630 TC A Cerebrospinal fluid scan 0.00 5.04 N/A 0.22 5.26 N/A XXX 78635 A CSF ventriculography 0.61 2.78 N/A 0.14 3.53 N/A XXX 78635 26 A CSF ventriculography 0.61 0.24 0.24 0.02 0.87 0.87 XXX 78635 TC A CSF ventriculography 0.00 2.54 N/A 0.12 2.66 N/A XXX 78645 A CSF shunt evaluation 0.57 3.63 N/A 0.17 4.37 N/A XXX 78645 26 A CSF shunt evaluation 0.57 0.20 0.20 0.02 0.79 0.79 XXX 78645 TC A CSF shunt evaluation 0.00 3.43 N/A 0.15 3.58 N/A XXX 78647 A Cerebrospinal fluid scan 0.90 6.23 N/A 0.29 7.42 N/A XXX 78647 26 A Cerebrospinal fluid scan 0.90 0.32 0.32 0.03 1.25 1.25 XXX 78647 TC A Cerebrospinal fluid scan 0.00 5.91 N/A 0.26 6.17 N/A XXX 78650 A CSF leakage imaging 0.61 4.86 N/A 0.22 5.69 N/A XXX 78650 26 A CSF leakage imaging 0.61 0.21 0.21 0.02 0.84 0.84 XXX 78650 TC A CSF leakage imaging 0.00 4.64 N/A 0.20 4.84 N/A XXX 78660 A Nuclear exam of tear flow 0.53 2.30 N/A 0.12 2.95 N/A XXX 78660 26 A Nuclear exam of tear flow 0.53 0.18 0.18 0.02 0.73 0.73 XXX 78660 TC A Nuclear exam of tear flow 0.00 2.12 N/A 0.10 2.22 N/A XXX 78699 C Nervous system nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78699 26 C Nervous system nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78699 TC C Nervous system nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78700 A Kidney imaging, static 0.45 3.20 N/A 0.15 3.80 N/A XXX 78700 26 A Kidney imaging, static 0.45 0.15 0.15 0.02 0.62 0.62 XXX 78700 TC A Kidney imaging, static 0.00 3.05 N/A 0.13 3.18 N/A XXX 78701 A Kidney imaging with flow 0.49 3.73 N/A 0.17 4.39 N/A XXX 78701 26 A Kidney imaging with flow 0.49 0.17 0.17 0.02 0.68 0.68 XXX 78701 TC A Kidney imaging with flow 0.00 3.56 N/A 0.15 3.71 N/A XXX 78704 A Imaging renogram 0.74 4.21 N/A 0.20 5.15 N/A XXX 78704 26 A Imaging renogram 0.74 0.25 0.25 0.03 1.02 1.02 XXX 78704 TC A Imaging renogram 0.00 3.96 N/A 0.17 4.13 N/A XXX 78707 A Kidney flow/function image 0.96 4.80 N/A 0.23 5.99 N/A XXX 78707 26 A Kidney flow/function image 0.96 0.33 0.33 0.04 1.33 1.33 XXX 78707 TC A Kidney flow/function image 0.00 4.47 N/A 0.19 4.66 N/A XXX 78708 A Kidney flow/function image 1.21 4.89 N/A 0.24 6.34 N/A XXX 78708 26 A Kidney flow/function image 1.21 0.42 0.42 0.05 1.68 1.68 XXX 78708 TC A Kidney flow/function image 0.00 4.47 N/A 0.19 4.66 N/A XXX 78709 A Kidney flow/function image 1.41 4.95 N/A 0.25 6.61 N/A XXX 78709 26 A Kidney flow/function image 1.41 0.48 0.48 0.06 1.95 1.95 XXX 78709 TC A Kidney flow/function image 0.00 4.47 N/A 0.19 4.66 N/A XXX 78710 A Kidney imaging (3D) 0.66 6.13 N/A 0.29 7.08 N/A XXX 78710 26 A Kidney imaging (3D) 0.66 0.23 0.23 0.03 0.92 0.92 XXX 78710 TC A Kidney imaging (3D) 0.00 5.91 N/A 0.26 6.17 N/A XXX 78715 A Renal vascular flow exam 0.30 1.69 N/A 0.09 2.08 N/A XXX 78715 26 A Renal vascular flow exam 0.30 0.11 0.11 0.01 0.42 0.42 XXX 78715 TC A Renal vascular flow exam 0.00 1.58 N/A 0.08 1.66 N/A XXX 78725 A Kidney function study 0.38 1.91 N/A 0.10 2.39 N/A XXX Start Printed Page 49209 78725 26 A Kidney function study 0.38 0.13 0.13 0.01 0.52 0.52 XXX 78725 TC A Kidney function study 0.00 1.78 N/A 0.09 1.87 N/A XXX 78730 A Urinary bladder retention 0.36 1.59 N/A 0.09 2.04 N/A XXX 78730 26 A Urinary bladder retention 0.36 0.13 0.13 0.02 0.51 0.51 XXX 78730 TC A Urinary bladder retention 0.00 1.46 N/A 0.07 1.53 N/A XXX 78740 A Ureteral reflux study 0.57 2.31 N/A 0.12 3.00 N/A XXX 78740 26 A Ureteral reflux study 0.57 0.19 0.19 0.02 0.78 0.78 XXX 78740 TC A Ureteral reflux study 0.00 2.12 N/A 0.10 2.22 N/A XXX 78760 A Testicular imaging 0.66 2.90 N/A 0.15 3.71 N/A XXX 78760 26 A Testicular imaging 0.66 0.22 0.22 0.03 0.91 0.91 XXX 78760 TC A Testicular imaging 0.00 2.68 N/A 0.12 2.80 N/A XXX 78761 A Testicular imaging/flow 0.71 3.44 N/A 0.17 4.32 N/A XXX 78761 26 A Testicular imaging/flow 0.71 0.24 0.24 0.03 0.98 0.98 XXX 78761 TC A Testicular imaging/flow 0.00 3.20 N/A 0.14 3.34 N/A XXX 78799 C Genitourinary nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78799 26 C Genitourinary nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78799 TC C Genitourinary nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78800 A Tumor imaging, limited area 0.66 3.63 N/A 0.18 4.47 N/A XXX 78800 26 A Tumor imaging, limited area 0.66 0.22 0.22 0.03 0.91 0.91 XXX 78800 TC A Tumor imaging, limited area 0.00 3.40 N/A 0.15 3.55 N/A XXX 78801 A Tumor imaging, mult areas 0.79 4.50 N/A 0.21 5.50 N/A XXX 78801 26 A Tumor imaging, mult areas 0.79 0.27 0.27 0.03 1.09 1.09 XXX 78801 TC A Tumor imaging, mult areas 0.00 4.23 N/A 0.18 4.41 N/A XXX 78802 A Tumor imaging, whole body 0.86 5.83 N/A 0.28 6.97 N/A XXX 78802 26 A Tumor imaging, whole body 0.86 0.30 0.30 0.03 1.19 1.19 XXX 78802 TC A Tumor imaging, whole body 0.00 5.53 N/A 0.25 5.78 N/A XXX 78803 A Tumor imaging (3D) 1.09 6.95 N/A 0.33 8.37 N/A XXX 78803 26 A Tumor imaging (3D) 1.09 0.39 0.39 0.04 1.52 1.52 XXX 78803 TC A Tumor imaging (3D) 0.00 6.56 N/A 0.29 6.85 N/A XXX 78805 A Abscess imaging, ltd area 0.73 3.66 N/A 0.18 4.57 N/A XXX 78805 26 A Abscess imaging, ltd area 0.73 0.26 0.26 0.03 1.02 1.02 XXX 78805 TC A Abscess imaging, ltd area 0.00 3.40 N/A 0.15 3.55 N/A XXX 78806 A Abscess imaging, whole body 0.86 6.73 N/A 0.32 7.91 N/A XXX 78806 26 A Abscess imaging, whole body 0.86 0.30 0.30 0.03 1.19 1.19 XXX 78806 TC A Abscess imaging, whole body 0.00 6.43 N/A 0.29 6.72 N/A XXX 78807 A Nuclear localization/abscess 1.09 6.96 N/A 0.33 8.38 N/A XXX 78807 26 A Nuclear localization/abscess 1.09 0.40 0.40 0.04 1.53 1.53 XXX 78807 TC A Nuclear localization/abscess 0.00 6.56 N/A 0.29 6.85 N/A XXX 78810 26 N Tumor imaging (PET) 1.93 0.75 0.75 0.09 2.77 2.77 XXX 78890 B Nuclear medicine data proc 0.05 1.32 N/A 0.06 1.43 N/A XXX 78890 26 B Nuclear medicine data proc 0.05 0.02 0.02 0.01 0.08 0.08 XXX 78890 TC B Nuclear medicine data proc 0.00 1.31 N/A 0.05 1.36 N/A XXX 78891 B Nuclear med data proc 0.10 2.66 N/A 0.12 2.88 N/A XXX 78891 26 B Nuclear med data proc 0.10 0.04 0.04 0.01 0.15 0.15 XXX 78891 TC B Nuclear med data proc 0.00 2.62 N/A 0.11 2.73 N/A XXX 78990 I Provide diag radionuclide(s) 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78999 C Nuclear diagnostic exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49210 78999 26 C Nuclear diagnostic exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78999 TC C Nuclear diagnostic exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79000 A Init hyperthyroid therapy 1.80 3.24 N/A 0.19 5.23 N/A XXX 79000 26 A Init hyperthyroid therapy 1.80 0.62 0.62 0.07 2.49 2.49 XXX 79000 TC A Init hyperthyroid therapy 0.00 2.62 N/A 0.12 2.74 N/A XXX 79001 A Repeat hyperthyroid therapy 1.05 1.67 N/A 0.10 2.82 N/A XXX 79001 26 A Repeat hyperthyroid therapy 1.05 0.36 0.36 0.04 1.45 1.45 XXX 79001 TC A Repeat hyperthyroid therapy 0.00 1.31 N/A 0.06 1.37 N/A XXX 79020 A Thyroid ablation 1.81 3.23 N/A 0.19 5.23 N/A XXX 79020 26 A Thyroid ablation 1.81 0.61 0.61 0.07 2.49 2.49 XXX 79020 TC A Thyroid ablation 0.00 2.62 N/A 0.12 2.74 N/A XXX 79030 A Thyroid ablation, carcinoma 2.10 3.34 N/A 0.20 5.64 N/A XXX 79030 26 A Thyroid ablation, carcinoma 2.10 0.72 0.72 0.08 2.90 2.90 XXX 79030 TC A Thyroid ablation, carcinoma 0.00 2.62 N/A 0.12 2.74 N/A XXX 79035 A Thyroid metastatic therapy 2.52 3.51 N/A 0.21 6.24 N/A XXX 79035 26 A Thyroid metastatic therapy 2.52 0.89 0.89 0.09 3.50 3.50 XXX 79035 TC A Thyroid metastatic therapy 0.00 2.62 N/A 0.12 2.74 N/A XXX 79100 A Hematopoetic nuclear therapy 1.32 3.09 N/A 0.17 4.58 N/A XXX 79100 26 A Hematopoetic nuclear therapy 1.32 0.47 0.47 0.05 1.84 1.84 XXX 79100 TC A Hematopoetic nuclear therapy 0.00 2.62 N/A 0.12 2.74 N/A XXX 79200 A Intracavitary nuclear trmt 1.99 3.33 N/A 0.19 5.51 N/A XXX 79200 26 A Intracavitary nuclear trmt 1.99 0.71 0.71 0.07 2.77 2.77 XXX 79200 TC A Intracavitary nuclear trmt 0.00 2.62 N/A 0.12 2.74 N/A XXX 79300 C Interstitial nuclear therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79300 26 A Interstitial nuclear therapy 1.60 0.57 0.57 0.07 2.24 2.24 XXX 79300 TC C Interstitial nuclear therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79400 A Nonhemato nuclear therapy 1.96 3.31 N/A 0.20 5.47 N/A XXX 79400 26 A Nonhemato nuclear therapy 1.96 0.68 0.68 0.08 2.72 2.72 XXX 79400 TC A Nonhemato nuclear therapy 0.00 2.62 N/A 0.12 2.74 N/A XXX 79420 C Intravascular nuclear ther 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79420 26 A Intravascular nuclear ther 1.51 0.50 0.50 0.06 2.07 2.07 XXX 79420 TC C Intravascular nuclear ther 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79440 A Nuclear joint therapy 1.99 3.36 N/A 0.20 5.55 N/A XXX 79440 26 A Nuclear joint therapy 1.99 0.74 0.74 0.08 2.81 2.81 XXX 79440 TC A Nuclear joint therapy 0.00 2.62 N/A 0.12 2.74 N/A XXX 79900 C Provide ther radiopharm(s) 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79999 C Nuclear medicine therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79999 26 C Nuclear medicine therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79999 TC C Nuclear medicine therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80055 I Obstetric panel 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80500 A Lab pathology consultation 0.37 0.22 0.16 0.01 0.60 0.54 XXX 80502 A Lab pathology consultation 1.33 0.64 0.59 0.05 2.02 1.97 XXX 83020 26 A Hemoglobin electrophoresis 0.37 0.16 0.16 0.01 0.54 0.54 XXX 83912 26 A Genetic examination 0.37 0.15 0.15 0.01 0.53 0.53 XXX 84165 26 A Assay of serum proteins 0.37 0.16 0.16 0.01 0.54 0.54 XXX 84181 26 A Western blot test 0.37 0.14 0.14 0.01 0.52 0.52 XXX 84182 26 A Protein, western blot test 0.37 0.17 0.17 0.01 0.55 0.55 XXX 85060 A Blood smear interpretation 0.45 0.19 0.19 0.02 0.66 0.66 XXX 85097 A Bone marrow interpretation 0.94 1.65 0.41 0.03 2.62 1.38 XXX 85390 26 A Fibrinolysins screen 0.37 0.12 0.12 0.01 0.50 0.50 XXX 85576 26 A Blood platelet aggregation 0.37 0.16 0.16 0.01 0.54 0.54 XXX Start Printed Page 49211 86077 A Physician blood bank service 0.94 0.47 0.41 0.03 1.44 1.38 XXX 86078 A Physician blood bank service 0.94 0.50 0.42 0.03 1.47 1.39 XXX 86079 A Physician blood bank service 0.94 0.50 0.42 0.03 1.47 1.39 XXX 86255 26 A Fluorescent antibody, screen 0.37 0.17 0.16 0.01 0.55 0.54 XXX 86256 26 A Fluorescent antibody, titer 0.37 0.16 0.16 0.01 0.54 0.54 XXX 86320 26 A Serum immunoelectrophoresis 0.37 0.16 0.16 0.01 0.54 0.54 XXX 86325 26 A Other immunoelectrophoresis 0.37 0.16 0.16 0.01 0.54 0.54 XXX 86327 26 A Immunoelectrophoresis assay 0.42 0.19 0.19 0.01 0.62 0.62 XXX 86334 26 A Immunofixation procedure 0.37 0.16 0.16 0.01 0.54 0.54 XXX 86485 C Skin test, candida 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86490 A Coccidioidomycosis skin test 0.00 0.29 N/A 0.02 0.31 N/A XXX 86510 A Histoplasmosis skin test 0.00 0.32 N/A 0.02 0.34 N/A XXX 86580 A TB intradermal test 0.00 0.25 N/A 0.02 0.27 N/A XXX 86585 A TB tine test 0.00 0.20 N/A 0.01 0.21 N/A XXX 86586 C Skin test, unlisted 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87164 26 A Dark field examination 0.37 0.12 0.12 0.01 0.50 0.50 XXX 87207 26 A Smear, special stain 0.37 0.17 0.16 0.01 0.55 0.54 XXX 88104 A Cytopathology, fluids 0.56 0.76 N/A 0.04 1.36 N/A XXX 88104 26 A Cytopathology, fluids 0.56 0.25 0.25 0.02 0.83 0.83 XXX 88104 TC A Cytopathology, fluids 0.00 0.51 N/A 0.02 0.53 N/A XXX 88106 A Cytopathology, fluids 0.56 0.62 N/A 0.04 1.22 N/A XXX 88106 26 A Cytopathology, fluids 0.56 0.25 0.25 0.02 0.83 0.83 XXX 88106 TC A Cytopathology, fluids 0.00 0.37 N/A 0.02 0.39 N/A XXX 88107 A Cytopathology, fluids 0.76 0.99 N/A 0.05 1.80 N/A XXX 88107 26 A Cytopathology, fluids 0.76 0.34 0.34 0.03 1.13 1.13 XXX 88107 TC A Cytopathology, fluids 0.00 0.65 N/A 0.02 0.67 N/A XXX 88108 A Cytopath, concentrate tech 0.56 0.83 N/A 0.04 1.43 N/A XXX 88108 26 A Cytopath, concentrate tech 0.56 0.25 0.25 0.02 0.83 0.83 XXX 88108 TC A Cytopath, concentrate tech 0.00 0.58 N/A 0.02 0.60 N/A XXX 88125 A Forensic cytopathology 0.26 0.26 N/A 0.02 0.54 N/A XXX 88125 26 A Forensic cytopathology 0.26 0.12 0.12 0.01 0.39 0.39 XXX 88125 TC A Forensic cytopathology 0.00 0.15 N/A 0.01 0.16 N/A XXX 88141 A Cytopath, c/v, interpret 0.42 0.18 0.18 0.01 0.61 0.61 XXX 88160 A Cytopath smear, other source 0.50 0.94 N/A 0.04 1.48 N/A XXX 88160 26 A Cytopath smear, other source 0.50 0.22 0.22 0.02 0.74 0.74 XXX 88160 TC A Cytopath smear, other source 0.00 0.72 N/A 0.02 0.74 N/A XXX 88161 A Cytopath smear, other source 0.50 0.89 N/A 0.04 1.43 N/A XXX 88161 26 A Cytopath smear, other source 0.50 0.22 0.22 0.02 0.74 0.74 XXX 88161 TC A Cytopath smear, other source 0.00 0.67 N/A 0.02 0.69 N/A XXX 88162 A Cytopath smear, other source 0.76 0.69 N/A 0.05 1.50 N/A XXX 88162 26 A Cytopath smear, other source 0.76 0.34 0.34 0.03 1.13 1.13 XXX 88162 TC A Cytopath smear, other source 0.00 0.35 N/A 0.02 0.37 N/A XXX 88172 A Cytopathology eval of fna 0.60 0.67 N/A 0.04 1.31 N/A XXX 88172 26 A Cytopathology eval of fna 0.60 0.27 0.27 0.02 0.89 0.89 XXX 88172 TC A Cytopathology eval of fna 0.00 0.40 N/A 0.02 0.42 N/A XXX 88173 A Cytopath eval, fna, report 1.39 1.80 N/A 0.07 3.26 N/A XXX 88173 26 A Cytopath eval, fna, report 1.39 0.62 0.62 0.05 2.06 2.06 XXX 88173 TC A Cytopath eval, fna, report 0.00 1.18 N/A 0.02 1.20 N/A XXX 88180 A Cell marker study 0.36 1.46 N/A 0.03 1.85 N/A XXX Start Printed Page 49212 88180 26 A Cell marker study 0.36 0.16 0.16 0.01 0.53 0.53 XXX 88180 TC A Cell marker study 0.00 1.30 N/A 0.02 1.32 N/A XXX 88182 A Cell marker study 0.77 1.63 N/A 0.06 2.46 N/A XXX 88182 26 A Cell marker study 0.77 0.34 0.34 0.03 1.14 1.14 XXX 88182 TC A Cell marker study 0.00 1.28 N/A 0.03 1.31 N/A XXX 88199 C Cytopathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88199 26 C Cytopathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88199 TC C Cytopathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88291 A Cyto/molecular report 0.52 0.28 0.28 0.02 0.82 0.82 XXX 88299 C Cytogenetic study 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88300 A Surgical path, gross 0.08 0.28 N/A 0.02 0.38 N/A XXX 88300 26 A Surgical path, gross 0.08 0.04 0.04 0.01 0.13 0.13 XXX 88300 TC A Surgical path, gross 0.00 0.25 N/A 0.01 0.26 N/A XXX 88302 A Tissue exam by pathologist 0.13 0.71 N/A 0.03 0.87 N/A XXX 88302 26 A Tissue exam by pathologist 0.13 0.06 0.06 0.01 0.20 0.20 XXX 88302 TC A Tissue exam by pathologist 0.00 0.65 N/A 0.02 0.67 N/A XXX 88304 A Tissue exam by pathologist 0.22 0.89 N/A 0.03 1.14 N/A XXX 88304 26 A Tissue exam by pathologist 0.22 0.10 0.10 0.01 0.33 0.33 XXX 88304 TC A Tissue exam by pathologist 0.00 0.79 N/A 0.02 0.81 N/A XXX 88305 A Tissue exam by pathologist 0.75 1.77 N/A 0.05 2.57 N/A XXX 88305 26 A Tissue exam by pathologist 0.75 0.34 0.34 0.02 1.11 1.11 XXX 88305 TC A Tissue exam by pathologist 0.00 1.43 N/A 0.03 1.46 N/A XXX 88307 A Tissue exam by pathologist 1.59 2.71 N/A 0.11 4.41 N/A XXX 88307 26 A Tissue exam by pathologist 1.59 0.71 0.71 0.06 2.36 2.36 XXX 88307 TC A Tissue exam by pathologist 0.00 2.00 N/A 0.05 2.05 N/A XXX 88309 A Tissue exam by pathologist 2.28 3.32 N/A 0.13 5.73 N/A XXX 88309 26 A Tissue exam by pathologist 2.28 1.01 1.01 0.08 3.37 3.37 XXX 88309 TC A Tissue exam by pathologist 0.00 2.30 N/A 0.05 2.35 N/A XXX 88311 A Decalcify tissue 0.24 0.19 N/A 0.02 0.45 N/A XXX 88311 26 A Decalcify tissue 0.24 0.11 0.11 0.01 0.36 0.36 XXX 88311 TC A Decalcify tissue 0.00 0.09 N/A 0.01 0.10 N/A XXX 88312 A Special stains 0.54 1.37 N/A 0.03 1.94 N/A XXX 88312 26 A Special stains 0.54 0.24 0.24 0.02 0.80 0.80 XXX 88312 TC A Special stains 0.00 1.13 N/A 0.01 1.14 N/A XXX 88313 A Special stains 0.24 1.11 N/A 0.02 1.37 N/A XXX 88313 26 A Special stains 0.24 0.11 0.11 0.01 0.36 0.36 XXX 88313 TC A Special stains 0.00 1.00 N/A 0.01 1.01 N/A XXX 88314 A Histochemical stain 0.45 0.90 N/A 0.04 1.39 N/A XXX 88314 26 A Histochemical stain 0.45 0.20 0.20 0.02 0.67 0.67 XXX 88314 TC A Histochemical stain 0.00 0.71 N/A 0.02 0.73 N/A XXX 88318 A Chemical histochemistry 0.42 0.82 N/A 0.02 1.26 N/A XXX 88318 26 A Chemical histochemistry 0.42 0.19 0.19 0.01 0.62 0.62 XXX 88318 TC A Chemical histochemistry 0.00 0.63 N/A 0.01 0.64 N/A XXX 88319 A Enzyme histochemistry 0.53 1.92 N/A 0.04 2.49 N/A XXX 88319 26 A Enzyme histochemistry 0.53 0.23 0.23 0.02 0.78 0.78 XXX 88319 TC A Enzyme histochemistry 0.00 1.69 N/A 0.02 1.71 N/A XXX 88321 A Microslide consultation 1.30 0.83 0.58 0.04 2.17 1.92 XXX 88323 A Microslide consultation 1.35 1.47 N/A 0.07 2.89 N/A XXX 88323 26 A Microslide consultation 1.35 0.60 0.60 0.05 2.00 2.00 XXX 88323 TC A Microslide consultation 0.00 0.86 N/A 0.02 0.88 N/A XXX Start Printed Page 49213 88325 A Comprehensive review of data 2.22 3.02 0.98 0.08 5.32 3.28 XXX 88329 A Path consult introp 0.67 0.64 0.30 0.02 1.33 0.99 XXX 88331 A Path consult intraop, 1 bloc 1.19 1.01 N/A 0.07 2.27 N/A XXX 88331 26 A Path consult intraop, 1 bloc 1.19 0.53 0.53 0.04 1.76 1.76 XXX 88331 TC A Path consult intraop, 1 bloc 0.00 0.48 N/A 0.03 0.51 N/A XXX 88332 A Path consult intraop, addl 0.59 0.51 N/A 0.04 1.14 N/A XXX 88332 26 A Path consult intraop, addl 0.59 0.26 0.26 0.02 0.87 0.87 XXX 88332 TC A Path consult intraop, addl 0.00 0.24 N/A 0.02 0.26 N/A XXX 88342 A Immunocytochemistry 0.85 1.38 N/A 0.05 2.28 N/A XXX 88342 26 A Immunocytochemistry 0.85 0.38 0.38 0.03 1.26 1.26 XXX 88342 TC A Immunocytochemistry 0.00 1.00 N/A 0.02 1.02 N/A XXX 88346 A Immunofluorescent study 0.86 1.47 N/A 0.05 2.38 N/A XXX 88346 26 A Immunofluorescent study 0.86 0.38 0.38 0.03 1.27 1.27 XXX 88346 TC A Immunofluorescent study 0.00 1.09 N/A 0.02 1.11 N/A XXX 88347 A Immunofluorescent study 0.86 1.79 N/A 0.05 2.70 N/A XXX 88347 26 A Immunofluorescent study 0.86 0.36 0.36 0.03 1.25 1.25 XXX 88347 TC A Immunofluorescent study 0.00 1.43 N/A 0.02 1.45 N/A XXX 88348 A Electron microscopy 1.51 8.66 N/A 0.11 10.28 N/A XXX 88348 26 A Electron microscopy 1.51 0.67 0.67 0.05 2.23 2.23 XXX 88348 TC A Electron microscopy 0.00 7.99 N/A 0.06 8.05 N/A XXX 88349 A Scanning electron microscopy 0.76 10.02 N/A 0.08 10.86 N/A XXX 88349 26 A Scanning electron microscopy 0.76 0.34 0.34 0.03 1.13 1.13 XXX 88349 TC A Scanning electron microscopy 0.00 9.68 N/A 0.05 9.73 N/A XXX 88355 A Analysis, skeletal muscle 1.85 2.66 N/A 0.12 4.63 N/A XXX 88355 26 A Analysis, skeletal muscle 1.85 0.82 0.82 0.07 2.74 2.74 XXX 88355 TC A Analysis, skeletal muscle 0.00 1.84 N/A 0.05 1.89 N/A XXX 88356 A Analysis, nerve 3.02 2.93 N/A 0.16 6.11 N/A XXX 88356 26 A Analysis, nerve 3.02 1.30 1.30 0.10 4.42 4.42 XXX 88356 TC A Analysis, nerve 0.00 1.63 N/A 0.06 1.69 N/A XXX 88358 A Analysis, tumor 2.82 1.76 N/A 0.16 4.74 N/A XXX 88358 26 A Analysis, tumor 2.82 1.25 1.25 0.10 4.17 4.17 XXX 88358 TC A Analysis, tumor 0.00 0.50 N/A 0.06 0.56 N/A XXX 88362 A Nerve teasing preparations 2.17 4.49 N/A 0.12 6.78 N/A XXX 88362 26 A Nerve teasing preparations 2.17 0.95 0.95 0.07 3.19 3.19 XXX 88362 TC A Nerve teasing preparations 0.00 3.54 N/A 0.05 3.59 N/A XXX 88365 A Tissue hybridization 0.93 2.25 N/A 0.05 3.23 N/A XXX 88365 26 A Tissue hybridization 0.93 0.41 0.41 0.03 1.37 1.37 XXX 88365 TC A Tissue hybridization 0.00 1.84 N/A 0.02 1.86 N/A XXX 88371 26 A Protein, western blot tissue 0.37 0.13 0.13 0.01 0.51 0.51 XXX 88372 26 A Protein analysis w/probe 0.37 0.17 0.17 0.01 0.55 0.55 XXX 88380 C Microdissection 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88380 26 C Microdissection 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88380 TC C Microdissection 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88399 C Surgical pathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88399 26 C Surgical pathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88399 TC C Surgical pathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89060 26 A Exam,synovial fluid crystals 0.37 0.17 0.17 0.01 0.55 0.55 XXX 89100 A Sample intestinal contents 0.60 1.64 0.22 0.02 2.26 0.84 XXX 89105 A Sample intestinal contents 0.50 2.28 0.17 0.02 2.80 0.69 XXX 89130 A Sample stomach contents 0.45 1.78 0.13 0.02 2.25 0.60 XXX 89132 A Sample stomach contents 0.19 1.53 0.06 0.01 1.73 0.26 XXX Start Printed Page 49214 89135 A Sample stomach contents 0.79 1.62 0.25 0.03 2.44 1.07 XXX 89136 A Sample stomach contents 0.21 1.68 0.09 0.01 1.90 0.31 XXX 89140 A Sample stomach contents 0.94 2.13 0.28 0.03 3.10 1.25 XXX 89141 A Sample stomach contents 0.85 2.78 0.34 0.03 3.66 1.22 XXX 89350 A Sputum specimen collection 0.00 0.41 N/A 0.02 0.43 N/A XXX 89360 A Collect sweat for test 0.00 0.45 N/A 0.02 0.47 N/A XXX 89399 C Pathology lab procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89399 26 C Pathology lab procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89399 TC C Pathology lab procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90281 I Human ig, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90283 I Human ig, iv 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90287 I Botulinum antitoxin 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90288 I Botulism ig, iv 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90291 I Cmv ig, iv 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90379 I Rsv ig, iv 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90384 I Rh ig, full-dose, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90386 I Rh ig, iv 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90389 I Tetanus ig, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90399 I Immune globulin 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90471 A Immunization admin 0.00 0.13 N/A 0.01 0.14 N/A XXX 90472 A Immunization admin, each add 0.00 0.08 N/A 0.01 0.09 N/A ZZZ 90723 I Dtap-hep b-ipv vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90748 I Hep b/hib vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90780 A IV infusion therapy, 1 hour 0.00 1.11 N/A 0.06 1.17 N/A XXX 90781 A IV infusion, additional hour 0.00 0.56 N/A 0.03 0.59 N/A ZZZ 90782 T Injection, sc/im 0.00 0.11 N/A 0.01 0.12 N/A XXX 90783 T Injection, ia 0.00 0.41 N/A 0.02 0.43 N/A XXX 90784 T Injection, iv 0.00 0.47 N/A 0.03 0.50 N/A XXX 90788 T Injection of antibiotic 0.00 0.12 N/A 0.01 0.13 N/A XXX 90799 C Ther/prophylactic/dx inject 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90801 A Psy dx interview 2.80 1.20 0.95 0.06 4.06 3.81 XXX 90802 A Intac psy dx interview 3.01 1.23 1.00 0.07 4.31 4.08 XXX 90804 A Psytx, office, 20-30 min 1.21 0.51 0.39 0.03 1.75 1.63 XXX 90805 A Psytx, off, 20-30 min w/e&m 1.37 0.51 0.43 0.03 1.91 1.83 XXX 90806 A Psytx, off, 45-50 min 1.86 0.72 0.62 0.04 2.62 2.52 XXX 90807 A Psytx, off, 45-50 min w/e&m 2.02 0.71 0.65 0.05 2.78 2.72 XXX 90808 A Psytx, office, 75-80 min 2.79 1.05 0.92 0.07 3.91 3.78 XXX 90809 A Psytx, off, 75-80, w/e&m 2.95 1.02 0.94 0.07 4.04 3.96 XXX 90810 A Intac psytx, off, 20-30 min 1.32 0.52 0.43 0.03 1.87 1.78 XXX 90811 A Intac psytx, 20-30, w/e&m 1.48 0.58 0.47 0.03 2.09 1.98 XXX 90812 A Intac psytx, off, 45-50 min 1.97 0.81 0.66 0.05 2.83 2.68 XXX 90813 A Intac psytx, 45-50 min w/e&m 2.13 0.79 0.68 0.05 2.97 2.86 XXX 90814 A Intac psytx, off, 75-80 min 2.90 1.12 1.01 0.07 4.09 3.98 XXX 90815 A Intac psytx, 75-80 w/e&m 3.06 1.07 0.97 0.07 4.20 4.10 XXX 90816 A Psytx, hosp, 20-30 min 1.25 N/A 0.47 0.03 N/A 1.75 XXX 90817 A Psytx, hosp, 20-30 min w/e&m 1.41 N/A 0.47 0.03 N/A 1.91 XXX 90818 A Psytx, hosp, 45-50 min 1.89 N/A 0.70 0.04 N/A 2.63 XXX 90819 A Psytx, hosp, 45-50 min w/e&m 2.05 N/A 0.67 0.05 N/A 2.77 XXX 90821 A Psytx, hosp, 75-80 min 2.83 N/A 1.03 0.06 N/A 3.92 XXX 90822 A Psytx, hosp, 75-80 min w/e&m 2.99 N/A 0.97 0.07 N/A 4.03 XXX 90823 A Intac psytx, hosp, 20-30 min 1.36 N/A 0.49 0.03 N/A 1.88 XXX 90824 A Intac psytx, hsp 20-30 w/e&m 1.52 N/A 0.50 0.03 N/A 2.05 XXX 90826 A Intac psytx, hosp, 45-50 min 2.01 N/A 0.74 0.04 N/A 2.79 XXX 90827 A Intac psytx, hsp 45-50 w/e&m 2.16 N/A 0.70 0.05 N/A 2.91 XXX Start Printed Page 49215 90828 A Intac psytx, hosp, 75-80 min 2.94 N/A 1.09 0.07 N/A 4.10 XXX 90829 A Intac psytx, hsp 75-80 w/e&m 3.10 N/A 1.00 0.07 N/A 4.17 XXX 90845 A Psychoanalysis 1.79 0.59 0.57 0.04 2.42 2.40 XXX 90846 R Family psytx w/o patient 1.83 0.67 0.66 0.04 2.54 2.53 XXX 90847 R Family psytx w/patient 2.21 0.83 0.78 0.05 3.09 3.04 XXX 90849 R Multiple family group psytx 0.59 0.28 0.24 0.01 0.88 0.84 XXX 90853 A Group psychotherapy 0.59 0.25 0.24 0.01 0.85 0.84 XXX 90857 A Intac group psytx 0.63 0.30 0.26 0.02 0.95 0.91 XXX 90862 A Medication management 0.95 0.41 0.33 0.02 1.38 1.30 XXX 90865 A Narcosynthesis 2.84 1.64 0.91 0.07 4.55 3.82 XXX 90870 A Electroconvulsive therapy 1.88 0.80 0.80 0.04 2.72 2.72 000 90871 N Electroconvulsive therapy 2.72 N/A 1.08 0.06 N/A 3.86 000 90875 N Psychophysiological therapy 1.20 0.92 0.46 0.03 2.15 1.69 XXX 90876 N Psychophysiological therapy 1.90 1.20 0.74 0.04 3.14 2.68 XXX 90880 A Hypnotherapy 2.19 1.06 0.70 0.05 3.30 2.94 XXX 90885 B Psy evaluation of records 0.97 0.38 0.38 0.02 1.37 1.37 XXX 90887 B Consultation with family 1.48 0.84 0.57 0.03 2.35 2.08 XXX 90899 C Psychiatric service/therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90901 A Biofeedback train, any meth 0.41 0.60 0.14 0.02 1.03 0.57 000 90911 A Biofeedback peri/uro/rectal 0.89 3.95 0.32 0.04 4.88 1.25 000 90918 I ESRD related services, month 11.18 7.52 7.52 0.30 19.00 19.00 XXX 90919 I ESRD related services, month 8.54 4.15 4.15 0.24 12.93 12.93 XXX 90920 I ESRD related services, month 7.27 3.89 3.89 0.19 11.35 11.35 XXX 90921 I ESRD related services, month 4.47 2.52 2.52 0.12 7.11 7.11 XXX 90922 A ESRD related services, day 0.37 0.22 0.22 0.01 0.60 0.60 XXX 90923 A Esrd related services, day 0.28 0.13 0.13 0.01 0.42 0.42 XXX 90924 A Esrd related services, day 0.24 0.12 0.12 0.01 0.37 0.37 XXX 90925 A Esrd related services, day 0.15 0.08 0.08 0.01 0.24 0.24 XXX 90935 A Hemodialysis, one evaluation 1.22 N/A 0.69 0.03 N/A 1.94 000 90937 A Hemodialysis, repeated eval 2.11 N/A 1.00 0.06 N/A 3.17 000 90945 A Dialysis, one evaluation 1.28 N/A 0.71 0.04 N/A 2.03 000 90947 A Dialysis, repeated eval 2.16 N/A 1.02 0.06 N/A 3.24 000 90997 A Hemoperfusion 1.84 N/A 1.43 0.05 N/A 3.32 000 90999 C Dialysis procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91000 A Esophageal intubation 0.73 0.33 N/A 0.04 1.10 N/A 000 91000 26 A Esophageal intubation 0.73 0.25 0.25 0.03 1.01 1.01 000 91000 TC A Esophageal intubation 0.00 0.08 N/A 0.01 0.09 N/A 000 91010 A Esophagus motility study 1.25 2.78 N/A 0.10 4.13 N/A 000 91010 26 A Esophagus motility study 1.25 0.45 0.45 0.05 1.75 1.75 000 91010 TC A Esophagus motility study 0.00 2.33 N/A 0.05 2.38 N/A 000 91011 A Esophagus motility study 1.50 3.28 N/A 0.10 4.88 N/A 000 91011 26 A Esophagus motility study 1.50 0.54 0.54 0.05 2.09 2.09 000 91011 TC A Esophagus motility study 0.00 2.74 N/A 0.05 2.79 N/A 000 91012 A Esophagus motility study 1.46 3.42 N/A 0.12 5.00 N/A 000 91012 26 A Esophagus motility study 1.46 0.52 0.52 0.06 2.04 2.04 000 91012 TC A Esophagus motility study 0.00 2.89 N/A 0.06 2.95 N/A 000 91020 A Gastric motility 1.44 3.03 N/A 0.11 4.58 N/A 000 91020 26 A Gastric motility 1.44 0.50 0.50 0.06 2.00 2.00 000 91020 TC A Gastric motility 0.00 2.53 N/A 0.05 2.58 N/A 000 91030 A Acid perfusion of esophagus 0.91 2.45 N/A 0.05 3.41 N/A 000 91030 26 A Acid perfusion of esophagus 0.91 0.33 0.33 0.03 1.27 1.27 000 Start Printed Page 49216 91030 TC A Acid perfusion of esophagus 0.00 2.12 N/A 0.02 2.14 N/A 000 91032 A Esophagus, acid reflux test 1.21 4.24 N/A 0.10 5.55 N/A 000 91032 26 A Esophagus, acid reflux test 1.21 0.43 0.43 0.05 1.69 1.69 000 91032 TC A Esophagus, acid reflux test 0.00 3.82 N/A 0.05 3.87 N/A 000 91033 A Prolonged acid reflux test 1.30 4.27 N/A 0.14 5.71 N/A 000 91033 26 A Prolonged acid reflux test 1.30 0.46 0.46 0.05 1.81 1.81 000 91033 TC A Prolonged acid reflux test 0.00 3.81 N/A 0.09 3.90 N/A 000 91052 A Gastric analysis test 0.79 2.24 N/A 0.05 3.08 N/A 000 91052 26 A Gastric analysis test 0.79 0.28 0.28 0.03 1.10 1.10 000 91052 TC A Gastric analysis test 0.00 1.96 N/A 0.02 1.98 N/A 000 91055 A Gastric intubation for smear 0.94 2.42 N/A 0.06 3.42 N/A 000 91055 26 A Gastric intubation for smear 0.94 0.27 0.27 0.04 1.25 1.25 000 91055 TC A Gastric intubation for smear 0.00 2.15 N/A 0.02 2.17 N/A 000 91060 A Gastric saline load test 0.45 0.30 N/A 0.04 0.79 N/A 000 91060 26 A Gastric saline load test 0.45 0.14 0.14 0.02 0.61 0.61 000 91060 TC A Gastric saline load test 0.00 0.16 N/A 0.02 0.18 N/A 000 91065 A Breath hydrogen test 0.20 2.02 N/A 0.03 2.25 N/A 000 91065 26 A Breath hydrogen test 0.20 0.07 0.07 0.01 0.28 0.28 000 91065 TC A Breath hydrogen test 0.00 1.95 N/A 0.02 1.97 N/A 000 91100 A Pass intestine bleeding tube 1.08 N/A 0.29 0.06 N/A 1.43 000 91105 A Gastric intubation treatment 0.37 N/A 0.09 0.02 N/A 0.48 000 91122 A Anal pressure record 1.77 6.20 N/A 0.17 8.14 N/A 000 91122 26 A Anal pressure record 1.77 0.62 0.62 0.10 2.49 2.49 000 91122 TC A Anal pressure record 0.00 5.58 N/A 0.07 5.65 N/A 000 91132 C Electrogastrography 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91132 26 A Electrogastrography 0.52 0.19 N/A 0.03 0.74 N/A XXX 91132 TC C Electrogastrography 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91133 C Electrogastrography w/test 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91133 26 A Electrogastrography w/test 0.66 0.24 N/A 0.03 0.93 N/A XXX 91133 TC C Electrogastrography w/test 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91299 C Gastroenterology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91299 26 C Gastroenterology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91299 TC C Gastroenterology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92002 A Eye exam, new patient 0.88 0.98 0.35 0.02 1.88 1.25 XXX 92004 A Eye exam, new patient 1.67 1.71 0.69 0.03 3.41 2.39 XXX 92012 A Eye exam established pat 0.67 1.04 0.29 0.01 1.72 0.97 XXX 92014 A Eye exam & treatment 1.10 1.41 0.48 0.02 2.53 1.60 XXX 92015 N Refraction 0.38 1.19 0.15 0.01 1.58 0.54 XXX 92018 A New eye exam & treatment 2.50 N/A 1.10 0.03 N/A 3.63 XXX 92019 A Eye exam & treatment 1.31 N/A 0.58 0.03 N/A 1.92 XXX 92020 A Special eye evaluation 0.37 0.33 0.16 0.01 0.71 0.54 XXX 92060 A Special eye evaluation 0.69 0.74 N/A 0.02 1.45 N/A XXX 92060 26 A Special eye evaluation 0.69 0.29 0.29 0.01 0.99 0.99 XXX 92060 TC A Special eye evaluation 0.00 0.44 N/A 0.01 0.45 N/A XXX 92065 A Orthoptic/pleoptic training 0.37 0.56 N/A 0.02 0.95 N/A XXX 92065 26 A Orthoptic/pleoptic training 0.37 0.15 0.15 0.01 0.53 0.53 XXX 92065 TC A Orthoptic/pleoptic training 0.00 0.40 N/A 0.01 0.41 N/A XXX 92070 A Fitting of contact lens 0.70 1.09 0.32 0.01 1.80 1.03 XXX 92081 A Visual field examination(s) 0.36 0.87 N/A 0.02 1.25 N/A XXX 92081 26 A Visual field examination(s) 0.36 0.16 0.16 0.01 0.53 0.53 XXX 92081 TC A Visual field examination(s) 0.00 0.72 N/A 0.01 0.73 N/A XXX 92082 A Visual field examination(s) 0.44 1.16 N/A 0.02 1.62 N/A XXX 92082 26 A Visual field examination(s) 0.44 0.19 0.19 0.01 0.64 0.64 XXX Start Printed Page 49217 92082 TC A Visual field examination(s) 0.00 0.97 N/A 0.01 0.98 N/A XXX 92083 A Visual field examination(s) 0.50 1.35 N/A 0.02 1.87 N/A XXX 92083 26 A Visual field examination(s) 0.50 0.22 0.22 0.01 0.73 0.73 XXX 92083 TC A Visual field examination(s) 0.00 1.13 N/A 0.01 1.14 N/A XXX 92100 A Serial tonometry exam(s) 0.92 1.28 0.37 0.02 2.22 1.31 XXX 92120 A Tonography & eye evaluation 0.81 1.06 0.32 0.02 1.89 1.15 XXX 92130 A Water provocation tonography 0.81 1.26 0.38 0.02 2.09 1.21 XXX 92135 A Opthalmic dx imaging 0.35 0.80 N/A 0.02 1.17 N/A XXX 92135 26 A Opthalmic dx imaging 0.35 0.16 0.16 0.01 0.52 0.52 XXX 92135 TC A Opthalmic dx imaging 0.00 0.64 N/A 0.01 0.65 N/A XXX 92136 A Ophthalmic biometry 0.54 1.78 N/A 0.07 2.39 N/A XXX 92136 26 A Ophthalmic biometry 0.54 0.25 0.25 0.01 0.80 0.80 XXX 92136 TC A Ophthalmic biometry 0.00 1.53 N/A 0.06 1.59 N/A XXX 92140 A Glaucoma provocative tests 0.50 0.95 0.22 0.01 1.46 0.73 XXX 92225 A Special eye exam, initial 0.38 0.22 0.16 0.01 0.61 0.55 XXX 92226 A Special eye exam, subsequent 0.33 0.21 0.15 0.01 0.55 0.49 XXX 92230 A Eye exam with photos 0.60 1.70 0.20 0.02 2.32 0.82 XXX 92235 A Eye exam with photos 0.81 2.97 N/A 0.07 3.85 N/A XXX 92235 26 A Eye exam with photos 0.81 0.37 0.37 0.02 1.20 1.20 XXX 92235 TC A Eye exam with photos 0.00 2.60 N/A 0.05 2.65 N/A XXX 92240 A Icg angiography 1.10 7.13 N/A 0.07 8.30 N/A XXX 92240 26 A Icg angiography 1.10 0.51 0.51 0.02 1.63 1.63 XXX 92240 TC A Icg angiography 0.00 6.63 N/A 0.05 6.68 N/A XXX 92250 A Eye exam with photos 0.44 1.75 N/A 0.02 2.21 N/A XXX 92250 26 A Eye exam with photos 0.44 0.20 0.20 0.01 0.65 0.65 XXX 92250 TC A Eye exam with photos 0.00 1.55 N/A 0.01 1.56 N/A XXX 92260 A Ophthalmoscopy/dynamometry 0.20 0.29 0.09 0.01 0.50 0.30 XXX 92265 A Eye muscle evaluation 0.81 1.89 N/A 0.04 2.74 N/A XXX 92265 26 A Eye muscle evaluation 0.81 0.29 0.29 0.02 1.12 1.12 XXX 92265 TC A Eye muscle evaluation 0.00 1.61 N/A 0.02 1.63 N/A XXX 92270 A Electro-oculography 0.81 1.72 N/A 0.05 2.58 N/A XXX 92270 26 A Electro-oculography 0.81 0.34 0.34 0.03 1.18 1.18 XXX 92270 TC A Electro-oculography 0.00 1.37 N/A 0.02 1.39 N/A XXX 92275 A Electroretinography 1.01 1.98 N/A 0.04 3.03 N/A XXX 92275 26 A Electroretinography 1.01 0.44 0.44 0.02 1.47 1.47 XXX 92275 TC A Electroretinography 0.00 1.54 N/A 0.02 1.56 N/A XXX 92283 A Color vision examination 0.17 0.85 N/A 0.02 1.04 N/A XXX 92283 26 A Color vision examination 0.17 0.07 0.07 0.01 0.25 0.25 XXX 92283 TC A Color vision examination 0.00 0.78 N/A 0.01 0.79 N/A XXX 92284 A Dark adaptation eye exam 0.24 2.35 N/A 0.02 2.61 N/A XXX 92284 26 A Dark adaptation eye exam 0.24 0.09 0.09 0.01 0.34 0.34 XXX 92284 TC A Dark adaptation eye exam 0.00 2.26 N/A 0.01 2.27 N/A XXX 92285 A Eye photography 0.20 1.07 N/A 0.02 1.29 N/A XXX 92285 26 A Eye photography 0.20 0.09 0.09 0.01 0.30 0.30 XXX 92285 TC A Eye photography 0.00 0.99 N/A 0.01 1.00 N/A XXX 92286 A Internal eye photography 0.66 3.40 N/A 0.03 4.09 N/A XXX 92286 26 A Internal eye photography 0.66 0.30 0.30 0.01 0.97 0.97 XXX 92286 TC A Internal eye photography 0.00 3.10 N/A 0.02 3.12 N/A XXX 92287 A Internal eye photography 0.81 2.74 0.31 0.02 3.57 1.14 XXX 92310 N Contact lens fitting 1.17 1.17 0.45 0.03 2.37 1.65 XXX 92311 A Contact lens fitting 1.08 1.21 0.35 0.03 2.32 1.46 XXX 92312 A Contact lens fitting 1.26 1.18 0.50 0.03 2.47 1.79 XXX 92313 A Contact lens fitting 0.92 1.18 0.29 0.02 2.12 1.23 XXX 92314 N Prescription of contact lens 0.69 0.98 0.27 0.01 1.68 0.97 XXX 92315 A Prescription of contact lens 0.45 0.96 0.16 0.01 1.42 0.62 XXX 92316 A Prescription of contact lens 0.68 1.01 0.30 0.01 1.70 0.99 XXX 92317 A Prescription of contact lens 0.45 1.07 0.14 0.01 1.53 0.60 XXX Start Printed Page 49218 92325 A Modification of contact lens 0.00 0.40 N/A 0.01 0.41 N/A XXX 92326 A Replacement of contact lens 0.00 1.63 N/A 0.05 1.68 N/A XXX 92330 A Fitting of artificial eye 1.08 1.09 0.33 0.04 2.21 1.45 XXX 92335 A Fitting of artificial eye 0.45 1.02 0.17 0.01 1.48 0.63 XXX 92340 N Fitting of spectacles 0.37 0.74 0.14 0.01 1.12 0.52 XXX 92341 N Fitting of spectacles 0.47 0.78 0.18 0.01 1.26 0.66 XXX 92342 N Fitting of spectacles 0.53 0.80 0.21 0.01 1.34 0.75 XXX 92352 B Special spectacles fitting 0.37 0.74 0.14 0.01 1.12 0.52 XXX 92353 B Special spectacles fitting 0.50 0.79 0.19 0.02 1.31 0.71 XXX 92354 B Special spectacles fitting 0.00 8.86 N/A 0.08 8.94 N/A XXX 92355 B Special spectacles fitting 0.00 4.33 N/A 0.01 4.34 N/A XXX 92358 B Eye prosthesis service 0.00 0.97 N/A 0.04 1.01 N/A XXX 92370 N Repair & adjust spectacles 0.32 0.60 0.12 0.02 0.94 0.46 XXX 92371 B Repair & adjust spectacles 0.00 0.62 N/A 0.02 0.64 N/A XXX 92392 I Supply of low vision aids 0.00 3.84 3.84 0.02 3.86 3.86 XXX 92393 I Supply of artificial eye 0.00 11.92 11.92 0.47 12.39 12.39 XXX 92395 I Supply of spectacles 0.00 1.30 1.30 0.08 1.38 1.38 XXX 92396 I Supply of contact lenses 0.00 2.19 2.19 0.06 2.25 2.25 XXX 92499 C Eye service or procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92499 26 C Eye service or procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92499 TC C Eye service or procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92502 A Ear and throat examination 1.51 N/A 1.16 0.06 N/A 2.73 000 92504 A Ear microscopy examination 0.18 0.53 0.09 0.01 0.72 0.28 XXX 92506 A Speech/hearing evaluation 0.86 2.65 0.41 0.04 3.55 1.31 XXX 92507 A Speech/hearing therapy 0.52 0.97 0.24 0.02 1.51 0.78 XXX 92508 A Speech/hearing therapy 0.26 0.53 0.12 0.01 0.80 0.39 XXX 92510 I Rehab for ear implant 1.50 2.11 0.83 0.06 3.67 2.39 XXX 92511 A Nasopharyngoscopy 0.84 2.50 0.79 0.03 3.37 1.66 000 92512 A Nasal function studies 0.55 1.13 0.18 0.02 1.70 0.75 XXX 92516 A Facial nerve function test 0.43 0.95 0.22 0.02 1.40 0.67 XXX 92520 A Laryngeal function studies 0.76 0.52 0.40 0.03 1.31 1.19 XXX 92526 A Oral function therapy 0.55 1.67 0.20 0.02 2.24 0.77 XXX 92541 A Spontaneous nystagmus test 0.40 1.05 N/A 0.04 1.49 N/A XXX 92541 26 A Spontaneous nystagmus test 0.40 0.19 0.19 0.02 0.61 0.61 XXX 92541 TC A Spontaneous nystagmus test 0.00 0.86 N/A 0.02 0.88 N/A XXX 92542 A Positional nystagmus test 0.33 1.16 N/A 0.03 1.52 N/A XXX 92542 26 A Positional nystagmus test 0.33 0.16 0.16 0.01 0.50 0.50 XXX 92542 TC A Positional nystagmus test 0.00 1.00 N/A 0.02 1.02 N/A XXX 92543 A Caloric vestibular test 0.10 0.59 N/A 0.02 0.71 N/A XXX 92543 26 A Caloric vestibular test 0.10 0.05 0.05 0.01 0.16 0.16 XXX 92543 TC A Caloric vestibular test 0.00 0.54 N/A 0.01 0.55 N/A XXX 92544 A Optokinetic nystagmus test 0.26 0.92 N/A 0.03 1.21 N/A XXX 92544 26 A Optokinetic nystagmus test 0.26 0.13 0.13 0.01 0.40 0.40 XXX 92544 TC A Optokinetic nystagmus test 0.00 0.79 N/A 0.02 0.81 N/A XXX 92545 A Oscillating tracking test 0.23 0.86 N/A 0.03 1.12 N/A XXX 92545 26 A Oscillating tracking test 0.23 0.11 0.11 0.01 0.35 0.35 XXX 92545 TC A Oscillating tracking test 0.00 0.74 N/A 0.02 0.76 N/A XXX 92546 A Sinusoidal rotational test 0.29 2.14 N/A 0.03 2.46 N/A XXX 92546 26 A Sinusoidal rotational test 0.29 0.13 0.13 0.01 0.43 0.43 XXX 92546 TC A Sinusoidal rotational test 0.00 2.01 N/A 0.02 2.03 N/A XXX 92547 A Supplemental electrical test 0.00 1.30 N/A 0.05 1.35 N/A ZZZ 92548 A Posturography 0.50 3.83 N/A 0.13 4.46 N/A XXX 92548 26 A Posturography 0.50 0.26 0.26 0.02 0.78 0.78 XXX 92548 TC A Posturography 0.00 3.56 N/A 0.11 3.67 N/A XXX 92552 A Pure tone audiometry, air 0.00 0.44 N/A 0.03 0.47 N/A XXX Start Printed Page 49219 92553 A Audiometry, air & bone 0.00 0.66 N/A 0.05 0.71 N/A XXX 92555 A Speech threshold audiometry 0.00 0.38 N/A 0.03 0.41 N/A XXX 92556 A Speech audiometry, complete 0.00 0.57 N/A 0.05 0.62 N/A XXX 92557 A Comprehensive hearing test 0.00 1.19 N/A 0.10 1.29 N/A XXX 92561 A Bekesy audiometry, diagnosis 0.00 0.72 N/A 0.05 0.77 N/A XXX 92562 A Loudness balance test 0.00 0.41 N/A 0.03 0.44 N/A XXX 92563 A Tone decay hearing test 0.00 0.38 N/A 0.03 0.41 N/A XXX 92564 A Sisi hearing test 0.00 0.47 N/A 0.04 0.51 N/A XXX 92565 A Stenger test, pure tone 0.00 0.40 N/A 0.03 0.43 N/A XXX 92567 A Tympanometry 0.00 0.52 N/A 0.05 0.57 N/A XXX 92568 A Acoustic reflex testing 0.00 0.38 N/A 0.03 0.41 N/A XXX 92569 A Acoustic reflex decay test 0.00 0.41 N/A 0.03 0.44 N/A XXX 92571 A Filtered speech hearing test 0.00 0.39 N/A 0.03 0.42 N/A XXX 92572 A Staggered spondaic word test 0.00 0.09 N/A 0.01 0.10 N/A XXX 92573 A Lombard test 0.00 0.35 N/A 0.03 0.38 N/A XXX 92575 A Sensorineural acuity test 0.00 0.30 N/A 0.02 0.32 N/A XXX 92576 A Synthetic sentence test 0.00 0.44 N/A 0.04 0.48 N/A XXX 92577 A Stenger test, speech 0.00 0.72 N/A 0.06 0.78 N/A XXX 92579 A Visual audiometry (vra) 0.00 0.73 N/A 0.05 0.78 N/A XXX 92582 A Conditioning play audiometry 0.00 0.73 N/A 0.05 0.78 N/A XXX 92583 A Select picture audiometry 0.00 0.89 N/A 0.07 0.96 N/A XXX 92584 A Electrocochleography 0.00 2.48 N/A 0.17 2.65 N/A XXX 92585 A Auditor evoke potent, compre 0.50 2.07 N/A 0.14 2.71 N/A XXX 92585 26 A Auditor evoke potent, compre 0.50 0.22 0.22 0.02 0.74 0.74 XXX 92585 TC A Auditor evoke potent, compre 0.00 1.85 N/A 0.12 1.97 N/A XXX 92586 A Auditor evoke potent, limit 0.00 1.85 N/A 0.12 1.97 N/A XXX 92587 A Evoked auditory test 0.13 1.37 N/A 0.10 1.60 N/A XXX 92587 26 A Evoked auditory test 0.13 0.07 0.07 0.01 0.21 0.21 XXX 92587 TC A Evoked auditory test 0.00 1.31 N/A 0.09 1.40 N/A XXX 92588 A Evoked auditory test 0.36 1.64 N/A 0.12 2.12 N/A XXX 92588 26 A Evoked auditory test 0.36 0.17 0.17 0.01 0.54 0.54 XXX 92588 TC A Evoked auditory test 0.00 1.47 N/A 0.11 1.58 N/A XXX 92589 A Auditory function test(s) 0.00 0.53 N/A 0.05 0.58 N/A XXX 92596 A Ear protector evaluation 0.00 0.59 N/A 0.05 0.64 N/A XXX 92597 A Oral speech device eval 0.86 1.77 0.46 0.04 2.67 1.36 XXX 92601 A Cochlear implt f/up exam < 7 0.00 3.64 N/A 0.06 3.70 N/A XXX 92602 A Reprogram cochlear implt < 7 0.00 2.52 N/A 0.06 2.58 N/A XXX 92603 A Cochlear implt f/up exam 7 > 0.00 2.38 N/A 0.06 2.44 N/A XXX 92604 A Reprogram cochlear implt 7 > 0.00 1.57 N/A 0.06 1.63 N/A XXX 92607 A Ex for speech device rx, 1hr 0.00 3.10 N/A 0.04 3.14 N/A XXX 92608 A Ex for speech device rx addl 0.00 0.72 N/A 0.04 0.76 N/A XXX 92609 A Use of speech device service 0.00 1.67 N/A 0.03 1.70 N/A XXX 92610 A Evaluate swallowing function 0.00 1.27 N/A 0.07 1.34 N/A XXX 92611 A Motion fluoroscopy/swallow 0.00 1.80 N/A 0.07 1.87 N/A XXX 92612 A Endoscopy swallow tst (fees) 1.27 3.16 0.68 0.07 4.50 2.02 XXX Start Printed Page 49220 92614 A Laryngoscopic sensory test 1.27 2.87 0.62 0.07 4.21 1.96 XXX 92616 A Fees w/laryngeal sense test 1.88 3.96 0.98 0.07 5.91 2.93 XXX 92700 C Ent procedure/service 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92950 A Heart/lung resuscitation cpr 3.80 N/A 1.00 0.21 N/A 5.01 000 92953 A Temporary external pacing 0.23 N/A 0.23 0.01 N/A 0.47 000 92960 A Cardioversion electric, ext 2.25 6.82 1.20 0.08 9.15 3.53 000 92961 A Cardioversion, electric, int 4.60 N/A 2.12 0.17 N/A 6.89 000 92970 A Cardioassist, internal 3.52 N/A 1.08 0.17 N/A 4.77 000 92971 A Cardioassist, external 1.77 N/A 0.87 0.06 N/A 2.70 000 92973 A Percut coronary thrombectomy 3.28 N/A 1.32 0.12 N/A 4.72 ZZZ 92974 A Cath place, cardio brachytx 3.00 N/A 1.21 0.14 N/A 4.35 ZZZ 92975 A Dissolve clot, heart vessel 7.25 N/A 2.87 0.22 N/A 10.34 000 92977 A Dissolve clot, heart vessel 0.00 8.06 N/A 0.38 8.44 N/A XXX 92978 A Intravasc us, heart add-on 1.80 5.29 N/A 0.26 7.35 N/A ZZZ 92978 26 A Intravasc us, heart add-on 1.80 0.72 0.72 0.06 2.58 2.58 ZZZ 92978 TC A Intravasc us, heart add-on 0.00 4.56 N/A 0.20 4.76 N/A ZZZ 92979 A Intravasc us, heart add-on 1.44 2.86 N/A 0.15 4.45 N/A ZZZ 92979 26 A Intravasc us, heart add-on 1.44 0.57 0.57 0.04 2.05 2.05 ZZZ 92979 TC A Intravasc us, heart add-on 0.00 2.29 N/A 0.11 2.40 N/A ZZZ 92980 A Insert intracoronary stent 14.84 N/A 6.19 0.71 N/A 21.74 000 92981 A Insert intracoronary stent 4.17 N/A 1.67 0.20 N/A 6.04 ZZZ 92982 A Coronary artery dilation 10.98 N/A 4.64 0.52 N/A 16.14 000 92984 A Coronary artery dilation 2.97 N/A 1.19 0.14 N/A 4.30 ZZZ 92986 A Revision of aortic valve 21.80 N/A 12.00 1.14 N/A 34.94 090 92987 A Revision of mitral valve 22.70 N/A 12.40 1.18 N/A 36.28 090 92990 A Revision of pulmonary valve 17.34 N/A 9.95 0.90 N/A 28.19 090 92992 C Revision of heart chamber 0.00 0.00 0.00 0.00 0.00 0.00 090 92993 C Revision of heart chamber 0.00 0.00 0.00 0.00 0.00 0.00 090 92995 A Coronary atherectomy 12.09 N/A 5.08 0.58 N/A 17.75 000 92996 A Coronary atherectomy add-on 3.26 N/A 1.30 0.16 N/A 4.72 ZZZ 92997 A Pul art balloon repr, percut 12.00 N/A 4.93 0.63 N/A 17.56 000 92998 A Pul art balloon repr, percut 6.00 N/A 2.25 0.31 N/A 8.56 ZZZ 93000 A Electrocardiogram, complete 0.17 0.52 N/A 0.03 0.72 N/A XXX 93005 A Electrocardiogram, tracing 0.00 0.45 N/A 0.02 0.47 N/A XXX 93010 A Electrocardiogram report 0.17 0.06 0.06 0.01 0.24 0.24 XXX 93012 A Transmission of ecg 0.00 6.02 N/A 0.15 6.17 N/A XXX 93014 A Report on transmitted ecg 0.52 0.19 0.19 0.02 0.73 0.73 XXX 93015 A Cardiovascular stress test 0.75 1.97 N/A 0.11 2.83 N/A XXX 93016 A Cardiovascular stress test 0.45 0.17 0.17 0.01 0.63 0.63 XXX 93017 A Cardiovascular stress test 0.00 1.68 N/A 0.09 1.77 N/A XXX 93018 A Cardiovascular stress test 0.30 0.12 0.12 0.01 0.43 0.43 XXX 93024 A Cardiac drug stress test 1.17 1.58 N/A 0.11 2.86 N/A XXX 93024 26 A Cardiac drug stress test 1.17 0.46 0.46 0.04 1.67 1.67 XXX 93024 TC A Cardiac drug stress test 0.00 1.12 N/A 0.07 1.19 N/A XXX 93025 A Microvolt t-wave assess 0.75 8.37 N/A 0.11 9.23 N/A XXX 93025 26 A Microvolt t-wave assess 0.75 0.30 0.30 0.02 1.07 1.07 XXX 93025 TC A Microvolt t-wave assess 0.00 8.08 N/A 0.09 8.17 N/A XXX 93040 A Rhythm ECG with report 0.16 0.20 N/A 0.02 0.38 N/A XXX 93041 A Rhythm ECG, tracing 0.00 0.15 N/A 0.01 0.16 N/A XXX 93042 A Rhythm ECG, report 0.16 0.05 0.05 0.01 0.22 0.22 XXX 93224 A ECG monitor/report, 24 hrs 0.52 3.62 N/A 0.21 4.35 N/A XXX 93225 A ECG monitor/record, 24 hrs 0.00 1.24 N/A 0.07 1.31 N/A XXX 93226 A ECG monitor/report, 24 hrs 0.00 2.19 N/A 0.12 2.31 N/A XXX 93227 A ECG monitor/review, 24 hrs 0.52 0.20 0.20 0.02 0.74 0.74 XXX Start Printed Page 49221 93230 A ECG monitor/report, 24 hrs 0.52 3.89 N/A 0.22 4.63 N/A XXX 93231 A Ecg monitor/record, 24 hrs 0.00 1.52 N/A 0.09 1.61 N/A XXX 93232 A ECG monitor/report, 24 hrs 0.00 2.18 N/A 0.11 2.29 N/A XXX 93233 A ECG monitor/review, 24 hrs 0.52 0.20 0.20 0.02 0.74 0.74 XXX 93235 A ECG monitor/report, 24 hrs 0.45 2.79 N/A 0.13 3.37 N/A XXX 93236 A ECG monitor/report, 24 hrs 0.00 2.62 N/A 0.12 2.74 N/A XXX 93237 A ECG monitor/review, 24 hrs 0.45 0.17 0.17 0.01 0.63 0.63 XXX 93268 A ECG record/review 0.52 7.45 N/A 0.24 8.21 N/A XXX 93270 A ECG recording 0.00 1.24 N/A 0.07 1.31 N/A XXX 93271 A Ecg/monitoring and analysis 0.00 6.02 N/A 0.15 6.17 N/A XXX 93272 A Ecg/review, interpret only 0.52 0.19 0.19 0.02 0.73 0.73 XXX 93278 A ECG/signal-averaged 0.25 1.25 N/A 0.10 1.60 N/A XXX 93278 26 A ECG/signal-averaged 0.25 0.10 0.10 0.01 0.36 0.36 XXX 93278 TC A ECG/signal-averaged 0.00 1.15 N/A 0.09 1.24 N/A XXX 93303 A Echo transthoracic 1.30 4.35 N/A 0.23 5.88 N/A XXX 93303 26 A Echo transthoracic 1.30 0.49 0.49 0.04 1.83 1.83 XXX 93303 TC A Echo transthoracic 0.00 3.86 N/A 0.19 4.05 N/A XXX 93304 A Echo transthoracic 0.75 2.23 N/A 0.13 3.11 N/A XXX 93304 26 A Echo transthoracic 0.75 0.29 0.29 0.02 1.06 1.06 XXX 93304 TC A Echo transthoracic 0.00 1.94 N/A 0.11 2.05 N/A XXX 93307 A Echo exam of heart 0.92 4.22 N/A 0.22 5.36 N/A XXX 93307 26 A Echo exam of heart 0.92 0.36 0.36 0.03 1.31 1.31 XXX 93307 TC A Echo exam of heart 0.00 3.86 N/A 0.19 4.05 N/A XXX 93308 A Echo exam of heart 0.53 2.15 N/A 0.13 2.81 N/A XXX 93308 26 A Echo exam of heart 0.53 0.21 0.21 0.02 0.76 0.76 XXX 93308 TC A Echo exam of heart 0.00 1.94 N/A 0.11 2.05 N/A XXX 93312 A Echo transesophageal 2.20 4.58 N/A 0.32 7.10 N/A XXX 93312 26 A Echo transesophageal 2.20 0.80 0.80 0.08 3.08 3.08 XXX 93312 TC A Echo transesophageal 0.00 3.78 N/A 0.24 4.02 N/A XXX 93313 A Echo transesophageal 0.95 N/A 0.21 0.05 N/A 1.21 XXX 93314 A Echo transesophageal 1.25 4.26 N/A 0.28 5.79 N/A XXX 93314 26 A Echo transesophageal 1.25 0.48 0.48 0.04 1.77 1.77 XXX 93314 TC A Echo transesophageal 0.00 3.78 N/A 0.24 4.02 N/A XXX 93315 C Echo transesophageal 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93315 26 A Echo transesophageal 2.78 1.03 1.03 0.10 3.91 3.91 XXX 93315 TC C Echo transesophageal 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93316 A Echo transesophageal 0.95 N/A 0.24 0.05 N/A 1.24 XXX 93317 C Echo transesophageal 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93317 26 A Echo transesophageal 1.83 0.68 0.68 0.06 2.57 2.57 XXX 93317 TC C Echo transesophageal 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93318 C Echo transesophageal intraop 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93318 26 A Echo transesophageal intraop 2.20 0.48 N/A 0.06 2.74 N/A XXX 93318 TC C Echo transesophageal intraop 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93320 A Doppler echo exam, heart 0.38 1.86 N/A 0.11 2.35 N/A ZZZ 93320 26 A Doppler echo exam, heart 0.38 0.15 0.15 0.01 0.54 0.54 ZZZ 93320 TC A Doppler echo exam, heart 0.00 1.71 N/A 0.10 1.81 N/A ZZZ 93321 A Doppler echo exam, heart 0.15 1.17 N/A 0.08 1.40 N/A ZZZ 93321 26 A Doppler echo exam, heart 0.15 0.06 0.06 0.01 0.22 0.22 ZZZ 93321 TC A Doppler echo exam, heart 0.00 1.11 N/A 0.07 1.18 N/A ZZZ 93325 A Doppler color flow add-on 0.07 2.93 N/A 0.18 3.18 N/A ZZZ 93325 26 A Doppler color flow add-on 0.07 0.03 0.03 0.01 0.11 0.11 ZZZ 93325 TC A Doppler color flow add-on 0.00 2.90 N/A 0.17 3.07 N/A ZZZ 93350 A Echo transthoracic 1.48 2.34 N/A 0.13 3.95 N/A XXX 93350 26 A Echo transthoracic 1.48 0.58 0.58 0.02 2.08 2.08 XXX 93350 TC A Echo transthoracic 0.00 1.76 N/A 0.11 1.87 N/A XXX 93501 A Right heart catheterization 3.02 18.08 N/A 1.03 22.13 N/A 000 Start Printed Page 49222 93501 26 A Right heart catheterization 3.02 1.18 1.18 0.16 4.36 4.36 000 93501 TC A Right heart catheterization 0.00 16.90 N/A 0.87 17.77 N/A 000 93503 A Insert/place heart catheter 2.91 N/A 0.69 0.16 N/A 3.76 000 93505 A Biopsy of heart lining 4.38 3.70 N/A 0.36 8.44 N/A 000 93505 26 A Biopsy of heart lining 4.38 1.72 1.72 0.23 6.33 6.33 000 93505 TC A Biopsy of heart lining 0.00 1.98 N/A 0.13 2.11 N/A 000 93508 A Cath placement, angiography 4.10 14.73 N/A 0.75 19.58 N/A 000 93508 26 A Cath placement, angiography 4.10 2.13 2.13 0.21 6.44 6.44 000 93508 TC A Cath placement, angiography 0.00 12.60 N/A 0.54 13.14 N/A 000 93510 A Left heart catheterization 4.33 39.18 N/A 2.13 45.64 N/A 000 93510 26 A Left heart catheterization 4.33 2.22 2.22 0.22 6.77 6.77 000 93510 TC A Left heart catheterization 0.00 36.96 N/A 1.91 38.87 N/A 000 93511 A Left heart catheterization 5.03 38.48 N/A 2.11 45.62 N/A 000 93511 26 A Left heart catheterization 5.03 2.50 2.50 0.26 7.79 7.79 000 93511 TC A Left heart catheterization 0.00 35.98 N/A 1.85 37.83 N/A 000 93514 A Left heart catheterization 7.05 39.18 N/A 2.22 48.45 N/A 000 93514 26 A Left heart catheterization 7.05 3.20 3.20 0.37 10.62 10.62 000 93514 TC A Left heart catheterization 0.00 35.98 N/A 1.85 37.83 N/A 000 93524 A Left heart catheterization 6.95 50.27 N/A 2.79 60.01 N/A 000 93524 26 A Left heart catheterization 6.95 3.25 3.25 0.36 10.56 10.56 000 93524 TC A Left heart catheterization 0.00 47.02 N/A 2.43 49.45 N/A 000 93526 A Rt & Lt heart catheters 5.99 51.18 N/A 2.81 59.98 N/A 000 93526 26 A Rt & Lt heart catheters 5.99 2.88 2.88 0.31 9.18 9.18 000 93526 TC A Rt & Lt heart catheters 0.00 48.30 N/A 2.50 50.80 N/A 000 93527 A Rt & Lt heart catheters 7.28 50.41 N/A 2.81 60.50 N/A 000 93527 26 A Rt & Lt heart catheters 7.28 3.39 3.39 0.38 11.05 11.05 000 93527 TC A Rt & Lt heart catheters 0.00 47.02 N/A 2.43 49.45 N/A 000 93528 A Rt & Lt heart catheters 9.00 51.14 N/A 2.90 63.04 N/A 000 93528 26 A Rt & Lt heart catheters 9.00 4.12 4.12 0.47 13.59 13.59 000 93528 TC A Rt & Lt heart catheters 0.00 47.02 N/A 2.43 49.45 N/A 000 93529 A Rt, lt heart catheterization 4.80 49.35 N/A 2.68 56.83 N/A 000 93529 26 A Rt, lt heart catheterization 4.80 2.33 2.33 0.25 7.38 7.38 000 93529 TC A Rt, lt heart catheterization 0.00 47.02 N/A 2.43 49.45 N/A 000 93530 A Rt heart cath, congenital 4.23 18.89 N/A 1.11 24.23 N/A 000 93530 26 A Rt heart cath, congenital 4.23 1.98 1.98 0.24 6.45 6.45 000 93530 TC A Rt heart cath, congenital 0.00 16.90 N/A 0.87 17.77 N/A 000 93531 A R & l heart cath, congenital 8.35 51.97 N/A 2.96 63.28 N/A 000 93531 26 A R & l heart cath, congenital 8.35 3.67 3.67 0.46 12.48 12.48 000 93531 TC A R & l heart cath, congenital 0.00 48.30 N/A 2.50 50.80 N/A 000 93532 A R & l heart cath, congenital 10.00 51.37 N/A 2.95 64.32 N/A 000 93532 26 A R & l heart cath, congenital 10.00 4.36 4.36 0.52 14.88 14.88 000 93532 TC A R & l heart cath, congenital 0.00 47.02 N/A 2.43 49.45 N/A 000 93533 A R & l heart cath, congenital 6.70 49.89 N/A 2.86 59.45 N/A 000 93533 26 A R & l heart cath, congenital 6.70 2.87 2.87 0.43 10.00 10.00 000 93533 TC A R & l heart cath, congenital 0.00 47.02 N/A 2.43 49.45 N/A 000 93539 A Injection, cardiac cath 0.40 N/A 0.16 0.01 N/A 0.57 000 93540 A Injection, cardiac cath 0.43 N/A 0.17 0.01 N/A 0.61 000 93541 A Injection for lung angiogram 0.29 N/A 0.12 0.01 N/A 0.42 000 93542 A Injection for heart x-rays 0.29 N/A 0.11 0.01 N/A 0.41 000 93543 A Injection for heart x-rays 0.29 N/A 0.12 0.01 N/A 0.42 000 93544 A Injection for aortography 0.25 N/A 0.10 0.01 N/A 0.36 000 93545 A Inject for coronary x-rays 0.40 N/A 0.16 0.01 N/A 0.57 000 93555 A Imaging, cardiac cath 0.81 6.60 N/A 0.31 7.72 N/A XXX Start Printed Page 49223 93555 26 A Imaging, cardiac cath 0.81 0.32 0.32 0.03 1.16 1.16 XXX 93555 TC A Imaging, cardiac cath 0.00 6.28 N/A 0.28 6.56 N/A XXX 93556 A Imaging, cardiac cath 0.83 10.22 N/A 0.45 11.50 N/A XXX 93556 26 A Imaging, cardiac cath 0.83 0.33 0.33 0.03 1.19 1.19 XXX 93556 TC A Imaging, cardiac cath 0.00 9.89 N/A 0.42 10.31 N/A XXX 93561 A Cardiac output measurement 0.50 0.69 N/A 0.07 1.26 N/A 000 93561 26 A Cardiac output measurement 0.50 0.16 0.16 0.02 0.68 0.68 000 93561 TC A Cardiac output measurement 0.00 0.52 N/A 0.05 0.57 N/A 000 93562 A Cardiac output measurement 0.16 0.37 N/A 0.04 0.57 N/A 000 93562 26 A Cardiac output measurement 0.16 0.05 0.05 0.01 0.22 0.22 000 93562 TC A Cardiac output measurement 0.00 0.32 N/A 0.03 0.35 N/A 000 93571 A Heart flow reserve measure 1.80 5.26 N/A 0.31 7.37 N/A ZZZ 93571 26 A Heart flow reserve measure 1.80 0.69 0.69 0.11 2.60 2.60 ZZZ 93571 TC A Heart flow reserve measure 0.00 4.56 N/A 0.20 4.76 N/A ZZZ 93572 A Heart flow reserve measure 1.44 2.79 N/A 0.28 4.51 N/A ZZZ 93572 26 A Heart flow reserve measure 1.44 0.50 0.50 0.17 2.11 2.11 ZZZ 93572 TC A Heart flow reserve measure 0.00 2.29 N/A 0.11 2.40 N/A ZZZ 93580 A Transcath closure of asd 18.00 N/A 7.33 1.14 N/A 26.47 000 93581 A Transcath closure of vsd 24.43 N/A 9.82 1.14 N/A 35.39 000 93600 A Bundle of His recording 2.12 2.80 N/A 0.22 5.14 N/A 000 93600 26 A Bundle of His recording 2.12 0.85 0.85 0.11 3.08 3.08 000 93600 TC A Bundle of His recording 0.00 1.95 N/A 0.11 2.06 N/A 000 93602 A Intra-atrial recording 2.12 1.95 N/A 0.18 4.25 N/A 000 93602 26 A Intra-atrial recording 2.12 0.84 0.84 0.12 3.08 3.08 000 93602 TC A Intra-atrial recording 0.00 1.11 N/A 0.06 1.17 N/A 000 93603 A Right ventricular recording 2.12 2.51 N/A 0.20 4.83 N/A 000 93603 26 A Right ventricular recording 2.12 0.83 0.83 0.11 3.06 3.06 000 93603 TC A Right ventricular recording 0.00 1.68 N/A 0.09 1.77 N/A 000 93609 A Map tachycardia, add-on 5.00 4.71 N/A 0.66 10.37 N/A ZZZ 93609 26 A Map tachycardia, add-on 5.00 1.99 1.99 0.52 7.51 7.51 ZZZ 93609 TC A Map tachycardia, add-on 0.00 2.72 N/A 0.14 2.86 N/A ZZZ 93610 A Intra-atrial pacing 3.02 2.54 N/A 0.25 5.81 N/A 000 93610 26 A Intra-atrial pacing 3.02 1.18 1.18 0.17 4.37 4.37 000 93610 TC A Intra-atrial pacing 0.00 1.35 N/A 0.08 1.43 N/A 000 93612 A Intraventricular pacing 3.02 2.79 N/A 0.26 6.07 N/A 000 93612 26 A Intraventricular pacing 3.02 1.18 1.18 0.17 4.37 4.37 000 93612 TC A Intraventricular pacing 0.00 1.61 N/A 0.09 1.70 N/A 000 93613 A Electrophys map 3d, add-on 7.00 N/A 2.82 0.52 N/A 10.34 ZZZ 93615 A Esophageal recording 0.99 0.59 N/A 0.05 1.63 N/A 000 93615 26 A Esophageal recording 0.99 0.27 0.27 0.03 1.29 1.29 000 93615 TC A Esophageal recording 0.00 0.32 N/A 0.02 0.34 N/A 000 93616 A Esophageal recording 1.49 0.75 N/A 0.08 2.32 N/A 000 93616 26 A Esophageal recording 1.49 0.43 0.43 0.06 1.98 1.98 000 93616 TC A Esophageal recording 0.00 0.32 N/A 0.02 0.34 N/A 000 93618 A Heart rhythm pacing 4.26 5.67 N/A 0.42 10.35 N/A 000 93618 26 A Heart rhythm pacing 4.26 1.71 1.71 0.22 6.19 6.19 000 93618 TC A Heart rhythm pacing 0.00 3.96 N/A 0.20 4.16 N/A 000 93619 A Electrophysiology evaluation 7.32 10.61 N/A 0.77 18.70 N/A 000 93619 26 A Electrophysiology evaluation 7.32 2.91 2.91 0.38 10.61 10.61 000 93619 TC A Electrophysiology evaluation 0.00 7.71 N/A 0.39 8.10 N/A 000 Start Printed Page 49224 93620 C Electrophysiology evaluation 0.00 0.00 0.00 0.00 0.00 0.00 000 93620 26 A Electrophysiology evaluation 11.59 4.61 4.61 0.60 16.80 16.80 000 93620 TC C Electrophysiology evaluation 0.00 0.00 0.00 0.00 0.00 0.00 000 93621 C Electrophysiology evaluation 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 93621 26 A Electrophysiology evaluation 2.10 0.84 0.84 0.15 3.09 3.09 ZZZ 93621 TC C Electrophysiology evaluation 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 93622 C Electrophysiology evaluation 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 93622 26 A Electrophysiology evaluation 3.10 1.23 1.23 0.67 5.00 5.00 ZZZ 93622 TC C Electrophysiology evaluation 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 93623 C Stimulation, pacing heart 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 93623 26 A Stimulation, pacing heart 2.85 1.13 1.13 0.15 4.13 4.13 ZZZ 93623 TC C Stimulation, pacing heart 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 93624 A Electrophysiologic study 4.81 4.23 N/A 0.36 9.40 N/A 000 93624 26 A Electrophysiologic study 4.81 2.25 2.25 0.25 7.31 7.31 000 93624 TC A Electrophysiologic study 0.00 1.98 N/A 0.11 2.09 N/A 000 93631 A Heart pacing, mapping 7.60 8.95 N/A 1.17 17.72 N/A 000 93631 26 A Heart pacing, mapping 7.60 2.80 2.80 0.66 11.06 11.06 000 93631 TC A Heart pacing, mapping 0.00 6.15 N/A 0.51 6.66 N/A 000 93640 A Evaluation heart device 3.52 8.57 N/A 0.53 12.62 N/A 000 93640 26 A Evaluation heart device 3.52 1.39 1.39 0.18 5.09 5.09 000 93640 TC A Evaluation heart device 0.00 7.18 N/A 0.35 7.53 N/A 000 93641 A Electrophysiology evaluation 5.93 9.54 N/A 0.66 16.13 N/A 000 93641 26 A Electrophysiology evaluation 5.93 2.36 2.36 0.31 8.60 8.60 000 93641 TC A Electrophysiology evaluation 0.00 7.18 N/A 0.35 7.53 N/A 000 93642 A Electrophysiology evaluation 4.89 9.10 N/A 0.51 14.50 N/A 000 93642 26 A Electrophysiology evaluation 4.89 1.92 1.92 0.16 6.97 6.97 000 93642 TC A Electrophysiology evaluation 0.00 7.18 N/A 0.35 7.53 N/A 000 93650 A Ablate heart dysrhythm focus 10.51 N/A 4.53 0.55 N/A 15.59 000 93651 A Ablate heart dysrhythm focus 16.25 N/A 6.47 0.85 N/A 23.57 000 93652 A Ablate heart dysrhythm focus 17.68 N/A 7.04 0.92 N/A 25.64 000 93660 A Tilt table evaluation 1.89 2.44 N/A 0.08 4.41 N/A 000 93660 26 A Tilt table evaluation 1.89 0.76 0.76 0.06 2.71 2.71 000 93660 TC A Tilt table evaluation 0.00 1.68 N/A 0.02 1.70 N/A 000 93662 C Intracardiac ecg (ice) 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 93662 26 A Intracardiac ecg (ice) 2.80 1.13 1.13 0.41 4.34 4.34 ZZZ 93662 TC C Intracardiac ecg (ice) 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 93701 A Bioimpedance, thoracic 0.17 1.04 N/A 0.02 1.23 N/A XXX 93701 26 A Bioimpedance, thoracic 0.17 0.07 0.07 0.01 0.25 0.25 XXX 93701 TC A Bioimpedance, thoracic 0.00 0.97 N/A 0.01 0.98 N/A XXX 93720 A Total body plethysmography 0.17 1.14 N/A 0.06 1.37 N/A XXX 93721 A Plethysmography tracing 0.00 0.71 N/A 0.05 0.76 N/A XXX 93722 A Plethysmography report 0.17 0.05 0.05 0.01 0.23 0.23 XXX 93724 A Analyze pacemaker system 4.89 5.92 N/A 0.38 11.19 N/A 000 93724 26 A Analyze pacemaker system 4.89 1.95 1.95 0.18 7.02 7.02 000 Start Printed Page 49225 93724 TC A Analyze pacemaker system 0.00 3.96 N/A 0.20 4.16 N/A 000 93727 A Analyze ilr system 0.52 0.20 0.20 0.05 0.77 0.77 XXX 93731 A Analyze pacemaker system 0.45 0.67 N/A 0.05 1.17 N/A XXX 93731 26 A Analyze pacemaker system 0.45 0.18 0.18 0.02 0.65 0.65 XXX 93731 TC A Analyze pacemaker system 0.00 0.49 N/A 0.03 0.52 N/A XXX 93732 A Analyze pacemaker system 0.92 0.87 N/A 0.06 1.85 N/A XXX 93732 26 A Analyze pacemaker system 0.92 0.36 0.36 0.03 1.31 1.31 XXX 93732 TC A Analyze pacemaker system 0.00 0.51 N/A 0.03 0.54 N/A XXX 93733 A Telephone analy, pacemaker 0.17 0.79 N/A 0.06 1.02 N/A XXX 93733 26 A Telephone analy, pacemaker 0.17 0.07 0.07 0.01 0.25 0.25 XXX 93733 TC A Telephone analy, pacemaker 0.00 0.73 N/A 0.05 0.78 N/A XXX 93734 A Analyze pacemaker system 0.38 0.50 N/A 0.03 0.91 N/A XXX 93734 26 A Analyze pacemaker system 0.38 0.15 0.15 0.01 0.54 0.54 XXX 93734 TC A Analyze pacemaker system 0.00 0.35 N/A 0.02 0.37 N/A XXX 93735 A Analyze pacemaker system 0.74 0.74 N/A 0.06 1.54 N/A XXX 93735 26 A Analyze pacemaker system 0.74 0.29 0.29 0.03 1.06 1.06 XXX 93735 TC A Analyze pacemaker system 0.00 0.44 N/A 0.03 0.47 N/A XXX 93736 A Telephone analy, pacemaker 0.15 0.69 N/A 0.06 0.90 N/A XXX 93736 26 A Telephone analy, pacemaker 0.15 0.06 0.06 0.01 0.22 0.22 XXX 93736 TC A Telephone analy, pacemaker 0.00 0.63 N/A 0.05 0.68 N/A XXX 93740 B Temperature gradient studies 0.16 0.20 N/A 0.02 0.38 N/A XXX 93740 26 B Temperature gradient studies 0.16 0.04 0.04 0.01 0.21 0.21 XXX 93740 TC B Temperature gradient studies 0.00 0.15 N/A 0.01 0.16 N/A XXX 93741 A Analyze ht pace device sngl 0.80 0.99 N/A 0.05 1.84 N/A XXX 93741 26 A Analyze ht pace device sngl 0.80 0.32 0.32 0.02 1.14 1.14 XXX 93741 TC A Analyze ht pace device sngl 0.00 0.67 N/A 0.03 0.70 N/A XXX 93742 A Analyze ht pace device sngl 0.91 1.03 N/A 0.05 1.99 N/A XXX 93742 26 A Analyze ht pace device sngl 0.91 0.36 0.36 0.02 1.29 1.29 XXX 93742 TC A Analyze ht pace device sngl 0.00 0.67 N/A 0.03 0.70 N/A XXX 93743 A Analyze ht pace device dual 1.03 1.14 N/A 0.06 2.23 N/A XXX 93743 26 A Analyze ht pace device dual 1.03 0.41 0.41 0.03 1.47 1.47 XXX 93743 TC A Analyze ht pace device dual 0.00 0.73 N/A 0.03 0.76 N/A XXX 93744 A Analyze ht pace device dual 1.18 1.14 N/A 0.06 2.38 N/A XXX Start Printed Page 49226 93744 26 A Analyze ht pace device dual 1.18 0.47 0.47 0.03 1.68 1.68 XXX 93744 TC A Analyze ht pace device dual 0.00 0.67 N/A 0.03 0.70 N/A XXX 93770 B Measure venous pressure 0.16 0.08 N/A 0.02 0.26 N/A XXX 93770 26 B Measure venous pressure 0.16 0.05 0.05 0.01 0.22 0.22 XXX 93770 TC B Measure venous pressure 0.00 0.03 N/A 0.01 0.04 N/A XXX 93784 A Ambulatory BP monitoring 0.17 0.97 N/A 0.02 1.16 N/A XXX 93786 A Ambulatory BP recording 0.00 0.91 N/A 0.01 0.92 N/A XXX 93790 A Review/report BP recording 0.17 0.06 0.06 0.01 0.24 0.24 XXX 93797 A Cardiac rehab 0.18 0.39 0.07 0.01 0.58 0.26 000 93798 A Cardiac rehab/monitor 0.28 0.51 0.11 0.01 0.80 0.40 000 93799 C Cardiovascular procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93799 26 C Cardiovascular procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93799 TC C Cardiovascular procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93875 A Extracranial study 0.22 1.67 N/A 0.10 1.99 N/A XXX 93875 26 A Extracranial study 0.22 0.08 0.08 0.01 0.31 0.31 XXX 93875 TC A Extracranial study 0.00 1.59 N/A 0.09 1.68 N/A XXX 93880 A Extracranial study 0.60 4.20 N/A 0.33 5.13 N/A XXX 93880 26 A Extracranial study 0.60 0.21 0.21 0.04 0.85 0.85 XXX 93880 TC A Extracranial study 0.00 3.99 N/A 0.29 4.28 N/A XXX 93882 A Extracranial study 0.40 3.03 N/A 0.22 3.65 N/A XXX 93882 26 A Extracranial study 0.40 0.14 0.14 0.04 0.58 0.58 XXX 93882 TC A Extracranial study 0.00 2.88 N/A 0.18 3.06 N/A XXX 93886 A Intracranial study 0.94 4.54 N/A 0.37 5.85 N/A XXX 93886 26 A Intracranial study 0.94 0.38 0.38 0.05 1.37 1.37 XXX 93886 TC A Intracranial study 0.00 4.17 N/A 0.32 4.49 N/A XXX 93888 A Intracranial study 0.62 3.07 N/A 0.26 3.95 N/A XXX 93888 26 A Intracranial study 0.62 0.23 0.23 0.04 0.89 0.89 XXX 93888 TC A Intracranial study 0.00 2.84 N/A 0.22 3.06 N/A XXX 93922 A Extremity study 0.25 1.94 N/A 0.13 2.32 N/A XXX 93922 26 A Extremity study 0.25 0.09 0.09 0.02 0.36 0.36 XXX 93922 TC A Extremity study 0.00 1.85 N/A 0.11 1.96 N/A XXX 93923 A Extremity study 0.45 3.04 N/A 0.22 3.71 N/A XXX 93923 26 A Extremity study 0.45 0.16 0.16 0.04 0.65 0.65 XXX 93923 TC A Extremity study 0.00 2.88 N/A 0.18 3.06 N/A XXX 93924 A Extremity study 0.50 3.79 N/A 0.26 4.55 N/A XXX 93924 26 A Extremity study 0.50 0.17 0.17 0.05 0.72 0.72 XXX 93924 TC A Extremity study 0.00 3.62 N/A 0.21 3.83 N/A XXX 93925 A Lower extremity study 0.58 4.91 N/A 0.33 5.82 N/A XXX 93925 26 A Lower extremity study 0.58 0.20 0.20 0.04 0.82 0.82 XXX 93925 TC A Lower extremity study 0.00 4.71 N/A 0.29 5.00 N/A XXX 93926 A Lower extremity study 0.39 3.51 N/A 0.22 4.12 N/A XXX 93926 26 A Lower extremity study 0.39 0.13 0.13 0.03 0.55 0.55 XXX 93926 TC A Lower extremity study 0.00 3.37 N/A 0.19 3.56 N/A XXX 93930 A Upper extremity study 0.46 3.90 N/A 0.34 4.70 N/A XXX 93930 26 A Upper extremity study 0.46 0.16 0.16 0.03 0.65 0.65 XXX 93930 TC A Upper extremity study 0.00 3.74 N/A 0.31 4.05 N/A XXX 93931 A Upper extremity study 0.31 2.84 N/A 0.22 3.37 N/A XXX 93931 26 A Upper extremity study 0.31 0.11 0.11 0.02 0.44 0.44 XXX 93931 TC A Upper extremity study 0.00 2.74 N/A 0.20 2.94 N/A XXX 93965 A Extremity study 0.35 1.88 N/A 0.12 2.35 N/A XXX 93965 26 A Extremity study 0.35 0.12 0.12 0.02 0.49 0.49 XXX 93965 TC A Extremity study 0.00 1.76 N/A 0.10 1.86 N/A XXX 93970 A Extremity study 0.68 4.00 N/A 0.38 5.06 N/A XXX 93970 26 A Extremity study 0.68 0.23 0.23 0.05 0.96 0.96 XXX 93970 TC A Extremity study 0.00 3.77 N/A 0.33 4.10 N/A XXX 93971 A Extremity study 0.45 2.88 N/A 0.25 3.58 N/A XXX 93971 26 A Extremity study 0.45 0.15 0.15 0.03 0.63 0.63 XXX 93971 TC A Extremity study 0.00 2.73 N/A 0.22 2.95 N/A XXX 93975 A Vascular study 1.80 5.86 N/A 0.47 8.13 N/A XXX 93975 26 A Vascular study 1.80 0.61 0.61 0.11 2.52 2.52 XXX 93975 TC A Vascular study 0.00 5.25 N/A 0.36 5.61 N/A XXX 93976 A Vascular study 1.21 3.48 N/A 0.31 5.00 N/A XXX 93976 26 A Vascular study 1.21 0.41 0.41 0.06 1.68 1.68 XXX Start Printed Page 49227 93976 TC A Vascular study 0.00 3.08 N/A 0.25 3.33 N/A XXX 93978 A Vascular study 0.65 3.62 N/A 0.36 4.63 N/A XXX 93978 26 A Vascular study 0.65 0.22 0.22 0.05 0.92 0.92 XXX 93978 TC A Vascular study 0.00 3.39 N/A 0.31 3.70 N/A XXX 93979 A Vascular study 0.44 2.67 N/A 0.24 3.35 N/A XXX 93979 26 A Vascular study 0.44 0.16 0.16 0.04 0.64 0.64 XXX 93979 TC A Vascular study 0.00 2.51 N/A 0.20 2.71 N/A XXX 93980 A Penile vascular study 1.25 4.77 N/A 0.35 6.37 N/A XXX 93980 26 A Penile vascular study 1.25 0.42 0.42 0.07 1.74 1.74 XXX 93980 TC A Penile vascular study 0.00 4.35 N/A 0.28 4.63 N/A XXX 93981 A Penile vascular study 0.44 4.65 N/A 0.28 5.37 N/A XXX 93981 26 A Penile vascular study 0.44 0.15 0.15 0.02 0.61 0.61 XXX 93981 TC A Penile vascular study 0.00 4.51 N/A 0.26 4.77 N/A XXX 93990 A Doppler flow testing 0.25 3.44 N/A 0.21 3.90 N/A XXX 93990 26 A Doppler flow testing 0.25 0.09 0.09 0.02 0.36 0.36 XXX 93990 TC A Doppler flow testing 0.00 3.35 N/A 0.19 3.54 N/A XXX 94010 A Breathing capacity test 0.17 0.69 N/A 0.03 0.89 N/A XXX 94010 26 A Breathing capacity test 0.17 0.05 0.05 0.01 0.23 0.23 XXX 94010 TC A Breathing capacity test 0.00 0.64 N/A 0.02 0.66 N/A XXX 94014 A Patient recorded spirometry 0.52 0.78 N/A 0.03 1.33 N/A XXX 94015 A Patient recorded spirometry 0.00 0.61 N/A 0.01 0.62 N/A XXX 94016 A Review patient spirometry 0.52 0.17 0.17 0.02 0.71 0.71 XXX 94060 A Evaluation of wheezing 0.31 1.14 N/A 0.06 1.51 N/A XXX 94060 26 A Evaluation of wheezing 0.31 0.10 0.10 0.01 0.42 0.42 XXX 94060 TC A Evaluation of wheezing 0.00 1.05 N/A 0.05 1.10 N/A XXX 94070 A Evaluation of wheezing 0.60 1.25 N/A 0.10 1.95 N/A XXX 94070 26 A Evaluation of wheezing 0.60 0.19 0.19 0.02 0.81 0.81 XXX 94070 TC A Evaluation of wheezing 0.00 1.06 N/A 0.08 1.14 N/A XXX 94150 B Vital capacity test 0.07 0.48 N/A 0.02 0.57 N/A XXX 94150 26 B Vital capacity test 0.07 0.03 0.03 0.01 0.11 0.11 XXX 94150 TC B Vital capacity test 0.00 0.46 N/A 0.01 0.47 N/A XXX 94200 A Lung function test (MBC/MVV) 0.11 0.46 N/A 0.03 0.60 N/A XXX 94200 26 A Lung function test (MBC/MVV) 0.11 0.03 0.03 0.01 0.15 0.15 XXX 94200 TC A Lung function test (MBC/MVV) 0.00 0.43 N/A 0.02 0.45 N/A XXX 94240 A Residual lung capacity 0.26 0.59 N/A 0.05 0.90 N/A XXX 94240 26 A Residual lung capacity 0.26 0.08 0.08 0.01 0.35 0.35 XXX 94240 TC A Residual lung capacity 0.00 0.51 N/A 0.04 0.55 N/A XXX 94250 A Expired gas collection 0.11 0.68 N/A 0.02 0.81 N/A XXX 94250 26 A Expired gas collection 0.11 0.03 0.03 0.01 0.15 0.15 XXX 94250 TC A Expired gas collection 0.00 0.64 N/A 0.01 0.65 N/A XXX 94260 A Thoracic gas volume 0.13 0.51 N/A 0.04 0.68 N/A XXX 94260 26 A Thoracic gas volume 0.13 0.04 0.04 0.01 0.18 0.18 XXX 94260 TC A Thoracic gas volume 0.00 0.47 N/A 0.03 0.50 N/A XXX 94350 A Lung nitrogen washout curve 0.26 0.77 N/A 0.04 1.07 N/A XXX 94350 26 A Lung nitrogen washout curve 0.26 0.08 0.08 0.01 0.35 0.35 XXX 94350 TC A Lung nitrogen washout curve 0.00 0.69 N/A 0.03 0.72 N/A XXX 94360 A Measure airflow resistance 0.26 0.61 N/A 0.06 0.93 N/A XXX 94360 26 A Measure airflow resistance 0.26 0.08 0.08 0.01 0.35 0.35 XXX 94360 TC A Measure airflow resistance 0.00 0.53 N/A 0.05 0.58 N/A XXX 94370 A Breath airway closing volume 0.26 0.74 N/A 0.03 1.03 N/A XXX 94370 26 A Breath airway closing volume 0.26 0.08 0.08 0.01 0.35 0.35 XXX 94370 TC A Breath airway closing volume 0.00 0.66 N/A 0.02 0.68 N/A XXX 94375 A Respiratory flow volume loop 0.31 0.56 N/A 0.03 0.90 N/A XXX Start Printed Page 49228 94375 26 A Respiratory flow volume loop 0.31 0.10 0.10 0.01 0.42 0.42 XXX 94375 TC A Respiratory flow volume loop 0.00 0.47 N/A 0.02 0.49 N/A XXX 94400 A CO2 breathing response curve 0.40 0.86 N/A 0.06 1.32 N/A XXX 94400 26 A CO2 breathing response curve 0.40 0.13 0.13 0.01 0.54 0.54 XXX 94400 TC A CO2 breathing response curve 0.00 0.74 N/A 0.05 0.79 N/A XXX 94450 A Hypoxia response curve 0.40 0.69 N/A 0.04 1.13 N/A XXX 94450 26 A Hypoxia response curve 0.40 0.12 0.12 0.02 0.54 0.54 XXX 94450 TC A Hypoxia response curve 0.00 0.57 N/A 0.02 0.59 N/A XXX 94620 A Pulmonary stress test/simple 0.64 2.49 N/A 0.10 3.23 N/A XXX 94620 26 A Pulmonary stress test/simple 0.64 0.20 0.20 0.02 0.86 0.86 XXX 94620 TC A Pulmonary stress test/simple 0.00 2.29 N/A 0.08 2.37 N/A XXX 94621 A Pulm stress test/complex 1.42 2.11 N/A 0.13 3.66 N/A XXX 94621 26 A Pulm stress test/complex 1.42 0.44 0.44 0.05 1.91 1.91 XXX 94621 TC A Pulm stress test/complex 0.00 1.67 N/A 0.08 1.75 N/A XXX 94640 A Airway inhalation treatment 0.00 0.35 N/A 0.02 0.37 N/A XXX 94642 C Aerosol inhalation treatment 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94656 A Initial ventilator mgmt 1.22 1.23 0.32 0.06 2.51 1.60 XXX 94657 A Continued ventilator mgmt 0.83 1.04 0.25 0.03 1.90 1.11 XXX 94660 A Pos airway pressure, CPAP 0.76 0.67 0.24 0.03 1.46 1.03 XXX 94662 A Neg press ventilation, cnp 0.76 N/A 0.24 0.02 N/A 1.02 XXX 94664 A Evaluate pt use of inhaler 0.00 0.34 N/A 0.03 0.37 N/A XXX 94667 A Chest wall manipulation 0.00 0.56 N/A 0.04 0.60 N/A XXX 94668 A Chest wall manipulation 0.00 0.48 N/A 0.02 0.50 N/A XXX 94680 A Exhaled air analysis, o2 0.26 1.97 N/A 0.06 2.29 N/A XXX 94680 26 A Exhaled air analysis, o2 0.26 0.08 0.08 0.01 0.35 0.35 XXX 94680 TC A Exhaled air analysis, o2 0.00 1.89 N/A 0.05 1.94 N/A XXX 94681 A Exhaled air analysis, o2/co2 0.20 2.69 N/A 0.11 3.00 N/A XXX 94681 26 A Exhaled air analysis, o2/co2 0.20 0.07 0.07 0.01 0.28 0.28 XXX 94681 TC A Exhaled air analysis, o2/co2 0.00 2.62 N/A 0.10 2.72 N/A XXX 94690 A Exhaled air analysis 0.07 2.06 N/A 0.04 2.17 N/A XXX 94690 26 A Exhaled air analysis 0.07 0.02 0.02 0.01 0.10 0.10 XXX 94690 TC A Exhaled air analysis 0.00 2.04 N/A 0.03 2.07 N/A XXX 94720 A Monoxide diffusing capacity 0.26 1.02 N/A 0.06 1.34 N/A XXX 94720 26 A Monoxide diffusing capacity 0.26 0.08 0.08 0.01 0.35 0.35 XXX 94720 TC A Monoxide diffusing capacity 0.00 0.94 N/A 0.05 0.99 N/A XXX 94725 A Membrane diffusion capacity 0.26 3.07 N/A 0.11 3.44 N/A XXX 94725 26 A Membrane diffusion capacity 0.26 0.08 0.08 0.01 0.35 0.35 XXX 94725 TC A Membrane diffusion capacity 0.00 2.99 N/A 0.10 3.09 N/A XXX 94750 A Pulmonary compliance study 0.23 1.41 N/A 0.04 1.68 N/A XXX 94750 26 A Pulmonary compliance study 0.23 0.07 0.07 0.01 0.31 0.31 XXX 94750 TC A Pulmonary compliance study 0.00 1.33 N/A 0.03 1.36 N/A XXX 94760 T Measure blood oxygen level 0.00 0.09 N/A 0.02 0.11 N/A XXX Start Printed Page 49229 94761 T Measure blood oxygen level 0.00 0.12 N/A 0.05 0.17 N/A XXX 94762 A Measure blood oxygen level 0.00 0.41 N/A 0.08 0.49 N/A XXX 94770 A Exhaled carbon dioxide test 0.15 1.72 N/A 0.07 1.94 N/A XXX 94770 26 A Exhaled carbon dioxide test 0.15 0.04 0.04 0.01 0.20 0.20 XXX 94770 TC A Exhaled carbon dioxide test 0.00 1.68 N/A 0.06 1.74 N/A XXX 94772 C Breath recording, infant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94772 26 C Breath recording, infant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94772 TC C Breath recording, infant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94799 C Pulmonary service/procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94799 26 C Pulmonary service/procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94799 TC C Pulmonary service/procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95004 A Percut allergy skin tests 0.00 0.10 N/A 0.01 0.11 N/A XXX 95010 A Percut allergy titrate test 0.15 0.33 0.06 0.01 0.49 0.22 XXX 95015 A Id allergy titrate-drug/bug 0.15 0.15 0.06 0.01 0.31 0.22 XXX 95024 A Id allergy test, drug/bug 0.00 0.15 N/A 0.01 0.16 N/A XXX 95027 A Id allergy titrate-airborne 0.00 0.15 N/A 0.01 0.16 N/A XXX 95028 A Id allergy test-delayed type 0.00 0.23 N/A 0.01 0.24 N/A XXX 95044 A Allergy patch tests 0.00 0.20 N/A 0.01 0.21 N/A XXX 95052 A Photo patch test 0.00 0.25 N/A 0.01 0.26 N/A XXX 95056 A Photosensitivity tests 0.00 0.17 N/A 0.01 0.18 N/A XXX 95060 A Eye allergy tests 0.00 0.35 N/A 0.02 0.37 N/A XXX 95065 A Nose allergy test 0.00 0.20 N/A 0.01 0.21 N/A XXX 95070 A Bronchial allergy tests 0.00 2.28 N/A 0.02 2.30 N/A XXX 95071 A Bronchial allergy tests 0.00 2.92 N/A 0.02 2.94 N/A XXX 95075 A Ingestion challenge test 0.95 0.84 0.39 0.03 1.82 1.37 XXX 95078 A Provocative testing 0.00 0.25 N/A 0.02 0.27 N/A XXX 95115 A Immunotherapy, one injection 0.00 0.39 N/A 0.02 0.41 N/A 000 95117 A Immunotherapy injections 0.00 0.50 N/A 0.02 0.52 N/A 000 95120 I Immunotherapy, one injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95125 I Immunotherapy, many antigens 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95130 I Immunotherapy, insect venom 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95131 I Immunotherapy, insect venoms 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95132 I Immunotherapy, insect venoms 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95133 I Immunotherapy, insect venoms 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95134 I Immunotherapy, insect venoms 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95144 A Antigen therapy services 0.06 0.16 0.02 0.01 0.23 0.09 000 95145 A Antigen therapy services 0.06 0.20 0.02 0.01 0.27 0.09 000 95146 A Antigen therapy services 0.06 0.27 0.03 0.01 0.34 0.10 000 95147 A Antigen therapy services 0.06 0.34 0.02 0.01 0.41 0.09 000 95148 A Antigen therapy services 0.06 0.42 0.03 0.01 0.49 0.10 000 95149 A Antigen therapy services 0.06 0.56 0.03 0.01 0.63 0.10 000 95165 A Antigen therapy services 0.06 0.21 0.02 0.01 0.28 0.09 000 95170 A Antigen therapy services 0.06 0.14 0.02 0.01 0.21 0.09 000 95180 A Rapid desensitization 2.01 1.56 0.84 0.04 3.61 2.89 000 95199 C Allergy immunology services 0.00 0.00 0.00 0.00 0.00 0.00 000 95250 A Glucose monitoring, cont 0.00 3.93 N/A 0.01 3.94 N/A XXX 95805 A Multiple sleep latency test 1.88 16.80 N/A 0.34 19.02 N/A XXX 95805 26 A Multiple sleep latency test 1.88 0.67 0.67 0.06 2.61 2.61 XXX Start Printed Page 49230 95805 TC A Multiple sleep latency test 0.00 16.12 N/A 0.28 16.40 N/A XXX 95806 A Sleep study, unattended 1.66 3.94 N/A 0.32 5.92 N/A XXX 95806 26 A Sleep study, unattended 1.66 0.55 0.55 0.06 2.27 2.27 XXX 95806 TC A Sleep study, unattended 0.00 3.40 N/A 0.26 3.66 N/A XXX 95807 A Sleep study, attended 1.66 12.35 N/A 0.40 14.41 N/A XXX 95807 26 A Sleep study, attended 1.66 0.54 0.54 0.05 2.25 2.25 XXX 95807 TC A Sleep study, attended 0.00 11.81 N/A 0.35 12.16 N/A XXX 95808 A Polysomnography, 1-3 2.65 13.34 N/A 0.44 16.43 N/A XXX 95808 26 A Polysomnography, 1-3 2.65 0.94 0.94 0.09 3.68 3.68 XXX 95808 TC A Polysomnography, 1-3 0.00 12.39 N/A 0.35 12.74 N/A XXX 95810 A Polysomnography, 4 or more 3.53 17.59 N/A 0.47 21.59 N/A XXX 95810 26 A Polysomnography, 4 or more 3.53 1.21 1.21 0.12 4.86 4.86 XXX 95810 TC A Polysomnography, 4 or more 0.00 16.38 N/A 0.35 16.73 N/A XXX 95811 A Polysomnography w/cpap 3.80 19.01 N/A 0.49 23.30 N/A XXX 95811 26 A Polysomnography w/cpap 3.80 1.30 1.30 0.13 5.23 5.23 XXX 95811 TC A Polysomnography w/cpap 0.00 17.72 N/A 0.36 18.08 N/A XXX 95812 A Eeg, 41-60 minutes 1.08 3.96 N/A 0.13 5.17 N/A XXX 95812 26 A Eeg, 41-60 minutes 1.08 0.46 0.46 0.04 1.58 1.58 XXX 95812 TC A Eeg, 41-60 minutes 0.00 3.50 N/A 0.09 3.59 N/A XXX 95813 A Eeg, over 1 hour 1.73 5.00 N/A 0.15 6.88 N/A XXX 95813 26 A Eeg, over 1 hour 1.73 0.71 0.71 0.06 2.50 2.50 XXX 95813 TC A Eeg, over 1 hour 0.00 4.28 N/A 0.09 4.37 N/A XXX 95816 A Eeg, awake and drowsy 1.08 3.16 N/A 0.12 4.36 N/A XXX 95816 26 A Eeg, awake and drowsy 1.08 0.47 0.47 0.04 1.59 1.59 XXX 95816 TC A Eeg, awake and drowsy 0.00 2.70 N/A 0.08 2.78 N/A XXX 95819 A Eeg, awake and asleep 1.08 3.71 N/A 0.12 4.91 N/A XXX 95819 26 A Eeg, awake and asleep 1.08 0.47 0.47 0.04 1.59 1.59 XXX 95819 TC A Eeg, awake and asleep 0.00 3.24 N/A 0.08 3.32 N/A XXX 95822 A Eeg, coma or sleep only 1.08 4.40 N/A 0.15 5.63 N/A XXX 95822 26 A Eeg, coma or sleep only 1.08 0.47 0.47 0.04 1.59 1.59 XXX 95822 TC A Eeg, coma or sleep only 0.00 3.93 N/A 0.11 4.04 N/A XXX 95824 C Eeg, cerebral death only 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95824 26 A Eeg, cerebral death only 0.74 0.32 0.32 0.05 1.11 1.11 XXX 95824 TC C Eeg, cerebral death only 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95827 A Eeg, all night recording 1.08 2.71 N/A 0.15 3.94 N/A XXX 95827 26 A Eeg, all night recording 1.08 0.42 0.42 0.03 1.53 1.53 XXX 95827 TC A Eeg, all night recording 0.00 2.29 N/A 0.12 2.41 N/A XXX 95829 A Surgery electrocorticogram 6.21 32.94 N/A 0.33 39.48 N/A XXX 95829 26 A Surgery electrocorticogram 6.21 2.37 2.37 0.31 8.89 8.89 XXX 95829 TC A Surgery electrocorticogram 0.00 30.57 N/A 0.02 30.59 N/A XXX 95830 A Insert electrodes for EEG 1.70 3.50 0.75 0.07 5.27 2.52 XXX 95831 A Limb muscle testing, manual 0.28 0.33 0.13 0.01 0.62 0.42 XXX 95832 A Hand muscle testing, manual 0.29 0.25 0.12 0.01 0.55 0.42 XXX 95833 A Body muscle testing, manual 0.47 0.44 0.23 0.01 0.92 0.71 XXX 95834 A Body muscle testing, manual 0.60 0.50 0.28 0.02 1.12 0.90 XXX 95851 A Range of motion measurements 0.16 0.34 0.08 0.01 0.51 0.25 XXX 95852 A Range of motion measurements 0.11 0.24 0.05 0.01 0.36 0.17 XXX 95857 A Tensilon test 0.53 0.62 0.23 0.02 1.17 0.78 XXX 95858 A Tensilon test & myogram 1.56 1.08 N/A 0.07 2.71 N/A XXX 95858 26 A Tensilon test & myogram 1.56 0.68 0.68 0.04 2.28 2.28 XXX 95858 TC A Tensilon test & myogram 0.00 0.40 N/A 0.03 0.43 N/A XXX 95860 A Muscle test, one limb 0.96 1.47 N/A 0.05 2.48 N/A XXX 95860 26 A Muscle test, one limb 0.96 0.43 0.43 0.03 1.42 1.42 XXX 95860 TC A Muscle test, one limb 0.00 1.04 N/A 0.02 1.06 N/A XXX 95861 A Muscle test, 2 limbs 1.54 1.43 N/A 0.10 3.07 N/A XXX 95861 26 A Muscle test, 2 limbs 1.54 0.69 0.69 0.05 2.28 2.28 XXX 95861 TC A Muscle test, 2 limbs 0.00 0.73 N/A 0.05 0.78 N/A XXX Start Printed Page 49231 95863 A Muscle test, 3 limbs 1.87 1.76 N/A 0.11 3.74 N/A XXX 95863 26 A Muscle test, 3 limbs 1.87 0.82 0.82 0.06 2.75 2.75 XXX 95863 TC A Muscle test, 3 limbs 0.00 0.94 N/A 0.05 0.99 N/A XXX 95864 A Muscle test, 4 limbs 1.99 2.67 N/A 0.16 4.82 N/A XXX 95864 26 A Muscle test, 4 limbs 1.99 0.89 0.89 0.06 2.94 2.94 XXX 95864 TC A Muscle test, 4 limbs 0.00 1.78 N/A 0.10 1.88 N/A XXX 95867 A Muscle test cran nerv unilat 0.79 0.93 N/A 0.06 1.78 N/A XXX 95867 26 A Muscle test cran nerv unilat 0.79 0.35 0.35 0.03 1.17 1.17 XXX 95867 TC A Muscle test cran nerv unilat 0.00 0.58 N/A 0.03 0.61 N/A XXX 95868 A Muscle test cran nerve bilat 1.18 1.22 N/A 0.08 2.48 N/A XXX 95868 26 A Muscle test cran nerve bilat 1.18 0.52 0.52 0.04 1.74 1.74 XXX 95868 TC A Muscle test cran nerve bilat 0.00 0.70 N/A 0.04 0.74 N/A XXX 95869 A Muscle test, thor paraspinal 0.37 0.38 N/A 0.03 0.78 N/A XXX 95869 26 A Muscle test, thor paraspinal 0.37 0.17 0.17 0.01 0.55 0.55 XXX 95869 TC A Muscle test, thor paraspinal 0.00 0.21 N/A 0.02 0.23 N/A XXX 95870 A Muscle test, nonparaspinal 0.37 0.37 N/A 0.03 0.77 N/A XXX 95870 26 A Muscle test, nonparaspinal 0.37 0.16 0.16 0.01 0.54 0.54 XXX 95870 TC A Muscle test, nonparaspinal 0.00 0.21 N/A 0.02 0.23 N/A XXX 95872 A Muscle test, one fiber 1.50 1.25 N/A 0.08 2.83 N/A XXX 95872 26 A Muscle test, one fiber 1.50 0.65 0.65 0.04 2.19 2.19 XXX 95872 TC A Muscle test, one fiber 0.00 0.60 N/A 0.04 0.64 N/A XXX 95875 A Limb exercise test 1.10 1.50 N/A 0.09 2.69 N/A XXX 95875 26 A Limb exercise test 1.10 0.48 0.48 0.04 1.62 1.62 XXX 95875 TC A Limb exercise test 0.00 1.02 N/A 0.05 1.07 N/A XXX 95900 A Motor nerve conduction test 0.42 1.30 N/A 0.03 1.75 N/A XXX 95900 26 A Motor nerve conduction test 0.42 0.19 0.19 0.01 0.62 0.62 XXX 95900 TC A Motor nerve conduction test 0.00 1.12 N/A 0.02 1.14 N/A XXX 95903 A Motor nerve conduction test 0.60 1.23 N/A 0.04 1.87 N/A XXX 95903 26 A Motor nerve conduction test 0.60 0.26 0.26 0.02 0.88 0.88 XXX 95903 TC A Motor nerve conduction test 0.00 0.97 N/A 0.02 0.99 N/A XXX 95904 A Sense nerve conduction test 0.34 1.13 N/A 0.03 1.50 N/A XXX 95904 26 A Sense nerve conduction test 0.34 0.15 0.15 0.01 0.50 0.50 XXX 95904 TC A Sense nerve conduction test 0.00 0.98 N/A 0.02 1.00 N/A XXX 95920 A Intraop nerve test add-on 2.11 2.26 N/A 0.20 4.57 N/A ZZZ 95920 26 A Intraop nerve test add-on 2.11 0.95 0.95 0.14 3.20 3.20 ZZZ 95920 TC A Intraop nerve test add-on 0.00 1.31 N/A 0.06 1.37 N/A ZZZ 95921 A Autonomic nerv function test 0.90 0.71 N/A 0.05 1.66 N/A XXX 95921 26 A Autonomic nerv function test 0.90 0.33 0.33 0.03 1.26 1.26 XXX 95921 TC A Autonomic nerv function test 0.00 0.38 N/A 0.02 0.40 N/A XXX 95922 A Autonomic nerv function test 0.96 0.79 N/A 0.05 1.80 N/A XXX 95922 26 A Autonomic nerv function test 0.96 0.41 0.41 0.03 1.40 1.40 XXX 95922 TC A Autonomic nerv function test 0.00 0.38 N/A 0.02 0.40 N/A XXX Start Printed Page 49232 95923 A Autonomic nerv function test 0.90 2.14 N/A 0.05 3.09 N/A XXX 95923 26 A Autonomic nerv function test 0.90 0.39 0.39 0.03 1.32 1.32 XXX 95923 TC A Autonomic nerv function test 0.00 1.76 N/A 0.02 1.78 N/A XXX 95925 A Somatosensory testing 0.54 1.14 N/A 0.07 1.75 N/A XXX 95925 26 A Somatosensory testing 0.54 0.23 0.23 0.02 0.79 0.79 XXX 95925 TC A Somatosensory testing 0.00 0.91 N/A 0.05 0.96 N/A XXX 95926 A Somatosensory testing 0.54 1.15 N/A 0.07 1.76 N/A XXX 95926 26 A Somatosensory testing 0.54 0.24 0.24 0.02 0.80 0.80 XXX 95926 TC A Somatosensory testing 0.00 0.91 N/A 0.05 0.96 N/A XXX 95927 A Somatosensory testing 0.54 1.16 N/A 0.08 1.78 N/A XXX 95927 26 A Somatosensory testing 0.54 0.25 0.25 0.03 0.82 0.82 XXX 95927 TC A Somatosensory testing 0.00 0.91 N/A 0.05 0.96 N/A XXX 95930 A Visual evoked potential test 0.35 1.44 N/A 0.02 1.81 N/A XXX 95930 26 A Visual evoked potential test 0.35 0.15 0.15 0.01 0.51 0.51 XXX 95930 TC A Visual evoked potential test 0.00 1.29 N/A 0.01 1.30 N/A XXX 95933 A Blink reflex test 0.59 1.03 N/A 0.07 1.69 N/A XXX 95933 26 A Blink reflex test 0.59 0.25 0.25 0.02 0.86 0.86 XXX 95933 TC A Blink reflex test 0.00 0.78 N/A 0.05 0.83 N/A XXX 95934 A H-reflex test 0.51 0.44 N/A 0.04 0.99 N/A XXX 95934 26 A H-reflex test 0.51 0.23 0.23 0.02 0.76 0.76 XXX 95934 TC A H-reflex test 0.00 0.21 N/A 0.02 0.23 N/A XXX 95936 A H-reflex test 0.55 0.46 N/A 0.04 1.05 N/A XXX 95936 26 A H-reflex test 0.55 0.25 0.25 0.02 0.82 0.82 XXX 95936 TC A H-reflex test 0.00 0.21 N/A 0.02 0.23 N/A XXX 95937 A Neuromuscular junction test 0.65 0.61 N/A 0.04 1.30 N/A XXX 95937 26 A Neuromuscular junction test 0.65 0.27 0.27 0.02 0.94 0.94 XXX 95937 TC A Neuromuscular junction test 0.00 0.34 N/A 0.02 0.36 N/A XXX 95950 A Ambulatory eeg monitoring 1.51 4.57 N/A 0.44 6.52 N/A XXX 95950 26 A Ambulatory eeg monitoring 1.51 0.65 0.65 0.08 2.24 2.24 XXX 95950 TC A Ambulatory eeg monitoring 0.00 3.93 N/A 0.36 4.29 N/A XXX 95951 C EEG monitoring/videorecord 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95951 26 A EEG monitoring/videorecord 6.00 2.61 2.61 0.20 8.81 8.81 XXX 95951 TC C EEG monitoring/videorecord 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95953 A EEG monitoring/computer 3.08 7.65 N/A 0.46 11.19 N/A XXX 95953 26 A EEG monitoring/computer 3.08 1.32 1.32 0.10 4.50 4.50 XXX 95953 TC A EEG monitoring/computer 0.00 6.33 N/A 0.36 6.69 N/A XXX 95954 A EEG monitoring/giving drugs 2.45 4.39 N/A 0.15 6.99 N/A XXX 95954 26 A EEG monitoring/giving drugs 2.45 1.07 1.07 0.10 3.62 3.62 XXX 95954 TC A EEG monitoring/giving drugs 0.00 3.33 N/A 0.05 3.38 N/A XXX 95955 A EEG during surgery 1.01 2.33 N/A 0.19 3.53 N/A XXX 95955 26 A EEG during surgery 1.01 0.37 0.37 0.05 1.43 1.43 XXX 95955 TC A EEG during surgery 0.00 1.96 N/A 0.14 2.10 N/A XXX 95956 A Eeg monitoring, cable/radio 3.08 14.44 N/A 0.47 17.99 N/A XXX 95956 26 A Eeg monitoring, cable/radio 3.08 1.33 1.33 0.11 4.52 4.52 XXX 95956 TC A Eeg monitoring, cable/radio 0.00 13.11 N/A 0.36 13.47 N/A XXX 95957 A EEG digital analysis 1.98 2.57 N/A 0.17 4.72 N/A XXX 95957 26 A EEG digital analysis 1.98 0.87 0.87 0.07 2.92 2.92 XXX 95957 TC A EEG digital analysis 0.00 1.70 N/A 0.10 1.80 N/A XXX Start Printed Page 49233 95958 A EEG monitoring/function test 4.25 3.52 N/A 0.29 8.06 N/A XXX 95958 26 A EEG monitoring/function test 4.25 1.78 1.78 0.18 6.21 6.21 XXX 95958 TC A EEG monitoring/function test 0.00 1.74 N/A 0.11 1.85 N/A XXX 95961 A Electrode stimulation, brain 2.97 2.65 N/A 0.24 5.86 N/A XXX 95961 26 A Electrode stimulation, brain 2.97 1.35 1.35 0.18 4.50 4.50 XXX 95961 TC A Electrode stimulation, brain 0.00 1.31 N/A 0.06 1.37 N/A XXX 95962 A Electrode stim, brain add-on 3.21 2.72 N/A 0.23 6.16 N/A ZZZ 95962 26 A Electrode stim, brain add-on 3.21 1.42 1.42 0.17 4.80 4.80 ZZZ 95962 TC A Electrode stim, brain add-on 0.00 1.31 N/A 0.06 1.37 N/A ZZZ 95965 C Meg, spontaneous 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95965 26 A Meg, spontaneous 8.00 3.49 3.49 0.31 11.80 11.80 XXX 95965 TC C Meg, spontaneous 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95966 C Meg, evoked, single 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95966 26 A Meg, evoked, single 4.00 1.76 1.76 0.15 5.91 5.91 XXX 95966 TC C Meg, evoked, single 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95967 C Meg, evoked, each addl 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 95967 26 A Meg, evoked, each addl 3.50 1.36 1.36 0.13 4.99 4.99 ZZZ 95967 TC C Meg, evoked, each addl 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 95970 A Analyze neurostim, no prog 0.45 0.17 0.15 0.03 0.65 0.63 XXX 95971 A Analyze neurostim, simple 0.78 0.28 0.23 0.06 1.12 1.07 XXX 95972 A Analyze neurostim, complex 1.50 0.60 0.50 0.17 2.27 2.17 XXX 95973 A Analyze neurostim, complex 0.92 0.40 0.35 0.07 1.39 1.34 ZZZ 95974 A Cranial neurostim, complex 3.00 1.32 1.32 0.15 4.47 4.47 XXX 95975 A Cranial neurostim, complex 1.70 0.74 0.74 0.07 2.51 2.51 ZZZ 95990 A Spin/brain pump refil & main 0.00 1.50 N/A 0.05 1.55 N/A XXX 95999 C Neurological procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 96000 A Motion analysis, video/3d 1.80 N/A 0.57 0.02 N/A 2.39 XXX 96001 A Motion test w/ft press meas 2.15 N/A 0.83 0.02 N/A 3.00 XXX 96002 A Dynamic surface emg 0.41 N/A 0.16 0.02 N/A 0.59 XXX 96003 A Dynamic fine wire emg 0.37 N/A 0.14 0.03 N/A 0.54 XXX 96004 A Phys review of motion tests 2.14 0.97 0.97 0.08 3.19 3.19 XXX 96100 A Psychological testing 0.00 1.76 N/A 0.15 1.91 N/A XXX 96105 A Assessment of aphasia 0.00 1.76 N/A 0.15 1.91 N/A XXX 96110 C Developmental test, lim 0.00 0.00 0.00 0.00 0.00 0.00 XXX 96111 A Developmental test, extend 0.00 1.76 N/A 0.15 1.91 N/A XXX 96115 A Neurobehavior status exam 0.00 1.76 N/A 0.15 1.91 N/A XXX 96117 A Neuropsych test battery 0.00 1.76 N/A 0.15 1.91 N/A XXX 96150 A Assess lth/behave, init 0.50 0.19 0.18 0.02 0.71 0.70 XXX 96151 A Assess hlth/behave, subseq 0.48 0.18 0.17 0.02 0.68 0.67 XXX 96152 A Intervene hlth/behave, indiv 0.46 0.18 0.17 0.02 0.66 0.65 XXX 96153 A Intervene hlth/behave, group 0.10 0.04 0.04 0.01 0.15 0.15 XXX 96154 A Interv hlth/behav, fam w/pt 0.45 0.17 0.16 0.02 0.64 0.63 XXX 96155 N Interv hlth/behav fam no pt 0.44 0.16 0.16 0.02 0.62 0.62 XXX 96400 A Chemotherapy, sc/im 0.00 0.89 N/A 0.01 0.90 N/A XXX Start Printed Page 49234 96405 A Intralesional chemo admin 0.52 1.96 0.23 0.02 2.50 0.77 000 96406 A Intralesional chemo admin 0.80 2.60 0.30 0.02 3.42 1.12 000 96408 A Chemotherapy, push technique 0.00 0.97 N/A 0.05 1.02 N/A XXX 96410 A Chemotherapy,infusion method 0.00 1.55 N/A 0.07 1.62 N/A XXX 96412 A Chemo, infuse method add-on 0.00 1.15 N/A 0.06 1.21 N/A ZZZ 96414 A Chemo, infuse method add-on 0.00 1.33 N/A 0.07 1.40 N/A XXX 96420 A Chemotherapy, push technique 0.00 1.25 N/A 0.07 1.32 N/A XXX 96422 A Chemotherapy,infusion method 0.00 1.23 N/A 0.07 1.30 N/A XXX 96423 A Chemo, infuse method add-on 0.00 0.48 N/A 0.02 0.50 N/A ZZZ 96425 A Chemotherapy,infusion method 0.00 1.43 N/A 0.07 1.50 N/A XXX 96440 A Chemotherapy, intracavitary 2.37 7.46 1.05 0.12 9.95 3.54 000 96445 A Chemotherapy, intracavitary 2.20 7.43 1.03 0.07 9.70 3.30 000 96450 A Chemotherapy, into CNS 1.89 6.30 0.92 0.06 8.25 2.87 000 96520 A Port pump refill & main 0.00 0.89 N/A 0.05 0.94 N/A XXX 96530 A Syst pump refill & main 0.00 1.06 N/A 0.05 1.11 N/A XXX 96542 A Chemotherapy injection 1.42 3.83 0.55 0.05 5.30 2.02 XXX 96549 C Chemotherapy, unspecified 0.00 0.00 0.00 0.00 0.00 0.00 XXX 96567 A Photodynamic tx, skin 0.00 2.79 N/A 0.03 2.82 N/A XXX 96570 A Photodynamic tx, 30 min 1.10 N/A 0.37 0.04 N/A 1.51 ZZZ 96571 A Photodynamic tx, addl 15 min 0.55 N/A 0.20 0.02 N/A 0.77 ZZZ 96900 A Ultraviolet light therapy 0.00 0.49 N/A 0.02 0.51 N/A XXX 96902 B Trichogram 0.41 0.25 0.16 0.01 0.67 0.58 XXX 96910 A Photochemotherapy with UV-B 0.00 1.09 N/A 0.03 1.12 N/A XXX 96912 A Photochemotherapy with UV-A 0.00 1.38 N/A 0.04 1.42 N/A XXX 96913 A Photochemotherapy, UV-A or B 0.00 1.82 N/A 0.08 1.90 N/A XXX 96920 A Laser tx, skin < 250 sq cm 1.15 14.89 0.45 0.09 16.13 1.69 000 96921 A Laser tx, skin 250-500 sq cm 1.17 14.96 0.45 0.09 16.22 1.71 000 96922 A Laser tx, skin > 500 sq cm 2.10 15.58 0.81 0.16 17.84 3.07 000 96999 C Dermatological procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97001 A Pt evaluation 1.20 0.75 0.46 0.05 2.00 1.71 XXX 97002 A Pt re-evaluation 0.60 0.45 0.24 0.02 1.07 0.86 XXX 97003 A Ot evaluation 1.20 0.88 0.41 0.05 2.13 1.66 XXX 97004 A Ot re-evaluation 0.60 0.63 0.20 0.02 1.25 0.82 XXX 97005 I Athletic train eval 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97006 I Athletic train reeval 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97010 B Hot or cold packs therapy 0.06 0.05 N/A 0.01 0.12 N/A XXX 97012 A Mechanical traction therapy 0.25 0.14 N/A 0.01 0.40 N/A XXX 97014 I Electric stimulation therapy 0.18 0.14 N/A 0.01 0.33 N/A XXX 97016 A Vasopneumatic device therapy 0.18 0.19 N/A 0.01 0.38 N/A XXX 97018 A Paraffin bath therapy 0.06 0.11 N/A 0.01 0.18 N/A XXX 97020 A Microwave therapy 0.06 0.06 N/A 0.01 0.13 N/A XXX 97022 A Whirlpool therapy 0.17 0.22 N/A 0.01 0.40 N/A XXX 97024 A Diathermy treatment 0.06 0.06 N/A 0.01 0.13 N/A XXX 97026 A Infrared therapy 0.06 0.06 N/A 0.01 0.13 N/A XXX 97028 A Ultraviolet therapy 0.08 0.07 N/A 0.01 0.16 N/A XXX 97032 A Electrical stimulation 0.25 0.16 N/A 0.01 0.42 N/A XXX 97033 A Electric current therapy 0.26 0.41 N/A 0.02 0.69 N/A XXX 97034 A Contrast bath therapy 0.21 0.16 N/A 0.01 0.38 N/A XXX Start Printed Page 49235 97035 A Ultrasound therapy 0.21 0.11 N/A 0.01 0.33 N/A XXX 97036 A Hydrotherapy 0.28 0.33 N/A 0.01 0.62 N/A XXX 97039 A Physical therapy treatment 0.20 0.11 N/A 0.01 0.32 N/A XXX 97110 A Therapeutic exercises 0.45 0.28 N/A 0.03 0.76 N/A XXX 97112 A Neuromuscular reeducation 0.45 0.31 N/A 0.02 0.78 N/A XXX 97113 A Aquatic therapy/exercises 0.44 0.41 N/A 0.03 0.88 N/A XXX 97116 A Gait training therapy 0.40 0.24 N/A 0.02 0.66 N/A XXX 97124 A Massage therapy 0.35 0.23 N/A 0.01 0.59 N/A XXX 97139 A Physical medicine procedure 0.21 0.21 N/A 0.01 0.43 N/A XXX 97140 A Manual therapy 0.43 0.26 N/A 0.02 0.71 N/A XXX 97150 A Group therapeutic procedures 0.27 0.16 N/A 0.02 0.45 N/A XXX 97504 A Orthotic training 0.45 0.33 N/A 0.03 0.81 N/A XXX 97520 A Prosthetic training 0.45 0.28 N/A 0.02 0.75 N/A XXX 97530 A Therapeutic activities 0.44 0.32 N/A 0.02 0.78 N/A XXX 97532 A Cognitive skills development 0.44 0.21 N/A 0.01 0.66 N/A XXX 97533 A Sensory integration 0.44 0.24 N/A 0.01 0.69 N/A XXX 97535 A Self care mngment training 0.45 0.34 N/A 0.02 0.81 N/A XXX 97537 A Community/work reintegration 0.45 0.27 N/A 0.01 0.73 N/A XXX 97542 A Wheelchair mngment training 0.45 0.28 N/A 0.01 0.74 N/A XXX 97545 R Work hardening 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97546 R Work hardening add-on 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 97601 A Wound(s) care, selective 0.50 0.50 N/A 0.04 1.04 N/A XXX 97703 A Prosthetic checkout 0.25 0.42 N/A 0.02 0.69 N/A XXX 97750 A Physical performance test 0.45 0.30 N/A 0.02 0.77 N/A XXX 97799 C Physical medicine procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97802 A Medical nutrition, indiv, in 0.00 0.47 N/A 0.01 0.48 N/A XXX 97803 A Med nutrition, indiv, subseq 0.00 0.47 N/A 0.01 0.48 N/A XXX 97804 A Medical nutrition, group 0.00 0.18 N/A 0.01 0.19 N/A XXX 98925 A Osteopathic manipulation 0.45 0.33 0.14 0.01 0.79 0.60 000 98926 A Osteopathic manipulation 0.65 0.43 0.25 0.02 1.10 0.92 000 98927 A Osteopathic manipulation 0.87 0.52 0.30 0.03 1.42 1.20 000 98928 A Osteopathic manipulation 1.03 0.61 0.35 0.03 1.67 1.41 000 98929 A Osteopathic manipulation 1.19 0.69 0.37 0.04 1.92 1.60 000 98940 A Chiropractic manipulation 0.45 0.24 0.12 0.01 0.70 0.58 000 98941 A Chiropractic manipulation 0.65 0.30 0.18 0.02 0.97 0.85 000 98942 A Chiropractic manipulation 0.87 0.37 0.24 0.03 1.27 1.14 000 98943 N Chiropractic manipulation 0.40 0.25 0.15 0.01 0.66 0.56 XXX 99082 C Unusual physician travel 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99141 B Sedation, iv/im or inhalant 0.80 1.99 0.39 0.04 2.83 1.23 XXX 99142 B Sedation, oral/rectal/nasal 0.60 1.03 0.31 0.03 1.66 0.94 XXX 99170 A Anogenital exam, child 1.75 1.72 0.53 0.07 3.54 2.35 000 99175 A Induction of vomiting 0.00 1.39 N/A 0.08 1.47 N/A XXX 99183 A Hyperbaric oxygen therapy 2.34 4.83 0.74 0.12 7.29 3.20 XXX 99185 A Regional hypothermia 0.00 0.64 N/A 0.03 0.67 N/A XXX 99186 A Total body hypothermia 0.00 1.78 N/A 0.37 2.15 N/A XXX 99195 A Phlebotomy 0.00 0.44 N/A 0.02 0.46 N/A XXX 99199 C Special service/proc/report 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99201 A Office/outpatient visit, new 0.45 0.51 0.16 0.02 0.98 0.63 XXX 99202 A Office/outpatient visit, new 0.88 0.81 0.32 0.05 1.74 1.25 XXX 99203 A Office/outpatient visit, new 1.34 1.16 0.49 0.08 2.58 1.91 XXX 99204 A Office/outpatient visit, new 2.00 1.54 0.72 0.10 3.64 2.82 XXX 99205 A Office/outpatient visit, new 2.67 1.83 0.94 0.12 4.62 3.73 XXX 99211 A Office/outpatient visit, est 0.17 0.41 0.06 0.01 0.59 0.24 XXX 99212 A Office/outpatient visit, est 0.45 0.56 0.16 0.02 1.03 0.63 XXX 99213 A Office/outpatient visit, est 0.67 0.72 0.23 0.03 1.42 0.93 XXX 99214 A Office/outpatient visit, est 1.10 1.07 0.39 0.04 2.21 1.53 XXX 99215 A Office/outpatient visit, est 1.77 1.37 0.63 0.07 3.21 2.47 XXX Start Printed Page 49236 99217 A Observation care discharge 1.28 N/A 0.54 0.05 N/A 1.87 XXX 99218 A Observation care 1.28 N/A 0.44 0.05 N/A 1.77 XXX 99219 A Observation care 2.14 N/A 0.72 0.08 N/A 2.94 XXX 99220 A Observation care 2.99 N/A 1.03 0.11 N/A 4.13 XXX 99221 A Initial hospital care 1.28 N/A 0.45 0.05 N/A 1.78 XXX 99222 A Initial hospital care 2.14 N/A 0.75 0.08 N/A 2.97 XXX 99223 A Initial hospital care 2.99 N/A 1.04 0.10 N/A 4.13 XXX 99231 A Subsequent hospital care 0.64 N/A 0.23 0.02 N/A 0.89 XXX 99232 A Subsequent hospital care 1.06 N/A 0.37 0.03 N/A 1.46 XXX 99233 A Subsequent hospital care 1.51 N/A 0.53 0.05 N/A 2.09 XXX 99234 A Observ/hosp same date 2.56 N/A 1.00 0.11 N/A 3.67 XXX 99235 A Observ/hosp same date 3.42 N/A 1.30 0.13 N/A 4.85 XXX 99236 A Observ/hosp same date 4.27 N/A 1.59 0.17 N/A 6.03 XXX 99238 A Hospital discharge day 1.28 N/A 0.55 0.04 N/A 1.87 XXX 99239 A Hospital discharge day 1.75 N/A 0.74 0.05 N/A 2.54 XXX 99241 A Office consultation 0.64 0.66 0.22 0.04 1.34 0.90 XXX 99242 A Office consultation 1.29 1.07 0.47 0.09 2.45 1.85 XXX 99243 A Office consultation 1.72 1.42 0.63 0.10 3.24 2.45 XXX 99244 A Office consultation 2.58 1.85 0.92 0.13 4.56 3.63 XXX 99245 A Office consultation 3.43 2.30 1.23 0.16 5.89 4.82 XXX 99251 A Initial inpatient consult 0.66 N/A 0.25 0.04 N/A 0.95 XXX 99252 A Initial inpatient consult 1.32 N/A 0.51 0.08 N/A 1.91 XXX 99253 A Initial inpatient consult 1.82 N/A 0.69 0.09 N/A 2.60 XXX 99254 A Initial inpatient consult 2.64 N/A 0.99 0.11 N/A 3.74 XXX 99255 A Initial inpatient consult 3.65 N/A 1.36 0.15 N/A 5.16 XXX 99261 A Follow-up inpatient consult 0.42 N/A 0.15 0.02 N/A 0.59 XXX 99262 A Follow-up inpatient consult 0.85 N/A 0.31 0.03 N/A 1.19 XXX 99263 A Follow-up inpatient consult 1.27 N/A 0.46 0.04 N/A 1.77 XXX 99271 A Confirmatory consultation 0.45 0.56 0.16 0.03 1.04 0.64 XXX 99272 A Confirmatory consultation 0.84 0.83 0.31 0.06 1.73 1.21 XXX 99273 A Confirmatory consultation 1.19 1.12 0.45 0.07 2.38 1.71 XXX 99274 A Confirmatory consultation 1.73 1.38 0.65 0.09 3.20 2.47 XXX 99275 A Confirmatory consultation 2.31 1.65 0.83 0.10 4.06 3.24 XXX 99281 A Emergency dept visit 0.33 N/A 0.09 0.02 N/A 0.44 XXX 99282 A Emergency dept visit 0.55 N/A 0.15 0.03 N/A 0.73 XXX 99283 A Emergency dept visit 1.24 N/A 0.31 0.08 N/A 1.63 XXX 99284 A Emergency dept visit 1.95 N/A 0.48 0.12 N/A 2.55 XXX 99285 A Emergency dept visit 3.06 N/A 0.73 0.19 N/A 3.98 XXX 99289 A Ped crit care transport 4.80 N/A 1.70 0.14 N/A 6.64 XXX 99290 A Ped crit care transport addl 2.40 N/A 0.84 0.07 N/A 3.31 ZZZ 99291 A Critical care, first hour 4.00 2.39 1.30 0.14 6.53 5.44 XXX 99292 A Critical care, addl 30 min 2.00 0.82 0.65 0.07 2.89 2.72 ZZZ 99293 A Ped critical care, initial 16.00 N/A 5.04 0.70 N/A 21.74 XXX 99294 A Ped critical care, subseq 8.00 N/A 2.52 0.23 N/A 10.75 XXX 99295 A Neonate crit care, initial 18.49 N/A 5.47 0.70 N/A 24.66 XXX 99296 A Neonate critical care subseq 8.00 N/A 2.60 0.23 N/A 10.83 XXX 99298 A Ic for lbw infant < 1500 gm 2.75 N/A 0.95 0.10 N/A 3.80 XXX 99299 A Ic, lbw infant 1500-2500 gm 2.50 N/A 0.97 0.10 N/A 3.57 XXX 99301 A Nursing facility care 1.20 0.43 0.43 0.04 1.67 1.67 XXX 99302 A Nursing facility care 1.61 0.59 0.59 0.05 2.25 2.25 XXX 99303 A Nursing facility care 2.01 0.72 0.72 0.06 2.79 2.79 XXX 99311 A Nursing fac care, subseq 0.60 0.29 0.29 0.02 0.91 0.91 XXX 99312 A Nursing fac care, subseq 1.00 0.47 0.47 0.03 1.50 1.50 XXX 99313 A Nursing fac care, subseq 1.42 0.61 0.61 0.04 2.07 2.07 XXX 99315 A Nursing fac discharge day 1.13 0.47 0.38 0.04 1.64 1.55 XXX 99316 A Nursing fac discharge day 1.50 0.63 0.52 0.05 2.18 2.07 XXX 99321 A Rest home visit, new patient 0.71 0.35 N/A 0.02 1.08 N/A XXX 99322 A Rest home visit, new patient 1.01 0.47 N/A 0.03 1.51 N/A XXX Start Printed Page 49237 99323 A Rest home visit, new patient 1.28 0.57 N/A 0.04 1.89 N/A XXX 99331 A Rest home visit, est pat 0.60 0.33 N/A 0.02 0.95 N/A XXX 99332 A Rest home visit, est pat 0.80 0.40 N/A 0.03 1.23 N/A XXX 99333 A Rest home visit, est pat 1.00 0.47 N/A 0.03 1.50 N/A XXX 99341 A Home visit, new patient 1.01 0.49 N/A 0.05 1.55 N/A XXX 99342 A Home visit, new patient 1.52 0.69 N/A 0.05 2.26 N/A XXX 99343 A Home visit, new patient 2.27 0.96 N/A 0.07 3.30 N/A XXX 99344 A Home visit, new patient 3.03 1.21 N/A 0.10 4.34 N/A XXX 99345 A Home visit, new patient 3.79 1.47 N/A 0.12 5.38 N/A XXX 99347 A Home visit, est patient 0.76 0.41 N/A 0.03 1.20 N/A XXX 99348 A Home visit, est patient 1.26 0.59 N/A 0.04 1.89 N/A XXX 99349 A Home visit, est patient 2.02 0.86 N/A 0.06 2.94 N/A XXX 99350 A Home visit, est patient 3.03 1.21 N/A 0.10 4.34 N/A XXX 99354 A Prolonged service, office 1.77 0.75 0.61 0.06 2.58 2.44 ZZZ 99355 A Prolonged service, office 1.77 0.73 0.58 0.06 2.56 2.41 ZZZ 99356 A Prolonged service, inpatient 1.71 N/A 0.62 0.06 N/A 2.39 ZZZ 99357 A Prolonged service, inpatient 1.71 N/A 0.64 0.06 N/A 2.41 ZZZ 99374 B Home health care supervision 1.10 0.71 0.43 0.04 1.85 1.57 XXX 99375 I Home health care supervision 1.73 1.57 1.57 0.06 3.36 3.36 XXX 99377 B Hospice care supervision 1.10 0.71 0.43 0.04 1.85 1.57 XXX 99378 I Hospice care supervision 1.73 1.97 1.97 0.06 3.76 3.76 XXX 99379 B Nursing fac care supervision 1.10 0.71 0.71 0.03 1.84 1.84 XXX 99380 B Nursing fac care supervision 1.73 1.01 1.01 0.05 2.79 2.79 XXX 99381 N Prev visit, new, infant 1.19 1.19 0.46 0.04 2.42 1.69 XXX 99382 N Prev visit, new, age 1-4 1.36 1.25 0.53 0.04 2.65 1.93 XXX 99383 N Prev visit, new, age 5-11 1.36 1.25 0.53 0.04 2.65 1.93 XXX 99384 N Prev visit, new, age 12-17 1.53 1.31 0.59 0.05 2.89 2.17 XXX 99385 N Prev visit, new, age 18-39 1.53 1.31 0.59 0.05 2.89 2.17 XXX 99386 N Prev visit, new, age 40-64 1.88 1.45 0.73 0.06 3.39 2.67 XXX 99387 N Prev visit, new, 65 & over 2.06 1.61 0.80 0.06 3.73 2.92 XXX 99391 N Prev visit, est, infant 1.02 1.03 0.40 0.03 2.08 1.45 XXX 99392 N Prev visit, est, age 1-4 1.19 1.10 0.46 0.04 2.33 1.69 XXX 99393 N Prev visit, est, age 5-11 1.19 1.10 0.46 0.04 2.33 1.69 XXX 99394 N Prev visit, est, age 12-17 1.36 1.16 0.53 0.04 2.56 1.93 XXX 99395 N Prev visit, est, age 18-39 1.36 1.16 0.53 0.04 2.56 1.93 XXX 99396 N Prev visit, est, age 40-64 1.53 1.23 0.59 0.05 2.81 2.17 XXX 99397 N Prev visit, est, 65 & over 1.71 1.27 0.66 0.05 3.03 2.42 XXX 99401 N Preventive counseling, indiv 0.48 0.41 0.19 0.01 0.90 0.68 XXX 99402 N Preventive counseling, indiv 0.98 0.60 0.38 0.02 1.60 1.38 XXX 99403 N Preventive counseling, indiv 1.46 0.79 0.57 0.03 2.28 2.06 XXX 99404 N Preventive counseling, indiv 1.95 0.98 0.76 0.04 2.97 2.75 XXX 99411 N Preventive counseling, group 0.15 0.19 0.06 0.01 0.35 0.22 XXX 99412 N Preventive counseling, group 0.25 0.22 0.10 0.01 0.48 0.36 XXX 99431 A Initial care, normal newborn 1.17 N/A 0.39 0.04 N/A 1.60 XXX 99432 A Newborn care, not in hosp 1.26 0.92 0.41 0.06 2.24 1.73 XXX 99433 A Normal newborn care/hospital 0.62 N/A 0.20 0.02 N/A 0.84 XXX 99435 A Newborn discharge day hosp 1.50 N/A 0.51 0.05 N/A 2.06 XXX 99436 A Attendance, birth 1.50 N/A 0.48 0.05 N/A 2.03 XXX 99440 A Newborn resuscitation 2.93 N/A 0.94 0.11 N/A 3.98 XXX 99455 R Disability examination 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49238 99456 R Disability examination 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99499 C Unlisted e&m service 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99500 I Home visit, prenatal 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99501 I Home visit, postnatal 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99502 I Home visit, nb care 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99503 I Home visit, resp therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99504 I Home visit mech ventilator 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99505 I Home visit, stoma care 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99506 I Home visit, im injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99507 I Home visit, cath maintain 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99509 I Home visit day life activity 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99510 I Home visit, sing/m/fam couns 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99511 I Home visit, fecal/enema mgmt 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99512 I Home visit, hemodialysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99551 I Home infus, pain mgmt, iv/sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99552 I Hm infus pain mgmt, epid/ith 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99553 I Home infuse, tocolytic tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99554 I Home infus, hormone/platelet 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99555 I Home infuse, chemotheraphy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99556 I Home infus, antibio/fung/vir 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99557 I Home infuse, anticoagulant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99558 I Home infuse, immunotherapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99559 I Home infus, periton dialysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99560 I Home infus, entero nutrition 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99561 I Home infuse, hydration tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99562 I Home infus, parent nutrition 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99563 I Home admin, pentamidine 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99564 I Hme infus, antihemophil agnt 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99565 I Home infus, proteinase inhib 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99566 I Home infuse, iv therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99567 I Home infuse, sympath agent 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99568 I Home infus, misc drug, daily 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99569 I Home infuse, each addl tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99600 I Home visit nos 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4890 R Repair/maint cont hemo equip 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0120 N Periodic oral evaluation 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0140 N Limit oral eval problm focus 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0150 R Comprehensve oral evaluation 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0160 N Extensv oral eval prob focus 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0170 N Re-eval,est pt,problem focus 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0180 N Comp periodontal evaluation 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0210 I Intraor complete film series 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0220 I Intraoral periapical first f 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49239 D0230 I Intraoral periapical ea add 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0240 R Intraoral occlusal film 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0250 R Extraoral first film 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0260 R Extraoral ea additional film 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0270 R Dental bitewing single film 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0272 R Dental bitewings two films 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0274 R Dental bitewings four films 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0277 R Vert bitewings-sev to eight 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0290 I Dental film skull/facial bon 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0310 I Dental saliography 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0320 I Dental tmj arthrogram incl i 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0321 I Dental other tmj films 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0322 I Dental tomographic survey 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0330 I Dental panoramic film 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0340 I Dental cephalometric film 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0350 I Oral/facial images 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0415 N Bacteriologic study 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0425 N Caries susceptibility test 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0460 R Pulp vitality test 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0470 N Diagnostic casts 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0472 R Gross exam, prep & report 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0473 R Micro exam, prep & report 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0474 R Micro w exam of surg margins 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0480 R Cytopath smear prep & report 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0502 R Other oral pathology procedu 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0999 R Unspecified diagnostic proce 0.00 0.00 0.00 0.00 0.00 0.00 YYY D1110 N Dental prophylaxis adult 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1120 N Dental prophylaxis child 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1201 N Topical fluor w prophy child 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1203 N Topical fluor w/o prophy chi 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1204 N Topical fluor w/o prophy adu 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1205 N Topical fluoride w/ prophy a 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1310 N Nutri counsel-control caries 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1320 N Tobacco counseling 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1330 N Oral hygiene instruction 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1351 N Dental sealant per tooth 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1510 R Space maintainer fxd unilat 0.00 0.00 0.00 0.00 0.00 0.00 YYY D1515 R Fixed bilat space maintainer 0.00 0.00 0.00 0.00 0.00 0.00 YYY D1520 R Remove unilat space maintain 0.00 0.00 0.00 0.00 0.00 0.00 YYY D1525 R Remove bilat space maintain 0.00 0.00 0.00 0.00 0.00 0.00 YYY D1550 R Recement space maintainer 0.00 0.00 0.00 0.00 0.00 0.00 YYY D2140 N Amalgam one surface permanen 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2150 N Amalgam two surfaces permane 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2160 N Amalgam three surfaces perma 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2161 N Amalgam 4 or > surfaces perm 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2330 N Resin one surface-anterior 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49240 D2331 N Resin two surfaces-anterior 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2332 N Resin three surfaces-anterio 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2335 N Resin 4/> surf or w incis an 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2390 N Ant resin-based cmpst crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2391 N Post 1 srfc resinbased cmpst 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2392 N Post 2 srfc resinbased cmpst 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2393 N Post 3 srfc resinbased cmpst 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2394 N Post >=4srfc resinbase cmpst 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2410 N Dental gold foil one surface 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2420 N Dental gold foil two surface 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2430 N Dental gold foil three surfa 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2510 N Dental inlay metalic 1 surf 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2520 N Dental inlay metallic 2 surf 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2530 N Dental inlay metl 3/more sur 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2542 N Dental onlay metallic 2 surf 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2543 N Dental onlay metallic 3 surf 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2544 N Dental onlay metl 4/more sur 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2610 N Inlay porcelain/ceramic 1 su 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2620 N Inlay porcelain/ceramic 2 su 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2630 N Dental onlay porc 3/more sur 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2642 N Dental onlay porcelin 2 surf 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2643 N Dental onlay porcelin 3 surf 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2644 N Dental onlay porc 4/more sur 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2650 N Inlay composite/resin one su 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2651 N Inlay composite/resin two su 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2652 N Dental inlay resin 3/mre sur 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2662 N Dental onlay resin 2 surface 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2663 N Dental onlay resin 3 surface 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2664 N Dental onlay resin 4/mre sur 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2710 N Crown resin laboratory 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2720 N Crown resin w/ high noble me 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2721 N Crown resin w/ base metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2722 N Crown resin w/ noble metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2740 N Crown porcelain/ceramic subs 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2750 N Crown porcelain w/ h noble m 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49241 D2751 N Crown porcelain fused base m 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2752 N Crown porcelain w/ noble met 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2780 N Crown 3/4 cast hi noble met 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2781 N Crown 3/4 cast base metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2782 N Crown 3/4 cast noble metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2783 N Crown 3/4 porcelain/ceramic 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2790 N Crown full cast high noble m 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2791 N Crown full cast base metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2792 N Crown full cast noble metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2799 N Provisional crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2910 N Dental recement inlay 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2920 N Dental recement crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2930 N Prefab stnlss steel crwn pri 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2931 N Prefab stnlss steel crown pe 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2932 N Prefabricated resin crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2933 N Prefab stainless steel crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2940 N Dental sedative filling 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2950 N Core build-up incl any pins 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2951 N Tooth pin retention 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2952 N Post and core cast + crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2953 N Each addtnl cast post 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2954 N Prefab post/core + crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2955 N Post removal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2957 N Each addtnl prefab post 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2960 N Laminate labial veneer 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2961 N Lab labial veneer resin 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2962 N Lab labial veneer porcelain 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2970 R Temporary- fractured tooth 0.00 0.00 0.00 0.00 0.00 0.00 YYY D2980 N Crown repair 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2999 R Dental unspec restorative pr 0.00 0.00 0.00 0.00 0.00 0.00 YYY D3110 N Pulp cap direct 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3120 N Pulp cap indirect 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3220 N Therapeutic pulpotomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3221 N Gross pulpal debridement 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3230 N Pulpal therapy anterior prim 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3240 N Pulpal therapy posterior pri 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3310 N Anterior 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3320 N Root canal therapy 2 canals 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3330 N Root canal therapy 3 canals 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3331 N Non-surg tx root canal obs 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3332 N Incomplete endodontic tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3333 N Internal root repair 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3346 N Retreat root canal anterior 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3347 N Retreat root canal bicuspid 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3348 N Retreat root canal molar 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3351 N Apexification/recalc initial 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3352 N Apexification/recalc interim 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3353 N Apexification/recalc final 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49242 D3410 N Apicoect/perirad surg anter 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3421 N Root surgery bicuspid 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3425 N Root surgery molar 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3426 N Root surgery ea add root 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3430 N Retrograde filling 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3450 N Root amputation 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3460 R Endodontic endosseous implan 0.00 0.00 0.00 0.00 0.00 0.00 YYY D3470 N Intentional replantation 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3910 N Isolation- tooth w rubb dam 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3920 N Tooth splitting 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3950 N Canal prep/fitting of dowel 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3999 R Endodontic procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4210 I Gingivectomy/plasty per quad 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4211 I Gingivectomy/plasty per toot 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4240 N Gingival flap proc w/ planin 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4241 N Gngvl flap w rootplan 1-3 th 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4245 N Apically positioned flap 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4249 N Crown lengthen hard tissue 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4260 R Osseous surgery per quadrant 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4261 N Osseous surgl-3teethperquad 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4263 R Bone replce graft first site 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4264 R Bone replce graft each add 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4265 N Bio mtrls to aid soft/os reg 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4266 N Guided tiss regen resorble 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4267 N Guided tiss regen nonresorb 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4268 R Surgical revision procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4270 R Pedicle soft tissue graft pr 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4271 R Free soft tissue graft proc 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4273 R Subepithelial tissue graft 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4274 N Distal/proximal wedge proc 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4275 N Soft tissue allograft 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4276 N Con tissue w dble ped graft 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4320 N Provision splnt intracoronal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4321 N Provisional splint extracoro 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4341 N Periodontal scaling & root 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4342 N Periodontal scaling 1-3teeth 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4355 R Full mouth debridement 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4381 R Localized chemo delivery 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4910 N Periodontal maint procedures 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4920 N Unscheduled dressing change 0.00 0.00 0.00 0.00 0.00 0.00 XXX D4999 N Unspecified periodontal proc 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5110 N Dentures complete maxillary 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5120 N Dentures complete mandible 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49243 D5130 N Dentures immediat maxillary 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5140 N Dentures immediat mandible 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5211 N Dentures maxill part resin 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5212 N Dentures mand part resin 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5213 N Dentures maxill part metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5214 N Dentures mandibl part metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5281 N Removable partial denture 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5410 N Dentures adjust cmplt maxil 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5411 N Dentures adjust cmplt mand 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5421 N Dentures adjust part maxill 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5422 N Dentures adjust part mandbl 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5510 N Dentur repr broken compl bas 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5520 N Replace denture teeth complt 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5610 N Dentures repair resin base 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5620 N Rep part denture cast frame 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5630 N Rep partial denture clasp 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5640 N Replace part denture teeth 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5650 N Add tooth to partial denture 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5660 N Add clasp to partial denture 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5670 N Replc tth&acrlc on mtl frmwk 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5671 N Replc tth&acrlc mandibular 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5710 N Dentures rebase cmplt maxil 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5711 N Dentures rebase cmplt mand 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5720 N Dentures rebase part maxill 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5721 N Dentures rebase part mandbl 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5730 N Denture reln cmplt maxil ch 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5731 N Denture reln cmplt mand chr 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5740 N Denture reln part maxil chr 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5741 N Denture reln part mand chr 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5750 N Denture reln cmplt max lab 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5751 N Denture reln cmplt mand lab 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5760 N Denture reln part maxil lab 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5761 N Denture reln part mand lab 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5810 N Denture interm cmplt maxill 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5811 N Denture interm cmplt mandbl 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5820 N Denture interm part maxill 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5821 N Denture interm part mandbl 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5850 N Denture tiss conditn maxill 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5851 N Denture tiss condtin mandbl 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5860 N Overdenture complete 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49244 D5861 N Overdenture partial 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5862 N Precision attachment 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5867 N Replacement of precision att 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5875 N Prosthesis modification 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5899 N Removable prosthodontic proc 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5911 R Facial moulage sectional 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5912 R Facial moulage complete 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5913 I Nasal prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5914 I Auricular prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5915 I Orbital prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5916 I Ocular prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5919 I Facial prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5922 I Nasal septal prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5923 I Ocular prosthesis interim 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5924 I Cranial prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5925 I Facial augmentation implant 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5926 I Replacement nasal prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5927 I Auricular replacement 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5928 I Orbital replacement 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5929 I Facial replacement 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5931 I Surgical obturator 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5932 I Postsurgical obturator 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5933 I Refitting of obturator 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5934 I Mandibular flange prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5935 I Mandibular denture prosth 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5936 I Temp obturator prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5937 I Trismus appliance 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5951 R Feeding aid 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5952 I Pediatric speech aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5953 I Adult speech aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5954 I Superimposed prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5955 I Palatal lift prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5958 I Intraoral con def inter plt 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5959 I Intraoral con def mod palat 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5960 I Modify speech aid prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5982 I Surgical stent 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5983 R Radiation applicator 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5984 R Radiation shield 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5985 R Radiation cone locator 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5986 N Fluoride applicator 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5987 R Commissure splint 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5988 I Surgical splint 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5999 I Maxillofacial prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6010 I Odontics endosteal implant 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6020 I Odontics abutment placement 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6040 I Odontics eposteal implant 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6050 I Odontics transosteal implnt 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6053 N Implnt/abtmnt spprt remv dnt 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6054 N Implnt/abtmnt spprt remvprtl 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6055 I Implant connecting bar 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6056 N Prefabricated abutment 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6057 N Custom abutment 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6058 N Abutment supported crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49245 D6059 N Abutment supported mtl crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6060 N Abutment supported mtl crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6061 N Abutment supported mtl crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6062 N Abutment supported mtl crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6063 N Abutment supported mtl crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6064 N Abutment supported mtl crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6065 N Implant supported crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6066 N Implant supported mtl crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6067 N Implant supported mtl crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6068 N Abutment supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6069 N Abutment supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6070 N Abutment supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6071 N Abutment supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6072 N Abutment supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6073 N Abutment supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6074 N Abutment supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6075 N Implant supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6076 N Implant supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6077 N Implant supported retainer 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6078 N Implnt/abut suprtd fixd dent 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6079 N Implnt/abut suprtd fixd dent 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6080 I Implant maintenance 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6090 I Repair implant 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6095 I Odontics repr abutment 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6100 I Removal of implant 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6199 I Implant procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6210 N Prosthodont high noble metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6211 N Bridge base metal cast 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6212 N Bridge noble metal cast 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6240 N Bridge porcelain high noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6241 N Bridge porcelain base metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6242 N Bridge porcelain nobel metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6245 N Bridge porcelain/ceramic 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6250 N Bridge resin w/high noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6251 N Bridge resin base metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6252 N Bridge resin w/noble metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6253 N Provisional pontic 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6545 N Dental retainr cast metl 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6548 N Porcelain/ceramic retainer 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6600 N Porcelain/ceramic inlay 2srf 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6601 N Porc/ceram inlay >= 3 surfac 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6602 N Cst hgh nble mtl inlay 2 srf 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49246 D6603 N Cst hgh nble mtl inlay >=3sr 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6604 N Cst bse mtl inlay 2 surfaces 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6605 N Cst bse mtl inlay >= 3 surfa 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6606 N Cast noble metal inlay 2 sur 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6607 N Cst noble mtl inlay >=3 surf 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6608 N Onlay porc/crmc 2 surfaces 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6609 N Onlay porc/crmc >=3 surfaces 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6610 N Onlay cst hgh nbl mtl 2 srfc 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6611 N Onlay cst hgh nbl mtl >=3srf 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6612 N Onlay cst base mtl 2 surface 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6613 N Onlay cst base mtl >=3 surfa 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6614 N Onlay cst nbl mtl 2 surfaces 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6615 N Onlay cst nbl mtl >=3 surfac 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6720 N Retain crown resin w hi nble 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6721 N Crown resin w/base metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6722 N Crown resin w/noble metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6740 N Crown porcelain/ceramic 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6750 N Crown porcelain high noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6751 N Crown porcelain base metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6752 N Crown porcelain noble metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6780 N Crown 3/4 high noble metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6781 N Crown 3/4 cast based metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6782 N Crown 3/4 cast noble metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6783 N Crown 3/4 porcelain/ceramic 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6790 N Crown full high noble metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6791 N Crown full base metal cast 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6792 N Crown full noble metal cast 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6793 N Provisional retainer crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6920 R Dental connector bar 0.00 0.00 0.00 0.00 0.00 0.00 YYY D6930 N Dental recement bridge 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6940 N Stress breaker 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6950 N Precision attachment 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6970 N Post & core plus retainer 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6971 N Cast post bridge retainer 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6972 N Prefab post & core plus reta 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6973 N Core build up for retainer 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6975 N Coping metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6976 N Each addtnl cast post 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6977 N Each addtl prefab post 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6980 N Bridge repair 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6985 N Pediatric partial denture fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6999 N Fixed prosthodontic proc 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49247 D7111 R Coronal remnants deciduous t 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7140 R Extraction erupted tooth/exr 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7210 R Rem imp tooth w mucoper flp 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7220 R Impact tooth remov soft tiss 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7230 R Impact tooth remov part bony 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7240 R Impact tooth remov comp bony 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7241 R Impact tooth rem bony w/comp 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7250 R Tooth root removal 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7260 R Oral antral fistula closure 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7261 R Primary closure sinus perf 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7270 N Tooth reimplantation 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7272 N Tooth transplantation 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7280 N Exposure impact tooth orthod 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7281 N Exposure tooth aid eruption 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7282 N Mobilize erupted/malpos toot 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7285 I Biopsy of oral tissue hard 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7286 I Biopsy of oral tissue soft 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7287 I Cytology sample collection 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7290 N Repositioning of teeth 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7291 R Transseptal fiberotomy 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7310 I Alveoplasty w/ extraction 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7320 I Alveoplasty w/o extraction 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7340 I Vestibuloplasty ridge extens 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7350 I Vestibuloplasty exten graft 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7410 I Rad exc lesion up to 1.25 cm 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7411 I Excision benign lesion>1.25c 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7412 I Excision benign lesion compl 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7413 I Excision malig lesion<=1.25c 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7414 I Excision malig lesion>1.25cm 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7415 I Excision malig les complicat 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7440 I Malig tumor exc to 1.25 cm 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7441 I Malig tumor > 1.25 cm 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7450 I Rem odontogen cyst to 1.25cm 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7451 I Rem odontogen cyst > 1.25 cm 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7460 I Rem nonodonto cyst to 1.25cm 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7461 I Rem nonodonto cyst > 1.25 cm 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7465 I Lesion destruction 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7471 I Rem exostosis any site 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7472 I Removal of torus palatinus 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7473 I Remove torus mandibularis 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7485 I Surg reduct osseoustuberosit 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7490 I Mandible resection 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49248 D7510 I I&d absc intraoral soft tiss 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7520 I I&d abscess extraoral 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7530 I Removal fb skin/areolar tiss 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7540 I Removal of fb reaction 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7550 I Removal of sloughed off bone 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7560 I Maxillary sinusotomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7610 I Maxilla open reduct simple 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7620 I Clsd reduct simpl maxilla fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7630 I Open red simpl mandible fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7640 I Clsd red simpl mandible fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7650 I Open red simp malar/zygom fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7660 I Clsd red simp malar/zygom fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7670 I Closd rductn splint alveolus 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7671 I Alveolus open reduction 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7680 I Reduct simple facial bone fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7710 I Maxilla open reduct compound 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7720 I Clsd reduct compd maxilla fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7730 I Open reduct compd mandble fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7740 I Clsd reduct compd mandble fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7750 I Open red comp malar/zygma fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7760 I Clsd red comp malar/zygma fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7770 I Open reduc compd alveolus fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7771 I Alveolus clsd reduc stblz te 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7780 I Reduct compnd facial bone fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7810 I Tmj open reduct-dislocation 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7820 I Closed tmp manipulation 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7830 I Tmj manipulation under anest 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7840 I Removal of tmj condyle 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7850 I Tmj meniscectomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7852 I Tmj repair of joint disc 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7854 I Tmj excisn of joint membrane 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7856 I Tmj cutting of a muscle 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7858 I Tmj reconstruction 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7860 I Tmj cutting into joint 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7865 I Tmj reshaping components 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7870 I Tmj aspiration joint fluid 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7871 N Lysis + lavage w catheters 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7872 I Tmj diagnostic arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7873 I Tmj arthroscopy lysis adhesn 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7874 I Tmj arthroscopy disc reposit 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7875 I Tmj arthroscopy synovectomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49249 D7876 I Tmj arthroscopy discectomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7877 I Tmj arthroscopy debridement 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7880 I Occlusal orthotic appliance 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7899 I Tmj unspecified therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7910 I Dent sutur recent wnd to 5cm 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7911 I Dental suture wound to 5 cm 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7912 I Suture complicate wnd > 5 cm 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7920 I Dental skin graft 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7940 R Reshaping bone orthognathic 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7941 I Bone cutting ramus closed 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7943 I Cutting ramus open w/graft 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7944 I Bone cutting segmented 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7945 I Bone cutting body mandible 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7946 I Reconstruction maxilla total 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7947 I Reconstruct maxilla segment 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7948 I Reconstruct midface no graft 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7949 I Reconstruct midface w/graft 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7950 I Mandible graft 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7955 I Repair maxillofacial defects 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7960 I Frenulectomy/frenulotomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7970 I Excision hyperplastic tissue 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7971 I Excision pericoronal gingiva 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7972 I Surg redct fibrous tuberosit 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7980 I Sialolithotomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7981 I Excision of salivary gland 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7982 I Sialodochoplasty 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7983 I Closure of salivary fistula 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7990 I Emergency tracheotomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7991 I Dental coronoidectomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7995 I Synthetic graft facial bones 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7996 I Implant mandible for augment 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7997 N Appliance removal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7999 I Oral surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8010 N Limited dental tx primary 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8020 N Limited dental tx transition 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8030 N Limited dental tx adolescent 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8040 N Limited dental tx adult 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8050 N Intercep dental tx primary 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8060 N Intercep dental tx transitn 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8070 N Compre dental tx transition 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8080 N Compre dental tx adolescent 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8090 N Compre dental tx adult 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8210 N Orthodontic rem appliance tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49250 D8220 N Fixed appliance therapy habt 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8660 N Preorthodontic tx visit 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8670 N Periodic orthodontc tx visit 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8680 N Orthodontic retention 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8690 N Orthodontic treatment 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8691 N Repair ortho appliance 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8692 N Replacement retainer 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8999 N Orthodontic procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9110 R Tx dental pain minor proc 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9210 I Dent anesthesia w/o surgery 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9211 I Regional block anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9212 I Trigeminal block anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9215 I Local anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9220 I General anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9221 I General anesthesia ea ad 15m 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9230 R Analgesia 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9241 I Intravenous sedation 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9242 I IV sedation ea ad 30 m 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9248 R Sedation (non-iv) 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9310 I Dental consultation 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9410 I Dental house call 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9420 I Hospital call 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9430 I Office visit during hours 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9440 I Office visit after hours 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9450 I Case presentation tx plan 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9610 I Dent therapeutic drug inject 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9630 R Other drugs/medicaments 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9910 N Dent appl desensitizing med 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9911 N Appl desensitizing resin 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9920 N Behavior management 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9930 R Treatment of complications 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9940 R Dental occlusal guard 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9941 N Fabrication athletic guard 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9950 R Occlusion analysis 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9951 R Limited occlusal adjustment 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9952 R Complete occlusal adjustment 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9970 N Enamel microabrasion 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9971 N Odontoplasty 1-2 teeth 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9972 N Extrnl bleaching per arch 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9973 N Extrnl bleaching per tooth 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9974 N Intrnl bleaching per tooth 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9999 I Adjunctive procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0001 X Drawing blood for specimen 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0008 X Admin influenza virus vac 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0009 X Admin pneumococcal vaccine 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0010 X Admin hepatitis b vaccine 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0030 C PET imaging prev PET single 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0030 26 A PET imaging prev PET single 1.50 0.60 0.60 0.04 2.14 2.14 XXX G0030 TC C PET imaging prev PET single 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0031 C PET imaging prev PET multple 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49251 G0031 26 A PET imaging prev PET multple 1.87 0.74 0.74 0.06 2.67 2.67 XXX G0031 TC C PET imaging prev PET multple 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0032 C PET follow SPECT 78464 singl 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0032 26 A PET follow SPECT 78464 singl 1.50 0.56 0.56 0.05 2.11 2.11 XXX G0032 TC C PET follow SPECT 78464 singl 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0033 C PET follow SPECT 78464 mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0033 26 A PET follow SPECT 78464 mult 1.87 0.75 0.75 0.06 2.68 2.68 XXX G0033 TC C PET follow SPECT 78464 mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0034 C PET follow SPECT 76865 singl 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0034 26 A PET follow SPECT 76865 singl 1.50 0.58 0.58 0.05 2.13 2.13 XXX G0034 TC C PET follow SPECT 76865 singl 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0035 C PET follow SPECT 78465 mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0035 26 A PET follow SPECT 78465 mult 1.87 0.74 0.74 0.06 2.67 2.67 XXX G0035 TC C PET follow SPECT 78465 mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0036 C PET follow cornry angio sing 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0036 26 A PET follow cornry angio sing 1.50 0.58 0.58 0.04 2.12 2.12 XXX G0036 TC C PET follow cornry angio sing 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0037 C PET follow cornry angio mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0037 26 A PET follow cornry angio mult 1.87 0.73 0.73 0.06 2.66 2.66 XXX G0037 TC C PET follow cornry angio mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0038 C PET follow myocard perf sing 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0038 26 A PET follow myocard perf sing 1.50 0.54 0.54 0.04 2.08 2.08 XXX G0038 TC C PET follow myocard perf sing 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0039 C PET follow myocard perf mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0039 26 A PET follow myocard perf mult 1.87 0.73 0.73 0.07 2.67 2.67 XXX G0039 TC C PET follow myocard perf mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0040 C PET follow stress echo singl 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0040 26 A PET follow stress echo singl 1.50 0.61 0.61 0.04 2.15 2.15 XXX G0040 TC C PET follow stress echo singl 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0041 C PET follow stress echo mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0041 26 A PET follow stress echo mult 1.87 0.75 0.75 0.05 2.67 2.67 XXX G0041 TC C PET follow stress echo mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0042 C PET follow ventriculogm sing 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49252 G0042 26 A PET follow ventriculogm sing 1.50 0.62 0.62 0.04 2.16 2.16 XXX G0042 TC C PET follow ventriculogm sing 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0043 C PET follow ventriculogm mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0043 26 A PET follow ventriculogm mult 1.87 0.76 0.76 0.06 2.69 2.69 XXX G0043 TC C PET follow ventriculogm mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0044 C PET following rest ECG singl 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0044 26 A PET following rest ECG singl 1.50 0.61 0.61 0.04 2.15 2.15 XXX G0044 TC C PET following rest ECG singl 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0045 C PET following rest ECG mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0045 26 A PET following rest ECG mult 1.87 0.74 0.74 0.06 2.67 2.67 XXX G0045 TC C PET following rest ECG mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0046 C PET follow stress ECG singl 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0046 26 A PET follow stress ECG singl 1.50 0.61 0.61 0.04 2.15 2.15 XXX G0046 TC C PET follow stress ECG singl 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0047 C PET follow stress ECG mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0047 26 A PET follow stress ECG mult 1.87 0.75 0.75 0.06 2.68 2.68 XXX G0047 TC C PET follow stress ECG mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0101 A CA screen;pelvic/breast exam 0.45 0.54 0.17 0.01 1.00 0.63 XXX G0102 A Prostate ca screening; dre 0.17 0.41 0.06 0.01 0.59 0.24 XXX G0104 A CA screen;flexi sigmoidscope 0.96 2.25 0.53 0.05 3.26 1.54 000 G0105 A Colorectal scrn; hi risk ind 3.70 6.30 1.68 0.20 10.20 5.58 000 G0106 A Colon CA screen;barium enema 0.99 2.57 N/A 0.15 3.71 N/A XXX G0106 26 A Colon CA screen;barium enema 0.99 0.33 0.33 0.04 1.36 1.36 XXX G0106 TC A Colon CA screen;barium enema 0.00 2.23 N/A 0.11 2.34 N/A XXX G0108 A Diab manage trn per indiv 0.00 0.83 N/A 0.01 0.84 N/A XXX G0109 A Diab manage trn ind/group 0.00 0.48 N/A 0.01 0.49 N/A XXX G0110 R Nett pulm-rehab educ; ind 0.90 0.72 0.29 0.03 1.65 1.22 XXX G0111 R Nett pulm-rehab educ; group 0.27 0.30 0.14 0.01 0.58 0.42 XXX G0112 R Nett;nutrition guid, initial 1.72 1.25 0.67 0.05 3.02 2.44 XXX G0113 R Nett;nutrition guid,subseqnt 1.29 0.85 0.42 0.04 2.18 1.75 XXX G0114 R Nett; psychosocial consult 1.20 0.49 0.38 0.03 1.72 1.61 XXX G0115 R Nett; psychological testing 1.20 0.64 0.38 0.04 1.88 1.62 XXX G0116 R Nett; psychosocial counsel 1.11 1.02 0.34 0.04 2.17 1.49 XXX G0117 T Glaucoma scrn hgh risk direc 0.45 0.72 0.19 0.02 1.19 0.66 XXX G0118 T Glaucoma scrn hgh risk direc 0.17 0.53 0.07 0.01 0.71 0.25 XXX G0120 A Colon ca scrn; barium enema 0.99 2.57 N/A 0.15 3.71 N/A XXX G0120 26 A Colon ca scrn; barium enema 0.99 0.33 0.33 0.04 1.36 1.36 XXX Start Printed Page 49253 G0120 TC A Colon ca scrn; barium enema 0.00 2.23 N/A 0.11 2.34 N/A XXX G0121 A Colon ca scrn not hi rsk ind 3.70 6.30 1.68 0.20 10.20 5.58 000 G0122 N Colon ca scrn; barium enema 0.99 2.62 N/A 0.15 3.76 N/A XXX G0122 26 N Colon ca scrn; barium enema 0.99 0.38 0.38 0.04 1.41 1.41 XXX G0122 TC N Colon ca scrn; barium enema 0.00 2.23 N/A 0.11 2.34 N/A XXX G0124 A Screen c/v thin layer by MD 0.42 0.18 0.18 0.01 0.61 0.61 XXX G0125 C PET image pulmonary nodule 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0125 26 A PET image pulmonary nodule 1.50 0.54 0.54 0.05 2.09 2.09 XXX G0125 TC C PET image pulmonary nodule 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0127 R Trim nail(s) 0.17 0.26 0.07 0.01 0.44 0.25 000 G0128 R CORF skilled nursing service 0.08 0.03 0.03 0.01 0.12 0.12 XXX G0130 A Single energy x-ray study 0.22 0.88 N/A 0.05 1.15 N/A XXX G0130 26 A Single energy x-ray study 0.22 0.07 0.07 0.01 0.30 0.30 XXX G0130 TC A Single energy x-ray study 0.00 0.80 N/A 0.04 0.84 N/A XXX G0141 A Scr c/v cyto,autosys and md 0.42 0.18 0.18 0.01 0.61 0.61 XXX G0166 A Extrnl counterpulse, per tx 0.07 2.93 0.03 0.01 3.01 0.11 XXX G0167 C Hyperbaric oz tx;no md reqrd 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0168 A Wound closure by adhesive 0.45 2.03 0.16 0.01 2.49 0.62 000 G0179 A MD recertification HHA PT 0.45 1.09 N/A 0.01 1.55 N/A XXX G0180 A MD certification HHA patient 0.67 1.32 N/A 0.02 2.01 N/A XXX G0181 A Home health care supervision 1.73 1.56 N/A 0.06 3.35 N/A XXX G0182 A Hospice care supervision 1.73 1.75 N/A 0.06 3.54 N/A XXX G0186 C Dstry eye lesn,fdr vssl tech 0.00 0.00 0.00 0.00 0.00 0.00 YYY G0202 A Screeningmammographydigital 0.70 2.78 N/A 0.09 3.57 N/A XXX G0202 26 A Screeningmammographydigital 0.70 0.23 0.23 0.03 0.96 0.96 XXX G0202 TC A Screeningmammographydigital 0.00 2.54 N/A 0.06 2.60 N/A XXX G0204 A Diagnosticmammographydigital 0.87 2.80 N/A 0.10 3.77 N/A XXX G0204 26 A Diagnosticmammographydigital 0.87 0.29 0.29 0.04 1.20 1.20 XXX G0204 TC A Diagnosticmammographydigital 0.00 2.50 N/A 0.06 2.56 N/A XXX G0206 A Diagnosticmammographydigital 0.70 2.26 N/A 0.09 3.05 N/A XXX G0206 26 A Diagnosticmammographydigital 0.70 0.23 0.23 0.04 0.97 0.97 XXX G0206 TC A Diagnosticmammographydigital 0.00 2.02 N/A 0.05 2.07 N/A XXX G0210 C PET img wholebody dxlung 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0210 26 A PET img wholebody dxlung 1.50 0.52 0.52 0.04 2.06 2.06 XXX G0210 TC C PET img wholebody dxlung 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0211 C PET img wholbody init lung 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49254 G0211 26 A PET img wholbody init lung 1.50 0.52 0.52 0.04 2.06 2.06 XXX G0211 TC C PET img wholbody init lung 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0212 C PET img wholebod restag lung 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0212 26 A PET img wholebod restag lung 1.50 0.53 0.53 0.04 2.07 2.07 XXX G0212 TC C PET img wholebod restag lung 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0213 C PET img wholbody dx 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0213 26 A PET img wholbody dx 1.50 0.52 0.52 0.04 2.06 2.06 XXX G0213 TC C PET img wholbody dx 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0214 C PET img wholebod init 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0214 26 A PET img wholebod init 1.50 0.52 0.52 0.04 2.06 2.06 XXX G0214 TC C PET img wholebod init 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0215 C PETimg wholebod restag 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0215 26 A PETimg wholebod restag 1.50 0.53 0.53 0.04 2.07 2.07 XXX G0215 TC C PETimg wholebod restag 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0216 C PET img wholebod dx melanoma 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0216 26 A PET img wholebod dx melanoma 1.50 0.52 0.52 0.04 2.06 2.06 XXX G0216 TC C PET img wholebod dx melanoma 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0217 C PET img wholebod init melan 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0217 26 A PET img wholebod init melan 1.50 0.53 0.53 0.04 2.07 2.07 XXX G0217 TC C PET img wholebod init melan 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0218 C PET img wholebod restag mela 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0218 26 A PET img wholebod restag mela 1.50 0.53 0.53 0.04 2.07 2.07 XXX G0218 TC C PET img wholebod restag mela 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0220 C PET img wholebod dx lymphoma 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0220 26 A PET img wholebod dx lymphoma 1.50 0.52 0.52 0.04 2.06 2.06 XXX G0220 TC C PET img wholebod dx lymphoma 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0221 C PET imag wholbod init lympho 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0221 26 A PET imag wholbod init lympho 1.50 0.52 0.52 0.04 2.06 2.06 XXX G0221 TC C PET imag wholbod init lympho 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0222 C PET imag wholbod resta lymph 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0222 26 A PET imag wholbod resta lymph 1.50 0.53 0.53 0.04 2.07 2.07 XXX G0222 TC C PET imag wholbod resta lymph 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0223 C PET imag wholbod reg dx head 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0223 26 A PET imag wholbod reg dx head 1.50 0.53 0.53 0.04 2.07 2.07 XXX G0223 TC C PET imag wholbod reg dx head 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0224 C PET imag wholbod reg ini hea 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0224 26 A PET imag wholbod reg ini hea 1.50 0.52 0.52 0.04 2.06 2.06 XXX Start Printed Page 49255 G0224 TC C PET imag wholbod reg ini hea 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0225 C PET whol restag headneckonly 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0225 26 A PET whol restag headneckonly 1.50 0.53 0.53 0.04 2.07 2.07 XXX G0225 TC C PET whol restag headneckonly 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0226 C PET img wholbody dx esophagl 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0226 26 A PET img wholbody dx esophagl 1.50 0.54 0.54 0.04 2.08 2.08 XXX G0226 TC C PET img wholbody dx esophagl 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0227 C PET img wholbod ini esophage 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0227 26 A PET img wholbod ini esophage 1.50 0.54 0.54 0.04 2.08 2.08 XXX G0227 TC C PET img wholbod ini esophage 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0228 C PET img wholbod restg esopha 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0228 26 A PET img wholbod restg esopha 1.50 0.53 0.53 0.04 2.07 2.07 XXX G0228 TC C PET img wholbod restg esopha 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0229 C PET img metaboloc brain pres 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0229 26 A PET img metaboloc brain pres 1.50 0.53 0.53 0.04 2.07 2.07 XXX G0229 TC C PET img metaboloc brain pres 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0230 C PET myocard viability post 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0230 26 A PET myocard viability post 1.50 0.55 0.55 0.04 2.09 2.09 XXX G0230 TC C PET myocard viability post 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0231 C PET WhBD colorec; gamma cam 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0231 26 A PET WhBD colorec; gamma cam 1.50 0.53 0.53 0.04 2.07 2.07 XXX G0231 TC C PET WhBD colorec; gamma cam 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0232 C PET whbd lymphoma; gamma cam 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0232 26 A PET whbd lymphoma; gamma cam 1.50 0.53 0.53 0.04 2.07 2.07 XXX G0232 TC C PET whbd lymphoma; gamma cam 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0233 C PET whbd melanoma; gamma cam 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0233 26 A PET whbd melanoma; gamma cam 1.50 0.53 0.53 0.04 2.07 2.07 XXX G0233 TC C PET whbd melanoma; gamma cam 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0234 C PET WhBD pulm nod; gamma cam 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0234 26 A PET WhBD pulm nod; gamma cam 1.50 0.53 0.53 0.04 2.07 2.07 XXX G0234 TC C PET WhBD pulm nod; gamma cam 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0236 A Digital film convert diag ma 0.06 0.44 N/A 0.02 0.52 N/A ZZZ G0236 26 A Digital film convert diag ma 0.06 0.02 0.02 0.01 0.09 0.09 ZZZ G0236 TC A Digital film convert diag ma 0.00 0.42 N/A 0.01 0.43 N/A ZZZ Start Printed Page 49256 G0237 A Therapeutic procd strg endur 0.00 0.47 N/A 0.02 0.49 N/A XXX G0238 C Oth resp proc, indiv 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0239 C Oth resp proc, group 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0245 R Initial foot exam pt lops 0.88 0.81 0.32 0.05 1.74 1.25 XXX G0246 R Followup eval of foot pt lop 0.45 0.56 0.16 0.02 1.03 0.63 XXX G0247 R Routine footcare pt w lops 0.50 0.54 0.21 0.05 1.09 0.76 ZZZ G0248 R Demonstrate use home inr mon 0.00 6.92 N/A 0.01 6.93 N/A XXX G0249 R Provide test material,equipm 0.00 4.12 N/A 0.01 4.13 N/A XXX G0250 R MD review interpret of test 0.18 0.06 0.06 0.01 0.25 0.25 XXX G0252 26 N PET imaging initial dx 1.50 0.58 0.58 0.04 2.12 2.12 XXX G0253 C PET image brst dection recur 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0253 26 A PET image brst dection recur 1.87 0.72 0.72 0.07 2.66 2.66 XXX G0253 TC C PET image brst dection recur 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0254 C PET image brst eval to tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0254 26 A PET image brst eval to tx 1.87 0.72 0.72 0.07 2.66 2.66 XXX G0254 TC C PET image brst eval to tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0262 A Sm intestinal image capsule 2.12 20.88 N/A 0.08 23.08 N/A XXX G0262 26 A Sm intestinal image capsule 2.12 0.82 0.82 0.02 2.96 2.96 XXX G0262 TC A Sm intestinal image capsule 0.00 20.06 N/A 0.06 20.12 N/A XXX G0268 A Removal of impacted wax md 0.61 0.66 0.25 0.04 1.31 0.90 000 G0270 A MNT subs tx for change dx 0.00 0.47 N/A 0.01 0.48 N/A XXX G0271 A Group MNT 2 or more 30 mins 0.00 0.18 N/A 0.01 0.19 N/A XXX G0272 A Naso/oro gastric tube pl MD 0.32 N/A 0.12 0.02 N/A 0.46 000 G0273 A Pretx planning, non-Hodgkins 0.86 11.40 N/A 0.28 12.54 N/A XXX G0273 26 A Pretx planning, non-Hodgkins 0.86 0.33 0.33 0.03 1.22 1.22 XXX G0273 TC A Pretx planning, non-Hodgkins 0.00 11.06 N/A 0.25 11.31 N/A XXX G0274 A Radiopharm tx, non-Hodgkins 2.07 3.42 N/A 0.20 5.69 N/A XXX G0274 26 A Radiopharm tx, non-Hodgkins 2.07 0.80 0.80 0.08 2.95 2.95 XXX G0274 TC A Radiopharm tx, non-Hodgkins 0.00 2.62 N/A 0.12 2.74 N/A XXX G0275 A Renal angio, cardiac cath 0.25 N/A 0.10 0.01 N/A 0.36 ZZZ G0278 A Iliac art angio,cardiac cath 0.25 N/A 0.10 0.01 N/A 0.36 ZZZ G0279 C Excorp shock tx, elbow epi 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0280 C Excorp shock tx other than 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0281 A Elec stim unattend for press 0.18 0.11 N/A 0.01 0.30 N/A XXX G0283 A Elec stim other than wound 0.18 0.11 N/A 0.01 0.30 N/A XXX G0288 A Recon, CTA for surg plan 0.00 10.62 N/A 0.15 10.77 N/A XXX G0289 A Arthro, loose body + chondro 1.48 N/A 0.57 0.27 N/A 2.32 ZZZ Gxx10 A ESRDrelsvc 1/mo; 2-11yr 2.32 1.14 1.14 0.10 3.56 3.56 XXX Gxx11 A ESRDrelsvc 4+/mo; 12-19yr 8.47 4.54 4.54 0.35 13.36 13.36 XXX Gxx12 A ESRDrelsvc 2-3/mo; 12-19yr 3.14 1.68 1.68 0.13 4.95 4.95 XXX Gxx13 A ESRDrelsvc 1/mo; 12-19yr 2.05 1.10 1.10 0.08 3.23 3.23 XXX Start Printed Page 49257 Gxx14 A ESRDrelsvc 4+/mo; 20+yr 5.16 2.94 2.94 0.22 8.32 8.32 XXX Gxx15 A ESRDrelsvc 2-3/mo; 20+yr 1.94 1.10 1.10 0.08 3.12 3.12 XXX Gxx16 A ESRDrelsvc 1/mo; 20+yr 1.27 0.73 0.73 0.06 2.06 2.06 XXX Gxxx1 A Monitor arrhyth/30day 0.52 7.45 N/A 0.24 8.21 N/A XXX Gxxx2 A Monitor arrhyth/30day;rec 0.00 1.24 N/A 0.07 1.31 N/A XXX Gxxx3 A Monitor arrhyth/30day;analy 0.00 6.02 N/A 0.15 6.17 N/A XXX Gxxx4 A Monitor arrhyth/30day;interp 0.52 0.19 0.19 0.02 0.73 0.73 XXX Gxxx5 A ESRDrelsvc 4+/mo; undr2 12.92 8.70 8.70 0.60 22.22 22.22 XXX Gxxx6 A ESRDrelsvc 2-3/mo; undr2 5.19 3.49 3.49 0.24 8.92 8.92 XXX Gxxx7 A ESRDrelsvc 1/mo; undr2 3.39 2.29 2.29 0.16 5.84 5.84 XXX Gxxx8 A ESRDrelsvc 4+/mo; 2-11yr 9.91 4.86 4.86 0.43 15.20 15.20 XXX Gxxx9 A ESRDrelsvc 2-3/mo; 2-11yr 3.55 1.74 1.74 0.15 5.44 5.44 XXX M0064 A Visit for drug monitoring 0.37 0.34 0.12 0.01 0.72 0.50 XXX P3001 A Screening pap smear by phys 0.42 0.18 0.18 0.01 0.61 0.61 XXX Q0035 A Cardiokymography 0.17 0.45 N/A 0.03 0.65 N/A XXX Q0035 26 A Cardiokymography 0.17 0.07 0.07 0.01 0.25 0.25 XXX Q0035 TC A Cardiokymography 0.00 0.39 N/A 0.02 0.41 N/A XXX Q0091 A Obtaining screen pap smear 0.37 0.68 0.14 0.01 1.06 0.52 XXX Q0092 A Set up port xray equipment 0.00 0.32 N/A 0.01 0.33 N/A XXX R0070 C Transport portable x-ray 0.00 0.00 0.00 0.00 0.00 0.00 XXX R0075 C Transport port x-ray multipl 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5299 R Hearing service 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5362 R Speech screening 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5363 R Language screening 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5364 R Dysphagia screening 0.00 0.00 0.00 0.00 0.00 0.00 XXX 1 CPT codes and descriptions only are copyright American Medical Association. All Right Reserved. Applicable FARS/DFARS Apply. 2 Copyright American Dental Association. All right reserved. BILLING CODE 4120-01-P
BILLING CODE 4120-01-C
BILLING CODE 4120-01-P
BILLING CODE 4120-01-C
BILLING CODE 4120-01-P
BILLING CODE 4120-01-P
BILLING CODE 4120-01-C
BILLING CODE 4120-01-P
[FR Doc. 03-20662 Filed 8-8-03; 3:56 pm]
BILLING CODE 4120-01-C
Document Information
- Published:
- 08/15/2003
- Department:
- Centers for Medicare & Medicaid Services
- Entry Type:
- Proposed Rule
- Action:
- Proposed rule.
- Document Number:
- 03-20662
- Pages:
- 49029-49300 (272 pages)
- Docket Numbers:
- CMS-1476-P
- RINs:
- 0938-AL96: Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004 (CMS-1476-P)
- RIN Links:
- https://www.federalregister.gov/regulations/0938-AL96/revisions-to-payment-policies-under-the-physician-fee-schedule-for-calendar-year-2004-cms-1476-p-
- Topics:
- Health facilities, Health professions, Kidney diseases, Laboratories, Medicare, Rural areas, X-rays
- PDF File:
- 03-20662.pdf
- CFR: (3)
- 42 CFR 410.140
- 42 CFR 410.141
- 42 CFR 414.22